Other efforts to improve quality might be to mandate certain minimum requirements
The profile of arrangements used by these low-income parents is strikingly different from that used by all low-income families
These can take the form of reducing child:adult ratios, reducing group sizes, establishing and enforcing safety regulations, and education and training. An example of such regulations is a model standard that applies to small family home caregivers. The National Health and Safety Performance Standard (American Public Health Association and American Academy of Pediatrics, 1992) states that one small family caregiver who does not have an assistant shall not care for more than six children, including no more than two children under age 2. These numbers include the caregiver’s own children under the age of six. If only children under age 2 are in care, there shall be no more than three children, including those of the caregiver (Chapter 1, Staffing).