![]() Child care centers must provide effective communication to the customers they serve, including parents and guardians with disabilities, unless doing so poses an undue burden. But the ADA generally does not require centers to hire additional staff or provide constant one-to-one supervision of a particular child with a disability.Ī: It depends. ![]() As in other cases, an individualized assessment is required. This is not to suggest that all children with Down Syndrome need one-to-one care or must be accompanied by a personal assistant in order to be successfully integrated into a mainstream child care program. Any modifications necessary to integrate such a child must be made if they are reasonable and would not fundamentally alter the program. If a child who needs one-to-one attention due to a disability can be integrated without fundamentally altering a child care program, the child cannot be excluded solely because the child needs one-to-one care.įor instance, if a child with Down Syndrome and a significant intellectual disability applies for admission and needs one-to-one care to benefit from a child care program, and a personal assistant will be provided at no cost to the child care center (usually by the parents or through a government program), the child cannot be excluded from the program solely because of the need for one-to-one care. Most children will need individualized attention occasionally. Providers are often surprised at how simple it is to include children with disabilities in their mainstream programs.Ĭhild care centers that are accepting new children are not required to accept children who would pose a direct threat (see question 8) or whose presence or necessary care would fundamentally alter the nature of the child care program.Ī: No. Instead, the caregiver should talk to the parents or guardians and any other professionals (such as educators or health care professionals) who work with the child in other contexts. In making this assessment, the caregiver must not react to unfounded preconceptions or stereotypes about what children with disabilities can or cannot do, or how much assistance they may require. The center must make an individualized assessment about whether it can meet the particular needs of the child without fundamentally altering its program. Existing facilities are subject to the readily achievable standard for barrier removal, while newly constructed facilities and any altered portions of existing facilities must be fully accessible.Ī: Child care centers cannot just assume that a child’s disabilities are too severe for the child to be integrated successfully into the center’s child care program. ![]() Centers must generally make their facilities accessible to persons with disabilities.Centers must provide appropriate auxiliary aids and services needed for effective communication with children or adults with disabilities, when doing so would not constitute an undue burden.Centers have to make reasonable modifications to their policies and practices to integrate children, parents, and guardians with disabilities into their programs unless doing so would constitute a fundamental alteration.Centers cannot exclude children with disabilities from their programs unless their presence would pose a direct threat to the health or safety of others or require a fundamental alteration of the program.A: The ADA requires that child care providers not discriminate against persons with disabilities on the basis of disability, that is, that they provide children and parents with disabilities with an equal opportunity to participate in the child care center’s programs and services.
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