Current Realities:

• Children who are medically fragile or who have other special needs must be served by staff specially trained to identify and assist their individual needs.
• According to the Study entitled “Children with Special Needs in NC Child Care Programs,”   44% of the programs enrolled at least one child with either an individualized education plan or is in the process of having his/her special needs identified.
• 57 % of children with special / developmental needs from low income families are enrolled in 4- or 5- star rated child care programs