I know from personal experience of being a mother that it is difficult to trust another person to care for your child while you are away at work. I can honestly say that I had several negative events which occurred with my oldest while he was an infant, a toddler, and a kindergartner.
The first episode was believing a 20 something gal would be responsible to care for my infant son in the evenings... She instead took him for a night drive cruising the avenue with one of her best friends to look for guys.
The second lack of care came with a sitter who refused to feed my son when he would not chew with his mouth closed, I am all for teaching manners but my son was 3 and he could not chew and breather at the same time with his mouth closed due to enlarged adenoids. I explained this to her but it made no difference.
Another time my youngest son was in kindergarten, and my provider had left my son at school. The school contacted me at work to let me know he was still sitting on the front steps at 4:30 in the afternoon. When I contacted her she gave me the story about having a flat tire and when I asked why she didn't contact me nor the school, she hung up.
My point is, a home care provider should respect you the parent, your child, and be held accountable for their role in your child's life. Most anyone can pass a background check, they can make the exterior of their life seem perfect, but get to know their level of education in the profession. Are they certified by the state or local county agencies? Are they taking continuing education courses in order to provide the most up to date standards of care for your child? Are they willing to go above and beyond to provide adequate care for your child with special needs?
Often people see a home provider as an easy way to sit at home and bring in a bit of extra money. Being a professional home childcare provider is not sitting at home watching TV. It is guiding a child to learn, develop, and to question and research the world around them. Teach the child self responsibility, help with academic learning, give them challenges to overcome while they grow in mind, body, and self control of themselves.