Childcare and HPP

For some people, finding suitable childcare for their loved one with hypophosphatasia (HPP) can be a challenging process. Find out more about what to look for in a childcare professional or center-based care.


Finding center-based care or an individual who can provide consistent and quality care for your child can be difficult and if your child has hypophosphatasia (HPP), your options may be limited. You may have to ask more questions and visit more childcare centers to find a place that suits your child’s needs.

It’s important to find a childcare provider who has experience working with kids who have HPP. Providers with experience will be more likely to understand the challenges your child faces and offer customized activities based on individual ability. It’s also important to find a provider who is flexible and willing to work with you to meet the specific needs of your child.

In addition to finding childcare with a flexible, experienced staff, it’s essential to choose a location that meets certain safety criteria.

Daycare safety checklist to consider

  • Is licensed and accredited by the state
  • Provides constant supervision of your child
  • Offers adequate child-to-staff ratios:
    • 3 to 1 for infants
    • 4 to 1 for 2-year-olds
    • 7 to 1 for 3-year-olds
    • 8 to 1 for 4-year-olds
    • 9 to 1 for 5-year-olds
  • Only has toys that are age-appropriate
  • Provides all employees with quick access to emergency contact information
  • Locks up dangerous materials
    • Scissors
    • Medications
    • Cleaning supplies
  • Displays their emergency evacuation plan
  • Has enclosed outside play areas
  • Has regularly scheduled inspections for cleanliness and health
  • Practices safe, sanitary procedures
    • Putting infants to sleep
    • Preparing food
    • Changing diapers
  • Ensures children have a safe sleep environment
  • Provides a written policy for emergencies and administering medicine
  • Has first aid kits readily available
  • Has visible smoke and/or carbon monoxide alarms and fire extinguishers
  • Requires certification in CPR and First Aid for all employees
  • Ensures playground equipment is free of sharp edges
  • Provides soft surfaces on the play ground

You may also consider in-home care or a nanny for your child with HPP. Childcare websites have search filters to help find nannies or child care professionals with specialized skills and experience. Performing a background check and asking for multiple references is highly recommended for any person who may be left alone with your child.

It may also be beneficial to ask members of the HPP community (online or in person) or people you know who have children with HPP for advice about childcare. Creating a dialogue with others who have been there before can often provide a lot of useful information.

When you have questions about HPP, speak with your doctor first. Our informative articles and patient stories are frequently updated, so visit Stand with HPP when you are seeking support from the HPP community. We are here to help you find what you’re looking for and help you stay connected.