ChrysanthemumThis extensive article from the New Republic clearly defines the nightmare that is child daycare for so many American children and infants.  Not only is this unregulated field filled with underpaid, under-trained service providers, but poor people (about one third of U.S. families) can’t afford or can barely afford day care for their children.

Almost half of America’s 8.2 million children under five spend part of their week in care outside the home.

America’s weakest and most vulnerable citizens are too often left in the care of drunk uncles and worse because low wage parents just don’t earn enough to pay for daycare.

The only time we read about the pain caused by inadequate daycare is when a baby chokes to death on a condom or has its brains dashed out on a wall.

Subsidized day care not only creates a safe place for the child, but a smarter citizen, and a happier and more productive family living in a better community.

The rest of the industrialized world spends more, cares more, and have come to realize the value of healthy children and many would argue, healthier children clearly results in happier and safer societies.  “What we do to our children, they will do to society” Pliny The Elder 2500 years ago.

Day care providers in advanced nations are regulated and resourced and meet standards that lead to better conditions and better results.  Instead, we send our children to school knowing which ones will always read below grade level and never graduate.  Our prisons are filled with the sad stories of children with lives dashed because of a community much more willing to spend money on criminal justice that early childhood programs.  This is a public health issue.  This is a public health issue.

 

The Hell of American Day CareAn investigation into the barely regulated, unsafe business of looking after our children

BY JONATHAN COHN

It was 5:30 in the morning when Kenya Mire looked down at her baby girl, Kendyll,who was curled up tight on a foldaway crib. “Night, night,” Kendyll had just murmured in her quiet, serious way. At 20 months, she was picking up all sorts of words, like “baby,” the name of the doll she kept nearby, and “Bryce,” the name of her big brother. She hadn’t slept much that night, and Mire thought about calling in late to work so Kendyll could get more rest. But it was only Mire’s second day at a new job she badly needed, as a receptionist at a Houston oil company. Mire, who was 30,with an open face and wide smile, was intent on making a good impression. The best she could do was give Kendyll an extra hour to nap and prepare some warm milk for her breakfast.

When Kendyll got up, Mire dressed her in a purple shirt that matched her own—purple was Kendyll’s favorite color—and put a pair of purple-striped stretch pants in her backpack. It was a challenge to get Kendyll to sit still for the hour it took to unbraid and re-braid her dark hair, and on such a hectic morning, Mire didn’t even try. At around 7 a.m., they got into the car and drove to Kendyll’s new day care.

The place was called “Jackie’s Child Care,” but there wasn’t anyone named Jackie who worked there. The proprietor was Jessica Tata, an energetic 22-year-old registered with the state of Texas to look after children in the wood-paneled house she rented on a quiet, middle-class street. Her regulars included Elias, a chunky 16-month-old with a bowlegged walk, and 19-month-old Elizabeth, who always jumped into her mom’s lap when it was time to drop her off. As Mire walked back to her car that warm February morning in 2011, she noticed Kendyll hovering at the entrance—a little sleepy, a little curious, gazing at the scene inside. Mire felt uneasy about leaving, especially since it was only Kendyll’s second day there and she didn’t know Tata that well. Shortly after, she called Tata to check in, and Tata reassured her that Kendyll was doing just fine.

Just after lunch, Mire’s cell phone lit up. The number was Tata’s, but she didn’t recognize the voice. “There’s been a fire,” a woman said. “They’ve taken all the kids to the hospital, for smoke, as a precaution.” Mire tried not to panic; she clutched at the word “precaution.” Her phone buzzed again, this time with a text message from a friend: “What day care did you say Kendyll goes to?” Mire called the friend, who was watching live TV coverage of a burning Houston day care. Black smoke was billowing from windows and holes in the roof; firemen were running out of the house, cradling limp babies in their arms. One little girl had braided hair and a purple shirt, her friend told her. She looked like Kendyll. Mire ran to her car. I can’t panic, she kept telling herself as she drove through heavy traffic and later past ambulances and fire engines.I just have to get there.

 

Trusting your child with someone else is one of the hardest things that a parent has to do—and in the United States, it’s harder still, because American day care is a mess. About 8.2 million kids—about 40 percent of children under five—spend at least part of their week in the care of somebody other than a parent. Most of them are in centers, although a sizable minority attend home day cares like the one run by Jessica Tata. In other countries, such services are subsidized and well-regulated. In the United States, despite the fact that work and family life has changed profoundly in recent decades, we lack anything resembling an actual child care system. Excellent day cares are available, of course, if you have the money to pay for them and the luck to secure a spot. But the overall quality is wildly uneven and barely monitored, and at the lower end, it’s Dickensian.

This situation is especially disturbing because, over the past two decades, researchers have developed an entirely new understanding of the first few years of life. This period affects the architecture of a child’s brain in ways that indelibly shape intellectual abilities and behavior. Kids who grow up in nurturing, interactive environments tend to develop the skills they need to thrive as adults—like learning how to calm down after a setback or how to focus on a problem long enough to solve it. Kids who grow up without that kind of attention tend to lack impulse control and have more emotional outbursts. Later on, they are more likely to struggle in school or with the law. They also have more physical health problems. Numerous studies show that all children, especially those from low-income homes, benefit greatly from sound child care. The key ingredients are quite simple—starting with plenty of caregivers, who ideally have some expertise in child development.

By these metrics, American day care performs abysmally. A 2007 survey by theNational Institute of Child Health Development deemed the majority of operations to be “fair” or “poor”—only 10 percent provided high-quality care. Experts recommend a ratio of one caregiver for every three infants between six and 18 months, but just one-third of children are in settings that meet that standard. Depending on the state, some providers may need only minimal or no training in safety, health, or child development. And because child care is so poorly paid, it doesn’t attract the highly skilled. In 2011, the median annual salary for a child care worker was $19,430, less than a parking lot attendant or a janitor. Marcy Whitebook, the director of the Center for the Study of Child Care Employment at the University of California–Berkeley, told me, “We’ve got decades of research, and it suggests most child care and early childhood education in this country is mediocre at best.”

At the same time, day care is a bruising financial burden for many families—more expensive than rent in 22 states. In the priciest, Massachusetts, it costs an average family $15,000 a year to place an infant full-time in a licensed center. In California, the cost is equivalent to 40 percent of the median income for a single mother.

Only minimal assistance is available to offset these expenses. The very poorest families receive a tax credit worth up to $1,050 a year per child. Some low-income families can also get subsidies or vouchers, but in most states the waiting lists for them are long. And so many parents put their kids in whatever they can find and whatever they can afford, hoping it will be good enough.

One indicator of the importance that the United States places on child care is how little official information the country bothers to collect about it. There are no regular surveys of quality and no national database of safety problems. One of the only serious studies, by Julia Wrigley and Joanna Dreby, appeared in the American Sociological Review in 2005. The researchers cobbled together a database of fatalities from state records, court documents, and media reports. On the surface, they said, day care appears “quite safe,” but looking closer, they discovered “striking differences.” The death rate for infants in home settings—whether in their own houses with a nanny or in home day cares—was seven times higher than in centers. The most common causes included drowning, violence—typically, caregivers shaking babies—and fire.

Statistics on Sudden Infant Death Syndrome (SIDS) are also revealing. ChildCare Aware of America, an advocacy group, calculated that, proportionally, about 9 percent of all reported SIDS deaths should take place in child care. The actual number is twice that. And while overall SIDS fatalities declined after a nationwide education campaign, the death rate in child care held steady.

Fatalities in child care remain relatively rare, but not as rare as they should be. In aninvestigation of Missouri day caresSt. Louis Post-Dispatch reporter Nancy Cambria documented 45 deaths between 2007 and 2010. One was three-month-old William Pratt, who died from blunt trauma after a caregiver threw him on a couch because she was frustrated with him. In 2012, a toddler named Juan Carlos Cardenas wandered off at an Indiana church day care. Nobody was watching him when he fell, face-first, into a baptismal pool and drowned.

Kenya Mire was an only child and hated it, and perhaps that’s why she liked kids so much. After finishing high school, in 1999, she started training to be a medical assistant, hoping to work in a maternity ward. “I was just so interested in the idea of pregnancy,” she says in her clear, measured way. “I always wanted to be that person where I was in the room with them from the time when they came in up through when they had the baby. I wanted to be the person that you told your story to.”

When she was 22, however, Mire had to put her plans on hold, because she was pregnant herself. She and the father weren’t together and her morning sickness got so bad she had to quit her job in a restaurant kitchen and move in with her mom. Despite all that, she felt “worry-free,” she says. “I was just so excited to have a child.” Eight years later, when she got pregnant again, it was different. This time, she knew how hard it would be.

Courtesy of Kenya Mire
KENYA MIRE AND HER SON BRYCE

When Mire went back to work, she put Kendyll in the same day care where she’d sent her son, Bryce: Grandma’s Place—a bright, cheery operation with a professional staff. But Grandma’s Place was expensive. Even with the subsidies Texas provides to low-income mothers, Mire had to pay $200 a week from her $12.50-an-hour job at a water utility company. Then the recession hit, and Mire lost the job. She had to pull Kendyll from the center.

For the next two years, Mire worked as the hostess at a steak house for five hours a night, earning $10 an hour. Every day, she also checked in with several temping agencies. She relied on her mother and friends for child care, which meant she often had to pass up last-minute opportunities because she couldn’t find anyone to look after Kendyll. At one point, she scraped up the money to send Kendyll to a KinderCare franchise, but eventually fell behind on the payments and had to withdraw her. Once, she quit a customer-service job because she had nowhere for Kendyll to go.

When she was offered the oil company position, Mire felt like stability was finally within reach. “This was a really good opportunity,” she told me emphatically. “They were starting me on $12.50, and if I became permanent, they would move to like $13.” But in order to take the job, she needed child care.

First, Mire tried KinderCare again, but they wouldn’t take Kendyll until Mire paid her debt; when she did, there were no openings. She called about a dozen centers, all of which were either too expensive or had no available slots. Mire thought she might have to turn down the job. “I just kind of broke down, because it seemed like nothing was going right, everything was just falling apart,” she says. “I sat in my car for about thirty minutes. I was just like, I don’t even know what to do anymore. Because I want to start this job, but I literally don’t have nowhere for Kendyll to go.”

Then a solution materialized. Mire’s mother was shopping at Target when a woman named Jessica Tata handed her a business card for her home day care. Mire quickly called Tata, who said she could take another toddler. And the state subsidies—would Tata accept those? Yes, she said, she did it all the time.

Still, Mire was hesitant to leave Kendyll in a home day care—she’d never done that before. When she and Kendyll went to check out Jackie’s, she noticed dirty dishes piled up on the kitchen counters. Over the next two hours, she plied Tata with questions, about everything from her experience to her education methods.

Tata’s answers eased her anxiety. “She seemed like she understood the struggle of single parents and trying to work and take care of kids at the same time,” Mire recalls. “She just seemed very open and honest, really.” Mire liked the fact that Tata promised to teach the children Christian values through Bible reading and prayer. Most important, she seemed warm with children. Kendyll was usually wary in strange settings, but she left her mother’s side and started playing with the other kids. Maybe the arrangement wasn’t ideal, Mire thought, but it would be OK for now.

Mire’s dilemma was one that American parents, particularly single mothers, have struggled with for generations. The United States has always been profoundly uncomfortable with the idea of supporting child care outside the home, for reasons that inevitably trace back to beliefs over the proper role of women and mothers. At no point has a well-organized public day care system ever been considered the social ideal.

“CHILDREN ARE DYING. I CAN’T SEE ANYTHING. I CAN’T EVEN GET THERE AND GET THEM. I CAN’T SEE ANYTHING. MY KIDS ARE DYING. PLEASE HURRY. OH MY GOD!”

 

The first day cares were established during the Industrial Revolution, as increasing numbers of women in cities had to work. Jane Addams, the Progressive Era activist, was horrified to learn that all over Chicago, children were being left alone in tenement homes, morning till night. “The first three crippled children we encountered in the neighborhood had all been injured while their mothers were at work,” she wrote in her 1910 memoir, Twenty Years at Hull-House. “One had fallen out of a third-story window, another had been burned, and the third had a curved spine due to the fact that for three years he had been tied all day long to the leg of the kitchen table, only released at noon by his older brother who hastily ran in from a neighboring factory to share his lunch with him.”

Addams and other do-gooders created “day nurseries,” although in many cities they were little more than baby farms. Geraldine Youcha writes in Minding the Children that a survey from that era by Chicago authorities “found children unclean and crowded into one small room without any playthings, and several nurseries in which the ‘superintendent’ did not even know the last names and addresses of some of the children.”

The prevailing assumption at the time was that child care outside the home was deeply inferior to a mother’s care. At best, it was regarded as a useful tool to “Americanize” the children of recent immigrants. Even Addams believed the optimal solution was government subsidies that would allow single mothers to look after their own children. (“With all of the efforts made by modern society to nurture and educate the young, how stupid it is to permit the mothers of young children to spend themselves in the coarser work of the world!” she wrote.) Toward that end, progressive states created widows’ pensions, which were eventually expanded by the New Deal. Decades later, most people would know this kind of assistance simply as “welfare.”

Arguably the best child care system America has ever had emerged during World War II, when women stepped in to fill the jobs of absent soldiers. For the first time, women were employed outside the home in a manner that society approved of, or at least tolerated. But many of these women had nowhere to leave their small children. They resorted to desperate measures—locking kids in the car in the factory parking lot, with the windows cracked open and blankets stretched across the back seats. This created the only moment in American politics when child care was ever a national priority. In 1940, Congress passed the Lanham Act, which created a system of government-run centers that served more than 100,000 children from families of all incomes.

After the war, children’s advocates wanted to keep the centers open. But lawmakers saw them only as a wartime contingency—and if day care enabled women to keep their factory jobs, veterans would have a harder time finding work. The Lanham Act was allowed to lapse.

The federal government didn’t get back into the child care business until the 1960s, with the creation of Head Start, which was narrowly targeted to support low-income children. A broader bill, designed to help working mothers by providing care to all kids who needed it, passed Congress a few years later. But President Nixon vetoed the legislation, saying he didn’t want the government getting mixed up with “communal” child-rearing arrangements. Other than some increases in government funding for child tax credits and subsidies, federal child care policy has hardly changed in the last few decades.

Photo by Darren Braun

But family life has changed immeasurably. In 1975, most American families had a male breadwinner and a female homemaker, compared with one in five today. Around two-thirds of mothers of young children now work outside the home.

Meanwhile, the idea that it is preferable to support low-income women to stay home with their children has become toxic in American politics. Since the passage of welfare reform in 1996, single mothers no longer get cash benefits unless they have a job or demonstrate progress toward getting one. Millions of women with meager resources who would have qualified under the old welfare regime must find somewhere for their young children to go while they’re at work.

Day care, in other words, has become a permanent reality, although the public conversation barely reflects that fact. The issue of child care is either neglected as a “women’s issue” or obsessed over in mommy-wars debates about the virtues of day care versus stay-at-home moms. Whether out of reluctance to acknowledge a fundamental change in the conception of parenthood—especially motherhood—or out of a fear of expanding the role of government in family life, we still haven’t come to terms with the shift of women from the home to the workplace.1

On the day of the fire, as her house filled with smoke, Jessica Tata called 911. In the recording of the call, she is screaming: “Children are dying. I can’t see anything. I can’t even get there and get them. I can’t see anything. My kids are dying. Please hurry. Oh my god!”

Tata grew up in west Houston, the odd one out in a high-achieving Nigerian family. While her siblings excelled at academics and sports, Tata spent some time in juvenile detention, as well as a special school for troubled youth. At one point, she admitted to a charge of delinquent arson for starting a fire in a school bathroom.

But when Tata was around 16, her family saw a radical change in her. She became a dedicated Christian and started volunteering at her church’s day care. Her parents wanted her to go to college, like most of her brothers and sisters, but Tata decided to open a day care in her two-bedroom apartment.

In 2010, Tata started a bigger operation, Jackie’s Child Care, which she registered with the state. She divided the lower floor of her house into different areas—mats on the tile floor for naptime, a classroom area with little desks, a play area with Legos and musical instruments. For the kids’ lunch, she often cooked corn dogs or catfish. Tata liked to keep her older brother, Ron, posted on their progress, proudly describing the best speller or a child who had learned a new word. “I felt like she was trying to impress us all, like, Hey, you people thought I wouldn’t go to college and I wouldn’t be successful, but look at me now,” he recalled. “I have this day care. I have these kids. I have everything that I dreamed of.”

AP Photo/Houston Chronicle, Michael Paulsen
Emergency personell outside Jessica Tata’s day care.

When the first-responders arrived at the scene, Tata told them she had been in the bathroom when a pan of heated oil caught fire on the stove and that she ran outside when she couldn’t find any of the kids. A neighbor was trying to console a distraught Tata when she noticed that the children and the firefighters carrying them outside were covered in black soot. But Tata’s white blouse, cherry-red vest, and matching knit beret were clean.

Other neighbors reported that they had seen her run out the door screaming, but, seconds before, some had also seen her drive up to the house, with nobody in her van. Later, a fire department investigator found a bag from Target behind the front door, with a receipt issued around the time of the fire.

Afterward—apparently the very next night—Tata returned to the charred remains of her home, retrieved her passport, and caught a flight to Nigeria. Interpol agents would eventually take her into custody, and at one point, Tata spoke with the mother of one of her charges on the phone. “I’m so sorry, Ms. Betty,” she said.

As questions about Tata accumulated, many of them in coverage by the Houston Chronicle,2 people started asking why authorities had allowed her to run a home day care in the first place. After all, she had a criminal record, even though Texas regulations state that children must not be supervised by anyone with “a history of criminal activity, abuse, or neglect.”

I put the question to Sue Lahmeyer, former district director of licensing for the Texas Department of Family and Protective Services (DFPS). Her office was responsible for monitoring 6,000 child care providers in and around Houston, including Tata. Lahmeyer, a transplanted New Yorker who spent some 30 years working on services for children and families, explained how little power inspectors have to make sure kids are getting safe, quality care.

In Texas, a person only needs a high school qualification or equivalent to operate a home day care. (That includes online degrees.) As for Tata’s juvenile record, she hadn’t disclosed it on her application, and a computer background check hadn’t uncovered it. In 2007, the agency had ordered Tata to close the day care in her apartment, because she was operating without a proper license. But, under the law, that didn’t disqualify her from obtaining permission to start a new business.

Caregivers are also required to attend a state-sanctioned education session. According to a trainer, Tata had wandered in and out of the classroom, put her head down on the table, and spent much of the time texting. But since the law only requires applicants to show up, Tata had satisfied the requirement.

By national standards, Texas child care regulations are typical—better than average in some respects, worse in others. That is to say, they are painfully minimal. “You know, when we walk into some of these places, they’re meeting the letter of the standards,” Lahmeyer says. “But it’s like a warehouse for children. You know it when, as the inspector, you are the most interesting thing the kids have seen all day. They attach themselves to you and are trying to engage because there’s nothing else going on for them.”

Like most states, Texas inspects child care centers at least once a year, but only has the manpower to visit home day cares every two. Even egregious violations don’t always lead to shutdowns. Sometimes, that’s because parents, lacking alternatives, fight to keep notorious places open. An inspector named Carol McGinnis told me she’d recently visited a center in “total disarray,” with “feces smeared on the walls.” Nevertheless, if the agency closed it, McGinnis expected some parents would resist, because it was one of the few places offering care on weekends.

On other occasions, the process of closing a day care can be torturous. Lahmeyer recalled one place that racked up repeated violations over two years before a judge would shut it down. “I can tell you there’s a fair number [of cases] that we lost because the judge decided, No child’s died yet, so they stay open,” Lahmeyer says.

All too often, it takes an incident to force a closure. Last November, for instance, DFPS closed a center after a caregiver left a nine-month-old infant alone on a changing table without a belt. The baby fell onto a concrete floor, sustaining a serious skull injury. In addition to the caregiver, DFPS cited the director for failing to “contact the parents the next day when a ‘mushy’ bump was observed on the infant’s head.” I asked McGinnis how many of the area’s providers she’d trust with her own child. She answered promptly: “Twenty percent.” 3

It took Kenya Mire about 25 minutes to get to the hospital, where she found a frantic scene. Parents were desperately seeking information; staffers were having trouble identifying the kids. Even then, Mire says: “I didn’t expect it to be to the extreme. I still was kind of hoping it was OK.” But then a nurse came into the waiting area holding a pair of purple striped stretch pants, covered in soot and cut into pieces. Mire practically had to be pulled into the emergency room. When they brought her in, she saw Kendyll laid out on a table like a doll. A doctor was pumping her chest, hard. Then a nurse pulled her aside and told her there was nothing more they could do.

Four of the seven children at the day care died that day. Elizabeth died before her mother, Betty Ukera Kajoh, a teacher who met Tata through church, made it to the hospital. Elias was in a special breathing chamber, expelling smoke from his lungs, by the time his mom, Keshia Brown, finished a training session for a new job at a grocery store and learned about the fire. He died the next day in Keshia’s arms.

Tiffany Dickerson had two children at Tata’s day care: Makayla, two, and Shomari, three. She worked at West Houston Medical Center as a nurse’s assistant, and shortly after lunchtime, she heard a page over the intercom: “Code Blue, Double P.D.”—the shorthand for “pediatric department.” She thought nothing of it, until she called the day care a few minutes later and found out what had happened. “Oh god, Tiffany, that’s who’s in the emergency room,” Dickerson’s manager told her. Makayla survived; Shomari did not.4

In many countries, day care is treated not as an afterthought, but as a priority.France, for instance, has a government-run system that experts consider exemplary. Infants and toddlers can attend crèche, which is part of the public health system, while preschoolers go to the école maternelle, which is part of the public education system. At every crèche, half the caregivers must have specialized collegiate degrees in child care or psychology; pediatricians and psychologists are available for consultation. Teachers in the école maternelle must have special post-college training and are paid the same as public school teachers. Neither program is mandatory, but nearly every preschooler goes to the école maternelle. Parents who stay at home to care for their children or hire their own caregivers receive generous tax breaks. It hardly seems a coincidence that 80 percent of French women work, compared with 60 percent of their American counterparts.

France spends more on care per child than the United States—a lot more, in the case of infants and toddlers. But most French families pay far less out of pocket, because the government subsidizes child care with tax dollars and sets fees according to a sliding scale based on income. Overall, the government devotes about 1 percent of France’s gross domestic product to child care, more than twice as much as the United States does. As Steven Greenhouse once observed in The New York Times, “Comparing the French system with the American system … is like comparing a vintage bottle of Chateau Margaux with a $4 bottle of American wine.”

INVESTING IN EARLY CHILDHOOD EDUCATION, TWO FED ECONOMISTS WROTE, WOULD YIELD “A MUCH HIGHER RETURN THAN MOST GOVERNMENT-FUNDED ECONOMIC DEVELOPMENT INITIATIVES.”

 

There is one place in the United States where you can find a very similar arrangement: the military. In the 1980s, the Defense Department decided to address, rather than ignore, the same social changes that have transformed the wider economy. More women were entering the military, and many had children. Increasingly, the wives of male soldiers had jobs of their own. Believing that subsidized day care was essential for recruitment and morale, military leaders created a system the National Women’s Law Center has called a “model for the nation.” More than 98 percent of military child care centers meet standards set by the National Association for the Education of Young Children, compared with only 10 percent of private-sector day cares.

A growing number of economists have become convinced that a comprehensive child care system is not only a worthwhile investment, but also an essential one. James Heckman, the Nobel-winning economist, has calculated that, in the best early childhood programs, every dollar that society invests yields between $7 and $12 in benefits. When children grow up to become productive members of the workforce, they feed more money into the economy and pay more taxes. They also cost the state less—for trips to the E.R., special education, incarceration, unemployment benefits, and other expenses that have been linked to inadequate nurturing in the earliest years of life. Two Fed economists concluded in a report that “the most efficient means to boost the productivity of the workforce 15 to 20 years down the road is to invest in today’s youngest children” and that such spending would yield “a much higher return than most government-funded economic development initiatives.”

In a July 2012 speech, Fed Chairman Ben Bernanke made the case that significant investment in early childhood would deliver even broader gains to the U.S. economy. “Notably, a portion of these economic returns accrues to the children themselves and their families,” he said, “but studies show that the rest of society enjoys the majority of the benefits.” Right now, too many Americans make major choices about work or finances based on the scarcity or cost of child care. Sometimes, this means women curtail their careers because it’s cheaper to stay home or take a more flexible job than to pay for full-time care. Sometimes, a person of limited means pours a significant portion of their income into day care, which limits their ability to build a financial foundation for the future. When parents can find safe, affordable child care, they are more likely to realize their full economic potential. Their employers gain, too: Numerous studies show that access to quality day care increases productivity significantly.

This year, President Barack Obama has put forward what he calls a “universal pre-kindergarten” proposal. It would provide states with matching funds, so that they could set up their own programs for three- and four-year-olds, while modestly increasing subsidies for infant and toddler care. This plan would cost $75 billion over ten years, financed by higher cigarette taxes, which means it will meet serious political resistance. But the concept has support from key Democrats like House Minority Leader Nancy Pelosi, who has spoken of “doing for child care what we did for health care.”

Since the 1930s, with the introduction of Social Security, the United States has constructed—slowly, haphazardly, often painfully—a welfare state. Pensions, public housing, health care—piece by piece, the government created protections for citizens that the market doesn’t always provide. Child care is the major unfinished part of that project. The lack of quality, affordable day care is arguably the most significant barrier to full equality for women in the workplace. It makes it more likely that children born in poverty will remain there. That’s why other developed countries made child care a collective responsibility long ago.

In November 2012, Tata went on trial for multiple charges, including felony murder. Family and former clients talked about her love of children. A nurse named Eudora Walcott said Tata was the first caregiver who didn’t make her grandson scream. “The person I know was always there for the kids,” she recalled. But Tata herself never took the stand. (She also declined interview requests for this article.)

A young woman who’d worked with Tata briefly in 2010 testified that Tata sometimes left her alone with a dozen kids for hours at a time and that when she arrived in the morning, the place occasionally had “diapers on the floor, throw up under the playpen.” A seven-year-old girl told jurors that Tata once took the older kids to McDonald’s while the younger ones slept at home. A neighbor described several occasions when she’d knocked on Tata’s door and nobody answered, even though she could hear children inside.

The prosecutor, Steve Baldassano, played surveillance video taken at Target during the fire that showed Tata browsing the aisles and then stopping by a Starbucks. A manager testified that he asked Tata to take a customer survey, but she told him she didn’t have time—because she had something on the stove and little kids were at home, sleeping.

Tata’s attorney, Mike DeGeurin, didn’t dispute that she had left the kids alone. But while Tata was guilty of bad judgment, he said, she hadn’t meant to hurt anyone. “It was a terrible accident,” DeGeurin told the court. “What it’s not is murder.” The next day, the jury found Tata guilty. She is now serving an 80-year sentence in a state prison.

Mire also testified, but when the trial was over, she felt disappointed, like there were more things she wanted to say. “I wanted to come to her face-to-face and be like, What happened?” she says. “I could look at babies now, not even my baby, and I’m still just like, it’s a comfort feeling to know that something so precious is here. You cherish that. You keep that close. You can look at a baby or child and just see their innocence. Even when they do something bad, there’s still innocence to that.

“So when you hear a story where people have done neglective things to that kind of innocence, it’s heartbreaking because I don’t fathom it. I just can’t imagine what she was thinking.”

Nearly a year after the fire, Mire got a steady job at the same hospital where Kendyll died. Oddly, the experience has provided her with a measure of peace. Some of the nurses in the emergency room remembered Mire, and when firefighters brought in patients, some of them recognized her, too. They talked to her about the day of the fire, and Mire learned that, by the time Kendyll reached the hospital, she had already passed away. “They think that she was sleeping and the smoke just put her in a deeper sleep,” she says. “It was kind of like a comfort, because I was able to get answers that I needed.” For months, she said, she had been tormented by the thought that her daughter had died alone and in pain. “It scared me to death because I always wondered if she was awake, if she was in the crib crying for me. I just didn’t want her to feel like I left her there.”