A PROJECT OF THE County of San Diego Health & Human Services Agency


More and more children are spending time each day in some type of child care setting. All children -- especially infants and toddlers -- need a child care setting where they can thrive with caregivers who understand how to promote their healthy growth and development. It is important to remember that child care can be provided in different settings, including: child care centers; family child care providers (in your home or theirs); or the home of a family member. Here are a few simple guidelines for selecting a quality child care provider:

1. Use your resources

Ask your friends, family members and co-workers who they depend on for child care. Also, you can call a child care referral service (listed below).

2. Visit each child care provider and ask questions

Ask a few questions over the phone, but visit each child care provider that you are considering. Make sure the provider has a warm, clean and safe environment with experienced caregivers or teachers. Be sure to find out:

  • If the child care center or family child care home is licensed, which means that it meets basic health and safety standards. Also ask whether it is accredited, which means that it meets quality standards above basic licensing requirements.
  • Are the caregivers trained in CPR, first aid, and early childhood education?
  • Is the environment sanitary and safe?
  • Hours, fees and vacation schedules
  • Discipline methods used
  • Activities and play that contribute to the child’s overall intellectual and physical development
  • Feeding and sleeping schedules
  • The number of children per staff member
  • Rules about sick children at the center or home

Ask for a schedule of weekly or daily activities and a written copy of the child care provider’s rules.

Ask the provider if parents are allowed to visit anytime during the day.

3. Check references

Ask every provider that you are considering for a list of past and present references and call each one. Ask references specific questions such as, “What things do you like about the center?,” and “What are some things that you don’t like about the center?” If they are no longer using the child care provider, ask why.

4. Take your child to the provider for a visit After you have narrowed your decision down to one or two providers, take your child to each provider’s home or center to see how your child reacts to each caregiver and the environment. While your child may be shy at first, your child should show an interest in activities and surroundings. You also want to observe how the providers interact with your child and other children. Do the children seem happy? Are they comforted when needed?

These are just a few ways you can ensure your child receives quality care. By taking the time to ask questions and do your research, you will find a child care provider and environment that best meets your child’s needs.

Parenting Resources

The following is a list of parenting resources and agencies.

 Click on link Link for Parenting Youth Resource Guide to get more information.

Childcare Community Referral Services
(619) 574-1454 3604
Texas St.
San Diego, CA 92104

Maintains listing of all licensed child day care homes in San Diego County and provides referrals to callers according to geographic location. There are providers available for days, nights, weekends, part-time, full-time, or drop-in basis. No fees charged.

Health and Human Services Agency, County of San Diego –
Childcare Services Mission Valley Family Resource Center
1-800-716-4300 7947
Mission Center Ct.
San Diego, CA 92108

Programs provide childcare payment assistance for eligible active/former CalWORKs families and low-income parents who are working, seeking work, in school, or in a job training program. Sliding fee scale based on family income. Fee scale varies by childcare program. Waiting list for non-CalWORKs programs.

YMCA of San Diego County – Childcare Resource & Referral Service…
Toll Free: 1-800-481-2151
Child Care San Diego
Maintains a referral list of licensed childcare providers, including family childcare homes, childcare centers, Head Start programs, state preschool programs, and those who provide care in child's home. Information and childcare referrals for all of San Diego County are available to anyone. Offers a resource lending library including books, videos, and periodicals, and a toy library for childcare providers. Phone or walk in. No fees for referral services; childcare fees vary among providers.

3333 Camino del Rio South, Ste 400
(619) 521-3055
San Diego, CA 92108
North County Office
(760) 471-2751

150 Valpreda Rd, Ste 212
San Marcos, CA 92069
South County Office
(619) 667-2955

401 Mile of Cars Way, Ste 340
National City, CA 91950

A national hotline called Child Care Aware 1-800-424-2246 can direct you to your local child care resource and referral agency.

W.I.C. Program
1-888-WIC-WORKS Or 1-800-500-6411
A federally funded supplemental food and nutrition education program serving woman and their children throughout San Diego County. Supplemental food vouchers are issued on a monthly basis. Also offers nutrition counseling to pregnant or breastfeeding women, as well as infants and early childhood nutrition information. There are several locations that you can apply for W.I.C. Call the number above to find out the location nearest you, or call 211.


San Diego Adolescent Pregnancy and Parenting Program (SANDAPP)

SANDAPP's mission is to enhance the health, educational potential and healthy relationship of pregant and parenting adolescents, their children,siblings and parents by promoting a collaborative, intregrated system.



Are you or do you know a pregnant or parenting teenager who wants to stay in or return to school ?

SANDAPP may  be able to help you

  • Return to school
  • Access medical care
  • Have a health relationship with your child and family.

SANDAPP will help you learn about

  • How your baby grows and developes
  • How to keep your body abd baby healthy during your pregnancy
  • How to prepare for labor and delivery
  • Parent and child bonding

SANDAPP will provide you with refferals to

  • Parenting Classes
  • Counseling
  • Family Planning
  • Nutritional/ Health Providers
  • Job Training/Jobs


It is your right to decide how to handle your planned, unwanted or unexpected pregnancy. It is your decision but you do not have to be alone when making it. Discuss your options with your partner and talk to a trusted adult. Counselors at health clinics will also help you in reaching a decision that is best for you.

The first thing you need to do is get a pregnancy test done at a clinic or a doctor’s office. The home pregnancy tests are not 100% reliable. If you find that you are pregnant, you have some decisions ahead of you. There are choices:

  • You can have the baby and keep it
  • You can put the baby up for adoption
  • You can have an abortion in the first 12 weeks of your pregnancy performed safely by trained medical staff

Teenagers' Rights when Pregnant

If you are a teen in out-of-home care you do have rights if you become pregnant. These rights are from Fight For Your Rights: A Guidebook for California Foster Youth, Former Foster Youth, and Those Who Care About Them, written by Phil Ladew at The National Center for Youth Law (4th edition, September 2004). This Guidebook is regularly updated and can be found at: http://www.youthlaw.org/. Here are some important rights from the book:

  • "If you are in foster care and are pregnant, you are the one that makes the decisions – no one, not your foster parents, social worker, or even the judge can make you have the baby, have an abortion, or give the baby up for adoption. You are the only one that can make those decisions. Don’t let anyone force you into doing anything you don’t want to do.
  • If you decide to raise the baby they cannot take your baby away from you – you will be able to raise the baby yourself. You will be able to make decisions about the baby and sign any papers needed for the baby. Your social worker must make sure that you get help learning how to be the best parent you can be. Make sure that other people besides your foster parents see that you are a good parent.
  • If you decide to terminate your pregnancy, then Medi-Cal will pay for the procedure.
  • If you are in foster care, you will not get any money to care for the baby, but your foster parents will. They will receive a little more money (about $300) to help care for the baby, but you and your baby will not be eligible for welfare (CalWorks). Your foster parents will pay for diapers, food, clothes, and other things your baby needs.
  • The only way foster parents can take your baby away from you is if the baby is in danger or you are abusing or neglecting it. If this happens, then you will get to go to court and prove you are a good parent.
  • If you and the baby’s other parent are having trouble deciding on who will care for the baby, or when you can visit the baby, the court may have to decide visitation and custody issues.” (page 32-33)"

A Brief Discussion about Your Options

Having the Baby

If you decide to have the baby, you should begin regular prenatal checkups. Good prenatal care is vital to you and your baby’s health. Eat a healthy diet, refrain from smoking, drinking or using drugs (these seriously affect the baby’s health and development). Later in your pregnancy you may want to enroll in some childbirth preparation classes so you will be fully informed and better prepared for childbirth and becoming a mother. As an expecting father, you might want to play an active role in your child’s life. Here are some tips:

Communicate with your partner

Make sure the mother is getting prenatal care

Go along on doctor visits

Take part in the child birth classes and the delivery If your partner does not want you involved in the baby’s life, contact legal services to find out about your rights as the father.


Adoption is the legal placement of a child with people who will raise the child as their own. Adoption can be arranged in one of three ways:

  1. Agency Adoption: the birth parents relinquish their child to the agency. The agency then places the child into the adoptive home.
  2. Independent Adoption: the birth parents relinquish their child directly to the adoptive home.
  3. Adoption by Relatives: the court grants legal adoption to relatives. For more information on adoption, call contact one of the resources listed at the end of this section.

Aborion (The following information was obtained from the Planned Parenthood website)

Abortion is a way to end pregnancy. Sometimes, an embryo or fetus stops developing and the body expels it. This is called spontaneous abortion or "miscarriage." A woman can also choose to end a pregnancy. This is called induced abortion. There are three ways it can be done — with medicine, vacuum aspiration, or surgery. Most abortions are performed within the first 12 weeks of pregnancy. Earlier abortions are safer than abortions performed later in pregnancy. It is important to talk to someone about your options.

Family Planning and Related Services

Planned Parenthood
1-800-230-PLAN (7526)

http:// www.plannedparenthood.org
Provides reproductive health services including all methods of birth control, pap smears, breast exams, STI diagnosis and treatment, vaginal, pelvic and bladder infections. Pregnancy testing, counseling, and referrals on all alternatives are offered. All services are confidential regardless of age, marital status and ability to pay. Serves low income clients. Call for appointments, fee schedules and eligibility requirements. Can my local Planned Parenthood help me with prenatal care and parenting? Many Planned Parenthood health centers provide prenatal care as well as parenting classes and workshops. Any Planned Parenthood can refer you to other professionals you can also trust.

The following is a list of Planned Parenthood Clinics:

Chula Vista Clinic 
1295 Broadway, #201
Chula Vista, CA 91911 
(619) 881-4585

El Cajon Clinic
330 S. Magnolia, #101
El Cajon, CA 92020
(619) 881-4591

Carlsbad Clinic 
1820 Marron Road, Suite 110
Carlsbad, CA 92008 
(760) 757-7905 

Escondido Clinic
347 W. Mission Avenue
Escondido, CA 92025 
(760) 738-7770

Mission Valley Express
1333 Camino del Rio S., Suite 306
San Diego, CA 92108
(619) 881-4594

Pacific Beach Express
1602 Thomas Avenue
San Diego, CA 92109
(619) 881-4593

Mira Mesa Clinic
10737 Camino Ruiz, #220
San Diego, CA 92126
(619) 881-4587

Mission Bay Clinic 
4501 Mission Bay Drive, #1C&D
San Diego, CA 92109
(619) 881-4592

Central Clinic
4575 College Avenue
San Diego, CA 92115
(619) 881-4582

Euclid Avenue Clinic
220 Euclid Avenue, Suite 40
San Diego, CA 92114
(619) 881-4586

First Avenue Clinic
2017 First Avenue, Suite 301
San Diego, CA 92101
(619) 881-4589

Kearny Mesa Clinic
7526 Clairemont Mesa Blvd.
San Diego, CA 92111
(619) 881-4588

San Diego Adolescent Pregnancy and Parenting Program (SANDAPP)
Serves pregnant and parenting teens under 18. Offers counseling, family planning, job training, jobs and parenting classes.

Family Planning Services
(619) 579-4446
855 E. Madison Ave
El Cajon, Ca 92020
Operates a 24-hour lifeline for pregnancy counseling and support, if necessary the answering services will put the caller in contact with a trained volunteer. Planning services is a pro-life organization for those who are distressed by an unwanted or unplanned pregnancy. Offers free pregnancy test; referral services for medical, counseling, financial, housing, or legal assistance. Also provides day-to-day help and support including prenatal nutrition and health-care information, layette items, maternity and baby clothes, and home visits.

Adoption Services
(858) 535-3033
6046 Cornerstone Ct.
San Diego, Ca 92115
Provides free pregnancy counseling. Accepts all natural parent requests for immediate confidential help in making decisions regarding an unplanned pregnancy. Also offers adoption services to parents who are unable to continue to parent a child.

Catholic Charities: Pregnancy Parenting & Adoption Services
(619) 231-2828
349 Cedar St.
San Diego, CA 92101
General information provided for all services related to pregnancy and adoption.

County of San Diego Health and Human Services Agency
(877) 423-6788 

San Diego County adoptions Midwives Midwifery & Breastfeeding
(619) 443-0165
Telephone consultation service available from a professional lactation consultant who will answer questions regarding: milk supply, sore nipples, breast infections, fussy baby, sleepy baby, working and breastfeeding and other situations that present problems with successful nursing. Also offers information on pump sales and rental. Also offers a lactation clinic located at San Diego medical clinics where families are seen by appointment only. Call for information about clinic charges.

La Leche League
24 Hour Hotline Provides information and encouragement on breastfeeding through telephone consultations, home visits, and meetings held throughout the county.

Pregnancy Support Center
(619) 442-4357
24-hour hotline (858) 485-8500
677 S Magnolia Ave
El Cajon, Ca 92020
Provides alternatives to abortion with free pregnancy testing; 24 hour hotline; education; pre-abortion and post abortion counseling, referrals to sheltering homes; adoption referrals; and referrals to other needed services. Instruction is offered in childbirth and breast feeding as well as parenting.

Birth Control

If you have made the decision to be in a sexual relationship, you need to be responsible. Being responsible means accepting the fact that every time you engage in sexual contact you are at risk of contracting a Sexually Transmitted Infection (STI) and getting pregnant. There are ways you can greatly reduce these risks, however NOTHING is 100% effective except abstinence (not doing it until you are married). If you have decided against abstinence then you need to fully understand your options for protecting yourself. It is your responsibility to protect yourself, not your partners.

  • When considering the different birth control methods keep the following questions in mind:
  • How effective is this method?
  • How easy is this method for me to use?
  • Will I remember to use this method?
  • Will I use this method if it is sometimes inconvenient?
  • Does this method protect me against STI’s and pregnancy?
  • What are the side effects?
  • Will I be embarrassed to use it?
  • Can I afford it?
  • Does this method agree with my morals or religious beliefs?
  • What if I can’t use this method, do I have a backup plan?
  • Can I trust my partner to faithfully use birth control?

A list of birth control options is not listed here, however the following website provides detailed information about birth control, STI’s, programs and issues: www.plannedparenthood.org OR 1-800-230-PLAN