Licensed Diaper

Quick answer: how much would you pay for quality child care?

Since there is a shortage of daycare spaces in my area (min. of 1yr waitlist), I am buying a house and converting it into a licensed infant and toddler daycare. I have hired three university graduates (with child related degrees) to supervise, assess and develop appropriate activities for four children each. I am paying each employee $18/hr plus benefits. The house cost $500,000. As a mom, I understand the need for quality child care and an open door policy, and the need to know your child is in good hands.

I need to know, however, is how much to charge?? How much would you pay for this service, and would you want healthy organic meals to be included?

Something like .... XX$ per month all inclusive (diapers, wipes and meals)
or XX$ for just diapers...

Thank you so much mommies!

You really need to include a location in your question.

Daycare prices in California are I'm sure way different than they are in Ohio or somewhere.

I think it's pretty standard for meals to be included....and have a weekly menu available to parents. I think most parents would probably feel more comfortable providing their own diapers though. Some parents are a bit picky about the diapers their kiddos wear. And it would be too much of a hassle to have to have such a variety on-hand for certain children. Just a thought though..

Diaper $114.71 High Quality Content by WIKIPEDIA articles A diaper in North America or nappy in the United Kingdom, Australia, many Commonwealth countries and Ireland is a spongelike garment which people wear who are incapable of controlling their bladder or bowel movements, or are unable or unwilling to use a toilet. When diapers become full and can no longer hold any more waste, they require changing; this process is often performed by a secondary person such as a parent or caregiver. Failure to change a diaper on a regular enough basis can result in diaper rash. Diapers have been worn throughout human history, and made of cloth or disposable materials. Whereas cloth diapers are composed of layers of fabric such as microfiber and can be washed and reused multiple times, disposable diapers contain absorbent chemicals and are thrown away after use. The decision to use cloth or disposable diapers is a controversial one, owing to issues ranging from convenience, health, cost, and their effect on the environment. Currently, disposable diapers are the most commonly used, with Pampers, Luvs, and Huggies being some wellknown brands in the industry. Author: Miller, Frederic P./ Vandome, Agnes F./ McBrewster, John Binding Type: Paperback Number of Pages: 168 Publication Date: 2009/12/09 Language: English Dimensions: 5.98 x 9.01 x 0.38 inches

Diaper Island $9.49 Diaper Island

New Orleans Saints Black Sitter Diaper Bag $59.99 This New Orleans Saints Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style New Orleans Saints fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

Chicago Cubs Black Sitter Diaper Bag $59.99 This Chicago Cubs Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Chicago Cubs fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by MLB

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Chicago White Sox Black Sitter Diaper Bag $59.99 This Chicago White Sox Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Chicago White Sox fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by MLB

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Chicago Bears Black Sitter Diaper Bag $59.99 This Chicago Bears Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Chicago Bears fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

Denver Broncos Black Sitter Diaper Bag $59.99 This Denver Broncos Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Denver Broncos fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

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Green Bay Packers Black Sitter Diaper Bag $59.99 This Green Bay Packers Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Green Bay Packers fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

Indianapolis Colts Black Sitter Diaper Bag $59.99 This Indianapolis Colts Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Indianapolis Colts fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

New York Giants Black Sitter Diaper Bag $59.99 This New York Giants Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style New York Giants fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

New York Jets Black Sitter Diaper Bag $59.99 This New York Jets Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style New York Jets fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

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Oakland Raiders Black Sitter Diaper Bag $59.99 This Oakland Raiders Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Oakland Raiders fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

Philadelphia Eagles Black Sitter Diaper Bag $59.99 This Philadelphia Eagles Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Philadelphia Eagles fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

Pittsburgh Steelers Black Sitter Diaper Bag $59.99 This Pittsburgh Steelers Black Sitter Diaper Bag holds everything you need for a day out with your little fan. This 100% nylon bag features two front zipper pockets- cell phone pocket and easy access bottle holder. Team logo print pattern on interior of bag for added style Pittsburgh Steelers fold up changing pad included Adjustable shoulder strap and straps to clip on stroller 13" x 5" x 13.5" Officially licensed by the NFL

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Tax Deductibility of Long Term Care, by Martin Petroff Esq

What are tax deductible medical expenses?
Tax-deductible medical expenses may include the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and the costs for treatments affecting any part or function of the body. They may also include the costs of equipment, supplies, and diagnostic devices needed for these purposes. Dental expenses are also covered. The incurred expenses must be primarily to alleviate or prevent a physical or mental defect or illness. Expenses that are merely beneficial to general health are not included.

What is long term care?
Long-term care comprises a variety of services that include medical and non-medical care to people who have a chronic illness or disability such as Alzheimer’s disease, Parkinson’s disease, stroke, congestive heart failure, ALS, arthritis, diabetes, and MS.  Long-term care helps meet health or personal needs. Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. It is important to remember that persons of any age may need long-term care. 

What amount may be deducted and by whom?
To compute the allowable amount of medical deductions for the taxable year, the medical expenses must exceed 7.5% of the taxpayer’s adjusted gross income.
Medical expenses paid for by and for taxpayer, taxpayer’s spouse and dependents are includible in this calculation. Such expenses for someone with chronic illness or disability disease may be deducted on his or her own return, on a joint return filed with his or her spouse, or on the return of another person if the ill person is the other person’s dependent.

What are some tax deductible expenses that might be incurred by someone in need of long-term care?

•Home care, attendant care and home-based respite care: If certification of chronic illness is obtained and services are provided under a plan of care prescribed by a licensed health-care practitioner, the cost of an attendant to perform qualified long-term-care services is a medical expense and is tax deductible.

•Nursing homes, assisted-living facilities, group homes, congregate-living facilities, adult-day-care programs, facility-based respite, etc. The tax code does not specify that qualified-long-term care services must be provided in any particular setting. Thus, as long as a certification of chronic illness is obtained and the services are provided under a plan of care prescribed by a licensed health-care practitioner, qualified long-term-care services should be considered medical expenses irrespective of the type of facility in which provided.

•Home improvements:  Reasonable costs to make home improvements are considered medical expenses if the main purpose is medical care and the expense is directly related to medical care.

•Psychiatric care.

•Health insurance premiums including those premiums for qualified long-term-care insurance (not life insurance).

•Nursing services need not be performed by a nurse as long as the services are of a kind generally performed by a nurse. This includes services connected with caring for the patient's condition, such as giving medication or changing dressings, as well as bathing and grooming the patient. 

•Personal-care services: These are services intended to provide needed assistance with any of the disabilities that cause the individual to be chronically ill and include protection from threats to health and safety due to severe cognitive impairment.

•Prescription medicines and drugs must be prescribed by a doctor.  With the exception of insulin, amounts paid for medicines or drugs that are not prescribed (or for any drugs which have been imported from other countries) are not deductible.

•Durable medical equipment, supplies, diapers.

•Entrance and accommodation fees for CCRC (Continuing Care Retirement Community).

How is qualified long-term-care services defined?
Qualified long-term-care services are necessary diagnostic, preventive, therapeutic, curing, treating, mitigating, rehabilitative services, and maintenance and personal-care services that are (1) required by a chronically-ill individual, and; (2) provided under a plan of care prescribed by a licensed health-care practitioner.

Who is a chronically-ill Individual?
Patients may qualify as “chronically-ill individuals” if they meet one of these two tests:

•Activities of Daily Living (ADLs): patient must be certified as unable to perform, without substantial assistance from another person, at least two ADLs (eating, toileting, bathing, dressing and continence).  This disability must exist for at least 90 days and be due to a loss of functional capacity,

•Substantial Supervision/Cognitive Impairment Test: patients must be certified as requiring substantial supervision to protect themselves from threats to health and safety due to “severe cognitive impairment”.

The federal tax authorities have given guidance that “severe cognitive impairment” means a loss or deterioration in intellectual capacity that includes Alzheimer’s disease and similar forms of irreversible dementia, and is reported in good faith by clinical evidence and standardized tests that measure impairment in (1) short- or long-term memory, (2) orientation to people, places or time, and (3) deductive or abstract reasoning.

Guidance also exists stating that “substantial supervision” means continual supervision by another person that is necessary to protect severely cognitively-impaired individuals against threats to their health or safety.

What are the required certifications, care plans, etc.? 
For purposes of the tax deduction, a person must be certified as meeting the requirements of a chronically-ill individual. This certification must be done by a licensed health-care practitioner (MD, RN, or licensed social worker “within the preceding 12-month period,” which implies an annual review for a person with a chronic illness or disability.) 

About the Author

MARTIN PETROFF, Esq. is the founder of Martin Petroff & Associates . Formerly staff attorney for health affairs for the New York City Department for the Aging, Mr. Petroff is a member of the Executive Board of the State Bar Association's Elder Law Section where he serves on the Medicaid and Guardianship Committees. He is on the Advisory Council of the Senior Companion Program and a member of the board of directors of the Long Term Care Community Coalition. Martin can be reached at this email address.