Environmental influences (e.g., exposure to physical, sexual, or emotional abuse or trauma, substance use or addiction in the family or among peers, access to an addictive substance; exposure to popular culture references that encourage substance use) Starting alcohol, nicotine or other drug use at an early age.
Answer:
Explanation:
The issue is accountability, and understaffed. If you stretch yourself to thin, then you will always be failing to keep up with something than leaves someone short.
Low child/teacher ratios
Small group size
Staff with higher education & on-going training
Prior experience and education of the director
Low teacher turnover
Positive teacher/child interactions
Accreditation or higher than minimum licensing standards
Age appropriate activities
Good health & safety practices
