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During the pandemic shutdown, daycare owner Roxana Contreras sold her house when her income evaporated overnight. Maria Teresa Manrique nearly lost her business, and her life, when a family brought Covid into her home daycare.

As an education reporter and editor in Boston during the pandemic, I was struck by the starkly disparate treatment of the state’s strongly unionized K-12 teacher workforce and the less-organized child care workforce, which includes Contreras and Manrique. Those caring for the youngest children frequently had no guaranteed income when their businesses closed; far less access to protective equipment and supplies, like air filtration devices and free, regular Covid testing; and they were pressed to return to in-person work — the kind of hands-on work where social distancing was impossible — many months before the first vaccines were available.

“We were asking those with very low pay … to do these extraordinary things,” Martha Christenson Lees, former director of the Smith College Center for Early Childhood Education, told me at the time.

Nearly all of the half dozen women I interviewed for my 2021 story had been seriously debilitated by Covid in some way: financially, emotionally, medically. And this spring, three years later, with a new report from the RAPID Survey Project at Stanford Center on Early Childhood showing that child care providers are suffering from record rates of anxiety and depression, I decided to check in with this dedicated group of caregivers. Nationally, an estimated 1 million paid caregivers provide child care out of their homes to about 3 million children.

The two I reached, Contreras and Manrique, both immigrants living and working in the Boston area, have had mixed experiences trying to rebuild their businesses over the last four years. The women, who speak Spanish, were interviewed with the help of interpreter Iris Amador.

‘We have learned to value life’

For Contreras, business has slowly but steadily improved over the last three years. With no money coming in from families after mid-March 2020, she was forced to sell her house in Medford, Massachusetts, also home to her daycare, Gummy Bears, to support her family. She began rebuilding Gummy Bears from the basement of a nearby rental in the summer of 2020, yet struggled for over a year to recruit families reluctant to return to group care, and to hire assistants, many of whom, she says, switched in the pandemic to more highly paid jobs as nannies.

A turning point came in late 2021, when she and other Massachusetts child care providers started receiving monthly operations grants distributed by the state. Contreras used the money to increase pay for assistants, making it easier to hire them; and with the worst danger of the pandemic past, more families returned to group care.

Contreras had enough interest from families by early 2023 that she made plans to add a second site, Gummy Bears 2. It opened in another Medford rental space last September. Across the two locations, Gummy Bears serves 16 children. Although someday she hopes to be licensed for 20 across the two sites, “I am content and I am happy with the number we care for now, and I provide employment to other people who need it,” Contreras said. The continuation of the monthly grants since the fall of 2021 has been crucial to rebuilding and growth, she said.

Contreras has a new problem: turning away families. Gummy Bears’ current wait list stretches out to 2026, with families offering deposits on future spots. (Contreras doesn’t accept them.) There’s an increased demand from pre-pandemic days, possibly as a result of fewer child care spots overall, she said.

The pandemic’s major effect on Contreras was giving up home ownership; high interest rates and housing prices have put reclaiming that goal out of reach for now. But there have been gains, too. She is grateful every day for her health. “We have learned to value life,” she said. 

Elusive road to stability

For Maria Teresa Manrique, Covid’s devastating effects lingered, repeatedly upsetting her financial stability — and her health. She was hospitalized in late 2020 with a severe case of Covid and never fully regained her strength. “I am vulnerable now to infections in a way that I wasn’t before,” she said.

Manrique, a single mother of a teenage daughter, reopened in February 2021, spurred by financial duress. Twice since, she picked up Covid from a child or parent at her daycare. Most recently, in December, Manrique closed for a little over a week after contracting Covid. She not only ran out of the sick day allotment for providers who serve lower-income children on vouchers — meaning she got no pay for some of the time — but lost two students whose families were impatient about the closure. She now enrolls a total of five children.

“Whenever I achieve some balance, I am still behind,” she said. All of her income goes to cover rent and the family’s basic needs, Manrique added, making it impossible to fully pay off taxes she has owed for the last three years. Two months ago, one of her sisters, who also runs an in-home daycare, was diagnosed with a serious illness, and Manrique helps care for her.

She wanted to close the daycare to support her sister full time, but financially it was impossible.

The whole situation feels untenable — and intractable.

“This has been my work for 20 years and I am used to it,” she said. “It has allowed me to care for my own daughter, as I have been both Mom and Dad to her. But when you have been doing this work for 20 years, there is definitely some exhaustion. … There should be more consideration, I believe, for workers like us.”

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