The enormous list of upcoming changes may be well intentioned however, in each area where changes are being required all have a couple of things in common:  They all will cost more and more money and provide additional opportunities for licensing specialists to cite violations.  I have always tried in earnest to follow all the regulations to the letter.  The list of proposed changes seems to be the largest in comprehensive changes.  Small center programs are hard pressed to pay for all of these upgrades in training, ratios, and increased staff to adhere to making sure all of these new protocols are in place and maintained.  Working parents want good cost effective child care.  The proposed changes will increase prices.  Instead of providing more childcare space, in my opinion it will decrease child care space.  These proposals are pushing the small providers out of the market.