7 Reasons Medical Daycare is Better Than Private Duty Nursing for Most Kids with Medical Complexities

Choosing care for your child is tough. Private duty nursing sounds great—care in the comfort of your home, right? But is it the best option?

For most families, medical daycare does so much more. From expert care and therapy to socialization and peace of mind, PPEC's are a game-changer for kids and parents alike. Here’s why PPEC often beats private nursing.

Dr. so and so
Two young boys excitedly launch a stomp rocket during a group activity at a medical daycare for children with special needs.

1. Your child gets friends (not isolation at home)

At PPEC, your child gets to play, laugh, and bond with other kids. Social growth matters just as much as medical care, and here, it’s built right in.

Private nursing? It’s just your child and their nurse—no playmates, no group fun.

"I love that my son gets to see other kids instead of being home with no social interaction. He loves it here, and I’ve seen so much progress."
Maria C.
A woman in blue scrubs gently cares for a child’s hair during a therapy session at Spark Pediatrics, a PPEC specializing in care for children with complex medical needs.

2. A whole team, not just one nurse

At PPEC, care isn’t limited to a single nurse. Your child benefits from a whole team of specialists, including nurses, therapists, and caregivers. Together, they create a personalized care plan to meet medical, developmental, and emotional needs.

Private duty nurses, while amazing, often don’t have the same resources to provide therapies like speech or physical therapy.

“In just six months, my daughter went from being unable to eat to fully feeding herself thanks to the team at Spark. They changed her life.”
Joanne P.
A Spark Pediatrics nurse holding a birthday cake, celebrating a child’s special day in a supportive PPEC medical daycare environment.

3. Every milestone is a celebration (Therapy Included!)

Whether it’s learning to walk, saying their first word, or trying a new food, your child’s wins become our celebration. PPEC centers seamlessly integrate therapy into their daily routine, meaning no missed opportunities for growth.

Life at home with a private nurse can mean juggling appointments and falling behind on development goals—but not here.

“My son learned to crawl and stand at Spark. They’ve taught him so many things he wasn’t learning anywhere else"
Mom of NICU twins
A PPEC nurse at Spark Pediatrics reviewing notes with a parent at a medical daycare to discuss personalized care plans tailored to their child's needs.

4. Frees up your time while keeping your child safe

Caring for a medically complex child can be exhausting. PPEC takes some of that weight off your shoulders. Whether it’s the free transportation, handling all the paperwork, or professional daily updates, we make life easier.

You don’t have to spend your day managing their care alone anymore—you’ll get your time back while knowing your child is safe and loved.

“I can finally breathe. I know my daughter is safe, cared for, and getting the attention she needs—so I can focus on work without worrying.”
Ivette G.
Trusted by 1000+ happy families

Ready for medical care that works for your child and you?

Let Spark give your family the expert care, therapies, and support you’ve been looking for—all while giving you time to focus on what matters most.

Nurse assisting a young boy near a medical daycare transportation bus, showcasing PPEC services tailored to children with complex medical needs.

5. It's 100% covered by your insurance (including Medicaid)

Here’s what you’ll love: PPEC is covered by Medicaid—entirely. That includes therapies, transportation, and even personalized care plans. And the best part? We take care of all the paperwork so you can focus on your child, not forms and policies.

Private duty nursing? It often comes with uncovered hours or unexpected out-of-pocket expenses.

“I can finally breathe. I know my daughter is safe, cared for, and getting the attention she needs—so I can focus on work without worrying.”
Ivette G.
A Spark Pediatrics nurse assisting a child with feeding therapy in a medical daycare environment tailored for children with complex medical and developmental needs.

6. Specifically designed to be safe for medical kids

Home is cozy, but it’s not designed for medical care. A PPEC facility is. These centers are fully equipped to meet every need your child has, from therapy rooms to medical equipment, all within a stimulating, fun, and safe environment.

"Their facilities are spotless and calming. Everything is built with the kids in mind. I stopped worrying the moment I stepped in."
Jennifer P.
Young children socializing and helping each other at Spark Pediatrics’ medical daycare, fostering essential social and developmental skills through PPEC services.

7. You're not alone—get a community of care

Caring for your child can feel lonely. At PPEC, you’re surrounded by a team and families who understand exactly what you're going through. You’ll find support, kindness, and people who truly ‘get it.’

Private nursing may meet medical needs, but it can’t offer the warmth and connection of a center dedicated entirely to families like yours.

“We chose PPEC so my daughter could be included and surrounded by kids like her. It’s been such a blessing.”
Parent at Houston Center

Curious if medical daycare is a good fit?

Call a Center Near You
1

Schedule free tour or consultation

We’ll walk you through our centers, show you how we care for children, and answer any questions you have. You'll see why so many families choose Spark!

Caregiver holding a baby at a PPEC medical daycare, emphasizing personalized care for infants with medical needs.
2

We handle all the paperwork

Medicaid covers 100% of PPEC costs for qualifying families—and we’ll take care of all the paperwork so you don’t have to worry about a thing.

Child safely seated on a bus for transportation to a PPEC medical daycare, ensuring accessible care for families.
3

Start transforming your child's day

Once enrolled, your child will receive personalized medical care, therapy, and social engagement in a safe, supportive environment

A nurse in blue gloves helps feed a baby boy at a PPEC medical daycare, providing specialized care for children with complex medical needs.

Support for all different types of medical needs

Failure to Thrive
Congenital Malformation of Esophagus
Oxygen Dependency
Epilepsy and Recurrent Seizures
Colostomy
Apnea of Prematurity
Muscular Dystrophy
Failure to Thrive in Newborn
Tracheostomy
Jejunostomy
Feeding Problems of Newborn
Juvenile Diabetes/Type 1 Diabetes Mellitus
Low Birth Weight
Ventilator Dependent
Gastrostomy status
Fetal (intrauterine) Malnutrition
Seizure Disorder/Infantile Spasms
Newborn Small for Gestational Age
Gastrostomy status
Tracheostomy
Jejunostomy
Colostomy
Feeding Problems of Newborn
Muscular Dystrophy
Newborn Small for Gestational Age
Juvenile Diabetes/Type 1 Diabetes Mellitus
Failure to Thrive
Ventilator Dependent
Oxygen Dependency
Epilepsy and Recurrent Seizures
Fetal (intrauterine) Malnutrition
Apnea of Prematurity
Seizure Disorder/Infantile Spasms
Congenital Malformation of Esophagus
Low Birth Weight
Failure to Thrive in Newborn
Colostomy
Seizure Disorder/Infantile Spasms
Feeding Problems of Newborn
Ventilator Dependent
Jejunostomy
Gastrostomy status
Oxygen Dependency
Juvenile Diabetes/Type 1 Diabetes Mellitus
Epilepsy and Recurrent Seizures
Failure to Thrive
Failure to Thrive in Newborn
Apnea of Prematurity
Low Birth Weight
Newborn Small for Gestational Age
Tracheostomy
Fetal (intrauterine) Malnutrition
Congenital Malformation of Esophagus
Muscular Dystrophy
Muscular Dystrophy
Gastrostomy status
Failure to Thrive
Seizure Disorder/Infantile Spasms
Failure to Thrive in Newborn
Ventilator Dependent
Jejunostomy
Colostomy
Low Birth Weight
Oxygen Dependency
Juvenile Diabetes/Type 1 Diabetes Mellitus
Fetal (intrauterine) Malnutrition
Apnea of Prematurity
Tracheostomy
Congenital Malformation of Esophagus
Newborn Small for Gestational Age
Epilepsy and Recurrent Seizures
Feeding Problems of Newborn

Frequently asked questions

What is a medical daycare (or PPEC)?

Medical daycare provides skilled nursing care and therapy for children with complex medical needs while their parents work or go to school. Unlike regular daycare, medical daycare (also called PPEC) is staffed by nurses and medical professionals who can handle feeding tubes, medications, seizures, and other medical needs.

How is Spark different from regular daycare?

Regular daycares cannot provide medical care or handle complex health needs for kids.

Spark is a medical facility staffed by nurses and healthcare professionals, not a traditional daycare. We provide services like:
• Skilled nursing care
• Medical monitoring
• Therapy services
• Emergency response capability
• Care coordination with doctors

What's more, Spark's medical daycare is completely free with Medicare/Medicaid

What medical conditions qualify for PPEC/medical daycare?

Children qualify if they need care that only a nurse can provide, such as:
• Medication management
• Feeding tube care (G-tube feeds)
• Seizure monitoring
• Oxygen or respiratory care
• Regular vital sign checks

Contact us for a full evaluation of your child's needs. We're happy to answer any questions you have!

What happens during a typical day at medical daycare?

At Spark, your child receives:
• Continuous nursing care from multiple nurses
• All prescribed medications and treatments
• Physical, occupational, and speech therapy
• Supervised activities and playtime
• Meals and feeding assistance
• Social interaction with other children

Every child has a personalized care plan. Call us today to learn more about what your child's schedule would be like!

How do I know if my child is getting good care during the day?

It's natural to worry about your child. We do eveything we can to keep you informed and aware of everything going on. You get:
• Daily updates on medications and care
• Regular progress reports
• Direct communication with nursing staff
• Access to therapy progress notes

Still have questions?

Give us a ring and one of our Care Coordinators can answer all your questsion!

Join 1000+ happy families across 14 locations

"Staff treat the children with genuine love and deep care"

"Wonderful staff who treats the children with genuine love and deep care. The center is very spacious, clean and has an indoor and outdoor playground for activities and fun."
Yessica R.
Review from Google

"Amazing at what they do"

"I love this facility and the staff here. They are amazing at what they do and I know my son is in safe hands when we bring him in. They have saved my son twice with their quick thinking. I’m happy to know he’s well taken care of with them. They even go out their way to visit when he’s in the hospital and they are always willing to help us.Thank you for the amazing work you do!! ❤️"
Antonia J.
Review from Google

"They are all so sweet and caring"

"My 2 year old son recently started coming here. The whole process was easy and the nurses were very helpful. The whole staff are very loving with the kids and take good care of them ! Thanks to them i have so much help now and i’m not struggling anymore like i was before ! I no longer have to worry about him missing therapy because he gets it at daycare , they also give him all his medication which is very helpful ☺️ Coming from a mom of 2 and that was in and out of the hospital I really recommend medical daycare to every medical mom it is very helpful! It might be scary but the nurses are there for you they are all so sweet and caring ❤️ We’ve seen progress with my baby boy he loves being there and i rather him be there and see all the kids instead of being home and not really seeing any kids :("
Maria C.
Review from Google

"Just like family"

"My Daughter has been there for almost a year now and they are wonderful with her and caring of her needs. The therapists are amazing and has helped her more than I ever expected. The whole staff is friendly, caring and just like family. We don't know what we would do without Spark."
Jennifer T.
Review from Google

"This PPEC is amazing"

"This PPEC is amazing. They have a great staff, a great large space, and provide great care.I love the room size and open concept. Multiple eyes on my kiddo at all times. I love the therapy can be done on site. Huge plus!!It’s CLEAN. Very clean! I love that they keep areas de-cluttered and wiped down. Never seen even a speck anywhere. The kitchen is clean, the bathroom is spotless.My son is SAFE. I never worry about him. They really have his health as their top priority. They never hesitate to ask me or alert me to any change in his status.We’ve know the same kids going here for years— always a great sign for any daycare facility. I’ve gotten to know the staff thru the years and we love them.I’m so thankful for this resource and I know it can be nerve wracking leaving a special needs or complex needs child with ANYONE. But, know this is a great place for them to flourish while you get stuff done."
Jennifer P.
Review from Google

"Forever be grateful"

"We were there for two years, and could not have asked for better care and experience than the Spark team. We will forever be grateful for the care they provided when it was most needed!"
Kelly B.
Review from Google

"10/10 recommend!"

"Love, love, love, love it here! My son has evolved and learned so much. The staff is so friendly and welcoming. Definitely a 10/10 recommend 🤗"
Jackie L.
Review from Google

"Always felt very comfortable"

"My son has been with Spark for many years and I have always felt very comfortable with Elia and the entire team."
Gretchen M.
Review from Google

Give your child a childhood

Safe, free, personalized care in a social daycare setting. Come visit one of our centers and see Spark for yourself. 

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