Like CH said- a card and heartfelt "thank you" go a long way. This is a business and as attached as we get to some kiddos, we know families need to do what is best for them. If you feel like you need to do something else go with something like a gift card to a nearby coffee shop (If you know your provider drinks coffee) or a local store or restaurant. If it's a group care setting some treats for the staff like bagels or cookies for the break room would be appreciated.

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