| State of the economy |
 58% |
| Competition from Pre-K in public schools |
39% |
| Lack of subsidies for middle class parents with kids |
29% |
| Decreases in public subsidies |
29% |
| Children with challenging behavior |
28% |
| Shortage of qualified teachers |
24% |
| Rising cost of health insurance |
22% |
| Move to require teachers to have a BA |
21% |
| Problems collecting fees |
21% |
| Lack of work ethic of younger hires |
20% |
| Staff turnover |
20% |
| Competition from unlicensed providers |
16% |
| Changes to state regulations / licensing requirements |
15% |
| Low staff morale |
12% |
| Push down of academic curriculum because of NCLB |
12% |
| Pressure from parents to teach more academics |
10% |
| Lack of affordable space for expansion |
10% |
| New NAEYC accreditation standards |
9% |
| Teamwork issues among staff |
8% |
| Providing appropriate training for employees |
8% |
| State quality rating systems |
7% |
| Lack of respect by parents |
7% |
| National unionization movement |
5% |
| Lack of male teaching candidates |
4% |
| Availability of center liability insurance |
3% |
| Child being injured in an accident at your center |
2% |
| Parents who are chronic complainers |
2% |
| Compliance with the Americans with Disabilities Act |
1% |
| Abuse allegations against center staff by parents |
1% |
| Accident involving a center vehicle |
1% |
| Child snatching from your center in a custody dispute |
1% |
| Actual occurrence of an incidence of sexual abuse at your center |
0% |