According to ADA, child care centers must:

The Americans with Disabilities Act (ADA) mandates that child care centers must make reasonable modifications to their policies and practices to ensure that children with disabilities have equal access to services and activities. This obligation reflects the ADA's overarching goal of preventing discrimination and promoting inclusivity.

Making reasonable modifications can involve a variety of actions, such as adapting the environment to accommodate children who may have mobility challenges or altering procedures to allow for effective communication with children who have hearing impairments. It emphasizes flexibility and the necessity for child care providers to consider the specific needs of each child to facilitate their full participation in activities alongside their peers.

The other options do not align with the principles of accessibility and inclusivity as set forth by the ADA. For example, limiting activities only to children without disabilities directly contradicts the ADA's intentions, as does restricting aids and services to verbal communication, which ignores the diverse communication needs of children with disabilities. Additionally, a refusal to make changes to existing infrastructure would not support the ADA's requirement for centers to adapt their environments to be inclusive.