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Creative Day is a Prescribed Pediatric Extended Care (PPEC) Center prescribed for Medicaid-eligible children, 6 weeks to 21 years of age, with complex medical conditions.  

The purpose of the center is to provide an inclusive, comprehensive child development experience in collaboration with our traditional child development center, CREATIVE BEGINNINGS.  Our program ensures quality, innovative educational programs and customized medical, nursing, and therapy services.

PHILOSOPHY – The PPEC program aims to promote the overall development of children by focusing on their cognitive, emotional, and physical growth.  It prioritizes independence and maximizes each child’s functionality and potential.  The program provides individualized, high-quality care and collaborates closely with families to ensure that their concerns, priorities, and cultural values are integrated into the child’s daily activities.  The environment is designed to be opportunistic and enriching, and active participation in care and learning experiences is encouraged for each child.  The staff members are regularly provided with professional development opportunities to maintain the program’s high standards.

The following medical conditions may be covered:

  • Cerebral Palsy
  • Spina Bifida
  • Agenesis of corpus callosum
  • Visual impairments
  • Hydrocephalus
  • Seizures
  • Down Syndrome
  • Muscular Dystrophy
  • Diabetes
  • Severe Asthma
  • Bronchopulmonary Dysplasia
  • and others

The PPEC child development program is dedicated to achieving it’s goals through the provision of a safe, nurturing, and healthy environment that fosters love, security, acceptance, values, self-control, independence, protection, and guidance for each child.  Maintaining quality and individualized care is a priority, reflected in carefully managed staff-to-child ratios.  The program focuses on the holistic development of each child, addressing individual needs in social, emotional, physical and mental skills, and creating opportunities for children with diverse abilities to participate together.

FOR MORE INFORMATION – contact Kristie Fear, PPEC Nursing Manager at


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