4.5? At a US daycare those kids will be in a group of 20-40, with one or two adults supervising.
I was off on the 4-5 though. Ratio for < 1 yo is 1:6.
Anyway, this is all to the point that it's nothing like the 1-2 in in-home care. There's a reason nannies are associated with richer people.
Not exactly a “rich” thing, just a matter of “scale” (in YC terms).
My daughter's at an in-home daycare with IIRC five or six other kids. There are two adults there full-time, sometimes three.
Two adults supervising 20-40 daycare-aged kids is simply not feasible.
0-18 months: 1:3
18 months to 3 years: 1:4
3-5 years: 1:5