Problem: Some infants and toddlers may be cared for in a Prescribed Pediatric Extended Care (PPEC) facility. The PPEC is a day and extended day child care for foster children or children awaiting adoption. physician prescribed alternative to home nursing or prolonged hospitalization. twenty-four hour custodial facility for infants and toddlers with terminal conditions. step facility after hospitalization for infants and toddlers who have had major surgery.