The study team analyzed statewide Serious Incident Reporting data submitted by child care programs to ODJFS to examine trends in COVID-19 cases among child care staff and children. Within the selected 10 counties, the study engaged child care program administrators, staff, parents and caregivers to better understand approaches to mitigate COVID-19 transmission and overall experiences with child care during a phase of the pandemic when COVID-19 transmission rates were relatively low. (author abstract)