The Preschool Development Grant Birth through Five (herein after, PDG B-5), was awarded to the V.I. Department of Human Services (VIDHS) as a one-year, federally funded project, Road to Success: Developing an early child care and education mixed delivery system for the B-5 population in the USVI. The project was implemented under the direction of the University of the Virgin Islands’ Caribbean Exploratory Research Center (UVI CERC), which served as the designated State Entity. The project, funded by the Administration for Children and Families Office of Child Care, sought to develop a comprehensive strategic plan for a mixed-delivery system as a critical step towards strengthening and improving early childhood care and education (herein after, ECE) in the U.S. Virgin Islands (USVI). As a preliminary step to inform the development of the strategic plan, UVI CERC, as the State Entity, spearheaded the completion of a comprehensive Needs Assessment of the current B-5 ECE mixed delivery system in the USVI. The information presented will inform the development of the USVI’s PDG B-5 Strategic Plan which will delineate the Territory’s roadmap for developing and sustaining a high quality, mixed delivery B-5 ECE system in the Territory. (author abstract)