The Campaign for Children surveyed 42 agencies (representing at least 102 sites), which contract with the Administration for Children's Services (ACS) to provide center-based subsidized child care to the City's low-income children, and documented that the overwhelming majority of agencies responding to the survey were struggling with the EarlyLearn rate. Surveyed agencies said that the most challenging aspects related to the rate and the ability to provide high-quality early childhood education pertained to hiring and retaining high-quality staff; meeting insurance (health insurance, general liability insurance and worker's compensation) and facilities costs; providing a high-quality learning environment including obtaining classroom supplies and technology; as well as shortfalls and difficulty planning due to the pay-for-enrollment policy. (author abstract)