Quality care and education provide physical, social, cognitive, and emotional nourishment through mentally stimulating play and activities. In addition to basic safety considerations within a facility, attention to nutrition and sleep are essential to creating a safe and healthy environment for children. Indiana's Paths to QUALITY (TM), T.E.A.C.H., and CCDF voucher programs work in concert to support improvements in the quality of care and education provided to children birth to five, but more can be done: (author abstract)