Low-income, working families must have access to affordable, high-quality child care in order to ensure that children are given a fair start in life. The child care environment is critical to healthy child development and strongly influences key developmental outcomes, including academic success and social competence. In addition, high-quality child care providers play an important role in facilitating links to supplemental services and providing support for working families. At present, states lack the resources necessary to ensure access to high-quality child care for all eligible families. Estimates suggest that more than 40 percent of infants and toddlers are in substandard child care environments. First Focus is working to expand access to these quality child care providers, while providing a voice for children as improvements are made to the Child Care and Development Block Grant.