The PDG B-5 Nevada Needs Assessment explores the resources and gaps in the Early Childhood Care and Education (ECCE) system that serves infants, toddlers and their families in the 17 urban and rural counties of Nevada. Following the PDG B-5 Guidance, this needs assessment focuses on 11 key domains while also providing insights and recommendations tightly aligned with the three goals of the Nevada Early Childhood Advisory Council (NECAC) Strategic Plan 2018-2021: Provide Excellent Early Learning System; Ensure Strong Family Partnerships; and Support Child and Family Health. This needs assessment was produced as a partnership between the Nevada Department of Education Office of Early Learning and Development, Nevada Institute for Children’s Research and Policy (NICRP), and the Nevada Early Childhood Advisory Council (NECAC). (author abstract)