Research Objectives: To determine the odds of whether children from birth to five are referred for health screenings and developmental assessments based on child race/ethnicity and factors at the center-based childcare provider- and the program-level. Design: Cross-sectional study with the 2019 National Survey of Early Care and Education (NSECE) center-based childcare provider survey. Setting: Nationally representative survey on the use and payment of center-based childcare services among US families of children from birth to five. Participants: Center-based childcare providers (n=1,306) caring for US children from birth to five years old and do not internally provide health screenings or developmental assessments. (author abstract)