Let's Grow Kids, with the advisement of Vermont Birth to Five, the Vermont Department for Children and Families Child Development Division, the Vermont Department of Health Maternal and Child Health Division and Building Bright Futures, developed an analysis of the supply of and demand for regulated (licensed or registered) infant and toddler care in Vermont. The study found that, statewide, Vermont lacks sufficient regulated child care to meet the needs of infants and toddlers likely to need care: almost half of Vermont infants and toddlers likely to need care do not have access to regulated early care and learning programs and 79% of infants and toddlers likely to need care do not have access to high-quality programs, defined as regulated programs with 4- or 5-star recognition levels under Vermont's voluntary quality recognition and improvement system. The study also looked at access to regulated and high-quality, regulated programs at the county level and found that in some places, 98% of infants likely to need care do not have access to high-quality programs. This lack of access to early care and learning programs is a significant challenge not only for Vermont's families with young children, but also for Vermont's communities and economy. (author abstract)