The goal of this study is to understand the relationship between the community around an ECE and classroom health quality by program arrangement (Head Start, community-based childcare, family childcare home) by the following specific aims: Aim 1: Determine the relationship between ECE classroom health practices and access within health-enhancing environments in Oklahoma. We hypothesize that closer community access to healthy environments will positively influence best practice implementation in the classroom. We will use mailed surveys to a statewide sample of directors at licensed childcare programs serving children 3- to 5-years in Oklahoma including Head Start, community- based childcare centers, and family childcare homes. Respondents will provide information on program demographics, structure, classroom health practices and barriers. The location of community health options for each program will be geocoded to understand availability and access. Aim 2: Determine the relationship between barriers to implementing ECE classroom health practices and access within health-enhancing environments in Oklahoma. We hypothesize that community access to healthy environments will influence type of perceived barriers reported by program directors. The methods described for Aim 1 will also address Aim 2.