This year’s report on child care in Cook County documents what we know about the impact of COVID-19 on the child care available to families and the choices families made during two periods: the early stay-at-home period of the pandemic, March through May 2020, and the subsequent period as programs re-opened, beginning June 2020 through the end of the state’s Fiscal Year, June 2021. We examine Cook County parents’ and providers’ responses to the pandemic as well as the attempts by the State and its partners such as Illinois Action for Children (IAFC) to keep child care safe while supporting essential work, working parents, and child care providers. (author abstract)