The West Virginia Department of Health and Human Resources (DHHR) Division of Early Care and Education sought assistance from Collective Impact, LLC to conduct a Statewide Child Care Needs Assessment. The purpose of this report is to provide stakeholders and decision-makers with greater insight into child care needs, opportunities, and capacity throughout the state. Based on the perspectives of child care providers, parents/guardians, and stakeholders, the data in this assessment can support decisions for planning, policy development and implementation, and resource leveraging and allocation. (author abstract)