This report provides an update to our 2018 analysis and describes how supply, demand, quality, and shortages have changed over the past five years. The report describes the families with young children searching for child care and the characteristics of the ECE programs that serve them. As before, our analysis seeks to capture the entire market for full-time child care serving young children from birth through age 4 in ECE-homes, ECE-centers, and ECE-schools. This report also analyzes the populations most impacted by the under-resourced and frail child care sector and offers suggestions about how to prioritize investments in building new supply that can meet the needs of the District’s most vulnerable residents in keeping with the goals of local stakeholders. (author abstract)