Infants and toddlers enrolled in EHS tend to be at increased risk for maltreatment due to the presence of numerous risk factors. However, prior research has indicated that home visitors are often ill-equipped to identify and address risk factors highly associated with maltreatment. The purpose of this study is to identify how Early Head Start (EHS) home visitors understand and determine risk for maltreatment, whether the risk factors identified by EHS home visitors effectively predict likelihood of maltreatment among families enrolled in EHS, and how home visitors refer families identified as at-risk to relevant EHS and community based resources. Further, this study seeks to determine the combination of risk factors that best predicts occurrence of court-substantiated maltreatment.