Improved quality in home-based child care (family child care and family, friend, and neighbor care) is increasingly recognized as a vital component of early care and education service systems in the U.S. and abroad and is a target of recent federal and state policy initiatives in the U.S. This article presents data from a statewide survey of 73 child care resource and referral specialists across Illinois who work with family child care providers on a regular basis through home visiting, training, and technical assistance. Descriptive findings suggest that specialists who work with family child care providers perform a unique role in the early care and education field. The study examines job roles, common challenges and rewards, and needs for training. Specialists' training needs include understanding the unique context of family child care, home visiting, coaching, and working with families. Understanding the training and professional development needs of support staff as well as the challenges faced in carrying out this work has the potential to inform state professional development systems as well as other initiatives aimed at improving quality in this sector of the early care and education workforce. (author abstract)