In 2019, the federal Preschool Development Grant Birth through Five (PDG B-5) offers the opportunity to understand conditions for Virginia through a needs assessment and, with this information, to set goals for improvement. This needs assessment is designed to compile the insights of recent Virginia research on early childhood supports and services and supplement it with the most recent social, economic, and program data for Virginia. The needs assessment explores systemic barriers and resources and gathers the voices and perspectives of families, teachers, and others who are providing, accessing, or seeking early childhood care and education. See Appendix G for details on the extensive stakeholder engagement that accompanied the needs assessment development processes. (author abstract)