This guidance is intended to help child care facilities make informed decisions about COVID-19 and minimize the risk of exposure to both the staff and the children in their care. To reduce the likelihood of COVID-19 transmission in our community, K-12 public schools in North Carolina are closed by order of the Governor for at least two weeks, effective March 16, 2020. Child care centers and family child care homes have the option to remain open and provide a needed service for essential personnel. The same steps that a child care facility would take to prevent the spread of any other respiratory illness, such as flu, will also reduce the likelihood of COVID-19 transmission. (author abstract)