Reports suggest that children aged ?10 years can efficiently transmit SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). However, limited data are available on SARS-CoV-2 transmission from young children, particularly in child care settings. To better understand transmission from young children, contact tracing data collected from three COVID-19 outbreaks in child care facilities in Salt Lake County, Utah, during April 1–July 10, 2020, were retrospectively reviewed to explore attack rates and transmission patterns. A total of 184 persons, including 110 (60%) children had a known epidemiologic link to one of these three facilities. Among these persons, 31 confirmed COVID-19 cases occurred; 13 (42%) in children. Among pediatric patients with facility-associated confirmed COVID-19, all had mild or no symptoms. Twelve children acquired COVID-19 in child care facilities. (author abstract)