The State of Hawaii has long standing, well documented shortages in early childhood care and education. The access to care for infants and toddlers under the age of three is especially challenging. Existing organizations have documented the critical shortage of available childcare, the shortage of teachers and other childcare staff, the struggle for families to afford quality childcare, and the struggle that providers have in finding the balance between high quality care with competitive employee salaries and affordability. This study seeks to identify the costs related to starting a childcare facility and maintaining a facility, including start up, renovation, staff, and training costs. To better understand the State childcare profile, the current inventory and general market conditions were explored to understand childcare types, childcare regulations, shortage of space, facility staffing, vacancy rate trends, and Title I elementary schools without pre-k classrooms. (author abstract)