The majority of U.S. children are placed in some form of non-parental care during their preschool years, in arrangements such as child-care centers and family child-care homes, preschools, and Head Start programs. These early care and education settings provide numerous opportunities to promote healthy eating at a young age, when dietary habits are forming. Compared to research regarding schools, there has been limited research to date about federal, state, and local policies and practices that affect food choices or offerings in these settings. This research aims to identify policy and environmental changes for the child-care and preschool settings that can help prevent childhood obesity.