This report was compiled by the Appalachian Educational Laboratory (AEL) to provide information on child care services in the AEL Region. An initial overview addresses the topics of: (1) what child care is; (2) child care and early education; (3) state involvement in child care and early education; (4) the purpose of this report; (5) sources of data; (6) children receiving care in AEL's region; (7) state and federal funding for child care and early education; (8) differences in programmatic responses from state to state; and (9) questions and unresolved policy issues. The second section focuses on state reports for Kentucky, Tennessee, Virginia, and West Virginia. Each report contains an overview, and discusses the framework for child care and early education, the organization of services, state regulation, and the children who are served by state regulated or funded, and federally funded, programs. The report concludes with references and a bibliography, and 10 appendices that list publications, and state legislation and reports, for each state. (SH)