These are typical scenarios of children with hearing loss who are being included increasingly in early childhood settings. Recent federal legislation encourages states to develop programs to screen the hearing of all infants before they leave the hospital, and currently 39 states have adopted newborn infant hearing screening mandates (ASHA 2005). As more children with hearing loss are identified earlier, inclusive settings for infants and toddlers will be required to provide appropriately for them. Providing a communication-enriching educational program for young children with hearing loss is clearly critical to their future learning and development. Yet many early childhood educators have little information on how to include these children in a natural setting and, furthermore, may feel overwhelmed by the thought of implementing such a program. To assist early childhood educators as they approach this challenge, this article provides information on (1) the nature of hearing loss in children and implications for language development, (2) the role of the early childhood educator as part of an educational/intervention team, (3) the range of communication modalities used by children with hearing loss, and (4) general strategies for helping integrate a child with hearing loss into the daily routines and educational practices of early childhood settings.