Those interested in promoting quality caregiving for infants and toddlers should consider several key issues. These issues concern the content of procedures and rules of the caregiving facility, staff selection procedures, the role of the environment in promoting quality care, optimal curriculum for staff training, the adequacy of group care for language development and secure early attachment, parent involvement, and prevention of staff burnout. Questions raised by these issues require answers based on theoretical and research knowledge as well as clinical skills related to human relationships and interactions. Decisions made concerning these issues will affect the quality of caregiving (RH)