This study's purpose was to elucidate the experiences of educators raising and responding to child-related concerns within Early Childhood Education and Care settings. Parent satisfaction with interactions, educators' ratings of how well interactions went, and educator confidence related to raising or responding to concerns, were examined. Participants were 302 parents and 118 educators from 19 long day care and/or kindergarten services in Victoria, Australia. Results revealed child behaviour, toilet training and social development concerns were most often discussed, and most parents felt satisfied with interactions they had with their child's educator about those concerns. Overall, educators reported favourably about their own interactions. Some negative experiences reported by parents, and educators' comments about successful components of raising and responding to concerns, provide key insights into effective communication and relationship-building strategies. This study addresses the importance of active skills-based training for early childhood educators in communicating effectively with parents.