This report introduces the concept of child care deserts, where there is limited or no access to high quality child care. The report shares parent perceptions on selecting and using child care and efforts to track supply and demand and find solutions, especially in low-income communities, rural communities, among families of color, those with nontraditional work schedules, with special needs children, and with children who are English language learners.  While focus is on children under age 5, there is relevant information for school-age system planners.