At the start of the COVID-19 pandemic, home visiting programs were faced with an unprecedented challenge: How do you deliver home visiting services without visiting homes? One home visiting model--Child First--quickly pivoted to telehealth, offering caregivers the option to receive services virtually. Child First has since resumed delivering services primarily in person, but some pandemic-driven implementation changes remain. To understand the impact of the pandemic on the Child First model, the study team conducted surveys and interviews with Child First staff members, and interviews with caregivers who received Child First services, to answer the following research questions: (1) To what extent did the implementation of Child First services change since the start of the pandemic?; (2) How did Child First staff members report implementing core components of the model since the pandemic began?; and (3) How did Child First caregivers report on Child First services that they received since the pandemic began? Overall, the study team found that the implementation of the Child First model following the first three years of the pandemic remains largely consistent with pre-pandemic implementation, despite the unique challenges to home visiting posed by the pandemic.