This qualitative study utilized purposive sampling across the state of North Carolina to examine the practices of early childhood administrators in creating centers that were inclusive to gay and lesbian headed families. Data from four open-ended questions were analyzed to consider the use of picture books, promotional materials, and training for staff that were lesbian and gay parent focused. As well, a fourth question that asked for any feedback the participants wished to share revealed underlying beliefs and values of the NC administrators. Results indicated a continuum of practices that tended toward heterosexism and homophobia with limited lesbian and gay affirming practices reported. Implications include the need to increase training availability, increase LGBT content in early childhood preparation programs, and creation of policies that are inclusive to lesbian and gay headed families in early childhood settings.