The author describes the practices of primary caregiving and continuity of care as necessary components of a high quality child care setting. Yet recent evidence suggests that continuity of care is rare for infants and toddlers because young children are often moved from room to room as they grow. The author describes the benefits of primary caregiving for staff members as well as children despite the administrative challenges that can arise. A team approach is necessary to create a community of support for staff, children, and families.