This report describes the impact of nurse consultant services to child care programs in Colorado on the children, parents, and staff of the centers they serve as part of the Healthy Child Care Colorado (HCCC) initiative. Study participants included 25 child care center directors and 24 nurse consultants, representing large and small centers in both urban and rural areas in the state. Qualitative data were collected through telephone interviews. Findings indicated that directors valued the consultants' services and appreciated the medical information, staff training, and health referrals they provided. Directors sought consultants with pediatric experience, who were personable, and compatible with staff. One-third of the consultants felt that some directors resented their presence, with some citing their fees as a possible cause of resentment, and others citing the legal requirement to engage a nurse consultant. Directors cited difficulties in defining job duties, setting expectations for nurse consultants, and in nurse availability. Despite challenges for each, directors and nurses agreed on three ingredients necessary for an ideal nurse-director relationship: open communication, mutual willingness and availability to participate in consultant process, and a good nurse-staff relationship. Nurses and directors also agreed upon seven impacts of consultants on center health and safety: (1) fewer child sick days; (2) fewer staff sick days; (3) better adherence to universal precautions; (4) higher immunization rates; (5) improved immunization recordkeeping; (6) more children screened and referred for additional services; and (7) staff and parents knowing when to keep a sick child home. Appended to the report are the interview questions and phone script. (KB)