A robust body of evidence over the past half a century has documented the importance of early childhood experiences for adult outcomes. From maternal prenatal care to early intervention in infancy and toddlerhood, and through high-quality care and educational experiences in the preschool years, support services and programs for families and young children have been shown to improve children's outcomes into the school years and adulthood. Building on this promising evidence base, the Ready for School, Ready for Life initiative in Guilford County, North Carolina, aims to support interconnected programs and services for young children and their families with the goal of having children enter kindergarten ready for learning. This report describes findings about implementation of the initiative during 2023. After providing a brief overview of the initiative, the report describes findings from interviews and surveys that the MDRC team conducted in 2023 with directors and leaders of programs that serve young children and their families in Guilford County. It focuses on their views of the initiative, including their reasons for participating in it and what they see as the associated benefits and challenges, and their views about their programs' efforts to communicate, collaborate, and coordinate with other programs in the county. [This report was co-produced with Guilford Readiness of Children for School Study.]