This study aims to look at the early childhood developmental (ECD) status in order to measure the effects of quality of care and to estimate the variations in ECD status across the ecological environment in Nepal. A total of 2279 children aged between 36 and 59 months has been analysed from the Nepal's Multiple Indicator Cluster Survey, 2014. It is found that 64.44 per cent of sampled children are on track of early childhood development in Nepal. Multilevel logistic regression reveals that the indicators of quality of care having with three or more children's books (OR = 2.62; p = <0.001) and fathers' engagement in four or more activities (OR = 2.42; p = <0.001) with the child as contributing significantly to the ECD status. Besides, children who belong to the richest households are 4.33 times more likely to have ECD status in comparison to children of poorest households after controlling for all other factors.