Primary care is an essential service for young children and one of the few settings where in-person care was provided during COVID-19 (recommended by the American Academy of Pediatrics, 2020). The HealthySteps (HS) model provides enhanced primary care to young children but required innovations to service delivery to adhere to public health orders and reduce virus exposure. The HS team in this clinic developed innovative service delivery strategies to continue providing comprehensive care to young children and families. The team also provides support to primary care medical colleagues as they navigate the ongoing challenges brought about by the pandemic.