Young children and early care and education (ECE) staff are exposed to pesticides used to manage pests in ECE facilities in the United States and elsewhere. The objective of this pilot study was to encourage child care programs to reduce pesticide use and child exposures by developing and evaluating an Integrated Pest Management (IPM) Toolkit for child care providers and staff. A multidisciplinary team developed an English- and Spanish-language IPM Toolkit for child care staff that included an IPM curriculum booklet, IPM Checklist, 11 pest-specific information sheets, and 4 educational posters. The intervention included manager interviews, educational workshops about pests and IPM, a box of ready-to-use IPM tools, an assessment of pest problems using a pilot, 72-item IPM Checklist, and photographs of identified problems. One hundred and seven staff at nine child care centers serving 854 ethnically diverse children were trained. Pre- and post-intervention manager interviews, IPM knowledge forms, and assessments using the IPM Checklists were conducted. Results showed positive changes in IPM policies, awareness, practices, management, and the prevalence of pest problems 4 to 6 months after intervention. The IPM Checklist identified improvements on 34 out of 50 items (68%) and positive changes in reducing pest infestations (100%). Manager interviews revealed positive experiences with IPM and support and satisfaction with the IPM workshop and Toolkit. (Contains 4 tables.)