When I had my first child thirty seven years ago, I went looking for a day care provider. Eventually I found clean, safe, pleasant toddler care, but first I encountered a great deal that was troubling and makeshift. One house was so dirty I could hardly wait to drive away. In another, an enterprising care giver had rigged a carriage with a bottle suspended from a wire to feed infants in her care. It was a clever arrangement, but scary. And almost four decades later, good child care is still hard to find.