This paper presents the Pennsylvania Office of Child Development and Early Learning's annual report for 2009-2010. Providing quality early learning opportunities in the first five years shapes a child's learning and success for life. The window to make a difference in a child's future is small, but outcomes show that the agency is having an impact. 2009-2010 child outcomes for preschoolers in Pennsylvania Pre-K Counts, Keystone STARS 3 and 4 programs, and Head Start Supplemental Assistance Program, for example, show children are progressing throughout the program year and are coming to school ready to learn, with nearly every child ending the program year with age-appropriate or emerging age-appropriate language, numeracy and social skills. In 2009-2010, Pennsylvania served about one-third of young children in state of federally-funded quality early education programs. (Contains 50 endnotes.) [The printing of this report was made possible through private funds from the Pennsylvania Build Initiative.]