This first year progress report describes a comprehensive, coordinated child care program for employee and student families in a medical center community. The model child care system as conceptualized in this project provides: (1) a Counseling-Coordination Office for compiling community resource information and assistance-in-placement services, and (2) child care program services (In-Center Care, Family Home Care, and School-Age Child Care). The purpose of this child care system was to provide parents with ease in finding and making decisions about child-appropriate services and to increase stablization as a family unit to the extent that needs for dependency, accessibility, and specialized services were met. The system was designed to be responsive to the expressed needs of the 204 families who responded to the initial University of Colorado Medical Center survey pertaining to concerns in child care service delivery, and to nation-wide opinion about such concerns. The report discusses in detail the various components of the overall model: The Counseling-Coordination Office, the child care program model (the In-Center model, the Family Home Care model, the School-Age Child model), community involvement and information sharing, and the administrative framework. Goals and research plans for the second year of the project are listed. The 25 appendixes contain a sample collection of the forms, records, questionnaires, and surveys used during the first year of the demonstration project. (CS)