This report by the United States General Accounting Office discusses federal, state, and local programs and activities to inspect for and address lead hazards in the nation's child care facilities and schools, and existing information on the extent and treatment of lead hazards in these facilities and schools. Federal agencies conduct numerous activities to address lead hazards in general, but only a few federal agencies have limited programs that deal with lead hazards in child care facilities and schools. Individual state and local agencies differ considerably in the extent to which they inspect for and remove lead hazards in such institutions. While the majority of the 57 school districts and 16 state child care agencies surveyed conducted some tests for lead hazards, these tests were conducted on only a limited basis. Therefore, sufficient information is not available for assessing the full extent of lead hazards in the nation's child care facilities and schools and for assessing how adequately these hazards are being addressed. Three appendixes provide survey data on school district lead hazard inspections; the objectives, scope, and methodology of the survey; and a list of major contributors to the report. (MDM)