Smart Start is a multi-disciplinary, comprehensive, community-based initiative to serve North Carolina children under age 6 and their families to ensure that all children enter school healthy and prepared to succeed. To achieve this, local county partnerships have focused both their attention and their funds on implementing child care programs, family programs, and health services. Evaluation strategies included measuring changes in child care quality, family functioning, and children's receipt of health services, and the long-term outcome of school success. This report highlights four main program goals: (1) children are healthy and prepared to succeed in school; (2) families effectively fulfill their role as primary providers, nurturers, and teachers; (3) high quality, affordable services for children and families will be available; and (4) North Carolina counties value children and families by providing options and resources, and encouraging collaboration. The report presents the main data collection strategies being used to evaluate progress for each goal, followed by brief summaries of recent results. The most significant findings to date are that child care quality improved as a result of Smart Start and that children from low-income families who attended a Smart Start-involved child care program were significantly more prepared for school than were similar children who attended other centers, or no centers at all. Speech problems were the most likely developmental problem to receive preschool treatment. Playground improvement grants did result in improved playground safety. Also noted was increased collaboration among individuals and agencies involved with young children and families. An appendix contains a list of reports from the Smart Start evaluation team. (KB)