This paper describes the early care and educational services for children in Quebec since reforms of 1997 intended to place the interests and well-being of children and families at the center of its family policy. Chapter 1 describes early childhood care and education (ECCE) system prior to and since the reforms. The chapter describes the components of this system as including: (1) center-based child care for children birth to 4 years and family child care for children birth to 12 years, both overseen by early childhood agencies (CPEs); (2) school-age child care programs; and (3) full-day kindergarten for 5-year-olds. Funding for restructuring the ECCE system is detailed, including the gradual introduction of a universal regulated $5-a-day child care program and a massive increase in public funding. Specific measures related to the educational program and child care staff training are described. Chapter 2 focuses on the center-based component of the system and presents issues raised by directors in a 1998 study of child care centers, including financial stability of centers, clientele with special needs, staff compensation and working conditions, complying with regulations, facility-related concerns, and staff morale. Chapter 3 considers the family child care component, examining the reasons behind the government decision to make it the cornerstone of the ECCE system, identifying some pitfalls related to this policy, and discussing ways to ensure that family care services are given a prominent role. Chapter 4 describes school-age child care programs, focusing on their evolution since the introduction of reform and examining their strengths and weakness. Chapter 5 explores additional questions, including issues related to family care provider training, standards for CPEs and commercial child care centers, the lack of males in the ECCE system, the status of family child care providers, and the CPE as a business enterprise. The paper's three appendices discuss parents' expressed preference for family child care, the link between the size of the child care group and the providers' income, and the definition of "family environment." (Contains 41 references.) (KB)