Child care preferences are as diverse as California's families themselves. According to one California parent, the ideal arrangement for her preschooler would be "a nanny that is embedded in our lifestyle and available for evenings […] but I will still like to keep our child in preschool for socializing." For another parent, the ideal child care provider for her toddler would be "like another grandma or grandpa." And these two parents are not alone: family, friend, neighbor (FFN), and nanny care is a deeply respected and valued choice throughout the state. From a policy perspective, however, FFN and nanny care struggles for attention. California, like the nation, tends to focus on licensed early care and education (ECE) settings, like child care centers or family child care (FCC) providers. State and federal regulations define FFN and nanny care as "license-exempt" care, an oppositional label that emphasizes what these caregivers do not offer rather than what they can provide. Similarly, policy work often characterizes these arrangements as "informal" care that exist outside the definition of high-quality ECE. This framing erases the depth and consistency many such caregivers provide, and it devalues parents' own understanding of quality. Additionally, the "FFN" category within "license-exempt" or "informal" care creates ambiguity for the status of professional nannies and obscures grandparents (most often grandmothers) as the most common and vital FFN caregivers. To develop a richer understanding of FFN and nanny care, the Center for the Study of Child Care Employment (CSCCE) conducted a study of California parents and their caregivers between 2022 and 2023. The study was the first statewide exploration of parents' child care preferences, FFN care, and nanny care, and it incorporated a series of surveys and focus groups to explore this type of early care and education from numerous angles. The study's findings affirm that both parents and caregivers desire greater recognition of and support for FFN caregivers and nannies for their role in early care and education. For some parents, particularly those with infants and toddlers, this form of care is not informal, but foundational; yet unpaid arrangements prevail, often at great cost to caregivers from low- to moderate-income households. While regulations may downplay their expertise, this study shows that caregivers know their worth--particularly grandparents. This report is the third and final release of this series. The first report explored the types and combinations of caregiving arrangements that parents' use for their young children, as well as the factors that drove their choice of caregiving arrangements, based on a 2022 parent survey (Powell et al., 2023b). The second report shared data from FFN and nanny caregivers themselves, drawn from surveys and focus groups: in addition to describing the scope and duration of caregiving arrangements, it took a novel look at caregivers' self-perception and well-being (Powell et al., 2023a). This final report describes the findings from the final survey, a 2023 follow-up with parents who joined the study sample in 2022, and synthesize the findings from the study as a whole.