Infants and children with prenatal drug exposure and/or a caregiver with a substance abuse problem participate in child care centers and homes throughout the United States. Thus, child care providers are in a position to monitor not only the need for physical, cognitive, or behavioral early intervention, but also to collaborate with parents on basic nurturing skills to facilitate the growth and development of each baby and child. The authors describe the Infant Parenting Child Care Program (IPCCP) which was designed to augment existing child care and parent education services to women in outpatient or residential treatment for substance abuse. The IPCCP provides staff-supervised play, parenting education, and support to women and their children.