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ACTION STEP Allegheny County Annenberg Foundation Association of Child Benso Child Care Agencies child care centers child care programs child care staff child day Child Development Children's Defense Fund Collaboration Project Community Conversations cost county assistance office day care homes Department of Public difficulty hiring early intervention Education of Young EFFORTS UNDERWAY eligible Executive Director family day four-year-olds full-year Groginsky Head Start Association Head Start children Head Start Collaboration Head Start families Head Start Program Head Start Survey High/Scope income kindergarten leaving welfare Lehigh Counties Lehigh Valley licensed low-income children Medical Assistance ment mental health needs Office of Child parents participation Partnerships for Children Pennsylvania Association Pennsylvania Head Pennsylvania Partnerships Pew Charitable Trusts Preschool Program problem provide child Public Welfare referral services resource and referral school districts social services statewide subsidized child U.S. Senate University of Pittsburgh waiting list welfare clients welfare reform York County Young Children