The document discusses the elements of high-quality early childhood programs for infants and toddlers. Key elements include a child development curriculum, low child-to-staff ratios, trained and supported staff, partnerships with parents, and developmentally appropriate evaluation. High-quality programs implement a curriculum grounded in research that emphasizes child-initiated learning, observation of each child, and responsive adult-child interactions. Regular training is also important to improve caregiver skills and program quality over time.