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Susan Custer sat on the floor of what used to be her living room one recent autumn morning, speaking calmly over a cacophony of toddlers’ shrieks and chatter.

United statesFrederick countyCindi webbBill hudsonKaren lewis youngLeslie freiSusan custerFamily child care alliance of marylandEducation departmentBallenger creek areaChild care cottageFamily child care allianceAcross marylandCounty public schoolsBlueprint implementation planLearning bee