Based on questions asked in Nishinomiya City, the study focused on the breakfast, snack, and lunch time practices of the facilities caring for children 0 to 5 years old. An additional question on the Memphis survey asked about the nutrition education program of each facility. Participating centers were randomly selected from a pool of licensed day care facilities as identified by Department of Human Services, State of Tennessee in June 1998 and stratified based on the concentration of facilities in each of the Memphis zip code areas. The respondents in Memphis reported that none of the children skipped breakfast, while 55% consumed it at the facilities. In Nishinomiya City, respondents reported that 10-20% of the children skipped breakfast and approximately 50% of the facilities provided breakfast to their children. In both cities, most of the facilities provided snacks to their children. In contrast, most of the facilities in Memphis provided lunch to children, however, in Nishinomiya City, the children attending public care facilities brought their lunch from home, though, many of the private facilities provided a mid-day meal. In Memphis, less than half of the respondents reported having a nutrition education program, and most of these were based on the basic four food groups; however, most respondents reported including nutrition as a component of the health education curriculum. In the two cities, there are differences in the frequency of offering breakfast to children and in parental responsibility for lunch preparation. In Memphis, facilities did not report using the Food Guide Pyramid as a nutrition education tool.