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First 5 Nevada is supported by the Preschool Development Grant Birth through Five Initiative (PDG B-5), Grant Number 90TP099, awarded to the Nevada Department of Education, from the Office of Child Care, Administration for Children and Families, U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Office of Child Care, the Administration for Children and Families, or the U.S. Department of Health and Human Services.