• A telephone survey of all licensed group day-care centers serving 2- to 6-year-old children in Maryland was conducted to determine the rate of injuries, their nature, and the circumstances of occurrence. Eighty-two percent of the 523 operating centers were contacted. Two centers declined to participate. Twenty-nine injuries were reported. A total of 18 728 children were surveyed (children who attended half a day were given half credit per day) or 92 640 childdays. Yearly injury rates of 7.02% for medically attended injuries, 4.29% for injuries limiting activity, and a total yearly injury rate of 11.30% were calculated. This general injury rate was similar to incidence figures from a nonday-care center injury study. This lack of improvement in injury rates in licensed day care is of concern and deserves increased attention from pediatricians.