In the fall of 2009, the Illinois Department of Human Services (IDHS), in collaboration with the Illinois State Board of Education (ISBE), the Illinois Department of Children and Family Services (DCFS), and the Home Visiting Task Force (HVTF) of the Early Learning Council began the implementation of Strong Foundations. Funded by the Children’s Bureau, Illinois was one of 17 grantees in 15 states to receive funding for 5 years to support the implementation, scale-up, and sustainability of evidence-based home visiting programs for the prevention of child maltreatment. Drawing primarily from interviews with state-level informants, program directors and supervisors at a sample of local programs, and focus groups and surveys with home visitors, this report offers some preliminary findings and recommendations on aspects of the state-level structures and supports for evidence-based home visitation services, as well as program implementation and quality.