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Kristel England-Keefe has helped literally hundreds of families find child care over the last three years in her role as a referral specialist with a nonprofit organization that serves Sonoma County, California. But when she and her husband have tried to find care for their own two boys, theyve struggled.

Both parents are college graduates. Both have jobs. But England-Keefe says that putting the two kids in child care at the same time would cost at least $2,000 a month and probably a lot more. As it is, she says, they can barely cover rent in their two-bedroom apartment, which has no washer-dryer, no air-conditioning and sits just above a noisy street next to a fire station in the city of Santa Rosa.

Their makeshift child care solution is sending the older boy, who is four, to preschool. There, he gets the kind of activity and outdoor time he cant in the apartment building. But keeping him at preschool all day would be too expensive, so England-Keefe drops him off on her way to work and picks him up on her lunch break to drive him home, where her husband has been watching the younger boy, who is two, since morning.

A few hours later, at around 4:30 p.m., England-Keefe finishes work, drives home again and takes over watching the kids so her husband can go to his job auditing tables at a casino. His shift ends at 2:30 a.m., which means he gets only a few hours of sleep before the 2-year-old is awake and the cycle begins again.