The main objective of this research was to explore the situation of child care service provisions in government preschools of Debre Markos town. To achieve this objective, a descriptive research design with qualitative approach was employed. Data collection instruments used in this study were observation, key informant interviews, and focus group discussions. Participants of the study were 10 principals, 10 preschool facilitators, 1 preschool education expert, 20 parents, and 2 health extension workers from Debre Markos town health center who support the preschools. The data were analyzed using the thematic analysis technique. The findings of the study revealed that the child care service provisions of preschools seem to be inadequate. The outside environment of preschools was also not favorable. Positively there was a little bit start of collaboration efforts in preschools with parents and government to facilitate a better physical environment and to fulfill child care service facilities. The overall result indicated that preschools have problems to fulfill child care service facilities. The majority of preschool teachers in government preschool settings had no special training in providing child care services; there was no any care giver in the preschools, majority of government preschool settings had poor indoor and outdoor care services and facilities, all of the preschools had no standardized and separated dining and sleeping rooms, poor health, nutrition, hygiene and sanitation service provision, no follow-up and controlling system, etc. There was no special attention and sufficient budget allocation for preschools from the concerned bodies. Better coordination and strong commitments of stakeholders are highly required to standardize the existing poor status of preschools' child care service provision. In addition, technical supports and close follow-up systems are required from the Debre Markos town education office and the East Gojjam Zone Education department both to improve the existing status of facilities and care services.