The families who face the greatest hurdle in being able to access high quality child care programming are families.

I believe the answer is: Moderate income families

High income family tend to pampered their children and made them obtain what they want without making the effort while low income family tend to pay less attention to their children since they are trying to fulfill ends' meet.

Moderate income familiest end to has sufficient time to take care of their children and have enough money to fulfill their needs without pampering them.

uwu pennywise or ronald