As the United States celebrates its 250th anniversary this year, Sunrise Manor ranks the 113th largest city in the nation.

In Sunrise Manor, an unincorporated Census-designated place of 199,000 east of the Las Vegas Strip, infant care eats 29.1% of a typical paycheck on a household income roughly a third below the national median. Every Las Vegas Valley community pays the same Clark County price for a center slot — about $16,033 a year — but Sunrise Manor's wages absorb it worst. Nevada offers the country's weakest licensed-care supply (a 66% statewide gap), no paid family leave, and bottom-decile pre-K reach. Five of the index's ten lowest-scoring cities sit inside this valley. Sunrise Manor sits at the bottom of all 251.

Key highlights & actionable takeaways

Last of 250 nationally, score 14 (Crisis) — Las Vegas Valley CDP, Clark County, population 199,000.
About 20 licensed slots per 100 working-parent kids under five; Nevada's 66% statewide supply gap is the worst in the nation.
A state-level structural failure with a Sunrise Manor address; every valley CDP inherits the same county price, policy floor, and gap.

Actionable takeaways

Sunrise Manor sits dead last in the entire 250-city index. The score is not about a uniquely failing community — it's the bottom of a Clark County structural gap that lands hardest where household incomes are lowest. The Sunrise Manor address is the messenger; the failure is state and county.
Sunrise Manor is a CDP of 199,000 with no city government. No mayor, no city council, no city childcare budget. Every reform lever — licensing, zoning fast-tracks, county subsidies — sits with Clark County and Carson City.
The 49% single-parent share is among the highest in the dataset. When 49% of households with kids are headed by a single parent, the standard "median household" affordability math understates the binding constraint by a wide margin. Disaggregate household-type when reporting strain.

Affordability — 18/100

For a Sunrise Manor family with one child in a licensed infant center, the bill runs $16,033 a year — about $1,336 a month. The price itself is below the national median of $17,163. The problem is the income side. The median household here earns $55,034, roughly 30% below the national median, which means infant care eats 29.1% of a typical paycheck — well above the 21.9% national burden. Family child care is barely cheaper at $12,092 a year, and it competes directly with rent: median monthly rent is $1,284, putting childcare costs roughly even with housing for any family with one infant in licensed care. Sunrise Manor is the place where the national childcare-cost story stops being abstract and becomes a question about which bill goes unpaid.

A note on price: Clark County prices are shared across every Las Vegas Valley CDP — Sunrise Manor, Spring Valley, Paradise, Henderson, North Las Vegas, and the city of Las Vegas itself. The income disparity is what separates them. Sunrise Manor's household income sits among the lowest in the valley.

Supply — 3/100

There are roughly 20 licensed childcare slots for every 100 kids under five with working parents in this part of Clark County — a ratio that meets the strict definition of a childcare desert (more than three kids competing for every slot). Establishment density runs at 1.67 licensed sites per 1,000 kids under five, less than half the national average. This is not a Sunrise Manor problem. Nevada as a whole reports a 66% supply gap — the worst statewide gap in the nation by the Bipartisan Policy Center's count — and Clark County, which holds roughly 70% of the state's population, drives that figure. The valley's growth has outpaced licensed capacity for over a decade.

Workforce — 18/100

Childcare workers in Clark County earn a median $13.67 an hour — $28,430 a year. The local single-adult living wage is $24.20 an hour, putting wages at 56% of what one adult needs to live in the metro without children. Nevada offers no state-mandated paid family leave, no statewide wage subsidy program for the early-care workforce, and the state's CCDF reach is among the lowest in the country. The result is what Las Vegas center directors describe as a permanent staffing crisis — turnover above 40% annually at many sites, and a steady leak to casino housekeeping and entry-level hospitality jobs that pay $18 to $20 an hour with tips.

Family strain — 21.1/100

Sixty-five percent of Sunrise Manor mothers with kids under six are in the labor force — slightly below the national 68%, in a community where 49% of households with kids are headed by a single parent. That single-parent share is among the highest in this index, more than 50% above the national rate. The family-strain reading reflects the math of parenting under those conditions: in a desert market with thin policy support and household incomes below the national median, the parents who stay employed do so because they have to, often through informal patchwork care.

Policy support — 15.3/100

Nevada inherits down to Sunrise Manor here, and the inheritance is thin. The state enrolls 9% of four-year-olds in publicly funded pre-K — among the lowest figures in the country — and 1% of three-year-olds. Per-child pre-K spending is $9,703, which is respectable on a per-enrollee basis, but reaches very few children in absolute terms. There is no state paid family leave. CCDF subsidy reach covers 12.7% of eligible kids; the state serves roughly 6,800 children monthly. This is the policy floor against which every Las Vegas Valley community has to build a private childcare market — and it is among the lowest floors in the country.

In-home care in Sunrise Manor

Las Vegas's professional nanny market is concentrated in Summerlin, Henderson, and the master-planned communities of the western valley — the parts of metro Las Vegas where dual-income professional households cluster. Full-time live-out nanny rates in those neighborhoods run $20 to $26 an hour for one child. In the central and eastern valley CDPs, including Sunrise Manor, demand exists but pricing pressure pushes many families toward informal, cash-paid arrangements with relatives or neighborhood babysitters at $12 to $18 an hour. Casino-shift parenting drives unusual demand for overnight and graveyard-shift sitters — a Las Vegas-specific pattern that no national platform has fully addressed. Au pair hosting remains uncommon in the valley's central neighborhoods, more typical in Henderson and the Summerlin master-planned communities.

Methodology: The the score is a 0-100 composite score across five dimensions: Affordability (30 pts), Supply (25 pts), Workforce Health (15 pts), Family Strain (15 pts), and Policy Support (15 pts). City-level prices and supply use the city's primary containing county; Sunrise Manor is a Census-designated place inside Clark County. Policy Support is measured at the state level. Full methodology and data sources: beverly.io/research/methodology.

Sources: U.S. Census Bureau ACS 2019-2023 5-year estimates; U.S. Department of Labor Women's Bureau National Database of Childcare Prices; U.S. Bureau of Labor Statistics OEWS (May 2024) and QCEW; Buffett Early Childhood Institute / Bipartisan Policy Center / Child Care Aware childcaregap.org (Sept 2025); NIEER State of Preschool Yearbook 2024; HHS ACF CCDF FY2023; National Partnership for Women & Families (March 2026).

Methodology. The State of Childcare Index is a 0-100 composite score across five dimensions: Affordability (30 pts), Supply (25 pts), Workforce Health (15 pts), Family Strain (15 pts), and Policy Support (15 pts). Each dimension draws on publicly available federal data: U.S. Census ACS (5-year), DOL Women's Bureau NDCP, BLS OEWS and QCEW, the Buffett/BPC/CCAoA childcaregap.org dataset, NIEER State of Preschool, and HHS ACF CCDF reports. City-level prices and supply use the city's primary containing county. Policy Support is measured at the state level. Full methodology and data sources: /research/methodology.