Background/Purpose: The majority of pediatric fracture treatment involves immobilization. There is a paucity of literature assessing the impact of immobilization on the ability of pediatric patients to return to daycare. The purpose of this study was to assess return to daycare after fracture immobilization based on daycare facility policy. We hypothesized that daycare facilities would be less likely to accept patients with increased amounts of immobilization. Methods: A 40-question survey of daycare facilities servicing a total of 6500 children ages <1 to 4 years within 10 miles of a major metropolitan city center was conducted. The survey included written descriptions and clinical pictures of the immobilization types. Facilities were randomly selected from a comprehensive listing provided by the state’s Department of Education. Power analysis determined that a random sample of 73 facilities was necessary to estimate a 50% prevalence within ± 10% margin of error. Prevalence and confidence intervals were estimated using a finite population correction (n = 282). Results: Overall, 282 facilities met inclusion criteria and 85 were randomly selected to be interviewed allowing for a 15% non-response rate. A total of 73 childcare facilities agreed to participate in the study. The percent acceptance rate for upper extremity casts was 91.78% (95% CI, 86.2-97.3%) while lower extremity casts regardless of weight bearing status were only accepted at 61.1% (95% CI, 51.2 -71.0%) of the facilities. Spica casts showed the least acceptance: single-leg (22.5%), one and a half leg (18.1%), and two leg (15.7%). Short arm casts showed slight advantage when compared to long arm casts (p=0.046), while short leg casts were accepted at substantially higher rates when compared to long leg casts (p<0.0001). Upper extremity casts were more likely to be accepted compared to lower extremity casts (p=0.0039). Spica casts had lower acceptance rates in comparison to both upper extremity and lower extremity casts (p<.0001). Conclusion: Daycare facility policy was significantly more restrictive for lower extremity immobilization when compared to upper extremity immobilization. The vast majority of facilities did not allow patients with spica casts to return to daycare. Surgeons should be aware of the potential socioeconomic implications of fracture treatments including immobilization.