This study aims to reveal the current circumstances in provision of care for children with disabilities or with health problems(referred to as "children with special needs")in family day care services. A questionnaire survey was conducted in 121 cities that provide family day care services. Result showed that about 37% of cities accepted or got requests to accept children with special needs. Issues such as the caregivers\u27 unsuitable home environments, lack of extra payment for caregivers, and lack of skills among caregivers are factors that might prevent cities from accepting children with special needs into family day care services. On the other hand, stable environment and small group setting could make these services suitable for children with special needs, as well