Is there free assistance available to guide setting up child care environments in a way that will support access for children with physical disabilities?  

There are many resources including articles and webinars available to help programs set up an inclusive environment for children with disabilities.  Examples can be found at Early Childhood Learning & Knowledge Center (ELKC)   https://eclkc.ohs.acf.hhs.gov/video/environments-support-high-quality-inclusion and at the Extension Alliance for Better Child Care https://childcare.extension.org/specific-ideas-for-child-care-providers-to-help-children-with-physical-disabilities/.  

The Virginia Infant and Toddler Specialist Network also offers support to programs in the area of inclusion.  Email TA@va-itsnetwork.org for more information.  Additional inclusion resources and webinars can be found at va-itsnetwork.org.  Select Inclusion under the Early Care Providers tab and then Inclusion Resources and Webinars for a list.