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The problem identified for this study was that principals of elementary schools often do not have the appropriate preparedness and readiness required for meeting the needs of children and teachers in the primary grades. The purpose of this study was to examine the perception of early childhood campus leaders regarding how well-prepared they are to supervise a high-needs campus that consists of primary grades which include prekindergarten through third grade. Qualitative methodology of case study design with a phenomenological perspective was selected. A finding of this research study was principals' preparedness for supervising early childhood grade levels was because their prior work experience in early childhood. Also, supports for the principals are needed to impact how they supervise early childhood grades, but careful consideration of which supports are needed must be made. The final finding was principal actions when supervising early childhood classrooms are based on their opinion about quality rather than the district defined quality document. Recommendation for further research are to replicate this with a larger population and sample; conduct a quantitative study of the impact of early childhood leadership on student outcomes that would follow a cohort of students through elementary school; and conduct a qualitative case study of principal leadership preparation that includes a teacher focus group to determine if the leadership practices are impacting teacher practices. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]