Inclusion or full participation by children with disabilities in programs and activities designed for typically developing children benefits children with and without disabilities and their families. Inclusive care programs are least available for school-age children and adolescents. A review of the literature identified best practices for effective inclusive out-of-school care, including: a written program philosophy; a written plan for inclusive programs; strong leadership; a disability awareness program for staff and children; training and support for staff; sufficient staff to meet program needs; a working communication and collaboration; an adapted setting, activities, and time parameters; proficient collaboration with families; and an evaluation plan.