I would suspect that conversion of downtown space into residential units / increasing density of residential units in the Core would lead to a higher concentration of child care facilities in the Core as a result. But that's playing the long game.
Doesn't surprise me that there isn't much in the way of facilities downtown; people don't take their kids to work from the suburbs so there really isn't a mass impetus to have it. Maybe that will change with changing balance of downtown residential/commercial space.
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