This bill amends the Older Americans Act of 1965 to establish a new competitive grant program designed to foster multigenerational activities within long-term care facilities . Grants will be awarded to eligible entities to operate qualified child care facilities either within the long-term care facility or through contracts with existing child care providers. Funds can also be used to coordinate activities between the integrated child care facility and long-term care residents, and to build new or expand existing facilities for these purposes. Applicants must detail their plans and certify compliance with infection control and prevention measures, including visitor screening. Grantees are required to evaluate the effectiveness and impact of their co-location and multigenerational activities on both older individuals and children, submitting reports to the Assistant Secretary. The Assistant Secretary will then compile these evaluations into a comprehensive report for Congress, including policy recommendations and a strategy for disseminating successful findings from the projects.