Early Head Start (EHS) serves prenatal families through their home visiting programs, offering support, referrals to services, and help preparing for parenthood. EHS programs individualize services to meet prenatal families' unique needs, yet we do not understand the full nuance of how this individualization occurs. In this study, we sought staff perspectives from those who work directly with prenatal families and/or have knowledge of how their EHS program serves prenatal families. We conducted interviews with nine EHS staff members (67% white, 22% Latina, 11% Black; 66% held a Bachelor's or Master's degree) with an average of 11 years' experience working for EHS from rural (56%) and urban (44%) EHS programs across the United States. Staff identified challenges they faced working with prenatal families (e.g., ensuring families had access to needed services) and successes they wanted to celebrate (e.g., individualizing service provision to meet families' unique needs). Findings from this study lend themselves to practice recommendations for improving EHS prenatal services even further, such as building out networks of community programs to support prenatal families, and additional research on cumulative benefits for families who enroll in EHS prenatally.