Objective: This study aimed to examine the contents and causes of reports of suspected cases of child abuse and the difficulties experienced in determining cases of suspected child abuse. Methods: This analysis was conducted through in-depth interviews and other related data with three heads of private daycare centers in Seoul and Gyeonggi-do who had experience in suspected cases of child abuse at daycare centers. Results: The results were categorized into two topics: the contents and causes of the report of a suspected child abuse case, and the difficulties experienced in determining the suspected child abuse case. The difficulties due to the lack of systematic administrative support considering the motive and starting point of the suspected child abuse case, to the negative perception related to the suspected child abuse case, and to the suspected child abuse case, were separated into four areas and 10 meaning categories. Conclusions: In the case of suspected child abuse, various causes such as conflict between teachers, conflict between the teacher and principal, and conflict between the parents and principal led to child abuse reports. During this process, the ledger faced various difficulties, which negatively affected the ledger. These practical experiences will provide implications and practical knowledge for developing effective child abuse data and prevention programs considering the field. Additionally, it is expected to suggest practical ways to utilize child abuse-related policies.