Join Nextdoor.

County Associations: are there any in your area or state that maintain a database of providers? That's one of the first sources parents use.

Parent Aware. I actually hate that I'm saying this because I absolutely despise the organization. But, parents use it.

Local Facebook groups. I know you mentioned you belong to a few. Join more. I belong to 5 different "Mom's groups" in my area. I get the majority of my interviews from them.
I also belong to 4 different Facebook daycare search groups.
Along those lines: also join local fb elementary school groups. You can network that way and possibly get younger siblings of elementary age kids.

Offer incentives for current families to bring in new families.
Whether it's dinner/drinks on me, free childcare, a gift card, whatever. Something that will get them working for you.

Coffee shops. Our Dunn Bros has a post it board with business fliers. I have gotten an interview out of it before.

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