Table 1. Summary of Information on Quality Rating and Improvement Systems With at Least One Standard That Aligns With PCO/CFOC Componentsa and/or Spectrum of Opportunities Componentsb, by State (n = 27)c, 2010–2015.
| State | Name of QRIS (Date of Publication of Standards) | No. of PCO/CFOC Componentsa Present in QRIS Standards | No. of Spectrum of Opportunities Componentsb Present in QRIS Standards |
|---|---|---|---|
| Arkansas | Better Beginnings (2010) | 1 | 2 |
| Colorado | Colorado Shines (2014) | 2 | 3 |
| Georgia | Quality Rated (2012) | 0 | 2 |
| Idaho | Steps to Quality (unknown) | 0 | 3 |
| Iowa | Iowa’s Quality Rating System (2011) | 0 | 3 |
| Indiana | Paths to Quality (2008) | 4 | 0 |
| Massachusetts | Massachusetts QRIS (2010) | 1 | 1 |
| Maryland | Maryland Excels (2014) | 8 | 2 |
| Maine | Quality for ME (unknown) | 1 | 0 |
| Michigan | Great Start to Quality (2013) | 1 | 2 |
| Minnesota | Parent Aware (2013) | 0 | 2 |
| Montana | Best Beginnings STARS to Quality (2014) | 3 | 2 |
| North Dakota | Bright and Early North Dakota (2012) | 1 | 2 |
| Nebraska | Step Up to Quality (unknown) | 0 | 4 |
| New Jersey | Grow NJKids (2014) | 1 | 3 |
| New Mexico | FOCUS (2015) | 4 | 2 |
| Nevada | Nevada Silver State Stars QRIS (2014) | 4 | 4 |
| New York | QUALITY Stars NY (2014) | 10 | 2 |
| Oklahoma | Oklahoma Reaching for the Stars (unknown) | 3 | 0 |
| Oregon | Oregon QRIS (unknown) | 8 | 0 |
| Pennsylvania | Pennsylvania Keystone STARS (2014–2015) | 0 | 1 |
| Rhode Island | BrightStars (2013) | 1 | 0 |
| South Carolina | ABC Quality (2012–2013) | 15 | 3 |
| Texas | Texas Rising Star (2012) | 4 | 0 |
| Utah | Care About Childcare (unknown) | 10 | 2 |
| Washington | Early Achievers (unknown) | 0 | 1 |
| Wisconsin | YoungStar (2014) | 2 | 2 |
Forty-seven obesity prevention components, referred to as PCO/CFOC, are described in Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition (15).
Components (n = 6) are based on the Centers for Disease Control and Prevention’s Spectrum of Opportunities for Obesity Prevention in the Early Care and Education Setting (3) and are complementary strategies to PCO/CFOC components.
Thirty-eight states had a Quality Rating and Improvement System with publicly available standards published between 2007 and 2015; of these, 11 states had no Quality Rating and Improvement Systems standards aligning with PCO/CFOC components or the 6 additional Spectrum of Opportunities (3) components: Alabama, Arizona, Delaware, Illinois, Kentucky, Mississippi, North Carolina, New Hampshire, Ohio, Tennessee, Vermont. Twelve states and the District of Columbia were excluded from the review for various reasons: unable to determine whether the state had a QRIS in operation (Wyoming, South Dakota); precluded from operating QRIS through legislative action (Missouri); QRIS operating at a local level (California, Florida); and QRIS in a developmental or piloting phase (Alaska, Connecticut, District of Columbia, Hawaii, Kansas, Louisiana, Virginia, West Virginia).