Quality Rating Improvement Systems (QRIS) frequently include the Infant-Toddler Environment Rating Scale-Revised (ITERS-R) as part of rating and improving child care quality. However, studies utilizing the ITERS-R consistently report low quality, especially for basic caregiving items. This research examined whether the low scores reflected the…

Quality measures were originally developed for research aimed at describing the settings that children spend time in and identifying the characteristics of these environments that contribute to children's development. They were also developed to guide improvements in practice. Increasingly, however, measures of quality are being used for further…