State Efforts to Address Obesity Prevention in Child Care Quality Rating and Improvement Systems

This report provides an in-depth look at how states are incorporating obesity prevention into their Quality Rating and Improvement Systems (QRISs) for child care facilities.

QRISs are a voluntary, comprehensive approach to improving the quality of early care and education programs and have recently become the focus of state early childhood obesity prevention efforts.

Based on information gathered from a national advisory group and representatives from 10 states, the report documents the specific nutrition, physical activity, and screen time standards being used in state QRISs, tools and incentives to help child care providers achieve the standards, and monitoring strategies.

It also highlights successful collaborative, cross-agency strategies being used, challenges states have faced, and recommends next steps in this important policy area.