There are rating systems for hospitals, nursing homes and doctors. So why is it so hard to compare providers of child care?
Part of the reason is that there are no nationally agreed-upon standards for what determines the quality of child care. The standards that do exist are formulated in each state, and they vary widely.
For example, some states require that child care workers have a teaching certificate. Others require certain college courses. Some have strict ratios of how many caregivers are required per child.