On August 20, 2013, the Board of Supervisors approved a motion introduced by Supervisor Antonovich that directs the Chief Executive Office's Office of Child Care to provide a feasibility report on establishing a Countywide child care quality rating system for licensed programs. Currently, the Office of Child Care administers two different child care quality rating systems, and both systems include less than 5 percent (429 out of over 10,000) of child care providers in Los Angeles County. Similar to the County's restaurant and nursing home grading systems, a more extensive and standardized child care rating system would provide easily accessible and valuable information to the public. Furthermore, the overall goal of a Countywide quality rating system for child care would help inform parents' decisions about selecting quality child care settings, as well as incentivize child care providers to achieve higher quality standards. In response to the Board motion, this report provides the following: 1. Overview of child care in Los Angeles; 2. Description of current child care quality rating programs in Los Angeles County; 3. Comparison with the restaurant and nursing home grading systems; and 4. Recommended options for a Countywide child care quality rating and improvement systems including the scope, parameters, structure, timing, and costs associated with the options. (author abstract)