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Efforts to improve the quality of family child care (FCC) programs have gone understudied. Many states in the U.S. have developed Quality Rating and Improvement Systems (QRIS) in order to increase the quality of care across child care sectors, however, FCC programs are typically underrepresented in QRIS and are rated at lower levels. The aims of the current study are to compare FCC providers who participated in a model of supplemental quality improvement with FCC providers who participated in QRIS but did not receive supplemental services. We examine the movement trajectories of FCC programs across all five rated levels over a two-year period and examine whether Stars Plus participation predicted the attainment of the highest quality levels in Delaware’s QRIS.