This study examines data collected on the quality of centers participating in Virginia's Quality Rating and Improvement System (QRIS) to identify patterns and profiles of quality in these settings using a clustering technique. Identified patterns are compared with the composite quality level assigned by the state to determine associations with existing quality profiles across Virginia's 290 participating centers. It is expected that two profiles represent "high overall" and "low overall" patterns of quality, in addition to profiles that demonstrate differential levels or relative strengths and weakness among settings with regard to quality. If patterns of quality features do not bear significant associations with the star ratings, this information can be used by state leaders to reexamine thresholds for determining between star levels.