A thorough revision of the original ITERS, designed to assess center-based child care programs for infants and toddlers up to 30 months of age.

Scale consists of 39 items organized into 7 subscales:

• Space and Furnishings
• Personal Care Routines
• Listening and Talking
• Activities
• Interaction
• Program Structure
• Parents and Staff

New curriculum and program items in the revised ITERS include: Helping children understand language; Nature/science; Use of TV, video and computer; Free play; and Group play activities. Items have been added to make the scale more inclusive and culturally sensitive, to address professional needs of staff, and to reflect the latest health and safety information.

Featuring a new spiral binding, the updated ITERS-R offers more practical assistance in the form of an Expanded Scoresheet (which contains a worksheet) and additional notes for clarification to improve accuracy in scoring. However the items and indicators remain the same as in the ITERS-R.