This report is the fourth to be produced from the evaluation of Parent Aware being conducted by Child Trends and funded by the Minnesota Early Learning Foundation (MELF). It covers the final year of the pilot from July, 2010 through September, 2011. The report describes patterns of program enrollment and ratings. It also provides an in-depth analysis of changes in quality among Parent Aware-rated programs, provision and use of quality improvement services, parents’ perceptions of quality and knowledge of Parent Aware, and the school readiness of children participating in Parent Aware-rated programs.