; (II) serve dual language learners, children with disabilities, children experiencing homelessness, children in foster care, children from low-income families, or infants and toddlers; (III) serve a high proportion of children whose families are eligible for subsidies under the Child Care and Development Block Grant Act of 1990; and (IV) operate in rural communities with a low supply of child care. (iii) Opportunity for parental choice in child care services. (iv) Improvement in workforce recruitment and retention for child care services. (C) Quality assessment In evaluating the extent to which there are improvements in the quality of child care in the areas determined to be in particular need of child care, the Secretary shall focus on at least 5 of the following areas: (i) Ratios of staff to children and group size. (ii) Developmentally appropriate curriculum. (iii) Approaches to instruction. (iv) Relationship quality between children and staff. (v) Children’s learning and development. (vi) Physical environment quality and ability to protect children and staff from illness and injury. (vii) Qualifications, experience, and specialized training of staff. (viii) Opportunities for staff professional development. (ix) Wages and benefits for staff. (x) Ability to foster relationships with families and communities. (xi) Leadership and management capacity. (xii) Creating a stable work environment for staff retention. (xiii) Pursuit or earning of national accreditation. (D) Report The Secretary shall— (i) submit a report to the appropriate committees of Congress regarding the evaluations of the impact of the activities carried out by lead agencies with funds from grants paid under this subsection— (I) within 180 days of the completion of each such evaluation; and (II) at least once every 5 years