Multiple types of child care are exempt from government licensure or regulation in the United States, yet previous research has shown that stricter adherence to regulatory standards predicts higher quality programs. This study compares global child care quality and teacher-child interaction quality in church-sponsored child care centers that are legally-exempt from licensure and operate at three regulatory levels. Observations were completed in 59 church-sponsored, center-based child care programs. Centers that voluntarily followed stricter levels of regulation had higher quality. The findings have implications for policymakers and legislators who create and implement child care standards and subsidy policies.