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Program Self-Evaluations

Information, forms, and instructions for contractors completing Program Self-Evaluations.

Due: June 1, 2017

Contractors are required to analyze findings from the self-evaluation and develop both a written list of tasks to modify the program for all areas needing improvement and procedures for ongoing monitoring to assure that areas that are satisfactory continue to meet standards.

Also, contractors are required to submit a Summary of Findings of the Program Self-Evaluation (PSE) to the California Department of Education (CDE) by June 1 of every year. Forms EESD 4000A and EESD 4000B are provided for use in fulfilling the submission requirement for the PSE. Included below are the instructions for completing forms EESD 4000A and EESD 4000B, as well as additional resource materials.

Additional details concerning possible PSE webinars will be e-mailed to all contractors later.

Program Questions:
If you have any questions regarding the information for the Program Self-Evaluations, please contact your assigned Early Education and Support Division (EESD) Field Services Consultant. Please refer to the CDE Consultant Regional Assignments for a list of assigned consultants.

Document Description
Management Bulletin 17-01 Additional Information for Contractors
Frequently Asked Questions Frequently Asked Questions (FAQs) to the FY 2016–17 Program Self-Evaluation
April 26, 2017 PSE Webinar (PDF) Webinar slides for the April 26, 2017, presentation on the PSE
Instructions for Forms 4000A & 4000B Instructions to complete required forms EESD 4000A and EESD 4000B
EESD Forms 4000A-B (DOC) Required Forms for Fulfilling Program Self-Evaluation Submission Requirements


The following table provides resource forms available for completing Program Self-Evaluations.

Document Description
EESD Form 3900 (DOC) Instructions for Desired Results Developmental Profile for The Classroom and Family Child Care Home Level – Summary of Findings
EESD Form 4001 (DOC) Instructions for Program Review Instrument – Summary of Findings
EESD Form 4002 (DOC) Instructions for Environment Rating Scales – Summary of Findings
EESD Form 4003 (DOC) Instructions for Desired Results Parent Survey – Summary of Findings
EESD Form 4004 (DOC) Instructions for Desired Results Developmental Profile – Summary of Findings

Return to Forms 4000A and 4000B Instructions

Questions:   Alice Ludwig | | 916-327-0197
Last Reviewed: Friday, April 28, 2017
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