Skip to main content
California Department of Education Logo

Local Planning Council Forms

Local Planning Council Form 2934 Questions Preview.

Agency Annual Report

  1. Legal Name of Agency.
  2. Vendor Number.
  3. Agency Contact Name.
  4. Agency Contact Phone Number.
  5. Date Agency Self Evaluation Completed.
  6. Date of Current Needs Assessment.
  7. Date of Current Comprehensive Child Care and Development Plan.
  8. Program Year.
  9. Annual Report Process Description: Describe the annual report process and who participated in the process. Describe the role and level of participation and contribution by parents, staff, Board of Supervisors, Superintendent of Schools and your Local Planning Council (LPC) members in the self evaluation process. Include the start and completion date of your self evaluation and annual report process. Include information regarding the update of the LPC Program Coordinator and LPC member handbooks to reflect the new requirements and documentation of the new self evaluation process.
  10. By checking this box, I certify that an agency Self Evaluation has been completed by this agency on the date specified above and that the appropriate review instrument(s) were used. Authorized Agency Representative: check upon completion.
  11. Name of Authorized Agency Representative.
  12. Date of Authorized Agency Representative Certification.
  13. By checking this box, I certify that at least one LPC Representative who participated in the agency's completed self evaluation process (described above) has reviewed and approved this document. LPC Representative: check upon completion.
  14. Name of LPC Chairperson or Representative.
  15. Date of LPC Chairperson or Representative Certification.
Questions:   Early Learning and Care Division
Last Reviewed: Friday, January 13, 2023
Recently Posted in Early Education
  • PLIS Data Reporting Schedule (added 08-Nov-2023)
    Schedule of due dates and submission periods for the Preschool Language Information System (PLIS) Report.
  • MB 23-03 and PLIS FAQs (added 08-Nov-2023)
    Frequently Asked Questions (FAQs) Regarding Management Bulletin 23-03 and the Preschool Language Information System (PLIS).
  • Child Care and Development Programs (added 26-Oct-2023)
    Brief descriptions of Title 5 child development programs, quality improvement activities, and Local Child Care and Development Planning Councils.
  • Continued Funding Application FAQs (added 20-Oct-2023)
    Answers to Frequently Asked Questions relating to Management Bulletin 23-09 on the Fiscal Year 2023–24 Continued Funding Application.
  • Management Bulletin 23-09 (added 20-Oct-2023)
    Provides information and guidance on the Continued Funding Application for Fiscal Year 2024-25 for Early Education California State Preschool Program (CSPP) contractors.