Forms, Tools and Reference Materials
The following forms, tools and reference materials are intended for use by state-funded agencies who have completed the three-day Desired Results System course presented by the Desired ResultsTraining and Technical Assistance Project.
Assessing and Reporting Children's Progress:
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Desired Results Developmental Profile-Revised (DRDP-R) Instruments:
Infant/Toddler- Birth to 36 months (Revised Mar-2008):
PDF;1.63MB | DOC;200KB | Spanish PDF;1.3MB
Preschool - 36 months to Kindergarten (Revised Mar-2008):
PDF;1.2MB | DOC;231KB | Spanish PDF;6.9MB | Expanded Version with Supporting Information and Directions PDF;2.7MB | Head Start Version + SETA ELL PDF;1223KB | Accessible Expanded Version PDF; 402KB
School Age - Kindergarten to 12 yrs (Revised Mar-2008):
PDF;1.1MB | DOC;206KB | Spanish PDF;519KB
DRDP-SA© (2009) School-Age Instrument New Oct-2009; PDF; 883KB
Information/Instruction Pages- Cover sheet and instructions used for each child's DRDP-R contains important demographic information:
Infant/Toddler: PDF; 108KB | DOC; 54.5KB | Spanish PDF;108KB | Spanish DOC;58.5KB
Preschool: PDF;108KB | DOC;55KB | Spanish PDF;108KB
School Age: PDF;108KB | DOC;55KB | Spanish PDF;108K | Spanish DOC;55KB
DRDP-R User's Guide (Updated March 2008): PDF;4.42 MB | DOC;4.44MB
Rating Records [horizontal]:
Child's Developmental Progress Forms- Optional form used to summarize DRDP information for parents: DOC;31KB | Spanish DOC;31KB | Chinese NJX;31KBInfant/Toddler: PDF;101KB | XLS;30KB
Preschool: PDF;102KB | XLS;30KB | Spanish PDF;102KB |
Head Start Version + SETA ELL PDF;3.8MB
School Age: PDF;98KB | XLS;30KB
Group Data Summaries:
Tally Sheets:
Infant/Toddler: DOC;140K
Preschool: DOC;214KB
School Age: DOC;196KBExcel files: Excel spreadsheet files to support calculating classroom or group DRDP-R totals (Instructions- DOC;356KB)
Infant/Toddler: Up to 30 children XLS;130KB | Up to 80 children XLS;141KB
Preschool: Up to 35 children XLS;110KB | Up to 80 children XLS;140KB
School Age: Up to 35 children XLS;127KB | Up to 80 children XL;146KBCompile Total DRDP-R Group Data Summary Excel Files:
-Instructions to Compile Total DRDP-R and Parent Survey Group Data Summary Excel Files DOC;101KB
-Sample File of Infant Toddler Compile Total DRDP-R Group Data Summary Excel file XLS;515KB
Infant/Toddler: XLS;241KB
Preschool: XLS;279KB
School-age: XLS;326KB
Summary of Findings - Used to summarize key findings and quality improvement plans from DRDP: DOC;25KB
Summary of Findings (Sample): DOC;34KB
Assessing & Reporting Family Goals:
Desired Results Parent Survey: Parent survey distributed to parents/families
DOC;59KB Spanish DOC;59KB
Parent Survey Group Data Summary: XLS;80KB
-Optional Excel spreadsheet tool used to compile data from
multiple parent surveys
-For those agencies who do not use Excel, Parent Survey Group Data
hand tally version DOC;35KB is simply a printable Word file of the GDS Overview sheet,
with expanded room to enter tally marks by hand
Parent Survey Compiled
Total Group Data Summary: XLS;85KB
For those agencies who have used
the Excel Parent Survey Group Data Summary files for each
classroom/FCC Network home, you can now use this Compiled
Total Parent Survey Group Data Summary file to calculate
data for multiple classrooms or FCC Network homes to view
data for a complete contract or program.
Parent Survey Summary of Finding: DOC;31KB
Used to summarize key findings and
quality improvement plans from parent surveys
Parent Survey Summary
of Findings sample: DOC;38KB
Assessing & Reporting Classroom/Family Child Care Home Environments:
Link to Environment Rating Scales Web site
Environment Rating Scale Summary of Findings - CD 4002 (Revised Mar-2009; DOC; 49KB; 3pp.) - Use to summarize key findings and quality improvement plans from Environment Rating Scales.
- ERS Summary of Findings (Sample) - Classroom (DOC;61KB)
- ERS Summary of Findings(Sample) - Agency (DOC;61KB)
Subscale Averaging worksheet:
ECERS FCCERS ITERS SACERS
Additional
Notes for Clairification:
ECERS FDCRS ITERS SACERS
Compile Program ERS Subscale Scores Worksheet (DOC;28KB) -for assistance in computing your contract or program ERS subscale scores across multiple classrooms/FCC Network homes, use this Word worksheet. NOTE that this is a Word document worksheet not an Excel file.
Assessing & Reporting Program Goals:
The complete FY 2008-09 Program Self-Evaluation packet consists of: (1) Instructions for Completing the FY 2008-09 Program Self-Evaluation and (2) FY 2008-09 Program Self-Evaluation Forms and Instructions (Mar-2009; DOC; 210 KB; 17pp.).
Environment Rating Scale Summary of Findings - CD 4002 (Revised Mar-2009; DOC; 49KB; 3pp.) - summarizes key findings and quality improvement plans from Environment Rating Scales. #1 of five forms sent to CDD by June 1 of each year.
Desired Results Program Action Plan - CD 4003 (Revised Mar-2009; DOC; 44KB; 2pp.) - summarizes program-wide trends/themes found among DRDP, Parent Survey and Environment Rating Scale Summaries of Findings. #2 of six forms sent to CDD by June 1 of each year.
Program Action Plan Samples (DOC; 38KB): Infant/Toddler, Preschool, School-Age/FCCHN
Agency Annual Report - CD 4000 (Revised Mar-2009; DOC; 43KB; 2pp.)
- describes how the annual report
was compiled and who participated in the process. #3
of six forms sent to CDD by June 1 of each year.
Agency Categorical Program Monitoring/Contract Monitoring Review (CPM/CMR) Summary of Findings - CD 4001 (Revised Mar-2009; DOC; 55KB; 2pp.)
- summarizes agency's non-compliance
findings in the CPM/CMR instrument. #4 of six forms
sent to CDD by June 1 of each year.
Personnel Roster - CD 3701 (Revised Mar-2009; DOC; 69KB; 3pp.) -summarizes agency personnel. #5 of six forms sent to CDD by June 1 of each year.
Attestation of Qualified Staff and Ratio Requirements - CD 3701A (New Mar-2009; DOC; 40KB; 2pp.) #6 of six forms sent to CDD by June 1 of each year.
Fiscal Year 2008-09 Program Self-Evaluation Checklist (New Mar-2009; DOC; 39KB; 1pp.)

