Form CD 4001B with Instr - Child Development (CA Dept of Education)

California Department of EducationEESD 3900

Early Education and Support Division

Desired Results Developmental Profile Summary of Findings

Classroom and Family Child Care Home (CD 4001B)

Contractor Name SCUSD- Classroom ______
Contract Type, and/or FCCHEN / Age Group (Infant/Toddler, Preschool, School-Age)
Planning Date Follow- up date / Lead Planner’s Name and Position

This form can be expanded and is not limited to a single page.

Key Findings from Developmental Profile / Action Steps
(Including planned learning opportunities, interactions and teaching strategies, environment and materials, family engagement) / Expected Completion Date and/or Ongoing Implementation and Persons Responsible / Follow-Up and Reflection
(Changes made,
date completed,
time extended)
Ask: Where are we now? / Ask: Where do we want to go? / Ask: How do we get there? / Ask: By when?
Developing Skill:
Pick a teaching practice that you will you use to support your plan. (Use CLASS handout as a guide)
Domain: / Dimension: / Indicator: / Behavior Marker:
Developing Skill
Pick a teaching practice that you will you use to support your plan. (Use CLASS handout as a guide)
Domain: / Dimension: / Indicator / Behavior Marker
Key Findings from Developmental Profile / Action Steps
(Including planned learning opportunities, interactions and teaching strategies, environment and materials, family engagement) / Expected Completion Date and/or Ongoing Implementation and Persons Responsible / Follow-Up and Reflection
(Changes made,
date completed,
time extended)
Ask: Where are we now? / Ask: Where do we want to go? / Ask: How do we get there? / Ask: By when?
Strength:
Pick a teaching practice that you will you use to support your plan. (Use CLASS handout as a guide)
Domain: / Dimension: / Indicator / Behavior Marker:
Strength:
Pick a teaching practice that you will you use to support your plan. (Use CLASS handout as a guide)
Domain: / Dimension: / Indicator / Behavior Marker: