Program Self-Evaluation

The California Department of Social Services (CDSS), Child Care and Development Division (CDSS), and the California Department of Education (CDE), Early Education Division (EED) provide guidance for child care and development programs on the submission requirements for the Fiscal Year 2022-23 Program Self-Evaluation (PSE) as well as a list of all the required documents to be maintained onsite by contract type.

Child Care Bulletin

Child Care Bulletin (CCB) NO. 23-03 describes the requirements for the Program Self Evaluation for Child Care and Development Programs that have contracts with the California Department of Social Services (CDSS). Within the bulletin, guidance is provided on the submission requirements for the Fiscal Year 2021-22 Program Self Evaluation (PSE) as well as a list of all the required documents to be maintained onsite by contract type.

CDSS Program Review Instrument 

To satisfy the Program Self-Evaluation submission requirements per 5 CCR sections 18279(b)(1) and (c), child care and development contractors will complete a survey using the CDSS Program Review Instrument.

PSE Survey

Additional Instructions

  • EED Form 3900 (DOCX) Instructions for Desired Results Developmental Profile for The Classroom and Family Child Care Home Level – Summary of Findings
  • EED Form 4002 (DOCX) Instructions for Environment Rating Scales – Summary of Findings
  • EED Form 4003 (DOCX) Instructions for Desired Results Parent Survey – Summary of Findings
  • EED Form 4004 (DOCX) Instructions for Desired Results Developmental Profile – Summary of Findings

For questions or additional guidance regarding the PSE, please contact your assigned CCDD Program Quality and Improvement (PQI) Assigned Consultant

Management Bulletin

CDE Management Bulletin 23-04: Notifies and provides guidance to California State Preschool Program Contractors about requirements for the fiscal year 2022–23 Program Self Evaluation

Program Self-Evaluation Survey

Program Self-Evaluation Survey: Required for Fulfilling Program Self-Evaluation Submission Requirements

Program Self-Evaluation Survey (DOCX): Word Document for the Fiscal Year 2022-23 Program Self-Evaluation Survey For viewing purposes only. This form is not submitted to the CDE

Frequently Asked Questions (FAQs)

Frequently Asked Questions (FAQs) DOCX to the Fiscal Year 2022-23 Program Self-Evaluation Survey

Additional Instructions

  • EED Form 3900 (DOCX) Instructions for Desired Results Developmental Profile for The Classroom and Family Child Care Home Level – Summary of Findings
  • EED Form 4002 (DOCX) Instructions for Environment Rating Scales – Summary of Findings
  • EED Form 4003 (DOCX) Instructions for Desired Results Parent Survey – Summary of Findings
  • EED Form 4004 (DOCX) Instructions for Desired Results Developmental Profile – Summary of Findings

For questions or additional guidance regarding the PSE, please contact your assigned CCDD Program Quality and Improvement (PQI) Assigned Consultant

Forms are also available on the CDE website https://www.cde.ca.gov/sp/cd/ci/pseforms.asp