2021-22 Program Self-Evaluation (PSE) Forms
California Department of Social Services (CDSS), Child Care and Development Division
| Document | Description |
| The purpose of this Child Care Bulletin is to describe the requirements for the Program Self Evaluation for Child Care and Development Programs who 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: 2021-22 CDSS Program Self-Evaluation Survey |
The survey is due Wednesday, June 1, 2022, by 5 p.m. Submit one survey, per contractor, regardless of the number of contract types held. If your agency holds one or more of the contract types listed below you must only complete the survey once. |
| CDSS Webinar |
Program Self Evaluation 2021-2022 on Tuesday, April 5, 2022 from 10:00 a.m. to 12:00 p.m. |
California Department of Education (CDE), Early Education Division (EED)
| Document | Description |
|
This Management Bulletin (MB) notifies and provides guidance to California State Preschool Program (CSPP) contractors of the requirements and instructions for submitting the Program Self Evaluation (PSE), due to the California Department of Education (CDE), Early Education Division (EED) on or before June 1, 2022. |
|
| Frequently Asked Questions | Frequently Asked Questions (FAQs) to the FY 2021-22 Program Self Evaluation |
| EED 4000 Instructions (DOCX) | Instructions for Fulfilling Program Self-Evaluation Requirements |
| EED 4000 (PDF) | Required Form for Fulfilling Program Self-Evaluation Submission Requirements |
|
Zoom Webinar Instructions for completing and submitting the fiscal year (FY) 2021–22 Program Self-Evaluation (PSE) |
When: Friday, April 22, 2022 at 10:30 a.m. ZOOM WEBINAR CONNECTION INFORMATION Please click the link below to join the webinar: https://us02web.zoom.us/j/82139107403 Passcode: 208608 |
| Webinar Slides (PPTX) | Power Point slides for the April 22, 2022 webinar coming soon |
Additional Resources
2021-22 Program Self-Evaluation Regional Administrator PowerPoint presentation (Coming soon)
| Document | Description |
| EED Form 3900 (DOCX) | Instructions for Desired Results Developmental Profile for The Classroom and Family Child Care Home Level – Summary of Findings |
| EED Form 4001 (DOCX) | Instructions for Program Review Instrument – 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 |
Forms also available on the CDE Web site https://www.cde.ca.gov/sp/cd/ci/pseforms.asp
