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Program Self Evaluation

2020-21 Program Self Evaluation (PSE) Forms 

Document Description
Management Bulletin 21-05

Management Bulletin 21-05 informs contractors of California Department of Education (CDE), Early Learning and Care Division (ELCD) of the requirements and instructions for completing and submitting the Fiscal Year (FY) 2020–21 Program Self-Evaluation (PSE) no later than 5 p.m. on Tuesday, June 1, 2021.

Frequently Asked Questions Frequently Asked Questions (FAQ) to the FY 2020-21 Program Self-Evaluation
ELCD 4000M Survey Required Form for Fulfilling Program Self-Evaluation Submission Requirements
ELCD 4000M (DOCX) Form for Fullfilling Program Self-Evaluation Submission Requirements (For review only)
Environment Self-Certification 
During Pandemic Conditions
Environment Self-Certification During Pandemic Conditions
Webinar Slides (PPTX) Power Point slides for the April 14, 2021 webinar coming soon

Additional Resources

2020-21 Program Self-Evaluation Regional Administrator PowerPoint presentation


Document  Description
EESD Form 3900 (DOC) Instructions for Desired Results Developmental Profile for The Classroom and Family Child Care Home Level – Summary of Findings
EESD Form 4001 (DOC)  Instructions for Program Review Instrument – Summary of Findings
EESD Form 4002 (DOC)  Instructions for Environment Rating Scales – Summary of Findings
EESD Form 4003 (DOC)  Instructions for Desired Results Parent Survey – Summary of Findings
EESD Form 4004 (DOC)  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

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Phone: (800) 770-6339 • Fax: (805) 465-4444• desiredresults@wested.org
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