Get Eesd 4000 Form Pse - Child Development (ca Dept Of Education). Form Eesd 4000 Is To Be Completed

The EESD 4000 Form PSE is a critical document for child development programs, aimed at evaluating program effectiveness and compliance. This guide will walk you through the process of completing this form online, ensuring that you gather all the necessary information for a successful submission.

Follow the steps to effectively complete the EESD 4000 Form PSE

1. Click the ‘Get Form’ button to obtain the form and open it in the provided online editor.
2. Enter the full legal name of the contractor in the 'Contractor Legal Name' field, ensuring no acronyms or site names are used.
3. Input your four-digit vendor number, which is essential for identification purposes.
4. Select the contract type(s) applicable to your program from the options provided, such as CSPP, CCTR, or others listed.
5. Indicate the age group(s) your program serves by selecting options such as Infant/Toddler, Preschool, or School Age.
6. Fill in the name, phone number, and email of the program director as listed in the Child Development Management Information System.
7. Check all boxes to verify the collection and analysis of assessment data for ongoing program improvement applicable to your contract types.
8. In the 'Statement of Completion' section, provide the name and signature of the executive or program director. Ensure to include their phone number and the date of completion.
9. Summarize the participation of staff and board members in the program self-evaluation process using a narrative format. If additional space is needed, attach extra sheets.
10. For areas that did not meet standards, summarize the program areas along with tasks needed for improvement, attaching additional sheets as necessary.
11. Provide a summary of areas that met standards, including procedures for ongoing monitoring to maintain compliance.
12. Once completed, save your changes, and download or print the form. Ensure to scan the signed PSE along with all pages and any additional pages.
13. Submit the completed documents to FY1718PSE@CDE.CA.GOV, using the fiscal year and the contractor’s legal name in the subject line for clarity.

Complete your EESD 4000 Form PSE online today to ensure a thorough self-evaluation of your child development program.