Connecticut



|Reviewers Names:     ______________________  |Program Name:     _________________________  |

| |Address:     _______________________________  |

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| |Priority Competitive |

|Spaces requested: Full-Day      School-Day      |Score:      /125 |

|Part-Day      Extended-Day (PSR only)       |Funding Recommendation: Yes No Discuss |

Check the most appropriate box per row based on the program application materials.

|Application Section |Criteria |Insufficient Evidence |Sufficient Evidence |Strong Evidence |

| | |of Criteria |of Criteria |of Criteria |

|See basic |Meets Basic |Application does not meet one or more of |NA |Application meets all of the basic |

|requirements |Requirements |the basic requirements | |requirements |

|checklist (page 2 of| |(DO NOT SCORE) | |(score application) |

|the local RFP) | | | | |

| | |Application may be returned for | | |

| | |completion and when completed, may be | | |

| | |scored at the discretion of the School | | |

| | |Readiness Council with a deduction of 10 | | |

| | |points. | | |

| | |(-10 points) | | |

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| | |NOTES: |

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|Health and Safety |License or license |License Exempt Program: Meets health and |License Exempt Program: Meets health and |License Exempt Program: had a health and |

|(licensed and |verification form |safety requirements of governing entity, |safety requirements of governing entity |safety inspection by OEC (DCEX report |

|license exempt) |for license exempt |inclusive of items listed on page 5 of |and has a plan in place for a voluntary |required for Care4Kids providers) with no|

| | |the local RFP. |health and safety inspection by OEC (DCEX|more than 3 items cited and no |

| | | |report required for Care4Kids providers) |uncorrected violations for significant |

| | |(2 points) | |health risk items (see definition in RFP |

| | | |Licensed Program: Most recent inspection |glossary). |

| | | |report shows no more than 3 issues in | |

| | | |each category: Health and Safety, |Licensed Program: Most recent inspection |

| | |Licensed Program: OEC license is current |Physical Plant, and Outdoor Space. There|report shows no more than 2 issues in |

| | | |are no uncorrected violations for |each category: Health and Safety, |

| | | |significant health risk items (see |Physical Plant, and Outdoor Space. There|

| | | |definition in RFP glossary) |are no uncorrected violations for |

| | | | |significant health risk items (see |

| | | | |definition in RFP glossary) and program |

| | | | |has risk management plan in place. |

| | |(2 points) |(7 points) |(15 points) |

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| | |NOTES: |

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|Accreditation |NAEYC |Program is OEC Licensed |Program has documented plan for achieving| |

| |Accreditation/Head | |NAEYC Accreditation within 3 years of |Program is NAEYC Accredited or Head Start|

| |Start Approval | |receiving the School Readiness grant |approved |

| | |(0 points) |(3 points) | |

| | | | |(5 points) |

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| | |NOTES: |

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|Staffing |Professional |Program maintains internal staff records |Program has an OEC Professional Registry | |

| |Registry | |account with majority of staff assigned |The program provides evidence that ALL |

| | | |to classrooms. |staff members are entered into the |

| | | | |Professional Registry, assigned to |

| | | | |classrooms, and updates the program |

| | | | |information monthly. |

| | |(0 points) |(5 points) | |

| | | | |(10 points) |

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| | |NOTES: |

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|Staffing |Qualified Staff |Program does not meet DQSM requirements |Program meets the current DQSM |Program has a DQSM in each classroom that|

| |Members (see answer|in each classroom |requirements in each classroom |meets the July 1, 2020 requirements |

| |to item D) | | | |

| | |(0 points) |(5 points) | |

| | | | |(10 points) |

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| | |NOTES: | |

| | | |Program a DQSM in each classroom that |

| | | |meets the July 1, 2023 requirements |

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| | | |(15 points) |

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|Proposed Activities |Recruitment (see |There is no plan to identify and recruit |There is a vague plan to identify and |There is a plan with specific action |

| |answer to item A) |children from families at or below 75% |recruit children from families at or |steps to identify and recruit children |

| | |SMI. |below 75% SMI. |from families at or below 75% SMI. |

| | |(0 points) |(5 points) | |

| | | | |(10 points) |

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| | |NOTES: |

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|Proposed Activities |Fiscal commitments |The program has fiscal commitments that |The program has some fiscal commitments |The program is managing its fiscal |

| |(holistic view of |appear to be beyond the capacity of the |that could impact the program but has a |commitments. |

| |answers and budget |organization to maintain. |plan to manage them. | |

| |information) | | | |

| | |(0 points) |(5 points) | |

| | | | |(10 points) |

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| | |NOTES: |

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|Proposed Activities |Collaborative |No evidence of collaboration. |Collaborations are minimal. |Collaborations with other |

| |activities (see | | |grants/programs/agencies are robust. |

| |answer to item E) | | | |

| | |(0 points) |(3 points) | |

| | | | |(5 points) |

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| | |NOTES: |

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|Proposed Activities |Inclusion of |There is no evidence that children with |There is evidence that children with |There is evidence that children with |

| |children with |diverse needs are included in the |diverse needs are included in the program|diverse needs are effectively included in|

| |diverse needs (see |program. |(e.g., policies related to suspension and|the program (e.g., program collaborates |

| |answer to item F) | |expulsion, handbook includes language |with special education services and |

| | | |regarding inclusion of children with |documents professional development on |

| | | |disabilities). |meeting diverse needs, such as |

| | | | |social-emotional competence/challenging |

| | | | |behaviors). |

| | |(0 points) |(3 points) | |

| | | | |(5 points) |

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| | |NOTES: |

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|Proposed Activities |Other activities |The program does not describe additional |The program describes activities (beyond |The program describes additional |

| |(see answer to item|activities (beyond those described in |those described in A-F) that benefit |activities (beyond those described in |

| |G) |A-F) that benefit children and families. |children and families. Description(s) are|A-F) that benefit children and families. |

| | | |general. |Description(s) include sufficient detail |

| | | | |and proposed outcomes. |

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| | |(0 points) |(3 points) |(5 points) |

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| | |NOTES: |

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|Program Description |Program calendar |The program does not have an alternative |The program has an alternative care plan |The program has an alternative care plan |

| |and alternative |care plan for when the program is closed |for when the program is closed. |for when the program is closed including |

| |care plan (see |and | |specific agreements with program(s) that |

| |answer to item A) |If the program offers full-day | |will provide care |

| | |programming, the program is not open 50 | |and |

| | |weeks/year. | |If the program offers full-day |

| | | | |programming, the program is open 50 |

| | | | |weeks/year. |

| | |(0 points) |(3 points) | |

| | | | |(5 points) |

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| | |NOTES: |

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|Program Description |Class size (see |The program does not clearly document |The program has a class size of 20 |The program has a class size of 18 or |

| |answer to item B) |class size or adult:teacher ratio or |children or fewer with 2 staff members. |fewer children with 2 staff members. |

| | |proposed a class size above 20. | | |

| | |(0 points) |(3 points) | |

| | | | |(5 points) |

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| | |NOTES: |

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|Program Description |Curriculum (see |Program uses a written schedule/plan to |Developmentally appropriate goals guide |A curriculum plan is in place that |

| |answer to item C) |provide developmentally appropriate and |plans for supporting children’s learning |includes an approach or curriculum |

| | |engaging experiences to support learning |(CT ELDS and, if applicable, the Head |aligned to the CT ELDS, training in use |

| | |and development. |Start Early Learning Outcomes Framework –|of the curriculum/approach, a process for|

| | | |HSELOF). |ongoing planning, and how the curriculum |

| | | | |and process is responsive to the |

| | | | |individual children and families served. |

| | |(3 points) |(5 points) | |

| | | | |(10 points) |

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| | |NOTES: |

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|Program Description |Assessment (see |Program informally works to meet |An assessment aligned to the CT ELDS is |A plan for all assessments used is in |

| |answer item D) |individual developmental needs. |used to inform curriculum and instruction|place which includes: how the tool will |

| | | |and a process is in place to monitor |be used (appropriate to the purpose for |

| | | |children for concerns and progress in |which the tool was designed), training |

| | |(3 points) |program.    |provided, and the process for reviewing |

| | | | |and using data that is collected. |

| | | |(5 points) | |

| | | | |(10 points) |

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| | |NOTES: |

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|Program Description |Daily schedule (see|Program activities and routines vary from|A written plan for daily activities and |A daily schedule is provided that |

| |answer to item E) |day to day |routines is provided and is available to |includes a variety of developmentally |

| | | |families |appropriate activities including: |

| | | | |outdoor/gross motor time, active and |

| | | | |quiet time, a balance of small and whole |

| | | | |group, and child choice/play. |

| | |(0 points) |(5 points) | |

| | | | |(10 points) |

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| | |NOTES: |

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|Budget |Budget |No budget workbook is provided. |The budget workbook is provided and |The budget workbook is provided with |

| | | |justifications are included or have |justifications that contain sufficient |

| | | |insufficient detail to explain and |detail to explain and support expenses. |

| | | |support expenses. | |

| | |(0 points) |(3 points) | |

| | | | |(5 points) |

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| | |NOTES: |

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Scoring Summary

|Points from Insufficient Evidence | |

|Points from Sufficient Evidence | |

|Points from Strong Evidence | |

|Total Points | |

Reviewer Signature:

Date Review Completed:

Reviewer Comments (detailed comments must be provided by each scorer):

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