Oakland Schools



Site DescriptionEnter information for each Site that will be used this school year. Please keep the site names brief by abbreviating if needed and avoid using special characters, such as a dash or a slash.Subrecipient:________________________________________________________Site Name:________________________________________________________Address:________________________________________________________City:________________________________________________________Zip Code:________________________________________________________License/Approval #:________________________________________________________Effective Date:________________________________________________________Expiration Date:________________________________________________________Licensed Capacity:________________________________________________________Explain if the site does not have a regular license, or if the regular license has been extended._________________________________________________________________________________________________________________________________________________________________________________________________________________________________Identify the person and position title at this site that has responsibility to hire staff and/or perform annual evaluations.Name:_______________________________________________________Title:________________________________________________________This site participates in the National School Lunch Program.YesNoThis site participates in the School Breakfast Program.YesNoThis site participates in the Child and Adult Care Food Program.YesNoIdentify the comprehensive, standardized developmental screening tool used at this site:_____Ages and Stages Questionnaires (ASQ)_____Battelle Developmental Inventory Screener_____Brigance Preschool Screen II_____Denver Developmental Screening Test II (DDST-II)_____Developmental Indicators for the Assessment of Learning – 3rd Edition (DIAL-3)_____Early Screening Inventory – Revised (ESI-R)_____OtherSite Description for:____________________________________________Page 2.Identify the research-validated, comprehensive curriculum used at this site:_____HighScope Curriculum_____Creative Curriculum_____Montessori_____Project Approach_____Reggio Emilia_____Bank Street_____Tools of the Mind_____OtherIdentify the comprehensive, ongoing child assessment tool used at this site:_____Child Observation Record (COR)_____Work Sampling_____Creative Curriculum Development Continuum or GOLD_____Assessment, Evaluation and Programming System for Infants and Children (AEPS)_____Other ................
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