Level 3 Renewal
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Page 1
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Early Childhood Education Program Name:
Program Type:
Center
Home/Group Home
Program Administrator Name:
Date:
Email:
Please review the information below and follow the i
nstructions to complete the form.
Policies & Procedures
Have you fully implemented all of the Level 3 Policies/Procedures?
(Developmental Screening, Child Assessment, Curriculum, Inclusion Practices, Expulsion/Suspension Reduction Practices)
Yes
No
Which policies/procedures are you still working towards implementing? (Select all that apply.)
Developmental Screening
Child Assessment
Curriculum
Inclusionary Practices
Expulsion/Suspension Reduction Practices
What have been the barriers to full implementation?
What is your next step towards full implementation of these policies/procedures?
Have you made any changes to any of these policies in the past two years?
Yes
No
Please upload a copy of your updated policy and/or procedure.
Educator Survey (Centers Only)
Did you use a new survey format this year?
Yes
No
Please upload a blank copy of the survey you used with staff this year.
When in the last year did you conduct an employee survey?
What did you learn from the survey results?
What actions will you take based on the results of the survey?
Page 2
ASQ Usage
Have enrolling families been completing the ASQ form?
Yes
No
What steps will you take in the next year to increase the completion rate for newly enrolling families?
Professional Development Plans
Centers
Did you meet with and update professional development plans for all staff this year?
Yes
No
Please explain why you were unable to complete professional development plan updates with all staff.
Homes/Group Homes
Please upload a copy of your updated Professional Development Plan.
Do you have additional staff?
Yes
No
Please upload a copy of each staff member's updated Professional Development Plan.
BIRS
Did your program use Behavior Incident Reports (BIRs) this year?
Yes
No
What prevented you from using BIRs this year?
What steps are you going to take to increase the use of BIRs?
How did your program use data from the BIRs?
Page 3
Curriculum Usage
Centers
Does your program have a fully implemented curriculum?
Yes
No
Please upload a lesson plan from this year for each classroom.
What was your implementation plan for the curriculum last year?
What progress have you made towards your implementation plan?
What have been the barriers to implementation?
What have been your successes with implementation?
How will you continue to work towards full curriculum implementation over the next two years? What’s the next step?
Note:
You will need to show that you have made progress towards fully implementing the use of your selected curriculum at your next Level 3 renewal.
Homes/Group Homes
Are you consistently using your lesson planning template?
Yes
No
Please upload a lesson plan from this year.
What progress have you made towards consistent use?
What have been the barriers?
What have been your successes?
Do you want additional assistance with implementation?
Yes
No
How will you move towards full use in the next two years?
Note:
You will need to show that you have made progress towards fully and consistent use of your lesson plan at your next Level 3 renewal.
Teaching Strategies Gold
Did your program complete 2 full checkpoints for all students enrolled in your program?
Yes
No
How has your program used TSG over the past two years?
What have been some of the successes and/or barriers to use?
What steps will you take in the next two years to increase use?
Note:
You will need to show that you have made continued progress towards implementation at your next Level 3 renewal.
Page 4
Family Survey
Did you use a new survey format this year?
Yes
No
Please upload a blank copy of the survey you used with families this year.
When in the last year did you conduct this family survey?
What did you learn from the survey results?
What actions will you take based on the results of the survey?
Resources & Referrals
Share a story about how you’ve supported families with understanding child development, making social connections, or accessing community resources over the last year. Visit Strengthening Families for ideas:
Strengthening Families - Center for the Study of Social Policy
Other Level 3 Quality Activities
Have you made changes to any of the following: (Select all that apply.)
How you share your philosophy statement with families and staff
How or what information is gathered about children and families at enrollment
Your program’s process for transitioning children between classrooms
Please explain how your program’s process has changed, or upload the updated documentation below.
Please upload any new or updated documentation to demonstrate how your program's process has changed.
Page 5
Learn & Grow Feedback
Please take a moment to help us with our own continuous quality improvement by providing information about the support provided and/or needed during your Learn & Grow Journey.
Administrative/Leadership Support
Do you know who your assigned thread Specialist is?
Yes
No
Name of thread Specialist:
Did your specialist provide the right amount of contact/availability?
No, my specialist didn’t contact me enough or was mostly unavailable.
No, my specialist contacted me too much.
Yes, my specialist provided the right amount of contact.
Did your specialist provide the right amount of support, including being responsive to your program’s individuality and needs?
No
Partially
Yes
Comments:
Was your specialist knowledgeable about early childhood administration/leadership? Rank from 1-5.
1 - Limited Knowledge
2
3
4
5 - Very Knowledgeable
Was your specialist knowledgeable about Learn & Grow Quality Activities? Rank from 1-5.
1 - Limited Knowledge
2
3
4
5 - Very Knowledgeable
Did your staff engage in classroom coaching with a thread staff?
Yes
No
Coaching Logistics
Were your staff able to engage in consistent ongoing coaching cycles (i.e. meeting regularly over a significant period of time)?
Yes
No
Comments:
What would your program need to allow for a teacher from each classroom to engage in 1 hour monthly of coaching (out of ratio)?
Currently what can your program minimally/realistically commit to regarding providing time and space for teachers to engage in coaching?
Coaching Supports
Did your staff feel supported by their classroom coach? Rank 1-5.
1 - Not Supported
2
3
4
5 - Very Supported
Did your staff report professional growth as an outcome from coaching? Rank 1-5.
1 - No
2
3
4
5 - Yes, the staff reported much professional growth
Did you see quality improvement in the classrooms receiving coaching? Rank 1-5.
1 - No
2
3
4
5 - Yes, quality improvement from coaching in classrooms was evident
What additional resources/supports would help your program with continuous quality improvement and Learn & Grow quality activities?
Please add any additional comments about how Learn & Grow could or has supported your program:
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