DRDP (2015): An Early Childhood Developmental Continuum – Preschool Essential View – June 24, 2019 © 2013–2019 California Department of Education – All rights reserved Intro-10 of 16
Observer Information
9. Agency: Site:
10. Your name: Title:
11. Are you the primary teacher working with this child?
Yes
No (specify your relationship to the child):
12. Did another adult assist you with assessing this child?
Yes (role/relation):
No
DRDP (2015)
Early Education
Information Page
An Early Childhood
DevelopmentalContinuum
Foruse with Early Care and
EducationPrograms
1a. Child’s rst name (Legal):
1b. Child’s last name (Legal):
Date DRDP (2015) was completed (mm/dd/yyyy)
Assessment period (e.g., Fall 2016)
Child Information
2. Statewide Student Identier (10-digit SSID):
3. Agency Identier:
(agency identier and statewide student identier can be the same)
4. Child’s classroom or setting:
5. Birth date (mm/dd/yyyy):
6. Gender Male Female
7. Initial date of enrollment in early childhood program (mm/dd/yyyy):
Date child was withdrawn from the program (mm/dd/yyyy):
8a. What is this child’s ethnicity?
Yes, Hispanic or Latino No, not Hispanic or Latino
8b. What is this child’s race? Mark one or more races to indicate what this child considers himself/herself to be.
Asian Indian
Black or African-American
Cambodian
Chinese
Filipino
Guamanian
Hawaiian
Hmong
Japanese
Korean
Laotian
Native American
Other Asian
Other Pacic Islander
Samoan
Tahitian
Vietnamese
White
Intentionally left blank
Child’s Language Information
13. Child’s home language(s):
Is a language other than English spoken in the child’s home? Yes No
If yes, the ELD measures must be completed for a preschool-age child
14. What language(s) do you speak with this child?
15. Did someone who understands and uses the child’s home language assist you with
completing the observation?
Yes, role/relation:
No Not applicable (I understand and use the child’s home language)
16. Child is enrolled in: Check all that apply.
State Infant/Toddler Program
State Preschool
Head Start
Early Head Start
Child Care Center
Tribal Head Start
Migrant
First 5
Title 1
Family Child Care Home
Other:
Child’s tuition fees are:
Subsidized (tuition assistance) Not subsidized (full fee) Don’t know
17. Does this child have an Individualized Education Program (IEP) or an Individualized Family
Service Plan (IFSP)? Yes No Don’t know
