For Assessors

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Desired Results Developmental Profile access (DRDP access) Information Page

Information Page | Rating Record

Note: An Information Page plus a Rating Record must be completed for all preschool children with IEPs.

Child’s Information

1. Student ID (Issued by District for Reporting to CASEMIS)

2. Statewide Student Identifier (10-digit SSID)

3. First Name (Legal)

4. Last Name (Legal)

5. Gender Male Female

6. Birth date (e.g., 12/06/2002)

Child’s Language Information

7. Child’s Home Language(s). Check up to three. English
Spanish
Vietnamese
Cantonese
Hmong
Tagalog/Pilipino
Other

8. What language do you use with this child? Check up to three. English
Spanish
Vietnamese
Cantonese
Tagalog/Pilipino
Hmong
Other

9. If you are not familiar with the child’s home language, did someone who is familiar
with the language assist you with completing the observation? Yes
No

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Child’s Ethnic Information

10. Child’s Ethnicity. Check up to four. American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Filipino
Hispanic or Latino
African-American
White
Other, specify:

Child’s Disability Information

11. Primary Disability. Check one. Autism
Deaf-Blindness
Deafness
Emotional Disturbance
Established Medical Disability
Hard of Hearing
Mental Retardation
Multiple Disabilities
Orthopedic Impairment
Other Health Impairment
Specific Learning Disability
Speech or Language Impairment
Traumatic Brain Injury
Visual Impairment

Child’s Adaptations Information

12. Adaptations. Check all that apply. Augmentative or alternative communication system
Alternative mode for written language
Visual support
Assistive equipment or device
Functional positioning
Sensory support
Alternative response mode

School/Program Information

13. School Code

14. District of Residence

15. District of Service

16. Title and Name of Special Education Case Carrier (e.g., SLP/Maria Lopez)

17. Name of General Education/Preschool Teacher

18. Date DRDP access was completed (e.g., 05/09/2007)

Information Page | Rating Record | Top

Desired Results Developmental Profile access (DRDP access) Rating Record

Child's First Name (Legal)

Child's Last Name (Legal)

Student ID

Completion Date (MM/DD/YYYY)

Note: The Rating Record is not meant to be used independent of the DRDP access Manual or Booklet. You will need to refer to the DRDP access Manual or Booklet to complete this Rating Record. A Rating Record plus an Information Page must be completed for all preschool children with IEPs.

Instructions: Write the child’s name, student identification number (issued by the district for reporting to CASEMIS), and the date this Rating Record was completed. Record the numerical rating for each Measure – the number that corresponds to the Descriptor for the highest developmental level the child has mastered.

Check Emerging if the child is “emerging” to the next level. Note that this is optional.

In the rare circumstance that you are unable to rate a particular Measure, check Unable to Rate and select the reason why you are unable to rate this Measure (absence or other).

Measure	Description	Reason
1. SELF1	Identity of Self	absence or other
2. SELF2	Recognition of Own Skills and Accomplishments	absence or other
3. SELF3	Self-Expression	absence or other
4. SOC1	Expressions of Empathy	absence or other
5. SOC2	Interactions with Adults	absence or other
6. SOC3	Relationships with Familiar Adults	absence or other
7. SOC4	Developing Friendships	absence or other
8. SOC5	Building Cooperative Play with Other Children	absence or other
9. SOC6	Conflict Negotiation	absence or other
10. SOC7	Awareness of Diversity	absence or other
11. REG1	Impulse Control	absence or other
12. REG2	Seeking Other’s Help to Regulate Self	absence or other
13. REG3	Responsiveness to Other’s Support	absence or other
14. REG4	Self-Comforting	absence or other
15. REG5	Taking Turns	absence or other
16. LANG1	Language Comprehension	absence or other
17. LANG2	Responsiveness to Language	absence or other
18. LANG3	Expresses Self Through Language	absence or other
19. LANG4	Uses Language in Conversation	absence or other
20. LRN1	Curiosity and Initiative	absence or other
21. LRN2	Attention Maintenance and Persistence	absence or other
22. COG1	Memory	absence or other
23. COG2	Cause and Effect	absence or other
24. COG3	Engages in Problem-Solving	absence or other
25. COG4	Object and Pretend Play	absence or other
26. MATH1	Number Sense: Understands Quantity and Counting	absence or other
27. MATH2	Number Sense: Math Operations	absence or other
28. MATH3	Number Sense: Comparison of Quantity	absence or other
29. MATH4	Shapes	absence or other
30. MATH5	Time	absence or other
31. MATH6	Classification and Matching	absence or other
32. MATH7	Measurement	absence or other
33. MATH8	Patterning	absence or other
34. LIT1	Interest in Literacy	absence or other
35. LIT2	Concepts of Print	absence or other
36. LIT3	Letter and Word Knowledge	absence or other
37. LIT4	Phonological Awareness	absence or other
38. LIT5	Emerging Writing	absence or other
39. LIT6	Comprehension of Text	absence or other
40. MOT1	Movement	absence or other
41. MOT2	Balance	absence or other
42. MOT3	Grasp/Release and Manipulation	absence or other
43. MOT4	Eye-Hand Coordination	absence or other
44. SH1	Personal Care Routines: Toileting and Hygiene	absence or other
45. SH2	Personal Care Routines: Dressing	absence or other
46. SH3	Personal Care Routines: Self-Feeding	absence or other
47. SH4	Personal Safety	absence or other
48. SH5	Understanding Healthy Lifestyle: Eating and Nutrition	absence or other

The Desired Results Developmental Profile access (DRDP access) Information Page and the Desired Results Developmental Profile access (DRDP access) Rating Record was developed by the Desired Results access Project to support the implementation of the Desired Results system based on the guidelines and specifications of the Special Education Division.

The Desired Results access Project is funded by the California Department of Education (CDE), Special Education Division (Contract #6217) to assist the CDE with developing and putting in place a system to assess the progress of California's preschool children with disabilities.