For Assessors

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Information Page | Rating Record

Preschool Desired Results Developmental Profile—Revised (PS DRDP-R) for Children with IEPs Information Page

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). Select up to three. English
Spanish
Vietnamese
Cantonese
Hmong
Tagalog/Pilipino
Other

8. What language do you use with this child? Select 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

Child’s Ethnic Information

10. Child’s Ethnicity. Select 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. Select 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. Select 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 PS DRDP-R was completed (e.g., 05/09/2007)

Top | Information Page | Rating Record

Preschool Desired Results Developmental Profile—Revised (PS DRDP-R) for Children with IEPs 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 PS DRDP-R for Children with IEPs Manual or Booklet. You will need to refer to the PS DRDP-R for Children with IEPs 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: 0 = Not Yet, 1 = Exploring, 2 = Developing, 3 = Building, and 4 = Integrating.

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. SOC1	Expressions of Empathy	absence or other
4. SOC2	Building Cooperative Relationships with Adults	absence or other
5. SOC3	Developing Friendships	absence or other
6. SOC4	Building Cooperative Play with Other Children	absence or other
7. SOC5	Conflict Negotiation	absence or other
8. SOC6	Awareness of Diversity in Self and Others	absence or other
9. REG1	Impulse Control	absence or other
10. REG2	Taking Turns	absence or other
11. REG3	Shared Use of Space and Materials	absence or other
12. LANG1	Comprehends Meaning	absence or other
13. LANG2	Follows Increasingly Complex Instructions	absence or other
14. LANG3	Expresses Self Through Language	absence or other
15. LANG4	Uses Language in Conversation	absence or other
16. LRN1	Curiosity and Initiative	absence or other
17. LRN2	Engagement and Persistence	absence or other
18. COG1	Memory and Knowledge	absence or other
19. COG2	Cause and Effect	absence or other
20. COG3	Engages in Problem Solving	absence or other
21. COG4	Socio-dramatic Play	absence or other
22. MATH1	Number Sense: Understands Quantity and Counting	absence or other
23. MATH2	Number Sense: Math Operations	absence or other
24. MATH3	Shapes	absence or other
25. MATH4	Time	absence or other
26. MATH5	Classification	absence or other
27. MATH6	Measurement	absence or other
28. MATH7	Patterning	absence or other
29. LIT1	Interest in Literacy	absence or other
30. LIT2	Letter and Word Knowledge	absence or other
31. LIT3	Emerging Writing	absence or other
32. LIT4	Concepts of Print	absence or other
33. LIT5	Phonological Awareness	absence or other
34. MOT1	Gross Motor Movement	absence or other
35. MOT2	Fine Motor Skills	absence or other
36. MOT3	Balance	absence or other
37. SH1	Personal Care Routines	absence or other
38. SH2	Personal Safety	absence or other
39. SH3	Understanding Healthy Lifestyle	absence or other

Top | Information Page | Rating Record

The Preschool Desired Results Developmental Profile Revised (PS DRDP-R) for Children with IEPs Information page and the Preschool Desired Results Developmental Profile Revised (PS DRDP-R) for Children with IEPs 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.