BPR Document Checklist - Homes

Center Name

Provider/ Director Name

Policy Policy Add. Doc.
Domain Indicator Additional Documents Additional Information
Needed? COMPLETE COMPLETE
1.1A NO Lesson Plan with Current Dates
Lesson Plan with Current Dates
Includes:
1.1B NO
•Individualized instruc on for individuals OR
•Individualized instruc on for small groups
1.1C YES Written plan for any CURRENTLY enrolled children If Applicapble
1.2A YES For 1.2A/B/C , only 1 Can be chosen
1.2B YES **If contraindicating evidence is observed,
1.2C NO points will not be recieved
1.3A NO Visual Schedule *at child's eye level
Copy of daily schedule with following components

1 •Teacher-led activities •Child-led activities

1.3B NO Must be Age Appropriate
• Structured time • Unstructured time
• Opportunities for free play and exploration

Evidence can include:

*Social Media must reflect current
1.4 NO •Family information board •Take-home folder
planned/completed activities
• Social media page* •Communica on App
Current lesson plan that highlights rotated material or
1.5A YES Must be evidence PER CLASSROOM
rotation schedule
Current lesson plan that highlights rotated material or
1.5B YES Must be evidence PER CLASSROOM
rotation schedule
Must be separate from Suspension/Expulsion
1.6A YES
policy
1.6B YES Documented Steps and Action plans used If Applicapble
Documentation of 5 notes/observations for FCDH: Provider collects
2.1 NO
HALF OF ENROLLED CHILDREN GDCH: Provider AND Assistant collects
Documentation Must have Dates and Signatures/Responses
(for HALF OF ENROLLED CHILDREN) Can be shared Electronically, Face-to-face, via
may include Phone or other remote communication
2.2B NO
•Family/Teacher Conference
•Home-Visit Forms •Take-home folders FCDH: Provider shares
•Communica on Apps GDCH: Provider AND Assistant shares
Copies of dated/completed screenings for
2.2A YES
HALF OF ENROLLED CHILDREN
2
Copies of dated/completed ASQ-3 for
2.2B YES
HALF OF ENROLLED CHILDREN
Documentation that that shows individualized
2.2C YES instructions from results AND
List of agencies and/or resources to share with families
2.3A YES Copies of dated/completed assessments* for *Assessments must meet 3 of the domains
Copies of completed/dated assessments* for For a list of suggestions and additional info
2.3B
HALF OF ENROLLED CHILDREN see V.M.
Evidence of how assessment results are used to inform
2.3C NO
planning (for HALF OF ENROLLED CHILDREN)
 BPR Document Checklist - Homes

Copy of Orientation Document AND signed document

3.1 NO Must include ALL families
to verify receipt
Documentation of signed/dated conference for If more than half of children are newly
3.2 YES
HALF OF ENROLLED CHILDREN enrolled, schedule can be used
Must include resources related to:
Can be flyers, handouts, booklets, brochures,
3.3A NO •Health and Development •Child Development
books, bookmarks
•Community Resources
3.3B OPTIONAL Policy or Signup Sheet with time slots
3 Documention can include:
•Flyers with Training opportuni es
•Announcements about current trainings
3.4 NO Documention can be written or electronic
•Completed Sign-up sheet (with date and tle)
•Completed survey/needs assessment and list of
planned training from results
Must include MORE THAN ONE of the following:
Can be physical or electronic
3.5 NO • Lesson plans • Schedule • Menus
(including social media pages)
• Classroom news/Announcements
FCDH: Provider has AELG
4.1A Copy of AELG
GDCH: At least one caregiver has AELG
FCDH: Provider has CDA
4.1B Copy of Alabama Pathways Lattice Level OR current CDA
GDCH: At least one caregiver has CDA
FCDH: Provider has short certificate
Copy of Alabama Pathways Lattice Level OR transcript*
4.1C NO GDCH: At least one caregiver has short
*Transcript must include 18 hrs of CD/ECE credits
certificate
MAY ONLY FCDH: Provider has Associate Degree
Copy of Alabama Pathways Lattice Level OR transcript*
4.1D CHOSE 1 in GDCH: At least one caregiver has Associate
*Transcript must include 18 hrs of CD/ECE credits
4.1 A-G Degree
FCDH: Provider has bachelor's degree
Copy of Alabama Pathways Lattice Level OR transcript*
4.1E For Degree GDCH: At least one caregiver has bachelor's
*Transcript must include 30hrs of CD/ECE credits
requirements degree
4
see V.M. FCDH: Provider has master's degree
Copy of Alabama Pathways Lattice Level OR transcript*
4.1F GDCH: At least one caregiver has master's
*Transcript must include 15 hrs of CD/ECE credits
degree
FCDH provider has Ed.S or higher degree
Copy of Alabama Pathways Lattice Level OR transcript*
4.1G GDCH: At least one caregiver has Ed.S. or
*Transcript must include 15 hrs of CD/ECE credits
higher degree
Copy of Advanced credential. May include:
FCDH: Up to 3 credentials can be applied
• CLASS • CDA PD Specialist
4.1I NO GDCH: Up to 3 credentials can be applied
• PITC • IECMH • NPPS
from either caregiver
• CCEI • CCP
4.1J NO Certificates of Completion
4.1K NO Certificates of Completion
4.1L NO Certificates of Completion
Copy of Playground Assessment Report completed by
5 5.2 NO Inspector must be from an outside source
NPPS or CPSI inspector
 BPR Document Checklist - Homes

Documention may include:

•Policy providing informa on aboutplanning me
6.1A OPTIONAL Must be specific to BUSINESS TASKS
•Copy of schedule showing planning me
•Completed planning notes with dates
Documention may include:
•Policy providing informa on aboutplanning me
6.1B OPTIONAL Must be specific to EDUCATIONAL SERVICES
•Copy of schedule showing planning me
•Completed planning notes with dates
Supporting Evidence may include Policy must address care in one of the
•Teacher schedules •Staff attendance policy following ways:
6.1C YES
• Classroom Rosters with assigned caregivers •Over the course of the day •Day to Day
•Sign-in/sign-out sheets •Year to Year
FCDH: Allows for paid time for self
6.1D YES
GDCH: Policy must include assistant
GCDH: Signed and Dated Empoyee Orientation
YES
6.1E form/packet
(for GDCH)
BOTH: Program handbook
6.2A NO Completed Checklist (with specific tasks) Must incude dates completed
6.2B NO Completed Checklist (with specific tasks) Must incude dates completed
FCDH: Family Survey
6.3 NO Copy of completed survey
GDCH: Family OR Staff Survey
6.4 NO Copy of Budget Must show Income AND Expenses
6.5A YES Must show signatures
6 6.5B YES Must show signatures
Documentation may include:
• List of partnerships
6.6A NO See VM for examples of partnerships
• Evidence of implementation
(signed agreement, MOU)
Documentation that shows how plan is implemented
May include: •List of Feeder schools and registration
Can include:
dates • Kindergarten assessment samples
6.6B YES Internal OR External transitions
•Informational flyers from feeder schools •Individual
OR Partnerships with schools
transition plans
•School readiness plans
Evidence must document provider's attendance and Committees can be early care/education OR
6.6C NO participation from meetings with dates of attendence business, civic, or faith-based organization
(•minutes •notes •agenda •sign-in) See VM for additional examples
Copy of Policy/Plan OR
6.7A Optional Evidence of recreuitment efforts:
• flyers, partnerships, scholarships, advertising)
6.7B YES Plan for how program will accommodate the needs
Documentation may include:
•Copy of Policy
6.7C Optional
•Current training log (within last year)
•Copy of trainings offered from local agencies
Copy of current accreditation/certificate with current
6.9 NO
date