New Mexico Public Education Department
NM PreK Program
SY 2014-15
First Administrative Program Report
Due October 15, 2014
GENERAL PROGRAM INFORMATION
District /Charter/REC Name:
Address
School Sites:
City
PreK Administrator Name:
State
Zip
PreK Home Visit Dates:
Number and % of Home Visits completed:
PreK Administrator Email:
PreK Fall Conference Dates:
PreK Administrator Phone:
PreK Winter Conference Dates:
/
PreK Spring Conference Dates:
Total District Funded Enrollment:
PreK session times (450 hours): AM:
PM:
PreK session times (900 hours):
Total District Actual Enrollment:
Number of Hours per session per day:
Total District Waiting List:
Total number of PreK days this school year:
What days of the week do PreK children attend?
Total PreK classroom hours this school year (number of classroom
days multiplied by the number of hours per day):
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SCHOOL SITE INFORMATION:
Complete the following information for each funded site (add pages as required). Please update the website to insure
the information posted matches the data below.
School Site Name: _______________________________
Number of PreK Classrooms: _________
Number of PreK Teachers _______ Number of PreK Educational Assistants _________
Curriculum Model/Program: ___________________________________________________________
(Example: Creative Curriculum, Reggio, High Scope, Frog Street Press, etc.)
Funded Enrollment: ____
Actual Enrollment: ____ Site Waiting List, if any: ______
Detail the plan for recruiting additional children if all funded slots are not filled. ______________________________________
____________________________________________________________________________________________________
Number of classrooms in each category:
_______ English _________ Spanish ________ Native Language
________ Dual Language/Bilingual
Number and % of Home Visits completed: ______/____
Has the information above been entered into the PreK database? ____________
Have you updated the site description in the database for this school? ______ Date: ___
List the number of children in each category that received health screenings:
___ Physical ___ Dental ___Vision ___ Hearing
Who conducted the health screenings? _________
Student Nutrition:
Meal Funding Status: ___ Number Qualifying as “Free”
___ Number Qualifying as “Reduced” ____ Number of “Full-Pay”
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Professional Development:
II-a: Professional Staff are qualified to work with young children and families by education, training, and experience.
(All teachers must be PED licensed. Each teacher must hold a valid PED Early Childhood, Birth to 3rd Grade #250
license. Each EA must hold a PED Educational Assistant’s license and have an AA in ECE.) All teacher coursework,
degrees and licenses MUST be entered into the PreK database and updated monthly.
II-c: Administrators must have early childhood knowledge and experience or have on-site administrative personnel
with early childhood knowledge and experience.
Using the table below, please add the following information ONLY for each teacher and/or educational assistant who
does not already meet the qualifications in II-a above. *Please include the course name and number of credit hours.
Staff
Name/Position
Site Name
Total Credit
Hours
completed for
SY 2013-14*
Summer
Courses
completed 2014*
Fall Courses to be
completed 2014
(CURRENTLY
ENROLLED)*
Is this person
enrolled in an
Alternative
Licensure
Program? If so,
where?
Is this person
using TEACH
Scholarship
funds?
*Please indicate the date that the completed coursework information was added to the PreK database for each of your
staff? __________
The information added to this table is the same information that MUST be added to the NM PreK database for EACH PreK
Teacher and Education Assistant. This is a contractual requirement.
PreK Training:
Did all PreK staff attend the required trainings? ____________ (Ex: New Teacher Training, Returning Teacher training,
ECERS-R and E) Please note that staff must attend ECERS during their first year in PreK and at least every three years
thereafter. All administrators who will be evaluating PreK teacher should attend ECERS training.
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Please list each staff member’s name and the dates of the training session she/he attended below. If any staff did not complete
training, please provide an explanation. Training is not considered “completed” if staff member left early. Add lines as needed.
Staff Name/Position
Site Name
Is this
person
New or
Returning
Staff
New Teacher
Training
Dates
Returning
Teacher
Training
Dates
ECERS-R and E
Training Dates
If person did not complete
training, why?
Family Engagement:
Family Engagement: List any program activities held this quarter that included family participation. Add lines as needed. Include
the number of families that attended each activity. Home visits and Family Conferences must be listed. Please total the third and
fourth columns.
How and when were the Family Materials (available on the NM PreK website) shared with families?______________________
Program Activity
Date(s) of Event
# Families
Participating
Number of
Hours
(for this event)
Home Visits
Program Orientation Meeting
Total Families:
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Total Hours:
Please list any resources that
were shared with the families
Developmental Screening and Special Education Information:
Developmental screening Instrument ______________________________________________________________________
Does this instrument contain a social-emotional component? ______________
Number of children screened ___________________
Number of children referred to Child Find or Special Education Department for further evaluation: ________
How and when will developmental screening results be shared with families?
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Special Education:
Number of inclusion classrooms serving both PreK-funded and Special Education-funded children _____
Number of children with IEPs served in PreK classrooms: ____ Speech-Only ___ Other Categories ____ Total Number of IEPs
Number of children with IEPs counted as funded PreK children: _______ Number of children with IEPs funded by Special
Education _______
Number of PreK-funded children who entered PreK with an IEP already in place: ______________
Number of PreK-Funded children who entered with an IEP for “Speech-Only” services already in place: ________________
Number of PreK children who have had an IEP developed since entering PreK: ______
New IEPs for “Speech-Only” _______
New IEPs for other categories of delay or disability _______
Has the IEP information been entered in the PreK database for PreK-funded children? __________
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