Head Start Forms
- Early Head Start
- Head Start
- Migrant Seasonal Head Start
- Fiscal
- Human Resources
- In-Kind/Non-Federal Share
- Monitoring
- Playground and Facilities
- Recruitment
- Transportation
- USDA
- East Yakima Summer Program
- Miscellaneous
Early Head Start
- EHS Pregnant Women Forms
- Child File
- Enrollment
- Child Development
- Family Support
- Special Services
- Mental Health
- Health and Safety
EHS Pregnant Women Forms
- EHS #1 - Nutritional Assessment Pregnant Women-English
- EHS #1 - Nutritional Assessment Pregnant Women-Spanish
- EHS #2 - Prenatal Needs Assessment-English
- EHS #2 - Prenatal Needs Assessment-Spanish
- EHS #3 - Prenatal History-English
- EHS #4 - Two Week Postnatal Visit-English
- EHS #5 - Pre Postnatal Checklist-English
- EHS #5 - Pre Postnatal Checklist-Spanish
- EHS #6 - Post Natal Depression Scale-English
- EHS #6 - Post Natal Depression Scale-Spanish
Child File
- Child File #1-Family Cover Sheet Center Based EHS 2023-2024
- Child File #2-Family Cover Sheet Home Based
- Child File #3 Family Cover Sheet
- Child File #5-Binder Spine EHS-HB
- Child File #5-Binder Spine EHS-CB
- Child File #7-File Log In Home Based
- Child File #7-File Log In Center Based
- Child File #8-Child File Checklist EHS 2023-2024
- Child File #9-Emergency Information Form 2023-2024
- Child File #10-Family Photo Cover Page EHS
- Child File #11a-Additional Emergency Permission Form EHS
- Child File #11b-Additional Emergency Permission Form EHS
- Child File #14- Correspondence Log
- Child File #15-Consent to Release or Exchange Information
- Child File #16-Referral Form
- Child File #16-Referral Form Typeable
- Child File #20-Designation of Another Person to Consent for Head Start Activities
- Child File #21-Parent Sign In/Out Sheet
- Child File #22-Emergency Binder Cover Sheet
- Child File #22-Emergency Binder Cover Sheet Transportation
- Child File #23-Emergency Binder Cover Sheets for Receptionist
Enrollment
- Enrollment # 2-Eligibility Comment Sheet
- Enrollment #3-EHS ERSEA Checklist
-
Enrollment # 4-Center Based Enrollment Verification Checklist
- Enrollment # 5-Family Enrollment Profile
- Enrollment # 6-Eligibility Income Verification
- Enrollment # 10-Income Story
- Enrollment # 12-Self Declaration of Family Income
- Enrollment # 13-Statement of No Income
- Enrollment # 22-Title 1 Migrant Form
- Enrollment # 26-File Transfer Authorization Form
- Enrollment # 27-Transfer Authorization log
- Enrollment # 28-Enter and Exit Plan EHS
- Enrollment # 29-Color Code EHS
- Enrollment # 30-Income Cover Sheet
- Enrollment # 33-Memo Form
-
Enrollment #36-EHS Online Enrollment Form Checklist 2022-2023
- Enrollment # 37-Enrollment Agreement Packet CB-HB ENG 2022-2023
- Enrollment # 37-Enrollment Agreement Packet CB-HB SPAN 2022-2023
- Enrollment # 38-Eligibility Disclaimer of Documentation
- Enrollment Resource - Race and Ethnicity
- Enrollment Resource - Social Security Fact Sheet
- Enrollment Resource - What to Count as Income
Child Development
Required Postings
- Safety Sam Book
- ABC Poster
- Active Supervision Poster-English
- Active Supervision Poster-Spanish
- Active Supervision Back Handout-English
- Active Supervision Back Handout-Spanish
- Bulletin Board Education Poster
- Cubby Label Example
- Daily Schedule Example
- In and Out Board Example
- Label Example
- Label Material Example
- Management Charts
- Nursery Rhymes
- Who's Here
- Zoning Staff Chart
- HS/EHS Program Postings & Availability
Staff Resources
- Child Development #4-Toileting Plan
- Child Development #5-Transition Plan
- Child Development #5-Transition Plan Infant to Toddler Example
- Child Development #11-Field Trip Permission Form
- Child Development #11-Field Trip Request Form
- Child Development #14-Food Experience Permission Form
- Child Development #16-ASQ-3 Result Form
- Child Development #18-Family Engagement Packs: Check-Out Form
- Child Development #19-Child Data Outcomes Form
- Family Support #15-EHS Planning and Documentation Form Example
- Child Development #22-Plants in the Classroom Guidance
- Child Development #23-Teacher Hatch Dashboard Form
- Child Development #29-Guided Worksheet for Identifying Language in the Classroom
- Hatch Dashboard Guide
- How Do I Log In to Ready Rosie Step by Step
- All About Me Poster
- Child Outcomes Data Checkpoint Comparison
- Inputting ASQ and ASQ SE Scores Online
- Child Plus Teacher Manual
- Remote Visit Guidance
- TS Gold Help Guide on Funding Source
- TS Gold How to Guide
- TS Gold Progressions-English
- Early Head Start Center Based Timeline 2021-2022
- Early Head Start Home Based Timeline 2021-2022
- Observation Help Sheet
- First EHS Center Based Parent Teacher Conference Guide 21-22
- Adjustments to the First Center Based Home Visit Guide 2021-2022
- Second Head Start and EHS-Center Base Parent Teacher Conference Checklist Guide 2021-2022
- Second Head Start and EHS-Center Base Home Visit Checklist Guide 2021-2022
Family Support
- Family Support #3-Family Needs Assessment-Eng/Span.
- Family Support #5-Family Partnership Plan Family Goal
- Family Support #8-Action Plan
- Family Support #8-Attendance Action Plan
- Family Support #10-Family Leave of Absence Agreement-Eng/Span.
- Family Support #11-Record Request
- Family Support #12-Classroom Attendance with Daily Health Check
- Family Support #14-Family Outcomes Assessment ENG 2022
- Family Support #14-Family Outcomes Assessment SPAN 2022
- Family Support #16-EHS Center Newsletter Template
- Family Support #17-Family Night Sign In Sheet
- Family Support #18- Parent Evaluation
- Family Support #19-Los Ninos Bien Educados Referral
- Family Support #20-Home Safety Checklist EHS
- Family Support #21-Socialization Attendance with Daily Health Check
- Title 1 Part C Migrant Education Program Form
Resources
Special Services
- Special Services #4-Referral Checklist English
- Special Services #4-Referral Checklist Spanish
- Special Services #5-Speech and Language Checklist Birth to Three-English
- Special Services #5-Speech and Language Checklist Birth to Three-Spanish
- Special Services #6-Speech and Language Checklist Preschool-English
- Special Services #6-Speech and Language Checklist Preschool-Spanish
- Special Services #7-Observation Permission Form
- Special Services #8-Staffing Notes
- Special Services #9-Special Services Log
- Special Services #13-IFSP/IEP Information Guidance Sheet
- Special Services #14-Intervention Plan
- Special Services #15-Consent to Release or Exchange Information Form
- Child Development #16-ASQ-3 Result Form
- Child File #16-Referral Form
- Special Services Poster
- Special Services Visit/Guidance
Mental Health
- Mental Health #2-Mental Health Referral Packet Checklist
- Mental Health #3-Observation Permission Form
- Mental Health #6-ASQ-SE-2 Results
- Mental Health #9-Infant & Toddler Observation Checklist
- Mental Health #9-Infant & Toddler Observation Checklist-Spanish
- Mental Health #11-Frequency Chart
- Mental Health #12-Employee Training Documentation for Child Guidance
- Child File #15-Consent to Release or Exchange Information
- Child File #16-Referral Form
Health and Safety
Health
- Health/Dental/Nutrition #2-Health History Annual Update-Eng/Span.
- Health/Dental/Nutrition #4-Medical Dental Home Form
- Health/Dental/Nutrition #5-Monthly Classroom Health and Safety Checklist
- Health/Dental/Nutrition #7-Referral to Health Care Provider
- Health/Dental/Nutrition #10-Medication Consent and Chart
- Health/Dental/Nutrition #11-Medication Log
- Health/Dental/Nutrition #12-ADHD Medication Effectiveness
- Health/Dental/Nutrition #18-Accident Injury Report Form
- Health/Dental/Nutrition #19-Health Screening Card
- Health/Dental/Nutrition #20-Initial Health History
- Health/Dental/Nutrition #22-Nutrition History & Assessment Infants & Toddlers
- Health/Dental/Nutrition #25-Vision Screening Birth to Three
- Health/Dental/Nutrition #26-Hearing Screening Birth to Three
- Health/Dental/Nutrition #29-Sunscreen Log
- Health/Dental/Nutrition #30-Classroom Allergy List
- Health/Dental/Nutrition #33-Immunization Letter English-Spanish
- Health/Dental/Nutrition #36-Health Status Determination
- Health/Dental/Nutrition #53-Daily Diaper Changing Chart
- Health/Dental/Nutrition #65-Record of Administration Continuation
- Health/Dental/Nutrition #67-Class Pet Parent Permission Form Eng-Span/
- Health/Dental/Nutrition-Transportation Medication Label
- Child File #16-Referral Form
- Yakima Valley Resource Guide
- EHS #6 Post Natal Depression Scale
- Keep Me at Home-English
- Keep Me at Home-Spanish
Nutrition Education for Parents
- Choose My Plate-English
- Choose My Plate-Spanish
- Growing Healthy Postcard-Eng/Span.
- Healthy Eating
- Healthy Eat
- Healthy Eating for Preschoolers Mini-Poster
- Nutrition Terms-Spanish
- Food Safety-Spanish
- Child Diabetes-Eng.Span.
- Exercise & Nutrition-Eng/Span.
- MCN Healthy Foods-Eng/Span.
- MCN Nutrition-Eng/Span.
- MCN Read Nutrition Label-Eng/Span.
- MCN Small Changes-Eng/Span.
- Recipes for Healthy Snacks
Health and Safety Checklist
Immunization Forms
Lead Forms
- Health/Dental/Nutrition #31-Lead Screening Results-English
- Health/Dental/Nutrition #31-Lead Screening Results-Spanish
- Health/Dental/Nutrition #38-Parent Request for Lead Screening
- Blood Lead Level Reporting Form
- Lead Dirt Alert Arsenic-English
- Lead Dirt Alert Arsenic-Spanish
- Lead Flyer-Eng/Span.
- Lead Poisoning-Eng/Span.
Health Care Plans Medical Alerts
Required Postings
- Safety #7-Site Emergency Information
- Health/Dental/Nutrition #28-Stand Up Diapering Procedure-English
- Health/Dental/Nutrition #28-Stand Up Diapering Procedure-Spanish
- How to Change a Diaper-English
- How to Change a Diaper-Spanish
- Health/Dental/Nutrition #37-CPR-First Aid Cards
- Germ Buster Flyer-Eng/Span.
- Classroom Information Board
- See Something- Say Something Poster English EHS CV
- See Something- Say Something Poster SPAN EHS CV
- See Something- Say Something Comment Box Sheet EHS
Nutrition Education for Parents
Health Information/Resources
- Marijuana and Pregnancy-English
- Marijuana and Pregnancy-Spanish
- Yakima County Food Banks-English
- Yakima County Food Banks-Spanish
- Checklist Health and Safety
- Yakima Valley Resource Guide
- Keep Me at Home-English
- Keep Me at Home-Spanish
- Health Concerns-Wildfire Smoke Air Quality
- What is Hearing Loss in Children-English
- What is Hearing Loss in Children-Spanish
- Screening and Diagnosis of Hearing Loss-English
- Screening and Diagnosis of Hearing Loss-Spanish
- Hearing Screening Parent Information-English
- Hearing Screening Parent Information-Spanish
Covid 19 Information
- Health/Dental/Nutrition #54-Daily Temperature Log
- Health/Dental/Nutrition #59-Covid 19 Authorized Visitor Record
- Health/Dental/Nutrition #60-When What and Why to Wear Required PPE
- Health/Dental/Nutrition #61-Covid 19 Health Check Attestation -English
- Health/Dental/Nutrition #61-Covid 19 Health Check Attestation -Spanish
- Health/Dental/Nutrition #64-Sanitation Bag Checklist
- How to Use a Mask
- Cover Your Cough Poster-English
- Celsius to Fahrenheit-Print
- Stop the Spread of Illness Poster-English
- Stop the Spread of Illness Poster-Spanish
- What Can You Do Poster-English
- What Can You Do Poster-Spanish
- What You Need to Know about COVID 19-English
- What You Need to Know about COVID 19-Spanish
- Checklist #1-Safety and Sanitation Checklist
- Health Room Checklist
- When What and Why To Wear Required PPE
- Health/Dental/Nutrition #66 Tracking Form COVID Test Handout
Head Start
- Child File
- Enrollment
- Child Development
- Family Support
- Special Services
- Mental Health
- Health and Safety
Child File
- Child File #1- Family Cover Sheet Center Based HS 23023-2024
- Child File #3 Family Cover Sheet
- Child File #4-Binder Spine HS
- Child File #7-File Log In Center Based
- Child File #8-Child File Checklist HS 2023-2024
- Child File #9-Emergency Information Form 2023-2024
- Child File #14-Correspondence Log
- Child File #15-Consent to Release or Exchange Information
- Child File #16-Referral Form
- Child File #16-Referral Form Typeable
- Child FIle #20-Designation of Another Person to Consent for Head Start Activities
- Child File #21-Parent Sign In/Out Sheet
- Child File #22-Emergency Binder Cover Sheet
- Child File #22-Emergency Binder Cover Sheet Transportation
- Child File #23-Emergency Binder Cover Sheets for Receptionist
Enrollment
Enrollment
- Enrollment # 1-Basic Information Form 2023-2024
- Enrollment # 1-Basic Information Form 2023-2024 typeable
- Enrollment #2-Eligibility Comment Sheet
- Enrollment #3-HS ERSEA Checklist
- Enrollment 4-CB Enrollment Verification Checklist
- Enrollment #5-Family Enrollment Profile
- Enrollment #6-Eligibility Income Verification
- Enrollment #7-Applicant of a Staff Person Referral
- Enrollment #8-Income Calculation Worksheet A
- Enrollment #9-Income Calculation Worksheet B
- Enrollment #10-Income Story
- Enrollment #11-Federal Poverty Level 2023
- Enrollment #12-Self Declaration of Family Income
- Enrollment #13-Statement of No Income
- Enrollment #14-Over Income-Special Needs
- Enrollment #15-Eligibility Selection Criteria 2023
- Enrollment #19-Change of Enrollment Status Report
- Enrollment #22-Title 1 Migrant Form
- Enrollment #26-File Transfer Authorization Form
- Enrollment #27-Transfer Authorization Log
- Enrollment #29-Color Code HS
- Enrollment #30-Income Cover Sheet
- Enrollment #32-Referral to Seedlings Center
- Enrollment #32-Referral to Seedlings Center
- Enrollment #32-Referral to Seedlings Kittitas Center
- Enrollment #33-Memo Form
- Enrollment #34-Preschool Registration Checklist
- Enrollment #35-Enrollment Cover Sheet 2023-2024
- Enrollment #36-HS Online Enrollment Form 2023-2024
- Enrollment #37-Enrollment Agreement Packet ENG
- Enrollment #37-Enrollment Agreement Packet SPAN
- Enrollment #38-Eligibility Disclaimer Documentation
- Resource - Race and Ethnicity
- Resource - Social Security Fact Sheet
- Resource - What to Count as Income
Parent Letters
- Parent Letter #1-List of Needed Documents HS/EHS
- Parent Letter #2-Overwhelming Interest Letter
- Parent Letter #3-Complete Application Letter
- Parent Letter #4-Ineligible - Over Income Letter
- Parent Letter #5-Ineligible - Out of District
- Parent Letter #6-Ineligible - Age Requirement
- Parent Letter #7-HS-EHS Acceptance Letter
- Parent Letter #8-Acceptance Letter for Returner
- Parent Letter #9-Waitlist Letter
- Parent Letter #10 - Attendance Letter
- Parent Letter #12 - Notice of Disenrollment
Child Development
Staff Resources
- Child Development #4-Toileting Plan
- Child Development #5-Transition Plan
- Child Development #5-Transition Plan Infant to Toddler Example
- Child Development #6-Monthly Home Visit Conference Log
- Child Development #11-Field Trip Permission
- Child Development #11-Field Trip Request
- Child Development #14-Food Experience Permission
- Child Development #15-Classroom Baseline Tool English
- Child Development #15-Classroom Baseline Tool Spanish
- Child Development #16-ASQ-3 Result Form
- Child Development #17-End of Year Inventory List
- Child Development #18-Family Engagement Packs: Check-Out
- Child Development #19-Child Data Outcomes
- Child Development #22- Plants in the Classroom Guidance
- Child Development #23-Teacher Hatch Dashboard
- Child Development #26-Kinder Assessment Transition
- Child Development #26-Kinder Assessment Transition Spanish
- Child Development #29-Guided Worksheet for Identifying Language in the Classroom
- Preschool Lesson Plan Checklist 2022-2023
- Hatch Dashboard Guide
- How Do I Log In to Ready Rosie Step by Step
- All About Me Poster
- Child Outcomes Data Checkpoint
- CLASS Dimensions Guide-English
- CLASS Questions
- Home Language Survey
- How to Print Observations in TS Gold
- Inputting ASQ and ASQ-SE Scores Online
- Kinder Transition Meal
- Management Charts
- Teachers Manual
- Remote Visit Guidance
- TS Gold Help Guide on Funding Source
- TS Gold How to Guide
- Head Start Timeline 2019-2020
- Observation Help Sheet
Active Supervision
Parent Letters
- Transportation Curriculum Home Letters-Eng/Span.
- Child Protection Unit Family Letters Eng/Span
- Parent Letter # 1-List of Needed Documents
- Parent Letter # 2-Overwhelming Interest Letter
- Parent Letter # 3-Complete Application Letter
- Parent Letter # 4-Ineligible - Over Income Letter
- Parent Letter # 5-Ineligible - Out of District HS
- Parent Letter # 6-Ineligible - Age Requirement HS
- Parent Letter # 7-Acceptance Letter HS 2023
- Parent Letter # 8-Acceptance Letter for Returner HS 2023
- Parent Letter # 9-Waitlist Letter
- Parent Letter # 10-HS Attendance Letter
- Parent Letter # 12-Notice of Disenrollment
Required Postings/Labels
- Operations#3-Classroom Sign In and Out Log
- Safety Sam Book
- ABC Poster
- Active Supervision Back Handout-English
- Active Supervision Back Handout-Spanish
- Active Supervision Poster-English
- Active Supervision Poster-Spanish
- Bulletin Board Education Poster
- Classroom Sign In Cover Sheet
- Cubby Label Example
- Daily Schedule Example
- In Out Board Example
- Label Material Example
- Management Charts
- Morning Message Example
- Nursery Rhymes
- Who's Here
- Zoning Staff Charts
- HS/EHS Program Postings & Availability
- Lesson Plan Cover Sheet
Home Visit/Parent Teacher Conference
- Child Development #10-Home Goals In-Kind
- Child Development #13-VIP Letter
- TS Gold Objectives and Dimensions-English
- TS Gold Objectives and Dimensions-Spanish
- TS Gold Progressions-English
- Preparing Your Child for Kindergarten-Eng/Span.
- Transition Information for Parents
- Kinder Transition Form
- A Parent Guide to Preparing Your Child for School
- Head Start Timelines 2023-2024
- First Parent Teacher Conference Guide 2021-2022
- Adjustments to the First Center Based Home Visit Guide 2021-2022
- Second Head Start and EHS-Center Base Parent Teacher Conference Checklist Guide 2021-2022
- Second Head Start and EHS-Center Base Home Visit Checklist Guide 2021-2022
Family Support
- Family Support #3-Family Needs Assessment
- Family Support #5-Family Partnership Plan: Family Goal
- Family Support #8-Action Plan
- Family Support #8-Attendance Action Plan Sample
- Family Support #10-Family Leave of Absence Agreement-Eng/Span.
- Family Support #11-Record Request
- Family Support #12-Classroom Attendance with Daily Health Check
- Family Support #14-HS Family Outcomes Assessment-English
- Family Support #14-HS Family Outcomes Assessment-Spanish
- Family Support #16-Head Start Center Newsletter Template
- Family Support #17-Family Night Sign In Sheet
- Family Support #18- Parent Evaluation
- Family Support #19-Los Ninos Bien Educados Referral
- Title 1 Part C Migrant Education Program Form
Resources
Special Services
- Special Services #4-Referral Checklist English
- Special Services #4-Referral Checklist Spanish
- Special Services #5-Speech and Language Checklist Birth to Three-English
- Special Services #5-Speech and Language Checklist Birth to Three-Spanish
- Special Services #6-Speech and Language Checklist Preschool-English
- Special Services #6-Speech and Language Checklist Preschool-Spanish
- Special Services #7-Observation Permission Form
- Special Services #9-Special Services Log
- Special Services #13-IFSP/IEP Information Guidance Sheet
- Special Services #14-Intervention Plan
- Special Services #15-Consent to Release or Exchange Information Form
- Child Development #16-ASQ-3 Result Form
- Child File #16-Referral Form
- Special Service Poster
- Special Services Visit/Guidance
- Special Services #08 Staffing Notes
Mental Health
- Mental Health #2-Mental Health Referral Packet Checklist
- Mental Health #3-Observation Permission Form
- Mental Health #6-ASQ-SE-2 Results
- Mental Health #10-Preschool Observation Checklist
- Mental Health #10-Preschool Observation Checklist-Spanish
- Mental Health #11-Frequency Chart
- Mental Health #12-Employee Training Documentation for Child Guidance
- Mental Health #17-Positive Behavior Support HS
- Mental Health #18-Three Tired Approach HS
- Child File #15-Consent to Release or Exchange Information
- Child File #16-Referral Form
Health and Safety
- Health/Dental/Nutrition #4-Medical Dental Home Form
- Health/Dental/Nutrition #5-Monthly Classroom Health and Safety Checklist
- Health/Dental/Nutrition #7-Referral to Health Care Provider
- Health/Dental/Nutrition #10-Medication Consent and Chart
- Health/Dental/Nutrition #11-Medication Log
- Health/Dental/Nutrition #12-ADHD Medication Effectiveness
- Health/Dental/Nutrition #18-Accident Injury Report Form
- Health/Dental/Nutrition #19-Health Screening Card
- Health/Dental/Nutrition #29-Sunscreen Log
- Health/Dental/Nutrition #30-Classroom Allergy List
- Health/Dental/Nutrition #33-Immunization Letter English-Spanish
- Health/Dental/Nutrition #53-Daily Diaper Changing Chart
- Health/Dental/Nutrition #65-Record of Administration Continuation
- Health/Dental/Nutrition #67-Class Pet Parent Permission Form
- Health/Dental/Nutrition-Transportation Medication Label
- Child File #16-Referral Form
- Keep Me at Home-English
- Keep Me at Home-Spanish
Health Care Plans/Alerts
- Health/Dental/Nutrition #12 - HCP Instructions for Parents
- Health/Dental/Nutrition #13 - HCP Letter to Provider
Lead
- Health/Dental/Nutrition #31-Lead Screening Results-English
- Health/Dental/Nutrition #31-Lead Screening Results-Spanish
- Health/Dental/Nutrition #38-Parent Request for Lead Screening
- Blood Lead Level Reporting Form
- Lead Dirt Alert Arsenic-English
- Lead Dirt Alert Arsenic-Spanish
- Lead Flyer-Eng/Span.
- Lead Poisoning-Eng/Span.
Lice
- Health/Dental/Nutrition #39-Head Lice Notice English
- Health/Dental/Nutrition #40-Head Lice Notice-Spanish
- Health/Dental/Nutrition #41-Head Lice Instructions
Health and Safety Checklist
- Health/Dental/Nutrition # 50-Health and Safety Checklist
- Checklist #1- Daily Safety and Sanitation Checklist
- Checklist #3- Classroom First Aid Checklist
- Checklist #4- Backpack Kit Checklist
- Checklist #05 Monthly Classroom Health and Safety Checklist
- Health Room Checklist
- Head Start Monthly Classroom Health and Safety
Required Postings
Classroom Postings
- Health/Dental/Nutrition #28-Stand Up Diapering Procedure-English
- Health/Dental/Nutrition #28-Stand Up Diapering Procedure-Spanish
- Health/Dental/Nutrition #37-CPR-First Aid Cards
- Classroom Information Board
- Germ Buster Flyer-Eng/Span.
- How to Change a Diaper-English
- How to Change a Diaper-Spanish
Binder Cover Sheets
- Dental Exam Cover Sheet
- Health Care Plans & Medical Alerts
- Health Screenings Cover Sheet
- Other Health Cover Sheet
- USDA CACFP Cover Sheet
- Vaccines Cover Sheet
- Well Child Exam Cover Sheet
- Referrals Cover Sheet
- Miscellaneous Health Information Cover Sheet
Nutrition Education for Parents
- Choose My Plate-English
- Choose My Plate-Spanish
- Growing Healthy Postcard-Eng/Span.
- Healthy Eating
- Healthy Eat
- Healthy Eating for Preschoolers Mini-Poster
- Nutrition Terms-Spanish
- Food Safety-Spanish
- Child Diabetes-Eng.Span.
- Exercise & Nutrition-Eng/Span.
- MCN Healthy Foods-Eng/Span.
- MCN Nutrition-Eng/Span.
- MCN Read Nutrition Label-Eng/Span.
- MCN Small Changes-Eng/Span.
- Recipes for Healthy Snacks
Resources
- Marijuana and Pregnancy-English
- Marijuana and Pregnancy-Spanish
- Yakima County Food Banks-English
- Yakima County Food Banks-Spanish
- Eye Screening for Children-English
- Eye Screening for Children-Spanish
- Yakima Valley Resource Guide
- Keep Me at Home-English
- Keep Me at Home-Spanish
- Health Concerns-Wildfire Smoke Air Quality
- Flu Information English
- Flu Information Spanish
- What is Hearing Loss in Children-English
- What is Hearing Loss in Children-Spanish
- Screening and Diagnosis of Hearing Loss-English
- Screening and Diagnosis of Hearing Loss-Spanish
- Hearing Screening Parent Information-English
- Hearing Screening Parent Information-Spanish
Immunizations
- Health/Dental/Nutrition #33-Letter to Parent Immunization Needed-Eng/Span.
- Health/Dental/Nutrition #55-Immunization Record Requirements
- Certificate of Exemption-English
- Certificate of Exemption-Spanish
- DOH Conditional Immunization Status-English
- DOH Conditional Immunization Status-Spanish
- DOH Immunization Exclusion-English
- DOH Immunization Exclusion-Spanish
COVID 19
- Health/Dental/Nutrition #54-Daily Temperature Log
- Health/Dental/Nutrition #59-Covid 19 Authorized Visitor Record
- Health/Dental/Nutrition #60-When What and Why to Wear Required PPE
- Health/Dental/Nutrition #62-Tracking Form for Combining Rooms
- Health/Dental/Nutrition #64-Sanitation Bag Checklist
- How to Use a Mask
- Cover Your Cough Poster-English
- Celsius to Fahrenheit-Print
- Stop the Spread of Illness Poster-English
- Stop the Spread of Illness Poster-Spanish
- What Can You Do Poster-English
- What Can You Do Poster-Spanish
- What You Need to Know About COVID 19-English
- What You Need to Know About COVID 19-Spanish
- When, What, and Why To Wear Required PPE
- Health/Dental/Nutrition #66 Tracking Form COVID Test Handout
Migrant Seasonal Head Start
- Child File
- Enrollment
- Child Development
- Family Support
- Special Services
- Mental Health
- Health and Safety
Child File
- Child File #3 - Family Cover Sheet
- Child File #6 - Binder Spine MSHS
- Child File #7 - File Log In Center Based
- Child File #8 - MSHS Child File Checklist 2023
- Child File #9 - Emergency Information Form 2022-2023
- Child File #14 - Correspondence Log
- Child File #15 - Consent to Release or Exchange Information
- Child File #16 - Referral Form
- Child File #16 - Referral Form Typeable
- Child File #20 - Designation of Another Person to Consent for Head Start Activities
- Child File #21 - Parent Sign In and Sign Out
- Child File #22 - Emergency Binder Cover Sheet
- Child File #22 - Emergency Binder Cover Sheet Transportation
- Child File #23 - Emergency Binder Cover Sheets for Receptionist
Enrollment
- Enrollment #1- Basic Information Form 2023-2024
- Enrollment #1- Basic Information Form 2023-2024 typeable
- Enrollment #2 - Eligibility Comment Sheet
- Enrollment #3 - MSHS Online ERSEA Checklist
- Enrollment #4 - CB Enrollment Verification Checklist
- Enrollment #5 - Family Enrollment Profile
- Enrollment #6 - Eligibility Income Verification
- Enrollment #7 - Applicant of a Staff Person Referral
- Enrollment #8 - Income Calculation Worksheet A
- Enrollment #9 - Income Calculation Worksheet B
- Enrollment #10 - Income Story
- Enrollment #11 - Federal Poverty Level 2023
- Enrollment #12 - Self Declaration of Family Income
- Enrollment #13 - Statement of No Income
- Enrollment #14 - Over Income Special Needs
- Enrollment #15 - Eligibility Selection Criteria 2023
- Enrollment #19 - Change of Enrollment Status Report
- Enrollment #22 - Title 1 Migrant Form
- Enrollment #23 - Migrant Verification Form
- Enrollment #26 - File Transfer Authorization
- Enrollment #27 - Transfer Authorization Log
- Enrollment #29 - Color Code MSHS
- Enrollment #30 - Income Cover Sheet
- Enrollment #31 - Parent Handbook MSHS English 2021
- Enrollment #31 - Parent Handbook MSHS Spanish 2021
- Enrollment #32 - Referral to Seedlings Center
- Enrollment #33 - Memo Form
- Enrollment #34 - Preschool Registration Checklist
- Enrollment #35 - Enrollment Cover Sheet 23-24
- Enrollment #36 - MSHS Online Enrollment Form Checklist
- Enrollment #37 - MSHS Enrollment Agreement Packet English
- Enrollment #37 - MSHS Enrollment Agreement Packet Spanish
- NAICS Manual 2017
- What to count as income
- SSI vs Social Security
- Race and Ethnicity
Parent Letters
Child Development
Staff Resources
- All About Me Poster
- ASQ Online-Printing Blank Questionnaire Guidance
- CLASS Dimension Guide English
- CLASS Questions
- DEL Sleep Log In Protocol
- Hatch Dashboard Guide
- Help Sheet for Early Achievers-ECERS
- Help Sheet for Early Achievers-Letters
- How Do I Log In to Ready Rosie Step by Step
- How to Print Observations in TSG
- Inputting ASQ and ASQ SE Scores Online
- Observation Help Sheet
- Remote Visit Guidance
- Teacher's Manual
- TS Gold Help Guide on Funding Source
- TS Gold How to Guide
- Child Development #4 - Toileting Plan
- Child Development #5 - Transition Plan
- Child Development #5 - Transition Plan Infant to Toddler Example
- Child Development #11 - Field Trip Permission Form
- Child Development #11 - Field Trip Request Form
- Child Development #12 - Talk About Touch Permission Form Eng/Esp
- Child Development #14 - Food Experience Permission Form
- Child Development #15 - Spanish Classroom Baseline
- Child Development #16 - ASQ-3 Result Form
- Child Development #17 - End of the Program Year Inventory List
- Child Development #18 - Family Engagement Packs: Check-out Form
- Child Development #19 - Child Data Outcomes Form
- Child Development #22 - Plants in the Classroom Guidance
- Child Development #23 - Teacher Hatch Dashboard Form
- Child Development #25 - Child Outcomes Data Form
- Child Development #26 - Kinder Assessment Transition Form
- Child Development #26 - Kinder Assessment Transition Form Spanish
- Child Development #29 - Guided Worksheet for Identifying Language in the Classroom
Active Supervision
- Active Supervision #1 - Roll Call Health Attendance Sheet
- Operation #3 - Classroom Sign In/Out Log
- Zoning Areas
Parent Letters
- Child Protection Unit Family Letters Eng/Span
- Transportation Curriculum Home Letters- Eng/Span.
- Parent Letter #1 - List of Needed Documents
- Parent Letter #2 - Overwhelming Interest Letter
- Parent Letter #3 - Complete Application Letter
- Parent Letter #4 - Over Income Letter
- Parent Letter #5 - Ineligible - Out of District
- Parent Letter #6 - Ineligible - Age Requirement
- Parent Letter #9 - Waitlist Letter
- Parent Letter #10 - MSHS Attendance Letter
- Parent Letter #12 - Notice of Disenrollment
- Parent Letter #13 - MSHS Child Aging Out Letter
- Parent Letter #14 - Ineligible - 51 Percent Ag
Required Postings
- ABC Poster
- Active Supervision Poster English
- Active Supervision Poster Spanish
- Back To Sleep Crib Labels
- Bulletin Board Education Poster
- Child Protection Unit Letters-English
- Child Protection Unit Letters-Spanish
- Classroom Sign In Sheet Cover
- Cubby Label Example
- Daily Schedule Example
- In and Out Board Example
- Label Material Example
- Lesson Plan Cover Sheet
- Management Charts
- Morning Message Example
- MSHS Program Postings & Availability
- Nursery Rhymes
- Safety Sam Book
- Who's Here
- Zoning Staff Chart
Home Visit/Parent Teacher Conference
- Child Development #10 - Home Goals In-Kind Form
- Child Development #13 - VIP Letter
- Child Passenger Safety Card-English
- Child Passenger Safety Card-Spanish
- Education #1 - 1st Visit Checklist Form English MSHS
- Education #1 - 1st Visit Checklist Form Spanish MSHS
- Education #1 - 2nd Visit Checklist Form MSHS
- Education #6 - Monthly Home Visit Conference Log
- Education #7 - Kinder Transition Form
- Home Language Survey
- MSHS Second Home Visit Guide 2021
- TS Gold Objectives and Dimensions-English
- TS Gold Objectives and Dimensions-Spanish
- TS Gold Progressions-English
- TS Gold Progressions-Spanish
Family Support
- Family Support #1 - Family-Staff Contact Log
- Family Support #3 - Family Needs Assessment
- Family Support #5 - Family Partnership Plan Family Goal
- Family Support #8 - Action Plan
- Family Support #8 - Attendance Action Plan
- Family Support #10 - Family Leave of Absence Agreement English-Spanish
- Family Support #11 - Record Request
- Family Support #12 - Classroom Attendance with Daily Health Check
- Family Support #13 - Family Staff Contact Log Cover Sheet
- Family Support #14 - Family Outcomes Assessment 2021 English
- Family Support #14 - Family Outcomes Assessment 2021 Spanish
- Family Support #16 - Center Newsletter Template MSHS
- Family Support #17 - Family Night Sign In Sheet
- Family Support #18 - Parent Evaluation
- Family Support #19 - Los Niños Bien Educados Referral
- Title 1 Part C Migrant Education Program Form
Resources
Special Services
- Special Services #4 - Referral Checklist English
- Special Services #4 - Referral Checklist Spanish
- Special Services #5 - Speech and Language Checklist Birth to Three-English
- Special Services #5 - Speech and Language Checklist Birth to Three-Spanish
- Special Services #6 - Speech and Language Checklist Preschool-English
- Special Services #6 - Speech and Language Checklist Preschool-Spanish
- Special Services #7 - Observation Permission Form
- Special Services #8 - Staffing Notes
- Special Services #9 - Special Services Log
- Special Services #13 - IFSP/IEP Information Guidance Sheet
- Special Services #14 - Intervention Plan
- Special Services #15 - Consent to Release or Exchange Information Form
- Child Development #16 - ASQ-3 Result Form
- Child Development #16 - ASQ SE-2 Result Form
- Child File #15 - Consent to Release or Exchange Information
- Child File #16 - Referral Form
- Special Services Poster
- Special Services Visit/Guidance
- Special Services Content Specialist Observation Form
Mental Health
- Mental Health #2 - Mental Health Referral Packet Checklist
- Mental Health #3 - Observation Permission Form
- Mental Health #6 - ASQ-SE-2 Results
- Mental Health #9 - Infant and Toddler Observation Checklist
- Mental Health #9 - Infant and Toddler Observation Checklist-Spanish
- Mental Health #10 - Pre-School Observation Checklist
- Mental Health #10 - Pre-School Observation Checklist-Spanish
- Mental Health #11 - Frequency Chart
- Mental Health #12 - Employee Training Documentation for Child Guidance
- Mental Health #17 - Positive Behavior Support Plan MSHS
- Mental Health #18 - Three Tiered Approach MSHS
- Child File #15 - Consent to Release or Exchange Information
- Child File #16 - Referral Form
Health and Safety
Health/Dental/Nutrition
- Health/Dental/Nutrition #2 - Health History Annual Update Form
- Health/Dental/Nutrition #4 - Medical-Dental Home Form
- Health/Dental/Nutrition #7 - Referral to Health Care Provider
- Health/Dental/Nutrition #10 - Medication Consent and Chart
- Health/Dental/Nutrition #11 - Medication Log
- Health/Dental/Nutrition #12 - ADHD Medication Effectiveness
- Health/Dental/Nutrition #18 - Accident Injury Report Form
- Health/Dental/Nutrition #19 - Health Screening Card
- Health/Dental/Nutrition #20 - Initial Health History
- Health/Dental/Nutrition #21 - Nutrition Assessment- Preschool
- Health/Dental/Nutrition #22 - Nutrition History and Assessment- Infants & Toddlers
- Health/Dental/Nutrition #25 - Vision Screening Birth to Three
- Health/Dental/Nutrition #26 - Hearing Screening Birth to Three
- Health/Dental/Nutrition #28 - Stand Up Diapering Procedure-English
- Health/Dental/Nutrition #28 - Stand Up Diapering Procedure-Spanish
- Health/Dental/Nutrition #29 - Sunscreen Log
- Health/Dental/Nutrition #30 - Classroom Allergy List
- Health/Dental/Nutrition #31 - Lead Screening Results-English
- Health/Dental/Nutrition #31 - Lead Screening Results-Spanish
- Health/Dental/Nutrition #32 - Health Classroom Monitoring
- Health/Dental/Nutrition #33 - Immunization Letter English-Spanish
- Health/Dental/Nutrition #36 - Health Status Determination
- Health/Dental/Nutrition #37 - CPR-First Aid Cards
- Health/Dental/Nutrition #38 - Parent Request for Lead Screening
- Health/Dental/Nutrition #39 - Head Lice Notice English
- Health/Dental/Nutrition #41 - Head Lice Instructions
- Health/Dental/Nutrition #47 - Medication Chart-Diaper Ointment
- Health/Dental/Nutrition #53 - Daily Diaper Changing Chart
- Health/Dental/Nutrition #65 - Record of Administration Continuation
- Health/Dental/Nutrition #67 - Class Pet Parent Permission Form Eng-Span
- Health/Dental/Nutrition - Transportation Medication Label
- Allergy List Cover Sheet
- Certificate Immunization Status Form
- Certificate of Exemption-English
- Certificate of Exemption-Spanish
- Child File #16 - Referral Form
- Dental Sealant Program
- DOH Conditional Immunization Status-English
- DOH Conditional Immunization Status-Spanish
- DOH Immunization Exclusion-English
- DOH Immunization Exclusion-Spanish
- Farmworker Permission Form
- Food Substitution Classroom Cover Sheet
- Germ Buster Flyer- Eng/Span.
- Health Information Cover Sheet
- How to Change a Diaper- English
- How to Change a Diaper- Spanish
- Blood Lead Level Reporting Form
- Lead Dirt Alert Arsenic-English
- Lead Dirt Alert Arsenic-Spanish
- Lead Flyer-Eng/Span.
- Lead Poisoning Eng/Span.
- New Advocate Training Checklist
- New Classroom Staff Training Checklist
- Parents Are Your Kids Ready for School Immunizations
- Safety and Sanitation Checklist Cover Sheet
- Yakima Valley Resource Guide
- Keep Me at Home-English
- Keep Me at Home-Spanish
Health Care Plan
- Health/Dental/Nutrition #12 - Health Care Plan Instructions for Parents
- Health/Dental/Nutrition #13 - Letter to Provider HCP
- Health/Dental/Nutrition #14 - HCP Generic
- Health/Dental/Nutrition #15 - Asthma
- Health/Dental/Nutrition #16 - HCP Allergy
- Health/Dental/Nutrition #17 - HCP Seizure
- Health/Dental/Nutrition #42 - Medical Alert
Immunizations
COVID 19
- Health/Dental/Nutrition #11 - COVID 19 Medication Log
- Health/Dental/Nutrition #54 - Daily Temperature Log
- Health/Dental/Nutrition #56 - COVID 19 Health Check Questionnaire -English
- Health/Dental/Nutrition #56 - COVID 19 Health Check Questionnaire -Spanish
- Health/Dental/Nutrition #56 - COVID 19 Health Check Symptoms
- Health/Dental/Nutrition #57 - COVID 19 Daily Child Attendance Record for Children
- Health/Dental/Nutrition #59 - COVID 19 Authorized Visitor Record
- Health/Dental/Nutrition #60 - When What and Why to Wear Required PPE
- Health/Dental/Nutrition #61 - COVID 19 Health Check Attestation -English
- Health/Dental/Nutrition #61 - COVID 19 Health Check Attestation -Spanish
- Health/Dental/Nutrition #62 - Tracking Form for Combining Rooms
- Health/Dental/Nutrition #64 - Sanitation Bag Checklist
- Health/Dental/Nutrition #66 Tracking Form COVID Test Handout
- Celsius to Fahrenheit-Print
- Checklist #1-Safety and Sanitation
- Cover Your Cough Poster-English
- Health Room Checklist
- How to Use a Mask
- Stop the Spread of Illness Poster-English
- Stop the Spread of Illness Poster-Spanish
- What Can You Do Poster-English
- What Can You Do Poster-Spanish
- What You Need to Know about COVID 19-English
- What You Need to Know about COVID 19-Spanish
Child Binder Cover Sheets
- Dental Cover Sheet
- HCP 1st Aid Med Alert Cover Sheet
- Health Screenings Cover Sheet
- Miscellaneous Health Information Cover Sheet
- Other Health Cover Sheet
- Referrals Cover Sheet
- USDA CACFP Cover Sheet
- Vaccines Cover Sheet
- Well Child Exam Cover Sheet
Nutrition Education
- Basic Guide Healthy Foods-Eng/Span.
- Child Diabetes-Spanish
- Choose My Plate-English
- Choose My plate-Spanish
- Food Safety-Spanish
- Health Tips-Eng/Span.
- Healthy Children-English
- Healthy Children-Spanish
- Kids Health-English
- Kids Health-Spanish
- MCN Nutrition-Eng/Span.
- MCN Read Nutrition Label-Eng/Span.
- MCN Small Changes-Eng/Span.
- MCN Healthy Foods-Eng/Span.
- Nutrition Terms-Eng/Span.
- Nutrition-English
- Nutrition-Spanish
- Recipes for Healthy Snacks
Classroom Postings
Resources
- Air Quality Handout
- Bed Bugs-Managing Information
- Checklist Health and Safety
- Eye Screening for Children-English
- Eye Screening for Children-Spanish
- Flu Information English
- Flu Information Spanish
- Health Concerns-Wildfire Smoke Air Quality
- Hearing Screening Parent Information-English
- Hearing Screening Parent Information-Spanish
- Introducing Glasses to Young Children- Eng./Spa.
- Keep Me at Home-English
- Keep Me at Home-Spanish
- Marijuana and Pregnancy-English
- Marijuana and Pregnancy-Spanish
- MSHS Emergency Binder Contents
- Screening and Diagnosis of Hearing Loss-English
- Screening and Diagnosis of Hearing Loss-Spanish
- Weather Chart
- What is Hearing Loss in Children-English
- What is Hearing Loss in Children-Spanish
- Yakima County Food Banks-English
- Yakima County Food Banks-Spanish
Checklists
- Checklist #03 - Classroom First Aid
- Checklist #04 - Backpack Kit
- Checklist #05 - Monthly Classroom Health and Safety
- Health/Dental/Nutrition #50 - Health and Safety
- Fire Safety and Emergency Drills Form
Required Postings
Fiscal
Human Resources
In-Kind/Non-Federal Share
- In-Kind #1-In-Kind Gift Contribution Form
- In-Kind #2-Consultant Billing Form
- In-Kind #4-Insects NFS In-Kind Form
- In-Kind #5-My Healthy Heart Form
- In-Kind #7 In-Kind Rate Sheet
- In-Kind #10-BOD In-Kind
- In-Kind #13-Gift Certificate In-Kind Form
- In-Kind #14-Parent/Site Volunteer In-Kind Form
- Child Development #10-Home Goals In-Kind Form
- List of MDSE from Distribution Center
Monitoring
- Monitoring #1 - Seedlings Team Self Monitoring EHS Home Based Form
- Monitoring #1 - Seedlings Team Self-Monitoring HS-MSHS
- Monitoring #1 - Seedlings Team Self-Monitoring EHS Center Based
- Monitoring #2 - Center Manager Staffing Report
- Monitoring #3 - ERSEA and Center Family Engagement Staffing Report
- Monitoring #4 - Family Services Staffing Report
- Monitoring #5 - Health, Dental, Nutrition Staffing Report
- Monitoring #6 - Mental Health Staffing Report
- Monitoring #7 - School Readiness Staffing Report
- Monitoring #7 - Birth to Three EHS Staffing Report
- Monitoring #7 - EHS Home Base and Center Base Staffing Report
- Monitoring #8 - Special Services Staffing Report
- Monitoring #10 - Active Supervision Kid Zone Monitoring Form
- Monitoring #10 - Active Supervision Socialization Monitoring Form
- Monitoring #11 - Monitoring Form for Education
- Monitoring #12 - Safe Environment Observation Form
- Monitoring #13 - Multi-Disciplinary Child Service Plan
- Monitoring #14 - ELN Health Staffing Report
- Monitoring #15 - ChildPlus Center Manager Report Checklist
- Monitoring #16 - Monitoring Flow Chart
- Monitoring #28 - EHS Enter and Exit Plan Typeable
- Head Start Monitoring Framework
Playground and Facilities
Recruitment
Transportation
- Transportation #1-Transportation Procedures for Parents
- Transportation #2-Child returned to School Report
- Transportation #3-Final Third Return Transportation Letter
- Transportation #4-Final Fourth Return Transportation Letter
- Transportation #5-Sign in and out Sheet
- Transportation #6- Medication Labels
- Transportation #24-Bus Roster
- Transportation #25-Transportation Request and Attendance Roster
- EHS Health and Transportation Safety and Classroom Sign In/Out Procedures
USDA
- Food Service #00 Food Service Form
- Food Service #01 Childcare Monitoring Form for Sponsor Use
- Food Service #02 Classroom Mealtime Observation
- Food Service #03 Weekly Meal Count
- Food Service #04 Meal Count Bubble Sheet
- Food Service #05 Weekly Meal Counts-EHS Kid Zone
- Food Service #06 Daily Infant Meal Form
- Food Service #07 Classroom Meals Needed
- Food Service #08 Enrollment Form English
- Food Service #08 Enrollment Form- Spanish
- Food Service #09 CACFP Infant Meal Form
- Food Service #10 USDA Parent Request for Assistance
- Food Service #11 Study Month Letter to Parent EHS English
- Food Service #11 Study Month Letter to Parent EHS Spanish
- Food Service #12 CACFP Attendance Roster EHS
- Food Service #13 Temperature Monitoring Log
- Food Service #14 Food Temperature Log
- Food Service #16 Monthly Kitchen Cleaning Schedule
- Food Service #17 Kitchen Equipment Inventory
- Food Service #18 Kitchen Inspection
- Food Service #19 Food Service Agreement
- Food Service #20 Food Service Provider Compliance
- Food Service #21Civil Rights Complaint Procedures and Form
- Food Service #22 Request for Special Dietary Accommodations English
- Food Service #22 Request for Special Dietary Accommodations Spanish
- Food Service #23 Request for Fluid Milk Substitution - English
- Food Service #23 Request for Fluid Milk Substitution - Spanish
- Food Service #24 Food Substitution Letter to Provider
- Food Service #25 CACFP Standard Infant Menu
- Food Service #26 Building for the Future with CACFP
- Approved Non-Dairy Beverages
- Classroom Mealtime Procedure
- EHS Daily Infant Meal Record
- EHS Non-Reimbursable Meal Count Sheet
- Feeding of Infants Procedure
- Food Chart-CACFP Children
- Food Handlers Cards Cover Sheet
- Food Production Procedure
- Food Substitution Cover Sheet
- Infant Meal Pattern
- Kinder Transition Meal
- Meal Count Procedure
- Meal Purchasing Procedure
- Permitted Food Procedure
- Reference Sheets Civil Rights
- Signed Menu HS
- English Menu RX & MSHS
- Spanish Menu RX & MSHS
- USDA #13-Actual Meal Served
- USDA Enrollment Forms Procedure
- USDA Non-Discrimination Procedure
- USDA Ordering Procedure
- Volunteers Meals Procedure
- Meal Pattern for Children
- USDA Ethnic and Racial Children Identities
- WIC Outreach Poster English
- WIC Outreach Poster Spanish
- CACFP Child Care Site Review