Head Start Annual Program Self-Assessment Worksheet

Worksheet for a Head Start grantee to document the required annual self-assessment of progress toward program goals, school readiness objectives, and program improvement actions.

Assessment Overview

• Assessment Year
  Enter the program year being assessed, such as 2025-2026.
• Assessment Date
  Select the date the self-assessment was completed.
• Program or Grantee Name
  Enter the Head Start grantee or program name.
• Site, Region, or Service Area
  Optional field for multi-site programs to identify the location or service area reviewed.
• Assessment Team Lead
  Name and role of the person coordinating the self-assessment.

Program Goals and School Readiness Review

• Progress Toward Program Goals
  Rate overall progress toward annual program goals based on available evidence.
• Progress Toward School Readiness Objectives
  Rate progress toward school readiness objectives across domains such as language, literacy, math, social-emotional development, and physical development.
• Evidence Sources Reviewed
  Select the data sources used for the self-assessment. Use only the sources actually reviewed.
• Summary of Evidence and Findings
  Summarize the key evidence reviewed, notable trends, and overall findings. Avoid including unnecessary PII.

Service Area Self-Assessment

• Education and Child Development Services
• Family Engagement and Partnerships
• Health, Mental Health, and Nutrition Services
• Disabilities, Inclusion, and ADA Reasonable Accommodation Practices
  Include review of inclusion practices and reasonable accommodation processes without collecting sensitive disability details unless necessary.
• Key Strengths Identified
  Describe the strongest practices identified during the review.
• Key Gaps or Concerns Identified
  Describe gaps, risks, or recurring issues that need improvement.

Governance, Compliance, and Operations

• Governance and Policy Review Status
  Indicate whether governance and policy review items were completed satisfactorily.
• Fiscal Controls and Resource Management Status
• Staffing and Training Status
• Compliance Concerns Identified
  Select any compliance areas that require corrective action.
• Compliance Notes
  Provide brief notes on any identified compliance concerns. Do not include unnecessary PII.

Improvement Plan and Follow-Up

• Priority Improvement Actions
  List the top actions needed to address findings from the self-assessment.
• Action Owner
  Name or role responsible for tracking the improvement action.
• Target Completion Date
  Select the target date for completing the highest-priority action.
• Is additional follow-up required?
• Follow-Up Details
  Describe the follow-up steps, monitoring method, and any milestones.

Attestation and Submission

• Attestation
  Required acknowledgment before submission.
• Submitter Name
  Enter the name of the person submitting the worksheet for review.
• Submitter Role
  Enter the submitter's role or title.
• Signature
  Optional electronic signature if your workflow requires it.