Early Childhood Developmental Screening Tracking Log (ASQ)

Tracks completion and results of developmental and social-emotional screenings for enrolled children, including whether screening was completed within 45 calendar days of first attendance per 45 CFR 1302.33(b)(1).

Child Enrollment and First Attendance

• Child record identifies first attendance date
  Verify the child file includes the date the child first attended the program.
• Enrollment date and attendance start are documented
  Confirm the record shows the enrollment date and the first day of attendance, if different.
• Child is within screening tracking population
  Confirm the child is included in the program's developmental screening tracking log or equivalent roster.
• Responsible staff member is identified
  Verify the record identifies who is responsible for screening completion and follow-up.

45-Day Screening Timeliness

• Screening completed within 45 calendar days of first attendance
  Verify the developmental and social-emotional screening was completed no later than 45 calendar days after the child's first attendance date per 45 CFR 1302.33(b)(1).
• Days from first attendance to screening completion
  Enter the number of calendar days between first attendance and screening completion.
• Screening due date calculated correctly
  Confirm the 45-calendar-day due date is calculated from the first attendance date and documented correctly.
• Late screening has documented follow-up
  If screening occurred after day 45, verify there is a documented explanation and follow-up action plan.

Screening Tool and Results

• Appropriate screening tool is documented
  Verify the record identifies the developmental screening tool used, such as ASQ-3, and the social-emotional screening tool used, such as ASQ:SE-2, as applicable.
• Screening results are recorded
  Confirm the child's screening results are documented in the log or file.
• Results indicate pass, concern, or referral status
  Verify the outcome is clearly identified, including any concern or referral status requiring follow-up.
• Screening documentation is complete and legible
  Confirm the screening record includes date, tool, result, and any required notes in a readable format.

Follow-Up and Family Communication

• Family was notified of screening results
  Verify the family was informed of the screening outcome and any recommended next steps.
• Referral or rescreening follow-up is documented
  If results indicated concern, verify referral, rescreening, or other follow-up actions are documented.
• Follow-up completion date is recorded
  Enter the date follow-up action was completed, if applicable.
• Documentation of consent or family communication is present
  Confirm the file includes any required consent, communication log, or family contact documentation related to screening.