Vpk Monitoring Tool Page 3
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3Early Learning Coalition of Pasco and Hernando Counties, Inc.
VPK Classroom Review
Monitoring Date: ___________________________
PROVIDER
Name of Provider
Name of Classroom
Comments/Corrective Action Plan
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
FOR COALITION USE
□ Yes
□ No
ALL REQUIREMENTS MET
Number of Requirements NOT Met
_______________
Corrective Action Plan Due
_______________
Corrective Action Plan Received
_______________
Approved Date
_______________
Technical Assistance Provided
□ Yes
□ No
Signature of Contact Person
___________________________________ Date ___________
Signature of VPK Specialist
___________________________________ Date ___________
Signature of Program Manager ___________________________________ Date ___________
Early Learning Coalition of Pasco and Hernando Counties, Inc.
VPK Monitoring Tool
kb 2012
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