2021-2022 Early Childhood CLASS Scores Appeal Form

Early Childhood CLASS Scores Appeal Form

September 1, 2021 - July 1, 2022
Per Bulletin 140 §509.B.2, §517 and §521, this form is intended to be used by lead agencies or site leaders/administrators to appeal any of the following:
- Local Observation Scores
- Third Party Observation Scores
- Use of a replacement score for any classroom where a local observation was not conducted.
Appeals can be submitted if there are extenuating circumstances related to the observation or serious concerns about how an observation was completed. Appeals can be submitted at any point during the school year. The Department will not review any appeal until July 1, 2022. Lead agencies and sites will be notified no later than August 1, 2022 regarding the status of your appeal.

Appeals of scores due to concerns of the quality of the classroom or teacher not reflected in the score received will not be approved. Please use these guidelines to assist in determining if an observation should be appealed. Submitting an appeal form does NOT guarantee that the appeal will be approved.

In order for an appeal to be considered, all components of this form must be completed and any supporting documentation (score sheets, schedules, etc.) must be submitted in full. Site leaders may complete an appeal form, but the form must be submitted to the Department by the lead agency.

Lead agencies must submit all appeals by July 1, 2022, and should submit appeals within 30 days of the contested observation.
Community Network *
Submitted by: *

First Name Last Name
Your Phone Number *
Please enter a valid phone number.
Your Email Address: *
example@example.com
Your Affiliation: *

Lead agency Site leader Other
Is this a typical appeal, or a Documentation of Improvement appeal? *
For more information, please see the Guidance on Appeal Types.

A lead agency may submit a Documentation of Improvement appeal if a third-party observation meets all of the following criteria:
- Third party observation occurred prior to October 15
- The local observation occurred after the third party observation
- There were at least 6 weeks between the third party and local observations
- Intensive professional development (likely conducted by lead agency or CCR&R) occurred after the observation (documentation* must be provided)
- The third party observation scores would replace the local scores in at least one domain
*Acceptable documentation could include logs of attendance at professional development trainings or written testimony from network or SIP coaches. If attendance logs are included, lead agencies should include descriptions and any documents related to content from the training.

Appealed Observation Data
Site Name: *
Site Code: *
This can be found in the CLASS Portal.
Classroom Name (in CLASS Portal) *
Classroom Code (in CLASS Portal) *
Classroom Age Configuration *
Observation Date *

Month Day Year
Date
Teacher Name *

First Name Last Name
Observation Type: *

Local Third Party
Please note that local appeals should be processed by the lead agency, and only shared with the LDOE in the event that the lead agency and a site cannot resolve a dispute.
Observation Format *

Virtual In-Person
Observer Name *

First Name Last Name

Documentation of Improvement Appeal
What was the date of the third-party observation? *

Month Day Year
This date must be prior to October 15 to qualify as a Documentation of Improvement appeal.
Did the local observation occur after the third-party observation? *
Because the local observation did not occur after the third-party observation, this appeal does not qualify as a Documentation of Improvement appeal. Please click back, and complete a typical appeal to go through the typical appeals process.
When did the local observation occur? *

Month Day Year
There must be at least six weeks between the third-party observation and the local observation.
Would the third-party observation replace at least one domain in the local observation? *
A third-party domain score will replace a local domain score if they are at least one point different.
Because the third-party observation score will not replace at least one domain in the local observation, this appeal does not need to be submitted. The local score will be used in its entirety for accountability purposes and to generate this sites' performance profile. Please close this window.
Use this space to describe the intensive professional development that this teacher received. Include all dates and descriptions of training and coaching that this teacher participated in. Ensure you have documentation for all professional development activities you reference. *
Upload documentation of this teacher's participation in the improvement activities you have referenced above. *

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Typical Appeal Entry
Please refer to the Appeal Guidelines to answer the questions below and to select the appropriate appeal type. The appeal type will impact the criteria the Department uses to evaluate the appeal evidence.
Please select the type of appeal you are submitting (choose all that apply): *

1) Lead agency disagrees with observation scores and/or feedback 2) Lead agency cites potential violation of protocol by the observer 3) Lead agency cites concern about what teacher was present in the classroom during the observation 4) Lead agency cites potential conflict of interest on the part of the observer 5) Lead agency cites a disaster/extenuating circumstances occurred during an observation 6) Lead agency cites other concerns not captured in previous appeal categories
Describe the appeal and provide justification in the box below. *
Please attach any supporting documentation here.

In order for an appeal to be considered, all components of this form must be completed and any supporting documentation (score sheets, schedules, rosters, etc.) must be submitted in full.
Cancel of
Per Bulletin 140 §311, any program or individual may submit a written complaint to the Department regarding the action or inaction of the lead agency in its community network by emailing earlychildhoodappeals@la.gov within 30 days. Programs or sites may submit a complaint if a lead agency refuses to submit this appeal form on behalf of the site.

Thank you for your interest in submitting an appeal, but your appeal cannot be processed.

Appeals must be submitted by the lead agency. Please reach out to your lead agency with your appeal request and they will assist you in completing this form and will submit it on behalf of the site.

Per Bulletin 140 §311, any program or individual may submit a written complaint to the Department regarding the action or inaction of the lead agency in its community network by emailing earlychildhood@la.gov within 30 days. Programs or sites may submit a complaint if a lead agency refuses to submit this appeal form on behalf of the site by emailing earlychildhood@la.gov.
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Early Childhood CLASS Scores Appeal Form

Appealed Observation Data

Documentation of Improvement Appeal

Typical Appeal Entry