BLANK TEMPLATE — Adapt to your program. Store completed reports in your approved private system.

DAILY REPORT
Child: [name or approved identifier]
Date: [date]
Classroom / staff author: [approved field]

Meals and snacks: [what was offered and what was observed]
Rest: [actual rest or sleep information, if tracked]
Care routine: [relevant factual entry, if tracked]
Activity or moment: [one specific observation]
Child's words or choices: [optional, accurately recorded]
Items to bring / next step: [specific request, or none]
Question or note for the family: [optional]

Checked by: [staff member]
Checked for: correct child, date, facts, recipient and next step


FICTIONAL WRITING EXAMPLE — Not a real child or classroom.

DAILY REPORT
Child: Example Child A
Date: Example Tuesday
Classroom / staff author: Example preschool room / Staff A

Meals and snacks: At snack, ate apple slices and part of the toast offered.
Rest: Rested on the mat from 1:10 to 1:35 p.m.; remained awake.
Care routine: No additional routine note in this example.
Activity or moment: Placed five blocks in a row and counted them with me.
Child's words or choices: Asked to use the blue blocks for another row.
Items to bring / next step: Please send the labeled spare shirt tomorrow.
Question or note for the family: Is there a counting game your child enjoys at home?

Checked by: Staff A
Checked for: correct child, date, facts, recipient and next step