SUMMARY OF FINDINGS

INFIRMARY
Ann Francis Mother and Child Hospital
606 Quirino Highway, Bagbag, Novaliches, Quezon City 1116

Date of Monitoring: June 13, 2018 FULL COMPLIANCE DATE: _____________________

Date Prepared: August 20, 2018

FINDINGS:
 Valid Memorandum of Agreement with Ambulance
PROGRAMS
 Mother-Baby Friendly Accreditation or received copy of letter of intent
 TB Referral logbook
PERSONNEL
 Copy of the following:
- Medical records officer – Contract, trainings, ICD-10 trainings and Records Management Training
- Nurse Supervisor – Diploma, valid PRC license, contract, Master’s Degree in Nursing or at least 9 units.

PHYSICAL PLANT REQUIREMENT

 To provide all oxygen tank with strap/holder – submit photo as proof.

EQUIPMENT/INSTRUMENT
Submit photo and official receipt of the following:

ADMINISTRATIVE SERVICE
 Ambulance – submit MOA

MONITORED BY:
1. Dr. Alberto Ponce Belarmino
2. Abigael Viaña, RN
3. Ronaldo Santos, RMT
4. Engr. Joselito Enriquez