Republic of the Philippines

Department of Education
SCHOOLS DIVISION OFFICE OF BAYUGAN CITY

LEVEL OF IMPLEMENTATION BY THE SCHOOLS OF THE MODULAR DISTANCE

LEARNING DELIVERY MODALITY
School Name:
Address: School ID:
District: Date monitored:
School Head: Position/Designation:

Directions:

Please check the appropriate column of the level of implementation of the learning
delivery modality by school to determine the level of implementation with the prescribed
steps using the following criteria/rubric for rating below.
5 Highly Implemented HI
4 Implemented I
3 Moderately Implemented MI
2 Somewhat Implemented SI
1 Not Implemented NI

Descripting
Rating Requirements
Rating
School Heads, school personnel, and community support teams are follow
Highly all the processes of implementing the modality; the facilities and logistics
5
Implemented required under the modality have been proven to be more than adequate;
MOVs available show that processes are followed the required
School Heads, school personnel, and community support teams are able to
follow perfectly the process of implementing the modality; the facilities and
4 Implemented
logistics required under the modality are adequate; required MOVs present
show that the steps are followed.
School Heads, school personnel, and community support teams are able to
Moderately fairly follow the process of implementing the modality; the facilities and
3
Implemented logistics required under the modality are somewhat adequate but 1 or 2
major process are not followed ; 1 or 2 MOVs required are not presented
School Heads, school personnel, and community support teams have
Somewhat shown difficulty in following the process of implementing the modality; only
2
Implemented 2 or 3 facilities and logistics required under the modality are prepared; 5 or
MOVs required are not presented
School Heads, school personnel, and community support teams did not
Not follow the required process of implementing the modality; the facilities and
1
Implemented logistics required under the modality glaringly inadequate; No MOVs
presented to show that steps were followed.

HE E ME SE NE
No. INDICATORS Remarks
5 4 3 2 1
Modular Distance Learning
The school is actually using the organized
1
sections of learners for modular distance learning
 The school is using a class program with
2 corresponding Weekly Home Learning Plans for
the Modular Distance Learning
The school was able to access and harvest soft
3 copies of the modules for reproduction from the
designated google drive
The school was able to reproduce the
4
modules/activity sheets in a timely manner
The school was able to reproduce the modules at
5 the desired ratio of 1:1 or at the ratio stated in
the school’s BE-LCP
The school has handed out modules/activity
6 sheets in a timely manner that allows learners to
follow the Weekly Home Learning Plan
The school has distributed the learners’ materials
7 at 1:1 learner to material ratio in all subject areas
(or ratio as stated in the school’s BE-LCP)
The school mechanism for the distributing the
8
learners materials is followed
The designated distribution area is accessible to
9
all
The distribution of learners’ materials have not
10
violated any health protocols
The facilities for observance of basic health
protocols such as hand washing facilities with
11
soap and thermal scanner are actually available
and functional
The community support group has actually
12 helped the school in implementing the modular
distance learning modality
The school has monitored that all enrolled
13
learners have received their modules
The mechanism for following up with the learners
14 if they understood the tasks required in the
module is functional
The mechanism for communicating to the parents
15
the performance of the learners is functional
The mechanism for providing feedbacks to
16 learners about the performance and areas for
improvement is functional
The mechanism for providing technical assistance
to the teachers in the implementation of the
17
modular distance learning is functional/have
been utilized
The mechanism for providing technical assistance
to parents/family member in providing support to
18
learners in undertaking modular distance
learning is functional

OBSERVATIONS, EXPERIENCES, AND CONCERNS ON THE CLASS OPENING SY 2020-

2021

To be shared during a short focused-group discussion by the School Heads, Selected

Teachers, and Community Support Group (to include LGU Officials, PTA Officers, Civil Society
Organizations). Such FGD shall strictly observed the DOH/IATF-prescribed Health Protocols.

Instructions: Based on your experience, please provide your honest answers to the following
guide questions.
 1. What were the preparations of the schools for the opening of classes for SY
2020-2021? How did you ensure that these preparations were actually
implemented?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
2. What factors facilitated the successful opening classes? How did the school
harness/took advantage of these factors?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3. What were the areas in the preparation for and in the implementation of these
preparation during the opening of classes that need improvement? How do you
intend to improve these areas?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
4. What issues, concerns, gaps, and problems would you want to bring to the level
of the Division Office? What forms of assistance are you seeking from the
Division Office?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
5. What recommendations would you like to offer to improve the conduct of the
opening of classes and of the school year in general?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

SUMMARY OF FINDINGS:
__________________________________________________________________________________________
__________________________________________________________________________________________

RECOMMENDATIONS:

__________________________________________________________________________________________
__________________________________________________________________________________________

Evaluated by:

_____________________________________ _____________________________________
Signature over Printed Name Signature over Printed Name

Concurred by: Noted:

_____________________________________ _____________________________________
Principal/School Head Schools Division Superintendent
 LIST OF MEANS OF VERIFICATION

No. INDICATORS MOVs Remarks

Modular Distance Learning

Name and no of
The school has actually used the organized sections by grade level
1
sections of learners for modular distance learning with List of learners
per section
The school is using a class program with
Class Program, Weekly
2 corresponding Weekly Home Learning Plans for
Home Learning Plan
the Modular Distance Learning
The school was able to access and harvest soft Screen shot of the date
copies of the modules for reproduction from the of downloading of
3
designated google drive modules from google
sheet
The school was able to reproduce the Daily/Weekly record of
modules/activity sheets in a timely manner modules
4 reproduced/Copy of
the Division Module
Monitoring Form
The school was able to reproduce the modules at
List of modules
the desired ratio of 1:1 or at the ratio stated in
5 reproduced and
the school’s BE-LCP and with consideration of the
distribution list
Division issued Module Utilization Plan
Narrative Report with
The teachers have handed out modules/activity
pictures and
sheets together in a timely manner that allows
6 Distribution list of
the with the Weekly Home Learning Plan (printed
modules with Weekly
or digital)
Home Learning Plan
Narrative Report with
The school has distributed the learners’ materials pictures and
7 at 1:1 learner to material ratio in all subject areas Distribution list of
(or ratio as stated in the school’s BE-LCP) modules per section
per grade level
Narrative Report with
pictures and
The school mechanism for the distributing the highlighting the
8
learners materials is followed procedure and steps
followed in the
distribution of modules
Map/Guide posted at
the entrance of the
school, pictures/videos
The designated distribution area is accessible to showing the
9
all parents/stakeholders
using the distribution
area with observance of
health protocols
Narrative Report with
pictures of participants
The distribution of learners’ materials have not receiving the modules
10
violated any health protocols with pictures or video
showing that health
protocols are observed
The facilities for observance of basic health Physical presence of
11
protocols such as hand washing facilities with the facilities, Pictures
 soap and thermal scanner are actually available of parents upon their
and functional use of the
facilities/equipment
The community support group has actually Narrative Report with
helped the school in implementing the modular pictures and
distance learning modality attendance sheet of
community support
group, pictures
12
showing support group
manning entrance/exit
areas, using thermal
guns, distributing
modules, others
Distribution list of
modules with highlight
The school has monitored that all enrolled
13 of what student/parent
learners have received their modules
has not yet received the
module
Communications tool
with record of the
teacher following up
The mechanism for following up with the learners the learner such as
14 if they understood the tasks required in the SMS, FB messenger,
module is functional letter with time and
date of when the
teacher has followed up
the learner/parent
Communications tool
with record of the
teacher following up
the learner such as
The mechanism for communicating to the parents
15 SMS, FB messenger,
the performance of the learners is functional
letter with time and
date of when the
teacher has followed up
the learner/parent
The mechanism for providing feedbacks to records of teachers
learners about the performance and areas for providing feedback to
improvement is functional learners Screenshot of
16
SMS, FB Messenger,
minutes of dialogue
with parents
The mechanism for providing technical assistance Minutes of the
to the teachers in the implementation of the conference/meeting
modular distance learning is functional/have with teachers, screen
17 been utilized shot of google meet,
sms, fb messenger,
Discussion notes on
LDM2 implementation
The mechanism for providing technical assistance Feedback forms, screen
to parents/family member in providing support to shot of SMS or FB
learners in undertaking modular distance Messenger, minutes of
18
learning is functional dialogue/conference
with parents either f2f
or thru call