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3 Badac Self Assessment and Audit Form 1
3 Badac Self Assessment and Audit Form 1
Instruction: Put a check ✓ on the box that corresponds to the given questions. FOR C/MLGOO / CD USE ONLY
4. Did the BADAC organize a BADAC Auxiliary Team? ü ü Executive Order w/ attached list of updated
BAT members (Required)
ü BADAC Organizational Structure
ü Copies of IDs issued to BAT members
ü Appointment papers
Others, please specify: ______________________
6. Did the BADAC designate Barangay Duty Officers (BDO)? ü ü Executive Order (Required)
ü BADAC Organizational Structure
ü Copies of IDs issued to Barangay Duty Officers
ü Appointment papers
Others, please specify: ______________________
7. Is there a desk or space in the barangay designated ü ü Actual photo of the desk (Required)
as Referral/BADAC Desk? Others, please specify: ______________________
8. Did the Punong Barangay attend training on ü Copy of Certificate of Participation (Required)
Strengthening BADACs, or other relevant trainings? Copy of attendance sheet w/ the title of the
activity, date/time, and venue
Attestation from the lead organizer
Others, please specify: ______________________
9. Did the Punong Barangay attend any training or planning ü Copy of Cert. of Participation (Required)
session on Community Support, Aftercare, and Reintegration Copy of attendance sheet w/ the title of the
Program (CSAR)? activity, date/time, and venue
Attestation from the lead organizer
Others, please specify: _______________
In case the CADAC/MADACs were not able to organize any
consultation or planning workshop on reintegration program, the
BADACs should check the corresponding box for “N/A” in page 2,
item number nine (9) of BADAC Self-Assessment and Audit Form.
With respect to this, the C/M LGOO or CD shall allocate the
corresponding one (1) point
10. Did the BADAC conduct at least one (1) training for the ü ü BADAC Activity Report with attendance sheets (Required)
BADAC House Cluster Leaders? ü Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
ü Copy of Certificate of Participation awarded to
cluster leaders
Others, please specify: ______________________
11. Did the BADAC conduct at least one (1) training for the ü ü BADAC Activity Report with attendance sheets (Required)
BADAC Auxiliary Team (BAT)? ü Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
ü Copy of Certificate of Participation awarded to BAT
members
Others, please specify: ______________________
12. Did the Barangay Duty Officers attend at least one (1) ü ü Copies of Certificate of Participation (Required)
training on Community-Based Rehabilitation Program or ü Copy of attendance sheet with title of the activity,
other relevant trainings? date/time, and venue
ü Photo documentation
Attestation from lead organizer
Others, please specify: ______________________
13. Did the BADAC conduct at least one (1) consultative ü ü BADAC Activity Report with attendance sheets (Required)
meeting with stakeholders? ü Photo/video documentation
ü Minutes of the meeting/proceedings
Others, please specify: ______________________
14. Did the BADAC conduct regular monthly meetings? ü ü Copies of BADAC monthly meeting minutes with
Number of months in which meetings were conducted attendance sheets (Required)
ü 10-12 months ü Photo/video documentation
8-9 ü Minutes of the meeting/proceedings
6-7 Others, please specify: ______________________
4-5
1-3
0
15. Did the BADAC organize / co-organize at least two (2) ü BADAC Activity Report (Required)
community-based IEC campaign activities? Attendance sheets
Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
Copy of IEC materials used
Others, please specify: _______________________
16. Did the BADAC organize / co-organize at least one (1) ü BADAC Activity Report (Required)
school-based IEC campaign activity? ü Attendance sheets
ü Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
Copy of IEC materials used
Others, please specify: _______________________
17. Did the SK or any youth organizations in the barangay ü Activity report by the youth organization (Required)
conduct at least one (1) drug awareness ü Attendance sheets
campaign activity? ü Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
Copy of IEC materials used
Others, please specify: _______________________
18. Did any Civil Society Organizations (CSOs) conduct ü Activity report by the CSO (Required)
at least one (1) drug awareness campaign activity in ü Attendance sheets
the barangay? ü Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
Copy of IEC materials used
Others, please specify: ______________________
19. Did the BADAC organize / co-organize any activities ü BADAC Activity Report (Required)
in observance of the International Day Against Drug ü Attendance sheets
Abuse and Illicit Trafficking (IDADAIT)? ü Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
Copy of IEC materials used
Others, please specify: ______________________
20. Did the BADAC organize / co-organize any activities in ü BADAC Activity Report (Required)
observance of the Drug Abuse Prevention and Control Attendance sheets
Week (DAPC)? Photo/video documentation
Copies of evaluation or feedback forms
Copy of signed liquidation report
Copy of IEC materials used
Others, please specify: ______________________
21. Did the BADAC submit an updated number of residents ü ü Copy of the Barangay Duty Officer's logbook, or
who surrendered through the Barangay Duty Officers and copy of the logbook/reports from mandated agencies
other mandated agencies? where the resident surrendered (Required)
Others, please specify: ______________________
22. Did the BADAC submit an updated number of residents ü Copy of referral letter from the barangay, received by
who were referred to higher ADACs and other law CADAC/MADAC, or other law enforcement
enforcement agencies for assessment? agencies (Required)
BDO's logbook showing the referral date
Others, please specify: _______________________
23. Did the BADAC submit an updated number and status of ü List of updated number and status of residents
residents who were assessed and enrolled in any enrolled in Wellness and Recovery Interventions
Wellness and Recovery Interventions? issued by CADAC/MADAC (Required)
Copies of Individual Treatment Card/Book
Others, please specify: _______________________
24. Did the BADAC submit an updated number of residents ü List of updated number of residents who completed
who have completed prescribed Wellness and Recovery their prescribed Wellness and Recovery Interventions
Inteventions? issued by CADAC/MADAC (Required)
Copies of Certificate of Completion
Copies of clearance certificate issued by authorized
service provider
Others, please specify: _______________________
25. Did the BADAC submit an updated number of residents ü List of updated number of residents enrolled in CSAR
enrolled in CSAR or any equivalent reintegration program? program, or its equivalent, issued by
CADAC/MADAC (Required)
Copies of Individual Treatment Card/Book
Others, please specify: _______________________
26. Did the BADAC submit an updated number of residents ü List of updated number of residents who completed
who completed the CSAR or any equivalent reintegration the CSAR Program issued by CADAC/MADAC (Required)
program? Copies of Certificate of Completion, or copy of
Clearance Certificate issued by authorized service
provider
Others, please specify: _______________________
27. Did the BADAC submit the Summary of Consolidated ü Certificate of submission from CADAC/MADAC and
Information Report (CIR)? local PNP unit (Required)
Copy of received transmittal form
Others, please specify: _______________________
28. Did the BADAC submit an updated CIR to CADAC/MADAC ü Certificate of submission from CADAC/MADAC and
and local PNP unit? local PNP unit (Required)
Copy of received transmittal form
Others, please specify: _______________________
29. Did the BADAC submit its Barangay CSAR or any ü Copy of approved Barangay CSAR Plan, or equivalent,
equivalent reintegration plan as incorporated in their BADPA? received by CADAC/MADAC (Required)
Others, please specify: _______________________
30. Did the BADAC prepare its own BADAC Plan of Action ü ü Copy of approved BADPA or copy of approved
(BADPA) for FY 2017? BPOPS Plan with BADPA (Required)
Others, please specify: _______________________
31. Did the BADAC appropriate a substantial budget for its ü ü Copy of approved Barangay Annual Budget w/
anti-illegal drug activities for FY 2017? budget allocation for BADAC (Required)
Others, please specify: _______________________
32. Did the BADAC submit its Annual BADAC Accomplishment ü Copy of Annual BADAC Accomplishment and Fund
and Fund Utilization Report to CADAC/MADAC and other Utilization Report (Required)
agencies? Others, please specify: _______________________
Audited by:
Noted by: