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DISTRICT EVALUATION TOOL (Teachers) A.Classroom Setting and Management Remarks ._ Updated Subject Display Board 2. Class Program Name Label . Chalkboard . Bulletin Board Class Library 4, 5. 6. Teacher's Table & Chairs 7. 8. . Teacher's Cabinet/Shelves 9. Pupil’s Chair and Desk (1:1) 10. Health Corner [11 Drinking and Washing Facilities (12. Built-in Toilet (Functional 13. Medicine Kit 14. Trash bins with cover ( segregated wastes ) 15. Hand Washing Facilities /Area 16. Presence of Proper Health Protocols Signage /materials (Entrance of the room) B.Cleanliness and Orderliness 1, Classroom 2. Front yard 3. Back Yard ‘C.Record Management SFI Class Record . Grading Sheets Quarterly MPS subject 1 a0|~I)o} on 8 o0) 0) Pupil’s Portfolio 10. Attendance of Parents during the releasing & retrieval of Modules 11.Instrcutional Monitoring Reports (MOVs: Observation Notes Form) [—12.1PCRF (Portfolio) D.Community Linkages 1. HRPTA Meeting by Quarter (with MOVs) 2. HRPTA Records/ Financial Statement of Donation 3. Evidences of Parents Involvement to School Activities (with MOVs) E.Professional Development Proof of Attendance to post Graduate Studies: Doctoral Degree-5 Doctoral Degree (CAR) with Units-4 Master Degree -3 F.Outstanding Accomplishments National-5_ | Regional-4 I Division-3 District -2 School-1 4 I [ 1. Certificate of Commendation and Citation Citations Received as Coach/trainer 2. Certificate of Commendation as Resource Speaker/ Demo Teacher DISTRICT EVALUATION TOOL (School) I. Implementation of Deped Epectal Programs and of1]2 Project Remarks A. School Safety and Preparedness 1. Availability of Fire Suppression Equipment 2. Presence of Directory with Emergency contact numbers of relevant Government Agencies 3._ Availability of First Aid Kits |. Posting of safety measures and evacuation plan | per safe keeping of vit teaching Manuals, computers and school equipment Presence of DRR instructional materials B. School-Based Feeding Program 1. Achievement of Normal Nuuitional Status of the beneficiaries ‘80% and above-5 70% and above-4 60% and above-3 50% and above-2 40% and above-1 2. List of SBFP Beneliciaries - |. Attendance Records of SBFP Benificiaries C. Wash in Schools (WinS) 1. Provision of Safe Drinking Water t 2. Presence of hand washing Fac 3. Evidences of repair or improvement of existing toilets with MOVs (Narrative/ Accomplishment Reports, Program of Work with Pictures) 4. Presence of hygiene supplies and cleaning materials (MOVs: Narrative report, Pictures, list of Donation, list of Pupils and Hygiene materials received , attendance ted trash bins properly labelled | 6. Posting of Hygiene Signages _ i 7. Deworming of learners (MOVs: Deworming form __ signed by the school nurse ~D. National Drug Education Program (NDEP) | 1, Presence of NDEP Advocacy Signage EE. School Mental Health Program and Adolescent Reproductive Health Program | 1. Presence of signage on proper disposal of sanitary pads in comport rooms. F._Gulayan sa Paaralan (GPP) I 1._Implementation of Compost pit/Composter 2. Presence of manure/ organic fertilizer bank = 3. Presence of seed/seedling bank G. Project WATCH. 1. At least 90% attendance to regular class hours (local form 7 , Certification of the ICT Coordinator /Sch. Head 90% and above-5 80% and above-4 70% and above-3 i 60% and above-2 50% and above-1 Hi, Reading Program 1. Achieved at least 75% progress in reading from non- reader to reader ; frustration to instructional/ independent ;from instructional to independent 2. Complied Phil-IRI pre- and post-test results T._ Child Friendly Environment 1. Evidences of Involvements to school project teams (Budget Matrix, Acc. Report M& Forms 2. Participation of Pupils» school/district/division/national /international activities (MOVs: Certificates Records of Pupils Participation) 3._Copy of issuances on Child-Protection Policy _ J. Learning resources and management Proof of Deped Account in LRMDS portal Proof of utilization of LRMDS Presence of Functional School Library Presence of downloaded instructional Materials from LRMDS_ aeNe

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