Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Paitan Elementary School
Bayombong, Nueva Vizcaya

Enclosure C
QUALITY ASSURANCE MONITORING AND EVALUATION FORM
FOR ASSESSMENT IN KINDERGARTEN WITH INTEGRATION OF SEVERAL SKILLS
(AKISS)
School Year 2020-2021

School: PAITAN ELEMENTAY SCHOOL Teacher: ARLYN M. CADIENTE

District: BAYOMBONG I School Head: JACQUELINE C. DAULAYAN, HT-III

Partly Not
Indicators Evident Remarks
Evident Evident
Program Management
1. The program is delivered as /
planned.
2. The program is managed /
efficiently.
3. Timeliness is observed. /
4. The activities are managed /
efficiently.
5. All activities were /
implemented as reflected in
the program matrix.
6. Facilitators implement /
procedures in the
distribution of materials and
collection of learners’ work
7. Facilitators provide /
authentic rewards and
incentives (appropriate
praises, facial expression,
gestures)
8. Facilitators provide enough /
ribbons for all the pupils.
9. Facilitators manage time /
appropriately (engaged time
on task)
10. Facilitators give clear /
directions.
11. Facilitators implement /
proactive discipline plan
(e.g. detects inappropriate
behavior and intervenes,

Address: Purok 2 Paitan Bayombong, Nueva Vizcaya

Cellphone No.: 09772613042
Email Address: nv.103997@deped.gov.ph
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Paitan Elementary School
Bayombong, Nueva Vizcaya
calls the learners’ attention,
deal with disruption
appropriately to avoid
arguments)
12. Discipline is observed /
during the activities
13. The activities are /
implemented following strict
IATF protocols.

Materials
1. Activity cards/board games /
and materials provided are
adequate and are given on
time.
2. Materials are attractive and /
appealing.
3. Materials have appropriate /
colors.
4. Materials are free of /
ideological, cultural,
religious, racial, and gender
biases and prejudices.
5. Printing of materials is of /
good quality.
6. Illustrations are simple and /
easily recognizable.
7. Hand soap, water and /
sanitizer are readily
available.
Management Team
1. Facilitators are responsive to /
the needs of pupils.
2. Facilitators are courteous. /
3. Facilitators are efficient. /
Venue
1. The venue premises are /
clean, friendly, welcoming.
no hazardous
corners/areas.
2. The venue is well-ventilated /

Address: Purok 2 Paitan Bayombong, Nueva Vizcaya

Cellphone No.: 09772613042
Email Address: nv.103997@deped.gov.ph
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Paitan Elementary School
Bayombong, Nueva Vizcaya
and lighted.
3. The venue is comfortable /
with sufficient space for the
activities.
4. Signages are posted in /
highly visible locations to
promote protective
measures.
5. Learners practice solid /
waste management.
6. Learners segregate their /
trash.
7. Learners know how to clean /
their activity area.
8. Parents help maintain the /
cleanliness of the activity
area.
9. Participants wear well-fitting /
facemask.
10. Participants wash their /
hands before the activity or
as needed.
11. Participants observe /
social distancing.
Participation
1. All learners participated in /
the activities.
2. Learners are actively /
engaged in the activities.
3. Pupils have their /
headdresses as
identification of their school.
4. Pupils have their uniform. /
5. All pupils participated in the /
dance.
6. Pupils have their /
yells/cheers by school.
7. “No bullying” was observed. /
8. Nobody was hurt during the /
activities.
9. Pupils have fun playing /

Address: Purok 2 Paitan Bayombong, Nueva Vizcaya

Cellphone No.: 09772613042
Email Address: nv.103997@deped.gov.ph
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Paitan Elementary School
Bayombong, Nueva Vizcaya
games.

10. Mastery of the following

activities:
a. Addition Trail /
b. Body Letter Relay /
c. Call out /
Number(Addition)
d. Don’t Touch /
e. Fishing Game /
f. Kuna ni Simon /
g. Lacing letter /
h. Letter cover All /
i. Memory Game /
j. Move That Body /
k. Number Connect /
l. Number Mosaic /
m. Number Relay / NOT CONDUCTED
n. Obstacle Course / NOT CONDUCTED
o. Reading /
p. Snake Game /
q. Step on Numbers /
r. Story Retelling /
s. Tapatan /

Evaluation made by: ARLYN M. CADIENTE Date: July 2, 2021

Conformed: JACQUELINE C. DAULAYAN, HT-III Date: July 2, 2021

Enclosure D

Address: Purok 2 Paitan Bayombong, Nueva Vizcaya

Cellphone No.: 09772613042
Email Address: nv.103997@deped.gov.ph
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Paitan Elementary School
Bayombong, Nueva Vizcaya
Report on the Preferred Modality on the Conduct of the 2021 Enhanced Assessment of
Kindergarten with Integration of Several Skills (E-AKISS)
in the New Normal, June 21- July 9, 2021

School: PAITAN ELEMENTARY SCHOOL District: BAYOMBONG I

No. of Participants: 31 PUPILS

Please put a check mark on the preferred learning for each activity.

Activities Modalities
HV OGM OTC RBI
1. Call Out Number / /
2. Body Letter Relay -
3. Lacing Letter /
4. Number Connect /
5. Reading /
6. Number Mosaic /
7. Memory Game / /
8. Storytelling -
9. Number Relay
10. Letter Call Out / /
11. Snake Chase /
12. Kuna Ni Simon -
13. Move that Body / /
14. Obstacle Course
15. Fishing Game /
16. Circle Blind Guess -
17. Don’t Touch / /
18. Addition Trail / /
19. Step on Numbers / /
20. Tapatan / /
Legend: HV – Home Visit
OGM – Online via Google Meet/Video Call
OTC – Online Thru Call
RBI – Radio-Based Instruction

Prepared by: ARLYN M. CADIENTE

Teacher

NOTED: JACQUELINE C. DAULAYAN, ST-III

School Head

Address: Purok 2 Paitan Bayombong, Nueva Vizcaya

Cellphone No.: 09772613042
Email Address: nv.103997@deped.gov.ph