Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF BULACAN

MONITORING AND SUPERVISION TOOL

(For School Heads)

Name of School Head: ____________________________________ District: ___________________

School Monitored: ________________________________________ Date of Monitoring: ___________

INSTRUCTIONS: In a scale of 1-3 where 1 means Not Observed (NO); 2 means Moderately Observed (MO); and 3 means
Highly Observed (HO). Rate the indicators mentioned below by checking the appropriate column in line with these
indicators.

Means of Verifications Scale

KEY RESULT AREA (Note: Please check the 1 2 3 Rating Remarks
applicable MOVs) NO MO HO
KRA I: INSTRUCTIONAL SUPERVISION
1. Has performed  Copy of the School
instructional supervision Instructional Supervisory
to achieve learning Report
outcomes.  IPCR Observation form
 TA Plan
2. Has accounted for  Copy of the School
learning outcomes of Performance Indicators
schools and centers vis-a-  Improved Gen. Ave. Result
vis goals and targets  Copy of the Consolidated
School MPS
3. Has managed  Copy of the consolidated
instructional system thru school/class program
equitable distribution of  Copy of the summary of
teaching loads and teaching loads
observed teacher-learner  School Form 7
ratio
4. Has inspected regularly  Checklist/Summary of
Daily Lesson Logs (DLL)/ DLL/DLP/WLHP inspected
DLP/Weekly Learning
Home Plan (WLHP)
5. Has enhanced activities  Compilation of parallel test
for the identified Least questions
Learned Skills  Item Bank
 Item Analysis result Report
per subject area and per
grade level
6. Has designed and  Copy of approved school
implemented school training designs/program
programs such as but not proposals
limited to reading program  Compilation of Literacy
and numeracy program and Numeracy Test
Results
7. Has initiated research and  ACR on Capacity Building
innovations contributing to on Research
the department’s  Compilation of copy of
advancement submitted research
proposals/innovations
8. Has conducted school-  ACR on the conduct of
based curriculum review, curriculum review with
Contextualization, and photos
Implementation  Budget of Lesson
 Copy of MELCs
9. Has conducted workshop  ACR on the conduct of
on the crafting of MELCs- workshop on the crafting of
based Activity Sheets MELCs-based Activity
Sheets and worksheets
 Budget of Lessons per
quarter
 Compilation of Sample
output of Activity Sheets
and worksheets
10. Has requested and  Copy of the List/Inventory
distributed instructional of Instructional Materials
materials with acknowledgment
receipt signed by the
teacher
11. Has created committee to  List of committee to
assess performance assess learning
performance
 Terms and References of
Committee Members
 Minutes of the Meeting
12. Has supported in the  Compilation of Certificate
participation of teachers of
and learners in various appearance/participation
activities to various school/district
activities
TOTAL
KRA II: LEARNING ENVIRONMENT
1. Has adhered to Child-  Accomplishment on the
Friendly environment following:
standards and programs - CFSS Policy
- Compilation of
Reports on CFSS
- Information materials
- Advocacy activities
- ACR on regular
meetings with
attendance
- Inventory on CFSS
2. Has prepared the school  Brigada Eskuwela Report
during Brigada Eskuwela  Program of work
and Oplan Balik Eskuwela  ACR
period  Financial Report checked
& signed by the internal
(PTA) auditor
3. Has institutionalized Child  Copy of approved by the
Protection Mechanism PSDS (for elem. And EPS
and processes (per Caretaker for SH) Program
DepEd Oreder No. 40, s., Implementation on Child
2012) Protection and Mechanism
 ACR
4. Has provided ICT  Functional ICT Room
facilities/workshop rooms  WIFI Connection for
as learning support teachers
system
5. Has a clear DRRM  Approved copy of the
 Mobilization Plan DRRM Mobilization Plan
 ACR (meetings, activities
with attendance & photos)
6. Has evaluated the school  Copy of Validated EBEIS
plant, physical facilities (Physical facilities
fitness and safety and management system)
sufficiency with the  School Development Plan
assistance of specialists
7. Has implemented  Signage
environmental education  Photo documentation
programs such as but not
limited to:
- Eco-friendly,
- Child-friendly
- Drug-free
- Smoke-free
- Zone of peace, and
- WINS Program
TOTAL
KRA III: HUMAN RESOURCE MANAGEMENT AND DEVELOPMENT
1. Has conducted at least  Approved Training
three (3) school-based Designs
trainings with approved  ACR
training designs.
2. Has observed 100%  Attendance Log
punctuality and in all Book/sheet
school-related activities.  Form 48
3. Has conducted at least 10  Office/School memo
conferences/staff  Minutes of meeting
meetings with teachers
4. Has initiated and  Teachers’ Portfolio
compiled teachers’
professional documents in
portfolio
5. Has rated all school  Compilation of List of
personnel performance Promoted teachers within
and recommended for a year
promotion  Portfolio of school
personnel/teacher
 Approved IPCRF
6. Has conducted at least  Copy of Approved Action
one (1) action research research
for a year based on  ACR
academic and non-
academic factors affecting
learning progress with
100% implementation of
the intervention
TOTAL
KRA IV: PARENTS’ INVOLMENT AND COMMUNITY PARTNERSHIP
1. Has conducted quarterly  School Letter
GPTA meeting within a  ACR
school year  Minutes of meeting with
photos
 Attendance
2. Has conducted General  Copy of SOSA
assembly and SOSA  Minutes of Assembly
within a School Year  ACR
 Attendance
3. Has generated 100%  Compilation of sample
support from stakeholders Certificates of appreciation
in all school programs and  List of generated supports
projects from stakeholders
 ACR
 Attendance
 Photo Documentation
4. Has led in the preparation  Copy of Received Letter
of E-SIP/AIP and ensures invitation for stakeholders
participation of  Copy of drafts of E-
stakeholders SIP/AIP
 Copy of approved E-
SIP/AIP
 Minutes of meetings
 Attendance sheet for every
meeting
 Photo documentation
5. Has designed programs  Copy of received Letter of
with stakeholders to invitation
address school needs  E-SIP/AIP
 Minutes of meetings
 Photo documentation
 Attendance sheet for every
meeting
6. Has formulated school  Office/School Memo
policies and promoted  Letter of invitation
school discipline with  Copy of School Policy
stakeholders involving stakeholders
 Photo documentation
 Attendance sheet
7. Harnessed participation of  Copy of Received Letter of
alumni and other invitation
organizations (NGOs,  Minutes of meetings
LGUs, PPPs)  Attendance
 Photo documentation
8. Has promoted welfare  Compilation of copy of
and recognized certificate of recognition
accomplishments of and appreciation
stakeholders
9. Has generated school  School Liquidation
funds in cooperation with  Audited Financial
the stakeholders Statement Report (by the
PTA or school auditor)
 Compilation of generated
school funds from
stakeholders (in kind or
cash)
TOTAL
KRA V: SCHOOL LEADERSHIP, MANAGEMENT, AND OPERATIONS
1. Has submitted accurate  Evaluated Monthly School
financial liquidation ON Liquidation Report
TIME
2. Has submitted all  TA Plan
accurate required reports  SISAR
ON TIME such as but not
limited to:
- School Instructional
Supervisory
Accomplishment
Report (SISAR)
3. Has managed to save  Zeroed-out or decreased
75% drop-out rate
PARDO/SARDO/LARDO  School Form of Enrolment
of the previous and current
years
4. Has decreased at least  Failure Rate
75% of failure rate for the  Copy of SF 6
present year from the
previous year
5. Assigned teachers as in-  Compilation of Signed
charge of ancillary (with conformation) Copy
services with signed of School Special
School Special Order/Designation
Order/Designation duties
and functions and such as
but not limited to:
- Clinic Teacher
- School EBEIS
Coordinator
- School Property
Custodian
- Physical Facilities
Coordinator
- Reading
Coordinator
- ICT Coordinator
- GPP Coordinator
- Subject Area
Coordinator
- School Paper
Adviser
- SPG Adviser
- Grade Leader
- Others (please
specify)
6. Has provided at least 10%  Annual Procurement Plan
financial assistance from  Budget Matrix
MOOE to teachers for the  AIP
purchase of materials to  Requisition Slip
be used in IMs  MR
development and
reproduction
7. Has tapped the services  Letter Request
of at least three (3)  ACR
Master Teachers or  Narrative Report
efficient and dedicated  Photo documentation
teachers quarterly on their
field of expertise such as:
-Coaching/Mentoring
-Resource Person/
Speaker
-Demonstration Teacher
8. Has organized functional  Copy of List of School
School Grievance Grievance Committee
Committee  Resolutions
9. Has organized functional  Copy of List of Child
Child Protection Policy Protection Committee
 Resolutions
 Reports/Log Book
10. Has improved/sustained  Copy of Certificate of Level
 SBM Level of Practice of SBM Practice
 SBM Assessment Result
TOTAL
OVER-ALL RATING

Rating = (Sum of Totals of KRA I, KRA 2, KRA 3, KRA 4, and KRA 5) ÷ 44

Rubric :
1 – NO MOVs
2 – Lacking with 1 or more MOVs
3 – Complete MOVs

Agreement:

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Conforme:
____________________________________
School Head

Monitored by:

____________________________________
PSDS