Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF SAN JOSE DEL MONTE CITY
CHECKLIST ON SCHOOL READINESS AND PREPAREDNESS AMIDST COVID
(ASSESSMENT AND EVALUATION)

Prior to the resumption of classes, schools must assess and evaluate programs related to COVID as part of the
adaption of the Office in the “New Normal”.

This checklist aims to measure the capacity of the school to implement and sustain COVID programs to lessen
the transmission of the virus and maintain a healthy and conducive environment to learners and teachers.

Self-assessment will be done on or before __________ .

General Instruction:
All school heads are instructed to truthfully answer the provided questions.

SCHOOL: PARADISE FARMS COMMUNITY SCHOOL SCHOOL ID: 107150

NOT
ACTIVITY / PROGRAM EVIDENT REMARKS
EVIDENT
WATER, SANITATION AND HYGIENE
Compliance to all protocols on WinS Program not limited to:
a. Availability of SAFE and FREE Drinking Water to all learners /
b. Latest water testing result upon request, and sanitary permit (copy posted in /
canteens)
c. Access to handwashing facility with soap and running water (Set up of additional / /
portable handwashing facility)
d. Provision of hand sanitizer or alcohol or soap in every classroom (encircle what is /
available)
e. Encourage compliance to protocols on frequent handwashing and personal hygiene /
(at least before and after each class hour)
f. Provision of washable face masks with additional 2Ply tissue as filter material and /
washable hand gloves to all learners and school personnel (worn at all times and
washed daily after school hours)
g. Provision of shoe racks outside the classroom /
References
(DOH) Administrative Order No. 2020 – 0015 : Guidelines on the Risk-Based Public Health Standards for COVID-
19 Mitigation

(DTI-DOLE) DTI and DOLE Interim Guidelines on Workplace Prevention and Control of COVID-19
http://bwc.dole.gov.ph/images/Linkages/DTI_and_DOLE_

DepEd Order No.10, s. 2016, Policy And Guidelines For The Comprehensive Water, Sanitation And Hygiene In
Schools (Wins) Program

CLEANING, VENTILATION AND DISINFECTION POLICY

Compliance to protocols on Cleaning and Maintenance Systems :
a. Face mask, face shield and gloves must be worn by utility and maintenance /
personnel at all times

Address: San Ignacio St., Poblacion, City of San Jose del Monte, Bulacan
Telephone No.: (044)307-3614  Website: depedcsjdm.weebly.com
Email Address: sanjosedelmonte.city@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF SAN JOSE DEL MONTE CITY
b. Posting of cleaning schedules in all classrooms, laboratories, libraries, toilets, office /
and handwashing facilities (once every 2 hours or at least 3x a day)
c. Door knobs, computer set and any other commonly used equipment must be cleaned /
and disinfected regularly (Before and after every use)
d. All windows must be open at all times. Removal of curtains. /
e. Cabinets and other non – essential learning materials must be kept in storage areas /
f. Misting and spraying can only be done without the students /
Procurement of additional ventilation equipment
Installation of exhaust fans
References
(DOH) Administrative Order No. 2020 – 0015 : Guidelines on the Risk-Based Public Health Standards for COVID-
19 Mitigation

(DTI-DOLE) DTI and DOLE Interim Guidelines on Workplace Prevention and Control of COVID-19
http://bwc.dole.gov.ph/images/Linkages/DTI_and_DOLE_

DepEd Order No.48, s. 2016, Policy Guidelines On Comprehensive Tobacco Control

INFECTION CONTROL
Compliance to protocols on Infection Control:
a. Establish Safety Monitoring Officers (to monitor compliance to safety protocols) /
b. Accomplishment of Health Declaration Sheet (Weekly) /
c. Provision of thermal / infrared thermometer (Guards/Safety officers and Teachers are /
instructed to get the temperature of all the students before entering the premises and
the classrooms respectively)
d. Provision of disinfectant foot baths at the entrance /
e. Equipment, Materials or Vehicles entering the premises must go through a /
disinfection process
f. Practice Bowing/ Nodding as a sign of respect and Waving for greetings instead of /
handshakes and “beso”/ “mano”
g. Limit Parents, guardians entering the school premises to fetch their children only; /
Bystanders are not allowed to enter or stay inside the school premises
h. Directory of Emergency Contact Person with every Class Adviser (to Notify the /
parent or guardian if the student is not feeling well or with high grade temperature)
Compliance to protocols on Physical Distancing
a. 1 meter markers present at entrance, exit, and canteen areas /
b. Limit School-Based Activities – Lessen physical interaction, Group activities, /
Gatherings
c. Classroom Layout – 1 meter distance / 1 seat apart (front, back, sides) /
d. Unidirectional Traffic Flow (Keep Right/1 staircase going up and another for going /
down, etc)
Compliance to protocol on Canteen system:
Not
applicable
a. Decking of recess/lunch break schedule per year level as canteen
is not
functional
b. NO dine-in (1 meter marker or Tray System) Not
applicable

Address: San Ignacio St., Poblacion, City of San Jose del Monte, Bulacan
Telephone No.: (044)307-3614  Website: depedcsjdm.weebly.com
Email Address: sanjosedelmonte.city@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF SAN JOSE DEL MONTE CITY
as canteen
is not
functional
Compliance to protocols on Dismissal Time to avoid crowding at exit points and waiting areas
outside the school:
a. Decking per year level /
b. 1 meter marker towards exit point /
Compliance to protocols on Decontamination Process (if necessary):
a. Available preferred disinfectant solutions /
b. Printed flow of referral system and next steps /
c. Hotlines of nearest BHS, RHU, Hospital and DepEd SHU personnel/COVID /
Coordinator
References
(DOH) Administrative Order No. 2020 – 0015 : Guidelines on the Risk-Based Public Health Standards for COVID-
19 Mitigation

(DTI-DOLE) DTI and DOLE Interim Guidelines on Workplace Prevention and Control of COVID-19
http://bwc.dole.gov.ph/images/Linkages/DTI_and_DOLE_

WASTE MANAGEMENT
Compliance to protocols on Waste Management:
a. No plastic policy /
b. Bring your own tumbler, spoon, fork, plate and lunch box /
c. Provision of pedal – operated or open trash bin per classroom /
d. Regular collection of garbage /
e. Strict implementation of waste segregation /
References
(DOH) Administrative Order No. 2020 – 0015 : Guidelines on the Risk-Based Public Health Standards for COVID-
19 Mitigation

(DTI-DOLE) DTI and DOLE Interim Guidelines on Workplace Prevention and Control of COVID-19
http://bwc.dole.gov.ph/images/Linkages/DTI_and_DOLE_

NUTRITION AND FOOD SAFETY

Compliance to protocols on Nutrition and Food Safety
a. Updated health permit of all food handlers /
b. Face mask, hair net, face shield and gloves must be worn by all food handlers at all /
times
c. Posting of SDO Approved Cycle Menu (Serving of highly nutritious meals with daily /
serving of at least one (1) fresh fruit or fresh citrus fruit drinks)
d. Provision of vitamins for all learners (Enjoin stakeholders for provisions) /
Compliance to protocol on Canteen system:
Not
applicable
a. Decking of recess/lunch break schedule per year level as canteen
is not
functional
b. No dine-in (1 meter marker or Tray System) Not
applicable
as canteen

Address: San Ignacio St., Poblacion, City of San Jose del Monte, Bulacan
Telephone No.: (044)307-3614  Website: depedcsjdm.weebly.com
Email Address: sanjosedelmonte.city@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF SAN JOSE DEL MONTE CITY
is not
functional
References
(DOH) Administrative Order No. 2020 – 0015 : Guidelines on the Risk-Based Public Health Standards for COVID-
19 Mitigation

(DTI-DOLE) DTI and DOLE Interim Guidelines on Workplace Prevention and Control of COVID-19
http://bwc.dole.gov.ph/images/Linkages/DTI_and_DOLE_

Deped Order No. 39, s. 2017 Operational Guidelines On The Implementation Of School-Based Feeding Program
For School Years 2017-2020

Deped Order No. 13, s. 2017, Policy and Guidelines on Healthy Food and Beverage Choices in Schools and
DepEd Office

GULAYAN SA PAARALAN
Year round vegetable and fruit gardening (urban gardening in school and at home) /
Planting of Fruits and Vegetables rich in Vitamin C (to be added to the cycle menu) /
Planted in strategic locations /
Reference:
DepEd Memorandum No.095, s. 2018 Sustaining the implementation of Gulayan sa Paaralan Program in the Public
Elementary and Secondary Schools Nationwide
INFORMATION DISSEMINATION
Awareness campaign for teachers and personnel /
Awareness campaign for learners /
Awareness campaign for parents /
Posting of IEC materials related to COVID to all classrooms, toilets and handwashing facilities /
Posting of IEC materials related to Healthy Food and Beverages Choices in Canteen / /
Feeding areas
Posting of IEC materials related to Infection Control at Entrance Points /
References
(DOH) Administrative Order No. 2020 – 0015 : Guidelines on the Risk-Based Public Health Standards for COVID-
19 Mitigation

(DTI-DOLE) DTI and DOLE Interim Guidelines on Workplace Prevention and Control of COVID-19
http://bwc.dole.gov.ph/images/Linkages/DTI_and_DOLE_

ESTABLISHED SINGLE SOURCE OF TRUTH (SST)

Activate the school based SST for reporting /
Reporting of COVID and other Communicable Diseases using the official reporting template /
Compliance to protocol on Reporting/Referral of Suspected Cases ./
Reference:
DepEd Task Force COVID-19 Memorandum No. 029, Registration of Single Source of Truth at the School Level

Prepared by:

___________________________
School Head

Address: San Ignacio St., Poblacion, City of San Jose del Monte, Bulacan
Telephone No.: (044)307-3614  Website: depedcsjdm.weebly.com
Email Address: sanjosedelmonte.city@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF SAN JOSE DEL MONTE CITY

Prepared by:

CHRISTIA C. TORRES
Principal I

Evaluated by:

LEXTER GARY R. SANTIAGO

DRRM Coordinator

ANGELITA L. APOSTOL
School Health and Nutrition Personnel

Weekly Health Monitoring Sheet

Name Section Sex Age Week 1 Week 2 Week 3 Week 4 Remarks

Address: San Ignacio St., Poblacion, City of San Jose del Monte, Bulacan
Telephone No.: (044)307-3614  Website: depedcsjdm.weebly.com
Email Address: sanjosedelmonte.city@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF SAN JOSE DEL MONTE CITY

Legend:
No History of Exposure to Confirmed COVID-19 patients, No history of Travel Outside the Country within 14
days, No History of Influenza-Like Symptoms within 7 days
History of Exposure to Confirmed COVID-19 patients
History of Travel Outside the Country within 14 days
History of Influenza-Like Symptoms within 7 days

References
(DOH) Administrative Order No. 2020 – 0015: Guidelines on the Risk-Based Public Health Standards for COVID-
19 Mitigation
(DTI-DOLE) DTI and DOLE Interim Guidelines on Workplace Prevention and Control of COVID-19
Deped Order No. 39, s. 2017 Operational Guidelines on the Implementation of School-Based Feeding Program
for School Years 2017-2020
DepEd Order No.48, s. 2016, Policy Guidelines on Comprehensive Tobacco Control
DepEd Order No.10, s. 2016, Policy and Guidelines for the Comprehensive Water, Sanitation and Hygiene in
Schools (Wins) Program
Deped Order No. 13, s. 2017, Policy and Guidelines on Healthy Food and Beverage Choices in Schools and
DepEd Office
DepEd Task Force COVID-19 Memorandum No. 029, Registration of Single Source of Truth at the School Level

Address: San Ignacio St., Poblacion, City of San Jose del Monte, Bulacan
Telephone No.: (044)307-3614  Website: depedcsjdm.weebly.com
Email Address: sanjosedelmonte.city@deped.gov.ph