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-- Document Code:
ti N G 4-6,,
/ .. , -,6,4 Republic of the Philippines SDO-CSFP-QF-OSDS-004
Q Department of Education — Region III Central Luzon
Revision: 00
,z° DIVISION OF CITY OF SAN FERNANDO
. J ‘24 ,... Effectivity Date 04-12-2019
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DIVISION ORDER/ x-' .,- Name of Office:
%-::,,.,.,„.,°'?
'----"*. OFFICE OF THE SCHOOLS
MEMORANDUM/ADVISORY
DIVISION SUPERINTENDENT

OFFICE MEMORANDUM
No. Oil 0 , s 2020

TO Assistant Schools Division Superintendent

All EXECO/Members
All Division Office Personnel

FROM OFFICE OF THE SCHOOLS DIVISION SUPERINTENDENT

SUBJECT SDO CSFP TASK FORCE COVID-19
DATE March 16, 2020

1. Please be informed of the SDO CSFP TASK FORCE COVID - 19 committees in- charge as
recommended in DepEd Memo No. 15. s.2020, First Set of Directives of the DepEd Task
Force NCoV. This Office reiterates to all concerned individuals to adhere to the policy.

SDO CSFP TASK FORCE COVID-19

DIVISION POLICY COMMITTEE

Chairperson: IMELDA P. MACASPAC, Ph.D

Officer — in — Charge
Schools Division Superintendent

Members: SHIRLEY B. ZIPAGAN, Ph.D

Officer — in — Charge
Assistant Schools Division Superintendent

REMEDIOS D. SITCHON
Chief, Curriculum Implementation Division

OPERATIONS COMMITTEE:

Chairperson: LAWRENCE G. AGAPITO, Ph.D

Officer — in — Charge
Schools Governance and Operations Division

Control No.: SGOD-DOMA-2020- 0/q

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#ONLYSANFERNANDO
rA NG A
 Document Code:
. N NG c.o.,
Republic of the Philippines SDO-CSFP-QF-OSDS-004
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< Department of Education - Region Ill Central Luzon
" Revision: 00
ij DIVISION OF CITY OF SAN FERNANDO
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:1 ./' I -N4 , .„ Effectivity Date: 04-12-2019

DIVISION ORDER/ -"---".- .,-:, Name of Office:

''''"-:".' OFFICE OF THE SCHOOLS
MEMORANDUM/ADVISORY
DIVISION SUPERINTENDENT

Team Leader: Justine Danniela C. Arceo, MD

Medical Officer III

COVID Coordinator: Joan Marie C. Baluyut, Nurse II

DRRM Coordinator: Jefferson T. David, PDO II

Surveillance and John Roneil 0. David, Nurse II

Monitoring: Gherine Joy S. Tayag, Nurse II
Marites S. Sicat, Dentist II
Maria Jinky L. Guanlao, Nurse II
(Enclosure No. 2 Item No. 4 to DepEd Memo No. 015, s. 2020)

Public Information & Rico L. Soriano Jr., Nurse II

Awareness Campaigns: John Erindee A. Mallari, Nurse II
Anne Marie G. Apostol, Nurse II
Elizabeth Ann D. Santos, Dentist II
(Enclosure No.2 Item No. 3 to DepEd Memo No. 015, s. 2020)

Situational Report/ Justine Danniela C. Arceo, MD

Hotlines: Joan Marie C. Baluyut, Nurse II
(Enclosure No.2 Item No. 5 to DepEd Memo No. 015, s. 2020)

Reporting/ Referral: School Heads/ Health Leaders/ School DRRM Coordinators

Schools Division Offices, through their respective DRRM Teams as lead, shall:

(Enclosure No.3 Item No 2 to DepEd Memorandum No. 15, s. 2020)

a. Coordinate with the Provincial! City/ Municipal Health Office for preventive measures,
information sharing, and establishment of referral system for persons exhibiting respiratory
infection and/ or exposure to a Person Under investigation or a confirmed case;
b. Prepare and activate a Division Contingency Plan on the 2019-nCoV ARD/ COVID-19;
c. Orient all Division Personnel on the 2019-nCoV ARD/ COVID-19;
d. Deploy Division Health Personnel to monitor closely the health status of the school populace,
conduct health information and dissemination, intensify health education lectures, and
assists schools;

Control No.: SGOD-DOMA-2020-

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#ONLYSANFERNANDO
PAMPANCIA
 Document Code:
Republic of the Philippines SDO-CSFP-QF-OSDS-004
Department of Education — Region III Central Luzon
Revision: 00
DIVISION OF CITY OF SAN FERNANDO
Effectivity Date: 04-12-2019

DIVISION ORDER/ Name of Office:

OFFICE OF THE SCHOOLS
MEMORANDUM/ADVISORY
DIVISION SUPERINTENDENT

e. Monitor DepEd Offices and schools including learners and personnel exhibiting respiratory
infection and refer to the nearest hospital;
f. Provide necessary assistance, such as but not limited to, funds and hygiene kits, to schools;
g. For identified areas with persons under investigation or confirmed cases as announced by
DOH, intensify information campaigns on the prevention of the spread of 2019-nCoV ARD/
COVI D-19;
h. Establish local hotline(s) for the schools for queries and information purposes, to be manned
by qualified personnel:
i. Adopt alternative delivery modes (ADM) of education in cases of class suspensions or the
quarantine of learners; and
j. Provide health situational reports from the field to BLSS-SHD and regional office, with copy
furnished to DRRMS and the Local Chief Executive and the City/ Municipal/ Rural Health
Unit.

2. In addition to the safety precautions and protocols stated in DepEd Memo No. 015, s. 2020,
the Division Office requires the accomplishment of the Health Declaration Card (Enclosure
no. 1).

3. The accomplishment of the Health Declaration Card at the SGOD HNU Clinic prior to being
allowed access into the different offices are as follows:
a. Division Office Personnel - Weekly
b. Walk - in Visitors/ Clients - Per Visit

4. For wide dissemination and strict compliance.

IMELDA P. M PAC, Ph.D.

Assistant Schools Division Superintendent
Officer-in-Charge
Office of the Schools Division Superintendent

Control No.: SGOD-DOMA-2020-

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#ONLYSANFERNANDO
PAMPANGA
 Enclosure No. 1

HEALTH DECLARATION CARD

DATE (PETSA):

NAME (PANGALAN): AGE (EDAD):

GENDER (KASARIAN): NATIONALITY (KABANSAAN):

ADDRESS (TIRAHAN):

CHECKLIST

WITH TRAVEL HISTORY OUTSIDE THE COUNTRY WITHIN 14 DAYS

HAVE FEVER OR COUGH AND COLDS OR SORE THROAT

CLOSE CONTACT WITH PATIENTS OR CONFIRMED CASE OF COVID-19

SIGNATURE VERIFIED BY:

91111,-LL4f Article 171 and 172 of the Revised Penal Code of the Philippines, or
::ONLYSANFERNANDO R.4 No 11332 - "Law• on Reoortine olCommunicahk Disease

HEALTH DECLARATION CARD

DATE (PETSA):

NAME (PANGALAN): AGE (EDAD):

GENDER (KASARIAN): NATIONALITY (KABANSAAN):

ADDRESS (TIRAHAN):

CHECKLIST

WITH TRAVEL HISTORY OUTSIDE THE COUNTRY WITHIN 14 DAYS

HAVE FEVER OR COUGH AND COLDS OR SORE THROAT

CLOSE CONTACT WITH PATIENTS OR CONFIRMED CASE OF COVID-19

SIGNATURE VERIFIED BY:

Article 171 and 172 of the Revised Penal Code of the Philippines. or
#ONLYSANFERNANDO
RA No 11332 — "Law on Reporting of Communicable Disease"