Republic of the Philippines

Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF LEYTE
Government Center, Candahug, Palo, Leyte
CONTEXTUALIZED DIVISION MONITORING CHECKLIST FOR SCHOOL READINESS

Name of School: PAGSULHUGON CS District: BABATNGON II

Name of Teacher: ERMA MELISSA T. OBLENA Contact Number: 09610296493
DepEd E-mail:ermamelissa.oblena@deped.gov.ph

General Instruction

Please provide necessary data asked in this tool. Present this form to the SDO
monitoring team who will validate the entries provided. Should you have queries, feel free to
approach your District Head.

A. CLASS PROGRAMMING AND TEACHERS LOADING

A-1 Data on Enrolment and Weekly learning plans
Place numbers in the blank boxes in the table below
Grade Level
K Gr.1 Gr.2 Gr.3 Gr.4 Gr.5 Gr.6 Gr.7 Gr.8 Gr.9 Gr.1 Gr. 11 Gr.12
0
Enrolment 26
No. of
printed
Enrolment 26
List (in the
hands of the
advisers)
Total No. of 8
Weekly
Learning
Plan
(Wk.1)place
d inside the
Learning
Packages
Total Enrolment (as of the date of visit): __26_____________________
Total Number of Weekly Learning Plans printed (Wk1) __26________

A-2 Teachers’ Program

Total Number of teachers in school: _____________
Place a check mark and the
Items to be considered in the Teachers’ Program actual number if complied Remarks
/ or x Actual Number
Reflects the load assignment of teachers / 340 minutes
Details the specific tasks to be performed throughout the /
week aligned to modality being offered by the school.
Copies duly received by teachers /
Other concerns

A-3 Teachers Loading

Is there a document in school showing the teachers’ load assignments for the school year? yes
Are all subjects loaded to teachers in school (warm bodies) ? yes
Are there loads assigned to teachers who are not yet in school? N0 (if yes how many___) none
Management decision to be made: ________________________________________________________
 Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF LEYTE
Government Center, Candahug, Palo, Leyte
(if the school has a need for additional teacher)

B. LEARNING RESOURCES
B-1 MODULE REPRODUCTION (Q-1)
Total Total number of Total number % accomplishment
Grade Level Enrolment modules to be of printed GAP
printed modules
EsP 26 4x26=104 3x26=78 104-78= 26 (78/104)x100=75%
English 26 7x26=182 3x26=78 182-78=104 (78/182)x100=43%
Math 26 9x26=234 2x26=52 234-52= 182 (52/234)x100=22%
Science 26 9x26=234 3x26=78 234-78= 156 (156/234)x100=67%
MAPEH 26 20x26=520 2x26=52 520-52= 468 (52/520)x100= 10%
Araling Panlipunan 26 7x26=182 3x26=78 182-78= 104 (78/182)x100=43%
EPP 26 5x26=130 2x26=52 130-52= 78 (52/130)x100=40%
Filipino 26 19x26=494 2x26=52 494-52=442 (52/494)x100=11%
TOTAL 26 2,080 520 1,560 (520/2,080)x100=25%
Learner to Module Ratio: 1:1
Remarks: Had completed printing the modules for the week 3 for ESP, English,
Science, Araling Panlipunan
(Be specific and concrete of the action to be made to address the gap)

B-2 LEARNING ACTIVITY SHEETS (Q-1)

Total Total number of Total number of %
Grade Level Enrolment LAS to be printed LAS accomplishment
GAP
printed
AP 26 1 26 0 100%
Science 26 1 26 0 100%
TOTAL 26 1 26 0 100%

Learner to LAS Ratio: 1:1

Remarks: Had printed AP and Science LAS for week 1 only due to availability of ADM
Modules
Management decision to be made: _________________________________________________
(Be specific and concrete of the action to be made to address the gap)

B-3 BUDGET OF LESSON

Total Number of Budget of Lesson (BOL) in school: 8
Are there still some subjects without BOL? NONE
Management decision to be made: Need more bond paper and ink for the
needed reproduction of the modules (to address the gap)
 Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF LEYTE
Government Center, Candahug, Palo, Leyte
B-4 PRINTING AND OTHER SUPPLIES AND EQUIPMENT

Supplies/Equipment Availability Remarks (indicate if new or donated and date of

donation and donor)
/ or x Number
Printers / 2 1 from August 2018 MOOE
1 from Donation(Jason Mayordomo)
Photocopying Machine 0 0
Digital Duplicator 0 0
(Risograph)
Bond papers / MOOE
Corsiga,Hon.Fabi, Friend of
Immaculate,

Computer Ink (bot.) / 6 4 bottles UV ink from MOOE

2 bottles UV ink Donation( Oblena
Family)
Master roll (for Riso) 0 0
Toner 0 0
Plastic/Paper Envelop / 36 MOOE
Others (pls. specify):
Expanded envelop / 54 Donation from May Tam
Pad paper / 1 ream Donation from May Tam
Ballpen / 12 pcs Donation from May Tam
Facemask / Donation from
Alcohol / Donation from

Management decision to be made: __________________________________

(Be specific and concrete of the action to be made to address the gap)

B-5 TV/Video, RBI and other supplementary materials

Do you have learners needing supplementation? _______ Yes ______ No

How many learners would be needing supplementation? ________________________
How many learners would use TV/Video Supplementation? __________________
How many learners would be using RBI as supplemental material? ___________
How many learners would be needing other supplementary materials? ________
Target Number of Gap % of Remarks (school
Available materials in school number of available accomplishment made/ quality
materials materials assured)
needed
TV/Video Supplementary
Materials (MELCs Mapped or
SLM Based)
 Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF LEYTE
Government Center, Candahug, Palo, Leyte
Audio file lessons for Radio-
Based Instruction (MELCs
Mapped or SLM Based)
Others (pls. specify):

Management decision to be made: __________________________________

(Be specific and concrete of the action to be made to address the gap)

C. LEARNING MODALITY AND DELIVERY

How many learners were assigned to Print Modular Distance Learning? __26____

How many leaners were assigned to Digital Modular Distance Learning? _0____

Is there an evidence of guided approach on assigning learners to a modality? _yes

(LDM-1 Portfolio)
Is there a copy of the report submitted to the district on learners needing supplementation? ___Y ___N
Date of submission? ________________

Is there a copy of training design approved by the district head for capability building activity for the
parents on distance learning? No

Number of parents capacitated as of the day of visit: __________________

Number of parents that will still be capacitated: ______________________

Date of conduct of dry run(s): September 21,2020

Expected Number of participant: 15 Actual number of participant: 7

Is there an available list of home-based facilitators with contact details? Yes

Schemes for distributing and collecting modules

Status
Availability Disseminated Remarks
(/ or x) (/ or x)
Distribution Scheme (with time / / The modules were safely
matrix for disinfection of distributed to the parents
modules)
Retrieval Scheme (with time / /
matrix for disinfection of
modules)
Contextualized disinfection of / /
modules schemes with time
matrix

D. HEALTH AND SAFETY PROTOCOLS

Remarks
Items Check if available (functional, sufficient, etc.)
1. Presence of health and / functional
sanitation facilities (thermal
scanner/ handwashing,
triage area/holding area, etc.)
 Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF LEYTE
Government Center, Candahug, Palo, Leyte
2. Provision of COVID related /
supplies for teachers and
staff use (alcohol, face mask
face shield)
3. Distribution booths/area /
(with acetate cover)
4. Health safety applications
like QR codes (for contact
tracing)
Note: the data should coincide with the data submitted to the district and SDO.
Prepared by: ERMA MELISSA T. OBLENA
Date: October 9,2020 Checked and verified by: ________________________
Date: ___________________________________