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: _______________________________ District: _______________________

Name of School Head: _________________________ Contact Number: ______________
DepEd E-mail:___________________
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.10 Gr. 11 Gr.12
Enrolment

No. of
printed
Enrolment
List (in the
hands of the
advisers)
Total No. of
Weekly
Learning
Plan
(Wk.1)placed
inside the
Learning
Packages
Total Enrolment (as of the date of visit): ________________________
Total Number of Weekly Learning Plans printed (Wk1) __________

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
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? __Y__N
Are all subjects loaded to teachers in school (warm bodies) ____ Y ____N
Are there loads assigned to teachers who are not yet in school? ____ Y ____ N (if yes how many___)
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 of %
Grade Level Enrolment modules to be printed GAP accomplishment
printed modules

TOTAL
Learner to Module Ratio: _________________
Remarks: __________________________________________________________________________
Management decision to be made: _________________________________________________
(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 GAP accomplishment
printed

TOTAL

Learner to LAS Ratio: ___________________

Remarks: __________________________________________________________________________
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: __________________
Are there still some subjects without BOL? __________________________
Management decision to be made: __________________________________
(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
Photocopying Machine
Digital Duplicator
(Risograph)
Bond papers
Computer Ink (bot.)
Master roll (for Riso)
Toner
Plastic/Paper Envelop
Others (pls. specify):

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)
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? ______

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

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

(LDM-1 Portfolio)
Is there a copy of the report submitted to the district on learners needing supplementation? ___Y ___N
 Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF LEYTE
Government Center, Candahug, Palo, Leyte
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? ____ Yes ____ 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): ________________________________________

Expected Number of participant: _______________ Actual number of participant: __________________

Is there an available list of home-based facilitators with contact details? Y ___ N ____

Schemes for distributing and collecting modules

Status
Availability Disseminated Remarks
(/ or x) (/ or x)
Distribution Scheme (with time
matrix for disinfection of
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
sanitation facilities (thermal
scanner/ handwashing,
triage area/holding area, etc.)
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: ________________________
Date: _______________________________ Checked and verified by: ________________________
Date: ___________________________________