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Republic of the Philippines

Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

BRIGADA ESKWELA 2021 MONITORING AND EVALUATION TOOL

SCHOOL NAME:  
SCHOOL
ADDRESS:  
SCHOOL ID:  
Elementary
Secondary  
Small
Office Phone
Medium Number
Please Check School
Large
Appropriate Box Contact
Mega Details Email
Address
 
Contact Number School Head
   
Contact Number: BE Coordinator
   

Total Amount of Total Number


Total Number of
Resources of
Students
  Generated   Beneficiaries  

Total Number of Total Number of


Teaching Personnel Non-Teaching
  Personnel      

Major Brigada  
Pagbasa Project
(Brief Description)

I. PARTNERSHIP INITIATIVES AND ACTIVITIES - 40%


A. Community – Home Partnerships (5%)

Moderately Total Total


Evident POINTS POINTS Highly Evident Pts.
Evident Pts.
MET MET Met
90
1 2 3 6
1. Parents and other If with plan and   If with Tutorial   If with file of    
community members timeline, with Hub, with narrative report
are involved in the invitation letters reading and analysis on
school reading with stakeholders materials in the project, with
and with tutorial hub plan of ways
program. (Literacy attendance log and with copy forward and
DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

of
school/district
memo or any with output from
and Numeracy) book
legal bases on the program
reading
program
If with school
If with previous
If With copy/file of and municipal
2. Collaboration of and existing
legal bases re: federation of
school and Municipal collaboration
Homeroom PTA PTA set of
projects of PTA
Federation of and its Federation officers and
and Complied to
 
board
  and with list of    
Parents and beneficiaries of
Teachers the timeline on members and
PTA projects on
Association. conducting conduct of
previous and
election PTA Forum
current year.
and Assembly
If with
Coordination
If with
with LGU’s
Collaboration on
(province,
3.LGU’s (province, preparation for the
city/municipal
city/municipal or opening of classes
or barangay)
barangay) and Brigada
re: allocation If With records
collaboration on Eskwela planning,
of file and report
LGU’s participation
preparation for the implementatio on collaboration
in Brigada  
n of LSB or
 
with LGU’s and
   
opening of classes Eskwela,
and Brigada Eskwela SEF and With With plan on
Attendance
planning and previous and trail ahead
logbook,
implementation.(LSB, existing
Certificates ,etc.
projects and
SEF) and Plan is
activities
included in the BE-
assisted or
LCP
sponsored by
LGU
4. Capability building
(Webinar/training) of If with work If With output of
If with
parents and other program and the activities,
school/district
with 3 or more With evaluation
stakeholders in the memorandum or
  kinds of   and result of the    
community as advisory on the
stakeholders activity and
facilitators of home- activity and with
participated in With plan of
based teaching and plan and timeline
the activity. ways forward
learning.
If with copy of
5. Collaboration to school/district If with file of
develop interventions If with invitation memo or any narrative report
to improve teaching letters with legal bases on and analysis on
processes, draw stakeholders and teaching the project, With
with attendance
 
improvement
 
plan of ways
   
greater support from
parents, LGU and logbook, process and forward and
community certificates, etc. with previous with output from
organizations. and existing the program
interventions
6. Learning at Home- ●With plan and ● With records ● Means of
timeline from
 
or MOV’s of
 
evaluation of
   
Families help
DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

parents and
children do their other
homework and they students’
members of
homework and
are involved in other schools of family the families
with output on
curriculum-related activities assisting their
all homework
activities and children and
done
decision. with learning
space at home
7. Family members
of pupils/students ● With
and other residents ● With attendance
prepared ● With
actively participate in logbook/certificate
activity documentation /
s and with plan
designing, supporting and timeline from
  designs and   records of    
and monitoring monitoring tool activities and
schools of family
activities of the for the with plan ahead
activities
school and activities
community.
8. Family resource
centers, early
childhood
developments
programs, and
coordinated health
and social services
build on individual
strengths and
enhance family life.
(Ex: Inviting parents
to conferences, ● With
assemblies not only ● Invitation letter, prepared
on problem solving attendance program and ● With
logbook, activities for documentation
but also in webinars,
certificates etc.   schools and   analysis/records    
Holding School Open and With plan of family With of activities and
House Day where action, timetable output and list With plan ahead
parents are exposed and logbook of
to school life through beneficiaries.
displays of students
output, Assigning
parents as judges in
school contest,
Including parents in
school planning,
Monitoring and
Evaluation Team,
Involving parents in
school feeding
program, Etc.
9. Sustainability of ●With plan and   ●With request   ●With Gulayan    
food supplies target of to LGU, NGA sa Tahanan
security for students volunteers for for materials activities
and families. school like seeds, supervised by
DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

plants and parents and


trees or tools teachers.
● With
documentations
● With
of implemented
advocacy
●With records or activities of
10.Providing campaign
log book of volunteerism
volunteerism materials on
volunteers and and With more
the spirit of
opportunities for both With plan of action  
volunteerism
  than 50    
school and and time table for volunteers for
and With
community information small school
designed
dissemination and another 50
activities of
in every
volunteers
succeeding
school sizes.
● With
● With
● Variety of advocacy
documentations
11. Communication communication campaign
of implemented
media for information media for materials to
activities and
information strengthen
dissemination to With
dissemination and   school-  
communication
   
strengthen school– With plan of action community
community media
and time table for partnership
partnership. dissemination
student s org. and and With
except from
assemblies output from
social media.
the activity
● With
attendance or ● With filed
12.With virtual ● With set of
record of report/output on
students officers
students assemblies attendees from previous activity
and With        
and safe organizational
virtual of students
communication. students assemblies and
chart of the council
organization other activities
activities.
● With filed
● With analysis
report/output/
of the council
13.With Functional ●With conference documents on
action/decision
‘/meetings previous
School Governing attendance/log
 
activity of
  and    
Council achievements
book school
and With plan of
governing
trail ahead
council.
● With file of
●With project of
14. Records on stakeholders / ● With
encouraging
partners appreciation to
Testimonies on community to write
  testimonies on   partners school    
School- Community testimonies and
school- community
Partnerships. Other activities log
community partnerships.
book
partnership

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

●With
15.With collaboration ●With conference
improvement
on evaluation to ‘/ meetings
plans to
formulate attendance/log ● With analysis
determine
book on evaluation of the projects
improvement plans resources
and formulation of     and activities as    
and determine improvement plan
needed and
well as plan of
resources needed to improve
to improve trail ahead.
improve teaching- teaching
teaching learning
learning processes. learning
process.
process.

  GRAND TOTAL            

Computation shall be based on the acquired points over 90 targeted points multiplied by 5 %
Scor  
then product multiplied by 100.
e

I. PARTNERSHIP INITIATIVES AND ACTIVITIES - 40%


B. Home Learning Spaces and Activities 5 %
Moderately Highly
Total
Evident (1pt) Evident Evident Total
Pts
(2 pts) (3 pts)
If with
if with  
Check the box if coordination
documents If with plan
with the families Points Points
indicators are on home
supporting the of actions
Met condition/descri Met of ways
available and write learning spaces
the corresponding and with
ption of current forward in 15
score. home learning every
attendance
spaces of every indicator
record / logbook
indicator from from 1-5
on virtual/f2f
1-5
coordination
1. Report on student’s
dedicated and
             
comfortable space for
learning at home.
2. Home learning
space is visual and              
with well-lit area.
3.With variety of
reading materials and              
attainable to learners
4.With plan and
             
predictable learning
5. Home learning
space is with visual
displays of              
independent works or
play.
DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

Grand Total            
Computation shall be based on the acquired points divided by the
  Score  
targeted 30 points multiplied by 5 % then product multiplied by 100

I. PARTNERSHIP INITIATIVES AND ACTIVITIES - 40%


C. Engagement Strategies and Activities 5%
Total
Moderately Highly
Evident Pts.
Evident Evident
Met
1 Pts Met 2 3 60
●With
  ● With analysis  
● With and plan of
attendance, Total
documents Pts Met action of ways
letter, record / Pts. 6
supporting how forward on how
logbook of
the strategies effective the
virtual/f2f
were strategies are
activities
implemented on and
including
every indicator improvement of
dates and
from 1-5 every strategy
participants.
from 1-5
1.Development plans
and work programs
             
relevant to new
normal
2.Virtual Brigada
             
Eskwela Forum
3.Online
orientation /capacity
building on Adopt-A-
School and
             
partnership building
strategies in relation
to the Learning
Continuity Plan
4.Information
campaign to flexible              
learning option
5.Engagement of
partners to support
             
new learning
management system
6.Virtual Partnership
             
Appreciation Program
7. Discuss the new              
direction of basic
education. (Different
Challenges, BE-LCP
and partnership on its

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

implementation)
8.PTA Forum and
             
Gen. Assembly
9.Sharing of
partnership best              
practices
10.Partnership for
printed materials and
supplies for remote
learning for the
learners, teachers
             
and parents (bond
paper, worksheets,
notebooks,, pad
paper, pen ,crayon,
pencil etc.
Grand Total            
Computation shall be based on the acquired points divided by the
targeted 60 points multiplied by 5 % then product multiplied by
100.    
Score

I. PARTNERSHIP INITIATIVES AND ACTIVITIES - 40%


D. School District Collaboration 5 %
Moderately Total
Evident Highly Evident
Evident Pts. Met
1 2 3 60
● Means of ● Plan of  
coordination/ actions/ ● With narrative
Pts Pts Total
  activities with the timetable on analysis and
Districts. Ex. Met coordination Met action plan of Pts. 6
Attendance, and activities ways forward on
Letter, Logbook, and File how to improve
Certificate, records of coordination to
Calls,/Social implemented District Office.
Media, Etc. activities
1, Coordinate with
School District
Offices and
convene local              
school board to
identify possible
support to school.
2. Participation in
districts activities
like webinars,              
training,
workshops .etc.

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

3. Participate in
district
preparatory              
meeting for
Brigada Eskwela
4. Programs,
Projects and
activities              
coordinated to
school district
5. Recognition,
Awards given by              
the school district
6. Coordination
with school
district on disaster              
risk reduction and
resiliency
7. Coordination
with school
district on              
sustainable food
supply at home.
8. Coordination
with school
             
district with WinS
program
9. Coordination
with school
district on
             
Reading program
literacy and
numeracy
10.Collaboration
with school
             
district with
feeding program
               
Computation shall be based on the acquired points divided by
the targeted 60 points multiplied by 5 % then product multiplied  
by 100. Score

I. PARTNERSHIP INITIATIVES AND ACTIVITIES - 40%


E. Brigada Eskwela Program Readiness 5%
Highly Total
Evident Pts Moderately Evident Pts Total
  Evident Pts. Met
Met Met Pts. 6
1 2 3 30

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

Hard copy of Plan is reflected to


Plan is efficiently
plan with SIP/
1.Action Plan and followed supported
predictable  
by documents and
  AIP and 100 %    
Work Program activities from implemented with
output.
08/03 t0 09/30 positive output
Efficiently
Efficiently
2.Compliance to Implemented advanced 100%
  implemented right on      
timetable almost on time
time
implementation on
time
3.Availability of BE Documents
Documents and its Documents Documents Efficiently
report to submitted   Efficiently submitted   submitted in    
Division/District almost on time right on time advance and 100%
Office implemented
4.Accuracy of BE
report to DPDS, Tallied in DPDS ,
Tallied in DPDS with
Tallied in acknowledgement
Inventory Slip and DPDS
  acknowledgement  
receipt and
   
Acknowledgement receipt
inventory slip
Receipt
Expenses
Expenses Expenses efficiently
5.Liquidation of all efficiently
liquidated   liquidated right on  
liquidated in
   
Expenses on time almost on time time
advanced
Grand Total            
Computation shall be based on the acquired points divided by
the targeted 30 points multiplied by 5 % then product multiplied  
by 100. Score

I. PARTNERSHIP INITIATIVES AND ACTIVITIES - 40%


F.    Engagement to all education stakeholders 5%
Community Private Sector Pupil/Student
NGA’s and other
Local Government Involvement Involvement Organization
government
Unit - Barangay/ including NGO’s including Corporate (SSG/SPG)
organization and
City/Provincial/ SK and Professional Foundations and Alumni
public corporations
Associations Private Schools Associations
         
Target stakeholder per group is 2 partnerships to get 2 points, below 2 partnerships shall
be given 1 point.
Points met divided by targeted partnerships (10) then multiplied by 5% and product
multiplied by 100.  

Score

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

I. PARTNERSHIP INITIATIVES AND ACTIVITIES - 40% Tick check if


G. Involvement of Partners in Brigada Pagbasa with the indicators are
evident
following key activities 5%
1.Collaboration with partners to secure the list of struggling learners and non-readers per
grade level
.2.Coordinate/collaborate with LGU in mapping the location of struggling learners per
grade level
3. Collaborate with LGU’s on mapping community volunteers (Student Teachers, PTA
Officers, Church Partners Etc.) to be equipped on teaching, reading and handling
remediation classes. for Brigada Pagbasa
4. Train volunteers (PTA Officials, on methods and techniques to teach beginning
reading and use the Reading Remediation Toolkit
5. Plan with teachers and community educators on the implementation of the Brigada
Pagbasa Reading intervention.
6. Partnership on pre and post Core Reading Skills Assessments using Functional
7. Literacy Assessment Tool( FLAT) to identified children by trained parents, caregivers,
community educators and Child Leaders/ Facilitators.
8. Mobilized trained Brigada Pagbasa facilitators to develop contextualized reading
materials and books for reading sessions with children.
9. Review of contextualized reading materials and books for reading sessions with
children.
10. Mobilized and support trained Brigada Pagbasa Facilitators to implement reading
and literacy building interventions to children’s tutorials (Reading, English, Science and
Math)
11. Brigada Pagbasa Roll Out, 2 to 3 Hours Reading Remediation Session(Story Telling,
Teaching Beginning Reading, Drills)
12. Conduct feed backing and reflection activities with teachers and community
educators to identify gaps and lessons learnt in the project roll out.
13. Partnership on School Development of Program Tutorials
14. Partnership on Establishment of Reading Help Desk or Tutorial Hubs
15.Specify other initiated school literacy and numeracy activities and interventions.
16. Alignment of Brigada Pagbasa to BE-LCP
Computation shall be based on the acquired pts divided by 16 points multiplied by 5%
then product multiplied by 100
Score

I. PARTNERSHIP INITIATIVES AND ACTIVITIES - 40%


DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

H. Number of Beneficiaries 5%
Number of Teacher
Number Student Number of Non-Teaching Total Number of
Beneficiaries
Beneficiaries Personnel Beneficiaries Beneficiaries

In Scoring the Number of Student Beneficiaries: SCORE


91 - 100 % performance of learners under the program - 100
71 - 90 % performance of learners under the program - 80
51 - 89% performance of learners under the program - 75
0 - 50% performance of learners under the program - 50

Computation shall be based on the total number of beneficiaries over targeted number of beneficiaries (as
agreed this has to be 100% meaning this is the sum total of the number of students under the
program + number of teaching and non-teaching personnel) multiplied by 5% and product multiplied by
100.The targeted number of beneficiaries is computed based on the total number of students, teachers and
non-teaching personnel. Process shall be supported by documents through signature of beneficiaries.
Example computation:
Number of beneficiaries based on the rubrics above - 100
Number of Teacher Beneficiaries - 25
Number of Non-Teaching Personnel Beneficiaries - + 5
130
100% of learners under the program and Personnel ÷ 130
1
X .05
0.05

II. GENERATED RESOURCES (converted into peso – worth) - 30 %


Elementary Level Secondary Level
Category Number of Resource Category Number of Resource
Teachers Generated Teachers Generated
(National) (National)
Small School 9 and below 90,000 and above Small School 9 and below 100,000 and
above
Medium 10-29 200,000 and Medium 10-25 300,000 and
School above School above
Large School 30-50 300,000 and Large School 26-100 500,000 and
above above
Mega School 51 and above 500,000 and Mega School 101 and above 1,000,000 and
above above
No. of Inventory Amount

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

Custodian Slip with


corresponding
amount.
No. of Property Amount
Acknowledgment
Receipt with
corresponding
amount.
Computation shall be based on the following;
Target met and tallied 30 %
Target not met and tallied 20 %
Target met but not tallied 10 %
Target not met and not tallied 5%

Score
Note: This pertains to generated resources to support the BE-LCP implementation and health and safety
protocols. The amount of generated resources shall include all donations-in-kind and equivalent amount of
items based on the prevailing market value and reflect to the equivalent of the volunteer man hour services.
All donated items classified as property, Plant and Equipment are properly recorded in the book of
accounts as stipulated in DepEd Order No. 82, s. 2011 titled “Guidelines on the Proper Recording of all
Donated Properties.” It shall also include all resources accepted after the steering and working committees
were formed and commence to execute their functions.
All amounts of generated resources shall be tallied in DPDS, Inventory Slip and Acknowledgement
receipt.

III BAYANIHAN EFFORT TO SUPPORT BE-LCP 20%


In case of tie, partnerships in private sector and other non-governmental organization will be given higher
weight after evaluation. (Use separate sheets if needed)
This pertains to Highly Total Total
school s Evident Moderately points point
Evident
collaborative effort 6 met
with various 1 Evident 3
stakeholders to
support the 2
implementation of
the BE-LCP Means of school Points With   Points  With analysis
resourcing efforts; Met documentation of Met and reports of
including school
With partnership activities and the projects
mandatory proposal or letter With documents and activities
preparation to sponsor and of simple turn and With plan
activities and Other documents over, with deed of ahead and
works to of project donation and ways of
accommodate existence.(plan, acceptance, improvement
learners and program, MOA, MOU and for the next
continuation of attendance, other same project.
learning certificates, etc.) agreements.
opportunities.
Further, with
partnerships in
DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

raising the
availability of
1. Engage partners
in the provision,
delivery, retrieval
or assessment in
the Modular
Learning System
             
and other
supplementary
materials for
learning. (work
sheets, activity
sheets Etc.
2. Engage partners
in the promotion
and provision of
distance multiple
learning delivery
modalities such as              
local radio/TV
stations and other
available media as
initiative to deliver
the curriculum.
3. Engage parents
in the promotion of
new school system
and their new role
             
to increase
involvement in the
learning of their
children.
4.Partnership in
psychological first
aid or other              
interventions and
debriefing
5.School –Family –
Partnership on
Gulayan sa              
Tahanan /
Paaralan.
6. Coordination to              
clean and disinfect
school buildings,
classrooms and
other school
DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

facilities
7. Identify
resources and
partnerships
necessary for High              
Tech, Low Tech or
No Tech aide for
learning
8. Partnership on
teachers and
community
educators on the
             
implementation of
the Brigada
Pagbasa Reading
intervention
9. Availability of
printing
information
materials on
             
COVID-19 and
Proper
handwashing
hygiene.
10.Availability of
printing materials
and provision of
supplies for
distance
learning(bond              
papers,
worksheets,
noteooks, pad
papers, ball pens,
pencil
11. Availability of
hand sanitizing
materials, such as
             
rubbing alcohol,
anti- bacterial or
germicidal soap
12. Availability of
medical devices
and equipment
(infrared and digital              
thermometer,,
pulse oximeter,
thermos scanner,)

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

13. Washable
facemask, surgical
face mask, face              
shield and surgical
gloves.
14. Cleaning tools,
materials or
disinfectants that
may be used to
disinfect the
learning areas,              
such as spray
tank, disinfectant
spray or
disinfecting bleach,
footbath
15. Multivitamins
capsules, tablets,
or syrups for              
DepEd personnel
and learners.

Others pls. specify:              

Grand
           
Total
Note: Computation shall be based on the acquired points divided by the targeted points ( 90 pts.) then
multiplied by 20% and product multiplied by 100

 
Points Met
90 x 0 .20 = Product x 100
 
Space for computation:
 
 
 
 

SCORE

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

Tick check if
indicator is
B. Schools Safety, Preparedness and Resiliency 5% evidently
available
Facilitate the assessment of school building structure and electrical wiring and make
necessary repairs and/or upgrades to prevent unnecessary incidents.
Repair mino classroom damages such as broken windows, doors, blackboard, roofs and
other furniture, etc
Install appropriate and available fire suppression, including fire extinguishers, water
source and relevant indigenous materials.
Ensure that corridors and pathways are unobstructed and that all sharp, protruding
objects which may cause harm to learners are removed.
Clean and clear drainage to prevent clogging. Cover drainage canals and provide
necessary warnings
Cordon off and post safety signage for on-going construction, unfinished, damaged and
condemned buildings.
Secure cabinets and drawers and ensure that heavy objects are below head level.
Post safety measures to be observed in laboratories, and workshops, and other facilities
requiring the same.
Prepare an evacuation/exit plan and post directional signage on every floor of the
building.
Identify evacuation areas and classrooms that may be used as temporary shelters during
disasters and emergencies.
Prune trees to avoid entanglement from electrical wirings and avoid potential harm to life
and property.
Post a directory of emergency contact numbers of relevant government agencies and
officers in various high traffic areas of the school.
Establish and maintain early warning mechanisms in the school.
Equip school with first aid kits, flashlights, megaphones, and other supplies necessary in
cases of emergency.
Ensure that these items are highly accessible and can be easily located.
Identify alternative sources and/or maintain supply of drinking water within the school.

Ensure that learners, teachers, and personnel have identification cards with relevant
information.
Create database of learners with the contact details of their immediate family
members/relatives/guardians.
Secure and safely store vital school records.
Coordinate with barangay officials on pedestrian safety of learners.
Document accidents experienced by learners and personnel within the school to improve
prevention and mitigation measures.
Identify a storage area for safekeeping of vital schools records, textbooks, teaching
manuals, computers, and other school equipment.
The evaluation shall be based on the Schools Safety, Preparedness and Resiliency
Guide
22 points
DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

Computed as points met x 0.05 X 100


22
Space for Computation:

Wash in School 1 Star 2 Stars 3 Stars


Program WinS 1 3 5
5%
Acquired point multiplied by
100 %

Score

Validated and Monitored by:

__________________________________ __________________________________
Validator 1 Validator 2

__________________________________ __________________________________
Validator 3 Validator 4

___________________________________
Validator 5

Conformee:

_________________________________ ____________________________________
BE School Coordinator Reading Program Coordinator

___________________________________
School Head

Date:

__________________________________

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph

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