Enclosure No.

______
MONTHLY HOME VISITATION REPORT
For Month No. 1, From December 1 to December 31, 2021
(Date) ( Date)
School: Man-it Integrated School

Tutoring
Name of Grade Next Step
Name of Teacher Address CP No. Objective/s Assistance Output/s MOVs
Learner Level (Specify)
Provided
To be able to
Reading of words Outputs of Conduct Pictures of home
Villanueva, Agdahon, Passi conduct tutorial
09317747123 One assisted by the words that the reading visitation and reading
Keith Von P. City assistance in
teacher. child read. tutorial materials used.
reading.
To be able to
Reading of words Outputs of Conduct Pictures of home
Villanueva, Agdahon, Passi conduct tutorial
09317747123 One assisted by the words that the reading visitation and reading
Cyra Joy G. City assistance in
teacher. child read. tutorial materials used.
reading.
Child was able
To be able to check to read the Pictures of home
Conduct
Mendoza, the reading Reading of words words and visitation and pictures
Man-it (Hi-way) 09199899220 One reading
Hunter B. readiness of the and phrases. phrases with of answered Homeroom
tutorial
learner. minimal Guidance.
mistakes.
ROGIE LYNNE To be able to
Magoliman, Reading of words Outputs of Conduct Pictures of home
F. ZEGG Nikkolo Mapilit 09501853328 One
conduct tutorial
assisted by the words that the reading visitation and reading
assistance in
Reiley D. teacher. child read. tutorial materials used.
reading.
To be able to
Reading of words Outputs of Conduct Pictures of home
09309394446/ conduct tutorial
Garcia, Aizen Mapilit One assisted by the words that the reading visitation and reading
09294157185 assistance in
teacher. child read. tutorial materials used.
reading.
Child was able
To be able to check to read the Pictures of home
Conduct
Padilla, Kate the reading Reading of words words and visitation and pictures
Mapilit 09129923281 One reading
Chandria readiness of the and phrases. phrases with of answered Homeroom
tutorial
learner. minimal Guidance.
mistakes.
Lauresta, Bachelor None One To be able to Reading of words Outputs of Conduct Pictures of home
Zyler John M. conduct tutorial assisted by the words that the reading visitation and reading
 assistance in
teacher. child read. tutorial materials used.
reading.
Child was able
To be able to check Pictures of home
to read the Conduct
Soberano, the reading visitation and pictures
Bachelor 09469942284 One Reading of words. words with reading
Jerwin S. readiness of the of answered Homeroom
minimal tutorial
learner. Guidance.
mistakes.

_ROGIE LYNNE F. ZEGG

TEACHER I
(Signature over printed name)

(In four (4) copies – 1 for the teacher, 1 for the school head, 1 for the school head who will spot check and 1 for the M & E Specialist)

Enclosure No. ______

INDIVIDUAL MONTHLY HOME VISITATION PLAN
For the Period of DECEMBER 1-31, 2021

Name of Teacher: ROGIE LYNNE F. ZEGG School: MAN-IT INTEGRATED SCHOOL

Grade Level/s Taught: GRADE I
 CP Number Specific Grade Proposed Expected
Objective Proposed
Name of Learner Address Level Date of Visit Learning Area Output/s or MOVs
(Area of Concern) Activity
Result/s
December To be able to Reading of Outputs of
Villanueva, Keith Agdahon, Conduct reading
09317747123 One English/Filipino conduct tutorial words assisted words that the
Von P. Passi City 3 ,2021 tutorial
assistance in reading. by the teacher. child read.
December To be able to Reading of Outputs of
Villanueva, Cyra Agdahon, Conduct reading
09317747123 One English/Filipino conduct tutorial words assisted words that the
Joy G. Passi City 3 ,2021 tutorial
assistance in reading. by the teacher. child read.
Child was able
to read the
December To be able to check Reading of
Mendoza, Hunter Man-it (Hi- words and Conduct reading
09199899220 One English/Filipino the reading readiness words and
B. way) 3 ,2021 phrases with tutorial
of the learner. phrases.
minimal
mistakes.
December To be able to Reading of Outputs of
Magoliman, Conduct reading
09501853328 Mapilit One English/Filipino conduct tutorial words assisted words that the
Nikkolo Reiley D. 7,2021 tutorial
assistance in reading. by the teacher. child read.
Child was able
to read the
December To be able to Reading of
09309394446/ words and Conduct reading
Garcia, Aizen Mapilit One English/Filipino conduct tutorial words assisted
09294157185 7,2021 phrases with tutorial
assistance in reading. by the teacher.
minimal
mistakes.
December To be able to Reading of Outputs of
Padilla, Kate Conduct reading
09129923281 Mapilit One English/Filipino conduct tutorial words assisted words that the
Chandria 7,2021 tutorial
assistance in reading. by the teacher. child read.
December To be able to check Reading of Outputs of
Lauresta, Zyler Conduct reading
None Bachelor One English/Filipino the reading readiness words assisted words that the
John M. 7,2021 tutorial
of the learner. by the teacher. child read.
December To be able to Reading of Outputs of
Soberano, Jerwin Conduct reading
09469942284 Bachelor One English/Filipino conduct tutorial words assisted words that the
S. 7 ,2021 tutorial
assistance in reading. by the teacher. child read.

Prepared by:

ROGIE LYNNE F. ZEGG

TEACHER I
(Signature over printed name)

Approved:
 JURIS T. PANES, PhD
SCHOOL HEAD
(Signature over printed name)

Enclosure No. ______

WEEKLY SPOT CHECK REPORT
Period (week) Covered: _____________
__________________________________
(Name of the School of the Teachers)

Directions to the School Head: Basing on the Individual Weekly Home Visitation Plan of the teacher, monitor the implementation of the Home Visitation through
accomplishing this checklist.

Were the objectives and learning Were the expected outputs

activities align with each other? or results attained?
Name of Learner
Teacher CP Number Remarks
Visited
Yes No Yes No

1.

2
3

___________________________________________
SCHOOL HEAD
(Signature over printed name)

Note: To be used by the Education Program Supervisors and M and E SEPS to Spot Check the Spot Checker

Republic of the Philippines

Department of Education
Region VI-Western Visayas
Schools Division of Passi City
District of Passi II East
MAN-IT INTEGRATED SCHOOL
Brgy. Man-it, Passi City, Iloilo

HOME VISITATION

Chris Martin Cañas Princess Kyla Paginado Niño JC Perez Cian Mary Palencia