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    VNES

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    조은혜

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    Date: April 30, 2020 MA. GEMMA M. LED} Regional Director DepED- Region IV- Westem Visayas ESMA, CESO V ‘THRU: MARSETTE D. SABBALUGA, CESO VI ‘Schools Division Superintendent Division of Negros Occidental Re: Request to utilize Public Schools as Quarantine or isolations Areas for COVID- 19 Dear Dir. Ledesma: |i view of the current situation of the country involving this global pandemic scare of COVID-19, the undersigned respectfully seek your approval for us in Victorias City to utilize {ne Public Schools under our jurisdiction as quarantine or isolation area for COVID 19. Consistent with the directive from Department of Education, Department of Health and, other government agencies involved with other relevant law and issuance on the matter, the undersigned specifically would like to utilize as a quarantine facility for the Persons Under Monitoring (PUMs) and Persons Under Investigation (PUIs) of COVID-19 more particularly the use of Victorias Elementary Schoo! (VES) addressed at Yap Quifia Street, Brgy. IV, Victorias City, Alejandro Acufia Yap Quifla Memorial Elementary School (AAYQMES) addressed at Montinola Street. Brgy. IV, Victorias City, and Victorias North Elementary Schoo! (VNES) addressed at Roxas Street. Brgy. \V, Victorias City which will be utilized from May 20,2020 to May 31, 2020 subject to extension, if necessary, subject to approval of the Regional Director as recommended by the Schools Division Superintendent. The undersigned attests that all other facilities have been duly assessed and were found to be inadequate. Attached is an assessment by the municipal, city, or provincial health officer that the facility within the school is suitable for the specific intended purpose. (Attach assessment report duly signed by the Local Health Officer) We have crafted a management plan of the facility, which shall be under the supervision of the City/Municipal Health Officer, as stated in DOH DepartmentMemorandum No. 2020-0123, and must conform to existing DOH standards and guidelines, including, but not limited to, patient management, safety standards within the facility and immediate community, waste managementidisposal, and other similaritelated health requirements. (Attach management plan) R t Lastly, the undersigned assures your Office with utmost caré inet il includi ut not limited to: Wise inten, 1 Seep Tae 1.Safekeeping of all property and valuables in the school premises during the ‘operation of the facility; 2. Payment of utilities for the period; 3. The conduct of the general cleaning and fumigation, and repair and/or Teplacement of damaged schoo! facilities as a result of the use of the school; and 4. Payment of expenses related to the setting-up, operation and clearing of the areas used. We understand that after the approval of this request, the undersigned will sign and conform to the Terms and Conditions together with the School inventory set by the DepEd. Thank you. Very truly you Attached: As stated Republic of the Philippines Province of Negros Occidental CITY HEALTH OFFICE the sweet green city April 4, 2020 HON. FRANCIS FREDERICK P, PALANCA City Mayor ~ Local Government of Victorias Victorias City Hall, Brgy. IV Pob. Victorias City, Negros Occidental Dear Sir, In lieu of the present circumstances, 1 would like to request before the corresponding, Department of Education office the following DepEd schools, including its facilities, which may be used by the Local Government of Victorias City as temporary quarantine or isolation facility, in relation to the COVID-19 public health situation, for a period of twelve (12) days: 1. Victorias North Elementary School - Brgy. V, Victorias City, Negros Occidental 2 Alejandro Acufia Yap Quifia Memorial Elementary School ~Brgy: 1V, Victorias City, Negros Occidental . . «3. Fa ANS einentany sche -BQy.™ Vitorine Cty, Negros Oxidental ‘These educational facilities have been’ assessed and evaluated by the City ‘Health Office sr sve been found to possess the appropriate spaces, structures, comfort rooms, and tandwashing facilities which will be used by persons which will be isolated/confined in the said locations. Moreover, the LGU of Victorias, through the City Health Office, shall supervise the aforementioned facilities in order to make sure that they are in conformity to existing DOH standards and guidelines, including, but not limited to, patient management, safely standards within the facility and immediate community, waste management/ disposal, and other similar/health requirements. May you find this recommendation adequate in response to the need of a quarantine facilly in view of the COVID-19 situation. Thank you for your approval. Yours truly, wrk rd P. Garlitos ity Health Officer, LGU-Victorias REPUBLIC OF 1 PROVINCE OF NecnaSOCcNSS AL CITY OF VICTORIAS COVID-19 QUARANTINE FACILITY MANAGEMENT PLAN COVERAGE This (clus) ‘het wil be plan will be applicable to quarantine areas/community isolation units Elucabor (ened established by the LGUs in the facilityfies under the Department of Education (DepEd). The quarantine arees/CIUs shall accommodate Persons Under Morin (PUMa), Pears Under Iveuigaton (Pla) and centred opto oC, aie cae home environment cannot support isolation (e.g. crowded ROLE OF THE DEPARTMENT OF EDUCATION 1. DepEd and its Regional Offices shall manage this engagement particularly on providing guidelines and policy support, monitoring and evaluation of this activity 2. DepEd shall also provide technical advice in the identification, establishment, and maintenance of quarantine centers/ClUs in the school's facility. ROLE OF LGU 4. LGUs, with the assistance of their health personnel and experts, must identify SUCs imine areas that can be converted info a quarantine center/CIU. Temporary ‘structures may also be built in accordance with the requirements. 2. Once identified, the LGU shall enter a Memorandum of Agreement with the concerned ‘suc. 3, Through the LGUs, all quarantine areas/CIUs shall provide the following services: a. Food b. Sanitation (facilities such as toilets and bathrooms) ¢. Infection control d. Health monitoring and prompt referral e, Symptomatic treatment Discharge instructions including home care and follow-up g, Psychosocial wellness and support (includes visits of relatives) h. Laundry i. Waste management and vector control j. Security k. Other services as appropriate 4, The Local Government Units (LGUs) shall ensure that the following requirements are met for setting up quarantine centers/CIUs: a. Space - A quarantine center/CIU can be a permanent or temporary structure in the Bute such as school gymnasia, classrooms, huge offices or training venues equipped with utilities and basic amenities. b. Human resources from the LGU ' CIU manager il. Sanitation officer iii, Physician (via telex i con Hs Other healthcare rear ch - Support staff (sec ator ‘ an curity and maintenance -2rangay health workers) 'ance personnel) HUMAN RESOURCE FUNCTION Human Resource R “unetion (CIU Manager S| Rh ‘Maintains order and ensures upkeep and security of the CIU ‘+ Oversees provision of supplies/ogiatics Prepares daly summary of PUls and PUMSs admited tothe CIU ‘Oversees and coordinate the human resources for the C1U + Coordinates with Barangay Officials Sanitation Otcar Oversees the infectious waste management of the CU ‘Ensures proper food handing protocols in meal preparation taut Care Wortas Performs daly rounds and assessment ‘+ Performs dally assessments of patients in C1U care on: ‘Presence of symptoms in palient and tamiy members (hiner 12 pationts) © Compliance to quarantine guidelines ryan, * Aosta an ac os ‘Support Sat © Ensures secu ofthe GN and mnie te enrances and ‘Security (2) ons ‘Maintenance (1) 5. LGUs, in coordination with the DepEd, shall ensure that their facilities are in compliance with the requirements set by DOH. 6. Infection control shall be a priority in the quarantine centers/ClUs. To ensure adequate control, the following shall be observed: ‘a. Cleaning and disinfection of quarantine units/CIU rooms shall be the responsibility of the admitted patients. b. Handling of laundry shall be in accordance with DOH guidelines on Management of PUIs and PUMs. c. Waste management shall be in accordance with DOH guidelines on Management of PUIs and PUMSs. 7. The LGU shall coordinate and monitor the activities of the DepEd. It shall also regularly update the involved school, particularly on breaches in protocols or other problems. 8 The LGU shall also regularly update the concerned DOH Center for Health Development (DOH-CHD). ROLE OF THE SCHOOL 4. The school principal or his/her identified representative shall engage the requesting LGU. 2. Schools and LGUs shall ensure that their facilities are in compliance with the requirements set by DOH. a 3. Once compliant with the requi Agreement with the Late SFeMeNts, the school shall enter @ Memorandum of The school may augment i the logistics, ‘own employees, Apron Saistics, Particularly additional workforce through thei deployment “PP*OPrate trainings must be given to elgile wrk me ‘The school principal I oF hisher id CHED Regen’ er identified representative shell regularly update the oie Pa cla Offices regarding their status especially for breaches in protocols and T . aan oan Plan of the facility shall be under the supervision of the City Health ef, as stated in DOH Department Memorandum No. 2020-0123, and conforms to existing DOH standards and guidelines, including, but not li i ited to, patient managernent, Safety standard within the faciity and immediate community, waste management and disposal, and other similarirelated health-related requirements. This Management Plan shall operate for the duration of one hundred and twenty (120) days, and shall apply to the twenty (20) rooms from the schools listed herein as temporary quarantine or isolation facility, with reference to the Terms and Conditions agreed upon by the LGU and the Department of Education. Prepar DR. RI fo P. GARLITOS City Héalth Officer Approved by FRANCIS FRI ‘TERMS AND CONDITIONS FOR THE USE OF DEPED SCHOOL BY THE LOCAL GOVERNMENT UNIT AS A TEMPORARY QUARANTINE OR ISOLATION FACILITY OF LAST RESORT The Local Government Unit of the City/Municipality of VICTORIAS, with office address at BARANGAY IV, VICTORIAS CITY, NEGROS OCCIDENTAL, and represented by FRANCIS FREDERICK PALANCA, Mayor, hereinafter referred to as the “LGU”, has requested from the DepEd-Regional Office Vi-Westemn Visayas, as represented by MA. GEMMA M. LEDESMA, Regional Director, hereinafter referred to as the “RO”, the use of VICTORIAS NORTH ELEMENTARY SC HOOL with address at BARANGAY V, VICTORIAS CITY and Schoo! Head, EDEN A. BARCOMA, as a temporary uarantine/isolation facility relative to the COVID-19 public health situation. The request is made under the following premises: ‘The President issued Proclamation No, 922 dated March 8, 2020, “Declaring a State of Public Health Emergency throughout the Philippines”, in view of the COVID-19 public health situation; Section 2 of Proclamation No, 922, s. 2020, states that “all government agencies and LGUs are hereby enjoined to render full assistance and cooperation and mobilize the necessary resources to undertake critical, urgent, and appropriate response and measures in a timely manner to curtail and eliminate the Covid-19 threat”; ‘The LGU needs a temporary quarantine or isolation facility relative to its response to the COVID- 19 public health situation and it has no other available place or structure for use, thus it submitted a request to the RO for the use of the VICTORIAS NORTH ELEMENTARY SCHOOL, hereinafter referred to as the “School”, as a temporary quarantine/isolation facility of the LGU, subject to OFFICE MEMORANDUM OM-OSEC-2020-002; The RO, acting on the recommendation of the Schools Division Office, approved the request, in adherence to applicable guidelines of the Department of Health (DOH) and the World Health Organization (WHO), and other pertinent laws and rules, and upon a clear showing by the LGU of the need to use the School as a temporary quarantine/isolation facility due to absence of other available facility as certified by the provincial/city/municipal health officer, as well as a presentation by the LGU of its planned management of the facility under the supervision of the city/municipal health officer, subject to DOH and other relevant guidelines; The approval of the RO was conditioned upon the undertaking of the LGU for the safekeeping of all property and valuables in the school premises during the operation of the facility, payment of all expenses including utilities in relation to its use of the School as a temporary quarantine or isolation facility, the conduct of the general cleaning and fumigation, and repair and/or replacement of damaged or lost school facilities as a result of, and incidental to, g.use of the school by the LGU. Foregoing premises considered, the LGU commits and binds itself to the following terms and conditions set by the DepEd in its use of the School as a temporary quarantine or isolation facility of last resort: I. SCOPE This Terms and Conditions (TAC) pertains to the use of VICTORIAS NORTH ELEMENTARY SCHOOL as a temporary quarantine/isolation facility of the LGU in relation to the COVID-19 outbreak during the period of Public Health Emergency under Proclamation No. 922, s, 2020. The School may only be used by the LGU for this purpose if classes are not being conducted therein. Quarantine of persons is defined as the separation of persons who are not ill, but who may be exposed to an infectious agent or disease, with the objective of monitoring symptoms and early detection of COVID-19 cases. Isolation refers to the separation of ill or infected persons from others, so as to prevent the spread of infection or contamination. IL. ROLES AND RESPONSIBILITIES A. The LGU shall: 1. Prepare the areas approved by the RO to be used as temporary quarantine or isolation facility in the School, and shall not require students/pupils and DepEd personnel to be engaged in the preparation of the School for this purpose. The LGU shall vacate the designated areas and remove education ‘equipment and resources therefrom, under the supervision and guidance of the School. 2. Use only the specified School area and facilities approved by the RO to be used as quarantine or isolation facility. 3. Take charge of the management and maintenance of the School used as a quarantine or isolation facility, under the supervision of the city/municipal health officer, and in accordance with the applicable guidelines of the DOH and the WHO, cited in OFFICE MEMORANDUM OM-OSEC- 2020-002, and other applicable laws, rules and guidelines. 4. Cordon off the identified quarantine or isolation facility from the rest of the School premises or facilities, 5. Provide measures to ensure the safety and security of the School. 6. Provide all resources and equipment required for the use of the School as a quarantine or isolation facility. 7. Ensure that water supply will be sufficient and there will be no cooking in the School during its use quarantine or isolation facility. 8. Ensure compliance with the sanitation and health standards applicable to the School before, during and after its use by the LGU as a quarantine or isolation facility, including disinfecting the premises used and ensuring the use of personal protective equipment (PPE). 9. Facilitate and provide for the general cleaning, maintenance and u premises, | provide f ipkeep of School Structures facilities, equipment, and resources, and repair and replace them if damaged, destroyed OF lost as a result of their use by the LGU as a quarantine of isolation facility, Such repair and replacement shall be completed prior to the return of the use of the School to the School Head, 10. Clean up and fumigate the School within a maximum period of one week after its use by the LGU a8 a quarantine or isolation facility during the public health emergency. The proper health authorities shall certify whether the School is fit for education use subsequent to the fumigation, in accordance with pertinent guidelines of the DOH and other applicable rules and issuances. 11, Pay for utilities during its use of the School as a quarantine or isolation facility, and until it has returned the use of the School to its School Head for education use and the School Head has accepted the same. 12. Ensure that the School and facilities be restored to their original or better state, compared to their condition upon commencement of their use as quarantine or isolation facility by the LGU. 13, Prior to retum by the LGU of the use of the School to the School Head, secure clearance from the ‘School with respect to the LGU’s compliance with the TAC. B. The School shall: |. Make available the spaces, structures, comfort rooms and other facilities as approved by the Regional Office, to wit: sT DOWN ALL STRUCTURES AND FACILITIE! BE COVERED BY THE Sch beyond those approved 10 shall to the LGU and users of the quarantine or isolation facility. 2. In preparation for the use of the School as temporary quarantine or isolation facility, ensure Proper storage and safekeeping of all learning and education equipment, resources, ‘materials and school records. The Schoo! shall provide supervision and guidance to the LGU in the vacating of designated School spaces/structures and removal of education equipment and resources therefrom by the LGU, provided that all DepEd personnel involved in the preparation of the school premises shall strictly observe all existing health TS Precautions and social distancing protocols of DOH and WHO, 3. Prepare and implement work protocols that would not require DepEd personnel to report to the School for the performance of regular functions during the period the School is used as quarantine or isolation facility. 4.Nnform the LGU of any damage, destruction, or loss of School facilities and resources due td, or incidental to, the use of the School, if any, to serve as basis for repair, maintenance, and/or replacement by the LGU after use of the School as quarantine or isolation facility. 5. Have the authority to monitor and access the School, subject to strict observance of safety and health requirements applicable to the quarantine or isolation facility. Fe C. The LGU and the School 1. The School shall make a School Inventory and record the condition of school premises, structures, facilities, equipment and resources immediately prior to use, and after the use and fumigation of the School as a quarantine or isolation facility by the LGU. The Inventory prior to use shall be signed by both the School Head and Mayor and shal! form an integral pat ofthis TAC (See Annex A), 2. Any and all expenses relative to the preparation and operation of the School as a temporary quarantine or isolation facility as well as the clearing, fumigation and restoration of the ‘School to its educational use shall be shouldered by the LGU. . The School and LGU shall each designate focal person/s who shall be responsible for coordination between the Parties to ensure compliance with this TAC. . The LGU shall ensure that only the areas approved by the Regional Office will be used as quarantine/isolation facility. 5. The LGU shall also ensure that access to the school premises shall be limited only to the persons under quarantine/isolatiowmonitoring and healthcare professionals. UI GENERAL PROVISIONS 1. The LGU shall use the School as a temporary quarantine/isolation facility only upon its showing to the RO that there is no other available space or structure which can be used for that purpose. The use of the School as a temporary quarantine/isolation of last resort is not 1 continuing requirement. Should a place or structure which can be used for this purpose become available, the LGU shall terminate its use of the School as a quarantine/isolation facility. 2. This TAC shall take effect upon its execution, and shall be in full force and effect for a period of __/2 days during the period of Public Health Emergency under Proclamation No. 922, s. 2020, unless mutually extended by the LGU and the RO in writing, or sooner terminated by either the LGU or the RO upon fifteen-day written notice for valid reasons. ‘Notwithstanding the lifting of the said Public Health Emergency, the responsibilities and obligations of the LGU under this TAC shall subsist until fully complied with, .en warranted by compelling circumstances, the RO may amend, modify or supplement TAC for valid reasons, upon prior written notice to the LGU. 4Nthe LGU represents and warrants that it has the requisite power and authority to make, Miver, and comply with the provisions of this TAC, and has taken all the necessary action to duly and validly authorize the execution, delivery and performance of this TAC. 5, Should there be any conflict between the provisions of this TAC and other Agreements between the LGU and the DepEd through the Regional Office, Schools Division Office or the School, this TAC shall prevail. IN WITNI ESS WHEREOF, the parties hereto have affixed their signatures this erat i LOCAL GOVERNMENT UNIT OF THE DEPARTMENT OF EDUCATION CITY/MUNICIPAL! VICTORIAS REGIONAL OFFICE VI: M DES Name City/Munieipal Mayor Regional Director REPUBLIC OF THE PHILIPPINES) CITYIMUNICIPALITY OF _viomyeiws _ Coty 188, Before me, a notary public for and in the City of Wdlones, this “3.0 APR 2020 personally appeared the following: ‘Name TD No/issued by Date/Place Issued ‘MA. GEMMA M. LEDESMA _AARONCIS FREDERICK P. PRLANCA | “Tul 16-150 known to me to be the same persons who executed the foregoing document on the Terms and Conditions for the Use of DepEd School by the Local Government Unit as A Quarantine or Isolation Facility with School Inventory consisting of. (__) pages, including Annex A- School Inventory and the page on which this Acknowledgment is written, and they acknowledged to me that the same are their free and voluntary act and deed. WITNESS MY HAND AND SEAL, on the date and in Doc. No. _30 Page No._G_; Book No. XIX. Series of 2020 y. ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINE: i CITY OF VICTORIAS ss. Be i efore me, a notary public for and in the City of Victorias this Personally appeared the following: a Name ‘Competent Evidence of _ | Date/Place Issued Identit { MA. GEMMA M, LEDESMA = ‘known to me to be the same persons who executed the foregoing documents on Terms and Conditions for the Use of DepEd School by the Local Government Unit as TEMPORARY QUARANTINE/ISOLATION FACILITY with School Inventory consisting of (_.) pages, including the Annex A-School Inventory and the age on which this Acknowledgment is written, and they acknowledged to me that the same are their free and voluntary act and deed. WITNESS MY HAND AND SEAL, on the date and in the place first above written. NOTARY PUBLIC Doc. No. 3 Page No. | Book No._; Series of 2020. INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room: Classroom (Grade III-Chico) 3. Room 4 Facility (Gymnasium, Room, | Item (Furniture and Quantity | Condition etc.) Fixture, Equipment, tc) i Classroom desks 18 good (MONTELIBANO TYPE) [Teachers chair 3 good tables 2 good divider 2 good cabinet 2 good Electric fan 3 [good Other Remarks on Premises/Structures/Facilities ——— — ren by: EDEN A. BARCOMA Signature over Printed Name Schoo! Head Date: April 29, 2020 Date: April 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1, E.g. Gymnasium 2. Room: Classroom (Grade Ill) 3. Room 4. Facility (Gymnasium, Tiem Furniture and | Quantity Condition Room, etc.) Fixture, Equipment, etc) Classroom desk 18 Good! (MONTELIBANO TYPE) [plastic chair 4 Good. table 2 Good printer 1 ‘Good book shelve 6 ‘Good cabinet, 2 Good electric fan 2 Good Other Remarks on Premises/Structures/Facilities ‘The door is not good, It needs minor repair. Prepared iy EDEN’A. BARCOMA Signature over Printed Name School Head Date: April 29, 2020 Signature over Printed Name Date: April 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room: Classroom (II1-Apple) 3. Room 4 Facility (Gymnasium, Ttem (Furniture and | Quantity Condition Room, etc.) Fixture, Equipment, etc) Classroom Plastic chairs 31 200d (MONTELIBANO TYPE) | Teachers chair 2 g00d 5 good 2 good 1 good 2 good Other Remarks on Premises/Structures/Facilities a EDENA. BARCOMA Signature over Printed Name ‘School Head Date: April 29, 2020 Date: April 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room: Classroom-Grade V 3. Room 4. Facility (Gymnasium, | Item (Fumiture and | Quantity Condition Room, etc.) Fixture, Equipment, etc) ‘Classroom ‘Arm chairs ry (Good condition (MONTELIBANO TyPE) | Teacher's Table | 3 Good condition Cabinet 2 Good condition Boxes 3 ‘Stand fan 2 Books More than 100 pes | Good condition Other Remarks on Premises/Structures/Facilities Prepared by: EDEN Hfvrcoma Signature over Printed School Head Date: April 29, 2020 fate: April 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facil 1. Eg. Gymnasium 2. Room: Classroom (Grade-V) 3. Room i ee Facility (Gymnasium, Tem (Furniture and | Quantity Condition Room, etc.) Fixture, Equipment, ete) Classroom Cabinets 2 Good LIB) (MONTELIBANO TYPE) Tables 3 Desks is Good ‘Chairs 30 Good Broom box T Good Divan with foam 1 Good and cover Book stand - steel 1 Good First Aid Box Iset New ‘Other Remarks on Premises/Structures/Facilities Prepa ED MA, Signature over Printed Name Date: April 29, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1, Eg. Gymnasium 2. Room: Classrooms (Grade V) 3. Room 4 ty tem (Furniture and Condition (Gymnasium, Room, | Fixture, Equipment, ete.) etc) J Classroom Lavatory, 2 faucets, newly renovated (Montelibano Type) | | toilet with urinal Classroom Lavatory, 2 faucets, newly renovated (Montelibano Type) | 1 toilet with urinal Classroom Lavatory, 2 faucets, newly renovated (Montelibano Type) | 1 toilet with urinal Classroom Lavatory, 2 faucets, newly renovated (Montelibano Type) | 1 toilet with urinal Classroom —_| Lavatory, 2 faucets, newly renovated (Montelibano Type) | 1 toilet with urinal Other Remarks on Premises/Structures/Facilities EDEN A. BARCOMA Signature over Printed Name ‘School Head Date : April 29, 2020 Date: Aprit 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. E.g, Gymnasium 2. Room: Classroom (Grade Il-Mahogany) 3. Room, 4. Facility (Gymnasium, | tem (Furniture and | Quantity Condition Room, etc.) Fixture, Equipment, etc) ‘Classroom Cabinets 2 Good (FERMIN TYPE) Tables 3 ‘Good Desks 15 Good Chairs 30 Good Broom box 1 ‘Good Divan with foam and | 1 Good cover ‘Bookstand-steel | T Good First Aid Kit, T Good ‘Other Remarks on Premises/Structures/Fa Signature over Printed Name School Head Date: April 29, 2020 Date: April 30, 2020 / INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Faility: 1. Eg. Gymnasium 2. Room: Classroom (Grade Ill) 3. Room 4. Item Furniture and] Quantity | Condition Room, etc.) Fixture, Equipment, etc) Classroom desks 18 Seal (MONTELIBANO TYPE) | z Good aa 3 Good ‘Book shelves 3 icead cabinet ig Seo Blecirie fan 2 Seat ‘School Head Date: April 29, 2020 Date: April 30, 2020 ANNEX A INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg, Gymnasium 2. Room: Classroom- Kinder 3. Room 4 Facility (Gymnasium, Ttem (Furniture and ‘Quantity | Condition Room, etc.) Fixture, Equipment, etc) Classroom Teacher's Table 3 Tn good condition (MANMAN KO TYPE) [Teacher's Chair 2 in good condition Kiddie Tables 10 Tn good condition Kiddie Chairs 31 Tn good condition Chart Stand 1 ‘in good condition Lavatory 1 Tn good condition Faucet 2 Tin good condition Toilet Bowl L ‘in good condition Lightings 3 ‘in good condition Blackboard 2 ‘In good condition Shelves 5 ‘in good condition ‘Manipulative toys 2. Usable Beads seis Usable ‘Abacus 2 Usable ‘Building blocks set Usable ‘Broom box 1 Usable Cabinet 2 Usable Bulletin Board 2 Usable Books Opes. Usable Stand Fan 2 Tn good condition ‘Wall fan 1 Tn good condition Other Remarks on Premises/Structures/Facilities Prepared by: A. Signature over Printed Namo School Head Date : April 29, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room; Classroom (Kinder) 3. Room 4, Facility Gymnasium, | Item (Furniture and — | Quantity Room, ete.) Fixture, Equipment, etc) Classroom Plastic table 8 Good (FERMIN TYPE) [Plastic chairs By ‘Good Teacher's table 2 Good Electric Fan 3 Good Other Remarks on Premises/Structures/Facilities Prepai EDI Signature over Printed Name ‘School Head Date: April 29, 2020 Conforme: Date: April 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1, Eg. Gymnasium 2, Room: Classroom (Grade I-Star) 3. Room. 4. 2 Facility Ttem (Furniture and | Quantity Condition (Gymnasium, Room, | Fixture, Equipment, ete.) etc) Ciassroom Long tables 3 Good (PERMIN TYPE) as white pase 3 Good Chairs ‘Wooden chairs 2 ‘Good "Teacher's chairs z Good Tables 2 Good Cabinet T Good Shelves 4 Good Rack 7 Good Bamboo chair T Good Ceiling fan z Good Projector T Good Printer T Good ‘Stand fan 3 Good Pre ED RCOMA Signature over Printed Name ‘School Head Date: April 29, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room: Classroom (Grade I-Lily) 3. Room 4 eae Facility (Gymnasium, | Item (Furniture and | Quantity Condition Room, etc.) Fixture, Equipment, etc) Classroom Table 16 (FERMIN TYPE) Chair/Plastic Chair 30/2 Teachers Table 2 ‘Good Condition Cabinet 2 Good Condition ‘Stand Fan. 1 Old ‘Celing Fan 2 ‘Good/Old Other Remarks on Premises/Structures/Facilities i eevee Prepar EDEN A. BARCOMA ‘Signature over Printed Name ‘School Head Date : April 29, 2020 Date: April 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL, FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. E.g. Gymnasium 2. Room: Classroom (Grade I- Tulip) 3. Room 4. Facility (Gymnasium, Ttem (Furniture and | Quantity Condition Room, etc.) Fixture, Equipment, etc) Classroom table 5 Good condition (FERMIN TYPE) — | ChairPlastic chair [30/4 Good condition “Teachers table/iong [4 ‘Good condition table/center table ‘cabinet 6 ‘Good condition ‘Stand fan 2 new Broom box! long [2 Good condition chair Other Remarks on Premises/Structures/Faci neti ‘Signature over Printed ‘School Head Date APRIL 29,2020 Date: April 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facili 1. Eg, Gymnasium 2. Room: Classroom (Grade I-Star) 3. Room 4. Facility (Gymnasium, | Item (Fumiture and _ | Quantity Condition Room, etc.) Fixture, Equipment, etc) Classroom | Cabinets 2 Geet (FERMIN TYPE) | Tables 3 pone Desks 5 Good Chairs. EY oe Broom box 1 ocd ‘Divan with foam and | 1 cover Book stand- steel | 1 Good, Other Remarks on Premises/Structures/Facilities Prepat DEXA. BARCOMA Signature over Printed Name ‘School Head Date: April 29, 2020 Date: April 30, 2020 INVENTORY OF FACILITIES OF VICTORIAS NORTH ELEMENTARY SCHOOL FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY >esignated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room: Classroom (Grade Il-Molave) 3. Room 4, ‘gcility (Gymnasium, | tem (Fumiture and | Quantity Condition oom, ete.) Fixture, Equipment, ete) Classroom Cabinets = Good (FERMIN TYPE) [Tables 3 Send Desks 15 Good Chairs 30 ay Broom box T Good Divan with foam and [1 Good cover Book stand-steel | T Good Other Remarks on Premises/Structures/Facilities Date: April 29, 2020 Dede: April 30, 2020 / INVEN’ VICTORN A NTORY OF FACILITIES oF FOR USE AS TEMPORANS oe ELEMENTARY SCHOOL /ARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room: Classroom (Grade I) Room 4. Facility Item (Fumiture and | Quantity Condition (Gymnasium, Room, | Fixture, Equipment, etc) etc) Classroom tables 16 Good (FERMIN TYPE) [chairs 31 Good table: 2 Good Book shelves 4 Good — os Water dispenser [1 electric fan 2 tend Other Remarks on Premises/Structures/Facilities Prepared EDE! RCI Signature over Printed Name Sain OY choo! Head Date: April 29, 2020 Signature over Printed Name Mayor Date: April 30, 2020 ANNEX A. INVENTORY OF FACILITIES OF (NAME OF SCHOOL) FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room 3. Room 4 Facility Tem (Fumiture and] Quantity Condition (Gymnasium, Room, | Fixture, Equipment, etc.) etc) Room 1 Lavatory, 2 faucets, 1 ‘newly renovated toilet with urinal Room 2 Lavatory, 2 faucets, 1 newly renovated toilet with urinal Room 3 Lavatory, 2 faucets, 1 newly renovated toilet with urinal Room4 Lavatory, 2 faucets, 1 newly renovated toilet with urinal Room 5 Lavatory, 2 faucets, 1 newly renovated toilet with urinal Other Remarks on Premises/Structures/Facilities Prey A EDEN A: BARCOMA ‘Signature over Printed Name School Head Date : April 29, 2020 ANNEX A. INVENTORY OF FACILITIES OF (NAME OF SCHOOL) FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. E.g. Gymnasium 2. Room Grade II-Molave (Hera J. Domaniel) 3. Room 4. Facility (Gymnasium, |Ttem (Furniture and | Quantity Condition Room, ete.) Fixture, Equipment, etc) ‘Classroom Cabinets 2 Good Tables 3 Good Desks 15 ‘Good Chairs 30 Good ‘Broom box 1 Good Divan with foam and | T Good cover Book stand- steel | 1 Good Other Remarks on Premises/Structures/Facilities Prepared by; EH BAR ‘Signature over Printed Name School Head Date April 44, 100 ANNEX A INVENTORY OF FACILITIES OF (NAME OF SCHOOL) FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1, Room (Grade II-Mrs. Lourdes Tabligan) Facility lem (Furniture and] Quantity Condition (Gymnasium, Room, | Fixture, Equipment, etc) etc) Room tables 16 Good chairs 31 Good table 2 Good ‘Book shelves 4 ‘Good cabinet, 1 Good Water dispenser 1 Good electric fan 2 Good Other Remarks on Premises/Structures/Facilities rere by EDEN A. BARCOMA ‘Signature over Printed Name ‘School Head Date_sPRL 24, $020 ANNEX A INVENTORY OF FACILITIES OF (NAME OF SCHOOL) FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room Grade il-Mahogany (Jennifer Joy D. Lazaro) 3. Room 4. Facility (Gymnasium, [Item (Furniture and] Quantity Condition Room, etc.) Fixture, Equipment, ete) Classroom Cabinets 2 ‘Good Tables 3 ‘Good Desks 15 Good Chairs 30 Good Broom box 1 ‘Good Divan with foam and [1 Good cover Book stand-steel | 1 Good First Aid Kit 1 Good Other Remarks on Premises/Structures/Facilities oe DEN A. MA. Signature over Printed Name ‘School Head Date _APRIL 29, gos Date_#PR_82, 9020 ANNEX A INVENTORY OF FACILITIES OF (NAME OF SCHOOL) FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Facility: 1, Room Grade IlI-4) Facility, Item (Furniture and] Quantity ‘Condition (Gymnasium, Room, | Fixture, Equipment, ete) ‘desk is Good plastic chair 4 Good table 2 Good printer 1 ‘Good ‘book shelve 6 Good ‘cabinet 2 Good electric fan’ 2 Good Other Remarks on Premises/Structures/Facilities Pre EDEN A. BARCOMA, ‘Signature over Printed Name ‘School Head Date_APRIL 34 , dou Conforme: /RICK P, PALANCA ‘over Printed Name Mayor Date_s#RIL_30 , Loan ANNEX A INVENTORY OF FACILITIES OF (NAME OF SCHOOL) FOR USE AS TEMPORARY QUARANTINE On ISOLATION FACILITY Designated Facilitics for Use as Temporary Quarantine or Isolation Facility: 1. Eg. Gymnasium 2. Room (Grade IlI-Nenita Serrano) 3. Room 4, Facility (Gymnasium, [Hem (Furniture and —] Quantity Condition Room, ete.) Fixture, Equipment, ete) Classroom desks 18 Good chairs 2 Good ‘ables 3 Good Book shelves 3 Good cabinet 7 Good Electric fan 2 Good Other Remarks on Premises/Structures/Facilities Prepared by: E RCOMA ‘School Head Date_APRIL 29, 2090 Signature over Printed Name Conforme: Date_AeRu_do, 202) ANNEX A. INVENTORY OF FACILITIES OF (NAME OF SCHOOL) FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY Designated Facilities for Use as Temporary Quarantine or Isolation Fac ity: 1. Eg, Gymnasium 2. Room: Ill-Chico 3. Room 4. eS Facility (Gymnasium, | Hem (Furniture and] Quantity Condition Room, ete.) Fixture, Equipment, etc)

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