Form 1.

1 Monthly Outcome and Indicators: Center/SNP Level

Republic of the Philippines

EARLY CHILDHOOD CARE AND DEVELOPMENT COUNCIL
Province of MISAMIS ORIENTAL
Municipality of VILLANUEVA
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE

Name of CDC/SNP: __________________________________________ Name of Barangay: ________________ Date of Reporting: ____________

Center Category: ___ NCDC ___ CDC ___ SNP ___ PLC Modality Category: ___ In-Person ___ Blended ___ Home-Based

Monitoring of Child Development Centers (CDCs) and Supervised Neighborhood Play Programs (SNPs)
INSTRUCTIONS: Fill in the tables with the information being requested.
Table 1.1: TOTAL NUMBER OF CHILDREN 0-4 YRS OLD OF THE BARANGAY ENROLLED IN CDC/SNP AS OF __________________, 2022
Total Number of Children Currently
Total Population of Children <5 yrs old Total Number of Children NOT Enrolled Reasons why
Enrolled in CDC/SNP
children are not
<1 yr 1 yr 2 yrs 3 yrs 4 yrs <1 yr 1 yr 2 yrs 3 yrs 4 yrs <1 yr 1 yr 2 yrs 3 yrs 4 yrs
Total Total Total enrolled?
old old old old old old old old old old old old old old old
Male
Female
Total

Table 1.2 TOTAL NUMBER OF CHILDREN 0-4 YRS OLD WHO WERE INFECTED BY COVID-19
Total for Male and
Gender/Age Children Without Disabilities (CWOD) Children With Disabilities (CWD)
Female
Group/Category
0-2.11 yrs old 3-3.11 yrs old 4-4.11 yrs old 0-2.11 yrs old 3-3.11 yrs old 4-4.11 yrs old
Male
Female
TOTAL

Table 2.1: Health Status and Special Needs of 0-4 Years Old Children, as of ________________, 2022
Total Number Of Total Number of Children With Health Problems Children With Disability
Name of Total Children Who Are Children Who
Age Group Number of Type of Health Number of Type of
CDC/SNP Enrollment Fully Immunized Have Incomplete
Children Problems Children Disabilities
(FIC) Immunization
Below 1 yr old
1 yr old
2 yrs old
3 yrs old
4 yrs old
SUB-TOTAL
Form 1.1 Monthly Outcome and Indicators: Center/SNP Level

Below 1 yr old
1 yr old
2 yrs old
3 yrs old
4 yrs old
SUB-TOTAL
TOTAL

Table 2.2: Health Status of Child Development Workers/Teachers, as of _______________, 2022

Vaccination Status of CDWs/CDTs Health Status of CDWs/CDTs
Number of
Total Total Number of CDWs/CDTs With
Number of
Number of Number Number of CDWs/CDTs Comorbidities/Health
Name of CDWs/CDTs Not Reasons For Not Type of
CDWs/CDTs CDWs/CDTs CDWs/CDTs Partially Issues Who Are
CDC/SNP Vaccinated Getting (Full) Comorbidities/Health
in the 60-64 yrs Fully Vaccinated Partially Or Not Fully
Vaccination Issues
CDC/SNP old Vaccinates Vaccinated
<60 yrs 60-64 yrs <60 yrs 60-64 <60 yrs 60-64 yrs
old old old yrs old old old

Table 3.1 Number of Cases of COVID-19 Have Been Recorded in the Past 2 Weeks, as of ______________, 2022
Number of COVID-19 Cases
Area Remarks
Past 2 Weeks Current Week
Province
Municipality
Barangay

Table 3.2 Availability of Age-Appropriate and Functional Handwashing and Toilet Facilities
Availability of Wash Facilities with Water and Soap Availability of Water Supply
Handwashing
Availability Availability
Facility for Individual
Functional of Hygiene of Trash
Name of CDC/SNP Supervised Handwashing For Drinking For Tooth Brushing General Use
Toilet Supplies Bins
Handwashing Station/Lavatory (YES/NO) (YES/NO) (YES/NO)
(YES/NO) (YES/NO) (YES/NO)
(with at least 5 (YES/NO)
faucets)
Form 1.1 Monthly Outcome and Indicators: Center/SNP Level

Table 3.3 Availability of Safe Spaces and Basic Materials for Play and Learning
Availability and Adequacy of
Status of the Center/Facility Availability of Teaching-Learning Materials
Basic Furniture Availability
Storybooks (big of Safe
In good Curriculum Plan, ECCD Educational
Name of books and small Outdoor
condition Weekly Session Checklist Toys
CDC/SNP Needs repair Tables Chairs books: teacher- Space for
does not need Plans, for all (manipulatives,
(YES/NO) (YES/NO) (YES/NO) made and store Play
repair Assessment Kit children puzzles, etc.)
bought) (YES/NO)
(YES/NO) (YES/NO) (YES/NO) (YES/NO)
(YES/NO)

Table 4: Relevant Trainings Attended by the CDWs/CDTs, as of _______________, 2022

Number of Trained CDWs/CDTs on the Following Topics
National Early Alternative
Total Number of Developmentally
Name of CDC/SNP ECCD Checklist Learning Health and Safety Delivery Modality
CDWs/CDTs Appropriate Other Trainings
Administration Curriculum Protocols (home-based,
Practices (DAP)
(NELC) CBPAV)
Form 1.1 Monthly Outcome and Indicators: Center/SNP Level

Republic of the Philippines

EARLY CHILDHOOD CARE AND DEVELOPMENT COUNCIL
Province of MISAMIS ORIENTAL
Municipality of VILLANUEVA
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE

Name of CDC/SNP: IVLO CHILD DEVELOPMENT CENTER

Name of Barangay: LOOC Date of Reporting: _______________
Center Category: ___ NCDC ___ CDC ___ SNP ___ PLC Modality Category: ___ In-Person ___ Blended ___ Home-Based

MONTHLY Monitoring of Child Development Centers (CDCs) and Supervised Neighborhood Play Programs (SNPs)

INSTRUCTIONS: Fill in the tables with the information being requested.

I. OUTCOME-INCREASED ACCESS OF 0-4 YRS OLD CHILDREN TO QUALITY AND SAFE SERVICES

A. INDICATOR 1. Total Number of Children Enrolled in the Early Childhood Education (ECE) Settings (for monthly monitoring and reporting)

Table 1: DISTRIBUTION OF ENROLLED CHILDREN AGES 0-4.11 YEARS OLD

CHILDREN WITHOUT DISABILITIES (CWOD) CHILDREN WITH DISABILITIES (CWD) Total Number of Children
GENDER/ Total for Total for With and Without
0-2.11 yrs 3-3.11 yrs 4-4.11 yrs 0-2.11 yrs 3-3.11 yrs 4-4.11 yrs
AGE GROUP Male and Male and Disabilities in all Age
old old old old old old
Female Female Groups
Male
Female
TOTAL

B. INDICATOR 2. Total Number of Children 0-4.11 years old who were infected by COVID-19

Table 2: TOTAL NUMBER OF CHILDREN 0-4 YRS OLD WHO WERE INFECTED BY COVID-19
Total for Male and
Gender/Age Children Without Disabilities (CWOD) Children With Disabilities (CWD)
Female
Group/Category
0-2.11 yrs old 3-3.11 yrs old 4-4.11 yrs old 0-2.11 yrs old 3-3.11 yrs old 4-4.11 yrs old
Male
Female
TOTAL
Form 1.1 Monthly Outcome and Indicators: Center/SNP Level

C. INDICATOR 3. Total Number of 0-4.11 years old Children Identified with or at risk for Developmental Delays with Improved Development within 3-6 months based on ECCD
checklist guidelines (for monitoring and reporting every 3 months)

Table 3.1 SUMMARY OF ASSESSMENT RESULTS

Class: PREPARATORY K1 Date of Assessment: __________________________

Gross Fine Self- Receptive Expressive Social-
Cognitive Sum of
Age of Motor Motor help Language Language Emotional Standard
No. Name of Child Gender Scaled Scaled Interpretation
Child Scaled Scaled Scaled Scaled Scaled Scaled Score
Score Scores
Score Score Score Score Score Score
Form 1.1 Monthly Outcome and Indicators: Center/SNP Level

Table 3.2 DISTRIBUTION OF CHILDREN AGES 0-4.11 YEARS OLD WITH IMPROVED STANDARD SCORE DURING 2 ND ASSESSMENT
Total Number of children identified with risks of developmental delays
Total Number of children identified with risks of developmental delays
during the 1st assessment with improved standard score during the 2nd
GENDER/AGE during the 1st assessment
assessment
GROUP
Total for Male Total for Male
0-2.11 yrs old 3-3.11 yrs old 4-4.11 yrs old 0-2.11 yrs old 3-3.11 yrs old 4-4.11 yrs old
and Female and Female
Male
Female
TOTAL

Accomplished by: ___AYEN B. SUPREMO___

Child Development Worker