Republic of the Philippines
Department of Education
REGION III-CENTRAL LUZON
SCHOOLS DIVISION OF SAN JOSE CITY
OPLAN BALIK ESKWELA SY 2020-2021
SCHOOL PREPAREDNESS MONITORING FORM
School: _____________________________________________ Date: _______________________
I. GENERAL HEALTH AND SAFETY PROTOCOLS
Not
Evident Remarks
Evident
1. Before entering the school, the following practices are observed:
1.1. Availability of contact tracing
form/ logbook
1.2. Body temperature checking
1.3. Hand sanitizer/ alcohol
1.4. Disinfection foot bath
1.5. Markers for physical
distancing
1.6. Waiting area
1.7. Safety protocols
announcement posted at the
school’s gate
2. The school personnel:
2.1. Wears facemask
2.2. Wears face shield
2.3. Observes physical distancing
(at least one-meter apart)
3. Work Arrangement
3.1. Adopted alternative work
arrangement for school
personnel based on DepEd
Order No. 11, s. 2020
Address: San Jose-Lupao Road, Sto. Niño 1st, San Jose City, Nueva Ecija
Telephone No.: (044) 8940-9740 E-mail: [email protected]
Certificate No.: AJA18-0129
Not
Evident Remarks
Evident
3.2. Issued a school
memorandum on the
alternative work
arrangement
3.3. Set-up workstations of
school personnel compliant
with the minimum health
and safety protocols
3.4. Classroom’s seats are
arranged observing
physical distancing based
on Enclosure No. 5, DepEd
Order No. 14, s. 2020.
4. Physical Facilities
4.1. Availability of functional
handwashing facility (with
soap and water)
4.2. School ground maintenance
4.3. Regular disinfection of
school facilities and
classrooms
II. ENROLMENT DATA, as of ___________September 30_____________________
Grade Level Male Female Total
Kinder 0 0 0
Grade 1 0 1 1
Grade 2 3 4 7
Grade 3 1 2 3
Grade 4 3 3 6
Grade 5 4 2 6
Grade 6 1 3 4
Grade 7 2 6 8
Grade 8 4 8 12
Grade 9 10 11 21
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Grade 10 19 7 26
Grand Total 47 47 94
III. LEARNING MODALITIES DATA
No. of Learners
Grade Level TV-based
Modular Modular Radio-based
Online Instructio
(Printed) (Digital) Instruction
n
K 0 0 0 0 0
G1 0 0 1 0 0
G2 1 0 6 0 0
G3 0 0 3 0 0
G4 0 0 6 0 0
G5 0 0 6 0 0
G6 0 0 4 0 0
G7 2 0 6 0 0
G8 0 0 12 0 0
G9 2 0 19 0 0
G10 3 0 23 0 0
TOTAL 8 0 86 0 0
IV. IMPLEMENTATION OF THE CURRICULUM IN THE NEW NORMAL
Not
Evident Remarks
Evident
1. Conducted planning sessions for
the new normal situation
2. Conducted Advocacy campaign
for the new normal and different
modalities
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Not
Evident Remarks
Evident
3. Mapped learners per grade level
for desired modality/s
4. Conducted trainings for teachers
5. Teachers attended webinars
conducted by the DO/RO/CO
6. Availability of weekly home
learning plan
7. Availability of Activity/work
sheets
8. Availability of individual
learning monitoring report/plan
9. Availability of Class schedule
10. Inventory and number of
distributed textbooks by
learning area
11. Has a localized guidelines
and/or algorithm on the
DISTRIBUTION of learning
materials (e.g. modules,
flashdrives, worksheets, etc.)
12. Has a localized guidelines
and/or algorithm on the
RETRIEVAL of learning materials
(e.g. modules, flashdrives,
worksheets, etc.)
13. Pick-up and drop-off points of learning materials:
13.1. in school
13.2. in the barangay hall
13.3. designated teacher’s/ school
head’s/ staff’s residence
13.4. Delivered by teachers/school
personnel
13.5. Other modes, specify:
14.Schedule of distribution and
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Not
Evident Remarks
Evident
retrieval
15.Availability of contact
number(s)/ focal person(s) for
learning materials distribution
and retrieval.
16.Availability of protocols for
the sanitation of modules
before distribution and upon
retrieval.
17. Use of USB-OTG
17.1. Plan for the use of USB-OTG
17.2. Schedule of distribution and
Retrieval of USB
18.Schedule/strategies of SH in
monitoring teacher’s delivery of
learning
19.Validation of modalities
delivered based on the data
submitted
20. Availability of feedback
forms from teachers, parents,
learners, stakeholders for
improvement on materials
and system
21.Gaps and adjustments made
22. Other preparations:
22.1. Internet connectivity
22.2. Video lesson
equipment/studio
22.3. Online classes
22.4. Number of modules prepared
by the teachers
22.5. Number of videos prepared
by the teachers
V. ORIENTATION OF PARENTS/ STAKEHOLDERS
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Not
Evident Remarks
Evident
1. Conducted Parents’/
Guardians’ Orientation,
Seminar and/ or Training
2. Documents relative to
Conducted Parents’/
Guardians’ Orientation:
2.1. Letter of Information/
email/ chat/ social media post
2.2. Minutes of the Meeting
2.3. activity completion report
(ACR)
3. Availability of parents’
directory
Number of Parents’/ Guardians Oriented/ Trained
Grade Level Male Female Total
VI. NETWORKING AND PARTNERSHIPS
A. Total amount of MONETARY DONATIONS received:
B. Number of IN-KIND DONATIONS received:
Items Number/ Pieces
1. Office Supplies (Please specify below)
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Bond paper
Printer ink
2. Medical and Sanitation Supplies
Hand sanitizer/ alcohol
Disinfection material/ supply
Facemask
Face shield
3. IT Equipment (Please specify below)
Personal Computer
Printer
Router
Copying Machine
Internet Service Provider
Other In-Kind Donations Received:
Not
Evident Remarks
Evident
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1. Accomplished Deeds of
Donation for in-kind and
monetary donations.
2. Signed Memorandum of
Agreement (MOA)/
Memorandum of
Understanding (MOU) with
partner institutions.
VII. ISSUES AND CONCERNS
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Prepared by: Noted:
____________________________ ___________________________
Monitoring SDO Personnel School Head
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