Republic of the Philippines

Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent

School Safety Assessment Tool (SSAT)

Download through this link: https://bit.ly/SSAT_CDO

Noted: Aside from the SSAT, the school shall also create an implementation plan.

SCHOOL SAFETY ASSESSMENT TOOL 2

QUESTION ANSWER REMARKS

Email Address    
Region    
School Name    
School ID    
Division Cagayan de Oro City  
Contact Number    
For the past twenty-eight (28) days, has the    
barangay where your school is located recorded any
confirmed COVID-19 case/s? *Kindly refer to
your respective barangay for the data.
Is the school accessible through public    
transportation?
If YES, what specific mode of transportation    
Is the school accessible through walking?    
A. MANAGING SCHOOL OPERATIONS    
I. SHARED RESPONSIBILITY    
1. The school has secured support of LGUs    
(Barangay, Municipality, City, Province) through a
resolution or a letter of support.
2. The school has secured written consent from    
parents/guardians who will participate in the limited
face-to-face classes.
3. The school has mobilized resources and support    
from community stakeholders to meet the standards
of the health and safety protocols.
4. The school has conducted simulation activities    
among school personnel regarding protocols and
routines to replicate and discuss possible scenarios
during the actual conduct of face-to-face classes.
II. ALTERNATIVE WORK ARRANGEMENT    
1. The school has implemented an Alternative Work    
Arrangement necessary to deliver quality basic
education in a safe learning environment to learners.
a. Number of teachers who physically report meets    
the required teacher: learner ratio

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
b. Teachers who physically report are 65 years old    
and below
c. Teachers who physically report to not have    
comorbidities, immunodeficiency, or any health
risk/conditions
d. Teachers who have service vehicles from and to    
area of residence and school
e. Teachers who physically report are from within the    
city/municipality where school/learning center is
located
2. The school has oriented teaching personnel and    
non-teaching personnel on the Alternative Work
Arrangement that will be implemented during the
limited face-to-face classes.
III. CLASSROOM LAYOUT AND STRUCTURE    
1. The school has established mechanisms inside the    
classroom to ensure zero to minimal risk of COVID-
19 transmission of the learners.
a. Number of seats to be occupied must not exceed    
from the required number of maximum learners in
the classroom
b. Seats to be occupied must be at least 1-2 meters    
apart
c. Numbers of seats shall be equivalent to the number    
of learners present
d. Presence of markers and stickers on the floor to    
manage traffic system and physical distancing inside
the classroom
e. Availability of working electric fans    
f. Open windows and doors at all times    
g. Installation of appropriate ventilation equipment    
such as general and exhaust ventilation and CO2
monitoring devices
h. Availability of a sterilization box where outputs    
(e.g., quiz papers) submitted by the learners will be
placed for disinfection
i. Usage of high-efficiency particulate air (HEPA)    
filtration air purifiers to clean recirculated air for air-
conditioned spaces, provided that the unit is adequate
for the size of the room in which it is installed
IV. SCHOOL TRAFFIC MANAGEMENT    
1. The school has set-up clear and easy-to-understand    
signages, preferably in local languages and Braille,
and mechanisms to strengthen observance of health
protocols and protective measures.
a. Display of school map at the entrance point    
indicating the location of the classrooms

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
b. Designation of separate entrance and exit points in    
the school
c. Designation of separate entrance and exit points in    
high traffic areas (unidirectional markers, installation
of signages for cueing and unidirectional movement,
sectioning, and queueing)
d. Designated entrance and exit points in the    
classrooms
e. Hallway ground markings for walking direction    
guide
f. Designation of areas for queue (e.g., restroom,    
library, principal's office, etc.)
V. PROTECTIVE MEASURES, HYGIENE    
PRACTICES, AND SAFETY PROCEDURES
1. The school has established safe entrance and exit    
procedures for teachers, students, non-teaching
personnel, and school visitors.
a. Availability of temperature thermal scanner or    
thermal gun in entrance and/or exit gates
b. Availability of hand sanitizer or alcohol dispenser    
in school gates
c. Availability of surgical masks at school entrance    
reserved for symptomatic individuals
2. The school has established a contact tracing    
procedures/tools for school-goers.
a. Health declaration sheet for school personnel    
b. Health declaration sheet for students    
c. Contact tracing tool for school-goers    
3. The school has mobilized the School COVID-19    
DRRM team that will take charge in ensuring
effective implementation of the school’s health and
safety protocols that are in place and are observed
during the preparation and implementation of limited
face-to-face classes.
a. Designation of a Safety Officer who shall serve as    
the focal person for the health and safety protocols of
the school
4. The school has set up a proper sanitation and    
hygiene facility for school-goers.
a. Availability of handwashing station with clean and    
safe water supply
b. Availability of clean and safe toilet facilities    
c. Schedule of supervised handwashing and    
toothbrushing activities
d. Placement of handwashing facilities in a strategic    
location (e.g., school entrance)

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
e. Placement of trash bins in strategic locations    
f. Visuals signages on proper waste management    
practices near trash bins
5. The school has ensured regular sanitation and    
disinfection of school facilities, furniture, and
equipment.
a. Schedule of sanitation of frequently touched    
surfaces (e.g., table, doorknobs, light switches, etc.)
every after end of a school shift
b. Schedule of disinfection of school facilities (e.g.,    
chairs, desk, blackboard, toilet facilities)
c. Availability of sanitation and disinfecting materials    
6. The school has ensured a proper disposal system    
of infectious wastes, such as used tissues and masks,
in non-contact receptacles.
a. Disposal of all used PPEs in a separate leak-proof    
yellow trash bag/container with a cover properly
labeled as “USED PPE”
b. Collection of the leak-proof yellow trash    
bag/container regularly or twice a day (after end of
class and after working day) from designated/specific
area to the general collection area for treatment and
disposal
c. Availability of medical-grade face mask required    
for school personnel when collecting/handling the
leak-proof yellow trash bag/container
d. Treatment through disinfection or spraying of the    
collected wastes with a chlorine solution (1:10) in
accordance with DOH Department Memorandum
No. 2020-0157 “Guidelines on Cleaning and
Disinfection in Various Settings as an Infection
Prevention and Control Measure Against COVID-
19”
e. Disposal of the disinfected PPE with general waste    
to the final disposal facility
VI. COMMUNICATION STRATEGY    
1. The school has developed a communication plan.    
a. Identification of platform of communication for    
coordination purposes among the learners,
parents/guardians, and teachers
b. Database of contact details including contact    
number and address of parents/guardians of the
learners are kept to inform them in case their child
shows flu-like symptoms while in school premises
c. Development of child-friendly Information,    
Education and Communication (IEC) materials on
hygiene practices and respiratory etiquette including

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
hand hygiene (hand disinfection thru handwashing
and/or use of 70% isopropyl alcohol), respiratory
hygiene and cough etiquette (coughing or sneezing
into tissues or one’s elbow), protective measures
(proper use of face shield and face mask, physical
distancing), among others, that are posted in common
areas and are available in local languages and braille.
2. The school has prepared an orientation session for    
learners, parents, guardians, teaching and non-
teaching personnel, external stakeholders, and LGU
of the eligibility criteria for participation, existing
protocols, mechanisms, and procedures needed in the
conduct of the limited face-to-face classes.
a. Schedule of the orientation (at least one week prior    
to the conduct of the face-to-face classes)
b. Orientation materials are made available for    
distribution to teachers, learners, parents, BLGU,
DRRM team members, and persons-in-charge in
ensuring observance of protocols, mechanisms, and
procedures
3. The school has a proactive COVID-19 local    
hotline/help desk or any similar local mechanism that
connects and coordinates to the hospitals, testing
facilities, and LGUs.
4. The school has prepared a re-orientation session    
for school stakeholders on measures needed for the
reopening of the school in the event of resurgences
and school lockdown.
VII. CONTINGENCY PLAN    
1. The school has followed a decision model and    
contingency plan for reclosing and reopening the
school in case of COVID-19 resurgence in the
community.
a. Inclusion of decision points for school lockdown    
dependent on the assessment and decision of the
Local Task Force against COVID-19 (LTF) with the
following considerations:
○ When there is suspected, probable, or confirmed
COVID-19 case to facilitate disinfection and contact
tracing; ○ Change in number of community
transmission and quarantine risk classification
identified by IATF; ○ Violations/instances of non-
compliance of learners or personnel with the
minimum public health standards or PDITR for
review of protocols
b. In the event of school lockdown, all learners shall    
revert to distance learning.
c. Implementation of a 24-hour granular lockdown    

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
period for disinfection following
identification/detection of suspect, probable, or
confirmed COVID-19 confirmed case/s, only after
which can it be opened for use to occupants.
d. Consideration of the following for the reopening of    
classes after a school lockdown:
o Completed contact tracing
o Completed disinfection activities
o 14 days without confirmed cases in the school
o School is in a barangay with low to no community
transmission
o Area where the school is located is classified as
minimal-risk

e. Implementation of return to school/work policies    

consistent with latest national guidelines
o For close contacts:
i. For fully vaccinated individuals: Seven (7)-day
quarantine has been completed regardless of negative
test result
ii. For unvaccinated or with incomplete vaccination:
Fourteen (14)-day quarantine has been completed
regardless of negative test result
o For suspect, probable or confirmed cases, whether
fully vaccinated, unvaccinated, or with incomplete
vaccination: i.
For asymptomatic: Ten (10)-day isolation have
passed from the first viral diagnostic test and
remained asymptomatic throughout their infection
.ii. For mild to moderate COVID-19 confirmed cases:
Ten (10)-day isolation have passed from onset of the
first symptom, respiratory symptoms have improved
(cough, shortness of breath), AND have been afebrile
for at least 24 hours without use of antipyretic
medications.
iii. For severe and critical COVID-19 confirmed
cases: Twenty-one (21)-day isolation has passed
from onset of the first symptom, respiratory
symptoms have improved (cough, shortness of
breath) AND have been afebrile for at least 24 hours
without the use of antipyretic medications.
iv. For immunocompromised, do RT-PCR testing on
the 10th day. If RT-PCR test results turn out positive,
refer to Infectious Disease Specialist. If RT-PCR test
results turn out negative, discharge from isolation.
o Medical certification or repeat testing is not
necessary for the safe return to work of
immunocompetent individuals, provided that a
licensed medical doctor certifies or clears the patient

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
2. The school has developed strategies for the    
continuity of learning while the school is closed until
the local authorities have determined the safe
resumption of face-to-face classes.
a. Distance learning modalities during lockdown in    
the decision model and contingency plan
b. Strategies for the reopening of schools after the    
lockdown in the decision model and contingency
plan
B. FOCUSING ON TEACHING AND    
LEARNING
I. LEARNING RESOURCES    
1. The school has secured sufficient supply of    
learning resources needed for the face-to-face
classes.
a. Implementation of 1:1 Student to Self-Learning    
Module (SLM) to lessen student interaction during
class hours
b. Implementation of 1:1 Student to Textbook ratio to    
lessen student interaction during class hours
II. LIMITED FACE-TO-FACE CLASSES    
1. The school has designed class program/s that cater    
both learners of the limited face-to-face classes
arrangement and distance education while observing
the maximum 6-hour classroom teaching hours of
teachers.
a. Arrangement of the number of class sections in a    
way that each class section will be able to attend
face-to-face classes:o Class A: Half-day face-to-face
classes in one straight week and other half-day for
distance learningo Class B: One straight week of
pure distance learningo Classes shall alternately
attend face-to-face classes every week for the whole
duration of the pilot implementation
b. Class program indicating specific    
schedule/breakdown of hours for the face-to-face
classes including staggered start and close of the
school day per grade level
c. Class program indicating specific    
schedule/breakdown of hours for distance learners
including staggered start and close of the school day
per grade level
d. Class program indicating schedule of staggered    
break time hours
e. Signages on protocols prohibiting activities that    
require large gatherings

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
f. Implementation of the maximum hours of stay of    
the learners in schools (4.5 hours for G1-6 learners
and 3 hours for kindergarten learners)
2. The school has comprehensively profiled learners    
who will participate in the implementation of the
face-to-face classes.
a. Learners who reside within the city/municipality    
where the school/learning center is located
b. Learners who can walk their way to school, or ride    
with available private transport, or with regulated
public transportation
c. Learners without existing comorbidities    
d. Prioritization of learners who require childcare,    
such as those whose parents must work outside the
home, or who have no directly available and
immediately responsible adults/guardians at home
e. Prioritization of learners who are heavily    
dependent on face-to-face learning interventions,
such as Key Stage 1 learners (Kindergarten to Grade
3)
f. Prioritization of learners who struggle to meet    
required learning competencies
g. Prioritization of Senior High School (SHS)    
learners enrolled in Technical-Vocational-Livelihood
(TVL) track requiring workshop equipment in school
h. Prioritization of learners that are documented to be    
affected by mental health concerns that may be eased
by face-to-face interactions
3. The school has ensured an attendance monitoring    
of learners to determine which participating learners
are exhibiting difficulties in coming to school and
which learners who cannot participate in face-to-face
classes will revert to full distance learning.
4. The school has informed teachers to conduct    
consultations with parents, provision of feedback and
instructional support for learners, facilitation of
assessment, preparation of Weekly Home Learning
Plan (WHLP), and other related tasks after face-to-
face classes.
5. The school has ensured prohibition of conduct of    
physical or face-to-face large gatherings, group work,
or activities that will require close contact or where
physical distancing may not be possible (e.g., school
activities, field trips, sports festivals, flag
ceremonies).
III. TEACHER SUPPORT    

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
1. The school has provided an appropriate learning    
and development support plan in providing better
quality basic education services.
a. Learning and Action Cells (LAC) sessions    
highlighting provision of remediation/intervention
for learners during the face-to-face classes
b. Coaching, mentoring, and training relevant in    
facilitating blended learning approach
2. The school has oriented teachers on their budget of    
work and ensured that the school requirement for the
learners is in observance of academic ease.
a. Orientation on the implementation of the Most    
Essential Learning Competencies (MELCs) included
in their budget of work during the limited face-to-
face classes
b. Orientation on the observance of academic ease    
and provision of flexibility to learners in managing
limited face-to-face classes
C. WELL-BEING AND PROTECTION    
I. PERSONAL PROTECTIVE EQUIPMENT    
1. The school has secured sufficient supply of    
personal protective equipment (PPEs) for learners
and school personnel.
a. 1:1 Face mask to Person (daily) ratio    
b. 1:1 Face shield to Person ratio    
c. 1:1 Toothbrush and Toothpaste to Learner ratio    
(K-6 learners)
d. 1:1 Bar of soap to Learner ratio enough for 5x of    
handwashing per day (K-6 learners)
e. Availability of emergency health kits that include    
PPEs and other needed supplies and materials in the
school clinic
f. Availability of PPEs for COVID-19 team    
members, health personnel, and maintenance, and
security guards
2. The school has secured adequate supply of face    
masks, face shields, and/or other COVID-19
protective gears for learners.
a. 1:1 Replacement of lost and damaged PPE to    
Person ratio
3. The school has ensured that the available    
sanitation and disinfection materials are approved by
the Philippine Food and Drug Administration (FDA)
such as:
a. Sodium hypochlorite recommended ratio of 0.1%    
(1000 ppm) by dissolving ½ tsp of chlorine or 2 g to

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
2L of clean water for regular disinfection, and
recommended ratio of 0.5% (5000 ppm) for body
fluids by dissolving 1 tbsp of chlorine or 10 g to 2L
of clean water
b. Ethanol in all surfaces at a recommended ratio of    
70-90%, or
c. Hydrogen peroxide in all surfaces at a    
recommended ratio of >0.5%
4. The school has secured sufficient supply of    
sanitation and disinfection materials for strategic
school locations.
a. 1:1 bottle of hand-sanitizers/alcohol-based    
solutions/other disinfectants to restroom
b. 1:1 bottle of hand-sanitizers/alcohol-based    
solutions/other disinfectants to classroom
c. 1:1 bottle of hand-sanitizers/alcohol-based    
solutions/other disinfectants to entrance/exit point
5. The school has ensured PPE requirements,    
specifications, and standards for different types of
COVID-19 management activities in accordance with
DOH DM 2020-0176A.
a. Availability of medical mask and face shields for    
triage and screening of individuals in points of entry
(for personnel in school entrances
b. Availability of medical mask, goggles or face    
shield, gloves, gown for caring for a suspected case
of COVID-19 with no aerosol-generating procedure
(for personnel in school clinics)
c. Availability of respirator (N95 or FFP2), goggles    
or face shield, gloves, gown for caring for
suspected/confirmed cases of COVID-19 with no
aerosol-generating procedure for personnel in school
clinics)
d. Availability of full PPE for assisting in    
transporting passengers to a healthcare facility
II. COVID-19 CASE MANAGEMENT    
1. The school has developed strategies to prevent    
COVID-19.
a. Conduct of hand hygiene and temperature checks    
using a thermal scanner prior to entering the school
b. Prioritization of non-face-to-face communications    
and coordination through available platforms and
discouragement of entrance of school visitors and
other external stakeholders
c. Conduct of daily rapid health checks in the    
classroom

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
d. Conduct of necessary disinfection activities    
especially in the areas of the school frequented by
personnel or learners that tested positive
e. Availability of surgical face masks and school    
clinic for further assessment of anyone who will
show symptoms of COVID-19
f. Establishment/setting-up/refurbishment of a school    
clinic to provide basic health services to all school-
goers, such as:
o Health assessment and physical examination, as
needed
o Appropriate intervention, first aid, or treatment
o Proper management of symptoms, including rest at
home
o Referral and follow-up of learners, teachers, and
personnel to appropriate facilities
g. Designation of private screening area at the    
entrance where school-goers who show symptoms
upon screening can be further examined, or referred
h. Designation of separate space where sick school-    
goers who have been managed in the clinic can
temporarily stay, awaiting referral to the appropriate
health facility, without creating stigma
i. Designation of clinic teachers(s) in absence of    
school health personnel, who shall provide basic
health services and facilitate referral in coordination
with the school health personnel at SDO, in absence
of school-based health personnel
j. Orientation to the clinic teacher by the school    
health personnel at the SDO for proper guidance on
how to effectively run the school clinic
k. Reiteration of protocols for learners, teachers, and    
personnel who manifest COVID-19 symptoms to not
physically report to school and seek medical advice
virtually if possible
l. Record of students’ health status and development,    
including immunization checks to prevent outbreak-
prone vaccine-preventable disease (e.g., measles
2. The school has identified strategies to detect    
COVID-19.
a. Cooperation with the local health authorities in the    
tracing and quarantine of close contacts of confirmed
cases of COVID-19 consistent with DOH guidelines
b. Presence of the School DRRM Team who shall    
ensure that contact tracing activities, as required by
the local health authorities, are initiated, and
completed among the possible close contacts among

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
DepEd personnel and learners
c. Close coordination with Epidemiology    
Surveillance Unit (ESU) officers per setting
o DOH Regional ESU of reporting school
o LGU City ESU/Provincial ESU/Municipal ESU of
reporting school
o DOH Regional ESU of identified case (place of
residence)
o LGU City ESU/Provincial ESU/Municipal ESU of
identified case (place of residence)
d. Development of a reporting system requiring    
parents to report to the school if their children are
experiencing flu-like system, recommendation of
testing to be done immediately with support and
guidance from the LGUs
e. Provision of health form to parents/guardians at the    
beginning of each school term confirming their child
and/or family members do not have COVID-19
before being permitted to go to school to be
submitted 24 to 72 hours prior to the start of school
opening
3. The school has developed strategies to isolate and    
treat COVID-19.
a. Designation of rooms for isolation of students and    
personnel with fever and flu-like symptoms near the
entrances
b. Availability of transport vehicles from school to    
Temporary Treatment and Monitoring Facility
(TTMF)
c. Notification of family member/guardians of the    
learner, or family member of school personnel who
show flu-like symptoms
d. Immediate isolation and referral of the personnel/s    
or learner/s who show COVID-19 symptoms based
on the severity for proper management and
appropriate testing
e. Provision of necessary emergency care to the    
personnel or learner following precautionary
measures, by the health personnel or designated
clinic teacher
f. Referral/full disclosure of the case to the identified    
health authority (e.g., barangay health station, rural
health unit) for further evaluation or referral to a
hospital if needed
g. Strict observance of advice from health authorities    
including possibility of home quarantine or isolation
in a quarantine facility or confinement
h. Report of the close follow-up of the    

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
attending/assigned school health personnel or
designated clinic teacher with the condition of the
identified learner/personnel to the SDO School health
and Nutrition Unit/Section, as required by existing
reporting mechanisms
i. Strict compliance of learners and personnel who    
have tested positive for COVID-19 to not return to
school without clearance from medical authorities
j. Monitoring and provision of necessary support of    
the School Head (SH) to all cases (close contacts,
suspect, probable, confirmed)
k. Coordination of SH to all cases with DepEd school    
health personnel and local health authorities
l. Coordination of SH with the SDO in ensuring    
continuity of teaching and learning in line with the
school’s contingency plan
m. Strict observance of provision of Section IV.A    
(Screening of Returning Personnel and Learners and
Testing Protocol) of the Specific Measures for
COVID-19 Prevention and Mitigation in Schools
(Enclosure No. 2 to DepEd Order No. 014, s. 2020)
before the participation of COVID-19 infected
learners or personnel in the face-to-face classes
4. The school has developed strategies in providing    
psychosocial support to the learners, teachers, and
personnel.
a. Allotment of time and preparation of modules on    
Mental Health to be facilitated by their respective
classroom advisers or designated teachers
b. Designation of trained teachers who will facilitate    
activities fostering Mental Health such as mental
health topics, nature of COVID-19, and preventive
measures (WASH, physical distancing, etc.)
c. Setting up of an operational Guidance Office that    
is staffed by a registered guidance counselor (RGC)
or a designated guidance associate (not an RGC but
is trained on MHPSS and is capable of effective
referral) every school day, to provide basic mental
health services to learners, teachers, and personnel
who may need such services
d. Availability of a hotline/online platform in the    
SDOs to provide counseling services to learners,
teachers, and personnel who require counseling
services, in absence of an RGC
e. Provision of specialized psychosocial support to    
learners, teachers and personnel who are confirmed
to be positive, under isolation/ quarantine, and

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
categorized as suspect and probable, through the
Guidance Office using the DRRMS MHPSS
materials as reference
f. Establishment and contextualization of the inter-    
sectoral referral pathways to ensure that psychosocial
needs of both the personnel and the learners are
provided
g. Engagement of parents, guardians, or any care    
providers of learners on taking care of mental health
and creating a positive environment
h. Coordination of mechanisms to ensure that the    
mental health and the basic needs of learners and
personnel with pre-existing mental health conditions
and special needs including neurologic and substance
abuse disorders such as medications and other key
services are provided
i. Strict adherence to Republic Act No.10173 or the    
Data Privacy Act of 2012 in the provision of mental
health services and referral
j. Promotion of “school-life balance” through proper    
scheduling of schoolwork that will allow learners to
enjoy quality time at home
k. Mobilization of trained Psychological First Aid    
(PFA) providers of the schools to provide necessary
mental health and psychosocial support to concerned
personnel or learners
5. The school has established a clear procedure of    
referral system for COVID-19 confirmed and
suspected personnel and learners.
a. Communication plan which includes coordination    
system with LGU for school personnel and learners
who show flu-like symptoms
b. Communication plan which includes a referral    
system for COVID-19 confirmed and suspected
personnel and learners
c. Flow chart of the referral system    
6. The school has established a clear contact tracing    
and quarantine system for close contacts of COVID-
19 confirmed positive cases.
a. Communication plan which includes coordination    
system with local health authorities in contact tracing
and quarantine of close contacts of confirmed
COVID-19 positive cases
b. Communication plan which includes notification    
of family/parent(s)/guardian(s) of the concerned
learner/s
c. Flow chart of the contact tracing and quarantine    

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
system
d. Contingency plan for school lockdown    
III. INCLUDING THE MOST MARGINALIZED    
1. The school has identified learners who are most    
vulnerable and disadvantaged in terms of access to
learning as indicated in the eligibility of learners,
such as inclusion of:
a. indigent children    
b. out-of-school youth    
c. physically and mentally handicapped    
d. distressed individuals and families, including    
internally displaced persons (IDPs)
e. low resourced students    
f. abandoned and neglected children    
g. street children    
h. children of former rebels    
i. children living in conflict-affected areas and    
vulnerable communities (CVAS)
j. children with disabilities and SPED students    
k. children from Geographically Isolated and    
Disadvantaged Areas
2. The school has identified learners who are most    
vulnerable and disadvantaged in terms of access to
learning as indicated in the eligibility of learners,
such as inclusion of:
a. Inclusion of learners who need assistive devices    
that do not require them to remove their face masks
b. Coordination with partner agencies in the    
provision of assistive devices such as wheelchairs,
cane, walkers, and others
c. Ensured that parent/guardian of learners are    
informed that his/her child has their own assistive
device during face-to-face classes
3. The school has developed learning strategies to    
cater the needs of the disadvantaged learners such as
modules in braille, mother-tongue languages, and
usage of Filipino Sign Language.
4. The school has ensured participation in school-    
based services which includes but is not limited to
feeding and nutrition programs, immunizations,
Mental Health and Psychosocial Support (MHPSS),
prevention of Violence against Children (VAC) (i.e.,
bullying from social stigma) and other health
services.
5. The school has established close coordination with    
the Department of Social Welfare and Development
(DSWD) Case Managers of those learners who are

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
marginalized; Other partner agencies and
organizations such as National Council on Disability
Affairs (NCDA).
6. The school has coordinated with their respective    
local government units with the implementation of
routine school-based immunization (SBI) and other
school health-related services such as but not limited
to deworming and weekly iron-folate acid
supplementation (WIFA).
a. Routine implementation of SBI together with    
school health services among target learners
b. Facilitation of the completion of routine    
immunizations through regular immunization
mechanisms available through the National
Immunization Program (NIP)
c. Routine immunization card checks through the    
school nurse or the designated clinic teachers to
ensure that children entering schools have completed
their routine immunization (i.e., 3 doses of Polio and
DPT-HepB-Hib vaccines, and two doses of Measles-
containing vaccines) in the community
d. Referral of learners who have not completed their    
routine infant vaccines to the nearest LGU/private
pediatrician for catch-up vaccination
e. Participation in intensive health promotion    
campaign activities/supportive-policies that shall be
instituted by schools in collaboration with their local
health offices to maintain optimal health-seeking
behaviors of learners and other community members
D. HOME-SCHOOL COORDINATION    
1. The school has developed a plan in coordinating    
with the Barangay Local Government Unit (BLGU)
or the Barangay Health Emergency Response Team
(BHERT) in ensuring that protocols are observed
properly.
a. Operationalization of the Preventative Alert    
System in Schools (PASS) for COVID-19 (per
DepEd Memorandum No. 15, s. 2020)
2. The school has developed a strategy in orienting    
parents on health protocols and safety measures.
a. Safe drop-off and pick-up procedures    
b. Safety precautions and preventive measures while    
commuting [e.g., wearing of proper face masks and
face shields, refrain from talking and eating while in
public transportation, ensure adequate ventilation,
frequent and proper disinfection, appropriate physical
distancing]

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent
c. Safety precautions and preventive measure    
upon entering the school premises
3. The school has identified a designated waiting    
area with proper ventilation for
parents/guardians.
Number of Fully Vaccinated Male Teaching    
Personnel
Number of Fully Vaccinated Female Teaching    
Personnel
Number of Vaccinated (1st Dose Only) Male    
Teaching Personnel
Number of Vaccinated (1st Dose Only) Female    
Teaching Personnel
Number of Fully Vaccinated Male Non-Teaching    
Personnel
Number of Fully Vaccinated Female Non-    
Teaching Personnel
Number of Vaccinated (1st Dose Only) Male Non-    
Teaching Personnel
Number of Vaccinated (1st Dose Only) Female    
Non-Teaching Personnel

General Recommendations for Compliant School

General Recommendations for Non-Compliant School

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048
 Republic of the Philippines
Department of Education
REGION X
DIVISION OF CAGAYAN DE ORO CITY
Office of the Schools Division Superintendent

Presented by Inspected by

____________________________________ ____________________________
Name and Signature of School Head Name and Signature of Division
Validation Team
____________________________________
School F2F Focal Person ____________________________________
Name and Signature of District Validation
____________________________________ Team
Alternate, School F2F Focal Person

Approved by

CHERRY MAE L. LIMBACO-REYES

Schools Division Superintendent

Date Approved

Date on the Issuance of Safety Seal

Address: Fr. William F. Masterson Ave., Upper Balulang, Cagayan de Oro City
Telephone: (08822)-8550048