Region Iva School Safety Assessment Tool 03022022

Republic of the Philippines
Department of Education
REGION IV- A CALABARZON
SCHOOLS DIVISION OF BATANGAS
DISTRICT OF AGONCILLO
BANYAGA NATIONAL HIGH SCHOOL
Banyaga, Agoncillo, Batangas
Office of the Principal
Region IVA SCHOOL SAFETY ASSESSMENT TOOL

FOR THE PILOT STUDY ON THE FACE-TO-FACE LEARNING MODALITY
Email [email protected]
Division Batangas
School Name Banyaga National High School
Sector Public
School ID 301076
City/Municipality Agoncillo
Barangay Banyaga
Mobile Number 0917 187 2837
School Safety and Assessment Tool (SSAT)
Yes No
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 Motorcycle
o Jeepney Car
o Tricycle
o Pedicab
o Multicab
o Habal-habal
o Van
o Other:
Is the school accessible through walking? /
If the barangay where the school is located has not recorded any confirmed COVID-19
case/s in the past 28 days, and the school is accessible by public transportation or
walkable, proceed in answering this safety assessment tool, otherwise, your school cannot
be nominated as a participating school for the implementation of limited face-to-face
learning modality.
The School Safety Assessment Tool (SSAT) shall be used to assess the readiness of the
schools to participate in the conduct of the pilot implementation of face-to-face learning
modality in the time of the COVID-19 pandemic. The data gathered shall be used as
baseline information in preparation for the safe reopening of classes.
Address: Banyaga, Agoncillo, Batangas

Email Address: [email protected]
Contact No.: 0917 187 2837
For a school to be eligible for the implementation of the face-to-face learning delivery
modality, they need to meet all the indicators (YES to all indicators). In answering the
SSAT, School Heads shall ensure that key stakeholders are consulted. The Schools
Division Office (SDO) shall facilitate the administration of the tool to the nominated
schools and shall create a composite team who will conduct monitoring visits to
validate the data and verify the results submitted by the schools.
A. MANAGING SCHOOL OPERATIONS
I. SHARED RESPONSIBILITY Yes No
1. The school has secured support of LGUs (Barangay, Municipality, /
City, Province) through a resolution or a letter of support. (JSA/JACR)

2. The school has secured written consent from parents/guardians who /
will participate in the limited face-to-face classes. (Advisers)

3. The school has mobilized resources and support from community /
stakeholders to meet the standards of the health and safety protocols.

(JACR/NJDB)
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. (JCMo/CVP)
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. (NJDB)
a. Number of teachers who physically report meets the required /
teacher: learner ratio (JDR)

b. Teachers who physically report are 65 years old and below (JDR) /
c. Teachers who physically report to not have comorbidities, /
immunodeficiency, or any health risk/conditions (JDR)

d. Teachers who have service vehicles from and to area of residence /
and school (JDR)
e. Teachers who physically report are from within the city/municipality /

Contact No.: 0917 187 2837
where school/learning center is located (JDR)

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. (FVM)
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. (Advisers)
a. Number of seats to be occupied must not exceed from the required /
number of maximum learners in the classroom (Advisers)

b. Seats to be occupied must be at least 1-2 meters apart (Advisers) /
c. Numbers of seats shall be equivalent to the number of learners /
present (Advisers)
d. Presence of markers and stickers on the floor to manage traffic /
system and physical distancing inside the classroom (Advisers)

e. Availability of working electric fans (Advisers) /
f. Open windows and doors at all times (Advisers) /
g. Installation of appropriate ventilation equipment such as general and /
exhaust ventilation and CO2 monitoring devices (Advisers)

h. Availability of a sterilization box where outputs (e.g., quiz papers) /
submitted by the learners will be placed for disinfection (Advisers)

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. (Advisers) /
(Non-Advising – labas)
a. Display of school map at the entrance point indicating the location of /
the classrooms. (JCMo)

b. Designation of separate entrance and exit points in the school. /

Contact No.: 0917 187 2837
(Special Teachers)
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).(Advisers)
d. Designated entrance and exit points in the classrooms. (Advisers) /
e. Hallway ground markings for walking direction guide. (Special /
Teachers)
f. Designation of areas for queue (e.g., restroom, library, principal's /
office, etc.) (Special Teachers)

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. (Special Teachers)
a. Availability of temperature thermal scanner or thermal gun in /
entrance and/or exit gates. (Special Teachers)

b. Availability of hand sanitizer or alcohol dispenser in school gates. /
(Special Teachers)
c. Availability of surgical masks at school entrance reserved for /
symptomatic individuals (Special Teachers)

2. The school has established a contact tracing procedures/tools for /
school-goers. (CVP)
a. Health declaration sheet for school personnel (CVP) /
b. Health declaration sheet for students (All Advisers) /
c. Contact tracing tool for school-goers (Special Teachers) /
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.
(CVP/JCMo)
a. Designation of a Safety Officer who shall serve as the focal person /
for the health and safety protocols of the school. (JCMo/PPDM)

4. The school has set up a proper sanitation and hygiene facility for /

Contact No.: 0917 187 2837
school-goers. (CVP)
a. Availability of handwashing station with clean and safe water supply . /
(CVP)
b. Availability of clean and safe toilet facilities. (CVP) /
c. Schedule of supervised handwashing and toothbrushing activities . /
(CVP)
d. Placement of handwashing facilities in a strategic location (e.g., /
school entrance) (Special Teachers)

e. Placement of trash bins in strategic locations. (JCMO) /
f. Visuals signages on proper waste management practices near trash /
bins. (JCMO)
5. The school has ensured regular sanitation and disinfection of school /
facilities, furniture, and equipment. (Special Teachers)

a. Schedule of sanitation of frequently touched surfaces (e.g., table, /
doorknobs, light switches, etc.) every after end of a school shift. (All
Advisers)
b. Schedule of disinfection of school facilities (e.g., chairs, desk, /
blackboard, toilet facilities) . (All Advisers)

c. Availability of sanitation and disinfecting materials. (MBA) /
6. The school has ensured a proper disposal system of infectious /
wastes, such as used tissues and masks, in non-contact

receptacles. (JCMo)
a. Disposal of all used PPEs in a separate leak-proof yellow trash /
bag/container with a cover properly labeled as “USED PPE”. (JCMo)

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 . (JCMo)
c. Availability of medical-grade face mask required for school personnel /
when collecting/handling the leak-proof yellow trash bag/container .

(CVP)
d. Treatment through disinfection or spraying of the collected wastes /

Contact No.: 0917 187 2837
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” . (Special Teachers)
e. Disposal of the disinfected PPE with general waste to the final /
disposal facility. (JCMo)

VI. COMMUNICATION STRATEGY
1. The school has developed a communication plan. (EPT) /
a. Identification of platform of communication for coordination /
purposes among the learners, parents/guardians, and teachers. All

Advisers)
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. (All Advisers)
c. Development of child-friendly Information, Education and /
Communication (IEC) materials on hygiene practices and respiratory

etiquette including 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. (CVP/FCBA)
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. (All Advisers)
a. Schedule of the orientation (at least one week prior to the conduct of /
the face-to-face classes). (All Advisers) to be collected by mam jen

Contact No.: 0917 187 2837
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.
(MGJA)
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. (PPDM/JDR)
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. (JCMo)
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 period for /
disinfection following identification/detection of suspect, probable, or

confirmed COVID-19 confirmed case/s, only after which can it be

Contact No.: 0917 187 2837
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.

Contact No.: 0917 187 2837
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
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. (NJDB)
a. Implementation of 1:1 Student to Self-Learning Module (SLM) to /
lessen student interaction during class hours . (NJDB)
b. Implementation of 1:1 Student to Textbook ratio to lessen student /
interaction during class hours. (NJDB)
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. (JDR)
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

Contact No.: 0917 187 2837
distance learning Class B: One straight week of pure distance learning

Classes shall alternately attend face-to-face classes every week for the
whole duration of the pilot implementation. (All advisers)
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. (All Advisers)
c. Class program indicating specific schedule/breakdown of hours for /
distance learners including staggered start and close of the school day
per grade level. (All Advisers)
d. Class program indicating schedule of staggered break time hours. /
e. Signages on protocols prohibiting activities that require large /
gatherings
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

Contact No.: 0917 187 2837
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

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 /

Contact No.: 0917 187 2837
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 Yes No
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, /

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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 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

Contact No.: 0917 187 2837
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 /
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- /

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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
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

Contact No.: 0917 187 2837
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 /

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possibility of home quarantine or isolation in a quarantine facility or

confinement
h. Report of the close follow-up of the 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

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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 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 /

Contact No.: 0917 187 2837
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 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 /

Contact No.: 0917 187 2837
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),

Contact No.: 0917 187 2837
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 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

Contact No.: 0917 187 2837
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]
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.
Vaccinated Teaching Personnel

Number of Fully Vaccinated Male Teaching Personnel 5
Number of Fully Vaccinated Female Teaching Personnel 20
Number of Vaccinated (1st Dose Only) Male Teaching Personnel 0
Number of Vaccinated (1st Dose Only) Female Teaching 0
Personnel
Vaccinated Non-Teaching Personnel 4
Number of Fully Vaccinated Male Non-Teaching Personnel 2

Contact No.: 0917 187 2837
Number of Fully Vaccinated Female Non-Teaching Personnel 2
Number of Vaccinated (1st Dose Only) Male Non-Teaching 0

Personnel
Number of Vaccinated (1st Dose Only) Female Non-Teaching 0

Personnel

Contact No.: 0917 187 2837

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Republic of the Philippines

Office of the Principal