Limited Face To Face Survey
Limited Face To Face Survey
Limited Face To Face Survey
PRE-ASSESSMENT QUESTIONS
1. 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.
2. Is the school accessible through public transportation?
3. If YES, what specific mode of transportation
4. Is the school accessible through walking?
2a. The school arranged the number of class sections in a way that each class section
will be able to attend face-to-face classes: (a) Class A: Half-day face-to-face classes in
one straight week and other half-day for distance learning; (b) Class B: One straight
week of pure distance learning; (c) Classes shall alternately attend face-to-face
classes every week for the whole duration of the pilot implementation.
2b. The class program has specific schedule/breakdown of hours for the face-to-face
classes including staggered start and close of the school day per grade level.
2c. The class program has specific schedule/breakdown of hours for distance learners
including staggered start and close of the school day per grade level.
2e. There are signages on protocols prohibiting activities that require large gatherings.
2f. The maximum hours of stay of the learners in schools (4.5 hours for G1-6 learners
and 3 hours for kindergarten learners).
3. The school has comprehensively profiled learners who will participate in the
implementation of the face-to-face classes.
3a. The school has profiled learners who reside within the city/municipality where the
school/learning center is located.
3b. The school profiled the learners who can walk their way to school, or ride with
available private transport, or with regulated public transportation.
3c. The school profiled learners without existing comorbidities.
3d. There is a 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.
3e. There is a prioritization of learners who are heavily dependent on face-to-face
learning interventions, such as Key Stage 1 learners (Kindergarten to Grade 3).
3f. There is a prioritization of learners who struggle to meet required learning
competencies.
3g. There is a prioritization of Senior High School (SHS) learners enrolled in Technical-
Vocational-Livelihood (TVL) track requiring workshop equipment in school.
3h. There is a prioritization of learners that are documented to be affected by mental
health concerns that may be eased by face-to-face interactions.
4. 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.
5. 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.
6. 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).
7. The school has provided an appropriate learning and development support plan in
providing better quality basic education services.
7a. The school Learning and Action Cells (LAC) sessions highlighting provision of
remediation/intervention for learners during the face-to-face classes.
7b. The school has coaching, mentoring, and training programs relevant in facilitating
blended learning approach.
8. 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.
8a. The school has an orientation on the implementation of the Most Essential Learning
Competencies (MELCs) included in their budget of work during the limited face-to-face
classes.
8b.The school has an orientation on the observance of academic ease and provision of
flexibility to learners in managing limited face-to-face classes
9. The school has established safe entrance and exit procedures for teachers, students, non-
teaching personnel, and school visitors.
1. The school has secured sufficient supply of personal protective equipment (PPEs) for
learners and school personnel.
1a. There is a 1:1 Face mask to Person (daily) ratio.
1b. There is a 1:1 Face shield to Person ratio.
1c. There is a 1:1 Toothbrush and Toothpaste to Learner ratio (K-6 learners).
1d. There is a 1:1 Bar of soap to Learner ratio enough for 5x of handwashing per day
(K-6 learners).
1d. There is a 1:1 Bar of soap to Learner ratio enough for 5x of handwashing per day
(K-6 learners).
1f. There are available 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.
2a. There is 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).
3a. The school has FDA-approved 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.
3b. The school has FDA-approved ethanol in all surfaces at a recommended ratio of
70-90%
3c. The school has FDA-approved 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.
4a. There is a 1:1 bottle of hand-sanitizers/alcohol-based solutions/other disinfectants
to restroom.
4b. There is a 1:1 bottle of hand-sanitizers/alcohol-based solutions/other disinfectants
to classroom.
4c. There is a 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.
5a. The school has available medical mask and face shields for triage and screening of
individuals in points of entry (for personnel in school entrances).
5b. The school has available 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).
5c. The school has available 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.
5d. The school has available full PPE for assisting in transporting passengers to a
healthcare facility.
6. The school has developed strategies to prevent COVID-19.
6a. The school has hand hygiene and temperature checks using a thermal scanner
prior to entering the school.
6b. The school has prioritization of non-face-to-face communications and coordination
through available platforms and discouragement of entrance of school visitors and
other external stakeholders.
6c. The school has daily rapid health checks in the classroom.
6d. The school has necessary disinfection activities especially in the areas of the
school frequented by personnel or learners that tested positive.
6e. The school has available surgical face masks and school clinic for further
assessment of anyone who will show symptoms of COVID-19.
6f. The school established/set-up/refurbished a school clinic to provide basic health
services to all school-goers, such as: a. Health assessment and physical examination,
as needed b. Appropriate intervention, first aid, or treatment c. Proper management of
symptoms, including rest at home d. Referral and follow-up of learners, teachers, and
personnel to appropriate facilities
6g. The school designated a private screening area at the entrance where school-
goers who show symptoms upon screening can be further examined, or referred.
6h. The school has designated 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.
6i. The school had designated 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.
6j. The school has conducted an orientation to the clinic teacher by the school health
personnel at the SDO for proper guidance on how to effectively run the school clinic.
6k. The school reiterated protocols for learners, teachers, and personnel who manifest
COVID-19 symptoms to not physically report to school and seek medical advice virtually if
possible.
6l. The school has a record of students’ health status and development, including
immunization checks to prevent outbreak-prone vaccine-preventable disease (e.g.,
measles, etc.).
7c. The school closely coordinated 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)"
7d. The school has 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
7e. The school has health forms 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.
8.The school has developed strategies to isolate and treat COVID-19.
8a. The school has designated rooms for isolation of students and personnel with fever
and flu-like symptoms near the entrances.
8b. The school has available transport vehicles from school to Temporary Treatment
and Monitoring Facility (TTMF).
8c. The school has a notification system for the family member/guardians of the
learner, or family member of school personnel who show flu-like symptoms.
8d. The school has a system for 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.
8e. The school has the necessary emergency care to the personnel or learner
following precautionary measures, by the health personnel or designated clinic
teacher.
8f. The school refers/fully disclose 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.
8g. The school strictly observe advice from health authorities including possibility of
home quarantine or isolation in a quarantine facility or confinement.
8h. The school has a system to report 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.
8i. The school strictly complies that learners and personnel who have tested positive
for COVID-19 to not return to school without clearance from medical authorities.
8j. The school head (SH) monitors and provides necessary support to all cases (close
contacts, suspect, probable, confirmed).
8k. The school head coordinates with and refers all cases to DepEd school health
personnel and local health authorities.
8l. The school head coordinates with the SDO in ensuring continuity of teaching and
learning in line with the school’s contingency plan.
8m. The school strictly observes 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.
9. The school has developed strategies in providing psychosocial support to the learners,
teachers, and personnel.
9a. The school has allotted time and preparation of modules on Mental Health to be
facilitated by their respective classroom advisers or designated teachers.
9b. The school has a designated and 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.).
9c. The school has 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.
9d. The school has 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.
9e. The school can provide 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.
9f. The school established and contextualized the inter-sectoral referral pathways to
ensure that psychosocial needs of both the personnel and the learners are provided.
9g. The school engages parents, guardians, or any care providers of learners on
taking care of mental health and creating a positive environment.
9i. The school strictly adheres to Republic Act No.10173 or the Data Privacy Act of
2012 in the provision of mental health services and referral.
9k. The school mobilizes trained Psychological First Aid (PFA) providers of the schools
to provide necessary mental health and psychosocial support to concerned personnel
or learners.
10. The school has established a clear procedure of referral system for COVID-19
confirmed and suspected personnel and learners.
10a. The school has a communication plan which includes coordination system with
LGU for school personnel and learners who show flu-like symptoms.
11. The school has established a clear contact tracing and quarantine system for close
contacts of COVID-19 confirmed positive cases.
11a. The school has 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.
11b. The school has a communication plan which includes notification of
family/parent(s)/guardian(s) of the concerned learner/s.
11c. The school has a flow chart of the contact tracing and quarantine system.
11d. The school has a contingency plan for school lockdown.
12The school has identified learners who are most vulnerable and disadvantaged in
terms of access to learning as indicated in the eligibility of learners (inclusion).
12a. The school has identified learners who are indigent children.
12b. The school has identified learners who are out-of-school youth.
12c. The school has identified learners who are physically and mentally handicapped.
12d. The school has identified learners who are distressed individuals and families,
including internally displaced persons (IDPs).
12e. The school has identified learners who are low resourced students.
12f. The school has identified learners who are abandoned and neglected children.
12g. The school has identified learners who are street children.
12h. The school has identified learners who are children of former rebel.
12i. The school has identified learners who are children living in conflict-affected areas
and vulnerable communities (CVAS).
12j. The school has identified learners who are children with disabilities and SPED
students.
12k. The school has identified learners who are children children from Geographically
Isolated and Disadvantaged Areas.
13. The school has identified learners who are most vulnerable and disadvantaged in
terms of access to learning as indicated in the eligibility of learners.
13a. The school has identified learners who need assistive devices that do not require
them to remove their face masks.
13b. The school coordinated with partner agencies in the provision of assistive devices
such as wheelchairs, cane, walkers, and others.
13b. The school ensured that parent/guardian of learners are informed that his/her
child has their own assistive device during face-to-face classes.
15. 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.
16. 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).
17. 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).
17b. The school facilitated the completion of routine immunizations through regular
immunization mechanisms available through the National Immunization Program
(NIP).
17c. The school has a 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.
17d. The school participated 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.
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.
1a. The school has developed an operational 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.
2a. The school has a safe drop-off and pick-up procedures.
2b. The school has 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].
2c. The school has 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.
VACCINATION STATUS
_____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
_____Total Number of Fully Vaccinated Male and Female Teaching Personnel
_____Total Number of Male and Female Teaching Personnel
_____% of Fully Vaccinated Teaching Personnel
_____Number of Unvaccinated Male and Female Teaching Personnel
_____Reasons for Unvaccination
_____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
_____Total Number of Fully Vaccinated Male and Female Non-Teaching Personnel
_____Total Number of Male and Female Non-Teaching Personnel
_____% of Fully Vaccinated Non-Teaching Personnel
_____Number of Unvaccinated Male and Female Non-Teaching Personnel
_____Reasons for Unvaccination