LCPC Assessment Form 001-B

(for City/Municipality)
City/Municipal Council for the Protection of Children (C/MCPC)
Functionality Assessment Tool
City/Municipality: _______________________ Region: ___________________________
Province: ______________________________ Assessment Year: __________________

Note: Please put a (✓) check mark on the appropriate box if applicable.

Indicator - ✓ 1.00 ✓ 3.00 ✓ 5.00 ✓

ORGANIZATIONAL SUSTAINABILITY (20%)

C/MCPC Organization C/MCPC is not organized Organized C/MCPC in
Child Representation in the No Child Representative in the Child Representative is Child Representative is accordance with DILGfrom
Child Representative MC
C/MCPC
Meetings C/MCPC
No quarterly meeting appointed/
Less designated
than four quarterly selected
Four through
quarterly meetings different sectors
Conducted [inclusivity]
four quarterly
conducted
Less than 50% of the issues meetings
50-70% ofconducted
the issueswith conducted
71-90% of thewithissues meetings
91-100% of withthe issues
identified
Less thanin50%
the member
profiling /SitAn identified in the profiling
50-70% member identified in the profiling/
71-90% member identified in
91-100% member the profiling/
Capacity Building attendance in all meetings
No capacity building [plan] for attendance in all meetings
50-70% of C/MCPC attendance in all
71-90% of C/MCPC attendance
91-100% of in all meetings
C/MCPC
C/MCPC members
No capacity building [plan] for members
50-70% of BCPCsortrained
trained members
71-90% of BCPCsor
trained members trained
91-100% of BCPCs or trained
lower level LCPC [BCPCs]POLICIES AND or received
PLANS FORat least 1
CHILDREN (30%) trained or received at or received at least 1
Database on children No database on children Established consolidated Established Established disaggregated
Local State of Children Report No LSCR database on children
LSCR prepared in consolidated
LSCR deliveredandin the database with situational
LSCR included in the
(LSCR)
Local Development Plan for No LDPC accordance
LDPC prepared withconsidering
the DILG State of City/Municipal
LDPC presented and C/MLGU Annual
LDPC integrated/
Children
LDPC % (LDPC) [or midterm
accomplishment Below 50% accomplishment (a) otheraccomplishment
50-70% sectoral plans, (b) approved by the Local
71-90% accomplishment mainstreamed in the
91-100% accomplishment
Annual Work and Financial Plan No AWFPC Prepared AWFPC and AWFPC AWFPC integrated in the
for Children
AWFPC (AWFPC)
% accomplishment Below 50% accomplishment approved by the LCE
50-70% accomplishment presented/recommende
71-90% accomplishment Local
91-100%Annual Investment
accomplishment
Local Code for Children (LCC) No LCC With exisiting and approved Existing LCC updated in LCC implementation is
Child Protection Policy (CPP) No CPP LCC
Drafted and approved CPP the
CPPlast five years
utilized and monitored
Issuance of Ordinance
Formulation of Policy/ No policy/resoulution issuance Prepared at least two P/R/R monitored within
Presented P/R/R the
to the directing
At concerned
least two private
P/R/R enacted
Resolution/ Recommendation
Advocacy Actvities No advocacy activity based
At leaston1 identified
advocacyneedor of Local
At Sanggunian
least 2 advocacyforor within
At the
least term of the
1 advocay activity
undertaken dissemination
BUDGET FOR THE C/MCPC activitiy (20%) dissemination activities based on the issues
C/MCPC Budget Allocation below 1% 1% for C/MCPC Additional budget for the
Budget Utilization Below 50% utilization rate 50-70% utilization rate strengthening
71-90% utilization rate C/MCPC
90-100% utilization rate
SERVICE DELIVERY MONITORING AND MANAGEMENT FOR CHILDREN (30%)
Individualized folder of Zero percentage of violation
children’s cases in place
Referral System of confidentiality
Functional referral system
Less than 50% of CNSP cases 50-70% of CNSP cases 71-90% of CNSP cases for CNSP of CNSP cases
91-100%
Activated CICL and CAR provided
Less thanwith
50%services/
of CICL cases provided
50-70% ofwith
CICL cases provided
71-90% ofwith
CICL cases provided
91-100% with services/
of CICL cases
Registry
Diversion Program documented
No diversion in CICL Registry
program in-place documentedofindiversion
Percentage CICL documentedofin CICL
Percentage documented
Zero in CICL
percentage of
proceedings conducted to successful diversion reoffending of all successful
Assessed by:

Name and Position/Designation Name and Name and Name and Name and
Chairperson, R/PIMTF Position/Designation
Vice-Chairperson, R/PIMTF Position/Designation
Member, R/PIMTF Position/Designation
Member, R/PIMTF Position/Designation
Member, R/PIMTF
Date: ____________________
LCPC Assessment Form 001-B
(for City/Municipality)
City/Municipal Council for the Protection
Functionality Assessm
City/Municipality: _______________________
Province: ______________________________

Note: Please put a (✓) check mark on the appropriate box if applicable.
Indicator - ✓
ORGANIZATIONAL SUSTAINAB
C/MCPC Organization C/MCPC is not organized
Child Representation in the No Child Representative in the
C/MCPC
Meetings C/MCPC
No quarterly meeting
conducted
Less than 50% of the issues
identified
Less thanin50%
the member
profiling /SitAn
Capacity Building attendance in all
No capacity buildingmeetings
[plan] for
C/MCPC members
No capacity building [plan] for
lower level LCPC [BCPCs] POLICIES AND PLANS FOR CHI
Database on children No database on children
Local State of Children Report No LSCR
(LSCR)
Local Development Plan for No LDPC
Children
LDPC % (LDPC) [or midterm
accomplishment Below 50% accomplishment
Annual Work and Financial Plan No AWFPC
for Children
AWFPC (AWFPC)
% accomplishment Below 50% accomplishment
Local Code for Children (LCC) No LCC
Child Protection Policy (CPP) No CPP
Formulation of Policy/ No policy/resoulution issuance
Resolution/ Recommendation
Advocacy Actvities No advocacy activity
undertaken BUDGET FOR THE C/MCP
C/MCPC Budget Allocation below 1%

Budget Utilization Below 50% utilization rate

SERVICE DELIVERY MONITORING AND MANAG
Individualized folder of
children’s cases in place
Referral System
Less than 50% of CNSP cases
provided with services/
Activated CICL and CAR Less than 50% of CICL cases
Registry
Diversion Program documented
No diversion in CICL Registry
program in-place

Assessed by:

Name and Position/Designation Name and

Chairperson, R/PIMTF Position/Designation
Vice-Chairperson, R/PIMTF
Date: ____________________
Council for the Protection of Children (C/MCPC)
Functionality Assessment Tool
Region: ___________________________
Assessment Year: __________________

e.
1.00 ✓ 3.00 ✓
GANIZATIONAL SUSTAINABILITY (20%)

Child Representative is Child Representative is

appointed/
Less than fourdesignated
quarterly selected through
Four quarterly meetings
meetingsofconducted
50-70% the issueswith the conducted
71-90% withissues
of the
identifiedmember
50-70% in the profiling
attendance identifiedmember
71-90% in the profiling/
in all meetings
50-70% of C/MCPC attendance in all
71-90% of C/MCPC
members
50-70% oftrained
BCPCsortrained
received
or members
71-90% oftrained
BCPCsor
received at least 1 capacity
CIES AND PLANS FOR CHILDREN (30%) trained or received at
Established consolidated Established consolidated
database on children
LSCR prepared in and
LSCR disaggregated
delivered in the
accordance with the DILG
LDPC prepared considering State of City/Municipal
LDPC presented and
(a) otheraccomplishment
50-70% sectoral plans, (b) approved by the
71-90% accomplishmentLocal
Prepared AWFPC and AWFPC
approved by the LCE
50-70% accomplishment presented/recommended
71-90% accomplishment
With exisiting and approved Existing LCC updated in
LCC
Drafted and approved CPP the
CPPlast five years
utilized and
Prepared at least two P/R/R monitored
Presented P/R/R the
within LGU
to the
based
At leaston1 identified
advocacyneed or of Local Sanggunian
At least 2 advocacyforor
BUDGETdissemination
FOR THE C/MCPC activitiy related
(20%) dissemination activities
1% for C/MCPC
strengthening

50-70% utilization rate 71-90% utilization rate

MONITORING AND MANAGEMENT FOR CHILDREN (30%)

50-70% of CNSP cases 71-90% of CNSP cases

provided with provided with
50-70% of CICL cases 71-90% of CICL cases
documented
Percentage ofindiversion
CICL Registry documented
Percentage ofinsuccessful
CICL
proceedings conducted to all diversion

Name and Name and

Position/Designation
Member, R/PIMTF Position/Designation
Member, R/PIMTF
 TOTAL RAW
5.00 ✓
SCORE
Max = 30

0
Organized C/MCPC in
accordance with DILGfrom
Child Representative MC
different
Conducted sectors [inclusivity]
four quarterly
meetings of
91-100% withthe issues
identified in
91-100% the profiling/
member
attendance in
91-100% of C/MCPCall meetings
members
91-100% of trained
BCPCs or trained
or received at least 1 MAX= 50

0
Established disaggregated
database with situational
LSCR included in the
C/MLGU Annual
LDPC integrated/
mainstreamed in the
91-100% accomplishment
AWFPC integrated in the
Local
91-100%Annual Investment
accomplishment
LCC implementation is
monitored
Issuance of Ordinance
directing concerned
At least two private
P/R/R enacted
within the
At least term of the
1 advocay activity
based on the issues MAX= 10

0
Additional budget for the
C/MCPC

90-100% utilization rate

MAX= 25

0
Zero percentage of violation
of confidentiality
Functional referral system
for CNSP
91-100% of CNSP cases
provided with services/
 0
91-100% of CICL cases
documented in CICL
Zero percentage of
reoffending of all successful

Name and
Position/Designation
Member, R/PIMTF
 MEANS OF VERIFICATION
• Executive Order or Local Ordinance
• Executive Order or Local Ordinance
Resolution
• Agenda declaring
of the the C/MCPC's child
Meetings
• Attendance Sheets of the Meetings
• Minutes of the Meetings
• C/MCPC Resolution/s
(Annually)
• Must present a copy of the Attendance Sheet
or Certificate of Participation and any of the

• Availability of established and

consolidated/disaggregated
• Copy of the approved Localdatabase on
State of Children
Report (LSCR)
• Copy of the prepared/approved Local
Development Plan for Children
• Copy of the approved (LDPC) [or
Local Development
Plan forofChildren
• Copy (LDPC)
the prepared [referapproved
and/or to the targets of
Annual
Work
• Copyand Financial
of the PlanAnnual
approved for Children (AWFPC)
Work and
Financial
• Copy of Plan for Children
the approved (AWFPC)
Local Code for Children
(LCC)
• Copy of the approved Child Protection Policy
(CPP)
• Copy of prepared/approved Policy/Resolution/
Recommendation
• Copy of the approved Annual Work and
Financial Plan for Children (AWFPC)
• Appropriations Ordinance
• Copy of the approved Annual Work and
Financial Plan for Children (AWFPC)
• Certification issued by Barangay Treasurer
• Copy of the Annual Investment Program
• Budget Allocation and Obligation

• Appropriations Ordinance
• Copy of the approved Annual Work and
• Individualized folder of children’s cases
•• Localized
Intake form/report
Flow Chart of Referral System
• List of Children in Need of Special Protection
(CNSP) cases
• Copy of the Juvenile Justice and Welfare
Council’s ChildrenCity/Municipal
• Comprehensive at Risk (CAR)Juvenile
and Children
Intervention Program/diversion program