Name of School

Name of School Head

Contact Number District

Part I : Schools Compliance to the Department of Education's Intermediate Outcome

Schools Compliance to the Status of Implementation Means of Verification Issues and Concerns
Department of Educations Evident Not Evident
Intermediate Outcome
ACCESS AND QUALITY
IO1 : Learners are in school and
learning centers
1. Learners attendance are School Form 2, School Form
routinely checked. 4
2. Conducted Community Mapping Data Mapping Tool (see
during Early Registration to Deped Order 44 s. 2015)
identify children who are enrolled
and out of school youth.

IO2 : Learners access programs responsive to their needs and consistent with their aptitude
1. Programs and activities are AIP, SIP
based on the learners needs
2. Learners are motivated to Activity Completion Report
participate on activities that they of Monthly Activities
like.
3. Learners can freely join List of Members of Existing
club/activities that they like. Student Club/Organization
4. There is an existing Gender and Gender and Development
Development Program for Learners Plan
and Teachers

IO3 : Leaners enjoy child friendly environment

1. The school provides a child- Child-Friendy Survery( See
friendly environment Deped Order 44 s. 2015)
IO 4 : Learners actively participate in their learning environment
1. During Performance Output Class Room Observation
learners are grouped according to Tool, E-Class Record of
their hobbies/like to encourage full Teachers
cooperation.

IO 5 : Learners attain learning standards

1. Learners attain all Learning Principal's Note on Checked
Competencies for their Grade DLL/DLP, DLL of Teachers, E-
Level Class Record, DLL

2. Learners who did not achieve Schedule of

the Learning Competencies for the Remediation/Lesson Plan
Grade Level are given remediation.

IO 6: Learners are well rounded, happy and smart

1. There is equal chance for Activity Completion Report
learners to participate in on School Level Contest
Academic/Non Academic Contest

GOVERNANCE
IO 1 : Education leaders and managers practice participative and inclusive management process
1. There is an organized School School Planning Team,
Planning Team Memo, Minutes of the
Meeting
IO 2: Internal system and processes for improvement in place
1. There is a Functional School School Quality
Quality Management Team Management Team Memo,
Minutes of the Meeting,
SMEA Reports, SQMT
Activities
IO 3: Growing number of stakeholder
1. Everybody is encouraged to List of Stakeholders and
participate in school activities their Contribution

Part II : Quality Assurance on the Different Programs and Projects being implemented in the school

Programs and Projects Status of Implementation Means of Verification Issues and Concerns
Evident Not Evident

Personnel
1. Employees were well accounted School Form 7
2. New employees were registered PSI-POP
in the PSI-POP
3. Salaries of new teacher were Endorsement/Transmittal
immediately requested
4. Teachers step increment were School Form 7,
processed on time Endorsement/Transmittal

5. Teachers do not teach for more School Form 7/ Class

than 6 hours. Program/Teacher's M&E
Report

Adoption of Modified School Forms

1. School Form 1 School Form 1
2. School Form 2 School Form 2
3. School Form 3 School Form 3
4. School Form 4 School Form 4
5. School Form 5 School Form 5
6. School Form 6 School Form 6
7. School Form 7 School Form 7
8. School Form 8 School Form 8
9. School Form 9 School Form 9
10. School Form 10 School Form 10
11. Forms are downloaded from SF 1 - 10
the official DepEd Website
Transparency Boards
The School's MOOE was properly
liquidated and posted on the
transparency board
The School's Canteen Funds were
properly allocated and liquidated
based on Deped Order 8 s. 2007
The Parent Teachers Association
Funds were proper liquidated and
posted on the Schools
Transparency Board
Learners Information System
1. The school updates its Learner's
Information System
2. Teachers encode their own class
on the Learner Information System
E-BEIS
1. The school updates its E-BEIS.
Brigada Eskwela
1. Stakeholders joined Brigada
Eskwela.
Project All Numerates
1. Project is being implemented in
the school to develop the
numeracy skills of learners
2. Interventions are given to non-
numerate and nearly numerate
learners
PHIL IRI
1. Project is being implemented in
the school to develop the reading
skills of learners
2. Interventions are given to
learners in need.
Updated Disbursement
Vouchers
Updated Allocation Report
and Liquidation Report
Updated PTA Fund
Liquidation Report, Audit
Report
School Form 1
A randomly selected
teacher will be asked to sign
in in his/ her LIS account,
Teachers Account List
Interview with E - BEIS
Coordinator
Brigada Eskwela Report, List
of Attendance
Report on Project All
Numerates
Remedial Schedule/Lesson
Plan
Report on Project All
Numerates
Remedial Schedule/Lesson
Plan
Deped Computerization Program
1. Teachers are computer literate Teacher's assessment
2. Teachers use ICT integration in DLL
their classes.
3. DepEd Computers are functional Occular
4. Every teacher uses his/her LIS Accounts, LRMDS
DepEd Email
E-SIP/ AIP/APP Accounts
1. The E-SIP were evidence based. Data Gathering Report
2. There was an approved E-SIP E-SIP
3. There was an approved Annual Approved AIP
Implementation Plan
4. The AIP and Annual AIP, APP
Procurement plan is co-related
Quarterly Examination
1. Examination proceeded on the Activity Completion Report
date prescribed by DepEd
2. Exam coverage is valid Principal's Note on
Quarterly Exam
3. Assessment Strategies/Tools Test Results
were validated
Gulayan sa Paaralan Program
1. There is an existing Gulayan sa Occular Inspection
Paaralan
2. The GPP supports the GPP Form 1, GPP form 2
Supplemental Feeding Program
3. There are supplies and materials for the GPP Inventory, APP
4. GPP was regularly monitored GPP Form 1, GPP form 2
Gender and Development
1. The school has its GAD Plan GAD Plan
2. GAD activities are included in E-SIP
the E-SIP
3. GAD Actvities are considered in APP
the preparation of APP
IPCRF
1. Teachers answered their self SAT
assessment tool
2. Teachers prepared their Development Plan
individual development plan
3. Class Observations were Class Observation
conducted to help teachers
4. Teachers performance are Mid Year or Year End
strictly monitored. Assessment
LRMDS
1. There is a place where learners Occular Inspection
can read books and other reading
materials
2. Teachers can access and Teacher's LRMDS Account
download materials from the
LRMDS portal
Supplies and Equipment
1. Supplies and equipment were Inspection and acceptance,
well accounted Inventory
2. Supplies for the teaching APP, AIP
learning were provided.
Assessment and Grading System
1. Teacher's are following the e-class record, Class record
grading system
2. Only official E-class records e-class record
downloaded from the DepEd
website are being used by the
teachers
3. Formative test are used to Formative Test
identify the strength and weakness
of the students
Reward System
1. Learners are recognized Activity Completion Report
quarterly based on the prescribed
recognition system

2. Criteria set were strictly Awards Committee Activity

followed for giving awards Completion Report
3. The school is still adopting the Documentation
ranking of students
4. Technical specificattions for Order Slip
plaque and medal are strictly
implemented
5. An awards Committee was Memo
established at the beginning of
class
6. The steps for selection of Activity Completion Report
awards were implemented for each step
Adopt a School
1. Reports on Partnership were MOA, Quarterly
quarterly submitted Accomplishment Report
2. The school seeks partnership for MOA
teacher, learner and physical
development

SPG/SSG
1. Procedures on the conduct of
the elections were followed
2. The SSG/ SPG is functional.
Activity Completion Report
Project Proposal, Activity
Completion Reports,
Accomplishment Reports

Sport Development Program

1. There is an active Sport AIP/SIP
Development Program in the
school.
2. There is financial support for the Interview
Sports Development Program
3. Catch Up Program were given to Interventions
athletes
Curriculum Implementation
1. The K-12 curriculum were being Occular, DLL
completely implemented
2. Discovery approach were being DLL, Pictures, Classroom
used in teaching English, Math and Observation Tool
Science
3. Differentiated instruction is DLL, Pictures, Classroom
adopted Observation Tool, Student
Interview

4. All the competecnies for the Teacher M&E Report, DLL

Grade Level were achieved by
learners.
Learning Action Cell/ INSET
1. Teacher's strength and wekness SAT, Appraisal Form 1 - 3
were considered during the
crafting of LAC Plan
2. LAC Plan were being LAC Plan
implemented
School Health and Nutrition
1. Dental Check Ups were regularly Occular, Student's Interview
conducted
2. Students were encouraged to Activity Completion Report
have vaccine
3. Students were dewormed Activity Completion Report
regularly
4. Learners were oriented and Activity Completion Report
aware about the National Drug
Education Program

5. Learners are encouraged to Activity Completion Report

participate in the School Based
Imunnization Program

Canteen
1. The school manages the canteen. Canteen Report, Inventory
2. There is a designated Canteen Teacher Designation Order from
School Head, Class Program
3. Home Economics Teachers assist Schedule of Teachers
in the operation of the canteen Assisting in the canteen
4. Earnings of canteen are Bank Account
deposited to the nearest
government depository bank
5. An annual budget was prepared Annual Budget
by the School Head based on the
expected income of the canteen
6. The School Canteen is following Canteen Menu, Occular
DepEd Order 13 s. 2017 Policy and Inspection
Guidelines on Healthy Food and
Beverage Choices in School and
DepEd Offices
Wash in Schools (WINS)
1. There are functional hand Occular, Accomplished
washing area/toothrushing area WINS Star Rating Form
for learners
2. Proper Occular, Accomplished
Toothbrushing/handwashing were WINS Star Rating Form
taught and done regularly.
Garbage Disposal
1. Waste materials are properly Occular
segregated
2. There is an existing Material Occular
Recovery Facilty (MRF)
3. Waste materials were burned Occular
School Based Feeding Program
1. Beneficiaries are selected based School Form 8
on their Body Mass Index
2. Beneficiaries Health Status was SBFP Report
regularly monitored
3. Liquidations were properly Monthly Liquidation Report
reported and posted on the
Transparency Board

Prepared by: Date:

4/8/2019
School Head

Quality Assured by: Date:

JOEL V. CRUZ 4/8/2019
Senior Education Program Specialist