Republic of the Philippines

Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

SBM INITIAL ASSESSMENT PROCESS AND TOOL

A. LEADERSHIP AND GOVERNANCE
1. A Development Plan collaboratively crafted with the stakeholders and the community.

Supporting Artifacts (2016-2018) PARTIAL COMPLETE REMARKS

 SIP
 AIP
 Project Work Plan and Budget Matrix
 DRRM PLAN
 Annual Procurement Plan
 Project Procurement Management
Plan (PPMP)
 Action Plans (Ancillary and Subjects)
 Photos

2. The Development Plan (e.g. SIP) is regularly reviewed by the school community to keep it
responsive and relevant to emerging needs, challenges and opportunities.

Supporting Artifacts (2016-2018) PARTIAL COMPLETE REMARKS

 Project Monitoring report of PPA’s

based on Action Plan
 AIP Adjustments
 Adjustments in other Plans
 Attendance Sheets
 Minutes of Meetings
 Photos

3. The schools organized a clear structure and work arrangement that promoted shared
leadership and governance and define the roles and responsibilities of the stakeholders.

Supporting Artifacts (2016-2018) PARTIAL COMPLETE REMARKS

 Organizational Structures:
- SGC
- PTA
- SPT
- Project Teams
- Supreme Pupil Government
- Supreme Student Government
- Student-led watching Team
- Children Protection Policy
- Grievance Committee
 Other Organizations
- BAC
- Canteen Organizations
- Photos
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

4. A leadership network facilities communication between and among school and community
leaders for informed decision-making and solving of school-community wired learning problems.

Supporting Artifacts (2016-2018) PARTIAL COMPLETE REMARKS

 SRC
 Accomplishment Reports
 Transparency and Accountability
Board
 Minutes of Meeting
 Records of Dissemination/reporting
of AIP Accomplishments
 School paper
 Hotlines
 Student and family Contact Details
 CI Projects
 Pictures
 EBEIS/LIS

School: SAMPALOC ELEMENTARY SCHOOL

Name of School Head: CHRIS C. BAGA

JOJO R. JOSE
EVALUATOR

Date:

CONFORME:

CHRIS C. BAGA
School Head
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

B. CURRICULUM AND INSTRUCTION

1. The curriculum provides for the development needs of all types of learners in the school
community.

Supporting Artifacts (2016-2018) PARTIAL COMPLETE REMARKS

 Diagnostic Test conducted for the last

three years (2015-2017)
 Oral reading test PHIL-IRI test results
for the last three years
 Remedial Reading Support Program
 Early Child Care Development
Checklist
 School Readiness Year-end
Assessment Result (SREYA)
 Portfolio Assessment complete
learning area
 Updated Anecdotal Record of all
learners

2. The implemented curriculum is localized to make more meaning to the learners and applicable to
life in the community.

Supporting Artifacts (2016-2018) PARTIAL COMPLETE REMARKS

 Localized stories
 Localized songs
 Localized poems
 Localized instructional materials
 Compiled history of municipality and
barangay
 Presence of community-based
learning center in school
 Complied written local beliefs, norms,
values and tradition folklore

3. A representative group of school and community stakeholders develop the methods and materials
for developing creative thinking and problem-solving.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Indigenized lesson exemplars for IPED

 Contextualized curriculum
 Portfolio of performance output of
learners
 Performance output as evidence of
the use of Constructivism,
differentiated instruction and
collaborative learning.
 Record of Class Observation
 Researches/Modules/SIM of teachers
in the different learning areas (2017)
 Modules of Teachers (2017)
 SIM of teachers (2017)
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

4. The learning systems are regularly and collaboratively monitored by the community using
appropriate tools to ensure the holistic growth and development of the learners and the community.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Class Observance Note

 Form 178
 Post Observation Tool
 Feedback form for parents and
learners
 Compiled LAC Sessions guide/notes
 Narrative report of lesson study
conducted in the different learning
areas
 Monthly supervisory report
 Monthly Accomplishment Report

5. Appropriate assessment tools for teaching and learning are continuously reviewed and improved,
and assessment results are contextualized to the learner and local situation and the attainment of
relevant life skills.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Formative Test Results

 Summative Test Results
 Teacher’s Strengths and Needs
Assessment (TSNA)
 NAT Result/NCAE. English Language,
Literacy and Numeracy Assessment
(ELLNA)
 Academic Contest Results
 Report on the INSET attended
 IPCRF/OPCRF
 Quiz notebook
 Achievement Test Result
 Performance Indicators
 Action Plan

6. Learning managers and facilitators (teachers, administrators and community members) nurture
values and environments which are protective of all children and demonstrate behaviors consistent to
the organization’s vision, mission and goals.

Supporting Artifacts PARTIAL COMPLETE REMARKS

 Child-friendly classroom/school
 Well-structured classroom
 Projector/laptop, TV
 Safe Classroom
 Presence of Guidance Room
 Presence of canteen
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

7. Methods and resources are learner and community-friendly, enjoyable, safe, inclusive, accessible
and aimed at developing self-directed learners. Learners are equipped with essential knowledge, skills
and values to assume responsibility and accountability and for their own learning.

Supporting Artifacts PARTIAL COMPLETE REMARKS

 Record of Parents’ involvement to

Reading Program
 Home Visitation record of Adopt-a-
School Program
 Report on the positive impact of
parents’ programs and projects
 Involvement in the development of
school policies and procedures
 Evidence of networking with
stakeholders
 Presence of HE Room
 Presence of Industrial/Agricultural
Room
 Presence of Science Laboratory
 Presence of School Library/SLRC
 Presence of Classroom CR
 Presence of Textbook and learning
materials
 Reading Corners
 TEEPS-SCOPE Corner
 SCI-FUN Display Board
 Community Learning Center for ALS

School: SAMPALOC ELEMENTARY SCHOOL

Name of School Head: CHRIS C. BAGA

JOJO R. JOSE
EVALUATOR

Date:

CONFORME:

CHRIS C. BAGA
School Head
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

SBM INITIAL ASSESSMENT PROCESS AND TOOL FOR

(C) ACCOUNTABILITY AND CONTINUOUS IMPROVEMENT

1. Roles and responsibilities of accountable person/s and collective body/ies are clearly defined and
agreed upon by community stakeholders.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 School Organizations stakeholders’

organization
 Minutes of meeting
 BAC
 OPCRF
 IPCRF
 MOA/MOU
 Roles, Responsibilities and
Accountabilities of stakeholders in
managing and supporting education

2. Achievement of goals is recognized based on a collaboratively developed performance

accountability system: gaps are addressed through appropriate action.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Performance Indicators
 Records of Improvements in Learning
Outcomes per grade level per subject
 Best Practices
 CI Principles
 Updated EBEIS/ 1 LIS administrator
and LIS coordinator
 1 Star on WinS (Water, sanitation and
Hygiene in Schools)

3. Accountability system is owned by the community and is continuously enhanced to ensure that
management structures and mechanisms are responsible to the emerging learning needs and
demands of the community.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Project Monitoring report

 M&E Tools
 Minutes of Meetings
 M&E Findings
 M&E Finding as basis in AIP
Adjustments
 Teacher Performance Tracking
System (OPCRF, IPCRF)
 Student Performance tracking System
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

4. Accountability assessment criteria and tools, feedback mechanisms and information collection and
validation techniques and processes are inclusive and collaboratively developed and agreed upon.

Supporting Artifacts PARTIAL COMPLETE REMARKS

 Record of Assessment of Pas

 Assessment/Monitoring Tools
 Record of Feedbacks of Stakeholders
 Feedback / Suggestion Box

5. Participatory assessment of performance is done regularly with community.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 M & E Tools
 Results of M & E
 Analyzed M & E Results reported to
Stakeholders
 Performance Indicators
 Assessment/Test Results
 Evidence of listening to VOC
 Client Satisfaction Survey
 Reward and Recognition Program
 Nutritional Status

School: SAMPALOC ELEMENTARY SCHOOL

Name of School Head: CHRIS C. BAGA

JOJO R. JOSE
EVALUATOR

Date:

CONFORME:

CHRIS C. BAGA
School Head
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

SBM INITIAL ASSESSMENT PROCESS AND TOOL FOR

(D) MANAGEMENT OF RESOURCES
1. Regular resource inventory is collaboratively undertaken by learning managers, learning facilitators,
and community stakeholders as basis for resource allocation and mobilization.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Transparency and Accountability

Board
 Book of Donations
 Deed of Donations / Acceptance
 MOA/MOU
 MOOE
 SFF Funds
 Canteen Funds
 Financial Statements
 School Inventory

2. A regular dialogue for planning and resource programming, that is accessible and inclusive
continuously engage stakeholders and support implementation of community education plans.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Project Work Plan and Budget Matrix

 Financial Statements
 Minutes of Meeting
 Brigada Eskwela Reports
 ASP Reports
 Advocacy Programs
 Partnership/ Networking Activities
 WFPs

3. A community-developed resource management system that drives appropriate behaviors of the

stakeholders to ensure judicious, appropriate and effective use of resources.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Transparency and Accountability

board
 Liquidation Papers
- Official Receipts
- Purchase Requests
- Request for Quotation
- Abstract of Quotation
- Inspection and Acceptance
Report
- Mayor’s Permit
- PTA Certificate of Recognition
- PHILGEPS Certificate of
Recognition and Winning Bidder
- Records reflecting expenditures
aligned with SIP/AIP
- Financial statements
 Records reflecting expenditures
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE PANGASINAN
Lingayen

aligned with SIP / AIP

 Financial Statements
 WFPs

4. Regular monitoring, evaluation and reporting processes of resource management are

collaboratively developed and implemented by the learning managers, facilitators and community
stakeholders.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Record of Monitoring of PPAs with

involvement of stakeholders
 Records of satisfaction of
stakeholders on fund management
 Record of program certification of
downloaded school funds (MOOE,
SBFP, etc.)

5. There is a system that manages the network and linkages which strengthen and sustain partnership
for improving resources.

Supporting Artifacts (2015-2017) PARTIAL COMPLETE REMARKS

 Functional BAC
 Financial Statements properly
audited
 Brigada Eskwela reports
 ASP Reports
 MOA/MOU
 Advocacy Programs
 Partnership/Networking Activities
 Fund Drives
 Income Generating Projects

School: SAMPALOC ELEMENTARY SCHOOL

Name of School Head: CHRIS C. BAGA

JOJO R. JOSE
EVALUATOR

Date:

CONFORME:

CHRIS C. BAGA
School Head