ANNEX 2B

School-Based Child Protection/Anti-Bullying Policy Implementation

Checklist

Name of School: STA. MARIA ELEMENTARY SCHOOL

Address: GUBAN, SIRAWAI, ZAMBOANGA DEL NORTE
District/Division/Region: SIRAWAI/ZAMBOANGA DEL NORTE/REGION IX

Thischecklistisdesignedtomonitorandevaluatethecomplianceofthe
school/sintheimplementationofDepEdOrderNo.40,s.2012andDepEd
Order No.55,s.2013.

Tick the appropriate box that corresponds to your observation.

Instruction: P – Present or In Place
A – Absent or Not In Place
Findingswillbebasedsimplyonthepresenceorabsenceoftherequirement
asstatedineachitemandshallbethebasisforaplanofactionbythe
schooland the Division Office.
P A
1. The school has a written school-based child protection and/or anti-bullying
policies. √
[Link]-basedchildprotectionor anti-
bullyingpolicy for thefollowing:
a. Students √
[Link] Administrators √
[Link]-Teaching Personnel(guards, maintenance, etc.) √
[Link] √
[Link] (Parents,alumnietc.) √
f. Off-Campus activities such as field trip, camping etc. √
3. Thecodeofconducthasspecificprovisionstoaddresspotentialriskstostudents such as:

[Link] abusivesituation or behavior against children; √

[Link] children as house helper or asking students to care for teacher’s
children while inschool;
√
c. Relatingwithchildreninprivateforpersonalmatterslikestudent-teacher as
“text mates” or face book friends;
√
d. Going out withstudents after schoolsuch as watchingmovies; √
[Link] green jokes or jokes with double meaning in the class; and √
[Link](marryingchildrenbecauseitisacceptablebasedonone’s
culture/religion, amicablesettlement on child abuse cases).
√
4. Promotion or information dissemination of the school-based child protection
and/or anti-bullying policies is done during school opening for:
• Students √
• Teachers √
• Non-Teaching personnel √
• Parents
[Link] cases of
offenses committed by pupils,students, or learners. √
[Link] of
indigenous peoples,provided thatthey conform to child’s rights andthe √
Department issuances on child protection.
[Link] is an established system for identifying students who may be suffering from
significant harm based onphysical,emotional,or behavioralsigns. √
[Link]-basedreferralandmonitoringsystem

1
 ANNEX 2B

to address child abuse and bullying cases. √

[Link]
casesusingtheIntakeSheet(AnnexBofDO40,s.2012orAppendixBorDO √
18,s.2015)as appropriate.
[Link]
Sheets(AnnexAofDO40,s.2012orAppendixBofDO18,s.2015)arewell- kept and √
separate from simple cases.
[Link] cases to
theDivision Office a weekafter the opening of each schoolyear. √
[Link]
networking for cases needing referrals etc.
√
[Link],DSWD,andothergovernmentandNon-
Government Organizations (NGO).
√
[Link] a clear policy on the use of positiveand non-violent discipline for children. √
[Link] is an organized Child Protection Committee (CPC) in the school. √
16. There is an annualcapacity building activities for the members of the CPC:
• Guidance Counselor/Designated Guidance Teacher √
• Representative of the Students √
• Representative of the Parents √
• Representative of the Barangay √
• Representative of the Teachers √
17. The CPC is meeting regularly to discuss appropriate interventions and/or
responses to school problems on bullying and child abuse cases and other √
concerns.
[Link] itsCPChasinitiated informationdisseminationprogramsand
organized activities for the protectionof children from abuse,exploitation, √
violence,harm,and bullying.
[Link] anti-
bullying policies ofthe school. √
[Link] the Child
Protection and/or Anti-Bullying policies. √
31 6
(TotalNumber of P and Amultiplied the totalnumber of items divided by 100)
Overall Scores 84% 16%
General Description: most of the scores are P (present or in place) which shows that the
school abides with the child protection policy.

Recommendation: some of the checklist are not present in the school which suggest that
this should be part of IA’s of the school so as to provide the learner a safe and a child
friendly school.

Prepared by:

REY ANN P. PRAYON

Signature over Printed Name
T-III
Designation
July 2023
Date Received by:

CHEYLUZ P. NARZABAL
Signature over Printed Name

TIC
Designation

Date