RECEPTIVE LANGUGE AUG FEB REMARKS plays outside only after a

1 Points family member when bath/ fixing things

asked to do so 23 Takes responsibility over
2 Points to five body parts on younger siblings or any family
himself when asked to do so member
3 Points to five named 24 Cooperates with adults and Republic of the Philippines
pictures/objects when asked peer in group situations to Department of Education
to do so minimize conflicts Region XI
4 Follows one step instruction TOTAL Schools Division of the City of Mati
that includes simple Governor Generoso North District
preposition like in, on, under, CRISPIN DELA CRUZ ELEMENTARY SCHOOL
below
5 Follows one step instruction
that include simple AGE
preposition( ex. please get the 1STEval Date: 2ndEval. Date:
pencil inside the box and put Age of child: Age of child: EARLY CHILDHOOD CARE AND DEVELOPMENT CHECKLIST
it on the table Gross Motor
TOTAL
Fine Motor (ECCD)
AUG FEB REMARKS
Self-Help
SOCIO-EMOTIONAL DOMAIN
Receptive
1 Enjoys watching activities of
nearby people or animals Language
2 Friendly with strangers but Cognitive
initially may slow slight Domain
anxiety or shyness Expressive
3 Plays alone but likes to be Language
near familiar adults or
Social-
brothers and sisters
4 Laugh or squeals and play Emotional
Sum of Scaled
5 Plays peek-a-boo(bulaga)
Scores
6 Rolls ball interactively with
Standard NAME OF CHILD:
caregiver examiner
7 Hugs or cuddle toys
Scores
Interpretation
8 Demonstrates respects for DATE OF BIRTH:
elders using items like “po”
and “opo” LAGDA NG MAGULANG
9 Shares toys with others AGE: SEX:
10 Initiates adult activities(e.g.
cooking/washing)
August: NUTRITIONAL STATUS:
11 Identifies feeling with others
12 Appropriately usescultural November: LRN:
gesture of greeting without
much prompting(e.g. Mano,
bless, kiss) February:
13 Comforts play master siblings
in distress
14 Persists when faced with a
problem or obstacles to his
work
15 Helps family chores (e.g. Prepared by:
wiping tables watering plants
etc.)
16 Curious about environment
but knows when to stop RONIE E. SOMOG-OY
17
asking questions of adults
Waits his turn
TEACHER
18 Asks permission to play with NOTED BY:
toy being used by others
SOCIO-EMOTIONAL DOMAIN AUG FEB REMARKS
19 Defends possession with JULIANA D. JUAREZ
determination
20 Plays organized group games Principal II
fairly(e.g. does not cheat to
win)
21 Can talk complex feeling(e.g.
anger sadness, worry) he
experiences
22 Honors a simple bargain (e.g.
 Fine Motor Present Present
REMARKS Self-Help REMARKS Expressive language Present REMARKS
1st 2nd 1st
2nd 1st 2nd
EVA EVA EVA EVA
EVA EVA

1. Uses all 5 fingers to get food/toys A. feeding ( Sub-domain) 1. Says clearly five to twenty, recognize
placed on a flat surface. 1. Feeds self with finger foods like words eg: ball, toy, shoes, tag, ate,
biscuits & bread using fingers kuya, milk, cat, lolo, lola,dog, candy
2. Picks up objects with thumb and
2. Feeds using fingers to eat rice & 2. Uses pronouns like I, me, mine, ako,
index finger.
viands w/out spillage. akin, iyo, amin.
3. Displays a definite hand 3. Uses 2-3 word v erb noun
3. Feeds self-using spoon with spillage.
preference. combination (ex. Hingigatas, inomtubig,
4. Puts small objects in/out of 4. Feeds self-using fingers w/out ligosadagat
containers. spillage. 4. Name objects in pictureS
5. Feeds self-using spoon w/out 5. Speaks in grammatically correct 2-3
5. holds crayons with all fingers of his spillage word sentence
hand, hand as though making fist (i.e. 6. Eats w/out need spoon feeding 6. Asks “what’” questions
palm grasps) during any meal
7. Asks who and why questions in
7. Holds cup for drinking. his/her friends and adults
6. Unscrews the lid of a container or 8. Drinks from cup with spillage. 8. Gives account of recent experience
unwraps foods. (with promting) in order of occurrence,
9. Drinks in cup unassisted.
ex. Taposanoangnangyari/ Then what
7. Scribbles spontaneously 10. Gets drink for self-unassisted. happen.
11. Pours from pitcher without TOTAL SCORE
8. Scribbles vertical and horizontal spillage.
lines 12. Prepares own food/snacks.
13. Prepares food for younger
9. Draws circle purposely siblings/family members when no COGNITIVE DOMAIN
adults is around Present
10. Draw a human figure (head, eyes, B. Dressing (Sub domain) Cognitive Comments
body, arms, hand, feet)
14. Participates when being dressed 1st 2nd
11. Draw a house using geometric EVAL EVAL
figures. ex. Raises arms, lifts leg.
1. Looks in the direction where object
TOTA SCORE 15. Pulls down gartered short pants.
fails.
16. Removes sando. 2. Looks partially hidden object
17. Dress w/out assistance except for 3. Imitates behavior just seen few
buttoning and tying. minutes earlier
18. Dresses w/out assistance, including 4. Looks for a completely hidden object.
Present for buttoning and tying. 5. Exhibits simple” pretend” play ( ex.
C. Toilet-training (Sub-domain) Feeds or puts doll to sleep/moves a toy
Gross Motor REMARKS 19. Informs the adult only after he has car back and forth)
1st 2nd already urinated or moved bowel in 6. Offers objects but may not release it.
EVAL EVAL 7. Matches objects
his underpants.
20. Informs the adult of need to 8. Matches 2 to 3 colors
1. Climbs on the chair and other urinate bowels so he can be brought 9. Matches pictures
elevated piece of furniture without to designate. 10. Sorts and groups the same shapes
help 21. Informs adults of need to urinate (ask: Why did you put these together?)
2. Walks backward. or move bowels but sometimes still 11. Sorts and groups objects having 2
3. Runs without tripping or falling. does this in his underpants. attributes (size and color)
4. Walks downstairs, 2 feet on step, 22. Goes to the designated place to 12. Arranges objects according to size
with one hand held urinate or move bowels and never from smallest to biggest
5. Walks upstairs holding onto the does this in his underpants anymore. 13. Names 4-6 colors correctly
handrail, 2 feet on each step 23. Wipes/cleans self after a bowel 14. Copies/draws shapes after the
6. Walks upstairs with alternate feet movement. teacher has demonstrated how it is
without holding onto a handrail. 24. Participates in bathing (eg. done
7. walks downstairs with alternate Rubbing arms with soap 15. Names atleast 3 animals or
feet w/out holding onto a handrail 25. washes and dries hands without vegetables when asked.
8. Moves body parts as directed by any help 16. States the use /function of at least 2
the teacher. 26. Washes face without any help common household items
9. Jumps up
17. Assemble simple puzzles.
10. Throws ball overhead as directed 27. Bathes without any help
by the teacher. 18. Demonstrates an understanding of
TOTAL SCORE
11. Hops 3 steps on preferred foot. opposite by completing a statement
(angaso ay malaki at angdaganaman
12. Jumps and turns.
ay___________)
13. Dances patterns/joins group
19. Points to left/right body sides (ex.
movement activities.
Show me your right/left hand /leg
TOTAL SCORE
20. States what is wrong with the
picture.
21. Matches upper case letters/lower
case letters(Note: The child doesn’t
have to know the letter names)
TOTAL SCORE