Republic of the Philippines

Province of Nueva Ecija

MUNICIPALITY OF GUIMBA
Municipal Social Welfare and Development Office
[email protected]
____________________________________________________________________________________________________________________________________________________________

CDC MONITORING CHECKLIST

NAME OF THE CDC: ________________________________________________________ DATE: ______________________
NAME OF THE CDW/CDT: _________________________________________________
Instructions: Mark check (✓) if present and cross (x) if absent. Remarks should be specific and clear.
AREA I. HEALTH, NUTRITION AND SAFETY
✓ OR X INDICATORS REMARKS
Masterlist of Children
Attendance
Home and Center Agreement
Weight Progress Report
Records of Children with Allergies
Log of Medication and Injury Report
CDC File of Physician’s Order and Prescription
Orientation/Training on Breastfeeding and Complementary
Feeding
List of Vitamin A/Micronutrient Supplement and Deworming
Dental Records
Referral Form
Medical Records on File
Orientation on Nutrition/PES
Intake Records
The Center ensures that a first aid kit and list of emergency
numbers for the children are available on any field trip.
SUPPLEMENTARY FEEDING DOCUMENTS
✓ OR X INDICATORS REMARKS
Poster of Pinggang Pinoy, Ten Kumainments and Food Pyramid
Weekly Menu, Posted and on File
Feeding Attendance / Special Diet
List of Iron Fortified Foods
Curriculum / Special Activities Pictures (Food Preparation)
Record of Inspection / Certification that water is safe or receipts
from water station
Pictures (drinking and eating utensils are thoroughly washed and
sanitized before use) unfinished food products are dispose
properly (garbage are emptied daily)

AREA II. PHYSICAL ENVIRONMENT AND SAFETY

✓ OR X INDICATORS REMARKS
Center’s Regular Maintenance Record
Certificate of Pest Control / Pictures during Pest Control Activities
Observation Notes on Adequate Space (30 children) 1 sqm: 1 child
Well-ventilated (Conducive)
Bulletin Board (Special Events)
Floors are clean, non-slippery, smooth and free from other safety
hazards.
The door for entry and exit can be opened inward and outward but
not swinging
The ceiling and walls are maintained in good repair and walls are
free from led paints
All hazardous materials and substances are kept out of reach of
children
The classroom has a well-stocked first aid kits to respond
effectively to common injuries
All containers are labeled with the contents especially when not in
the original containers to facilitated the identification of
substances.

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 Outdoor play and equipment are safe
Unclimbable fence
Presence shaded area for playground
The ceiling and walls are maintained in good repair
Presence First aid kit and medicine cabinet (replenishes first aid
materials regularly)
Presence of “No Smoking” signage
Electrical outlets are covered
Presence of Separate Kitchen
Presence of large group area
Presence of Music Area
Presence of Arts Area
Presence of Mini Library / Reading Area / Book Shelves
Presence of Story Telling Area
Presence of blocks and manipulative area
Presence of Dramatic Area
Presence of Audio-visual Materials
Presence of Wash Area
Presence of Male and Female Comfort Room, Adult CR
Safe playground materials, appropriate to children

AREA III. INTERACTIONS ANS RELATIONSHIPS BETWEEN STAFF AND CHILDREN, AMONG YOUNG, CHILDREN
AND OTHER ADULTS
✓ OR X INDICATORS REMARKS
Arrival and free play
Children are comfortable, relaxed, when engaged in activities
The CDW/CDT assists and encourages cooperation and responsible
behaviors among children
The CDW/CDT meaningfully interacts and talks with young
children using their mother tongue
The CDW/CDT treats children and adults with equal respect,
regardless of gender, race, age, language, religion, culture and
family background
The CDW/CDT provides all children including those with special
needs with equal opportunities to take part in their activities
The CDW/CDT provides opportunities for children to develop their
seven domains
The CDW/CDT provides developmentally appropriate materials
and equipment arranged in a manner that are visible and readily
accessible to children
Presence of Policies
Self-discipline is encouraged in children and the parents follow the
home and center agreement

AREA IV. STAFF QUALIFICATIONS, STAFF DEVELOPMENT AND CONTINUING EDUCATION

✓ OR X INDICATORS REMARKS
Eligibility (Board Exam Passer, LET Passer / Civil Service Prof or
Subprof)
College Graduate
Transcript of Records
Diploma
Updated Personal Data Sheet
Basic Trainings or Seminars related to ECCD or Early Childhood
Education (ECE) Certificates
Computer-Literate
Barangay Clearance
NBI or Police Clearance
Three Character References
Medical Certificate with X-Ray
➢ Updated Personal Data Sheet
➢ Barangay Clearance
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 ➢ NBI or Police Clearance
➢ Three Character References
CDW/CDT is between 18-45 years of age OR Has the required Age: _______
stamina to attend to early learners
Intern/volunteers were approved letter from MSWDO
Updated Manual / Handbook

AREA V. CURRICULUM, INSTRUCTION AND ASSESSMENT

✓ OR X INDICATORS REMARKS
Curriculum Plan
Assessment of Children with Analysis
Children’s Portfolio
Anecdotal Records
Children’s Daily/Weekly Schedule (Posted)
Has rest and quiet activities
Minimum od Teacher – Child Ratio of 1:10-20
There are at a minimum of two adults trained in health care,
nutrition, and emergency procedures

AREA VI. FAMILY INVOLVEMENT AND COMMUNITY LINKAGES

✓ OR X INDICATORS REMARKS
Parents’ Orientation Before and After Entry
Home and Center Agreement
Attendance of Parents during Special Activities (Such as
Foundation Day, Meetings, Seminars, Etc.)
Parent Effectiveness Services (Attendance, Minutes, Pictures)
Curriculum Planning with other Stakeholders
Curriculum Planning/Review with Parents
Parents Organizational Chart
Certificate of Continuity
List of Schedule of Parent Volunteers
Lakbay Bulilit Post Activity Report

AREA VII. LEADERSHIP, PROGRAM MANAGEMENT AND SUPPORT

✓ OR X INDICATORS REMARKS
Three-year work plan of activities (with Vision, Mission, Goals and
Objectives, Activities, Budget Allocation, Target Date and Persons
Involved)
Accomplishment Reports
Monitoring
Family Support Program
Performance Evaluation
Released Portfolio
Medical and Dental Check-Up
CDW/CDT Psychological Test
Letter of Appointment (LCE)
Confidentiality on Child’s Record

General Observation and Recommendation:

_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________

Monitored by:

____________________________________________________
MSWDO Staff
Signature over Printed Name

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