SANTA CLARA NATIONAL HIGH SCHOOL
School-Based Child Protection/Anti-Bullying Policy Implementation Checklist
This checklist is designed to monitor and evaluate the compliance of the
school/s in the implementation of DepEd Order No. 40, s. 2012 and DepEd
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
Findings will be based simply on the presence or absence of the
requirement as stated in each item and shall be the basis for a plan of
action by the school and the Division Office.
P A
1. The school has a written school-based child protection and/or anti-bullying
policies.
2. There is a code of conduct incorporated in the school-based child protection or
anti-bullying policy for the following:
a. Students
b. School Administrators
c. Non-Teaching Personnel (guards, maintenance, etc.)
d. Teachers
e. Visitors (Parents, alumni etc.)
f. Off-Campus activities such as field trip, camping etc.
3. The code of conduct has specific provisions to address potential risks to
students such as:
a. Disregarding abusive situation or behavior against children;
b. Employing children as house helper or asking students to care for teacher’s
children while in school;
c. Relating with children in private for personal matters like student-teacher
as “text mates” or face book friends;
d. Going out with students after school such as watching movies;
e. Using green jokes or jokes with double meaning in the class; and
f. Cultural Beliefs (marrying children because it is acceptable based on one’s
culture/religion, amicable settlement 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
5. There are written procedures to guide in conducting disciplinary proceedings in
cases of offenses committed by pupils, students, or learners.
6. The school has adopted a conflict resolution mechanism that respects the rights
of indigenous peoples, provided that they conform to child’s rights and the
Department issuances on child protection.
7. There is an established system for identifying students who may be suffering
from significant harm based on physical, emotional, or behavioral signs.
8. Has developed and implemented a school-based referral and monitoring system
1
`
to address child abuse and bullying cases.
9. There is an existing record of all proceedings related to bullying and child abuse
cases using the Intake Sheet (Annex B of DO 40, s. 2012 or Appendix B or DO
18, s. 2015) as appropriate.
10. Records related to complex cases of child abuse and bullying using the Intake
Sheets (Annex A of DO 40, s. 2012 or Appendix B of DO 18, s. 2015) are well
kept and separate from simple cases.
11. The school has submitted its consolidated reports on bullying and child abuse
cases to the Division Office a week after the opening of each school year.
12. Has mapped out available resources in their community for possible linkages
or networking for cases needing referrals etc.
13. Has an active coordination with WCPD, DSWD, and other government and Non-
Government Organizations (NGO).
14. Has a clear policy on the use of positive and non-violent discipline for children.
15. There is an organized Child Protection Committee (CPC) in the school.
16. There is an annual capacity 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.
18. The school with its CPC has initiated information dissemination programs and
organized activities for the protection of children from abuse, exploitation,
violence, harm, and bullying.
19. There is a strong student participation in the promotion of child protection and
anti-bullying policies of the school.
20. There is a feedback mechanism in the school to monitor the implementation of
the Child Protection and/or Anti-Bullying policies.
(Total Number of P and A multiplied the total number of items divided by 100)
Overall Scores
General Description:
Recommendation:
Prepared by:
_______________________________
Signature over Printed Name
________________________
Designation
__________________
Date
Received by:
______________________________
Signature over Printed Name
_________________________
Designation
__________________
Date
