Name of School: SAN ROQUE ELEMENTARY SCHOOL

ECCD CHECKLIST SUMMARY

Grade & Section: Kindergarten - Afternoon Session

Child's Gross M Scaled Fine M Scaled Self-Help Scaled Receptive Scaled Expressive Scaled Cognitive Scaled Social Scaled Sum of Standard
Name of Pupil Age (RS) Score (RS) Score (RS) Score Language (RS) Score Language (RS) Score (RS) Score Emotional (RS) Score Scaled Score Score
1 120.2 0
2 120.2 0
3 120.2 0
4 120.2 0
5 120.2 0
6 120.2 0
7 120.2 0
8 120.2 0
9 120.2 0
10 120.2 0
11 120.2 0
12 120.2 0
13 120.2 0
14 120.2 0
15 120.2 0
16 120.2 0
17 120.2 0
18 120.2 0
19 120.2 0
20 120.2 0
21 120.2 0

1 120.2 0
2 120.2 0
3 120.2 0
4 120.2 0
5 120.2 0
6 120.2 0
7 120.2 0
8 120.2 0
9 120.2 0
10 120.2 0
11 120.2 0
12 120.2 0
13 120.2 0
14 120.2 0
Number of Emrollees Suggest significant delay Suggest slight delay Average overall Suggests slight Suggests highly Noted by:
y
ar
mm

in overall development in overall development development advanced development advanced development

Su

Male: Male
Female: Female
Total: Total

Prepared by:
 School Year: 2014 - 2015
1st Trial: June 6, 2014

Interpretation
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development

Suggest significant delay in overall development

Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development
Suggest significant delay in overall development

School Principal II

y:

Kinder Teacher
Name of School:PALICO ELEMENTARY SCHOOL School Year: 2016-2017
ECCD CHECKLIST SUMMARY
Grade & Section: Kinder - HOPE 1st Trial: July 2016

Child's Gross M Scaled Fine M Scaled Self-Help Scaled Receptive Scaled Expressive Scaled Cognitive Scaled Social Scaled Sum of Standard
Name of Pupil GENDER BIRTHDAY
Age (RS) Score (RS) Score (RS) Score Language (RS) Score Language (RS) Score (RS) Score Emotional (RS) Score Scaled Score Score
Interpretation
1 AMIGO, MARVIN M 8/30/2010 9.4 11 4 8 7 23 7 3 4 7 5 13 5 23 11 43 57 Suggest significant delay in overall development
2 BACASON, MARK JAMES M. M 5/19/2011 8.7 11 4 8 7 24 9 3 4 7 5 15 7 19 6 42 56 Suggest significant delay in overall development
3 BASIUANG, MC EMMANUEL V. M 12/8/2010 9.1 10 1 8 7 23 7 3 4 7 5 17 9 21 9 42 56 Suggest significant delay in overall development
4 CADENILLA, JUSTIN P. M 2/25/2011 8.9 10 1 6 3 24 9 3 4 7 5 12 4 20 7 33 43 Suggest significant delay in overall development
5 CARPIO, RINGO R. M 5/6/2011 8.7 11 4 8 7 23 7 3 4 6 5 13 5 23 11 43 57 Suggest significant delay in overall development
6 DE GUZMAN, JOHN MATTHEW G. M 2/17/2011 8.9 10 1 7 5 23 7 3 4 7 5 16 8 21 9 39 51 Suggest significant delay in overall development
7 ESTIL, ANDREW B. M 3/4/2011 8.9 10 1 6 3 22 6 3 4 7 5 15 7 21 9 35 45 Suggest significant delay in overall development
8 FELICILDA, PRINCE RD M 8/19/2010 9.4 10 1 6 3 22 6 3 4 7 5 15 7 21 9 35 45 Suggest significant delay in overall development
9 LABAO, MARK LUIS ANTONIO F. M 5/4/2010 9.7 10 1 8 7 24 9 4 8 7 5 17 9 20 10 49 66 Suggest significant delay in overall development
10 MAISO, LUKE M 6/25/2009 10.6 11 4 10 10 23 7 3 4 7 5 17 9 20 7 46 62 Suggest significant delay in overall development
11 MANGASER, MICHAEL L. M 2/7/2011 9.0 10 1 6 3 23 7 3 4 6 5 16 8 18 5 33 43 Suggest significant delay in overall development
12 OBEJAS, ANTHONY O. M 11/26/2010 9.2 10 1 7 5 21 4 3 4 7 5 17 9 19 6 34 44 Suggest significant delay in overall development
13 REPATO, PRINCE NOEL G. M 5/20/2011 8.7 10 1 7 5 23 7 3 4 5 5 18 10 19 6 38 50 Suggest significant delay in overall development
14 TORTONA, RICARDO JR. B. M 6/21/2010 9.6 9 1 8 7 23 7 3 4 6 5 17 9 18 5 38 50 Suggest significant delay in overall development
15 GAVIÑO, KING JAMES T. M 6/12/2011 8.6 11 4 9 8 25 10 4 8 6 5 17 9 19 6 50 50 Suggest significant delay in overall development
16 ROGAN, DAMIEN AZUL M 10/11/2011 8.3 10 1 8 7 23 7 3 4 6 5 17 9 18 5 38 50 Suggest significant delay in overall development
17 TRIA, EDRIEL CENEWARD F. M 10/2/2011 8.3 11 4 9 8 25 10 3 4 6 5 16 8 18 5 44 59 Suggest significant delay in overall development
18 LAJARA, NIGEL F. M 3/1/2011 8.9 10 1 8 7 23 7 3 4 7 5 16 8 18 5 37 48 Suggest significant delay in overall development
19 MANINGO, JERALD M 10/9/2011 8.3 9 1 8 7 20 3 3 4 6 5 17 9 19 6 35 45 Suggest significant delay in overall development
1 ANSALE, GENICA D. F 6/25/2010 9.6 10 1 6 3 25 10 3 4 7 5 18 10 18 5 38 50 Suggest significant delay in overall development
2 APAWAN, QUEEN ALJEAN C. F 1/21/2011 9.0 11 4 6 3 22 6 3 4 6 5 16 8 19 6 36 47 Suggest significant delay in overall development
3 CADENILLA, ROSMIA B. F 1/22/2011 9.0 10 1 6 3 21 4 3 4 7 5 17 9 18 5 31 41 Suggest significant delay in overall development
4 DOMETITA, ALYSSA MAE F 1/2/2011 9.1 11 4 8 7 23 7 4 8 7 5 16 8 16 2 41 54 Suggest significant delay in overall development
5 JUGO, ANGELINE F 4/21/2011 8.8 10 1 8 7 20 3 3 4 6 5 15 7 18 5 32 41 Suggest significant delay in overall development
6 MATCHICO, ALEXA FIONA S. F 3/15/2010 9.9 12 7 10 10 26 10 3 4 7 5 20 12 23 11 59 81 Average Development
7 NIEDO, DRIZZLE KATE D. F 4/15/2011 8.8 11 4 8 7 23 7 3 4 7 5 17 9 18 5 41 54 Suggest significant delay in overall development
8 QUERODA, KHIELLA MARIZ F 4/22/2011 8.8 10 1 9 8 24 9 3 4 7 5 17 9 19 6 42 56 Suggest significant delay in overall development
9 ROBLES, PRINCESS JAYLYN A. F 4/13/2011 8.8 10 1 7 5 23 7 3 4 7 5 16 8 18 5 35 45 Suggest significant delay in overall development
10 SAN LORENZO, PRINCES CULINE F 4/29/2011 8.8 10 1 6 3 22 6 3 4 7 5 16 8 19 6 33 43 Suggest significant delay in overall development
11 VILLAFUERTE, JOANA F 11/22/2008 11.2 12 7 8 7 24 9 3 4 7 5 17 9 18 5 46 62 Suggest significant delay in overall development
12 NICART, SAMANTHA JOY T. F 7/28/2011 8.5 10 1 9 8 24 9 3 4 7 5 17 9 18 5 41 54 Suggest significant delay in overall development
13 CLARO, SAMANTHA R. F 2/28/2011 8.9 10 1 8 7 24 9 3 4 7 5 17 9 18 5 40 53 Suggest significant delay in overall development
14 Evangelista, Bhrianna Allaine F 8/29/2011 8.4 10 1 8 7 23 7 3 4 6 5 16 8 18 5 37 48 Suggest significant delay in overall development
15 COMPAYAN, ANDREA G. F 8/9/2011 8.5 11 4 7 5 22 6 3 4 7 5 16 8 18 5 37 48 Suggest significant delay in overall development
16 GUEVARRA, JHAZMINE V. F 7/13/2011 8.5 12 7 8 7 25 10 3 4 7 5 17 9 18 5 47 63 Suggest significant delay in overall development
Number of Enrollees Suggest significant delay Suggest slight delay Average overall Suggests slight Suggests highly Noted by:
a ry
mm

in overall development in overall development development advanced development advanced development

Su

Male: 19 Male 19 0 0 0 0 ROLAND J. CATAPAT, Ph.D

Female: 16 Female 15 0 1 0 0 Principal I
Total: 35 Total 34 0 1 0 0

Prepared by:
MARICAR A. ELPEDES
Kinder Teacher
Name of School: PALICO ELEMENTARY SCHOOL School Year: 2016 - 2017
ECCD CHECKLIST SUMMARY
Grade & Section: KINDER - FAITH 1st Trial: July 2016

BIRTHDAY Child's Gross M Scaled Fine M Scaled Self-Help Scaled Receptive Scaled Expressive Scaled Cognitive Scaled Social Scaled Sum of Standard
Name of Pupil Age (RS) Score (RS) Score (RS) Score Language (RS) Score Language (RS) Score (RS) Score Emotional (RS) Score Scaled Score Score
Interpretation
1 AREVALO, JUAN LAURENCE L. 10/26/2010 9.3 10 1 8 7 23 7 3 4 7 5 13 5 23 11 40 53 Suggest significant delay in overall development
2 ARLANTE, JESSIE B. 12/25/2010 9.1 11 4 8 7 22 9 3 4 7 5 15 7 19 6 42 56 Suggest significant delay in overall development
3 DARROCA, JACOB KENNETH 12/6/2010 9.1 10 1 7 7 22 7 3 4 7 5 17 9 21 9 42 56 Suggest significant delay in overall development
4 BUSTAMANTE, JIAN KEN 2/13/2010 10.0 9 1 6 3 24 9 3 4 7 5 12 4 20 7 33 43 Suggest significant delay in overall development
5 CASTRO, JOSEPH G. 3/15/2011 8.9 9 1 8 7 23 7 3 4 6 5 13 5 23 11 40 53 Suggest significant delay in overall development
6 CORBELLA, LITO A. 12/8/2010 9.1 9 1 7 5 23 7 3 4 7 5 16 8 21 9 39 51 Suggest significant delay in overall development
7 ENGUITO, MARK KEVIN ANDRAE D. 4/20/2010 9.8 10 1 6 3 22 6 3 4 7 5 15 7 21 9 35 45 Suggest significant delay in overall development
8 ENGUITO, NORBERTO JR.D. 2/3/2011 9.0 8 1 6 3 22 6 3 4 7 5 15 7 21 9 35 45 Suggest significant delay in overall development
9 FLORES, JUNIFER JR. A. 11/1/2010 9.2 9 1 8 7 24 9 4 8 7 5 17 9 21 9 48 65 Suggest significant delay in overall development
10 GAVILAN, KENNETH M. 9/14/2008 11.4 11 4 10 10 23 7 3 4 7 5 17 9 20 7 46 62 Suggest significant delay in overall development
11 LICO, ACE JASPER V. 1/24/2011 9.0 8 1 6 3 23 7 3 4 6 5 16 8 18 5 33 43 Suggest significant delay in overall development
12 MIRANDA, JOHN KENNETH A. 4/18/2011 8.8 10 1 7 5 21 4 3 4 7 5 17 9 19 6 34 44 Suggest significant delay in overall development
13 TORRES, KARL DAVID G. 7/9/2011 8.6 10 1 7 5 23 7 3 4 5 5 18 10 19 6 38 50 Suggest significant delay in overall development
14 CUEVAS II, ROSENDO F. 5/20/2011 8.7 8 1 8 7 23 7 3 4 6 5 17 9 18 4 37 48 Suggest significant delay in overall development
15 PACURIB, JOHN KARLD. 7/4/2011 8.6 10 4 9 8 25 10 4 8 6 5 17 9 19 6 50 67 Suggest significant delay in overall development
16 MORAGA, JONVIC H. 9/10/2011 8.4 8 1 8 7 23 7 3 4 6 5 17 9 18 5 38 50 Suggest significant delay in overall development
17 BRIOSO,RJ E. 6/28/2011 8.6 8 1 9 8 25 10 3 4 6 5 16 8 18 5 41 53 Suggest significant delay in overall development
18 GARCIA, CLARENCE LLOYD T. 8/2/2009 10.5 10 1 8 7 23 7 3 4 7 5 16 8 18 5 37 48 Suggest significant delay in overall development
19 MARASIGAN, BEN JR. G. 11/11/2010 9.2 8 1 8 7 20 3 3 4 6 5 17 9 19 6 35 45 Suggest significant delay in overall development
20 FAJARDO, SAMPHER 2/28/2011 8.9 10 1 6 3 25 10 3 4 7 5 18 10 18 5 38 50 Suggest significant delay in overall development
1 BAYLON, JASMINE B. 12/15/2010 9.1 7 1 8 7 19 2 3 4 6 5 15 7 18 5 31 40 Suggest significant delay in overall development
2 CORONEJO, MARY DOLOR O. 9/8/2010 9.4 7 1 8 7 19 2 3 4 7 5 17 9 18 5 33 43 Suggest significant delay in overall development
3 CORONEJO, PRECIOUS KAYE G. 7/13/2010 9.5 9 1 8 7 24 9 2 1 7 5 16 8 16 2 33 43 Suggest significant delay in overall development
4 CUENCA, ARYAN KATE M. 12/30/2010 9.1 7 1 8 7 24 9 2 1 6 5 15 7 18 5 35 45 Suggest significant delay in overall development
5 DAGOHOY, KATHLENE MAE L. 7/21/2010 9.5 8 1 7 5 24 9 3 4 6 5 18 10 23 11 45 60 Suggest significant delay in overall development
6 DINIEGA, ASHLEY QUEEN B. 2/28/2010 9.9 7 1 8 7 19 2 3 4 6 5 17 9 18 5 33 43 Suggest significant delay in overall development
7 DUEÑAS, ARBIEN R. 12/19/2010 9.1 8 1 8 7 24 9 3 4 7 5 17 9 19 6 41 54 Suggest significant delay in overall development
8 FLORES, AYESHA MONIQUE 4/24/2011 8.8 8 1 7 5 23 7 3 4 6 5 18 10 18 4 36 47 Suggest significant delay in overall development
9 GIANAN, KAYSHA MAE 11/15/2010 9.2 8 1 8 7 24 9 3 4 7 5 17 9 19 6 41 54 Suggest significant delay in overall development
10 JIMENEZ, CLARENCE MAINE C. 8/28/2010 9.4 11 4 9 9 25 10 4 8 7 5 18 10 19 6 52 70 Suggest slight delay in overall development
11 QUETUA, VIENICE KYLLE B. 1/20/2011 9.0 7 1 7 5 24 9 3 4 6 5 18 10 18 5 39 51 Suggest significant delay in overall development
12 RUBIN, JASHMINE V. 1/1/2011 9.1 8 1 7 5 19 2 3 4 6 5 17 9 19 6 32 51 Suggest significant delay in overall development
13 VELASCO, CHINA ALEXIA G. 10/27/2010 9.3 8 1 9 8 25 10 4 8 7 5 17 9 18 5 46 62 Suggest significant delay in overall development
14 YBAÑEZ, KRIZZA FAY R. 1/2/2011 9.1 8 1 8 7 23 7 3 4 7 5 18 10 17 3 37 48 Suggest significant delay in overall development
15 CORONEJO, ROSE MARIE C. 6/11/2011 8.6 7 1 9 8 20 3 3 4 6 5 17 9 19 6 36 47 Suggest significant delay in overall development
16 CATALAN, JUDIELYN R. 6/4/2011 8.7 7 1 8 7 19 2 3 4 7 5 16 8 18 5 32 41 Suggest significant delay in overall development
17 JIMENEZ, ANGEL JOY 9/27/2008 11.3 12 7 10 10 25 10 4 8 7 5 19 11 22 10 61 84 Average Development

Suggest significant delay Suggest slight delay Average overall Suggests slight Suggests highly Noted by:
y
ar
mm

in overall development in overall development development advanced development advanced development

Su

Male: 20 Male 20 0 0 0 0 ROLAND J. CATAPAT,PH.D.

Female: 17 Female 15 1 1 0 0 Principal I
Total: 37 Total 35 1 1 0 0

Prepared by:
MARICAR A. ELPEDES
Kinder Teacher
 REPORT OF EARLY CHILDHOOD CARE AND DEVELOPMENT CHECKLIST (ECCD)
S.Y. 2014 - 2015

Name of School: SAN ROQUE ELEMENTARY 1st Trial Date: June 06, 2014

NUMBER OF PUPILS WITH NUMBER OF PUPILS WITH NUMBER OF PUPILS NUMBER OF PUPILS WITH NUMBER OF PUPILS WITH TOTAL
KINDER/SECTION SIGNIFICANT DELAY IN SLIGHT DELAY IN WITH AVERAGE SLIGHTLY ADVANCED HIGHLY ADVANCED NUMBER OF
OVERALL DEVELOPMENT OVERALL DEVELOPMENT DEVELOPMENT DEVELOPMENT DEVELOPMENT PUPILS

1 2 22 24

2 0

3 0

4 0

5 0

6 0

TOTAL 2 22 0 0 0 24

Number of Enrollees

MALE

FEMALE

TOTAL 0

Noted: Prepared by:

Principal II Kinder School Coordinator
 Report on Early
Child Care and Development
Checklist (ECCD)
(First Evaluation)
S.Y. 2019 - 2020
ent