Data Gathering Instrument for Trainee’s

Characteristics
Please answer the following instrument according to the
characteristics described below. Encircle the letter of your choice
that best describes you as a learner. Blank spaces are provided
for some data that need your response.

Characteristics of learners

Language, literacy and Average grade in: Average grade in:

numeracy (LL&N) English Math
a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
e. 75 to 79 e. 75 to 79
Cultural and Ethnicity/culture:
language a. Ifugao
background
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify)
Education & general Highest Educational Attainment:
knowledge a. High School Level
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
 Characteristics of learners
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female
Age Your age:
Physical ability 1. Disabilities(if any)

2. Existing Health Conditions (Existing

illness if any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify)

Previous TM Certificates
experience with
a. TQ certified
the topic
b. TM graduate
c. TM trainer
d. TM lead trainer
Number of years as a competency trainer
Previous List down trainings related to TM
learning
experience

National Certificates acquired and NC level

Training Level
completed
Special courses Other courses related to TM
a. Units in education

Characteristics of learners
b. Master’s degree units in education
c. Others(please specify)

Learning styles a. Visual - The visual learner takes

mental pictures of information given,
so in order for this kind of learner
to retain information, oral or
written, presentations of new
information must contain diagrams
and drawings, preferably in color.
The visual learner can't concentrate
with a lot of activity around him and
will focus better and learn faster in a
quiet study environment.
b. Kinesthetic - described as the
students in the classroom, who
have problems sitting still and who
often bounce their legs while tapping
their fingers on the desks. They are
often referred to as hyperactive
students with concentration issues.
c. Auditory- a learner who has the
ability to remember speeches and
lectures in detail but has a hard
time with written text. Having to
read long texts is pointless and will
not be retained by the auditory
learner unless it is read aloud.
d. Activist - Learns by having a go
e. Reflector - Learns most from
activities where they can watch,
listen and then review what has
happened.
f. Theorist - Learns most when ideas
 are linked to existing theories and
concepts.
g. Pragmatist - Learns most from
learning activities that are directly
relevant to their
situation.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify)

SELF ASSESSMENT CHECKLIST

INSTRUCTION: This self-check Instrument will give the trainer
necessary data or information which is essential in
planning training sessions. Please check the
appropriate box of your answer to
the question below.

CORE COMPETENCIES

Can I……? YES NO

2. EXPLAIN THE CONCEPT AND PRINCIPLES

OF CARING, GRWOTH, AND DEVELOPMENT
OF INFANTS/TODDLERS
 Growth and Development: Definition, Difference
and Comparison, and Milestones of Growth and
Development
 Basic Infant Care

 Method of carrying the baby

 The Dependent Nature of Infants and

Toddlers

 Enhancing Physical, Social, Intellectual,

Creative, and Emotional Development.

Evidence Plan
 Competency CAREGIVING NCII
standard:
Unit of PROVIDE CARE AND SUPPORT TO CHILDREN
competency:
Ways in which evidence will be
collected:

Third party Report

Demonstration &
Observation &
Questioning

Questioning

Portfolio

Written
The evidence must show that the
trainee…
 Definition, Difference and Comparison,
and Milestones of Growth and Development
 Basic Infant Care
 Method of carrying the baby
 The Dependent Nature of Infants and
Toddlers

WRITTEN TEST
Name: ____________________________. Date: _________
Qualification: ______________________. Score: ________

TEST I: Fill the blank: Read each statement or question below carefully and fill
in the blank(s) with the correct answer.

1.It refers to how a child becomes able to do more complex thing

as they get older.

2. It is a set of functional skills or age-specific tasks that most

children can do at a certain age range.

3.It has unremarkable vision, being able to focus on objects

only about 18 inches (45 cm) directly in front of their face.

4.Is typically done by breastfeeding.

5.It defense mechanism leading to the reversion to an earlier stage of

development in the face of unacceptable impulses.

6. It is an event when two people look at each other’s eyes at the

same time.

______7. It is an involuntary movements or twitches that most commonly

occur in a person’s .face, arms, or shoulder.
______8. Is a sort of behavior that is common among young humans and is
part of normal development behavior.
______9. Tends to overreact to aggressive behavior in young children.
______10. It describe the inability to continue functioning at the level of
one’s normal abilities due to an increased perception of effort.

Test II: Direction:

True or False: Write T if the answer is True and F if the answer is False.
Choose the correct answer. Write your answer on the blank.

1. Don’t let the child get overtired or over hungry.

2. Try not to avoid frustration in the child’s life.
3. Don’t give children as many choices possible. Let them decide what to wear
and which cereal to eat.
4. Try to say, “No!” as infrequently as possible.
5. Work with young children on language acquisition.

ANSWER KEY
TEST I
1. Child development
2. Development milestones
3. Newborn
4. Feeding
5. Regression
6. Eye contact
7. Nervous tics
8. Aggression
9. Parents
10. Fatigue
TEST II
1. T
2. F
3. F
4. T
5. T

PERFORMANCE TEST
Specific instruction for the candidate

Qualification: CAREGIVING NC II

Unit of Provide care and support to children

competency:

General Given the necessary tools, materials and

Instruction: equipment you are required to perform the
different methods of providing care and support to
children. (Allotted time 1 hr.)

Specific Instruction:

1) Create a Safe Physical Environment: Ensure that the physical

space is free from hazards and is child friendly. Remove sharp
objects, small items that could be choking hazards, and ensure
that furniture is stable.

2) Build Positive Relationships: Establish trusting and respectful

relationships with each child. Greet them warmly, use their
names, and engage in active listening when they communicate.

3) Provide Emotional Support: Create a supportive and nurturing

atmosphere where children feel emotionally secure. Offer
reassurance and encouragement, especially during times of
transition or uncertainty.

4) Promote Physical Health and Well-being: Encourage regular

physical activity through structured play, outdoor exploration,
and gross motor activities.
5) Support Cognitive Development: Provide a stimulating learning
environment with age-appropriate toys, books, and activities that enco
Provide a stimulating learning environment with age-appropriate toys, books,
and activities that encourage exploration, creativity, and problem-solving.

6) Collaborate with Families and Caregivers: Maintain open

communication with families and caregivers, keeping them
informed about their child's progress, achievements, and any
concerns that arise.

7) Monitor and Adapt Care: Regularly observe children's behavior,

interactions, and developmental milestones to assess their needs
and progress.

Questioning tool
Rating sheet for oral questioning
Question to prove the candidate’s underpinning knowledge Satisfactory
 response
Extenion /reflection questions YES NO
How has completing the Caregiving NC II program enhanced 
your understanding of the importance of empathy and
compassion in providing quality care to individuals in need?
Think about the role of self-care in caregiving. How do you 
prioritize your own well-being to ensure that you can provide
quality care to others?
Safety questions
How do you identify and mitigate potential hazards in the 
caregiving environment to ensure the safety of both yourself
and the individual under your care?
How do you ensure the safety of individuals with cognitive 
impairments or behavioral challenges, such as wandering
tendencies or aggressive behavior?
Job role and environment questions
What measures do you take to prevent the spread of infections 
in caregiving settings, and how do you ensure compliance with
infection control protocols?
Can you describe the proper techniques for lifting, 
transferring, and positioning individuals with mobility
challenges to prevent injuries to both the caregiver and the
individual?
Contingency/infrequent questions
What steps would you take if you suspect that an individual 
under your care is experiencing a medical emergency such as
a heart attack or stroke?
How would you respond if a client exhibits signs of agitation, 
aggression, or other challenging behaviors? What de-escalation
techniques would you employ?
Rules and regulations
The candidate’s underpinning Satisfactory Not satisfactory
knowledge was:
Feedback to the candidate:
General comments:
Candidate signature Date
Assessor signature Date

Training Activity Matrix

Facilities/ Venue Date

 Training Activity Trainee Tools and (Workstatio & Remarks
Equipment n/ Area) Tim
e
Prayer:
Kindly lead the prayer Ms.
Gwenn.

Recap of Activities: 8:00

Before we proceed to the AM
next topic, anybody here
can recall about our topic
yesterday?
All to
Unfreezing Activities: 9:0
trainees
0
Let me show you again the
AM
different techniques how
to care and support
childen

(show some pictures)

Feedback of Training:
We learned how to care
and support children

Rejoinder/Motivation:

So now, I will let the

screen to show four
picture as a clue of what
does it mean. I’ll give point
who willing to answer,
before we start to our new
lesson for today.

observatio
Nursing bra
ns on the
Materials to include Breast pads Name of progress of
in maternity hospital Nursing
Workstatio each
bag essentials for n1 trainee for
pillow
the day
mom Slippers will be
written
here

(Specific Activities of each (List down observatio

Trainee here) all ns on the
Facilities/To Name of progress of
ols and Workstation each
Equipment 2 trainee for
needed for the day
the will be
 workstation
and activities written
here) here

TOOLS, EQUIPMENT AND MATERIALS HEALTH CARE SERVICES NC II

Recommended list of tools, equipment and materials for the training of a
maximum of 25 trainees
TOOLS EQUIPMENT MATERIALS
Qty. Description Qty. Description Qty. Description
2pcs. Airpot (Hot 1 pcs Bed Ordinary 2 btls. Alcohol
 Water)
1 pcs Skillet 1 pcs Bed surgery 2 packs All purpose
detergent soap
5 set Garbage bin 2 units Blender/ 2 pcs Baby oil
(biodegradable juicer
and non-
biodegradable)
2 pcs Urinal 2 pcs Bp Apparatus, 10 pcs Soap
aneroid
12 pcs Basin (small) 2 pcs Bp apparatus, 5 pcs Feeding
mercurial bottles w/
cover and
nipples
1 pc Baby bathtub 1 unit Coffee maker 4 pcs Bib and baby
layettes
12 pcs Flat sheet 1 pc Crib 1 gal. Bleaching
solution
12 pcs Gloves- 1 unit Dish washer 1 pack/ Coffee, Cream
Household with drier each and sugar
1 box Gloves-surgical 1 unit Food 1 packs Cotton buds
processor
12 pcs Face 2 pcs Flat iron with 1 set condiments
towel/towelette ironing board
4 pcs Blanket 1 unit Oven (electric Food softener
gas)
4 pcs Comforter 25 pcs Chair with 1 pack Diaper (Child
arm and adult)
2 pcs Bedpan 1 unit Dinning set 1 gal. Liquid Soap
(cleaning
bottles)
2 pcs Bottle brush 2 pcs White board 1 kilo Infant formula
(cleaner feeding
bottles)
2 pcs Burping cloth 1 unit
OHS/LCD 6 pcs Table napkins
5 pcs Baby clothes 1 unit
Computer w/ 2 pcs table cloth
printer
5 pcs Baby blanket 1 unit Refrigerator 1 pack Garbage bags
DEMONSTRATION INSTRUCTIONS FOR THE TRAINEE AND THE
TRAINER
Unit of PROVIDE CARE AND SUPPORT TO CHILDREN
Competency:
Qualification: CAREGIVING NC II

A. For the trainer:

1. Instructions before the demonstration
  Prepare the assessment area
 Review the units of competency to be assessed
-The assessment context
-Assessment Guide
-Assessment methods
-Rating Sheets
-Time Limits
-Evidences to be collected
-Performance Criteria
-National assessment and Certification Arrangements
 Ensure that the assessment area is conducive and
complies with the OH&S safety requirements
-Well lighted and well ventilated
-Risk areas are properly labeled
-Ensure that the following assessment resources are available
=complete set of safe and functional equipment and tools
=complete set of supplies and materials
=assessor’s guide and rating sheets
=PPE
 Notify the candidates of any resources they have to bring during
the demonstration
2. Instructions on the day of the assessment
 Check the attendance sheet
 Let the candidates accomplish the Self-Assessment Guide
 Orient the candidates on the following:
-explain context and purpose of the assessment
-review the Units of Competency to be assessed
-Outline the assessment procedure , legal and ethical responsibilities of
assessor and candidate
-Assess the needs of the candidate and establish the allowable adjustments
-Seek understanding from the candidates on the qualification /unit of
competency, evidence requirements and assessment process.
-Specify the rules and regulation of the assessment center to be strictly
followed by the candidates
-Announce the start of the assessment
 Let the candidates accomplish the competency assessment
agreement
3. Instructions during the assessment
 Provide the candidates with the complete tools and
equipment to be used during the assessment
 Let the candidates read carefully the specific instructions.
 Make certain that the candidates fully understand what is
expected and knows the time limit allowed to finish the tasks.
 Administer the assessment in accordance with the competency
based assessment
 Observe the demonstration of the candidates following the
specific time limits .
 Keep notes on your observation during the assessment
 Inhibit self from assisting the candidates during assessment
 Stop the assessment if accident is imminent.
 Collect appropriate evidence and match compatibility to the
elements . performance criteria, range of variables and
evidence guide in the units of competency
 Judge the evidence in terms of the four dimensions of
competency and rules of evidence
 Record details of evidences collected and make judgement
about the candidate’s competence based on the evidences and
the relevant standards required of the unit of competency.