Republic of the Philippines Municipal Social Welfare and Development Office erebisccese 4 Ages 3 years one month to 5 years Early Childhood Care - and Development (ECCD) e amore Al Oe ae i Po Pe 2 WN Sociodemographic Profile Incicte the complete sedodemographi rofl ofthe did,Core Developmental Milestones of Filipino Children SELF-HELP. LANGUAGE coGNmve ‘SOCIO-EMOTIONAL ‘Throws bal ovemead Bathos unassisted Recounts ecent experiences Malohes upper and sos uluralgostvres or wt eon Inordor ol occurence using Tower case tore ‘greeting without prompts pastiense “og. mano, ss. kes) ql if HO Draws anuman igure Uses toot wih ‘ranges objcs according Pays organized group suse ‘eccasional accidents Tone fam anata ‘mes fy Speaks ganmatcaly Mateos cess and ates ada acertes| cotrect 2:3 word senence (@'9 cooking, washing) Pa a Holds crayon wth palmar Drinks for cap wh Names objects Foils bal iteratively ‘1esp, Serbbies spilage petures ‘wih caregiver ‘spontaneously a + 2 a ‘es Foods salt sing spoon Searehos or completely Frendy wih srangors wih spatage ‘concealed object utinaly shows 12 ont Feeds seh wintngers Uses mearngulsounds 9 reler Locks al ection (ies when caregver (biscuits, breag) to specie objects or persons faten object Toaves (eg. mama’ aus") Begs to tke sold ‘rns head when cated by Expires objets by Enjoys fondly handing tose fname, makos eye contact biting or hoaing ol Teusheetoeeay —«Sioardmatorshea! —«iundweidsoun! —«Gauestinyalommy «= Shiosandltsamete ‘objects ‘ioe earogiver Ensure the best possible start in your child’s life. Monitor your child’s development Scanned with CamScannerINTAKE I. PERSONAL DATA Name of Child thee Bey Date/Place of Birth Religion Address a TiatcpalnT Cay Prone gene moe #6 Height:___Weight/Nutritional status eo oS Sze Physical Disability, if any (Specify): Child's Handedness (Check ppropiatebox): (] Right []LeR []Both []Not yet establish I, FAMILY COMPOSITION: Family composition (Include parents and all members of the family who lives as one household. (ie share dwelling, same source of income and the same kitchen.) ‘Name by Birth order [A] S | Civil Rel. Educl | Time | Occu- Health | Attitude include child) G|E | Status To child Attn't Present | pation Income | Condi- | Toward BA at home tion | child Fite Meter 11], DEVELOPMENT INFORMATION not available 2. Marriage Contract : Date of Marriage Registry Number 3.Child Development Checklist Check if child’s achievement on admission for day care service corresponds to 50% and above, of indicators for his age, using the child development checklist. a. motor development __ ¢. Social Values in relation to God b. personal-social development “Ff Social Values in relation to self ¢. cognitive adoptive dev't g. Social Values in relation to family d. language competency Th Social Values in rel. to non-relative i. Social Values in rel. to country/com'ty IV. HOME CONDITIONS 1, Home Conditions that are observed as likely detrimental to the child (¢.g mother working part of the day but leaves no adequate adult supervision to child.) 2. Conditions in the neighborhood that are detrimental to the child (e.g presence of gambling places, near streets, etc.) Early Childhood Care & Develooment (EGCD) Checklist, Child's Record 2 1 ‘Scanned with CamScanner3. Distance of Home to Child Development Center Transportation facility to Child Development Center 4, Name of escort for child Relation to child 5, Adult who will receive child on return from Child Development Center Y. PARENTAL EXPECTATIONS 1, What do parents expect to learn from attendance at the Child Development Center? 2. What are the parents’ perceived roles in inculcating values to the child at home? 3. What are the parents' roles to maintain good relationship with the Child Development Worker? 4, What do they expect of the Child Development Worker? 5. What are the parents perceive roles in contributing to the success of the DC Service Program? 6. What do the parents expect of their children at the Child Development Center? 7. Other Expectations VI. EVALUATION AND RECOMMENDATION: 1. Assessment of eligibility of child for day care service: 2. Recommended period of day care service (time and months of day care of service) Accomplished by: Child Development Worker Reviewed by: Monitoring Staff Date Early Childhood Care & Development (ECCD) Chenklist Child's Rernrii 2 Scanned with CamScannerCONSENT OF PROVISION Well, and Take Guan ‘ary legal age/s, residents of arefis the parent (s)/ guardian (8) of the minor That minor was born on. at Per MSWD office basic requirements, minor is found eligible for Day Care Service and referred at Child Development Center by ee (Barangay) [Name of Child Development Worker for a period of, ‘That we consent to the provision of said service to the minor for the stated period herein; ‘That we will provide support in the different activities and continue such activities at home in order to attain the objectives of the program for his/her welfare. ‘That we are willing to pay the registration fee in the amount amonthly fee. That we will report difficuties/problems to the Social Worket/Child Development Worker and cooperate with them to solve said problems. ‘That this consent was explained to us and we fully understand its implications. Signed this __day of. at (Date) (Month) (Place) Father/Guardian Mother ( Signature Over Printed Name) (Signature Over Printed Name) Child Development Worker Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 3 Scanned with CamScannerScanned with CamScannerIt is recommended that the Checklist be administered to the child once a year. Computation of the Child’s Age ‘After verifying the dates, compute the child's age by subtracting the date he was born from the date the test was administered. Each month is composed of 30 days. Do not round off the months or years. Write the examiner's name each time the test is administered. Date Tested Child's Date of Birth Child's Age Date Tested Child's Date of Birth Child's Age Date Tested Child's Date of Birth Child's Age Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 4 Scanned with CamScannerIntroducing the Checklist Introduce the Checklist to the parent/caregiver by saying the following: We are here to help you find out how your child is developing by asking about the things he is able to do, or ‘by having your child do some act ass or fail score, This is just a checklist. Some of the questions are for children older than your child so | do not expect him to be able to do all the things | will be asking. ‘We plan to administer this Checklist several times until your child is 6 years old. So lease do not teach or coach him because we need to know just what he can and cannot do at this age, Later on we will share the results with you and glve suggestions on what else you can do {o'stimulate your child's development. ‘fier rapport has been established, introduce the Checklist tothe child by saying the following: | will be asking you to do some things for me today. Some of them will be very easy. ‘Some of them may be a ite hard for you. Do not worry ifyou cannot do them all because some of the actvilies are for children who are a ite older than you. So do not expect you to be able to do everything | ask. Just try your best. How to Administer ‘This form can be used for thee separate evaluations ofthe same child so it willbe easy for you to see how he is developing as he grows older. The “Present” portion of this Record has three columns ‘where you are to mark the childs ski’ and behavior each time you assess him. Ifthe child exhibits the skill or behavior, pu a check (/) inthe designated column. Ifthe child does no, put a hypen (© and write additional information in the “Comments” column explaining why the child was ‘unable to demonstrate the behavior ‘Where to start and stop ‘Administer all the items. How to score ‘Tally the number of check marks (y/) in each domain and record this in the section labeled “Total Score.” Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 5 Scanned with CamScannerGROSS MOTOR (MALAKING KALAMNAN) PRESENT (PAGTATASA) ‘Comments (Komento) i Entice Use al Exahatce Parga ‘Nakakaakyat sa upuan o sa iba pang gamit gaya ng kama rg walang tumutulong. ‘Nakakalakad ng patalikod o paurong. Nakakatakbo ng hindi natutumba o nadadapa. ‘Nakakababa ng hagdanan, dalawang paa sa baitang na nakahawak sa hawakan ng hagdanan ‘Nakakaakyat sa hagdanan na nakahawak sa hawakan ng hagdanan, dalawang pea sa bawat beitang. ‘Nakakaakyat sa hagdanan na halinhinan ang mga paa na hindi humahawak sa hawakan ng hagdanan, ‘Nakakababa ng hagdanan na halinhinan ang pas na di umakapt sa hawakan ng hagdanan, ‘Sumusunud at naigagalaw ang bawat sabihing kilos. Nakakalundag. 10 ‘Naihahagis ang bola na may direksyon. ‘Nakalulundag ng 1-3 beses gamit ang nakasanayang pea. 2 ‘Nakakalundag at nakakaikot. 13 ‘Nakakasayaw 0 nakakasabay sa mga gawaing pang grupo gaya ng pagsayaw. Total Score (Bilang ng iskor) FINE MOTOR (PINONG KALAMNAN) PRESENT (PAGTATASA) Comments (Komento) t Bain Enakaton Pangaave we Enhation Panealo ‘Kayang kunin/palutin ang pagkain o larwan gamit ang Jimang dalirina nasa patag na lugar. ‘Kayang pulutin o kunin ang laruan o pagkain gamit ang, hinlalaki o hintuturong dali. ‘Naipapakita o naipapamalas ang kasanayan ng kamay. Nailalagay at ailalabas sa isang lalagyan ang maliit na bagay. ‘Nakahawak ang lahat ng daliri ng kamay sa krayola parang nakatikom ang kamao. ‘Nabubuksan ang boteng de-roskas 0 nababalatan ang ending may balot. Kuseng sumusulat o guri-guring sumusulat ‘Nakasulat ng palalang 0 patayong linya. ‘Nakakaguhit ng pabilog. Partes ng katawan ng tao (ulo, mata, Katawan, bras0, kamay/dalir) ‘Nakakaguhit ng bagay gamit ang ibat ibang hugis. Total Score (Bilang ngiskor) neh Ohilehandl Cara & Mawalanmant [ECOM\ Phaalint Childe Bacard 2 Scanned with CamScannerPRESENT ‘Comments SELF-HELP (PAGTATASA) (Komento) (PAGGABAY SA SARILD) tate | nce | nal Us| panos | Pang | | Gamit ang kamay/daliri nakakakain mag-isa ang bata ng. | | finger foods tulad ng biscuits at tinapay. [> | Mag-isang kumakain ng kanin at ulam gamit ang 2 | daliri/kamay na may kalat o natatapon. _ Kumakain mageisa ng kanin at ulam gamit ang kutsara na 3 | may kalat o natatapon. Kumakaing mag-isa ng ulam at Kanin gamit ang 4 | dalirivkamay na walang kalat o natatapon. Kumakaing mag-isa ng kanin at ulam gamit ang kutsara na 5 | walang natatapon. 6 _| Nakakakain ng mag-isa. Hindi sinusubuan. 7_| Tinutulungang uminom sa tasa 8_| Nakakainom ng may natatapon 0 tulo. 9 _| Nakakainom sa tasa ng mag-isa 10_| Mag-isang umiinom at walang umiaalalay. 11_ | Nakakapagbuhos mula sa pitsel na walang natatapon, 12_| Inihahanda ang sariling pagkain. 13 | Nekakapaghanda ng pagkain para sa nakakabatang kapatid 0 pamilya kung walang matandang kasama DRESSING DOMAIN 14 | Nakikipagtulungan pag binbihisan (hal itinataas ang mga paa/kamay) 13 | Naibaba ang short na de garter 16 | Nabububad ang sando 17 | Nekapagsuot ng damitinakapagbibihis mag-sa maliban sa pagbobotones o pagtatali re | Magrisang nakakapapbihis ng walang tumutulong kahit se pagbobotones o pagtatali TOILET TRAINING DOMAIN 19 | Naipapaalam lamang sa nakatatanda matapos niyang umihi ‘o dumumi sa kanyang salawal "Nagsasabi sa nakakatanda na gusto niyang umii o damumi 20 | kahit minsan ay nakakaihi at nakakadumi pa rin se kanyang salawal. ‘Kaya niyang pumunia sa banyo kapag nakakaramdam ng 21 | pag-ihi o pagdumi kahit minsan ay napapaihi o napapadumi pa rin sa salawal. ‘Kaya na niyang pumunta sa banyo kapag nakakaramdam ng 22 | pag-ihi o pagdumi at hindi na napapaihi o napapadumi sa salawal. 23._| Nagpupunas o naglilinis mag-isa pagkatapos dumumi. BATHING DOMAIN 24 | Sumasali sa pagliligo sa kanya tulad ng pagsasabon, 25 | Naghuhugas a tinutuyo ang mga kamay na hindi tinutulungan, 26 | Nakakapaghilamos mag-isa 27_| Nakakaligong mag-isa ng walang tulong galing sa iba, Total Score (Bilang ng Iskor) Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 7 Scanned with CamScannerRECEPTIVE LANGUANGE DOMAIN (KAKAYAHAN SA PANDINIG) PRESENT (PAGTATASA) ‘Comments (Komento) | TH vakiton nd valentin Pangalana Ted Eakin Pongal Naituturo ang Kapamilya na babanggitin Naituturo ang limang bahagi ng katawan Naituturo ang limang larawan na sasabihin © ipapaturo ng kausap. ‘Nakakasunud sa isa-isang instruction na may tiyak na pang- vukol tulad ng nasa.sa, sailalim etc. Nakakasunod sa dala-dalawang “instruction” na gamit ang ‘mga payak na pang-ukol. Total Score ( Bilang ng Iskor) EXPRESSIVE LANGUAGE DOMAIN (KAKAYAHAN SA PANANALITA) PRESENT (PAGTATAS: Comments, A) (Komento) ia Evakation Una Ta Brahe Panga We Evasion Pango Nakakapagsabi ng 5 hanggang 20 malinaw na mga salita, ‘Nakakagamit ng mga panghalip. (hal. Ako, Akin) ‘Nakakabuo ng 2-3 kombinasyon ng pandiwa at pangalang salita tulad ng hingi-gatas. ‘Napapangalanan ang mga bagay na nakikita sa Tarawan (4). ‘Nakakapagsalita ng 2-3 malinaw at tamang pangungusap. Nakapagtanong ng mga tanong na nagsisimula sa "ano". Nakapagtatanong ng mga tanong na nagsisimula sa "sino" at "bakit", Nakakakuwento ang bata ng mga bagong karanasan niya (may guide) na may pagkasunod-sunod na pangyayari. Total Score (Bilang ng Iskor) COGNITIVE DOMAIN (KAKAYAHAN NG PAG-IISIP) PRESENT (PAGTATASA) Ind Essa Pangalsna wa Evakation Pangalo Tinitignan ang direksyon ng nahululog na bagay. Tinitignan ang mga bagay na bahagyang nakatago ‘Nagagaya ang mga kilos na kakakita pa lamang Binibigay ang bagay ngunit hindi binibitawan Hinahanap ang mga bagay na lubusang nakatago. "Nakikitang naglalaro ng kunya-kunyarian, Halimbaw Nagpapakain o nagpapatulog ng manika, ‘Napagsasama-sama ang mga magkakatulad na bagay Kayang makapagparehas 2.0 3 kulay. Kayang magpares-pares ng mga larawan. ‘Napagsasama-sama ang mga larawan. Nakakapag-ayos ng mga bagay ayon sa kanilang kalangian (aki at kulay). Nakakapag-ayos ng mga bagay ayon sa laki mula sa inakamalit hanggang sa pinakamalaki, ‘Napapangalanan ang 4 hanggang 6 na kulay. Nakakakopya ng mga hugs. - Early Childhood Care & Development (ECCD) Checklist, Chil 's Record 2 Scanned with CamScanner‘Napapangalan ang 3 hayop o gulay kung tatanungin, 1 ‘Nakakapagsabi kung saan ginagamit ang mga pambaha amit. Nakakabuo ng isang simpleng puzzle. | / Naipapakita at naiintindihan ang mga kabaliktaran sa ree | |g | pamamagitan ng pagtatapos ng Pangungusap tulad ng "Ang aso ay malaki, ang daga ay 79 _[ Naituturo ang kaliwa at kanang bahagi ng. Tatawan, +] Nasasabi kung ano ang mali sa larawan (hal. Ano ang mali | 20 | sa larawan?) >] Maipagpapares-pares ang mga malalaking titik gayundin (21 ang mga malilit na tik Total Score (Bilang ng Iskor) ° PRESENT ‘Comments | SOCIO-EMOTIONAL DOMAIN {FAGTATSSA). {coment | (PANSARILI AT PANLIPUNANG DAMDAMIN) eke |) Waintea | Beck | ss | Paestva_| Panto i ‘Natutuwang panoorin ang mga ginagawa ng mga tao 0 ' | hayop sa paligid. |, _| Palakaibigan sa mga taong di niya kilala, Sa simula medyo | 2 | mahiyain o may alinlangan, + Naglalarong mag-isa ngunit gustong malapit sa kakilalang 3 | nakakatanda o sa mga kapatid. 4_| Tumatawa ng malakas o humahagikhik habang naglalar. 5_| Nakikipaglaro ng bulagaan 6_| Nakikipaglaro ng gulungan ng bola sa tagapag-alaga. 7_[ Niyayakap o niyayapos ang laruan. ‘Nagpapakita ng respeto sa nakakatanda gamit ang "nang" 8. | “nong", “opo", "po" (0 anumang katumbas nito) sa halip na kanilang unang pangalan, 9_| Pinahihiram ang sariling laruan sa iba. 10_| Ginagaya ang mga galaw ng nakakatanda, 11_| Napapansin ang nararamdaman ng iba. ‘Gumagamit ng mga kilos na nararapat sa kultura na hindi na 12 | hinihiling/ dinidiktahan (hal, Pagmamano, paghalik) 73 | Inaalo/Inaaliw ang mga kalaro o kapatid na may problema, 11, | Mativagang tinatapos o hinahanapan ng sagot ang problema 6 sagabal sa kanyang gustong mangyare. 15 | Tmutulong sa mge gawaing pambahay (bal. Nagpupunas ng mesa, nagdidilig ng mg halaman) Te. | inuusisa ang mga nakikita sa kapeligitan ngunit alam din niya kung kailan titigil sa pagtatanong sa mga nakakatanda, 17 jintay ang kanyang pagkakataon 1g. | Humiingi ng permiso na laruin ang laruan na ginagamit ng ibang bata. 19 | Binabantayan ang mga pag-aari ng may determinasyon. 20_| Nakikipaglaro ng tama at hindi nandadaya. 2 | Nakakapagkwento ng nararamdaman tungkol sa Karanasan (kalungkutan, pag-aalala) ‘Iginagalang/Sinusunod ang mga simpleng mapagkasunduan 22 | nila ng kanyang tagapag-alaga tulad ng makapaglalaro Jamang sa labas pagkatapos linisin/ayusin ang kanyang silid o laruan Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 9 Scanned with CamScannerResponsableng nagbabantay sa mga nakababatang kapatid/ 23° | ibang miyembro ng pamilya. 'Nakikipagtulungan sa mga nakakatanda o Ragrupo upang 24 | maivasan o mabawasan ang hindi pagkakaunawaan o pag- aaway. Total Score (Bilang ng iskor) 10 Ea Phildhand Para & Raualanmnnt [ECAP Maaldiat Abide Panne 2 Scanned with CamScannertransfer the raw score for scores (0 x Scores domains. To derive the age on each evaluation, ich domain in the table below. Using the Scaled Score Equivalent of Raw Scores Table, convert the raw ippropriate to the age of the child, To arrive at the Sum of Scaled Scores, add the Scaled Scores across all andard Score, refer to the Standard Score Equivalent of Sums of Scaled Scores Table. Write the Age Wr , ‘Evaluation Date: ] 2 Evaluaton Date. | 3" Evaluation Dato:_ i ——“chitsige——_ | ——“chishge | cris ge 4 TE 5 m 5 eS 5 Gross Motor Fine Motor Self-Help Receptive Language Expressive Language Cognitive Social- Emotional Sum of Scaled Scores Standard Score Interpretation Interpretation of Scaled Score: Interpretation of Scaled Score: Seeler seen) Sliver ices eee Seles ener) Rovolgpmentinine conan rat |] 69 and below | veal devant ust be be montored ater mont 70-79 | Monitored after 6 months. i jproos cxsral cevelgorieat ih 80-119 | Average overall development i dovSlopmentin ihe comin 120-129 | Gevelopment Seacmacase, || osreb] semanas Farhi Childhand Cara & Mavalnnmant (FCCN\ Checklist Child's Record 2 " Scanned with CamScannerScaled Scores Mark an x on the dot corresponding to the Scaled Score for each domain and connect the x’s. Write the child’s age on each evaluation, ‘Suggests advanced development Re-test after 3- 6 months Child's Age: ro Child's Age: Eo ie RECEPTIVE ANGUAGE Retene Child's Age: Average development Early Childhood Care & Development (ECCD) Checklist. Child's Record 2 Scanned with CamScannerTable of Standard Scores: Form 2 Se Standard Ate) Ore) Sc ed Scores Perc 29 7 64 88 30 38 6 89 31 40 66 i) 32 41 7 92 33 43 68 94 34 44 69 95 35 45 70 7 36 47 71 98 37 48 72 100 38 50 73 101 39 51 4 103 40 53 75 104 41 54 76 105 42 56 7 107 43 87 78 108 44 = 59) 79 110 45 60 80 in 46 62 81 113 47 63 82 114 48 65 83 116 49 66 84 n7 50 7 85 119 51 69 86 120 52 70 87 122 53 72 88 123 54 2 89 124 55 75 90 126 56 76 1 127 57, 78 92 129 58 79 93 ir 130 59 81 94 132 60 | 82 95 133 61 84 96 135 2 E 85 7 136 63 86 98 138 Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 13 Scanned with CamScannerStandard Scores Mark an x on the corresponding standard score for each test administration and connect the x's. Write the date for each test administration, AGES ESET BP ELSE LULU Suggests advanced development Tr z Oo 130 120 o 100 tH HH HHH Average development © So 80 70 60 HE HHH HHH 50 40 Re-test after 3 to 6 months 30 20 Date Tested “ Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 Scanned with CamScannerOMVWaE SNOILLN3AYALNI/N3NVLY3GNN SaIUIALLV SNOILLWAYASEO alva NAAVL NOLO /YOIAVH3d S,0TIHD 3H1 40 SGNOITY GNV NOILLWAYaSHO ant [ECON Chactliet Childe Bacar 2 Fath: hitdhaed ere 0 Aes Scanned with CamScannerOBSERVATION AND RECORDS OF THE CHILD'S BEHAVIOR/ ACTION TAKEN DATE OBSERVATIONS ACTIVITIES UNDERTAKEN/INTERVENTIONS REMARKS Farlv Childhond Care & Nevelanment (FAN Checklist Child's Record 2 18 Scanned with CamScanner-. 24 to 71 . Weight-for-Age (071 months - BOYS 1+] sortameemenon de 24 to 71 months - BOYS Early Chitdhood Care & Development (ECCD) Checklist, Child's Record 2 7 Scanned with CamScannerWeight-for-Age 24 to 71 months - GIRLS z-scores 24 to 71 months - GIRLS z-scores DT} es { T piel. | L sre Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 Scanned with CamScannerGrowth Monitoring Date of Weighing Age in Months Weight (kilogram) Height (cm) Nutritional Status a Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 19 Scanned with CamScannerInitial and Annual Health Records (for use of the Physician) Name of Child Development Center Date Name of Child: Birth Date: .Matemal History: Please Check Illness/es during Pregnancy: German Measles Hepatitis, ‘Tuberculosis STD Heart Disease others(Specify) I. Brief History A. Type of Delivery Normal Spontaneous Delivery Ceasarian Section Forcep B. Place of Delivery Hospital Home others(Specify) C. State Complications, If any: D. Allergies, if any: IL Immunization Dates Given DPT POLIO BCG MEASLES TETANUS HEPATITIS B 20 Early Childhood Care & Development (ECCD) Checklist, Child's Record 2 Scanned with CamScannerIV. Deworming Yes No V. Disability/ Impairments: Please check if any: Congenital Deformities Deafness Others (Specify) VI. Previous Illness VII. Current Health Status Speech Defect Emotional Disturbances Examination VII. Pertinent Physi HEET CHEST/ Lungs Abdomen GUT MUSCULAR NEURO IX. Remarks Date Rural Health Physician Scanned with CamScannerExaminer’s Notes Write down your notes, descriptions and observations on the columns provided. Name of Examiner: Date Administered: Place of test: Child’s Background (ex. Behavior/health/ete.) Family environment (ex. Health of family members/ Family problems/economic Conditions/etc.) Parents’ stimulating activities for the child (what are the activities/things that the parents do to help stimulate ‘The child’s development?) Home environment( ex. Facilities/type of house/ household items/ interaction/ etc.) Others Child’s Background (ex. Behavior/health/ete.) Family environment (ex. Health of family members/ Family problems/economic Conditions/ete.) Parents’ stimulating activities for the child (what are the activities/things that the parents do to help stimulate The child’s development?) Home environment ex. Facilities/type of house/ household items/ interaction/ ete.) Others Child’s Background (ex. Behavior/health/etc.) Family environment (ex. Health of family members/ Family problems/economic Conditions/etc.) Parents’ stimulating activities for the child (what are the activities/things that the parents do to help stimulate The child’s development?) Home environment( ex. Facilities/type of house/ household items/ interaction/ etc.) Others L 22 Early Childhood Care & Development (ECCD) Checkiist, Child's Record 2 Scanned with CamScannerGrowth Chart Rect ifomaton along te month weighing ine using the symbols below How to interpret the © = wont Growth Chart F - fever B breast fending C + edceugh CF congimertay ods inroducod D - darhea 1 - Ob tness A Viama Agiven @ ‘The childs weight had be H = hosp bermeen the references 1 ss offs suchas The tied gowh ure akrasons hematoma ‘hut go nan upward recon, ‘Asahi esos, hehe should gan weight =: Ants wt ‘Not gaining weight has a oid row cave that atone of cloaks bh fat Ine between he"relerence’ » eves Action. losing woight has a ploried gout carve at goes 93 ownvrd ecinng cron beoveen a eee” caves, rrr rrr BRON ROME TS beets cari y [Mont of Wieghng Teg 1. Vitamin A supplementation Yes No 4, History of major illness. every six months . Type of illness Date Intervention given 2. Final dental check-up at Yes No 2.3 years old. 3. Deworming Yes No Scanned with CamScannerMaisilang at magkaroon ng pangalan at nasyonalidad Magkaroon ng tirahan a pamilyang € / mag-aaruga Sa akin Manirahan sa isang payapa at tahimik na pamayanan Magkaroon ng sapat na pagkain; malusog at aktibong katawan Mabigyan ng sapat na edukasyon at mapaunlad ang aking kakayahan Mabigyan ng pagkakataon na makapaglaro at makapaglibang 5 Mabigyan ng proteksyon laban sa pang-aabusoi panganib at karahasan Mapagtanggol at matulungan ng pamahalaan Makapagpahayag ng sariling pananaw Itaguyod at patuparin ang Kombensyon ng Karapatang Pambata tungo sa Pamayanang Makabata unicef ® PCR Kay Scanned with CamScanner