Disaster Management Act, 2002 (Act No. 57 of 2002)NoticesDirections regarding the phased return of children to Early Childhood Development Programmes and Partial Care FacilitiesAnnexuresAnnexure A : Form 1 : Self-Assessment Form |
ANNEXURE A
Department of Social Development
FORM 1
SELF-ASSESSMENT FORM TO BE COMPLETED BY AN EARLY CHILDHOOD DEVELOPMENT PROGRAMME OR PARTIAL CARE FACILITY THAT PROVIDES AN AFTER-SCHOOL SERVICE PRIOR TO RE-OPENING UNDER THE NATIONAL STATE OF DISASTER
This form can also be completed online at https://forms.gle/c7y8ZL5W94diugTS6 If possible, you are encouraged to complete the online form.
INTRODUCTION
This self-assessment form must be completed by an early childhood development programme or partial care facility that provides an after school service and intends to re-open under duration of the state of disaster, subject to the pronouncement of a date and the conditions of such re-opening by the Minister of Social Development.
This SELF-ASSESSMENT is a series of questions and statements based on the minimum health, safety and social distancing measures on COVID-19 that an early childhood development programme or partial care facility must comply with before it may re-open and receive children again. It helps you, when you answer the questions truthfully, to be certain that you meet the minimum requirements, and also provide the information on your own assessment to the Department of Social Development to confirm that you have checked all the measures yourself.
Please READ the following before you complete this self-assessment:
| 1. | The completion and submission of this form does not mean that you can re-open the early childhood development programme or partial care facility. It may only be re-opened when the Minister of Social Development has announced a date for the re-opening and if you meet all the requirements as indicated below and in sections 4.1 and 4.2. |
| 2. | Please do not complete this form unless you have completed all the preparations needed to comply with the minimum health, safety and social distancing measures on COVID-19 before re-opening (the relevant information can be found in the DSD's Standard operating procedures and guidelines for early childhood development programmes and partial care facilities on COVID-19). Your answers need to be based on these preparations. |
| 3. | You must answer all the sections and questions that apply to your type of programme. If it does not apply, please mark the "not applicable" option. |
| 4. | The information that you provide in this self-assessment will be submitted to the DSD, who may conduct a site visit prior to the re-opening date (still to be announced) or anytime thereafter to check whether the information provided is correct. |
| 5. | If you have completed the self-assessment form and have indicated that you are ready to reopen, a copy of this form needs to be submitted to your closest office of the Department of Social Development who may conduct a site visit to verify this. |
PLEASE NOTE: This self-assessment form may only be completed by a person authorized (have the permission) by the ECD programme or partial care facility manager/principal/owner to complete it.
SUBMISSION
The information that you provided in this self-assessment must be submitted to the Department of Social Development (closest office to you), who may conduct a site visit prior to the re-opening date (still to be announced) or anytime thereafter to check whether the information provided is correct.
If information changes, you may re-submit this same form. Please just indicate in section A1 that you have updated this self-assessment.
If Form 1 was completed online, please do not submit a paper copy.
Thank you for completing this self-assessment.
Signed at ____________________ this _________ day of ________________ 2020.
____________________________
Authorised signature
(person who completed the form)
__________________________________________
AFTER SUBMISSION:
Thank you for completing and submitting this self-assessment of your early childhood development programme or partial care facility that provides an after school service that intends to re-open under duration of the state of disaster, subject to the pronouncement of a date and the conditions of such re-opening by the Minister of Social Development.
If you have answered YES to all the questions in (unless not applicable to you):
| • | Section 4.1 (Documents to use as a reference to prepare for the re-opening) |
| • | Section 4.2 (Checklist 1) |
you may be ready to re-open as soon as the date for re-opening is announced.
Please note:
| 1. | it is your responsibility to ensure that the childhood development programme or partial care facility meets all the requirements as set out in the relevant regulations, directions issued and standing operating procedures before re-opening and after reopening for the duration of the national state of disaster; |
| 2. | it is your responsibility to remain up to date with any changes in relation to requirements in relation to the operations of an early childhood development programme or partial care facility under the national state of disaster and changes when a risk level is adjusted for the country or any part of the country; |
| 3. | the Department of Social Development, including the provincial department of social development, or any other authorised party may visit any early childhood development programme or partial care facility that intends to re-open for an onsite assessment to verify whether it complies with the minimum health, safety and social distancing measures. |
| 4. | Department of Social Development, including the provincial department of social development, or any other authorised party do compliance monitoring visits or assessments after the re-opening of an early childhood development programme or partial care facility . |
If you have any queries, please contact your closest office of the Department of Social Development.
Thank you for your submission.