Meta PixelAnnual Audit Report 2024 — Municipality of Vallehermoso — Page 56

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   4.10. In the absence of the DOH-LTO, the assurance that vehicles marked
         “AMBULANCE” operate with competent personnel and proper equipment to
         respond to medical emergencies, provide quality care, and ensure patient safety may
         not be fully attained, thereby endangering the safety of both patients and personnel
         on board.

   4.11. We recommended that the OIC - Municipal Health Officer comply with the
         requirements under DOH AO No. 2018-001 dated January 28, 2018, to obtain
         the DOH-LTO for the four vehicles.

   4.12. In a letter dated April 3, 2025, the OIC-Municipal Health Officer expressed their
         intention to comply but emphasized that additional time is required due to the
         following reasons:

         4.12.1. The necessity to hire and train additional personnel as qualified Emergency
                 Medical Team (EMT);
         4.12.2. The need to submit a request to the DOH to schedule training for the
                 personnel; and
         4.12.3. The drivers still had to undergo training alongside the EMT.

   4.13. Moreover, the process requires budget allocation from the LGU. In the meantime, the
         MHO has instructed the GSO to update the vehicle markings from "Ambulance" to
         "Patient Transport Vehicle."

   4.14. She stated further that LDRRMO and the MHO are committed to working together
         to ensure the DOH-LTO for the four vehicles, enabling them to operate as
         “Ambulances.”

Local Disaster Risk Reduction and Management Fund (LDRRMF)

5. The unexpended balances of the LDRRMF from prior years amounting to
   ₱6,027,925.02 which were transferred to the Special Trust Fund (STF) were not
   considered and integrated into the LDRRMFIP for CY 2024, contrary to Sections
   5.1.2 and 5.1.15 of COA Circular No. 2012-002 dated September 12, 2012, and may
   result in inefficiencies in allocating and utilizing funds for disaster risk reduction and
   management efforts, as well as missed opportunities for disaster resilience and
   preparedness initiatives.

   5.1. Sections 5.1.2 and 5.1.15 of COA Circular No. 2012-002 dated September 12, 2012,
        provide:

         “5.1.2 A LDRRMFIP for the DRRM program shall be prepared annually. It
                shall present the 30% allocation for QRF in lumpsum and the
                allocation for disaster mitigation, prevention and preparedness with
                details as to projects and activities to be funded. The LDRRMFIP shall
                also include under a separate caption, the list of projects and activities
                charged to the unexpended LDRRMF of previous years. Xxx.
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