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consultation-visit-report2020

Visit Date: October 4, 2020 ID Number: 153221
Visit Count: Children Served: Provider opted out of answer Children Served: select number Community Health Worker: Dahabo M

Consultation services Delivered
What type of Consultation was it? Phone or virtual consultation session
Consultation with providers/caregivers on administering ASQ * Answered: No
Did you make a Child Development Referral (Not Screening) * Answered: No
How Many Referrals: Answered: select number
Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: No

Healthy and Safe Environment Concerns
Is your home safe for children? : Answered: No
Safe Sleep: Answered: No
How to prevent the spread of illness: Answered: Yes
First Aid: Answered: No
Car Seat Safety: Answered: No
CPR: Answered: No
Toxic: Answered: No
Being ready for a natural disaster: Answered: No

Child Development Concerns
How do I incorporate activities from my homeland that will support the healthy development of my children?: Answered: No
How do I help children that have difficult? behavior (setting limits and sticking to them)?: Answered: No
How do I know that the children in my care are learning and developing OK? : Answered: No
Developmental Screening?: Answered: No
Early Intervention: Answered: No
How do I help babies brain develop?: Answered: No
How to help the children in your care get ready for school. Answered: No
How my relationship with the children can help them feel secure about themselves. Answered: No
Childcare Play and Learn and / or outdoor time. Answered: No
Referral to early intervention for a special needs child. Answered: No

Healthy Children
Working with children with special healthcare needs. Answered: No
Immunizations and Well Child Schedules. Answered: No
Hand-washing – diapering – toileting. Answered: Yes
Medication Management Children (Non-clinical). Answered: No
Nutrition (meal planning – allergies – infant Feeding). Answered: No
Social/Emotional development. Answered: No
Mental/Behavioral Health Services (Child). Answered: No

Healthy Caregivers
Taking care of yourself (Whole Person). Answered: No
Getting further training or school or Certification to improve my Health-Related Social Needs (HRSN). Answered: No
How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes
Coping with stressful situations. Answered: No
Mental / Behavior Health Services (Non Clinical). Answered: No
Medication Management Adult (Non Clinical). Answered: No
Child Caregiver relationship. Answered: Yes
Caregiver of Child relationship. Answered: No
Did you make a Community Resource-Referral. Answered: No
Resource-Referral Type(s).
Family and community support, Covid 19 Related Information
Consultation Duration
Start Time: 6:21 PM
End Time: 6:34 PM
Time Period: 15 mins

Goals
Goals: Goal attained?

Notes for this Consultation

Follow up: community alert.
We talked about the community alert that I sent to the provider if she used it or share to the community. Grandma said I see the message you sent us every time but I don’t know how to read, but I share with my granddaughters to read for me. We talked about coronavirus, face mask, washing hands and social distancing. Grandma also said the virus is spreading all over the world. We have to protect are selves and our community.