| Visit Date: December 14, 2018 | ID Number: 153174 | ||
| Visit Count: | Children Served: select number | CSW ID Numb:[138] | |
Consultation services Delivered |
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| Phone or virtual consultation sessions Answered: Yes | |||
| Consultation with providers/caregivers on administering ASQ: Answered: Yes | |||
Topics Covered |
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| Program health and safety assessment: Answered: Yes | |||
| Healthy and safe environment: Answered: Yes | |||
| Handwashing, diapering, toileting: Answered: Yes | |||
| Safe sleep: Answered: Yes | |||
| Nutrition (meal planning, menu review, food safety, allergies, breastfeeding/infant feeding): Answered: Yes | |||
| Physical activity and outdoor time: Answered: Yes | |||
| Child-caregiver relationships: Answered: Yes | |||
| Working with children with special healthcare needs: Answered: Yes | |||
| Development screening, early identification, and referrals: Answered: Yes | |||
| Community resources and referrals: Answered: Yes | |||
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Checked with the school to follow up to confirm the enrollment date. |
View Intake Form | ||