| Visit Date: January 14, 2020 | ID Number: 153144 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Elsa O | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
Healthy and Safe Environment Concerns |
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| Is your home safe for children? : Answered: Yes | |||
| Safe Sleep: Answered: Yes | |||
| How to prevent the spread of illness: Answered: Yes | |||
| First Aid: Answered: Yes | |||
| Car Seat Safety: Answered: Yes | |||
| CPR: Answered: Yes | |||
Child Development Concerns |
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| How do I know that the children in my care are learning and developing OK? : Answered: Yes | |||
| How do I help babies brain develop?: Answered: Yes | |||
| Referral to early intervention for a special needs child. Answered: Yes | |||
Health Related Social Needs Concerns |
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| Hand-washing – diapering – toileting. Answered: Yes | |||
| Nutrition (meal planning – allergies – infant Feeding). Answered: Yes | |||
HealthCare Concerns |
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| Taking care of yourself (Whole Person). Answered: Yes | |||
| Getting further training or school or Certification to improve my Health-Related Social Needs (HRSN). Answered: Yes | |||
| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Coping with stressful situations. Answered: Yes | |||
| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Resource-Referral Type(s). Food insecurity |
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| Consultation Duration Start Time: 10:50 AM End Time: 11:15 AM Time Period: 15 mins |
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Goals |
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| Progress Made Towards Goal?: Yes | |||
| Goal Attained? | |||
Notes for this Consultation
I called one of my provider and asked her if she needed any assistance on anything and she said the she needs diapers and wipes.
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