| Visit Date: January 15, 2020 | ID Number: 153157 | ||
| 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 | |||
| Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes | |||
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 to help the children in your care get ready for school. Answered: Yes | |||
| How my relationship with the children can help them feel secure about themselves. Answered: Yes | |||
| Childcare Play and Learn and / or outdoor time. Answered: Yes | |||
Health Related Social Needs Concerns |
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| Working with children with special healthcare needs. Answered: Yes | |||
| Immunizations and Well Child Schedules. Answered: Yes | |||
| Hand-washing – diapering – toileting. Answered: Yes | |||
| Nutrition (meal planning – allergies – infant Feeding). Answered: Yes | |||
HealthCare Concerns |
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| Child Caregiver relationship. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Resource-Referral Type(s). Housing instability, Physical activity |
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| Consultation Duration Start Time: 4:00 PM End Time: 4:25 PM 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 the provider to remind to attend to play and learn we also talked about indoor activities
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