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Visit Date: January 16, 2020 ID Number: 153151
Visit Count: Children Served: Provider opted out of answer Community Health Worker: Elsa O

Consultation services Delivered

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

Safe Sleep: Answered: Yes
First Aid: Answered: Yes
Car Seat Safety: Answered: Yes
CPR: Answered: Yes
Toxic: Answered: Yes
Being ready for a natural disaster: Answered: Yes

Child Development Concerns

How to help the children in your care get ready for school. Answered: Yes
Childcare Play and Learn and / or outdoor time. Answered: Yes

Health Related Social Needs Concerns

Working with children with special healthcare needs. Answered: Yes
Hand-washing – diapering – toileting. Answered: Yes

HealthCare Concerns

Child Caregiver relationship. Answered: Yes
Caregiver of Child relationship. Answered: Yes
Did you make a Community Resource-Referral. Answered: Yes
Resource-Referral Type(s).
Physical activity
Consultation Duration

Start Time: 5:00 PM
End Time: 5:25 PM
Time Period: 15 mins

Goals

Progress Made Towards Goal?: Yes
Goal Attained?

Notes for this Consultation

I called the provider to remind to play and learn we also talked about outdoor activities.