| Provider ID: 153215 | | |
| Location of care: My Home |
| Primary Language spoken by provider: English, | Can read/write language: Yes |
| Other languages spoken: English | Read/Write: English |
| Children in care are: Family | Number: 3 | Ages: 5yrs, 6yrs, 7yrs |
| Healthy and Safe Environment Concerns: |
| Child Development Concerns: |
| Healthy Children: |
Healthy Caregiver Concerns: - Taking care of yourself (body / mind / soul)
- Get information on how to help me cover my basic needs (food – clothing – housing – medical attention)
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| Other Concerns: |
| Consultation Visits |
