General Information
Visit Date: June 10, 2021	ID Number: 153320
Provider Community: Somali	Community Health Worker: Asha
Primary language: Somali	Do you read write in this language:
Other languages: Somali	Do you read write in this language: Yes
Children in Care are: Friends	Provider Relationship:
Number of Children: Select A Number	Ages are: 3yrs, 6yrs, 9yrs
Location where care takes place: My Home
Healthy and Safe Envionments