General Information
Visit Date: March 11, 2020	ID Number: 153181
Provider Community: African-American	Community Health Worker: SIC Other Staff
Primary language: English	Do you read write in this language:
Other languages:	Do you read write in this language: Yes
Children in Care are: Friends	Provider Relationship: Friend
Number of Children: 3	Ages are: 7yrs, 9yrs, 11yrs
Location where care takes place: My Home
Healthy and Safe Envionments