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FFN Intake Listings

General Information

Visit Date: ID Number: 153132
Provider Community: Somali1 Community Health Worker:
Primary language: Somali Do you read write in this language: Yes
Other languages: Somali Do you read write in this language: Somali
Children in Care are: Family Provider Relationship:
Number of Children: 2 Ages are: 0-1 yrs, 4yrs
Location where care takes place:

Healthy and Safe Envionments

  1. Is your home safe for all the children?
  2. Safe Sleep
  3. How to prevent the spread of illness
  4. First Aid/CPR/Being ready for a natural disaster