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FFN Intake Listings

General Information

Visit Date: January 2, 2019 ID Number: 153223
Provider Community: African-American Community Health Worker:
Primary language: English Do you read write in this language: Yes
Other languages: Do you read write in this language: English
Children in Care are: Family, Friends, Neighbors Provider Relationship:
Sister
Number of Children: 5 Ages are: 0-1 yrs, 2yrs, 3yrs, 4yrs, 5yrs
Location where care takes place: My Home

Healthy and Safe Envionments

  1. Is your home safe for all the children?
  2. Car Seat Safety