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JULY 2009 TO JANUARY 2010
Child Care Nurse Consultants work with child care providers to promote the healthy development of young children. Services are provided free of charge, by home consultation, by e-mail, or with on-site visits. Due to the resignation of the CCNC in Hamilton, Humboldt and Wright Counties, we are asking you to complete the following survey to assess the services provided in the past six months and to identify the current needs in our counties. Please check all that apply.
Since July 1, 2009, the CCNC has been assisting my program with the following:
__Health and Safety Assessment of your Child Care Home or Center
__Health and Safety Policies
__Illness Prevention and Control
__Medication Administration
__Children’s Files
__Nutrition
__Playground Safety
__Health and Education Activities for Children
__Environmental safety
__Including Children with special Needs
__Immunization Information
__Referrals to Community Services Communicating with Patents
__Other: ___________________________________________
I utilized the Hamilton, Humboldt, and Wright County CCNC by:
__Phone Calls __E-mails __On-site visits
I found the CCNC program in the past six months to be:
__Helpful __Not helpful __I did not utilize the program
__I did not receive a contact by the CCNC in the past six months
On a scale of 1 (being the worse) to 10 (being the best) how would you rate our CCNC program?
__1 __2 __3 __4 __5 __6 __7 __8 __9 __10
Do you have any comments or suggestions you would like to provide?
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Complete the following for future or current needs including your name and contact information.
I would like a visit for the following:
__Health and Safety Assessment of your Child Care Home or Center
__Health and Safety Policies
__Illness Prevention and Control
__Medication Administration
__Children’s Files
__Nutrition
__Playground Safety
__Health and Education Activities for Children
__Environmental safety
__Including Children with special Needs
__Immunization Information
__Referrals to Community Services Communicating with Patents
__Other: ____________________________________________
Name: _______________________________________
Phone Number: ________________________________
E-mail Address: ________________________________
Thank you for your input. Please mail the survey by February 1st to: Ann Stewart, 500 Fair Meadow Drive, Suite A, Webster City, Iowa 50595. Or link to the survey on our web site at www.buildingfamilies.net and return your saved survey by e-mail to astewart@hamiltoncountymhsb.org.
Ann Stewart, LBSW Building Families Executive Director
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