Date Range: All CASE NOTES SUMMARY HOSSAIN, MOHAMMED

CASE NOTES SUMMARY

HOSSAIN, MOHAMMEDClient Name:

Activity Date: Dec 17, 2021Activity Created By: Maxi, Michaelle

Program : First Step to Success

Contact Method: In Person

Activity Location: Web Conference

Activity Code: 4001 Face-to-Face Service

Curriculum Code(s):

Note: 12/17/2021 HVDS confirmed session with MOB. Ds arrived at the family home using safety measures and during this visit DS reviewed and provided consents for in person services and photo release. DS provided activities based on some of the skills outlined in child's IP to help him with fine motor, cognition and social skills. DS reviewed instructions on how to complete the activities and asked MOB to model for the child. DS recommended for MOB to pace out the activities throughout the weeks and asked MOB to send pictures of child completing the activities. Ds thanked MOB for her time and will follow up with her next week for session. DS provided toy donated by the program to the child and family expressed thanks. MOB agreed to session next week.

Note Created By: Maxi, Michaelle on 12/17/2021



Contact Method: Email/Fax

Activity Location: Email

Activity Code: 4003 Collateral Contact

Curriculum Code(s):

Note: 12/17/2021 MOB contacted DS and informed that she called CF and asked to reopen the case for the child in order to continue services from FSTS.

DS sent email to CF caseworker Lisa and informed her about mom's request to open the case.

Ds followed up with MOB to let her know as well.


12/22/2021 5:26:44 PMPage 1 of 30Case Notes Summary

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Activity Date: Dec 08, 2021Activity Created By: Alexandre, Fabiola


Contact Method: Phone Call

Activity Location: Telephone

Activity Code: 4005 Administrative Activity

Curriculum Code(s):

Note: TL received call from Mom. Mob declined CF services. TL explained the program policy as case will be closed and Mob stated she will think about it and get back to DS. DS will follow up with Mob to contact CF to reinstall services or possibly resend the referral to CF.

Note Created By: Alexandre, Fabiola on 12/13/2021






Curriculum Code(s):

Note: 12/07/2021 ISDuring this session, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: work on using shapes to find matching objects in the group that are similar in shapes, comprehensive activity where child answers questions by yes or no, understand negative sentences, identify emotions words to match facial expressions, identify what's different among 11 items to help child with paying attention to details, identify objects by listen to descriptive sentences, sequence activity where child identifies missing shapes to complete pattern, the child works on activity by using bar graph to answer questions about quantity, work on preposition words. DS praised child and thanked MOB for her time. Ds informed MOB about the case will be closed because MOB denied CF services. She will follow up with program to see if there could make exception because of pandemic situation.



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Curriculum Code(s):

Note: 12/02/2021 ISOn this date, DS worked with the child on some skills outlined in his Ip and engaged him in some activities focusing on cognition, social emotional and language. DS completed the following activities: sorting animals by habitat, complete 1 step command activity, practice spelling 3 letter sight words, identify what's different amongst 12 items, activity to help child understands negative sentences, identify emotions by looking at facial expressions, identify what does not belong among 4 objects, identify objects of various category, using action words to describe items, practice counting and match numbers with quantity. The child was engaged in conversation with 3 to 4 word sentences. DS praised the child with words of affirmation and thanked MOB for her time. When inquired about CF, MOB reported that she denied services since there is no virtual session available. DS will follow up with MOB because DS explained to her that if services is denied Ds will most likely have to close the case.


Activity Date: Nov 23, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 11/23/2021 IS On this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: learning adjective words through activity, identify object by textures, the child was able to identify beginning letters that are missing from a word after listening to the sounds, identify animals of various habitat, complete 1 step command activity, practice counting from 1-20, activity where child use singular and plural words. The child was engaged in 4 word sentences at time but he was not able to communicate needs with words. DS praised child with words of affirmation and thanked MOB for her time. DS reminded MOB to complete survey that was sent out by the program. MOB agreed to follow up session next week.



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Curriculum Code(s):

Note: 11/15/2021 IS On this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify objects by category, 1 step direction to help child with follow through, short puzzle where child connect related pieces together to get objects, activity where child identifies beginning letter to form a word, identify objects by temperature hot/cold, identify objects by length shortest/longest of 3, sequence activity to help child identify what picture comes next to complete a pattern of 4 items. The child was well engaged answering to questions with 4 word sentences. DS praised him with words of affirmation and thanked MOB for her time and she agreed to follow up session next week.







Curriculum Code(s):

Note: 11/11/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: work on naming the days of the week consecutively, naming animals and sort them by habitat, practice making association by identifying objects that go together, identify the functions of objects, work on identify various textures, activity to help child identify emotions by looking at facial expressions and the child practice scribbling to help enhance his fine motor skills. The child was a bit distracted and had to be reengage at time. DS praised him often and thanked the family for participating. Family agreed to follow up session next week.



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Curriculum Code(s):

Note: 11/05/2021 ISOn this date, Ds worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: comprehensive activity where child answers questions with a yes/no, sorting objects into category, 5 senses activity where child practice identifying textures, sequence activity by adding missing shape to complete pattern from 6 shapes, identify shapes and learning sides found on each, complete 1-2 steps command activity, identify community workers and name their performed duties. The child was engaged in conversation with 4 or more word sentences by mostly answer to questions. DS engaged in conversation to help expand his vocabulary and praised the child after each task. DS thanked MOB for her time and she agreed to follow up session next week.


Activity Date: Oct 29, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 10/29/2021 ISDuring this session, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify animals and sort them into category by diurnal and nocturnal, practice arrange objects into size from smallest to biggest, learn to recognize opposites words, work on activity to help child predict what will happen given certain scenario, listening activity where child hear sentences and point to pictures related to help with concentration skills by paying attention to details, practice counting and match with quantity from 1-20. DS asked questions to the child regarding his interest at the moment to help him expand his language. He was able to communicate with 3 -4 word sentences. DS used words of affirmation to praise the child and thanked MOB for her time. DS advised MOB to read with the child and asked him questions about story to help him expand his vocabulary and also to use puzzle activity to help him with concentration skills. MOB agreed to follow up session next week



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Activity Code: 4007 Update Family Support Plan (non-DOH)

Curriculum Code(s):

Note: 10/21/2021 IS-IPDS sent documents to MOB via email and she confirmed that she received it. DS reviewed the contents on the IP and give MOB the opportunity to ask questions. MOB agreed for DS to continue working with the child and give verbal consent. DS thanked MOB for her time and cooperation. DS informed MOB that the child qualifies for deeper end services and MOB reported that she is familiar with the process because of child older brother and she provided verbal consent for DS to proceed with the application. DS worked with the child on some skills outlined in her IP and engaged her in the following activities: practice matching animals with their habitat, complete 1 step command activity, identify positional words through activity, listening activity where child practice matching sentences to related pictures, identify which group has more or less, practice counting, recognizing numbers and match them with quantity and identify items by size big/little. DS praised child often throughout the session and thanked MOB for her time. She agreed to follow up session next week.


Activity Date: Oct 18, 2021Activity Created By: Sandoval, Jeanette





Curriculum Code(s): Intervention Plan

Note: On this day, 10.18.21, DSA created a modified IP for DS to present to family during next scheduled session. During this process DSA worked in collaboration with DS and family to gauge child’s developmental skill level in order to create an Intervention Plan that will be used for the next 6 months. DSA emailed plan to ATL, TL and DS for review and presentation.

Note Created By: Sandoval, Jeanette on 10/18/2021


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Activity Date: Oct 13, 2021Activity Created By: Sandoval, Jeanette





Curriculum Code(s): HELP Assessment

Note: On this day, 10.13.21, DSA completed child’s HELP re-evaluation. Throughout session DS was present, observed and assisted DSA whenever necessary. DSA explored with MOB her thoughts about what she believes to be most important regarding her child’s development. When asked to describe the child, MOB was asked open-ended questions in order to obtain knowledge about child’s skill level. DSA was able to engage child in tasks in order to gather information about child’s developmental skill level. Throughout the session the DSA modeled providing praise to the child for the tasks completed and attempted. DSA explained that over the next week DSA would develop Intervention Plan and that DS would present it during next session. DSA thanked the family for their participation and engagement.

Note Created By: Sandoval, Jeanette on 10/13/2021






Curriculum Code(s):

Note: 10/13/2021 IS-HELPDS and DSA were on a face to face zoom session to complete assessment. DSA was conscious of the family resources in the home while administering the tool with fidelity. Family was very cooperative in answering the questions from the evaluation. DSA completed the parent questionnaire along with structure and the child was engaged for the most part. Family reported that language, potty training and fine motor skills are a concern at this time. The child knows lots of words; however he is unable to use them to communicate effectively. DS and DSA thanked the family for engaging and participating. DSA informed the family that DS will contact her once IP is ready for reviewing.



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Curriculum Code(s):

Note: 10/01/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: sequence activity to help child recognize pattern by identifying what comes next, work on receptive vocabulary where child identifies objects by listening to description, identify group that has more or less, work on fill in the blank by identify beginning letter to complete a word, identify objects by listening to the sounds, complete 5 senses activity and learn about their functions to help child expand his vocabulary. The child was engaged in some 3 to 4 word sentences relate and unrelate to the activities at time. DS praised the child with words of affirmation and thanked MOB for her time and participation. DS informed MOB about upcoming evaluation and she agreed to date and time.


Activity Date: Sep 21, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 09/21/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in some activities focusing on cognition, social emotional and language. DS completed the following activities: identify objects in eliminate what does not belong out of 3 and work on understanding reasoning, listen to sounds and identify the animals that match, using action words to identify functions of various objects, work on preposition words (in, between, in front, behind, next to..,), the child was able to identify shapes and work on the sides contain on each, sorting animals into category by habitat. The child was able to communicate with 5 word sentences. DS praised him using words of affirmation and thanked MOB for her time and participation. DS will follow up with family next week for upcoming session.



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Curriculum Code(s):

Note: 09/17/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language in the presence of MOB and new DS . DS completed the following activities: sorting animals by habitat, sequence activity by arranging blocks by colors coordination, activity to help child understand negative sentences, work on identify what does not belong in a group of 4 objects, identify rhyming words, listening activity where child hear the sentence and match picture related to help with paying attention to details. The child was engaged in conversation using 4 or more word sentences. DS praised him often with words of affirmation and thanked MOB for her time and participation. She agreed to follow up session next week.







Curriculum Code(s):

Note: 09/09/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify animals and match them with their habitat, identify various textures of different items to help child learn some adjectives, identify the 5 senses and learn about their functions, match sentences with related pictures to help child with attention details, arrange objects in order from smallest to biggest, practice answering to who/what/where questions related to short story, practice tracing lines and learning to draw face with 3 to 4 body parts, activity to help child, complete pattern activity by placing blocks in order. The child used 4 word sentences at time. DS praised him often with words of affirmation to encourage desirable behavior. DS thanked MOB for her time and she agreed to follow up session next week.



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Curriculum Code(s):

Note: 09/01/2021 IS On this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: complete patterns activity by looking at sample and arrange colors in order, activity to help child understands reading bar graph, recognizing numbers 0-20, practice answering to his age, comparison activity to help child identifies tallest/shortest out of 3 items, the child was able to identify animals in the wilderness by name and by category. The child was engaged in answering questions using 4 to 5 word sentences. DS praised child with words of affirmation and he responded well to praise and show excitement when complete a task. DS thanked MOB for her time. DS inquired about VPK and MOB reported that she is afraid of sending child to school at this time because of virus outraged; however, she is looking into finding a program that is strictly online for child's age. MOB agreed to follow up next week.


Activity Date: Aug 25, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 08/25/2021 ISOn this date, Ds worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: learning about patterns while identifying what comes next, child was able to identify objects by listening to functions, listening skill activity where child listens to sentences and point to picture that relate amongst 4, learn about opposites words and practice using them into sentences to help child with comprehension and vocabulary expansion, practice using action words to help child with description of objects. The child was engaged in conversation with 3 to 4 word sentences. DS praised the child often with words of affirmation and thanked MOB for her time. DS advised MOB to continue reading with the child and practice tracing and coloring to help enhance fine motor skills.



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Curriculum Code(s):

Note: 08/18/2021 ISDuring this session, DS worked with the child on skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: work on pattern activity to identify what comes next, labeling objects by functions, identify action words associate with pictures to help expand child's vocabulary, work on adjective words and understand opposites. The child was engaged with sentences using 3-4 word sentences and participate by answering questions related to activity. DS praised the child throughout the session and thanked MOB for her time and participation. MOB agreed to follow up session next week.







Curriculum Code(s):

Note: 08/12/2021 ISDS contacted MOB yesterday and she agreed to reschedule yesterday's session for today.DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify animals and learning if they are nocturnal vs diurnal, identify action words and match with relate pictures, identify functions of objects, sequence activity to help child with memorization by arranging pictures in order presented, practice writing shapes, identifying letters of the alphabet and make association with words, work on identifying various type of textures. The child was engaged with words frequently. He was asking questions at time using 4 word sentences. DS praised him often with words of affirmation and thanked MOB for her time; then she agreed to follow up session next week.



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Activity Date: Jul 21, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 07/21/201 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify various animals of the sea and the child uses definite article (a/an), activity to help child understand negative sentences by identify what is and what is not, categorize objects by size big and little, work on spatial concepts in front, behind, between, on top, identify objects related with action words. The child was engaged and used 4 word sentences at time to answer questions. DS praised the child with words of affirmation and thanked MOB for her time and participation. DS informed MOB that she will be on vacation for the next 2 weeks and will contact her upon return to schedule session.







Curriculum Code(s):

Note: 07/15/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify objects by functions, the child uses some plural words during the session to describe many objects, work on arranging objects in order from smallest to biggest, identify action words to describe pictures, listening skills activity where child match pictures to sentence read in order to understand key details, complete 1 step direction, identify and match shapes and the child was able to identify numbers 0-20. The child communicates by answering with 4 to 5 word sentences and he asked questions with 4 word phrases. DS praised child with words of affirmation and thanked MOB for her time. MOB agreed for session next week.



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Curriculum Code(s):

Note: 07/08/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: DS used boom flash cards to engage child in activities where child participates by choosing the response. He completes patterns activity where he identifies the next 2 items follow, matching upper case letters with lower case, the child was able to identify verbs associate with the pictures, identify animals of various habitat, 5 senses activity to help child recognizing textures, identify what does not belong and pairing objects that go together to understand relationships of objects. The child was engage in answering questions with 4 to 5 word sentences but no intentional conversation. DS praised the child and advised MOB to continue working on exposing child to story book and to engage him in conversation to enhance communication skills. MOB agreed to follow up session next week


Activity Date: Jun 23, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 06/23/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify 5 senses and recognizing their functions, identify animals and match them with their habitat, work on letters A by identifying the sounds, upper and lower case and several words start with letter A and sentences associate with the words, identify what does not belong in a group of 4 objects, engage in nursery rhymes, and work on textures of various objects. The child was engaged with sentences pertaining to answering a question, or phrases that he memorize but he does not initiate conversation at this time. DS praised him often and asked him questions to help increase his vocabulary and practice sentence formation. DS thanked MOB for her time and participation and DS will follow up with her in the upcoming weeks.



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Curriculum Code(s):

Note: 06/16/2021 ISDuring this session, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: the child was able to identify objects from various category and practice naming their functions to help with sentence formation, using action words to describe objects, activity where child practice pairing objects together by making relation, complete 1 step command, counting and match numbers with quantity, sorting animal by category of their habitat. The child was engaged with 4 or more word sentences. DS praised him often throughout the session with words of affirmation and thanked MOB for her time and she agreed to follow up session next week.







Curriculum Code(s):

Note: 06/09/2021 IS During this session, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: labeling insect, activity to help child learn the seasons of the year, learning to describe object by textures, work on recognizing negative sentences, identify opposites words, match upper case with lower case letters, comparative activity by identify small vs big. The child was able to identify all the letters and DS observe him going through a book page by page and pointing to the pictures and name them. The child was able to answer questions with 3 tp 5 word sentences. DS praised him often with words of affirmation and thanked MOB for her time and she agreed to follow up session next week.



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Curriculum Code(s):

Note: 06/02/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: practice recognizing numbers 1-20 and the child was able to count without skipping, activity to help child identify what comes next to complete pattern, identify what is different/same within a group of 4 objects, learning positional words through activity, match pictures with related action words. The activities completed during this session will help child with enhance his concentration, language development skills. DS observed child turning pages of the book and name each animal in the book. DS praised child with words of affirmation and used sentence up to 4 words to communicate with the child. DS thanked MOB for her time and she agreed for follow up session next week.


Activity Date: May 26, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 05/26/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, fine motor, social emotional and language. DS completed the following activities: see it and build it activity to help child follow directions and pay attention to detail, identify words by looking at picture, identify insects by name, the child was able to name many animals of the sea, activity to help child understand negative sentences, fill in missing letter to complete short words, practice words pronunciation and engage child in repeating 4 word sentences by answering to who, what and where questions. DS praised the child often and thanked MOB for her time. MOB agreed to follow up session next week.



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Curriculum Code(s):

Note: 05/19/2021 IS On this date, DS worked with child on skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify objects that move for transportation services, identify animals by name, I spy activity to help child with concentration skills where he finds objects within a scene, 1 step direction activity, practice identifying letters and match them with words association, engage in nursery rhymes, sort objects into category by colors. The child was engaged with words and was easily distracted but MOB was able to keep him engage for short period. DS praised child throughout the session and thanked MOB for her time. She agreed for session next week. DS informed MOB about activities that will be send to her to work with the child during the week. These activities will help child work and get family with preposition (in/under/behind) and learning to eliminate what does not belong in a group.







Curriculum Code(s):

Note: 05/14/2021 ISDuring this session, DS worked with child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: sequence activity to help child with memorization where he arrange pictures in order as shown, activity to help child identify beginning letter to make a word, identify numbers 1-10, learning 5 senses activity where child getting to know adjectives words, learning to recognize various textures, labeling objects and listening to story and try to answer questions related. The child was engaged in sentence with 4 to 5 words. The child is easily distracted. DS praised him often with words of affirmation to encourage desirable behavior. DS thanked MOB for her time and she agreed for follow up session next week.



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Curriculum Code(s):

Note: 05/05/2021 ISDuring this session, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: identify objects and eliminate the one that does not belong in the group of 4, work on identify his 5 senses and match with parts of the body and the role that they play, practice sorting fruits vs vegetables in group, match pictures with action words to help child develop awareness of relationship, work on recognizing the letters of the alphabet, identify objects by category, engage in nursery rhymes and identify what is the same and what's different amongst 3 objects. The child was engaged with words and up to 4 word sentences. He is easily distracted and had to constantly be reengage. DS praised the child often with words of affirmation and thanked MOB for her time. She agreed to follow up session next week.


Activity Date: Apr 27, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 04/27/2021 ISOn this date, Ds worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: complete I spy activity to help child recognize colors and practice following 1 step direction, complete activity to help child identify the five senses where he learns to associate body parts related to each function, work on identify preposition (under, behind, in front, in), identify and match shapes. The child was very distracted and had difficulty completing the activities so MOB agreed for DS to send activities so she can work with the child on the activities. DS praised child often with words of affirmation to encourage desirable behavior. MOB agreed to follow up session next week. DS thanked MOB and sent to her via email activities focused on learning animals and their habitat, identify what does not belong in a group.



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Curriculum Code(s):

Note: 04/22/2021 ISMOB was not able to meet on Tuesday and requested to meet today instead. During this session, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on fine motor, cognition, social emotional and language. DS completed the following activities: practice counting 1-10 pointing to one object at a time and match numbers with quantity, negation activity to help child understand when to use the word not, learning positional words, match words that are alike, engage in nursery rhymes, arrange objects in order from smallest to biggest. The child was engaged for the most part and was able to redirected when he lost focus. DS praised him often with words of affirmation and thanked the family. DS will follow up with MOB next week to complete session.







Curriculum Code(s):

Note: 04/15/2021 ISDuring this session, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: practice what does not belong in a group after labeling each item, activity to help child with negation and learning action words, practice counting and match numbers with quantity, complete 1 step command activity, differentiate objects by size (big/small), the child was able to identify and match shapes, work on recognizing his first name on paper, complete I spy game where child look and find objects mention within a scene to help child with concentration. The child was engaged in conversation with 4 or more word sentences and he was able to answer to who, what, where questions. DS praised the child often with words of affirmation and thanked MOB for her time and participation. MOB agreed to follow up session next week.



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Activity Date: Apr 08, 2021Activity Created By: Joachin, Nadege


Contact Method: N/A

Activity Location: N/A


Curriculum Code(s):

Note: 4/08/21COSOn this day,4/08/21, DSA created COS using several informing factors; child’s HELP, Parent Report and DS Report for child. Throughout this process DSA explored child’s skill level and family’s concerns regarding child’s development. DSA was also able to explore child’s development with DS, who has become familiar with family and child. DSA reviewed case with TL and PD in order to verify score.

Note Created By: Joachin, Nadege on 04/13/2021






Curriculum Code(s):

Note: 04/06/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities where he learns about opposites words, identify objects by size (big and small), sort into category, activity where child identifies who, what, where and the child was able to answer with full sentences for the most part, identify objects after listening to description, pretend activity where child practices dressing up a superhero choosing his own garment, engage in nursery rhymes. The child was well engaged and communicated with 4 to 5 word sentences. He was engaged for the most part. DS praised him often with words of affirmation and gestures. DS thanked MOB for her time and DS informed her of activities that will be sent via email to help child practice opposites words and learning to identify objects that don't belong in a group. DS thanked MOB for her time and she agreed for session next week.



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Activity Date: Mar 30, 2021Activity Created By: Maxi, Michaelle





Curriculum Code(s):

Note: 03/30/2021 ISOn this date, DS worked with the child on some skills outlined in his IP and engaged him in activities focusing on cognition, social emotional and language. DS completed the following activities: play I spy game with the child to help recognize and match colors, activity where child receive one step command to complete to help him with following direction, learning to identify ordinal numbers, identify gender difference (boy/girl), learning about negative sentence and work on matching action words with related pictures, the child was able to identify and match shapes, the child was able to recognize letters of the alphabet and practice the phonics and identify letters 1-3 and match with quantity. The child was able to answer questions with one -two word but no complete sentences. The child withdrawn when he does not want to complete and activity. The child did not engage in the nursery rhymes with words. DS praised him often with words of affirmation and thanked MOB for her time and participation. MOB agreed to session next week.


Activity Date: Mar 25, 2021Activity Created By: Maria, Katherine

Program : Entry Agency - Birth to 5

Contact Method: N/A



Curriculum Code(s):

Note: DCL received the referral and contacted MOB for the initial intake. During the meeting MOB disclosed her concerns in regards to the clients speech. DCL sent MOB ASQ 3 activities in replace of the BDI assessment and followed up for 3 weeks. The DCL then rescreened the client. During that screening the client did score concern and DCL offered a Child Find and First Step to Success referral. MOB accepted both referral. DCL followed up with MOB and confirmed the start of services in First Step to success.

Note Created By: Maria, Katherine on 03/25/2021


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Curriculum Code(s):

Note: 03/24/2021 DS received IP on Monday from DSA and send a copy to MOB via email today to review during the next session.






Activity Code: 4006 Initial Family Support Plan (non-DOH)

Curriculum Code(s):

Note: 03/24/2021 NF/IPDS contacted MOB and she confirmed that she received IP via email and agreed to review it today so DS reviewed the contents on the IP and MOB took the opportunity to ask questions. MOB agreed for DS to start working with the child and provide verbal consent. MOB agreed for DS to follow up next week for initial session. DS thanked MOB for her time and informed her on the importance of getting child prepared in order to focus on the activities.



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Activity Date: Mar 19, 2021Activity Created By: Joachin, Nadege


Contact Method: N/A



Curriculum Code(s): Intervention Plan

Note: 3/19/21IP On this day, 3/19/21, DSA created the IP for DS to present to family during next scheduled session. During this process DSA worked in collaboration with DS and family to gauge child’s developmental skill level in order to create an Intervention Plan that will be used for the next 6 months. DSA emailed plan to DS for review and presentation.






Activity Code: 3399 Programmatic Initial Assessment

Curriculum Code(s): HELP Assessment, COS Assessment

Note: 3/15/21Eval.On this day, 3/15/21 , DSA completed the HELP evaluation process interactively. DSA was able to ask MOB open-ended questions in order to obtain knowledge about child’s skill level. When appropriate, DSA also asked additional follow up questions. At the conclusion of the evaluation, DSA thanked the family for their participation. DSA will provide DS with the updated IP upon its completion.



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Activity Date: Mar 12, 2021Activity Created By: Maria, Katherine




Activity Code: 3377 Programmatic Attempt to Contact/Scheduling

Curriculum Code(s):

Note: DCL contacted MOB to confirm engagement with First Step to success. MOB disclosed that the initial services were done on 3/9/2021.



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Curriculum Code(s): HELP Assessment, COS Assessment

Note: 3/08/21Eval.On this day, 3/08/21, DSA started the DAY-C evaluation interactively. DS and MOB were present. DSA was able to engage child interactively. When appropriate, DSA also asked additional follow up questions. At the conclusion of the session, DS and DSA thanked the family for their participation. DSA, DS and family scheduled the next visit to complete the evaluation.







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Note: 03/08/2021 IS/DAYC-1DS and DSA were on a face to face zoom session to complete DAYC initial assessment. DSA was conscious of the family resources in the home while administering the tool with fidelity. MOB was very cooperative in answering the questions from the evaluation. MOB expressed communication as the main concern. The child was present and engaged at time in the activities. He had difficulty remain focus. DS and DSA thanked MOB for her time and participation and informed her that part 2 is scheduled for next week. DSA provided tips as to what MOB can do to help child remain still during the follow up session.



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Activity Date: Feb 18, 2021Activity Created By: Maxi, Michaelle




Activity Code: 3388 Programmatic Initial Contact

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Note: 02/18/2021 NF/Intake On this day, DS completed Intake with MOB. DS explained the purpose of the program, assessments, and visits. MOB expressed that language is the main concern at this time. She reported that the child knows lots of words, but he is not expressing his needs with sentences. MOB reported that older brother went through the same thing. DS discussed program and consent forms. MOB was explained about HIPAA through a thorough explanation. DS provided MOB opportunities to ask questions. MOB provided verbal consents and she agreed. DS gave MOB her contact information. DS informed MOB that a modify assessment will be performed at the next session. MOB provided date and time of availability to schedule assessment. DS explained to MOB that the program uses Zoom as the main platform to engage the children in session then she reported that she has access to zoom. DS thanked MOB for her time. DS will follow up with MOB regarding date and time of evaluation.


Activity Date: Feb 18, 2021Activity Created By: Maxi, Michaelle





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Note: 02/18/2021 DS received case from PD yesterday and contact MOB today then she agreed to complete intake today.



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Activity Date: Feb 10, 2021Activity Created By: Maria, Katherine




Activity Code: 4002 Non Face-to-Face Service

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Note: DCL contacted MOB to follow up on the First Step to Success and Child Find referral. MOB said she has yet to be contacted. DCL informed MOB that she had been wait listed on both programs.


Activity Date: Jan 08, 2021Activity Created By: Maria, Katherine





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Note: DCL conducted meeting to re assess the client in ASQ3 42 months following the ASQ activities that mom completed for 3 weeks. DCL explained to MOB that depending on the results of the ASQ, DCL will be making a Child Find referral and a First Step to Success referral. DCL completed and reviewed the assessment and results. Based on the concerns in the ASQ domains, Communication and Personal Social DCL is making the referrals mentioned above. DCL explained to MOB both programs and mom accepted the referrals.







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Note: DCL contacted MOB to confirm appointment for ASQ 3 evaluation following the 3 weeks of ASQ activities in the domain of communication. MOB confirmed appointment for 1/8/2021 at 11am.



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Note: DCL contacted MOB to follow up on the activities that was sent for her to do with the client. MOB disclosed that she was working on the activities with the child and he has been repeating and sitting through story time with mom.


Activity Date: Dec 24, 2020Activity Created By: Maria, Katherine





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Note: DCL contacted MOB to follow up on the activities sent to the client for the ASQ concerns in the domain of communication. MOB said the activities have been going well. The client has been repeating after mom and saying more phrases.







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Note: DCL spoke to MOB in regards to the activities DCL sent to mom for the client. Mom told the DCL that they have been reading books and she has the siblings helping with the activities as well.



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Activity Code: 3399 Programmatic Initial Assessment

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Note: This visit was completed as a virtual meeting due to the current guidelines released relating to the Coronavirus (COVID-19) situation. As part of the Coordinated Intake and Referral Process, the Developmental Consultant Liaison conducted the following assessments: Parent Questionnaire Conducted Question4a: NoQuestion4b: NoQuestion4c: NoQuestion 5a: NoQuestion 5b: NoQuestion 5c: NoQuestion 11a: NoQuestion 11b: NoQuestion 12a: NoQuestion 12a: NoQuestion 8a: NoQuestion 8b: NoQuestion 8c: NoQuestion 10a: NoQuestion 10b: NoQuestion 10c: NoResult: Not Clinically SignficantReferral: No referral was made

CESD Conducted Score: 8Result: Not Clinically Significant Referral: No referral made

The Developmental Consultant Liaison offered services to ASQ activities in Communication domain based on the results of the assessments. Following the completion of the activities for three week, the Developmental Consultant Liaison will conduct the ASQ3 assessment again, if concerns show up again a referral to Child Find and First Steps to Success will be made. The Developmental Consultant Liaison explained to the mother the program and how it will help their child and the family. The mother provided authorization for services and assessments to be completed. The mother accepted further services. Click here to enter text.

OBSERVATIONAL ANALYSIS MOB was singing along with the client. The child was repeating sayings from a cartoon show. MOB said he repeats those sayings all day. MOB was asking the child to label animals. MOB disclosed to the Developmental Consultant Liaison that they are in the process of moving and she is stressed about the move.




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Activity Code: 3388 Programmatic Initial Contact

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Note: Date: 12/11/2020Location: Web ConferenceReason for visit/concerns: Child showed concern on ASQ 3 42 months in Communication.

This visit was completed as a virtual meeting due to the current guidelines released relating to the Coronavirus (COVID-19) situation. The Development Consultant Liaison explained the process of the Ages and Stages Questionnaire, which screens for developmental concerns and the Ages and Stages Questionnaire: Social-Emotional, which screens for behavioral concerns.

The Developmental Consultant Liaison explained to the mother of child the importance of receiving periodic health and developmental screenings.Mother of child confirmed the infant does have insurance with Medicaid with Humana and medical home at Pediatric Center of Wellington SCREENING RESULTSASQ-3 42 Months- Conducted by Help Me GrowCommunication: ConcernGross Motor: TypicalFine Motor: TypicalProblem Solving: TypicalPersonal-Social: TypicalResult: Further assessment will be conducted

ASQ-SE 36 Months- Conducted by Help Me GrowThe child scored Typical on the screen.Result- no further assessment needed

The Developmental Consultant Liaison explained what each score means to the mother and gave the mother an opportunity to ask questions.

CHILD NEEDS ASSESSMENTAge: 3 years oldCrib/Bassinet: Not applicableWeeks of gestation: 39Birth weight: 8lb 4 ozType of delivery: SVDDid mother breastfeed? Yes

Age of caregiver: 38Education level: Bachelors DegreeTotal number of children in home: 3Household composition: 2 parent biological and 3 childrenAssisted Financial Support: Mediciad, WIC, SnapSupport System: Family is very supporting. Employment: unemployedFamily Planning: NOHistory of and/or current Toxic Stress (ie. DV, mental health, substance abuse, DCF involvement, legal, smoking, etc): Mother denied After reviewing risk factors with the mother of child, some strengths and needs were identified. The mother shared her family’s strengths are loving and trusting. The needs of the family include information on how to encouraging the child to talk. As a result of these needs, the Developmental Consultant Liaison explained the ASQ activities for the Communication domain. The Developmental Consultant Liaison offered activities in the communication domain. Developmental Consultant explained to the mother of child that the activities are to be completed for three weeks to address these needs and to improve the chances of a healthy


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outcome for the child. On the fourth week the Developmental Consultant Liaison will conduct the ASQ3 again.

The Developmental Consultant Liaison provided information regarding general health and wellness for the child and the family. A 211 contact list was emailed or texted to the parent and information regarding the EveryParentApp was provided. OR Information about 211 and the EveryParentApp was provided to the parent.

The Developmental Consultant Liaison provided her name and phone number to the mother. Mother was told that she can contact the Developmental Consultant Liaison at any time if she has additional questions or concerns or is feeling any signs of postpartum depression. Mother was also informed that HomeSafe can complete free developmental screenings up until the child is five years old and the contact information for HomeSafe was provided. Further assessments were completed with the mother as part of the Coordinated Intake and Referral process.







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Note: DCL contacted MOB to schedule the Initial Contact. MOB wanted to have the meeting on the same day. DCL agreed to call the mom back and have the Initial meeting at 10 am.



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Documents

Date Range: All CASE NOTES SUMMARY HOSSAIN, MOHAMMED