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Client Stated they tested positive for Covid 19
Type of test was PCR test done at clinic or Dr’s Office

Clients Insurance is MOLINA


CCA Client Data

Snapshot created: 11/03/2020

Services Requested

  • Three-day supply of nonperishable food items
  • PPE kit with acetaminophen, masks, thermometer, sanitizer, etc.
  • A one-time fresh food grocery delivery order

Fresh Food Order

  • 8-PK Gatorade Red
  • Bimbo White Bread
  • 18-PK Oakdell Eggs
  • Chopped Ham Slices
  • Chicken Cup-O-Noodles
  • Fiesta Pinto Beans
  • Oranges
  • Apples
  • Bananas
  • Potatoes
  • Roma Tomatoes
  • Yellow Onions
  • Jalapeno Peppers
  • Morton Iodized Salt
  • Iceberg Lettuce
  • Best Foods Mayonnaise
  • Mazola Cooking Oil
  • Guerrero Tortillas
  • Large Hotdogs
  • Whole Milk
  • 24-PK Bottled Water
  • Ground Beef
  • Chicken Breast
  • Ground Turkey
  • Imperial Butter
  • Cereal
  • Rice
  • Tide Liquid Detergent
  • 6-PK Fiora Paper Towels
  • Dawn Dish Soap
  • Clorox Bleach
  • Fiora Tissue
  • Sanitizer Wipes
  • 12-PK Charmin Tissue
  • Dry Cat Food

Additional Items

  • Culturally Appropriate Food Certificate

CCA Notes

CCA Goal: Took Fresh Food Order | CCA Outcome: Received FFO from Client

Notes for this contact:

worked with client on fresh food order

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