fulgent genetics covid test long beach

This was the latest in a series of small, strategic 'bolt on' acquisitions Fulgent Genetics has made in recent years as it builds out its footprint in genetic and specialized oncology testing. It should be noted that in early November, Fulgent Genetics reacquired Fulgent Pharma, an independent clinical-stage pharmaceutical firm, for ~$100 million in cash and stock. available at hundreds of locations nationwide,including pharmacy-based clinics. These One-Stop Test to Treat locationsareavailable at hundreds of locations nationwide,including pharmacy-based clinics,federally-qualifiedcommunity health centers (FQHCs), and long-termcare facilities. UCSC COVID-19 tests are only for active, enrolled students, as well as current employees who are working on site. An official website of the United States government . When buying cowboy boots, there are a few aspects to consider, such as how far up they go on your legs and their design. It means throughout the pandemic, Hayat has overnight shipped their COVID-19 tests cross-country and waited. %PDF-1.7 % FID-007 is currently in early stage development. Long Beach residents must schedule an appointment at CVS in advance. Appointments: click here. But theres a catch to all these new tests, one that may be turning off some investors in the short run. --Fulgent Genetics , Inc., a technology . Provide insurance information (if you have insurance). Asymptomatic testing, including the testing of student athletes, is not available at this site. Testing is available for children 4 years of age and older. We concluded that article with this recommendation on the stock. community health centers (FQHCs), and long-termcare facilities. There are three kinds of tests for COVID-19: PCR/viral tests and serology/antibody tests. Individuals should visit the county COVID-19 testing site to. Childhood Lead Poisoning Prevention Program, Carbapenem-resistant Enterobacteriaceae (CRE), Early Childhood Education and School Toolkits, Tobacco Retail Enforcement Program (TREP), California Health Interview Survey (CHIS), Safety Data Sheet Polypropylene (PP) resin, North Facilities Center - Center for Family and Youth . They also expect to begin Phase 2 and 3 trials in two to three additional target indications in the next one to two years, with data readouts over the next three to four years. Looking forward, analyst Nierengarten said a key unknown is where billable Covid testing volume will ultimately settle out for Fulgent as the coronavirus pandemic moves from the acute phase to a more endemic status with periodic surges. If you submit more than one sample with the same email, each sample you submit will have a separate result. Given the uncertainty about the speed of the FDAs response, Perthuis said he could not predict when the at-home test would hit the market. With the stock looking like it is building a base here, I took a small 'watch item' holding in Fulgent this week using covered call orders as options in the name are both liquid and lucrative.". Less than five percent of the outstanding float in the shares is currently held short. The extra spending, combined with lower test volumes for its core non-Covid business, resulted in a net loss of nearly $2 million for Fulgents first quarter, despite revenue increasing to $7.7 million from $5.4 million for the same period in 2019. If your child has new or worsening symptoms such as trouble breathing, pain or pressure in the chest, feeling confused or having difficulty waking up, or blue-colored lips or face, call 911 or seek emergency medical attention instead of ordering this test. Pop-up testing does not require appointments. It is taken with a swab in the mouth, nose or throat. As you wait to receive your test kit, you should stay at home, avoid contact with others, wear a mask and wash your hands often, health officials said. Samples must be sent back to the lab the SAME DAY you collect it. Follow the instructions included in the kit to: All of these steps must be done ON THE SAME DAY. 'Core' or non Covid testing revenues more than doubled during the quarter from the same period a year ago to $56 million. A fresh set of data points will be out shortly as Fulgent reports fourth quarter results in the coming week. Finding tomorrow's big winners in the lucrative biotech sector, The Biotech Forum focuses on proprietary, breaking research on promising biotech and biopharma stocks with significant potential for outsized alpha. Fulgent Houston will be operational immediately, and as a result of increased capacity, we are raising our FY20 revenue guidance from $120 million . However, we ask that you enter your health insurance information so LA County can get reimbursed for the cost of the test. You will need an email address to order the test. Learn more about mobile testing and view upcoming "Pop-up Mobile Testing" events. The Biden-Harris Administrationlaunched anationwide Test to Treat initiative,thathas been expanded togiveindividuals an importantway to rapidly access free lifesaving treatment for COVID-19. Core revenue was guided to $52 million, which would be up 86% from 4Q2021. Photo courtesy of Long Beach Convention & Visitors Bureau. Once you receive the test kit, take the test as soon as it arrives. Long Beach, CA 90815 Phone: (562) 570-4000. Before you activate your test, check ahead of time for any potential changes to FedEx operations around the holidays. (at Del Amo)Long Beach, CA 90805, 1250 East Pacific Coast Highway (between Orange and Walnut)Long Beach, CA 90806. If you have an ad-blocker enabled you may be blocked from proceeding. Vaccines prevent serious illness - including many that are easily spread in schools and daycare centers. The date, time, location and population served will be coordinated by the representing councilmember and their office. Combine this uncertainty with what Nierengarten termed a year-long meltdown in biotech and life sciences stocks, and the result is the plunge in Fulgent stock. Once you receive the kit,take the test as soon as it arrives. Be sure to confirm FedEx hours and holiday schedules before you activate your test and collect your sample. The team will be equipped to conduct up to 50 tests per hour or roughly 300 tests per day. These tests bring with them higher costs, which in turn means lower operating margins than what investors have grown accustomed to in recent quarters. For more details, visit: https://picturegenetics.com/blog/article/covid-19-testing-guide. It is targeting head & neck cancer, which could potential just over a $2 billion target market opportunity. TEMPLE CITY, Calif., Sept. 09, 2020 (GLOBE NEWSWIRE) -- Fulgent Genetics, Inc. (NASDAQ: FLGT) ("Fulgent Genetics" or the "company"), a technology company providing comprehensive testing. Fulgent Genetics, Inc. is based in Los Angeles. 107 S. Long Beach Blvd.Compton, CA 902212059 S. Garey Ave.Pomona, CA 91766. Our goal has been to develop quick quality tests that are readily available and accessible to both health care providers and individuals to help alleviate the shortage we have seen in testing capacities in the overall market, Hsieh said. The L.A. County Home Test Collectionprogram offers all country residents with a nasal swab kit via mail. Results will be made available to you through the email address you provide at registration. This clinic is for students up to grade 12, faculty and staff who are symptomatic or who need a clear test to return to school following a COVID-19 infection or post-quarantine. Fulgent Genetics had a GAAP profit of six cents a share even as revenues slid just over 53% on a year-over-year basis to just north of $105 million. Best nasal test: LetsGetChecked. Orange County COVID-19 Testing Locations PDF File: If employees do not have symptoms and have not had any recent close contact with someone who has COVID-19, they do not need to get tested before returning to work. This trend is being seen across the industry as the pandemic has ebbed along with testing for it. The National Read Across America Day takes place every year on March 2, Geisels birthday. Best overall: Everlywell. A parent or a guardian will need to help with the test. Photo courtesy of Long Beach Convention & Visitors Bureau. Originally Published on June 14, 2021. Specializing in profiling high beta sectors, Bret Jensen founded and also manages The Biotech Forum, The Insiders Forum, and the Busted IPO Forum model portfolios. Fulgent saw testing volume decline roughly 30% in March, the companys chief financial officer, Paul Kim, said on a May 4 earnings call with analysts. ljz]z;Q':VSOtTgDVT,R#j+tKtE57&\#++L-0d+:h+G<1JiNlt[+"+mi\9o*x`*a4y]YDt3}Cte?g_^VwW/}vztjGg>{IpEO/>QKo.v[~ 5jwW~zD7nF+Vxkx}~{Iab+5 Howard Fine is a 23-year veteran of the Los Angeles Business Journal. h{[o\_@_ CdY1OllI=ZH?Uu3ER with strong demand for our test and service offerings. 1250 East Pacific Coast Highway (between Orange and Walnut), If you have tested positive for COVID-19, or been told by a clinician that you are presumed to be positive, you are, Regardless of the outcome of your test, if you had close contact with someone who has or is likely to have COVID-19 in the past 14 days, you are, way to rapidly access free lifesaving treatment for COVID-19. Clinical Molecular Genetics test for COVID-19 disease for SARS-CoV-2 using RNA analysis, RT-PCR offered by Fulgent Genetics. I/we have a beneficial long position in the shares of FLGT either through stock ownership, options, or other derivatives. Mobile testing has expanded to include pop-up testing days as a strategy to increase access to testing for Long Beach residents, primarily for under-represented demographics and communities, and for those who are unable to access other ongoing city testing sites. The program was launched during the 2020 winter surge as a temporary service meant to address a spike in demand for testing. If your test is positive (meaning you have COVID-19), you will also receive a second notification from Healthvana via email or text message. Management is (very) well aligned and has an admirable track. The stock currently trades just above thirty three bucks a share and sports an approximate market capitalization of $1 billion. An updated investment analysis around Fulgent Genetics follows in the paragraphs below. Testing for children under 4 years is available at all City-run sites.Fulgent Genetics, the City's COVID-19 diagnostic testing partner, no longer offers Flu testing. This is a Polymerase Chain Reaction (PCR) test that is authorized by the FDA. Mobile testing is available for those who cannot leave their residences for various reasons (such as mobility issues or underlying health conditions). Wash your hands and package your sample in the pre-paid overnight envelope. Howard Fine is a 23-year veteran of the Los Angeles Business Journal. 1 injured after shooting on 110 Fwy in Carson, RFK assassin Sirhan Sirhan denied parole by California, Home Depot has open positions for L.A. residents, Teen stabbed to death at Northern California school, Why Im not celebrating Lillys insulin price cut, Cat spends 6 days alone in Vegas hotel room, Fraudster extradited to U.S. after more than a year, LAPD may stop responding to these 28 calls, Burger King brings back fan-favorite item, San Bernardino Co. leaders address mountain snow, Do Not Sell or Share My Personal Information, Collect your own sample from your nose and wash your hands, Package your sample in the prepaid overnight envelope. See details at Medicare Covers Over-the-Counter COVID-19 Tests . TheLA County Home Test Collection program offers an at-home nasal swab test-kit via mail to LA County residents who meet the following criteria: Home test collection kits are provided at no cost to you and are available on a limited basis. The company has been developing a targeted cancer therapy drug platform to improve the treatment window for certain cancer drug. Sign up on the Picture by Fulgent Genetics website to have a test kit shipped to your home address via FedEx. Through 2019, it was a small genetic testing company. Long Beach City College requires all Fall 2021 students to be either fully vaccinated or take weekly COVID-19 testing. In thisprogram, people, able to get tested and if they are positive and treatments are appropriate forthem receive a prescription from a health care provider, and have their prescription filled all in onelocation. Anaheim City Hall. We believe this acquisition has a potential to rapidly transform Fulgent Genetics from a genetic diagnostic service business into a fully integrated precision medicine company focusing on oncology, Hsieh said in a conference call. Perthuis said the purchase enables Fulgent to market neurogenetics test kits to the formers client base the first of several cross-selling opportunities.. Guardians or caregivers may order test kits for persons for whom they provide care. Apply to Chief Information Officer, Senior Quality Assurance Engineer, Counselor and more! The LA County Home Test Collection program is offering free, at-home COVID nasal swab test kit via mail to all LA county residents who have COVID-19 symptoms or think they were exposed. Labcorp (LH) just noted a 90% drop off in Covid testing revenues within its fourth quarter results. There will be no cost to you. Fulgent Genetics did make two significant acquisitions in the cancer-diagnostic space: CSI Laboratories in August of last year for an undisclosed sum reported to be more than $50 million; and pathology laboratory company Inform Diagnostics for $170 million this past April. AL} H8J?'jsw:;':62.xxk@?WXO_]cjk9 }ql :ljml._85O6D:"qx7[ nBk{Qwx!Vn5U5GQo]Pf\CBs 8go'#PmlR-e\tn*nYb(]m,upoASu-Zd%FgOP6FncbPK')h$u,C@+5,kBu: O2e]q,3,PjFCe,8~7euEP{(Abw7.5zdZ,;7?.L#AusT7#FJCK#}V29FZpOXa.;8Q'oA 4=% xAdeqpP 4ZE8y0AaH3r8P-[HbPufp8dtp#Oht Courage is the price that life exacts for granting peace. Amelia Earhart. If you do not have a primary care doctor, contact the Citys Public Health Info Line at (562) 570-INFO (4636). Fulgent Genetics, Inc. is based in Los Angeles. 2 arrested for over $460,000 in stolen merch in O.C. You will need to show proof of your identity and birthdate. Call FedEx at 1-800-463-3339 to schedule a one-time FedEx Pickup, or drop off the packaged sample back to the Fulgent Genetics lab via FedEx express drop box. To request mobile testing, please complete the form below. Fulgent Genetics did make two significant acquisitions in the cancer-diagnostic space: CSI Laboratories in August of last year for an undisclosed sum reported to be more than $50 million; and. TEMPLE CITY, Calif., Sept. 09, 2020 (GLOBE NEWSWIRE) -- Fulgent Genetics, Inc. (NASDAQ: FLGT) ("Fulgent Genetics" or the "company"), a technology company providing comprehensive testing. But you do not need insurance to get a test kit. The genetic and diagnostic testing company has seen its share price drop more than 60% from about $100 a share at the end of last year to $37.36 on Oct. 10 a plunge roughly double the size of the 31% drop in the broader Nasdaq exchange over the same stretch. Where: Bay Tree Campus Store; When: Sun-Fri, 8:30am to 4:30pm; Contact: COVID-19 Testing Program- kiosk-managers-group@ucsc.edu; Scotts Valley . All of the steps below must be done ON THE SAME DAY. Mobile COVID-19 testing was launched to provide a community-based service to those who are not able to travel to one of the citys testing sites. YLbs}Y:c2;UN30F_bxhe)rzG~0tf1-L7310pQ6AP=0 /% 200 S. Anaheim Blvd. COVID-19 testing information for the general public. One of the tests hit the market in April. For investors of Temple City-based Fulgent Genetics Inc., the wind down from the Covid-induced high has finally come and its meant very rough times so far this year. As for the at-home Covid-19 test, Hsieh said it uses the same platform the company used to launch its home genetic testing product last summer. Fulgent Genetics will send you an email to notify you when your results are ready to view. It has been called Dr. Seuss Day because of this. 323-549-5225, Los Angeles Business Journal | Website by Web Publisher PRO. Fulgent Genetics (NASDAQ: FLGT) +2.5% announced a new partnership with the State of Utah for COVID-19 testing. Today, we revisit Fulgent Genetics.The company continues to manage through a huge drop off in Covid testing revenues as the pandemic ebbs. Learn more about Bret Jensen's Marketplace Offerings: The Insiders Forum | The Biotech Forum | Busted IPO Forum. Here are the latest cumulative coronavirus case counts and COVID-19 deaths for select cities in the county: Santa Ana: 9,132 cases; 226 deaths Anaheim: 8,073 cases; 211 deaths Huntington. Results typically take 2-7 days, thoughdue to the current volume of test processing, your test results may take longer than expected. Disclosure: I/we have a beneficial long position in the shares of FLGT either through stock ownership, options, or other derivatives. There will be no-cost to you. Parents, guardians, or caregivers may order a test for a person for whom they provide care. Fulgent COVID-19 Test by Antibody Detection. share of the developing market for genetic and COVID-19 testing and . When is the best day to collect and ship the sample? Medicare: Bring your red, white, and blue Medicare card to a pharmacy to get your free tests. This list includes 3 types of service capabilities that a lab can provide: Full service: Lab can provide onsite/offsite sample collection. In addition to requesting a secure location for pop-up testing, the entire team will continue to maintain appropriate situational awareness during the operation. Thursday, Nov 24, 2022 . Because of the incredibly low cost per Covid test, Fulgents gross operating margin soared to about 75% last year, which yielded lots of extra cash. The county's main testing website will remain at covid19.lacounty.gov/testing, but scheduling for the nine county-run screening locations can also be accessed directly at. Clinic details for the clinic located at 596 Long Beach Boulevard. To request mobile testing by phone, please call the COVID-19 Information Line at (562) 570-4636, available Monday-Friday from 9:00 a.m. to 5:00 p.m. Pop-up testing days'' will occur periodically, and alternate through city districts based on need. How long does it take to receive the test in the mail? Collect your sample right after you activate the test. 2525 Grand Avenue Long Beach, CA 90815 Phone: (562) 570-4000 Multi-Service Center for the Homeless 1301 West 12th Street Long Beach, CA 90813 Phone: (562) 570-4500 Fax: (562) 570-8234 North Facilities Center - Center for Family and Youth 6335 Myrtle Avenue Long Beach, CA 90805 Phone: (562) 570-3300 Fax: (562) 570-3306 Other Facilities You have 3-5 days after you receive the test kit to collect and return the sample to the lab via FedEx. Sign up to have a test kit delivered to your home address at https://t.co/BZfopTAolj pic.twitter.com/c8oDEIjbSf. Management guided fourth quarter sales to $60 million which was far under the consensus. The pop-up testing team will bring tables, chairs, canopies, extension cords, laptop, scanner and all required PPE. Sign up on thePicture by Fulgent Genetics websiteto have a test kit shipped to your home address via FedEx. Fulgent Pharma and Fulgent Genetics were a part of Fulgent Therapeutics up until 2016 it should be noted. Additional symptoms may include sore throat, chills, headache, muscle pain, and new loss of taste or smell. Test to Treat Locations in the City of Long Beach: CVS Pharmacy #8876233 East Willow StreetLong Beach, CA 90806(562) 989-9868, Healthcare in Action3800 Kilroy Airport Way Suite 100Long Beach, CA, The Children's Clinic - SMTF455 E Columbia St, Ste 201Long Beach, CA 90806(562) 264-3558, Worksite Labs - Long Beach4133 E Donald Douglas DriveLong Beach, CA. An analysis follows below. This is a proprietary Nano encapsulated formulation of paclitaxel developed to improve overall solubility profile of paclitaxel. . 323-549-5225, Los Angeles Business Journal | Website by Web Publisher PRO. I wrote this article myself, and it expresses my own opinions. The distribution of vaccines and declining cases have resulted in about. Entities that produce a digital COVID-19 vaccine record should follow guidelines and standards from the SMART Health Card Framework described by the Verifiable Clinical Information (VCI) charter. 5020 Long Beach Blvd. Mobile testing can be done at residences or facilities such as sober living homes, skilled nursing facilities, and other congregate facilities. Los Angeles, CA 90025 That could determine how low revenue will go until the growing non-Covid revenue kicks in, he said. boxes. L.A. County recorded nearly 45,000 new coronavirus cases over the holiday weekend as the omicron variant continued its relentless spread. The pop-up team will include 5-10 members depending on the districts population. But on the positive side, Fulgent quickly pivoted to coronavirus testing. Disclaimer: It is up to each individual to verify information and check with the test site regarding the insurance they take and any co-pays that are expected at time of testing, Centers for Disease Control and Prevention, Long Term Care and Residential Care Facilities for Elderly, healthy.kaiserpermanente.org/southern-california/health-wellness/coronavirus-information, www.cvs.com/minuteclinic/covid-19-testing, http://www.ucihealth.org/patients-visitors/pricing-transparency/covid-19-test-billing. Individuals would receive results back within a matter of days. L.A. County provided this photos of its free, at-home testing kits. Please disable your ad-blocker and refresh. But this entirely due to Covid testing being drastically curtailed across the industry. Most test results will be processed within 48 hours. But then the pandemic hit, and by May 2020 Fulgent pivoted to Covid testing, winning huge-volume test contracts with public agencies such as Los Angeles County and the New York City public school system. How long do I have to send the sample back? Give your contact information. You should collect and ship your sample within 3-5 days of receiving the test kit. Fulgent COVID-19 Test by RT-PCR. If you develop emergency warning signs for COVID-19, you should get medical attention immediately. Get Coverage Financial Services & Billing, Message Your Doctor or Request an Appointment, Quality Improvement, Patient Safety and Clinical Risk Management, Trauma, Emergency & Bioterrorism Response Assessment, Adult & Pediatrics Specialty Care Listing, Rancho Los Amigos National Rehabilitation Center, Curtis R. Tucker Health Center Adult Clinic, Edward R. Roybal Comprehensive Health Center, H. Claude Hudson Comprehensive Health Center, Hubert H. Humphrey Comprehensive Health Center, Martin Luther King, Jr. Outpatient Center, Hospital and Health Care Delivery Commission, Equity, Diversity, Inclusion, and Antiracism Initiative, COVID-19: LA County Home Test Collection Program, https://picturegenetics.com/covid19?c=lacathome, https://picturegenetics.com/blog/article/covid-19-testing-guide, Library COVID-19 Antigen Test Kit Pickup Program, Steps to Take While You Wait for Your PCR Test Result, COVID-19: Frequently Asked Questions About Testing, Health Services Notice of Privacy Practices, Collect your own sample from your nose and wash your hands, Package your sample in the pre-paid overnight envelope, Call FedEx at 1.800.463.3339 to schedule a one-time FedEx Pickup, or drop off the packaged sample back to the Fulgent Genetics lab via FedEx express drop box, Have symptoms of COVID-19 or think they were exposed to COVID-19, AND. Since it's been more than a half year since we're visiting Fulgent, it is time to 'circle back' on the investment thesis around this diagnostic firm. Click here for more. Fulgent COVID-19 Test by RT-PCR. (Note that test kits cannot be shipped to P.O. Detects antibodies made by the immune system. He has won several awards, including Best Body of Work for a single reporter from the Alliance of Area Business Publishers and Distinguished Journalist of the Year from the Society of Professional Journalists. FACT SHEET: COVID-19 TEST TO TREAT. What type of test are you using for the LA County Home Test Collection? Medical questions: Health Referral Line 800.564.8448. But then the pandemic hit, and Fulgent Genetics pivoted big-time to Covid testing, snagging several huge public-sector contracts. Home Polymerase Chain Reaction (PCR) tests are available from many sources, but only people who meet the following criteria will qualify for a no-cost test through LA County Home Test Collection program: You can order a test kit at the Picture by Fulgent Genetics website here: https://picturegenetics.com/covid19?c=lacathome. However, core revenues are growing smartly, and the company has a fortress balance sheet. Fulgent Pharma has since been run as a private cancer therapeutics company by Hsieh and the other Fulgent Therapeutics co-founder Ray Yin. More than cheap enough to continue to merit a small 'watch item' holding as Fulgent continues to manage through the Covid testing cliff. Symptoms may appear in as few as 2 days or as long as 14 days after exposure. These One-Stop Test to Treat locations. TEMPLE CITY, Calif., Sept. 09, 2020 (GLOBE NEWSWIRE) -- Fulgent Genetics, Inc. (NASDAQ: FLGT) ("Fulgent Genetics" or the "company"), a technology company providing comprehensive testing. Please make sure that test kit activation, sample collection, and shipment all happen within the same calendar day. When you are ready to start, follow the instructions provided in the test kit box. To see what I and the other season biotech investors are targeting as trading ideas real-time, just join our community atThe Biotech Forum by clicking HERE. The stock currently trades just above thirty three bucks a share and sports an approximate capitalization! Headache, muscle pain, and other congregate facilities, location and population served be! Several huge public-sector contracts Dr. Seuss DAY because of this mobile testing ''.! Fulgent Genetics.The company continues to manage through the email address you provide at registration residents with swab! Activate the test as soon as it arrives CVS in advance Fulgent Genetics to. The consensus means throughout the pandemic hit, and other congregate facilities, including pharmacy-based clinics admirable track depending! In April a share and sports an approximate market capitalization of $ 1.. Disease for SARS-CoV-2 using RNA analysis, RT-PCR offered by Fulgent Genetics pivoted big-time to Covid testing revenues within fourth... Is taken with a swab in the shares of FLGT either through stock ownership, options or... An appointment at CVS in advance develop emergency warning signs for COVID-19: PCR/viral tests and serology/antibody tests until... 86 % from 4Q2021 receiving the test County COVID-19 testing and view upcoming `` pop-up mobile testing '' events throat! Billion target market opportunity insurance ) the paragraphs below as a temporary service meant to address spike! Of student athletes, is not available at hundreds of locations nationwide including. Free tests residents with a nasal swab kit via mail Genetics ( NASDAQ: FLGT ) +2.5 % a! Start, follow the instructions included in the kit, take the test kit activation, sample collection thoughdue the. Holiday schedules before you activate the test in the shares is currently held short hit, and other! Company has been developing a targeted cancer therapy drug platform to improve overall solubility profile of paclitaxel developed to the! In O.C $ 2 billion target market opportunity shipped their COVID-19 tests are only for active, enrolled,! Hit the market in April Note that test kit shipped to your home address FedEx... Entire team will Bring tables, chairs, canopies, extension cords, laptop, scanner and required... Three kinds of tests for COVID-19, you should get medical attention immediately quarter results scanner and all required.. Are only for active, enrolled students, as well as current employees who are working site. Cases have resulted in about the price that life exacts for granting peace and package sample... Additional symptoms may include sore throat, chills, headache, muscle,... Is available for children 4 years of age and older whom they provide care arrives... 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