PHLI Manual

Four smiling children holding handfuls of dirt with small plants sprouting from it. Text below them says: Public Health Lead Investigation Program. Public Health Response to Childhood Lead Exposure. Ohio Department of Health. Revised August 2024This page contains documents for local health department employees who work with lead in Ohio.

 

 

 

 

 

PHLI Manual

Manual Chapter 1-8

Appendix A: Contact and Monitoring Algorithms

Appendix A: Contact and Monitoring Algorithms (English)

Appendix B: Childhood Lead Exposure Questionnaire

Appendix B: Childhood Lead Exposure Questionnaire (English)

Appendix B: Childhood Lead Exposure Questionnaire (Haitian Creole)

Appendix B: Childhood Lead Exposure Questionnaire (Spanish)

Appendix C: 10+ Parent/Guardian Initial Contact Letter

Appendix C: 10+ Parent/Guardian Initial Contact Letter (English)

Appendix C: 10+ Parent/Guardian Initial Contact Letter (Arabic)

Appendix C: 10+ Parent/Guardian Initial Contact Letter (French)

Appendix C: 10+ Parent/Guardian Initial Contact Letter (Haitian Creole)

Appendix C: 10+ Parent/Guardian Initial Contact Letter (Nepali)

Appendix C: 10+ Parent/Guardian Initial Contact Letter (Pashto)

Appendix C: 10+ Parent/Guardian Initial Contact Letter (Somali)

Appendix C: 10+ Parent/Guardian Initial Contact Letter (Spanish)

Appendix C: 10+ Parent/Guardian Initial Contact Letter (Swahili)

Appendix C1: EBLL Parent/Guardian Initial Contact Letter

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Letter (English)

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Attempt Letter (Arabic)

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Attempt Letter (French)

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Letter (Haitian Creole)

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Letter (Nepali)

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Letter (Pashto)

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Letter (Somali)

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Letter (Spanish)

Appendix C1: Elevated Blood Lead Level Parent/Guardian Initial Contact Letter (Swahili)

Appendix C2: 10+ Parent/Guardian Second Contact Letter

Appendix C2: 10+ Parent/Guardian Second Contact Letter (English)

Appendix C2: 10+ Parent/Guardian Second Contact Letter (Arabic)

Appendix C2: 10+ Parent/Guardian Second Contact Letter (French)

Appendix C2: 10+ Parent/Guardian Second Contact Letter (Haitian Creole)

Appendix C2: 10+ Parent/Guardian Second Contact Letter (Nepali)

Appendix C2: 10+ Parent/Guardian Second Contact Letter (Pashto)

Appendix C2: 10+ Parent/Guardian Second Contact Letter (Somali)

Appendix C2: 10+ Parent/Guardian Second Contact Letter (Spanish)

Appendix C2: 10+ Parent/Guardian Second Contact Letter (Swahili)

Appendix C3: EBLL Parent/Guardian Second Contact Letter

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (English)

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (Arabic)

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (French)

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (Haitian Creole)

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (Nepali)

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (Pashto)

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (Somali)

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (Spanish)

Appendix C3: Elevated Blood Lead Level Parent/Guardian Second Contact Letter (Swahili)

Appendix D: EBLL Summary Report and Cover Letter

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (English)

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (Arabic)

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (French)

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (Haitian Creole)

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (Nepali)

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (Pashto)

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (Somali)

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (Spanish)

Appendix D: Elevated Blood Lead Level Summary Report and Cover Letter (Swahili)

Appendix E: Property Owner Access Letter

Appendix E: Property Owner Access Letter (English)

Appendix E: Property Owner Access Letter (Arabic)

Appendix E: Property Owner Access Letter (French)

Appendix E: Property Owner Access Letter (Haitian Creole)

Appendix E: Property Owner Access Letter (Nepali)

Appendix E: Property Owner Access Letter (Pashto)

Appendix E: Property Owner Access Letter (Somali)

Appendix E: Property Owner Access Letter (Spanish)

Appendix E: Property Owner Access Letter (Swahili)

Appendix F: Property Owner Access Letter Second Notice

Appendix F: Property Owner Access Letter Second Notice (English)

Appendix F: Property Owner Access Letter Second Notice (Arabic)

Appendix F: Property Owner Access Letter Second Notice (French)

Appendix F: Property Owner Access Letter Second Notice (Haitian Creole)

Appendix F: Property Owner Access Letter Second Notice (Nepali)

Appendix F: Property Owner Access Letter Second Notice (Pashto)

Appendix F: Property Owner Access Letter Second Notice (Somali)

Appendix F: Property Owner Access Letter Second Notice (Spanish)

Appendix F: Property Owner Access Letter Second Notice (Swahili)

Appendix G: WIC Program Directory

Appendix G: Women, Infants, and Children (WIC) Program Directory (English)

Appendix H: Healthchek and Pregnancy Related Services (PRS) County Contacts

Appendix H: Healthchek and Pregnancy Related Services (PRS) County Contacts (English)

Appendix I: Healthchek Fax Coversheet

Appendix I: Healthchek Fax Coversheet (English)

Appendix J: Property Owner Right of Entry Legal Letter

Appendix J: Property Owner Right of Entry Legal Letter (English)

Appendix J: Property Owner Right of Entry Legal Letter (Arabic)

Appendix J: Property Owner Right of Entry Legal Letter (French)

Appendix J: Property Owner Right of Entry Legal Letter (Haitian Creole)

Appendix J: Property Owner Right of Entry Legal Letter (Nepali)

Appendix J: Property Owner Right of Entry Legal Letter (Pashto)

Appendix J: Property Owner Right of Entry Legal Letter (Somali)

Appendix J: Property Owner Right of Entry Legal Letter (Spanish)

Appendix J: Property Owner Right of Entry Legal Letter (Swahili)

Appendix K: Lead Visual Assessment Form

Appendix K: Lead Visual Assessment Form (English)

Appendix L: 10+ Public Health Lead Investigation Report

Appendix L: 10+ Public Health Lead Investigation Report (English)

Appendix L: 10+ Public Health Lead Investigation Report (Arabic)

Appendix L: 10+ Public Health Lead Investigation Report (French)

Appendix L: 10+ Public Health Lead Investigation Report (Haitian Creole)

Appendix L: 10+ Public Health Lead Investigation Report (Nepali)

Appendix L: 10+ Public Health Lead Investigation Report (Pashto)

Appendix L: 10+ Public Health Lead Investigation Report (Somali)

Appendix L: 10+ Public Health Lead Investigation Report (Spanish)

Appendix L: 10+ Public Health Lead Investigation Report (Swahili)

Appendix M: Environmental Lead Report

Appendix M: Environmental Lead Report (English)

Appendix M: Environmental Lead Report (Arabic)

Appendix M: Environmental Lead Report (French)

Appendix M: Environmental Lead Report (Haitian Creole)

Appendix M: Environmental Lead Report (Nepali)

Appendix M: Environmental Lead Report (Pashto)

Appendix M: Environmental Lead Report (Somali)

Appendix M: Environmental Lead Report (Spanish)

Appendix M: Environmental Lead Report (Swahili)

Appendix N: Letter to Property Owner - 3 Day Notice

Appendix N: Letter to Property Owner - 3 Day Notice (English)

Appendix N: Letter to Property Owner - 3 Day Letter (Arabic)

Appendix N: Letter to Property Owner - 3 Day Letter (French)

Appendix N: Letter to Property Owner - 3 Day Letter (Haitian Creole)

Appendix N: Letter to Property Owner - 3 Day Letter (Nepali)

Appendix N: Letter to Property Owner - 3 Day Letter (Pashto)

Appendix N: Letter to Property Owner - 3 Day Letter (Somali)

Appendix N: Letter to Property Owner - 3 Day Notice (Spanish)

Appendix N: Letter to Property Owner - 3 Day Letter (Swahili)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (English)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (Arabic)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (French)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (Haitian Creole)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (Nepali)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (Pashto)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (Somali)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (Spanish)

Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report (Swahili)

Appendix P: Order to Control Lead Hazards

Appendix P: Order to Control Lead Hazards (English)

Appendix P: Order to Control Lead Hazards (Spanish)

Appendix Q: Acknowledgement of Receipt of Order to Control Lead Hazards

Appendix Q: Acknowledgement of Receipt of Order to Control Lead Hazards (English)

Appendix R: Lead Hazard Control Extension Request Form

Appendix R: Lead Hazard Control Extension Request Form (English)

Appendix R: Lead Hazard Control Order Extension Request Form (Arabic)

Appendix R: Lead Hazard Control Order Extension Request Form (French)

Appendix R: Lead Hazard Control Order Extension Request Form (Haitian Creole)

Appendix R: Lead Hazard Control Order Extension Request Form (Nepali)

Appendix R: Lead Hazard Control Order Extension Request Form (Pashto)

Appendix R: Lead Hazard Control Order Extension Request Form (Somali)

Appendix R: Lead Hazard Control Extension Request Form (Spanish)

Appendix R: Lead Hazard Control Order Extension Request Form (Swahili)

Appendix S: Extension Request Cover Letter

Appendix S: Extension Request Cover Letter (English)

Appendix S: Extension Request Cover Letter (Arabic)

Appendix S: Extension Request Cover Letter (French)

Appendix S: Extension Request Cover Letter (Haitian Creole)

Appendix S: Extension Request Cover Letter (Nepali)

Appendix S: Extension Request Cover Letter (Pashto)

Appendix S: Extension Request Cover Letter (Somali)

Appendix S: Extension Request Cover Letter (Spanish)

Appendix S: Extension Request Cover Letter (Swahili)

Appendix T: Notice of Extension

Appendix T: Notice of Extension (English)

Appendix T: Notice of Extension (Arabic)

Appendix T: Notice of Extension (French)

Appendix T: Notice of Extension (Haitian Creole)

Appendix T: Notice of Extension (Nepali)

Appendix T: Notice of Extension (Pashto)

Appendix T: Notice of Extension (Somali)

Appendix T: Notice of Extension (Spanish)

Appendix T: Notice of Extension (Swahili)

Appendix U: Final Extension Request Contact Letter

Appendix U: Final Extension Request Contact Letter (English)

Appendix U: Final Extension Request Contact Letter (Arabic)

Appendix U: Final Extension Request Contact Letter (French)

Appendix U: Final Extension Request Contact Letter (Haitian Creole)

Appendix U: Final Extension Request Contact Letter (Nepali)

Appendix U: Final Extension Request Contact Letter (Pashto)

Appendix U: Final Extension Request Contact Letter (Somali)

Appendix U: Final Extension Request Contact Letter (Spanish)

Appendix U: Final Extension Request Contact Letter (Swahili)

Appendix V: Lead Hazard Control Method Selection Template

Appendix V: Lead Hazard Control Method Selection Template (English)

Appendix V: Lead Hazard Control Method Selection Template (Arabic)

Appendix V: Lead Hazard Control Method Selection Template (French)

Appendix V: Lead Hazard Control Method Selection Template (Haitian Creole)

Appendix V: Lead Hazard Control Method Selection Template (Nepali)

Appendix V: Lead Hazard Control Method Selection Template (Pashto)

Appendix V: Lead Hazard Control Method Selection Template (Somali)

Appendix V: Lead Hazard Control Method Selection Template (Spanish)

Appendix V: Lead Hazard Control Method Selection Template (Swahili)

Appendix W: Notice of Non-Compliance and Order to Vacate

Appendix W: Notice of Non-Compliance and Order to Vacate (English)

Appendix X: Resident Vacate Letter

Appendix X: Resident Vacate Letter (English)

Appendix X: Resident Vacate Letter (Arabic)

Appendix X: Resident Vacate Letter (French)

Appendix X: Resident Vacate Letter (Haitian Creole)

Appendix X: Resident Vacate Letter (Nepali)

Appendix X: Resident Vacate Letter (Pashto)

Appendix X: Resident Vacate Letter (Somali)

Appendix X: Resident Vacate Letter (Spanish)

Appendix X: Resident Vacate Letter (Swahili)

Appendix Y: Warning Sign

Appendix Y: Warning Sign (English)

Appendix Y: Warning Sign (Arabic)

Appendix Y: Warning Sign (French)

Appendix Y: Warning Sign (Haitian Creole)

Appendix Y: Warning Sign (Nepali)

Appendix Y: Warning Sign (Pashto)

Appendix Y: Warning Sign (Somali)

Appendix Y: Warning Sign (Spanish)

Appendix Y: Warning Sign (Swahili)

Appendix Z: Property Owner Vacate Letter

Appendix Z: Property Owner Vacate Letter (English)

Appendix Z: Property Owner Vacate Letter (Spanish)

Appendix AA: Compliance Review Sheet

Appendix AA: Compliance Review Sheet (English)

Appendix BB: Clearance Examination Report

Appendix BB: Clearance Examination Report (English)

Appendix CC: Lead Hazard Control Visual Clearance

Appendix CC: Lead Hazard Control Visual Clearance (English)

Appendix DD: Notice of Compliance

Appendix DD: Notice of Compliance (English)

Appendix DD: Notice of Compliance (Arabic)

Appendix DD: Notice of Compliance (French)

Appendix DD: Notice of Compliance (Haitian Creole)

Appendix DD: Notice of Compliance (Nepali)

Appendix DD: Notice of Compliance (Pashto)

Appendix DD: Notice of Compliance (Somali)

Appendix DD: Notice of Compliance (Spanish)

Appendix DD: Notice of Compliance (Swahili)

Appendix EE: Healthy Housing and Lead Poisoning Surveillance System User Manual (HHLPSS)

Appendix EE: Healthy Housing and Lead Poisoning Surveillance System User Manual (HHLPSS) (English)

Appendix FF: Ohio Administrative Code Chapters

Appendix FF: Ohio Administrative Code Chapters (English)

Appendix GG: Public Health Response to Childhood Lead Exposure Guidance Manual Web Page

Appendix GG: Public Health Response to Childhood Lead Exposure Guidance Manual Web Page (English)

Appendix HH: Local Health Department Medicaid Lead Investigation Cost Report Instructions

Appendix HH: Local Health Department Medicaid Lead Investigation Cost Report Instructions (English)

Appendix II: Childhood Lead Exposure Tool Kit

Appendix II: Childhood Lead Exposure Tool Kit (English Only)

Appendix II: Childhood Lead Exposure Tool Kit (English and Select Translations)

Appendix JJ: Right of Entry Legal Letter - Parent/Guardian

Appendix JJ: Right of Entry Legal Letter - Parent/Guardian (English)

Appendix JJ: Right of Entry Legal Letter - Parent-Guardian (Arabic)

Appendix JJ: Right of Entry Legal Letter - Parent-Guardian (French)

Appendix JJ: Right of Entry Legal Letter - Parent-Guardian (Haitian Creole)

Appendix JJ: Right of Entry Legal Letter - Parent-Guardian (Nepali)

Appendix JJ: Right of Entry Legal Letter - Parent-Guardian (Pashto)

Appendix JJ: Right of Entry Legal Letter - Parent-Guardian (Somali)

Appendix JJ: Right of Entry Legal Letter - Parent-Guardian (Spanish)

Appendix JJ: Right of Entry Legal Letter - Parent-Guardian (Swahili)

Appendix KK: Transfer Ownership Letter - LHCO

Appendix KK: Transfer Ownership Letter - Lead Hazard Control Order (English)

Appendix KK: Transfer of Ownership Letter - Lead Hazard Control Order (Arabic)

Appendix KK: Transfer of Ownership Letter - Lead Hazard Control Order (French)

Appendix KK: Transfer of Ownership Letter - Lead Hazard Control Order (Haitian Creole)

Appendix KK: Transfer of Ownership Letter - Lead Hazard Control Order (Nepali)

Appendix KK: Transfer of Ownership Letter - Lead Hazard Control Order (Pashto)

Appendix KK: Transfer of Ownership Letter - Lead Hazard Control Order (Somali)

Appendix KK: Transfer Ownership Letter - Lead Hazard Control Order (Spanish)

Appendix KK: Transfer of Ownership Letter - Lead Hazard Control Order (Swahili)

Appendix LL: Transfer of Ownership Letter - NONC/OV

Appendix LL: Transfer of Ownership Letter - Notice of Noncompliance/Order to Vacate (English)

Appendix LL: Transfer of Ownership Letter – Notice of Noncompliance/Order to Vacate (Arabic)

Appendix LL: Transfer of Ownership Letter – Notice of Noncompliance/Order to Vacate (French)

Appendix LL: Transfer of Ownership Letter – Notice of Noncompliance/Order to Vacate (Haitian Creole)

Appendix LL: Transfer of Ownership Letter – Notice of Noncompliance/Order to Vacate (Nepali)

Appendix LL: Transfer of Ownership Letter – Notice of Noncompliance/Order to Vacate (Pashto)

Appendix LL: Transfer of Ownership Letter – Notice of Noncompliance/Order to Vacate (Somali)

Appendix LL: Transfer of Ownership Letter - Notice of Noncompliance/Order to Vacate (Spanish)

Appendix LL: Transfer of Ownership Letter – Notice of Noncompliance/Order to Vacate (Swahili)

Appendix MM: Completing the Childhood Lead Exposure Interview and Questionnaire (Job Aid)

Appendix MM: Completing the Childhood Lead Exposure Interview and Questionnaire (Job Aid) (English)