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20 Y L JU



Got Butterflies?


The Power of a Satisfied Relationship


Organizing & Substituting


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ome 20 years later and I still can’t get through a 4th of July without recalling what might have easily turned into a tragedy. It started out as a fun block party for all the neighborhood parents and kids. We set up tables for food and drinks, and made safety a priority, making sure hoses were at our fingertips in case a wayward firework landed on a rooftop or near anything flammable. Kids lined up in a row next to parents anxiously waiting their turn with a sparkler. Ready. Set. What’s that smell? Turns out it was my daughter’s hair. With all the precautions we’d taken, the exuberant waving of a sparkler wasn’t one of them. Thankfully, we were standing right next to her and were able to react quickly enough to prevent anything worse than the loss of a tress of her hair. I however, am still traumatized by what could have happened and every year feel compelled to remind parents to keep their eyes, ears, and noses on high alert when igniting fireworks – even the presumably safe ones. Over recent years there’s been a lot of information about the potential hazards of peanut allergies, the most severe reaction being anaphylaxis, which can be fatal. But there are also a number of less serious reactions due to food intolerances. For a list of the most common food allergens, please be sure to read, “Kids with Food Allergies” by Dr. Waldo Henriquez of Family HealthCare Network, starting on page 18. Making sure our kids stay safe is at the core of our parenting skills. We also want our kids to grow into healthy happy adults, prepared for life. Although there is never a one-size-fits-all parenting manual, there are some basic guidelines to help parents navigate through the parenting maze. I once heard an analogy likening parenting a teenager to rowing a canoe over white water rapids. Your goal is to only keep the boat upright and save the teaching moments for a less turbulent time. On page 10 Tulare County Department of Alcohol and Other Drug Programs gives parents some simple tools for communicating with children about the dangers of substance abuse. If you’re looking for something to do indoors, “Picture it Framed” on page 16 and 17 by Virginia Strawser, executive director of ImagineU Interactive Children’s Museum, has a great project for preserving all the summer vacation memories. It’s simple and is sure to keep little hands busy. The staff at Raise wishes everyone a jubilant 4th of July, but most of all we want to see everyone here next month, so please stay safe.

Karen Tellalian, EXECUTIVE EDITOR For more information or to submit a story idea, email or call (559) 739-1747 or fax (559) 738-0909.

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0 Y 2 JUL

Gardening Got Butterflies?


PUBLISHED BY DMI Agency 801 W. Main St. Visalia, CA 93291 EDITORIAL Executive Editor Karen Tellalian Assistant Editor TAYLOR VAUGHN Content Editor Kyndal Kennedy ART & PRODUCTION Art Director ROSS Yukawa Graphic Designer CHRIS BLY

in this issue




16 Arts & Crafts

The Power of A Satisfied Relationship

18 Health



23 Happy Trails

Facing the Fourth

Jesus & Adriana Gonzalez JUSTIN & REBECCA REYNOLDS

24 Adventure

10 Positive Parenting

25 Dental

28 Calendar

Keeping Your Child Happy, Healthy and Productive!

14 Reading List

31 Resources

Picture Books to Help Youngsters With Social Issues

26 Family Focus

Strengthening Families Protective Factor #5: Concrete Support in Times of Need

30 Safety 4

Teen Suicide - A Serious Matter

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Susan Schieferle

BUSINESS MANAGEMENT Malkasian Accountancy LLP Gary Malkasian CPA JEFFREY Malkasian EA Operations Manager Maria Gaston ADVERTISING SALES Advertising Director Bridget Elmore

Organizing and Substituting: Make Nutrition A Piece of Cake

STEM – A Challenging and Promising Field



Account Executive Bryce McDonald

22 College Prep


Virginia Strawser

20 Nutrition

Billie Shawl Crystal R. R. Edwards

Raise Magazine is distributed in Visalia, Exeter, Woodlake and Tulare. If you would like copies available at your business, call 559.739.1747 Raise Magazine is published 12 times a year and distributed at hightraffic locations in the South Valley area. For a list of locations, call the DMI Agency office. Views expressed in columns are those of the columnist and not necessarily those of DMI Agency or its advertisers. © 2013 DMI Agency

SALES OFFICE 801 W. Main St. Visalia, CA 93291 559.739.1747 • Fax 559.738.0909 VIEW THE MAG ONLINE!

ON THE COVER: Krista Brooks, 4, of Tulare. Photo by Janette Smith Photography.

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Researchers now realize the spousal/partner relationship can have the greatest effect on their child’s well being and is the foundation for the child’s development. John Gottman’s extensive research of over 40 years of studying couples indicates this to be true. His research reports conflict increases by eight times just in the first year of a child’s life, and 67 percent of all parents report a significant drop in their relationship satisfaction that first year. The birth of a child can be one of life’s greatest joys, and yet with that comes uncharted territory, changing roles, new sacrifices, and changes in most aspects of our partner relationship. When children live in homes where parents are not satisfied and when tension and conflict exist, children suffer. The research is clear that the stress of relationship dissatisfaction can take its toll not only on your own well being, but that of your children as well. This tension can lead to cognitive difficulties, behavioral problems, depression, anxiety, and increased anger and physical illness in kids. Parenthood is challenging and creates numerous situations where conflict is inevitable. You are encouraged to discuss issues of


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of A Satisfied Relationship Kristin Sorensen Alldredge, Licensed Marriage and Family Therapist, Certified Gottman Therapist, The Helix Group


any of us have the notion that the way to ensure our children do well is to increase or change the quality of our parenting style. It can be a bit overwhelming to see the numerous parenting classes and trainings for couples to learn how to fix their parenting concerns. Sometimes, however, it may be just as important to examine our effectiveness as parents in another way. It may not be our parenting style that needs attention, but rather the parents’ relationship itself. Our interactions with our spouse/partner have great influence on our children’s attitudes and achievements, as well as their ability to get along with others and manage conflict.

importance and it’s okay to disagree. It is how you fight and discuss the matters that is important. Gottman’s research refers to the “Four Horsemen of the Apocalypse” as the four negative behaviors that are toxic to a relationship. They include criticism (attack, blame the other), defensiveness (attack back, deny responsibility), contempt (superiority, condescending, disrespectful) and stonewalling (withdraw, no response). When these behaviors are used frequently, a couple is headed for a decline in their relationship satisfaction. These behaviors have also shown to be predictors of divorce. The “Masters of Relationships” (couples who are happy and stay together), navigate the challenges of parenting together as friends and partners. They start conversations softly, stating what they feel and need, without blame. They listen, respond and ask questions of each other. They show love and interest in each other. They have learned to manage their conflicts (yes they have conflict!) with respect, void of criticism or contempt. They make their relationship and intimacy a priority by keeping updated in their partner’s world, expressing fondness and admiration, turning towards each other (not away) for

connection, and managing their conflicts with a positive approach. This relationship can then create an atmosphere in the home that encourages each person to talk honestly about their aspirations, hopes, and dreams while feeling supported. Children usually thrive in these households where the parent relationship is positive and gets its needed attention. When parents demonstrate this successful modeling of a positive relationship, they increase the chances of their children becoming adults with satisfying relationships. When the couple’s relationship is happy, and the Four Horsemen are absent, children typically have greater success in school, have less physical illness, and show greater ability for emotional connection. There is a direct causal affect in the strength and satisfaction of your couple relationship and your child’s well-being. Happier relationships = happier children.

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Facing the Fourth Text by Crystal R. R. Edwards


eople were crowding in from every side. I lifted the two large, over-filled lemonade slushes a little higher as I goose-stepped past children, dogs, and Red Rider wagons with trailing decorations. People were surging up and down the green in front of the bandstand just after the end of the parade. We were two towns over, taking in the noon hometown parade and browsing the fair.


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HUMOR Donald and my three children were off at the petting zoo, getting their fill of little bunnies, pygmy goats and piglets. I had been sent on a mission to secure drinks for the group, the kind of mission I enjoy, in theory. Our group of communities and towns is filled with fascinating people: farmers, ranchers, college professors, software professionals, artists. A walk through the crowd is a visual feast, and neighborly customs prevail, which means you can strike up a friendly, fun conversation with whoever is next to you in the funnel cake line. I love all of it. Or the idea of it, anyway. The reality is that several thousand people were packed into a corner of the park that slopes, kids were below my line of sight on their tricycles with steamers of red, white and blue crepe paper floating off them, dogs on leashes were winding through everyone’s legs, and I was spilling lemonade down my arms and onto my shoulders as I rolled, dodged and jumped-rope over the whole mess. I was rapidly losing my sunshiny public demeanor and my makeup was being sweated off. By the time I reached the gate of the petting zoo to let Donald know I’d returned, one of my children was grappling with a calf and another had climbed the base of a tree, screaming that the goats were attacking. The third was sitting on the ground, having a stare-down with a goose and nursing a nipped knee. Donald was smiling serenely and feeding a chicken. The Fourth of July is, like many holidays with my family, an abstract sort of affair. Norman Rockwell moments become interrupted by scenes out of a Buster Keaton movie and Rosemary’s Baby. There’s no way to predict when everything will fall apart, and I spend the majority of my time trying to plan and control the action to reduce – note, I didn’t say “eliminate” – these chaotic breakdowns. Donald, on the other hand, is all zen. He sits back and watches mayhem unfold like a well-pleased Loki. For being a quiet and undramatic person, he seems to enjoy the brouhaha. He gathered up my injured, terrified and rodeo-bound band and ushered them out the gate. I handed around lemonades with the directive to share, and we decided to return to the car. We had planned to drive home, have a cookout and run through the sprinkler, then return for the evening’s fireworks, which we had assumed would be better than the ones provided in our hometown. And this is mostly what happened, until Tapper threw up before we could even turn the sprinkler on. When I was a child, a puking kid wasn’t much of a surprise on the Fourth of July. We’d all stuffed ourselves with cotton candy, candy cigarettes, wax pop bottles, Mr. Pibb, an elephant ear and at least a pound of saltwater taffy. The adults would just move the ill child off the picnic blanket and give them a bottle of 7-UP and tell them to let someone know when the heaving stopped. It was a natural part of the festivities. But our children had only had bowls of cereal that morning and we hadn’t had our lunch yet. This indicated a virus, and we’d all just shared lemonades. This is about when I started to panic. In a flurry of wrist-toforehead movements I’d determined the temperature of each child, giving two clean bills of health and being slightly annoyed by the one that was sick. We were going to miss the fireworks.

He wasn’t going to be able to eat the pickled green beans I’d bought at a stall that morning. He wasn’t going to be able to play in the sprinkler. To me, the holiday was ruined. I could feel the urge to control everything gearing up to go on a real tear. Donald spoke up. “Let’s watch some Dr. Who, buddy, and you can lie down next to me.” The love seat in my bedroom was situated just-so, a trash can was lined with a fresh bag, and my two guys sprawled out to watch the Doctor and Sarah Jane Smith prance about on a really bad spaceship set, trying to escape a monster made of green-painted bubblewrap. Just like that, the crisis was managed and I was indirectly given the order to stand down. I will never understand how my high-strung, perfectionist and stern (oh yes, it’s true) personality was able to mesh so easily with Donald’s laid-back, optimistic world view. But mesh it has, and the result is that crises become just another funny story, chaos becomes leaven in the lump, and drama is simply something to be dealt with and moved forward from. Suppertime arrived and Tapper was napping in front of the television (Sarah Jane Smith had, once again, tripped on a mote of dust and sprained her ankle). The rest of us – Donald, myself, our two daughters and two guests – ate and talked and joked. Eventually Tapper wandered out of my bedroom, rumpled and pink-cheeked and very interested in brisket and those pickled green beans. I decided not to fight it and gave him some. He kept it all down. My father-in-law, John, one of our guests, lives in a house right across from the large park in town. The local Jaycees were putting on a small fireworks show there and we were sure Tapper would be furious with us, as only a four-year old can be, if he were to miss any fireworks at all. We decided to sit in John’s front yard and watch the show, close enough to necessities if Tapper was sick again, but hopefully fulfilling at least some part of a child’s expectations for the holiday. In actuality, we ended up across the street at the park itself where the view was better, sprawled on quilts and slouching in canvas chairs for the show. Tapper was fine, curled up in Donald’s lap and squealing and laughing with every large explosion. He was on the mend. In the flashing of the fireworks, Donald turned to me and smiled. “See?” he said. “This is good.” And it was. It wasn’t the huge show we’d planned to attend. It wasn’t set against the backdrop of a bandstand and fair food. There wasn’t a bouncy house or pony ride to entertain the children. There was nobody wandering through the crowd, selling glow-in-the-dark necklaces and light sticks. It was a group of pickup trucks backed onto the field, coolers, neighbors, and laughing children under a sky lit up with fireworks and startled egrets. It wasn’t my pre-approved and planned AllAmerican holiday, but it was probably a lot more true to the haphazard holidays of my childhood in the Ozark mountains, where every drunk uncle had a Roman candle and every sober aunt had a bottle of 7-UP ready for the puking kids. Next year, I’m buying two pounds of saltwater taffy and a case of 7-UP. Bring it on, Fourth of July. If I crumple, my second-in-command can take you.

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Keep Your Child Happy, Healthy And Productive! Text by Tulare County Department of Alcohol and Other Drug Programs


s parents, we want to protect our children so they are healthy, happy, and prepared for life. One important parenting goal is to raise healthy, productive children to become successful adults. There are countless discussions and lessons that need to take place to ensure our children have the appropriate tools, social- and problemsolving skills, and the ability to make educated decisions on their own. Many of these conversations involve adult subject matter, such as teen pregnancy, sexually transmitted diseases, communication with authorities, self-esteem, and relationships. In addition, children need to know how to deal with emotions, bullying, violence, finances, and – as we’ll discuss this month – drugs and alcohol. The need for parents to talk to their children about drug abuse has been an ongoing movement for several decades (at least since Mrs. Reagan began the “Just Say No” campaign in the early 1980s). There have been commercials, campaigns, classroom education, and radio broadcasts informing parents of the need to communicate with their children about any potential exposure to drugs and other substances. It’s not a new concept, but it is an ongoing requirement. In fact, it may be more necessary than ever now, when considering the prevalence of methamphetamines and the emergence of pharmaceutical drug abuse. These substances have unparalleled harmful effects and often irreversible consequences. For that reason, Tulare County Alcohol and Other Drug Prevention Services would like to offer you some tips to successfully initiate anti-drug conversations with your children.


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Tulare County Alcohol and Other Drug (AOD) Programs developed the Substance Abuse Prevention Coalition, which was formed in September 2012. Coalition members include: Tulare County Mental Health staff, law enforcement personnel, educators, community advocates, treatment providers, parents, and youth. The objective of this coalition is to reduce substance use disorders, marijuana use, and alcohol consumption by minors in Tulare County. The discussion topics listed below have been identified by the coalition as key talking points to help prevent underage alcohol consumption and substance use. 1. Start Early / Talk Often. It’s never too early to have age-appropriate, honest conversations with children that will enhance their ability to abstain from substance use. This could begin with conversations to build self-esteem, which decreases the negative impact of peer pressure. Initiate conversations with children at a young age so children know it is okay to come forward with their concerns regarding drugs or alcohol. 2. You don’t have to cover everything all at once. The anti-drug message can and should be an ongoing conversation, and the more often it is discussed, the more likely it is that your children will understand your concern for them. 3. You don’t have to know it all. It’s okay not to have all the answers, and it may be more important to listen to what children have to say; doing so might help us to connect with them at their level. 4. Understand that you as a parent lead by example. What you do will often be viewed as acceptable behavior by your children. 5. Develop clear expectations. It’s easy to assume our children know what we expect of them. Express clearly your expectations regarding abstinence. 6. Keep them busy. Children and young adults are passionate about the things that interest them. Do your best to facilitate and support these activities, and be involved with children’s choices that are positive and healthy. The list above is not all-inclusive and, depending on your child’s age, personality, and experience, some approaches may work better than others. However, rest assured our children will receive information regarding drug use from one source or another. As parents or care providers, we are educators, role models, and leaders in our children’s lives. We all have the ability to ensure our children are aware of the dangers of substance abuse and to reinforce healthy, productive lifestyles.


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GOT If not, start a butterfly garden! Text by Susan Schieferle, Master Gardener, University of California Cooperative Extension


very child loves to watch butterflies in the garden. The butterflies gracefully flitter from flower to flower, pollinating plants and crops. Have you ever wondered what butterflies do when they land on flowers? Well,

they are pollinating blossoms with nectar – they have long tongues from which they remove the nectar.

Creating a beautiful butterfly garden or container garden is easier than you think. Let’s begin by learning some new vocabulary for butterfly gardens:


Chrysalis: the cocoon of a butterfly. Host plant: plants caterpillars eat and depend on for food. Larva: a young, wingless, wormlike form, such as a caterpillar, which hatches from the egg of a butterfly. Nectar: a rich, sweet liquid of a plant that attracts butterflies to pollinate the flower of the plant. Pollen: a fine powder produced by certain flowering plants. Pollinate: when certain insects (butterflies) help flowers and plants create seeds that grow into fruits and vegetables (by spreading pollen).

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Wood Industries will provide a FREE gallon bag of garden soil to any child who stops in to start a garden project! 7715 Ave. 296, Visalia 559.625.9426


Introduce your child to the butterfly metamorphosis process. The butterfly has a four-stage life cycle. 1. The butterfly lays an egg on the undersides of a leaf of favorite plant. 2. The larva (caterpillar) hatches from the egg. 3. The chrysalis is spun. 4. The adult butterfly emerges.

Let’s Get Started! Creating a garden for butterflies requires, sunshine, shelter from wind (against a fence or wall), host plants, and a water source. Butterflies need both host plants and nectar plants to provide pollination. Host plants are eaten by caterpillars. Nectar plants provide food to adult butterflies. First: a spot in your garden for a host plant(s) and a nectar plant(s) or a large container, or one of each. You need at least six hours of sunlight a day. Second: amended garden soil or container soil. Third: a host plant. (Suggestions for host plants for Tulare County: milkweed, coneflower, penstemon, hollyhock, hibiscus.) Fourth: a nectar plant. (Suggestions: coreopsis, verbena, aster, butterfly bush, zinnias, bee balm.) Fifth: plant your host and nectar plant(s). Be sure to dig holes wider and deeper than the purchased plant. Gently massage the roots before placing into the ground. Water slowly and deeply. Make sure your “butterfly garden” has a consistent source of water. For my garden container, I chose Penstemon (red, trumpet-like flowers) for my host plant, and Butterfly Bush (blue elongated flowers) for my nectar plant. Because I like to plant in clusters of three, I also chose a Coneflower (another host plant) for my garden area. Penstemon flowers also attract hummingbirds. I am so looking forward to more butterflies in my garden!

June Review: Your sunflowers should be growing tall by now! Sunflowers can also be a host plant for butterflies. You may want to incorporate them into your butterfly garden. July Gardening Tip: Be sure to cut dead flowers off of plants (deadhead). If you see unwanted insects on your butterfly garden plants, pick them off and/or use insecticidal soap. July is a hot month, so be sure ALL your plants and flowers get plenty of water. Watering slowly and deeply is a good practice. R A I S E M A G A Z I N E | J U LY 2 0 1 3



Picture Books

to Help Youngsters With Social Issues Text by Lee Littlewood


reat picture books can be strictly entertaining, or they can impart helpful wisdom. In some cases, they do both. These books aim to offer advice to assist youngsters in their numerous issues, from the fear of the dark to grumpiness.

The Dark by Lemony Snicket; illustrated by Jon Klassen. Many children are afraid of the dark. Instead of patronizing youngsters for their fears and telling them there’s nothing to be afraid of, Series of Unfortunate Events author Lemony Snicket tries another approach. In this low-key but hopeful tale, a boy named Laszlo is afraid of the dark that is sometimes behind the shower curtain, sometimes in the closet, but especially the dark in the basement. Snicket gives personality to the dark, which in turn convinces Laszlo to confront it. With flashlight in hand, the timid boy visits the basement and finds a drawer with little light bulbs, which he decides to use for a nightlight. The darkness, less scary now, speaks to the boy about its importance. It tells Laszlo that without the dark closet, clothes wouldn’t have a place to hide; that without a shower curtain, water would splash everywhere, and that “without the dark, everything would be light, and you would never know if you needed a light bulb.” The dark tells Laszlo it’s not afraid of him, and that’s why it’s always close by. Klassen’s weathered-looking gouache pages give off a vintage nighttime glow, which feels smartly a tad grown-up, without the cliche’ teddy bears and primary colors of many bedtime books. The Story of the Little Piggy Who Couldn’t Say No by Sabine Ludwig and Sabine Wilharm. The Power of Negative Thinking is the title of Bobby Knight’s new book, and though this energetic tale is age-appropriate, it imparts the same wisdom – that it’s okay to stand up for


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yourself and say no if it feels right. Perfect for children who find it difficult to say no to their friends, the tale stars a little piggy that just wants to go to the beach, but everyone keeps taking her toys. A dog borrows her inner tube, a cat needs her sunhat, and a badger gobbles up her cookies. Rhyming text makes the tale fun, while soft, whimsical illustrations offers lots of animalthemed outdoor activity to gaze upon. Eventually Little Piggy gets upset and shouts “no” to her opportunistic friends, who then help her out of the mud she falls in. It all ends up an exciting romp; and youngsters ages three to six will take away a strong message of standing up for themselves and sticking to their convictions. Let’s Go, Hugo! by Angela Dominguez. Timid children will enjoy this lovely, encouraging tale of Hugo – a little birdie who’s afraid to fly. He’s perfectly content on the ground, and when he meets a new friend, he shows her all the ground has to offer – popcorn, fountain play, a ballet in the park to watch. But when his pal Lulu flies home, Hugo gets sad and enlists the help of a wise old owl pal, who explains that with practice, Hugo will soar. Adorably, when the pair practice flying, “there were many ups ... and many more downs,” and Dominguez’ illustrations of Hugo flopping about are cute as can be. Happily, when Lulu comes back the next day, she encourages Hugo with, “It’ll be another adventure we can do together. Except this time, instead of exploring the park, we’ll explore the sky.” Hugo can’t resist, and the pair fly, even zipping past the Eiffel Tower in the process. Irresistible colored pencil illustrations, a fun Paris setting and a sweet, gentle story add up to an A+ tale of preschool courage. Cheer Up Your Teddy Bear, Emily Brown! by Cressida Cowell and Neal Layton. The fourth book in a fantastic picture book series by Cressida Cowell and Neal Layton, this tale, filled with childlike drawings, aims to banish the blues and teaches preschoolers an important lesson about self-reliance. When Emily and her sidekick bunny Stanley meet a very unhappy teddy bear, they pull out all the stops to make him happy. They visit Australia and then Yellowstone Park and even the south of France. Still, the “Tearful Teddybear” whines in a black cloud that he’s “a lonely only bear and I’m feeling very blue, I’ve got no teddy friends and there’s nothing here to do,” distracting his adventuresome friends until his bad mood cloud fills the sky and rain starts. Emily then puts up her red umbrella, which starts a change, and an array of teddy bears appears, who convince their unhappy friend that if he tries to smile, his whole attitude may change. Lesson imparted here? That with encouragement and friends, the reminder to be happy can easily be achieved.


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ATTENTION TULARE COUNTY PHOTOGRAPHERS Raise Magazine is looking for cover photo submissions

What kind of photos? Vertical format Children (ages 5-15), or children with pet No group photos Email photos to

Please submit high-quality, electronic files only. Photos are free to submit, but submission does not guarantee placement.

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Framed Picture It

Text by Virginia Strawser, Executive, Director, ImagineU Interactive Children’s Museum


e all have treasured photos we want to put on display. What better way to display than to customize your frame to reflect the content of the picture? With vacation time here, this is the perfect time to frame your photos and bring a piece of that great trip back home! If you’re at the beach, have the kids collect sea shells and small pieces of sea tumbled glass. If you go to the mountains, acorns adorn a frame nicely. Some fishing flies or bobbers for that special catch of the day photo add a nice touch.

What you will need: 1. Picture frame with flat surfaces 2. Colorful ribbon 3. Buttons, jewels, shells, rocks, or whatever you desire 4. Glue that dries clear Directions: 1. Cut sections of ribbon to fit your frame. 2. Run a line of clear drying glue over the surface of the frame. 3. Place the ribbon on the glue and press it down. 4. Drop dollops of glue onto the ribbon, based on the size of the object you are gluing to the frame. 5. Press your treasures into the dollops of glue. 6. Put a photo in and you’re done!

Tips: Wipe up any excess glue as it may not dry clear. Larger objects may require hot glue to hold them in place. Glue guns should be used with adult supervision only. Keep the frame lying flat until it dries completely. Using an opaque ribbon lets some of the color of the frame through. Use this idea to frame all your photos. For sports, recitals, graduation, baby, or birthday photos – you can use small stickers or craft objects along with other items. Anything will work that brings out the nature of that special moment in time you want to remember forever.

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Kids with

Food Allergies

Text by Waldo Henriquez, MD, Family HealthCare Network


arents are concerned about food allergies – something very common in children. Learning how to recognize an allergic reaction will help you get your child the medical care needed if a reaction occurs. The concern exists when a severe reaction occurs, and parents and schools are aware of this. However, not all the symptoms or signs developed after food ingestion are considered an allergic reaction. Children with a true food allergy usually have one or more symptoms that can range from skin rash, trouble breathing, vomiting and diarrhea, and/or a generalized reaction called anaphylaxis (a severe, potentially life-threatening allergic reaction). What is a Food Allergy? Food allergies occur when the body overreacts against a substance (food) that is eaten. This substance is a protein and the reaction occurs shortly after the food is ingested; the reaction can be mild, moderate or severe. The body reacts to the food as if it was harmful to the body, and as a result, the body’s immune system (which fights infection and disease) creates antibodies to fight the food allergen. The next time a person comes in contact with that food by touching or eating it or inhaling its particles, the body releases chemicals, including one called “histamine,” to protect itself. These chemicals trigger allergic symptoms that can affect the respiratory system, gastrointestinal tract, skin or cardiovascular system. Common Food Allergens Children can be allergic to any food but there are eight common allergens that account for 90 percent of all reactions in kids. 1. 2. 3. 4. 5.

Milk Eggs Peanuts Soy Wheat

6. Tree nuts (such as walnuts and cashews) 7. Fish 8. Shellfish (such as shrimp)

Food Allergy Reactions Food allergy reactions can vary from person to person. Persons can develop skin reactions, including hives found on different parts of the body, or have signs of skin eczema or atopic dermatitis (patchy, dry, red and itchy rash). Food allergy per se is more common in children who have atopic dermatitis. Breathing problems include sneezing, wheezing or throat discomfort, but many children have asthma (cough, wheeze, trouble breathing) or allergic rhinitis (sneezing, watery or itchy eyes, stuffy or runny nose). The gastrointestinal system (mouth, throat, esophagus, stomach and bowel) can also be affected and patients can have vomiting or diarrhea, but also mouth swelling, reflux, abdominal pain or bloody stools.


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The worst reaction is anaphylaxis which can be fatal causing difficulty breathing or a drop in blood pressure. Because there are many reactions that can be confused with food allergies, it is important for parents to know the difference. Food Intolerance vs Food Allergy Food intolerance is not the same as a food allergy. Food intolerance is caused by other properties of foods that can lead to children having symptoms of inappropriate digestion or malabsorption, such as diarrhea. Other types of illnesses or symptoms that are sometimes confused with food allergies are food poisoning, drug side effects, or skin irritation. There are different tests physicians will use to make the diagnosis of a food allergy, including skin or blood tests. However, keeping a food diary is an ideal way to identify specific foods that can cause symptoms. Outlining your child’s symptoms (how often the reaction occurs, the time it takes between eating a particular food and the start of the first symptoms, and whether family members have allergies or conditions like eczema and asthma) will be helpful for you and the physicians. If a physician suspects a food allergy, you will likely be referred to an allergy specialist who will ask more questions, perform a physical exam, and probably perform tests to help make a diagnosis. Treatment After diagnosing your child with a food allergy, your allergist will help create a treatment plan. No medication can cure food allergies, so treatment usually means avoiding the allergen and all foods that contain it. You and your child’s allergist and physician should work together to develop a written food allergy emergency action plan to give to the school, childcare provider or any other caregivers. The good news is approximately 80 to 90 percent of children by the age of five will outgrow the food allergy – with the exception of kids with a food allergy to tree nuts, peanuts and shellfish, which are rarely outgrown. Therefore, it is important for parents to check food label information at the store and be careful with food you order your child at any restaurant you visit.

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Organizing and Substituting:

Make Nutrition A Piece Of Cake

Text by Justin and Rebecca Reynolds


ometimes the best way to increase nutritious eating is to get organized in the kitchen. Growing up, my mother had about 30 different cookbooks that I never saw her use, and a small brown wooden recipe box with index cards of homemade recipes that she used regularly. I watched her struggle and search through her small wooden box many times in order to finally find the wanted recipe. As a mom who attempts to feed her own children with homemade meals, I have decided I would save my cabinet space and limit myself to three cookbooks I actually use, and one homemade cookbook binder that compiles the other delightful recipes I get from magazines, family members, friends, etc.

To start your knew family cookbook or recipe binder, just grab an old binder or booklet you have floating around and add some three-hole paper to it. You can tape in recipe cards, cutouts from magazines and then have the ability to write in the margins, above and below the recipe. If you ruin a page cooking by it or it gets torn, just handwrite the recipes onto a clean sheet White flour: whole wheat or almond flour (or for a glutenfree option, use a can of black beans – drained and rinsed – for one cup of flour) Oil or butter: applesauce, mashed banana Butter: avocado puree, olive oil Reduced-fat peanut butter: natural peanut-butter Sugar: stevia Chocolate chips: cacao nibs for chocolate chips

and dispose of the ruined one. Having the room to write makes it easy to add substitutions and alterations to your recipes. We love our homemade cookbook, and I love to adapt the recipes to make them even more nutritious and beneficial for my children’s little growing bodies. Here’s a list of some simple and easy ways to substitute in your cooking:

White rice: brown rice Mashed potatoes: mashed cauliflower Bread crumbs: rolled oats Canned beans: dry beans Pasta: whole wheat pasta Eggs: two egg whites Cream: coconut milk Sour cream: plain greek yogurt Iceberg lettuce: arugula, romaine, spinach, or kale Tortilla wraps: lettuce leaves

Flour tortillas: corn tortillas Croutons: nuts Milk or white chocolate: dark chocolate Potato chips: popcorn (a whole grain) Ice cream: frozen yogurt Syrup: pureed fruit (my kids love this when I warm it up like syrup) Salt: garlic powder

Try using these two easy delicious and nutritious breakfast recipes from “Our Best Bites” by famous bloggers and cooks, Sara Wells and Kate Jones. Get creative with adding or subbing in the recipes – enjoy!


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Double Chocolate Waffles (Don’t be afraid—these are made with cocoa and have very little sugar!) Ingredients:


⅔ C flour ⅓ C cornstarch ¼ C unsweetened cocoa powder ¾ tsp baking powder ¾ tsp baking soda ¼ tsp salt ⅛ tsp cinnamon 6 T granulated sugar 1 C milk ⅓ C vegetable oil (coconut oil works great too!) 1 egg 1 ½ tsp vanilla ½ C mini chocolate chips Toppings can include peanut butter, real maple syrup, jelly, or just real butter (that’s how my little ones eat them!)

Preheat waffle iron. In a bowl, whisk together flour, cornstarch, cocoa powder, baking powder, baking soda, salt and cinnamon. In a separate bowl, whisk together sugar, milk, oil, egg, and vanilla for about 1 minute, or until it gets frothy. Slowly add the wet ingredients into the dry ingredients a little at a time, whisking until just combined; be careful not to over-mix. Stir in the chocolate chips. (This is a pretty thin batter, so don’t be expecting pancake batter.) You shouldn’t have to grease your waffle iron. Ladle batter into waffle iron, being careful not to overfill. Bake according to the instructions for your waffle iron.

Baked Ham and Egg Cups (These can be made ahead of time and warmed up for a quick, high-protein breakfast.) Ingredients:


4 eggs 1 C egg substitute (or an additional 4 eggs) ¾ C shredded sharp cheddar cheese ¼ C Parmesan cheese ¼ C cottage cheese 5 oz. frozen spinach, defrosted, squeezed of water, and roughly chopped ⅓ C diced roasted red peppers 1 oz. finely diced ham, Canadian bacon, or crumbled bacon (about ¼ cup) ¼ C chopped green onions (I use a little bit of onion powder instead) ¼ tsp kosher salt ⅛ tsp freshly ground black pepper ½ tsp hot sauce, like Tabasco or Cholula (I omit this for the kids) 12 slices deli ham

Preheat oven to 350 degrees F. In a bowl, combine all ingredients (except ham slices) and stir well. Spray a muffin tin with nonstick cooking spray and place one piece of ham in each well to form bowl. Evenly divide the egg mixture between the 12 muffin wells (about ¼ C each), being careful to keep ingredients evenly distributed. You want them to fill right up to the top. Place in the preheated oven and bake for 15-20 minutes. The tops should be puffed and just barely set on top. Eggs will sink after cooling.

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A Challenging and Promising Field Text by Jesus and Adriana Gonzalez, Educational Consultants, ILEAD


ocal technology companies – concerned by a growing pool of jobs and an inadequate number of qualified employees – have increasingly focused on initiatives to improve what is known as STEM (Science, Technology, Engineering and Mathematics). National data has shown STEM occupations have grown three times faster than non-STEM careers over the last decade. It’s estimated one million additional STEM graduates will be needed over the next 10 to 15 years to fill economic demands. The challenge, however, is that many students and parents aren’t aware of the many fascinating STEM-related career paths, and hence, aren’t preparing for them.

As a result, numerous intervention programs have been developed specifically for middle and high school students to encourage their interest and learning in scientific disciplines in hopes of increasing the number of students in the pipeline to STEM careers. These efforts have provided challenging, supplemental educational opportunities for students, such as academic summer programs, distance education courses, competitions, internships, and mentoring programs. Many of these resources provide students with increased exposure to STEM content and career opportunities. Getting students excited often means looking outside the classroom. To discover interests and talent for the STEM fields, students need early exposure and encouragement to follow this strenuous, workintensive path. For ambitious students who want to potentially study engineering beyond high school, the objective is convincing them the challenging track is worth the slight drop in G.P.A., as experienced by many in comparison to their non-STEM peers. With the necessary exposure to engineers and the engineering field, students will understand more modest grades are perfectly acceptable given the higher demand and lower enrollment in these courses. Robotics clubs or county-wide competitions in the math and sciences are great places to begin exploring students’ interests in the STEM fields, and are typically open to students as young as fifth grade. The following elements are important in encouraging students 22

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to aim for mathematical and scientific careers, and many talent initiatives try to address these needs: Solid preparation from an early age in math and science Experience with hands-on content Awareness of the utility of school-based learning in the workplace Exposure to role models and mentors who work in these fields Access to peers who share these interests The STEM fields drive our nation’s innovation and competitiveness by generating new ideas, new companies, and new interests. Programs throughout the Central Valley, school and non-school based, connect students with coursework, post-secondary institutions, and future employers. Local student events sponsored by the Tulare County Office of Education include Cyber Quest, Science Fair and Science Olympiad, Math Super Bowl, Physics Day and Slick Rock Student Film Festival. The Expanding Your Horizons Conference is usually held yearly in October; this event is geared towards increasing young women’s interest in science, technology, engineering and mathematics by providing them with the opportunity to meet women working in these non-traditional fields. Early exposure and taking advantage of such events can help encourage students to pursue career paths into STEM, a challenging and promising field.


of Happy Trails Riding Academy Text by Happy Trails Riding Academy


ust like the variety of riders at Happy Trails Riding Academy, the therapy horses each have different background stories and experiences that have molded them into the perfect therapeutic companion. There are currently 17 horses in the Happy Trails herd and here’s just a sample of the hard-working, dedicated, wonderful equine therapists that work with our students each week: Danny is a former search and rescue and mounted patrol horse for the National Park Service. He is a beautiful 28-year-old chestnut quarter horse with a heart shape on his forehead. Danny’s dignified and calming personality gives students the courage to climb onto the back of such a big horse. He is sensitive to the smallest cues from a rider, yet still tolerant of a rider who struggles to sit in a balanced position. Danny’s wonderful life experiences, such as carrying

Happy Trails Riding Academy Therapeutic Horsemanship

For more information on Happy Trails Riding Academy, our program, the horses of Happy Trails, or volunteering, please visit our website at


Obstetrics Sonography Infertility Midwifery Gynecology Birth Control Novasure Essure Outpatient Surgery

Top: Eliza B. vaulting on Emma Left: Erin S. on Danny at CALNET Right: Kali S. riding Buddy at CALNET


For more information, contact:

(559) 688-8685

dignitaries like President George H. W. Bush and participating in color guard ceremonies, makes him a well-rounded therapy horse and an asset at therapeutic riding horse shows, such as CALNET. Emma is a 10-year-old, red roan, Belgian X Morgan. She has been with Happy Trails for two years and is one of the youngest and largest horses here. Although her size can make her intimidating at first, Emma’s gentle and loving personality shows students they can be kind and gentle on the inside, no matter what they look like on the outside. Emma’s large size makes her great for the Interactive Vaulting program at Happy Trails, but she also enjoys her time in the other Therapeutic Riding and Wounded Warrior classes. Buddy is a newer horse at Happy Trails. He is a 17-year-old quarter horse gelding who is already acting like an old pro. His past experience as a cattle and ranch horse has taught him to be very calm and patient and he demonstrates this with every single rider at Happy Trails. A favorite of the students in the Equine Facilitated Psychotherapy (EFP) and Therapeutic Riding classes, Buddy teaches students how to stay calm, cool, and collected in all situations. Buddy even made his debut at the CALNET show this past May, where he helped the Happy Trails riders bring home several winning ribbons and make memories that will last a lifetime.

Dean B. Levitan, MD Doug McKee, MD Nick Weibell, DO Rita Barron, FNP, CNM Location: 2773 E. Oakdale Ave. Tulare, CA 93274

Mailing: P.O. Box 572 Visalia, CA 93279

559.741.1202 1700 S. Court St., Suite B, Visalia, CA 93277 |

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hat comes to mind? Brad Pitt? A River Runs Through it? Then, we are on the right track … well, sort of.

First, some facts: a fly fisherman is called an angler. The artificial “fly” is cast using a fly rod, reel and specialized weighted line. Casting this nearly weightless “lure” is quite different from traditional fishing, so if you are a practiced fisherman, but haven’t tried your hand at fly fishing, this is sure to be a treat. One more fact: Sierra Fly Fisher is the first National Parksapproved Sequoia fishing guide service to ever be permitted to fish the Sequoia and Kings Canyon National Parks. Get out of the heat and take the short drive to the mountains with the family where the weather is cooler and the water is sparkling to try your hand at fly-fishing in the beautiful Sequoias. Not only does this adventure take you to the beautiful outdoors, you have a chance to explore areas of Sequoia National Park many will not. Streams and rivers you’ll be enjoying could include sections of Clover Creek, Wolverton Creek, various stretches of the Kaweah and Kings rivers, and more. Several are very near Wuksachi Lodge, Lodgepole, Cedar Grove and Mineral King. Whether or not you are a die-hard fish-and-game enthusiast and want all the daylight you can get on the water, or you just aren’t too sure about what you are getting yourself into, you have options. Sierra Fly Fisher offers guided half-day and full-day excursions. All gear is provided and Sierra Fly Fisher’s expert guides offer a great introduction to the sport for beginning anglers as well as a lot of fun for experienced fishers. On this adventure you’ll want to wear neutral-colored clothing – nothing flashy or bright to scare the fish away – comfortable, quick-drying shorts and shirt, a light jacket, hat, sunscreen, and extra socks. Sierra Fly Fisher will provide wading shoes but for a short hike to the water front, you’ll want to wear a trusty pair of tennis shoes. They will also provide rods, reels, leader, tippet and of course, flies. Angling is a different approach to traditional fishing, but one that can be mastered by anyone at any age. The goal of the constant push and pull of the fly line is to imitate an insect on the water – which the fish are accustomed to seeing just before they strike. Expert anglers at Sequoia Fly Fisher will help you get down the right technique and then it’s up to you. After you’re all geared up, in location, and you’ve got the technique down, what will you be catching? There will be plenty of Rainbow Trout, and with help from the experts you may catch wild brown trout, brook trout, and if you’re lucky, golden trout. The fish in the High Sierras are not known to be picky – bad for them, good for you. To fish anywhere in California, you must have a fishing license. They are available online to purchase. All angling adults over 16 must carry one. There are one-day licenses as well as several options so pricing varies, to suit your needs. Go to: For more information and to reserve your adventure, visit


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Dental Sealants Everything you want to know! Text by Keith E. Williams, DDS, Williams Family Dental


hat are sealants? Most decay in younger patients occurs on the chewing surfaces of the back teeth (in the grooves on the top of the teeth). A sealant is a thin layer of plastic flowed into this grooves to help prevent decay.

Permanent molars, which erupt starting about age six, benefit most from sealant application, as well as second molars which come in around age 12. The sealant ideally is applied soon after the tooth erupts. For this reason, sealants are normally done on children between the ages of five and 15, although adults can also benefit from sealants in some circumstances. Sealants are easily applied by the dentist or hygienist in a few minutes without drilling or injections. The tooth is cleaned and then

the sealant is applied and hardened. Sealants can eliminate more than 80 percent of the decay in children so they reduce the need for fillings and more expensive treatment. People often ask if you can see sealants – looking closely the answer is yes. They may be white, clear or tinted; however since they are placed on back teeth, they are not seen in normally activity. Sealants do not replace the need for fluoride treatments. Sealants and fluoride work together to help prevent tooth decay. Sealants should be checked regularly and reapplied if lost. They typically last five to 10 years. By preventing decay, sealants protect the structure of the tooth. A filing when first done and when replaced removes tooth structure and further weakens the tooth. Use of sealants can save time, money and the discomfort associated with dental treatment. They are the first step in a lifetime of sound dental health and decay prevention.

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Strengthening Families Protective Factor #5

Concrete Support in Times of Need Text by Billie Shawl, Child Abuse Prevention Council


he Tulare County Child Abuse Prevention Council is focused on ways to prevent abuse and neglect. One prevention strategy is to emphasize ways to give all families information and tools to make their families stronger. Five “protective factors” have been found, when present, help protect children. Working with families on these factors is a positive, strengthbased approach being adopted by an increasing number of programs in Tulare County that provide services to children and families. Hopefully it is an approach which can be used by family members, neighbors, service and faith-based organizations, and by you and me. The fifth protective factor, concrete support in time of need, is the last one in this series about Strengthening Families. The other factors are: parental resilience, social connections, knowledge of parenting and child development, and the emotional and social competence of children. Not being able to meet basic needs of children is a very difficult experience for parents. This recent period of economic downturn has given everyone more awareness about the stresses of financial insecurity. Programs and supports for children and families have been cut or have disappeared. The resulting unemployment and increase in poverty and homelessness, particularly here in the Central Valley, have resulted in an increase in the number of children referred to Child Welfare Services in Tulare County. It is estimated 40 percent of the incidence of child abuse and neglect are never reported. For families in crisis, there are many frustrations and challenges. Just getting around, going to the grocery store, paying the rent, providing clean clothes, buying school supplies, etc., can be extremely challenging. Some abuse to children is subtle, such as the emotional abuse resulting from name calling, blaming, and lashing out at a child in frustration and anger. Children often provide an immediate target for anger triggered by other things, but the children take the brunt of parental venting. Most parents can identify a time when they “lost it.” Many Tulare County residents do things to help families in need with concrete support. This is especially true during the holidays; food and toy giveaways are done by many community volunteers. It is especially painful to think children will receive no gifts or toys, while most of us have our wants and wishes easily met. But it is hard to remember to keep that same sense of generosity and concrete support in our consciousness the rest of the year.


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Many needs do not require a “program.” A ride to the doctor’s appointment, clothing children have outgrown, some extra groceries, furniture and linens that are no longer needed. Other kinds of support need agencies and programs to provide things such as energy assistance, housing issues, job-seeking skills and assistance, legal matters, etc. Monetary support of non-profits that provide ongoing help is always a welcome way to share with those in need. For those looking for help, it is easy to find it. Tulare County is one of the counties which use a central database accessible anytime by calling 2-1-1, a service provided by United Way of Tulare County. A person with access to the database answers the phone and can find resources using key words. Program and agency information and phone numbers are provided to the caller. This system allows everyone an easy way to know what help is out there and where it is. Helping families meet concrete needs helps us all. The fewer abused and neglected children in our county results in reduced trauma to children, and reduced services needed to overcome. It results in healthier communities focused on the well-being of all the children. It results in reduced costs to the taxpayer. An analysis released in May 2012 by the Prevent Child Abuse America estimated the costs of child abuse and neglect to taxpayers in the US to be over $80 billion for 2012. For more information about how to strengthen families, how to help recognize and prevent child abuse and neglect, and how to become engaged in promoting the well-being of children, call the Tulare County Child Abuse Prevention Council at 735-0456. Or go to the website at:



Be the solution


Join online!


Join CAPC for just $10 and become a part of the solution to child abuse and neglect in Tulare County. As a member, you will receive updates and the information you need to make a difference.






559 739 1747



Be counted. Be the solution.

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july 2013

calendar of events dates to remember

4th of July 10K/2M Race


Earth, Moon and Sun




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4 4th of July 10K/2M Race

The City of Exeter with the Exeter Kiwanis sponsors this event on the 4th of July. Registration: $25; Day-of registration (closes at 6:30 a.m.): $35. The first 100 participants receive a free t-shirt. When: July 4; 7a Where: Exeter City Park, E. Chestnut St. and S. “E” St., Exeter Contact: 592.5262 or YMCA Camp Sequoia Lake

YMCA Camp Sequoia Lake Youth Camp is a truly one of a kind experience. Your child (grade 3-8)will make new friends while discovering their talents in every exciting activity Camp Sequoia Lake Youth Camp has to offer. Providing quality camping programs since 1914, YMCA Camp Sequoia Lake creates an environment that encourages heartfelt laughter, interactive learning and personal growth. Activities include sailing, mountain biking, fishing, painting, soccer, archery and much more! Cost $602/child. When: July 7-12, 14-19, & 21-25 Where: Miramonte, CA Contact: 1-877-55-YCAMP or

10 Earth, Moon and Sun

How do the Earth, moon and sun work together as a system, and what is the myth and science behind it? Why does the sun rise and set? Why do we see different constellations during different seasons? What is an eclipse? Learn about the moon’s phases and orbit. Explore past and future space travel to our moon and beyond. Adults, $4; children under 12, $3. When: July 10; 2 and 3p Where: Pena Planetarium, 2500 W. Burrel Ave., Visalia Contact: 737-6334 or

Science Explorers

Pages with Piper

Bring the kids and watch them be fascinated by hands-on science experiments. Admission is $5/ person; kids under age two are free. When: Saturdays; noon-4p Where: ImagineU Interactive Museum, 700 E. Main St., Visalia Contact: 733-5975 or

Kids in grades K-4 can come and read to Piper, our trained Therapy Dog. She loves it! This is a great chance for students to practice reading skills and make a furry friend at the same time! Sessions can be reserved by calling the Youth Services Desk at 559-685-4519. When: Every Tuesday; 9-10a Where: Tulare Public Library, 475 N. M Street, Tulare Contact: 685-4500

Studio Saturdays

In Arts Visalia’s Studio Saturdays classes, students learn the drawing and painting process, art historical movements, and art vocabulary. When: 2nd & 3rd Saturdays; 12:30-3p Where: Arts Visalia, 214 E. Oak Ave., Visalia Contact: Kids’ Night Out

Parents, take this opportunity to make it a date night out or a relaxing evening at home! Let your kids (ages 5-12) come to The Lifestyle Center for a night of exciting games, swimming and fun topped off with dinner and a movie. Pre-registration: $5/members, $15/nonmembers. Day-of registration: $10/members, $20/non-members. When: 3rd Friday of each month; 5-8:30p Where: The Lifestyle Center, 5105 W. Cypress Ave., Visalia Contact: 624-3416 PACE

The Parent Agency Collaborative Effort (PACE) organization provides parents with the resources and opportunities to develop leadership skills as parents. Child care is provided for parents who bring their children, however, please contact Debbie Benavente prior to the meeting to make arrangements if you plan to bring your children. When: 3rd Monday of each month; 12:30-2:30p Where: Parenting Network, 1900 N. Dinuba Blvd., Visalia Contact: 624-7482 or

Tulare County Library

Mystery Readers (May 15, 6:30p) First Tuesday Book Club (May 7, 6:30p) Where: Tulare County Library, 200 W. Oak Ave., Visalia Contact: 713-2700 or AgVentures at Heritage Complex

Agricultural Learning Center and Farm Equipment Museum with nearly 15 professionally designed interactive displays. Children learn about science and technology, food and nutrition, environmental issues, social studies and more! When: Mon. – Fri.; 9-4p Where: International Agri-Center, 4450 S. Laspina St., Tulare Visalia Farmer’s Market – Harvest of the Valley

Weekly event open to the public featuring free live music, kids’ activities, cooking demonstrations and local, fresh produce available for purchase. The market also accepts EBT and WIC. When: Saturdays; 8-11:30a Where: Sears parking lot at Mooney and Caldwell, Visalia Contact: 967-6722 or

July 29- Aug 1 & Aug 5- Aug 8 10am-4pm Call for reservations... 559 733 5975 700 E Main St, Visalia visit

Art FAmily CAmps

Sponsored by Fresno Regional Foundation

$8 per person, per day (members $3) ages 2-adult Low-income, assistance available

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Teen Suicide A Serious Matter

Text by Adam Valencia, Tulare County Office of Education


uicidal behavior in teens can lead to tragic consequences. And with teen suicide as the third leading cause of adolescent death, it is important to realize the stakes in preventing teen suicide. Suicide is a major public health concern. Around 38,000 people die by suicide each year in the United States. When it comes to teen suicide, the statistics make it clear attempted suicide is a big deal, as it relates to the youth. Even though we do not hear a great deal about teen suicide, it is a very real problem, causing the deaths of thousands of teenagers across the country each year. Teen suicide statistics shed light on the problem, and offer insights as to who might need help, and how to help them. Many teenagers have thoughts of death; these can stem from a variety of causes, and can result in actual attempts on their own lives. It is important to take suicide attempts seriously. While there is no way to reliably figure the exact ratio of attempted suicides to completed suicides, the National Institute of Mental Health believes as many as 25 suicides are attempted for each one that is completed. That means that for every teen suicide you hear of, there have probably been at least 25 suicide attempts made. And that number does not cover the teenage suicide attempts and completed suicides that are never heard about. Understanding a teen suicide attempt is a call for help is essential in preventing a completed attempt later. Teen suicide statistics draw a correlation between gender and suicide. It is interesting to note there are some very clear indications that suicide is different for males and females, attempted and completed suicides alike. For example, males are four times more likely to die from suicide than females. However, teen girls are more likely than teen boys to attempt suicide. So, even though teenage girls make more attempts on their own lives than teenage boys, the boys are more likely to actually complete the attempt. They do not allow for intervention, and are less likely to “call for help� since there is often little opportunity to get males into treatment since their suicide completion rate is higher than that of females. For more information about suicide prevention, contact Tulare County Office of Education’s Choices Prevention Programs Supervisor Adam Valencia at (559) 651-0155, or Joe Aguilar at (559) 471-9544. The Choices Prevention Programs provide bullying and gang recognition presentations to schools throughout Tulare County.


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important numbers at a glance:

City Information • Tulare County website • City of Visalia website • City of Tulare website • City of Exeter website • City of Woodlake website • Visalia Parks & Recreation, (559) 713-4365

Other Important Numbers

Fire & Police

County & City

• Tulare County Fire Department, (559) 747-8233 • Visalia Fire Department, (559) 713-4266 • Tulare Fire Department, (559) 684-4300 • Exeter Fire Department, (559) 592-3714 • Woodlake Fire Department, (559) 564-2181 • Tulare County Sheriff’s Department, (559) 636-4625; (559) 733-6218 • Visalia Police Department (Non-Emergency), (559) 734-8116 • Visalia Police Department, Gang Suppression and Narcotics Unit, (anonymous tip hotline) (559) 713-4737 • Tulare County - End Gang Hotline, (888) 363-4264 • Tulare Police Department, (559) 684-4238; (559) 686-3454 • Exeter Police Department, (559) 592-3103 • Woodlake Police Department, (559) 564-3325 • Kings & Tulare County California Highway Patrol, (559) 441-5400

• Tulare County Services - United Way, Dial 2-1-1; • Delta Vector Control District, (559) 732-8606; • Tulare & Kings Counties Suicide Prevention Task Force (Non-crisis), (559) 624-7471; • Child Abuse Prevention Council, (559) 735-0456; • Child Abuse 24-hr Hotline, (800) 331-1585 • Domestic Violence/Shelters, (559) 732-5941, (559) 685-9515; • Sexual Assault 24-hr Confidential Hotline, (559) 732-7273; • Alcohol/Drug Programs, (559) 733-6123 • Parenting Network, (559) 625-0384; • Tulare-Kings Right To Life, (559) 732-5000; • The IRMA Network, (559) 732-5000; • Latinos4Life, (559) 732-5000; • 5ive5ive9ine (Teen Health), • Tulare County Animal Control, (559) 636-4050 • Visalia Animal Control, (559) 713-4957

Medical • Family HealthCare Network, • Kaweah Delta Medical Center, (559) 624-2000 Emergency Room, (559) 624-2213 • Visalia Walk-In Medical Clinic, (559) 627-5555 • Tulare Regional Medical Center, (559) 688-0821 • Tulare County Health and Human Services Agency, (559) 624-8000 • Children’s Hospital Central California, (559) 353-3000 • Dignity Health, Mercy & Memorial Hospitals, Lauren Small Children's Medical Center (661) 327-4647 • Sierra View District Hospital, (559) 784-1110

Education • Tulare County Library, (559) 713-2700; • Tulare County Office of Education, (559) 733-6300; • Visalia Unified School District, (559) 730-7300; • Tulare City School District, (559) 685-7200; • Exeter Union School District, (559) 592-9421; • Woodlake Public Schools, (559) 564-8081;

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Nationwide • American Association of Poison Control Centers, (800) 222-1222; • Center for Disease Control and Prevention, (800) 232-4636; • California Poison Control, (800) 222-1222; • National Suicide Prevention Lifeline, (800) 273-8255; • The Trevor Project (LGBTQ), (866) 488-7386; • Missing Child Hotline, (800) 843-5678 • Road Conditions, (800) 427-7623



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R A I S E M A G A Z I N E | J U LY 2 0 1 3



We see a cowboy But mostly, when we see sick or injured kids, we see they get the state-of-the-art medical care they need. The diagnosis and treatment of children is different from adults. Dignity is caring for our future at the area’s only comprehensive pediatric program in Kern County so they can get back to being … well … just being kids. And you? You get your cowboy back. Whether in the doctor’s office, or a hospital emergency room, the decision is yours when choosing where your child will be treated. Ask for the Lauren Small Children’s Medical Center at Memorial Hospital. 420 34th St., Bakersfield, CA 93301


R A I S E M A G A Z I N E | J U LY 2 0 1 3

July 2013  

Raise Magazine is the primary resource guide for parents raising kids in the Central Valley.

July 2013  

Raise Magazine is the primary resource guide for parents raising kids in the Central Valley.