It has been found that distortion product otoacoustic emissions (DPOAE’s) have provided the most information for detecting mild hearing loss in high frequencies when compared to transient evoked otoacoustic emissions (TEOAE). This is an indication that DPOAE’s can help with detecting an early onset of noise-induced hearing loss. A study measuring audiometric thresholds and DPOAEs among individuals in the military showed that there was a decrease in DPOAEs after noise exposure, but did not show a shift in audiometric threshold. This supports OAEs as predicting early signs of noise damage.
It is NOT a different type of license or a substitute for licensing or accreditation. The intent of the Qualistar Rating™ is to give licensed programs a measurement of quality, by star levels, and recommendations on how to improve the quality of the care they provide. Accreditation by a national accrediting agency is a separate process that has its own set of standards and validation system.
I am Melonie & LOVE children of all ages. Each phase has something exciting & wonderful to offer. Stay-at-home mom for 20 years, I raised 4 amazing sons. Volunteered in school, church & cub scouts, many leadership positions, taught parenting classes. Arts & Crafts Junior High School Teacher, worked in mental health. Taking care of your children & making a positive impact in their lives would be very rewarding for me. My attributes are reliable, dependable, honest, hardworking, loving, gentle, kind, nurturing, passionate, organized & multi-tasking. Helping children to become self-confident, loving & caring people, as they learn how they fit in this big world, is very exciting for me. I look forward to sharing what I have to offer to you as a nanny. I am considered to be a Professional Nanny Manager as I plan meals, grocery shop, prepare and serve meals, do laundry and ironing as well as care for the children. Basically I manage the household to help keep it running smoothly.