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Keeping Your Child Safe in the Car

You may be surprised to learn that many car seats are not used properly. In fact, around 46 percent of car and booster seats are improperly used, which greatly impacts their efficacy. With car accidents being the leading cause of death in children in the US, parents must know how to keep their children safe while riding in the car. If you have questions about keeping your child safe, your pediatrician is here to answer all of your questions.

Types of Car Seats

Before your child can just start buckling up like a big kid, they need to use car seats. Children from birth until 3 years old will use a rear-facing car seat. From 3-7 years old children will upgrade to the forward-facing car seat. Then the booster seat is typically used anywhere from 5-12 years, depending on their height and manufacturer’s guidelines. Children should be at least five years old, weigh at least 40 pounds and be over the height and weight requirements for their forward-facing car seat to be ready to upgrade to a booster seat.

Choosing the Right Car Seat

When it comes to choosing a car seat, we know that it can be difficult to narrow it down. The National Highway Traffic Safety Administration (NHTSA) provides useful information to help you find the right car seat by comparing different ones on the market. You can also talk to your pediatrician, who can provide you with a wellspring of information and advice on choosing the right car seat for your little one.

Installing Your Child’s Car Seat

Before starting, it’s important to read the manufacturer’s installation guide so that you can better understand the car seat and how it should be installed. Along with following the installation guide that comes with the car seat, the NHTSA also provides some helpful safety tips for a successful installation.

Did you know that once you have your car seat in-place that you can have it inspected to make sure that it’s properly installed? This can provide families with the peace of mind that they need to know that their child is safe every time they buckle up.

From booster seats to booster shots, you must be doing everything possible to keep your child healthy and safe. This also means finding quality pediatricians that you trust to provide you with the tips, advice, and care to support your child’s health.

Cathy Alvarez, MSN, CPNP-PC

Family Practice

Cathy Alvarez, MSN, CPNP-PC, is a board-certified Pediatric Nurse Practitioner with over two decades of experience dedicated to nurturing the health and well-being of children from birth through adolescence. Known for her warm, individualized approach to care, Cathy is passionate about building lasting relationships with her patients and their families—many of whom she’s supported through every milestone of childhood.

Cathy began her nursing career after earning her Bachelor of Science in Nursing from the University of Illinois at Chicago in 1999. She gained valuable experience working on the inpatient pediatric unit at Advocate Lutheran Children’s Hospital in Aurora. Driven to deepen her impact, she returned to UIC to complete the Pediatric Nurse Practitioner program, earning her Master of Science in Nursing in 2005. She is certified by the Pediatric Nursing Certification Board (PNCB) and has since devoted her career to providing expert care to diverse pediatric populations.

She is an active member of the National Association of Pediatric Nurse Practitioners and the American Cleft Palate-Craniofacial Association, always staying at the forefront of pediatric healthcare.
Fluent in English and Polish, with conversational Spanish skills, Cathy connects seamlessly with families from many cultural backgrounds.

Outside of work, you can find her cheering on her son at soccer games, exploring new destinations, and enjoying quality time with her family. Her caring spirit and clinical excellence make her a trusted partner in every child’s healthcare journey.” 

Marixa Alvarez, ARN, MSN, FNP-BC

Family Practice

Marixa Alvarez, ARN, MSN, FNP-BC, is a dedicated and compassionate Family Nurse Practitioner, board certified by the American Nurses Credentialing Center. She earned her Master of Science in Nursing from Lewis University, where she cultivated her passion for holistic, patient-centered care.

Fluent in both English and Spanish, Marixa connects deeply with diverse communities, ensuring every patient feels heard and supported. Outside of the clinic, you’ll likely find her in the kitchen—cooking, baking, and bringing people together over a homemade meal. A fun fact? Marixa has a knack for solving puzzles and putting things together—whether it’s a 1,000-piece jigsaw or helping patients piece together their path to better health.

Carlos Sian, PA

Physician Assistant

Carlos is a board-certified Physician Assistant who joined the IWS Family Health team in January 2024. He was born and raised in Antigua, Guatemala and is fluent in both English and Spanish.

His academic journey began at Saint Michael’s College, where he earned a Bachelor of Science in Biology alongside minors in Chemistry and Religious Studies. Driven by a commitment to service, he devoted a year to volunteering as a medical assistant at a health clinic in Albuquerque, NM, through the Jesuit Volunteer Corps. This experience solidified his interest in medicine, inspiring him to delve deeper into healthcare and ultimately leading Carlos to pursue a Master of Public Health in Community Health Sciences and Infectious Diseases from Boston University School of Public Health.

Following his MPH, Carlos dedicated several years to the public health sector, primarily serving as a linkage to care coordinator,  clinical research coordinator, and COVID-19 contact tracer. Moved by a need to help his community during the 2020 pandemic, he secured admission to and completed the Northwestern University Feinberg School of Medicine PA program, earning his Master of Medical Science degree.

Carlos aims to integrate his public health training with his medical practice to bring culturally competent and inclusive medical services to all his patients, but specially the Hispanic/Latino and LGTBQ+ communities he serves. In his downtime, Carlos enjoys cooking, collecting plants, fostering dogs, playing video games, watching reality TV shows, and adding more stamps to his passport!

Dr. Tara Ioffe

Family Practice

Dr. Tara Ioffe is a dedicated and compassionate Board-Certified Family Medicine physician with a strong commitment to providing excellent care to her patients. She obtained her medical degree from Avalon University in Curacao and went on to complete her Family Medicine Residency at the University of Oklahoma. She has worked at the University of Chicago and most recently NorthShore University. She has since returned to Chicago and is thrilled to join the IWS Family Health team in 2023, where she will continue to provide excellent care to her patients.

Throughout her career, Dr. Ioffe has gained experience in diverse medical fields, such as immediate and urgent care medicine while working at NorthShore Immediate Care. She did clinical research at the University of Chicago. Dr. Ioffe strives to foster a secure and inclusive environment for all her patients. She believes in an integrated approach to medicine, dedicating her time to understand each patient’s unique needs.

During her leisure time, Dr. Ioffe indulges in reading a variety of books for pleasure, plays boardgames, and loves to explore Chicago with her spouse and young child.