Liam, 4.5 years old, is an extroverted boy who is happy when he’s given food or toys he likes or when he plays outside with friends.  He’s unhappy and can show a “little temper” when he’s in a bad mood, but his mood improves when foster grandma holds him to comfort him or gives him snacks to distract him.  He loves to be hugged, and his favorite toy is a car.  He was found abandoned right after birth with some clothing left by his side.   He’s diagnosed with possible hydrocephalus and “mild tricuspid regurgitation.”  His daily activities are normal and he hasn’t received any treatment.  He has bowel and bladder control but needs some help from adults.  He has a slight delay in intelligence and speech compared to other children his age.