Guiliana came into care when she was about two and a half years old. She has Down Syndrome and has been living in a foster family since 2007. In 2015, Guiliana can do self-care skills including putting on clothes, bathing and toileting skills and she attends school. At home, Guiliana helps take care of younger siblings and holds their hands firmly when going outdoors. There is a younger sister, who just joined the foster family who is scared of strangers and refused to be fed by foster parents. So Guiliana tried to feed her and surprisingly she allowed Guiliana to feed her. She is a helper at home and sweeps the floor after meals. Guiliana has good appetite and eats well.