Lance lives in a large Asian country and has been diagnosed with Down syndrome, postoperative repair of congenital heart disease, bilateral cryptorchidism and postoperative repair of right indirect inguinal hernia. His file states that Lance has good self-care skills, he can fold his clothes, take off his shoes, and put them away. According to his file, he loves listening to his teacher tell stories, he can read simple words, and understand basic questions. Lance’s file says he enjoys finger painting and singing and dancing to songs. His file indicates he likes to run, jump, and play sports.