Pah is a lovely little 4-year-old boy in need of a permanent home. He has been with his foster family since he a little baby. He is bonded to his foster family as well as another foster child in the home who is 3 months younger than him.

Pah currently is in good normal health. However, when Pah was 22 days old he showed peripheral pulmonary artery stenosis, small patent foramen ovale (PFO), and secundum atrial septic defect 1.5 mm. On the follow-up echocardiogram in April 2022, the results showed normal heart anatomy and function. As of his August 2024 child checkup, his hearing and vision were reported to be normal. While Pah’s physical health remains good, he has been diagnosed with Autism Spectrum Disorder (ASD) in August 2023, for which he attends Child and Adolescent Psychiatry therapy. During the same evaluation, he was assessed to have a mild delay in gross motor skills as well as a mild delay in oral language. He had been previously diagnosed in 2022 with Borderline Developmental Delay. As observed, he can speak clearly, except that he may mispronounce some words.  He is able to hold conversations with adults and express his needs and feelings in sentences.  He can also follow instructions. Pah receives speech therapy about 2 times per month, and physiotherapy and occupational therapy 3-4 times per year at school. Pah can walk and run confidently.  He can jump forward 12inches with both feet, stand on one leg, walk upstairs and downstairs with alternative feet by holding onto the handrail, throw and catch a ball, and kick a ball forward 5 feet away. He can also climb up the rope net.  In terms of fine motor skills, Pah can build a tower of 9 blocks, remove bottle caps, hold a pen to draw, turn pages one by one, and thread beads.

Pah is described as a happy, outgoing but also stubborn child who has shown improvements in his emotional expression. He has become more accepting of reasoning as he gets older. Due to his ASD features, Pah has a set way of doing things. He also tends to cry easily over trivial things such as when he cannot find a toy or complete a task on his own. Pah shares a normal relationship with the other foster child in the home. They have typical sibling-like rivalries and will sometimes fight over toys. He shares a close relationship with the foster mother and accepts her guidance and follows her instructions. Overall, Pah is generally an easy child to take care of. He is well-behaved and manageable most of the time except that he tends to cry easily and can also be quite stubborn at times.

Pah performs well in his self-care tasks. Being able to drink from a cup and a straw, he can feed himself with spoon and a fork. He can wash and dry his hands with a towel; put on and take off his clothes, shoes and socks; brush his teeth and wash his face. He has finished toilet training and does not need to wear diapers. He can go to the toilet by himself. He only needs assistance in bathing, washing his hair and cleaning after a bowel movement.

Pah is attending pre-kindergarten at a nursery school.  As described by the teacher, Pah has some close friends at school and enjoys a satisfactory relationship with his teachers. He can follow school rules and routines.  Being attentive in class, he enjoys participating indifferent activities.  As described, Pah is sometimes sensitive to the teacher’s reminders and sometimes is emotional about this. Pah knows lots of colors, shapes, fruits, animals, food and body parts. He also knows some concepts such as “big-small,” “up-down,” etc. He can recite the numbers from 1 to 50 and recognize some letters and numbers. He can tell others his name and age.

Families with a home study prepared for any international country can submit for consideration of Pah. The agency program specialist can explain the child/family matching process in his country.