I had a four years old girl enrolled at our Centre. She was very short. She had a heart defect and her speech was delayed. The parents said she did not speak but will carry out instructions once they told her to do such. She was attending regular doctor check up to confirm her condition. I continued to prepare my activities as normal and I always praised her. The other children at the Centre will assist her as our Centre's rules include having helping hands and caring hearts. I also did research to come up with strategies to help with her language development. The staff members also gave suggestions. We also had a few incidents when she urinated and defecated on herself and the other teachers assisted. We would of definitely like to have additional support staff at that time. We gave the parents some recommendations which they adhered to and we saw improvement in the toileting process with her.  At Centre based time whosoever teacher had her we took some one on one time with her to engage in one on one discussion and other activities. Eventually she was using one words and the parents were pleased. The child eventually graduated from our Centre. The parents came with her to visit us and she was so happy and we were told that she has Noonan Syndrome.