Nicholas was placed in a foster home when he entered protective care as a newborn due to familial issues. He is now enrolled in pre-k. Due to his complex medical condition, his academic development is limited. Nicholas tries to be independent in some daily activities, such as dressing himself, but for the rest of his care he needs constant supervision, support, and guidance both due to his age, his developmental delay and suspected autism.
Nicholas is a loving and affectionate child toward people he knows and he expresses his love through kisses, hugs, and by clapping. He has a strong need to be near his foster parents and sometimes gets jealous when they are holding another child. He does not like to be around too many people or in places where the noise is too loud. If he is interested in interacting with an adult, he will find a way to call for attention. He communicates through sounds, screams, and some syllables. Sometimes Nicholas gets upset when toys or objects are not organized or placed in the same spot he left them. Nicholas needs an adult to supervise his behavior while he is interacting with other kids, as he needs someone to remind him to behave positively and be patient with others.
Nicholas is constantly moving around and loves to explore his surroundings. He gets easily frustrated when his daily schedule changes. He is very interested in water and on many occasions, he has submerged objects or documents in water. It is reported that his body movements appear to be tough and not well coordinated. He is able to follow simple instructions. He can play with toys and other objects and his fine motor skills are still developing. He spends his time organizing toys and objects by color and size. He is afraid of climbing up and down the stairs. Nicholas still wears diapers but is currently being potty-trained. He goes to bed around 10:00 pm and wakes up at 6:30 am. It is important to give him his medication in the evenings before bedtime. Nicholas loves to listen to music, eat, and explore cell phones.
