Lily is a 4-year-old girl with severe hearing impairment starting childcare for the first time. Her parents are newcomers to Toronto from China and primarily speak Cantonese. The document discusses the needs of Lily and her family in adjusting to childcare, including addressing Lily's hearing impairment, communication barriers, and providing family support. It also provides strategies for meeting Lily's needs within the childcare setting through visual aids, teaching techniques, and inclusion activities. Referral agencies and resources are listed to help support Lily and her family's needs.