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First Steps is a licensed Child Development Center for the development and education of children with special needs. They are committed to enhancing each child's potential to learn, to grow and to be healthy. First Steps provides early intervention and educational services for children with disabilities, who have developmental delays, who are medically fragile or who are typically developing. This grant will expand the Family Centered Services for Medically Fragile Children program, which identifies each child and their family's priorities and needs throughout their natural routines, activities and environments to promote the emotional, mental and physical wellness of the entire family. 80% of the families served will report a reduction in the family's sense of isolation and stress, an increase in the family's sense of well being and sense of accomplishment of the goals of their child, as well as independence in daily routines and an increase in the family's independence in seeking supports and services for their child based on their priorities.