A year ago, having just returned from church, the maternal grandmother of a 15-month-old boy (we’ll call him Carlos) insisted that he be taken to the Emergency Room. His inconsolable crying and inability to bear any weight holding onto the crib troubled her, especially when her unemployed daughter and new boyfriend shared conflicting stories as to why. When a physical exam revealed bit marks and x-rays showed a broken left tibia and femur, a Department of Social Services CPS worker was called in for suspected abuse and neglect. With mild developmental delays and a mid-chest-down body cast severely limiting mobility and requiring special care, Carlos was referred to us for treatment foster care. Over the next few months, the skilled and loving intervention by a Building Families clinical social worker included: (1) a thorough psychosocial assessment, (2) individualized treatment and family permanency planning, (3) weekly home visits, (4) a positive treatment foster care placement, (5) the re-engagement of the estranged biological father, and (6) the signing of legal guardianship over to the maternal grandmother. With the cast removed and under the care of an increasingly supportive biological family, Carlos became an active and healthy child, gradually overcoming most of his developmental delays.