It was Emilio’s (name changed) first experience in Head Start at the Florida Direct Services Fort Pierce Center. Recently emigrated from Haiti, he found preschool frustrating, and showed it in his many challenging behaviors. He had little language, rarely participated in classroom activities, and acted out physically. Staff worked with his family to understand what needs Emilio’s behavior was communicating. Through their diligent efforts, Emilio was eventually referred for a speech and hearing evaluation. The diagnosis: severe hearing loss and strabismus (lazy eye). Therapy services began and teachers learned sign language. Very quickly, Emilio began using signs to communicate and his inappropriate behaviors dramatically decreased. Emilio was fitted with a hearing aid just before his family migrated. Staff welcomed the family’s return this season, delighted with Emilio’s joy at being understood and included. Emilio’s smile tells it all.