Mrs. Howard scheduled an appointment to have her son evaluated at a developmental screening clinic that was being held at the neighborhood recreation center later in the week. Parker is nearly 2 years old and speaks relatively few words that are understandable. He seldom plays with other children his age because he spends most days with his grandmother while his mother works at a nearby hospital. Parker’s grandmother speaks Spanish to him during the day. She has few toys and books in her house that he can play with. Parker’s mother is teaching him English at home so that he “will be able to interact with the other children when he begins to attend school.” On the day of the developmental screening, the team members weighed and measured Parker. They noted that his height and weight were both in the 40th percentile. His vision, hearing, speech, cognitive skills, and motor abilities were also assessed. Although Parker is small for his age, his motor skills were within the normal range but his speech and cognitive skills were significantly delayed. The team leader read through the child history form that Mrs. Howard provided and noted that Parker had several food allergies, as well as frequent upper respiratory and ear infections. Parker’s hearing test revealed a significant loss in one ear and a moderate loss in the other. Prepare a two-paragraph essay in which you identify the risk factors that may be contributing to Parker’s delayed speech and cognitive development. Identify three developmentally appropriate goals for Parker and briefly describe at least three strategies that his mother and grandmother can implement at home to improve his cognitive and language skills.