How the problem is significant. In the United States, there are 400,000 children under the foster care system. (Greiner, Ross, Brown, Beal, & Sherman, 2015). The number of children entering the foster care system is increasing at an alarming rate. The average age of children entering foster care is three years and the children stay no more than two years in same house. It is speculated that chronic medical problems are prominent in the 50 % of the children in foster care. In addition, some children have developmental delays, according to Galehouse, Herrick & Raphel (2010). Thirty-five percent of children in foster care visited an emergency room or an urgent care center in a twelve month period (Jaudes, Champagne, Harden, Masterson, & Bilaver,