All babies communicate. It is through communication that relationships are formed and sustained. All parents must learn how to interpret and respond to their baby's communications in order to form the bonds that become the foundation for development. When a child has both a visual impairment and hearing loss, however, it may be more difficult to understand what she is trying to tell and parents may not be sure how they can best communicate and interact with her. This paper shares some ideas to help parents discover how they can make their child's world safe and understandable and how they and their young child can share many enjoyable "conversations" together. In this fact sheet the author presents numerous ways parents can interact with their young child. The author offers practical suggestions for giving their child consistent sensory cues. She suggests ways parents can recognize and then respond to their child's responses. She also includes techniques that encourage exploration of the environment. Finally, she presents the idea of playing simple games that are not only fun but also help develop interaction and communication. (Contains 10 additional resources.)