The Foundling Hospital in London, England was founded in 1739 by the philanthropic sea captain Thomas Coram. It was a children's home established for the "education and maintenance of exposed and deserted young children." The word "hospital" was used in a more general sense than it is today, simply indicating the institution's "hospitality" to those less fortunate. Nevertheless, one of the top priorities of the committee at the Foundling Hospital was children's health, as they combated smallpox, fevers, consumption, dysentery, and even infections from everyday activities like teething that drove up mortality rates and risked epidemics. With their energies focused on maintaining a disinfected environment, providing simple clothing and fare, the committee paid less attention to and spent less on developing children's education. As a result, financial problems would hound the institution for years to come, despite the growing "fashionableness" of charities like the hospital.
The Royal Founding Charter, presented by Coram at a distinguished gathering at 'Old' Somerset House to the Duke of Bedford in 1739, contains the aims and rules of the Hospital and the long list of founding Governors and Guardians: this includes 17 dukes, 29 earls, 6 viscounts, 20 barons, 20 baronets, 7 Privy Councillors, the Lord Mayor and 8 aldermen of the City of London; and many more besides.
The first children were admitted to the Foundling Hospital on 25 March 1741, into a temporary house located in Hatton Garden. At first, no questions were asked about child or parent, but a distinguishing token was put on each child by the parent. These were often marked coins, trinkets, pieces of cotton or ribbon, verses written on scraps of paper. Clothes, if any, were carefully recorded. One entry in the record reads, "Paper on the breast, clout on the head." The applications became too numerous, and a system of balloting with red, white and black balls was adopted. Children were seldom taken after they were twelve months old.