Santino appeared happy to see me and smiled. He approached me, reached for my hand, and reciprocated my hug after I initiated it. He seemed jovial, smiling and vocalizing often. I planned the session's activities using pictures from his visual communication board, but he did not seem interested and looked away. We worked on a matching game for the initial few minutes of the session, and then walked over to the Beta fish in the classroom. Santino repeated the word, 'fish' after me and was interested in watching it swim. We stayed in and played some instruments and listened to some songs: Santino repeated a few words he heard from the story and manipulated some objects found in the classroom which piqued his interest. I narrated his actions as he examined and manipulated them in efforts to stimulate associative connections and speech. Santino drank from an 8 oz. water bottle I provided him and knew to wash his hands when we went to the kitchen as he approached the sink on his own, independent of my direction. He also drank more water from the faucet, and said, 'let's go' after he had finished and I turned off the water. Overall, Santino has demonstrated he is comfortable with the routine we’ve established at the School and has been more engaging and vocally interactive.