Santino requested his bottle of Pediasure, via gestures, as soon as his mom brought him into the classroom. He lay down on the rug, took off his shoes and socks, and quickly finished the bottle his mom gave him before she left. When finished, he was refreshed and ready to explore some classroom activities. He was quite vocal and in good spirits, so I echoed many of his melodic verbalizations and he repeated them back in a harmonious rapport. We used rhythm instruments to produce sounds and to feel the reverberations made. Santino favors the guitar of late, so he plucked a few strings but was most interested in the vibrations and structure of the instrument. Next, we worked on 2, 8, and 10 piece puzzles together after which we ordered magnetized letters in columns on a board. Santino and I finished off the session engaged in indoor motor activities. He followed my actions, giggling, as we skipped around the room, and he promptly listened to me when I asked him to get down off a chair on which he had climbed, repeating "get down" in a clear, articulate voice. Santino is most responsive to directives when issued in a firm manner. He also allowed me to take a glue stick away from him without protesting, all of which represent improvements we’ve seen over the year. As we had only minutes left to the session after putting away all our activities and materials, I read Santino a book that I saw he was eyeing. He listened attentively and contentedly as I read him "I Love You Mommy" while we awaited his next tutor to arrive.