Santino worked on some skill-building activities at the desk in the classroom. We worked together to reproduce shapes using blocks and then traced the shapes onto paper using jumbo crayons and chalk. Santino allowed me to guide him in completing this task as I identified the shapes and guided his hands to execute the coordinated movements necessary to reproduce them. We then worked with the wooden alphabet puzzle and I identified words beginning with the letter and encouraged Santino to repeat them or approximate verbal repetition of the word. Next, we played musical apps to encourage mimicry and elicit speech. Santino has a few favorites and clearly enjoyed navigating the site and repeating some key words and phrases. I encouraged Santino to model along with the "Head and Shoulders, Knees and Toes" video, and he giggled with delight as I helped him act it out, standing behind him as the song played and we sang along. We also imitated the sounds letters make as we sang and clapped along to an alphabet song; Santino is responsive to music and auditory, visual and tactile stimuli, so these activities and apps help engage his attention and facilitate language development. Santino indicated he wished to drink and brought me his bottle. I poured his juice and told him I had a surprise for him. He asked "what?" and I gave him the soft squeeze educational tactile toy that he enjoys manipulating in response. He squeezed the toy and closely examined the objects that appeared in the window as we identified them verbally. Santino remained engaged in this activity until our session was over and it was dismissal time. He left in excellent spirits.