Santino immediately got comfortable in the classroom and took off his shoes and socks. I left out some food options and his bottle and fruit juice but he initially did not indicate or gesture that he wanted anything to eat or drink. We planned out the sessions' activities using the visual communication board and began by first feeding the fish in the classroom. Santino was encouraged to repeat the word, or an approximation to the word, and he did so once when prompted repetitively. To reinforce the word fish with its letter sound and classification, we next worked on the alphabet puzzle and the alphabet song, activities which help connect letters to their corresponding sounds and then identified words beginning with those letters. I observed Santino mouthing the sounds of some of the letters along with the video we also used. Next, we worked on 2-sided puzzle assembly, matching objects with their corresponding associations (e.g., fish/bowl; dishes/silverware; pencils/sharpener). Many of these associations and combinations were able to be reinforced using actual objects in the classroom. This activity was followed by touching and tracing letters, using kinesthetic tactile alphabet cards (cards with molded grooves), to help Santino feel, process, integrate, and internalize each letter. Santino was afforded verbal and physical prompting methods during this activity to maximize his attention to the task at hand and consolidate gains. We then moved onto an activity tasking Santino with pulling a thread through different shapes, which helps facilitate his fine motor and bi-manual coordination skills and encourages shape recognition. Santino initially showed interest in this activity but physical prompts were needed to encourage completed execution of the task. Santino was given a lot of verbal praise for following directions and sustaining attention to the tasks at hand. When I gave Santino a container of Fruit Loops cereal, he began peeling off the top of the container; this was a new skill Santino’s mother mentioned to me that he has recently acquired. I assisted him just a little bit to get the peel open after his initial efforts to do so, but he completed the task of opening it and finished eating the cereal rather voraciously. We concluded our session listening, singing, and clapping along with different rhymes and songs. Santino seemed to favor the songs, "Old McDonald," "Head and Shoulders," and "If you’re Happy and you Know it." He repeated a few phrases, as he has done this past week, and clearly enjoyed mimicry and the repetition of the songs and their refrains. We were about to engage in some water play, using a tray filled with sudsy water, when the session ended and Santino's next tutor arrived. She mentioned that she would continue the activity as Santino enjoys it and remains engaged and motivated when involved. I am very pleased with Santino's level of comfort at the school and the gains he has been making over the year.