We began the session by having Santino sit on a prescribed area on the carpet in the classroom. He was very engaged with animal blocks, so I removed them all from their box and asked him to hand me the various animals and place each piece, one by one, back into the box upon request. I then had him manipulate the wad of putty and find the hidden farm objects. Santino did so with minimal prompts. As Santino was indoors for two hours with the OT prior to our session today, we took out his visual communication board and Santino picked up the yes tab when asked if he wanted to go outdoors. He required a verbal cue to pick up his socks and moderate physical assistance to put his socks and shoes on. Santino was cooperative and readily complied when asked to give me his hand and walk outside. Once outside, I sprayed Santino with some insect repellent and had him water some of the plants in the garden using a watering can. He required hand-over-hand assistance to do so, as well as prompting cues to direct his eyes back to the plants we were watering if he became unfocused while on task. Santino became distracted when he saw the water slide, which was deflated and hanging over the side of the fence. He tugged on it and vocalized in an impatient fashion indicating he wanted to play in it. I explained that as it was not set up, we could not play on it today, but I easily refocused him onto a nearby sprinkler, which we set up by some plant garden boxes. Santino enjoyed putting his hands through the sprinkler and observing the trajectory of the water. He tried to walk onto the dampened part of the garden box, but he handled my refocusing him well without becoming agitated when diverted from his intended course as he had often done in the past. When we went indoors, Santino independently walked over to the sink and attempted to dispense soap from the dispenser independently. As it is a rather complex multi-step action to do so, requiring one hand to be placed under the dispenser while the other pumps the unit, Santino was afforded physical assistance to complete the task. He also drank some water out of a cup that I brought to his lips but he did not take the cup when handed to him. Once done in the kitchen with our hand-washing routine, we proceeded to the classroom and I afforded Santino moderate assistance to help him change into a pair of dry socks. His mom had requested that he be ready between 2:55 and 3:00 as they had some place to be, and Santino was prepared with his back pack and a ready smile on his face, ready to greet her. He left giggling and in good spirits after a productive day.