I found Santino working in a different classroom today, having just finished his session with the speech therapist. When I appeared at the door to the classroom, we put together a sequence of actions to facilitate Santino's anticipatory response to my arrival and expectation of opening the door after hearing a knock. He required repetition and physical prompts to complete this task. Santino went to grab my hand and kept looking toward the door, so we went outside to the play area as it was cooler today and earlier in the day that we started our session together. Santino first assisted me in watering the plants with both the watering can and a hose today. He was afforded hand-over-hand to assist him and verbal prompts to facilitate his ability to stay focused on the task. He was then given a bit of time to enjoy some of the playground equipment. Santino went down the slide, climbed up the ladder rung, and through the tunnel. I narrated his every action as he went up, down, through, under and over to help him understand the connection between his actions and their language equivalents. We used an exercise ball to help improve and increase body strength, coordination, endurance, and body awareness. Santino enjoyed the stimulation he received from the rolling action of his body on the ball and giggled whenever he moved to and fro. The exercise also serves to facilitate his proprioceptive awareness, the internal sense that tells us where our body parts are without having to look at them. After about twenty minutes, we went inside to wash up and Santino was given an opportunity to have a drink and eat a snack. Although he already had the organic nutritional shake in his bottle from the previous session, Santino handed me the bottle of PediaSure vanilla shake. I switched out the two different liquids and Santino enjoyed drinking his shake and eating Apple Jacks cereal, which he did independently. He remained engaged while watching some videos during his lunch break, repeating several favorites on a loop and listening to them in Spanish and English while spontaneously vocalizing. When he was done eating, we proceeded back into the kitchen to wash our hands. Chaining has proved to be a beneficial behavioral strategy by which I had broken down this task into its smaller sequential steps and that helped improve Santino's self-help skills in the area of grooming and specifically hand-washing. He as yet requires moderate assistance to obtain soap from the dispenser as it is a more complex task, and to dry his hands using paper towels. A subsequent goal will use the behavioral technique of chaining to help Santino acquire the skills needed to obtain paper towels from the dispenser and dry his hands with increased independence.