When Santino was brought in by Ingrid today, she mentioned that he might be a bit disoriented because he was up in the middle of the night for hours, woke up very late, and refused breakfast. I did notice he seemed a bit subdued and tired; his behaviors were quieter. Nonetheless, Santino was cooperative when tasked with a few activities. He assembled a magnetic alphabet puzzle and knew how to put the letters back in their correct order when I intentionally rearranged them incorrectly. He also identified the pig in his favorite 7-piece farm puzzle and selected the correct letter ('P') from several shown to him when verbally prompted. He also was able to hand me some of the animals in a 6-piece jungle puzzle and placed them in their appropriate spot on the puzzle board. Santino handed me his bottle and became a bit more energized and vocal after drinking his vanilla shake. However, he did not use his communication board to indicate that he wanted to drink when shown the ‘yes’/’no’ Velcro picture options. He sang along in a clear voice to a song about ducks in a pond, which counts down how many are left in the lyrics. He also played the Little Baby Bum app, re-playing "The Wheels on the Bus” several times. Santino seems to gravitate towards playing it in Spanish, but he alternated between Spanish and English today, repeating the phrase "round and round" as he sang along. Next, Santino participated in putty and peg activities. He is given movement or sensory breaks after demonstrating evidence of sustained attention to the task. Santino is gradually improving his ability to sit at a desk for short intervals of time, given such intervals of movement periodically. He was able to find the items hidden in the green resistive putty and handed them back to me upon request with 80% accuracy. Hand-over-hand assistance and several prompts were needed to encourage him to sign "more" or "all done," during our sessions, and he did not remain engaged independent of prompts when I attempted to incorporate and utilize the communication board with him. However, he did transition from one classroom to another very well, demonstrating gains in his adaptability to change over time from previous sessions. Santino enjoyed imitating my rhythmic movements to songs, clapping after me and giggling as we hopped and skipped around the room. He seemed to enjoy musical activities today and left in good spirits after washing his hands at the sink, with minimal to moderate prompts needed only to dispense soap from the dispenser and obtain paper towels.