Santino was receptive and remained focused as he listened to me read a book to him at the onset of the session. We pointed to the different animals that were mentioned in the story. Whenever possible, I introduced similar plastic animals available to me that were named to reinforce the words and asked Santino to hand me the animal mentioned. I observed his eyes locating the correct animal from the assortment of 3 animals placed in front of him, but his success in handing the correct animal to me was inconsistent, with physical prompts needed to achieve more consistent attainment; however, he did consistently hand the pig over upon request, for which he was reinforced with verbal praise and high fives. Santino then handed me a bottle, indicating he wished to drink one of the beverages he had brought with him. He as yet does not use the communication board to point to the image (drink), but he will bring me the drink he wants when given his book bag. Today it was a vanilla shake, and we finished reading two books while he finished the bottle. We then proceeded to some musical activities. I played ‘ Twinkle Twinkle Little Star on the keyboard, which Santino seemed to enjoy, as evidenced by his effusive smiles. I then played chopsticks, adding his name repeatedly as I played three of the chords in 3/4 time. He giggled animatedly as I did so. I am hoping that after hearing the song played repeatedly, he might sing his name along as I play the chords. This will be introduced as an activity again during tomorrow's session. I then showed Santino his Fruit Loops cereal, which he proceeded to open adeptly and finger feed himself well. I let him listen to "The Wheels on the Bus," which he played on a loop in different languages. I changed him into a fresh Pull up and we washed our hands before leaving when his mom picked him up at the end of the day. Santino left in as good spirits as when he arrived to the program.