Santino was seen for session 19 of 19 with this Speech-Language Pathologist (SLP) in the individual classsroom. He appeared pleasant in demeanor and seemed to transition easily between sessions with successful photo exchange via Miss Dorothy. The daily, visual schedule was arranged to include photos of Miss Christina and his backpack then reviewed with Santino by this SLP...Goals for the session remained consistent and included the following...1. to engage in forming a relationship with Santino that includes regulation, and shared attention and interest 2. to enter into two-way, purposeful interactions with gestures and intentional communication 3. to determine highly motivating/favorable, cause and effect activities, so that Santino may develop a feeling of control and predict/anticipate what will happen next 4. to imitate predictable action sequences and communication patterns through cause and effect activities 5. to develop single-word requesting via eye-gaze, picture exchange and/or verbalization...Classical Music for Attention and Focus was played in the background...Santino appeared warm and "flushed" as the session commenced. Food and beverage choices were offered but refused by Santino. (His temperature was monitored via touch and seemed normal at approximately 15-minutes into the session.)...Santino sat in the chair upon a single verbal direction and selected, via photo exchange, the wooden "snake" alphabet puzzle...Each puzzle piece was presented individually upon request via gesture and/or eye gaze for 26 of 26 opportunities. Attempts to elicit the letter names by pausing and waiting throughout the familiar "Alphabet" Song as each piece was connected to form the "snake" were unsuccessful (with the exception of letter "D"). This SLP requested "help" from Santino. Hand-over-hand assistance was provided over a single opportunity to guide Santino to point to each letter (with his "pointer" finger) as the song was repeated with each new letter added to the "snake's" body. He appeared interested, focused and engaged as he kept in time with the song (except for the prolongation of "G" and "P") while tracking each letter visually as he pointed for 13 of 13 opportunities. Santino chose to run his finger along the letters as the remaining 13 were added given both verbal and physical prompts to "point" to each letter. Upon completion of the puzzle, Santino stood and peeked out of the glass in the door. He was redirected and chose Bob Books First!, Level A, Set 1, Book 1, "Mat", from an array of 3 planned activities via photo exchange...Santino referenced the cover then tracked the text both visually and physically with his "pointer" finger with minimal hand-over-hand assistance as it was read aloud by this SLP. Illustrations depicting characters' actions and feelings were referenced. Questions pertaining to basic story elements (WHO did WHAT?) where presented...Santino referenced the laptop on the table and exchanged the photo presented...Santino was provided maximum hand-over-hand assistance to type single-word and two-word responses to questions pertaining to basic story elements (i.e. Mat., Mat sat., Sam., Sam sat.). The written responses on the screen were read aloud by this SLP as Santino tracked the words visually...The session came to a close in the routine manner with the "Good-Bye" Song and successful photo exchange with both verbal and minimal, physical prompts by this SLP. Continue as planned. Santino showed continued engagement, focus, and interaction today.