Santino was seen for session 25 of 25 with this SLP. He was transitioned from the East classroom by Miss Janis to meet this SLP in the individual classroom. Miss Janis reported that Santino verbalized "Miss Sharon" upon referencing the visual schedule with her. Santino appeared pleasant and calm as the visual schedule was referenced and reviewed with 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...Santino entered the room and immediately requested "Where is Santino's Pumpkin?", from a field of 4 planned activities. He requested the book 4 times via photo exchange and verbalized the following during this 15-minute segment: pumpkin, window, ghost, open door, apples, 2 apples...Santino was presented with a new book, "BOO! A Book of Spooky Surprises", which follows a predictable, rhyming story pattern of questions and answers to learn who shouted, "BOO!". Santino seemed interested in the illustrations and finger-holes which created the characters' eyes as the story was read aloud by this SLP. Verbalization was not noted during this 5-minute activity...Santino stood independent of direction and removed his green bottle from his backpack then handed it to this SLP. His request was validated as he was directed to an array of 7 food and beverage photo choices displayed on the table. Santino requested the Pediasure Vanilla Shake and his green bottle via photo exchange. Santino followed the familiar sequence of one-step verbal directions (i.e. "Pull the tab., Turn the cap., Throw it in the trash can., Pour., etc.) to complete the transfer of the beverage into the green container. Once again, Santino seemed engaged, interested and willing to assist. Maximum physical assistance was provided throughout the process to complete each direction successfully. Eye contact, focus and task persistence were noted throughout...Santino selected "The Gingerbread Man" storybook and handed it to this SLP then verbalized, "You can't catch me, I'm the gingerbread man." He sat and reclined slightly with the bottle in his mouth. Santino did not drink the beverage as the "The Gingerbread Man" storybook was presented by this SLP. With minimal assistance, he turned the pages and tracked selected portions as an abbreviated story was read aloud. Verbalizations were not noted during this 10-minute activity as Santino held the bottle in his mouth...Santino stood and lay on the pillows where he drank about one-half of the shake...Santino followed the one-step verbal direction to sit in his chair. His communication book was referenced. Santino requested 1 of 8 puzzles from the "Mickey Mouse Pattern Tiles Set" via photo exchange. Additionally, Santino requested shapes, via photo exchange, from a field of 4, for 4 out of 4 opportunities to complete the puzzle. Verbalization of color + shape upon receipt of the item requested was observed for 3 out of 4 opportunities...Santino appeared fatigued and showed less task persistence throughout this 10-minute activity...He stood independent of direction, reached for an activity book (perhaps from a session with another teacher) and verbalized the title, "A Pig Can Jig". Santino brought the book to the pillows and began to turn the pages. In an attempt to engage and extend his chosen activity, Santino was guided through a picture/word matching activity with maximum hand-over-hand assistance. He showed attention, focus and eye-contact throughout this 5- minute activity...The session came to a close in the usual manner with the "Good-Bye" Song and successful photo exchange on his daily, visual schedule given both verbal and minimal physical prompts from this SLP...Continue as planned. Once again, Santino seemed very confident and consistent with photo exchange today!