Santino smiled upon social greet and again followed line of regard to reach for his backpack. Just prior to transition, KIm and I had the wonderful opportunity to briefly share and discuss current successes and strategies that are supporting Santino. Use of pecs continues to be a valuable tool, with the emphasis on use of the pictures to facilitate increased sentence construction, variation and support verbalization, as well as enhance understanding of more complex abstract concepts. Simultaneous increase in use of phonemic cueing ( word and sentence starters) is paramount at this time. Santino labeled the numbers on the keypad as he pushed each button supported by phonemic cues as we proceeded onto the main area. Upon arrival to his room, he quickly reached for pictures of desired items for placement on the strip. He paused as the new book and picture strip were adjacent to the picture choices presented. This afforded the opportunity to explore the new book, and its contents. Models were provided and he imitated each model provided as pictures were labeled. Activities presented allowed for expanded sentence form within requests. Use of pictures as supports to support sentence structure and speech clarity as well as provision of simultaneous phonemic cues continues to be extremely facilitative. Balanced blending of yes/no personal choice questions and opportunities for spontaneous requests within a given task was a focus this session, supported with phonemic cues across 4 tasks of 8 cycles. Supports to increase use of expanded form to request assistance ( help me + action/action sequence) were facilitative as well across 12 opportunities.