Santino was seen for session 15 of 17 in Term 3 with this SLP and transitioned calmly between sessions. His "Pull-Up" was checked and judged to be wet. Santino transitioned calmly to and from the restroom (stopping to greet a younger sibling of a student, "Hello Baby", and a new staff member, "Hello,...Nice to Meet You", when prompted) and followed the visual schedule to complete all necessary tasks. Increased verbal rehearsal of unknown context was noted throughout the procedure and session. Upon return to the individual classroom, Santino appeared engaged and focused as the daily, visual schedule was referenced and reviewed. Santino verbalized "Miss Sharon", "Miss Christina", "Lunchbox", "Miss Ingrid", "Ride Car", and "Mom" to complete "First, Next, Then, Last" phrase sequences. Water and food choices were presented but rejected...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...Consideration has been given to expand upon stated goals to include additional areas of focus such as: to respond to and participate in My Turn/Your Turn-Activities, to respond to Yes/No-Questions, to respond to WH-Questions, and to communicate Agent + Action and Action + Object constructs via verbalization and/or photo/picture exchange...Santino sat in the blue chair upon verbal direction and verbalized, "I want Farm Match-Up", immediately. The activity sequence was modeled. Santino appeared engaged as he participated in the "My Turn/Your Turn" sequence x 5. Subsequently, Santino selected "Who Lives in This House?" and participated in the modeled "My Turn/Your Turn sequence X 5 during the remaining 30-minutes of the session...Santino responded verbally to "Yes/No"-Questions for 57 of 57 opportunities in the following manner: Given Initial Phonemic Cue and/or Picture Exchange: "Yes", 4 of 4 and "No", 3 of 3 opportunities correctly...Spontaneous Response, Independent of Prompts or Cues: "Yes", 34 of 35 and "No", 9 of 15 opportunities correctly...It is important to note that increased reflux was observed during the session again today...Santino assisted with clean-up upon verbal direction. The session came to a close in the usual manner with the "Good-Bye" Song and reference/review of the daily, visual schedule in preparation for the next session. Santino verbalized, "Good-bye Miss Sharon". Continue as planned with focus on use of communication book/photos across sessions/instructors and settings to promote increased spontaneous verbalization...