Richard was seen for speech and language therapy for a one hour session. He was greeted in his room. Richard appeared happy yet a little tired. He required moderate cues to maintain attention on task today. We started the session with going over date/day of week. He did very well with this task. His concept of orientation/days has significantly improved over time. We also worked on /s/ in structured task as I have noticed accuracy of /s/ in conversation has decreased. He did well with the self generated sentences in a more structured task (achieving 75% accuracy) independently. We also targeted strong articulatory contact with 2-3 syllable words as speech intelligibility reduces with longer words and sentences. In addition to these tasks, we read book together on reptiles. He LOVED this activity. He was engaged and attentive with this task - asking and answering appropriate questions. Some social/conversational goals were targeted with clinician, requiring minimal prompting to maintain conversation. Finally, vocabulary enrichment and event sequencing was targeted. Richard did well with this activity and continues to improve in the area of vocabulary. Great work, Richard!