Santino was greeted in the lobby when he was dropped off for school. He reportedly ate lunch 40 minutes prior to drop off. With that information, we started with speech therapy in efforts to work on feeding when Santino is more hungry. We targeted identification of verbs in a field of 4 with 60% accuracy. We targeted following one step simple commands with the use of prepositions/location. Santino independently achieved 4/10 and increased accuracy with visual support. With answering simple yes/no questions - Santino required multimodal cues to answer with yes/no versus echolalia of the question being asked. With repetition, Santino did improve with this skill. When asked questions that applied to him (i.e. "Do you want to go outside" or "Do you want to eat lunch") - Santino did require cues to answer yes/no however did eventually express yes or no to the questions. He chose to play "subway surf" on my iPad with requesting "subway surf" after minimal cues to request his desire to play an iPad game. We did an interactive book activity to target yes/no, auditory bombardment of vocabulary as well as prepositional skills. At the end of the speech session, we went on the playground. This was a wonderful opportunity for Santino to request his wants/needs. To describe "go up stairs, go down slide", at the end of the slide he was given a choice to jump off slide or swing/turn with SLP. He enjoyed this interactive activity on the playground to target his overall speech and language skills. Eye contact was fleeting. Overall, it was a good session and Santino was happy.