Santino was greeted in the lobby when his mother dropped off. Mom, Santino, and I discussed current feeding status as well as goals for feeding. Judie joined the informal meeting to collaborate as well. It was noted Santinos goal is to eat table food (nutritious) for a variety of people. He eats minced food at home for particular people. The primary concern at this time is Santino's safety, of course. We transitioned to the back cubby area where we have been working with ease. Santino was happy upon arrival as well as the entirety of the session. We started with a book/hands-on activity with "There Was an Old Lady Who Swallowed a Fly". Santino LOVED this activity. His joint attention and eye contact improved. He was following one-step directives with improved accuracy as well as repeating many of the desired utterances appropriately. He was benefiting from carrier phrases with simple "wh" questions. He required moderate/max cues answering questions without a verbal model. Santino answered simple yes/no questions with 80% with a verbal/visual cue. He continues to improve. He does shake his head for "no" in protest which is a nice form of communication as well. Santino identified verbs (-ing) in a field of 4 with 90% accuracy!! He named verbs (-ing) following the question "what doing?" with 20% accuracy. Santino continues to demonstrate the understanding of verbs receptively with a field of 4. Santino was given a choice of a play activity to target increased MLU, Santino verbally requested Play Doh. Word combinations such as object+verb, descriptor + object, adjective +noun, etc. was modeled throughout this activity as well as sabotage opportunities to express desires such as "help", "open", etc. We completed the session using an app on the iPad called "my play home". It is an interactive app that elicits speech and language.