Santino was happy throughout today's sessions - he transitioned well from each activity. We have been starting with a book activity for many reasons including attention, following directions, answering questions and vocabulary enhancement. Following that book activity, we targeted verbs(both identifying and naming) with visual support, following directions with fading visual support, answering yes/no questions fading cues, following simple wh questions, requesting, commenting, and protesting. Santino continues to require multimodal cues for reciprocated communication with partner rather than echolalia or scripting from a desired show/video. Attention and eye contact was fleeting today. We use changing his pull up as a skill to work on activities of daily living/following directions. Santino is asked to sequence some of the required tasks with assistance followed by steps to washing hands. He is continuing to improve with this. We worked on some fine motor, writing skills as well today. Occupational therapy evaluation is recommended. Overall, Santino had a good day.