Santino was greeted in the prek classroom where he was finishing his lesson. He transitioned well to therapy. He was offered a small break to prepare for next session, which he said "break, yes". Santinos desired breaks consist of getting up from the table and walking over to the rug for a short period of time. I find this helps with attention and regulation. We started with a book activity to target usual goals. Attention was fleeting today. Verbal scripting from shows/videos was increased in today's session. Also, Santino has done well with our established routine. We targeted naming verbs (-ing) in a structured setting (7/16 trials independently correct). Santino is demonstrating the understanding of verbs such as eat, sleep, drink - we started to using present progressive verbs, eating, sleeping, drinking. Santino answered his name/address questions given visual and verbal cues only. We will continue to work toward fading multimodal cuing. We targeted commenting using 2-3 words, requesting, and protecting using verbal communication during undesired tasks. We went outside for a short time however Santino continued to look back at the door and appeared to be fearful. We took a walk along the fence line and sang songs however he continued to request "go inside". We went inside and he appeared more at ease. Santino used to enjoy the playground at the beginning of the school year however as of the last few weeks, he does not seem to enjoy being out there (alone with a teacher or with peers). We did some ADLs including changing diaper, putting on shoes, washing hands. Santino continues to require moderate cues and assistance. He did however put both shoes on independently given verbal assistance and time. I am proud of him! We will continue to work toward functional speech and language goals.