Santino was greeted as he got to school for the day. He reportedly ate a large meal and may be tired. Santino did yawn quite a few times throughout our sessions today however he was happy and attentive. Mr. Marcus reported Santino was doing well with math/numbers. He also stated he noticed an improvement with his overall language. Santino completed his daily routine of putting his backpack away, bringing his chairs to the table and getting a book to start the session with. He independently requested a Christmas book and picked it out himself after reading the title. We targeted the usual goals during the book activity - attention (fleeting), commenting with prompting, naming verbs based on "what doing" questions, vocabulary, and answering simple questions. This was a pop out book that he seemed to enjoy. Following that, we did answering safety questions. Santino continues to require verbal/visual prompting for his name and address. We did a seasonal craft activity that targeted not only speech and language but fine motor tasks as well such as coloring, cutting with scissors and glueing. Santino required moderate multimodal cues for this tasks to follow the directives, however he did quite well. We did a lot of cutting and he responded well to hand over hand placement of scissors then "open, cut, open cut, open, cut" while I was moving the paper. I spoke to his art teacher as well to target more fine motor skills with coloring. Santino would benefit from occupational therapy to target these goals as well. We ended the session with ADLs - changing his diaper with assist, putting his shoes on (independently!), putting his shorts on with assist, and washing hands with assist. This is starting to get easier for him and it is an important functional goal to gain more independence. He has been consistently answering yes/no questions appropriately and I am so proud of that! Keep up the good work, Santino.