This afternoon, Santino and I read a story using finger puppets to enact it. As there was a cut-and-paste component to the activity, I helped Santino cut out the 4 main characters. Santino then listened as I re-told the story in my own words in the correct sequence of events. He repeated a few sentences and watched as I summarized the story using the puppets. Santino enjoyed manipulating the paper finger puppets and laughed at the appropriate times as I re-enacted the story elements. This activity also enabled us to review positional words. He then attempted to work on a 'position and direction' activity and respond to questions about different positions of shapes. Although Santino was unable to answer the questions when given two options from which to choose, he was able to follow the directions when verbally instructed (e.g., put the box under the desk; place the paper on the chair; place the cup on the table). This indicates that his comprehension and receptive language skills are quite good, but cannot be accurately assessed due to his language and communication challenges. Santino was able to comply with 80% of directives the first time he was asked, given minimal prompts. He also enjoyed outdoor time this afternoon, playing on the equipment and engaged in gross-motor activities and physical challenges. Santino ended the session tossing around a balloon with me until he was picked up from school.