S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant throughout the session. Play-based, child led therapy, along with structured language tasks utilized. Speech sounds assessed informally. Use of timers for transition out of treatment utilized but noted to be unsuccessful. Some crying/throwing of objects noted when transitioning out of treatment. O: Noah’s speech intelligibility throughout session is noted to be at 65% to 75% intelligibility based on context. Noah participated in a color identification game. He identified the colors blue, red, yellow, and purple with 30% accuracy. Noah was probed with a letter identification activity in which he circled or colored the letter “a” (both uppercase and lowercase) with a model in a field of other letters. He completed the activity with 30% accuracy. Noah also completed a structured following directions activity with 40% accuracy. A: Color identification and following directions continue to be at baseline. Intelligibility displays slight increase across contexts. Letter identification probed with baseline to be established. P: Continue updated POC. Add letter identification goal.