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. It is noted that there was an increase in structured language tasks that were completed throughout the session. Speech sounds and play skills (e.g. turn-taking; sharing, waiting) informally assessed throughout the session. O: Noah’s speech intelligibility throughout session is noted to be at 70% to 75% intelligibility based on context. Play skills informally assessed with continued progress from previous sessions noted. Noah participated in a color identification task where he was asked to identify a color in a field of 3. He completed the task with 70% accuracy. Noah also completed a following directions with spatial concepts (e.g. put the socks on the dresser). He completed the activity with 58% accuracy. Lastly, Noah participated in a sight word activity. He was able to read the sight word “to” with an initial model and fading cues with 65% accuracy. He also identified the sight word “to” in a field of 4 with a model with 50% accuracy. A: Intelligibility shows stability with use of intelligibility strategies (e.g. say it slow; overexaggerated speech, etc.). Noah also displays stability/progress across additional POC goals. Difficulties with spatial concepts (e.g. in vs. on, above/below) noted. P: Continue with current POC. Introduce directions with spatial and temporal concepts.