S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant for majority of the session. Play-based, child led therapy, along with structured language tasks utilized. O: Noah completed a color identification activity where he labeled items by color. He completed the activity with 90% accuracy. Noah also participated in a sight word identification activity (e.g. I, a, to, is) when provided initial modeling of the words. He completed the activity with 25% accuracy. Noah also read a sight word book with SLP for “I.” He read, when provided with initial modeling, with 55% accuracy. Noah was then asked to follow 1-step directives with the inclusion of spatial concepts (e.g. in, on, under, behind). He completed the activity with 55% accuracy provided minimal to moderate support. Lastly, Noah’s play skills were observed with data collected during a variety of play activities. He displayed the ability to turn-take/share in 73% of trials. A: Noah continues to display stability/progress across POC goals. Slight decreases displayed on some activities due to some task refusal. P: Continue with current plan of care and discontinue color identification goal.