S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant for the duration of his treatment session. Play-based, child led therapy, along with structured language and speech sound tasks utilized. O: Noah completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to identify spatial concepts reviewed from a field of 2 visual answer choices. He completed the activity with 50% accuracy. Noah also participated in a letter identification activity for the letters A-D. He was asked to identify letters, provided a model, in a field of 3 letters. He completed the activity with 60% accuracy. Noah also completed a quantitative concepts activity (e.g. more/less, big/small) where he identified a variety of quantitative concepts provided given a field of 2 visual answer choices. He completed the activity with 50% accuracy. 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. Lastly, Noah completed a speech sound activity in which he produced /l/ blend words provided a model as needed. He completed the activity with 65% accuracy. A: Noah continues to display stability/progress across POC goals. Notable increases with letter identification (A-D), as well as /l/ blend word production. P: Continue with current plan of care.