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 tasks utilized. O: Noah completed an alphabet identification task where the letter was provided verbally, and he had to select the correct letter from a field of 3 letters. He completed this activity with 10% accuracy. Noah was then trialed with an alphabet identification activity in which he had to match the letter provided to the correct letter in a field of 3. He completed the activity with 40% accuracy. Noah then completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to follow directions using the spatial concepts. He completed the activity with 60% accuracy. Noah completed a sight word matching activity in which he was asked to match the sight word provided to the correct sight word in a field of 3 answer choices. He completed the activity with 40% accuracy. 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 60% of trials. A: Noah displays some decreases across POC goals, which may be attributed to a lapse in services over the summer. Goals will continue to be monitored. Additional language testing to be considered. P: Continue with current plan of care. Discuss options for additional language testing to establish new skills baseline.