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 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 65% 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 20% 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 70% of trials. A: Noah displays consistency across most POC goals. Decrease displayed on sight word goal likely due to distractibility during task. P: Continue with current plan of care.