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 given initial verbal/visual model in a field of 3. He completed the activity with 50% accuracy. Noah then completed a following directions activity where he was asked to follow various 1-2 step directions. He completed the activity with 55% accuracy. Noah also answered mixed “wh” questions immediately following visual/verbal info given a field of 3 answer choices with visuals. He completed the activity with 60% accuracy. Then, Noah completed a speech sound activity with /l/ and /r/ blends at increasing levels (i.e. word, phrase, sentence). He completed the task with 65% accuracy when given initial model. 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 some increase with letter identification. Increased level of distractibility noted during “wh” question task. Continued difficulties with /l/ blends noted. P: Continue with current plan of care.