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. Re-evaluation needs discussed with Noah’s dad at end of session. O: Noah completed an alphabet identification activity in which he had to identify the letter provided verbally given initial verbal/visual model in a field of 3. He completed the activity with 60% accuracy. Noah then completed a following directions activity where he was asked to follow various 2-step directions. He completed the activity with 25% accuracy. Noah also followed directions utilizing a variety of spatial concepts (e.g. on, under, next to). He completed the activity with 60% accuracy. Then, Noah completed a spatial concept identification activity where he identified the spatial concept word provided in a field of 3 pictures. He completed the activity with 60% accuracy. Lastly, Noah completed a speech sound activity with /l/ and /r/ blends at increasing levels (i.e. word, phrase, sentence). He completed the task with 68% accuracy when given an initial model. A: Noah displays some increase with letter identification. Difficulty with completing both steps provided in 2-step directions noted, often completing the first step only. Continued difficulties with /l/ blends noted. P: Continue with current plan of care. Begin assessment process during next session.