S: Noah was seen at the Batt School for treatment. He was noted to be tired upon entry to session, but he was eager to work with the SLP after transition to classroom. O: Noah was asked to follow a variety of 1-2 step related directions. He completed the activity with 75% accuracy. Noah was then asked to sequence visuals related to a story read to him. He completed the activity with 70% accuracy. After, Noah answered mixed “wh” questions about a story read aloud to him given a field of 3 visual answer choices. He completed the activity with 70% accuracy. Then, Noah was asked to identify spatial concepts in a field of 3 answer choices. He completed the activity with 75% accuracy. Lastly, Noah completed a quantitative concept (e.g. all/none, more/less, one/many) activity with 68% accuracy. A: Increases as well as minor decreases displayed across POC goals. Decreases likely due to change in presentation mode of goal/increased difficulty of task. P: Continue with current POC. Monitor goals displaying decreases.