S: Alexandra joined the session in good spirits. She just woke up from a nap prior to joining the session but joined the session without difficulty.
O: Alexandra was asked to produce /sh/ and /ch/ in the initial and final position of words 76%. She used correct prepositions to describe the location of objects with 100% accuracy. She followed directions with spatial concepts embedded with 90% accuracy. She was asked to expand her utterances to describe a scene using 3+ words.
A: Alexandra displayed mastery of following directions with spatial concepts embedded as well as using prepositions to describe the location of objects. She displayed improvements producing affricate speech sounds (ch, sh). She sometimes continues to use the phonological pattern, fronting, benefitting from cues to move her tongue back from her alveolar ridge to her palate (cues to slide her tongue back). She continues to benefit from cues to expand her utterances when describing picture scenes.
P: Continue with POC.