Santino appeared tired today. He expressed his preference to go outside and led this tutor to the door by her hand. It was the first day back after a week following Thanksgiving break, and Santino had his first soccer lesson prior to meeting this teacher. Santino has made more eye contact with this tutor than previously and it is hoped that this will facilitate his ability to express his needs for social and instructional purposes within the school setting. Santino enjoyed playing on his favorite playground equipment - the large slide, and understood when this teacher demonstrated that he stand up when he reached the bottom to avoid dirtying his pants from some damp leaves that had accumulated at the bottom of the slide. He enjoyed jumping at the count of three when assisted by this teacher, expressing his delight with squeals and giggles. Santino would have enjoyed staying out longer, but this teacher verbally and physically prompted him to join her inside to do some academic work. First, however, he was brought over to the sink where he was assisted in a hand-washing demonstration. Santino washed his hands correctly after initially prompted by this teacher, washing in a circular motion. He seemed to enjoy this activity more than in the past and seemed to be more familiar with the sequence of necessary steps involved in washing his hands. He as yet was unable to turn the faucet on or off but allowed this teacher to do so with him using hand-over-hand modeling techniques. He was a also a passive participant in hand-drying, but was excited to play with soap bubbles in the cold water. Again, Santino is responsive to sensory and tactile techniques, so these have been beneficial to sustain his attention to tasks. After hand-washing, Santino was engaged in picking up letters to a puzzle but did not identify the letters from an assortment upon request. We will continue to practice this skill in future sessions.