The communication board was used to familiarize Santino with expectations and improve his ability to point to his teacher. This is the third time it has been used, however Santino has not yet shown much interest in it, to date. He is shown photographs of his teachers, along with their names, and he may manipulate the name to place it alongside the appropriate teacher's corresponding picture. Thus far, however, Santino remains unengaged and will push the book away to indicate he does not wish to participate in the activity. It will continue to be shown to him at the onset of each session so he becomes more familiar with expectations and stucture. Next, we went outside for a brief period and Santino very much enjoyed going up and down the slide. The activity was paired with the verbalizations 'up' and 'down' in efforts to foster his language acquisition skills and verbal reproduction repertoire. Once indoors, Santino was brought over to the sink to wash his hands. He enjoyed washing his hands in the water and rubbing his hands together with the proper motion with soap; he as yet required prompts to dry them with a paper towel. For the remainder of the session, Santino assembled some puzzles during which he demonstrated good visual-spatial and fine-motor coordination skills.