Santino returned to program in good health and spirits. He was very amenable throughout the session, which was begun in the classroom, using the communication book. While Santino did not follow verbal directives pertaining to identifying his teacher by pointing to her picture, he followed physical prompts and sustained attention when shown pictures of his teachers and these were paired with their names. We went outdoors following this activity. It should be noted that Santino appears to have grown increasingly comfortable with the equipment he chose to use. We paired concepts of up and down, over and under, bottom and top with exercises and movement, and Santino was responsive and engaged. He grew very excited after mastering the art of climbing up the 7-rung ladder, using alternating feet and hands with which to lift himself onto the platform, exclaiming "WOW," when he reached the top. He also appropriately exclaimed "WOW" when he slid down various slides upon reaching the bottom. Again, spatial concepts as up and down, and top and bottom were paired with their correspondent movements and actions, following which we proceeded indoors to perform hand-washing. Santino washed his hands thoroughly, assisted with physical prompts, which were paired with their verbal equivalents, when turning the faucets off and on. He is able to lather up his hands independently, requiring only an initial prompt, and we are continuing to work on drying our hands after obtaining a paper towel. All in all, Santino was cooperative, compliant, more responsive to directives, and he seemed genuinely happy to be back at the program following winter break. It was gratifying to see the gains that had been noted prior to break sustained and consolidated following his return.