We began the session by having Santino place his book-bag below the sink, where it is usually kept. He required physical prompts to do so but was cooperative and complied with expectations when afforded prompts. We then took out the communication book and Santino was afforded hand-over-hand assistance to identify his teacher by pointing to her picture and name, the latter of which is affixed to the book with velcro. He was more receptive to working with the communication book today, but his attention span was limited to approximately 5 minutes, with frequent re-focusing and prompts required. The velcro component did seem to add a spark of interest, contributing to his engagement. It should be noted that Santino appeared tired today. After working with his communication book, he laid down on the floor and appeared to be closing his eyes and yawning a lot. I shut off the light and read him two stories, 'Eating the Alphabet' book and 'Counting cats'. While he appeared initially interested in following along with the former, his interest turned to a puzzle and we worked on assembling it together, with hand-over-hand prompts. Santino vacillated amongst a few sensory-tactile activities before returning his attention to the magnetic alphabet board. He enjoyed configuring the pieces in a special arrangement and was less resistant when this teacher intervened, allowing her to re-arrange them in a horizontal line. He also went head-to-head with me at one point when I mimicked his vocalizations, giggling and maintaining eye-contact for several seconds. We ended the session with Santino following actions demonstrated for him and pairing the foods we reviewed in the 'Eating the Alphabet' book with their felt counterparts from a toy bin. Santino did not show any interest in eating the snacks provided by his mother today although she said he would probably be hungry; however, they were were left out for the duration of the session in the event he changed his mind.