Santino was tired again today; he had a runny nose, requiring the use of tissues with which to help him wipe it, and he sneezed a few times during our session. It seems he has a cold, which may explain his fatigue in class the last few days, in addition to some disrupted sleeping habits of late, which was relayed by his mom. Santino did not want to eat any of his snacks and was not pressed to do so; they are displayed on the table in his class and Santino directs this teacher to the item if he desires to eat. I assisted him physically and verbally in hand-washing and Santino maintained the gains previously noted. Today, however, he initiated a good grip on the paper towels handed to him and hesitated, which may be an indicative precursor to the acquisition of skillsets required to dry them. Santino worked on object identification and verbalization skills, repeating the word 'stop' when holding the octagonal plastic sign from a miniature traffic sign set. He also worked on completing an alphabet tower on which he had begun to work in a prior session. He assembled 8 blocks vertically atop a cabinet, but when the tower became too high for him to continue and toppled even after diligent attempts to align them on his tip toes, Santino intentionally toppled the rest onto the floor. He was then able to complete his alphabet assembly horizontally and creatively used different set of cubes with which to do so. We finished up the session with me reading a book that seemed to capture his attention ('Little Dinosaurs'). Santino relaxed comfortably in an arm chair in the classroom and looked at the pictures as I read him the book and he repeated two words when verbally prompted.