Santino was less tired today than than earlier in the week. His nose was not running as much as it was the other day, however he sneezed three times in my presence. I have been showing him the box of Kleenex in efforts to increase his awareness and expectations regarding healthy practices, and prompting him to take one as needed, using hand-over-hand techniques (Florida State Standard HE.K.C.1.1). It is hoped that in time and with practice, Santino will acquire the skill sets to increase independence in such areas as self care and feeding. Santino was visually prompted using the communication book but remained uninterested in identifying me as his teacher. We moved onto a tracing activity and Santino was more receptive to tracing the letters of his name on a balloon I had blown up. Next, we used plastic foods items in efforts to have him identify the ones in which he seemed interested and selected to examine; but he did not repeat my verbalizations and did not sustain attention for long. He was more interested in removing placards on the wall of the classroom that named the months of the year, but he did not repeat them when prompted, and protested a bit, with increased vocalizations, when these were placed back in their proper place on the wall. We finished the session listening and moving to music; the Coco-melon 'Popsicle' song is his current favorite, and Santino enjoyed skipping and hopping after me to the music, replicating my actions. I poured him some water in a cup hoping I could get him to drink - as hydration has been raised as a concern for Santino by his mom. Although he initially seemed interested and took the cup from my hand, he began transferring it to another cup that he found nearby and enjoyed observing and listening to the feel and sounds the liquid made as it passed from one cup to the other. As we were proceeding to the kitchen, Ingrid, Santino's babysitter, arrived to take him home. As Santino's book bag had been left in a different classroom today, Ingrid went to take his hand so he would accompany her to retrieve it, but he pulled away, vocalized disapproval, and refused to follow. He remained with me as his book bag was handed over to Ingrid and left without incident.