Santino appeared a bit tired today, but he responded well to this teacher and was in good spirits. I read him a book about Valentine's Day and Santino looked at the pictures and repeated the word heart. He seemed to want to remain lying down, so I read him another book about Valentine's Day before moving onto an alphabet puzzle. We identified various words beginning with the letter he selected but he did not select or point to any of the letters requested by this teacher. We next moved onto an object sorting activity, using a wooden peg board. Santino was to sort objects by observable properties, such as size, shape, color (Florida Standard SC.K.P.8.1). He was responsive performing this activity but this was contingent upon the provision of verbal and physical prompting techniques. Our last collaborative endeavor involved movement activity paired with his favorite CoCoMelon song, which matches colors to fruits that start with the same letter. Santino grew very animated as he listened and began skipping along to the music. He slipped while he was skipping and bruised his cheek on the side of an easel. No cut or bleeding was observed, and Santino whimpered for just a few seconds and reciprocated my hug allowing me to examine his cheek. I attempted to apply an ice pack but Santino pulled away and returned his attention to some colorful manipulatives left on the table without further incident. School administrators were notified and an incident report was filled out. We ended the session washing with a hand-washing activity before Santino was brought into the classroom to work with the OT.