We began today's session by having Santino sort objects into categories (e.g., shapes, foods) to gain a sense of the concepts the categories represent (Florida State Standard LK.5.A). Santino participated in this activity and afforded guided hand-over-hand instruction on the task. Next, I read him a book and had him sit with me as I guided his attention to the illustrations and verbalized the person, place, thing, or idea depicted in the pictures. Santino intermittently repeated one or two verbalizations and was reinforced with a high five whenever he did so. Santino did not sustain attention to this task too long, but I refocused him to a puzzle activity, paired with a related story, and Santino was supported and reinforced when he would look at the puzzle piece depicted in the story, given verbal prompts. Santino ended the session washing his hands in the sink, given physical prompts for dispensing the liquid soap onto his hands and drying his hands with a paper towel. When the session ended, Santino was transitioned to work with the OT.