I began today's session by reading aloud to Santino and encouraging him to engage non-verbally with both the book and me, the reader. Without relying on spoken language, I guided Santino to follow along with me as I placed my finger just under the text as I read. I also guided his finger along with me as I physically prompted him to turn the pages at the right times. Story props were used to help Santino make the connection between the words and objects, whenever possible. We read a story about animals, using puzzle pieces of animals to help narrate the story as it unfolded. We also made the sounds the animals make as we read. To consolidate these gains, a video, Peppa Pig was used (via assistive technology) and Santino was reinforced with high fives when he repeated a word from the story; he clearly articulated 4 words. These activities and strategies help engage Santino with books without relying on spoken language. When we next moved onto an alphabet activity, Santino was asked to put the letter 'X' back in its spot on the puzzle board. When he failed to comply with my request at first, I told him that I would play the video again if he followed my directive. In other words, playing the video was made contingent upon his putting the letter 'X' in its proper place on the puzzle board as requested. Santino did as requested and was afforded high fives and thumb up signs as well as enthusiastic verbal acknowledgement following compliance with the directive. We finished up the session with our hand-washing activity. Santino is making progress in this area and is becoming increasingly familiar with the steps necessary for successful task acquisition.