We used the communication board created by the OT to show Santino the sequence of events and activities that would be occurring in today's session and help him learn to communicate and acquire information (Florida State Standard SP.PK12.US.4.2). As we did not go out the other day due to inclement weather, I showed him a picture of the two sliding ponds on his board. He gazed at it a while as if processing the information. I then added the word play and affixed it to the board with the velcro tab provided. When I took his hand, Santino readily and gladly accompanied me out to the playground where we reinforced spatial concepts such as up, down, over, under, and added the word 'through." To reinforce this concept, we used a hula hoop that Santino went through as he slid down the sliding pond. He clearly enjoyed doing this and repeatedly handed me the hoop to repeat the action. When he wanted assistance going up the slide, I repeated the word 'hand' as I offered him an outstretched hand. Santino seems to be making an association between the word and the corresponding action. Additionally, it sounded as if he might have approximated the verbalization of the word, and was therefore given a high five and thumbs up sign. Santino also reached for a ball as he watched another teacher playing ball with a student in the play area. While he did not continue reciprocating the play, it is encouraging and beneficial to see him relate to and initiate positive interactions with others. Santino appears increasingly comfortable with expectations and we will continue practicing a consistent routine and perform routine activities daily (eg., hand-washing) in efforts to elicit and facilitate communication skills, functional language, and task acquisition. Santino has also been starting to put his arms around me upon greeting me, when given physical and verbal prompts to guide his behavior, and he is afforded reinforcement techniques to consolidate gains.