Santino was in good spirits today, April 1, 2019. He easily took my hand and allowed me to guide him to put in the code to open the front door. We placed his book bag on top of his cubby and left out some food and beverages should he wish to eat or drink anything during our session, which he indicates via gesturing or bringing the desired item to the teacher. Using the communication book, I paired Santino's picture with mine and showed him pictures of books, computer games, puzzles, slides, food and beverage, and a sink (for hand-washing), which were the activities planned for the day. I attached these pictures to the front of his communication book and verbally explained what we would be doing and the sequence in which we would be performing them. Santino was amenable and participated in most of the activities, when afforded guided instruction and prompts. He repeated a few phrases and words watching and listening to his favorite computer stories, and also did so when we assembled a puzzle based on a story as it was being read to him. Santino enjoys being outdoors and has been climbing the ladder to get to the top plateau of some playground equipment. We count the rungs as he climbs, and his directions are verbally articulated as he ascends or descends (e.g., 'Santino is going/climbing up up, up, "Santino is climbing/going down, down, down"). The word, "inside” is repeated whenever Santino goes inside a slide or tunnel, and the words "up" and "down' are repeated when we go on the seesaw. 'Hand' is articulated whenever Santino requests assistance climbing up the slide, and phrases such as 'please' and ‘thank you’ are used repeatedly during instruction. Santino was introduced to a new student today and returned his high five greeting. He was somewhat interested in watching him play badminton but preferred to watch "the Three Little Pigs' and "Mickey Mouse" on the computer, occasionally repeating some words and phrases, although these were self-initiated and not in response to prompts. Santino finished up the day washing his hands in the lunchroom sink. He continues to require practice to increase and refine his skills performing all the steps needed to perform this. Santino did not indicate he wished to eat or drink anything today and pushed away a bottle of water when it was offered to him. He transitioned to his next tutor smoothly after his hand-washing activity.