We continued to work on activities aimed at initiating and developing effective expressive language by creating opportunities for Santino to approximate words. When Santino wanted a chair, I sat on it and waited till he indicated he wanted it through gestures. I then stated, "Oh, you want the chair?" Please say 'chair,' and I said the word repeatedly till I heard him attempt to repeat, or sound out an utterance approximating the word. This method has been beneficial as a means by which to elicit functional language when delays are evident. We used the communication board as an alternative augmentative communication device by which to familiarize Santino with our planned activities for the day. The visual language icons on the board (signs and pictures) represent specific linguistic units and utilize Santino's visual processing skills to help in the acquisition of functional speech and assist him to generate spoken language. Santino enjoyed it when I repeated his speech patterns, actions, and behaviors; it generated an interesting exchange in which he became engaged and amused. We listened to songs and rhymes, and Santino was reinforced if he repeated a word. Puzzle pieces helped sustain his attention and provided another modality by which to sustain interest. We finished the day by washing our hands and drying them with a towel. Santino was offered a drink of water out of a cup and drank from it effectively. He also drank out of the faucet, with long sustained gulps and was well hydrated before his next session.