S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP for majority of the session. O: Noah first participated in an alphabet identification task, identifying letters A-L. Letters were first reviewed, then identified in a field of 3. Noah identified the letters provided with 80% accuracy. Noah was then asked to label the category of 3 items provided given no field of answer choices. He completed the activity with 80% accuracy. After, he was asked what does not belong in a group of 4 items. He completed the task with 70% accuracy. Lastly, Noah was probed with a variety of sight words then was asked to match the sight word modeled given a field of 4 sight word answer choices. He completed the activity with 80% accuracy. A: Noah displays consistency/increases across all goals. P: Continue POC.

Christopher wrote his spelling words in his dictionary. He typed more of his script. We discussed appropriate punctuation and capitals.

Kellan dictated a story for me to type for him.

Kellan wrote his spelling words in his dictionary. He read Dog Man.

I read Hoot to Richard, and we discussed it.

Richard used Silly Putty and paint pens to practice his spelling words (lose, shoe, sugar, usual) and words with mis, non, and post prefixes. He read books with words he can read.

Kaitlin was absent in the morning.

Libby was seen in an office for a 45-minute treatment session with focus of session on improving her fine motor skills especially in the area of grasp patterns, ocular motor skills (saccades), self care skills, handwriting, as well as improving her flexibility for wearing different clothing and wearing her hair different ways. Began treatment with resistive putty to find hidden objects for proprioceptive input and hand strength. OT realized that Libby is unable to consistently identify several letters of the lower and upper case alphabet at this time. It is in her best interest to first be able to recognize and name the letter before or in conjunction with learning how to form it. We continued with assessing which letters of the upper case alphabet Libby is able to identify. She was able to identify 12/24 letters today. She misidentified or was unable to name the following letters "A, D, E, G , H, J, K, M, N, P, S, U, V, W, AND Z. We will continue to work on letter recognition during OT sessions. Libby was able to tolerate wearing her hair up during OT session and was able to wear a dress during the previous week. Good session.

Richard was seen in his room for a 45-minute treatment session. His session focuses on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Richard was absent on Tuesday this week because he was experiencing some stomach issues (per Richard). He reported he felt better today but was not 100%. Today we began treatment working on manuscript handwriting with bright line paper. OT had Richard participate in an activity that is called "correct the sentence". He needed to look at a short sentence with a grammatical error (i.e. no punctuation, proper noun not capitalized, etc.) and rewrite with corrections. OT observed Richard using a thumb wrap grasp pattern with no web space. He reported he no longer wanted to use his grip. OT explained to Richard that when writing becomes longer in the future that his hand with be quick to fatigue with this grasp pattern. We will continue to try to figure out which grip will meet Richard's needs. Richard is unable to fix the grammatical errors of the sentence which were a capital to start the sentence and capitalizing a proper noun. Reviewed cursve letters "n" and "m" today. He was able to write the following words in script : am and man. Good session.

Luke was seen in his room for a 45-minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Upon arrival Luke was on a laptop in his room. OT played one game of Chess with Luke and had him transition off laptop by having him go outside for a heavy work activity to organize and regulate. He transitioned without complaint. During activity OT and Luke talked about emotions. We went over different situations and scenarios about people (familiar adults and children) and discussed different times certain people were in certain zones, why they were in this zone, and how he could tell they were in this zone. Good session.