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GrNo is an inquisitive, sweet friend who deeply enjoys his Funko-Pops and cuddles with the weighted blanket in the cozy chair.

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GrNo arrives with his army green backpack, with snack enclosed and a water bottle. He generally brings a variety of FunkoPop figurines from home, also inside his backpack.

Once he removes shoes, bids his home adult farewell, and is greeted by an Indie Adult, he enters the classroom.

Once inside the classroom he is given his green chewie necklace which is imperative to his comfortability while in the classroom.

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GrNo generally arrives having just eaten lunch/snack. Thus his packed snack is suggestive rather than mandatory.

He has a clear multi-compartment snack box that houses his juice, crackers, chewy bar and any other misc. home-sent snacks and he is offered snack multiple times throughout the PM session.

Self-feeds independently

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GrNo greatly benefits from gentle reminders 5/2 minutes prior to visiting the bathroom.

Benefits from hand leading via Indie Adult to and from bathroom

Greatly benefits from visual cue of seeing pull-up prior to visiting the bathroom.

Beneficial to check that bathroom is unoccupied prior to visiting.

Currently in Pull-ups:

GrNo lays down on the changing table while waiting for a fresh pull-up, with touch-cues at waistband to pull down pants and again at ankles to pull up pants.

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GrNo benefits from different modalities of play whether that be gross motor play, visually observing, or vibrating on the vibe plate.

Incorporating these modalities while he learns is highly beneficial.

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Number Recognition 1-20

Letter Recognition A-Z

Number Sequencing 1-20

Letter Sequencing A-Z

Name recognition

Fine Motor

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GrNo transitions best with gentle reminders 10/5/2 minutes prior to said transition.

Hand leading via Indie Adult is beneficial to reaching the desired destination.

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Prior to GrNo's dismissal, collect all FunkoPops, snack box and water bottle and place them into his backpack.

Benefits from verbal cues that his Home Adults are present. Once he spies them he is ready to go.

Prior to dismissal remove the green chewie necklace and place into ziplock labelled GrNo.

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GrNo has demonstrated enjoyment from access to oral sensory tools. It seems that chewys provide some degree of regulation but may not provide enough intensity as evidenced by GrNo tossing or discontinuing use of tool after a short period of time. It may be useful to provide GrNo with opportunities to access vibratory oral input, either through a vibrating chew tool or by teaching him ways to gently rest his jaw on the vibration plate.

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GrNo has independently sought out and benefitted from access to the soft, lounge chair positioned in the corner. This seating option provides lower sensorimotor demands. The postural demands are significantly less in this chair. In terms of visual processing, he has a more controlled visual field to monitor when the chair is positioned without other learner access behind him. Intermittent time in this chair would be beneficial as part of GrNo's sensory diet.

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GrNo is a nonspeaking, multimodal communicator.  Based on observations during his time at the center and information reported by GrNo's mother, he is likely a Gestalt Language Processor.

He uses a combination of the following modalities for communication:

AAC - newly introduced (see post below)

Gestures -

Reaching

Leaning

Turning away

Pushing

Pulling

Proxemics -

Moves toward preferred things (e.g. objects, people, locations)

Moves away from undesired things (e.g. objects, people, locations)

Vocalizations -

Grunts & groans

Cries & whimpers

Laughter

Facial Expressions -

Smiles

Frowns

Furrowed eyebrows

Eye Gaze -

Referent glances to people and objects

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iPad Mini with black case and black strap

TouchChat with WordPower 60 Basic pageset

Mom met with Karissa mid August to collaborate on editing / personalizing the AAC device for GrNo’s use

‘My Phrases’ page added to the pageset with Stage 1 gestalts for various communicative intents

Collaborated on how to support GrNo’s buy-in with the device

Add real photos of GrNo’s favorite things and people (e.g. foods, toys, shows, places, family members, friends, pets)

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Model on AAC device without expectation

Narrate GrNo’s environment with spoken language and AAC

Model language from GrNo’s point of view (e.g. I did it!, Ouch, that hurt me!)

Ensure GrNo has access to his AAC device at all times

Offer a variety of language models for many different communication intentions (e.g. sharing emotion, requesting, refusing, asking questions, commenting, joint engagement)

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Based on observations, GrNo would benefit from direct speech-language therapy to support:

expanding multimodal communication - vocalizations, ASL, AAC

increasing vocabulary

increasing communication intents

moving toward use of self-generated language