
Sienna has a speech delay, although she has recently been eagerly repeating and saying words on her own. Some words are difficult to understand, but progress in speech development is evident. The girl also has difficulty understanding speech, but here too, progress is visible. She understands simple words, especially when they are supported by gestures. The girl can be engaged in a simple form of “dialogue” through play such as sharing toys. She is learning how to draw and eat independently using the spoon. She is able to pick up food cut into smaller pieces and put it in her mouth, although she does so slowly and uncertainly. She has difficulty biting off solid food and chewing it.
Sienna is a very cheerful and smiling child. She is speaking more and more – she can use many basic words, such as “give,” “more,” “come,” “yes,” “no,” “auntie,” and “hello.” She uses them in appropriate situations to express her needs and emotions. She recognizes various animals and can imitate most of their sounds.
Sienna to cuddle and read books. She participates enthusiastically in the group activities and enjoys walks. She responds to smiles, touch, and the voice of her caregivers. The girl has recently made significant progress in her emotional and social development. She is also able to initiate contact – she waves her hands in greeting, says “hello” in her own way, or responds with simple vocalizations. She is able to express her dissatisfaction, joy, or excitement and her progress is getting better and better in many areas.












































