New Beginnings | NB1-Office

Patient Name: Mateo

Patient Information:

Patient ID: 8880

Patient First Name: Mateo

Patient Date of Birth: 10-19-2022

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Crystal, Torres

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Ortiz, Jessica

FD - Feeding Therapy: Rodriguez, Andrea

OT - Occupational Therapy: Marsland, Kaitlin

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23518	Active	03-06-2026	09-01-2026	Tricare Prime	0	27	0	0
23509	Active	03-05-2026	08-30-2026	Tricare Prime	0	0	104	0
23511	Active	03-05-2026	08-30-2026	Tricare Prime	21	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26420	03-13-2026	Speech Initial Evaluation	F80.2, F84.0
Speech Background History: Mateo is a 3-year-old and 4-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Bussell accompanied him and served as the primary informant for the evaluation. Mrs. Bussell mentioned that Mateo was diagnosed with Autism Level 3. Mrs. Bussell expressed concerns that Mateo does not use words to communicate his needs and wants and primarily relies on gestures, such as pointing, as well as signs like “more” and “all done.” She also reported that Mateo exhibits self-injurious behaviors when experiencing frustration or during transitions away from preferred activities. During the evaluation, Mateo’s expressive language was characterized primarily by the use of single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Mateo’s age should have an expressive vocabulary of approximately 100 words and produce utterances of 3-4words in length. Mateo was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Mateo’s mother reported that he is exposed to English and some Spanish within his home environment. During the evaluation, Mateo did not produce any verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English.
Speech Medical History: Mrs. Bussell reported that Mateo was born at 36 weeks.
Speech Medications: None at this time
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Moderate delays, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths:
Speech Communication Weaknesses: Poor use of eye contact, Unable to answer questions, Unable to follow commands,
Speech Background Summary: Mateo was accompanied by his to the evaluation, which was conducted in the clinic room. During the evaluation, Mateo exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT prompts to engage in the evaluation process.
Speech Diagnosis/Impressions: Mateo s a 3 year-old and 4month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Bussell accompanied him and served as the primary informant for the evaluation. Mrs. Bussell mentioned that Mateo was diagnosed with Autism Level 3. Mrs. Bussell expressed concerns that Mateo does not use words to communicate his needs and wants and primarily relies on gestures, such as pointing, as well as signs like “more” and “all done.” She also reported that Mateo exhibits self-injurious behaviors when experiencing frustration or during transitions away from preferred activities. During the evaluation, Mateo’s expressive language was characterized primarily by the use of single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Mateo’s age should have an expressive vocabulary of approximately 100 words and produce utterances of 3-4words in length. Mateo was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Mateo’s mother reported that he is exposed to English and some Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Mateo did not have verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Mateo exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT prompts to engage in the evaluation process. Mateo was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Mateo received the following Standard Scores on the PLS-5: Auditory Comprehension 64 (raw score: 25, percentile: 1, age equivalent:1 year 10 months), Expressive Communication 59 (raw score: 19, percentile: 1, age equivalent: 1 year 2 months), and Total Language Score 58 (percentile: 1, age equivalent: 1 year 8 months). According to the Standard Scores that Mateo received, he presents with SEVERE TO PROFOUND MIXED RECEPTIVE -EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Mateo’s SEVERE TO PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Mateo would greatly benefit from speech therapy that target the following ageappropriate concepts: joint attention/sustaining attention to tasks, following directions with and without gestural cues, imitating non-speech sounds/environmental sounds, imitating gestures/actions modeled by the clinician, demonstrating functional play, and demonstrating appropriate transitions between preferred and non-preferred activities without adverse behaviors. Speech therapy is highly recommended at this time as Mateo’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Mateo’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Mateo’s mother will be responsible for his Home Management Intervention Program (HMIP).
Speech Diagnosis/Impressions: Mateo s a 3 year-old and 4month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Bussell accompanied him and served as the primary informant for the evaluation. Mrs. Bussell mentioned that Mateo was diagnosed with Autism Level 3. Mrs. Bussell expressed concerns that Mateo does not use words to communicate his needs and wants and primarily relies on gestures, such as pointing, as well as signs like “more” and “all done.” She also reported that Mateo exhibits self-injurious behaviors when experiencing frustration or during transitions away from preferred activities. During the evaluation, Mateo’s expressive language was characterized primarily by the use of single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Mateo’s age should have an expressive vocabulary of approximately 100 words and produce utterances of 3-4words in length. Mateo was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Mateo’s mother reported that he is exposed to English and some Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Mateo did not have verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Mateo exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT prompts to engage in the evaluation process. Mateo was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Mateo received the following Standard Scores on the PLS-5: Auditory Comprehension 64 (raw score: 25, percentile: 1, age equivalent:1 year 10 months), Expressive Communication 59 (raw score: 19, percentile: 1, age equivalent: 1 year 2 months), and Total Language Score 58 (percentile: 1, age equivalent: 1 year 8 months). According to the Standard Scores that Mateo received, he presents with SEVERE TO PROFOUND MIXED RECEPTIVE -EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Mateo’s SEVERE TO PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Mateo would greatly benefit from speech therapy that target the following ageappropriate concepts: joint attention/sustaining attention to tasks, following directions with and without gestural cues, imitating non-speech sounds/environmental sounds, imitating gestures/actions modeled by the clinician, demonstrating functional play, and demonstrating appropriate transitions between preferred and non-preferred activities without adverse behaviors. Speech therapy is highly recommended at this time as Mateo’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Mateo’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Mateo’s mother will be responsible for his Home Management Intervention Program (HMIP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

48216

Plan Date: 05-14-2024

Speech Assessment Summary: PATIENT HX: Mateo is a 1 year 6 month old male that was referred for a speech and language evaluation by his pediatrician due to speech delay and delayed milestones. Mateo was evaluated using the Preschool Language Scales Fifth Edition (PLS 5) English. Mateo was accompanied by his mother to the evaluation and she served as the primary informant for the evaluation. Ms. Serrano voiced that Mateo used to say momma and papa, but he no longer does. Ms. Serrano stated that Mateo only babbles and is often very quiet. Mateo just experienced a life changing event, which was the birth of his sibling. Mateo’s mother stated his not enrolled in daycare and just recently began walking, which is apparent in his gate. Mateo’s current communication is characterized as use of no functional words and crying/whining/grabbing to express his wants/needs. ORAL MECH EXAM: A formal oral motor exam could not be completed due to Mateo’s young age and difficulty with instructions. Mateo’s oral motor cavity should continue to be monitored to ensure the structure and function is adequate for speech and language development. The clinician advised Ms. Serrano to seek TOTs consultation with a pediatric dentist. HEARING: Mateo passed his newborn hearing screening. Mateo has had two ear infections - one in October 2023 and another in January 2024. The clinician recommended Ms Serrano seek further assessment with a audiologist/ENT to ensure Mateo’s hearing is adequate for speech and language development. BEHAVIORAL OBSERVATIONS: ADEQUATE attending skills, INTENT to communicate, SHY social interactions, MILD DELAYS in response rate, ADEQUATE awareness of others/environment, and need for SOME PROMPTS to cooperate. Mateo was accompanied by his mother to the evaluation. The evaluation took place on the therapy room floor. Mateo required some prompts to redirect to the evaluation. However, Mateo’s weaknesses in pragmatics may be impacting his social communication skills. Mateo also demonstrated repetitive movements of his hands/wrists throughout the session especially when he appeared excited or happy. LANGUAGE: The following are Mateo’s standard scores on the PLS 5 - Auditory Comprehension 77 (percentile: 6, age equivalent: 1 year 2 months), Expressive Communication 60 (percentile: 1, age equivalent: 0 years 8 months), and Total Language Score 67 (percentile: 1, age equivalent: 0 years 11 months). According to Mateo standard scores on the PLS 5, Mateo presents with an overall MODERATE-to-SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER where his expressive language is more severe (SEVERE) than his receptive language (MODERATE). Speech therapy is required at this time and should target the following age appropriate concepts: functional/relational play skills, following directions, identifying common objects, imitating actions/gestures, imitating speech sounds, imitating words, and using functional communication to express his wants/needs. RECOMMENDATIONS: Speech therapy is highly recommended at this time to target Mateo’s language difficulties. Early intervention is imperative for Mateo as the critical period of language development is from 1-3 years old. Without speech therapy, Mateo’s safety risk is high since he will likely not be understood if he needs to communicate pain or the need for assistance. Mateo may also demonstrate difficulty following instruction from safety personnel. Mateo’s mother will be responsible for his Home Education Program (HEP). Per parent report and clinician observation, the language of intervention will be English. ***All recommendations should be followed up by assigned treatment therapist to ensure the best possible outcome for Mateo’s speech and language development/progress: ENT/audiology consult and TOTs consult.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Mateo will be discharged when he achieves a standard score above - 1.5 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the mild to average range and he will have met all therapy goals.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	In 12 months, Mateo will improve his expressive language skills in order to effectively communicate pain (i.e. tell his mom if stomach hurts) and safety issues (i.e. express when someone hits or bites him at school) with familiar listeners in familiar settings with 50% accuracy across 5 consecutive sessions.
Receptive Language	In 12 months, Mateo will improve his receptive language skills in order to follow safety concerns (i.e. follow safety personnel) and provide vital information to emergency personnel (i.e. name) with 50% accuracy across 5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Play/Socialization	In 6 months, Mateo will complete functional/relational play based tasks with clinician from BEGINNING to END of tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for functional language development.
Expressive Language	In 6 months, Mateo will imitate actions/gestures modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Mateo will imitate speech sounds AND/OR monosyllabic words modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Mateo will use total communication (eye contact, gestures, purposeful vocalizaitons, etc.) WITHOUT ADVERSE BEHAVIORS to express wants/needs to clinician during therapy sessions in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Receptive Language	In 6 months, Mateo will follow 1 step directions during play-based tasks with clinician in 3 out of 10 opportunities across 3 consecutive session in order to comprehend instructions related to activities of daily living and safety situations (i.e. wash hands, cross the street).
Receptive Language	In 6 months, Mateo will identify common objects by pointing/grabbing target stimuli in 3 out of 10 opportunities across 3 consecutive session in order to comprehend instructions related to activities of daily living and safety situations (i.e. wash hands, cross the street).

58893

Plan Date: 03-13-2026

Speech Assessment Summary: Mateo s a 3 year-old and 4month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Bussell accompanied him and served as the primary informant for the evaluation. **Mrs. Bussell mentioned that Mateo was diagnosed with Autism Level 3.** Mrs. Bussell expressed concerns that Mateo does not use words to communicate his needs and wants and primarily relies on gestures, such as pointing, as well as signs like “more” and “all done.” She also reported that Mateo exhibits self-injurious behaviors when experiencing frustration or during transitions away from preferred activities. During the evaluation, Mateo’s expressive language was characterized primarily by the use of single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Mateo’s age should have an expressive vocabulary of approximately 100 words and produce utterances of 3-4words in length. Mateo was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Mateo’s mother reported that he is exposed to English and some Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Mateo did not have verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Mateo exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT prompts to engage in the evaluation process. Mateo was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Mateo received the following Standard Scores on the PLS-5: Auditory Comprehension 64 (raw score: 25, percentile: 1, age equivalent:1 year 10 months), Expressive Communication 59 (raw score: 19, percentile: 1, age equivalent: 1 year 2 months), and Total Language Score 58 (percentile: 1, age equivalent: 1 year 8 months). According to the Standard Scores that Mateo received, he presents with SEVERE TO PROFOUND MIXED RECEPTIVE -EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Mateo’s SEVERE TO PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Mateo would greatly benefit from speech therapy that target the following ageappropriate concepts: joint attention/sustaining attention to tasks, following directions with and without gestural cues, imitating non-speech sounds/environmental sounds, imitating gestures/actions modeled by the clinician, demonstrating functional play, and demonstrating appropriate transitions between preferred and non-preferred activities without adverse behaviors. Speech therapy is highly recommended at this time as Mateo’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Mateo’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Mateo’s mother will be responsible for his Home Management Intervention Program (HMIP).

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Mateo will be discharged when he achieves a standard score above - 1.5 standard deviations from the mean for ALL impairments, indicating that his speech and language skills will be in the mild to average range and he will have met all long term therapy goals.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive Language	Within 1 year, Mateo will improve his receptive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate understanding of language for daily use.
Expressive Language	Within 1 year, Mateo will improve his expressive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate use of functional language for daily use.

Speech and Language Short Term Goals:

Category	Goal Description
Play/Socialization	Within 6 months, Mateo will transition from one therapy activity to the next with MINIMAL TO NO ADVERSE BEHAVIORS in 3 out of 10 opportunities in order to promote language learning opportunities for language development.
Play/Socialization	Within 6 months, during relational/functional play (i.e., stacking blocks, driving cars, giving animals food, etc.) Mateo will engage with clinician for at least 2-3 minutes using appropriate eyecontact in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for continued language development.
Expressive Language	Within 6 months, Mateo will imitate environmental sounds and/or speech sounds modeled by clinician during playbased tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.
Expressive Language	Within 6 months, Mateo will imitate functional gestures (i.e., open, close, all done, more, again, please, sorry, want, help, milk, etc.) modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.
Receptive Language	Within 6 months, Mateo will follow 1-step commands (i.e., give me car, clean up food, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve comprehension of instructions related to activities of daily living and safety situations (i.e., wash hands, cross the street).
Play/Socialization	Within 6 months, Mateo will practice joint attention with 30% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Mateo will receptively increase his language and eventually expressively.

Speech and Language Soap Note/Visit:

Soap Note

396090

Note Date: 08-03-2024

Subjective: Patient was friendly and cooperative,

Plans: Continue with current Plan of Care,

Additional Notes:

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
26408	03-17-2026	Feeding Initial Evaluation	F84.0, R63.32, R13.11
Feeding Background History: Mateo is a 3-year, 5-month-old male referred by his pediatrician for a feeding evaluation due to concerns with picky eating and limited nutritional variety. Mateo was introduced to solids at approximately 7 months of age. According to mother, Mateo consumed a wide variety of foods but began displaying picky eating behaviors around 24 months of age. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills.
Feeding Medical History: Mateo was born at 36 weeks. Mrs. Bussell reported frequent bleeding during the first 4 months of pregnancy. Mateo was diagnosed with Autism Spectrum Disorder in February of 2026.
Feeding Medications:
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Mateo's pragmatic skills were not formally assessed as this was not the purpose of the evaluation.
Feeding Diagnosis/Impressions: Mateo is a 3-year, 5-month-old male referred by his pediatrician for a feeding evaluation due to concerns with picky eating and limited nutritional variety. Mateo was introduced to solids at approximately 7 months of age. According to mother, Mateo consumed a wide variety of foods but began displaying picky eating behaviors around 24 months of age. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. Mateo was born at 36 weeks. Mrs. Bussell reported frequent bleeding during the first 4 months of pregnancy. Mateo was diagnosed with Autism Spectrum Disorder in February of 2026. A formal oral mechanism examination revealed the absence of tethered oral tissues. Structurally, Mateo appears to have all anatomical components necessary for safe and efficient feeding and swallowing. However, the function of his oral mechanism appeared reduced, with decreased facial muscle tone, limited jaw stability, and inconsistent tongue movement and oral control observed during feeding. These oral mechanism findings are consistent with his reduced oral motor feeding skills and may contribute to his difficulty coordinating chewing and swallowing higher bolus consistencies. A bedside swallow evaluation and skilled meal observation revealed that Mateo presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. His PFD is characterized by impaired oral intake that is not age?appropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures), and psychosocial (selective/restrictive eating). Mateo’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: According to mother, Mateo's appetite is variable day to day. Currently, his food inventory includes fewer than 15 accepted foods and 2 liquids. Accepted proteins include chicken strips (Tyson), chicken nuggets (Tyson), sausages, and ground beef or meatballs only when served with spaghetti marinara. Fruits include bananas. Vegetables include potatoes. Starches include saltines, Maria's, cheese puffs, tostadas, vegetable chips, white rice, Mexican rice, donuts, French fries, pancakes, breakfast bars, dry cereals, and spaghetti marinara. Liquids include water and milk only when presented in preferred cup. Mateo's mother expressed a desire for him to expand his intake to include more proteins and fruits. NORM REFERENCED ASSESSMENT: Mrs. Bussell completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Mateo received an overall rating of “high concern". These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Mateo was standing next to mom and self-fed his preferred food items utilizing his hands (chicken nuggets, chips, and Nutri-Garin bar). Nonpreferred foods offered were strawberries, yogurt, and grilled cheese. Mateo touched and smelled non-preferred items. With clinician's support, Mateo placed non-preferred items on clinician's head and mouth. SWALLOW/ORAL MOTOR EVALUATION: Mateo demonstrated decreased oral motor skills, including a munching bite pattern, open-mouth chewing, and oral residue. Mrs. Bussell does not report unexplained fevers or a history of aspiration pneumonia. Mateo’s pharyngeal/esophageal swallow function should be monitored by his treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed rotary pattern and management of thicker purees and soft solids. Mateo’s oral motor skills are NOT WITHIN FUNCTIONAL LIMITS for his age and/or feeding safety. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Mateo’s CHRONIC PFD and ORAL DYSPHAGIA. Mateo is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. Feeding therapy should also target improving Mateo’s oral motor skills for safe and effective feeding/swallowing. In addition, food chaining strategies should be implemented to expand Mateo’s food repertoire by building on existing preferred foods. Without intervention, Mateo may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Bussell will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

58884

Plan Date: 03-17-2026

Feeding Assessment Summary: PATIENT HX: Mateo is a 3-year, 5-month-old male referred by his pediatrician for a feeding evaluation due to concerns with picky eating and limited nutritional variety. Mateo was introduced to solids at approximately 7 months of age. According to mother, Mateo consumed a wide variety of foods but began displaying picky eating behaviors around 24 months of age. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. MEDICAL HX: Mateo was born at 36 weeks. Mrs. Bussell reported frequent bleeding during the first 4 months of pregnancy. Mateo was diagnosed with Autism Spectrum Disorder in February of 2026. ORAL MECH EXAM: A formal oral mechanism examination revealed the absence of tethered oral tissues. Structurally, Mateo appears to have all anatomical components necessary for safe and efficient feeding and swallowing. However, the function of his oral mechanism appeared reduced, with decreased facial muscle tone, limited jaw stability, and inconsistent tongue movement and oral control observed during feeding. These oral mechanism findings are consistent with his reduced oral motor feeding skills and may contribute to his difficulty coordinating chewing and swallowing higher bolus consistencies. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal observation revealed that Mateo presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. His PFD is characterized by impaired oral intake that is not age appropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures), and psychosocial (selective/restrictive eating). Mateo’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: According to mother, Mateo's appetite is variable day to day. Currently, his food inventory includes fewer than 15 accepted foods and 2 liquids. Accepted proteins include chicken strips (Tyson), chicken nuggets (Tyson), sausages, and ground beef or meatballs only when served with spaghetti marinara. Fruits include bananas. Vegetables include potatoes. Starches include saltines, Maria's, cheese puffs, tostadas, vegetable chips, white rice, Mexican rice, donuts, French fries, pancakes, breakfast bars, dry cereals, and spaghetti marinara. Liquids include water and milk only when presented in preferred cup. Mateo's mother expressed a desire for him to expand his intake to include more proteins and fruits. NORM REFERENCED ASSESSMENT: Mrs. Bussell completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Mateo received an overall rating of “high concern". These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Mateo was standing next to mom and self-fed his preferred food items utilizing his hands (chicken nuggets, chips, and Nutri-Garin bar). Nonpreferred foods offered were strawberries, yogurt, and grilled cheese. Mateo touched and smelled non-preferred items. With clinician's support, Mateo placed non-preferred items on clinician's head and mouth. SWALLOW/ORAL MOTOR EVALUATION: Mateo demonstrated decreased oral motor skills, including a munching bite pattern, open-mouth chewing, and oral residue. Mrs. Bussell does not report unexplained fevers or a history of aspiration pneumonia. Mateo’s pharyngeal/esophageal swallow function should be monitored by his treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed rotary pattern and management of thicker purees and soft solids. Mateo’s oral motor skills are NOT WITHIN FUNCTIONAL LIMITS for his age and/or feeding safety. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Mateo’s CHRONIC PFD and ORAL DYSPHAGIA. Mateo is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. Feeding therapy should also target improving Mateo’s oral motor skills for safe and effective feeding/swallowing. In addition, food chaining strategies should be implemented to expand Mateo’s food repertoire by building on existing preferred foods. Without intervention, Mateo may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Bussell will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis is good with consistent feeding therapy, parental support, and parental implementation of therapeutic strategies outside of the therapy room. Mateo will be discharged when his feeding inventory is clinically deemed adequate for his age, nutritional needs, and safety.

Feeding Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Feeding/Swallowing	In 12 months, Mateo will improve his feeding/swallowing skills in order to optimize safe and effective nutrition in 5 out of 10 trials across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Mateo will tolerate and engage in sensory based oral motor play activities (e.g., vibration, chewy tube) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote improved oral sensory awareness for feeding/swallowing.
Feeding/Swallowing	In 6 months, Mateo will interact with non preferred foods using his whole hands in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non?preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Mateo will bring non preferred foods to his face to smell or touch in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non?preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Mateo will add 1-2 food chained items of higher level consistencies (soft cubes and/or mechanical) to his food inventory in order to improve nutritional value and variety of his food inventory.
Feeding/Swallowing	In 6 months, Mateo will not overstuff his oral cavity and pace his solid/liquid intake in 3 out of 10 opportunities across 3 consecutive sessions in order to promote safe and effective feeding/swallowing for adequate nutritional intake.
Feeding/Swallowing	In 6 months, Mateo’s mother will demonstrate understanding and implementation of the home feeding plan, including creating a schedule, providing appropriately sized bites and food pieces, and encouraging pacing with 50% accuracy as measured by therapist observation and caregiver feedback across 3 consecutive sessions support Mateo’s engagement and participation at the table at home.

Feeding Therapy Soap Note/Visit:

Soap Note

491230

Note Date: 03-24-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Mateo tolerated and engaged in sensory based oral motor play activities (e.g., vibration, chewy tube) in 1 out of 10 opportunities in order to promote improved oral sensory awareness for feeding/swallowing. Mateo interacted with non preferred foods using his whole hands in 2 out of 10 opportunities in order to improve acceptance and exploration of non?preferred foods in his immediate environment. Mateo brought non preferred foods to his face to smell or touch in 2 out of 10 opportunities in order to improve acceptance and exploration of non?preferred foods in his immediate environment. Mateo added 1-2 food chained items of higher level consistencies (soft cubes and/or mechanical) to his food inventory in order to improve nutritional value and variety of his food inventory. Mateo did not overstuff his oral cavity and pace his solid/liquid intake in 2 out of 10 opportunities in order to promote safe and effective feeding/swallowing for adequate nutritional intake. Mateo’s mother demonstrated understanding and implementation of the home feeding plan, including creating a schedule, providing appropriately sized bites and food pieces, and encouraging pacing with 20% accuracy as measured by therapist observation and caregiver feedback support Mateo’s engagement and participation at the table at home.

Plans: Continue with Speech Therapy,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4278	03-12-2026	Occupational Initial Evaluation	F84.0, R62.0
Occupational Background History: Mateo is a 3.4 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother, was present in order to serve as the primary informant throughout the evaluation. Per mother's report child was born at 36 weeks gestation. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does have history of aggression and no seasonal allergies.
Occupational Medical History: Per parent report, medical history is not remarkable
Occupational Medications: None
Occupational Behavioral Observations: Attending Skills: Adequate, Response Rate: Impulsive, Level of Activity: Active, Cooperation: With some prompts, Behavior: Present, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Moderately, Social Interactions: Friendly, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Balance, Cooperative, Endurance, Motivated, UE Strength,
Occupational Communication Weaknesses: Attention to Task, Behavior (defiance, resistance to authority, etc.), Body Awareness, Eye-Hand Coordination, Manual Dexterity, Self-Control, Sensory Process/Mod, Social Interaction, Upper Limb Coordination, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Mateo demos difficulty with in hand manipulation skills due to delayed finger dexterity, finger isolation and palm translation skills. Fine motor skills involved the small muscles of the body that enable such functions as manipulation of objects, prewriting and grasping small objects. Weaknesses in fine motor skills can affect a manipulation of objects, prewriting and grasping small objects. Weaknesses in fine motor skills can affect a child's ability to eat, turn pages in a book, and participate in daily activities.
Occupational Diagnosis/Impressions: Mateo was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report PDMS-2 - Per standardized assessment scores (child) falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 20 months to 21 months compared to his chronological age of 40 months, placing him at least (-2 to -1) standard deviations behind his peers. Mateo demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Child presents with decreased awareness which decreases his safety. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Recommendations: Occupational Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

Plan of Care

3549

Plan Date: 05-20-2024

Occupational Assessment Summary: Mateo was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Per standardized assessment scores Mateo falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 7 months to 10 months compared to his chronological age of 19 months, placing him at least (-3 to -3) standard deviations behind his peers. Mateo demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Child presents with decreased awareness which decreases his safety. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Initial POC- Baseline 0%

Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Attention	In 6 months, Mateo will increase body awareness and safety during functional mobility as evidenced by transferring between 3 tasks with MOD assist, 4/5 trials and per parental report. Baseline- MAX assist decreased safety awareness with surroundings
Motor Planning/Praxis	In 6 months, Mateo will execute a 3 step task, given only MOD verbal directions (to initiate, sequence and terminate task) to demonstrate improved ability to execute movement during ADLs, 4/5 trials. Baseline- MAX assist with multi-steps
Sensory Integration	In 6 months, Mateo will tolerate at least 3 different textures with no more than MOD aversive behaviors present, to increase participation in grooming tasks, 4/5 trials. Baseline- aversion to wet textures on face and hands
Fine Motor	In 6 months, Mateo will utilize pincer/3-jaw chuck grasping pattern to manipulate 5 small objects with MOD tactile cueing to increase grasping patterns when holding objects during ADLs, 4/5 trials. Baseline- ulnar raking grasping pattern not appropriate for age with occasional 3-jaw chuck

Occupational Short Term Goals:

Category	Goal Description
Attention	In 3 months, Mateo will increase body awareness and safety during functional mobility as evidenced by transferring between 2-3 tasks with MOD assist, 3/4 trials and per parental report. Baseline- MAX assist with decreased safety awareness with surroundings
Motor Planning/Praxis	In 3 months, Mateo will execute a 2-3 step task, given only MOD verbal directions (to initiate, sequence and terminate task) to demonstrate improved ability to execute movement during ADLs, 3/4 trials. Baseline- MAX assist multi-steps
Sensory Integration	In 3 months, Mateo will tolerate at least 2-3 different textures with no more than MOD aversive behaviors present, to increase participation in grooming tasks, 3/4 trials. Baseline- aversion to wet textures on face and hands
Fine Motor	In 3 months, Mateo will utilize pincer/3-jaw chuck grasping pattern to manipulate 3-5 small objects with MOD tactile cueing to increase grasping patterns when holding objects during ADLs, 3/4 trials. Baseline- ulnar raking grasping pattern not appropriate for age with occasional 3-jaw chuck

5361

Plan Date: 03-12-2026

Occupational Assessment Summary: Mateo was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report PDMS-2 - Per standardized assessment scores (child) falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 20 months to 21 months compared to his chronological age of 40 months, placing him at least (-2 to -1) standard deviations behind his peers. Mateo demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Child presents with decreased awareness which decreases his safety. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Initial POC- Baseline 0%

Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Bilateral Coordination	In 6 months, Mateo will demonstrate bilateral coordination by completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers,) to increase IND with feeding tasks in 4/5 trials. Baseline- MAX assist
Fine Motor	In 6 months, Mateo will color for 8 minutes at table top in order to improve fine motor precision with coloring strokes with MOD assist/VCs, 4/5 trials. Baseline- MAX assist
Sensory Integration	In 6 months, Mateo will tolerate contact with non-preferred feeding textures (e.g., wet textures, dry textures, mixed foods) on the hands and face for at least 20 seconds without aversive reactions (e.g., pulling away, avoid), to improve participation in feeding tasks with MIN assistance, 4/5 trials. Baseline- MOD aversion/assistance

Occupational Short Term Goals:

Category	Goal Description
Bilateral Coordination	In 3 months, Mateo will demonstrate bilateral coordination by completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers,) to increase IND with feeding tasks in 3/4 trials. Baseline- MAX assist
Fine Motor	In 3 months, Mateo will color for 5-8 minutes at table top in order to improve fine motor precision with coloring strokes with MOD assist/VCs, 3/4 trials. Baseline- MAX assist
Sensory Integration	In 3 months, Mateo will tolerate contact with non-preferred feeding textures (e.g., wet textures, dry textures, mixed foods) on the hands and face for at least 10-20 seconds without aversive reactions (e.g., pulling away, avoid), to improve participation in feeding tasks with MIN assistance, 3/4 trials. Baseline- MOD aversion/assistance

Occupational Therapy Soap Note/Visit:

Soap Note

147862

Note Date: 03-25-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: Mateo increased bilateral coordination when stabilizing objects with his non-dominant hand while manipulating with MAX tactile/verbal cues to use "helper hand". He also required MOD A to engage bilateral hands during sensory bin activities (kinetic sand) to make sand castles to increase bilateral coordination skills. He also required MOD verbal cues to complete a 3 step task to make sand castles with kinetic sand to increase his ability to sequence multistep tasks. Mateo colored at table top in order to improve fine motor precision with coloring strokes with MAX assist via modeling and VCs to initiate. He engaged in coloring a circle during 1/4 trials. Mateo tolerate contact dry and wet textures on bilateral hands. He showed no aversion to dry textures (kinetic sand/dry oatmeal) but demonstrated MIN aversion to wet textures as he imitated touching and drawing in shaving cream but wiped his hands after 1 minute. He tolerated engagement with wet textures for 5 minutes with MOD A for redirection to decrease aversion to novel textures.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
454251	92523: Artic & Language Eval	05-14-2024 09:15 AM	05-14-2024 10:15 AM	Jordan Orozco	NB2 far east side	Completed
457731	NB001: Supervision	05-17-2024 11:00 AM	05-17-2024 12:00 PM	Christine Adame	NB2 far east side	Completed
457026	92507: Speech & Language Visit	05-17-2024 11:00 AM	05-17-2024 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
454855	97167: OT Evaluation	05-20-2024 10:00 AM	05-20-2024 11:00 AM	Bertha Solis	NB2 far east side	Completed
457790	92507: Speech & Language Visit	05-20-2024 02:00 PM	05-20-2024 03:00 PM	Jessica Ortiz	NB2 far east side	Completed
462425	OT-VIS: OT Visit	05-24-2024 09:00 AM	05-24-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
457791	92507: Speech & Language Visit	05-28-2024 03:00 PM	05-28-2024 04:00 PM	Jessica Ortiz	NB2 far east side	Completed
464633	NB001: Supervision	05-28-2024 03:00 PM	05-28-2024 04:00 PM	Christine Adame	NB2 far east side	Completed
463979	OT-VIS: OT Visit	05-30-2024 09:00 AM	05-30-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462385	OT-VIS: OT Visit	05-31-2024 09:00 AM	05-31-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462364	OT-VIS: OT Visit	06-05-2024 09:00 AM	06-05-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470982	OT-SUP: OT Supervision	06-05-2024 09:00 AM	06-05-2024 10:00 AM	Bertha Solis	NB2 far east side	Completed
457792	92507: Speech & Language Visit	06-05-2024 10:00 AM	06-05-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
462386	OT-VIS: OT Visit	06-07-2024 09:00 AM	06-07-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462365	OT-VIS: OT Visit	06-12-2024 09:00 AM	06-12-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470615	92507: Speech & Language Visit	06-12-2024 10:00 AM	06-12-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
466618	OT-VIS: OT Visit	06-13-2024 09:00 AM	06-13-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
475836	OT-SUP: OT Supervision	06-13-2024 09:00 AM	06-13-2024 10:00 AM	Bertha Solis	NB2 far east side	Completed
462387	OT-VIS: OT Visit	06-14-2024 09:00 AM	06-14-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462366	OT-VIS: OT Visit	06-19-2024 09:00 AM	06-19-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470616	92507: Speech & Language Visit	06-19-2024 10:00 AM	06-19-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
462388	OT-VIS: OT Visit	06-21-2024 09:00 AM	06-21-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462367	OT-VIS: OT Visit	06-26-2024 09:00 AM	06-26-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470617	92507: Speech & Language Visit	06-26-2024 10:00 AM	06-26-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
462389	OT-VIS: OT Visit	06-28-2024 09:00 AM	06-28-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462368	OT-VIS: OT Visit	07-03-2024 09:00 AM	07-03-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470618	92507: Speech & Language Visit	07-03-2024 10:00 AM	07-03-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
462390	OT-VIS: OT Visit	07-05-2024 09:00 AM	07-05-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462369	OT-VIS: OT Visit	07-10-2024 09:00 AM	07-10-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470619	92507: Speech & Language Visit	07-10-2024 10:00 AM	07-10-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
462391	OT-VIS: OT Visit	07-12-2024 09:00 AM	07-12-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462370	OT-VIS: OT Visit	07-17-2024 09:00 AM	07-17-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470620	92507: Speech & Language Visit	07-17-2024 10:00 AM	07-17-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
462392	OT-VIS: OT Visit	07-19-2024 09:00 AM	07-19-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462371	OT-VIS: OT Visit	07-24-2024 09:00 AM	07-24-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470621	92507: Speech & Language Visit	07-24-2024 10:00 AM	07-24-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
462393	OT-VIS: OT Visit	07-26-2024 09:00 AM	07-26-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
462372	OT-VIS: OT Visit	07-31-2024 09:00 AM	07-31-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
470622	92507: Speech & Language Visit	07-31-2024 10:00 AM	07-31-2024 11:00 AM	Jessica Ortiz	NB2 far east side	Completed
906187	97167: OT Evaluation	03-12-2026 04:00 PM	03-12-2026 05:00 PM	Bertha Solis	NB2 far east side	Completed
905201	92523: Artic & Language Eval	03-13-2026 01:00 PM	03-13-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
905203	92610: Feeding Evaluation	03-17-2026 02:30 PM	03-17-2026 03:30 PM	Andrea Rodriguez	NB2 far east side	Completed
911973	92526: Feeding Visit	03-24-2026 01:30 PM	03-24-2026 02:00 PM	Andrea Rodriguez	NB2 far east side	Completed
910831	OT-VIS: OT Visit	03-24-2026 02:00 PM	03-24-2026 03:00 PM	Kaitlin Marsland	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
462407	OT-VIS: OT Visit	05-23-2024 09:00 AM	05-23-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
462363	OT-VIS: OT Visit	05-29-2024 09:00 AM	05-29-2024 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
913560	OT-VIS: OT Visit	03-31-2026 03:00 PM	03-31-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913598	92526: Feeding Visit	03-31-2026 04:00 PM	03-31-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910649	92507: Speech & Language Visit	04-01-2026 02:45 PM	04-01-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913561	OT-VIS: OT Visit	04-07-2026 03:00 PM	04-07-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913599	92526: Feeding Visit	04-07-2026 04:00 PM	04-07-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910650	92507: Speech & Language Visit	04-08-2026 02:45 PM	04-08-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913562	OT-VIS: OT Visit	04-14-2026 03:00 PM	04-14-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913600	92526: Feeding Visit	04-14-2026 04:00 PM	04-14-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910651	92507: Speech & Language Visit	04-15-2026 02:45 PM	04-15-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913563	OT-VIS: OT Visit	04-21-2026 03:00 PM	04-21-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913601	92526: Feeding Visit	04-21-2026 04:00 PM	04-21-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910652	92507: Speech & Language Visit	04-22-2026 02:45 PM	04-22-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913564	OT-VIS: OT Visit	04-28-2026 03:00 PM	04-28-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913602	92526: Feeding Visit	04-28-2026 04:00 PM	04-28-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910653	92507: Speech & Language Visit	04-29-2026 02:45 PM	04-29-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913565	OT-VIS: OT Visit	05-05-2026 03:00 PM	05-05-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913603	92526: Feeding Visit	05-05-2026 04:00 PM	05-05-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910654	92507: Speech & Language Visit	05-06-2026 02:45 PM	05-06-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913566	OT-VIS: OT Visit	05-12-2026 03:00 PM	05-12-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913604	92526: Feeding Visit	05-12-2026 04:00 PM	05-12-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910655	92507: Speech & Language Visit	05-13-2026 02:45 PM	05-13-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913567	OT-VIS: OT Visit	05-19-2026 03:00 PM	05-19-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913605	92526: Feeding Visit	05-19-2026 04:00 PM	05-19-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910656	92507: Speech & Language Visit	05-20-2026 02:45 PM	05-20-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913568	OT-VIS: OT Visit	05-26-2026 03:00 PM	05-26-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913606	92526: Feeding Visit	05-26-2026 04:00 PM	05-26-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910657	92507: Speech & Language Visit	05-27-2026 02:45 PM	05-27-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913569	OT-VIS: OT Visit	06-02-2026 03:00 PM	06-02-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913607	92526: Feeding Visit	06-02-2026 04:00 PM	06-02-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910658	92507: Speech & Language Visit	06-03-2026 02:45 PM	06-03-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913570	OT-VIS: OT Visit	06-09-2026 03:00 PM	06-09-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913608	92526: Feeding Visit	06-09-2026 04:00 PM	06-09-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910659	92507: Speech & Language Visit	06-10-2026 02:45 PM	06-10-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913571	OT-VIS: OT Visit	06-16-2026 03:00 PM	06-16-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913609	92526: Feeding Visit	06-16-2026 04:00 PM	06-16-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910660	92507: Speech & Language Visit	06-17-2026 02:45 PM	06-17-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913572	OT-VIS: OT Visit	06-23-2026 03:00 PM	06-23-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913610	92526: Feeding Visit	06-23-2026 04:00 PM	06-23-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910661	92507: Speech & Language Visit	06-24-2026 02:45 PM	06-24-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913573	OT-VIS: OT Visit	06-30-2026 03:00 PM	06-30-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913611	92526: Feeding Visit	06-30-2026 04:00 PM	06-30-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910662	92507: Speech & Language Visit	07-01-2026 02:45 PM	07-01-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913574	OT-VIS: OT Visit	07-07-2026 03:00 PM	07-07-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913612	92526: Feeding Visit	07-07-2026 04:00 PM	07-07-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
910663	92507: Speech & Language Visit	07-08-2026 02:45 PM	07-08-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913575	OT-VIS: OT Visit	07-14-2026 03:00 PM	07-14-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
910664	92507: Speech & Language Visit	07-15-2026 02:45 PM	07-15-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913576	OT-VIS: OT Visit	07-21-2026 03:00 PM	07-21-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
910665	92507: Speech & Language Visit	07-22-2026 02:45 PM	07-22-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913577	OT-VIS: OT Visit	07-28-2026 03:00 PM	07-28-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
910666	92507: Speech & Language Visit	07-29-2026 02:45 PM	07-29-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913578	OT-VIS: OT Visit	08-04-2026 03:00 PM	08-04-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
910667	92507: Speech & Language Visit	08-05-2026 02:45 PM	08-05-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Scheduled
913579	OT-VIS: OT Visit	08-11-2026 03:00 PM	08-11-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913580	OT-VIS: OT Visit	08-18-2026 03:00 PM	08-18-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
913581	OT-VIS: OT Visit	08-25-2026 03:00 PM	08-25-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
05-29-2024	OT-VIS	Marsland, Kaitlin
05-23-2024	OT-VIS	Marsland, Kaitlin

Paient Messages Admin:

Date	Posted By	Message
05-08-2024 05:55 PM	Monica Contreras-Tullius	Thank you for signing up to receive text messages from New Beginnings. To send a message to your child's therapist just reply here. To stop receiving messages from us, reply STOP at any time.
05-21-2024 08:59 AM	Stephen Tullius	Good morning. This is a general message to all parents. New Beginnings is considering the addition of Physical Therapy within a few months. If you are interested in receiving those services with us, please contact the front office to get on our wait list. Please do not hesitate as those slots will fill up quickly. Thank you for your continued support.
03-05-2026 11:08 AM	Asbel Guajardo	Hello this is Asbel form New Beginnings and I have sent you the link for the intake paperwork if you could please review and sign. If you have any questions please let me know if you have any questions please let us know 915-303-5177. Thank you
03-06-2026 02:37 PM	Patsy Guajardo	Hi, Mateo as been assigned a therapist for Feeding therapy. Here's a link to learn more about Andrea https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=8880&tid=127
03-09-2026 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=8880
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-20-2026 08:27 AM	Patsy Guajardo	Hi, Mateo as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Jessica https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=8880&tid=44
03-20-2026 08:29 AM	Patsy Guajardo	Hi, Mateo as been assigned a therapist for Feeding therapy. Here's a link to learn more about Andrea https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=8880&tid=127
03-20-2026 08:37 AM	Patsy Guajardo	Hi, Mateo as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Kaitlin https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=8880&tid=86

Paient Messages Therapist:

Date	Posted By	Message
05-10-2024 01:39 PM	Jordan Orozco	Good afternoon! This is Jordan from New Beginnings I will be completing Mateo’s speech evaluation. I am messaging from our patient portal, which is a secure texting only system - I have an opening at 830am on Tuesday May 14 for Mateo’s in person evaluation, will this work ? :)
05-10-2024 01:49 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that works! Thank you
05-10-2024 02:28 PM	Jordan Orozco	Great!! Mateo is scheduled for Tuesday 5-14-24 at 830am at our far east location 3551 Rich Beem Blvd Unit B. May i send you a brief questionnaire to complete for me in preparation for the evaluation? :)
05-10-2024 02:41 PM	Mateo Bussell	Mateo (Prim) Replied: Yes of course
05-10-2024 03:23 PM	Jordan Orozco	Speech History Questionnaire MATEO, B. 1.) Name and DOB 2.) Any complications with pregnancyor birth? 3.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)? 3.) developmental milestones met within normal limits? or delayed? 4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 5.) medications? 6.) education? (i.e., day care, preschool) 7.) vision or hearing issues? 8.) In your a few words write you parental concerns with SPEECH and LANGUAGE
05-10-2024 04:04 PM	Mateo Bussell	Mateo (Prim) Replied: Mateo Bussell DOB 10-19-22 No complications during pregnancy or birth No illnesses or accidents since last check up No medical diagnosis Has met big milestones like sitting up, crawling and walking. Sleeps 8-10 hrs and does not wake up throughout the night. Does not snore and sleeps with mouth closed Does not take any medications Does not attend daycare Mateo babbles. He makes sounds but does not say actual words. At around 14 months he would attempt to say "mama" or "papa" but does not say them anymore. He communicates by grabbing our hand and leading us to what he wants. Or will hand us things he wants.
05-10-2024 04:27 PM	Jordan Orozco	Thank you for your responses, I will note them. See you Tuesday
05-13-2024 07:36 AM	Jordan Orozco	Good morning!! Would 915am be ok instead of 830am for tomorrow :) I had a cancellation so I am shifting my schedule a bit. But if you need to keep 830, we can!
05-13-2024 08:28 AM	Mateo Bussell	Mateo (Prim) Replied: Yes 9:15 is fine
05-13-2024 10:12 AM	Jordan Orozco	Great see you then!
05-13-2024 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
05-13-2024 07:03 PM	Bertha Solis	Good evening, this is Bertha Solis OTD, OTR/L occupational therapist at New Beginnings Pediatric Therapy reaching out from patient portal (secured system). I received a referral for Occupational Therapy evaluation for Mateo. I have a 10:00 am appointment next Monday May 20th. Does this day and time work for you? Hope you have a great day!
05-13-2024 07:30 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that works.
05-14-2024 07:31 AM	Jordan Orozco	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
05-16-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
05-17-2024 07:30 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
05-17-2024 01:11 PM	Jessica Ortiz	Hi Mrs. Serrano, when you have a moment, could you please sign the link I sent you? The link is for our attendance signature. Thank you! Have a very nice weekend:))
05-17-2024 01:16 PM	Mateo Bussell	Mateo (Prim) Replied: Okay just signed 🙂 thank you! You too!
05-19-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 05-20-2024 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
05-19-2024 04:13 PM	Mateo Bussell	Mateo (Prim) Replied: YES
05-19-2024 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
05-19-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
05-20-2024 07:31 AM	Bertha Solis	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
05-20-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
05-22-2024 02:35 PM	Kaitlin Marsland	Hello! My name is Kaitlin and I will be working with Mateo for occupational therapy :) He can be scheduled twice a week. Would you able to attend morning appointments?
05-22-2024 03:52 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that works
05-22-2024 06:18 PM	Kaitlin Marsland	Ok, I have Mondays and Wednesdays at 11:00am would those days and times work well for a permanent slot for him?
05-22-2024 06:31 PM	Mateo Bussell	Mateo (Prim) Replied: Is there any earlier times?
05-22-2024 06:32 PM	Kaitlin Marsland	The earliest times I have is a 9:00am on Wednesday and Friday, would that work?
05-22-2024 06:32 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that works!
05-22-2024 06:34 PM	Kaitlin Marsland	Perfect! :) We will begin that schedule next week. If you'd like him to start this week I have a 9:00am tomorrow open if that would work?
05-22-2024 06:37 PM	Mateo Bussell	Mateo (Prim) Replied: Yes! We can be there tomorrow :)
05-22-2024 06:38 PM	Kaitlin Marsland	Thats awesome! :) looking forward to meeting you both tomorrow
05-23-2024 07:19 AM	Kaitlin Marsland	Good morning. I sincerely apologize but I had a family emergency this morning and I need to cancel OT for Mateo. I can offer a 9:00am tomorrow morning if that works for you? I apologize!
05-23-2024 08:00 AM	Mateo Bussell	Mateo (Prim) Replied: Yes that''s fine. We''ll be there tomorrow
05-23-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
05-24-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
05-26-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 05-28-2024 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
05-26-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 05-29-2024 at 9:00 AM, and on 05-31-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
05-27-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
05-28-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
05-28-2024 08:09 AM	Mateo Bussell	Mateo (Prim) Replied: Hi Kaitlin. I wanted to see if we could move Mateo''s appointment tomorrow to another day this week. An appointment came up tomorrow morning.
05-28-2024 08:10 AM	Kaitlin Marsland	Ok, thank you for letting me know. I have today at 10:00am open or Thursday at 9:00am open if either of those work?
05-28-2024 08:27 AM	Mateo Bussell	Mateo (Prim) Replied: Thursday at nine is perfect! Thank you!
05-28-2024 09:59 AM	Jessica Ortiz	Hi, Mrs. Serrano, I wanted to inform you that my 3 pm appointment has been canceled today. You can come for therapy after Mateo's naptime if you would like. :)
05-28-2024 10:13 AM	Mateo Bussell	Mateo (Prim) Replied: Okay yes that works :) we''ll be there at 3
05-28-2024 10:15 AM	Jessica Ortiz	Awesome!! My 3 pm patient canceled, and I thought of Mateo, that way, we wouldn't interrupt his naptime. :)
05-28-2024 10:21 AM	Mateo Bussell	Mateo (Prim) Replied: Yes thank you! :)
05-29-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
05-30-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
05-30-2024 04:13 PM	Jessica Ortiz	Hi Mrs. Serrano! This is Jessica. I talked to Kaitlin about Mateo's schedule, and she told me that she would see him on Wednesday on Friday at 9 am. I can schedule him for every Wednesday at 10 am, right after OT. Does this work with you?
05-30-2024 04:53 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that''s perfect thank you!
05-30-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
05-31-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
05-31-2024 10:10 AM	Kaitlin Marsland	Hello! If you'd like an extra OT session for Mateo I have a 9:00am available on Thursday June 13th, in two weeks :)
05-31-2024 10:19 AM	Mateo Bussell	Mateo (Prim) Replied: Yes that works! :) thank you
05-31-2024 10:20 AM	Kaitlin Marsland	No problem! Have a great weekend!!
06-02-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 06-05-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-02-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 06-05-2024 at 9:00 AM, and on 06-07-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-02-2024 04:04 PM	Mateo Bussell	Mateo (Prim) Replied: Yes
06-02-2024 04:04 PM	Mateo Bussell	Mateo (Prim) Replied: Yes
06-04-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
06-04-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-05-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
06-05-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-06-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-07-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-09-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 06-12-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-09-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 06-12-2024 at 9:00 AM, and on 06-13-2024 at 9:00 AM, and on 06-14-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-11-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-11-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
06-12-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-12-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
06-12-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-13-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-13-2024 03:19 PM	Mateo Bussell	Mateo (Prim) Replied: Hi Jessica! I spoke to Kaitlin today about Mateo going down to one OT a week as opposed to two that way he can go one day to speech and one day to occupational. I just don''t know what day is good for you.
06-13-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-14-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-16-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 06-19-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-16-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 06-19-2024 at 9:00 AM, and on 06-21-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-17-2024 08:38 AM	Kaitlin Marsland	Hello, would you like me to cancel OT for Wednesday and keep the Friday appointment?
06-17-2024 10:13 AM	Mateo Bussell	Mateo (Prim) Replied: No I am closing both of those days so I''m able to take him to both
06-17-2024 10:14 AM	Kaitlin Marsland	Ok perfect! :)
06-18-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-18-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
06-19-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-19-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
06-20-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-21-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-21-2024 09:30 AM	Kaitlin Marsland	Do you have a change of pants for Mateo? He\u2019s wet
06-23-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 06-26-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-23-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 06-26-2024 at 9:00 AM, and on 06-28-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-25-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-25-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
06-26-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-26-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
06-27-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
06-28-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
06-30-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 07-03-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-30-2024 04:00 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 07-03-2024 at 9:00 AM, and on 07-05-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-02-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-02-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
07-03-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-03-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
07-04-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-05-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-07-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 07-10-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-07-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 07-10-2024 at 9:00 AM, and on 07-12-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-09-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-09-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
07-10-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-10-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
07-11-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-12-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-14-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 07-17-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-14-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 07-17-2024 at 9:00 AM, and on 07-19-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-16-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-16-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
07-17-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-17-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
07-18-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-19-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-21-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 07-24-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-21-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 07-24-2024 at 9:00 AM, and on 07-26-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-23-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-23-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
07-24-2024 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-24-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
07-25-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-26-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-28-2024 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 07-31-2024 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-28-2024 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 07-31-2024 at 9:00 AM, and on 08-02-2024 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-30-2024 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
07-30-2024 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
07-31-2024 07:30 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
07-31-2024 07:31 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
07-31-2024 09:55 AM	Kaitlin Marsland	Good morning! Jessica was ready for Mateo so I transitioned him over to her. He did really well! I am working with him on more bilateral coordination and fine motor/visual motor activities like the shape sorter and simple puzzles. He is trying to place the simple puzzle piece on his own I am just helping him to "turn" the piece so it fits and if he places it on the wrong spot I point to the correct one or cover the other ones so he can find the right slot. For bilateral coordination I introduced linking cars so he holds 2 of them and pushes them together. This required more hand over hand assistance because he was enjoying dropping them on the tile. But I want to keep introducing him to new ways of play now that he has mastered in/out!
07-31-2024 10:01 AM	Mateo Bussell	Mateo (Prim) Replied: Okay thank you so much! I''m not sure if I had mentioned to you that we were relocating for my husband job so today will be Mateo''s last session. I sent a little thank you gift for you with my husband. I can have him give it to Jessica to give to you 🙂 we just wanted to say thank you for your work with Mateo. He felt safe and I saw such growth from him because of what you do. Thank you again! We will miss you! Especially Mateo 🙂
07-31-2024 10:08 AM	Kaitlin Marsland	Aww I appreciate you guys so much, its truly been my pleasure! It's been so great to see Mateo grow and I wish you guys all the best! I will go out to say goodbye :)
08-03-2024 09:16 AM	Jessica Ortiz	Dear Mrs. Serrano, it's Jessica. I realized that I never got to properly thank you for the thoughtful gift. I also want to express my deep gratitude for your unwavering support, patience, and understanding. Please continue working with Mateo, he is the sweetest. We will miss you greatly, and if there's anything you need from us, please don't hesitate to reach out. MUCHAS GRACIAS POR TODO.
08-03-2024 10:32 AM	Mateo Bussell	Mateo (Prim) Replied: Yes thank you Jessica! We will miss you too! We saw so much growth from Mateo thanks to you and Kaitlin. Thank you again for everything! Take care 🙂
03-09-2026 09:53 AM	Andrea Rodriguez	Good morning! This is Andrea from New Beginnings. I will be conducting Mateo's feeding evaluation. Would you be available next Tuesday, the 17th, at 2:30 pm? Thank you.
03-09-2026 10:28 AM	Jessica Ortiz	Hello, Mrs. Bussel! This is Jessica. I will be conducting Mateo's speech evaluation. Would you be available to come on Friday at 9 am?
03-09-2026 10:53 AM	Mateo Bussell	Mateo (Prim) Replied: Hi Jessica! I work from 8-12. But I can anytime after that
03-09-2026 10:54 AM	Mateo Bussell	Mateo (Prim) Replied: Hello Andrea! Yes that works. Thank you
03-09-2026 10:55 AM	Jessica Ortiz	No problem, how about 12:30 on Friday?
03-09-2026 10:56 AM	Mateo Bussell	Mateo (Prim) Replied: Yes that works! Thank you
03-09-2026 11:14 AM	Andrea Rodriguez	Perfect! There is some feeding paperwork that needs to be filled out. Do you have access to a printer? :)
03-09-2026 11:18 AM	Mateo Bussell	Mateo (Prim) Replied: Yes i do. You can send the paperwork to my email sepatty1517@gmail.com
03-09-2026 12:08 PM	Andrea Rodriguez	Please let me know if you received all 3 forms. Thank you!
03-09-2026 12:10 PM	Jessica Ortiz	Awesome! Please complete this short questionnaire, which I’ll be sending as an attachment. You can reply to the questions via text message. Thank you!
03-09-2026 12:10 PM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/03092026121051-NB-initial.pdf
03-09-2026 12:19 PM	Mateo Bussell	Mateo (Prim) Replied: Yes I've received all three!
03-09-2026 12:25 PM	Andrea Rodriguez	Awesome! On the PediEat, please disregard the scoring portion. Please bring them filled on the day of the evaluation. In a few words, can you please describe Mateo's feeding concerns?
03-09-2026 03:42 PM	Mateo Bussell	Mateo (Prim) Replied:
03-09-2026 03:51 PM	Mateo Bussell	Mateo (Prim) Replied: Mateo is a very picky eater. He eats about 10-11 items regularly (bananas, muffins, chicken nuggets, fries, meatballs, spaghetti, pancakes, weenie, Mexican rice, Mexican sopita, and chips) and only drinks water. Sometimes he will feed himself but not regularly.
03-09-2026 03:57 PM	Jessica Ortiz	Hola, Mrs. Bussell! For some reason, I can't see the attachment you sent. Could you please resend it as a text message?
03-09-2026 04:00 PM	Mateo Bussell	Mateo (Prim) Replied:
03-09-2026 04:00 PM	Mateo Bussell	Mateo (Prim) Replied: Let me know if that works!
03-09-2026 04:04 PM	Jessica Ortiz	I'm sorry, but I can't see it. It only shows that you sent something. Maybe try copying and pasting it.
03-09-2026 04:05 PM	Mateo Bussell	Mateo (Prim) Replied: 1. Mateo Everette Bussell DOB: 10/19/2022 2. Born at 36 weeks 3. Autism diagnosis (diagnosed February 11, 2026) 4.Crawling/sitting up - 9-10 months Standing up/walking - 14-18 months Feeding - 18 months Not met for rest of milestones 5. No sleeping issues. Mateo gets around 9-11 hours of sleep. Does not wake up throughout the night. Sleeps with mouth closed. No snoring (only if really tired) 6. Mateo does not attend daycare/school 7. Mateo does not speak yet. But Spanish is another language spoken around him. 8. Mateo has lazy eye in left eye. Has not yet seen an eye doctor. Heating screening done last year in October. Passed hearing exam. 9. Mateo displays major speech delay. Uses some signs occasionally; more, all done, open, bath. He babbles and sometimes says mama or baba. I am seeing more frustration from him due to not being able to communicate his needs and wants. Does self-harm if frustrated or transitioning from task to task. (Hits his head against table, wall, floor)
03-09-2026 04:27 PM	Jessica Ortiz	I got them! Thank you so much:)
03-09-2026 05:24 PM	Andrea Rodriguez	Thank you! For the evaluation can you please bring 3 preferred and 3 non preferred food items. Portions can be small. Thank you!!
03-10-2026 03:41 PM	Bertha Solis	Hello, this is Bertha Solis OTD, OTR/L the occupational therapist at New Beginnings; I received a referral for Mateo for OT evaluation; I have an appointment available thursday at 4pm? Would this time and day work for you, for OT evaluation?
03-10-2026 03:54 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that works
03-11-2026 11:33 AM	Jessica Ortiz	Hola, Mrs. Bussell! I was wondering if it would be possible for me to see you on Friday at 1:00 pm instead of 12:30 pm.
03-11-2026 11:36 AM	Mateo Bussell	Mateo (Prim) Replied: Yes that works!
03-11-2026 11:41 AM	Jessica Ortiz	Thank you so much for your flexibility. See you on Friday :)
03-11-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Mateo has a Occupational Evaluation appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
03-12-2026 07:59 AM	Bertha Solis	Hi, this is a just a reminder that Mateo has a Occupational Evaluation appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
03-12-2026 03:45 PM	Bertha Solis	Mateo Bussell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=906187
03-12-2026 03:52 PM	Mateo Bussell	Mateo is CHECKED IN for: 4:00PM-3/12/2026 97167: OT Evaluation
03-12-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-13-2026 07:35 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-13-2026 12:45 PM	Jessica Ortiz	Mateo Bussell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905201
03-13-2026 12:53 PM	Mateo Bussell	Mateo is CHECKED IN for: 1:00PM-3/13/2026 92523: Artic & Language Eval
03-13-2026 12:57 PM	Jessica Ortiz	I’ll be with you in a minute :)
03-16-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Mateo has a Feeding Evaluation appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
03-17-2026 07:59 AM	Andrea Rodriguez	Hi, this is a just a reminder that Mateo has a Feeding Evaluation appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
03-17-2026 10:08 AM	Andrea Rodriguez	Good morning! Just a reminder to please bring the paperwork filled out, as well as 3 preferred and 3 non-preferred food items. Portions can be small. Thank you, and I will see you soon!
03-17-2026 02:15 PM	Andrea Rodriguez	Mateo Bussell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905203
03-17-2026 02:27 PM	Mateo Bussell	Mateo is CHECKED IN for: 2:30PM-3/17/2026 92610: Feeding Evaluation
03-17-2026 04:01 PM	Andrea Rodriguez	Hi! I have submitted Mateo's initial report. We will be working on: tolerate and engage in sensory-based oral motor play activities (e.g., vibration, chewy tube), interact with non-preferred foods using his whole hands and face, add 12 food-chained items of higher level consistencies, not overstuff his oral cavity, pace his solid/liquid intake, and home implementation plan at home. Once the office has processed the report, obtained the needed signatures, and insurance approves the report, I will reach out to you to schedule our first session. If you have any questions, please reach out.
03-17-2026 04:02 PM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/03172026160251-IMG_2050.jpeg
03-17-2026 04:02 PM	Andrea Rodriguez	I have sent a visual schedule that you can print and use for his mealtime routine. Mateo can use checkmarks or stickers. Please let me know if you received it :)
03-17-2026 04:53 PM	Mateo Bussell	Mateo (Prim) Replied: Yes thank you, I received it!
03-20-2026 08:48 AM	Kaitlin Marsland	Hello, this is Kaitlin, COTA/L with New Beginnings. I received Mateo's OT authorization and wanted to reach out to schedule. Currently I have Tuesdays at 10:00am or Fridays at 12:00. Would either of those work for you starting next week?
03-20-2026 08:50 AM	Mateo Bussell	Mateo (Prim) Replied: Hi Kaitlin. I work early in the mornings but I can do anything after 12pm.
03-20-2026 09:54 AM	Kaitlin Marsland	Are you able to make it at 12:15 on Fridays until I get a later opening? It is all I have right now
03-20-2026 11:12 AM	Jessica Ortiz	Hola Mrs. Bussell! Just wanted to let you know that we had auth for Mateo. If you want we can start therapy on Wednesday at 2:45:)
03-20-2026 11:13 AM	Mateo Bussell	Mateo (Prim) Replied: Yes that's great! Thank you we will be there! :)
03-20-2026 11:13 AM	Jessica Ortiz	Yay! Thank you, see you Wednesday:)
03-20-2026 12:52 PM	Mateo Bussell	Mateo (Prim) Replied: No I think I'll run late.
03-20-2026 01:05 PM	Kaitlin Marsland	What is the earliest time I would be able to schedule Mateo? That way I can see what I am able to move around.
03-20-2026 01:09 PM	Mateo Bussell	Mateo (Prim) Replied: 12:30 pm is the earliest for now. He will be starting ABA soon but I still don't know what his schedule will look like
03-20-2026 01:18 PM	Kaitlin Marsland	Next week I have a 2:00pm opening from a cancellation on Tuesday. Could I schedule him for Tuesday at 2:00pm just for next week?
03-20-2026 02:36 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that works
03-20-2026 02:41 PM	Kaitlin Marsland	I have him scheduled for Tuesday at 2:00pm, thank you!
03-20-2026 02:51 PM	Mateo Bussell	Mateo (Prim) Replied: Thank you, see you then!
03-22-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Bussell, Mateo has a Speech Therapy appointment on 03-25-2026 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Bussell, Mateo has a Occupational Therapy appointment on 03-24-2026 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 11:01 AM	Andrea Rodriguez	Good morning! We have received authorization to begin Mateo's feeding appointments. For this week, I can see him tomorrow at 1:30 pm before his OT appointment. In the following weeks, I can see him on Mondays at 2:30 pm. Let me know if that works for you :)
03-23-2026 11:09 AM	Mateo Bussell	Mateo (Prim) Replied: Yes that works!
03-23-2026 11:17 AM	Andrea Rodriguez	Thank you! Can you please pack him: preferred chicken nuggets, beef jerky, a banana, freeze-dried bananas, a slice of bread, and ham. Can you also include his preferred cup with water and any cup you might have that has a straw? Thank you!!
03-23-2026 06:31 PM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 06:31 PM	Andrea Rodriguez	Hi, this is a just a reminder that Mateo has a Feeding Therapy appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 08:07 AM	Kaitlin Marsland	Hi, this is a just a reminder that Mateo has a Occupational Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 08:09 AM	Andrea Rodriguez	Hi, this is a just a reminder that Mateo has a Feeding Therapy appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 01:15 PM	Andrea Rodriguez	Mateo Bussell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=911973
03-24-2026 01:25 PM	Mateo Bussell	Mateo is CHECKED IN for: 1:30PM-3/24/2026 92526: Feeding Visit
03-24-2026 01:45 PM	Kaitlin Marsland	Mateo Bussell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=910831
03-24-2026 01:56 PM	Mateo Bussell	Mateo is CHECKED IN for: 2:00PM-3/24/2026 OT-VIS: OT Visit
03-24-2026 03:35 PM	Kaitlin Marsland	Hello, I was able to open Tuesdays at 3:00pm can I make that Mateo's permanent OT slot? :)
03-24-2026 04:05 PM	Andrea Rodriguez	Hi! This week, could you please try fish nuggets from a preferred brand? Next week, can you please bring chicken nuggets, fish nuggets, a banana, freeze-dried banana, ham, and toasted bread? Throughout the week, please give him mashed potatoes with a very small amount of cheese. Mashed potatoes are a preferred item that we can alter in flavor, but for now, let's keep the appearance looking the same. Thank you, see you next week!
03-24-2026 04:05 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that works! Thank you!
03-24-2026 04:05 PM	Mateo Bussell	Mateo (Prim) Replied: Okay thank you!
03-24-2026 04:07 PM	Andrea Rodriguez	Also, if Tuesdays at 3:00 pm work with you for OT, I can see him after at 4:00 pm :)
03-24-2026 04:08 PM	Mateo Bussell	Mateo (Prim) Replied: Yes that will work! Thank you!
03-24-2026 04:12 PM	Andrea Rodriguez	Perfect! Thank you!
03-24-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
03-25-2026 07:58 AM	Jessica Ortiz	Hi, this is a just a reminder that Mateo has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
03-25-2026 02:30 PM	Jessica Ortiz	Mateo Bussell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=910648
03-25-2026 02:31 PM	Mateo Bussell	Mateo is CHECKED IN for: 2:45PM-3/25/2026 92507: Speech & Language Visit