Patient Name: Izkaira

Patient Information:

Patient ID: 9776
Patient First Name: Izkaira
Patient Date of Birth: 08-02-2022
Gender: Female
Assigned Office: NB2 far east side
Primary Care Physician: Brianna, Garza
Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Ortiz, Jessica
FD - Feeding Therapy:
OT - Occupational Therapy: Solis, Bertha
PT - Physical Therapy:

Patient Primary Authorizations:

Auth. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
23674Active04-20-202610-23-2026El Paso First Health Plans26000
22487Active10-27-202504-23-2026El Paso First Health Plans002090
22433Active10-20-202504-17-2026El Paso First Health Plans26000

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2564710-14-2025Speech Initial EvaluationF80.2
Speech Background History: Izkaira is a 3-year-2-month-old female who was referred for speech and language therapy services by her pediatrician due to a speech delay. Izkaira was accompanied by mother and father, who served as the informants for this evaluation. Parents stated Izkaira uses at least 5 words (adios, bye, one, two, three), will babble, and grabs/pulls caregiver and points to desired object to express her wants/needs. Mother stated Izkaira will occasionally babble "Happy Birthday" or "The Wheels on the Bus". Izkaira's word inventory is both in English and Spanish. A typically developing child that is Izkaira's age should speak in sentences of 3 to 5 words. Based on clinical observations, Izkaira’s current communication is characterized as limited functional words, eyeΒ­contact, and/or pointed/grabbed desired object to express her wants/needs. The Preschool Language Scales Fifth Edition (PLSΒ­5) Spanish was used to evaluate Izkaira’s receptive and expressive language skills. Izkaira's mother stated that she uses Spanish at home with her. Izkaira watches movies and listens to music in English. She stated that Izkaira is exposed to Spanish and English. The language of intervention should be Spanish with support in English.
Speech Medical History: Per parent report, medical history is not remarkable. Born full term via vaginal delivery. Ikzaira has not experienced any major illnesses or accidents that required hospitalization. Izkaira has not been diagnosed with any conditions or disorders.
Speech Medications: None at this time
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Mild delays, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Easily separated from Parents,
Speech Communication Weaknesses: Poor use of eye contact, Poor vocabulary, Unable to follow commands,
Speech Background Summary:
Speech Diagnosis/Impressions: Izkaira is a 3-year-2-month-old female who was referred for speech and language therapy services by her pediatrician due to a speech delay. Izkaira was accompanied by mother and father, who served as the informants for this evaluation. Parents stated Izkaira uses at least 5 words (adios, bye, one, two, three), will babble, and grabs/pulls caregiver and points to desired object to express her wants/needs. Mother stated Izkaira will occasionally babble "Happy Birthday" or "The Wheels on the Bus". Izkaira's word inventory is both in English and Spanish. A typically developing child that is Izkaira's age should speak in sentences of 3 to 5 words. Based on clinical observations, Izkaira’s current communication is characterized as limited functional words, eyeΒ­contact, and/or pointed/grabbed desired object to express her wants/needs. The Preschool Language Scales Fifth Edition (PLSΒ­5) Spanish was used to evaluate Izkaira’s receptive and expressive language skills. Izkaira's mother stated that she uses Spanish at home with her. Izkaira watches movies and listens to music in English. She stated that Izkaira is exposed to Spanish and English. The language of intervention should be Spanish with support in English. Born full term via vaginal delivery. Ikzaira has not experienced any major illnesses or accidents that required hospitalization. Izkaira has not been diagnosed with any conditions or disorders. According to the standard scores on the PLS-5, where a score from 85-115 is considered within functional limits, Izkaira presents with a PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Izkaira would greatly benefit from speech therapy services that focus on the following concepts: following 1-step commands with common objects, joint attention, imitating environmental sounds, imitating functional signs, transition between activities, engaging with clinician during play. RECOMMENDATIONS: Speech therapy at a frequency of 1x per week for 45 minutes per session is highly recommended at this time as Izkaira’s expressive and receptive language skills are NOT WITHIN FUNCTIONAL OR DEVELOPMENTAL LIMITS for her age/safety. Without speech therapy, Izkaira's safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Izkaira's mother will be responsible for her Home Education Program (HEP).
Speech Diagnosis/Impressions: Izkaira is a 3-year-2-month-old female who was referred for speech and language therapy services by her pediatrician due to a speech delay. Izkaira was accompanied by mother and father, who served as the informants for this evaluation. Parents stated Izkaira uses at least 5 words (adios, bye, one, two, three), will babble, and grabs/pulls caregiver and points to desired object to express her wants/needs. Mother stated Izkaira will occasionally babble "Happy Birthday" or "The Wheels on the Bus". Izkaira's word inventory is both in English and Spanish. A typically developing child that is Izkaira's age should speak in sentences of 3 to 5 words. Based on clinical observations, Izkaira’s current communication is characterized as limited functional words, eyeΒ­contact, and/or pointed/grabbed desired object to express her wants/needs. The Preschool Language Scales Fifth Edition (PLSΒ­5) Spanish was used to evaluate Izkaira’s receptive and expressive language skills. Izkaira's mother stated that she uses Spanish at home with her. Izkaira watches movies and listens to music in English. She stated that Izkaira is exposed to Spanish and English. The language of intervention should be Spanish with support in English. Born full term via vaginal delivery. Ikzaira has not experienced any major illnesses or accidents that required hospitalization. Izkaira has not been diagnosed with any conditions or disorders. According to the standard scores on the PLS-5, where a score from 85-115 is considered within functional limits, Izkaira presents with a PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Izkaira would greatly benefit from speech therapy services that focus on the following concepts: following 1-step commands with common objects, joint attention, imitating environmental sounds, imitating functional signs, transition between activities, engaging with clinician during play. RECOMMENDATIONS: Speech therapy at a frequency of 1x per week for 45 minutes per session is highly recommended at this time as Izkaira’s expressive and receptive language skills are NOT WITHIN FUNCTIONAL OR DEVELOPMENTAL LIMITS for her age/safety. Without speech therapy, Izkaira's safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Izkaira's mother will be responsible for her Home Education Program (HEP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
56870
Plan Date: 10-14-2025
Speech Assessment Summary: PATIENT HX: Izkaira is a 3-year-2-month-old female who was referred for speech and language therapy services by her pediatrician due to a speech delay. Izkaira was accompanied by mother and father, who served as the informants for this evaluation. Parents stated Izkaira uses at least 5 words (adios, bye, one, two, three), will babble, and grabs/pulls caregiver and points to desired object to express her wants/needs. Mother stated Izkaira will occasionally babble "Happy Birthday" or "The Wheels on the Bus". Izkaira's word inventory is both in English and Spanish. A typically developing child that is Izkaira's age should speak in sentences of 3 to 5 words. Based on clinical observations, Izkaira’s current communication is characterized as limited functional words, eyeΒ­contact, and/or pointed/grabbed desired object to express her wants/needs. The Preschool Language Scales Fifth Edition (PLSΒ­5) Spanish was used to evaluate Izkaira’s receptive and expressive language skills. Izkaira's mother stated that she uses Spanish at home with her. Izkaira watches movies and listens to music in English. She stated that Izkaira is exposed to Spanish and English. The language of intervention should be Spanish with support in English. Born full term via vaginal delivery. Ikzaira has not experienced any major illnesses or accidents that required hospitalization. Izkaira has not been diagnosed with any conditions or disorders. LANGUAGE: According to the standard scores on the PLS-5, where a score from 85-115 is considered within functional limits, Izkaira presents with a PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Izkaira would greatly benefit from speech therapy services that focus on the following concepts: following 1-step commands with common objects, joint attention, imitating environmental sounds, imitating functional signs, transition between activities, engaging with clinician during play. RECOMMENDATIONS: Speech therapy at a frequency of 1x per week for 45 minutes per session is highly recommended at this time as Izkaira’s expressive and receptive language skills are NOT WITHIN FUNCTIONAL OR DEVELOPMENTAL LIMITS for her age/safety. Without speech therapy, Izkaira's safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Izkaira's mother will be responsible for her Home Education Program (HEP).
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Izkaira will be discharged when she achieves a standard score above 1.5 standard deviations from the mean for ALL impairments, indicating that her speech and language skills will be in the mild to average range and she will have met all long term therapy goals.
Speech and Language Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen 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 LanguageWithin 1 year, Izkaira will improve her receptive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate understanding of language for daily use.
Expressive LanguageWithin 1 year, Izkaira will improve her 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:
CategoryGoal Description
Receptive LanguageWithin 6 months, Izkaira will follow 1Β­-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).
Receptive LanguageWithin 6 months, Izkaira will practice joint attention with 20% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that @ will receptively increase her language and eventually expressively.
Play/SocializationWithin 6 months, Izkaira 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/SocializationWithin 6 months, during relational/functional play (i.e., stacking blocks, driving cars, giving animals food, etc.) Izkaira will engage with clinician for at least 2Β­-3 minutes using appropriate eyeΒ­contact in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for continued language development.
Expressive LanguageWithin 6 months, Izkaira will imitate environmental sounds and/or speech sounds modeled by clinician during playΒ­based 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 LanguageWithin 6 months, Izkaira 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.
58830
Plan Date: 03-12-2026
Speech Assessment Summary: Izkaira is a 3-year-7-month-old female who is due for a reΒ­evaluation of language development for the last six months of speech therapy services. Izkaira's expressive language is characterized as limited to single words such as "mas","no", "bye", and "thank you". Izkaira is able to imitate some environmental sounds (e.g., β€œquack” for a duck and β€œwoof” for a dog). She continues to demonstrate distress when told β€œno” or asked to β€œwait,” often pulling items from the clinician or crying. However, she has demonstrated improvement in her attention to tasks, as she can complete activities with moderate prompting and remain seated for longer periods. A typically developing child of Izkaira's age should have an expressive vocabulary of approximately 1,000 words and produce sentences of 3-4 words. The Preschool Language Scales Fifth Edition (PLSΒ­-5) Spanish was used to re-evaluate Izkaira’s receptive and expressive language skills. LANGUAGE BACKGROUND: LANGUAGE INPUT: Izkaira's mother reported that Izkaira is exposed to both Spanish and English in her home environment. During therapy, Izkaira was observed using some Spanish and English words. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish, with English support as needed According to the standard scores on the PLS-5, where a score from 85-115 is considered within functional limits, Izkaira received the following Standard Scores on the PLSΒ­-5: Auditory Comprehension 50 (raw score: 16, percentile: 1, age equivalent:1 year 0 months), Expressive Communication 50 (raw score: 16, percentile: 1, age equivalent: 11 months), and Total Language Score 50 (percentile: 1, age equivalent: year 11 months). Although Izkaira’s standard scores have shown a slight increase, she has demonstrated progress toward her short-term goals, indicating continued improvement. According to the Standard Scores that Izkaira received, Izkaira presents with a PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Izkaira continues to greatly benefit from speech therapy services that focus on the following concepts: following 1-step commands with common objects, joint attention, imitating environmental sounds, imitating functional signs, transition between activities, and engaging with the clinician during play. RECOMMENDATIONS: Speech therapy at a frequency of 1x per week for 45 minutes per session is highly recommended at this time as Izkaira’s expressive and receptive language skills are NOT WITHIN FUNCTIONAL OR DEVELOPMENTAL LIMITS for her age/safety. Without speech therapy, Izkaira's safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Izkaira's mother will be responsible for her Home Education Program (HEP).
Speech Progress to Date: TheΒ followingΒ areΒ Izkaira’sΒ short-Β­termΒ goalsΒ andΒ progressΒ forΒ each: 1. Izkaira will follow 1Β­-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). *BASELINE: 0/10 opp PROGRESS: 3/10 opp **with MAX PROMPTING* -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 2. Izkaira will practice joint attention with 20% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Izkaira will receptively increase her language and eventually expressively. *BASELINE 0% acc PROGRESS: 20% acc **with MAX PROMPTING* -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 3. Izkaira 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. *BASELINE: 0/10 opp PROGRESS: 3/10 opp **with MODERATE PROMPTING* -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 4. Within 6 months, during relational/functional play (i.e., stacking blocks, driving cars, giving animals food, etc.) Izkaira will engage with clinician for at least 2Β­-3 minutes using appropriate eyeΒ­contact in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for continued language development. *BASELINE: 0/10 opp PROGRESS: 3/10 opp -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 5. zkaira will imitate environmental sounds and/or speech sounds modeled by clinician during playΒ­based 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. *BASELINE: 0/10 opp PROGRESS: 3/10 opp **with MAX VERBAL PROMPTING* -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 6. Izkaira 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. *BASELINE: 0/10 opp PROGRESS: 3/10 opp **with MODERATE PHYSICAL PROMPTING* -GOAL MET- CONTINUE WITH ADJUSTED MASTERY
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Izkaira will be discharged when she achieves a standard score above 1.5 standard deviations from the mean for ALL impairments, indicating that her speech and language skills will be in the mild to average range and she will have met all long term therapy goals.
Speech and Language Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen 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 LanguageWithin 1 year, Izkaira will improve her receptive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate understanding of language for daily use.
Expressive LanguageWithin 1 year, Izkaira will improve her 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:
CategoryGoal Description
Receptive LanguageWithin 6 months, Izkaira will follow 1Β­-step commands (i.e., give me car, clean up food, etc.) in 5 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).
Receptive LanguageWithin 6 months, Izkaira will practice joint attention with 40% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Izkaira will receptively increase her language and eventually expressively.
Play/SocializationWithin 6 months, Izkaira will transition from one therapy activity to the next with MINIMAL TO NO ADVERSE BEHAVIORS in 5 out of 10 opportunities in order to promote language learning opportunities for language development.
Play/SocializationWithin 6 months, during relational/functional play (i.e., stacking blocks, driving cars, giving animals food, etc.) Izkaira will engage with clinician for at least 2Β­-3 minutes using appropriate eyeΒ­contact in 5 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for continued language development.
Expressive LanguageWithin 6 months, Izkaira will imitate environmental sounds and/or speech sounds modeled by clinician during playΒ­based tasks in 5 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.
Expressive LanguageWithin 6 months, Izkaira 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 5 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.

Speech and Language Soap Note/Visit:

IDSoap Note
490564
Note Date: 03-19-2026
Subjective: Patient needed frequent reminders to return to task,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. Izkaira followed 1Β­-step commands (i.e., give me car, clean up food, etc.) in 2 out of 10 opportunities. Izkaira practiced joint attention with 30% accuracy. Izkaira engaged with the clinician for at least 2Β­-3 minutes using appropriate eyeΒ­contact in 3 out of 10 opportunities. Izkaira imitated environmental sounds and/or speech sounds modeled by clinician during playΒ­based tasks in 3 out of 10 opportunities.
Plans: Continue with current Plan of Care,
Additional Notes:

Occupational Therapy Evaluation:

IDDateTypeEvaluation Diagnosis
381410-16-2025Occupational Initial EvaluationR62.0
Occupational Background History: Izkaira is a 3.2 year old girl who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother and Father were present in order to serve as the primary informant throughout the evaluation. Per mother's report child was born at 39 weeks gestation. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and seasonal allergies.
Occupational Medical History: Per parent report, medical history is not remarkable. NICU stay ~2 nights due to low Oxygen levels; day 9 from birth, hospital visit due to UTI
Occupational Medications: None at this time
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: With numerous prompts, Behavior: Present, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Moderately, Social Interactions: Withdrawn, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Endurance, Grasp, Manual Dexterity, Motivated, Postural Stability/Trunk Support, UE Strength,
Occupational Communication Weaknesses: Attention to Task, Behavior (defiance, resistance to authority, etc.), Body Awareness, Eye-Hand Coordination, Problem Solving, Self-Control, Sensory Process/Mod, Social Interaction, Upper Limb Coordination, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary:
Occupational Diagnosis/Impressions: Izkaira was assessed via: Standardized Assessment, Clinical Observations, Parental Report PDMS-2 - Per standardized assessment scores Izkaira falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 14 months to 22 months compared to her chronological age of 38 months, placing her at least (-2 to -2) standard deviations behind her peers. Izkaira demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 10 seconds before attempting to flee. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Child exhibits limited attention evident by fleeing/escaping non-preferred activities, and need for constant redirection. Izkaira 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. Results of the evaluation were reported and explained to parents, 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. Parents verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Recommendations: Occupational Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

IDPlan of Care
4921
Plan Date: 10-16-2025
Occupational Assessment Summary: Izkaira was assessed via: Standardized Assessment, Clinical Observations, Parental Report PDMS-2 - Per standardized assessment scores Izkaira falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 14 months to 22 months compared to her chronological age of 38 months, placing her at least (-2 to -2) standard deviations behind her peers. Izkaira demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 10 seconds before attempting to flee. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Child exhibits limited attention evident by fleeing/escaping non-preferred activities, and need for constant redirection. Izkaira 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. Results of the evaluation were reported and explained to parents, 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. Parents verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Progress to Date: Baseline 0%
Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support
Occupational Treatment Plan:
Occupational Long Term Goals:
CategoryGoal Description
Motor Planning/PraxisIn 6 months, Izkaira will attend to and complete a 4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 4/5 trials. BaselineΒ­-MAX VCs to sequence multi-Β­step tasks
Bilateral CoordinationIn 6 months, Izkaira will demonstrate improved bilateral coordination by successfully completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers) in 4/5 trials. Baseline-Β­ MAX assist, primitive reflex retention
Self CareIn 6 months, Izkaira will tolerate contact with nonΒ­-preferred feeding textures (e.g., wet textures, dry textures, mixed foods) on the hands and face for at least 8?Β­10 seconds without aversive reactions (e.g., pulling away, avoid), to improve participation in feeding tasks with MOD assistance, 4/5 trials. BaselineΒ­-MAX aversion/assistance
Sensory Issues/Self RegulationIn 6 months, Izkaira will demonstrate social reciprocity by engaging in at least 3 verbal or nonΒ­-verbal back -and -forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 4/5 trials. BaselineΒ­-MAX cueing
Occupational Short Term Goals:
CategoryGoal Description
Motor Planning/PraxisIn 3 months, Izkaira will attend to and complete a 3-4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 3/4 trials. Baseline-Β­-MAX VCs to sequence multi-Β­step tasks
Bilateral CoordinationIn 3 months, Izkaira will demonstrate improved bilateral coordination by successfully completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers) in 3/4 trials. Baseline-Β­ MAX assist, primitive reflex retention
Sensory Issues/Self RegulationIn 3 months, Izkaira will tolerate contact with non?Β­-preferred feeding textures (e.g., wet textures, dry textures, mixed foods) on the hands and face for at least 8-10 seconds without aversive reactions (e.g., pulling away, avoid), to improve participation in feeding tasks with MOD assistance, 3/4 trials. BaselineΒ­-MAX aversion/assistance
Sensory IntegrationIn 3 months, Izkaira will demonstrate social reciprocity by engaging in at least 2-3 verbal or nonΒ­-verbal back -and -forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 3/4 trials. Baseline-MAX cueing
5373
Plan Date: 03-19-2026
Occupational Assessment Summary: Izkaira was assessed via: PDMS-2 Standardized Assessment, Clinical Observations, Parental Report PDMS-2 - Per standardized assessment scores Izkaira falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 20 months to 26 months compared to her chronological age of 43 months, placing her at least (-2) standard deviations behind her peers. Gain of +6 months in grasping and +4 months in VMI. Izkaira demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 10 seconds before attempting to flee. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Child exhibits limited attention evident by fleeing/escaping non-preferred activities, and need for constant redirection. Izkaira 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. Results of the evaluation were reported and explained to parents, 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. Parents verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Progress to Date: Izkaira demonstrates consistent progress with occupational therapy services evident by meeting 100% of previous goals with at least 70% accuracy, improved standardized assessment scores on the PDMS-2, per clinical observations and parental report. In 3 months, Izkaira will attend to and complete a 3-Β­4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Izkaira will demonstrate improved bilateral coordination by successfully completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers) in 3/4 trials. GOAL MET- 4/4 trials In 3 months, Izkaira will tolerate contact with non-preferred feeding textures (e.g., wet textures, dry textures, mixed foods) on the hands and face for at least 8Β­-10 seconds without aversive reactions (e.g., pulling away, avoid), to improve participation i n feeding tasks with MOD assistance, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Izkaira will demonstrate social reciprocity by engaging in at least 2Β­-3 verbal or nonΒ­verbal back Β­and Β­forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 3/4 trials. GOAL MET- 4/4 trials- to continue goal with less assist
Occupational Rehabilitation Potential: Good. with continued Occupational Therapy
Occupational Treatment Plan:
Occupational Long Term Goals:
CategoryGoal Description
AttentionIn 6 months, Izkaira will initiate a familiar motor task within 30 seconds of a verbal or visual cue during structured functional task with MIN assist, to support motor planning and executive functioning, 4/5 trials. Baseline-Β­ MOD assist t o initiate tasks
Fine MotorIn 6 months, Izkaira will participate in 8 minutes of preΒ­-writing task with imitating of simple shapes (cross, lines, circle) with MOD assist to demonstrate improved fine motor control needed for writing tasks, 3/4 trials. Baseline-Β­MAX assist, currently at simple shapes and preΒ­writing strokes
Sensory Issues/Self RegulationIn 6 months, Izkaira will demonstrate social reciprocity by engaging in at least 3 verbal or nonΒ­verbal back Β­and Β­forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MIN cueing, 4/5 trials. Baseline- MOD cues
Occupational Short Term Goals:
CategoryGoal Description
AttentionIn 3 months, Izkaira will initiate a familiar motor task within 30 seconds of a verbal or visual cue during structured functional task with MIN assist, to support motor planning and executive functioning, 3/4 trials. Baseline-Β­ MOD assist t o initiate tasks
Fine MotorIn 3 months, Izkaira will participate in 5Β­-8 minutes of preΒ­writing task with imitating of simple shapes (cross, lines, circle) with MOD assist to demonstrate improved fine motor control needed for writing tasks, 3/4 trials. Baseline-Β­MAX assist, currently at simple shapes and preΒ­writing strokes
Sensory Issues/Self RegulationIn 3 months, Izkaira will demonstrate social reciprocity by engaging in at least 2Β­-3 verbal or nonΒ­verbal back Β­and Β­forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MIN cueing, 3/4 trials. Baseline- MOD cues

Occupational Therapy Soap Note/Visit:

IDSoap Note
146924
Note Date: 03-13-2026
Subjective: Patient was eager to participate,Patient was friendly and cooperative,
Assessment of Goals/Response to Treatment: Targeted motor planning/praxis and bilateral coordination: pt participated in 4 table top activities with MIN assist to participate and tolerate functional activity demands with demo of increased tolerance to therapist led activities, demo smooth transition between tasks and out of session with NO redirection necessary with visual schedule and timer provided; pt participated in sticky messy play with NO aversion and tolerance ~8 minutes with demo of kneading, pushing and pulling motions; pt participated in lacing activity with lacing ~10 thick large wooden beads IND; pt participated in scooping activity with demo of increased bilateral coordination and no scooping Targeted sensory integration: pt participated in VMI turn taking activity with therapist with MIN assist to demo sharing skills
Plans: Continue with current Plan of Care,Continue with Occupational Therapy,
Additional Notes:

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
81893892523: Artic & Language Eval10-14-2025 11:00 AM10-14-2025 12:00 PMAndrea RodriguezNB2 far east sideCompleted
82266697167: OT Evaluation10-16-2025 09:00 AM10-16-2025 10:00 AMBertha SolisNB2 far east sideCompleted
83049592507: Speech & Language Visit10-27-2025 01:45 PM10-27-2025 02:30 PMJessica OrtizNB2 far east sideCompleted
83136492507: Speech & Language Visit10-28-2025 12:00 PM10-28-2025 01:00 PMJessica OrtizNB2 far east sideCompleted
83136592507: Speech & Language Visit11-04-2025 11:00 AM11-04-2025 12:00 PMJessica OrtizNB2 far east sideCompleted
831235OT-VIS: OT Visit11-05-2025 12:00 PM11-05-2025 01:00 PMBertha SolisNB2 far east sideCompleted
83136692507: Speech & Language Visit11-11-2025 11:00 AM11-11-2025 12:00 PMJessica OrtizNB2 far east sideCompleted
831236OT-VIS: OT Visit11-12-2025 12:00 PM11-12-2025 01:00 PMBertha SolisNB2 far east sideCompleted
831237OT-VIS: OT Visit11-19-2025 12:00 PM11-19-2025 01:00 PMBertha SolisNB2 far east sideCompleted
831238OT-VIS: OT Visit11-26-2025 12:00 PM11-26-2025 01:00 PMBertha SolisNB2 far east sideCompleted
831239OT-VIS: OT Visit12-02-2025 10:00 AM12-02-2025 11:00 AMBertha SolisNB2 far east sideCompleted
83136992507: Speech & Language Visit12-02-2025 11:00 AM12-02-2025 12:00 PMJessica OrtizNB2 far east sideCompleted
849603OT-VIS: OT Visit12-09-2025 10:00 AM12-09-2025 11:00 AMBertha SolisNB2 far east sideCompleted
83137092507: Speech & Language Visit12-09-2025 11:00 AM12-09-2025 12:00 PMJessica OrtizNB2 far east sideCompleted
849604OT-VIS: OT Visit12-16-2025 10:00 AM12-16-2025 11:00 AMBertha SolisNB2 far east sideCompleted
83137192507: Speech & Language Visit12-16-2025 11:00 AM12-16-2025 12:00 PMJessica OrtizNB2 far east sideCompleted
83137492507: Speech & Language Visit01-08-2026 12:00 PM01-08-2026 01:00 PMJessica OrtizNB2 far east sideCompleted
849605OT-VIS: OT Visit01-08-2026 01:00 PM01-08-2026 02:00 PMBertha SolisNB2 far east sideCompleted
83137592507: Speech & Language Visit01-13-2026 11:00 AM01-13-2026 12:00 PMJessica OrtizNB2 far east sideCompleted
868956OT-VIS: OT Visit01-13-2026 12:00 PM01-13-2026 01:00 PMBertha SolisNB2 far east sideCompleted
86894292507: Speech & Language Visit01-15-2026 12:00 PM01-15-2026 01:00 PMJessica OrtizNB2 far east sideCompleted
864042OT-VIS: OT Visit01-15-2026 01:00 PM01-15-2026 02:00 PMBertha SolisNB2 far east sideCompleted
868957OT-VIS: OT Visit01-21-2026 01:00 PM01-21-2026 02:00 PMBertha SolisNB2 far east sideCompleted
87381392507: Speech & Language Visit01-21-2026 02:00 PM01-21-2026 03:00 PMJessica OrtizNB2 far east sideCompleted
86894392507: Speech & Language Visit01-22-2026 12:00 PM01-22-2026 01:00 PMJessica OrtizNB2 far east sideCompleted
864043OT-VIS: OT Visit01-22-2026 01:00 PM01-22-2026 02:00 PMBertha SolisNB2 far east sideCompleted
868958OT-VIS: OT Visit01-29-2026 01:00 PM01-29-2026 02:00 PMBertha SolisNB2 far east sideCompleted
86894592507: Speech & Language Visit02-05-2026 12:00 PM02-05-2026 01:00 PMJessica OrtizNB2 far east sideCompleted
864045OT-VIS: OT Visit02-05-2026 01:00 PM02-05-2026 02:00 PMBertha SolisNB2 far east sideCompleted
88150392507: Speech & Language Visit02-12-2026 12:00 PM02-12-2026 01:00 PMJessica OrtizNB2 far east sideCompleted
864046OT-VIS: OT Visit02-12-2026 01:00 PM02-12-2026 02:00 PMBertha SolisNB2 far east sideCompleted
88146292507: Speech & Language Visit02-19-2026 12:00 PM02-19-2026 01:00 PMJessica OrtizNB2 far east sideCompleted
864047OT-VIS: OT Visit02-19-2026 01:00 PM02-19-2026 02:00 PMBertha SolisNB2 far east sideCompleted
88146392507: Speech & Language Visit02-26-2026 12:00 PM02-26-2026 01:00 PMJessica OrtizNB2 far east sideCompleted
864048OT-VIS: OT Visit02-26-2026 01:00 PM02-26-2026 02:00 PMBertha SolisNB2 far east sideCompleted
864049OT-VIS: OT Visit03-05-2026 01:00 PM03-05-2026 02:00 PMBertha SolisNB2 far east sideCompleted
881465S9152: Reevaluation03-12-2026 12:00 PM03-12-2026 01:00 PMJessica OrtizNB2 far east sideCompleted
864050OT-VIS: OT Visit03-12-2026 01:00 PM03-12-2026 02:00 PMBertha SolisNB2 far east sideCompleted
903845OT-VIS: OT Visit03-13-2026 10:00 AM03-13-2026 11:00 AMBertha SolisNB2 far east sideCompleted
90384692507: Speech & Language Visit03-13-2026 11:00 AM03-13-2026 12:00 PMJessica OrtizNB2 far east sideCompleted
90442397168: OT Re-Evaluation03-19-2026 01:00 PM03-19-2026 02:00 PMBertha SolisNB2 far east sideCompleted
91044392507: Speech & Language Visit03-19-2026 02:00 PM03-19-2026 03:00 PMJessica OrtizNB2 far east sideCompleted

Canceled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
82751492507: Speech & Language Visit10-22-2025 05:00 PM10-22-2025 06:00 PMJessica OrtizNB2 far east sideCanceled
830310OT-VIS: OT Visit10-29-2025 12:00 PM10-29-2025 01:00 PMBertha SolisNB2 far east sideCanceled
83136792507: Speech & Language Visit11-18-2025 11:00 AM11-18-2025 12:00 PMJessica OrtizNB2 far east sideCanceled
83136892507: Speech & Language Visit11-25-2025 11:00 AM11-25-2025 12:00 PMJessica OrtizNB2 far east sideCanceled
858335OT-VIS: OT Visit12-18-2025 01:00 PM12-18-2025 02:00 PMBertha SolisNB2 far east sideCanceled
83137292507: Speech & Language Visit12-23-2025 11:00 AM12-23-2025 12:00 PMJessica OrtizNB2 far east sideCanceled
831242OT-VIS: OT Visit12-24-2025 12:00 PM12-24-2025 01:00 PMBertha SolisNB2 far east sideCanceled
83137392507: Speech & Language Visit12-30-2025 11:00 AM12-30-2025 12:00 PMJessica OrtizNB2 far east sideCanceled
831243OT-VIS: OT Visit12-31-2025 12:00 PM12-31-2025 01:00 PMBertha SolisNB2 far east sideCanceled
86894492507: Speech & Language Visit01-29-2026 12:00 PM01-29-2026 01:00 PMJessica OrtizNB2 far east sideCanceled
88146492507: Speech & Language Visit03-05-2026 12:00 PM03-05-2026 01:00 PMJessica OrtizNB2 far east sideCanceled
88146692507: Speech & Language Visit03-19-2026 12:00 PM03-19-2026 01:00 PMJessica OrtizNB2 far east sideCanceled
864052OT-VIS: OT Visit03-26-2026 01:00 PM03-26-2026 02:00 PMBertha SolisNB2 far east sideCanceled

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
90912792507: Speech & Language Visit04-02-2026 12:00 PM04-02-2026 01:00 PMJessica OrtizNB2 far east sideScheduled
864053OT-VIS: OT Visit04-02-2026 01:00 PM04-02-2026 02:00 PMBertha SolisNB2 far east sideScheduled
90912892507: Speech & Language Visit04-09-2026 12:00 PM04-09-2026 01:00 PMJessica OrtizNB2 far east sideScheduled
864054OT-VIS: OT Visit04-09-2026 01:00 PM04-09-2026 02:00 PMBertha SolisNB2 far east sideScheduled
90912992507: Speech & Language Visit04-16-2026 12:00 PM04-16-2026 01:00 PMJessica OrtizNB2 far east sideScheduled
864055OT-VIS: OT Visit04-16-2026 01:00 PM04-16-2026 02:00 PMBertha SolisNB2 far east sideScheduled
864056OT-VIS: OT Visit04-23-2026 01:00 PM04-23-2026 02:00 PMBertha SolisNB2 far east sideScheduled

Paient Notes:

DatePosted ByDescription
10-29-2025Bertha SolisFirst session- Day of cancelation 3 hours prior to session, asked for later time first, then when OT said she did not have availability; cancel due to mucus and cough

Paient Missed Visit Notes:

DateServiceTherapistDescription
03-26-2026OT-VISSolis, Bertha
03-19-202692507Ortiz, Jessica
03-05-202692507Ortiz, Jessica
01-29-202692507Ortiz, JessicaHola, solo es un recordatorio de que no tendremos terapia el dΓ­a jueves 29 de enero. Gracias :) Hello, this is just a reminder that we will not have therapy on Thursday, January 29th. Thank you:)
12-31-2025OT-VISSolis, BerthaChristmas/New Years- office closed
12-30-202592507Ortiz, JessicaHola! Solo para recordarles que la clΓ­nica permanecerΓ‘ cerrada hasta el dΓ­a 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-24-2025OT-VISSolis, BerthaChristmas/New Years- office closed
12-23-202592507Ortiz, JessicaHola! Solo para recordarles que la clΓ­nica permanecerΓ‘ cerrada hasta el dΓ­a 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-18-2025OT-VISSolis, Bertha
11-25-202592507Ortiz, Jessica*Hola, este es un recordatorio de que no estarΓ© en la oficina la semana del DΓ­a de Gracias, 24-28 de Noviembre, Gracias :) *Hello, this is a friendly reminder that I will not be in the office the week of Thanksgiving, November 24th-28th. Thank you :)
11-18-202592507Ortiz, JessicaIzkaira's transportation did not show up, session will be rescheduled.
10-29-2025OT-VISSolis, Bertha
10-22-202592507Ortiz, JessicaIzkaira’s mother notified therapist that she needed to reschedule the appointment.

Paient Messages Admin:

DatePosted ByMessage
10-06-2025 09:53 AMAsbel GuajardoPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2270
10-06-2025 10:06 AMIzkaira CepedaSchedule Evaluation: Patient Izkaira Cepeda needs help!
10-06-2025 10:06 AMIzkaira CepedaSchedule Evaluation: Patient Izkaira Cepeda needs help!
10-06-2025 10:06 AMIzkaira CepedaSchedule Evaluation: Patient Izkaira Cepeda needs help!
10-07-2025 08:36 AMPatsy GuajardoSchedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9776
10-07-2025 09:12 AMAsbel GuajardoHello this is Asbel from New Beginnings front office and I wanted to see since you uploaded both referrals for speech and occupational do you want me to schedule you for both?
10-14-2025 12:58 PMAsbel GuajardoCharlene this is Asbel from New Beginnings front office and we do have the referral for occupational therapy and you have the evaluation for Thursday 10/16 at 9:00.
10-20-2025 02:16 PMPatsy GuajardoCepeda, Izkaira has been assigned a therapist.
10-23-2025 02:21 PMPatsy GuajardoCepeda, Izkaira has been assigned a therapist.
11-13-2025 12:45 PMMonica TulliusHello, this is a general broadcast message. Please do not respond to this message.

Holiday Turkey Giveaway!

We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season.
If you or someone you know could use a little extra support this year, you’re invited to pick one up:

Sunday, November 16th
8:00 a.m.
5411 N. Mesa St, Suite 27, El Paso, TX 79912

If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com.

Wishing you and your family a warm and joyful holiday season!

Team New Beginnings
11-25-2025 02:52 PMCeleste ColletteDear Parents,

We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:04 PMStephen TulliusDear Families,

As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do.

We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours.

From all of us, we wish you a joyful holiday season and a bright, healthy New Year!

With warmest regards,

Stephen Tullius
New Beginnings Pediatric Therapy Services
01-20-2026 12:09 PMCaleb Tullius🌟 You’re Invited! 🌟
Join us for our Kids Sensory Series β€” a fun, movement-based sensory play event for kids!

πŸ“… Feb 2nd, 2026
⏰ 10:00 AM
πŸ“ Esperanza Acosta Moreno Public Library

We’d love to see you there! πŸ’™

_________________________________

🌟 ‘EstÑn invitados! 🌟
AcompÑñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento.

πŸ“… 2 de febrero de 2026
⏰ 10:00 a.m.
πŸ“ Biblioteca PΓΊblica Esperanza Acosta Moreno

Β‘Esperamos verlos! πŸ’™
02-03-2026 03:51 PMCaleb Tullius🌟 You’re Invited! 🌟
Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us.
πŸ“… February 7th, 2026
⏰ 4:30 PM
πŸ“ Esperanza Acosta Moreno Public Library
We’d love to see you there! πŸ’™


🌟 ‘EstÑn invitados! 🌟
AcompÑñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros.
πŸ“… 7 de febrero de 2026
⏰ 4:30 p.m.
πŸ“ Biblioteca PΓΊblica Esperanza Acosta Moreno
Β‘Esperamos verlos! πŸ’™
02-16-2026 05:28 PMCaleb TulliusJoin us this Wednesday!
02-16-2026 05:49 PMStephen TulliusPlease join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9776
02-18-2026 04:16 PMStephen TulliusFor those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :)

Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:22 PMStephen TulliusPlease 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=9776
03-11-2026 05:39 PMStephen TulliusHello, 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/

Paient Messages Therapist:

DatePosted ByMessage
10-07-2025 09:23 AMAndrea Rodriguez StokesGood morning, this is Andrea from New Beginnings. I will be completing Izkaira’s speech evaluation. I am messaging from our patient portal, which is a secure texting-only system. I am reaching out to schedule our evaluation appointment. Would you be available Tuesday, the 14th, at 11:00 am?
10-07-2025 09:26 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-07-2025 09:44 AMAndrea Rodriguez StokesPerfect!
10-07-2025 09:44 AMAndrea Rodriguez StokesSpeech History Questionnaire for:
1.) Name and DOB
2.) Any complications with pregnancy or birth? Vaginal or cesarean birth? Passed newborn hearing screening?
3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)?
4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, first words?
10-07-2025 09:44 AMAndrea Rodriguez Stokes5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils?
6.) Education history (i.e., attends daycare, preschool, etc.)?
7.) Vision or hearing issues?
8.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
10-07-2025 09:44 AMAndrea Rodriguez StokesI have sent you a brief questionnaire to complete in preparation for the evaluation. Please send me your answers whenever you have a moment. Thank you! Just a reminder our address is 3551 Rich Beem Blvd Unit B :)
10-07-2025 10:10 AMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œI have sent you a brief questionnaire to complete in preparation for the evaluation. Please send me your answers whenever you have a moment. Thank you! Just a reminder our address is 3551 Rich Beem Blvd Unit B :)”
10-07-2025 10:11 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am I'll answer all the questions as soon as I can
10-07-2025 10:22 AMAndrea Rodriguez StokesThank you!
10-07-2025 08:15 PMIzkaira CepedaIzkaira (Prim) Replied: Izkaira Cepeda
08/02/2022
Vaginal birth
Passed newborn screen
No
No diagnosis yet
No allergies
Sat up 4 months
Crawl 6 months
Walked 10 months
Fed herself 5 months
Dressed requires my assistance a bit she knows how to remove her clothes and when I'm dressing her she will put her hand inside the shirt etc
Her first word was mama and teta at 5 months

No sleeping issues
Snore is rare
Rarely wakes up in the middle of the night
Rarely sleeps with mouth open
No large tonsils not that we know of
10-07-2025 08:15 PMAndrea Rodriguez StokesHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-07-2025 08:17 PMIzkaira CepedaIzkaira (Prim) Replied: Not potty trained yet but is removing diapers already
No day care or school yet
No vision or hearing issues
Izkaira says a few words , but we would love for her to start speaking more .
10-07-2025 08:17 PMAndrea Rodriguez StokesHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-08-2025 09:44 AMAndrea Rodriguez StokesThank you for your response! I will see you Tuesday, the 14th at 11:00 am. Have a good day!
10-13-2025 10:13 AMBertha SolisGood morning, this is Bertha Solis OTD, OTR/L, the occupational therapist at New Beginnings Pediatric Therapy Rich Beem Location; I received a referral for Izkara for Occupational Therapy evaluation; I have an appointment for this coming Thursday October 16th at 9:00 am? Would this time and day work for you for OT evaluation?
10-13-2025 10:13 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-13-2025 06:30 PMAndrea Rodriguez StokesHi, this is a just a reminder that Izkaira has a Speech Evaluation appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
10-14-2025 07:55 AMAndrea Rodriguez StokesHi, this is a just a reminder that Izkaira has a Speech Evaluation appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
10-14-2025 07:57 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-14-2025 10:45 AMAndrea Rodriguez StokesIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818938
10-14-2025 11:16 AMAndrea Rodriguez StokesGood morning! I wanted to ask if you were running a little late? Just a reminder, our address is 3551 Rich Beem Blvd, Unit B
10-14-2025 11:58 AMIzkaira CepedaIzkaira (Prim) Replied: Hello I'm so sorry I just read your message .

I called to ask for the ocupacional referral . They asked for the fax number I'm not sure if you could provided please or should I call the front office .
10-14-2025 12:02 PMAndrea Rodriguez StokesCould you please call the front office? The number is (915) 303-5177. Thank you :)
10-14-2025 12:44 PMAndrea Rodriguez StokesGood afternoon. This is Andrea from New Beginnings. Here is a summary from the evaluation. Izkaira is diagnosed with a profound mixed expressive-receptive language disorder. Izkaira would greatly benefit from speech therapy services that focus on the following concepts: following 1Β­step commands with common objects, joint attention, imitating environmental sounds, imitating functional signs, transition between activities, and engaging with the clinician during play. At home, you can start modeling the "more" sign when she is requesting an item. You can also target joint attention by placing items on your head and making exclamatory sounds like "Achu!". This reinforcers that back and forth communication while playing. Once the office has processed the report, obtained the needed signatures, and insurance approves the report, the treating clinician will reach out to you to schedule your first session. If you have any questions, please reach out. Thank you.
10-15-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Evaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
10-15-2025 07:11 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-16-2025 07:51 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Evaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
10-16-2025 08:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=822666
10-20-2025 02:36 PMJessica OrtizHi Mrs. Cepeda, this is Jessica, I will be Izkaira's speech therapist, I just wanted to let you know that we can start speech therapy, I know you requested 1-3 pm, for this week I only have 5 pm on Tuesday available, and starting next week I can see Izakaida on Thursday at 1 pm, Would this work for you?
10-20-2025 02:41 PMIzkaira CepedaIzkaira (Prim) Replied: Do you have anything besides Tuesday ?
10-20-2025 02:41 PMJessica OrtizWould Wednesday at 5 pm work better?
10-20-2025 02:42 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-20-2025 02:42 PMIzkaira CepedaIzkaira (Prim) Replied: For this week correct?
10-20-2025 02:43 PMJessica Ortizyes!
10-20-2025 02:43 PMIzkaira CepedaIzkaira (Prim) Replied: Yes mama that works great for us !
10-20-2025 02:52 PMJessica OrtizAwesome!! See you on Wednesday at 5 pm :)
10-20-2025 03:15 PMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œAwesome!! See you on Wednesday at 5 pm :)”
10-21-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
10-21-2025 06:53 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-22-2025 07:57 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
10-22-2025 04:32 PMIzkaira CepedaIzkaira (Prim) Replied: Hello ma'am I apologize last minute can we reschedule please Izkaira was not feeling well all day she was up all night and she just took a nap I know if I wake her up she will be crying
10-22-2025 04:45 PMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827514
10-22-2025 05:00 PMJessica OrtizHi! Thank you for letting me know. No problem. Unfortunately, I don't have availability for the rest of the week. If it works, I can see her 2x next week.
10-22-2025 06:03 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am that is fine
10-22-2025 06:09 PMJessica OrtizJessica Ortiz CANCELLED:
5:00PM-10/22/2025
92507: Speech & Language Visit
10-24-2025 12:00 PMBertha SolisHello good afternoon; this is Bertha Solis OTD, OTR/L I will be working with Izkaira for occupational therapy intervention; for next week I have Wednesday at 9:00 am open for OT therapy; as I continue to get openings I will offer her 2xs a week and other available times (: let me know if this works (:
10-24-2025 03:18 PMBertha SolisI also have a 12:00pm on Wednesday if that works better? (: please let me know as soon as you can (:
10-24-2025 03:22 PMIzkaira CepedaIzkaira (Prim) Replied: Yes Wednesday at 12 pm please
10-26-2025 09:47 AMJessica OrtizGood morning, Mrs. Cepeda. I was wondering if it would be possible to see Izkaira on Monday at 1:45 and Tuesday at 4:15? Please let me know if these times are convenient for you. :)
10-26-2025 11:07 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-26-2025 11:07 AMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 10-27-2025 at 1:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
10-26-2025 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 10-29-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
10-26-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 01:45 PM. See you soon! - New Beginnings πŸ™‚
10-26-2025 06:54 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-26-2025 06:54 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 06:54 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-26-2025 06:54 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-27-2025 07:56 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 01:45 PM. See you soon! - New Beginnings πŸ™‚
10-27-2025 01:30 PMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=830495
10-27-2025 01:32 PMIzkaira CepedaIzkaira is CHECKED IN for:
1:45PM-10/27/2025
92507: Speech & Language Visit
10-27-2025 02:41 PMJessica OrtizΒ‘Hola! Gracias por firmar el link, olvidΓ© decirles que ese link se manda al inicio o final de la sesiΓ³n, y es como nuestra asistencia, entonces por cada visita se firma un link. Gracias, nos vemos manana :)
10-27-2025 03:01 PMIzkaira CepedaIzkaira (Prim) Replied: Ahh ok muchas gracias por desirme nos vemos mañana ! ❀️
10-27-2025 03:17 PMJessica OrtizClaro que si, nos vemos manana a las 12 pm :)
10-27-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
10-27-2025 06:35 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-28-2025 08:02 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
10-28-2025 08:04 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
10-28-2025 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831364
10-28-2025 11:47 AMIzkaira CepedaIzkaira is RUNNING LATE for:
12:00PM-10/28/2025
92507: Speech & Language Visit
10-28-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
10-29-2025 07:51 AMIzkaira CepedaIzkaira (Prim) Replied: Hello ma'am good morning asking do you have anything later today by any chance ?
10-29-2025 07:59 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
10-29-2025 08:08 AMBertha SolisGood morning, I do not; do I need to cancel the session?
10-29-2025 08:23 AMIzkaira CepedaIzkaira (Prim) Replied: Can we reschedule please I apologies Izkaira woke up with a cough and mucus
10-29-2025 08:57 AMBertha SolisNo worries; I am sorry to hear that, I hope she feels better soon! I will see you all next week same time, same day (: thank you!
10-29-2025 08:58 AMBertha SolisBertha Solis CANCELLED:
12:00PM-10/29/2025
OT-VIS: OT Visit
10-29-2025 09:54 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-02-2025 12:45 PMBertha SolisSolis, Bertha: Christmas/New Years- office closed
11-02-2025 12:45 PMBertha SolisSolis, Bertha: Christmas/New Years- office closed
11-02-2025 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 11-04-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-02-2025 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 11-05-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-02-2025 04:29 PMIzkaira CepedaIzkaira (Prim) Replied: Confirm
11-02-2025 04:29 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-02-2025 04:29 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
11-02-2025 04:29 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-03-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
11-04-2025 07:56 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
11-04-2025 07:56 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-04-2025 10:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831365
11-04-2025 10:54 AMIzkaira CepedaIzkaira is RUNNING LATE for:
11:00AM-11/4/2025
92507: Speech & Language Visit
11-04-2025 11:24 AMJessica OrtizHola!
Solo querΓ­a preguntarle si aΓΊn van a poder venir a terapia, sabe que ya pasaron 25 minutos y tengo una sesiΓ³n a las 12 pm, si gusta podemos reagendar:)
11-04-2025 11:25 AMIzkaira CepedaIzkaira (Prim) Replied: Estamos a un minuto disculpe la camioneta no prendΓ­a
11-04-2025 11:27 AMJessica OrtizMuy bien :)
11-04-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
11-04-2025 06:47 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-05-2025 07:52 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
11-05-2025 08:32 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-05-2025 11:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831235
11-05-2025 11:55 AMIzkaira CepedaIzkaira is RUNNING LATE for:
12:00PM-11/5/2025
OT-VIS: OT Visit
11-05-2025 12:00 PMIzkaira CepedaIzkaira (Prim) Replied: Here
11-09-2025 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 11-11-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-09-2025 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 11-12-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-09-2025 04:02 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
11-09-2025 04:02 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 04:36 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
11-09-2025 04:36 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 04:38 PMIzkaira CepedaIzkaira (Prim) Replied: After next week I wanted to ask what's the latest app you have and do you have Saturday's by any chance ?

My partner is starting a Job mon-fri 8-4pm so I'm trying to see if I can make it work
11-09-2025 04:38 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 04:38 PMIzkaira CepedaIzkaira (Prim) Replied: After next week I wanted to ask what's the latest app you have and do you have Saturday's by any chance ?

My partner is starting a Job mon-fri 8-4pm so I'm trying to see if I can make it work
11-09-2025 04:38 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 07:45 PMBertha SolisI do not have any after-noon later appointments available unfortunately- I do not work saturdays :( I apologize
11-10-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
11-11-2025 07:51 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
11-11-2025 07:51 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-11-2025 10:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831366
11-11-2025 10:55 AMIzkaira CepedaIzkaira is CHECKED IN for:
11:00AM-11/11/2025
92507: Speech & Language Visit
11-11-2025 03:17 PMJessica OrtizOrtiz, Jessica: *Hola, este es un recordatorio de que no estarΓ© en la oficina la semana del DΓ­a de Gracias, 24-28 de Noviembre, Gracias :)
*Hello, this is a friendly reminder that I will not be in the office the week of Thanksgiving, November 24th-28th. Thank you :)
11-11-2025 03:23 PMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œOrtiz, Jessica: *Hola, este es un recordatorio de que no estarΓ© en la oficina la semana del DΓ­a de Gracias, 24-28 de Noviembre, Gracias :)
*Hello, this is a friendly reminder that I will not be in the office the week of Thanksgiving, November 24th-28th. Thank you :)”
11-11-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
11-11-2025 06:30 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-12-2025 07:52 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
11-12-2025 11:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831236
11-12-2025 11:52 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-11/12/2025
OT-VIS: OT Visit
11-16-2025 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 11-18-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-16-2025 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 11-19-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-16-2025 04:20 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
11-16-2025 04:20 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-17-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
11-18-2025 07:51 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
11-18-2025 10:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831367
11-18-2025 10:50 AMIzkaira CepedaIzkaira (Prim) Replied: Arriving really late
11-18-2025 11:36 AMIzkaira CepedaIzkaira (Prim) Replied: I apologize we had transportation from Izkaira they never showed up so I called a family member to see if they could take me, but they were all the way on Canutillo so we weren't going to make it in time I'm extremely sorry
11-18-2025 11:36 AMJessica OrtizHola! solo queria confirmar su asistencia Mrs. Huerta, ya pasaron 35 minutos y tengo una sesiΓ³n a las 12:10.Si necesita reagendar, me deja saber. Gracias
11-18-2025 11:37 AMJessica OrtizHola! acabo de resivir su mensaje. Entiendo. Gracias por avisarme
11-18-2025 11:37 AMIzkaira CepedaIzkaira (Prim) Replied: Mil disculpas
11-18-2025 11:37 AMJessica OrtizSi tengo algo disponible durante la semana, le aviso .:)
11-18-2025 11:37 AMIzkaira CepedaIzkaira (Prim) Replied: Claro que si muchas gracias !
11-18-2025 11:39 AMJessica OrtizJessica Ortiz CANCELLED:
11:00AM-11/18/2025
92507: Speech & Language Visit
11-18-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
11-18-2025 06:30 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am we will be there
11-19-2025 07:49 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
11-19-2025 08:37 AMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚β€
11-19-2025 11:41 AMIzkaira CepedaIzkaira (Prim) Replied: Here πŸ˜ƒ
11-19-2025 11:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831237
11-19-2025 11:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-11/19/2025
OT-VIS: OT Visit
11-23-2025 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 11-26-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-23-2025 04:01 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-23-2025 04:01 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-25-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
11-25-2025 06:31 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am I wanted to ask if it's ok if my mother in law can go inside the therapy session so she can see she wants to learn how to help Izkaira for when she is with her to help her regulate and relax .
11-26-2025 07:39 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
11-26-2025 10:07 AMBertha SolisYes of course. If she has signed the release form she can definitely come into the session (:
11-26-2025 10:08 AMIzkaira CepedaIzkaira (Prim) Replied: A release form ? I don't think I can't recall that how does she do that
11-26-2025 10:12 AMBertha SolisShe needs to be added to the people that can get information about Izkaira; I would call front office to make sure that is signed (:
11-26-2025 11:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831238
11-26-2025 12:04 PMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-11/26/2025
OT-VIS: OT Visit
11-30-2025 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 12-02-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-30-2025 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 12-02-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-30-2025 05:45 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-30-2025 05:45 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 05:46 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
11-30-2025 05:46 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-01-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings πŸ™‚
12-01-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
12-02-2025 07:48 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings πŸ™‚
12-02-2025 07:48 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
12-02-2025 08:00 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-02-2025 08:00 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-02-2025 09:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831239
12-02-2025 09:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
10:00AM-12/2/2025
OT-VIS: OT Visit
12-02-2025 10:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831369
12-02-2025 10:55 AMBertha SolisHi- Izkaira is in speech now! She did so awesome!!! She completed 4 tasks with me and allowed me to teach her; she did stringing, sorting, completed a 4 step obstacle course and she let me put her in different motions on therapy ball and on the platform swing; she also did turn taking with me with a little of assistance but she was so open to play (:
12-02-2025 10:56 AMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œHi- Izkaira is in speech now! She did so awesome!!! She completed 4 tasks with me and allowed me to teach her; she did stringing, sorting, completed a 4 step obstacle course and she let me put her in different motions on therapy ball and on the platform swing; she also did turn taking with me with a little of assistance but she was so open to play (:”
12-02-2025 11:08 AMIzkaira CepedaIzkaira (Prim) Replied: I'm so glad to hear that ! Thankyou so much for the update for stringing and sorting what exactly was that so I can do that at home please
12-02-2025 01:42 PMBertha SolisOf course! The stringing is the one with beads and getting them through a string, works on bilateral coordination; the sorting is matching insert puzzles and jigsaw puzzles, as well as categorizing body parts and colors, sequences of objects (:
12-02-2025 03:11 PMIzkaira CepedaIzkaira (Prim) Replied: Awesome thank you so much !!😊
12-07-2025 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 12-09-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-07-2025 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 12-09-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-07-2025 04:12 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-07-2025 04:12 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:12 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-07-2025 04:12 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-08-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
12-08-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings πŸ™‚
12-08-2025 06:54 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-08-2025 06:54 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-09-2025 07:46 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
12-09-2025 07:56 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings πŸ™‚
12-09-2025 09:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=849603
12-09-2025 09:57 AMIzkaira CepedaIzkaira is CHECKED IN for:
10:00AM-12/9/2025
OT-VIS: OT Visit
12-09-2025 10:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831370
12-09-2025 10:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
11:00AM-12/9/2025
92507: Speech & Language Visit
12-14-2025 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 12-16-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-14-2025 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 12-16-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-14-2025 06:04 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-14-2025 06:04 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-14-2025 06:04 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-14-2025 06:04 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-15-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
12-15-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings πŸ™‚
12-16-2025 07:43 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
12-16-2025 07:51 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings πŸ™‚
12-16-2025 09:31 AMIzkaira CepedaIzkaira (Prim) Replied: Here πŸ˜€
12-16-2025 09:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=849604
12-16-2025 09:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
10:00AM-12/16/2025
OT-VIS: OT Visit
12-16-2025 10:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831371
12-16-2025 10:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
11:00AM-12/16/2025
92507: Speech & Language Visit
12-16-2025 11:06 AMBertha SolisIzkaira did good! We made a Christmas cookie, she took it with her; we did a few table top activities where I encouraged turn taking, completing a task before moving onto the next; she also allowed me to use a vibration tool on both of her cheeks at the area where the rooting reflex is- this will help a lot with her sound production and with texture tolerance in her mouth; she also let me go around her neck and ears, so it was a big win! I also introduced joint compression on her arms! I will get you a print out next time I see you! (:
12-16-2025 11:07 AMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œIzkaira did good! We made a Christmas cookie, she took it with her; we did a few table top activities where I encouraged turn taking, completing a task before moving onto the next; she also allowed me to use a vibration tool on both of her cheeks at the area where the rooting reflex is- this will help a lot with her sound production and with texture tolerance in her mouth; she also let me go around her neck and ears, so it was a big win! I also introduced joint compression on her arms! I will get you a print out next time I see you! (:”
12-16-2025 11:08 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am ! Thankyou so much I'm so happy to hear this πŸ₯Ή
12-17-2025 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
12-17-2025 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
12-17-2025 07:06 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
12-17-2025 07:06 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
12-18-2025 07:58 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
12-18-2025 07:59 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
12-18-2025 08:03 AMIzkaira CepedaIzkaira (Prim) Replied: Hi wasn't it at 12:15pm ? 😊
12-18-2025 08:11 AMJessica OrtizHi!
Yes, I will see you at 12:15 :)
12-18-2025 11:47 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
12-18-2025 12:00 PMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858717
12-18-2025 12:00 PMIzkaira CepedaIzkaira is CHECKED IN for:
12:15PM-12/18/2025
92507: Speech & Language Visit
12-18-2025 12:45 PMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858335
12-18-2025 01:20 PMBertha SolisHello!! I heard about the accident; I hope you both are feeling okay, sending positive thoughts and prayers your way; let me know if I can do anything for you all; thank you so much for the gift; means so much to me! I cannot wait to continue watching Izkaira grow into her full potential and continue to conquer the world! Rest up and I hope you both feel better soon!
12-18-2025 01:27 PMBertha SolisBertha Solis CANCELLED:
1:00PM-12/18/2025
OT-VIS: OT Visit
12-18-2025 02:50 PMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œHello!! I heard about the accident; I hope you both are feeling okay, sending positive thoughts and prayers your way; let me know if I can do anything for you all; thank you so much for the gift; means so much to me! I cannot wait to continue watching Izkaira grow into her full potential and continue to conquer the world! Rest up and I hope you both feel better soon!”
12-18-2025 02:51 PMIzkaira CepedaIzkaira (Prim) Replied: Hello, thank you so much for the message. Yes, it was shocking, because it was so unexpected but we are OK. Especially sky is OK which she was my main concern. We're just resting right now and of course we are truly happy with the work. You've done with the guy that we've seen a lot of progress I hope you have a merry Christmas !
12-21-2025 02:29 PMJessica OrtizOrtiz, Jessica: Hola! Solo para recordarles que la clΓ­nica permanecerΓ‘ cerrada hasta el dΓ­a 5 de enero. Felices Fiestas :)

Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-21-2025 02:29 PMJessica OrtizOrtiz, Jessica: Hola! Solo para recordarles que la clΓ­nica permanecerΓ‘ cerrada hasta el dΓ­a 5 de enero. Felices Fiestas :)

Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-22-2025 06:06 AMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œOrtiz, Jessica: Hola! Solo para recordarles que la clΓ­nica permanecerΓ‘ cerrada hasta el dΓ­a 5 de enero. Felices Fiestas :)

Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)”
12-22-2025 06:06 AMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-28-2025 01:39 PMIzkaira CepedaIzkaira (Prim) Replied: Hello ma'am I wanted to ask if you have any space for Thursday . Izkairas dad has Thursday's off and after the accident we had . I would feel more comfortable if he would've able to take us . If you could please let me know thank you 😊
12-28-2025 01:39 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-28-2025 01:39 PMIzkaira CepedaIzkaira (Prim) Replied: Hello ma'am I wanted to ask if you have any space for Thursday . Izkairas dad has Thursday's off and after the accident we had . I would feel more comfortable if he would've able to take us . If you could please let me know thank you 😊
12-28-2025 01:39 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-29-2025 09:09 AMJessica OrtizHola Mrs. Cepeda!
This is Jessica. Unfortunately, we won’t be able to see Izkaira this week because the clinic is closed.
The clinic will reopen on Jan 5th :)

Espero Que ya se sientan mejor. <3
01-04-2026 02:21 PMBertha SolisHello!! I hope you are doing well! I have switched Izkaira to 1:00pm on thursdays after speech so transportation is easier for you (:
01-04-2026 02:21 PMIzkaira CepedaIzkaira (Prim) Replied: Thank you so much !
01-04-2026 02:21 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 01-06-2026 at 11:00 AM, and on 01-08-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-04-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 01-08-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-04-2026 04:02 PMIzkaira CepedaIzkaira (Prim) Replied: Hi we can make it for the one on Thursday the one on Tuesday we won't have transportation we moved to sunland park area
01-04-2026 04:02 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:02 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-04-2026 04:02 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-05-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
01-06-2026 07:42 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
01-06-2026 07:43 AMIzkaira CepedaIzkaira (Prim) Replied: Good morning Hi we won't be able to make it today we don't have transportation but we will make it on Thursday
01-06-2026 07:49 AMJessica OrtizHola!
Thank you for letting us know. I will see you on Thursday. I hope you’re feeling better.
01-06-2026 08:08 AMIzkaira CepedaIzkaira (Prim) Replied: Of course thank you !
01-07-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
01-07-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-08-2026 07:43 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
01-08-2026 07:48 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-08-2026 07:49 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-08-2026 07:49 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-08-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831374
01-08-2026 11:48 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-1/8/2026
92507: Speech & Language Visit
01-11-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 01-13-2026 at 11:00 AM, and on 01-15-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-11-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 01-13-2026 at 12:00 PM, and on 01-15-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-11-2026 06:05 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-11-2026 06:05 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 06:05 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-11-2026 06:05 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-12-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
01-12-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
01-13-2026 07:44 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
01-13-2026 07:44 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-13-2026 08:06 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
01-13-2026 09:02 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-13-2026 10:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831375
01-13-2026 10:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
11:00AM-1/13/2026
92507: Speech & Language Visit
01-13-2026 11:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868956
01-13-2026 11:47 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-1/13/2026
OT-VIS: OT Visit
01-14-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-14-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
01-14-2026 06:32 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-14-2026 06:32 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-15-2026 07:53 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-15-2026 07:59 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
01-15-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868942
01-15-2026 11:58 AMIzkaira CepedaIzkaira is RUNNING LATE for:
12:00PM-1/15/2026
92507: Speech & Language Visit
01-15-2026 12:02 PMJessica OrtizNo problem! Take your time:)
01-15-2026 12:02 PMIzkaira CepedaIzkaira (Prim) Replied: 2 min away ! Izkaira is asleep hopefully she'll wake up in a good mood
01-15-2026 12:03 PMJessica OrtizOkay!! :)
01-15-2026 12:25 PMIzkaira CepedaIzkaira (Prim) Replied: Not sure if you would like me to go back in the room or do I stay outside ?
01-15-2026 12:27 PMJessica OrtizI think she'll be fine, she isn't crying anymore :)
01-15-2026 12:32 PMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œI think she'll be fine, she isn't crying anymore :)”
01-15-2026 12:45 PMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864042
01-15-2026 12:45 PMIzkaira CepedaIzkaira is CHECKED IN for:
1:00PM-1/15/2026
OT-VIS: OT Visit
01-16-2026 01:28 PMIzkaira CepedaIzkaira (Prim) Replied: Hello ma'am I wanted to ask do you have another day besides tuesday next week ?


Transportation said they don't count the weekend and it's less then 48 hours trying to make the appointment right now
01-16-2026 01:29 PMIzkaira CepedaIzkaira (Prim) Replied: Hello ma'am I wanted to ask do you have another day besides tuesday next week ?


Transportation said they don't count the weekend and it's less then 48 hours trying to make the appointment right now
01-16-2026 02:10 PMJessica OrtizHola!
Yes, I have Wednesday at 2 pm available. Does it work for you?
01-16-2026 02:51 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-16-2026 03:00 PMIzkaira CepedaIzkaira (Prim) Replied: I already scheduled the transportation trip if anything changes please let me know :)
01-16-2026 05:14 PMBertha SolisHi! I am able to see Izkaira before speech at 1pm? Does that work? (:
01-16-2026 05:14 PMBertha Solison wednesday (:
01-16-2026 05:23 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-18-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 01-21-2026 at 2:00 PM, and on 01-22-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-18-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 01-21-2026 at 1:00 PM, and on 01-22-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-18-2026 04:07 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-18-2026 04:07 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-18-2026 04:07 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-18-2026 04:07 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-20-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-20-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings πŸ™‚
01-20-2026 06:30 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-20-2026 06:30 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-21-2026 07:56 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-21-2026 08:00 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings πŸ™‚
01-21-2026 12:45 PMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868957
01-21-2026 12:48 PMIzkaira CepedaIzkaira is RUNNING LATE for:
1:00PM-1/21/2026
OT-VIS: OT Visit
01-21-2026 12:52 PMBertha SolisNo worries, let me know when you get here (:
01-21-2026 12:52 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am the gps says we will arrive 5 min late
01-21-2026 01:45 PMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873813
01-21-2026 01:46 PMIzkaira CepedaIzkaira is CHECKED IN for:
2:00PM-1/21/2026
92507: Speech & Language Visit
01-21-2026 01:56 PMBertha SolisHello! Izkaira transferred smoothly to speech! She did so good! We worked on turn taking with a fine motor task; she was able to transfer throughout 5 activities with cleaning up after using; she practiced scissor skills, legos, and 4 different textures: slime, rice, oatmeal and shaving cream; I also did vibration exercise outside at both of her cheeks to get that rooting reflex and she tolerated 3xs and she even asked for more; I got a few smiles and giggles from her today!
01-21-2026 01:57 PMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œHello! Izkaira transferred smoothly to speech! She did so good! We worked on turn taking with a fine motor task; she was able to transfer throughout 5 activities with cleaning up after using; she practiced scissor skills, legos, and 4 different textures: slime, rice, oatmeal and shaving cream; I also did vibration exercise outside at both of her cheeks to get that rooting reflex and she tolerated 3xs and she even asked for more; I got a few smiles and giggles from her today!”
01-21-2026 01:57 PMIzkaira CepedaIzkaira (Prim) Replied: That is awesome to hear thankyou so much !
01-21-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-21-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
01-21-2026 06:44 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-21-2026 06:44 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
01-22-2026 07:51 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-22-2026 07:54 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
01-22-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868943
01-22-2026 11:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-1/22/2026
92507: Speech & Language Visit
01-22-2026 12:54 PMJessica OrtizHola! Izkaira tuvo un excelente dΓ­a, ella estaba cantando la canciΓ³n de "finger family", tambiΓ©n estaba contando del 1-5.
01-22-2026 12:54 PMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œHola! Izkaira tuvo un excelente dΓ­a, ella estaba cantando la canciΓ³n de "finger family", tambiΓ©n estaba contando del 1-5.”
01-22-2026 12:55 PMIzkaira CepedaIzkaira (Prim) Replied: Enserio muchas gracias ☺️ que bueno escuchar eso !
01-23-2026 06:50 PMIzkaira CepedaIzkaira (Prim) Replied: Hello good afternoon I wanted to ask for next week will it only be Thursday @12pm
01-23-2026 06:50 PMIzkaira CepedaIzkaira (Prim) Replied: Hello I wanted to ask next week we won't be seeing you correct only OT on Thursday ?
01-23-2026 07:30 PMBertha SolisOT is at 1pm (:
01-23-2026 07:31 PMBertha SolisUsually speech is at 12pm; however I am not sure/dont remember when Jessica will be off, but I am sure she will respond to you soon (:
01-23-2026 07:35 PMIzkaira CepedaIzkaira (Prim) Replied: Awesome Thankyou so much!
01-23-2026 07:35 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-24-2026 08:59 AMJessica OrtizGood morning, Mrs. Huerta, yes ma'am, I will not be in the office on Thursday. I'm so sorry I did not see your message.
01-24-2026 04:16 PMIzkaira CepedaIzkaira (Prim) Replied: No worries :)
01-24-2026 04:16 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 09:01 AMJessica OrtizOrtiz, Jessica: Hola, solo es un recordatorio de que no tendremos terapia el dΓ­a jueves 29 de enero. Gracias :)

Hello, this is just a reminder that we will not have therapy on Thursday, January 29th. Thank you:)
01-25-2026 10:10 AMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œOrtiz, Jessica: Hola, solo es un recordatorio de que no tendremos terapia el dΓ­a jueves 29 de enero. Gracias :)

Hello, this is just a reminder that we will not have therapy on Thursday, January 29th. Thank you:)”
01-25-2026 10:10 AMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 01-29-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-25-2026 04:02 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-25-2026 04:02 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-28-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-29-2026 07:34 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
01-29-2026 07:49 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
01-29-2026 12:45 PMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868958
01-29-2026 12:46 PMIzkaira CepedaIzkaira is RUNNING LATE for:
1:00PM-1/29/2026
OT-VIS: OT Visit
01-29-2026 12:48 PMIzkaira CepedaIzkaira is CHECKED IN for:
1:00PM-1/29/2026
OT-VIS: OT Visit
01-29-2026 03:22 PMIzkaira CepedaIzkaira (Prim) Replied: Hi I wanted to ask how Izkaira did today her dad sent me a picture of the chart but didn't really explain it
01-29-2026 06:06 PMBertha SolisHi! Sorry I am just now getting back! Izkaira did so so good! She followed that chart to complete all the tasks! I am using it to help her transition between tasks and she got encouraged and understood when I would say, we are doing this first one then this, and she followed through that she finished even faster than I thought, so I let her choose the last activity! You can implement this at home with like giving her a little schedule and helping her sequence tasks (:
01-29-2026 06:11 PMIzkaira CepedaIzkaira (Prim) Replied: Loved β€œHi! Sorry I am just now getting back! Izkaira did so so good! She followed that chart to complete all the tasks! I am using it to help her transition between tasks and she got encouraged and understood when I would say, we are doing this first one then this, and she followed through that she finished even faster than I thought, so I let her choose the last activity! You can implement this at home with like giving her a little schedule and helping her sequence tasks (:”
02-01-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 02-05-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-01-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 02-05-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-01-2026 04:01 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
02-01-2026 04:01 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 04:01 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
02-01-2026 04:02 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-04-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
02-04-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
02-04-2026 06:30 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
02-04-2026 06:30 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
02-05-2026 07:48 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
02-05-2026 07:50 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
02-05-2026 11:40 AMIzkaira CepedaIzkaira (Prim) Replied: Here
02-05-2026 11:40 AMIzkaira CepedaIzkaira (Prim) Replied: Here
02-05-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868945
02-05-2026 11:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-2/5/2026
92507: Speech & Language Visit
02-05-2026 01:17 PMIzkaira CepedaIzkaira (Prim) Replied: I'm so sorry I called transportation now since they take about an hour to get here or more and I guess the driver was Close by he's 5 min away
02-05-2026 01:17 PMIzkaira CepedaIzkaira (Prim) Replied: Is it ok if we could end the session a bit earlier today .
02-08-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 02-12-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-08-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 02-12-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-08-2026 04:02 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
02-08-2026 04:02 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 04:02 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
02-08-2026 04:02 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-11-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
02-11-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
02-11-2026 06:30 PMIzkaira CepedaIzkaira (Prim) Replied: Yes maam
02-11-2026 06:30 PMIzkaira CepedaIzkaira (Prim) Replied: Yes maam
02-12-2026 07:46 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
02-12-2026 07:53 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
02-12-2026 08:10 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
02-12-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881503
02-12-2026 11:47 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-2/12/2026
92507: Speech & Language Visit
02-12-2026 12:45 PMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864046
02-15-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 02-19-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-15-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 02-19-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-15-2026 04:31 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
02-15-2026 04:31 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 04:32 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
02-15-2026 04:32 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-18-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
02-18-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
02-18-2026 06:32 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
02-18-2026 06:32 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
02-19-2026 07:45 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
02-19-2026 07:52 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
02-19-2026 11:35 AMIzkaira CepedaIzkaira (Prim) Replied: Running a few min late
02-19-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881462
02-19-2026 11:46 AMIzkaira CepedaIzkaira is RUNNING LATE for:
12:00PM-2/19/2026
92507: Speech & Language Visit
02-19-2026 11:52 AMJessica OrtizHola!
No worries take your time :)
02-19-2026 11:53 AMIzkaira CepedaIzkaira (Prim) Replied: GPS says we arrive @12:07 pm :)
02-19-2026 11:54 AMJessica OrtizAwesome! Drive safely:)
02-22-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 02-26-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-22-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 02-26-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-22-2026 04:21 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
02-22-2026 04:21 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 04:21 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
02-22-2026 04:21 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-25-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
02-25-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
02-25-2026 06:45 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
02-26-2026 07:32 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
02-26-2026 07:44 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
02-26-2026 07:50 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
02-26-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881463
02-26-2026 11:57 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-2/26/2026
92507: Speech & Language Visit
02-26-2026 12:45 PMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864048
02-26-2026 12:45 PMIzkaira CepedaIzkaira is CHECKED IN for:
1:00PM-2/26/2026
OT-VIS: OT Visit
03-01-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 03-05-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-01-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 03-05-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-03-2026 07:14 AMIzkaira CepedaIzkaira (Prim) Replied: Yes mama
03-03-2026 07:14 AMIzkaira CepedaIzkaira (Prim) Replied: Ma'am
03-03-2026 07:14 AMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
03-04-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
03-04-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
03-04-2026 06:58 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-04-2026 06:58 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-05-2026 07:44 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
03-05-2026 07:49 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
03-05-2026 10:34 AMIzkaira CepedaIzkaira (Prim) Replied: Yea
03-05-2026 10:34 AMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-05-2026 10:34 AMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-05-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881464
03-05-2026 11:59 AMIzkaira CepedaIzkaira is RUNNING LATE for:
12:00PM-3/5/2026
92507: Speech & Language Visit
03-05-2026 12:23 PMJessica OrtizHola!
Le querΓ­a preguntar si le gustarΓ­a reagendar la sesiΓ³n de speech, ya es un poco tarde y sΓ³lo alcanzarΓ­amos a hacer muy poca terapia. De cualquier manera Mrs. Bertha la puede ver a su horario normal.
03-05-2026 12:28 PMIzkaira CepedaIzkaira (Prim) Replied: Hola disculpe pararon al papΓ‘ de los niΓ±os le dieron un warning pero ya vamos para allΓ‘ para la terapia con ms. Bertha
03-05-2026 12:45 PMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864049
03-05-2026 12:47 PMJessica OrtizNo se preocupe, si gusta la prΓ³xima semana la podemos ver dos veces
El jueves como habitualmente y el viernes a las 10
Am para OT y a las 11 para speech. Le parece bien ?
03-05-2026 12:50 PMJessica OrtizJessica Ortiz CANCELLED:
12:00PM-3/5/2026
92507: Speech & Language Visit
03-05-2026 12:50 PMIzkaira CepedaIzkaira is RUNNING LATE for:
1:00PM-3/5/2026
OT-VIS: OT Visit
03-05-2026 12:51 PMIzkaira CepedaIzkaira (Prim) Replied: Si estΓ‘ perfecto .

Para jueves y viernes la semana que viene correcto ? Si estΓ‘ perfecto .

De todos modos ya venimos llegando para que alcance OT :)
03-05-2026 12:52 PMJessica Ortizsi, seria para la proxima semana:)
03-05-2026 12:52 PMIzkaira CepedaIzkaira (Prim) Replied: Perfecto :) asΓ­ hago la cita para transposiciΓ³n de una ves
03-08-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 03-12-2026 at 12:00 PM, and on 03-13-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-08-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 03-12-2026 at 1:00 PM, and on 03-13-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-08-2026 04:15 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-08-2026 04:15 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 04:16 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-08-2026 04:16 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-11-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
03-11-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
03-11-2026 06:34 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
03-11-2026 06:34 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
03-12-2026 07:42 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
03-12-2026 07:46 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech/Feeding Reevaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
03-12-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881465
03-12-2026 11:46 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-3/12/2026
S9152: Reevaluation
03-12-2026 11:57 AMIzkaira CepedaIzkaira (Prim) Replied: Estamos afuera en la sala de espera
03-12-2026 12:45 PMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864050
03-12-2026 12:45 PMIzkaira CepedaIzkaira is CHECKED IN for:
1:00PM-3/12/2026
OT-VIS: OT Visit
03-12-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings πŸ™‚
03-12-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
03-12-2026 08:09 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
03-12-2026 08:09 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-12-2026 08:09 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
03-12-2026 08:09 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-13-2026 07:34 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings πŸ™‚
03-13-2026 07:34 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
03-13-2026 09:45 AMBertha SolisIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=903845
03-13-2026 10:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=903846
03-13-2026 10:45 AMIzkaira CepedaIzkaira is CHECKED IN for:
11:00AM-3/13/2026
92507: Speech & Language Visit
03-13-2026 10:52 AMBertha SolisJust transitioned Izkaira to speech (: she did super great!! She did 5 jiw saw puzzles, played with rice sensory bin, did a writing activity where she imitated ABCs with my help; she did the lacing activity all bu herself, ~10 pieces that she did independenly and she sorted colors with minimal assistance (:
03-15-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 03-19-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-15-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 03-19-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-18-2026 01:43 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-18-2026 01:44 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-18-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
03-18-2026 06:30 PMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Reevaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
03-19-2026 07:46 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
03-19-2026 07:46 AMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-19-2026 07:55 AMBertha SolisHi, this is a just a reminder that Izkaira has a Occupational Reevaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
03-19-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881466
03-19-2026 11:50 AMIzkaira CepedaIzkaira is RUNNING LATE for:
12:00PM-3/19/2026
92507: Speech & Language Visit
03-19-2026 12:08 PMJessica OrtizMe deja sabe cuando lleguen :)
03-19-2026 12:21 PMJessica OrtizHola Mrs. Huerta, sabes que ya pasaron los 15 minutos de espera. Me parece que ya no
Me serΓ‘ posible ver a Izkaira.
03-19-2026 12:22 PMJessica OrtizUna disculpa.
03-19-2026 12:30 PMJessica OrtizJessica Ortiz CANCELLED:
12:00PM-3/19/2026
92507: Speech & Language Visit
03-19-2026 12:46 PMIzkaira CepedaIzkaira (Prim) Replied: Hola disculpe nos dejaron en otro New beginnings nos hicieron bajar hay y esperar otro drier
03-19-2026 12:46 PMIzkaira CepedaIzkaira (Prim) Replied: Driver
03-19-2026 12:51 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-19-2026 01:47 PMBertha SolisWe are done (:
03-19-2026 01:51 PMIzkaira CepedaIzkaira (Prim) Replied: :)
03-19-2026 01:51 PMIzkaira CepedaIzkaira (Prim) Replied: Hi miss Jessica said she could see Izkaira right now ;)
03-19-2026 01:51 PMIzkaira CepedaIzkaira (Prim) Replied: Since we weren't able to arrive for her session
03-22-2026 04:00 PMJessica OrtizHi, this is a just a reminder that Cepeda, Izkaira has a Speech Therapy appointment on 03-26-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-22-2026 04:01 PMBertha SolisHi, this is a just a reminder that Cepeda, Izkaira has a Occupational Therapy appointment on 03-26-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-22-2026 07:27 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-22-2026 07:27 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 07:27 PMIzkaira CepedaIzkaira (Prim) Replied: Yes
03-22-2026 07:27 PMBertha SolisHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-24-2026 08:48 AMBertha SolisBertha Solis CANCELLED:
1:00PM-3/26/2026
OT-VIS: OT Visit
03-24-2026 08:50 AMIzkaira CepedaIzkaira (Prim) Replied: ?
03-24-2026 08:51 AMBertha SolisGood morning, I forgot to mention that I will not be able to see Izkaira this thursday at 1pm, as the clinic will be closed for a lunch event. I apologize for not letting you know sooner and I will try to find a time to offer a make up soon (: thank you for your understanding (:
03-24-2026 08:55 AMIzkaira CepedaIzkaira (Prim) Replied: Hi will she be able to attend the 12pm Speech or will that be canceled as well?
03-24-2026 09:11 AMBertha SolisYes! It will only be canceled from 1-2 (: so she can come to speech like usual (:
03-24-2026 09:11 AMIzkaira CepedaIzkaira (Prim) Replied: Great Thankyou :)
03-25-2026 06:30 PMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
03-25-2026 08:17 PMIzkaira CepedaIzkaira (Prim) Replied: Yes ma'am
03-25-2026 08:17 PMJessica OrtizHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-26-2026 07:39 AMJessica OrtizBuenos dΓ­as Mrs. Huerta!solo le querΓ­a comentar que el dΓ­a de hoy tendremos un evento que iniciarΓ‘ a la 1 pm.
Le querΓ­a preguntar si serΓ­a posible que iniciΓ‘ramos terapia unos minutos antes de las 12.
03-26-2026 07:40 AMIzkaira CepedaIzkaira (Prim) Replied: Hola 11:30am estΓ‘ bien ?
03-26-2026 07:41 AMJessica OrtizA esa hora aΓΊn estoy en terapia con otro paciente le parece a las 11:50-11:55?
03-26-2026 07:41 AMIzkaira CepedaIzkaira (Prim) Replied: Perfecto
03-26-2026 07:56 AMJessica OrtizHi, this is a just a reminder that Izkaira has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
03-26-2026 07:59 AMJessica OrtizSΓΊper! Gracias :)
03-26-2026 11:45 AMJessica OrtizIzkaira Cepeda : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909126
03-26-2026 11:54 AMIzkaira CepedaIzkaira is CHECKED IN for:
12:00PM-3/26/2026
92507: Speech & Language Visit