New Beginnings | NB1-Office

Patient Name: Cesar

Patient Information:

Patient ID: 9916

Patient First Name: Cesar

Patient Date of Birth: 12-28-2023

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Yezika, Delgado

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Rodriguez, Andrea

FD - Feeding Therapy:

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23265	Active	02-03-2026	07-31-2026	Superior Health Plan	26	0	0	0
23548	Active	03-10-2026	04-10-2026	Superior Health Plan	0	0	1	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26102	01-23-2026	Speech Initial Evaluation	F80.2
Speech Background History: Cesar is a 2-year-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Yee accompanied him and served as the primary informant for the evaluation. Mrs. Yee expressed concern that Cesar has difficulty communicating effectively compared to peers of the same age. She also reported that Cesar has a twin brother and that she observes similar communication difficulties in both children. During the evaluation, Cesar’s expressive language was characterized primarily by the use of single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Cesar’s age should have an expressive vocabulary of approximately 200 words and produce utterances of 1-2 words in length. Cesar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. LANGUAGE BACKGROUND: LANGUAGE INPUT: Cesar’s parents reported that he is exposed to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Cesar had limited verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish.
Speech Medical History: Per parent report, medical history is not remarkable. According to the parent report, Cesar was born without any complications prior to, during, or following the delivery.
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths:
Speech Communication Weaknesses: Poor vocabulary, Unable to follow commands, Unable to take turns,
Speech Background Summary: Cesar's mother accompanied him to the evaluation, which took place in the clinic room. Throughout the evaluation, Cesar displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. Cesar was observed intentionally dropping to the floor when asked to wait or when access to preferred items was restricted. Additionally, per parent report, Cesar demonstrates self-injurious behaviors, including banging his head while seated in his car seat and striking his head with his fists when experiencing frustration.
Speech Diagnosis/Impressions: Cesar is a 2-year-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Yee accompanied him and served as the primary informant for the evaluation. Mrs. Yee expressed concern that Cesar has difficulty communicating effectively compared to peers of the same age. During the evaluation, Cesar’s expressive language was characterized primarily by the use of limited single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Cesar’s age should have an expressive vocabulary of approximately 200 words and produce utterances of 1-2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Cesar’s mother reported that he is exposed to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Cesar had limited verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish. Cesar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. During the evaluation, Cesar displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. Cesar was observed intentionally dropping to the floor when asked to wait or when access to preferred items was restricted. Additionally, per parent report, Cesar demonstrates self-injurious behaviors, including banging his head while seated in his car seat and striking his head with his fists when experiencing frustration. Cesar received the following Standard Scores on the PLS-5: Auditory Comprehension 73 (raw score: 21, percentile: 4, age equivalent:1 year 4 months), Expressive Communication 75 (raw score: 20, percentile: 5, age equivalent: 1 year 4 months), and Total Language Score 72 (percentile: 3, age equivalent: 1 year 5 months). According to the Standard Scores that Cesar received, he presents with MODERATE MIXED RECEPTIVE -EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Cesar’s MODERATE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Cesar would greatly benefit from speech therapy that targets the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating functional play, following directions using common objects, imitating gestures/actions, and environmental sounds/words, and tolerating or responding appropriately to "no/wait".Speech therapy is highly recommended at this time as Cesar's current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Cesar’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Cesar’s mother will be responsible for his Home Exercise Program (HEP).
Speech Diagnosis/Impressions: Cesar is a 2-year-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Yee accompanied him and served as the primary informant for the evaluation. Mrs. Yee expressed concern that Cesar has difficulty communicating effectively compared to peers of the same age. During the evaluation, Cesar’s expressive language was characterized primarily by the use of limited single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Cesar’s age should have an expressive vocabulary of approximately 200 words and produce utterances of 1-2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Cesar’s mother reported that he is exposed to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Cesar had limited verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish. Cesar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. During the evaluation, Cesar displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. Cesar was observed intentionally dropping to the floor when asked to wait or when access to preferred items was restricted. Additionally, per parent report, Cesar demonstrates self-injurious behaviors, including banging his head while seated in his car seat and striking his head with his fists when experiencing frustration. Cesar received the following Standard Scores on the PLS-5: Auditory Comprehension 73 (raw score: 21, percentile: 4, age equivalent:1 year 4 months), Expressive Communication 75 (raw score: 20, percentile: 5, age equivalent: 1 year 4 months), and Total Language Score 72 (percentile: 3, age equivalent: 1 year 5 months). According to the Standard Scores that Cesar received, he presents with MODERATE MIXED RECEPTIVE -EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Cesar’s MODERATE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Cesar would greatly benefit from speech therapy that targets the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating functional play, following directions using common objects, imitating gestures/actions, and environmental sounds/words, and tolerating or responding appropriately to "no/wait".Speech therapy is highly recommended at this time as Cesar's current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Cesar’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Cesar’s mother will be responsible for his Home Exercise Program (HEP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

58104

Plan Date: 01-23-2026

Speech Assessment Summary: Cesar is a 2-year-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Yee accompanied him and served as the primary informant for the evaluation. Mrs. Yee expressed concern that Cesar has difficulty communicating effectively compared to peers of the same age. During the evaluation, Cesar’s expressive language was characterized primarily by the use of limited single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Cesar’s age should have an expressive vocabulary of approximately 200 words and produce utterances of 1-2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Cesar’s mother reported that he is exposed to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Cesar had limited verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish. Cesar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. During the evaluation, Cesar displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. Cesar was observed intentionally dropping to the floor when asked to wait or when access to preferred items was restricted. Additionally, per parent report, Cesar demonstrates self-injurious behaviors, including banging his head while seated in his car seat and striking his head with his fists when experiencing frustration. Cesar received the following Standard Scores on the PLS-5: Auditory Comprehension 73 (raw score: 21, percentile: 4, age equivalent:1 year 4 months), Expressive Communication 75 (raw score: 20, percentile: 5, age equivalent: 1 year 4 months), and Total Language Score 72 (percentile: 3, age equivalent: 1 year 5 months). According to the Standard Scores that Cesar received, he presents with MODERATE MIXED RECEPTIVE -EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Cesar’s MODERATE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Cesar would greatly benefit from speech therapy that targets the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating functional play, following directions using common objects, imitating gestures/actions, and environmental sounds/words, and tolerating or responding appropriately to "no/wait".Speech therapy is highly recommended at this time as Cesar's current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Cesar’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Cesar’s mother will be responsible for his Home Exercise Program (HEP).

Speech Rehabilitation Potential:

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive Language	With 1 year, Cesar will utilize age appropriate receptive language skills in order to follow safety concerns (i.e. follow safety personnel) and provide vital information to emergency personnel (i.e. name).
Expressive Language	With 1 year, Cesar will improve expressive language skills (expressing wants/needs, pleasures/displeasures) via gestures, vocalizations, and/or verbal output in order to effectively communicate pain (i.e. tell his mom if stomach hurts) and safety issues (i.e. express when someone hits or bites him at school).

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, using play-based therapy techniques, Cesar will respond appropriately to "no/wait" with decreasing multisensory cues with 70% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Cesarcan cease an action or activity that is dangerous.
Receptive Language	Within 6 month, Cesar will follow 1 step commands using common objects (e.i. give me cup, throw ball) with decreasing multisensory cues with 30% accuracy in 4/5 consecutive sessions in order to promote safety so that Nolan can follow commands related to safety.
Expressive Language	Within 6 months, using play-based therapy techniques, Cesar will imitate nonspeech/environmental sounds with decreasing multisensory cues with 40% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Cesar can begin to imitate age appropriate phonemes and eventually core vocabulary.
Expressive Language	Within 6 months, using play-based therapy techniques, Cesar will imitate gestures/actions modeling by clinician with decreasing multisensory cues with 40% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Cesar can begin to express himself using total communication
Play/Socialization	Within 6 months, using play-based therapy techniques, Cesar will demonstrate functional play with decreasing multisensory cues with 70% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Cesardemonstrates ageappropriate play with peers.
Play/Socialization	In 6 months, Cesar will demonstrate joint attention during play with 30% accuracy given fading cues across 3 consecutive sessions in order to promote opportunities for language growth.

Speech and Language Soap Note/Visit:

Soap Note

490867

Note Date: 03-23-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Using play-based therapy techniques, Cesar responded appropriately to "no/wait" with decreasing multisensory cues with 30% accuracy with MAX cues in order to promote safety so that Cesarcan cease an action or activity that is dangerous. Using play-based therapy techniques, Cesar imitated nonspeech/environmental sounds with decreasing multisensory MAX cues with 20% accuracy in order to promote independence so that Cesar can begin to imitate age appropriate phonemes and eventually core vocabulary.

Plans: Continue with Speech Therapy,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4294	03-13-2026	Occupational Initial Evaluation	F82
Occupational Background History: Cesar is a 2.2 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother, was present in order to serve as the primary informant throughout the evaluation. Per mother's report child was born at 38 weeks gestation via c-section (twin). Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does have history of aggression due to sensory processing difficulties and no seasonal allergies.
Occupational Medical History: Per parent report, medical history is not remarkable. -twin
Occupational Medications: None
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: With some prompts, Behavior: Present, Awareness of Others: Adequate, Reliability of Scores: Good, Awarencess of Environmental Events: Usually, Social Interactions: Friendly, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Balance, Cooperative, Grasp, Motivated, Upper Limb Coordination,
Occupational Communication Weaknesses: Attention to Task, Behavior (defiance, resistance to authority, etc.), Body Awareness, Manual Dexterity, Self-Control, Sensory Process/Mod, UE Strength, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary:
Occupational Diagnosis/Impressions: Cesar was assessed via: PDMS-2 Standardized Assessment, Clinical Observations, Parental Report PDMS-2 - Per standardized assessment scores Cesar falls well below average in one subtest assed on the PDMS-2 evident by below average age equivalency scores at 20 months compared to his chronological age of 26 months, placing him at least (-2) standard deviations behind his peers. Cesar 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 mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Recommendations: Occupational Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

Plan of Care

5362

Plan Date: 03-13-2026

Occupational Assessment Summary: Cesar was assessed via: PDMS-2 Standardized Assessment, Clinical Observations, Parental Report PDMS-2 - Per standardized assessment scores Cesar falls well below average in one subtest assed on the PDMS-2 evident by below average age equivalency scores at 20 months compared to his chronological age of 26 months, placing him at least (-2) standard deviations behind his peers. Cesar 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 mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Initial POC- Baseline 0%

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Bilateral Coordination	In 6 months, Cesar will demonstrate bilateral coordination by completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers,) to increase IND with feeding tasks in 4/5 trials. Baseline- MAX assist
Bilateral Coordination	In 6 months, Cesar will utilize appropriate scooping grasping pattern for 8 minutes during mealtime with MOD assistance in order to increase functional independence during feeding and utensil management, 4/5 trials. Baseline- MAX assist to scoop
Fine Motor	In 6 months, Cesar will utilize pincer/3-jaw chuck grasping pattern to manipulate 5 small objects with MOD tactile cueing to increase grasping patterns when holding objects during ADLs, 4/5 trials. Baseline- MOD TCs

Occupational Short Term Goals:

Category	Goal Description
Bilateral Coordination	In 3 months, Cesar will demonstrate bilateral coordination by completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers,) to increase IND with feeding tasks in 3/4 trials. Baseline- MAX assist
Bilateral Coordination	In 3 months, Cesar will utilize appropriate scooping grasping pattern for 5-8 minutes during mealtime with MOD assistance in order to increase functional independence during feeding and utensil management, 3/4 trials. Baseline- MAX assist to scoop
Fine Motor	In 3 months, Cesar will utilize pincer/3-jaw chuck grasping pattern to manipulate 3-5 small objects with MOD tactile cueing to increase grasping patterns when holding objects during ADLs, 3/4 trials. Baseline- MOD TCs

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
874791	92523: Artic & Language Eval	01-23-2026 11:00 AM	01-23-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
892909	92507: Speech & Language Visit	02-23-2026 12:00 PM	02-23-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Completed
897080	92507: Speech & Language Visit	03-02-2026 12:00 PM	03-02-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Completed
897081	92507: Speech & Language Visit	03-09-2026 12:00 PM	03-09-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Completed
906188	97167: OT Evaluation	03-13-2026 09:00 AM	03-13-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
897082	92507: Speech & Language Visit	03-16-2026 12:00 PM	03-16-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Completed
897083	92507: Speech & Language Visit	03-23-2026 12:00 PM	03-23-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
897084	92507: Speech & Language Visit	03-30-2026 12:00 PM	03-30-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897085	92507: Speech & Language Visit	04-06-2026 12:00 PM	04-06-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897086	92507: Speech & Language Visit	04-13-2026 12:00 PM	04-13-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897087	92507: Speech & Language Visit	04-20-2026 12:00 PM	04-20-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897088	92507: Speech & Language Visit	04-27-2026 12:00 PM	04-27-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897089	92507: Speech & Language Visit	05-04-2026 12:00 PM	05-04-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897090	92507: Speech & Language Visit	05-11-2026 12:00 PM	05-11-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897091	92507: Speech & Language Visit	05-18-2026 12:00 PM	05-18-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897092	92507: Speech & Language Visit	05-25-2026 12:00 PM	05-25-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897093	92507: Speech & Language Visit	06-01-2026 12:00 PM	06-01-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897094	92507: Speech & Language Visit	06-08-2026 12:00 PM	06-08-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897095	92507: Speech & Language Visit	06-15-2026 12:00 PM	06-15-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897096	92507: Speech & Language Visit	06-22-2026 12:00 PM	06-22-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897097	92507: Speech & Language Visit	06-29-2026 12:00 PM	06-29-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897098	92507: Speech & Language Visit	07-06-2026 12:00 PM	07-06-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897099	92507: Speech & Language Visit	07-13-2026 12:00 PM	07-13-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897100	92507: Speech & Language Visit	07-20-2026 12:00 PM	07-20-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled
897101	92507: Speech & Language Visit	07-27-2026 12:00 PM	07-27-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Scheduled

Paient Messages Admin:

Date	Posted By	Message
01-14-2026 11:54 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2542
01-14-2026 12:14 PM	Patsy Guajardo	Cesar has been added to our Speech & Language Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9916&type=1&wid=493
01-14-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Cesar's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9916&type=1&wid=493
01-15-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Cesar's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9916&type=1&wid=493
01-20-2026 12:11 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:52 PM	Caleb 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. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos 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. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-09-2026 01:10 PM	Patsy Guajardo	Hi, Cesar as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Valeria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9916&tid=138
02-10-2026 02:19 PM	Cesar Oliva	Hi, so it's possible to be half of therapy with one and then switch at the other half of therapy with the other kid?
02-10-2026 02:29 PM	Patsy Guajardo	they will be seen each with a different theapist, It will be Andrea for Cesar and Natalia for Ian
02-10-2026 02:39 PM	Patsy Guajardo	Hi, Cesar as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Andrea https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9916&tid=127
02-10-2026 02:39 PM	Cesar Oliva	I think it may sound a little like I'm changed and changed everything but I wanted to mention that from March I will have a baby and who can help me continue taking the children to therapy is available from 3:00, they had mentioned to me that they could make room for me in the afternoon. At the moment I can take them at 12:00 but eventually to continue with the therapies I would have to change it to 3:00, I don't know if it would be more convenient to wait to find someone who can see them from that time from now on so that later I don't have to change them.. sorry
02-12-2026 12:52 PM	Patsy Guajardo	Hello, Ms. Oliva I have been attempting to find space for the kids in the afternoon, but with all honestly we do not have afternoon appointments available at all since we are completely swamp since we have those slots for School age kiddos. We can only offer you from this point on the slots i got which are the 12noon or maybe earlier in the morning. How would you like to proceed?
02-12-2026 12:54 PM	Cesar Oliva	The space you have at noon are for both at the same time?
02-12-2026 01:31 PM	Patsy Guajardo	Yes Ma"am
02-12-2026 01:32 PM	Cesar Oliva	Ok
02-12-2026 01:32 PM	Patsy Guajardo	Ok I will have the therapist get in touch with you and schedule therapy. Thank you!
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please 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=9916
02-18-2026 04:16 PM	Stephen Tullius	For 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 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9916
03-10-2026 02:31 PM	Asbel Guajardo	Hi, it looks like we need to reschedule your Occupational Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/otevaluation.aspx?pid=9916
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
01-22-2026 06:30 PM	Jessica Ortiz	Hola, esto es solo un recordatorio de que Cesar tiene una cita programada para una evaluación de terapia de habla y lenguaje manana a las 11:00 AM. Nos vemos pronto! - New Beginnings 🙂
01-23-2026 07:35 AM	Jessica Ortiz	Hola, esto es solo un recordatorio de que Cesar tiene una cita programada para una evaluación de terapia de habla y lenguaje hoy a las 11:00 AM. Nos vemos pronto! - New Beginnings 🙂
01-23-2026 10:45 AM	Jessica Ortiz	Cesar Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874791
02-09-2026 01:31 PM	Valeria Holguin	Buenas tardes! Mi nombre es Valeria, soy terapeuta de habla de New beginnings. Le queria ofrecer horarios para sus niños, serian miercoles 8:45 y enseguida la sesion de 9:30am. Podrian ser las dos seguidas o tambien podriamos ver otros espacios para que no sean seguidas las sesiones. Ud me avisa:) Muchas gracias!
02-09-2026 01:51 PM	Cesar Oliva	Cesar (Prim) Replied: Buenas tardes, no tienes la opción que sean en el mismo horario? Como estaría yendo yo sola con ellos no podría estar dentro de la sesión de uno por qué el otro lo distraería me explico? Y no tengo quien me ayude solamente a partir de las 2:30
02-09-2026 02:03 PM	Cesar Oliva	Cesar (Prim) Replied: Me habían comentado que podían asignarles un terapeuta a cada uno para ver si las terapias pueden ser al mismo tiempo y ya estaría media hora con uno y media hora con el otro, en ese caso si pudiera ir yo sola a cualquier hora, de otra forma tendría que buscar la forma de acomodarme en la tarde por qué la gente que puede ayudarme le digo se desocupa a partir de las 2:30 de lunes a viernes o hay otra persona que se desocupa a las 2:00 en viernes. También quería mencionar que en unas semanas tendré a mi otro bebé entonces si o si tendría que encontrar un lugar en la tarde por qué como le comento solamente tengo ayuda en las tardes. Me dijeron que iban a dejar una nota con toda esa información.
02-09-2026 02:23 PM	Valeria Holguin	estaria bien en horario de 2:30? tengo disponible 2:30 miercoles pero deje veo si alguien mas esta disponible a esahora/dia
02-09-2026 02:58 PM	Cesar Oliva	Cesar (Prim) Replied: Si 2:30 está bien
02-17-2026 10:56 AM	Andrea Rodriguez	Hola! Buenas tardes mi nombre es Andrea de New Beginnings. Yo sere la terapeuta de habla de Cesar. A partir de la próxima semana lo puedo ver los Lunes a las 12:00 pl en coordinación con su hermano. Digame si esto funciona. Gracias!
02-17-2026 10:57 AM	Cesar Oliva	Cesar (Prim) Replied: Hola mucho gusto si ya me comuniqué con la terapeuta de Ian, acordamos la primer cita el lunes 23
02-17-2026 10:59 AM	Andrea Rodriguez	Perfecto! Nos vemos el 23 a las 12:00 pm. Gracias :)
02-17-2026 10:59 AM	Cesar Oliva	Cesar (Prim) Replied: A ti buen día 😁
02-22-2026 04:02 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Oliva, Cesar tiene una cita de terapia del lenguaje programada el 02-23-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-22-2026 06:30 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
02-22-2026 06:38 PM	Cesar Oliva	Cesar (Prim) Replied: Si
02-22-2026 06:38 PM	Andrea Rodriguez	Hi, 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.
02-23-2026 07:57 AM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
02-23-2026 11:45 AM	Andrea Rodriguez	Cesar Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892909
02-23-2026 11:45 AM	Cesar Oliva	Cesar is CHECKED IN for: 12:00PM-2/23/2026 92507: Speech & Language Visit
03-01-2026 04:01 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Oliva, Cesar tiene una cita de terapia del lenguaje programada el 03-02-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-01-2026 06:30 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-02-2026 07:55 AM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-02-2026 11:45 AM	Andrea Rodriguez	Cesar Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897080
03-08-2026 04:01 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Oliva, Cesar tiene una cita de terapia del lenguaje programada el 03-09-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-08-2026 06:30 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-08-2026 06:31 PM	Cesar Oliva	Cesar (Prim) Replied: SI
03-08-2026 06:31 PM	Andrea Rodriguez	Hi, 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.
03-09-2026 07:50 AM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-09-2026 11:45 AM	Andrea Rodriguez	Cesar Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897081
03-09-2026 11:46 AM	Cesar Oliva	Cesar is CHECKED IN for: 12:00PM-3/9/2026 92507: Speech & Language Visit
03-10-2026 03:45 PM	Bertha Solis	Hello, this is Bertha Solis OTD, OTR/L the occupational therapist at New Beginnings; I received a referral for Cesar for OT evaluation; I have an appointment available Friday at 9am? Would this time and day work for you, for OT evaluation?
03-10-2026 03:46 PM	Bertha Solis	Disculpe, soy Bertha Solis la terapeuta de terapia ocupacional, recibi una referencia para Cesar, para evaluacion de OT; tengo disponible este viernes a las 9 am- le funciona?
03-10-2026 03:47 PM	Cesar Oliva	Cesar (Prim) Replied: Hi yes it works for me
03-11-2026 08:24 PM	Cesar Oliva	Cesar (Prim) Replied: Entonces si esta confirmada la evaluación para el viernes?
03-11-2026 08:24 PM	Bertha Solis	Hi, 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 08:15 AM	Bertha Solis	Buenos días, si nos vemos el viernes a las 9am (:
03-12-2026 06:30 PM	Bertha Solis	Hola, esto es solo un recordatorio de que Cesar tiene una cita programada para una evaluación de terapia ocupacional manana a las 09:00 AM. Nos vemos pronto! - New Beginnings 🙂
03-13-2026 07:36 AM	Bertha Solis	Hola, esto es solo un recordatorio de que Cesar tiene una cita programada para una evaluación de terapia ocupacional hoy a las 09:00 AM. Nos vemos pronto! - New Beginnings 🙂
03-13-2026 08:45 AM	Bertha Solis	Cesar Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=906188
03-15-2026 04:01 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Oliva, Cesar tiene una cita de terapia del lenguaje programada el 03-16-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-15-2026 06:30 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-15-2026 08:44 PM	Cesar Oliva	Cesar (Prim) Replied: Si
03-15-2026 08:44 PM	Andrea Rodriguez	Hi, 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.
03-16-2026 07:49 AM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-16-2026 11:45 AM	Andrea Rodriguez	Cesar Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897082
03-16-2026 11:45 AM	Cesar Oliva	Cesar is CHECKED IN for: 12:00PM-3/16/2026 92507: Speech & Language Visit
03-22-2026 04:02 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Oliva, Cesar tiene una cita de terapia del lenguaje programada el 03-23-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-22-2026 04:28 PM	Cesar Oliva	Cesar (Prim) Replied: Si
03-22-2026 04:28 PM	Andrea Rodriguez	Hi, 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 06:30 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-23-2026 07:51 AM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Cesar tiene una cita de terapia de habla y lenguaje programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-23-2026 11:45 AM	Andrea Rodriguez	Cesar Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897083
03-23-2026 11:52 AM	Cesar Oliva	Cesar is RUNNING LATE for: 12:00PM-3/23/2026 92507: Speech & Language Visit
03-23-2026 12:06 PM	Cesar Oliva	Cesar (Prim) Replied: Hola estoy ya a menos de 10 minutos
03-23-2026 12:07 PM	Cesar Oliva	Cesar (Prim) Replied: Una disculpa
03-23-2026 12:08 PM	Andrea Rodriguez	No se preocupe! Aqui nos vemos :)
03-23-2026 12:20 PM	Cesar Oliva	Cesar (Prim) Replied: Ya llegamos
03-23-2026 12:20 PM	Andrea Rodriguez	Hola! En cuanto tiempo estarían aqui? Tenemos tiempo de tolerancia de 15 minutos pero si ya estan cerca por esta ocasión si los podemos ver :)
03-23-2026 12:20 PM	Cesar Oliva	Cesar (Prim) Replied: Ya estoy en la sala de espera