New Beginnings | NB1-Office

Patient Name: Ian

Patient Information:

Patient ID: 9917

Patient First Name: Ian

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: Bustillos, Natalia

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
23266	Active	02-03-2026	07-31-2026	Superior Health Plan	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26103	01-23-2026	Speech Initial Evaluation	F80.2
Speech Background History: Ian 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 Ian has difficulty communicating effectively when compared to same-aged peers. She also reported that Ian has a twin brother and that she observes similar communication difficulties in both children. During the evaluation, Ian’s expressive language was characterized primarily by single words, jargon, and symbolic gestures (e.g., pointing). According to developmental norms, a typically developing child of Ian’s age should have an expressive vocabulary of approximately 200 words and produce utterances of 1-2 words in length. Ian was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. LANGUAGE BACKGROUND: LANGUAGE INPUT: Ian’s parents reported that he is exposed to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Ian had limited verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish.
Speech Medical History: According to the parent report, Ian was born without any complications prior to, during, or following the delivery.
Speech Medications:
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some 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: Interactive,
Speech Communication Weaknesses: Poor vocabulary, Unable to follow commands,
Speech Background Summary: Ian's mother accompanied him to the evaluation, which took place in the clinic room. Throughout the evaluation, Ian displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. Ian was observed intentionally dropping to the floor when asked to wait or when access to preferred items was restricted.
Speech Diagnosis/Impressions: Ian 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 Ian has difficulty communicating effectively when compared to same-aged peers. She also reported that Ian has a twin brother and that she observes similar communication difficulties in both children. During the evaluation, Ian’s expressive language was characterized primarily by single words, jargon, and symbolic gestures (e.g., pointing). According to developmental norms, a typically developing child of Ian’s age should have an expressive vocabulary of approximately 200 words and produce utterances of 1-2 words in length. Ian was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. LANGUAGE BACKGROUND: LANGUAGE INPUT: Ian’s parents reported that he is exposed to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Ian had limited verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish. Ian was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. During the evaluation, Ian displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. Ian was observed intentionally dropping to the floor when asked to wait or when access to preferred items was restricted. Ian received the following Standard Scores on the PLS-5: Auditory Comprehension 73 (raw score: 21, percentile: 4, age equivalent:1 year 5 months), Expressive Communication 79 (raw score: 21, percentile: 8, age equivalent: 1 year 6 months), and Total Language Score 74 (percentile: 4, age equivalent: 1 year 5 months). According to the Standard Scores that Ian 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 Ian’s MODERATE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Ian 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 demonstrating turn-taking. Speech therapy is highly recommended at this time as Ian's current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Ian'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. Ian's mother will be responsible for his Home Exercise Program (HEP).
Speech Diagnosis/Impressions: Ian 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 Ian has difficulty communicating effectively when compared to same-aged peers. She also reported that Ian has a twin brother and that she observes similar communication difficulties in both children. During the evaluation, Ian’s expressive language was characterized primarily by single words, jargon, and symbolic gestures (e.g., pointing). According to developmental norms, a typically developing child of Ian’s age should have an expressive vocabulary of approximately 200 words and produce utterances of 1-2 words in length. Ian was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. LANGUAGE BACKGROUND: LANGUAGE INPUT: Ian’s parents reported that he is exposed to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Ian had limited verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish. Ian was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. During the evaluation, Ian displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. Ian was observed intentionally dropping to the floor when asked to wait or when access to preferred items was restricted. Ian received the following Standard Scores on the PLS-5: Auditory Comprehension 73 (raw score: 21, percentile: 4, age equivalent:1 year 5 months), Expressive Communication 79 (raw score: 21, percentile: 8, age equivalent: 1 year 6 months), and Total Language Score 74 (percentile: 4, age equivalent: 1 year 5 months). According to the Standard Scores that Ian 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 Ian’s MODERATE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Ian 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 demonstrating turn-taking. Speech therapy is highly recommended at this time as Ian's current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Ian'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. Ian'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

58111

Plan Date: 01-23-2026

Speech Assessment Summary: Ian 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 Ian has difficulty communicating effectively when compared to same-aged peers. She also reported that Ian has a twin brother and that she observes similar communication difficulties in both children. During the evaluation, Ian’s expressive language was characterized primarily by single words, jargon, and symbolic gestures (e.g., pointing). According to developmental norms, a typically developing child of Ian’s age should have an expressive vocabulary of approximately 200 words and produce utterances of 1-2 words in length. Ian was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. LANGUAGE BACKGROUND: LANGUAGE INPUT: Ian’s parents reported that he is exposed to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Ian had limited verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish. Ian was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish assessment. During the evaluation, Ian displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. Ian was observed intentionally dropping to the floor when asked to wait or when access to preferred items was restricted. Ian received the following Standard Scores on the PLS-5: Auditory Comprehension 73 (raw score: 21, percentile: 4, age equivalent:1 year 5 months), Expressive Communication 79 (raw score: 21, percentile: 8, age equivalent: 1 year 6 months), and Total Language Score 74 (percentile: 4, age equivalent: 1 year 5 months). According to the Standard Scores that Ian 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 Ian’s MODERATE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Ian 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 demonstrating turn-taking. Speech therapy is highly recommended at this time as Ian's current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Ian'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. Ian's mother will be responsible for his Home Exercise Program (HEP).

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

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive Language	With 1 year, Ian 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, Ian 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
Play/Socialization	In 6 months, Ian will demonstrate joint attention during play with 30% accuracy given fading cues across 3 consecutive sessions in order to promote opportunities for language growth.
Play/Socialization	Within 6 months, using play-based therapy techniques, Ian will demonstrate functional play with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Ian demonstrates ageappropriate play with peers.
Expressive Language	Within 6 months, using play-based therapy techniques, Ian will imitate gestures/actions modeling by clinician with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Iancan begin to express himself using total communication
Expressive Language	Within 6 months, using play-based therapy techniques, Ian will imitate nonspeech/environmental sounds with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Ian can begin to imitate age appropriate phonemes and eventually core vocabulary.
Receptive Language	Within 6 month, Ian 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.
Play/Socialization	Within 6 months, using play-based therapy techniques, Ian will demonstrate appropriate turn taking skills in 3 out of 10 opportunities with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote safety so that Ian can cease an action or activity that is dangerous.

Speech and Language Soap Note/Visit:

Soap Note

491293

Note Date: 03-24-2026

Subjective: Patient needed frequent reminders to return to task,Patient was distractible and inattentive,Patient was uncooperative,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents incorporated the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training optimized patients functional communication tasks in the home. Ian demonstrated joint attention during play with 10% accuracy Using play-based therapy techniques, Ian demonstrated functional play with 10% accuracy Using play-based therapy techniques, Ian imitated gestures/actions modeling by clinician with 0% accuracy Using play-based therapy techniques, Ian imitated nonspeech/environmental sounds with 0% accuracy Ian followed 1 step commands using common objects (e.i. give me cup, throw ball) with 10% accuracy Using play-based therapy techniques, Ian demonstrated appropriate turn taking skills in 0 out of 10 opportunities Maximum redirection required during session as observed by patient refusing to participate with clinician and as observed by crying and having adversive behaviors such as throwing himself on the floor, kicking/banging on walls, and throwing items. Patient arrived late to session which caused reduced time to target goals. Patient demonstrated difficulty transitioning into room.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
874763	92523: Artic & Language Eval	01-23-2026 12:00 PM	01-23-2026 01:00 PM	Jessica Ortiz	NB2 far east side	Completed
891154	92507: Speech & Language Visit	02-23-2026 12:00 PM	02-23-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Completed
891155	92507: Speech & Language Visit	03-02-2026 12:00 PM	03-02-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Completed
891156	92507: Speech & Language Visit	03-09-2026 12:00 PM	03-09-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Completed
891157	92507: Speech & Language Visit	03-16-2026 12:00 PM	03-16-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Completed
891158	92507: Speech & Language Visit	03-23-2026 12:00 PM	03-23-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
891159	92507: Speech & Language Visit	03-30-2026 12:00 PM	03-30-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
891160	92507: Speech & Language Visit	04-06-2026 12:00 PM	04-06-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
910349	92507: Speech & Language Visit	04-07-2026 08:30 AM	04-07-2026 09:15 AM	Natalia Bustillos	NB2 far east side	Scheduled
891161	92507: Speech & Language Visit	04-13-2026 12:00 PM	04-13-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891162	92507: Speech & Language Visit	04-20-2026 12:00 PM	04-20-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891163	92507: Speech & Language Visit	04-27-2026 12:00 PM	04-27-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891164	92507: Speech & Language Visit	05-04-2026 12:00 PM	05-04-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891165	92507: Speech & Language Visit	05-11-2026 12:00 PM	05-11-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891166	92507: Speech & Language Visit	05-18-2026 12:00 PM	05-18-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891167	92507: Speech & Language Visit	05-25-2026 12:00 PM	05-25-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891168	92507: Speech & Language Visit	06-01-2026 12:00 PM	06-01-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891169	92507: Speech & Language Visit	06-08-2026 12:00 PM	06-08-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891170	92507: Speech & Language Visit	06-15-2026 12:00 PM	06-15-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891171	92507: Speech & Language Visit	06-22-2026 12:00 PM	06-22-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891172	92507: Speech & Language Visit	06-29-2026 12:00 PM	06-29-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891173	92507: Speech & Language Visit	07-06-2026 12:00 PM	07-06-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891174	92507: Speech & Language Visit	07-13-2026 12:00 PM	07-13-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891175	92507: Speech & Language Visit	07-20-2026 12:00 PM	07-20-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
891176	92507: Speech & Language Visit	07-27-2026 12:00 PM	07-27-2026 12:45 PM	Natalia Bustillos	NB2 far east side	Scheduled

Paient Notes:

Date	Posted By	Description
02-05-2026	Jessica Ortiz	Mrs. Yee mentioned to the clinician that she would prefer a 2:30 appointment because she will be giving birth, and that is when someone else will be able to assist with bringing her children to therapy.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-30-2026	92507	Bustillos, Natalia

Paient Messages Admin:

Date	Posted By	Message
01-14-2026 11:55 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2543
01-14-2026 12:22 PM	Patsy Guajardo	Ian 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=9917&type=1&wid=494
01-14-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Ian'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=9917&type=1&wid=494
01-15-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Ian'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=9917&type=1&wid=494
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, Ian 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=9917&tid=138
02-10-2026 02:14 PM	Patsy Guajardo	Hello, This is Patsy from front office, Just to let you know that I was able to find a slot with two therapist to see the both patients at the same time, this would be on Monday's at 12
02-10-2026 02:39 PM	Patsy Guajardo	Hi, Ian as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Natalia https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9917&tid=142
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=9917
02-17-2026 06:30 PM	Caleb Tullius	Hi, this is a just a reminder that you are registered for our Parent Training: Introduction to AAC (Augmentative and Alternative Communication) scheduled tomorrow at 6:30 PM. Please be on-time. See you soon! - New Beginnings 🙂
02-18-2026 07:30 AM	Caleb Tullius	Hi, this is a just a reminder that you are registered for our Parent Training: Introduction to AAC (Augmentative and Alternative Communication) scheduled today at 6:30 PM. Please be on-time. See you soon! - New Beginnings 🙂
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=9917
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
01-16-2026 11:01 AM	Jessica Ortiz	Muy buenos días. Le saluda Jessica de New Beginnings. Yo administraré las evaluaciones de César e Ian. Quisiera saber si el viernes 23 de Enero a las 10:00 a.m. y a las 11:00 a.m. serían horarios convenientes para usted.
01-16-2026 11:02 AM	Ian Oliva	Ian (Prim) Replied: Hola buenos días disculpe por perder la llamada estaba ocupada... si está bien esa fecha y ese horario
01-16-2026 11:04 AM	Jessica Ortiz	Una disculpa, quise decir 11 am y 12 pm, le funcionaria ese horario?
01-16-2026 11:04 AM	Ian Oliva	Ian (Prim) Replied: Si, está mejor ese horario
01-16-2026 11:06 AM	Jessica Ortiz	¡Excelente! En un momento le mandaré un adjunto con un cuestionario, si me haría el favor de contestar uno de César y de Ian. Muchas gracias y los veo el viernes 23 a las 11 y 12 :)
01-16-2026 11:07 AM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/01162026110725-NB-cuestionario-espanol.pdf
01-16-2026 11:08 AM	Jessica Ortiz	Los cuestionarios los puede responder en un mensaje de texto, por favor, pues no puedo recibir screen shots o fotografías. Gracias :)
01-16-2026 11:10 AM	Ian Oliva	Ian (Prim) Replied: Muy bien muchas gracias
01-16-2026 12:38 PM	Ian Oliva	Ian (Prim) Replied: 1. Ian Oliva 2. Su pulso bajaba con cada contracción y terminó en cesaría de emergencia 3. Nada en lo absoluto 4. Empezó a sentarse solo desde los 6 meces, gateo a los 6-7 meces rodando como tronco un par de meces y después empezó a gatear en posición de 4, se paró por primera vez a los 8 meces y a los 10-11 meces empezó a caminar, empezó a hablar al año, aún no va a el baño ni se cambia solito. 5. Aveces duerme con la boca abierta y si duerme de 8-10 horas, se levanta de 1-2 veces en la noche y las anginas no se si las tiene grandes no lo eh llevado a revisar. 6. No va a la escuela ni guardería 7. No tiene problema de vista ni audición, la última vez que le hicieron un examen fue de recién nacido y lo pasó en la primera 8. No veo que estén a la par en cuestión del habla como otros niños de su edad.
01-16-2026 12:45 PM	Ian Oliva	Ian (Prim) Replied: 1. César Oliva 2. Ninguna complicación ni en el embarazo ni en el parto, fue cesaría. 3. Nada en lo absoluto 4. Empezó a la par con su hermano todo igual. 5. Respira con la boca aveces, despierta y se le escucha obstruida la nariz, duerme de 8-10 horas y se levanta 1 vez ocasionalmente 2 veces en la noche. No se levanta han revisado las anginas. 6. No va a la escuela ni guardería 7. Ningún problema de vista ni audición. La única ocasión que se le hizo un examen fue de recién nacido y lo pasó a la primera. 8. No veo que en cuestión del habla esté a la par como otros niños de su edad.
01-22-2026 06:30 PM	Jessica Ortiz	Hola, esto es solo un recordatorio de que Ian tiene una cita programada para una evaluación de terapia de habla y lenguaje manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
01-22-2026 06:31 PM	Ian Oliva	Ian (Prim) Replied: Nos vemos mañana 😁
01-23-2026 07:35 AM	Jessica Ortiz	Hola, esto es solo un recordatorio de que Ian tiene una cita programada para una evaluación de terapia de habla y lenguaje hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
01-23-2026 07:37 AM	Ian Oliva	Ian (Prim) Replied: Buenos días será que me puede mandar la dirección por favor? No la encuentro en la referencia de la doctora
01-23-2026 07:40 AM	Jessica Ortiz	Hola buenos días, claro que si. Nuestra dirección es 3155 Rich Beem Blvd Ste B.
01-23-2026 07:41 AM	Ian Oliva	Ian (Prim) Replied: Gracias
01-23-2026 10:02 AM	Ian Oliva	Ian (Prim) Replied: Buenos días disculpe la dirección que me mandó me llevo a una casa
01-23-2026 10:31 AM	Jessica Ortiz	Hola! Que extraño Déjeme le mando el link de google
01-23-2026 10:31 AM	Jessica Ortiz	https://maps.app.goo.gl/TMunne47J9EU9nSN8?g_st=ic
01-23-2026 10:32 AM	Jessica Ortiz	Me deja saber si le llegó el link
01-23-2026 10:32 AM	Ian Oliva	Ian (Prim) Replied: No se preocupe ya busqué la dirección ya estoy estacionada esperando a que llegue la hora
01-23-2026 10:33 AM	Jessica Ortiz	Perfecto! Si me da unos 15 minutos estoy co ustedes :)
01-23-2026 10:33 AM	Ian Oliva	Ian (Prim) Replied: Claro nos vemos
01-23-2026 11:45 AM	Jessica Ortiz	Ian Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874763
02-05-2026 02:21 PM	Jessica Ortiz	Hola, buenas tardes. Aquí le dejo un pequeño resumen de las metas que trabajarán en terapia César e Ian César: trabajar en atención sostenida, demostrar juego funcional, seguir instrucciones utilizando objetos comunes, imitar gestos o acciones, imitar sonidos o palabras, y tolerar cuando se le diga "no" o "espera" Ian: trabajar en atención sostenida, demostrar juego funcional, seguir instrucciones utilizando objetos comunes, imitar gestos o acciones, imitar sonidos o palabras y tomar turnos apropiadamente.
02-05-2026 02:23 PM	Jessica Ortiz	Una gran disculpa, pensé que sí se los habia mandado antes. Toda la documentacion ya se mandó; solamente está en espera de que den autorización para comenzar la terapia.
02-05-2026 02:27 PM	Ian Oliva	Ian (Prim) Replied: Hola buenas tardes muchas gracias.. tengo una duda, una vez iniciando las terapias en caso de que se abra algún espacio para atenderlos en el horario de la tarde podría tomar preferencia? Es que me preocupa en un futuro por que en unas semanas tendré otro bebé y se me complicaría muchísimo el llevarlos yo sola a las terapias y la ayuda que puedo tener es solamente en la tarde a partir de las 2:30
02-05-2026 02:30 PM	Ian Oliva	Ian (Prim) Replied: Y claro se me hace súper importante el seguir sus terapias aunque debo mencionar que en estos días eh notado un cambio positivo en ambos respecto a el tema de seguir instrucciones
02-05-2026 02:35 PM	Jessica Ortiz	Eso depende de la disponibilidad de la terapeuta, pero claro que puede comentarle cuando inicie la terapia. De cualquier manera, dejé una nota con su preferencia. Solo hay que tener en cuenta que la disponibilidad por las tardes es limitada y que, normalmente, se da prioridad a los pacientes que van a la escuela. Deje les comento en la oficina tambien.
02-05-2026 02:36 PM	Jessica Ortiz	Qué bueno! Me alegra mucho escuchar eso :D
02-05-2026 02:38 PM	Ian Oliva	Ian (Prim) Replied: Bueno muchas gracias buen día 😁
02-05-2026 02:39 PM	Jessica Ortiz	Gracias a usted! Bonito dia.
02-12-2026 01:44 PM	Natalia Bustillos	Buenas tardes! Mi nombre es Natalia Bustillos de New Beginnings y sere la terapeuta de Ian. Me communico con usted para presentarme y tambien para agendar terapia para la semana que entra. Mi compañera que sera la terapeuta del hermanito de Ian se communicara con usted despues porque saldra fuera de la ciudad la siguiente semana. Por ahorita solamente tengo los Lunes a las 12 disponible para terapia. Pudiera comenzar Ian el siguiente lunes 15 de febrero? Muchas gracias!
02-12-2026 01:46 PM	Ian Oliva	Ian (Prim) Replied: Hola mucho gusto, empezaría Ian nada más este lunes?
02-12-2026 01:47 PM	Ian Oliva	Ian (Prim) Replied: Preferiría esperarme a que la terapeuta de César regrese para que inicien la terapia el mismo día, cree que sea posible?
02-12-2026 02:34 PM	Natalia Bustillos	Si está bien, la otra terapeuta regresaría para la semana del 23 así que agendaré a Ian ese día. Muchísimas gracias(:
02-12-2026 02:35 PM	Ian Oliva	Ian (Prim) Replied: Sale gracias a ti
02-22-2026 04:03 PM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Oliva, Ian 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	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian 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	Ian Oliva	Ian (Prim) Replied: Si
02-22-2026 06:38 PM	Natalia Bustillos	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 07:55 AM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian 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	Natalia Bustillos	Ian Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=891154
02-23-2026 11:45 AM	Ian Oliva	Ian is CHECKED IN for: 12:00PM-2/23/2026 92507: Speech & Language Visit
03-01-2026 04:02 PM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Oliva, Ian 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	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian tiene una cita de terapia de habla y lenguaje programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-02-2026 07:52 AM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian 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	Natalia Bustillos	Ian Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=891155
03-06-2026 06:11 PM	Natalia Bustillos	Buenas noches, espero que todo esté bien. Les escribo para informarles que estaré fuera de la oficina del 25 al 31 de marzo para una capacitación. Me pondré en contacto con ustedes en las próximas semanas para informarles sobre las sesiones de recuperación de las visitas perdidas. ¡Muchas gracias!
03-08-2026 04:02 PM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Oliva, Ian 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	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian 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	Ian Oliva	Ian (Prim) Replied: Si
03-08-2026 06:31 PM	Natalia Bustillos	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 07:48 AM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian 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	Natalia Bustillos	Ian Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=891156
03-09-2026 11:45 AM	Ian Oliva	Ian is CHECKED IN for: 12:00PM-3/9/2026 92507: Speech & Language Visit
03-15-2026 04:02 PM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Oliva, Ian 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	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian 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	Ian Oliva	Ian (Prim) Replied: Si
03-15-2026 08:44 PM	Natalia Bustillos	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 07:47 AM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian tiene una cita de terapia de habla y lenguaje programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-16-2026 11:24 AM	Natalia Bustillos	Buenos días, familias. ¡Espero que estén bien! Les recuerdo que estaré fuera de la oficina del 25 al 31 de marzo por una capacitación. Recibirán notificaciones de las citas canceladas durante mi ausencia. Me comunicaré con cada uno de ustedes individualmente para reprogramar su cita. Muchas gracias por su comprensión.
03-16-2026 11:45 AM	Natalia Bustillos	Ian Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=891157
03-16-2026 11:45 AM	Ian Oliva	Ian is CHECKED IN for: 12:00PM-3/16/2026 92507: Speech & Language Visit
03-18-2026 05:45 PM	Natalia Bustillos	Natalia Bustillos CANCELLED: 12:00PM-3/30/2026 92507: Speech & Language Visit
03-19-2026 02:11 PM	Natalia Bustillos	Buenas tardes! Espero y todo bien. como le habia comentado voy a estar fuera de la oficina del 25-31 de marzo. Queria ver que dia y hora se le acomodaria para una sesion de recuperacion por ese dia que no podre ver a Ian. Muchisimas gracias (:
03-19-2026 02:14 PM	Ian Oliva	Ian (Prim) Replied: Buenas tardes, entonces el 23 si tomara tu terapia como normalmente va correcto? Podría ser mañana?
03-19-2026 02:16 PM	Natalia Bustillos	Si el 23 seguiria su sesion. El 30 seria cuando yo estaria fuera! mañana ya no tengo disponibilidad una disculpa ): podria el 7 de Abril a las 8:30?
03-19-2026 02:18 PM	Ian Oliva	Ian (Prim) Replied: Si esta bien esa hora
03-19-2026 02:22 PM	Natalia Bustillos	Perfecto! entonces agendare su visita el 7 de Abril a las 8:30. Muchas gracias por su comprension y flexibilidad (:
03-22-2026 04:02 PM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Oliva, Ian 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	Ian Oliva	Ian (Prim) Replied: Si
03-22-2026 04:28 PM	Natalia Bustillos	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	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian tiene una cita de terapia de habla y lenguaje programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-23-2026 07:49 AM	Natalia Bustillos	Hola, esto es solo un recordatorio de que Ian 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	Natalia Bustillos	Ian Oliva : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=891158
03-23-2026 11:52 AM	Ian Oliva	Ian is RUNNING LATE for: 12:00PM-3/23/2026 92507: Speech & Language Visit
03-23-2026 12:06 PM	Ian Oliva	Ian (Prim) Replied: Hola se me hizo tarde estoy a 10 minutos ya
03-23-2026 12:07 PM	Ian Oliva	Ian (Prim) Replied: Una disculpa
03-23-2026 12:20 PM	Ian Oliva	Ian (Prim) Replied: Ya estamos afuera