New Beginnings | NB1-Office

Patient Name: Luca

Patient Information:

Patient ID: 9941

Patient First Name: Luca

Patient Date of Birth: 10-23-2020

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Andres, Boadella

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Holguin, Valeria

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
23356	Active	02-16-2026	08-14-2026	Self Pay	0	26	0	0

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
26229	02-09-2026	Feeding Initial Evaluation	R13.11, R63.32
Feeding Background History: Luca is a 5 year, 4monthold male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His father and mother reported that Luca began displaying feeding concerns around 2 years of age. Luca has a history of early feeding difficulties, including persistent gagging and reflux. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. Language of intervention: Spanish with support in English.
Feeding Medical History: Per parent report, medical history is not remarkable
Feeding Medications: None. Cetrizine as needed for allergies.
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Luca's pragmatic skills were not formally assessed as this was not the purpose of the evaluation.
Feeding Diagnosis/Impressions: Luca is a 5 year, 4monthold male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His father and mother reported that Luca began displaying feeding concerns around 2 years of age. Luca has a history of early feeding difficulties, including persistent gagging and reflux. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. Language of intervention: Spanish with support in English. A formal oral mechanism examination revealed the absence of tethered oral tissues. Structurally, Luca appears to have all anatomical components necessary for safe and efficient feeding and swallowing. However, the function of his oral mechanism appeared reduced, with decreased facial muscle tone, limited jaw stability, and inconsistent tongue movement and oral control observed during feeding. These oral mechanism findings are consistent with his reduced oral motor feeding skills and may contribute to his difficulty coordinating chewing and swallowing higher bolus consistencies. A bedside swallow evaluation and skilled meal observation revealed that Luca presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. His PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures), and psychosocial (selective/restrictive eating). Luca’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: Luca's appetite is variable day to day. Currently, his food inventory includes fewer than 30 accepted foods and 6 liquids. It is important to note the majority of his accepted foods are starches which limit nutritional value. Accepted proteins include scrambled eggs, ham, meatballs, peanut butter, gogurt, French toast, and chicken nuggets. Fruits include blueberries, apples, pears, strawberries, blackberries, peach cup, banana, grapes, orange, tangerine. Vegetables include green beans, carrots, and corn. Starches include French fries, potato wedges, oatmeal, pancakes, breakfast bars, dry cereals, waffles, crackers, pretzels, vegetable chips, flour tortillas, rice, bread, donuts, cookies, popcorn. Liquids include orange juice, grape juice, fruit punch, apple juice, lemonade, milk and water. Luca's father expressed a desire for him to expand his intake to include more soft foods. NORM REFERENCED ASSESSMENT: Mrs. Pillados completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Luca received an overall rating of “high concern,”. Luca received received “high concern” in the area of problematic mealtime behaviors and selective/restrictive eating. These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Luca was seated and self-fed his preferred food items (pancakes and blueberries). Nonpreferred foods offered were rice, carrots, celery, ham, and apple sauce. With clinician support and implementation of breathing exercises to reduce his gag reflex, Luca was able to consume at least two bites of each food trial. Mother reported that Luca is not receptive to trying new foods at home and will often say "no" when non-preferred items are presented. Mother also reported the use of electronics during mealtime routines. SWALLOW/ORAL MOTOR EVALUATION: Luca demonstrated decreased oral motor skills, including a munching bite pattern, open-mouth chewing, reduced tongue lateralization, and oral residue. Mr. Pillado does not report unexplained fevers or a history of aspiration pneumonia. Mother reported vomiting or gagging at home when Luca tried new foods. Luca’s pharyngeal/esophageal swallow function should be monitored by his treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed rotary pattern and management of thicker purees and soft solids. The gag reflex should be active, but should be less sensitive. Luca’s oral motor skills are NOT WITHIN FUNCTIONAL LIMITS for his age and/or feeding safety. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30-45 minutes to address Luca’s CHRONIC PFD and ORAL DYSPHAGIA. Luca is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. Feeding therapy should also target improving Luca’s oral motor skills for safe and effective feeding/swallowing. In addition, food chaining strategies should be implemented to expand Luca’s food repertoire by building on existing preferred foods. Without intervention, Luca may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Pillado will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

58350

Plan Date: 02-09-2026

Feeding Assessment Summary: PATIENT HX: Luca is a 5 year, 4 month old male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His father and mother reported that Luca began displaying feeding concerns around 2 years of age. Luca has a history of early feeding difficulties, including persistent gagging and reflux. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. Language of intervention: Spanish with support in English. ORAL MECH EXAM: A formal oral mechanism examination revealed the absence of tethered oral tissues. Structurally, Luca appears to have all anatomical components necessary for safe and efficient feeding and swallowing. However, the function of his oral mechanism appeared reduced, with decreased facial muscle tone, limited jaw stability, and inconsistent tongue movement and oral control observed during feeding. These oral mechanism findings are consistent with his reduced oral motor feeding skills and may contribute to his difficulty coordinating chewing and swallowing higher bolus consistencies. FEEDING.SWALLOWING: A bedside swallow evaluation and skilled meal observation revealed that Luca presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. His PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures), and psychosocial (selective/restrictive eating). Luca’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: Luca's appetite is variable day to day. Currently, his food inventory includes fewer than 30 accepted foods and 6 liquids. It is important to note the majority of his accepted foods are starches which limit nutritional value. Accepted proteins include scrambled eggs, ham, meatballs, peanut butter, gogurt, French toast, and chicken nuggets. Fruits include blueberries, apples, pears, strawberries, blackberries, peach cup, banana, grapes, orange, tangerine. Vegetables include green beans, carrots, and corn. Starches include French fries, potato wedges, oatmeal, pancakes, breakfast bars, dry cereals, waffles, crackers, pretzels, vegetable chips, flour tortillas, rice, bread, donuts, cookies, popcorn. Liquids include orange juice, grape juice, fruit punch, apple juice, lemonade, milk and water. Luca's father expressed a desire for him to expand his intake to include more soft foods. NORM REFERENCED ASSESSMENT: Mrs. Pillados completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Luca received an overall rating of “high concern,”. Luca received received “high concern” in the area of problematic mealtime behaviors and selective/restrictive eating. These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Luca was seated and self-fed his preferred food items (pancakes and blueberries). Nonpreferred foods offered were rice, carrots, celery, ham, and apple sauce. With clinician support and implementation of breathing exercises to reduce his gag reflex, Luca was able to consume at least two bites of each food trial. Mother reported that Luca is not receptive to trying new foods at home and will often say "no" when non-preferred items are presented. Mother also reported the use of electronics during mealtime routines. SWALLOW/ORAL MOTOR EVALUATION: Luca demonstrated decreased oral motor skills, including a munching bite pattern, open-mouth chewing, reduced tongue lateralization, and oral residue. Mr. Pillado does not report unexplained fevers or a history of aspiration pneumonia. Mother reported vomiting or gagging at home when Luca tried new foods. Luca’s pharyngeal/esophageal swallow function should be monitored by his treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed rotary pattern and management of thicker purees and soft solids. The gag reflex should be active, but should be less sensitive. Luca’s oral motor skills are NOT WITHIN FUNCTIONAL LIMITS for his age and/or feeding safety. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30-45 minutes to address Luca’s CHRONIC PFD and ORAL DYSPHAGIA. Luca is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. Feeding therapy should also target improving Luca’s oral motor skills for safe and effective feeding/swallowing. In addition, food chaining strategies should be implemented to expand Luca’s food repertoire by building on existing preferred foods. Without intervention, Luca may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Pillado will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

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

Feeding Long Term Goals:

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

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Luca will tolerate non?nutritive oral sensory input (e.g., Z? vibe, oral swab, chewy tube) to lips, cheeks, and anterior tongue for 5 seconds without gagging in 2 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Luca will complete oral motor exercises for ROTARY CHEW in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing.
Feeding/Swallowing	In 6 months, Luca will add 1? to 2 food chained items of higher level consistencies (soft cubes and/or mechanical) to his food inventory in order to improve nutritional value and variety of his food inventory.
Feeding/Swallowing	In 6 months, Luca will interact with non preferred foods using his face AND/OR oral cavity in 3 out of 10 opportunities across 3 consecutive sessions in order to promote tolerance of non preferred food items in his immediate environment.I
Feeding/Swallowing	In 6 months, Luca will consume 2 to 3 bites of non preferred food items in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment.

Feeding Therapy Soap Note/Visit:

Soap Note

490837

Note Date: 03-23-2026

Subjective: Patient was alert and cooperative,Patient was alert and oriented,

Assessment of Goals/Response to Treatment: The patient was alert, oriented, and demonstrated excellent cooperation throughout the session. Significant gains were observed in oral sensory tolerance, as the patient fully met the objective of tolerating non-nutritive oral sensory input, including the Z-vibe and oral swabs, to the lips, cheeks, and anterior tongue for 5-second intervals without eliciting a gag reflex. This was consistently achieved in greater than 2 out of 10 opportunities, indicating a marked decrease in oral hypersensitivity. Concurrently, progress was made in developing mature mastication patterns. The patient initiated a rotary chew during targeted oral motor exercises in approximately 2 out of 10 opportunities, representing 80% progress toward the terminal objective of 3 out of 10 opportunities. Regarding diet expansion, the patient successfully incorporated one new food-chained item of a soft-cubed consistency into his repertoire, achieving 50% of the intended goal to add one to two new foods. His acceptance of non-preferred foods has also improved considerably, as evidenced by his consumption of 2 to 3 bites of these items in up to 3 out of 10 opportunities across consecutive sessions, demonstrating 90% progress toward this goal. These advancements reflect an overall improvement in the patient's tolerance and acceptance of varied sensory inputs and food items in his immediate environment.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
882762	92610: Feeding Evaluation	02-09-2026 11:30 AM	02-09-2026 12:30 PM	Andrea Rodriguez	NB2 far east side	Completed
893738	92526: Feeding Visit	02-26-2026 04:00 PM	02-26-2026 04:30 PM	Valeria Holguin	NB2 far east side	Completed
903939	92526: Feeding Visit	03-09-2026 04:00 PM	03-09-2026 04:30 PM	Valeria Holguin	NB2 far east side	Completed
893741	92526: Feeding Visit	03-19-2026 04:00 PM	03-19-2026 04:30 PM	Valeria Holguin	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
893739	92526: Feeding Visit	03-05-2026 04:00 PM	03-05-2026 04:30 PM	Valeria Holguin	NB2 far east side	Canceled
893740	92526: Feeding Visit	03-12-2026 04:00 PM	03-12-2026 04:30 PM	Valeria Holguin	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
893743	92526: Feeding Visit	04-02-2026 04:00 PM	04-02-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893744	92526: Feeding Visit	04-09-2026 04:00 PM	04-09-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893745	92526: Feeding Visit	04-16-2026 04:00 PM	04-16-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893746	92526: Feeding Visit	04-23-2026 04:00 PM	04-23-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893747	92526: Feeding Visit	04-30-2026 04:00 PM	04-30-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893748	92526: Feeding Visit	05-07-2026 04:00 PM	05-07-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893749	92526: Feeding Visit	05-14-2026 04:00 PM	05-14-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893750	92526: Feeding Visit	05-21-2026 04:00 PM	05-21-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893751	92526: Feeding Visit	05-28-2026 04:00 PM	05-28-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893752	92526: Feeding Visit	06-04-2026 04:00 PM	06-04-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893753	92526: Feeding Visit	06-11-2026 04:00 PM	06-11-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893754	92526: Feeding Visit	06-18-2026 04:00 PM	06-18-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893755	92526: Feeding Visit	06-25-2026 04:00 PM	06-25-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893756	92526: Feeding Visit	07-02-2026 04:00 PM	07-02-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893757	92526: Feeding Visit	07-09-2026 04:00 PM	07-09-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893758	92526: Feeding Visit	07-16-2026 04:00 PM	07-16-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893759	92526: Feeding Visit	07-23-2026 04:00 PM	07-23-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893760	92526: Feeding Visit	07-30-2026 04:00 PM	07-30-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893761	92526: Feeding Visit	08-06-2026 04:00 PM	08-06-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled
893762	92526: Feeding Visit	08-13-2026 04:00 PM	08-13-2026 04:30 PM	Valeria Holguin	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
2/9/26	Patient visit charged - Feeding Evaluation: Feeding Evaluation	0.00	220.00	-220.00
2/9/26	Patient Payment Received (Stripe)	220.00	220.00	0.00
2/26/26	Patient visit charged - Feeding Visit: Feeding Visit	220.00	335.00	-115.00
2/26/26	Patient Payment Received (Stripe)	335.00	335.00	0.00
3/9/26	Patient visit charged - Feeding Visit: Feeding Visit	335.00	450.00	-115.00
3/9/26	Patient Payment Received (Stripe)	450.00	450.00	0.00
3/19/26	Patient visit charged - Feeding Visit: Feeding Visit	450.00	565.00	-115.00
3/19/26	Patient Payment Received (Stripe)	565.00	565.00	0.00
3/26/26	Patient Payment Received (Stripe)	680.00	565.00	115.00

Billing History:

Date	Service Description	Units	$Amount	$Status
2/9/26	92610: Feeding Evaluation	1	220.00	Billed and Paid
2/26/26	92526: Feeding Visit	1	140.00	Billed and Paid
3/9/26	92526: Feeding Visit	1	140.00	Unbilled
3/19/26	92526: Feeding Visit	1	140.00	Unbilled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-12-2026	92526	Holguin, Valeria
03-05-2026	92526	Holguin, Valeria

Paient Messages Admin:

Date	Posted By	Message
01-27-2026 11:39 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2568
01-27-2026 05:11 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2568
01-28-2026 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2568
01-29-2026 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2568
01-30-2026 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2568
01-30-2026 04:07 PM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9941
02-03-2026 03:53 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! 💙
02-04-2026 02:40 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I do so you chose to be self pay I just do want to go over the amounts; for the initial eval it will be $220 , re-eval $150, and $115 per session. If you have any questions please let me know.
02-12-2026 01:56 PM	Patsy Guajardo	Hi, Luca as been assigned a therapist for Feeding therapy. Here's a link to learn more about Valeria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9941&tid=138
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 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=9941
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/
02-26-2026 07:32 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Luca Pillado. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39598. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
03-05-2026 07:32 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Luca Pillado. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39772. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
03-09-2026 07:30 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Luca Pillado. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39971. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
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=9941
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/
03-19-2026 07:32 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Luca Pillado. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40411. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
03-26-2026 07:31 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Luca Pillado. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40607. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂

Paient Messages Therapist:

Date	Posted By	Message
01-30-2026 07:16 PM	Andrea Rodriguez	Hi, my name is Andrea, with New Beginnings, and I will be performing your child's Feeding Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9941&tid=127
01-30-2026 07:16 PM	Luca Pillado	Luca SCHEDULED: 4:30PM-2/9/2026 92610: Feeding Evaluation
02-02-2026 09:43 AM	Andrea Rodriguez	Good morning! This is Andrea from New Beginnings. I will be performing Luca's feeding evaluation. There was an error in the system. I do not have 02/09/2026 at 4:30 pm available. I apologize for the inconvenience. Please let me know what day and times work best for you: Monday, the 9th, at 11:30 am, Wednesday, the 11th, at 11:30 am, Thursday, the 12th, at 9:15 am. Thank you!
02-02-2026 11:06 AM	Luca Pillado	Luca (Prim) Replied: Hi Andrea, would you have any availability at 4 or 4:30 pm any other day?
02-02-2026 11:40 AM	Andrea Rodriguez	I apologize, at the moment, I do not have any afternoon appointments. Let me know if any of those times work for you. I will be performing Luca's feeding evaluation, and if he qualifies, his treating feeding clinician can accommodate him in the afternoons :)
02-02-2026 07:07 PM	Luca Pillado	Luca (Prim) Replied: Monday 9th at 11:30 am works better for us
02-03-2026 08:15 AM	Andrea Rodriguez	Perfect! I do have some paperwork that needs to be filled for the evaluation. Do you have access to a printer?:)
02-03-2026 08:35 AM	Luca Pillado	Luca (Prim) Replied: Yes, I do
02-03-2026 09:18 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02032026091815-Feeding-Patient-Background---English.pdf
02-03-2026 09:18 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02032026091826-Food-Chaining-Intake-Form---English.pdf
02-03-2026 09:18 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02032026091844-PediEAT_Full_English_2019-7-31.pdf
02-03-2026 09:19 AM	Andrea Rodriguez	Please let me know if you received the 3 forms. On the PediEat, please disregard the scoring portion.
02-03-2026 09:59 AM	Luca Pillado	Luca (Prim) Replied: The only one I cannot open is the chaining intake form
02-03-2026 10:08 AM	Luca Pillado	Luca (Prim) Replied: I got it, thank you. Do you need these forms to be sent to you prior to the appointment or should we just take them with us that day?
02-03-2026 10:14 AM	Andrea Rodriguez	You can bring them filled on the day of the evaluation. In a few words, can you please describe Luca's feeding concerns?
02-03-2026 10:18 AM	Luca Pillado	Luca (Prim) Replied: He is a picky eater, he has only a few foods he likes. It is very difficult to get him to try new things, and usually when he does he immediately throws up. We have noticed that he has a problem with textures, which only makes the tasting of new things more difficult. He also keeps food in his mouth for a long time, not in his cheek, but on his tongue as if he was sucking on it
02-03-2026 10:23 AM	Andrea Rodriguez	Okay! Thank you for your response. On the dat of the evaluation can you please bring 3 preferred and 3 non-preferred food items. Portions can be small. Thank you and I will see you Monday :)
02-03-2026 02:56 PM	Luca Pillado	Luca (Prim) Replied: Of course, see you on Monday
02-08-2026 06:30 PM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Luca tiene una cita programada para una evaluación de terapia de alimentación manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
02-09-2026 07:55 AM	Andrea Rodriguez	Hola, esto es solo un recordatorio de que Luca tiene una cita programada para una evaluación de terapia de alimentación hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
02-09-2026 11:15 AM	Andrea Rodriguez	Luca Pillado : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=882762
02-09-2026 11:23 AM	Luca Pillado	Luca is CHECKED IN for: 11:30AM-2/9/2026 92610: Feeding Evaluation
02-10-2026 10:08 AM	Andrea Rodriguez	Buenos días! Los documentos los puede dejar con la persona del front desk. Un recordatorio de empezar a alentar a Luca a usar su nariz para respirar mientras come y a morder con los dientitos de atrás. El respirar por la nariz ayudará a regular su sistema nervioso, lo cual le ayudará a prevenir esa sensación de vómito al momento de probar cosas nuevas. Como habíamos platicado, pueden empezar a servir en su plato 30% de cosas que sí consume y 70% porciones nuevas. Si a Luca primero se le presenta comida no preferida y luego se le retira para después darle comida que sí consume podemos formar una rutina en donde él sabe que si no interactúa con la comida se le dará algo que sí quiere comer. A continuación le enviaré una guía (inglés) que dice paso por paso cómo pueden implementarlo en casa.
02-10-2026 10:09 AM	Andrea Rodriguez	The goal of family meals is to focus on the volume of foods consumed, with exposure to unfamiliar or unaccepted food as a secondary goal. Our goal for these meals will not be to consume non-preferred foods but to start tolerating them at the level of the plate and fingers. Throughout the meal, you can emphasize things like 'I am touching the chicken with my fingers' or 'I do not want to eat the ham, but I can put it on my learning plate'. The 'learning plate' should be an empty plate/bowl placed in front of the dinner plate or place mat. The purpose of this plate is that if Luca expresses that he does not want a non-preferred item on his plate, you can tell him to put it on his 'learning plate'. By doing this, he will still be interacting with non-preferred items, as he will have them directly in front of him. Our goal is for him to start tolerating food around him without any pressure, eventually leading to him interacting with it at the level of the fingers and oral cavity. This will decrease any frustration during meal times and will prevent him from putting the food in the trash or away. Make sure plates, napkins, cups, and placemats are all plain and white (again, the focus should be the food). These family meals should be performed once per day. Pick a time that works best for you where you can all model behaviors.
02-10-2026 10:09 AM	Andrea Rodriguez	You can begin family meals with the following. Try to have meals at a scheduled time, so that he knows what to expect. Children typically learn best with structure. 1. Give a verbal warning prior to mealtimes (5-minute warning) - This prepares for the sensory input shift, allowing him to take on a new task. 2. Introduce transition activity (washing his hands) -Input for calming and washing for tactile preparation.
02-10-2026 10:10 AM	Andrea Rodriguez	3. Sit at the table - Start with an empty tray/plate to decrease frustration before meals. - Check his seat so he is positioned 90 degrees at the hips, knees, and ankles. We want to make sure his feet have support. You may need to adjust the footrest or place towels or any item that can help with support. - It may be useful to make a change to where people sit at the table, to change the visual environment, and avoid negative cues that may have been formed previously. 4. Family-style serving - Place all food items in the center of the table. - Everyone has to take some of each food offered (you can include a "learning plate" placed in front of his tray, where he can place the food items he does not want) - Make sure there are at least 2 preferred items so he can have something to eat.
02-10-2026 10:10 AM	Andrea Rodriguez	5. Everybody eats for the first 10 minutes - The focus of the meal should be the food - Goal for parents is to be good role models. have pleasant conversation, and to let him do what he can by himself. - We want to avoid giving him negative feedback during mealtimes. Praise if any good attempts are made. 6. Offer a drink (if needed and/or not eating) - If not eating, you can offer a drink to help Luca engage with food.
02-10-2026 10:11 AM	Andrea Rodriguez	7. After 20 minutes, if he is still not eating, you can introduce him to a preferred item (iPad, preferred toy, TV) - This will allow you and Luca to be weaned off the TV with time rather than just removing the item at once. 8. After 30 minutes, begin the clean-up routine. - Have everyone empty their plate into a bowl/trash can - If he has been eating all along and is done eating sooner, do clean up sooner - If he really cannot sit any longer, you may need to do clean up earlier.
02-10-2026 10:11 AM	Andrea Rodriguez	Favor de indicarme si recibió los 8 pasos ya que a veces el sistema batalla un poco al procesar textos largos :)
02-10-2026 10:15 AM	Andrea Rodriguez	Y por último, hay que tratar de evitar las preguntas o las órdenes al momento de comer. Aunque le presenten comida a Luca que piensen que no va a querer probar, hay que tratar de usar frases enfatizando el color, textura, olor. Siempre resaltando alguna cualidad de la comida. Si la respuesta de Luca es "no quiero", ustedes pueden proceder a seguir probando mientras describen el alimento. La meta es que Luca sea receptivo a lo que ustedes hacen. Muchas gracias! Cuando tenga la documentación, termino el reporte y lo entrego para poder comenzar sus terapias :)
02-12-2026 02:23 PM	Valeria Holguin	Buenos tardes! mi nombre es Valeria, sere la terapeuta de Luca. Queria presentarme al igual que ofrecerles los martes a las 9:00am para sus terapias. Me avisa por favor si este horario se les acomoda! muchas gracias!
02-14-2026 12:07 PM	Luca Pillado	Luca (Prim) Replied: Hola buenas tardes, nos habían comentado que tal vez usted tendría disponibilidad por las tardes, algo después de las 4 de nos acomoda mejor por cuestiones de trabajo
02-14-2026 12:07 PM	Valeria Holguin	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.
02-17-2026 05:11 PM	Valeria Holguin	buenas tardes! por el momento solo tengo jueves a las 4:00pm, seria empezando la siguiente semena, estaria bien?
02-17-2026 05:14 PM	Luca Pillado	Luca (Prim) Replied: Buenas tardes, si, está muy bien
02-17-2026 05:28 PM	Valeria Holguin	muy bien! nos vemos entonces la siguiente semana jueves 26 a las 4pm, gracias!
02-17-2026 05:47 PM	Luca Pillado	Luca (Prim) Replied: Perfecto! Hasta la próxima semana
02-22-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Pillado, Luca tiene una cita de terapia de alimentación programada el 02-26-2026 a las 4:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-22-2026 05:49 PM	Luca Pillado	Luca (Prim) Replied: SI
02-22-2026 05:49 PM	Valeria Holguin	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.
02-25-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada manana a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
02-25-2026 06:34 PM	Luca Pillado	Luca (Prim) Replied: Buenas tardes, tenemos que llevar algo en especial?
02-26-2026 07:58 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada hoy a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
02-26-2026 09:15 AM	Valeria Holguin	Buenos días! Si Porfavor traer un a comida preferida y una que le gustaría trabajar !:)
02-26-2026 09:16 AM	Valeria Holguin	Hoy se usará también para conocer a Luca y repasar su plan de tratamiento!:)
02-26-2026 10:26 AM	Luca Pillado	Luca (Prim) Replied: Perfecto, muchas gracias!
02-26-2026 03:45 PM	Valeria Holguin	Luca Pillado : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893738
02-26-2026 03:56 PM	Luca Pillado	Luca is RUNNING LATE for: 4:00PM-2/26/2026 92526: Feeding Visit
03-01-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Pillado, Luca tiene una cita de terapia de alimentación programada el 03-05-2026 a las 4:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-01-2026 06:21 PM	Luca Pillado	Luca (Prim) Replied: SI
03-01-2026 06:21 PM	Valeria Holguin	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.
03-03-2026 01:30 PM	Valeria Holguin	Buenas tardes! Le mando la lista de comidas que me gustaria trabajar conn Luca para las siguientes 4-6 sesiones. Seria Proteina: Pollito asado/al horno desmenusado o en forma de nuggets, Verdura: Espinacas, Fruta: Frambuesas o sandia :)
03-03-2026 01:31 PM	Valeria Holguin	Tambien de preferencia si puede traer poquito de un snack o comida favorita para utilizar como "safe food". Muchas gracias!
03-03-2026 01:31 PM	Valeria Holguin	https://st-pros.com/newbeginnings/documents/03032026133157-Food-Chaining--A-Parent’s-Guide-to-Expanding-Your-Child’s-Diet.pdf
03-04-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada manana a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-05-2026 07:53 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada hoy a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-05-2026 08:11 AM	Luca Pillado	Luca (Prim) Replied: Hola, una disculpa, Luca tuvo fiebre anoche y sigue muy congestionado. Se podría reagendar la cita?
03-05-2026 10:24 AM	Valeria Holguin	Buenas dias! que se recupere pronto! dejeme ver mi agenda y le aviso que horarios tengo disponible para la siguiente semana! seria por la tarde verdad?
03-05-2026 10:25 AM	Valeria Holguin	Valeria Holguin CANCELLED: 4:00PM-3/5/2026 92526: Feeding Visit
03-05-2026 10:59 AM	Luca Pillado	Luca (Prim) Replied: Si, por favor. Si se puede a las 4 o después, se lo agradecería mucho
03-05-2026 01:43 PM	Valeria Holguin	Tengo disponible lunes a las 4:30pm, esta bien?:)
03-05-2026 03:02 PM	Luca Pillado	Luca (Prim) Replied: Está muy bien
03-08-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Pillado, Luca tiene una cita de terapia de alimentación programada el 03-09-2026 a las 4:30 PM, y el 03-12-2026 a las 4:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-08-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada manana a las 04:30 PM. Nos vemos pronto! - New Beginnings 🙂
03-08-2026 08:28 PM	Valeria Holguin	buenas tardes! mañana los puedo ver a las 4:00pm esta bien?:)
03-09-2026 07:56 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada hoy a las 04:30 PM. Nos vemos pronto! - New Beginnings 🙂
03-09-2026 01:40 PM	Valeria Holguin	Buenas tardes! solo para confirmar si la cita de hoy se puede a las 4:00?:)
03-09-2026 02:07 PM	Luca Pillado	Luca (Prim) Replied: El día de hoy lo va a llevar mi esposo
03-09-2026 02:08 PM	Luca Pillado	Luca (Prim) Replied: Buenas tardes, si, está bien
03-09-2026 03:45 PM	Valeria Holguin	Luca Pillado : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=903939
03-11-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada manana a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-12-2026 07:50 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada hoy a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-12-2026 03:45 PM	Valeria Holguin	Luca Pillado : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893740
03-12-2026 04:01 PM	Luca Pillado	Luca is RUNNING LATE for: 4:00PM-3/12/2026 92526: Feeding Visit
03-12-2026 04:02 PM	Luca Pillado	Luca (Prim) Replied: Perdón, nos atoramos en el tráfico y vamos poquito tarde
03-12-2026 04:03 PM	Valeria Holguin	Buensa tardes! no hay problema ,con que lleguen antes de las 4:07:)
03-12-2026 04:04 PM	Valeria Holguin	si no tendriamos que re agendar por politica de la clinica:)
03-12-2026 04:06 PM	Luca Pillado	Luca (Prim) Replied: Se me hace que si va a ser necesario reagendar, el tráfico aquí en Zaragoza está horrible y me sale que llego hasta las 4:15 ahora, ha ido aumentando
03-12-2026 04:09 PM	Valeria Holguin	Ok no se preocupe! Yo les aviso en la semana lo que tenga disponible pero igual seguimos con su sesión regular!:)
03-12-2026 04:11 PM	Valeria Holguin	Valeria Holguin CANCELLED: 4:00PM-3/12/2026 92526: Feeding Visit
03-12-2026 04:12 PM	Luca Pillado	Luca (Prim) Replied: Muchas gracias!
03-15-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Pillado, Luca tiene una cita de terapia de alimentación programada el 03-19-2026 a las 4:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-18-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada manana a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-19-2026 07:50 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada hoy a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-19-2026 03:45 PM	Valeria Holguin	Luca Pillado : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893741
03-22-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Pillado, Luca tiene una cita de terapia de alimentación programada el 03-26-2026 a las 4:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-23-2026 07:51 AM	Valeria Holguin	Buenos días! Porfavor de firmar la nota de la vez pasada, muchas gracias!
03-23-2026 10:33 AM	Luca Pillado	Luca (Prim) Replied: Buenos días, listo! También quería comentarle que el jueves pasado Luca cenó pollito desmenuzado, no se acabó todo lo que le serví, pero al menos comió. Esta semana lo voy a intentar otra vez
03-25-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada manana a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-26-2026 07:46 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Luca tiene una cita de terapia de alimentación programada hoy a las 04:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-26-2026 10:39 AM	Valeria Holguin	Buenos dias!! una disuclpa por la demora, pero me alegra muchisimo que si haya comido!! es muy buen progreso, ojala esta semana coma mas!
03-26-2026 10:40 AM	Luca Pillado	Luca (Prim) Replied: Para hoy en la consulta llevaríamos lo mismo?
03-26-2026 10:53 AM	Valeria Holguin	Para hoy si puede porfavor traer otro tipo de proteina ya sea carnita, pescado o hasta pollito a la parrila (o lo que tengan de alguna comida pasada) o tambien como estilo de chic fila pero a la parrila, hasta jamon para sandwich esta bien :) lo que tengan! para verdura: alguna verdurita verde estaria perfecta cualquiera que tengan en casa, y para fruta cualquiera roja o naranja tambien que tengan
03-26-2026 11:40 AM	Luca Pillado	Luca (Prim) Replied: Muy bien, gracias. Hoy lo van a llevar sus abuelos, está bien si pasan los dos?
03-26-2026 11:51 AM	Valeria Holguin	Creo que necesitarian llenar una forma para darles acceso, pero llamaria a la clinica solo para confirmar:)
03-26-2026 11:54 AM	Valeria Holguin	Por poliza de clinica solo podria entrar una persona, una disculpa! igual la otra persona podria esperar en la sala de espera:) o tambien podria entrar Luca solito depende de que tan comodo se sienta!
03-26-2026 12:44 PM	Luca Pillado	Luca (Prim) Replied: Muy bien, no hay problema, yo les explico
03-26-2026 03:45 PM	Valeria Holguin	Luca Pillado : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893742