New Beginnings | NB1-Office

Patient Name: Angeleah

Patient Information:

Patient ID: 9993

Patient First Name: Angeleah

Patient Date of Birth: 09-19-2022

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Yezika, Delgado

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

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
23583	Active	03-17-2026	04-17-2026	Superior Health Plan	1	0	1	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26464	03-27-2026	Speech Initial Evaluation	F80.2
Speech Background History: She is very delayed, she uses dada mama, inconstatentluy , go, april 2nd, no history AU
Speech Medical History: NO complicartion
Speech Medications: no
Speech Behavioral Observations:
Speech Communication Strengths:
Speech Communication Weaknesses:
Speech Background Summary:
Speech Diagnosis/Impressions:
Speech Diagnosis/Impressions:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4310	03-23-2026	Occupational Initial Evaluation	R62.0
Occupational Background History: Angeleah is a 3.6 year old girl 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 40 weeks gestation via c-section. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and no seasonal allergies.
Occupational Medical History: 0. -Possible ASD diagnosis (Evaluation start of April)
Occupational Medications: None at this time
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: With numerous prompts, Behavior: Present, Awareness of Others: Poor, Reliability of Scores: Questionable, Awarencess of Environmental Events: Occasionally, Social Interactions: Withdrawn, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Balance, Grasp, Motivated, UE Strength,
Occupational Communication Weaknesses: ADL's, Attention to Task, Behavior (defiance, resistance to authority, etc.), Body Awareness, Cooperative, Eye-Hand Coordination, Manual Dexterity, Postural Stability/Trunk Support, Self-Control, Sensory Process/Mod, Social Interaction, Upper Limb Coordination, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Angeleah demos difficulty with in-hand manipulation skills due to delayed finger dexterity, finger isolation and palm translation skills. Fine motor skills involved the small muscles of the body that enable such functions as writing, grasping small objects, and fastening clothing. Weaknesses in fine motor skills can affect a child's ability to eat, write legibly, use a computer, turn pages in a book, and perform personal care tasks such as dressing and grooming.
Occupational Diagnosis/Impressions: Angeleah was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report PDMS-2 - Per standardized assessment scores Angeleah falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 12 months to 14 months compared to his chronological age of 42 months, placing her at least (-1 to -3) standard deviations behind her peers. Angeleah 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

5393

Plan Date: 03-23-2026

Occupational Assessment Summary: Angeleah was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report PDMS-2 - Per standardized assessment scores Angeleah falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 12 months to 14 months compared to his chronological age of 42 months, placing her at least (-1 to -3) standard deviations behind her peers. Angeleah 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
Self Care	In 6 months, Angeleah will utilize appropriate scooping grasping pattern for 8 minutes during mealtime with MOD assistance in order to increase function al independence during feeding and utensil management, 4/5 trials. Baseline- MAX assist to scoop
Sensory Issues/Self Regulation	In 6 months, Angeleah will demonstrate social reciprocity by engaging in at least 3 verbal or nonverbal back and forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 4/5 trials. Baseline- MAX cueing
Bilateral Coordination	In 6 months, Angeleah will demonstrate functional crossing of midline during self help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 4/5 trials. Baseline-MAX assist to cross midline when participating in functional tasks

Occupational Short Term Goals:

Category	Goal Description
Self Care	In 3 months, Angeleah will utilize appropriate scooping grasping pattern for 5-8 minutes during mealtime with MOD assistance in order to increase function al independence during feeding and utensil management, 3/4 trials. Baseline- MAX assist to scoop
Sensory Issues/Self Regulation	In 3 months, Angeleah will demonstrate social reciprocity by engaging in at least 2-3 verbal or nonverbal back and forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 3/4 trials. Baseline- MAX cueing
Bilateral Coordination	In 3 months, Angeleah will demonstrate functional crossing of midline during self help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 3/4 trials. Baseline-MAX assist to cross midline when participating in functional tasks

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
909247	97167: OT Evaluation	03-23-2026 12:00 PM	03-23-2026 01:00 PM	Bertha Solis	NB2 far east side	Completed

Paient Messages Admin:

Date	Posted By	Message
01-28-2026 10:59 AM	Asbel Guajardo	Hello, this is Asbel from New Beginnings Pediatric Speech Therapy Services. We received a referral for your child and wanted to check if you’re interested in starting services with us. If you have any questions, feel free to reply to this message or call us at 915-303-5177. Thank you!
01-29-2026 11:36 AM	Angeleah Bullock	Yes mam I am interested
01-29-2026 02:44 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2571
02-24-2026 12:00 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2571
02-24-2026 12:10 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=2571
02-24-2026 12:18 PM	Patsy Guajardo	Angeleah 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=9993&type=1&wid=608
02-24-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Angeleah'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=9993&type=1&wid=608
02-26-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Angeleah'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=9993&type=1&wid=608
02-28-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Angeleah'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=9993&type=1&wid=608
03-03-2026 11:05 AM	Asbel Guajardo	Hi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9993
03-03-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Angeleah'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=9993&type=1&wid=608
03-05-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Angeleah'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=9993&type=1&wid=608
03-06-2026 03:17 PM	Asbel Guajardo	Hello this is Asbel from New Beginning and I am processing your child's file and just as a reminder we only have morning and day appointments available nothing in the afternoon. If you have any questions please let us know.
03-07-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Angeleah'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=9993&type=1&wid=608
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=9993
03-10-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Angeleah'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=9993&type=1&wid=608
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-16-2026 03:30 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I am reaching out because I am waiting for the referral so we can processes .
03-16-2026 05:07 PM	Angeleah Bullock	Okay, do I send a picture?
03-17-2026 11:21 AM	Asbel Guajardo	Hello I have it thank you! Also for both services correct speech and occupational?
03-17-2026 11:46 AM	Angeleah Bullock	Yes
03-17-2026 11:47 AM	Angeleah Bullock	So you do have both referrals?
03-17-2026 11:47 AM	Angeleah Bullock	Will there be a appointment for her coming up already
03-19-2026 02:21 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=9993

Paient Messages Therapist:

Date	Posted By	Message
03-17-2026 04:05 PM	Bertha Solis	Hello, this is Bertha Solis OTD, OTR/L the Occupational Therapist at New Beginnings; I received a referral for Angeleah for OT evaluation; I happen to have an 8 am appointment available this friday March 20th? Would this time and day work for you?
03-17-2026 05:21 PM	Bertha Solis	I also have a 4pm tomorrow if that works better? (:
03-18-2026 07:57 AM	Angeleah Bullock	Angeleah (Prim) Replied: Good morning Friday is good for me
03-18-2026 08:00 AM	Angeleah Bullock	Angeleah (Prim) Replied: Also what will this appointment be about?
03-18-2026 08:03 AM	Angeleah Bullock	Angeleah (Prim) Replied: Will this be her first therapy session?
03-18-2026 08:03 AM	Angeleah Bullock	Angeleah (Prim) Replied: Also what is the address
03-18-2026 08:10 AM	Bertha Solis	Good morning, unfortunately I do not have the Friday appointment available anymore; I have a 12:00pm this coming Monday? This is for occupational therapy evaluation, not for therapy session, I need to evaluate her first to see if she qualifies for OT services. Our address is 3551 Rich Been blvd suite B ; let me know if Monday March 23rd at 12:00pm works for you (:
03-18-2026 08:11 AM	Angeleah Bullock	Angeleah (Prim) Replied: Do you still have the appointment for today?
03-18-2026 08:12 AM	Angeleah Bullock	Angeleah (Prim) Replied: If not march 23rd is fine. 🙂
03-18-2026 08:12 AM	Bertha Solis	I do not, if Monday does not work, I can find another time (:
03-18-2026 08:13 AM	Angeleah Bullock	Angeleah (Prim) Replied: No if that's the soonest appointment then that date and time if fine.
03-18-2026 08:13 AM	Angeleah Bullock	Angeleah (Prim) Replied: Is fine
03-18-2026 08:13 AM	Angeleah Bullock	Angeleah (Prim) Replied: Do I need to bring anything with me that day
03-18-2026 08:14 AM	Bertha Solis	Perfect. I will see you all at our Rich Beem location, Monday March 23rd at 12:00pm (:
03-18-2026 08:15 AM	Angeleah Bullock	Angeleah (Prim) Replied: How long will the appointment be?
03-18-2026 08:15 AM	Bertha Solis	You don’t, I will have a few questions and assessment that we will discuss.
03-18-2026 08:15 AM	Bertha Solis	It will be between 30-50 minutes (:
03-18-2026 08:17 AM	Angeleah Bullock	Angeleah (Prim) Replied: Okay then thank you
03-20-2026 11:11 AM	Jessica Ortiz	Hi Mrs. Gutierrez , this is Jessica from New Beginnings. I wanted to check if Friday, March 27th, at 11 a.m. would work for Angeleah speech and language evaluation. Please let me know if that time works for you or if you need a different option. Thank you
03-20-2026 01:05 PM	Angeleah Bullock	Angeleah (Prim) Replied: I already had set an appointment up for march 25th at 12:00pm
03-20-2026 01:05 PM	Angeleah Bullock	Angeleah (Prim) Replied: Is that one canceled?
03-20-2026 01:12 PM	Jessica Ortiz	Let me check with the office Mrs. Gutierrez:)
03-20-2026 01:25 PM	Jessica Ortiz	I checked the messages, and it looks like the appointment on the 23rd is for an initial occupational therapy evaluation, this may be the one you’re referring to. I will be conducting the speech evaluation. Would next Friday at 11:00 AM work for you?
03-20-2026 01:29 PM	Jessica Ortiz	I checked my schedule and if you prefer I can see Angeleah on Wednesday at 1 pm after her OT evaluation.
03-20-2026 02:25 PM	Angeleah Bullock	Angeleah (Prim) Replied: Ohhh okay yes Friday at 11am is good for me
03-20-2026 03:01 PM	Jessica Ortiz	Awesome, thank you! I’ll send you a questionnaire on Monday, please complete it at least one day before our appointment. In the meantime, could you please share your concerns regarding Angeleah’s speech and language?
03-20-2026 07:59 PM	Angeleah Bullock	Angeleah (Prim) Replied: Liked “Awesome, thank you! I’ll send you a questionnaire on Monday, please complete it at least one day before our appointment. In the meantime, could you please share your concerns regarding Angeleah’s speech and language?”
03-20-2026 07:59 PM	Jessica Ortiz	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	Bertha Solis	Hi, this is a just a reminder that Angeleah has a Occupational Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:57 AM	Bertha Solis	Hi, this is a just a reminder that Angeleah has a Occupational Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 09:11 AM	Angeleah Bullock	Angeleah (Prim) Replied: Yes thank you.
03-23-2026 11:45 AM	Bertha Solis	Angeleah Bullock : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909247
03-23-2026 11:46 AM	Angeleah Bullock	Angeleah is RUNNING LATE for: 12:00PM-3/23/2026 97167: OT Evaluation
03-23-2026 12:02 PM	Bertha Solis	No worries, let me know when you arrive (:
03-23-2026 12:08 PM	Angeleah Bullock	Angeleah (Prim) Replied: I'm here 🙂
03-23-2026 04:06 PM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I wanted to confirm our evaluation date: Friday, March 27th, 2026, at 11 am. Our address is 3551 Rich Been, Suite B, 79938. Please complete this short questionnaire, which I’ll be sending as an attachment. You can reply to the questions via text message. Thank you!
03-23-2026 04:06 PM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/03232026160634-NB-initial.pdf
03-23-2026 04:10 PM	Angeleah Bullock	Angeleah (Prim) Replied: Okay thank you
03-26-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Angeleah has a Speech Evaluation appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-27-2026 07:35 AM	Jessica Ortiz	Hi, this is a just a reminder that Angeleah has a Speech Evaluation appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-27-2026 08:17 AM	Angeleah Bullock	Angeleah (Prim) Replied: Yes mam 🙂
03-27-2026 08:41 AM	Jessica Ortiz	See you soon :)
03-27-2026 10:45 AM	Jessica Ortiz	Angeleah Bullock : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=912166
03-27-2026 10:53 AM	Angeleah Bullock	Angeleah is RUNNING LATE for: 11:00AM-3/27/2026 92523: Artic & Language Eval
03-27-2026 11:12 AM	Angeleah Bullock	Angeleah (Prim) Replied: I'm here 🙂