Occupational Performance skills: Brian has radial digital and raking grasps only. Does not demonstrate bi-manual coordination. He can hold the bottle when eating, but often drops the bottle, he usually eats with assistance from caregiver. Brian shows gagging when eating any textured foods. He is capable of drinking from a cup, but refuses any cups. Brian does not demonstrate finger feeding or feeding with utensils. During meal time, Brian showed an interest in soft pureed foods with minimal flavor such as plain yogurt, peas, and carrots. He eats five times a day in a high chair with the caregiver. Brian demonstrated limited imitation skills with caregiver and OT.