Problem: Adaptive communication switch outcomes and uses occur during implementation * Is the adaptive communication switch durable and interesting to children * successfulness of implementation and teaching strategies used while using the adaptive communication switch * identify at least two modifications to the device OR teaching strategies that would increase the usefulness of the adaptive communication switch * Adaptive communication switch alignment with NC Early Learning Standards * identify at least 4 developmental indicators from at least 2 developmental domains in NC FELD for the adaptive communication switch * describe how the domains and developmental indicators were selected for the adaptive communication switch