The ability to store an image in their short-term memory results in the person making a picture without the need to refer to the sample each time they place a piece. They can place the pieces in the same pattern as the sample.
You will need to confirm ACL 5 Low with another activity, such as Design C from the copying activity or the Kite activity. Your observations of the person's pattern of performance doing ADLs and IADLs will also help to either confirm or rule out ACL 5 Low.

Score
The tentative score is ACL 5 Low.