Stamps that have left and right orientation including top and bottom orientation may be used without assistance. Placement of a stamp or a sticker on an angle is not done until ACL 5.

The torn masking tape is irregular and harder within ACL 4.6, but done with less effort, within ACL 4.8. The stain is shoe polish on the outside and wood stain on the inside.

The errors made within ACL 4.8 usually involve layering in two-dimensional space. In the sample below, they look at pieces to assemble according to height, width and depth. The depth is provided by layering the pieces on top of each other. Instructions for this activity can be found in the download section of https://acdmweb.com.

Within ACL 4.8, they notice the buildup of trash but have difficulty problem solving complex trash removal routines. They may complete routine trash removal if it is their usual custom, otherwise the trash is often left where it is. When living alone, the tendency to not remove the trash often becomes a health hazard.

Sensory information may be used to capture a person's attention if they are anxious. Pleasant and calming sensory information may be used by the person to modulate their anxiety.

Most people place a priority on rote learning a desirable new procedure. The learning process is often slow and laborious for the person and the teacher.

When the solutions to visual-spatial problems are learned by rote, they are usually stored in short-term memory but may not be stored in long-term memory.

These people are vulnerable to others who may not be acting in their best interest. They are often the victims of our current system of false promises.

Their inability to vary their working pace puts them at risk of losing their job. Many of these people have been taught how to fill out a job application and get a job, but they rarely hold the job during the first two weeks of probation.

Checklists and posted schedules are used independently within ACL 4.8. People cannot read posted schedules below ACL 4.8.

Their speed of getting new information is very slow and in competitive employment situations most supervisors regard them as more trouble than they are worth. Encouraging them to seek employment is often a set up for failure. False hope is often unkind. If you do this, you are ethically obligated to do follow ups two weeks and two months after they start working. You should hold yourself accountable for the possibility of setting people up for failure.

Many people functioning within ACL 4.8 are able to read and follow schedules and checklists without additional reminders. Daily planners may be helpful.

If they will attempt to read simple instructions, they usually follow them, one step at a time. They may skip portions and often request frequent verification. They may draw on their memory for a list of information related to the activity.

When uncertain, they usually seek verification of the correct action sequence by asking others or rechecking written directions.