Good para was gone, substitute spent some of the morning with difficult child from 8:15-8:30 and 9:45-11:00, while he was with the substitute he did not have any behavioral/emotional outbursts. Numerous complaints of being tired. While at table in SpEd room he appeared to fall asleep while sitting up continuously during the course of 15 minutes. He was offered a rest, but refused. He went to Occupational Therapist (OT) and seemed to perk up. When he went back to regular classroom he made the comment that he was tired 6 times. Still refused resting time. 11:53=Refusals of work, kicking table. This was 10 minutes after he got inside from lunch and recess. He was on his normal schedule and working in the exact same spot as he does everyday. He was given the choice of a book on tape or a worksheet from his tub, he made the choice of a worksheet. He is always given a choice at this time. He was working on a worksheet with fun riddles, sounding out the answers to the riddle so that he could write them. The para(so-so para) was providing difficult child with lots of support at this time, as this was a worksheet which he had not worked on before this point. Putting fingers in mouth and rubbing spit all over para. After refusals of work he was asked if he needed to go to safe room, he said that he did. Walked with Para to room. When he got in room he started crying and screaming. Once in safe room the following tallies were made: Hits on wall=15 Screams=2 Spitting=9 Cursing=21 Threats=1 "I am going to bring a knife to school tomorrow and stab you in the heart." While in the safe room difficult child was throwing his shoes against the wall. Para went in to remove shoes, difficult child threw them at her hitting her with them, hit her once and spit in her face. The shoes were crocs. I'd have left them. Other than that, the past 2 weeks, his blow ups have been at 10 or noon. There have been 5, I think, out of 8 days at school. Pretty boy at least pulled me aside before I left and told me he had to call the super and they were waiting on an answer from her as to what to do.