Prelinguistic vocal development is "the process by which infants and toddlers produce increasingly more complex, phonetically diverse, and speech-like utterances before they say words on a regular basis" (Ertmer, 2005, p. 85). Research has shown that children with bilateral, moderate-to-profound hearing loss experience delays and deficits in vocal…

The purpose of this paper is to document the early Spanish speech development of a toddler, K, whose cochlear implant was activated at age 20 months. The contribution of K's developmental pattern to research is unique in that Spanish is the sole language of the home, as well as being the language of intervention up to 16 months postimplant (3…