This pilot study investigated the effects of video modeling on imitation skills of very young children with autism spectrum disorder during play, self-help, and social activities. A single-subject, multiple-baseline design was implemented with three children ages 26 to 31 months. Results suggested that video modeling was effective for two participants and implemented with fidelity and social validity within occupational therapy sessions. Results also supported the importance of prerequisite attention and self-regulation skills in successful utilization of this approach. Further research is needed to investigate whether other prerequisite skills are needed to maximize the benefit from a video modeling approach for very young children with autism.