Enabling end-users of Augmentative and Alternative Communication (AAC) systems to add personalized video content at runtime holds promise for improving communication, but the requirements for such systems are as yet unclear. To explore this issue, we present Vid2Speech, a prototype AAC system for children with complex communication needs (CCN) that uses personalized video to enhance representations of action words. We describe three design goals that guided the integration of personalized video to enhance AAC in our earlystage prototype: 1) Providing social-temporal navigation; 2) Enhancing comprehension; and 3) Enabling customization in real time. Our system concept represents one approach to realizing these goals, however, we contribute the goals and the system as a starting point for future innovations in personalized video-based AAC.