Hand held, manual focus, bounced flash.

Other info:

Exposure: f/5.6 1/250s, ISO 800
Exposure Mode: Auto
Focal Length: 35.0 mm
Lens: EF-S17-85mm f/4-5.6 IS USM
Flash: Fired, compulsory mode
Metering Mode: Spot
Subject Distance: 0.5 m
Custom Rendered: Normal process
White Balance: Auto
Scene Capture Type: Standard
Model: Canon EOS40D
Camera Raw
White Balance: Daylight
Temperature: 5500 K
Tint: +10
Exposure: +1.25
Blacks: 2
Brightness: +31
Contrast: +59