Developmental Milestones

Stage

Skill Development
By 6 months
Cognition
Communication
Daily Living
Motor Skills
Socialization
Uses hands and mouth to explore objects Fixes gaze on face Reacts to sight of bottle or breast Lifts head and chest when lying on stomach Social smile
Turns eyes and head to sound of hidden voice Responds to name by looking for voice Comforts self with thumb or pacifier Turns over when lying on stomach Distinguishes mother from others
Localizes sound with eyes Regularly localizes sound Holds head in line with body when pulled to sitting Demands social attention
Finds a partially hidden object Cooing, gurgling, chuckling, laughing Bears almost all weight on legs Vocalizes pleasure and displeasure
Say a vowel-consonant combination such as “ah goo” Looks and reaches for faces or toys Vocalizes in response to adult talk and smile
Picks up toy with one hand
By 12 months
Cognition
Communication
Daily Living
Motor Skills
Socialization
Plays peek-a-boo Initiates vocalization Holds own bottle Crawls around on hands and knees Reaches for familiar person
Follows trajectory of fast moving objects Different vocalizations for different states Feeds self a cracker Goes from sitting to prone Plays social games (peek a boo)
Looks for family members or pets when named Recognizes familiar people Picks up spoon by handle Lowers to sitting from standing Plays patty cake
Retains two of three objects Reciprocal social games (peek a boo, pat a cake) Walks around furniture or crib while holding on Shows anxiety over separation from mother
Turns head and shoulders to find hidden sound Imitates familiar sounds and actions Picks up small objects – precise thumb and finger grasp Smiles at mirror image
Imitates familiar and new gesture Cries when parent leaves Extends toy to show others
Reduplicative babbling (baba,mama) Explores environment
Attracts attention by vocalizing Shows like and dislike for certain people, objects, places
Shakes head “no”
Waves “bye”
Indicates requests clearly
Coordinates actions betweens adults and objects
By 18 months
Cognition
Communication
Daily Living
Motor Skills
Socialization
Turns two or three pages at a time Begins single word production Indicates discomfort over soiled pants Stands without support Gives kisses or hugs
Identifies self in the mirror Requesting objects, such as food, with words Lifts cup to mouth and drinks Walks without help Greets people with “hi”
Identifies one body part Uses ritual words – bye, hi, thank you, please Feeds self with spoon Runs Gives toy to familiar adult
Recognizes and points to four animal pictures Protest – says no, shakes head Insists on doing things by self such as feeding Stacks 2 or more blocks Displays independent behavior
Comments – Points to object and vocalizes Picks up 2 small toys in one hand Displays frequent tantrum behavior
Acknowledges – makes eye contact and vocalization Begins to show sense of humor
Plays ball cooperatively
Shows toy preferences
By 24 months
Cognition
Communication
Daily Living
Motor Skills
Socialization
Points to several clothing items on request Uses mostly words to communicate Eats with fork Kicks a ball forward Sometimes says “no”
Matches sound to animals Begins to use two word combinations Eats with spoon spilling little Runs well, seldom falls Shows sympathy to other children and tries to comfort
Matches object to picture Uses word combinations with relational meanings (daddy shoe, more

juice)

Takes off front opening jacket or shirt Walks up and down stairs alone, both feet on step Shows jealousy of attention given to others
Assembles four nesting blocks Has at least 50 words Removes shoes when laces undone Builds towers of four or more blocks Shows a wide variety of emotions
Identifies three body parts Follows two part instruction Helps with simple household tasks Turn pages of picture book one at a time Engages in parallel play
Recognizes self in photograph Defends possessions
Uses play dough and paints
By 30 months
Cognition
Communication
Daily Living
Motor Skills
Socialization
Understands concept of one Understands many action verbs Understands common dangers – stairs, glass, strange animals Opens doors by turning the knobs Plays with other children – dolls, cars, blocks
Recognizes familiar adult in picture Names most pictures of familiar objects Indicates need to use the toilet Climbs on play equipment Displays dependent behavior
Engages in simple make believe activities Jumps from 8 to 14 inches Frustration tantrums peak
Obeys two part commands Catches large ball Dramatizes using doll
Matches shapes and colors Scribbles with circular motion Becoming aware of sex differences
Draws or copies vertical lines May develop sudden fears, especially of large animals
By 36 months
Cognition
Communication
Daily Living
Motor Skills
Socialization
Matches similar pictures of objects Engages in short dialogues Pulls pants down with assistance Stands on one foot without support Role plays in pretend games – mom, dad, teacher
Sorts shapes Uses language in imaginative way Dresses self with help Walks up and down steps alternating feet Shows independence
Completes 3 piece puzzle Provides descriptive details Pulls pants up with assistance Draws or copies vertical lines Begins to obey and respect simple rules
Stacks rings in correct order Links unrelated ideas and story elements Wipes nose with assistance Cuts with small scissors
Points to larger or smaller of two spoons Begins to include articles and word endings Pours liquid from small container
Understands concept of two Understands four prepositions Uses toilet with assistance
Sorts colors and points to several colors when named Washes and dries hands
Identifies longer stick Buttons large buttons
Understands all common verbs and some adjectives

The Early Intervention Program (EIP) is a public program funded by New York State and county governments for children under the age of three who are either suspected of having or at risk for developmental delays or disabilities. Potentially eligible children must be referred to the county program to receive EIP services:

New York City Westchester County
311 914-813-5094

Someone else can help you make the referral to the Early Intervention Program if you wish. If your child is found to be eligible for services by someone approved to perform this evaluation, you, county staff, and other team members will make a plan to help your child – and your family.

Early intervention services in your plan and authorized by the county are provided at no cost to you. The county will arrange for the services to be provided and will choose the provider based on the needs of your child and family. Your child’s health insurance may be used to cover some of the costs. All other costs for EIP services are paid for by your county and New York State.

Early intervention services are provided where it’s best for the child – in places such as your home, day care, or other community settings. The EIP covers the cost of early intervention services only. The EIP does not pay for day care or other fees charged by community settings.

Los Niños Services is approved by New York State and has contracts with New York City and Westchester County to provide early intervention services.