The following are general descriptions of developmental milestones and are only meant to be used as a guideline. If your child has not met some of the milestones described within his or her age range you may want to consult your pediatrician or occupational therapist for further evaluation.

Research shows that the earlier the intervention, the quicker and easier, the remediation of a delay or disorder will be. Please don’t hesitate to call. Our promise is to tell you our professional opinion based on years of education in the field and working with 1,000’s of children, and leave the final decision up to you.


Begins to develop a smile
Imitates some movements and facial expressions

Gross Motor
Raises Head and chest when on tummy
Supports upper body with arms when on tummy
Pushes into surface when feet are placed on firm surface

Fine Motor
Opens and closes hands
Brings hand to mouth
Grasps rattles

Enjoys social interaction
Appears happy often

Gross Motor
Rolls front to back and back to front
Gets into sitting without assistance
Crawls forward on belly

Fine Motor
Reaches with one hand
Transfers object from hand to hand
Uses raking of the hand to grasp object
Finger-feeds self

Finds partially hidden object
Explores objects with hands and mouth


Shy with strangers
Shows preference for certain people and toys
Tests parent responses to behaviors
Finger-feeds self

Gross Motor
Crawls on hands and knees
Pulls to stand
Walks holding onto furniture
Takes two or three steps without support

Fine Motor
Uses pincer grasp
Bangs two objects together
Puts objects into container
Releases objects voluntarily

Explores objects in many ways (shaking, banging, throwing, dropping)
Finds hidden objects easily
Begins to use objects correctly (brushing hair, drinking from cup)

Responds to simple one-step verbal command with gesture
Understands “no”
Babbles with changes in tone

Separation anxiety increases
Begins to show defiant behavior

Gross Motor
Walks alone
Pulls toys while walking

Fine Motor
Turns over container to pour out contents
Spoons feeds
Uses open and sippy cup

Imitates housework

Responds to one step command without gesture
Points to body parts
Points to object or picture when named for them
Says several single words

Imitates behaviors of others particularly adults and older children
Increasingly excited about company of other children
Separation anxiety begins to fade

Gross Motor
Carries large toy or several toys while walking
Begins to run
Kicks a ball
Walks up and down stairs with support

Fine Motor
Builds tower of 4 or more blocks
Demonstrates handedness

Helps with undressing
Finds objects hidden under multiple covers
Begins to sort by shapes and colors
Begins to engage in parallel play
Begins make believe play

Follows a two-step command
Uses simple phrases
Uses 2-4 word sentences

Imitates adults and playmates
Shows affection for playmates
Can take turns in games
Expresses a wide range of emotions
Separates easily from parents

Gross Motor
Climbs well
Walks up and down stair alternating feet
Runs easily
Pedals a tricycle
Bends over without falling

Fine Motor
Makes lines vertically, horizontally, and scribbles circles
Turns pages of a book one at a time
Builds a 6 block tower
Holds a crayon or pencil in writing position
Turns rotating handles

Makes mechanical toys work
Plays make-believe with dolls and animals
Participates in cooperative play
Completes inset puzzles with 3-4 pieces
Undresses self
Toilet training begins

Understands most sentences
Understands placement in space (in, on, under)
Uses 4-5 word sentences

Interested in new experiences
Plays “mom” or “dad”
Dresses and Undresses
Often cannot tell the difference between fantasy and reality

Gross Motor
Hops and stands on one foot
Goes up and down stairs without support
Throws a ball overhead
Catches a bounced ball most of the time

Fine Motor
Copies squares
Draws a person with 2-4 body parts
Uses scissors
Draws circles and squares
Begins to copy capital letters

Correctly names colors
Understands concept of counting
Begins to understand time
Understands the concept of “same” and “different”

Has mastered some basic rules of grammar
Speaks clearly enough for others to understand them
Tells stories

Wants to please friends
More likely to agree to rules
Likes to sing, dance, act
Aware of gender
Able to distinguish fantasy from reality

Gross Motor
Stands on one foot for 10 seconds or longer
Beginning to skip

Fine Motor
Copies triangle and other shapes
Draws a person with a body
Prints uppercase letters
Cuts on line consistently
Uses fork and spoon
Cares for own toileting needs

Can count 10 or more objects
Knows about use of everyday items (food, money)

Recalls part of a story
Uses future tense
Says name and address

Needs to win and may change rules to suit
Increasingly aware that others have feelings
Shows more interest in taking care of his or her self without help
Cleans his or her room, including making the bed
Likes board games, crafts and other constructive projects

Gross Motor
Can move in time with music or a beat
Very interested in climbing and balancing, takes risks
Learns to skip with rope
More in control of his or her body
Bounces and catches tennis ball

Fine Motor
Holds a pencil with three fingers, movement from fingers
Copies a diamond
Draws a person with detail
Writes alphabet
Ties shoelaces without help
Eye-hand coordination significantly improves
Masters buttons and fasteners
Cuts with a knife

Develops reasoning skills
Learn through language and logic/reasoning
Child shows a strong desire to learn

Developing reading skills well
Organizes events in order (beginning, middle, and end)

Desires to be perfect and is quite self-critical
Tends to complain; has strong emotional reactions
Understands the difference between right and wrong
Takes direction well

Gross Motor
Has good balance
Executes more complicated gymnastics such as a cartwheel
Activities become more sport specific

Fine Motor
Proficient with paper and pencil tasks
Able to organize multi-step sequences

Able to solve more complex problems
Individual learning style becomes more clear-cut
Can solve simple math problems using objects

Uses a vocabulary of several thousand words