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Providing a wide range of services,
in partnership with families and
the community to support the
development of young children
age birth to three years.
What can we do?
• Provide information on child development
• Evaluate a childâ??s development in all areas
• Provide special instruction and therapy
• Offer information and support in locating other services and resources

Why are services important?
• Because the first three years are the most important for a child's development
• Because children develop at different rates
• Because families have the greatest impact on a child's development

What do services cost?
• Most services are free, including developmental screening assessment, educational services, and service coordination.
• There may be a charge for some services such as direct therapy.

No one will be denied services due to an inability to pay.
How is your child's development?
Age in
Months
 Communication Large and Small
Motor Skills		 Social/Emotional Problem Solving
3 • Coos and chuckles
• Makes eye contact
• Cries when in need
 • Head control improves
• Moves vigorously
• Lifts head and chest on stomach
 • Smiles back at you
• Looks at faces
 • Recognizes bottle or breast
• Brings hands together
6 • Vocalizes a lot and "talks" to toys
• Recognizes familiar voices		 • Sits up with minimal support
• Rolls from back to stomach		 • Laughs
• Reacts differently to angry, happy or sad tone of voice		 • Transfers objects from one hand to the other
• Reaches for objects
9 • Imitates speech sounds like "ah-no-da-ba"
• Uses gestures like pointing or reaching
 • Begins to pull up to standing
• Comes to a sitting position without help		 • Shy with strangers initially
• Enjoys interactive play like "peek-a-boo"		 • Bangs two objects together
• Begins to feed self a cracker
12 • Uses 2-3 words
• Understanding simple directions
• Tries to imitate words		 • Walks holding on to furniture
• Picks up small things with thumb and one finger		 • Develops sense of humor
• Begins to show preference for toys, people, foods, etc.
• Shows affection		 • Enjoys putting things into or out of containers
• Looks for hidden objects
• Tightens grasp when object is pulled away
18 • Often names pictures in books
• Imitates animal or vehicle sounds
• Uses 10-15 words		 • Scribbles with a crayon or marker
• Enjoys climbing
• Can walk alone pulling/carrying toys
 • Waves "hi" or "bye-bye"
• Enjoys clapping games like "pat-a-cake"
• Likes being read to		 • Likes to unwrap things
• Interested in household objects and contents of cupboards and drawers
• Asks for help
24 • Understands and responds to simple questions
• Combines 2 words, like "more juice" or "Mom go"		 • Jumps with both feet leaving ground
• Can walk up and down stairs holding on to a rail/person
• Turns pages in a book one at a time		 • Pretends to care for baby dolls or animals
• Plays by others in similar activities rather than with them
 • Able to drink from a cup with no spout
• Operates toys using a pull string or wind up
• Will turn a book right side up
30 • Asks questions
• Understands concepts of "over", "under", "around", etc.
• Speaking vocabulary of about 500 words		 • Kicks a ball
• Learns to pedal a small tricycle
• Draws large circular shapes with crayons		 • Understands concepts of "yours" and "mine"
• Imitates everyday activities		 • Likes repetition such as reading a favorite book many times
• Can put together a 3-4 piece puzzle
36 • Uses past and future tenses
• Understands many descriptive words like small, wet, high, etc.
• Uses sentences that are 80% understandable		 • Learns to catch smaller sized balls
• Runs smoothly and easily
• Scribbling becomes more controlled		 • Enjoys imaginative play with puppets, dolls or vehicles
• Enjoys longer stories
• Knows his or her gender		 • Can take off most clothes
• Opens and closes doors
• Helps with simple chores
• Able to feed self using a spoon and fork