DEVELOPMENTAL MILESTONES

0-6 MONTHS • Searches for speaker(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/2months/language/2-months_turns-head-toward-sounds.mp4) • Recognizes own name(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/6months/language/6-months_responds-to-own-name.mp4) • Begins to babble(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/4months/language/4-months_begins-to-babble.mp4) • Vocalizes in different ways to show hunger, pain, or being tired • Frequently puts fingers, objects, clothing, pacifier into mouth for sucking and mouthing • Makes sounds to show joy and displeasure(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/6months/language/6-months_makes-sounds-to-show-joy-and-displeasure.mp4) • Responds to sounds by making sounds(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/6months/language/6-months_responds-to-sounds-by-making-sounds.mp4) • Babbles with expression and copies sounds they hear(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/4months/language/4-months_babbles-with-expression.mp4) • Breastfeeds and/or bottle feeds • Strings vowels together when babbling (“ah,” “eh,” “oh”) and likes taking turns with parent while making sounds(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/6months/language/6-months_strings-vowels-together-when-babbling.mp4) • Starting soft, smooth solid foods • Makes a cooing sound: vowel-like sounds(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/2months/language/2-months_coos-and-makes-gurgling-sounds.mp4) 7-9 MONTHS • Self-feeds simple, finger foods • Babbles same sounds repeatedly (baba or mama)(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/9months/language/9-Months_Makes-different-sounds-like-bababa-or-mamama.mp4) • Produces sounds which are similar to t,d,n,f,v,z,ch,j,th,sh and s • Understands "No"(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/9months/language/9-months_understands-no.mp4) • Makes sound while eating with food in mouth • Reaches for object and looks for caregiver’s reaction • Uses finger to point to things • Tolerates smooth, lumpy solids fed by spoon by 9 months 10-12 MONTHS • Clears food off spoon with upper lip (eats lumpy, mashed foods) • Feeds self with fingers • Babbles using different sounds (nama) • Takes turns vocalizing • Copies sounds and gestures of others • Responds to simple spoken requests(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/1year/language/1-year_responds-to-simple-spoken-requests.mp4) • Points/gestures and vocalizes(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/1year/language/1-year_uses-simple-gestures.mp4) • Participates in joint attention activities • Makes sounds wtih changes in tone (sounds more like speech)(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/1year/language/1-year_makes-sounds-with-changes-in-tone.mp4) • Says "Mama" and "Dada" and exclamations like "uh-oh"(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/1year/language/1-year_says-exclamations-like-uh-oh.mp4) • Tries to say words you say(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/1year/language/1-year_tries-to-say-words-you-say.mp4)

• Combines 2 words (all done, Daddy bye-bye) • Says several single words(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/18months/language/18-Months_Says-Several-Single-Words.mp4) • Names at least 5 common items • Says and shakes head "No"(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/18months/language/18-months_says-and-shakes-head-no.mp4) • Points to things and pictures when they are named(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/2years/language/2-years_point-to-things-or-pictures-when-they-are-named.mp4) • Retrieves objects from another room when asked • Understands at least 50 words • Asks for “more” and “what’s that?” • Drinks liquids from an open cup independently with limited spillage • Swallows with lip closure • Points to show someone what he wants(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/18months/language/18-months_points-to-show-someone-what-he-wants.mp4) • Has precise up and down tongue movement • Eats table foods (includes easily chewed meats and cooked vegetables)

24 MONTHS • Has at least 100 words in vocabulary • Knows names of familiar people and body parts(undefined) • Follows simple, 1-step commands(undefined) • Frequently uses 2-word phrases • Says sentences using 3-4 words(undefined) • Repeats words overheard in conversation(undefined) • Is at least 25-50% intelligible to all listeners • Follows simple 2-step related commands (may still require gestural cues) • Drinks from an open cup and from straw without dribbling • Bites through a variety of food thicknesses • Demonstrates verbal turn-taking • Points to things in a book 30 MONTHS • Has approximately 450 words in vocabulary • Gives own first name • Answers “where” questions • Uses present progressive -ing • Uses “no” or “not” • Consistently uses 3-4 word phrases/sentences • Identifies simple objects by function • Is 50-75% intelligible • Shares toys and understands simple locations (in, under, out, off) • Responds to greetings • Uses pronouns (my, me, mine, you) 36 MONTHS • Is 75% intelligible to all listeners • Converses in sentences(undefined) • Has 1000 words in vocabulary • Can name most familiar things(undefined) • Follows prepositional commands (on, next to, under, etc.) • Follows instructions with 2-3 steps(undefined) • Begins to use adjectives for color and size • Asks one-word “why” questions • Uses “what”, “where”, “how”, and “whose” when asking questions • Understands words like "in", "on", and "under"(undefined) • Can name a friend(undefined) • Beings to understand time concepts such as soon, later, wait • Says words like "I", "we", "me", and "you" and some plurals (cars, dogs, cats, etc.)(undefined) • Chews and swallows majority of adult food • Talks well enough for strangers to understand most of the time(undefined)

42 MONTHS • Uses regular plural –s (socks, shoes) • Uses possessive –s (baby’s bottle) 48 MONTHS • Consistently uses 4-5 word sentences, with correct sentence structure • Is 80% intelligible • Sings a song or says a poem from memory(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/4years/language/4-years_sings-a-song-or-says-a-poem-from-memory.mp4) • Tells a story(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/4years/language/4-years_tells-stories.mp4) • Asks many questions including “who?” and “why?” • Knows some basic rules of grammer(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/4years/language/4-years_knows-some-basic-rules-of-grammar-such-as-correctly-using-he-and-she.mp4) • Uses regular and irregular past tense verbs consistently and regular 3rd person • Uses most pronouns • Has 1500+ words in vocabulary • Follows simple multi-step directions without repetition • Uses contractions (can’t, don’t, I’ve) • Identifies colors

• Uses a variety of sentences with 6 or more words • Has greater than 2000 words in vocabulary • Uses most speech sounds correctly • Speaks very clearly(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/5years/language/5-years_speaks-very-clearly.mp4) • Is 90-100% intelligible • Answers “how are things the same or different” • Can carry a plot when telling a story(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/5years/language/5-Years_Tells-a-simple-story-using-full-sentences.mp4) • Understands time concepts (yesterday, today, first, then, next) • Uses future tense(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/5years/language/5-years_uses-future-tense.mp4) • Asks question to get more information • Inventive spelling when writing

• Uses a variety of sentences with 6 or more words • Has greater than 2000 words in vocabulary • Uses most speech sounds correctly • Speaks very clearly(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/5years/language/5-years_speaks-very-clearly.mp4) • Is 90-100% intelligible • Answers “how are things the same or different” • Can carry a plot when telling a story(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/5years/language/5-Years_Tells-a-simple-story-using-full-sentences.mp4) • Understands time concepts (yesterday, today, first, then, next) • Uses future tense(https://www.cdc.gov/ncbddd/actearly/milestones/photolibrary/videos/5years/language/5-years_uses-future-tense.mp4) • Asks question to get more information • Inventive spelling when writing

• Uses all speech sounds correctly but "r", "th", and "sh" • Begins to write letters when you give the sounds • Begins to tell the sound that letters make • Imaginitive play schemes with peers RED FLAGS (should be brought to the attention of your doctor): • Doesn't participate in imaginative play schemes with peers

• Uses all speech sounds correctly • Begins to read simple stories with sight words • Begins to make rhyming words • Inquires about people's feelings and thoughts • Can hold conversations with peers and adults RED FLAGS (should be brought to the attention of your doctor): • Doesn't use all speech sounds correctly • Can't hold conversations with peers and adults

• Can read and write simple stories • Can re-tell and narrate movies and stories • Speaks clearly • Remembers details of what peers like • Has close friendships RED FLAGS (should be brought to the attention of your doctor): • Can't re-tell and narrate movies and stories • Speech sound errors

• Can read and write simple stories • Can re-tell and narrate movies and stories • Speaks clearly • Remembers details of what peers like • Has close friendships RED FLAGS (should be brought to the attention of your doctor): • Can't re-tell and narrate movies and stories • Speech sound errors

• Can agree and disagree in conversations • Problem-solves and strategizes throughout the day and with games like boardgames • Begins to regulate emotions • Follows multi-step directions for daily activities like laundry, cooking, and other daily chores RED FLAGS (should be brought to the attention of your doctor): • Can't problem-solve and strategize throughout the day and with games like boardgames • Speech sound errors

• Can agree and disagree in conversations • Problem-solves and strategizes throughout the day and with games like boardgames • Begins to regulate emotions • Follows multi-step directions for daily activities like laundry, cooking, and other daily chores RED FLAGS (should be brought to the attention of your doctor): • Can't problem-solve and strategize throughout the day and with games like boardgames • Speech sound errors

• Can read chapter books • Can write 3-5 paragraph short stories • Can infer and read non-verbal social cues • Can plan and organize recipes and social events RED FLAGS (should be brought to the attention of your doctor): • Can't write 3-5 paragraph short stories • Speech sound errors

• Can read chapter books • Can write 3-5 paragraph short stories • Can infer and read non-verbal social cues • Can plan and organize recipes and social events RED FLAGS (should be brought to the attention of your doctor): • Can't write 3-5 paragraph short stories • Speech sound errors

• Can gather details in non-fiction literacy and write conclusions • Respects others with different preferences • Can read educational literature to gather information • Develops complex ideas RED FLAGS (should be brought to the attention of your doctor): • Can't read educational literature to gather information • Speech sound errors

• Can gather details in non-fiction literacy and write conclusions • Respects others with different preferences • Can read educational literature to gather information • Develops complex ideas RED FLAGS (should be brought to the attention of your doctor): • Can't read educational literature to gather information • Speech sound errors

• Uses their language to persuade and negotiate • Holds full conversations even on topics that are not their interest • Follows daily routines almost independently • Organizes: clothing, daily chores, food, school, and extra-curricular activities RED FLAGS (should be brought to the attention of your doctor): • Can't organize: clothing, daily chores, food, school, and extracurricular activities • Speech sound errors

• Can regulate listeners even on topics that are not their interest • Analizes stories, poems, movies, and summarizes different perspectives • Cites textual evidence • Can hold jobs and can be almost competely independent for daily routines • Can regulate their emotions and help to regulate others' RED FLAGS (should be brought to the attention of your doctor): • Can't regulate their emotions and help to regulate others' • Speech sound errors