Infant/Toddler Observation Forms

Your name: Sabrina Avery

Name of the Center

Address of the Center

Date: 04-20-2015 11:15am

Center Information
Smart Start Learning Center
14480 60th St N, Stillwater, MN 55082

Type of Center
Check the type of center (more than one may apply)

Franchise center

Infant/toddler
care only

Preschool aged
care only

Family day care

Group day care

Infants to
school-aged care

Campus or
university day
care

Other?

Observation Verification
Time of arrival
Time of departure
Signature of early childhood
education teacher
Comments or questions from the
early childhood education teacher
regarding this students observation

11:15am
1:00pm

Infant and/or Toddler Room Observation

Encouraging Communication and Social Interaction
6 weeks-15 months old
Ages of Infants or toddlers
9 in room (Depending on Day)
Number of infants of toddlers in the room
3-4 (Depending on day)
Number of care givers in the room
CJ (Nickname) 13months
Name & Age of Your infant
For 30- 35 minutes, objectively record an infants or toddlers interactions
with and responses to objects and caregivers. Include the infant or
toddlers movements, sounds/language and facial expressions. Record a

minimum of five interactions with and responses to objects and caregivers.

Record of Observations (add additional paper as needed):
CJ is sitting in the high chair
CJ is hitting her hands on the top of the high chair
CJ is handed a white piece of paper
CJ is handed a pink crayon
CJ picks up the pink crayon
CJ tries to put the crayon in her mouth but is stopped by a caregiver
CJ hits the white paper with the crayon
CJ throws the crayon on her table
CJ then points to the crayon box and says more
CJ is handed a blue crayon
The child CJ hits the blue crayon on the white paper
CJ is trying to rip the paper
CJ puts the paper in her mouth but then is stopped by a caregiver

Interpreting behaviors or sounds. Observe and objectively record two

situations when a caregiver interpreted an infant or toddlers behavior
and/or sounds.
Situation 1:

CJ is sitting next to another child while a caregiver is reading a book. CJ gets up, walks over
to the book self and grabs a body book. CJ turns around and sits on the floor. CJ opens the
book and is flipping through the pages one by one. CJ then throws the body book down and
goes over to the caregiver and takes her book. CJ is now sitting next to the caregiver
flipping through pages as the caregiver is pointing out different objects.

Situation 2:
CJ just walked in the gym and begin to run for the yellow ball. CJ grabs the yellow ball and
lays her belly on it. CJ is trying to bounce on her belly. CJ falls on her bottom and begins to
cry. A caregiver walks over to her and lays her back on her belly on the ball. CJ stops crying
and begins to bounce on her belly again. CJ starts laughing and falls off again. CJ gets up
and lays back on her ball.