Stages of Development – 19-24 Months

Play and Social Skills

  • Turns head in response to name being called
  • Is able to participate in small groups with other children
  • Is interested, aware, and able to maintain eye contact with others
  • Points to objects of interest
  • Is able to locate objects you are pointing to
  • Explores varied environments such as a new playground
  • Enjoys swinging on playground swings
  • Enjoys being swung and gently thrown in air
  • Enjoys playing with new toys in varied ways
  • Enjoys playing with a variety of toys and textures
  • Enjoys playing with musical toys
  • Enjoys sitting to look at or listen to a book

Visual Motor Integration

  • Starts to stack blocks
  • Places shapes into form-board puzzle
  • Turns pages of a book
  • Imitates vertical stroke


  • Is generally happy when not hungry or tired
  • Is able to calm with experiences such as rocking, touch, and soothing sounds
  • Has grown accustomed to everyday sounds and is usually not startled by them
  • Has an established and reliable sleeping schedule
  • Does not require an excessive routine to calm
  • Is able to enjoy a wide variety of touch, noise, and smells
  • Cries and notices when hurt
  • Is able to self soothe when upset
  • Enjoys various textures, such as grass or sand after multiple exposures
  • Is able to transition to new environment or activity
  • Is able to be away from parents when with supportive and familiar people

Motor Coordination

  • Is frequently moving in and out of various positions (i.e. crawling, climbing, cruising and walking) to explore and get desirable objects
  • Coordinates movements needed to play and explore
  • Usually walks with heel toe pattern and not primarily on toes
  • Enjoys and seeks out various ways to move and play
  • Has adequate endurance and strength to play with peers
  • Can maintain balance to catch ball or when gently bumped by peers
  • Is able to throw and attempt to catch ball without losing balance
  • Uses hands to help move from one position to another
  • Uses both hands equally to play with and explore toys

Daily Activities

  • Enjoys bath time
  • Is not fearful of tipping head back when moving from sitting to back
  • Is able to use fingertips to pick up small objects, such as small pieces of food
  • Is able to eat an increasing variety of food
  • All oral-motor skills needed to eat table foods have been achieved
  • Increasing utensil use
  • Can usually participate in dressing without becoming upset
  • Has an established sleep schedule
  • Is usually able to self calm to fall asleep
  • Is able to tolerate and wear new and varied textures of clothing
  • Removes shoes with laces already undone
  • Cooperates with dressing by holding out arms and feet
  • Doffs socks and shoes
  • Does not use a bottle
  • Holds cup in one hand
  • Able to grade jaw movement when biting through various thicknesses of foods
  • Swallows with no liquid or food loss
  • Sit on potty chair with assistance