Infant/Toddler Observation Forms

Your name: Sabrina Avery

Name of the Center

Address of the Center

Date: 04-01-2015 2:00pm

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

2:00pm
3:15pm

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
EM (Nickname) 7 Months old
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):
Child EM is playing in a bouncer
Child EM watches the sounds and lights on the bouncer
EM gets excited when the lights flash and it catches her attention
EM begins to kick her feet and arms when the music goes on
EM begins to smile and make soft noise as the bouncer sings and lights
up
EM starts to get scared when the music changes
EM starts to cry
EM has big tears falling from her eyes
Child EM begins to kick her arms and legs because she was getting
upset
Child EM gets upset and then a caregiver picked her up
Child EM starts to smile when the caregiver picked her up
Child EM starts to giggle when the caregiver bounces her up and down
EM starts to get tired
EM start to light cry
Child EM is put down for a nap

Interpreting behaviors or sounds. Observe and objectively record two

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

Child EM is sitting in a bounce chair with music and lights playing. EM begins to kick her
arms and legs when the song comes on. Child EM beings to get fussy when the song and
lights turn off. EM starts to cry and then the lights and sounds come back on and she stops
crying. EM now has her eyes wide open and looking at all of the lights.

Situation 2:

EM is now sitting in a high chair watching a caregiver who has her food. The caregiver hands
EM a spoon and EM threw it on the floor. The caregiver then picks up the spoon again and
hands it to EM. EM holds the spoon in her hand for a while and then drops it on the floor
again. EM starts to cry and throw her arms and legs around. The caregiver sits next to her
and begins to feed her. EM has stopped crying and is eating her green pea baby food