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Infant/Toddler Observation Forms

Your name: Sabrina Avery

Name of the Center


Address of the Center

Date: 04-10-2015 12:30pm

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

12:30pm
1:45pm

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
CT (Nickname) 14 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):
CT is sitting reading a black and white book
CT is flipping through pages, looking at the different pictures
CT looks up and suddenly gets up
The child CT runs across the run to another child playing with foam
cars
CT trips while he is running
CT looks up to see if anyone was watching
The child CT begins to cry
CT lays on the floor for about 2 minutes
CT gets on his hands and knees and crawls to the foam cars
CT grabs a green and pick foam car
CT then puts the car into his mouth
The child CT take the car out of him mouth and looks at the wheels
CT then throws the car down and grabs a music shaker
CT looks at the music shaker and then puts it in his mouth
CT is now chewing on the shaker
CT takes the shaker out of his mouth and shacks it
CT starts to laugh
CT shakes the shaker harder and faster
CT looks up but then puts the shaker down

Interpreting behaviors or sounds. Observe and objectively record two


situations when a caregiver interpreted an infant or toddlers behavior
and/or sounds.
Situation 1:
CT is one all four on the carpet area when he looks over and sees a caregiver
sitting on the floor with a different child. CT crawls over to the other
caregiver and tries to sit on her lap. The caregiver then puts both children
on the floor and walks away. CT begins to cry and put his arms up for her.
The caregiver then hands him a colorful book and he takes it from her. CT is
not crying and is now looking through the pages of the book.

Situation 2:
CT is sitting on the floor when a caregiver comes over to put his jacket on.
CT through himself back on the floor, hitting his head and begins to cry. CT
is hitting his arms on the ground. The caregiver walked over to him and set
him into the stroller. CT is still crying and kicking his feet against the
stroller. The caregiver pulls the stroller out of the room and they all go for a
walk.