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It explains how to watch and listen during play, use appropriate time and materials, and interpret age ranges without panic when skills vary. It also highlights red flags in vision and hearing and provides next-step guidance by contacting Help Me Grow Washington for local Family Resources Coordinator support.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/birth-to-six-growth-and-development-growth-and-development-chart/567330/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/birth-to-six-growth-and-development-growth-and-development-chart/567330.png","ImageObject",442,249,{"name":88,"@type":89},"Fahsai","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-27","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of the Birth to Six growth and development chart?","Question",{"text":109,"@type":110},"It helps parents and providers quickly recognize possible problem areas in a child’s vision, hearing, and overall development. It is designed for whole-child observation rather than formal testing.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How should families use the chart during daily life?",{"text":114,"@type":110},"Watch and listen as the child plays, and check whether the child can do the listed activities. Make sure the child has the time, space, and materials needed, and consider observing over several days.",{"name":116,"@type":107,"acceptedAnswer":117},"When should families seek additional help?",{"text":118,"@type":110},"If a child at the upper age level of a section cannot do all the activities, families can share observations with a professional. They can also call Help Me Grow Washington for the local Lead Family Resources Coordinator contact and nearby agency support.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},567330,1792086985,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},549768702563,"https://ap-avatar.wpscdn.com/avatar/8000c4aa63b76e948b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786536092046926083","Birth to Six–Growth and Development  \nPlease Ask. Babies Can’t Wait.  \nWhat  \nThe chart is written for parents, but anyone who knows or works with young children will find it helpful.  \nWhy  \nThis prescreen chart is a quick way of helping you recognize possible problem areas in a child’s vision, hearing and development. The chart will help you look at the whole child. You will be watching for the child’s development in the areas of thinking, social skills, listening, talking and movement activities. Some movement skills use small muscles (like fingers), others use large muscles (like legs). It is important to watch for vision and hearing in children of every age. IMPORTANT! This chart is a quick way to help you keep track of your child’s vision, hearing and development, and is not intended to be a developmental test, evaluation or assessment.  \nHow  \nEach age section lists activities that most children will be able to do sometime between the first age and the second age in that section. For example, by 12 months, most children will be able to do all the listed activities in the 6 to 12 months section. However, most children will not be able to do all of these activities at 6 months. The same is true of each age section. Therefore, do not be too concerned if a child at the beginning of an age level cannot do all of the activities. Since children develop at different rates, do not panic just because a child seems behind on one task.  \nRead the activities listed under the child’s age and under vision and hearing. Watch and listen as the child plays. Can the child do the activities? It is important that the child has the time, space and materials needed for each activity. For example, do not say the child cannot draw a face if you don’t give the child paper and a pencil or crayon.  \nYou may wish to watch and listen to a child over several days, using the chart noting any concerns you may have. If a child at the upper age level of a section cannot do all the activities, families can share their observations with a professional who can take a closer look at the child’s development.  \nWhen  \nWatch and listen to the child while playing. You are looking for what the child is usually like. Do not use this chart when the child is ill, tired or irritable.  \nWhat Next  \nYou can call the Help Me Grow Washington number listed on the other side of this publication for the name of the local Lead Family Resources Coordinator (FRC) in your area if you have a concern about a child’s development. Also, the child’s doctor, the health department or the school district can help families and you find a nearby agency that can do a more complete check of the child’s development, vision and/or hearing.  \nVision  \nDoes your child...  \n􀂅 Make eye contact (look at your eyes)  \n􀂅 Follow a moving object with their eyes  \n􀂅 Walk or crawl without frequently bumping into objects  \n􀂅 Look at people and things using both eyes  \n􀂅 Hold objects at normal distance (after age 6 months)  \n􀂅 Walk or crawl smoothly across shadows or areas that look different (carpet, tile)  \n􀂅 Look at people and things without eyes crossing or squinting (after 9 months)  \n􀂅 Have eyes that are clear, not red or watery  \nHearing  \nDoes your child...  \n􀂅 Show awareness of home noises (telephone, door knock, television)  \n􀂅 Use a voice that’s not too loud or too soft  \n􀂅 Play with toys that make a noise (rattles, bells)  \n􀂅 Imitate sounds (after 1 year)  \n􀂅 Use some word endings (“s” or “ing”) after age two  \n􀂅 Follow verbal directions  \n􀂅 Maintain a moderate volume on the television or radio  \n􀂅 Listen to stories, records or television without difficulty  \n􀂅 Speak so most people can understand (if older than 2-1/2 years)  \n􀂅 Come to you when called from another room (after 2 years)  \nFor Parents:  \nAs a parent, you are the most important person in your child’s life. You know your child best. If you have a concern about your child’s development, you can request an evaluation. Please ask if y","cbCaioaqQI3c4snW","https://ap.wps.com/l/cbCaioaqQI3c4snW","pdf",682487,"English","# What\n## Why\n## How\n## When\n## What Next\n# Vision\n# Hearing\n# For Parents\n# For Providers\n# Birth-3 Months\n# 3-6 Months\n# 6-12 Months","[{\"question\":\"What is the purpose of the Birth to Six growth and development chart?\",\"answer\":\"It helps parents and providers quickly recognize possible problem areas in a child’s vision, hearing, and overall development. It is designed for whole-child observation rather than formal testing.\"},{\"question\":\"How should families use the chart during daily life?\",\"answer\":\"Watch and listen as the child plays, and check whether the child can do the listed activities. Make sure the child has the time, space, and materials needed, and consider observing over several days.\"},{\"question\":\"When should families seek additional help?\",\"answer\":\"If a child at the upper age level of a section cannot do all the activities, families can share observations with a professional. They can also call Help Me Grow Washington for the local Lead Family Resources Coordinator contact and nearby agency support.\"}]","Birth to Six - Growth and Development - Growth and Development Chart | PDF",1791865989]