Developmental Milestones

Parents eagerly anticipate those big moments—the first smile, the first word, the first step.  Those are just a few of the many, many developmental milestones your child will reach in the first five years of life.  While babies develop with amazing speed, it’s also important to remember all children do so at their own pace.  What should you look for at 3 months?  At 12 months?  By the time your child turns 4?  The following links give families a guideline of what to expect—as well as warning signs that there may be a developmental delay.

Centers for Disease Control and Prevention

American Academy of Pediatrics

A child’s development covers many different domains:  cognitive, language, gross motor, fine motor, and social/emotional skills.  The Early Childhood Investment Corporation has put together a guide for parents that focuses solely on the social and emotional development of children birth to five years old.  Click here to download the Social & Emotional Health and School Readiness.

Connections is a free program for Kent County families with children, ages 0-5, that provides parents with critical developmental information.  This is done through a series of surveys called the Ages and Stages Questionnaire (ASQ).  You can learn more about the ASQ and how you can sign up for the Connections program by going to the website of Family Futures or by calling 454-HOPE (4673).

What To Do If You’re Concerned About Your Child’s Development

Every state in the country has an early intervention program for young children who are experiencing a developmental delay or who have a diagnosed disability.  In Michigan, it is called Early On, and it services children from birth to 36 months (3rd birthday).

Early On can provide a FREE in-home evaluation, and if needed, a service coordinator is also provided for free.  To learn more, go to www.1800earlyon.org or call 1-800-EARLY-ON.

FREE services may also be available to children three years or older who have a developmental delay or diagnosed disability.  To learn more about that, call your local school district.

Medical Home

What is a medical home?  It’s your child’s doctor’s office or clinic.  It’s where to take your child for:

  • Regular checkups.
  • Immunizations.
  • Treatment when he/she is sick.

Every child needs a medical home!  It offers the very best care for your child.  Because the staff knows your child, they can:

  • Catch little problems before they become big problems.
  • Give you advice and help in caring for your child.
  • Make sure your child gets checkups, screenings, and shots to stay healthy.
  • Tell you about helpful community programs.

When your child is sick or hurt, call your medical home.  You can call 24 hours a day/7 days a week.  Call for help, advice, or an appointment.

Only go to the emergency room if your child could die or risk their health if they do not receive help NOW!  If it’s not an emergency, call your medical home.

Med Home vs. ER Comparison

The Children’s Healthcare Access Program, an initiative of First Steps, is working to connect families to a high quality medical home.


Counseling Services

Is your family feeling stressed or overwhelmed?
Are you worried about your child’s behavior?
Are you fighting with your partner or child?
There is help!

Why would my child and I talk to a counselor?

  • Behavior issues
  • Tension with family members
  • Problems in school or child care
  • After a serious illness or loss
  • Anxiety or stress
  • Depression or withdrawal
  • A development delay
  • Alcohol or drug use
  • Mental illness in the family

Services available to families and children in Kent County include:

  • One-on-one counseling at home or school or in an office
  • Group counseling
  • Help with parenting

Are you interested in learning more about mental health services for you and your child?

Network 180

Arbor Circle

Family Outreach Center



Ear Infections

Ear infections are one of the most common childhood illnesses.  They can be very painful—keeping both children and parents from a good night’s sleep.  Even though ear infections are often uncomfortable, they are usually not serious.  You can almost always wait until morning to call your child’s doctor’s office or clinic.

Symptoms of an ear infection:

  • Pain, pressure or a clogged ear
    * If your child isn’t old enough to explain it to you, look for other signs, such as tugging at the ears.
  • A fever of 100.4 or higher
    * Be sure to check your child’s temperature in the ear that does NOT hurt
  • Increased fussiness
  • Difficulty sleeping or lying down
  • A change in appetite
  • A temporary loss of hearing
  • Pain with swallowing

Before you call the doctor, there are several things you can do at home to help relieve the pain of an ear infection.

  • Give your child an over the counter pain reliever like ibuprofen, often sold as Advil or Motrin, or acetaminophen, often sold as Tylenol.  But remember—do not give ibuprofen to children younger than 6 months old.
  • Apply a cold or warm pack on your child’s ear—whichever is most comfortable.
  • Using prescription numbing drops can help.  They contain an anesthetic that can relieve the ear pain your child is feeling.  They do not prevent or stop an ear infection—but they can make it feel better.



Questions About Asthma, Nutrition, First Aid or Other Health Issues?

You can learn more about dozens of health topics for you and your child at the Helen DeVos Children’s Hospital website.

If you have specific questions about asthma, you can learn more at the Asthma Network of West Michigan.  The Asthma Network provides intensive case management to low- and moderate-income children and adults with asthma.  It also provides education to those caring for individuals with asthma—physicians and nurses, school and child care personnel and family members.

Helen DeVos Children’s Hospital and the Asthma Network of West Michigan are First Steps’ partners in the Children’s Healthcare Access Program.

Quality Child Care

There are free services that will help you find quality child care.

  • Kent Regional 4C:  www.4cchildcare.org for a “Parent’s Checklist to Choosing Quality Childcare.”

    Here are a few tips to help make for a smooth transition:

    • Visit the child care center of home and talk to the caregiver.
    • Ask to speak with other parents about their experience with the caregiver.
    • If you are going back to work, prepare yourself emotionally.  Take some time to think about the positive reasons you are going back.  Also, think about how you will feel when you leave your child for the first day and how you will handle those feelings.
    • If possible, return to work gradually by working a few hours or a few days at a time.
    • Make a list of things your child will need each day.  Shop ahead and have a good supply of basics like diapers and formula.
    • Follow a morning schedule that includes time with your child, if possible.
    • Give your caregiver written information about your child, including eating and sleeping routines and things your child likes to do.
    • Put a photo of you and other family members in with your child’s belongings.

    The National Association of Child Care Resource & Referral Agencies suggests the following five questions for families to ask before selecting care:

    • What is the adult child ratio? For babies, the recommendation is no more than 1:4—one adult for every four babies.  For a 4-year-old , it is no more than 1:10.
    • What is the group size? The NACCRRA says smaller is better.
    • What are the caregiver qualifications? Does the caregiver have a degree or special training in early childhood education?
    • What is the turnover? It can be hard on a child if caregivers come and go.
    • Is the program accredited? If it is accredited, it means it has met voluntary quality standards that are typically higher than state licensing requirements.
    The nonprofit organization Zero to Three has also developed a checklist for parents to consider as they visit child care settings.  Do caregivers speak to the children, even babies?  How does the caregiver feel about discipline?  For the full list and additional resources, click here.


    Tuition Free Preschool

    Why should I consider preschool for my child?

    Preschool is an important step to prepare your child for future success.  A high quality preschool can help get your child ready for school success.  Research shows children who attend a quality preschool program often have better social skills (such as being able to follow a routine and get along with others), better test scores and are less likely to repeat a grade.

    There are two tuition-free preschool programs in Kent County:  the Great Start Readiness Program and Head Start for Kent County.  There is one phone number that can help you enroll your child in the program that is right for you.  Call 616-447-2409 to sign up for preschool.

    Head Start is for 3- and 4-year-old children.  Families must meet income guidelines.  Learn more online at Head Start for Kent County.

    The Great Start Readiness Program is for eligible 4-year-old children.  Most school districts in Kent County, as well as some community agencies, have a GSRP preschool program.  If you would like to learn more, contact your local school district.


    Getting Ready for Kindergarten

    The first day of kindergarten is one of the most exciting days in a young child’s life, but it can also be a bit scary and overwhelming.  There are many things you can do to help your child get ready for kindergarten.  The Michigan Department of Education has a few suggestions:

    • Maintain a daily routine that includes mealtimes, snacks, and bedtimes.
    • Be sure your child’s shots and health check-ups are current.
    • Make sure your child has plenty of play and outdoor time.
    • Play with your child.
    • Listen to your child.
    • Talk to your child.
    • Read to your child.
    • Write with your child.

    In Michigan, children must turn 5 on or before December 1 to enroll in kindergarten.  You may have a lot of questions as your child starts school.  Should you consider Young 5’s or developmental kindergarten?  What will your child do in kindergarten?  How can you help your child become a reader?  The Michigan Department of Education has put together a series of “parent guides” to help answer those questions.

    Click here for more information.

    Play, Talk & Read With Your Child

    Your baby is born ready to learn.  The first three years of life are the most important for brain development.  When you talk, read and sing to your child, you’re helping to build a healthy brain.  Through play, your child learns how things work, how to solve problems and how to get along with others.

    How can you turn everyday moments into learning opportunities?

    • When your baby is in the bath, talk about how the water feels.
    • When you toddler is getting dressed, talk about the clothes he’s putting on and the parts of his body.
    • When you’re at the grocery store, talk about the different kinds of fruit you see and the colors on the cereal boxes.
    • When you get in the car, sing along to nursery rhymes and children’s music.
    The Great Start Collaborative, First Steps, the Grand Rapids Public Library, and Kent District Library developed a Calendar for Literacy and Early Learning.  It includes a year-long long guide of activities that go along with favorite children’s books.  It is perfect for child care providers and parents!
    Download the 2012 Calendar for Literacy and Early Learning.

    There are many online resources with suggestions of simple, fun things you can do to help your child learn to talk and read.  These are just a few:

    Play Grow Read! campaign at the Kent District Library

    PNC Grow Up Great

    Born Learning

    Zero to Three


    Programs

    There are many opportunities to get together with other parents and children to share stories, songs and play.  Most libraries in Kent County regularly offer free story times and playgroups for babies, toddlers and preschoolers.

    To learn more and for a schedule of activities, go to:

    Kent District Library

    Grand Rapids Public Library

    Bright Beginnings, a partnership of the Kent ISD and its constituent districts, offers a number services to families with children birth to kindergarten entry.  Bright Beginnings playgroups are provided free of cost throughout Kent County.  For more information and a complete schedule, go to Bright Beginnings.


    Books to Read with Your Child

    Newborn – 3 months
    American Babies /  The Global Fund for Children
    What Does Baby See? /  Elliot Kreloff
    Beddy-Bye, Baby /  Karen Katz
    Tickle, Tickle / Helen Oxenbury
    Baby Faces / Margaret Miller

    3 – 6 months
    Baby Nose to Baby Toes  /  Vicky Ceelen
    This Little Piggy  /  Annie Kubler
    Bunny Eats Lunch / Michael Dahl
    Where is Baby’s Belly Button? / Karen Katz
    Hooray for Fish! / Lucy Cousins

    6 – 10 months
    You and Me, Baby  /  Lynn Reiser
    Baby at the Farm: A Touch and Feel Book / Karen Katz
    Snuggle Puppy: A Little Love Song / Sandra Boynton
    Big Board First 100 Words / Roger Priddy
    Head, Shoulders, Knees, Toes / Annie Kubler

    10 – 12 months
    Baby Animals on the Farm  /  Kingfisher
    Baby, I Love You  /  Karma Wilson
    Green Hat, Blue Hat / Sandra Boynton
    Cookie’s Week / Cindy Ward and Tomie DePaola
    I Love You Through and Through / Bernadette Rossetti-Shustak and Caroline Jay Church

    1 year
    Who’s at Home?: A Lift-the-Flap Book / Nancy Davis
    Uh-Oh!  /  Rachel Isadora
    Trucks Go  /  Steve Light
    Where’s my Sweetie Pie? / Ed Emberley
    Little Critter’s Where’s My Kitty? / Mercer Mayer
    Fifteen Animals / Sandra Boynton

    2 years
    I Can Do It Too!  /  Karen Baicker
    Happy Birthday, Little Pookie / Sandra Boynton
    What Color Is Your Apple?  /  Begin Smart
    Sitting in my Box / Deb Lillegard
    Jump! / Scott Fischer
    Bear in Underwear / Todd Doodler

    3 years
    The Pigeon Finds a Hot Dog  /  Mo Willems
    I Ain’t Gonna Paint No More! / Karen Beaumont
    Lola at the Library  /  Anna McQuinn
    Pete the Cat: I Love my White Shoes / Eric Litwin
    Go Away, Big Green Monster! / Ed Emberley
    I’m the Best / Lucy Cousins

    4 years
    Rhyming Dust Bunnies  /  Jan Thomas
    26 Letters and 99 Cents  /  Tana Hoban
    There Was an Old Monster / Ed Emberley
    A Fish out of Water / Helen Palmer
    Super Hungry Dinosaur / Chris Waddell

    5 years
    The Handiest Things in the World / Andrew Clements
    Sky-High Guy  /  Nina Crews
    Monkey with a Toolbelt and the Noisy Problem / Chris Monroe
    Farmer Joe and the Music Show / Tony Mitton
    Lion’s Lunch / Fiona Tierney

    This reading list is provided by the Grand Rapids Public Library and Kent District Library.

    Community Resources

    Are you wondering what kinds of services and programs are available for your family?  The Child and Family Resource Council’s “Family Resource Guide” includes resources for:

    • abuse and neglect
    • adoption
    • childcare
    • counseling
    • education and training
    • emergency services
    • grandparent information
    • health information
    • illness and special needs
    • parenting classes
    • prenatal classes
    • recreation and education
    • respite care
    • substance abuse
    • support services
    • transportation services

    You can find the “Family Resource Guide” online.

    Looking for activities for you and your children?  Grand Rapids Family Magazine publishes a monthly calendar that can be found online.


    Websites for Preschoolers

    There are a number of educational and fun websites with games and activities for preschool-age children.  Here are a few popular sites you may want to check out with your child.  While some of them do sell products or subscriptions, all of these sites also include many FREE activities.

    PNC Grow Up Great PNC Grow Up Great is a 10-year, $100 million school readiness initiative to help prepare children from birth to age five for success in school and life.  The site is a collaborative effort of PNC and Sesame Street and includes wonderful activities and resources for young children and their families.

    Starfall This site concentrates on reading and learning letters.  There are many online storybooks as well as literacy-based games.

    Sproutonline An extension of the PBS Sprout cable television channel, this site features characters like Elmo, Thomas the Tank, Angelina, Bob the Builder, and Barney.  It includes games, videos, crafts, and activities.

    Preschool Activity Box This site has ideas for crafts and other activities for families to do with their young children.

    Sesame Street This site has educational games, videos, and other activities for toddlers and preschoolers—all with their favorite Sesame Street friends.

    Nick Jr Dora, Diego, and other Nick Jr. characters are featured on this site full of games, crafts, and recipes.

    Playhouse Disney Games, music, stories, and other activities are all part of this site based on the characters of Playhouse Disney—Mickey, Handy Manny, and the Little Einsteins.

    Lil Fingers Lil’ Fingers is a storybook site for toddlers with educational games, storybooks and printable coloring pages.

    American Library Association The American Library Association has compiled a list of kid-friendly websites that promote literacy and learning.