Childhood Milestones Year Three

What should your child be able to do or say at 24 to 36 months? Take a look at this list of milestones and see if your child needs speech, occupational, or feeding therapy.

A little girl of three years old plays in the playground.

24 to 30 Months

Gross Motor Skills

  • Standing on one foot with hands on hips
  • Walking upstairs using two feet on each stair
  • Jumping 2 feet both forward and down

Fine Motor Skills/Visual Motor Skills

  • Begin to establish a hand preference
  • Grasping a cup with one hand without spilling
  • Grasping spoon and turning hand to bring to mouth
  • Turning pages 1 at a time
  • Building an 8 block tower
  • Folding paper in half
  • Cutting on line
  • Turning door knobs and jar lids

Self- Care

  • Beginning to brush teeth – adult needs to put toothpaste on and still do thorough brushing
  • Undressing self – may still need help with fasteners and pullovers with narrow necks

Speech & Communication

  • Vocabulary grows from 100 words 400+ words
  • Using 2-3 word phrases
  • Speech is 50-75% understandable
  • Making the following sounds: “b”, “m”, “p”, “d”, “t”, “h”
  • Using pronouns (my, me, mine, you) in phrases

Oral Motor Skills & Feeding

  • Uses tongue to clean lips
  • Can bite through a hard cookie with ease
  • Does not spill liquid from an open cup when drinking
  • Can easily move the tongue tip to place and collect food for chewing and swallowing
  • Mature swallowing pattern is established (i.e., the tip of the tongue touches the area behind the top front teeth to initiate the swallow)
  • Biting and chewing foods of various thickness
  • Beginning to use a fork
  • A highchair is no longer needed

Sensory & Sleeping

  • Biting and chewing foods of various thickness
  • Moving from drinking from a bottle to drinking from an open cup without spilling
  • Beginning to use a fork
  • A highchair is no longer needed

Understanding & Thinking Skills

  • Can start following 2-step directions
  • Understanding and answering “where” and “what” questions
  • Organizing toys by size, shape, and color

Social/Play

  • Pretend play and sharing toys with other children and adults
  • Following adult-directed tasks
  • Consistently greeting familiar and unfamiliar people

Many behaviors (both positive and negative) are learned by watching others

Best Toys at This Age

  • Bubbles
  • Balls
  • Simple puzzles
  • Blocks
  • Play-Doh
  • Sidewalk chalk
  • Stickers
  • Toy cars or trains
  • Tricycle

Red Flags

  • Not jumping with both feet together
  • Complaining of pain during activities
  • Struggling to hold a cup or spoon
  • Having difficulty chewing a variety of textures
  • Trouble tolerating different textures in clothing, foods, or toys
  • Using phrases shorter than two words
  • Not labeling common objects
  • Having a limited vocabulary
  • Not producing sounds like “m,” “b,” “p,” “d,” or “h”
  • Limited eye contact with others

30 to 36 Months

Gross Motor Skills

  • Standing on one foot with hands on hips
  • Walking upstairs shifts from using two feet on each stair to alternating feet
  • Jumping will increase to 24 inches both forward and down
  • Riding a tricycle
  • Climbing up rock wall independently

Fine Motor Skills/Visual Motor Skills

  • Completing simple 3-piece puzzle
  • Matching identical pictures
  • Copying drawing circles
  • Pouring liquid from one container directly into another
  • Holding a fork with a fist
  • Building a 9-block tower
  • Making continuous cuts with child-safe scissors

Self-Care

  • Beginning to brush teeth – adult needs to put toothpaste on and still do thorough brushing
  • Dressing self with minimal help
  • Putting shoes on with little assistance
  • Potty training is almost complete

Speech & Communication

  • Vocabulary growing from 100 words to 1,000 words
  • Producing full sentences during conversation
  • Speech is 75% understandable
  • Making the “k” and “g” sounds
  • Asking what, where, when, whose questions 

Oral Motor Skills & Feeding

  • Chewing and swallowing “adult food” with lips closed (e.g. steak, raw vegetables, nuts, etc)
  • Moving from drinking from an open cup without spilling
  • Using a fork and spoon will become an independent task
  • A highchair is no longer needed

Sensory & Sleeping

  • 11-14 hours of sleep per day with one 2-hour nap during the day time
  • Beginning to transition from crib to toddler bed
  • Cuddling helps calm child down 
  • A weighted blanket may help calm child down
  • Tolerating new clothing fabrics 
  • Tolerating a variety of smells and noises

Understanding & Thinking Skills

  • Understanding and answering “where” and “what” questions will become consistent
  • Consistently following 3-step directions
  • Understanding time concepts like soon, later, wait
  • Matching and sorting similar objects and pictures

Social/Play

  • Pretend play and sharing toys with other children and adults
  • Playing by rules of simple games
  • Consistently greeting familiar and unfamiliar people

Best Toys at This Age

  • Farm animals
  • Potato Head
  • Balls
  • Puzzles
  • Tricycle
  • Play-Doh
  • Play Kitchen
  • Dolls
  • Books
  • 3-wheeled scooter

Red Flags

  • Not jumping in place
  • Walking on their toes or falling a lot
  • Not walking up and down stairs with a handrail
  • Shaky, stiff, or weak movements
  • Difficulty holding a fork and cup
  • Difficulty chewing threw meat and vegetables
  • Difficulty tolerating different textures in clothing, foods, and toys
  • Talking in phrases that are less than 3 words long
  • Having a small vocabulary
  • Not producing “m”, “b”, “p”, “d”, “h”, “k”, and/or “g”
  • Limited eye contact with other people

Is My Child Ready for Preschool?

It is important for your child to develop the following skills prior to beginning preschool:

  • Following multistep directions consistently
  • Dealing with and managing emotions related to change
  • Completely potty trained
  • Following adult-directed tasks without much protest
  • Completing independent tasks like eating lunch, washing hands, etc.
  • Avoiding obstacles when walking
  • Interacting with other children and adults well