When To Be Concerned
By 12 months of age
  • Does not use a variety of vowel and consonant sounds during vocalization
  • Does not babble
  • No turn-taking or sound imitation
  • Does not request items by using a gesture+sound
  • Does not follow simple directions with gestures
  • No attempts to make words
By 18 months of age
  • Less than 10 word vocabulary
  • Does not follow most directions
  • Does not maintain eye contact during interactions
  • Does not initiate verbal interactions
  • Does not show an interest in looking at books
  • Does not use (b,p,m,n,t,d,k,g) sounds
By 2 years of age
  • Less than 50 word vocabulary
  • Using unintelligible speech
  • Does not follow 2-step directions
  • Does not understand approximately 200-300 words
  • Does not use two-word phrases consistently
By 3 years of age
  • Not using approximately 80% intelligible speech
  • Does not say approximately 500 words
  • Does not understand approximately 900 words
  • Does not use 3-4 word sentences
  • Does not answer simple questions
  • Does not ask simple questions
  • Does not use (f,v) in words
  • Repeats the first sounds of the words (b-b-b-ball)
By 4 years of age
  • Does not include (s,z,sh,ch,l,r) in words
  • Does not maintain a conversation
  • Does not use 4-5 word sentences
By 5 years of age
  • Not using most consonant sounds correctly and accurately
  • Does not use 5-8 word sentences
  • Does not tell a story