Developmental Red Flags 3 to 4 Years

Gross Motor Development

Child is not meeting developmental milestones  
Child walks funny
Child walks on his/her toes all the time
Child is excessively clumsy
Something appears wrong with child’s legs and/or feet
Child complains of persistent pain or fatigue
Child’s skills are regressing

Fine Motor Development

His movements seem shaky or stiff
Her arms and hands seem very weak
She is not able to cut across a piece of paper with scissors
He cannot copy a cross (+)
She is not able to draw a circle and straight lines by herself
She cannot string ½ inch beads onto a lace
He cannot use a fork and spoon well
She is not able to put on her own pants, loose socks and shoes

Eating & Drinking Development

Regular coughing or choking during eating
Taking a really long time to eat a meal (more than 30-45 minutes)
Getting sick often with pneumonia or chest infections –
Gurgly, hoarse, or breathy voice after eating
Less than normal weight gain or growth
Lots of leakage of food or liquid from the mouth
Coughing, gagging, or throwing up during or after meals
Stuffing mouth with food
Holding food inside pockets in mouth for long periods
Difficulty accepting new textures of food
Avoidance behaviours to specific foods and textures (gagging, vomiting, blocking the spoon with hands or closed lips, crying, pushing food away, etc.)
Refusing to eat more than a few foods, or refusing to eat anything from one of the food groups
Being extremely rigid about how food is prepared or how it is served
Abnormal bowel movements that last longer than a few days (diarrhea, constipation, loose stool)
Skin reactions to foods (dry patches, hives, rashes) Note: If your child seems to be having a severe allergic reaction to a food (difficulty breathing, turning red, developing hives or rash on the face/chest), you should seek medical help immediately

Communication Development

Little interest in talking to adults or children
Sentences are not growing in length or complexity
Poor sorting or matching skills
Difficulty answering questions: what, what-doing, where
Not asking who, what, or where questions
Not easily understood by family members or familiar people in their life

Social & Emotional Development (playing with others, controlling emotions)

He is not able to initiate or join in play with other children
She is not able to share at all with other children
She wants to be dependent on her caregivers for everything
He is extremely “rigid” about routines, and becomes extremely upset when things are changed
She has extreme difficulty separating from you
He is too passive or fearful, and does not want to try things other children his age are doing
She has extreme fears that interfere with daily activities

Understanding and Thinking Development 

He is not able to recognize and point to at least 3 colours or shapes
She is not interested in pretend play
She constantly moves from one activity to another and is not able to stay with an activity for brief periods
He is not able to sort objects by their characteristics (e.g. colour, size, shape, etc)
She is not able to complete a simple 4-6 piece interlocking puzzle