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Observation Form

Date: 11- 12-14


Group: 4-5 yrs. old
Activity/Content Area: Small Table
Setting: Small group
Observation Focus: Social Competence
Observation (Write exactly what you
see.)

Child R is sitting at the small table playing with


the puzzles. She is putting together the puzzle
of a cat. The other children came over to the
table and started working on the puzzles as
well. Child R put her puzzle together and she
said look Ms. M. I did it. Child R got up and
went over to the block area and started playing
with the blocks with the other children. Child R
sat down and started playing with the block
with the other children. He picked up one of the
blocks and placed it at the bottom of the blocks.
They said they were making a building out of
the blocks. One of the children wanted to make
a space ship out of the blocks, but the other
children said no. Child R said that we will make
a space ship next time. Child R got up and went
over to the computer. He sat down and started
playing with the turtle game that was already on
the computer. Ms. M told the children that free
time was over, and they have to come to the
carpet for story time. Child R got up from the
computer and sat down on the carpet and cross
his legs. Child R started talking to one of his
classmates that sat next to him. Mr. m said be
quiet and listen to the story. Child R sat there
quiet for a little while. He raised he hand to ask
a question about the story. He asked was the
tree died. Ms. M said no the tree was alive.

Age
Instructional

Interpretation (Draw
conclusions, evaluate, and
provide a possible rationale for
what was observed.)

Plays with puzzle

worked on puzzle while other children


sat next to her

Gain access in building a building with


block in the block area

Told his classmate that they will build a


space ship next

Child Development Checklist


Name: Child R
Program: Child Development Lab Center

Observer: Doris Morgan


Dates: 11-12-14

Put an X for items you see the child perform regularly. Put N for items where there is
no opportunity to observe. Leave all other items blank.
Developmental Domain: (Social Competence)
Item

Evidence

X 1. Plays by self with own


toys/materials
X 2. Plays parallel to others
with similar toys/materials
X 3. Plays with others in group
play
X 4. Gains access to ongoing
play in positive manner
X 5. Makes friends with other
children
X 6. Resolves play conflict in
positive manner
7.
8.

Sitting by herself playing with


puzzles
Sitting at small table with other
children playing with puzzles
Playing in the block area with
other children
Playing with block building a
building
Play together in block area

Dates

11-12-14
11-12-14
11-12-14
11-12-14
11-12-14

Suggested that we can make a


space ship next time

11-12-14

*Create the checklist that is provided in the book, which is based on the developmental
domain that you have chosen for the observation.
*For example, look at the checklist in the text for self-esteem, or emotional development.
Complete the items as listed.
*Refer to page 79 and 118 for examples.

The Learning Prescription


Developmental Domain: Social Competence
Name: Child R
Age: 4 yrs. old
Date: 11-12-14
Areas of Strength and Confidence:

1. Get alone with peers


2. Play parallel with others
3. Plays with other in a group

Areas Needing Strengthening:

1. Associative play

2. Cooperative play

Activities to Help:
Have the children play a game where all the children get a turn in a group and you must pay
attention to each other.
Have the children using the same materials and make a big picture with different shapes and sizes.

Rating Scale
Name Child R

Age 4 yrs. Old

Center Child Development Lab Center

Date 11-12-14

Observer Doris Morgan

Time 10:00am.-12:00

Behavior: Always

Often

Sometimes

Play with others in group play

Play parallel to others with similar toys

Seldom

Sometime

Often

Never

Make friends with other children

Plat with others in group play

Often

Sometime

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