Hawaii Early Learning Profile (Birth - 3 years)

[MARY WAGNER] This is Savannah.

She's 35 months old,
otherwise known as two

years, eight months.

And today I'm going to
be doing the Hawaii Early

Learning Profile on her,
otherwise known as the HELP.

The assessment age is
birth to three years.

It's not standardized and
it is curriculum-based.

It's used for identifying the
needs, tracking growth and

development, and determining
the next step to take.

This assessment can be observed
in multiple settings and it's

very flexible when it comes
to the frequency of

its administration.

Some of the areas that it
assesses are regulatory

and sensory organization,
cognitive, language,

gross motor, fine motor,
social, and self-help.

Okay, Savannah,
I need you to bring

me the doll and the
yellow doll dress.

Thank you.

Okay, Savannah,
I'm going to give

you two markers and
you're going to tell

me which one is bigger.

Okay, go ahead.

Thank you.

Okay, what we're going
to do now is I'm going to

draw two lines on the board
and you're going to tell me

which one is the longer one.

Whenever you're ready.

Okay, thank

you.

So what we're going to do next
is we're going to practice

throwing balls and different
sized smaller objects into a

hamper and into the smaller bin.

I'll hand you every object
and tell you which one to

put it in as we go along.

First, I want you to stand
right here with your toes

at the edge of the red tile.

And then you can throw
this into into the hamper,

but we want to throw it
underhand, not overhand.

[SAVANNAH] With both hands?

[MARY WAGNER] If
you'd like to, yes.

Good job.

That was great.

We're going to go one more
time with a different ball.

This one weighs a little more,
so we'll see how it goes.

Good job.

Now we're going to move on
to throwing smaller objects.

So I have two pairs of
socks, a foam baseball,

and a toy pig for you
to practice with.

We'll start by having you
stay right where you're

at and throw the socks
into the taller hamper.

Good job.

Next, we'll have you throw the
socks into the smaller bin to

your left, the yellow one

And you can line yourself
up with it if you'd like.

Good job.

Next, we're gonna throw the pig,
but let me grab the socks out.

Good job.

Now, all we have left to
throw in is the baseball.

Good job.

That was a great job, Savannah.

We're going to try to make it
a little more challenging for

you and have you take about a
foot and a half to two feet

step back, which you already
have done, which is great.

So we're going to do the
same thing and throw that

ball on under hand into the
hamper whenever you're ready.

Good job.

We're going to try this one,
but let me grab the other out

of the hamper real quick.

Whenever you're ready.

Next we're going to do
the same thing again if

you want to line yourself
up with the smaller bin.

We'll start with the socks.

Okay, try the pig.

Good job.

And the baseball.

Good job.

You did a great job today.

[SAVANNAH] Thank you.

[MARY WAGNER] I heard you
really like the movie 'Cars,'

so I've got Tow Mater here
and we're going to pick him

up off the ground, okay?

All you have to do
is copy after me.

So there he is down there.

Okay, there you go.

Good job.

What we're going to do next
is we're going to try to

walk backwards for 10 feet.

We'll start right here

And then we'll go back
five squares until we

get to this doorway.

[SAVANNAH] Can you show me?

[MARY WAGNER] Yes.

You're going to
go right like this

and stop at the doorway there.

We don't want you to go too far.

Whenever you're ready.

There you go.

So, I heard you
really like flamingos.

Well, you know how they
always stand on one leg?

[SAVANNAH] Mm-hmm.

[MARY WAGNER] We're
going to try that today.

And we're going to count
together and see how long

you can stand up like that for.

[SAVANNAH] Okay.

[MARY WAGNER] Ready?

One, two, three.

[BOTH] One, two,
three, four, five, six.

[MARY WAGNER] All right,
so now we're going to switch

legs and we're going to see
if you can stand up like that

a little longer this time.

[SAVANNAH] Okay.

[MARY WAGNER] One, two, three.

[BOTH] One, two, three, four,
five, six, seven, eight.

[MARY WAGNER] Good job.

Okay, so what we're going to
do next is we're going to walk

down the stairs and pretend
that there's a big bucket of

your favorite toys down there.

We're going to just walk
down the steps, okay?

That was really good.

Next you go down the stairs,
I want you to start trying to

alternate your feet and go
left, right, left, right, every

time you go down,
that way it will make it

a little easier for you.

[SAVANNAH] Okay.

[MARY WAGNER] Now
is for the fun part.

I'm going to give you some pens
and you are going to be able to

draw anything that you like.

There you go.

What are you
thinking of drawing?

[SAVANNAH] A

(unintelligible)

.

[MARY WAGNER] That's beautiful.

That's very nice.

I'm sure your mom will love it.

We can give it to her at
the end of the session.

[SAVANNAH] Okay.

[MARY WAGNER] So what we're
going to do next is I'm going

to build a three block bridge.

It's going to look
like a pyramid, okay?

And then I'm going to give
you three blocks and you

can build the same thing.

Okay?

Here, now you

try.

Good job.

So, Savannah,
you did really

well today with
everything we

had you do.

And after reviewing everything,
I noticed a couple of things.

For when we were testing
to see if Savannah could

obey two-part command,
which is typically seen

around 18 to 24 months,
she was able to bring me a

doll in a dress rather than
the doll and the doll dress.

When it came to pointing
to larger or smaller of two

objects, which is typically
around 30-36 months,

instead of picking the
bigger highlighter,

Savannah picked
the longer one.

When she had to decide
which line was longer

on the dry erase board,
the same thing happened

and she was only able
to pick the shorter one

instead of the longer one.

She was unable to say
which one was longer.

That was for the
cognitive section.

As we moved on to testing
gross motor, when it came

to picking up the toy from
the floor without falling,

which is typically 16 to 23
months, Savannah was able to

keep her back straight and pick
up the toy with no problem.

From walking back 10 feet which
is typically 28 to 29.5 months,

Savannah had no issues and
was able to do it perfectly.

For standing on one foot from
for one to five seconds which

is typically around 30 to 36
months, Savannah had no issues

as we pretended to be flamingos
and you were able to stand on

your right leg for six seconds
and your left one for eight.

You did great job.

As we moved on to
walking downstairs

while alternating feet,
which is typically

around a little over
34 months and onward,

she wasn't able to alternate
and she used both hands on

the railing on the same side.

At the end of her showing me
how she goes down the stairs,

I showed her how I do it
and we're hoping to see

some improvement as we go
through our intervention.

When it came to throwing a
ball in the box, Savannah

showed great scale and she
was able to make it in for

every type and every size ball
that she was given and box.

She was able to throw the
bigger ball into the hamper

and the rolled up socks and
smaller toy into the bin

and the hamper as well.

When it came time to test
Savannah's fine motor,

I had her make first
designs or spontaneous forms,

which is typically around 24
or 35 months and she was able

to make this beautiful picture
that we're gonna give her mom

at at the end of the session,
and she was able to manipulate

the pens as she drew and make
small and controlled pictures.

For imitating three-block
bridge using cubes, or as I

described it, making a pyramid,
is typically 31 months and on.

For this, Savannah was able
to make the same block

shape as the example,
and she even was able

to match up the colors
with the same colors that

I used them in the same form.

And while I did notice
some difficulties,

Savannah did really well.

For her actual age of 34 months,
she showed that for cognitive

she was at an age of 23 months,
gross motor 32 months,

and fine motor 35 months.

You were doing really
well with your fine motor

and your gross motor too.

We have some interventions
planned that we're going

to discuss with Savannah's
mom at a later date.