## North Carolina Early Learning and Development Progressions: Birth to Five

#### Domain: NC Foundations for Early Learning: Health and Physical Development (HPD)

#### Subdomain: Self-Care

#### Goal: Children develop independence in caring for themselves and their environment.

#### Skill Progression: Toileting

#### Age: 18-21 Months

Click here to go to all skills for ages 18-21 Months.

### Sits on the toilet and occasionally urinates (Note: Average age elimiation muscles are mature is 18 months)

Situations for Observation of Skill

Interview the adult.

Elicitation Strategy

Ask the adult if the child is verbally and/or physically indicating the need to go.

Behavior Observed

The child verbalizes the need to go to the bathroom (e.g. “Pee-pee,” or “Go potty.”) The intent is to tell the parent about the need for the potty chair, but the request is often made too late.

Routines-based Intervention (Embedded Instruction)

Encourage parents to observe the child’s pattern of urination and defecation. Then place the child on the potty chair at these intervals and also likely times when urine will have accumulated (e.g., after a nap or drinking a lot of liquid). Provide incentives for the child to urinate on the potty. A sticker chart or drawings of happy faces the child sees the parent add are motivating.

North Carolina Department of Public Instruction, 2015

©2015 by the North Carolina Department of Public Instruction. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-sa/4.0/.