Spotting What Matters Early

Why Preschool Patterns Tell the Real Story

This month, I was honored to represent Woodland Hills Private School (WHPS) and local San Fernando Valley preschools on a professional panel hosted by First 5 Yearz, alongside a pediatrician, occupational therapist, behavioral specialist, and children’s mental health clinician.

Together, we explored one deceptively simple question: What really shapes a child’s early years—and how can adults recognize the signs that matter most?

We examined two early childhood journeys—Mia and Alex—to see how development can unfold in different ways between birth and age five. Both were bright and curious. Both attended preschool. Both showed early signs that could have benefitted from extra support—yet only one received it.

The difference wasn’t about labels. It was about opportunity—and what happens when families, teachers, and specialists work together early enough to change the story.

How to read this comparison

Each timeline shows what adults noticed between birth and age five, what those patterns might mean, and what next step usually helps. We’re not reacting to single moments—we’re noticing patterns and acting early, ideally before age three, when the brain is most adaptable and support is often simple, short-term, and free through the Regional Center.

Mia & Alex — Developmental Comparison (Ages 0–5)

Alex

Year 1 Early cues

What Was Observed

Babbles and responds to name and peek-a-boo. Takes first steps around 10 months. Some trouble sleeping through the night. Struggles feeding himself finger foods.

What Might Be Noticed

Sleep and self-feeding challenges are common, but if they persist, may point to sensory or fine-motor immaturity.

Who Might Bring It Up

Parent, infant/toddler teacher, pediatrician.

Suggested Next Step

Keep observing; talk with pediatrician about a developmental screener if feeding or sleep struggles continue.

Urgency & Likely Benefit

Urgency Gentle watch

Low urgency; continue observation.

Likely Benefit

Reassurance and simple practice (self-feeding, finger foods) can support coordination if needed.

Year 2 Mostly on track

What Was Observed

Learns words quickly; shy around strangers; picky eater. Likes going to preschool. Tells teacher to change his diaper when dirty. Climbs and runs easily.

What Might Be Noticed

Mostly on track; continue to watch social comfort and functional language (using words to ask and share ideas).

Who Might Bring It Up

Teacher or director.

Suggested Next Step

Encourage social play and vocabulary growth; screen if shyness or picky eating limit participation.

Urgency & Likely Benefit

Urgency Low

Watch & monitor.

Likely Benefit

Builds confidence and self-help routines.

Year 3 Emerging self-regulation needs

What Was Observed

Loves pretend play; needs some guidance with sharing. Has hit a few friends and throws tantrums when frustrated. Enjoys soccer and physical play. Can identify some colors and numbers.

What Might Be Noticed

Beyond age 3–3½, frequent hitting during conflict, persistent transition struggles, and repeated tantrums at school are not age-typical and warrant follow-up to support self-regulation and language for problem-solving.

Who Might Bring It Up

Teacher and director.

Suggested Next Step

Request a developmental or behavioral evaluation (closer look at emotions, attention, coping). Consider a play-based OT consult for sensory regulation.

Urgency & Likely Benefit

Urgency High

Follow up now (screen around age 3).

Likely Benefit

Early support builds coping skills, flexibility, and social confidence.

Year 4 Impact on learning

What Was Observed

Has trouble writing his name; still has emotional outbursts when frustrated. Bright and curious but needs extra support staying on task. Enjoys group activities but can get disruptive. Prefers outdoor play.

What Might Be Noticed

Ongoing fine-motor and regulation issues now affecting learning and participation in group time.

Who Might Bring It Up

Lead teacher/director; pediatrician.

Suggested Next Step

Occupational therapy (fine-motor & sensory) and a developmental evaluation focused on attention & regulation—before kindergarten.

Urgency & Likely Benefit

Urgency High

Follow up now.

Likely Benefit

Improves focus, coordination, and success in structured routines.

Year 5 Kindergarten readiness

What Was Observed

Still has trouble writing, cutting, and drawing. Impulsivity and frustration continue; sometimes avoids structured tasks. Strong physical skills—active and coordinated.

What Might Be Noticed

Executive-function and self-regulation gaps now limiting learning and kindergarten readiness.

Who Might Bring It Up

Pre-K teacher; director; pediatrician.

Suggested Next Step

Comprehensive developmental evaluation and targeted supports before K.

Urgency & Likely Benefit

Urgency High

Follow up now.

Likely Benefit

Reduces stress; increases access to learning; smoother K transition.

Mia

Year 1 Early signs

What Was Observed

Rolls around 8 months. Not interested in babbling yet. Starts crawling just before 1st birthday. Enjoys eating blueberries on her own. Mom experiencing postpartum depression.

What Might Be Noticed

Lack of babbling by 12 months can flag early language delay; family stress may affect communication.

Who Might Bring It Up

Pediatrician at well-check; teacher/director if in early care.

Suggested Next Step

Request a developmental screener; if delays persist, ask for an early-intervention speech evaluation (free under age 3 through Regional Center).

Urgency & Likely Benefit

Urgency High

Follow up now.

Likely Benefit

Early speech support strengthens communication and bonding.

Year 2 Communication frustrations

What Was Observed

Starts preschool. Babbling only a few words—parents think she’ll “catch up.” Has bitten a couple of friends. Gets frustrated easily. Cries at drop-off but settles after parents leave.

What Might Be Noticed

Limited expressive language and biting suggest frustration with communication.

Who Might Bring It Up

Teacher and director.

Suggested Next Step

Speech-language evaluation (free under 3 via Regional Center, or private if older).

Urgency & Likely Benefit

Urgency High

Follow up now.

Likely Benefit

Early therapy reduces frustration and builds expressive language.

Year 3 Therapy gains

What Was Observed

Begins speech therapy—starts speaking in short sentences. Still shy at first but developing friendships. Loves circle time. Fully potty trained at 3½. Prefers phone/tablet play at home.

What Might Be Noticed

Language improving steadily; balance speech gains with social play; watch total screen time.

Who Might Bring It Up

Teacher; speech therapist; parents.

Suggested Next Step

Continue speech therapy; prioritize face-to-face and pretend play; keep screens brief and predictable.

Urgency & Likely Benefit

Urgency Low

Watch & monitor.

Likely Benefit

Stronger communication and confidence in groups.

Year 4 Momentum building

What Was Observed

Speech improving with weekly therapy. More confident, initiating conversations with peers. Writes her name and loves art/coloring. Regressed after family vacation and demands a pull-up.

What Might Be Noticed

Brief regressions after big changes can happen; should resolve with consistency.

Who Might Bring It Up

Teacher and parents.

Suggested Next Step

Keep routines steady; continue speech therapy; check in if regression lingers.

Urgency & Likely Benefit

Urgency Low

Watch & monitor.

Likely Benefit

Keeps momentum; language and confidence continue to grow.

Year 5 Ready for K

What Was Observed

Communicates clearly in longer sentences. Thrives in group play and storytelling. Shows empathy and enjoys helping friends. Independent in self-care. Beginning to read sight words and loves books.

What Might Be Noticed

Development on track.

Who Might Bring It Up

Teacher and family.

Suggested Next Step

Continue reading and open-ended play; follow her interests.

Urgency & Likely Benefit

Urgency All good

No follow-up needed.

Likely Benefit

Smooth transition to kindergarten with strong social & emotional skills.

Key Takeaway

On their own, moments like tantrums or picky eating don’t raise concern. But by about age three, when these patterns repeat or overlap—especially in a school setting—they can be early indicators of self-regulation challenges, not just boundary testing. Acting early isn’t about labeling a child; it’s about opening doors to confidence, connection, and learning while development is most flexible.

🌱 Closing Thought

Preschool isn’t about catching problems—it’s about catching opportunities. Between ages two and seven, the brain is building not just knowledge but identity: Am I capable? Can I handle challenge?

When connection, play, regulation, and environment come together with intention, children leave preschool not just ready for kindergarten—but ready for life.


Author’s Note: This article was adapted from a community panel hosted by First 5 Yearz, where leaders in pediatrics, occupational therapy, behavioral health, and early education—including WHPS—shared best practices for supporting children’s development in the early years.
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