How can I adapt “Fix the Picture” for safe play?

By Down Syndrome Digital · 2026-10-07

Suggested age: 40–46 months

About this activity

Activity: Fix the Picture — a short, child-led play idea for children with Down syndrome aged 40–46 months. Follow your child’s cues and enjoy the activity at their pace.

The illustrations come from the source activity. The written steps have been adapted for safer, child-led play; do not copy equipment or handling positions shown unless they are specifically recommended for your child.

What can this activity invite?

Invite shared attention, communication, and child-led exploration at your child’s pace.

What do I need for this activity?

A comfortable, stable place to play and the familiar items named in the steps. Choose materials made for your child’s age and ability; keep small parts, loose strings, plastic bags, and balloons away from babies and young children.

How do I play this activity?

1. Make a clear, supervised space

Illustration for “Fix the Picture”, step 1: For this activity you need cut-up animal pictures — each made of 3 parts with a simple cut (for example: head, tummy, tail/paws).

Choose a stable surface and stay close. Use only intact materials suitable for your child’s age and ability.

2. Choose large, safe pieces

Illustration for “Fix the Picture”, step 2: Offer to choose which picture to play with.

Avoid tiny pieces, loose grains or seeds, glass, sharp edges, plastic bags, loops, and cords.

3. Let your child explore

Illustration for “Fix the Picture”, step 3: Ask questions: “Where is the kitty’s head?

Place the item within view and reach. Let your child decide whether to look, touch, or move.

Frequently asked questions

Does my child need to finish every step?

No. Follow your child’s interest and stop whenever they need a break. There is no correct pace or required outcome.

What if my child is not interested today?

That is okay. Pause, try another activity, or return another day. Looking away or turning away is a cue to give your child space.

How long should we play?

There is no set duration. A short, comfortable moment is enough; stop if your child seems tired, distressed, or uncomfortable.

Is this therapy or a developmental assessment?

No. This is a play invitation, not therapy, a milestone target, or an assessment. It does not replace advice from your child’s clinicians.

Can I adapt this activity for my child?

Yes. Keep it comfortable and child-led. For questions about feeding, oral-motor skills, bath safety, positioning, or movement, use guidance from your child’s own care team.