It is believed that the other items assessed in day care centers have no correlation with fine motor performance due to the small number of good quality day care centers, particularly in the item related to the quality of different pedagogical activities developed in day care centers, such as music lessons and fine and gross motor activities, among others. This is due mainly to the difficulty of access to private day care centers, as few agreed to participate in the study due to the assessment time and difficulty of reconciling the activities in day care with the BSITD application.