As a study limitation, although the sample size calculation has been observed, we had a convenience sample; all children who did not cry during evaluation and whose parents agreed to participate were included. In this context, we believe that the study has a good external validity for similar conditions; that is, children attending public and private day care centers in medium-sized cities. Thus, there is a gap for future studies related to fine motor development in children attending day care centers of different quality or in settings different from the one evaluated.