A seat pad assembly is disclosed including a body pad for placement on the seating surface of a child seating device. The body pad has a front side, a back side, and two spaced apart vertical slots through the pad. The seat pad assembly has a head support with a connecting strip extending between a pair of laterally spaced apart cushions. The head support is generally H-shaped and installed on the pad through the slots with the pair of cushions on one side of the pad and the connecting strip on the other side. The head support is slidable along the slots to adjust the vertical position of the cushions. The seat pad assembly can be used on a child seating device such as a children's car seat, an infant carrier, a stroller, an infant swing, or the like.