Early Start at CVRC
Early Start is California’s early intervention program for babies and toddlers up to 36 months. In Fresno County, Central Valley Regional Center (CVRC) runs it. You can call CVRC yourself.
Is your child talking less than other kids their age?
In Fresno, you can get a free speech evaluation. Early Start helps if your child is under 3, and your public school district helps from age 3. Below you’ll find who to call, what happens next and simple ways to practice at home while you wait.

If something on this list worries you, you don’t need to wait and see. You can ask for a free evaluation right away.
An evaluation is a check of how your child talks and understands words. It usually happens through play, often with a speech therapist.
Early Start is California’s early intervention program for babies and toddlers up to 36 months. In Fresno County, Central Valley Regional Center (CVRC) runs it. You can call CVRC yourself.
The school district evaluates children for free from age 3, even before they start school. Your district depends on your home address. In Fresno Unified, call the special education office.
The Fresno State-Scottish Rite Speech and Language Clinic offers speech evaluations and therapy. Graduate students work with your child, supervised by qualified professionals. Call to ask about fees and the wait.
These services are run independently of Speech Blubs.
Watch and respond together.Getting an appointment can take time. Speech Blubs gives you short activities to do together: your child watches other kids say words and make sounds, then tries too.
Pick a topic your child loves, like animals or snacks.
Watch together and pause. Give your child time to look, point or say a word.
Use the word later, at snack time or in a book.
If your child sees a therapist, ask which activities fit.
The app content is available in English, German, Spanish, French, Italian, Portuguese, Czech, Swedish, Polish, Hebrew, Hungarian, Lithuanian and Romanian. You can switch the language in the app menu. Read the language FAQ.
Use a walk, a book, or a snack as a reason to talk together. Follow what interests your child.

Fresno has parks and community centers across the city. Pick one close to home.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

A regional branch of the Fresno County Public Library on West Bullard Avenue. Borrow a picture book to read again at home. 3071 West Bullard Avenue, Fresno.
Choose a picture your child likes and talk about it together. Connect it to a toy at home.

Offer two familiar toys or foods and name each one. Give your child time to respond. Follow a look, gesture, sound, or word.
Opening hours change, so check the website before you go.
Short answers about free help, costs and the app.
The evaluation is free: through Early Start under age 3, or through your public school district from age 3. School speech services are free if your child qualifies. Early Start therapy may be billed to Medi-Cal or your health insurance. Find free help.
Medi-Cal covers medically necessary speech therapy for children. Private plans differ, so call the number on your insurance card and ask about pediatric speech therapy. Find free help.
Not for Early Start or the school district: you can contact them yourself. Medi-Cal and many insurance plans may ask for a referral from your child’s doctor. Find free help.
Many 2-year-olds put two words together, like “more milk.” If your child doesn’t yet, it’s a good time to ask Early Start for a free evaluation. You don’t need to wait and see. Find free help.
No. It gives you short activities to practice together at home. A speech therapist evaluates your child and plans the therapy. See how the app works.
Speech Blubs is available in English and Spanish, plus 11 more languages. You can switch the language in the app menu. See how the app works.
Speech Blubs is a subscription. You’ll see the current price and any trial in the quiz before you pay. Choose your child’s age.

Start with the quiz to learn about the app for your child.
Bullard families can ask for a free speech evaluation and practice at home in the meantime. Two libraries, Fig Garden on West Bullard Avenue and Pinedale on North San Pablo Avenue, make easy stops.
Bullard is a wide part of Fresno, and Pinedale is one of its neighborhoods. The closest park depends on where you live. Pick one near home from the City’s parks and community centers. If there are swings, say “up” and “down” as you push. Then pause before the next push. Your child may ask for more with a look or a word.
Source: City of Fresno — Bullard Community Plan, City of Fresno — Long-Range Plans
Fig Garden Regional Library is at 3071 West Bullard Avenue. Make it a stop you come back to. Find the same shelf as last time, and let your child pick a cover. Name what they point at, like “big green frog.” Then wait for a look, a sound or a word. Going back to the same shelf can feel cozy and familiar.
Pinedale Branch Library is at 7170 North San Pablo Avenue. If you already go there, keep it as your book stop. You don’t need a second trip. Take one book home and use it in different places. Look at it in the library, talk about it on the way home and read it at bedtime.
Under 3, call Central Valley Regional Center (CVRC) and ask about Early Start. Early Start is California’s program for babies and toddlers up to 36 months. The evaluation is free. If your child needs therapy, it may be billed to Medi-Cal or your insurance first.
From age 3, the school district does free speech evaluations, even before school starts. Your district depends on your home address. Send a short written request and mention any languages you speak at home.
We last checked these details in October 2026.
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