For parents in Columbia

Speech therapy for kids in Columbia.

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.

A child and Finny, the Speech Blubs mascot, playing with colorful shapes.
A little play.
Every day.
Columbia, FresnoOfficial sources
Is my child on track?

Signs to look for, by age.

If something on this list worries you, you don’t need to wait and see. You can ask for a free evaluation right away.

By 18 months
Tries to say at least 3 words besides “mama” or “dada.”
By 2 years
Puts two words together, like “more milk.”
By 3 years
Has a short back-and-forth conversation with you.
At any age
Stops saying words they used to say.
Free and paid help in Fresno

Where to get help in Columbia.

An evaluation is a check of how your child talks and understands words. It usually happens through play, often with a speech therapist.

Under 3 · free evaluation

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.

The evaluation is free. If your child needs therapy, it may be billed to Medi-Cal or your insurance first.
559-276-4300Visit the Early Start website
Age 3 and up · free evaluation

Your public school district

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.

Send a short written request for a speech evaluation. The district then sends you a plan for the evaluation within 15 days.
559-457-3220Visit Fresno Unified’s website
University clinic · waiting list

Fresno State clinic

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.

To join the waiting list, you fill in a form about your child’s history.
559-278-2422Visit the clinic’s website

These services are run independently of Speech Blubs.

Speech Blubs collage showing a young child and a child on a smartphone screen.Watch and respond together.
Speech Blubs at home

While you wait, practice at home.

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.

  1. 01

    Pick a topic your child loves, like animals or snacks.

  2. 02

    Watch together and pause. Give your child time to look, point or say a word.

  3. 03

    Use the word later, at snack time or in a book.

Parents on practicing at home

Start the quiz
  • iPhone and Android
  • English, Spanish and 11 more languages

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.

Columbia, Fresno

Talk and play around Columbia.

Use a walk, a book, or a snack as a reason to talk together. Follow what interests your child.

A pathway through green trees; an illustrative park photo.
Illustrative photo · Michael Telitsyn · Pexels License
01 / Fink-White Neighborhood Center

Talk about what your child notices.

A City of Fresno neighborhood center on South Trinity Street. Ask what is on for little ones. 535 South Trinity Street, Fresno.

Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

big treewalkingbird
Plan your visit
A hand selecting a book from library shelves; an illustrative photo.
Illustrative photo · Element5 Digital · Pexels License
02 / Fresno County Public Library branches

Start with a favorite picture.

Central Library downtown is closed for renovation. Pick another Fresno County Public Library branch close to home.

Choose a picture your child likes and talk about it together. Connect it to a toy at home.

turn pageone morebook
Plan your visit
A hand playing with colorful wooden blocks on a table.
Michał Bożek · Unsplash License
03 / Your everyday routine

Offer two choices and pause.

Offer two familiar toys or foods and name each one. Give your child time to respond. Follow a look, gesture, sound, or word.

this onemoreyour turn
Read the app FAQs

Opening hours change, so check the website before you go.

What happens next

From the first call to a plan.

Before you call, write down a few words your child says, how they ask for things, and the languages you speak at home.

Fresno neighborhood guides
01

You call.

Say: “I’m worried about my child’s speech and I’d like an evaluation.” Give your child’s age and where you live.

02

A therapist meets your child.

They play and talk with your child to see how they understand and use words.

03

You get a plan.

If your child needs support, you agree on the next steps together. If not, ask what to practice at home and when to check again.

FAQs

Questions parents ask in Columbia.

Short answers about free help, costs and the app.

Is speech therapy free in Fresno?

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.

Does Medi-Cal or insurance cover speech therapy?

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.

Do I need a doctor’s referral?

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.

My 2-year-old only says a few words. Should I worry about a speech delay?

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.

Does Speech Blubs replace a speech therapist?

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.

Which languages is the app in?

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.

How much does Speech Blubs cost?

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.

Little words. Every day.

Explore Speech Blubs for home practice.

Start with the quiz to learn about the app for your child.

Life with little ones in Columbia

Speech therapy for kids in Columbia: help nearby and practice at home

Columbia families can ask for a free speech evaluation and keep talking and playing at home. Fink-White Neighborhood Center on South Trinity Street is a good place to start.

Play and talk at Fink-White Neighborhood Center

Columbia is one of Fresno’s Downtown Neighborhoods. Fink-White Neighborhood Center is at 535 South Trinity Street. Ask the center about activities for young children. On the way there, play “ready, set, go.” Say “ready, set” and wait before “go.” Soon your child may say “go” first.

Books at West Fresno Branch Library

West Fresno Branch Library is at 188 East California Avenue. Pick a book about something your child loves, like animals or trucks. Read it together a few times. Pause before a word your child knows well and wait. Children often start to join in once they know the words.

Source: Fresno County Public Library branch directory

Retell your trip with a paper road

After an outing, draw a road on paper and put a toy at one end. Let your child choose where the trip begins. Add one stop they remember. Say “first” as the toy sets off and “home again” at the end. You don’t need to copy the real streets.

Free speech evaluations for kids in Columbia

If your child is under 3, call Central Valley Regional Center (CVRC) at 559-276-4300. Ask for an Early Start evaluation. Early Start is California’s program for babies and toddlers up to 36 months. It’s free, and you can call yourself.

From age 3, your public school district evaluates for free. Your district depends on your home address. Send a short written request. The district then sends you a plan for the evaluation within 15 days.

We last checked these details in October 2026.

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