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.

A City of Fresno youth center downtown, at Divisadero and Glenn. Ask what is on for young children. 1515 East Divisadero Street, Fresno.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

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.

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.
In Fresno’s Downtown Neighborhoods, help with your child’s speech can start with one phone call. Dickey Youth Development Center and the library branches give you places to talk, play and read.
Dickey Youth Development Center is downtown, at Divisadero and Glenn. Ask the center about activities for young children. Pick one thing to do there, not everything. On the way, count steps together: “one, two, three.” Stop and wait before “three.” Your child may jump in with the number or a big smile.
Central Library downtown is closed for renovation. Pick another Fresno County Public Library branch instead. West Fresno Branch Library, at 188 East California Avenue, is one option. Let your child pick a book with pictures of houses or streets. Name one thing on each page, then pause for their turn.
After an outing, make a house from a cardboard box. Let your child decide where the door goes and who visits. Add one detail from your trip, like a window or a person you met. Say short phrases, like “door open” or “hello, friend.” The house can change every time you play.
Your child’s age decides your first call. Under 3, call Central Valley Regional Center (CVRC) about Early Start. Early Start is California’s program for babies and toddlers up to 36 months. The evaluation is free, and you don’t need a doctor’s note.
From age 3, your school district evaluates for free. Your district depends on your home address. If you’re in Fresno Unified, call the special education office at 559-457-3220.
We last checked these details in October 2026.
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