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.

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.
Lowell families can ask for a free speech evaluation and keep talking and playing at home. Lowell has a City community garden, and plants make a nice topic for little talks.
Lowell is one of Fresno’s Downtown Neighborhoods. Plants are easy to find, even in a pot at home or in a picture. Point to a leaf and say “green leaf.” Then wait for your child’s turn. They might touch it, point or say “leaf.”
The City runs its community gardens with a community garden liaison. Ask the City about visiting the Lowell garden with a young child. If a visit doesn’t work out, a plant at home or a picture works too. Talk about what plants need: “water,” “sun,” “grow.”
Source: City parks directory
Draw a stem and let your child decide what grows next: a leaf, a flower or a toy visitor. Add one thing at a time and name it. Your child can give the garden a name too. Central Library downtown is closed for renovation, so look for garden books at another branch.
Under 3, call Central Valley Regional Center (CVRC) at 559-276-4300 and ask about Early Start. Early Start is California’s program for babies and toddlers up to 36 months. The evaluation is free, and you can call yourself.
From age 3, ask your public school district for a free speech evaluation. Your district depends on your home address. The district sends you a plan for the evaluation within 15 days of your request.
We last checked these details in October 2026.
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