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.

The City runs community centers in Southwest Fresno, such as Frank H. Ball and Maxie L. Parks. Ask about activities for young children.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

A Fresno County Public Library branch. Borrow a book about people, places or animals your child knows. 188 East California 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.
Southwest Fresno families can ask for a free speech evaluation and practice at home. West Fresno Branch Library and community centers like Frank H. Ball give you places to talk and play.
Southwest Fresno is a big part of the city, and every family has its own routes. Grandparents, aunts and uncles often know stories about familiar places. Invite one of them to tell a short memory. Let your child add a word, a gesture or a question. Use whichever language feels natural at home.
Source: City of Fresno — Long-Range Plans and Development Code
West Fresno Branch Library is at 188 East California Avenue. Give your child a small choice: a book about a person, a place or an animal. At home, talk about why they picked it. Name what they point at and wait for their turn. A book you already own works too.
Source: Fresno County Public Library — Branch Locations & Hours
Southwest Fresno has several City community centers, such as Frank H. Ball and Maxie L. Parks. Ask the center about activities for young children. Before you go, make one choice together, like what to bring. After the visit, talk about one thing you both remember.
Your child’s age decides the first call. Under 3, it’s Early Start at Central Valley Regional Center (CVRC). 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, write to your school district and ask for a speech evaluation. Your district depends on your home address. In Fresno Unified, the special education office is at 559-457-3220.
We last checked these details in October 2026.
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