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. Borrow a book about gardens, flowers or bugs. 3040 North Cedar 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.
Sun Garden Acres families can get a free speech evaluation and practice at home. Fresno State’s speech clinic and a library on North Cedar Avenue are useful places to know.
Sun Garden Acres sits between Shaw, Maple, Gettysburg and Cedar avenues. The name sounds like a garden, so make one at home. Build flowers from blocks or draw them on paper. Let your child add a flower, a bug or a toy. Name each new thing: “red flower,” “little bug.”
Fresno State is north of Shaw Avenue. Its Fresno State-Scottish Rite Speech and Language Clinic offers speech evaluations and therapy. Graduate students work with your child, supervised by qualified professionals. To join the waiting list, you fill in a form about your child’s history. Call 559-278-2422 about fees and the wait.
Betty Rodriguez Regional Library is at 3040 North Cedar Avenue. Let your child pick one cover they like. At home, find it again and read it together. Pause before a word your child knows well and wait. If you’d rather stay home, a book you already have works the same way.
If your child is 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, 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 with your child’s age and what you notice.
We last checked these details in October 2026.
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