Alta California Regional Center Early Start
Early Start is California’s early intervention program for babies and toddlers up to 36 months. For Sacramento County, call Alta California Regional Center’s Early Start line and ask for an evaluation.
Is your child talking less than other kids their age?
In Sacramento, 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. For Sacramento County, call Alta California Regional Center’s Early Start line and ask for an evaluation.
If you live in SCUSD, the district evaluates children from age 3, even before kindergarten. Natomas families may be in Natomas Unified instead, so look up your district first.
UC Davis Health evaluates and treats children’s speech and language, with a focus on medical needs. You need a doctor’s referral for the first appointment.
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 playground with a Sacramento history theme and separate areas for younger and older children. 601 Alhambra Boulevard, Sacramento, CA.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

A neighborhood library in McKinley Park, an easy stop after the playground. 601 Alhambra Boulevard, Sacramento, CA 95816.
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.
East Sacramento families can get a free speech evaluation and practice at home while they wait. McKinley Park has both a playground and a library on Alhambra Boulevard, so one trip covers both.
If your child is under 3, call Alta California Regional Center at 916-978-6249. Ask for an Early Start evaluation. Early Start is California’s program for babies and toddlers up to 36 months, and the evaluation is free. You can call yourself, without a doctor’s note.
From age 3, write to Sacramento City Unified (SCUSD), which serves most East Sacramento homes. Ask for a speech and language evaluation. You can also call SCUSD with questions at 916-643-9163. If you already have a report from a doctor or therapist, bring it along.
The McKinley Park playground has a Sacramento history theme. It has separate play areas for younger and older children. Start in the area for little kids. Play “ready, set, go” at the slide. Say “ready, set” and wait a moment before “go.” Soon your child may say “go” first. Then take turns, so your child says “ready, set” for you.
McKinley Library is in McKinley Park too, so you can stop in after the playground. Picture books work in any language, so read in the one you speak at home. Let your child lead you to a favorite picture. Add a short comment and pause for their turn. Read the same book again at home. Ask the librarian about story times for little kids.
We last checked these details in October 2026.
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