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 park with a fenced adventure play area and picnic areas. 5415 Sandburg Drive, Sacramento, CA.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

A nearby library in East Sacramento’s McKinley Park. Find one new favorite book each visit. 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.
River Park families can get a free speech evaluation and practice at home while they wait. Glenn Hall Park on Sandburg Drive and McKinley Library in nearby East Sacramento are good places to talk and play.
Babies and toddlers up to 36 months can get help through Early Start, California’s early intervention program. Call Alta California Regional Center at 916-978-6249 to ask for a free evaluation. You can call yourself, without a doctor’s note.
From age 3, write to Sacramento City Unified (SCUSD), which serves most River Park homes. Ask for a speech and language evaluation, and keep a copy of your letter. For a medical evaluation, UC Davis Health sees children with a doctor’s referral. Medi-Cal covers medically necessary speech therapy for children.
Glenn Hall Park has a fenced adventure play area and picnic areas. Play “in and out” with a bucket or a bag. Put a leaf in and say “in,” then take it out and say “out.” Pause before the word and let your child say it. Add new things, like a stick or a small rock. At the end, count what’s in the bucket together.
McKinley Library is in McKinley Park, at 601 Alhambra Boulevard in East Sacramento. Choose a short visit with one goal, like returning a book or finding a new favorite. Give your child a choice between two covers. Talk about what caught their eye, then finish the book at home. Read it again whenever your child asks.
We last checked these details in October 2026.
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