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.

South Natomas’s own community park, a short outing close to home.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

A Sacramento Public Library branch for South Natomas families, with picture books to borrow. 2901 Truxel Road, Sacramento, CA 95833.
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.
South Natomas families can ask for a free speech evaluation and keep practicing at home in small moments. South Natomas Community Park and the library on Truxel Road are good places to start.
For a child under 3, call Alta California Regional Center at 916-978-6249. Ask for an evaluation through Early Start, 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 does the free evaluation. Many South Natomas homes are in Natomas Unified School District rather than Sacramento City Unified. Write to your district and ask for a speech and language evaluation. The district sends you a plan for it within 15 days.
South Natomas Community Park is the neighborhood’s own community park. Choose one spot and make it your regular stop. Play “where did it go?” Hide a small toy in your hand or behind your back. Ask, “Where did it go?” and wait. When your child finds it, say “there it is” together. Then let your child hide the toy for you.
The library is at 2901 Truxel Road. Try a book about something your child already likes, such as animals or cars. Take turns finding one picture on each page. Make the animal sounds or car noises together: “moo,” “beep beep.” Sounds are a great start, so cheer for every one. Borrow the book and make the same sounds at home.
We last checked these details in October 2026.
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