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 Sacramento-history-themed playground in McKinley Park, with 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.

The branch is in McKinley Park, the same park as the playground. You can pair a story with a little play. 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.
Sacramento families can get a free speech evaluation through Alta California Regional Center or their school district. Parks and library branches from East Sacramento to Pocket make easy places to talk together.
If your child is under 3, call Alta California Regional Center. It runs Early Start for Sacramento County. The evaluation is free, and you don’t need a doctor’s note.
From age 3, your school district does the evaluation. Which district you are in depends on your home address. Natomas families may be in Natomas Unified, so look up your district before you write.
UC Davis Health is another choice for speech needs linked to a medical condition. Its outpatient clinic needs a doctor’s referral for the first appointment.
Sacramento Public Library has branches across the city, including McKinley, Belle Cooledge, North Natomas, South Natomas and Robbie Waters Pocket-Greenhaven. McKinley Library is in McKinley Park, so a book and a playground fit into one trip.
A short visit is enough. Pick one book, read it together and read it again at home. Children often join in once they know the words.
North Natomas Regional Park has a lake area and ball fields. Garcia Bend Park connects to the Sacramento River Parkway. Glenn Hall Park has a fenced play area and river access.
With a young child, choose one spot, like a play area, before you leave home. Talk about what you see, like a ball, a bird or a big tree. Then give your child time to answer.
We last checked these details in October 2026.
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