San Diego Regional Center Early Start
Early Start is California’s early intervention program for babies and toddlers up to 36 months. Call San Diego Regional Center’s Early Start line or apply online to ask for an evaluation.
Is your child talking less than other kids their age?
In San Diego, 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. Call San Diego Regional Center’s Early Start line or apply online to ask for an evaluation.
From age 3, your school district can evaluate your child’s speech, even before kindergarten. Find your district by address with the county school finder, then write to it.
Rady’s speech-language team evaluates children’s speech and language. You share what you notice at home, and the therapist watches how your child communicates.
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 recreation center with a tot lot, picnic tables and a gazebo, next to fields and courts.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

Mira Mesa’s San Diego Public Library branch, with picture books to borrow and read at home.
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.
In Mira Mesa, help with your child’s speech can start with one phone call. Mira Mesa Recreation Center and the Mira Mesa library are close by for talking and playing together.
Under 3, call San Diego Regional Center at 858-496-4318 and ask for an Early Start evaluation. Early Start is California’s program for babies and toddlers up to 36 months. The evaluation is free, and you don’t need a doctor’s note.
From age 3, your school district does a free speech and language evaluation. Look up your district by address with the San Diego County Office of Education school finder. If your child already saw a therapist or doctor, bring their report. Also say which languages your child hears at home. The district sends you a plan for the evaluation within 15 days of your request.
Mira Mesa Recreation Center has a tot lot, picnic tables and a gazebo. Play “copy me” at the tot lot. Clap, jump or wave, and say the word as you do it: “jump, jump.” Then let your child lead while you copy them. Name what they do in one or two words.
Picture books work in any language, so read in the one you speak at home. You can skip the printed words and talk about the pictures instead. Point to something and name it, then wait for your child’s turn. Talking in the language you know best is a great way to practice. The librarian can also point you to books in your family’s language.
We last checked these details in October 2026.
Find help