Golden Gate Regional Center (GGRC) Early Start
Early Start is California’s early intervention program for babies and toddlers up to 36 months. Contact Golden Gate Regional Center and ask for an evaluation for your child.
Is your child talking less than other kids their age?
In San Francisco, 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. Contact Golden Gate Regional Center and ask for an evaluation for your child.
SFUSD evaluates preschool children ages 3 to 5 who live in San Francisco. Fill in the district’s preschool request form to ask for a speech evaluation.
Graduate students evaluate and treat children’s speech and language, supervised by licensed faculty. Apply on the clinic’s website or call to ask about openings.
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 Bernal Heights playground with new play equipment and accessible surfacing.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

The Bernal Heights branch of San Francisco Public Library, with picture books to borrow. 500 Cortland Avenue, San Francisco, CA 94110.
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 Bernal Heights, help with your child’s speech starts with a free evaluation and a few easy places to talk. Bernal Heights Branch Library on Cortland Avenue and Bernal Heights Playground are close to home.
For a baby or toddler under 3, contact Golden Gate Regional Center (GGRC) about Early Start. Early Start is California’s early intervention program for children up to 36 months. GGRC serves San Francisco, and the evaluation is free. From age 3 to 5, SFUSD, the city’s school district, evaluates preschool children through its preschool request form. After a written request, the district has 15 days to send you an evaluation plan. Keep a note of each call and what happens next.
Bernal Heights Playground has new play equipment and accessible surfacing. Use a climb or a slide for an “up and down” game. Say “up” as your child climbs and “down” as they come down. After a few turns, stop and wait at the top. Let your child tell you which word comes next. A look or a sound is a great answer too.
Bernal Heights Branch Library is at 500 Cortland Avenue. Before a park day, pick a picture book about a park, a garden or a picnic. Look at one page together and name what you see. Later, at the playground, point to something from the book. Say, “Look, a slide, like in our book.” Wait and see what your child says or shows you.
We last checked these details in October 2026.
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