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 playground on two levels, with a picnic area and courts. 238 25th Avenue, San Francisco, CA 94121.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

A neighborhood branch with family storytimes and Chinese and Russian materials. 550 37th Avenue, San Francisco, CA 94121.
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 the Outer Richmond, you can get a free speech evaluation for your child and practice close to home. Anza Branch Library on 37th Avenue and Rochambeau Playground on 25th Avenue are good places to talk.
If your child is under 3, contact Golden Gate Regional Center about Early Start. 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 to 5, ask SFUSD, the city’s public school district, through its preschool request form. If a clinician has already seen your child, bring that report along. The team can use it alongside their own evaluation.
Rochambeau Playground at 238 25th Avenue has a playground on two levels, a picnic area and courts. Use the two levels for an “up and down” game. Say “up” on the way up and “down” on the way down. After a few rounds, pause before the word. Wait for your child to fill it in with a word, a sound or a point. Then switch roles and let your child lead.
Anza Branch Library is at 550 37th Avenue. It offers family storytimes and has books in Chinese and Russian. Storytime songs are easy to take home. Sing one at bath time and stop before the last word. Look at your child and wait. Any sound, smile or word is a good answer. The staff can also help you find books in your home language.
We last checked these details in October 2026.
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