Westling says that pediatricians and other healthcare providers often don’t have enough time with patients to complete an adequate assessment.
“They often see them for 10 or 15 minutes every three months or so,” said Westling. “They may rely upon families’ identification of concerns to really trigger a more in-depth exploration. But their families don’t have the awareness that the child may be falling behind same-age peers. They may not flag that.”
Families on Medi-Cal should be especially concerned about short visits, says Westling.
“Pediatricians who accept various types of insurance, particularly Medi-Cal, have to make their practices financially viable, oftentimes through high volume.” said Westling. “So it may be that children who have Medi-Cal as their primary insurance may find that their appointment times are shorter than children who have private commercial insurance.”
Sometimes even if a pediatrician takes the time to conduct an assessment, a child may behave differently in a clinical setting, making it harder to discern between a developmental delay and a scared child acting timid.
Resources to learn about developmental milestones
The Centers for Disease Control and Prevention (CDC) defines a developmental milestone as something that 75% or more children can do by a certain age.
The milestones help parents and doctors track children’s growth across physical, cognitive, language and social-emotional areas. Examples of milestones include a child’s ability to hold their head up, to point or to string a certain number of words together in a sentence. If a child misses a milestone it could be an indication that they need extra help to fully develop in one area or that they face a more serious disability or health problem.
Milestones are important to track because the earlier a child receives help, the more likely they are to overcome a delay or challenge.
“The most important thing for people to realize is that children can make incredible progress,” said Westling. “And they make the best progress the earlier we can intervene in their lives and in their development. Their little minds are like sponges.”
Resources to learn about kindergarten readiness
There’s no single, standardized checklist for kindergarten readiness skills, largely because there is no state or federal requirement for schools to assess them.
Among the school districts that do track kindergarten readiness, several different assessment tools are used. Sarah Crow, managing director of the First 5 Center for Children’s Policy, says 35 states are in the process of implementing assessments and that 25 counties in California currently track kindergarten readiness.
Most experts agree that kids entering kindergarten should have some exposure to language and reading, numbers and counting, logic and sorting, and some practice regulating emotions and playing with other children their age.
“Readiness, as it’s sort of been defined and studied, is about literacy and numeracy knowledge,” said Crow. “But it also refers to things like the ability to listen and ask questions, express your thoughts and communicate and demonstrate some self regulation, like sit on a rug in a kindergarten classroom.”
Child care providers trained in early childhood development incorporate these skills into daily activities. Similarly, parents may already be teaching these skills without even realizing it — every interaction has potential to be educational for babies and infants (PDF). Still, intention goes a long way and experts have tips for how to incorporate numeracy and literacy into your day-to-day.
Statewide resources for early learning and development
When it comes to finding resources related to child care and child development, three California programs will be key: the California Child Care Resource and Referral Network, First 5 California and Early Start.
California Child Care Resource and Referral Network
Each county in California has at least one agency that’s part of the California Child Care Resource and Referral Network. These offices focus on helping parents find child care and recruiting and training more family child care providers: people who care for small groups of kids in their homes. Even if you’re not looking for child care specifically, these agencies can be a good place to contact.
Sometimes the organizations that have resource and referral (R&R) contracts provide other services as well — think play groups, parenting classes and financial assistance. Each agency varies, but chances are the people working at your local R&R center know about many of the resources in your community.
First 5 California is a statewide organization with a presence in each county. First 5 was established in 1998 when voters approved Proposition 10, which imposed a tax on tobacco products. The collected funds are divided between First 5 at the state level and a First 5 commission in each county. At a statewide level, First 5 advocates for policies that support children up to 5 years of age and their families. First 5 operates a resource website for parents that’s worth checking out.
Like R&R agencies, each First 5 county commission varies in focus, depending on what challenges families in the region face. Local efforts range from parenting groups to child development classes to tracking kindergarten readiness. Again, if your local First 5 office doesn’t offer a service directly, the people working there likely know who does.
Find your local First 5 office.
Early Start is California’s early intervention program for infants and toddlers with developmental delays or those at risk for having a developmental disability. Most people interact with Early Start through one of 21 regional centers throughout the state. Regional centers are agencies contracted by the state to manage services for families with children under 3 years old who have or are at risk of having a developmental disability or delay. Some families are referred to regional centers immediately after birth by a neonatal intensive care unit. Other families may be referred later on by a pediatrician, and still other parents call on their own.
There is no cost for an evaluation, and one is supposed to be conducted within 45 days of when a parent first contacts the center. This FAQ by the California Dept. of Developmental Services is straightforward and may answer many of the questions you have about calling a center (PDF).
Look up an Early Start regional center near you.
Bay Area resources by county for early learning and development
Scroll down to find your Bay Area county below. This guide focuses on programs that can help parents without access to child care make sure their young children are kindergarten-ready. The classes and playgroups here do not require the time or financial commitment of more traditional child care or preschool.
In addition to the local outposts of the larger statewide organizations mentioned above, parents looking to bolster their kids’ school readiness should check out their local libraries and recreation departments.
Bay Area libraries offer much more than traditional storytimes. Kids can dial a number and have a story read to them in English or Spanish — another library has worked to place books in barbershops — and several libraries have project kits that kids can check out.
Most recreation departments offer some kind of financial assistance for classes, but that information is often not easy to find. If cost is preventing you from registering for a class, call your county’s recreation and parks department and ask about scholarships.
Alameda County
Contra Costa County
Marin County
Napa County
San Mateo County
San Francisco
Santa Clara County
- First 5 Santa Clara operates 20 Family Resource Centers throughout the county that offer parenting classes and a wide range of resources, including bridge libraries with books available in English, Spanish, Vietnamese and other languages.
- Santa Clara County Childcare Resource and Referral agencies help families locate child care, offer training for child care providers and help with locating developmental screenings.
- Inclusion Support WarmLine offers support for parents and caregivers of children with disabilities and other challenges. They can also be reached at (408) 453-6651 or by email at [email protected].
- The Santa Clara County Library District offers storytimes for different age groups at multiple branches including bilingual options and one geared toward kids with special needs. There’s also a “Play and Learn” offering that incorporates 30 minutes of free play for kids 1–5 years old.
- The district also offers members free access to Ready Rosie, an online subscription tool that provides videos and tips for early literacy. Ready Rosie is available in English and Spanish. The district’s website also includes a page dedicated to kindergarten readiness, which includes resources for developing literacy and information on registering for kindergarten.
- Cupertino Parks and Recreation offers dance, sport and music classes starting as young as 2 years old, but most start at age 4. There are class fees but limited scholarships are available. Search by activities here.
- Gilroy Recreation’s classes for kids include dance, soccer and science classes. Some of Gilroy Recreation’s classes start as early as age 2.
- Las Madres playgroups offers memberships at $85 annually.
- San José Public Library events for kids include storytimes, play groups, art activities. Library members also get free access to Ready4K, a service that texts early learning strategies once a week. The library also has 70 recorded story times on YouTube.
- The Santa Clara City Library offers storytimes, including bilingual and “Stay and Play” options. They also offer a Dial-a-Story service in English and Spanish and early literacy kits that you can check out and use while at the library.
Solano County
Sonoma County
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