Partnering With Regional Centers: How Private Clinics Support the Journey
Families navigating developmental delays often turn to California’s Regional Centers—but accessing services can take time. Learn how private therapy clinics offer timely support alongside public systems.
Book a Free ConsultationWhen families first notice developmental differences in their child, their journey often begins by seeking pediatric services. Whether through a pediatrician’s referral or school observation, early support is essential for long-term progress.
🎙️ Navigating the Regional Center System in California
This audio guide is designed for California parents of toddlers — understand how Regional Centers work, how to get started, and how private therapy like Speech Avenue can support your child’s journey.
💡 The Regional Center System: A Crucial Resource
Established under the Lanterman Act, California’s Regional Centers coordinate services for those with qualifying disabilities—from infancy through adulthood. They support families with:
- Initial assessments & eligibility determination
- Individualized Program Plans (IPPs) and Family Service Plans (IFSPs)
- Access to therapies such as ABA, speech, OT, PT, respite care, and more
These Centers operate under strict state guidelines to ensure fairness and appropriate allocation of resources. Many service coordinators carry high caseloads, doing their best to support dozens of families while navigating funding cycles, eligibility criteria, and procedural requirements.
⏳ Why It Can Take Time to Receive Help
- Eligibility Determination: Diagnostic proof is required to qualify, based on defined state criteria. This can involve multiple assessments, reports, and appeals.
- Waiting Lists: Due to high demand and limited providers, families often experience delays in scheduling evaluations and beginning services—even after approval.
- Staffing & Caseloads: Service coordinators are deeply committed but often support dozens of families at once, which may impact how quickly they can respond or follow up.
- Structured Process: The system includes checks, meetings, and paperwork to protect families’ rights and ensure accountability—but this also takes time.
While the intention is to provide comprehensive, lifelong care, families often feel overwhelmed navigating it—especially during early developmental windows when support is most critical.
✨ How Private Practice Clinics Support Families
Pediatric therapy clinics can offer fast, effective support during the critical waiting period while families move through the Regional Center process.
✅ Fast Assessments and Immediate Intervention
Private clinics can often provide evaluations and begin therapy within days or weeks, allowing children to access early intervention during critical developmental periods.
✅ Reports That Strengthen RC Applications
SLPs, OTs, and other professionals can produce detailed reports and letters of medical necessity that families can share with their Regional Center team. These help clarify needs and support requests for services or hours.
Many pediatric therapy needs are best met through tailored approaches. Private therapy can supplement public services with additional hours or specialized approaches, including parent-child interaction therapy, feeding therapy, or bilingual intervention that may not be available through RC-approved vendors.
✅ Parent Coaching and Emotional Support
Private clinics often offer parent education, training, and support groups to help caregivers build confidence, reduce stress, and feel less alone on the journey.
“Private clinics don’t just fill a gap—they help families move forward while the system catches up.”
🤝 Supporting the Same Goals
This collaboration can be especially valuable for pediatric cases where timing and intensity of services matter most.
📞 Take the Next Step
We specialize in pediatric speech and language care, guiding families every step of the way.
- 🗓️ Same-week evaluations
- 🗣️ Play-based, evidence-based therapy
- 👪 Parent coaching included
Or call us at (949) 414-5526
📖 Frequently Asked Questions About Regional Center Services
Compassionate, easy-to-understand guidance for parents navigating California’s Regional Center system with their toddler.
❓ What is a Regional Center?
Regional Centers are nonprofit organizations that contract with the Department of Developmental Services (DDS) in California to help individuals with developmental disabilities access services and supports. They serve as a primary point of contact for families navigating early intervention and long-term planning.
📌 Getting Started
What is the California Regional Center system?
The California Regional Center system is a network of nonprofit agencies that coordinate services for individuals with developmental disabilities. These centers help identify needs, coordinate services, and advocate for individuals across their lifespan.
Who are Regional Centers for?
They serve people in California who have developmental disabilities or are at risk, including infants and toddlers under age 3 who have delays or established risk conditions.
How do I get started with the Regional Center?
Start by contacting your local Regional Center and requesting an intake packet. You can also ask your pediatrician, therapist, or school to refer you.
Is there a cost to receive Regional Center services?
No. Regional Center services are publicly funded and provided at no cost to families who qualify.
What is an “intake coordinator” or “service coordinator”?
This is the person assigned to guide your family through the intake and eligibility process. They become your point of contact at the Regional Center.
What is an Individualized Family Service Plan (IFSP)?
An IFSP is a written plan developed for children under 3 that outlines goals and the services needed to support your child’s development. You’ll create this with your Service Coordinator.
How long does the intake process take?
It usually takes about 45 days from your initial request to the eligibility decision and service planning, though this can vary.
Can I choose my providers?
In most cases, yes. Regional Centers contract with many providers, and families often have options. Discuss preferences with your Service Coordinator.
What languages are services available in?
Many services are available in multiple languages, and interpreters can be provided. Let your coordinator know your language needs up front.
Can I get help filling out forms?
Yes. Your Service Coordinator or intake staff can assist with forms and explain what information is needed.
Do I need a referral to start the process?
No referral is required. Parents, guardians, and even concerned professionals can initiate the intake process.
Is my child too young to be referred?
Infants as young as a few months old can be referred if there are concerns. Early referrals can lead to early support.
How do I find my local Regional Center?
Visit www.dds.ca.gov to find your local center by zip code or county. There are 21 Regional Centers across California.
What if I’m not sure whether my child qualifies?
You can still call and request an intake. The team will help determine if a full evaluation is needed.
What happens after I submit my intake packet?
You’ll be contacted to schedule an initial intake meeting, which may be in person, online, or over the phone.
Can I bring someone with me to meetings?
Yes. You are welcome to bring a family member, friend, or advocate for support at any point in the process.
What if I need help sooner than the timeline allows?
Discuss your concerns with the intake team. They may be able to connect you with interim support or help you seek private services while you wait.
📝 Eligibility & Evaluation Process
Who qualifies for Regional Center services?
To qualify, an individual must have a substantial developmental disability such as intellectual disability, autism, cerebral palsy, or epilepsy that originates before age 18 and is likely to continue indefinitely.
What does "developmental delay" mean for eligibility?
Developmental delay refers to a significant lag in one or more areas such as communication, motor skills, or social-emotional development compared to typical peers.
Are all children with speech delays eligible?
Not always. Eligibility depends on how severe the delay is and whether it impacts multiple areas of development. A formal assessment is required to determine this.
What kinds of assessments are used?
Assessments may include developmental, psychological, medical, or educational evaluations, depending on the child’s age and areas of concern.
How long does the evaluation process take?
Evaluations typically take a few hours, and the overall process from referral to results can take a few weeks depending on availability.
What should I do to prepare for the evaluation?
Bring relevant medical and school records, fill out parent questionnaires, and talk to your child about the visit to help them feel comfortable.
Do evaluations happen at the Regional Center?
Some evaluations are conducted on-site, while others may take place in clinics, schools, or even virtually depending on the provider.
Will I be present during the evaluation?
Parents are often involved in interviews or observations. Some parts may be one-on-one with your child, depending on their age and comfort level.
What if my child doesn’t “perform” well during the evaluation?
Evaluators understand children may be shy or overwhelmed. They use multiple tools and observations to form a full picture of your child’s abilities.
How are results shared with families?
Results are discussed in a meeting with your Service Coordinator, who will explain the findings and next steps. A written report is also provided.
What if my child is found ineligible?
You’ll receive written documentation explaining the decision. You have the right to appeal and/or seek private evaluations if desired.
Can I request a second opinion?
Yes. If you disagree with the findings, you may request an independent evaluation or appeal the determination through a fair hearing.
Do Regional Center evaluations impact school services?
They are separate systems, but families often share Regional Center reports with schools to support IEPs or 504 plans. Schools conduct their own assessments.
Can I request a specific type of assessment?
Yes. If you have concerns about speech, motor skills, behavior, or other areas, you can request targeted evaluations during the intake process.
Are evaluations culturally and linguistically appropriate?
Evaluators aim to consider language background, culture, and context. You may request an evaluator who speaks your language or understands your community.
What if my child is too young to evaluate certain skills?
For very young children, evaluators use developmental scales and parent input. If results are unclear, reassessment may be scheduled at a later age.
What happens if my child is eligible?
You’ll be assigned a Service Coordinator who helps develop an Individualized Program Plan (IPP) or IFSP, depending on your child’s age and needs.
🤝 Services & Supports
What types of services can my child receive?
Services vary based on need and may include speech therapy, occupational therapy, physical therapy, behavior support, and more depending on your child's developmental profile.
How are services decided?
Your Service Coordinator and any relevant specialists collaborate with you to build a written plan that reflects goals and outlines the services needed to support your child.
How often will my child receive services?
Service frequency depends on individual needs, age, and goals. Your plan might include weekly or multiple sessions per week or month, adjusted over time.
Where do services take place?
Services may occur in your home, a clinic, community setting, or virtually. Location depends on provider availability, child needs, and family preference.
Can I request a specific therapist or agency?
Yes, you may request specific providers if they are contracted with the Regional Center. Share your preferences with your Service Coordinator.
Are services available in my home language?
Whenever possible, services are matched with bilingual providers or interpreters to meet your family’s language needs.
What is parent training and is it included?
Yes, many service plans include parent coaching to help families reinforce strategies at home and understand their child’s developmental needs.
Can services be changed once they start?
Yes. If your child’s needs evolve, you can request a meeting to revise the plan and adjust services accordingly.
Do services continue year-round?
Most services are year-round, though scheduling may vary in summer or during holidays. Discuss any interruptions with your coordinator or provider.
Are services available to siblings or just the child enrolled?
Services are individualized for the child enrolled, but sibling needs can be discussed, and some programs may offer family supports.
What if my child misses a session?
If your child misses a scheduled session, notify the provider as soon as possible. Make-up sessions may be available depending on policies and availability.
What if services aren’t helping?
Share your concerns with your provider or Service Coordinator. The plan can be revised, or a different provider may be considered.
Do I have to use all the services offered?
No. You can decline any services you don’t feel are helpful or appropriate. Your choices are always respected.
Can services be paused or put on hold?
Yes. If your family has changes or needs a break, services can often be paused. Talk to your coordinator to make arrangements.
Will I get updates on my child’s progress?
Yes. Providers regularly share progress and adjust goals as needed. You can request updates anytime.
Can my child receive services at school and through Regional Center?
Yes, but services must be coordinated. Regional Center services supplement—not duplicate—those provided by public schools.
Can I request more services if needed?
Yes. You can request a reassessment or team meeting at any time to discuss expanding or adding services.
Are private services reimbursed?
Only in limited cases. Services typically must be approved in advance. Talk to your coordinator before arranging private care.
What if we move to a new area?
Regional Centers can transfer records and help you reestablish services in your new location. Notify your Service Coordinator early if you’re planning a move.
What happens when my child turns 3?
Your child may transition to school district services or another funding program. A transition plan will be created with your team to support the change.
⚖️ Advocacy & Rights
What rights do I have as a parent in the Regional Center system?
Parents have the right to participate in all decisions, access records, receive services in their preferred language, and appeal decisions they disagree with.
Can I bring someone with me to meetings?
Yes. You are allowed to bring an advocate, friend, or family member to any Regional Center meeting for support or assistance.
What is a fair hearing?
A fair hearing is a formal process where you can appeal Regional Center decisions. It includes a hearing before an administrative law judge from the state.
Can I request a copy of my child’s records?
Yes. You have the legal right to request and receive a copy of your child’s Regional Center records at any time.
Do I have a say in the services my child receives?
Absolutely. Services must be family-centered and based on your child’s needs and your input. You help develop and approve the plan.
What if I disagree with my Service Coordinator?
You can request a meeting with a supervisor, file a complaint, or begin an appeal. You’re never required to agree to a plan you’re uncomfortable with.
Are there deadlines for filing appeals?
Yes. Generally, appeals must be filed within 30 days of receiving a written notice of action. Your notice will include appeal instructions.
Can my services continue during an appeal?
Yes, if you request an appeal within the required timeframe, services may continue until a final decision is made.
What is the Client Rights Advocate?
The Client Rights Advocate is a designated staff member or agency that helps families understand and protect their rights under the law.
Are interpreters available for meetings and documents?
Yes. You have the right to receive services and information in your preferred language, including access to interpreters.
Can I change my Service Coordinator?
Yes. If you're not satisfied or need a different match, you can request a new coordinator. Speak to a supervisor at your Regional Center.
What is a Notice of Action?
It is a formal written letter from the Regional Center explaining any decisions about services. It includes your right to appeal and the deadline.
Can I record meetings?
Yes, California law allows parents to record meetings as long as you provide advance notice. Recording can help you review information later.
What if I need help understanding paperwork?
Your Service Coordinator should walk you through all documents. You can also ask for a translated version or help from a Client Rights Advocate.
Do I need to sign everything right away?
No. You can take time to review documents and ask questions. Don’t feel pressured to sign anything you're not comfortable with.
Are there advocacy groups that can help me?
Yes. Groups like Disability Rights California and local advocacy organizations provide free guidance to families navigating the system.
Can I file a complaint?
Yes. If you feel your rights were violated or a process was unfair, you can file a complaint with the Regional Center or Department of Developmental Services.
Will my immigration status affect services?
No. Regional Center services are not based on immigration status. Your child has the right to be evaluated and supported regardless of documentation.
How can I learn more about my rights?
Ask your Service Coordinator for a copy of your rights booklet. You can also visit dds.ca.gov or contact advocacy organizations for more information.
🔄 Transitions & Planning
What is a transition plan?
A transition plan is a written guide that supports your child as they move from Early Start services to preschool, or from school-based support to adult services.
When does the transition from Early Start begin?
Transition planning typically begins at least six months before your child turns 3. Your team will schedule a meeting to discuss options and next steps.
What are my options after Early Start ends?
Children may transition to school district services, Regional Center Lanterman eligibility, or private therapy. Your team will explain all available paths.
What is the Lanterman Act?
The Lanterman Act is California law that guarantees lifelong services for individuals with developmental disabilities. Eligibility after age 3 is based on this law.
What happens at the transition meeting?
You, your Service Coordinator, and other providers will review progress, set goals, and discuss your child’s next steps in services or education.
Can I keep getting services through the Regional Center after age 3?
Only if your child qualifies under the Lanterman Act. A new evaluation may be conducted to determine continued eligibility.
What if my child doesn’t qualify after age 3?
You can request a fair hearing or pursue private services. School districts may also offer support if your child qualifies for special education.
What role does the school district play?
School districts evaluate children around age 3 to determine eligibility for special education under IDEA. Services shift from Early Start to the school system.
Can I choose private services instead of school-based services?
Yes. Families may choose private therapy, but school districts are not required to fund it unless agreed upon through an IEP or legal ruling.
Can my child receive both school and Regional Center services?
Yes, but they cannot duplicate services. Regional Center may provide additional support beyond the school district’s responsibility.
What is an IEP and how is it created?
An Individualized Education Program (IEP) is a legal document developed with your school district that outlines services and goals for your child’s education.
How do I request an IEP evaluation?
Send a written request to your school district’s special education department. They must respond with an assessment plan within 15 days.
What if I disagree with the school’s IEP offer?
You can request another IEP meeting, file for due process, or seek mediation. You don’t have to agree with the offer right away.
What is a 504 Plan?
A 504 Plan supports children with disabilities who may not qualify for an IEP. It ensures accommodations and access in the school setting.
Can I bring private therapists to an IEP meeting?
Yes. You may invite anyone with knowledge of your child, including private providers, to support your participation and advocacy during the IEP.
What happens after high school?
Transition planning for adulthood begins by age 16. Services may include job training, college support, independent living skills, and continued Regional Center support.
What supports exist for college-aged youth with disabilities?
College students can receive accommodations through the disability services office, and may be eligible for vocational programs or assistive technology through the Regional Center.
What if I want to delay kindergarten?
You may request transitional kindergarten (TK) or hold off on enrollment depending on your district’s policies and your child’s developmental readiness.
How can I best prepare for transitions?
Start early, ask questions, keep organized records, and work with your team to create a plan that reflects your child’s strengths, needs, and goals.
Where can I get help with transition planning?
Talk to your Service Coordinator, school case manager, or local advocacy group. Many organizations offer free workshops and support.
🗺️ Regional Centers in California
📍 Sacramento County & surrounding
☎️ (916) 978-6400
✉️ [email protected]
Counties served: Sacramento, Placer, El Dorado, Yolo, Sutter, Yuba, Nevada, Alpine, Colusa
📍 Fresno, CA
☎️ (559) 276-4300
✉️ [email protected]
Counties served: Fresno, Kings, Madera, Mariposa, Merced, Tulare
📍 Los Angeles, CA
☎️ (626) 299-4700
✉️ [email protected]
Counties served: East Los Angeles area
📍 Redding, CA
☎️ (530) 222-4791
✉️ [email protected]
Counties served: Butte, Glenn, Lassen, Modoc, Plumas, Shasta, Siskiyou, Tehama, Trinity
📍 Los Angeles, CA
☎️ (213) 383-1300
✉️ [email protected]
Counties served: Central Los Angeles, Glendale, Pasadena, La Cañada Flintridge
📍 San Francisco, CA
☎️ (415) 546-9222
✉️ [email protected]
Counties served: San Francisco, Marin, San Mateo
📍 Torrance, CA
☎️ (310) 540-1711
✉️ [email protected]
Counties served: South Bay, Harbor, Long Beach area
📍 San Bernardino, CA
☎️ (909) 890-3000
✉️ [email protected]
Counties served: San Bernardino, Riverside
📍 Bakersfield, CA
☎️ (661) 327-8531
✉️ [email protected]
Counties served: Kern, Inyo, Mono
📍 Napa, CA
☎️ (707) 256-1100
✉️ [email protected]
Counties served: Napa, Solano, Sonoma
📍 Chatsworth, CA
☎️ (818) 778-1900
✉️ [email protected]
Counties served: San Fernando, Santa Clarita, Antelope Valleys
📍 Ukiah, CA
☎️ (707) 462-3832
✉️ [email protected]
Counties served: Del Norte, Humboldt, Lake, Mendocino
📍 Oakland, CA
☎️ (510) 383-1200
✉️ [email protected]
Counties served: Alameda, Contra Costa
📍 Santa Ana, CA
☎️ (714) 796-5100
✉️ [email protected]
Counties served: Orange
📍 Campbell, CA
☎️ (408) 374-9960
✉️ [email protected]
Counties served: Santa Clara, Santa Cruz, Monterey, San Benito
📍 San Diego, CA
☎️ (858) 576-2996
✉️ [email protected]
Counties served: San Diego
📍 Pomona, CA
☎️ (909) 620-7722
✉️ [email protected]
Counties served: Eastern Los Angeles County
📍 Los Angeles, CA
☎️ (213) 744-7000
✉️ [email protected]
Counties served: South Central and Southeast Los Angeles
📍 Santa Barbara, CA
☎️ (805) 962-7881
✉️ [email protected]
Counties served: Santa Barbara, San Luis Obispo, Ventura
📍 Stockton, CA
☎️ (209) 473-0951
✉️ [email protected]
Counties served: Amador, Calaveras, San Joaquin, Stanislaus, Tuolumne
Disclaimer: The information provided on this page about California’s Regional Centers was collected from publicly available sources for general informational purposes only. While we strive to keep this content accurate and up-to-date, Regional Center websites and official DDS publications are the most reliable sources for current details. Please refer to the official center websites to confirm addresses, contact information, and service areas.
Early Intervention
Early Intervention helps children with developmental delays thrive by providing parents with essential support and resources.
Cranio Facial
Craniofacial conditions affect the structure of the face and skull
Autism Spectrum Disorders (ASD)
Autism Spectrum Disorders (ASD) affect communication and social skills
Articulation and Phonological Disorders
Articulation and phonological disorders affect speech clarity
Childhood Apraxia of Speech
Childhood Apraxia of Speech affects a child's ability to plan and produce speech
Fluency & Stuttering Disorders
Fluency and stuttering disorders affect speech flow, but early intervention can improve communication.
Expressive & Receptive Language Disorders
Expressive and receptive language disorders affect a child’s ability to communicate and understand language
Augmentative & Alternative Communication (AAC)
Augmentative and Alternative Communication (AAC) helps children with speech difficulties express themselves through tools and strategies.
