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Resource & Referral Services

Resource & Referral Services (R&R) is the link between parents and providers in Tulare County. R&R provides parents with facts about quality care and referrals to a variety of child care options. R&R services are available to any parent, regardless of income.

The R&R staff is knowledgeable about licensing requirements and issues and provides technical assistance to those individuals who want to open a family child care home or child care center. R&R also helps providers that are not required to be licensed by fingerprinting them for the TrustLine child care registry. If a provider is registered through TrustLine, parents can be assured that the individual is free of any serious criminal convictions.

R&R promotes provider development by offering workshops, an annual child care conference, a resource lending library and networking with various provider groups. The California Child Care Initiative Project (CCIP) provides training and ongoing support to licensed family child care providers, assistants, and individuals seeking to obtain a license.

View a list of upcoming provider workshops.

TrustLine - California's Background Check for In-Home Child Care


Tulare County Council on Child & Youth Development

Each county in California has a local planning council. Tulare County's council has 25 members from 5 different categories. Parents, child care providers, agency representatives, community representatives and other interested persons are appointed by the Tulare County Superintendent of Schools and the Tulare County Board of Supervisors.

The Council on Child & Youth Development conducts a needs assessment every five years and determines the priorities for child care services based on the needs assessment and current data.

The Council meets bimonthly on the second Thursday of the month at 3:00 p.m.

Parents and providers with child care concerns or questions about funding priorities may contact the council manager at (559) 651-1723.


Tulare County Early Stars (QRIS)

The Early Stars Quality Rating and Improvement System (QRIS) is an easy-to-follow 5-star system that rates the quality of your child's program. The more stars, the higher the quality.

Quality programs offer:

  • A safe environment that was planned for a child's learning
  • Teachers who have more education and training
  • Teaching through fun activities that help your child develop and learn

Children in quality learning programs:

  • Will be better readers
  • Will get better grades in school
  • Are more likely to graduate from high school and go to college

In your child's first five years, the brain will develop more than at any other time of his life. That's why it's important your child gets the best education possible during these years.

A high quality program encourages parents to take an active role in their child's learning. Ask your child's teacher how you can support your child's learning at home and in the classroom.

Learn more about Tulare County Early Stars.


Health Services

The Early Childhood Education Program's Health Services Department provides consultation, collaboration, coordination and in-service training in health and safety issues that affect children, staff, families and the community. The purpose of school health services is to support school readiness by promoting the health and well-being of the children. “A healthy child is a child ready to learn”. The health staff provides comprehensive health services based on the Head Start Performance Standards, Child Health Disability program guidelines and the California Department of Health and Community Care Licensing requirements.

  • Health assessments of students
  • Case management of children's health needs, such as asthma, food allergies, seizures and other health conditions
  • Conduct mandated health and safety trainings
  • Mandated vision and hearing screenings
  • Guide and assist families through developmental screening and referral so children get appropriate treatment
  • Assist families in accessing medical and dental care for their children

Our program has a Credentialed School Nurse and Registered Nurses and Health Advocates that provide services to children and staff in our centers.

Links and Resources

Child Health and Disability Prevention Program (CHDP)

California Department of Public Health (CDPH)

CDPH Immunization Branch

Tulare County Health and Human Services Agency

Centers for Disease Control and Prevention

Choose MyPlate

Medi-Cal Insurance




Tulare County Office of Education
Early Childhood Education Program
Julie Berk, Administrator
7000 Doe Avenue, Suite C, Visalia, CA 93291 · · phone: (559) 651-3022 · · fax: (559) 651-3802