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King County Early Support for Infants and Toddlers Services during COVID-19

The King County ESIT Program continues to accept referrals.

To make a referral, contact Help Me Grow Washington in any of the following ways:


What services look like:

  • All King County ESIT agencies are providing virtual services through video conferencing and/or phone calls, with the same high quality staff as always.
  • Services are provided through coaching, which is one way parents learn strategies to support their child’s development.
  • Research shows that virtual services are as successful as in-person services (example study here).


The benefits to families receiving ESIT services during this time, include:

  • Supporting the child’s development during early brain growth,
  • Learning helpful ideas to use while playing or during daily activities,
  • Stability during a time of uncertainty, for example by having regular services, and
  • Making social connections and links to additional supports.


King County and ESIT Providers are actively working to reduce barriers to access, such as access to interpreters for all visits, and providing internet and tablets when families need them.



About Early Supports

We know that every child is unique and special. Sometimes our children grow and develop just fine. Other times we feel concern about their development in one or more ways.

If you have concerns, your child and family may be able to access services to help. About 1 of every 8 children has a challenge with development that makes them eligible for Birth-to-Three services.

With early support, most children catch up with their peers! Families gain skills and knowledge to support their child's needs.

For More Information

Contact Debi Donelan

(206) 512-5302

Contact Liz Espinosa-Snow

(206) 502-5059

Additional Resources

 The Washington State Division for Early Childhood

 National Early Childhood Technical Assistance Center


About Birth-to-Three

  • Help your family build knowledge and skills to meet developmental and health needs of your child.
  • Give your family a chance to meet other families, for support, and to discuss problems and share information and resources
  • Help your family with the practical and emotional challenges that may come with having a child with special needs
  • Help your family access community resources, services and events
  • Support your family as your child transitions into other community based programs.

Benefits of Birth-to-Three services:

  • Children catch up with their development and reach their potentials
  • Many children will not need Special Education later
  • Smoother transitions for children who still need services at age 3
  • Families learn how to support the unique needs of their child
  • Parents strengthen advocacy and communication of their children’s needs
  • Siblings are welcomed, included and supported
  • Child care providers improve how they support children’s development.

What to Expect

EVERYONE gets a Family Resources Coordinator and appropriate assessments—both initially and ongoing

The MOST FREQUENT services include:

  • Developmental Services and Individual Education
  • Speech Therapy and Motor Therapy
  • Occupational or Physical Therapy
  • Feeding Therapy and Nutrition Services

OTHER services are also available:

  • Audiology and Assistive technology devices & services
  • Family training, counseling, and home visits
  • Health services, Nursing services,
  • Medical services for evaluating (most Birth-to-Three Providers DO NOT diagnose children)
  • Psychological services, social work services and vision services

Available Services

Through Birth-to-Three services:

  • Children catch up with their development and reach their potentials;
  • Many children will not need Special Education later;
  • Smoother transitions for children who still need services at age 3;
  • Families learn how to support the unique needs of their child;
  • Parents strengthen advocacy and communication of their children’s needs;
  • Siblings are welcomed, included and supported;
  • Child care providers improve how they support children’s development.


A child may be eligible for Birth-to-Three services in one of these ways:

  • Compared to same-age peers, child has a 25% delay in at least one developmental area; or
  • The child has a diagnosis with a high probability of delay; or
  • Evaluators use Informed Clinical Opinion.

Learn more about eligibility for services at the Department of Early Learning website.

How to Connect to Services

To connect with a Provider to find out if your child is eligible, 

1. Call 1.800.322.2588 OR 

2. Use this form to refer a child to service ( PDFWord )

3. A Provider will contact the parents to schedule a Developmental Evaluation to determine eligibility. 

4. If eligible, you will have an Initial Team Meeting. At this meeting, you will make a plan for services, called an Individual Family Services Plan (IFSP).

5. Birth-to-Three services will begin within 30 days of completing the IFSP. 

Learn more about this pathway to services.

Advocacy and Leadership in the Early Intervention System

Help improve King County's Birth-to-Three system by participating in the King County Interagency Coordinating Council (KCICC).

The mission of the KCICC is to create collaborations that work towards providing comprehensive, culturally competent, family centered and community based services for all children birth to three years of age with special needs and their families in King County.

The King County Birth-to-Three system is part of a statewide system of Birth-to-Three services directed by the Washington State Department of Early Learning's Early Support for Infants and Toddlers (ESIT) program. Every county has a Local Lead Agency (LLA) that is responsible for coordinating its Birth-to-Three system and each LLA has an Interagency Coordinating Council.

In King County, the LLA is the King County Developmental Disabilities Division (KCDDD) and the advisory board for Birth-to-Three services is the KCICC. The KCICC is a standing committee of the King County Board for Developmental Disabilities. The KCICC advises and assists KCDDD with planning and coordinating services at the community level.

The KCICC has up to 25 voting members and invites all community members to participate in any of the meetings. Voting members include families, Birth-to-Three Providers, and community representatives (early learning and public education, health and mental health, private Birth-to-Three Providers, higher education, government and community based infant, toddler, or family programs.) We currently have a few openings and always encouraging parents and other family members to apply!

For more information about KCICC and becoming a member, please contact Wendy Harris, Prenatal to Five Workforce Development Lead.

Contact Us

Phone: 206-263-9105

TTY Relay Service: 711

Fax: 206-205-1632