Early support for children birth to 3

Tiny steps. Mighty possibilities.

Tiny and Mighty supports young children and the people who love them through individualized, developmentally appropriate early intervention—built around everyday moments, meaningful goals, and each family’s own pace.

Supporting Fresno County families and CVRC Early Start partners

Mother sharing a playful moment with her toddler at home

One small moment

can open a new possibility.

There is no “right” way to begin.

Whether you have a question, a concern, or a referral in hand, you deserve a team that listens first. We meet families where life happens and make room for small wins to matter.

What are early intervention services?

Support that grows from everyday life.

01

We listen closely.

We start with what you notice, what your child enjoys, and what matters most to your family.

02

We plan together.

Your team builds practical, personal goals that feel possible in the routines you already have.

03

We practice in real moments.

Strategies fit into play, meals, getting ready, and the places your child knows best.

04

We celebrate progress.

Every new connection, skill, and confident moment helps open the next possibility.

Support between the visits, too.

Our Family Resource Hub will offer simple at-home ideas, practical guidance, and helpful tools families can use to support their child's development between visits.

Play with purpose

Tiny ideas to build connection into the play your child already loves.

Daily routines

Ways to turn meals, bath time, and getting dressed into confidence-building moments.

Father and toddler reading together at home

Celebrating every step.

Progress is more than checking off goals. We celebrate the small wins, growing skills, new connections and meaningful moments that happen along the way.

For referral partners

A clear, caring next step for children and their families.

CVRC service coordinators and other referral partners can expect responsive communication, a family-centered approach, and a straightforward referral and intake process.

Make a referral

A simple intake journey

1

Share referral details

Submit the child and family's referral information to help us begin the intake process.

2

We connect with care

We'll follow up with the family and introduce Tiny & Mighty, answer questions, and coordinate next steps.

3

Begin together

Services are individualized and held in the child's natural environment and centered around the child's goals, family priorities and everyday routines all play based and using the family service coaching model.

A few first questions

It’s okay to wonder where to start.

Who can receive early intervention services?

Tiny & Mighty provides early intervention services for eligible children from birth to age 3 and their families through CVRC Early Start.

How do we get started?

A parent, caregiver or referral partner can reach out. We'll begin with a simple conversation about your child, your family, and the support you're looking for.

What do visits look like?

Services are individualized and play based using the family service coaching model, designed about your child's goals, everyday routines, relationships, and the activities that are meaningful to your family.

See all FAQs
Family enjoying a warm outdoor moment together

Ready when you are

Take the next tiny step.

You don't have to have every answer before reaching out. Whether you have questions about your child's development or are ready to begin services, we're here to help you understand the next step.

Tiny and Mighty

Celebrating tiny steps and mighty possibilities

Providing family-centered early intervention services for children birth to age 3 through CVRC Early Start.

A thoughtful beginning

Individualized early intervention that helps small moments become meaningful possibilities.

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