The San Diego RiteCare Childhood Language Center, located in Mission Valley, opened in 1981. Since opening, we have provided services to thousands of children in the San Diego area. Our services are provided by licensed, board-certified speech-language pathologists. Speech-language pathology evaluations and therapy are provided for a variety of communication disorders. Each child who is accepted into our program receives up to $7,000 in services and all treatment is offered to families free of charge.
- Complete diagnostic speech-language evaluations
- One-on-one or small group therapy sessions
- Session observation and home activities for parents
Disorders Evaluated and Treated
- Phonology – patterns of sound errors, the child may delete one sound from a consonant cluster (saying “poon” for “spoon” and “back” for “black” or substitute all sounds made in the back of the mouth for those in the front of the mouth (saying “tup” for “cup”)
- Stuttering – disruptions in the fluency of speech, the child may use repetitions of words, parts of words, or prolongations of sounds.
- Articulation – errors in the production of speech sounds, the child may substitute, delete, add, or change sounds (saying “wabbit” for “rabbit” or a lisp).
- Voice – unusual vocal quality, the child’s voice sounds harsh, hoarse, or breathy.
- Childhood Apraxia of Speech – motor speech disorder, the child knows what he/she wants to say, but his/her brain has difficulty coordinating the muscle movements needed, the child has problems saying sounds, syllables, and words.
- Expressive Language – difficulty using spoken language to express thoughts, the child may have trouble naming objects/pictures, putting words into sentences, having conversations, or using proper grammar.
- Receptive Language – difficulty understanding what is said, the child may have trouble following directions, understanding questions, or identifying objects/pictures.
Speech and Language Milestones*
The American Speech-Language-Hearing Association publishes guidelines for speech and language skills that the average child can achieve by the time he/she reaches a certain age. Every child is different. However, you can use these guidelines to determine if your child might benefit from a speech-language evaluation.
1 to 2 Years
- Knows a few parts of the body and can point to them when asked.
- Follows simple commands (“Roll the ball”) and understands simple questions (“Where’s your shoe?”)
- Listens to simple stories, songs, and rhymes.
- Points to pictures in a book when named.
- Acquires new words every month.
- Combines two words (“more juice”).
- Uses some one- or two-word questions (“Where’s daddy?”).
2 to 3 Years
- Understands differences in meaning (“go – stop”, “up – down”).
- Follows two step commands (“Get your cup and put it on the table”).
- Has a word for almost everything.
- Uses two- or three-word sentences (“Mommy go bye-bye”).
- Names objects to ask for them or to direct attention to them.
- Speech is understood by familiar listeners most of the time.
- Produces the speech sounds “h,” “w,” “m,” “n,” “p,” “b,” “t,” and “d”.
3 to 4 Years
- Understands simple “wh” questions (who, what, where, why).
- Hears you when you call from another room.
- Speaks easily without repeating syllables or words.
- Uses sentences with four or more words.
- Talks about activities outside of the home.
- Speech is understood most of the time by people outside of the family.
- Produces the speech sounds “f,” “k,” “g,” “l,” and “s”.
4 to 5 Years
- Pays attention to a short story and answers simple questions about it.
- Hears and understands most of what is said at home and in school.
- Uses sentences that give many details.
- Tells stories that stay on topic.
- Uses adult-like grammar.
- Communicates easily with other children and adults.
- Produces nearly all speech sounds, except “r” and “th”.
*Information from How Does Your Child Hear and Talk?, courtesy of the American Speech-Language-Hearing Association