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We are so glad you found us. Here you will find information about our program, activities for infants and toddlers, developmental information and so much more. 

We are located on the Hidden Hills Elementary Campus in San Ramon. Our office number is: 925-479-3848. Give us a call--we are happy to answer your questions and guide you toward the next steps.

SITES (San Ramon Infant Toddler Early Start) is a family centered program in which a professional team provides specialized services for your child and family. SITES is a app Unified School District program, funded with State and Federal funds. There is no cost to the family. We are located on the Hidden Hills Elementary Campus in San Ramon.
What is Early Intervention?
Early Intervention Services help infants and toddlers (with special health and developmental needs) to learn and grow. Medical research, along with the experiences of families, teachers and developmental specialists, indicates that family centered intervention during a child's first three years makes a significant difference in outcomes for the child and family. Early intervention services are planned and delivered through a partnership between families and professionals. Services are coordinated to meet the developmental needs of the child within the context of the family.
What services are available?
Eligible children and their families may receive a variety of services depending on the child's needs, the family's priorities, concerns and resources. Services may include:
--Assessment --Service Coordination
--Specialized Instruction --Hearing Services
--Occupational Therapy --Physical Therapy
--Speech Therapy and Language Services --Vision services
--Applied Behavior Analysis --Assistive technology
--Feeding Strategies --Family Support
--Family training and education to support child development
--Assistance accessing community resources
Who Can Receive Services?
Infants and toddlers from birth to 36 months of age may be eligible for early intervention services if the child:
--is at risk for developmental delay
--has a special vision, hearing or motor need (or a combination of the above)
--the family resides in one of the following school districts:
How Are Services Delivered?
All services include family participation and may involve:
--individualized specialized instruction and support in the home or at the infant-toddler playroom
--small group, specialized instruction with 2-4 children
--staff consultation
--parent training and support
How Do I Get Started?

How Do I Get Started?

If you have questions or concerns about your child's development, you may refer your child directly to SITES. We can be reached at 925-479-3848. 
All new app enrolling to be assessed or to participate in our special education infant & preschool programs must first complete the online enrollment process. Once the online enrollment process is completed you will receive an automatic email from SRVUSD with a six (6) digit confirmation number. Please contact Tamara Weatherton at tweatherton@srvusd.netand provide your confirmation number. 
Note:  (Please use Firefox or Chrome browser, please do not use Internet Explorer browser or smartphones.)  The online application cannot be completed via a smartphone. 
To help you locate your student's home school please use the 
Your enrollment is not complete until a Special Education Department staff member has reviewed your application and confirmed completion. All documents, aside from the New Parent Questionnaire, are uploaded into your online enrollment application. Your enrollment package consists of the following documents: 
  • Any form(s) you may have completed during the enrollment process
Incomplete enrollment packages will delay the assessment process.
Pre-recorded Circle Time

Pre-recorded Circle Time

Here is a sampling of some short circle times that you may want to try at home with your child. They are based on the interactive circle times we do when we are in class. Ideally, you will sit beside your child and "do" circle time with them. We use everyday household items as props and you may want to have these items on hand for both you and your child. Alternatively, you may want to use these circle times as a way to spark your own imagination so you can run a circle time at home on your own without the video. 
Props you may want to have handy for Circle Time #1: homemade shakers (any small reusable containers with rice or beans inside), a paper towel tube, and a kitchen towel or medium size piece of fabric.

Props you may want to have handy for Circle Time #2: a stuffed animal or doll (OR you can hold hand with your child during the song), a small strip of fabric or a piece of kleenex, and a roll of tape. 

Props for Circle Time #3: optional a small cow, pig, and a duck.

Props for Circle Time #4: Paper plate with a hole cut out, bubbles (optional).

Sensorimotor Development

Sensorimotor Development

Sensory Processing refers to the way a person’s nervous system receives sensory messages and turns them into responses. These senses include sight (vision), sound (auditory), touch (tactile), taste (gustatory), body position (proprioception), and movement (vestibular). Most people receive and organize these messages effortlessly into adaptive physiological and behavioral responses. Kids with sensory processing issues aren’t trying to be difficult. But imagine if everything you touch feels like a raw oyster, ordinary noises sound so loud they are painful, your clothes feel like sandpaper; smells that others don't notice make you gag; or you feel like you're falling when you move. Their brains have trouble filtering, organizing, and interpreting information taken in by the senses which can cause extreme reactions to sensations. Some kids with sensory processing difficulties underreact. They often have a need for movement. And they may seek out input like spicy or sour tastes and physical contact and pressure. They might keep their hand on a hot stove because they don’t register pain the way other kids do. For them, safety can be a big issue.
Keep in mind that kids aren’t always one or the other. Some kids may be sensory seeking in certain situations and sensory avoiding in others, depending on how that child is coping or self-regulating at the time. Sensory input is accumulative so what may not bother someone in the morning may set them over the edge in the evening. Sensory processing issues can significantly impact learning, communication, and social skills.
Depending on how children respond to sensory input, they may experience challenges with building effective communication skills. For example, if a child is hypersensitive to auditory sensory input, they may hear many different sounds more clearly than a child who is typically developing. This heightened sensitivity can make it extremely difficult for a child to focus on communicating, as they are also paying attention to many other sounds. If a child has decreased auditory sensitivity, they may have difficulty distinguishing between different speech sounds. From an oral-motor perspective, children who have tactile defensiveness may have challenges eating solid foods due to their texture. If a child is not chewing food, they are missing opportunities to develop oral-motor function and muscles. This lack of strength can make it difficult for children to produce speech sounds.
If kids are uncomfortable touching things, they may be reluctant to play with and manipulate objects. This can delay the development of fine motor skills.
Gross motor skills can be impacted by difficulties processing information from our vestibular and proprioceptive systems. The vestibular system includes the parts of the inner ear and brain that help control balance, eye movement, and spatial orientation. It helps keep you stable and upright. Children with vestibular issues may not know where their body is in space. This can make them feel off balance and out of control. Our proprioceptive system uses the receptors in our muscles that tell us where our body parts are. For example, if you raise your hand, you know that your arm is over your head. You don’t have to think about it or look in a mirror. But kids with poor proprioception may think their arm is over their head when it’s really straight out in front of them. Kids who have trouble with proprioception or the vestibular sense could struggle with motor skills in a number of ways.
They may seem awkward and clumsy. An activity like running or even going up and down stairs may be hard for kids who have difficulty knowing how their body is oriented and whether it’s stable. They may move slowly or avoid activities that are too challenging
Sensory-related difficulties can make it tough to gauge movements for all kinds of tasks. Kids with sensory processing issues may break a cheap toy because they’re pushing too hard, rip a page when they just meant to turn it, or give over enthusiastic hugs.
They may not like physical activities that other kids find fun. For example, they may not feel safe on the swings because they’re not getting the sensory input that tells them they’re securely seated. As the swing moves, they may have difficulty understanding how to shift their weight to balance.
They may be in constant motion, bump into things or seem out of control. When kids don’t get enough feedback from the sensory system, they may exaggerate their movements to get the information they need from the environment. When they walk down a hallway, they may knock into the wall to feel more anchored. They may kick their legs under the table for the same reason. They may love physical activity like doing flips off the sofa or just jumping up and down.
Teachers and therapists often refer to proprioceptive activities as “Heavy Work”. These activities can be beneficial to help kids self regulate, pay attention, and remain calm in a variety of situations. Heavy work is good for kiddos who are sensory seekers as well as kiddos who are under responsive.
Ling Sounds

Ling Sounds

The Ling Six Sound Test (Ling 1976, 1989) can be used by anyone –audiologists, speech language pathologists, teachers, and parents. The test can be used with hearing aids, cochlear implants, or no amplification at all and provides a quick and accurate assessment of a child’s ability to hear across the frequencies essential for spoken language development for people with hearing loss.
The concept behind Daniel Ling’s Six Sound Test was to select familiar speech sounds that would broadly represent the speech spectrum from 250-8000 Hz. This spectral range is the same range tested by conventional audiometry. Ling used isolated phonemes to target low, middle, and high frequency sounds.
The phonemes for the Ling Six Sound Test are [m], [ah], [oo], [ee], [sh], and [s]. There are many ways to use this test to assess a child’s access to the sounds vital for development of spoken language skills.
Amelia practicing the Ling Sounds
How to Practice Daily Listening Checks with Ling Six Sounds

How to Practice Daily Listening Checks with Ling Six Sounds

You might’ve read articles about it, heard your early interventionist explain it, or seen a video example showing it, but what exactly is a listening check and why is it important? Read below to learn about listening checks and how you can practice them with your baby with hearing loss!