Program Overview

The First 5 First Steps Home Visiting program provides home visiting services for pregnant women and families with children ages 0-3. First Steps promotes positive parenting and enhances child health and development for families who may face hardships and stressors that place them at increased risk for poor health and developmental outcomes. Our services are offered over the long term to prepare children to enter school as active learners, and ensure that all children are healthy, loved and nurtured.


The American Academy of Pediatrics, California Chapter 3 is the countywide coordinator for the First Steps program. AAP-CA3 is dedicated to achieving optimal health (physical, mental and social) for all children (infants, children and adolescents) in San Diego and Imperial Counties, and is dedicated to supporting its membership in achieving this vision. Visit the AAP-CA3 website here.


First 5 First Steps is funded by The First 5 Commission of San Diego. First 5 San Diego leads the San Diego community in promoting the vital importance of the first five years of life to the well-being of children, families and society. Its goal is to strengthen the relationships essential for the healthy development of young children. These relationships are embedded in health, learning, family, and community settings or environments. Visit their website here.

Who We Serve

  • Families who have stressors or vulnerabilities that warrant support AND are:
    • Low income families (below 200% Federal Poverty Level); OR
    • Pregnant and parenting teens (between ages 13-21); OR
    • Immigrant/refugee families; OR
    • Military families (active, guard, reserve veterans) – Child must be a dependent of a military member

The National Association of Counties (NACo) is pleased to grant San Diego County a 2015 Achievement Award for its program, First 5 First Steps. NACo is the only national organization that represents county governments in the United States and assists 3,069 counties in pursuing excellence in public service to produce healthy, vibrant, safe and resilient counties. Every year they give out a number of awards to Counties to recognize the creativity and imagination of programs to meet the needs of their communities.

Congratulations to everyone involved, who were able to help develop this innovative program!
Your hard work will yield positive results for San Diego County!