Detecting possible delays in development during a child’s early years is a critical part of ensuring every child gets off to the best possible start. About 1 in 10 Pennsylvania children may experience a delay in one or more aspects of development, but Pennsylvania lacks a comprehensive way of monitoring how many children receive developmental screenings that could help detect these delays. Pennsylvania can do more to promote the use of developmental screenings, educate families about their importance and ensure children with possible delays in development receive appropriate follow-up assessments, care and interventions.