Healthy Smiles operates under the auspices of the Children and Families Commission of Orange County (CFCOC) that provides support for programs and organizations so that all children are healthy and ready to learn when they enter school. Healthy Smiles’ mission is to improve the oral health of children in Orange County through collaborations directed at prevention, education, treatment, and advocacy. In order to document the outcomes of the Healthy Smiles program, ETI has been conducting an evaluation on the Healthy Smiles program measuring the following outcomes: 1) Outreach screening, referral and retention; 2.) The clinical experience and effectiveness; 3). Changes in behavior. Research questions address outreach, screening, referral, retention, clinical effectiveness, parent education and satisfaction.