Developmental Disabilities

Adult Supported Employment Services Please contact Tangible Systems, Inc. for information regarding Supported Employment services. Tangible Systems, Inc. Walt Ronish

Skamania County Early Support for Infants & Toddlers (ESIT)

Birth to Age 3 Services Please contact Kim or Ronda for infomation regarding children ages 0-3 who may need services for a developmental disability.   

Kim Puckett

Ronda Peterson

What is early intervention? Early intervention in Washington State is a collection of services families may need for their infants or toddlers with disabilities. Early intervention during the first years of a child’s life can make a big difference in the future of that child. Early intervention may:

  • Help you find services you need for your child.
  • Help you understand your child’s developmental growth.
  • Help you support your child’s learning and development and successful participation in home and community activities.

Educational Service District 112 offers early intervention services to families with children, birth to age three, in Skamania County. Therapists and early childhood specialists team with families to provide young children with experiences and services designed to maximize each child’s development and to meet his/her potential.  Intervention takes place where the child lives, learns and plays and embraces the entire family. An evaluation process, involving the family, an education specialist and speech and motor therapists, determines the child’s eligibility for services and makes recommendations.  Family expectations and ideas are key to program development and implementation. Early Support for Infants & Toddlers (ESIT) is funded by each family’s school district, Skamania County and Washington State ESIT funds.  


Skamania County

Adult Employment Program for Persons with Developmental Disabilities

Assistive Technology

Wooden Shredder Feeder

Assistive technology and work accommodations are an important part of the Skamania County Adult Employment Program for persons with developmental disabilities. Every person has the right to realize their full potential and work in a paid position.

A client in our program has a long standing interest in shredding paper. He has limited mobility, is non-verbal and is in a wheelchair but loves the sound of the shredder and works hard to put paper in a shredder. His challenge was positioning the paper in the very narrow slot on the shredder.

The Stevenson High School Wood Shop had indicated in the past that they were willing to assist individuals by building devices for persons in the program, especially those who graduated from the High School as our client did a few years ago. Bill LaCombe, Wood Shop Instructor, and his class met with Walt Ronish, contract Program Manager at Tangible Systems, Inc. for Skamania County Community Health to discuss the possibilities of building a feeder for his shredder. The feeder became a project for the class and about 6 versions were built. The above picture is the final result of the shredder feeder and successfully helps our client feed paper into the shredder. Our client is ecstatic to be shredding again. A BIG thanks to Bill and his students for making it possible for our client to work again.

Contact Us


Rock Creek Hegewald Center
710 SW Rock Creek Dr Stevenson, WA  98648


7:30am - 5:30pm Monday  to Thursday
(509) 427-3850
(509) 427-0188
Mental Health and Public Health
24 Hour Crisis Line
(509) 427-3850


Food Establishment Application

Temporary Food Application

Temp Food (Exempt Status) Application

Annual Itinerant Food Application

Letter to Vendors

Plan Review Guide

Tasting Rooms Food Fees 2014