In Fiscal Year 2015-16, the California Children and Families Act has appropriated an average of $440 per child from the state tobacco tax revenue to support early development of children ages 0-5. Based on the proportion of live births in each county, First 5 Kern administered over $10 million of the state funding to support 41 programs in Child Health, Family Functioning, and Child Development across Kern County. Due to reduction of tobacco consumption, this report is grounded on a model of result-based accountability to document outcomes of the local service delivery with less per-capital funding from the state. In the third largest county in California by land area, service providers have to spend more money on program outreach to address the need of nearly 900,000 residents across a region as large as the state of New Jersey. To justify the local spending and sustain the service improvement, a five-chapter structure has been incorporated in this report to evaluate the funding impact on child well-being this year: Chapter 1 highlights features of First 5 Kern support at the Commission level; Chapter 2 provides program-specific findings that impact children ages 0-5 and their families; Chapter 3 describes results of partnership collaboration to strengthen the system building for service integration; Chapter 4 includes longitudinal results from the Core Data Elements (CDE) survey and Family Stability Rubric (FSR) to describe sustainable accomplishments through the ongoing service improvements. This report ends with Chapter 5: Conclusions and Future Directions to review past recommendations and introduce new recommendations for next year. Altogether, qualitative and quantitative data were employed to address three key questions: (1) How much has been done in local child support; (2) How well did the programs perform this year? (3) Are any children and families better off? The report includes two appendices: (1) Index of Program Acronyms; and (2) Composition of Technical Advisory Committee.