This program evaluation assessed the implementation of Project PEAS toward improving health care and related outcomes for students and their families at Fonwood, Laurenzo, and Mistral early childhood centers. Among the 1,170 students enrolled at targeted schools during the 2018-2019 academic year, 356 were provided health-related services, such as immunizations and well child exams by physicians at Texas Children's Hospital (TCH). Moreover, 473 students were screened for Type 2 Diabetes. Health and medical screenings were conducted for 346 students through the TCH mobile unit. Students who visited the mobile unit were distributed a book to support reading readiness. Preventative dental care, including sealants, was provided to 415 children, while 1,234 children received oral health education. Parents in the targeted schools were surveyed to determine the program's ability to empower them to improve their child's healthy development. More than 80.0% of parents were in agreement that the program helped them access better services for their families. More specifically, parents strongly agreed that the program has helped them get education (52.5%), health (49.7%), and social services (46.7%) for their children. A paired samples analysis of the program's impact on reducing overweight/obesity revealed an increase in the percentage of normal and healthy weight children (55.2% to 72.4%) and a decrease in the percentage of overweight/obese children (37.9% to 27.6%) from baseline (2015-2016) to 1-year after program implementation (2016-2017). Gains in academic readiness were achieved for Project PEAS students on English and Spanish language CIRCLE assessments relative to Alliteration, Rapid Letter Naming, and Rapid Vocabulary subtests. Students at each school also achieved gains on the Spanish language Letter Sounds subtest. Continued efforts to expose young children and their families to health care and related services may improve access and boost achievement at early stages of child development.