The California Children and Families Act of 1998 led to creation of the Kern County Children and Families Commission (First 5 Kern) to support early childhood service programs in Kern County, the third largest county in California that spread a land area as large as the state of New Jersey. In Fiscal Year 2014-15, First 5 Kern administered more than $10 million to fund 39 programs in four focus areas, Child Health, Family Functioning, Child Development, and Systems of Care. The local investment came from a state trust fund established by a $0.50 per pack tax on cigarettes or equivalent tobacco products. Following a model of results-based accountability, multilevel evaluation findings are summarized in this report to assess the annual impact of the program funding and provide recommendations for service improvement. Five chapters are included in this report. Chapter 1 highlights features of First 5 Kern support; Chapter 2 provides program-specific findings that impact children ages 0-5 and their families; Chapter 3 describes results of partnership building to strengthen the capacity of service integration; Chapter 4 includes longitudinal results from the Core Data Elements (CDE) survey and Family Stability Rubric (FSR) to describe sustainable accomplishments through ongoing improvements. This report ends with Chapter 5: Conclusions and Future Directions to review past recommendations and introduce new recommendations for next year. Quantitative and qualitative approaches have been taken to describe service outcomes in different communities, including the city of Bakersfield that has surpassed St. Louis in population size. The report includes two appendices: (1) Index of Program Acronyms; and (2) Technical Advisory Committee served in FY 2014-15.