Even today, with all of the hearing technology and bilingual programs available, many Deaf children arrive at school with severe language delays. With a renewed focus on having Deaf children kindergarten-ready, assessment of language milestones becomes critical as seen in the campaign Child First and the legislation referred to as Language Equality & Acquisition for Deaf Kids (LEAD-K). Here, a strategy is proposed to ensure that Deaf children are kindergartenready. The focus is on a re-evaluation of the epistemologies of the social and individualized medical models of health, as well as Bronfenbrenner's bioecological systems approach, to assess all components that impact a Deaf child's ecology to permit maximizing their developmental potentials. K E Y W O R D S assessment, Bronfenbrenner, Deaf, social modelEven today, with all of the hearing technology and bilingual programs available, many Deaf 1 children arrive at school with severe language delays or even no language at all (Andrews, Hamilton, Dunn, & Clark, 2016). These issues have been the concern of many, but success in eliminating these delays has been limited and slow. Recently, there is a focus on the child as seen in the campaign called Child First (CEASD, n.d) which includes a statement of principles. These principles include: Language deprivation is disabling, research supports the need for full access to all interactions, one size does not fit all, and a focus on the Least Restrictive Environment clause in educational law. Placing the child first requires that professionals within the field of Deaf education focus on early and continuous assessment of Deaf infants and children to create an ecology (Hutchins, 2010) that maximizes a Deaf child's potential.