Meet the New ChildNet Board Members




Dr. Carmela Sosa was born and raised in Fresno, California. She completed her undergraduate studies at the University of California, San Diego, where she earned a Bachelor of Arts in Sociology. Following post- baccalaureate pre-medical coursework at California State University, Fresno, she went on to earn her medical degree from Case Western Reserve University School of Medicine. Drawn specifically to the underserved, medically complex pediatric population, Dr. Sosa completed her pediatric residency with MetroHealth Medical Center in Cleveland, where she also served as a fourth year chief resident and worked with the Comprehensive Care team.

Dr. Sosa has practiced pediatrics in both the urban and rural health settings – always focused on children with special health care needs and pediatric mental health. She joined Valley Children’s Charlie Mitchell Children’s Center in April 2012 to provide complex primary care to children of the Valley. Her roles expanded in 2016 to include Associate Program Director of the Valley Children’s Pediatric Residency Program, and again in 2019 to Medical Director of Valley Children’s Primary Care.

Dr. Sosa has completed primary care psychiatry training with the University of California Irvine/University of California Davis, and is an accredited trainer in the American Association of Suicidology’s Recognizing and Responding to Suicide Risk in Primary Care. She is a member of several professional societies including the American Academy of Pediatrics and serves as an active member of the AAP California Chapter 1 Mental Health Access Subcommittee. Her passion for teaching and practicing patient and family-centered care has earned her several Valley Children’s recognition awards, including the Parent’s Choice Award (2016), Teacher of the Year (2017) and the Dowain Wright Patient Experience Award (2018).

In her spare time, Dr. Sosa enjoys learning anything new, exercise and spending time with her husband and four children.






Board certified in diagnostic radiology by the American Board of Radiology, Dr. Brian Pugmire joined Valley Children’s in July 2016 as a diagnostic radiologist. His areas of special clinical interest include musculoskeletal imaging, gastrointestinal/abdominal imaging, and magnetic resonance imaging (MRI).

Dr. Pugmire has presented his work nationally. He has published in respected peer-reviewed publications such as “Pediatric Radiology, “American Journal of Roentgenology” and “RadioGraphics.”

He is a member of several professional organizations, including the Society of Pediatric Radiology, American College of Radiology, American Medical Association, American Roentgen Ray Society, and Radiological Society of North America.

Recently completing his postgraduate medical education and training, Dr. Pugmire received his medical degree at University of California, San Diego School of Medicine. He completed a transitional year internship at Scripps Mercy Hospital, San Diego, California. He did his residency in diagnostic radiology, including a focused year in musculoskeletal imaging and intervention, at Massachusetts General Hospital (a Harvard Medical School affiliated teaching hospital) in Boston, Massachusetts, where he also served as a chief resident. Dr. Pugmire then completed a fellowship in pediatric radiology at Cincinnati Children’s Hospital Medical Center in Cincinnati, Ohio.

In his free time, he enjoys spending time with his wife and four children, playing the piano and listening to music, playing and watching sports, and reading.


Aces Aware Initiative

ACEs Aware Foundation Overview


Provider Training Plan

ChildNet Celebrates 25 Years!

A Discussion on Teen Depression and Suicide Prevention

Please Join Us for this Community Forum

A Discussion on Teen Depression
and Suicide Prevention

Saturday, February 11th, 2017
9:00 AM -1:00 PM

Garden Level Conference Room – G150A

Valley Children’s Hospital
9300 Valley Children’s Place
Madera, CA 93636-8762

To register for this no-cost community forum:
Email name, contact information, and number of attending to:
or call: 559 353 6204

ChildNet Website Survey

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Fresno State Autism Center

Expanding Services for Children with Autism

For more than 60 years, Valley Children’s has consistently adapted to the growing needs of our community, making the health and wellbeing of our children the top priority.
On July 17, Valley Children’s and Fresno State officially recognized the opening of the new Fresno State Autism Center on Valley Children’s campus with a ribbon-cutting ceremony. This new partnership between California State University, Fresno and Valley Children’s Hospital addresses the rising need of services for children with autism spectrum disorder (ASD). ASD is the fastest growing developmental disability in the nation – and this partnership exemplifies the university and hospital’s enduring commitment to improve the quality of life for all children.

The Fresno State Autism Center @ Valley Children's Hospital is an early intervention center that provides principle-based behavior intervention for children 18 months to 6 years of age with or at risk of a diagnosis of autism or a related disability. Their research based procedures target the development of repertoires that are necessary for children to learn on their own, without the need for direct instruction of each new skill. Their instructional programs focus on expanding children’s language capabilities, enabling them to learn incidentally through observation of the environment. Their purpose is to provide children with optimal support to improve their access and quality of life in inclusive settings.

To best meet the needs of the child and the family, the Autism Center provides a blended model, combining both center and home based interventions. Creating a positive and fun environment, rich with language and opportunities for peer engagement is critical when addressing communication and social delays. While most goals can be addressed at the center, certain domains, especially self-help, are best met in the home. As such, the center staff will work closely with parents providing support and home visits as needed. To achieve optimal outcomes it takes a family, and the Autism Center staff look to support the development of each client through directly working with them and their parents.

The Fresno State Autism Center @ Valley Children's Hospital employs a team of professionals, trained in the use of Applied Behavior Analysis for children with autism. Their employees come from a variety of educational backgrounds with most studying applied behavior analysis, early childhood education, or speech & communicative disorders. Each client is directly supervised by a Board Certified Behavior Analyst, with progress and outcomes monitored daily.

The Autism Center accepts clients between the ages of 18 months and 4 years of age, with most client’s services ending by the age of 6.  The Autism Center is an in-network provider for the following insurance companies;  Aetna, Health Net (ASG) - Beacon Health, Blue Cross Managed Care, CalViva, Cigna, Magellan – Anthem Blue Shield, Optum & Value Options. If not currently contracted with the client’s insurance provider, single case agreements can be made if out of network services are available. Referrals can be made to the Autism by calling 559-278-6779, or faxing a referral form to 55-278-0015 (The form can be found at In most cases, assessment and services commence by the start of the following month.

The Autism Center is part of a continuum of care provided to those with ASD through the Behavioral Sciences Institute. The institute currently has four programs, the Autism Center, Behavior Intervention Services, Social Connections and Positive Parenting. Each of these programs meets a need in the community, by providing services throughout the lifespan for those with ASD. For more information please call, 559-278-6779.

ICD-10 Resource

ACA Update for CHDP Providers

 If you are a CHDP Provider, please CLICK HERE for an important update from the state Department of Health Care Services regarding an extension of the deadline for CHDP group providers to attest and submit UCR charges to receive the ACA payment increase.

ACA Primary Care Physician Rate Increase FAQs now available

Here's the FAQs - "ACA Primary Care Physician Rate Increase FAQs" recently posted on the Medi-Cal website.

ICD-10 Resources

ICD-10 Resources & Training Resources