The First 5 Sierra County Children and Families Commission (herein referred to as First 5 Sierra) was formed following the passage of California Proposition 10 (Prop 10). The Prop 10 initiative added taxes on cigarette and other tobacco products to fund early childhood health, development and education programs, family supports, and systems change efforts designed to improve services for young children and their families.

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First 5 Sierra operates under the policy direction of the First 5 Sierra Children and Families Commission.  It has an annual budget of approximately $300,000 made up of Prop 10 funds.  As a small county, First 5 Sierra is dependent on Small Population County Augmentation Funds (SPCFA) provided by First 5 California. Funds are used to provide services and make system improvements that support young children and families. The aim is to invest effectively in a network of prevention and early intervention supports for families with young children.