This report analyzes and grades the key domains of children's well-being. Data from 2003-2007 California Health Interview Surveys are used in this report.

Findings: This year's grades range from Ds for K-12, Oral Health and Integrated Services to the only B achieved, a B+ for Afterschool, giving the state an overall grade point average of C- (or 1.69). Authors detail the top ten high-priority, high-impact actions California's policymakers should take to reverse the declining status of children, including a comprehensive preschool- to-12th-grade education reform and revenue package, coordinating and streamlining the delivery of children's services, effectively implementing federal health care reform, and reducing childhood obesity rates, among others.