This report delineates evaluation findings from 43 programs that received over $8 million of state investment through Proposition 10 to support early childhood services in Kern County, California during Fiscal Year 2018-2019. To address results-based accountability of the state investment from a 50 cent-per-pack tax on cigarette and other tobacco products, this report incorporates qualitative analyses of in-depth success stories and statistical reports of quantitative data from extensive assessments of program effectiveness and service integration. A five-chapter structure is adopted to support dissemination of the multilevel findings: Chapter 1 highlights features of the impact of grant administration at the Commission level; Chapter 2 provides program-specific findings in Child Health, Family Functioning, and Child Development; Chapter 3 describes results of partnership collaboration to strengthen the system building for service integration; Chapter 4 includes longitudinal results from the Core Data Elements (CDE) survey and Family Stability Rubric (FSR) to summarize the ongoing service improvements. This report ends with Chapter 5: Conclusions and Future Directions to review past recommendations and introduce new recommendations for next year. Netdraw, Quanteda in R, SAS and SPSS packages are employed to support data visualization, text analytics, and statistical computing. The report includes two appendices, 31 figures, 78 tables, and 129 reference items. [For "First 5 Kern Annual Report: Fiscal Year 2017-2018," see ED593233.]