Social determinants of health (SDOH) have far-reaching impacts on health, well-being, quality of life, and are the root cause of child health inequity in the United States. The American Academy of Pediatrics recommends standardized screening to assess for social determinants of health at all patient encounters. The aim of this quality improvement (QI) project is to both increase the number of children being screened for SDOH and improve adherence to screening. This QI project took place in a non-profit pediatric primary care clinic that provides care for children two- weeks to 18 years of age. The Institute for Healthcare Improvement's Plan, Do, Study, Act (PDSA) tool was used to accelerate change in small scale cycles.