It has 25 members, including two youth, appointed by Snohomish County Council to serve as advisers on issues of health, safety, and welfare of children.
Research and development work is conducted through forums, public hearings and a strong committee structure.
Members are appointed to a four-year term and represent a diversity of backgrounds, including health and human services, law and justice, education, business and labor, children and youth, parents, minorities and concerned citizens.
[1] The Commission addresses concerns around access to adequate health care, children's participation in their community, education, safety and stability in home life, protection from abuse, commercial sexual exploitation of children, bullying, alcohol and other drugs, adequate nutrition, exercise, resourcing of public services, positive youth development, street gangs, mental health issues, juvenile crime and the best interests principle in decision making.
Shortly after its formation, the Commission came to national media attention when it was called upon to investigate the killing of an infant by his father.