Producing word-initial /s/-stop clusters can be a challenge for English-speaking pre-schoolers. For children with hearing loss (HL), fricatives can be also difficult to perceive, raising questions about their production and representation of /s/-stop clusters. The goal of this study was therefore to determine if pre-schoolers with HL can produce and represent the /s/ in word-initial /s/-stop clusters, and to compare this to their normal hearing (NH) peers. Based on both acoustic and perceptual analysis, we found that children with HL had little /s/-omission, suggesting that their phonological representation of these clusters closely aligns with that of their NH peers.