Ecological systems theory argues that multiple nested systems impact child development. This study used a moderated mediation pathway to examine whether presence of a grocery store, number of fast-food restaurants, outdoor play space, and outdoor play safety affected children’s blood pressure and BMI through variation in healthy family habits. Maternal perceived neighborhood social and cultural cohesion was examined as a moderator of the mediated effect. Data was collected from 214 mother–child dyads via biological measurement, maternal-report surveys, and geocoding of children’s neighborhoods using Google Earth. Zero-order correlations showed that higher number of fast-food restaurants in a child’s neighborhood was correlated with less engagement in healthy family habits and lower child BMI z-score. In all models, higher neighborhood social and cultural cohesion was associated with more engagement in healthy family habits. No statistically significant mediated effects or moderation of the mediated effects were found. Future directions may aim to identify which objective neighborhood environment indicators influence child health and what are potential variables mediating the relation.