In-home pediatric occupational therapy · Vaughan, ON

Therapy that meets your child right where they are — at home.

Play-based, child-led, neuro-affirming occupational therapy delivered in your own home — wherever growth naturally happens.

Little Builders PEDIATRIC THERAPY
Understanding OT

What is occupational therapy, and is it right for your child?

Occupational therapy helps children build the everyday skills they need to play, eat, dress, learn, and connect with the people around them. When something gets in the way of those everyday moments — big emotions, sensory overwhelm, tricky mealtimes, or motor skills that feel harder than they should — OT helps figure out why, and builds a plan to support it.

In-home pediatric OT tends to be a good fit if your child is working on regulation, motor skills, feeding, daily routines, or school readiness — especially if a clinic setting feels overwhelming, unfamiliar, or hard to transition into. If you're not sure whether this is the right kind of support for your child, that's exactly what the free intake call is for.

Our philosophy

Regulation before expectation.

A child who feels safe and regulated in their body is a child who can learn, connect, and grow — and that sense of safety is often easiest to build in the place your child already knows best: their own home.

Real coaching, in real life

Sessions happen in the exact spaces your child lives in, so strategies are built to work there.

You're part of every session

Parents are coached directly and immersed in the process throughout.

A gentle path in

In-home support is often the right starting point for children who aren't ready for a clinic setting, or who find transitions hard.

A toolkit built for your child

Together we find the specific strategies and equipment that support your child in meeting their goals.

About your therapist

Hi, I'm Tatyana.

I'm a pediatric occupational therapist supporting children of all exceptionalities. I use a play-based, child-led approach — motivation, engagement, and relationships come first, and real learning follows from there.

Tatyana is a Registered Occupational Therapist with the College of Occupational Therapists of Ontario. She holds a Bachelor of Applied Science in Psychology and a Certificate in Research Skills and Analysis from the University of Guelph-Humber, and a Master of Science in Occupational Therapy from the University of Toronto.

Her international pediatric placement at one of Mumbai's largest pediatric centers allowed her to design culturally relevant, play-based interventions supporting children with exceptionalities in home, school, and community settings. Since then, Tatyana has worked extensively with pediatric populations, building expertise in sensory and emotional regulation, fine and gross motor development, feeding with sensory considerations, and activity tolerance. She has also completed preceptor training and enjoys mentoring students and new graduates.

T

Tatyana

Founder & Pediatric Occupational Therapist

Registered Occupational Therapist (COTO)

Areas of support

Whole-child support, built around what your family needs.

Feeding

Building comfortable, confident mealtimes at your own table.

Examples: mealtime routines, picky eating, oral-motor skills

Sensory regulation

Finding what helps your child feel calm, alert, and ready to engage.

Examples: calming strategies, transitions between environments or activities

Emotional regulation

Coaching co-regulation strategies that work in real emotional moments.

Examples: co-regulation, coping strategies, meltdown support

Fine motor skills

Developing the hand skills required for prewriting skills and functional fine motor tasks related to dressing.

Examples: handwriting, scissors, prewriting skills, getting ready for school

Gross motor skills

Building strength, balance, and coordination through play.

Examples: balance, coordination, playground skills

Social skills

Growing connection and communication at a pace that fits your child.

Examples: turn-taking, communication, peer play

Executive functioning

Supporting planning, flexibility, and follow-through day to day.

Examples: planning, organization, following routines

Activities of daily living

Building independence in everyday self-care routines.

Examples: dressing, grooming, toileting

School readiness

Preparing for school, one routine at a time.

For a lot of families, an important part of therapy is building the everyday routines and foundational skills that make the transition into school feel manageable.

Morning routines

Building the sequencing and independence behind getting dressed, packing a backpack, and starting the day with confidence.

Classroom readiness

Practicing the fine motor and attention skills behind sitting, handwriting, and following classroom routines.

Managing transitions

Building tolerance and coping strategies for the transitions that come with a new school routine.

Self-regulation at school

Finding strategies your child can use to stay regulated in a less familiar environment.

Getting started

How it works, from first call to first session.

1

Free 15-minute intake call

We talk to learn more about your child and determine if they're a good fit for an OT assessment.

2

Assessment

A primarily observational, play-based visit that uses formal and informal methods to identify your child's current areas of need and potential goals moving forward.

3

Counselling and recommendations

Once the assessment is complete, we go over the findings, answer your questions, and develop goals together.

4

Therapy treatment

Sessions take place in your home, built around the specific goals we've created together.

5

Progress check-ins

Ongoing collaboration — in person or by phone — to monitor feedback and progress, and keep shaping goals as needed.

Get in touch

Let's talk about your child.

Start with a free 15-minute intake call — no pressure, just a conversation about what your family needs. Send a request and I'll personally follow up within one business day to find a time.

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Service areaIn-home visits across Vaughan, ON and surrounding areas
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Phone647-248-8698
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Emailtatyana@littlebuilderspediatrictherapy.com

This opens your email so your request comes straight to Tatyana.