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.
Is occupational therapy right for your child?
Every child develops at their own pace, but sometimes they may benefit from extra support to build the skills needed for everyday activities. Pediatric occupational therapy helps children develop the physical, sensory, cognitive, emotional, and self-care skills required to participate successfully at home, at school, and in the community.
At Little Builders Pediatric Therapy, we provide individualized, play-based therapy that focuses on each child's unique strengths and needs. Our goal is to help children become more independent, confident, and successful in their daily routines while working closely with families to create meaningful and achievable goals.
Is your child ready for an occupational therapy consultation?
Your child may benefit from an occupational therapy assessment if they experience challenges in one or more of the following areas:
- Fine motor skills (using scissors, colouring, drawing, handwriting, manipulating small objects)
- Handwriting, printing, or school readiness skills
- Sensory processing (being overly sensitive or under-responsive to sounds, textures, movement, or touch)
- Self-care skills such as dressing, feeding, toileting, brushing teeth, or grooming
- Emotional regulation and coping with frustration or transitions
- Attention, focus, and participation during daily activities
- Motor planning and coordination (learning new movements, navigating playground equipment, sports, or riding a bicycle)
- Balance, strength, posture, and overall gross motor development
- Visual-motor and visual-perceptual skills needed for reading, writing, puzzles, and classroom tasks
- Play skills, social participation, and engagement with peers
- Difficulties with daily routines at home, daycare, or school
You may also wish to seek an occupational therapy consultation if your child has a developmental diagnosis or medical condition, or if you simply have concerns about their development. Early identification and intervention can provide valuable strategies and support to help children reach their full potential.
Regulation before expectation.
The most meaningful learning often begins where children feel safest. For many children, that's at 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.
Meet Tatyana
I believe children learn best through play, connection, and meaningful relationships. Every child is unique, and I strive to create therapy experiences that are engaging, motivating, and tailored to each child's strengths, interests, and goals.
I earned a Bachelor of Applied Science in Psychology and a Certificate in Research Skills and Analysis from the University of Guelph-Humber before completing my Master of Science in Occupational Therapy at the University of Toronto.
My passion for pediatric occupational therapy was strengthened through an international placement focused on developing culturally responsive, play-based therapy programs for children, families, and communities in Mumbai. This experience reinforced the importance of family-centred, individualized care and the value of adapting therapy to each child's unique environment and cultural context.
Since then, I've gained years of pediatric experience supporting children with sensory and emotional regulation, fine and gross motor development, feeding with sensory considerations, activity tolerance, and participation in everyday routines across both in-home and clinic-based settings. These experiences have shown me that every child engages differently with therapy, and that for some children, meaningful progress begins when they're supported in the familiarity and comfort of their own environment. Working across both settings has strengthened my ability to adapt each session to the individual child rather than relying on a one-size-fits-all approach.
Whether we're building fine motor skills at the kitchen table, supporting emotional regulation during daily routines, practicing playground skills outdoors, or strengthening participation through play with siblings and caregivers, I believe the most meaningful therapy happens when it reflects the child's everyday life. By working within a child's everyday environment, I'm able to support meaningful skills in the environments where they're used most, including daily routines, play, family interactions, and community participation.
Tatyana Ferguson OT Reg. (Ont.)
Founder & Pediatric Occupational Therapist
Registered Occupational Therapist (COTO)
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
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.
How it works, from first call to first session.
Free 15-minute intake call
We talk to learn more about your child and determine if they're a good fit for an occupational therapy assessment.
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.
Counselling and recommendations
Once the assessment is complete, we go over the findings, answer your questions, and develop goals together.
Therapy treatment
Sessions take place in your home, built around the specific goals we've created together.
Progress check-ins
Ongoing collaboration — in person or by phone — to monitor feedback and progress, and keep shaping goals as needed.
Let's talk about your child.
Ready to get started? Pick a time that works for you and book your free 15-minute intake call right below — no back-and-forth needed. Prefer to talk it through first? Reach out using the details below, or send a message.
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