Welcome to Little Hands Big Steps Therapy!
Helping little hands take big steps through joyful occupational therapy.
serving children and families across Los Angeles
At Little Hands Big Steps, we’re proud to serve children and families across Los Angeles, helping them reach their full potential through compassionate, high-quality, and individualized care. Every child has unique strengths and needs, and our approach is personalized to support meaningful growth and age-appropriate milestones.

Occupational Therapy Evaluations
A 60-minute occupational therapy evaluation includes standardized tests, parent reporting and observations to gain a detailed understanding of your child’s strengths and needs. Following the assessment, a written report is provided, outlining findings (standardized scores, scaled scores, age equivalence, and descriptive terms) and recommendations to guide personalized treatment plans.
Feeding Therapy
A 60 minute feeding evaluation includes observations of a mealtime or breast/bottle feed, oral motor exercises and stimulation, and parent reporting. Following the assessment, a written report is provided outlining findings and recommendations to guide ongoing treatment plans.


Early Intervention Services
Through Westside Regional Center, we offer early intervention supports to children and their families. These services are designed to enhance developmental skills during crucial early years. Our approach fosters collaboration with families to achieve optimal outcomes.
In-Home Therapy
Personalized sessions in the comfort of your home. Tailored plans to fit your family’s schedule and needs.
School-Based Support
Comprehensive therapy services integrated into your child’s school day. Collaborating with teachers for optimal learning.
Community Settings
Engaging therapy experiences within the community. Promoting social skills and adaptability in real-world environments.
What Families Are Saying
– Leigh
“Working with Erin was one of the best decisions we ever made for our daughter. From the time she was 12 months old, eating was a daily struggle. She refused almost everything, and mealtimes were filled with stress and worry. I often felt discouraged and unsure of what to do next. Erin stepped in with a rare combination of kindness, patience, and deep expertise. She met us exactly where we were, never judged, and always offered gentle, thoughtful guidance. She went above and beyond by not only supporting my daughter, she supported me as a parent too, giving me the confidence to keep going even when I felt like giving up.”
– Kai
“What stood out most was Erin’s persistence and faith that progress was possible. She never gave up on my daughter, and she taught me not to either. Slowly but surely, my daughter began to trust food, explore new tastes, and eventually enjoy full meals. Today, she’s excited to eat, and watching her sit down to eat a full meal is something I once thought I’d never see. I am endlessly grateful for Erin’s support during such a challenging time. She changed our family’s life, and I am forever grateful!”
– Caitlin
Our Mission
We provide individualized therapy services that empower children to learn, grow, and thrive in a way that is both fun and meaningful. Through a play-based, child-led, and strengths-based approach, we create a warm and supportive environment where every child feels valued, confident, and capable. Schedule a free consultation to see if OT would benefit your child!
