10 Ways to Support a Child’s Milestone Development at Home!

Support milestone development in natural environments at home

Every home is different, but here are some options for you to be able to swiftly encourage milestone development during your normal, everyday life. While they do have their benefits, child growth and development doesn’t require fancy play centers, playgroups, and activity centers. Here you will find easy ways to integrate child milestone development right into the daily family life at home. Here is information on child development to get you started.

Use these easy ways to support milestone development at home when getting out of the house is difficult.

If you just read the word “milestones” and still aren’t so sure what that means, you are not alone! You can also pop on over to The Child Mind Institute to learn more about what milestones are.


You don’t need a bunch of fancy equipment to help your child reach their milestones, even if they show signs of delay. I hope that this list of ideas will spark ideas of your own so that your family’s needs can be met in ways that work for you.

That is really what the natural environment is all about. Contrary to its name, it isn’t about green trees and blue skies or organic fruits and vegetables. The natural environment is wherever your child spends their time. Often, it is considered their home, but it could be the library, or the park, or grandma’s cabin. The point is that the natural environment is somewhere that is a recognizable, comfortable, and safe place for your child.

It just so happens that this magical place is where most of their development takes place, and that is why it is so important to use these spaces effectively for the naturally-occurring learning opportunities they provide!

These strategies to support milestone development can happen in the home.

How to Support Milestone development at home

For starters, I would like to kick off this list with a few overarching ideas to support development right in the day-to-day tasks of everyday life at home. There is so much development to be had by involving your child in things that are done in and around the home.


ONE: PUT THEM TO WORK
Playing and chores alike help your child reach their developmental milestones. In order to reach fine motor milestones and gross motor milestones, those little muscles need to be challenged!


TWO: INTEGRATE INTO YOUR LIFE
If you are doing laundry, your kiddo can help push laundry baskets to develop their gross motor muscles. If you are making pancakes, they can pop little chocolate chips in one by one to work on fine motor skills. Setting aside extra time for your baby’s milestones is not always necessary.


THREE: SHARE WITH YOUR BABY
In some ways, treating your infant or toddler to a friendly conversation is all that it takes to give them a little extra boost in communicative and cognitive development. Talk to your baby, share your interests, show them your work. This will strengthen their understanding of your spoken
language, and encourage them to use their mouths and faces for communication, too!

5 WAYS TO SUPPORT YOUR CHILD’S MILESTONES IN THE
NATURAL ENVIRONMENT

1. Support your child’s Development with family workouts

Family workouts are a great way to support milestone development and health and wellness of the whole family! Use at-home workouts to ensure that your baby gets in their tummy time (and more!) is to encourage your baby to work out with you. If you lift weights, your mischievous 18-month-old can lift his stuffed animals, books, wooden blocks, or whatever else may be around.

Or, maybe you are more of a yoga mom, and you and your toddler can work on balancing poses or squats like chair pose or goddess pose. You’ll feel great not only because you got in some exercise time – but also because you are helping your child become stronger!

2: Support developmental milestones in the kitchen

Use meal preparation times to your advantage! Cooking with kids in the kitchen offers powerful experiences for child growth and development. If you like to bake, offer your little one some dough to smash and squeeze between their fingers. Their blossoming fine motor skills, like handwriting, will thank you.

Baking is often rich in sensory experiences as well; the smells, the
textures, the tastes! Sensory-rich experiences like these are integral to the healthy development of the sensory system.

There’s more; cooking offers opportunities to develop direction-following and other cognitive development as well.

The next time your game-day guacamole needs smashing, you’ll know who to call.

3: Support motor skill development with chores

We know how much of your days are filled with laundry. It feels like it’s a never-ending cycle (no pun intended). Why not recruit some help? Your little one can help you out at their level. If they are able to distinguish between colors and reach, grab, and place objects, then they can
separate your whites from your colors. Maybe that is a bit too advanced: instead, they can take your sorted piles and throw them in the washing machine. When you’re done, have them push, pull, drag, carry – whatever they can manage – that laundry basket to its destination.


This strengthens so many skills. We’re talking fine motor, gross motor, cognitive, and sequencing skills. Plus, you can make something as dull as laundry day a bit more interesting.

4: Promote child development with day-to-day tasks

Supporting cognitive milestones can be done right in the home. Anytime you need to get some grown-up desk work done, your child can do their work, too! Offer them a pencil and paper – I am sure they would love it if they got to use something from your work bag – and let them get to it! Now they are kept busy so that you can have a few
moments to complete your schedule, email your colleagues, or document your tasks that week.

Allowing them the opportunity to use various writing utensils, instead of just one kind of chunky crayon, gives their little hands and fingers a challenge.

Strengthening their grasp will improve handwriting outcomes as well as things like dressing ability (hello, buttons and zippers!) and independent skills in achieving feeding developmental milestones. Not to mention the visual motor development that coloring can offer.

5. Support child development with downtime

Some days, all you can do is keep everyone alive. Maybe it’s putting on some Bee Gees and dancing to their classic hits because if you didn’t, mental breakdowns would ensue.

Dancing is great for growing bodies! Or maybe you just need time away inside of a good book, and your baby can cuddle your chest while you read. They can also peruse a book of their own while you take your escape. No matter their age or abilities, don’t overwhelm yourself, do what you need to do to keep your family safe and happy.

Looking for more? Click here to learn more about occupational therapy for babies!

For more ideas on milestone development and child development, head over here to get ideas for play based on your child’s age.

References

  1. Woods, J. (2008). Providing early intervention services in natural environments. The ASHA
    Leader, 13(4). https://doi.org/10.1044/leader.FTR2.13042008.14
  2. Butcher, K. & Pletcher, J. (2016, December). Cognitive development and sensory play. Michigan State University Extension. https://www.canr.msu.edu/news/cognitive_development_and_sensory_play
  3. The Center for Vision Development. (2020). Visual motor integration.
    https://www.thecenterforvision.com/visual-motor-integration/

Sydney Thorson, OTR/L, is a new occupational therapist working in school-based therapy. Her
background is in Human Development and Family Studies, and she is passionate about
providing individualized and meaningful treatment for each child and their family. Sydney is also
a children’s author and illustrator and is always working on new and exciting projects.

Baby Push Walker for Development

Radio Flyer Wooden Walker Wagon Toy

Today, I am very excited to share information on a baby push walker toy that can help with babies who are learning to walk. The Radio Flyer Walker Wagon is a push wagon that helps babies with sit to stand and that next step of taking steps with support. Not only that, but the classic walker wagon is a developmental toy that babies love to push around the home!

An important resource to read is our blog post on baby container syndrome. Push toys support movement and development for older babies but it’s important to understand the considerations with containers and positioners.

A Baby push walker toy is such a great toy for baby! This wooden walker toy helps kids develop motor skills.

But first, let’s talk more about developmentally appropriate gross motor skills for baby and inspiring active play that also builds skills. When is a push toy appropriate…and what are the benefits of a push walker?

I love sharing resources and tools that help children accomplish developmental tasks. Kids today need more active play because there is simply less outdoor play and less creative play happening. It has been fun to share creative ways to help children achieve functional tasks, AND by providing caregivers and therapists with the resources needed.

Use a push toy to help baby develop motor skills.

Benefits of a Push Walker

A push toy can be used much earlier than the walking stage. The thing is that a push toy can be used to promote floor play. Playing on the floor helps baby build skills in coordination and visual processing skills, as well as upper body and shoulder strength and stability.

Playing with a walker toy as a baby has so many benefits in building core strength and the ability to push up onto hands and knees. When the older baby is sitting, a push walker makes a great toy because babies can move from various positions in sitting to prone as they manipulate toys. This is especially apparent with a bin type of toy like the Radio Flyer Walker Wagon toy.

Using a push toy has other benefits as well:

  • Bilateral coordination
  • Motor planning
  • Eye-hand coordination
  • Wrist extension
  • Visual scanning
  • Visual attention
  • Rotation
  • Crossing midline

Baby sit to stand

So, let’s talk about using a baby push walker to help babies accomplish developmental tasks like sit to stand and coordinated first steps.

This is often times a question that new parents have for occupational therapists: When will my baby stand up? Parents also ask when baby will take their first steps.

This resource has information about baby development, including how to incorporate baby play into development of skills such as pulling to a stand and first steps.

The age range of 9-10 months, baby begins to explore their environment more and will demonstrate pulling up to a stand. This is the perfect time to incorporate a standing toy that incorporates play with sit to stand. A sit to stand toy like a push walker for baby offers the opportunity to pull up to a stand with a safe toy.

Now is the perfect time to offer baby a place to stand where they can drop toys into a bin or onto the push toy like in the walker wagon.

Baby first steps walker

In that same age range of 10-12 months, baby will begin to take their first steps as they gain coordination of the core, and lower body. They gain more coordination as they move from various positions while holding onto a surface like with a push walker.

Using a push along walker is a fantastic transition toy that allows baby to hold onto a walker handle and move from cruising on furniture to supported first steps.

Baby Push Walker

And, when baby drops toys into containers and then bends to pick them up from a push wagon, they are working on skills that transition further in their development.

Bending to squat and pushing back up to stand again as they grab items from a baby push walker’s bin allows toddlers to further develop strength and coordination.

This is all part of purposeful play!

That purposeful play builds the strength and motor planning needed for first steps without support.

Radio Flyer Walker Wagon

Would you like to think of various ways to use a push wagon in your therapy practice or at home to help kids develop motor skills? This wooden walker wagon for baby development is a push toy with benefits! The walker wagon would be a great addition to your therapy toolbox or home!

Check out the blog comments below for activity ideas to promote baby motor developmental skills. (movement for baby!)

Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.

Floor Play for Babies

Baby floor play is one of those essential play activities that maybe kids are missing out on more than ever. Here we are talking about why babies need to get down on the floor to baby play, and how to set up floor play activities for babies and toddlers. Baby development depends on movement and play. These ideas will guide you in creating play activities that maximize child development through those early years.

Another great resource to check out is a new blog post on DIR Floortime.

What is Floor Play

Floor play and movement play is one of those things that not only help babies develop essential skills, it is a powerful way to help them excel with higher level tasks. There is so much more than just placing a baby down on the floor to play. Let me explain…

When little ones are on the floor in tummy time or in play activities, they are developing essential core strength and visual perceptual skills that will help them down the road in areas like reading, endurance in play, and even handwriting. Here is more information on how floor play and tummy time helps with the development of spatial awareness and other visual perception skills.

Time spent on the floor helps with kinesthetic intelligence as well. With tummy time play comes skills like body awareness and reasoning, eye-hand coordination, motor skills, and spatial ability for function.

Play For Babies

Baby floor play is such a powerful way to help with child development! Use these floor play activities for babies to support skills like crawling.

For babies, tummy time helps to build strength in the core, arms, neck, and shoulder girdle needed for sitting up, changing of positions, and coordination. Here are baby play ideas that can be incorporated into floor time activities. Movement like participating in play, changing positions, reaching, crawling, moving objects, and functional tasks require endurance and stability. Tummy time is an important task for infant babies as well as older babies for different reasons. In each stage, floor play encourages use of the body and eyes in coordinated motor plans.

More Floor Activities for Babies and toddlers

Floor play for babies can look like toys placed in front of the infant. Using noise toys, rattles, and eye-catching toys encourages reach, visual tracking, neck and head movement, and development of visual processing and auditory processing.

Floor play for infants can look like a scattering of toys placed in a circle around the child. This positioning encourages turning, rolling, and creeping or crawling, especially when the little one is pushing up onf their elbows and hands.

For very small babies, floor play can look like getting very close to the child to encourage them to pick up their head and make eye contact.

Baby play ideas can be easy but pack a powerful punch when it comes to child development and helping with skills like crawling and learning.

Older babies that are sitting up can benefit from a scattering of toys placed around them on the floor. Place pillows behind and around the baby and encourage them to pick up toys like large blocks as they bring the toy to their mouth to explore. Picking up and bringing items to the midline promotes endurance of core strength, stability in the core, and coordination as they reach and turn.

Playing on the floor can include baby mats or baby-safe mirrors. Check out this baby sensory play idea using mirrors for an easy way to encourage movement and endurance in floor play using everyday items such as cups, balls, and baby toys.

Babies that are beginning to crawl love play tunnels…and for good reason. Baby play tunnels are exciting and fun! But not only that, they develop skills like visual motor skills, cause and effect, visual scanning, visual convergence, and so much more. Here are more play tunnel activities for babies.

Try this indoor play idea that boosts development of skills such as fine motor skills, visual motor skills, and visual perceptual skills using toddler-friendly blocks!

Floor play for babies builds skills and helps them develop and learn to crawl while building endurance and strength for motor movement tasks.
Use large blocks or other baby toys in floor play for babies. Super easy!

Occupational therapists know the value of movement and playing on the floor has on babies. We know that babies need tummy time and a chance to move on the floor without use of the Bumbo seat, swing, and other baby positioners. We KNOW that play is the child’s primary occupation and that through play, they develop motor skills, cognition, language, and so much more.

That’s why I’m SO excited to share a valuable new resource for new and expecting moms.

Remarkable Infants is a HUGE resource for new parents. This online course, taught by 5 child development experts, is a 5 hour crash course on development of the whole child from birth through 12 months of age. It is literally everything that we WISH new parents knew about tummy time, positioners, developmental milestones, baby play, communication, sleep, and nutrition.

Tummy Time Myths

Tummy Time Advice…There are certain tummy time myths that are part of that advice. You’ve heard about it at each baby well visit and read it in all the baby advice books. All of that tummy time advice is so important. But what happens when that sweet little baby wails as soon as they are down on the floor? Those little screams can break a mama’s heart! It can be stressful for mom and dad when tummy time results in a red-faced, screaming baby. Here’s the thing though. Tummy time doesn’t need to be stressful. But how do you break through those screams of discomfort? It’s actually part of the tummy time myths we’re debunking here. Read more for tummy time myths and what’s really happening:

When to start tummy time and other tummy time myths that parents have.

Your Biggest Tummy Time Myths Busted

What is the biggest myth or misconception surrounding tummy time ? What is one thing that many parents believe…but it just isn’t true?

Here’s the thing: Babies don’t actually hate tummy time.

Back to Sleep has our babies sleeping on their backs, and that’s a good thing. But babies are also spending a lot more time on their backs that is necessary it’s having an impact on development, and issues like Flat Head Syndrome ( or Positional Plagiocephaly), or torticollis (or stiff neck in babies).

Related, is our resource on newborns not sleeping, as sleep can be achieved in the tummy time positioning.

There are other issues that can come up as a result of lack of tummy time. There is a reason why doctors and therapists agree that babies need that time every single day. Tummy time is so important for neck and core strength, digestion, spatial awareness, eye-hand coordination, visual processing, preventing flat spots on the head, and strength and stability of the trunk, neck, and arms.

Tummy Time Myth #1 My baby hates tummy time.

Baby needs tummy time. Baby is placed on their belly…and they scream. Mom or dad swoops in and picks up baby. They MUST be in pain, right? Crying = something is wrong, right? Wrong! Your baby actually doesn’t hate tummy time!

So often, parents of a young baby are told to place their infant into tummy time for proper development, strengthening. The pediatrician has mentioned it at each doctor’s visit. But each time you dread it. It hurts your heart to hear that sweet little thing wail or downright scream each time he or she is placed on her belly!

Baby actually just needs a little help learning to get comfortable, adjust to new positioning, staying calm, connecting with a loved one, and engaging in this strange, new view of the world. Think about it this way: your child just spent a long nine months (or more/less) curled up in a cozy fetal position in the womb. That’s a lot of time to get comfortable in a curved and flexed position. Then, that newborn sweetie is swaddled, held, placed on their back to sleep, or snuggled in a car seat or baby swing most of the day and night.

Positioning baby on their stomach actually stretches and lengthens those muscles that have for so long been curved up in a snuggly curved forward position. Laying a baby on their belly stretches and develops the muscles that will later support the child in sitting and playing in the coming months. Tummy time is also essential for neck and core strength, visual processing, and eye-hand coordination. It prevents flat spots on the head and allows for flexibility of the neck and hips. The problem is that all of this work is hard for baby!

So, a crying baby in tummy time is definitely communicating their dislike of this new and hard task of stretching out those muscles and joints. They are telling you that the hard sensation of the floor on their tummy is different. They are expressing uneasiness in the way they can.

Tummy Time Myth #2: Tummy Time starts at 2 months

Nope! Tummy time actually starts before that three month time, or even one month. In fact, tummy time starts much, much earlier! Knowing when to start tummy time is actually one of the most common questions new parents have about their baby.

When to start tummy time?

Tummy time starts day one! That’s the thing: tummy time can start on the day (or night) that your little one is born and it can be easy to do. As soon as baby is fed, rest that sweet little one on your chest and you’ve got a baby in its first session of tummy time. Using chest positioning several times a day is an easy way to transition to floor tummy time where the little babe can build the strength they need.

Tummy Time Myth #3: Tummy Time is Hard!

When little baby cries because they are used to going “Back to Sleep”, spending time in their car seat, baby swing, bouncer, Bumbo pillow, or curled up to eat, they can have some trouble in tummy time. Think about it: when your little one has spent so much time curled up in a comfortable bent forward (flexed) position, laying on the floor in tummy time can put a stretch on those muscles. But tummy time doesn’t need to be hard…

In fact, there are some simple ways to make tummy time easier for baby so that the important strengthening, stretching, and development can happen:

  • Use short 3-4-minute periods of tummy time several times throughout the day instead of longer spurts. Make it part of the routine of the day.
  • Try positioning baby in tummy time in position where they feel more connected to mom or dad: on a parent’s chest, laying across the knees with support, in the arms in a football hold, with a nursing pillow, etc. Here are more tummy time activities in various positioning.
  • Get down on the floor and make eye contact with a soothing voice. Baby needs to feel connection so he/she can learn to stay calm in tummy time. A tummy time mat or a baby gym on the floor can make the floor feel softer and provide an engaging surface. Some of the best tummy time mats have bold patterns with black and white or black/white/red patterns.
  • Engage with baby in play while in tummy time. Invite siblings to play with baby. Talk to baby. Use tummy time toys to engage baby. The options are limitless. Try this tummy time play idea with baby-safe mirrors.
  • Encourage reaching for toys and development of eye-hand coordination skills that will drive crawling, play, and eventually reading and writing. Here are some baby play ideas for older babies, but some to give an idea of tummy time play.

A final Note on Tummy TIme Myths

Did any of these tummy time myths resonate with you? Have you run across questions about tummy time or wonder when to start tummy time? Let me know in the comments below. Add your tummy time tips too. You never know if they may help another new parent!

Play Tunnel Activities

Play tunnels are one of the best tools for therapy as you can work on so many skills if you just put a little creativity into it. Tunnel activities simply invite kiddo fun and engagement while working on very important skill development across a spectrum of areas. You can use fabric tunnels or nylon, pop-up tunnels depending on the skills you want to address with tunnel play. With a little imagination you can build your own DIY tunnels too! Keep reading to get some play tunnel ideas using different materials. For home-based therapists, DIY tunnels are a great tool for families to use in the home environment providing an opportunity for a fun and easy to implement home-based program. Some of these tunnel activities for babies and tunnel activities for toddlers can be used to address specific needs through play.

Play tunnel activities using a sensory tunnel
Tunnel activity for sensory input

Play Tunnels and Sensory

During tunnel play, not only do therapists want to work on the obvious gross motor skills such as crawling, bilateral coordination, motor planning, core/neck/upper extremity strength, and body awareness. They also like to use tunnels for sensory needs such as vestibular and proprioceptive input. In the simplest of terms, the vestibular sense is known as the movement sense telling us where our body is in space, while the proprioceptive sense is known as the deep pressure sense telling us the direction, speed, and extent of our body movement in space. These senses are important to help a child develop balance, body awareness, understand the position of their body in space as well as knowing how much speed and pressure their bodies are exerting when completing an activity or moving within their environment.

Adding a play tunnel into sensory diet activities to meet a variety of needs. It’s an easy way to encourage sensory input in the school environment, home, or clinic.

Tunnel activities using pool noodles

So, you may be asking, how can children gather vestibular input from tunnel time activities? You can have children roll within the tunnel, perform various body movements such as forward and backward crawling, balancing on all fours while simply crawling through the tunnel, slither on their backs, or have them crawl in the tunnel placed on top of cushions and pillows.

Fabric tunnel for proprioceptive input.

Proprioceptive input can be obtained while the child is bearing weight on the upper and lower extremities during crawling providing input to the joints and muscles. They can push objects through the tunnel such as large therapy balls or large pillows, army crawl through the tunnel, and shaking the tunnel while child is inside can provide valuable proprioceptive input.

By using a play tunnel to address proprioception to improve body awareness, the proprioceptive sense allows us to position our bodies just so in order to enable our hands, eyes, ears, and other parts to perform actions or jobs at any given moment. Proprioception activities help with body awareness. Using a fabric tunnel that is snug against the body can provide good input which can also have a calming effect for some children.

DIY tunnel activity using cardboard boxes
Use these play tunnel activities to improve motor skills and sensory activities.

Play tunnel activities

When using a tunnel, you can work on other skills that address multiple areas for children. Try some of these fun tunnel time activities:

  1. Play Connect Four with pieces on one end and the game played on the other end.
  2. Assemble puzzles with pieces on one end and then transported through the tunnel to the other end.
  3. Clothespins attached on end to transport and place on the other end. You can use clothespins with letters to spell words.
  4. Push a large ball or pillow through the tunnel.
  5. Crawl backwards from one end to the other.
  6. Slither through the tunnel (rocking body left and right) to get from one end to the other.
  7. Scoot through the tunnel using hands and feet or even crab walk through the tunnel.
  8. Recall letters, shapes, or words from one end and highlight on paper at the other end.
  9. Recall a series of steps to complete a task at the other end.
  10. Blow a cotton ball or pom-pom ball through the tunnel. Kids love this to see how many they can blow in a timed fashion.
  11. With pennies on one end, have child transport them to the other end to insert into a bank. You can even give them the pennies at end of the session if you want.
  12. Push a car through the tunnel to drive it and park it at the other end.
  13. Build a Lego structure by obtaining blocks at one end of the tunnel and transporting to the other end to build.
  14. Intermittently crawl through the tunnel and lie within one end to work on a drawing or handwriting activity. This is just a different and motivating way to encourage handwriting practice.
  15. Crawl over pillows or cushions placed inside or outside of the tunnel.
  16. Use a flashlight and crawl through the tunnel gathering specific beads that have been placed inside to string at the other end of the tunnel. You could work on spelling words with letter beads or simply just string regular beads.
  17. Place Mat Man body pieces at one end and have child obtain pieces per verbal directive and then crawl through the tunnel to build at the other end.
DIY tunnel activity

DIY Play TUnnel Ideas

So, as mentioned previously, what if you don’t have a tunnel or you want to create one within a home for developing a home-based program? Well, make one! How can you do this? Read on for a few fun ideas.

  1. Create a tunnel by crawling under tables or chairs.
  2. Create a tunnel in the hallway with use of pool noodles. Bend them over in an arch to fit or simply cut them down to size to slide directly between the walls.
  3. Use large foam connecting mats and assemble a tunnel.
  4. Use tape or yarn and string to alternating walls down a hallway to crawl under.
  5. Use sturdy pieces of foam board positioned or connected together to make a tunnel.
  6. Use an elongated cardboard box. Sometimes you can get large boxes at an appliance, hardware, or retail store.
  7. Stretch a sheet or blanket over furniture and crawl.
  8. Simply place a sheet or blanket on the floor and have child crawl under it (a heavier blanket works well).
  9. Place a therapy mat inside a series of hula hoops.
  10. Use PVC pipe to build a tunnel. Add sensory items to the PVC frame to create a fun sensory element to the crawling experience. One such tunnel was built by my wonderful fieldwork student, Huldah Queen, COTA/L in 2016.  See the picture below.
  11. Sew a fabric tunnel (if you have that skill).
  12. Use pop up clothes hampers connected together after cutting out the bottoms.
  13. Simulate tunnel crawling with simple animal walks or moves.

Tunnel activities can facilitate child engagement while providing an optimal skill development setting.  Tunnel time can address gross motor and sensory needs while also incorporating other activities making tunnel time a skill building powerhouse tool. Incorporate fun fine motor and visual motor activities to make tunnel time a “want to do” activity every time!

Regina Allen

Regina Parsons-Allen is a school-based certified occupational therapy assistant. She has a pediatrics practice area of emphasis from the NBCOT. She graduated from the OTA program at Caldwell Community College and Technical Institute in Hudson, North Carolina with an A.A.S degree in occupational therapy assistant. She has been practicing occupational therapy in the same school district for 20 years. She loves her children, husband, OT, working with children and teaching Sunday school. She is passionate about engaging, empowering, and enabling children to reach their maximum potential in ALL of their occupations as well assuring them that God loves them!