Grow as you go

Pediatric OT, right in your living room.

We bring play-based occupational therapy to San Diego families — at home, in the backyard, wherever your child learns best. No clinic, no waiting room, no commute.

Care from a licensed pediatric Occupational Therapist.
Little Trailblazers OT — a child hiking a sunny trail
Licensed Occupational Therapist (OTR/L) CA Board of Occupational Therapy NPI Registered
Why in-home works

Therapy that fits into real life

Skills stick when they're learned where they're used. We bring everything to you — and build progress into your child's actual day.

We come to you

No packing up a tired kid for a clinic. Therapy happens in the place your child is most comfortable and most themselves.

One therapist, every visit

Consistent, personal care from the same licensed OT — not a rotating cast. We get to know your child and your family.

You're part of the plan

You'll get simple, doable strategies to use between visits, so the progress keeps going all week long.

What we help with

Real skills, built where they're used

Every child is on their own trail. We meet them where they are and help them take the next step — through play, not pressure.

Handwriting & fine motor

Pencil grip, using scissors, buttons and zippers, and the hand strength behind it all.

Sensory & regulation

Big feelings, sensitivity to sound, touch or movement, and tools to help your child stay calm and ready.

Everyday independence

Dressing, feeding, brushing teeth — the daily routines that build confidence and self-reliance.

Focus, play & coordination

Balance, body awareness, and staying engaged — so play and learning come a little easier.

School & home support

We work with whatever comes up at school or home, plus simple coaching so you can keep the momentum going.

Not sure where to start?

That's normal. A quick call helps us figure out if we're the right fit for your child.

Call us
How it works

Simple from the first call

Starting is easier than you'd think — here's the whole path.

Getting started

Four easy steps

Reach out

Call or email and tell us a bit about your child.

Quick chat

A short call to make sure we're the right fit.

Evaluation

A relaxed first visit at home to understand your child's needs.

Regular visits

A plan that grows with your child, right where they live and play.

Insurance & payment

Flexible options to fit your family.

Insurance options are always expanding — we're continually adding new plans and partners. The best way to find out what's available for your child is to reach out, and we'll walk you through your options.

We also welcome private pay, which keeps your child's care personal and flexible and lets us get started right away. We accept cards, HSA and FSA — and we provide a superbill you can submit to your insurance for possible reimbursement.

Questions about coverage or cost? Just ask — we're always happy to help you figure it out.

Common questions

What ages do you work with?
We work with children of every age — from babies and toddlers in early intervention through school-age kids and teens. Not sure if OT is right for your child's age or stage? Just reach out and ask.
What can occupational therapy help my child with?
A lot of everyday things: handwriting and fine motor skills, sensory needs and big emotions, daily routines like dressing and feeding, plus focus, balance, and coordination. If something is making daily life harder for your child, OT can usually help.
What happens at the first visit?
The first visit is a relaxed evaluation right in your home. We'll play, observe, and talk with you about what you're noticing and hoping to work on — then build a simple, personalized plan that grows with your child.
How long are sessions?
Most sessions run about 45–60 minutes, depending on your child's age and needs. We'll settle into the rhythm that works best for your family over the first few visits.
Do you take insurance?
Our list of accepted plans is always growing, and we also welcome private pay — which lets us start right away and keeps care personal. We provide a superbill you can submit to your insurance for possible reimbursement. Reach out and we'll walk you through your options.
Which areas do you serve?
We're mobile across central and south San Diego — including North & South Park, Mission Hills, Coronado, Point Loma, La Mesa, Bonita, and Chula Vista. Not sure if you're in range? Just ask — we're always expanding.
Little Trailblazers OT logo
Alexandra (Lexy) Mouannes, OTR/L
Founder & Lead Occupational Therapist
Who's behind it

Care from a real, licensed OT

Little Trailblazers was founded by Lexy Mouannes, a licensed pediatric occupational therapist who believes kids do their best growing in the places they already feel safe.

That's the whole idea behind "grow as you go" — meeting your child on their own path, at their own pace, and celebrating every step forward together.

"Kids do their best work where they feel most at home — surrounded by their own toys, their own routines, and the people who love them. My job is to meet each child exactly where they are, make the work feel like play, and leave families with simple tools they can keep using long after I go. Every small step is worth celebrating." — Lexy Mouannes, OTR/L · Founder

Careers

Grow your career on the trail

We're building a team of caring, curious pediatric OTs who believe therapy works best where kids actually live and play. Even when we're not actively hiring, we love connecting with great clinicians.

Who we're looking for

Licensed pediatric occupational therapists who are warm, family-centered, and excited about in-home, play-based care across San Diego.

Why you'll love it

Flexible scheduling, real one-on-one time with each child, supportive mentorship, and a small practice that genuinely values your clinical judgment.

Let's connect.

Whether or not we have an opening right now, send us a little about yourself and your résumé — we're always glad to start a conversation.

Email us your résumé
Let's talk

Ready to take the first step?

Tell us a bit about your child and we'll take it from there.

We reply within 3 business days.