Exciting news! New clinic opening in Langley, in November!
New spots available!
Welcome to One Step at a Time
Pediatric Occupational Therapy !
My name is Anna Czesak
I founded One step at a time Occupational Therapy to provide services in English and in French to children aged from 2 to 21 years of age. My team and I offer support to all families located in the Greater Vancouver Area. Our brand NEW clinic will be opening in Langley, in November 2025!
We are happy to work with any child or teenager facing challenges in their activities of daily living, regardless of diagnosis. We offer therapy to children with: Autism Spectrum Disorder, ADHD, Global Developmental Delay, Sensory Processing Disorder, Developmental Coordination Disorder, learning disabilities, anxiety disorders, and more. Our approach is very client-centered, which means that we tailor our interventions to meet the families and the children's needs and interests, making sure that everyone's voice is heard. Our ultimate goal is to highlight your child's strengths, empower them and help them build a path towards a meaningful life, one step at a time.

What is Pediatric Occupational Therapy?
Every child participates in a variety of occupations throughout the day. These occupations, or activities of daily living (ADLs) as we may call them, interact directly with one's personal abilities, motivation, interests and beliefs, as well as with the environment they are performed in.
Pediatric occupational therapists are experts in assessing those three areas of life - furthermore, they use their knowledge in task analysis to determine the factors that impact a child's daily function. A care plan is therefore implemented to support children in developing autonomy in the occupations that are meaningful to them, building confidence along the way to reach their personal goals.
"You need to be content with small steps. That's all life is. Small steps that you take every day so when you look back down the road it all adds up and you know you covered some distance." -Katie Kacvinsky
To support your child,
we assess and intervene on. . .
Occupations
We practise the meaningful activities of your child's life, while I provide strategies to develop their autonomy!
Personal characteristics
I support your child in developping their abilities and skills, while considering their interests, beliefs and motivation!
Features of the environment
I assess your child's surroundings, I determine factors impacting on daily function. and I make suggestions to adapt the environment if needed!

Empowering
Children and Families
At One step at a time O.T., we are dedicated to providing innovative occupational therapy services. Our approach is centered around play-based therapy, fostering growth and development in children. With a neuro-affirming lense, we support our clients in discovering their full potential, while also helping them understand their strengths and who they are.
Our services
Get in Touch
216-20171 92A Ave
LANGLEY, BC
Contact : Anna Czesak
Phone number (call or text) : 236-883-7003
E-mail : anna@onestepatatime-ot.com
Opening Hours:
Monday - Friday :
9am - 5 pm










