Pediatric Occupational Therapy Services

Nikki Nacario

Office Manager

When you enter our clinic, Nikki will be the first one to greet you! She joined our clinic as a volunteer in August of 2017 and became our office manager shortly after. She attended San Diego State University and received her Bachelors in Speech, Language, & Hearing Sciences, and a minor in Personality & Social Psychology. With her unique background, she is currently applying for graduate programs to get her Masters degree in Occupational Therapy. Nikki is most interested in exploring all the many disciplines in OT, especially pediatrics and mental health. During her free time, she enjoys spending time with loved ones, going to the beach, and traveling.


Samantha Heidenreich, MOT, OTR/L

Occupational Therapist

Samantha graduated from University of St Augustine for Health Sciences with her Masters in Occupational Therapy in 2016 and has been practicing as a pediatric OT in both outpatient clinic and early intervention settings. She has experience working with children from birth to eighteen years old, and specialized trainings in feeding dysfunction, sensory integrative strategies, and reflex integration. She is currently completing her Doctorate in Occupational Therapy, with a focus on pediatric Autism and will finish that degree in fall 2019. She and her husband got married in 2016 and are expecting their first child in September of this year. They have a German Sheppard that entertains and occupies a lot of their down time, and enjoy spending free time on the lake and at the beach with family and friends.

Paige Browning

Paige is a rising Senior kinesiology major at Texas Christian University in Fort Worth, TX. Occupational therapy has always been of interest to her and she is looking forward to applying to grad schools this upcoming application term. Paige’s passion and focus is in hippotherapy, which is using occupational therapy on horseback. She has recently completed an undergrad thesis studying hippotherapy’s effects on balance in individuals with developmental disabilities.  She is looking forward to presenting her thesis at the National Occupational Therapy Convention this upcoming April in New Orleans. During her free time, she enjoys riding her horse, spending time with her family, and enjoying the California sunshine.

Mrs. Kempston is certified in Sensory Integration and has extensive training including Sensory Integration and Praxis Certification, and completion of advanced mentorship training at the SPD  (Sensory Processing Disorder) Foundation in Denver with Dr. Lucy Jane Miller.  She has worked with a variety of diagnosis and ages with sensory processing disorders, including children with ASD, ADD, ADHD, Hearing Impaired and Learning disabilities.  

Ms Kempston is Pediatric Neuro-developmental treatment certified and has worked with a variety of neuromuscular disorders including Cerebral Palsy, Prematurity, brain trauma.

Ms. Kempston has extensive experience in early intervention populations working with the NICU follow-up clinic, Pediatric and NICU populations at UCSD Medical center and 0-3 population through CCS and early intervention home therapy.  She served on the Special Education Early Childhood Assessment team at San Diego Unified & has worked with the 3-5 population in the school district and various clinics.   

Ms Kempston has extensive experience in feeding with at risk infants on the NICU and pediatric floors, neuromuscular disorders such as Cerebral palsy and brain injury in the hospital setting, through the public schools and CCS.  More recently she has worked with the Autism Spectrum Disorder population in clinics and early intervention. 

Ms. Kempston has extensive work with hand function and handwriting. Through the public schools she worked with Handwriting Without Tears Programs, Classroom teaching including Kindergarten pilot programs "The Write Direction" and computer based grant programs she wrote and implemented.  SHe has extensive experience in splinting and hand remediation with neuromuscular disorders and with the pediatric burn population for 5 years at UCSD Medical Center Burn Unit. 

Regarding Vision skills and therapeutic listening processing, She has a certification to Teach the PACE processing and cognitive Enhancement program developed by vision therapy and cognitive therapy experts.  She is also certified in therapeutic Listen and the interactive metronome, both specialized tools using sound, music and timing. 

Ms. Kempston has a special interest in music and dance.  She has taught therapeutic dance for special needs population and yoga for kids classes.  

Francinne Zavala​​
Francinne spends her time dancing, kickboxing, and doing outdoor activities. Her lifestyle lead her to pursue a bachelors degree in Kinesiology with an emphasis on applied exercise science at California State San Marcos in 2017. She works as a behavior therapist and continues to be a volunteer for occupational therapists in the community. She plans on going to graduate school and becoming an Occupational therapist for children with special needs.

Mrs. Kempston has over 35 years of pediatric Occupational therapy experience in hospitals, schools and clinics.  Ms Kempston served 20 years in the public schools including San Diego Unified and Mesa Public Schools in Arizona.  She worked 2 years at San Diego Children's Hospital and 7 years at UCSD Medical Center.  In addition, She worked with the neuo-developmental population 0-21 at California Children's Services for 7 years.  

Deborah Kempston BS, OTR/L

​      Owner/ Director