SPROUT COVID-19 Guidelines

Dear Families,

I want to take the time to thank all of you for sticking with me during these past few months. I know we have all faced challenging times and we are looking forward to returning to some semblance of normalcy soon. As Mayor Cooper said in his Roadmap for Reopening Nashville, “living with COVID-19 means returning to work with COVID-19”. Therefore, I have made the decision to resume direct therapy services beginning Monday, June 15, 2020. While I am a bit apprehensive about this decision, I know it is what your children need in order to continue their success towards their OT goals. Teletherapy has been a great tool during the shutdown and I will plan to utilize it if in-person sessions cannot be held (for reasons that I will list below). 

Teletherapy Services will be rendered if:

  1. You answer “Yes” to any of the following questions:
  2. Has your child (or anyone in the household) been asked to self-isolate or quarantine by a doctor or a local public health official in the last 14 days?
  3. Has your child (or anyone in the household) experienced any cold or flu-like symptoms in the last 14 days (fever, cough, shortness of breath or other respiratory problem)?
  4. Has your child (or anyone in the household) had a fever of 100.4 or higher in the past 24 hours?
  5. Has your child (or anyone in the household) had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days?
  6. Has your family/child has traveled in the past 14 days (internationally or COVID-19 hot spot areas)?
  7. Either of my children are sick and I am unable to conduct an in-person session. (If this occurs, I will contact you via email and/or text to notify you of the change)

Policy Changes and Updates in Response to COVID-19:

I will wear a mask during all client interactions. I cannot require your child to wear a mask, but it is a recommended safety measure from the CDC when social distancing measures are difficult to maintain. Keep in mind that I work in close proximity with all my clients, including your child. I will socially distance when appropriate, but there are many circumstances that will require me to be within six feet or provide tactile prompts. 

As always, I will practice proper hand hygiene including washing hands before and after sessions. I will use alcohol-based hand sanitizer if I can’t wash my hands with soap and water. I also request that all clients wash their hands prior to our session and/or have alcohol-based hand sanitizer available. In order to protect myself, my family and other clients, I ask that this be done upon my arrival. 

I will follow all federal, city and state regulatory guidelines relating to sanitation and hygiene. To comply with such guidelines, I will let all clients know what material(s) will be needed for the session prior to my visit. I expect each client to provide appropriate materials in order to decrease possibility of spreading COVID-19. If a session requires the use of my personal supplies, I will thoroughly clean equipment/supplies before and after the session. All disinfectants used are nontoxic and EPA approved against SARS-CoV-2, the virus that causes COVID-19. 

In the past I have been fairly lenient with late cancellations. Please refer to the attendance policy document you consented to at the initiation of services. I have attached the document for your review. 

** Finally, in order for direct services to be rendered, I am REQUIRING a liability wavier to be completed which can be accessed the following link: http://bit.ly/sproutwaiver. **

Should you choose to not complete the aforementioned liability waiver, I am happy to continue working with your child via teletherapy.

Please feel free to contact me if you have any questions or concerns. I look forward seeing you all in person again. Hope your summer is off to a great start.


Tracey F Levy, OTD, OTR/L


COVID-19 Update from SPROUT Occupational Therapy

The COVID-19 pandemic has made an extensive impact across the globe. Schools and museums are temporarily closed, businesses are slowing to a crawl, sports and performing arts have been cancelled, and social distancing is being promoted in an effort to slow the spread of the virus. As a small business owner providing therapy services in client homes and schools, the impact caused by this health crisis is potentially catastrophic.

With countless schools transitioning to virtual learning, this will have a major impact on our kiddos. For some, the sudden and immediate change to learning outside of classroom walls may lead to new or more concerning educational and/or behavioral problems. It is important to consider continuing therapy services to reduce the risk of regression. It will allow students to adjust to these changes, while continuing to develop new functional skills.

At this time, SPROUT is in the process of establishing teletherapy services to accommodate these challenging times. The National Institute of Health (NIH) states “growing evidence on the efficacy and effectiveness of [telehealth] shows that [telehealth] leads to similar or better clinical outcomes when compared with conventional interventions.” SPROUT will use a HIPAA-compliant and secure telemedicine platform to provide the same excellent therapy services through a virtual setting.

Please contact us through our Contact page for more information on teletherapy services. 

Warmest regards,

Tracey F. Levy, OTD, OTR/L

Owner, SPROUT Occupational Therapy

April 18, 2017 – New Addition & Updates!

Hello again! I have to apologize for my hiatus! But, I have great reasons to explain my absence.

Addition to the SPROUT Family

First, I want to welcome the newest member to SPROUT’s team—
Ellie Levy! Ellie is a 12 week-old mini golden doodle that my husband and I adopted four weeks ago. Ellie has been a wonderful addition to our family and is very excited about becoming a therapy dog for SPROUT.

Ellie has taken away a lot of my free-time as this is a pivotal period for potty training and obedience training!  She is progressing well and learning new skills daily. She asks that you understand why her mommy hasn’t been able to make any recent blog posts.

Professional Development Workshops

The other reason for my absence is that I have been dedicating my time to prepare for two professional development workshops later this month where I have been invited to present. I am extremely excited about these opportunities and look forward to more speaking engagements in the future!

Clinic Update

We are also happy to announce that the SPROUT clinic is complete. We are pleased to offer flexibility for our clients with in-clinic, in-home or in-school services!

Finally, I am working hard to recruit more clients to become a part of the SPROUT family as summer approaches.  Ellie can’t wait to meet some more human friends! She really loves playing with children ☺

For more information on professional development workshops or to inquire about our pediatric services, please submit a contact form.

Until next time,

January 21, 2017 – Early Intervention and Developmental Milestones

The first five years have so much to do with how the next 80 turn out.” -Bill Gates Sr.

A child’s earliest years are fundamentally important, filled with unique experiences that shape cognitive, social and physical growth. These new experiences are the foundation for the brain’s organizational growth and functioning throughout life. The first five years are a pivotal time for brain development, having an impact on how a child develops learning and social skills.

A child’s primary way of learning is through play. Play is fun for your child and gives him/her an opportunity to explore, observe, experiment and problem solve. Engagement in play helps improve a child’s fine motor, gross motor, language and social skills.

Typical developmental milestones: 

3 months
  • Smiles
  • Grasps rattle
  • Rolls from side to back
  • Lifts head while on stomach and weight bearing on forearms
6 months
  • Rolls from back to stomach
  • Sits unsupported
  • Raking to grasp object in fist
  • Transfers toy from one hand to another
9 months
  • Pincer grasp (thumb & index finger) to pick up small object
  • Begins creeping then crawling
  • Clapping & waves “bye”
  • Pulls to stand
12 months
  • Finger feeds self
  • Imitates gestures and words
  • Stands unsupported
  • Cruises and takes first steps
2 years
  • Begins to run
  • Climbs up & down steps holding onto support
  • Scribbles spontaneously
  • Builds a block tower of at least four blocks
3 years
  • Kicks and throws a small ball
  • Hops and stands on one foot
  • Draws a circle
  • Recites numbers to ten 
4 years
  • Dresses with minimal help
  • Draws cross and square using tripod grasp
  • Pedals a bike/tricycle
  • Uses scissors purposefully
5 years
  • Copies a triangle
  • Walks on tip toe
  • Uses a fork and spoon
  • Laces (but cannot tie) shoes
5 favorite developmental toys

If you have any concerns about your child’s development, use the contact form to schedule a free screening.

For a listing of our pediatric Occupational Therapy (OT) services, please visit our Services page.

Until next time,

January 11, 2017 – Welcome to SPROUT OT!


Happy New Year! Welcome to my website and thanks for your interest in SPROUT Occupational Therapy! For my first blog post, I want to introduce myself and tell you a little bit more about me. I also want to share some ideas for future blog posts and therapy interventions that can be implemented at home. Please share your thoughts with me too! I look forward to your feedback as it can help me develop important topics to discuss in future posts.

Meet Tracey

I grew up in a small town in Louisiana, the youngest of five kids. I attended college at Indiana University in Bloomington where I obtained a degree in Journalism and Apparel Merchandising. After graduation, I accepted my first “big girl” job in Indianapolis, IN and it didn’t take me long to figure out that the career path I was on was not fulfilling for me. I spent some time trying to figure out what I wanted to do and I kept coming back to the idea of working with children with disabilities. During my teenage years, I volunteered at a camp in Mississippi for kids with physical disabilities. In college, I volunteered for community events for individuals with disabilities. The personal satisfaction I got from these experiences shaped my career as a future occupational therapist.

I moved to Nashville for graduate school where I received a Doctorate of Occupational Therapy in 2012. Since that time, I have worked in different settings including skilled nursing, adult acute care, pediatric acute care and outpatient pediatrics. Through my experience, I have noticed a large gap in coverage for OT services for children with mild to severe challenges. I saw first hand that many insurance companies were not covering services for a range of diagnoses if the deficits didn’t fit within a certain criteria. As an OT, I believe in being an active advocate for my patients and for individuals of the community I serve. This knowledge influenced me to take action and this is how SPROUT was born.


I look forward to providing private one-on-one and group therapy intervention to children in our community from birth through the teenage years. Through my blog, I hope to provide you and your child with effective suggestions and activities to address some physical, emotional, or developmental challenges he/she may face. I also plan to offer insight to parents addressing age-appropriate developmental milestones for babies and toddlers. To add an element of fun, I will offer some kid-friendly, yummy recipes, so you don’t always feel like a short order cook to appease your picky eater.

I am excited to begin this new venture and look forward to hearing from you! I appreciate all the support from my family, friends, and colleagues over the past year as I was developing this business concept. I am so lucky to surround myself with such caring and encouraging individuals. Last but not least, I have to thank my dear husband, Joseph, for inspiring me to follow my dreams. His savvy tech and business knowledge has been a huge benefit. I could not have done this alone, so again thank you to everyone who has helped me along this journey!

For a listing of our pediatric Occupational Therapy (OT) services, please visit our Services page.

If you are interested in scheduling a screening or evaluation, please contact us using the Contact form.

Until next time,

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