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Certified Pediatric Occupational Therapy Assistant (COTA) – Full-Time | San Diego, CA

SmallTalk Speech and Occupational Therapy
San Diego, CA Full Time
POSTED ON 7/27/2026
AVAILABLE BEFORE 11/23/2026

SmallTalk Pediatric Therapy is San Diego’s BEST outpatient pediatric speech and occupational therapy company — and we’re looking for an energetic, fun-loving Certified Occupational Therapy Assistant (COTA) to join our team!

We’re therapist-owned, therapist-run, and located in convenient suburban San Diego. We serve children ages 0–18 with a wide variety of diagnoses and needs, and we work closely with families to ensure faster, lasting progress.

If you want to work in a place where you’ll feel supported, valued, and have fun while making a difference every day — welcome to the SmallTalk team!

Why You’ll Love Working Here

  • Therapist-owned & therapist-run — we understand your work
  • Competitive salary profit sharing monthly bonuses
  • Full-time schedule (32–40 hours per week) with flexibility
  • Manageable caseload of super cute kids
  • Paid PTO, holidays, and sick time
  • Bright clinics fully stocked with therapy materials, games, and activities
  • Incredible culture with a supportive and collaborative OT team

What You’ll Do

  • Provide high-quality occupational therapy under the supervision of an OT
  • Step in for coverage when clinicians are out or families reschedule
  • Support children ages 0–18 through play-based, goal-oriented interventions
  • Complete accurate daily SOAP notes and documentation
  • Collaborate with supervising OTs, families, and teammates

What We’re Looking For

  • Licensed COTA in California
  • Minimum 1 year of pediatric COTA experience
  • Positive, outgoing personality and love for kids
  • Organized, detail-oriented, and computer literate
  • True team player who values collaboration

Compensation & Benefits

  • Competitive salary with profit sharing & monthly bonuses
  • $20K in benefits including:
  • 401(k) with company match
  • Medical, dental, and vision insurance
  • Professional development support
  • Employee discounts & flexible scheduling options
  • Opportunities for growth within a supportive practice

Our Mission: To help EVERY child in San Diego reach their greatest potential.

If you’re ready to join a team where your work is meaningful (and fun!) — apply now and become part of the SmallTalk family!

Learn more: www.smalltalkspeech.com | Instagram: @smalltalkspeechandot

Job Type: Full-time

Pay: $50,000.00 - $65,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee discount
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Professional development assistance
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

Application Question(s):

  • How many years of pediatric experience do you have?
  • What are your salary expectations for this role?
  • What is your earliest available start date?

Experience:

  • COTA in a Pediatric setting: 1 year (Required)

License/Certification:

  • Occupational Therapy Assistant License (Required)

Ability to Commute:

  • San Diego, CA 92108 (Required)

Ability to Relocate:

  • San Diego, CA 92108: Relocate before starting work (Required)

Work Location: In person

Salary : $50,000 - $65,000

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