This Doctoral Capstone Project took place at a community center containing a Head Start Early learning program in a low income area of South Bend, Indiana. The focus of the project was developing occupational therapy based small group lessons to promote developmental and school readiness skills, implementing school-wide sensory regulation strategies, and collaborating with staff on individual student recommendations. I based my program on a Response to Intervention (RTI) model that consists of a multi-tiered approach to providing interventions. The project is important for the site to improve classroom performance for the kids, increase awareness of the scope of OT, and increase teachers’ confidence in using these strategies to ensure sustainability. In the results, teachers reported their student’s classroom performance improved, teachers gained new knowledge from the resources I developed, and teachers feel confident they will be able to continue using these strategies in the future.