Hi Loni, Maybe you should just say, "I feel really bad having to say this to you, but little so & so seems to be getting much worse, & frankly, I'm not able to give the attention to the other kids that they also need. You told me x-ammount of weeks ago you were taking him to the dr for this, but apparently you haven't, so really have no choice but to ask you to make other arrangments right away for daycare. Today is his last day." Ok, & if they say that, "it's not fair, they need more notice", then you remind them that it was THEY that said they were going to take him to the dr & failed to do so! Now the situation has become unfair to everybody else! I know it sounds heartless, but you are in business. People that get into the habit of procrastinating alot of times will keep finding other ways to keep pushing the envelope. Ya know what I mean? They will never "get it" unless somewhere, someone draws the line! If you chicken out, :) another remedy might be something I saw on Supernanny. Get everbody involved in something, whether it be a game inside or outdoors, a few little chores, or bundle 'em all up & take them to the park or somewhere else fun. You could pack a lunch, bring a ball, whatever? She says they just need the stimulation of different thing. I know sometimes it's easier said than done sometimes! Well, hope some of this might help! S.