I also have my own special needs child. Generally I accept any child into care depending on their abilities or limitations. We have a basement playroom so child must be able to crawl up the stairs or be a very petite child I will be able to carry for a year or more. Because I care only for infants and toddlers I just integrate them to the group. I do not take anaphalctic allergies of any sort given that I am the only adult on site so to treat a child needing emergency care puts the others at risk due to supervision. I used to allow therapists in my house but have stopped that as it was too disruptive or the others didn't understand the one child getting special treatment. The exception now is my own daughter is a trained music therapist and comes and does music with the whole group but would let her come and just have some special activities added to the session with the special needs child in mind. I have charged the parents a bit more per day to offset the amount of individual attention their child will be getting.