Poor kid....it's so hard to tell sometimes how far into recovery a young child is...for providers and parents alike. I've always found they plummet in the afternoon, but, as with your little guy, just lose steam later on. Sometimes they seem perfectly fine, then spike a fever during nap. It's a tough position for everyone. On the one side, we certainly would prefer to not have sick kids. On the other side, if the parent takes too much time away, their job is at risk, which also doesn't help the provider. I don't think there's any right answer really. Everyone just has to do what they feel is right and hope it meshes with a client's needs. I have no issue taking sick kids (with restrictions of course)...they're super cuddly But I can totally understand other providers' reservations.