What I say to parents is this: I've noticed in the peer group setting............. .do you notice this at home? It's best to gently tell the parents what you are seeing and ask them if they can check into it with their doctor as the first line usually and watch for it at home because in a large group at daycare things are very different than they are on a one on one situation at home.

That way you are pointing out your concerns and telling the parents that you are not at all insulting their parenting but trying to be helpful and want to do a good job and care a lot for the child.

What you are describing in this child is not normal by any means. Sometimes you have to bring things up to the parents over and over but not every day to get them to gently understand there is a serious problem. So many parents have a hard time admitting there is a problem with their child. If they only realized that the quicker they get help for their child the better.

However, you don't want to be the bad guy. You want to be the unspoken hero for this child because believe me it's rare that you ever get kudos for pointing out the real truth.