Thanks Playfelt! This is exaclty what I am thinking, but you have so much more experience, I am glad to have your input. I have kids almost a full year younger than this child in my care and they understand everything I say and they play with the other kids in an age appropriate way. This dcb will not go and get his shoes, usually will not sit at circle time (even the 20 month olds sit nicely most of the time) even though he loves songs and loves circle time, will not clean up toys at clean-up time...sometimes I can get him to put away a couple of toys and then he puts his head on the floor and cries if I try to push him more, oh and one other thing is that he is always yawning...always sleepy! Parents say he sleeps well at night and he naps well for me, but when he arrives at 7:45 am he is yawning and continues to yawn all day long...this doesn't seem normal to me. The thing is, I have always understood that he is a bit different, so I do not get frustrated...I have different expectations of him than I would of most kids his age...that sounds bad, but there is no other way to say it. Like I said, he is happy most of the time and doesn't cause me any big problems (other than the swatting me, which is not appreciated and I do discipline for). My neighbour who is a care provider as well also sees him as different for sure though we both struggle with the concept of autism as he makes eye contact a lot and smiles and interacts (especially with adults, but also with kids). It's just that in general the sounds he makes, the things he does, etc are like a baby, not a two year old. And when parents say they are not concerned, I really am at a loss for words because I know they have no comparison...they don't realize or are in denial about how different he is from others. I guess I will wait until he is going for his appointment in October at First Words and then I will fill out the Nippising and send a blank one for parents in the hopes that it will help someone else tell them that he is developmentally different in some way.