The potential for problems developing of a serious medical nature outweigh the income you would get. I realize this means losing two children but don't let your concern for loss of income cloud how restrictive and time consuming the feeding will be.
Even many schools now won't even let the parents come to the school at noon to do the feeds and require a nurse to be present while they are done. It is possible the family would qualify to have a nurse come for the feeds. Given all of the issues this child has they should probably look into either a nanny or a daycare centre that can accommodate medical needs. The advantage of the daycare centre with specialized help is that they will also have access to other professionals to help monitor the child's other issues.
If this was your only family and you wanted to be trained in the procedure that would be fine but consider the liabilities of you being in the middle of inserting the tube and another child screams for help or time goes by and bag is empty and too much air is getting into system because you were busy changing a bum and lost track of time.
Is there a chance the family would leave the brother with you so his life can stay normal but move the sister to a centre where she will also receive the medical care she needs.
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