I see both sides of this...it's great that some providers will take on any child of any size but I also don't think any lower of a provider who knows their limits and says no to a child for safety reasons/concerns.

I personally also have lower back issues and I was advised not to open up my hdc but I knew that it would be better as I would have the option to sit down when needed which is not really an option in centres. I used to change the kids on the change table but as they get older and bigger I have started changing them on the bed on the change pad(my diaper change room is also my nap room and guest bedroom, talk about multi purpose lol) because they can climb on the bed themselves. If I had a child who I could not lift or could not climb on the bed I could change them on the floor but how the heck would I get them into their playpen if they still slept in one? If they weren't potty trained yet would they fit on the potty or would they have to sit on the big toilet and would I have to lift them up to it? Could they climb the stairs? Could they fit into the stroller/wagon? I have a couple plastic chairs and a couple metal chairs from a school so that would be fine but there would be lots of other obstacles I would face in caring for an overweight child. I would be a better dcp for saying no than saying yes and having something happen to the child because of the weight issue and my back issue.

However, if you have no safety concerns and are able to care for an overweight child then that is great!! Each daycare is different just as children are different and not every child is going to fit into every daycare. It is up to the parents to find a dc that suits their child's needs.

Just my opinion....