If the child needed to be carried-they would need alternate care for me. I already have 1 non walker (12mo) and 2 other unsteady ones. I can't carry 4 kids out in a fire. 3 needing assistance is my max. If he could get around with crutches/crawling, then I would consider it. My program is all one level except for getting outside, and I could lift him down the stairs if he was able to hobble/crawl through play time.