Tonia, I agree with Janet.A cell/digital phone is a must. We have had our 20 month-old in daycare since he was 4 months old. God blessed us with a friend who got us into a daycare right across the street from where my husband works. He has had to make several "darts" across the street to administer the Solu-Cortef and take him to the hospital or doctor. As a very young baby, the daycare workers would call if he looked the slight bit "odd" or lethargic. There were two or three times when he was on the verge of going unconscious and if it had not been for proximity and their watchful eye, he might have suffered a worse fate.We also had to take him out last winter because the cold and flu season was a bit too much. My husband and I work full-time but we stressed and struggled with our schedules to keep him at home. It worked and he stayed out of the hospital for 8 months. He went back in in March 2000 and has had colds, etc. but has been pretty healthy otherwise. We did have an "episode" in late June and he was hopitalized.We really do not know what happened to him, but we think it was heat exhaustion. He was not sick at school but was calling my husband for 1.5 hours after going outside to play. When my husband got him home from work he threw up(a symtom of crisis)multiple times. He adminstered the shot and took him to the hospital.The caregiver staff had been rotated and the director (who knows the seriousness of the condition) never explained the condition .They were only told to have him drink plenty of fluids. **The critical factor in daycare is making sure YOU educate all caregivers and YOU have a specific plan in place when your child gets sick. Write down all the signs/symtoms they need to look for. Have them call if your child acts the least bit unlike him/herself. Call anytime there is vomiting, etc. If possible, try to find a place near your work or someone who is also responsible for your child. See if there is anyone willing or if the school will let anyone give the shot. If not, ALWAYS stress the importance of calling 911. My child's school took responsiblity for the last hospitalization and the director made sure the written info was posted and read by each caregiver. We also educated the caregivers (once we knew there was a change) ourselves. Basically, many pre-schools or daycares will have never heard of this disorder and plain kind words about it mean very little. You have to tell them that if these thing written on the paper about your child are not done, he or she could die! It sounds harsh but many of us have seen how close this is to reality. Finally, we got the family plan cell phone and my husband wears his everywhere. His place of business has seen our son at his worst(once he had to take him over to work to call the doctor and administer the shot) and would never whence at him carrying his cell phone.We carry the cell phone anywhere we take our son. Good Luck!