In a center it is absolutely necessary for a child to be potty trained to move up. The teacher child ratios are designed to be developmentally appropriate with sufficient supervision and interaction for that level. Not only may there not be appropriate facilities to change diapers, other children would be neglected to provide that extra time and care for your son. Additionally, other newly potty trained children would possibly regress if they see a child their age get extra time and attention for not being potty trained, or be ostracized by the group for that same reason. In the many years I have worked with children I have had many, many children whose parents believed the child had ADHD, as well as children with CP and other sources of developmental delay. ADHD alone, if it is ADHD at all, is not sufficient reason to be not potty trained. In fact, if his concentration is that poor, he probably hasnt mastered all of the skills being taught in the 2 yr old room that are needed to be successful moving up. If they are anxious for a break, behavioral issues such as OCD or discipline issues are more likely the culprit. Most school districts have a specialist on staff to do evaluations and provide support through early childhood programs through the school to help, but even those here require potty training except in cases of developmental delays that justify that sort of special care. I know its embarrassing to have him left behind, but it is not in his best interest, the providers, or the other children in care to just move him up regardless of his developmental readiness for that new environment. Ultimately he may need a smaller setting with more individual attention and intervention to catch up and have a chance at being successful when school comes.

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