And that's what needs to change. How does a business that serves the children of working parents stay in business when the hours they work both the child and parent aren't at home or the parents can't bring the child to them?

That is the problem here.

The businesses that want to serve children of parents who are home with their children, work evenings and weekends or the children are at relative's houses during the week can have their business hours during the hours you stated.

If they want to serve children who are not on site at home or relative's then they need to adjust their model to accommodate.

Home child care does this. There are a certain number of providers who work evenings and weekends to accommodate parents who work odd hours. Why can't the specialist do the same?

This isn't a daycare issue. Whatever services are being done at daycare can be done at home before daycare, after daycare, evenings and weekends. The concept that the worker wants to view the children in the child care setting doesn't exist with children who are served at the family home. There's an understanding there are only siblings or no other children at all.

I just don't see this as having ANYTHING to do with child care.

I can see centers having the physical space to give a small area for therapy and the staff being thrilled to have one less kid during the time. I can also see therapist wanting to do the therapy with the other kids in the room and that would be something I would object to as a center owner. If they can serve a singleton child at home with their parents with the same treatment then they can serve the child without the age mates. I would never allow it in the classroom nor would I agree to a treatment plan that could be done exclusively at home. There would have to be very strong evidence that whatever therapy or plan that was supposed to be done at daycare would harm the child if it were done exclusively at home. That's a very high bar.

Providers who want to offer the hosting service are another option. The decision to do so shouldn't be defaulted onto the provider because the service providers refuse to adjust their business to meet the needs of their clients or because parents refuse to adjust their work place/schedule/work hours to meet their needs of their child.

Bottom line is that it's EASIER for the parents and the service providers to do it at daycare. Easier does not rise to the level of meeting ADA accommodations that force the provider to accommodate when the parents and providers won't.

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