For any doctor appointments I have my husband or my mom watch the group. It makes it really tricky to make appointments because both of them work full time but so far it's been doable. I am thinking about hiring one or two people who could occasionally sub for me.
Daycare definitely is rough on your house. I never understood the warning my mom would give me (she used to do home daycare too) when she said its a lot of wear and tear on your home. It is so true.

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