Signed out for privacy.

I have a 4.5 yo that has been in my care for around 3 years. She started when she was just over 1 year old. She's really smart and kind. There is something off maybe though. I'm afraid to say anything to her parents because I'm not a Dr and it could be nothing and I don't want to scare them over something that is possibly nothing nor do I want to make them mad. It doesn't feel like my place but i keep wondering when/if they're going to notice. Here are the things that are off/different from the many other children I've cared for:

1. Spacing out frequently (like she is staring off in space daydreaming)
2. Drunk-like walk (this has gotten better with age! She used to sort of sway and roll/bounce off the walls on her way through the house. Not like stumbling or falling really just a foot dragging slow gait that's erratic. She still walks different... Sometimes she still walks into walls because she's spacing out while walking)
3. Lack of fine motor skills (she has trouble with zippers, holding small things, using silverware, etc)
4. Tremor (this is my biggest red flag. She shakes while picking at her food with her hands. She shakes while holding silverware. She shakes while holding small toys but especially little bugs, etc.
5. Slurring speech (also trouble with r, s, ch sounds. It sounds like she has something in her mouth while she talks. Often her mouth is open a little and she "rests" her tongue out a bit)
6. Concentration problems (she can only count to 3 and doesn't know her ABCs even though we practice ABCs every time she washes her hands so at least 10xs per day 5 days per week. And she does remember to start the abc song on her own and wants to know it but can never get past g. Yet she can tell you some crazy science facts like the proper name of a specific dragonfly

Is it just her personality or should I be concerned?

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