A friend of mine runs a home daycare

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A friend of mines runs a home daycare and she has a baby there. He is 4 months hold. She said his head is very very flat ont he back where he lays all the time. Also he screams all the times and he shakes very bad. She don't know what to do. She is gonna tell the mom she can't keep him anymore. Any ideas what she should do or what may be causing him to scream and shake all the time.