The testing is with the Parent's as Teachers program and yes it is based on the needs of the child, but this doesn't always mean that something has to be wrong with your child. My very bright son thought it was silly to be playing catch with a lady he didn't know so he didn't try to catch the ball! So of course in their testing he tested low in gross motor skills (he was taking gymnastics at the time and was very good at these skills), they will also take children who need better coping skills with other children or in a school setting. This is all based on how many children they can handle and whether there is a child that needs the space more than your child.
These are not full time care, so you M. need someone to be able to take them and pick them up.