When to speak up for myself...

So I work through public partnership ( PPL ) I get for one child & it’s biweekly pay sometimes it’s

Only $200 to 600

Well last year I started watching the sibling of the child I get paid for. But I don’t get paid for the sibling... the child I care for is special needs and requires a lot the sibling is also a baby that requires a lot. I am now pregnant unable to manage them both. When should I say something? How do I go about this? It was fine at first she would only come here & there now it’s everyday