Even though COVID-19 has affected Halloween this year, it doesn't stop the Derricos from celebrating with a sizzling '70s dance off! Diez has his oblong head shape examined by a doctor, which has Karen and Deon pleading for a non-surgical solution.

GG learns about Diez's likely condition, triggering a devastating reaction. Dallas and Denver get busted for "twinning." Deon suspects Karen might be pregnant, but his excitement is quickly thwarted by an unexpected killjoy.

Karen and Deon endure a range of emotions over the new baby on the way, but unexpected news from South Carolina rocks Karen's world. Meanwhile, GG still has strong feelings about her growing family, and Darian acts on her suspicions to find out the truth.

Karen anxiously prepares for Diez’s appointment with specialists in Los Angeles to determine if he needs skull surgery. Meanwhile, Deon jumps the gun on a nanny search, and Karen’s second sonogram sets the record straight.

The Derricos celebrate Darian’s 15th birthday with a big surprise, but Deon’s not ready to learn what gift she actually has her heart set on. Meanwhile, Karen’s reluctance to hire a nanny frustrates both Deon and GG.

With Diez’s surgery to reconstruct his skull fast approaching, Deon wants Christmas to be extra special this year, but an unexpected expense puts his plans in jeopardy. Meanwhile, the family’s grueling nanny search comes to a surprising end.

The Derricos make their way to Los Angeles for Diez’s skull surgery, but the trip gets off to a rocky start when the family’s rental property isn’t what they expected. Then, a last-minute change to the hospital’s COVID protocols leaves Deon in disbelief.

While Diez is in surgery to repair his elongated skull, Deon and Karen lean on each other and their family for support. Deonee enlists the help of her siblings and GG to surprise Diez with a musical get-well gift.

Diez has his post-op exam to determine how he is healing. With much to celebrate, the Derrico kids are thrilled to take their first trip to the snow, but trouble brews in Utah when Deon shoots down a monumental wish Karen has for the family's future.

Karen is chomping at the bit now that Deon's agreed to go to therapy to determine whether he really has OCD, but Deon faces a much greater fear after a devastating incident forces him and Karen to rethink their priorities.