But lawyers for Herbert and Catherine Schaible say they didn't realize their 2-year-old son was dying.
Kent Schaible died in January, about 10 days after he fell ill. The couple has several other children, including a new baby.
The Schaibles work as teachers at their fundamentalist church, First Century Gospel Church in Northeast Philadelphia. They quit school after the ninth grade.
A Philadelphia judge this week upheld involuntary manslaughter, child endangerment and conspiracy charges against them.