To call social services or not to call social services?

If your daughter's father's home is smelling so strongly of garbage and a certain 'substance', and your daughter is coming home to you with staph infections and conjunctivitis (pink eye), then you most certainly should be taking some sort of action. Should you be calling Social Services? Well, I don't know about that. Social Services have a fairly long and strong track record of screwing kids up worse than a bad parent could ever do. But if your daughter is in a situation like the one you described, you should take some time to do a bit of research and find yourself a good family lawyer/mediator and discuss your options. If it really is as bad as you think it might be, and it definitely does look that bad, then you should be seeking for more custody of your daughter and for her father to have only supervised visits until he can let you into his home and prove to you that it is a fit environment for a young girl to be spending some of her most vital years of growing up.
I would like to add, however, that just because her father is 'smoking', that does not mean he is unfit for parenting. If he is 'smoking' in front of her and/or in a vicinity where she is exposed to fumes or even just the odor, then its obviously a different story and he should definitely have his father licence revoked.
Psychadelic substances are also NOT okay to be doing on a casual/regular or even semi regular basis while you are parenting a young child. It is irresponsible and dangerous to that child's mental AND physical development. Its so NOT cool and so not fair to anyone in that child's life or even to the child herself.
But like I said before, the 'smoking', as long as the child is not directly exposed to it at such a young age, is really not a big deal. I grew up with a single father for 5 years until I was 7 years old and then he married a very young woman (whom I came to love dearly as if she were my own mother) and they started to 'smoke' together on a very regular basis but they were always responsible, caring, and very nurturing towards me and my needs. I grew up in a very loving environment and was never neglected. We were always doing things together from taking trips to staying in and reading books together. My house was always clean and good hygiene was always very important. Our kitchen was always well-stocked and we all made time to have supper together on a very regular basis with, of course, the exception of either my father or stepmother having to do something for work or if I had any extracurricular activities. I am now 21 years old and I'm a pre-med student, avid ballet dancer, and I have a job and adowntown loft that most 21 year old girls would kill for, and I only have my 'smoke'head of a father and stepmother to thank for guiding me to where I am today.
What I'm trying to say by all of this is please don't jump to terrible conclusions about your ex and his parenting just because he 'smokes'... Its really not that bad of a thing. Not my cup of tea, but hey, to each their own... But if your ex is doing other things and you know that its just an all around bad environment for your daughter, then the only right thing to do is get her the heck out of there!! Don't cut her father out of her life - that would be the worst thing you could do - but do cut her out of a situation that is obviously detrimental to her development and well-being.
I think you should get a lawyer to hand your ex a letter, telling him that he had better straighten the #*@% out and create a positive and healthy environment for his daughter - who should be his number one priority - or else you WILL take legal action to seek further custody in the best interest of your child... And FOLLOW THROUGH ON IT. Don't make 'empty threats' because he won't take you seriously and it will turn into a messy situation that your daughter will inevitably be sucked into. Be firm in your standing, but also be civil... And make sure you find a GOOD and understanding lawyer; not just some money grubbing, arrogant prick.
Good luck with all of this. I really hope Social Services doesn't get involved and screw anything up for your daughter... Please don't let that happen!

Best wishes!

I can't tell you what to do. But i can tell you what CAN happen if the doctor goes to social services. Sadley, you can get in trouble for neglect and/or failure to protect. So you do have to act, and act soon.

If you call, you have a slight upper hand. But not much. If you can avoid cps, all the better. I suggest you get copies of her medical records, and maybe change doctors (assuming she's not under close medical supervision for any conditions) document everything. Even convos with the ex.

Remember, if the doc or someone else calls, then cps will want to see all your children. And it can turn into a case involving all of them.

Just food for thought. I hope all goes well, and your ex can get back on track for the child. Hugs!