Guest Stars Charlie Carver as Porter Scavo Joshua Logan Moore as Parker Scavo Max Carver as Preston Scavo Kathryn Joosten as Karen McCluskey Kendall Applegate as Penny Scavo Richard Burgi as Karl Mayer Maiara Walsh as Ana Solis Lily Tomlin as Roberta Simonds David Fabrizio as Detective Collins Billy Mayo as Detective Lyons George Wyner as Dr. Rushton Co Starring Madison De La Garza as Juanita Solis II Mason Vale Cotton as M.J. Delfino Daniella Baltodano as Celia Solis Marie Caldare as Lila Dash Steve Tyler as Minister Judy Jean Berns as Older Woman Bonnie Hellman as Nurse Jay Pickett as Man Madeleine Michelle Dunn as Paige Dash