The family vacation continues on Lauren's birthday and Vito has pulled out all the stops to plan a special day. Much to Caroline's dismay, Vito booked a zip-lining excursion high above a beautiful vineyard. Despite her fear of heights, unbeknownst to her kids, Caroline still fears the worst over an unresolved health issue. Meanwhile, after an unusual outburst from Albert, Chris struggles to tell the family about his plans to move. Later, Caroline pursues her dream and co-hosts a talk show in Los Angeles.

Caroline organizes a waterfront celebration for Albie's thirtieth birthday but it's clearly not a time of carefree celebration for the Manzos. Chris can't wait any longer to tell Albert that he plans to move, despite the heartbreak it will cause his father. Meanwhile, Caroline waits in terror for a doctor's call with her test results. Tension mounts between Albie and Vito, who have yet to resolve their huge blow up. And later, emotions run high when Caroline gives the family a dose of life-changing news.