If your child is wearing a diaper it's not going to be changed until right before you pick your child up. My baby had a terrible rush and even bleeding from that. My child was screaming hysterically whenever seeing the daycare provider, she is very cold with kids. Plus she keeps her basement at 65 degrees during the winter, her garage aka as a playroom does not have any isolation or padding, just a cheap carpet on top of the concrete, your child would constantly be sick. Do not recommend.