When my daughter was 1, we put her into a home day care that seemed wonderful. On the day we visited, there was 1 infant & 1 toddler, and the sweet woman told us her sister's kid would be there part-time. I knew about the 6-kid rule, as our previous provider was PATCH-certified and had explained everything to us (she had to close for personal reasons, unfortunately). Then one day I went to pick up early, and there were now 3 infants and 5 toddlers! The woman told me her husband was registered as a caretaker so they met the requirements of having enough adults per child, but he was never around. One day I left my daughter's cloth diaper on instead of changing to a disposable, and when I picked her up 7 hours later, she was still wearing the same diaper. From that and other things, it became clear the kids were being neglected. The DHS person told me that there were only 2 inspectors for the whole island, and so many daycares it was impossible to check them all.