She took care of my son when he was two for a time. She was nice, usually punctual. My son seemed OK with her, liked her but didn't love her. She was able to give feedings through a feeding pump with only minor instructions about our specific pump. I think a slightly older child, maybe five, would have liked her better. She was often trying to do projects with him, which she brought with her, that my son just wasn't into because they were a little old for him. She does juggle a few clients, but only once or twice was she unavailable when I really needed her, and since I was not looking for someone full time I certainly can't blame her for having more than one client. She was cheerful and comfortable taking care of a child with medical needs.