Staff is overwhelmed as ratios are not safe. The CNAs do not change the diapers for multiple hours. Children may lay in the same spot for multiple hours, because RNs are charting (paper) and doing orders and management does not ensure CNAs are moving each patient every two hours. The kids who can can walk/ talk don’t receive education. They have a calendar of events; but rarely ever are the events done. As an employee, staff micromanages, but not for the kids sake. Over whether or not you brought your phone into work or forgot to send a jacket home. Front staff that isn’t involved in patient care is accounted for in ratios.