You made an excellent point. The diaper issue, however, is a component of poverty which is in itself an ACE. When working at the family center I was told by struggling moms who came in for diapers that their daycare facilities changed the babies on a regular and frequent schedule, whether the child needed changing or not. The moms said they were going through many diapers a week and needed help. I'm thinking that somewhere in arriving at that decision a professional assessed the importance of addressing the child's needs on a timely basis so as not to take the chance of ignoring an infant or non-verbal child.