A black-and-white horizontal photograph provides a wide-angle view of the Little Jim Ward at San Francisco Children’s Hospital, a spacious circular room with high ceilings and radial wooden rafters. In the foreground and center, several infants and young children are positioned in various pieces of early 20th-century medical furniture, including a wooden high chair, a metal-framed stroller, and a small wheeled walker. In the background, numerous white metal hospital cribs are arranged along the curved wall, some occupied by children, while three nurses in white uniforms and caps are stationed at different points throughout the room. To the right, a large dark piano sits against the wall near a window. The room is brightly lit by large windows, and a dark decorative plant stands on a pedestal near the piano. At the bottom of the photograph, white text reads "PHOTO BY CHAS. WEIDNER, S. F., CAL." on the left and "Little Jim Ward - 1914" on the right. The image is mounted on a light-colored card with a color calibration strip and a metric ruler visible along the bottom edge.