very cute, all the elements work nicely together. But agree with another commentor, I'm not sure if she is screaming scared or screaming happy. If you don't mind a little suggestion, I would say add a touch to the journalling to explain (like "ladybug ladybug go away" - or "ladybug ladybug you tickle me" or something). That's JMHO. I love the layout.

Love the little lady bugs and the b/w picture!

THis is AWESOME! Love the selected coloring, and the little bugs all around!

I can't decide if she is screaming because a ladybug is on her or if she is having a great time.
either way the LO is vey cute. I love the little ladybugs scattered around.