I am writing this comment in opposition to the proposed changes to required epinephrine to be available by the child care center. We are already in a time where the real costs of operating licensed facilities continue to rise for numerous reasons, where finding and retaining staffing is increasingly costly and challenging, and where the increased burdens on the child care providers is making the proposition of opening a child care center untenable. Our organization has lost money every single year since COVID hit, and we are projected to continue to do so. In order to break even we would need to increase fees to a level that would make child care unaffordable for anyone but the upper middle class. Affordability of child care is already a problem across the nation. These kinds of regulations increase the financial and administrative burden on child care organizations and add to the problem without providing a solution. For our organization this regulation would add upwards of $5,000 of annual cost. This coupled with the skyrocketing prices of liability insurance would force us to make a difficult decision to not hire an additional staff member in order to cover these administrative costs. If the state wants to solve a problem, there are other ways to do this than to increase the financial burdens on child care providers.