In urban areas, emergency personnel are readily available and carry epi pens.  Paramedics would be better at assessing a child's anaphylactic reaction and knowing if epinephrine was necessary.  Therefore, unless centers are in a rural area, this is not necessary.

How would centers obtain the epinephrine since it is by prescription.  How would centers pay for this medication.  How would this cost be continuously absorbed into the budget?

When referencing weight based administration, how would that dosage be determined by staff?

How would parents be informed of this change and the administration of epinephrine in the event staff determined it was needed by a child?