22VAC40-185-245   G. 4.   Any child for whom emergency medications (such as albuterol, glucagon, and epipen) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements in subdivision 1 on this subsection.   (subdivision 1 outlines the requirements for MAT, Medication Training)

In the world of operating a state licensed child center, this one sentence would basically require a staff trained in MAT in every classroom.   First and foremost, centers enroll children throughout the year and on any day a child could enroll who has a prescribed epipen.  We would not be able to assign the child to a classroom if that staff does not have MAT.  This unknown factor would dictate center wide MAT training.  The other scenario is if you have a toddler enrolled who has an epipen and for this example, lets say the toddler's teacher already has MAT.  Well, that toddler will eventually graduate to the Two's room, then to the Three's room and so forth!  All future classrooms would need staff trained in MAT.  Again, center wide MAT requirement!  This seems much more than needed.