I have no issue with administering OTC meds. In fact, I have a supply of children's meds here (Advil, Tylenol, Gravol) that I supply. It's written right in my contract that if I feel a child requires medication for whatever reason (fever, pain, teething) then I will text or call each parent to discuss the need for med. If I don't hear back from anyone within 20 minutes, I have the authority to make the decision as to whether or not to medicate. Parents also must inform me of any meds administered at home before drop off so as to avoid double dosing.

Personally, I like it this way. This clause is discussed at length in the interview and also pointed out upon signing, so parents are well aware of it. So far, all my parents said they like this way of doing it as they know their children won't be left in discomfort if they cannot be reached.