Our nursing staff is on call, not on site after hours. However, they can be onsite in a relatively short timeframe, whenever necessary to assess a situation in person. In addition, in regions where our day programs are adjacent to our local office, we likely have a nurse within walking distance during the day on weekdays. At other times, our nurses communicate effectively via telephone with our caregiver staff to give and receive necessary medical information, and make decision about care. Of course, we will activate emergency medical treatment without delay whenever the situation requires it…and let the nurse know what’s happening after the call to 911; our staff are authorized and encouraged never to wait to call 911 when necessary, and certainly do not require the authorization of a nurse or administrator to activate any emergency services.