Ballard v. NEBRASKA DEPT. OF SOCIAL SERVICES

515 N.W.2d 437
CourtNebraska Court of Appeals
DecidedApril 19, 1994
DocketA-93-292
StatusPublished
Cited by1 cases

This text of 515 N.W.2d 437 (Ballard v. NEBRASKA DEPT. OF SOCIAL SERVICES) is published on Counsel Stack Legal Research, covering Nebraska Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ballard v. NEBRASKA DEPT. OF SOCIAL SERVICES, 515 N.W.2d 437 (Neb. Ct. App. 1994).

Opinion

515 N.W.2d 437 (1994)
2 Neb.App. 809

Marjorie J. BALLARD, Appellee,
v.
NEBRASKA DEPARTMENT OF SOCIAL SERVICES, Appellant.

No. A-93-292.

Court of Appeals of Nebraska.

April 19, 1994.

*438 Don Stenberg, Atty. Gen., and Royce N. Harper, Lincoln, for appellant.

Claude E. Berreckman, Jr., of Berreckman & Berreckman, P.C., Cozad, for appellee.

HANNON and MILLER-LERMAN, Judges, and WARREN, District Judge, Retired.

WARREN, District Judge, Retired.

The Nebraska Department of Social Services (Department) appeals the Lancaster County District Court's reversal of the Department's order which denied a day-care license application. The Department had denied the day-care facility license to Marjorie J. Ballard because while she had held a previous day-care facility license she had administered nonprescription medication to children in her care in a manner which allegedly violated the Department's rules and regulations. Ballard appealed the Department's order to the Lancaster County District Court, which reversed and modified the Department's order, finding that under the Department's rules and regulations Ballard could be issued a conditional license, provided she did not administer any medication to *439 children in her care. The Department appeals.

I. STATEMENT OF FACTS

Marjorie J. Ballard became licensed in 1985 by the Nebraska Department of Social Services to provide group day care to children of parents residing in Gothenburg and surrounding communities. Ballard's license was then renewed on April 18, 1991, and the Department conducted an investigation. The Department's investigation included checking the records of the central register for reports of child abuse and neglect. The register had no indication of any reports of child abuse or neglect by Ballard.

On October 8, 1991, the Department revoked Ballard's license by emergency order, pursuant to Neb.Rev.Stat. § 71-1915(3) (Reissue 1990). The Dawson County Attorney had filed a charge against Ballard on October 4, accusing Ballard of negligent child abuse pursuant to Neb.Rev.Stat. § 28-707(1)(a) and (3) (Reissue 1989).

The charge of child abuse arose out of an incident in July 1990, in which Ballard administered a mixture of adult-strength Tylenol, dissolved and diluted in water, to a 9-month-old infant who was placed in her care. The record reflects that the infant was brought to Ballard the evening of July 17 by a neighbor of the infant's mother. The evidence indicates that the child's mother and father had gone to Lexington to be with the infant's paternal grandfather, who had been hospitalized and was dying. The infant's mother telephoned the neighbor and told the neighbor to take the infant over to Ballard to be cared for. In a letter written to the Department, the neighbor stated that, at that time, the child had felt hot to her. During the night, Ballard noticed that the child had a fever of 102 degrees Fahrenheit. Ballard mixed five to seven adult-strength Tylenol pills in 3 to 4 ounces of water and gave the child approximately a teaspoon of the mixture. At the hearing, a pharmacist testified that the approximate strength of such a dose was 200 milligrams. Ballard testified that her family doctor had told her she could mix Tylenol in this manner to administer to children. Ballard administered approximately three-quarters of a teaspoon of the mixture to the infant the next day. The record contains a form filled out and signed by the infant's father which permitted Ballard to administer certain nonprescription medications to the infant, including children's Tylenol. The infant's parents picked up the infant at Ballard's day-care facility at 10 o'clock the next morning. They took him to a doctor, who informed the parents the infant had an ear infection. The infant again was placed in Ballard's care overnight. At some point, the parents administered additional Tylenol, which had been prescribed by the infant's doctor, to the infant. The infant died approximately 3 days after he had been originally placed at Ballard's. The charge brought against Ballard accused her of poisoning the child through an overdose of Tylenol.

Ballard was acquitted of the charge of negligent child abuse on January 7, 1992. Ballard then applied to the Department for a group day-care license. Ballard was then notified by the Department that her application for a group day-care license had been denied. Ballard appealed the Department's action under the Administrative Procedure Act's provision for contested cases, Neb.Rev. Stat. § 84-913 (Reissue 1987). A hearing was held, in part, on March 2.

On March 6, Ballard requested a grant by the Department of alternative compliance, under which she would be granted a license upon the condition that she not administer any medication of any kind to a child in her care. The Department denied Ballard's request on March 10, and the hearing on the denial of Ballard's license was resumed on March 12. The Department then issued an order denying Ballard's appeal.

The order stated that the Department found that Ballard had failed to keep an accurate record of salt tablets which were administered by parents to their own children at Ballard's day care; that Ballard had administered Tylenol to an infant in violation of Department rules, which require medications to be administered from their original containers or from a container labeled for an individual child; and that the administration of Tylenol did not meet reasonable or acceptable *440 clinical standards, which could have been injurious to a child's health. Ballard appealed the Department's order to the Lancaster County District Court.

The district court noted that under the Department's regulation regarding alternative compliance, the Department may grant alternative compliance with its minimum regulations if the Department determines that the alternative offers equal protection to children and meets the intent of the regulation for which alternative compliance is sought. The court found that if Ballard agreed not to administer any medications, then the intent of the regulation regarding administration of medications would be met. The court found that the Department's summary refusal to grant Ballard's request for a license based on alternative compliance was not for cause. The district court reversed the Department's order and directed the Department to issue a license to Ballard with a restriction that she not be allowed to administer medications to any child in her care. The Department appealed the district court's ruling.

II. ASSIGNMENTS OF ERROR

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515 N.W.2d 437, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ballard-v-nebraska-dept-of-social-services-nebctapp-1994.