Virginia Regulatory Town Hall
Agency
Department of Education
 
Board
State Board of Education
 
chapter
Standards for Licensed Family Day Homes [8 VAC 20 ‑ 800]
Action Amend regulation to require each family day home provider or other caregiver to be trained in epinephrine administration; notification requirements to parents required
Stage Fast-Track
Comment Period Ended on 12/17/2025
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12/5/25  6:30 pm
Commenter: Kathy Dolezal

Concerns about Epipen requirements
 

I oppose the proposed requirement for all daycares to take on the burden and responsibility of purchasing yearly, and taking on the liability of administering epinephrine. This will likely put many small daycare providers out of business and/or greatly increase the cost of daycare for hardworking families. How will this affect the cost of daycare…Insurance companies? Will they provide liability coverage for providers? What will this do to the cost of premiums? The cost of Epipens? Cost of training? This article from The Journal of Allergy and Clinical immunology is interesting. Should the provider have a regular epipen or a epipen Jr. or will they be required to have both. It’s clear that epinephrine administered based on weight is the best option. If a child is at risk of anaphylaxis an administration plan and an epipen with the accurate dosage for that child should be prescribed by their physician and the parents should be the ones providing the epipens and signed permission and waiver form for the daycare provider as there appears to be great risk of potential side effects. Please consider your proposal carefully regarding the negative impact on small daycare providers, especially small providers and families.
https://www.jacionline.org/article/S0091-6749(02)72109-X/fulltext

CommentID: 238486