Virginia Regulatory Town Hall
Agency
Department of Education
 
Board
State Board of Education
 
chapter
Standards for Licensed Child Day Centers [8 VAC 20 ‑ 780]
Action Amend regulation to require each child day center to implement policies for the possession and administration of epinephrine
Stage Fast-Track
Comment Period Ended on 12/17/2025
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12/2/25  11:32 am
Commenter: Diana Lichliter, Piedmont Child Care Center

Strongly Oppose this Amendment
 

I strongly oppose this amended regulation.  

Childcare staff are not medical professionals, and requiring them to make rapid, high-stakes medical decisions about whether a child with no diagnosed allergy needs an epinephrine injection is not fair.  Misinterpreting symptoms or administering medication unnecessarily could create serious safety risks.  Not to mention the liability if a medical mistake is made, both for the center and the staff member forced to make a decision.  We are not allowed to administer common medicines like Tylenol without proper paperwork and parent consent-- I am not comfortable administering epinephrine without the same- or requiring my staff to do so.

This mandate also places a significant financial burden on already struggling centers.  Epinephrine auto-injectors are expensive, must be purchased in multiple weight-based doses, and expire quickly- requiring continual replacement even if never used.  This is an added expense that makes running a center even more difficult.

For these reasons, I respectfully oppose this amendment. 

CommentID: 238265