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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>73851</law_id><section_number>32.1-162.15:1.20</section_number><catch_line>(Effective July 1, 2026) Disciplinary action; civil penalties</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><structure><unit label="title" level="1" order_by="1" identifier="32.1">Health</unit><unit label="chapter" level="2" order_by="1" identifier="5">Regulation of Medical Care Facilities and Services</unit><unit label="article" level="3" order_by="1" identifier="7.2">Prescribed Pediatric Extended Care Center Licensing</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> The <span class="dictionary">Commissioner</span> may impose disciplinary action (i) for violation of any of the provisions of this article or any regulation adopted under any provision of this article for which that violation adversely affects, or is an imminent and substantial threat to, the health, safety, or welfare of the <span class="dictionary">person</span> cared for therein or (ii) for permitting, aiding, or abetting the commission of any illegal act in a <span class="dictionary">Center</span>. <a id="paragraph-265541" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The disciplinary action that the <span class="dictionary">Commissioner</span> may impose includes: <a id="paragraph-265542" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> Revoking or refusing to renew a license; <a id="paragraph-265543" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> Suspending or refusing to reinstate a license; <a id="paragraph-265544" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="B3" class="indent-1"><p><span class="prefix-number">3.</span> Placing a licensee on <span class="dictionary">probation</span> upon <span class="dictionary">finding</span> that the licensee is substantially out of compliance with the terms of its license and that the health and safety of children are at risk; <a id="paragraph-265545" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B3"><i class="fa fa-link"/></a></p></section>
						<section id="B4" class="indent-1"><p><span class="prefix-number">4.</span> Reducing licensed capacity or prohibiting new admissions or enrollments when the <span class="dictionary">Commissioner</span> concludes that the licensee cannot make necessary corrections to achieve compliance with regulations except by a temporary restriction of its scope of service; <a id="paragraph-265546" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B4"><i class="fa fa-link"/></a></p></section>
						<section id="B5" class="indent-1"><p><span class="prefix-number">5.</span> Mandating training for the licensee or licensee&#x2019;s employees or volunteers, with any costs to be borne by the licensee, when the <span class="dictionary">Commissioner</span> concludes that the lack of such training has led directly to violations of regulations; <a id="paragraph-265547" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B5"><i class="fa fa-link"/></a></p></section>
						<section id="B6" class="indent-1"><p><span class="prefix-number">6.</span> Assessing monetary penalties of not more than $1,000 per violation per day, not to exceed $100,000 for a series of related incidents of noncompliance, upon <span class="dictionary">finding</span> that the <span class="dictionary">Center</span> is substantially out of compliance with the terms of its license and the health and safety of children are at risk; however, no monetary <span class="dictionary">penalty</span> shall be imposed pursuant to this subdivision on any <span class="dictionary">Center</span> operated by an agency of the Commonwealth; <a id="paragraph-265548" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B6"><i class="fa fa-link"/></a></p></section>
						<section id="B7" class="indent-1"><p><span class="prefix-number">7.</span> Requiring licensees to contact <span class="dictionary">parents</span>, guardians, or other responsible <span class="dictionary">persons</span> in writing regarding health and safety violations; and <a id="paragraph-265549" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B7"><i class="fa fa-link"/></a></p></section>
						<section id="B8" class="indent-1"><p><span class="prefix-number">8.</span> Requiring submission of and compliance with plans of corrective action, with or without actions directed by the <span class="dictionary">Commissioner</span>. <a id="paragraph-265550" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#B8"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> Any monetary penalties collected under this section shall be paid in equal portions to the Physician Loan Repayment Program established in &#xA7; <a class="law" title="Physician Loan Repayment Program" href="/32.1-122.6_1/">32.1-122.6:1</a>, the Nurse Loan Repayment Program established in &#xA7; <a class="law" title="Nurse Loan Repayment Program" href="/32.1-122.6_04/">32.1-122.6:04</a>, and the Nursing Scholarship and Loan Repayment Fund established in &#xA7; <a class="law" title="Nursing Scholarship and Loan Repayment Fund" href="/54.1-3011.2/">54.1-3011.2</a> after deduction of the administrative costs of the <span class="dictionary">Commissioner</span> and the <span class="dictionary">Department</span> in furtherance of this section. <a id="paragraph-265551" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> Except as provided in &#xA7;&#xA0;<a class="law" title="(Effective July 1, 2026) Summary suspension; privately operated Centers" href="/32.1-162.15_1.21/">32.1-162.15:1.21</a>, the <span class="dictionary">Commissioner</span> shall take no action to impose disciplinary action against a <span class="dictionary">Center</span> that is not operated by an agency of the Commonwealth except after reasonable notice and an opportunity to be heard in no fewer than 30 days by the <span class="dictionary">Commissioner</span>&#x2019;s presiding officer in accordance with &#xA7;&#xA0;<a class="law" title="Informal fact finding proceedings" href="/2.2-4019/">2.2-4019</a>. Such disciplinary action may be in addition to any <span class="dictionary">penalty</span> imposed by <span class="dictionary">law</span> for the violation. <a id="paragraph-265552" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#D"><i class="fa fa-link"/></a></p></section>
						<section id="D1" class="indent-1"><p><span class="prefix-number">1.</span> All requests for an opportunity to be heard following a notice of imposition of disciplinary action shall be received in writing within 15 days of the date of receipt of such notice. <a id="paragraph-265553" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#D1"><i class="fa fa-link"/></a></p></section>
						<section id="D2" class="indent-1"><p><span class="prefix-number">2.</span> All administrative proceedings under this section shall be separate from the regulatory office of the <span class="dictionary">Department</span> that conducted the inspection, investigation, examination, or review. <a id="paragraph-265554" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#D2"><i class="fa fa-link"/></a></p></section>
						<section id="D3" class="indent-1"><p><span class="prefix-number">3.</span> The presiding officer shall provide a recommendation to the <span class="dictionary">Commissioner</span>, including <span class="dictionary">findings</span> of <span class="dictionary">fact</span>, conclusions, and appropriate disciplinary action. <a id="paragraph-265555" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#D3"><i class="fa fa-link"/></a></p></section>
						<section id="D4" class="indent-1"><p><span class="prefix-number">4.</span> The <span class="dictionary">Commissioner</span> may <span class="dictionary">affirm</span>, modify, or <span class="dictionary">reverse</span> such recommendation and shall <span class="dictionary">issue</span> a final case decision. <a id="paragraph-265556" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#D4"><i class="fa fa-link"/></a></p></section>
						<section id="E"><p><span class="prefix-number">E.</span> Whenever the <span class="dictionary">Commissioner</span> refuses to <span class="dictionary">issue</span> a license or to renew a license or revokes a license for a <span class="dictionary">Center</span> other than a <span class="dictionary">Center</span> operated by an agency of the Commonwealth, the provisions of the Administrative Process Act (&#xA7; <a class="law" title="Short title; purpose" href="/2.2-4000/">2.2-4000</a> et seq.) shall apply. <a id="paragraph-265557" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#E"><i class="fa fa-link"/></a></p></section>
						<section id="F"><p><span class="prefix-number">F.</span> Except as provided in &#xA7; <a class="law" title="(Effective July 1, 2026) Summary suspension; Centers operated by an agency of the Commonwealth" href="/32.1-162.15_1.22/">32.1-162.15:1.22</a>, the <span class="dictionary">Commissioner</span> shall take no action to impose disciplinary action against a <span class="dictionary">Center</span> operated by an agency of the Commonwealth except after reasonable notice and an opportunity to be heard in accordance with &#xA7; <a class="law" title="(Effective July 1, 2026) Right to appeal notice of imposition of disciplinary action; Centers operated by agencies of the Commonwealth" href="/32.1-162.15_1.23/">32.1-162.15:1.23</a>. <a id="paragraph-265558" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#F"><i class="fa fa-link"/></a></p></section>
						<section id="G"><p><span class="prefix-number">G.</span> An <span class="dictionary">appeal</span>, taken as provided in this section, shall operate to <span class="dictionary">stay</span> any criminal <span class="dictionary">prosecution</span> for operation without a license. <a id="paragraph-265559" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#G"><i class="fa fa-link"/></a></p></section>
						<section id="H"><p><span class="prefix-number">H.</span> A monetary <span class="dictionary">penalty</span> that is not appealed becomes due on the first day after the <span class="dictionary">appeal</span> period expires. The license of a <span class="dictionary">Center</span> that has failed to pay a civil <span class="dictionary">penalty</span> due under this section shall not be renewed until the civil <span class="dictionary">penalty</span> has been paid in full, with interest, provided that the <span class="dictionary">Commissioner</span> may renew a license when an unpaid monetary <span class="dictionary">penalty</span> is the subject of a pending <span class="dictionary">appeal</span>. <a id="paragraph-265560" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#H"><i class="fa fa-link"/></a></p></section>
						<section id="I"><p><span class="prefix-number">I.</span> If a license is revoked or refused renewal, a new license may be issued by the <span class="dictionary">Commissioner</span> after: <a id="paragraph-265561" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#I"><i class="fa fa-link"/></a></p></section>
						<section id="I1" class="indent-1"><p><span class="prefix-number">1.</span> Satisfactory <span class="dictionary">evidence</span> is submitted to him that the conditions upon which the <span class="dictionary">revocation</span> or refusal was based have been corrected; and <a id="paragraph-265562" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#I1"><i class="fa fa-link"/></a></p></section>
						<section id="I2" class="indent-1"><p><span class="prefix-number">2.</span> Proper inspection has been made and compliance with all provisions of this article, regulations promulgated pursuant to this article, and applicable state and federal <span class="dictionary">law</span> and regulations hereunder has been obtained. <a id="paragraph-265563" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#I2"><i class="fa fa-link"/></a></p></section>
						<section id="J"><p><span class="prefix-number">J.</span> The <span class="dictionary">Board</span> shall promulgate regulations to implement the provisions of this section that include: <a id="paragraph-265564" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#J"><i class="fa fa-link"/></a></p></section>
						<section id="J1" class="indent-1"><p><span class="prefix-number">1.</span> Criteria for when the imposition of disciplinary action or initiation of <span class="dictionary">court</span> proceedings as specified in &#xA7; <a class="law" title="Penalties, injunctions, civil penalties and charges for violations" href="/32.1-27/">32.1-27</a>, or a combination thereof, are appropriate in <span class="dictionary">order</span> to ensure prompt correction of violations involving noncompliance with requirements of any <span class="dictionary">order</span> of the <span class="dictionary">Board</span> or <span class="dictionary">Commissioner</span> or any provision of or regulation promulgated pursuant to this article; <a id="paragraph-265565" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#J1"><i class="fa fa-link"/></a></p></section>
						<section id="J2" class="indent-1"><p><span class="prefix-number">2.</span> Criteria for the imposition of disciplinary action based upon the severity, pervasiveness, duration, and degree of risk to the health, safety, or welfare of children; <a id="paragraph-265566" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#J2"><i class="fa fa-link"/></a></p></section>
						<section id="J3" class="indent-1"><p><span class="prefix-number">3.</span> Provisions allowing the <span class="dictionary">Commissioner</span> (i) to accept a plan of correction, including a schedule of compliance, from a <span class="dictionary">Center</span> prior to assessing a monetary <span class="dictionary">penalty</span> pursuant to subdivision B 6 or (ii) to reduce or abate the monetary <span class="dictionary">penalty</span> amount if the <span class="dictionary">Center</span> complies with the plan of correction within its terms; and <a id="paragraph-265567" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#J3"><i class="fa fa-link"/></a></p></section>
						<section id="J4" class="indent-1"><p><span class="prefix-number">4.</span> Procedures for imposition of disciplinary action consistent with the Administrative Process Act (&#xA7; <a class="law" title="Short title; purpose" href="/2.2-4000/">2.2-4000</a> et seq.). <a id="paragraph-265568" class="section-permalink" href="https://vacode.org/32.1-162.15_1.20/#J4"><i class="fa fa-link"/></a></p></section></text><history>2025, c. 451.</history><metadata></metadata></law>
