The proposed language in these definitions and in 12VAC35-105-170 H. and 620 D.3 are substantive changes that would have significant impact on the providers of these services.

It is unrealistic to expect that providers could control risks (vs. minimizing or mitigating those risks), or, with absolute certainly, prevent a situation to occur, or ensure the safety of everyone at all times. To expect that a provider will develop and sign a corrective action plan pledging to these absolutes, creates a legal liability for the provider. Aside from the many issues that will result with citations and loss of a provider’s license should any of those things occur/reoccur (as already well outlined in others’ comments), I would think the providers’ insurance carriers and legal representatives would have a considerable objection with the provider committing themselves to this liability.

Section H reads that we must prevent the recurrence of a regulatory violation……

Minimize and prevent are not the same thing.  Furthermore, I agree that we should do what we can to minimize all violations but I don’t see how it’s possible to completely prevent a situation for occurring again. Section H should remove “prevent” or remove the section entirely.