I am an OT who works within a variety of settings including outpatient pediatrics, early intervention, and school systems.  I have been responsible for supervising COTA's in these environments and would like to address a concern about the wording of 18VAC85-80-110 Section D.  It reads "The Occupational Therapy assistant shall document in the patient record any aspects of the initial evaluation, treatment plan, dischagre summary, or other notes performed on patient care performed by the assistant, and the supervising occupational therapist shall review and countersign within 10 days of such information being recorded."  I am concerned about the wording of the bold section.  Realistically if the frequency of meeting with COTA's is begin decreased to once every 10th visit or every 30 days, then the signing of the notes for daily visits should be in accordance to this timeline as well.  Please consider seperating the countersigning of daily notes from the signing of evaluation, treatment plan, and discharge information.  Thank you for your attention to this matter.