The proposed regulation 12 VAC 35-105-170 C is to minimize the possibility that the violation will occur again. However, proposed regulations 12 VAC 35-105-170 H.1 and 12 VAC 35-620 D.3 should be removed.  Prevention of the violation from occurring again is unrealistic.  This language requires the provider to prevent recurrence of the citation.

The provider is committed to protect the health, safety, and welfare of the individual.  Proposed measures in the CAP by the provider is to minimize the systemic deficiencies, utilize best practice and implement in the Quality Improvement Plan.