On October 11, 2007, a Notice of Violation was issued for a Severity Level III violation involving the failure to meet the physical presence requirements in 10 CFR 35.615(f)(2) during High Dose Radiation (HDR) brachytherapy treatments. Specifically, on two occasions the licensee willfully performed HDR brachytherapy treatments without the physical presence of an authorized user and on two additional occasions the licensee willfully performed HDR brachytherapy treatments without the physical presence of an authorized user and continued patient treatments without the authorized user or a physician under the supervision of an authorized user physically present.