On September 17, 2009, the NRC issued a Notice of Violation to Ohio Valley Medical Center for a Severity Level III violation involving the failure to meet the physical presence requirements of 10 CFR 35.615(f)(2) during high dose radiation (HDR) treatments. Specifically, on June 17, 2009 and other occasions prior to that date, neither an authorized user (AU), nor a physician under the supervision of an AU and trained in the operation and emergency response for the unit, were physically present during continuation of HDR treatments.