On January 6, 2010, the NRC issued a Notice of Violation to Allegiance Health for a Severity Level III violation involving the failure to develop written procedures to provide high confidence that the administration was in accordance with the written directive as required by Title 10 of the Code of Federal Regulations (CFR), Section 35.41. Specifically, on April 16, 2009, the licensee's procedures did not contain any steps to ensure that no changes had occurred in the patients' prostate volume between the time the treatment plan was prepared and the administration of the treatment and no other method was provided to ensure that the administration was in accordance with the written directive.