On December 14, 2022, the NRC issued a notice of violation and proposed imposition of civil penalty in the amount of $8,000 to Banner Health Wyoming Medical Center (licensee), for a Severity Level III problem associated with two related violations. The violations involved the licensee’s failure to: (1) prepare written directives that were dated and signed by an authorized user as required by Title 10 of the Code of Federal Regulations (10 CFR) 35.40(a), and (2) ensure that the written directives for permanent implant brachytherapy contain the total source strength before and after the implementation, in accordance with 10 CFR 35.40(b)(6).