On July 19, 2023, the NRC issued a notice of violation (Notice) to Saint Alphonsus Health System (licensee) for a Severity Level (SL) III violation. The SL III violation involved the licensee’s failure to ensure that written directives for permanent implant brachytherapy contained the information required by Title 10 of the Code of Federal Regulations (10 CFR) 35.40(b)(6).