On November 21, 2023, the NRC issued a notice of violation (Notice) to United Hospital Center (licensee) for a Severity Level (SL) III violation. The SL-III violation involved the licensee’s failure to implement written procedures for responding to an abnormal situation as required by Title 10 of the Code of Federal Regulations (10 CFR) 35.610(a) when an operator was not able to place a high dose rate remote afterloader in its shielded position at the end of the treatment. Additionally, the Notice also included two SL IV violations.