If a facility fails to have proper documentation for a personnel requirement, will the facility be cited for failure of the inspection question, "Required personnel documents available?"

Yes. If the facility is unable to supply the inspector with all the appropriate documentation for any personnel qualifications during the time the inspector is at the facility, the inspector will answer the personnel question, “Required documents available?” with an “N” thereby generating a level 3 finding. Examples include: personnel who do not have any documentation showing they meet any one of their respective personnel requirements, personnel whose documents are not available at the facility but are claiming that they exist, and personnel who have incomplete documentation or whose documentation has been rejected by the inspector.

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