National Deaf Academy was cited during an unannounced complaint survey conducted by the Florida Agency for Health Care Administration (AHCA) for deficiencies related to program standards – treatment and services. AHCA found that the facility failed to provide one to one supervision outlined in the resident’s treatment plan. During a tour of the facility, AHCA found a patient who was on 1:1 observation “sitting right in front of the TV, in the home’s common area. A Mental Health Technician (MHT) was observed seated at a table with her back to the resident, about 15-20 feet away from resident.” An interview with the MHT revealed that she believed “as his one-to-one she was to keep her eye on him in the home and when outside of the home she was to be within 5 feet of him.” An interview with the facility’s Clinical Director and a review of the facility policy revealed that the facility expected 1:1 staff members to be within arm’s length distance of the resident at all times. The facility policy on One-to-One Observation stated “the expectation that a specified and dedicated staff member would stay within approximately one arm’s length distance, from the patient on 1:1 observation and the continuous direct visual observation would continue even when patients shower, change clothes or use the bathroom.” In the plan of correction, the facility terminated the staff person and re-educated all direct care staff on the “Level of Observation” policy and procedure.