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The unannounced annual monitoring visit (annual monitoring) is an observational visit conducted each year to ensure that an ELP is continuing the quality level of care at which it was certified and to ascertain whether there are areas in which the ELP needs the aid of a mentor to maintain or improve the quality of care. Because this visit is unannounced, the ELP is not provided a two-week visit window. The assessor must ensure that he or she conducts the annual monitoring timely (prior to the yearly certification date but no earlier than three months from the date). Example: ELP is certified September 2020 to August 2023; the first annual monitoring visit is conducted before August 31, 2021, but no earlier than June 1, 2021.  

These visits are not eligible for reconsideration. 

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