Basis for recommended sanction.

The QIO's specific recommendation must be based on documentation provided to the OIG showing its consideration of— (a) The type of offense involved; (b) The severity of the offense; (c) The deterrent value; (d) The practitioner's or other person's previous sanction record; (e) The availability of alternative sources of services in the community; and (f) Any other factors that the QIO considers relevant, such as the duration of the problem.