Delaware Code § 14-1218B

Nondisciplinary letter of concern [For application of this section, see 85 Del. Laws, c. 186, § 8]
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(a) If the Secretary determines after the investigation that a violation of this chapter or of regulations enacted pursuant to this chapter
which warrants formal disciplinary action has not occurred, but that an act or omission of the person is a matter of concern and that the
person's practice may be improved if the person is made aware of the concern, the Secretary may issue a nondisciplinary, confidential
letter of concern regarding the person's act or omission.
(b) If a person licensed, permitted, or certified receives a total of 3 letters of concern pursuant to this section addressing the same or
substantially similar conduct, the Secretary may reasonably impose any of the restrictions of § 1218(m)(3) of this title in order to protect
the health, safety, or welfare of the person's current or prospective students.

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