PME Program Monitors conduct annual unannounced visits at residential facilities that provide Level 3 and higher services. UVs include observations and interactions by the PME Monitor with agency staff and children placed there. Matters reviewed include hazards observed, staffing to child ratios, staff training compliance, personnel qualifications, background checks, randomly selected client file reviews, medication administration, and documentation. Results are compiled into a narrative format and shared with internal DCS stakeholders. PME Monitors complete approximately 80 UVs annually.