I am very dissapointed to hear that the changes proposed during the public comment period last year regarding the making up of missed shifts for those recieving 16 hours of private duty nursing care per day were not implimented in the final stage of this regulation. familys that have to realy on home care for their loved ones are not even given a peiod of one week to make up the shift lost . These children cannot be left unatended, and you are leaving the family to get by without sleep or work because of this. As I have been a private duty nurse for a good time of my working life . I can tell you that it is not safe . and not fair . You need to push this through for the safeties sake . Thank you ,

                                                                                                                     Lori Flemming