In its response to the audit, OHCQ officials said they're doing the best they can with the limited resources they have. "As previously stated, the OHCQ is unable to meet the inspection requirements due to a shortage of personnel. In the 2013 Annual Report and Staffing Analysis, the OHCQ estimated that 67.9 more surveyors would be needed in order to fulfill these requirements. To address these concerns with limited resources, in January 2013, the OHCQ implemented a strategic planning process that included an evidence-based review of our survey protocols in the context of the statutory and regulatory requirements. One of our broad organizational goals is regulatory efficiency, that is, how to best use our limited resources to fulfill our mission. We are continually striving to protect the health and safety of vulnerable populations while efficiently and effectively utilizing our limited resources."