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A licensee would face discipline for alcohol misuse primarily when it affects patient safety. This criterion establishes a clear connection between the licensee's personal behavior and the quality of care provided to patients. In the context of physical therapy, any impairment due to alcohol consumption may compromise clinical judgments, the ability to perform physical tasks, and the overall safety of the treatment environment. Even if the misuse occurs over a short duration or if there are no specific complaints filed, the fundamental obligation of a healthcare professional is to ensure the safety and well-being of patients at all times. Therefore, if alcohol misuse jeopardizes that safety—regardless of its duration or the lack of reported incidents—it is a valid basis for disciplinary action.

The other scenarios, while they might suggest considerations in evaluating a situation, do not address the critical factor of patient safety in the same way. The duration of misuse, absence of complaints, or non-reporting of damage does not negate the potential risks posed to patients, which is at the heart of professional conduct standards in healthcare settings.