The purpose of this survey is to encourage a healthy environment for child care centers. After completing the survey, the Pennsylvania Department of Health (DOH) will recommend actions your center can take (if needed) to ensure it is safe from harmful environmental exposure.

An asterisk (*) denotes a required response.

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* 1. Please provide the child care name, location and your contact information.

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* 2. Are you a prospective or current child care site owner?

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* 3. How many children are or will be in your facility?

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* 4. Please briefly describe the building type (home, church, suite in a shopping plaza, etc.).

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* 5. When was the building constructed?

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* 6. Has your facility been tested for radon?

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* 7. Was the land or building used in the past for any of the following activities? (Please select all that apply.)

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* 8. Are any of the following environmental conditions nearby your property (within one block or 1/4 mile) that are of concern? (Please select any choices that apply.)

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* 9. What is your facility's drinking water source?

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* 10. Have any environmental assessments or investigations been completed for the facility?

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* 11. Do you have any other questions or concerns about the environment surrounding your property?

Thank you for taking the Choose Safe Places for Early Care and Education (CSPECE) voluntary survey. The DOH will evaluate your facility against a database of known sources of environmental contamination in PA and will notify you once our evaluation is complete. To learn more about preventing exposure to harmful contaminants at your location, please contact us at:

Phone: 717.787.3350
Email: choosesafeplaces@pa.gov or env.health.concern@pa.govWebsite: Health Assessment Program (pa.gov)

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