The sign on the door says it all—the troubled Hillcrest abortion facility in Harrisburg is closed until further notice.

Several Pennsylvania state Senators recently sent a letter to the Secretary of the PA Department of Health, asking why the abortion center’s license had not been revoked.

The letter followed the release of a 44-page document noting the health and safety failures of the long-time abortion operation.

Violations included everything from failing to maintain proper medical credentials to maintaining supplies that were 13 years old. Hillcrest also performed a number of abortions without having a nurse present. In addition, staff members failed to undergo the criminal background checks mandated for seeing patients under 18 years old.

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Hillcrest’s troubles date back at least six years, when the abortion outfit was first cited for safety failures. The abortion center has been cited three times since, with the latest report suggesting that the violations have become more egregious.

Pennsylvania passed a law in 2011 requiring abortion facilities to meet basic health and safety standards. The law was a response to the massive tragedy in West Philadelphia, where abortionist Kermit Gosnell was ultimately convicted of killing three full-term babies and causing the death of a female immigrant patient, Karnamaya Mongar.