Inspection Reports for Celebration Villa of Nittany Valley

150 Farmstead Ln State College, PA, 16803, PA, 16803

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Deficiencies per Year

24 18 12 6 0
2021
2022
2023
2024
2025
Unclassified

Census Over Time

0 20 40 60 80 Jan '21 May '21 Jan '22 Sep '23 Sep '24 Jul '25 Oct '25
Census Capacity
Inspection Report Follow-Up Census: 53 Capacity: 60 Deficiencies: 1 Oct 8, 2025
Visit Reason
The visit was conducted as a follow-up to review the submitted plan of correction for compliance with medical evaluation requirements.
Findings
The submitted plan of correction was determined to be fully implemented. The facility demonstrated compliance with Regulation 2600.141.a regarding timely medical evaluations for residents.
Deficiencies (1)
Description
Resident medical evaluation was not completed within 60 days prior to their admission.
Report Facts
License Capacity: 60 Residents Served: 53 Secured Dementia Care Unit Capacity: 20 Secured Dementia Care Unit Residents Served: 17 Hospice Current Residents: 9 Residents Age 60 or Older: 54 Residents with Mobility Need: 21
Employees Mentioned
NameTitleContext
Executive DirectorNamed in plan of correction actions and ongoing audits related to medical evaluation compliance.
Director of NursingNamed in plan of correction actions and ongoing audits related to medical evaluation compliance.
Regional Director of Clinical OperationsProvided training on Regulation 2600.141.a.
Director of Sales and MarketingReceived training on Regulation 2600.141.a.
Inspection Report Renewal Census: 37 Capacity: 60 Deficiencies: 23 Jul 30, 2025
Visit Reason
The inspection was conducted as a renewal and complaint investigation to assess compliance with licensing regulations and to review the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including issues with resident record confidentiality, contract signatures, refunds, staff training, resident personal equipment safety, poisonous materials storage, infestation, cleanliness and maintenance, dietary needs, medication management, resident rights education, and documentation completeness. The facility submitted plans of correction for all deficiencies, which were accepted and implemented by the dates noted.
Complaint Details
The inspection included a complaint investigation component, but the substantiation status is not explicitly stated in the report.
Deficiencies (23)
Description
Resident care logs and binders with resident information were left unsecured and medication room door was open exposing resident information.
Resident-home contract for resident #2 was not signed by the resident.
Resident #1 did not receive the full refund owed after discharge.
Staff members did not receive required fire safety training for the 2024 year.
The home did not have a staff training plan for the 2025 training year.
Oxygen tanks were unsecured and stored directly on the floor in resident rooms.
A cleaning bottle was mislabeled with a crossed out label and handwritten text.
Poisonous materials were unlocked and accessible to residents in the secure dementia unit.
An active hornet's nest was found above the therapy patio exit door.
Laundry room washer/dryer outlet was pulled away from the wall exposing electrical wires.
No toilet paper was available in the activities room shared bathroom.
A large tube of hamburger meat was not labeled or dated in the freezer.
Expired vanilla pudding snack packs were found in a cabinet.
Emergency drinking water supply was below the required amount for the number of residents.
Resident #5's medical evaluation did not indicate ability to self-administer medications.
Resident #2 was on a mechanically soft diet without a doctor's order.
Discontinued medication Diphen/Atrop 2.5 mg was still in the medication cart for Resident #6.
Resident #7 was administered medication despite systolic blood pressure readings above prescribed parameters.
Resident #2 was not educated on the right to refuse medication if a medication error is suspected.
Resident #1's initial assessment was not completed within 15 days of admission.
Resident #2's support plan was not signed by the resident or documented as refused.
Directions for operating key-locking devices at Memory Care courtyard fence exit were illegible.
Resident #5's record did not include hair color, eye color, or identifiable marks.
Report Facts
License Capacity: 60 Residents Served: 37 Secured Dementia Care Unit Capacity: 20 Secured Dementia Care Unit Residents Served: 17 Hospice Residents: 8 Residents 60 Years or Older: 54 Residents with Mobility Need: 21 Staffing Hours - Resident Support Staff: 41 Staffing Hours - Total Daily Staff: 99 Staffing Hours - Waking Staff: 74 Refund Amount Owed: 8382.01 Refund Amount Paid: 496.78 Emergency Drinking Water on Hand (gallons): 150 Emergency Drinking Water Required (gallons): 177
Inspection Report Follow-Up Census: 49 Capacity: 60 Deficiencies: 1 Apr 9, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident at the facility.
Findings
The submitted plan of correction was fully implemented and compliance was maintained. The report details an abuse incident where a resident was pushed, resulting in a fractured femur, and outlines corrective actions including assessments, monitoring, staff education, and ongoing quality assurance.
Deficiencies (1)
Description
A resident was pushed by another resident resulting in a fall and fractured right femur, violating abuse prevention regulations.
Report Facts
License Capacity: 60 Residents Served: 49 Secured Dementia Care Unit Capacity: 20 Secured Dementia Care Unit Residents Served: 15 Hospice Current Residents: 11 Residents Age 60 or Older: 49 Residents with Mobility Need: 17
Employees Mentioned
NameTitleContext
Executive DirectorEducated on Regulation 2600.42.b. by Regional Director of Clinical Operations and involved in monitoring and reviewing support plans
Director of NursingNotified Medical Director of incident, educated floor staff on regulation, involved in medication reconciliation and monitoring support plans
Medical DirectorNotified of incident and conducted further evaluation of resident
Inspection Report Follow-Up Census: 50 Capacity: 60 Deficiencies: 2 Feb 5, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident to verify the submitted plan of correction was fully implemented.
Findings
The facility was found to have corrected previous deficiencies related to incomplete medical evaluations and unsigned resident support plans. Compliance was confirmed with ongoing training and auditing procedures implemented.
Deficiencies (2)
Description
Resident Medical Evaluation dated does not have the health status or cognition section completed.
Resident Assessment and Support Plan dated is not signed by the assessor.
Report Facts
License Capacity: 60 Residents Served: 50 Secured Dementia Care Unit Capacity: 20 Secured Dementia Care Unit Residents Served: 15 Hospice Current Residents: 9 Residents Age 60 or Older: 50 Residents with Mobility Need: 23 Total Daily Staff: 73 Waking Staff: 55
Inspection Report Renewal Census: 43 Capacity: 60 Deficiencies: 7 Sep 10, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of the facility on 09/10/2024.
Findings
The inspection identified multiple deficiencies including lack of a written policy on voice-controlled electronic devices, incomplete direct care staff training documentation, unlabeled leftover food items, incomplete fire drill records, medication administration errors, and outdated resident support plans. Plans of correction were accepted and implemented with ongoing monitoring.
Deficiencies (7)
Description
The home does not have a written policy regarding the use of voice-controlled electronic devices.
Staff member C was hired without documentation of completion of the Department-approved direct care training course.
No documentation that Staff Member A had training on Resident Rights or The Older Adult Protective Services Act during the 2023 training year.
There were 2 unlabeled bags of tater tots, 1 unlabeled bag of French fries, and 1 unlabeled bag of sweet potato fries in the standalone freezer outside of the kitchen.
The fire drill log for August 2024 did not list the number of residents in the home at the time of the fire drill and only listed the number of residents evacuated.
Resident #1 was administered an incorrect amount of insulin not consistent with the sliding scale order based on blood sugar reading.
Resident #2's most recent Resident Assessment Support Plan was not revised within one year as required.
Report Facts
Residents Served: 43 License Capacity: 60 Secured Dementia Care Unit Capacity: 17 Secured Dementia Care Unit Residents Served: 15 Hospice Current Residents: 7 Residents Age 60 or Older: 43 Residents with Mobility Need: 25
Inspection Report Census: 33 Capacity: 60 Deficiencies: 0 Jan 30, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 33 License Capacity: 60 Residents Served in Secured Dementia Care Unit: 15 Capacity of Secured Dementia Care Unit: 20 Total Daily Staff: 54 Waking Staff: 41 Residents with Mobility Need: 21 Residents 60 Years or Older: 33
Inspection Report Complaint Investigation Census: 41 Capacity: 60 Deficiencies: 1 Nov 27, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial review on 11/27/2023 and an exit conference on 12/04/2023.
Findings
The submitted plan of correction was determined to be fully implemented. A deficiency was noted regarding a resident's assessment and support plan lacking a signature or notation of refusal to sign.
Complaint Details
The visit was complaint-related with a follow-up type of Plan of Correction (POC) submission. The plan of correction was accepted and fully implemented by 01/09/2024.
Deficiencies (1)
Description
Resident #1's Resident Assessment and Support Plan did not include a signature, a refusal to sign, or an indication of the ability to sign.
Report Facts
License Capacity: 60 Residents Served: 41 Secured Dementia Care Unit Capacity: 20 Residents Served in Dementia Unit: 17 Resident Mobility Need: 18 Total Daily Staff: 59 Waking Staff: 44
Employees Mentioned
NameTitleContext
Regional Director of OperationsCompleted new Resident Assessment and Support Plan for Resident #1 on 11/28/2023.
Executive DirectorTrained Director of Nursing and Assistant Director of Nursing on Regulation 227h on 12/20/2023 and responsible for ongoing monitoring.
Director of NursingTrained on Regulation 227h and involved in ongoing monitoring of Resident Assessments and Support Plans.
Assistant Director of NursingTrained on Regulation 227h and involved in ongoing monitoring of Resident Assessments and Support Plans.
Inspection Report Renewal Census: 36 Capacity: 60 Deficiencies: 12 Sep 13, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies including missing resident signatures on contracts and rights forms, incomplete staff training, lack of bedside lighting in one room, outdated food labeling, missed fire drills and evacuation issues, unsafe smoking area placement, medication administration errors, incomplete resident support plans, and missing keypad code posting in the secured dementia unit. All deficiencies had plans of correction submitted and were implemented by October 18, 2023.
Deficiencies (12)
Description
Resident #1 contract was not signed by the resident.
Resident #1 and #2 do not have signed Resident Rights Forms.
Direct care staff person A did not receive required training in meeting resident needs, dementia care, and personal care service needs during 2022.
Room 209 does not have a light source that can be reached from the bedside.
The freezer inside the kitchen had a wrapped muffin without a label or date.
A fire drill was not conducted in May 2022.
The fire drill conducted on 7/22/2022 had 37 residents in the home, only 9 residents were evacuated.
Employee smoking area was located too close to dumpsters and combustible materials, posing a fire hazard.
Resident #3 and #4 medications were not available and not administered as prescribed on specified dates in January 2023.
Resident #2's support plan did not indicate dietary needs for soft, bite-sized food as required.
The code to the keypad in the secured dementia unit was not posted near the device on the inside of the unit.
Staff A did not complete 6 hours of dementia care and services training for training year 2022.
Report Facts
License Capacity: 60 Residents Served: 36 Secured Dementia Care Unit Capacity: 20 Residents Served in Dementia Unit: 18 Current Hospice Residents: 15 Residents Age 60 or Older: 36 Residents with Mobility Need: 20 Total Daily Staff: 56 Waking Staff: 42
Employees Mentioned
NameTitleContext
Staff ANamed in findings related to incomplete training and dementia care training.
AdministratorNamed in multiple findings related to training, plan of correction implementation, and oversight.
Assistant Director of NursingConducted medication audit to ensure prescriber orders are followed.
Director of NursingReviewed medication administration policies and involved in ongoing audits.
Maintenance DirectorResponsible for fire drills, smoking area relocation, and keypad code posting.
Inspection Report Census: 36 Capacity: 60 Deficiencies: 0 Jul 31, 2023
Visit Reason
The inspection was conducted as a licensing inspection due to an incident, with an unannounced partial inspection type.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 36 Total Daily Staff: 92 Waking Staff: 69 License Capacity: 60 Residents Served: 36 Secured Dementia Care Unit Capacity: 20 Secured Dementia Care Unit Residents Served: 16 Hospice Current Residents: 15 Residents Age 60 or Older: 36 Residents with Mobility Need: 20
Inspection Report Renewal Census: 37 Capacity: 60 Deficiencies: 6 May 17, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection identified several deficiencies including missing emergency phone numbers by a resident's phone, lack of a thermometer in a freezer, incomplete fire drill records, incomplete medical evaluation documentation for a resident, inaccurate pre-admission screening form, and an unsecured gate in the secured dementia unit. Plans of correction were accepted and implemented with ongoing monitoring and staff training.
Deficiencies (6)
Description
Resident 1 has a landline phone in their room with no emergency numbers posted near it.
There was no thermometer in the freezer located in the kitchenette of Hall #2.
The fire drill record for the drill completed 12/14/2021 did not include the number of residents in the home or the number of residents evacuated from the home.
The Documentation of Medical Evaluation for Resident 2 was incomplete. The required field for body positioning was left blank.
The pre-admission screening form for Resident 3 states that their needs cannot be met by the home.
The gate exiting the secured dementia unit outside patio was not locked and allowed immediate egress to the side of the building leading to the parking lot.
Report Facts
License Capacity: 60 Residents Served: 37 Residents in Secured Dementia Care Unit: 17 Capacity of Secured Dementia Care Unit: 20 Hospice Residents: 4 Total Daily Staff: 57 Waking Staff: 43 Residents with Mobility Need: 20
Inspection Report Complaint Investigation Census: 37 Capacity: 60 Deficiencies: 2 Jan 27, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation with unannounced partial review visits on 01/27/2022, 02/01/2022, and 02/03/2022.
Findings
The inspection found deficiencies related to the treatment of residents, specifically a resident being left partially undressed and exposed in a secured dementia unit, and inadequate documentation in the resident's support plan regarding supervision needs and care services. Plans of correction were submitted and fully implemented.
Complaint Details
The visit was complaint-related and incident-driven. The complaint was substantiated as deficiencies were found regarding resident dignity and support plan adequacy.
Deficiencies (2)
Description
Resident #1 was left without pants and socks in a common area, exposing private areas, violating dignity and respect requirements.
Resident #1's support plan did not indicate the correct level of supervision needed or outline how the home would meet the resident's increasing needs.
Report Facts
License Capacity: 60 Residents Served: 37 Secured Dementia Care Unit Capacity: 20 Residents Served in Dementia Unit: 13 Hospice Residents: 6 Residents with Mobility Need: 19 Total Daily Staff: 56 Waking Staff: 42
Inspection Report Routine Deficiencies: 0 Dec 28, 2021
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report Complaint Investigation Census: 34 Capacity: 60 Deficiencies: 2 Dec 15, 2021
Visit Reason
The inspection was conducted as a complaint investigation and incident review at Celebration Villa of Nittany Valley on 12/15/2021.
Findings
The inspection found deficiencies related to Resident #1's medical evaluation documentation and support plan, including inaccurate dementia care designation and failure to update the support plan to address unsafe behaviors. Plans of correction were accepted and implemented.
Complaint Details
The visit was complaint-related and incident-based, focusing on Resident #1's care and documentation. The plan of correction was fully implemented as of the report date.
Deficiencies (2)
Description
Resident #1's documentation of medical evaluation form indicated the need for secure dementia care, but the resident does not reside in the home's secure dementia unit.
Resident #1's support plan was not updated to reflect unsafe behaviors such as using disposable razors to cut hair, scissors to cut bedsheets, and an attempted elopement incident.
Report Facts
Residents Served: 34 License Capacity: 60 Capacity of Secured Dementia Care Unit: 20 Residents Served in Secured Dementia Care Unit: 13 Current Residents in Hospice: 4 Residents Age 60 or Older: 34 Residents with Mobility Need: 18
Inspection Report Follow-Up Census: 29 Capacity: 60 Deficiencies: 5 Aug 5, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 08/05/2021 to review the submitted plan of correction related to an incident involving resident abuse and other regulatory compliance issues.
Findings
The facility was found to have multiple deficiencies including resident-to-resident abuse, failure to implement positive interventions, incomplete preadmission screening forms, untimely medical evaluations, and failure to update support plans to reflect changes in resident conditions. The submitted plan of correction was determined to be fully implemented.
Deficiencies (5)
Description
Resident #1 pushed resident #2 causing a fractured hip; failure to prevent abuse.
Failure to implement positive interventions to modify or eliminate resident #1's abusive behavior.
Resident #1's preadmission screening form was not dated when completed.
Resident #1's medical evaluation was not completed within 60 days prior to admission.
Support plan for resident #1 was not updated to include seven incidents of physical harm towards other residents.
Report Facts
License Capacity: 60 Residents Served: 29 Secured Dementia Care Unit Capacity: 20 Residents Served in Dementia Unit: 10 Hospice Residents: 3 Residents with Mobility Need: 14
Inspection Report Renewal Deficiencies: 0 Jun 25, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report Renewal Deficiencies: 0 Jun 24, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Employees Mentioned
NameTitleContext
Michele MoskalczykHuman Services Licensing SupervisorSigned the inspection report letter.
Notice Capacity: 60 Deficiencies: 0 Jun 22, 2021
Visit Reason
The document serves as a renewal license notification for Elmcroft of State College Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is a licensing renewal notice confirming the issuance of a regular license and outlining the Department's inspection requirements.
Report Facts
Maximum licensed capacity: 60 Secure Dementia Care Unit capacity: 20
Inspection Report Renewal Census: 32 Capacity: 60 Deficiencies: 10 May 26, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 05/26/2021 and 05/27/2021 to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including failure to timely report incidents and abuse, missing dates on carbon monoxide detector batteries, lack of annual fire safety training for some staff, uncovered trash receptacles, obstructed egress, inaccurate medication administration records, and incomplete resident assessments and support plans. Plans of correction were accepted for all deficiencies with monitoring and re-education scheduled.
Deficiencies (10)
Description
Failure to immediately report suspected abuse between residents as required by law.
Failure to report incidents such as hip fracture and medication errors to DHS within 24 hours.
Carbon monoxide detector batteries were not dated, preventing verification of annual checks.
Direct care staff did not receive required annual fire safety training in 2019.
Trash can in activities room was uncovered, violating sanitation requirements.
Door leading to back patio fire exit was blocked by an umbrella stand, obstructing egress.
Resident medical evaluations were not completed annually as required.
Medication Administration Records contained transcription errors of blood glucose readings.
Resident initial assessments and support plans were completed prior to admission dates.
Resident did not sign support plan despite participation in its development.
Report Facts
License Capacity: 60 Residents Served: 32 Secured Dementia Care Unit Capacity: 20 Residents Served in Dementia Unit: 14 Total Daily Staff: 52 Waking Staff: 39 Completion Date: Jul 31, 2021
Inspection Report Renewal Deficiencies: 0 May 14, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report Plan of Correction Census: 16 Capacity: 60 Deficiencies: 2 Apr 13, 2021
Visit Reason
The inspection was conducted as a complaint and incident investigation to review compliance and the submitted plan of correction.
Findings
The report found two deficiencies: a repeat violation involving resident-to-resident physical abuse causing injury, and a medication administration violation where prescribed medication was unavailable and not administered as ordered. Both plans of correction were accepted and fully implemented.
Complaint Details
The inspection was complaint-related and incident-based; substantiation status is not explicitly stated.
Deficiencies (2)
Description
Resident 1 hit Resident 2 causing a swollen lip and a small cut; repeat violation of abuse prohibition.
Medication prescribed to Resident 1 was unavailable and not administered per prescriber's order.
Report Facts
License Capacity: 60 Residents Served: 16 Secured Dementia Care Unit Capacity: 20 Secured Dementia Care Unit Residents Served: 15 Residents Age 60 or Older: 31 Residents with Mobility Need: 21 Current Hospice Residents: 3
Inspection Report Plan of Correction Census: 44 Capacity: 60 Deficiencies: 2 Mar 3, 2021
Visit Reason
The inspection was conducted as a follow-up to verify that the previously submitted plan of correction was fully implemented following an incident-related partial inspection.
Findings
The plan of correction was determined to be fully implemented with continued compliance required. The original violations involved resident abuse and improper treatment, which were addressed through staff training and administrative actions.
Deficiencies (2)
Description
Resident 1 was physically abused by Resident 2 resulting in a dislocated shoulder.
Staff member B threatened to slap Resident 3's fingertips to deter door alarm activation.
Report Facts
License Capacity: 60 Residents Served: 44 Secured Dementia Care Unit Capacity: 20 Secured Dementia Care Unit Residents Served: 14 Hospice Current Residents: 4 Total Daily Staff: 68 Waking Staff: 51
Inspection Report Complaint Investigation Census: 30 Capacity: 60 Deficiencies: 6 Jan 28, 2021
Visit Reason
The inspection was conducted as a complaint investigation related to an allegation of resident abuse and incident reporting.
Findings
The facility failed to immediately report suspected abuse, did not implement appropriate supervision or suspension of involved staff, failed to notify the resident's designated person, and did not update the resident's support plan after an incident. Plans of correction were accepted and implemented with staff training completed.
Complaint Details
The complaint involved an allegation of sexual assault by a staff person against Resident #1 on 12/27/2020. The facility failed to report the abuse timely, supervise or suspend the involved staff, notify the resident's POA, and submit required reports to the Department.
Deficiencies (6)
Description
Failure to immediately report suspected abuse of a resident as required by the Older Adult Protective Services Act.
Failure to develop and implement a plan of supervision or suspend the staff person involved in the alleged abuse incident.
Failure to submit a plan of supervision or notice of suspension of the affected staff person to the Department.
Failure to immediately notify the resident and the resident’s designated person of a report of suspected abuse or neglect.
Failure to report the incident or condition to the Department’s personal care home regional office or complaint hotline within 24 hours.
Failure to revise the support plan after a resident fell out of bed and hit their head, ensuring resident safety.
Report Facts
License Capacity: 60 Residents Served: 30 Secured Dementia Care Unit Capacity: 20 Secured Dementia Care Unit Residents Served: 14 Residents Age 60 or Older: 30 Residents with Mobility Need: 22 Staff Total Daily: 52 Staff Waking: 39
Inspection Report Renewal Deficiencies: 0 Jan 21, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections on 01/21/2021, 01/22/2021, and 01/28/2021 for the facility Elmcroft of State College.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report Routine Deficiencies: 0 Jan 14, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Employees Mentioned
NameTitleContext
Michele MoskalczykHuman Services Licensing SupervisorSigned the inspection report letter.

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