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7.1. SR 02-01-2016Request for Action To Item Number Mayor and City Council 7.1 Agenda Section Meeting Date lFebruary1, Prepared by Public Hearin 2016 Tina Allard, City Clerk Item Description Reviewed by Massage Therapist License—ChunXing Lin Cal Portner, City Administrator Reviewed by Peter Beck, City Attorney Action Requested 1. Adopt, by motion, a resolution denying a massage therapist license to ChunXing Lin. Or if Council believes the applicant provided enough evidence to meet city code requirements: 2. Approve, by motion, a massage therapist license to ChunXing Lin to work at Joy Massage valid through December 31, 2016. Background/Discussion Staff received an application from ChunXing Lin requesting a Massage Therapist License to work at Joy Massage. Staff proceeded to verify the application materials. In the course of our investigation, we found the provided education documents were false. These documents are the official school transcript and the certificate of graduation from the Professional School of Massage in Langhorne, PA. Copies are available in your packet. Per City Code, Council should deny the license request. Two sections that outline reasons for denial are as follows: 38-224 (c) (1) Denial, suspension, or revocation If a license application contains any false, fraudulent, or deceptive statements, such statements are grounds for denial of the license. Denial in this case would be based on the untruthful answer by Mr. Lin, who in his application declared the information he provided to be truthful and understood that falsification of answers may result in denial of the license. 38-243 Educational Requirements City Code requires an applicant provide proof of graduation, such as a diploma or certificate of graduation. The Arizona State Board of Massage states documents signed by Aifen Zheng for the Professional School of Massage in Langhorne, PA, are not valid. Mr. Lin's certificate is signed by Aifen Zheng. According to Winona Bontrager, President of the Lancaster School of Massage, the documents are false. Ms. Bontrager submitted a letter to the city stating the school has no records of Mr. Lin having graduated P0WIREU 6r Template Updated 4/14 IN from the Professional School of Massage. She further stated if the documents are signed by anyone other than David Scott, they are fraudulent. Mr. Lin has requested a hearing before the Council. Council should open up the hearing to allow the applicant to present any evidence. Financial Impact N/A Attachments ■ Resolution of Denial ■ ChunXing Lin's application ■ Letter from President of Lancaster School of Massage ■ Information from Arizona State Board of Massage ■ Memo from Deputy Clerk Jessica Miller outlining her investigation of the application N:\Public Bodies\Agenda Packets\02-01-2016\Fina1\x7.1 sr Massage Deniall.docx Resolution 16- A Resolution of the City of Elk River Denying a Massage Therapist License to ChunXing Lin WHEREAS, ChunXing Lin submitted an application for a Massage Therapist License on December 22,2015; and WHEREAS, as part of the application, ChunXing Lin submitted an official school transcript and a certificate of graduation from the Professional School of Massage, Langhorne, Pennsylvania as required by Elk River City Code §38-243, Educational Requirements; and WHEREAS, ChunXing Lin signed his application stating the following: "I declare that the information I have provided is truthful and I understand the falsification of answers on this application may result in denial of this application. I authorize the City of Elk River to investigate and make whatever inquiries are necessary to verify the information provided." and; WHEREAS, the Office of the City Clerk processed the application to verify compliance with the requirements of the Elk River City Code for massage therapist licensing; and WHEREAS, the Office of the City Clerk talked to Winona Bontrager, who is President of the Lancaster School of Massage and official record -keeper for the Professional School of Massage, Langhorne, Pennsylvania; and WHEREAS, per phone conversation and a letter, Ms. Bontrager stated there is no record of ChunXing Lin graduating from the Professional School of Massage and that an official school transcript signed by anyone other than David Scott is fraudulent; and WHEREAS, the Office of the City Clerk learned, through the Arizona State Board of Massage website and through follow-up with a phone conversation, that certificate of graduation documents from the Professional School of Massage signed by Aifen Zheng are false; and WHEREAS, in the course of its investigation, the Office of the City Clerk learned the educational documents (official school transcript and certificate of graduation) provided by the applicant were false, and; WHEREAS, due to the false documentation and the untruthful information provided in the application, the Office of the City Clerk recommends denial of ChunXing Lin's request p0WIAEO 8r NAT-'UREI for a massage therapist license due to the applicant not meeting Elk River City Code requirements; and WHEREAS, on February 1, 2016, a hearing was held by the Elk River City Council to consider ChunXing Lin's request for a Massage Therapist License; and WHEREAS, at this hearing the applicant and all others wishing to speak had opportunity to present evidence and testimony for his case. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Elk River, Minnesota, that the Massage Therapist License request by ChunXing Lin, who is seeking employment at Joy Massage, located at 19242 Evans Street, NW, in the City of Elk River is denied based on the following findings: 1. City Code §38-224(c)(1) Denial, suspension, or revocation, provides for license denial when — "The license application contains any false, fraudulent, or deceptive statements and such statements are grounds for revocation or suspension of the license." The denial is based on the untruthful answers provided by ChunXing Lin who declared the information in his application to be truthful and understood that falsification of answers may result in denial of the license. 2. City Code §38-243 (a) Educational Requirements, provides for license denial when — "Each applicant for a massage therapist license shall furnish with the application proof of the following: (1) a diploma or certificate of graduation from a school approved by the American Massage Therapist Association or other similar reputable massage association; (2) a diploma or certificate of graduation from a school which is either accredited by a recognized educational accrediting association or agency, or is recognized by the state higher education coordinating board or other state agency having jurisdiction over the school." The denial is based on ChunXing Lin not meeting the educational requirements of Elk River City Code. 3. The findings in the recitals set forth above, which are based upon the city's investigation into the application submitted by ChunXing Lin, are incorporated into this decision along with the entire record on this matter. Passed and adopted this 15` day of February 2016. John J. Dietz, Mayor ATTEST: Tina Allard, City Clerk AUR River I:x063 thwio Paiku �t I I Itr, 51N 5433(1 MASSAGE THERAPIST LICENSE APPLICATION c c 14 Lt S Incomplete applications will not be processed. If a question sloes not apply, please write "N /A„ 1. Name ill �6 First J Full Middle Maiden Name last 2. Home address Beet P-a(9)r) ,. J Stat ��oldFlV+1 pml� M� �-N StrCity Zip 3. Home phone_ Alternate phone; 4. Name of establishment where massage will take place—ToyS� 5. Establishment address 1' L L�R+?S _ NW 6/k _ MN 51-330 G. Establishment phone 30- 7. Owner of establishment where massage will take place Pc-, f 4i L4 _ 11 � 8. Establishment manager A 4� L 9. Are you licensed in any other community? Yes JI No ❑ If yes, where? 10. Have you been denied a massage license by any licensing authority? Yes ❑ No14 If yes, indicate licensing authority 11. If you have ever used or been known by a name other than the true nam ven above, list such name(s) and information concerning dates and places used._ AI( 12. Addresses at which you have lived during preceding five years. (Begin with present address and work back). Attach additional sheets if necessary. 13. Names and addresses of your employers, if any, for the preceding five years, including self employment. (Begin with present or last occupation and work back.) Attach additional sheets if necessary. Ever Street AddressA Cit—� Dates rf r 303 aro q r- 3002-1 Phone: 753.635.1000 Fax: 763.635.1090 P O Mf E R E d 8 T www.ElkItiverMN.�n IINATUREI 14. Have you ever been convicted of any felony, crime, or violation of any ordinance, other than traffic? Yes ❑ No A( If yes, give information as to the date, place, and offense for which convictions were had. 15. List the names, resident addresses, and business addresses of three residents of Minnesota, of good moral character, not related to the applicant or financially interested in the premises or business, which may be referred to as the applicant's character. Full Name Residence Business A. Full Name: Residence E Business Ac Full Name: Residence f Business At it -3 I declare that the information I have provided is truthful and I understand that falsification of answers on this application may result in denial of this application. I authorize the City of Elk River to investigate and make whatever inquiries are necessary to verify the information provided. Applicant Signature Date OFFICE USE ONLY Application complete ��la�� 1 s License Fee paid la 1,2211, S J Proof of graduation attached? Yes ❑ No ❑ Proof of 500 hours attached? Yes ❑ No ❑ Licensing period Council approval granted PROFESSIONAL SCHOOL OF MASSAGE 131 EAST MAPLE AVENUE LANGHORNE, PA 19047 Phone (215) 750-3335 www.professioiialschoolQfna55ggQ.com OFFICIAL SCHOOL TRANSCRIPT Program: Name: Student SS #: Address Date of Birth: Gender: Date of Entry: Withdrawal Date: Graduation Date: Finances: Award Given Upon Completion: 610 HOUR MASSAGE THERAPY LIN, CHUNXING 868 53RD ST 117L BROOKLYN, NY 11220 MALE 4/3/2010 2/28/11 PAID Diploma S= Satisfied 1�2 dif" GRADES 55 Hr. Swedish Massage: B+ 15 Hr. Myofascial Release: A 40 Hr. Pathology: B- 10 Hr. Hydrotherapy: B 50 Hr. Anatomy: B+ 15 Hr. Seated Massage: B 50 Hr. Physiology_: B+ 47 Hr. Sports Massage: A 6 Hr. Ethics: A- 15 Hr. Aromatherapy: C+ 15 hr. Movement: A 14 Hr. Pregnancy Massage: B+ 20 Hr. Reflexology: A 15 Hr. Spa: B 10 Hr. Neuromuscular Therapy: B+ 15 Hr. Stretching: B 35 Hr. Kinesiology: B+ 15 Hr. Elderly Massage: A 16 Hr. Business: A 4 Hr. Insurance Billings: C+ 15 Hr. Thai Massage: B- 10 Hr. Integration: A 4 Hr. CPR: B 14 Hr. Hospice Massage: B 20 Hr. Communication & Awareness: A 34 Hr. Clinic: B 37 Hr. Connective Tissue: B+ 15 Hr. Test Prenaration: B S= Satisfied 1�2 dif" Professional School of Massage Langhorne, Pennsylvania It is hereby certified that C3,CZIN INCA -CIN has fulfilled the requirements of a 610 hour Q u program of study in ,%IASSAGE ?rHERAPy As prescribed by the Professional School of Massage. Licensed By Pennsylvania Bureau of Private Licensed Schools. It is knowledge with that the undersigned officer of the Professional School of Massage award this certificate. In witness thereof the director has subscribed her name this on 2 February , 2011 Q7sE.M1' 23fE.A�� 9�27�YG'7 fQP TENNESSEN WARNING Elk APPLICATION FOR BUSINESS LICENSE River In connection with your request for a license, the City of Elk River has asked that you provide information about yourself, which is classified as either private or confidential by the Minnesota Government Data Practices Act (M.S.A. 13.04). Accordingly, the City is required to inform you of the following: 1. The private or confidential information requested includes, but may not necessarily be limited to, the following: Your social security number or Minnesota business identification number. 2. The purpose and intended use of the information requested is: To comply with Minnesota Statutes, Section 270.72. 3. You are required to supply the requested information. 4. The known consequences of supplying the requested information is as follows: Loss or denial of the requested license ifyou owe the State of Minnesota delinquent taxes, penalties or interest. 5. The known consequences of refusing to supply the requested information is: Your request for a license cannot be processed. 6. The following persons and entities are authorized by law to receive the information if provided: State of Minnesota - Department of Revenue and othergovernment agencies as provided by law. Tho undersigned, by signing this notice, acknowledges that he/she has read and understands the contents of this notice. Z 22 f Date Cli.�g kid Wil Signature of Applicant CITY OF ELK RIVER BACKGROUND INVESTIGATION CONSENT RELEASE INFORMATION TO BE USED FOR BUSINESS LICENSE PROCESSING Asa license applicant, I bereby give my consent far a personal background investigation, to include a criminal history check, to be used in the determination of whether my application is to be approved. The results of sueb investigation sball be made public pursuant to appropriate City Council approval or denial of the license application. I understand that I am under no legal obligation to consent to such investigation, but that if I refuse to so consent, my application cannot be processed I release the City of Elk River and the Elk River Polite Department, and any of its agents or employees, from any and all liability for its receipt and use of information and records received pursuant to this consent. I further acknowledge that I have camfulymad this release, fully understand its terms and legal significance, and execute it voluntarily. Business Name: AplI S Type of License Applied for: dVi ed Applicant: _�.YIU/I%'A! t un I (First Name) (Full Middle Name) (Last Name) Address: roal -yn KiL Ma sSYn t3 (City) I (State) (Zip) Home Phone Business Phone: (713) 2f4 ( I � 1 -3 Date of Birth: Place of Birth: % a1 H ' '11, (City) (40) Drivers License or State ID#: 05&447 � 23 State Issued: T' A copy of the driver's license or state ID must be attached (front and back) Physical: Sex M Race kil Ht rI % it wgt�14 V Eyes RU Hair�� / t'// List All Aliases /Previous Last Names: f7 List Complete Addresses of Any Prior Residence(s) in the Last 5 Years: (attach additional Have you ever been convicted of a felony, gross misdemeanor, or misdemeanor? ❑ Yes P, No If yes, state jurisdiction, type of violation, and disposition: Applicant Signature: 4/tom X l" Lt t-1 Date: `Z -2- / w 15 These statements an true, correct, and are made with the knowledge that this information may be made public. False disclosures are subject to pegug proceedings and forfeiture of the license application. OFFICE USE ONLY Background Check esti Approved LI Denied Comments: ( ) , \ t i Police Signature Date: DRIVER'S LICENSE utWO.058447023 Dos EXP 0113012018 CFSt1N%tNG ,: LIN, __- - 2729 BEL4;�g dk _ ATLANTA; QA X349-3F73 I- Restrfettons A Ertd NONE _ !ss 01130/2013p).N�-i J.- Sex M Eyes BRO H9t 5'-Dr' Wgt 1401b 1BU13838180045450 - - - CLAN: C-536.0001b.GV .M Traitor 510.0001K All recleatlooMJ _ s ENWnEMENTS: None j, gESTpILTIONS: A -Nom .'. oilf4073 mil vim ft� QIM1203 log��T���U. CLAN: C-536.0001b.GV .M Traitor 510.0001K All recleatlooMJ _ s ENWnEMENTS: None j, gESTpILTIONS: A -Nom .'. oilf4073 ,eco CERTIFICATE OF LIABILITY INSURANCE `/1 12/23/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTBWI Program Support Veracity Insurance Solutions, LLC. PHONE .N I IBM (888)568-0548 FAX $M: 801-763-1374 info@insurebodywork.com INSURERRM AFFORDING COVERAGE NAM 260 South 2500 West, Suite 303DRESS: Pleasant Grove UT 84062 INSURER A: GreatAmerican Alliance Insurance Company 26832 INSURED INSURER 8: NSURERC: chunxing lin INSURER D: INSURER E: 3937 foxglove ct n brooklyn park MN 55443 MSUREt F: f COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFf POLICY IXP MARI MMNO UNITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY�r EACHOCCURRENCE S 2,000,000 PREMISESEaam�mnca�f 300,000 X CLAIMS -MADE OCCUR f ^ f MEDEXP(Mymepenon) E 5,000 A PL3842262-BW1036278 10/21/2015 10/21/2016 PERSONALSADVINJURY f INCLUDED 3 GENERAL AGGREGATE f .000,000 APPLIES PER: PRODUCTS-COMPIOPAGG'$ 3,000,000 TGEN'LAGGREGATELIMIT X POLICY PRO L� E AUTOMOBILE LIABILITYF F COMBIIaEEDD SINGLE LIMITisaiE - --I ANY AUTO ROALYINJURY(Parpanax) $ ALLOWNED SCHEDULED AUTOS AUTOS -—_�------____-� BODILY INJURY Peracwanq$ NON -OWNED HIREDAIITOS AUTOS POPER Y PROPERLY DAMAGE E S UMBRELLALIAR OCCUR FIF EACH OCCURRENCE is EXCESS USE CLAIMB-hMDE AGGREGATE $ DED RETENTIONS S WORKERS COMPENSATION ANO EMPLOYERS' UJIMUfY YIN ANY PROPRI TOMPAM14EIVEXECUTNE r WC STATU- OTH-i TORY LIMITS ER_y_, _ -- EL. EACH ACCIDENT OFFICEMEMBEREXCLUDED? ❑NIA/ _�$ EL DISEASE - EA EMPLOYEE $ (Mantlaruyln NNl DENN War DESCRIPTION EL DISEASE-PCKUMYLIMIT S A Professional Liability �' PL3842262-BW1036278 10/21120151'110/21/2016 INCLUDED DESCMPIIONOFOPERARDMILOCATIONSIVEHICLES(ANaMACORD101,A1MM Remarks Schetlula,Nmmep HMRuWI his understood and agreed thatthe Certificate Holder is named as Additional Insured per attached CG 20 26 - Additional Insured - Designated Person or Organization subject to all policy terms, conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION Q 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010705) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Jo Massage Y 9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 19242 Evans Sl NW Elk River MN 55330 AUTHORIZED REPRESENTATIVE Q 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010705) The ACORD name and logo are registered marks of ACORD CG 20 26 (Ed. 07 13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s) or Organization(s): Per individual Certificate of Coverage. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION II - WHO IS AN INSURED is amended to include as an Additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. in the performance of your ongoing operations; or 2. in connection with your premises owned by or rented to you. However: 1. the insurance afforded to such additional insured only applies to the extent permitted by law; and 2. if coverage provided to the Additional Insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these Additional Insureds, the following is added to SECTION III — LIMITS OF INSURANCE: If coverage provided to the Additional Insured is required by a contract or agreement, the most we will pay on behalf of the Additional Insured is the amount of insurance: 1. required by the contract or agreement; or 2. available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Copyright, ISO Properties, Inc., 2012 CG 20 26 (Ed. 04/13) PRO (Page 1 of 1) State of Minnesota License Applicant Information Under Minnesota law (M.S. 270C.72, subd. 4), the agency issuing you this license is required to provide to the Minnesota Commissioner of Revenue your Minnesota business tax identification number and the Social Security number of each license applicant(person signing the application). Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we must advise you that: • This information may be used to deny the issuance, renewal or transfer of your license if you owe the Minnesota Department of Revenue delinquent taxes, penalties, or interest; • The licensing agency will supply it only to the Minnesota Department of Revenue. However, under the Federal Exchange of Information Act, the Department of Revenue is allowed to supply this information to the Internal Revenue Service; • Failing to supply this information may jeopardize or delay the issuance of your license or processing your renewal application. Please fill in the following information and return this form along with your application to the agency issuing the license. Do not return this form to the Department of Revenue. (Please print or type) TYPE OF LICENSE BEING APPLIED FOR OR RENEWED: Massage Therapist LICENSING AUTHORITY: City of Elk River Personal Information (required): Applicant's last name Applicant's First name and i City Business Information (if applicable): State f - Zip Code Dustnass name v 6icIA-1 &-f �kk� gl� g1w MA) Business address City State Zip Code Minnesota tax identification number: If a Minnesota tax identification number is not required, please explain on the reverse side of this form. Federal tax identification number: c14A't m� '� fief ori Signature Date z"�- rs CHECKLIST -MASSAGE THERAPIST These items must be submitted before staff will send to City Council for approval. ❑ Fee $150 (includes fee for background check) Fees are not prorated. The full fee amount must be paid. The massage therapist license expires on December 31 of each year and Council approval is required. The renewal fee each year is $100. ❑ Copy of Driver's License is attached. Are you renting your own booth space? Yes ❑ No ❑ If yes, you will need to submit a certificate of insurance as proof of liability insurance. The policy of insurance shall be in limits of not less than $500,000. Failure to keep in full force and effect, the insurance required herein, is grounds for revocation. EDUCATIONAL REQUIREMENTS: Each applicant shall furnish the following at the time of application: ❑ A diploma or certification of graduation from a school approved by the American Massage Therapist Association or other similar reputable massage association or a diploma or certificate of graduation from a school which is either accredited by a recognized educational accrediting association or agency, or is licensed by the State or local government agency having jurisdiction over the school. AND ❑ Proof of a minimum of 500 hours of successfully completed course work in the following areas: • The theory and practice of massage, including, but not limited to, Swedish, Esalen, Shiatsu, and/or Foot Reflexology techniques; and ■ Anatomy, including, but not limited to, Skeletal and Muscular structure and Organ placement; and • Hygiene L� hool Dear Jessica Miller, Thanks you for contacting me today concerning the application of Chun Xing Lin who says they graduated from The Professional School of Massage. I am the repository for the records from that school and I have no record of Chun Xing Lin graduating from the Professional School of Massage. Further, if you have a transcript signed by anyone other than David Scott, it is fraudulent. Thank you for your close attention to this important matter. In Touch, Winona F. Bontrager, LPN, LMT President 313 West LOmviyStreet* * saWeiZ05** La*icv-4ter, PA 17603 Arizona State Board of Massage Therapy List of Approved Schools www.massagetherapy.az.gov PA Butler County Comm College College Dr Oak Hills, PO Box 1203 Butler 16003 ST PA Career Training Academy 950 5th Avenue New Kensington 15068 AC PA Career Training Academy, Monroeville 4314 Old William Penn Hwy #103 Monroeville 15146 ST PA Community College of Allegheny County 800 Allegheny Avenue Pittsburgh 15233 AC PA Cortiva Institute - Pennsylvania 4/2013 - 4/2018 211 South Gulph Road Ste 100 King of Prussia 19406 COMTA PA DCI Career Institute 366 Beaver Valley Mall Monaca 15061 AC PA DPT Business School Boulevard Plaza 11000 Roosevelt Blvd Philadelphia 19116 AC PA East West School of Massage Therapy 510 Park Rd North Wyomissing 19610 ST PA Everest Institute 100 Forbes Avenue Kossman Bldg, Ste Pittsburgh 15222 AC PA Fortis Institute 166 Slocum Street Forty Fort 18704 AC PA Fortis Institute 517 Ash Street Scranton 18509 AC PA Great Lakes Institute of Technology 5100 Peach Street Erie 16509 AC PA Harrisburg Area Community College One Hacc Drive Harrisburg 17110 AC PA Health Options Institute 1926 2nd St Bethlehem 18020 ST PA HR School of Alternative Therapy 1001 W Cheltenham Ave Melrose Park 19027 ST PA Institute of Medical Careers 133 Jefferson Road Pittsburgh 15235 AC PA International School of Shiatsu 10 S Clinton St #300 Doylestown 18901 ST PA Keystone Technical Institute 2301 Academy Drive Harrisburg 17112 AC PA Lancaster School of Cosmetology 50 Ranck Avenue Lancaster 17602 AC PA Lancaster School of Massage 317 N Queen St Lancaster 17603 ST PA Lansdale School of Business 290 Wissahickon Avenue North Wales 19454 AC PA Laurel Business Institute 11 East Penn Street Uniontown 15401 AC PA Laurel Highlands Therapeutic Academy 3135 New Germany Rd #39 Ebensburg 15931 ST PA Laurel Technical Institute/Meadville 628 Arch St #6101 Meadville 16335 ST PA Laurel Technical Institute/Sharon 200 Sterling Ave Sharon 16146 ST PA Lehigh Valley Healing Arts Academy (closed 2008) 5412 Shimerville Rd Emmaus 18049 ST PA Lincoln Technical Institute/Allentown 5151 Tilghman Street Allentown 18104 AC PA Lincoln Technical Institute/Hornig 2180 Hornig Rd Bldg A Philadelphia 19116 ST PA Massage Academy of the Poconas 6/5/07- 753 Phillips St Stroudsburg 18360 ST PA Massage Arts Center of Philadelphia 519 S 4th St Philadelphia 19147 ST PA McCann School of Business & Technology 2650 Woodglen Road Pottsville 17901 AC PA McCann School of Business & Technology 370 Maplewood Dr Hazle Township 18202 ST PA McCann School of Business & Technology 2200 N Irving St Allentown 18109 ST PA National Massage Therapy Institute 2002 - 4/2015 10050 Roosevelt Boulevard Philadelphia 19116 COMTA PA Penn Commercial Business/Technical School 242 Oak Spring Road Washington 15301 AC PA Pennsylvania Institute of Massage Therapy 93 S West End Blvd #103 Quakertown 18951 ST PA Pennsylvania Myotherapy Institute 2904 Carlisle Pike New Oxford 17350 AC PA Pittsburgh School of Massage Therapy 3600 Laketon Rd Pittsburgh 15235 ST PA Pittsburgh Technical Institute 2002 - 1/2/2014 1111 McKee Road Oakdale 15071 AC PA Prof. School of Massage - no good if signed by Aifen Zheng 131 E Maple Ave Langhorne 19047 ST Cit. of El River To: From: Date: Subject: Memorandum Tina Allard, City Clerk Jessica Miller, Executive Secretary/Deputy City Clerk January 21, 2016 Massage Therapist Application - Chun Xing Lin During my review of Mr. Lin's educational documents, I was informed the school Mr. Lin said he attended and graduated from has no record of him and that his transcript is fraudulent. Mr. Lin's transcript and certificate indicate he graduated from the Professional School of Massage in Langhorne, PA. The certificate stated the school was licensed by the Pennsylvania Bureau of Private Licensed Schools. Linda at the Pennsylvania Bureau of Private Licensed Schools informed me the school closed in 2011 and the Lancaster School of Massage is the official records repository for the Professional School of Massage. I called the Lancaster School of Massage and spoke to the president, Winona Bontrager. She checked the records for the Professional School of Massage for Mr. Lin and found no record. She also indicated to me that any transcript or graduation certificate signed by anyone other than David Scott is fraudulent. Mr. Lin's transcript is signed by Aifen Zheng. Ms. Bontrager informed me Mr. Scott was the original owner of the Professional School of Massage which he sold in 2011. She explained the school was not reopened for students but officially closed just 3 months later. She stated fraudulent documents have been circulating ever since. She added she is a friend of the original owner, Mr. Scott which is the reason she is aware of the situation. In addition, the Arizona State Board of Massage Licensing maintains a list of approved schools. During a search of the school, I found information on the Board's website indicating transcripts from the Professional School of Massage signed by Aifen Zheng are not valid. I contacted the AZ Board and was told there had been an investigation into the school and the conclusion of that investigation was documents signed by Aifen Zheng are not valid. They were unable to provide me with any additional details. P0WER10 0 N:\Public Bodies\Agenda Packets\02-01-2016\Fina1\x7.1 at5 memo.docx 11 AMRE