The director of a local health department shall report to the Department's Commissioner of Local Health directly, by telephone or other immediate means, whenever he becomes aware of a public health hazard or communicable disease outbreak which, in the judgment of the director has potential Statewide significance or which, in his opinion, requires the critical comment or assistance of the Department. The Commissioner of Local Health may require a written report on a health problem or health hazard for which the director of a local health department has a responsibility, including the handling of consumer complaints.
28 Pa. Code § 15.17