According to the transcript of Grand Jury testimony taken on January 20, 2011, Kermit Gosnell, the abortion doctor on trial for the murder of seven babies and an adult patient, was not caught by the Pennsylvania Dept. of Health (DOH). The discovery of what has been described as a "horror show" was accidental, the result of a police raid to seize evidence of illegal prescription sales.
It was only after this raid and the resulting media publicity of what the police found at the clinic ("the disgusting conditions, the dazed patients, the discarded fetuses") that the DOH stepped in.
What the Grand Jury testimony makes clear, though, is that very little of what was ultimately discovered could have come as a surprise to the Pennsylvania Department of Health -- the government agency that should have been "the first line of defense" against Gosnell. The DOH had not only received numerous complaints about deaths and underage abortions over the years, but DOH personnel had also visited Gosnell's clinic on numerous occasions.