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Family Child Care ✓ Licensed

Esther M Horst

Refton, PA · Lancaster County
Main St P O BOX 5, Refton, PA 17568
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Quick Facts

Subsidized Program
Participates
Food Program
Does not participate
State Rating
1

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Contact Information

📞 (717) 786-7708
Main St, P O BOX 5
Refton, PA 17568
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Licensed Family Child Care
Active License
License Number
CER-00258825
License Issued
Jul 26, 2026
Active Through
Jul 26, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 10

Reviews

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About the Provider

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ESTHER M HORST is a Family Child Care in REFTON PA. The provider also participates in a subsidized child care program.

Hours of Operation

  • Days of Operation Monday–Friday

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-06-09 Unannounced Monitoring 3290.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: Immediately prior to and upon entry into the facility, it was observed that multiple [6] children [1 infant and multiple older toddlers, preschool and young school-aged] were on the floor near the doorway playing a game. The provider was observed on the opposite side of the space [15+ feet away] working on a sewing machine. A clear line of sight between the provider and the infant-aged child was not present due to equipment and bags obstructions. Further, when discussing proper supervision protocols, the provider verbally stated that during naptime, the older children would be placed in a separate room to play while the younger children were placed in a different room so as to not be disturbed. The provider confirmed that direct supervision [i.e., see, hear, direct and assessment] of both groups of children was not occurring as required.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). 1] Children must be supervised at all times [Immediate Correction Date required]. 2] The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training [Correction Date to be determined].

Provider Response: (Contact the State Licensing Office for more information.)
#1 children will be supervised at all times #2 will set up training of supervision [Better Kid Care] 2-hours
2026-06-09 Unannounced Monitoring 3290.166(5) - Six-months-old held Compliant - Finalized

Regulation: 3290.166(5)

Description: Six-months-old held

Noncompliance Area: Direct observation of Staff Person #1 on the day of monitoring revealed that the provider had placed Child #1 into their bed and had subsequently started to feed the child a bottle without making any attempts to hold the child during the bottle-feeding process. The provider stated that they would hold the child to feed them sometimes, but that the child would fall asleep and then could not be laid back down without them waking.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Provider Response: (Contact the State Licensing Office for more information.)
Baby is being held to drink his bottle
2026-06-09 Unannounced Monitoring 3290.74(a) - Requirements Compliant - Finalized

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: Upon entry into the facility, it is immediately observed that there is a very strong odor of feline urine/body odors.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards. Operator is required to provide a receipt for professional carpet cleaning performed by a company that specializes in eliminating pet odors.

Provider Response: (Contact the State Licensing Office for more information.)
Purchased new litter boxes - easier to clean will clean more frequently - cleaned carpets Will contact professional carpet cleaner as soon as possible to clean carpets.
2026-04-01 Renewal 3290.123(a)(3) - Services provided Compliant - Finalized

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Upon inspection of all children's records present for inspection, it was found that the last developmental child services report for Child #1 was completed on 4.10.25 [expired 10.31.25]; Child #2 was completed on 9.10.23 [expired 3.31.25]; Child #3 did not have a completed developmental child services report on file; Child #4 was completed on 12.1.24 [expired on 6.30.25]; Child # 5 did not have a completed developmental child services report on file.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

Provider Response: (Contact the State Licensing Office for more information.)
The provider will complete the necessary child service reports as required.
2026-04-01 Renewal 3290.123(a)(7) - Services considered extra Compliant - Finalized

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: Upon inspection of all children's records present for inspection, it was found that the agreement on file for Child #3, #4 and #5 did not have any information related to services to be considered extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Provider Response: (Contact the State Licensing Office for more information.)
The provider will review all documents to ensure completeness and correct as needed.
2026-04-01 Renewal 3290.131(a)/3290.182(1) - Within 60 days/Initial and subsequent health assessments Compliant - Finalized

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Upon inspection of all children's records present for inspection, it was found that the file for Child #1 did not have an initial [or updated] health report available.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The provider requested the updated health assessment for the child and placed it on file.
2026-04-01 Renewal 3290.131(b)(2)/3290.182(1) - Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments Compliant - Finalized

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: Upon inspection of all children's records present for inspection, it was found that the health assessment on file for Child #3 was dated 8.25.21 [expired 8.31.22] AND the health assessment on file for Child #5 was dated 6.15.21 [expired 6.30.22].

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The provider requested the updated health assessment for the children and placed it on file.
2026-04-01 Renewal 3290.134(a) - Child's hands washed Compliant - Finalized

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Upon onsite inspection of the childcare facility, it was observed that the five children in care were served lunch without the children having washed their hands immediately prior to being served.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Provider Response: (Contact the State Licensing Office for more information.)
The provider is now ensuring that all children wash hands as required.
2026-04-01 Renewal 3290.152 - Adult Hygiene Compliant - Finalized

Regulation: 3290.152

Description: Adult Hygiene

Noncompliance Area: Upon onsite inspection of the childcare facility, it was observed that the staff person served lunch to the five children in care without having washed their hands immediately prior to service.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Provider Response: (Contact the State Licensing Office for more information.)
The provider is following the children's hand washing and ensuring that her own are washed.
2026-04-01 Renewal 3290.18 - General Health and Safety Compliant - Finalized

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Upon inspection of the facility emergency plans, it was found that plans for the 'Continuity of Care/Operations' was not specifically included in the plans presented for inspection.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Provider Response: (Contact the State Licensing Office for more information.)
The provider will create the necessary update to the emergency plan and ensure that it remains included.
2026-04-01 Renewal 3290.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Upon inspection of all children's records present for inspection, it was found that financial agreement on file for Child #4 was last reviewed on 8.16.24.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Provider Response: (Contact the State Licensing Office for more information.)
The child is not in care for the summer and the forms will be updated before the child returns to care in the fall.
2026-04-01 Renewal 3290.24(a)(1) - Emergency plan Compliant - Finalized

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: Upon inspection of the facility emergency plans, it was found that the plans submitted for inspection did not include specifics regarding accommodations for shelter of children during a lock-down type of emergency.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Provider Response: (Contact the State Licensing Office for more information.)
The provider will create the necessary update to the emergency plans.
2026-04-01 Renewal 3290.24(a)(3) - Contact when arises Compliant - Finalized

Regulation: 3290.24(a)(3)

Description: Contact when arises

Noncompliance Area: Upon inspection of the facility emergency plans, it was found that the plans submitted for inspection did not include specifics regarding a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Provider Response: (Contact the State Licensing Office for more information.)
The provider will create the necessary update to the emergency plans.
2026-04-01 Renewal 3290.24(a)(4) - Contact when ended Compliant - Finalized

Regulation: 3290.24(a)(4)

Description: Contact when ended

Noncompliance Area: Upon inspection of the facility emergency plans, it was found that the plans submitted for inspection did not include specifics regarding a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Provider Response: (Contact the State Licensing Office for more information.)
The provider will create the necessary update to the emergency plans.
2026-04-01 Renewal 3290.24(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: Upon inspection of the facility emergency plans, it was found that the plans submitted for inspection did not include specifics regarding accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
The provider will create the necessary update to the emergency plans.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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