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Esther M Horst

Refton, PA 17568 · home daycare: the provider shares the address with families

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Certified by the stateInspection record

About

About Esther M Horst

Esther M Horst is a home daycare in Refton, Pennsylvania. It is certified by the state, for up to 6 children.

As a home daycare, the provider shares the address with families when you call.

Pennsylvania Department of Human Services, Office of Child Development and Early Learning made 4 visits in the last 3 years and cited 23 rules across 4 of them. The visit list, in the state's words, is below.

Ask when you call: rates, current openings, the address and how to visit, staff-to-child ratio, teacher qualifications and hours.
Type
Home daycare
Ages
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Hours today
Not listed
Licensed capacity
6 children

Hours

Hours

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Programs

Programs and care

SettingFamily child care homeFrom the state license
Licensed capacity6 childrenFrom the state license

Cost

Tuition and costs

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State record

Inspection reports for Esther M Horst

License

Status
Certified by the state and operating
License type
Certificate of Compliance
Capacity
6 children
License number
#CER-00258825
See the state's record

Summary

4 visits in the last 3 years · Last visit Jun 9, 2026: 3 rules cited

Rules cited on 4 of 4 visits · 23 rules in all · 20 corrected

  • Safety and hazards 8
  • Health, medication and illness 6
  • Records and paperwork 3
  • Discipline and child guidance 2
  • Food and nutrition 1
  • Supervision and ratios 1
  • Background checks 1
  • Staff training and qualifications 1

For comparison: 93% of Pennsylvania daycares had at least one rule cited in the last 3 years; the typical daycare had 14.

A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.

Own this daycare? Add your response to the state record

See all 6 visits
  1. Jun 9, 2026Inspection3 rules cited
    • Food and nutrition

      3290.166(5) Six-months-old held

      “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.”
    • Supervision and ratios

      3290.113(a) Supervised at all times

      “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.”
    • Safety and hazards

      3290.74(a) Requirements

      “Upon entry into the facility, it is immediately observed that there is a very strong odor of feline urine/body odors.”
  2. Apr 1, 2026Inspection15 rules cited
    • Safety and hazards

      3290.24(a)(5) Emergency plan

      “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 date in the state record: Jun 9, 2026

    • Safety and hazards

      3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

      “Upon inspection of the facility fire safety logs, it was found that the following dates recorded in the test log exceeded the maximum of 30-days between required tests: 7.11.25 - 8.19.25 [39 days]; 9.15.25 - 10.21.25 [36 days]; 11.14.25 - 12.18.25 [34 days]; 12.18.25 - 1.20.26 [33 days]; 3.3.26 - 4.6.26 [34 days].”

      Correction date in the state record: Jun 11, 2026

    • Safety and hazards

      3290.24(a)(1) Emergency plan

      “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 date in the state record: Jun 9, 2026

    • Health, medication and illness

      3290.134(a) Child's hands washed

      “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 date in the state record: Apr 27, 2026

    • Safety and hazards

      3290.24(b) Emergency plan

      “Upon inspection of the facility emergency plans, it was found that there was no documented record that the plan had been reviewed within the past year, despite the fact that the provider offered verbal statements confirming that the review had been conducted.”

      Correction date in the state record: Jun 9, 2026

    • Discipline and child guidance

      3290.18 General Health and Safety

      “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 date in the state record: Jun 9, 2026

    • Records and paperwork

      3290.181(c) Emergency info/agreement updated 6 mos

      “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 date in the state record: Jun 9, 2026

    • Health, medication and illness

      3290.152 Adult Hygiene

      “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 date in the state record: Apr 27, 2026

    • Records and paperwork

      3290.123(a)(7) Services considered extra

      “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 date in the state record: Jun 11, 2026

    • Discipline and child guidance

      3290.123(a)(3) Services provided

      “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 date in the state record: Jun 24, 2026

    • Safety and hazards

      3290.24(d) Emergency plan

      “Upon inspection of the required documents on file at the facility which were offered for inspection, it was found that no form of documented record was available to verify that an emergency drill had been conducted within the past year.”

      Correction date in the state record: Jun 11, 2026

    • Safety and hazards

      3290.24(a)(4) Contact when ended

      “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 date in the state record: Jun 9, 2026

    • Health, medication and illness

      3290.131(b)(2)/3290.182(1) Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

      “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 date in the state record: Jul 1, 2026

    • Health, medication and illness

      3290.131(a)/3290.182(1) Within 60 days/Initial and subsequent health assessments

      “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 date in the state record: May 21, 2026

    • Safety and hazards

      3290.24(a)(3) Contact when arises

      “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 date in the state record: Jun 9, 2026

  3. Apr 15, 2025Inspection3 rules cited
    • Health, medication and illness

      3290.182(5) Consent for administration of minor first-aid required prior to admission

      “The file for Child #1, Child # 2, and Child #3 not contain signed parental consent for administration of minor first-aid procedures by facility staff.”

      Correction date in the state record: Jul 17, 2025

    • Records and paperwork

      3290.182(3) Consent for emergency medical care required prior to admission

      “The file for Child #1, Child # 2, and Child #3 not contain signed parental consent for emergency medical care”

      Correction date in the state record: Jul 17, 2025

    • Background checks

      3290.32(a) Comply with CPSL

      “The file for staff person # 1 contained a Child Abuse clearance that was [expired on 6.9.2020] and the State Police clearance that was expired on 6.8.2020, and FBI clearance that was expired on 6.24.2020. The facility had no record of an application for the updated clearance on file.”

      Correction date in the state record: Jul 17, 2025

  4. Jun 25, 2024Inspection2 rules cited
    • Staff training and qualifications

      3290.31(f) Age and training

      “The file for facility person #1 contained a total of 10.5 of trainings and was missing 1.5 clock hours of childcare training.”

      Correction date in the state record: Jul 25, 2024

    • Health, medication and illness

      3290.131(b)(2)/3290.182(1) Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

      “The file for Child #2 did not contain an updated health assessment. This was evidenced by a health assessment with a date of 2.9.21 . The file for Child #4 did not contain an updated health assessment. The health assessment on file had a date of 5.3.23.”

      Correction date in the state record: Jul 19, 2024

  5. May 5, 2023Inspection6 rules cited
    • Staff training and qualifications

      3290.31(f) Age and training

      “Staff person #1 has not obtained an annual minimum of 12 clock hours of child care training.”

      Correction date in the state record: Jul 19, 2023

    • Records and paperwork

      3290.94(a)(9) Written record

      “Fire drill log was not updated every 60 days and last date completed was dated 4.12.22. (Corrected on Site)”

      Correction date in the state record: May 5, 2023

    • Safety and hazards

      3290.95(b) Operator or designated staff responsibility

      “It was observed that smoke detection systems were not manually tested every 30 days. The last documented test date for the smoke detection system was 4..12.2022. (CORRECTED ON SITE)”

      Correction date in the state record: May 5, 2023

    • Health, medication and illness

      3290.131(d)(5) Immunization record

      “It was observed that the file for child #3 did not include the most updated immunization record with outdated immunization vaccinations for DTAP dated 4.13.21, Influenza dated 1.4.22, and Hep A dated 1.4.22.”

      Correction date in the state record: Jul 25, 2023

    • Records and paperwork

      3290.124(e) Updated every 6 months

      “The emergency contact forms on file for child #1, Child #2, and Child #3, were not reviewed and updated every 6 months. The last date reviewed for child #1 was 4.26.22 and Child # 2 and #3 was dated 4.20.22.”

      Correction date in the state record: May 8, 2023

    • Discipline and child guidance

      3290.18 General Health and Safety

      “Staff person #1 has not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.”

      Correction date in the state record: Jun 27, 2023

  6. Apr 27, 2022Inspection6 rules cited
    • Records and paperwork

      3290.124(e) Updated every 6 months

      “The emergency contact in file for child #4 and child #5 was not updated within 6 months. The last update was 2/21/21.”

      Correction date in the state record: Apr 28, 2022

    • Safety and hazards

      3290.117(c) Vet's certificate required

      “It was observed that the rabies immunization certificate for Monica the cat was expired.”

      Correction date in the state record: May 10, 2022

    • Health, medication and illness

      3290.151(a)(2) 12 months prior to service and every 24 months thereafter

      “The file for staff person #1 contained a health assessment dated 5/21/2019, which is more than 24 months old and is no longer valid.”

      Correction date in the state record: Jun 17, 2022

    • Health, medication and illness

      3290.131(b)(2) Updated toddler/preschool health report: every 12 months

      “The health record for Child #4 and Child #5 was not updated annually. The health record for both children on file was dated 4/21/21.”

      Correction date in the state record: May 19, 2022

    • Staff training and qualifications

      3290.31(f) Age and training

      “The file for Staff person #1 did not contain 12 clock hours of child care annual training.”

      Correction date in the state record: Jul 12, 2022

    • Safety and hazards

      3290.24(a)(5) Emergency plan

      “The emergency plan did not include accommodations for infants and toddlers.”

      Correction date in the state record: Jul 5, 2022

Copied from Pennsylvania Department of Human Services, Office of Child Development and Early Learning on October 2, 2026; the state's records start around Jun 2021. Rule wording, severity and dates are the state's.

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FAQ

Questions about Esther M Horst

Is Esther M Horst licensed?

Yes. Esther M Horst is certified by the state and operating. This is how Pennsylvania authorizes this type of child care.

When was Esther M Horst last inspected?

Pennsylvania Department of Human Services, Office of Child Development and Early Learning lists the most recent visit on June 9, 2026, with 3 rules cited. It lists 4 visits in the last 3 years.

Has Esther M Horst had rules cited by the state?

Yes. Inspectors cited 23 rules across 4 of 4 visits in the last 3 years; 20 show a correction in the state record. For comparison: 93% of Pennsylvania daycares had at least one rule cited in the last 3 years; the typical daycare had 14. A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.

How many children can Esther M Horst care for?

6, the licensed capacity on the state record.

Does Esther M Horst accept child care subsidies?

The state record does not list it as accepting subsidies. Ask the provider directly.

What are Esther M Horst's hours?

Its hours are not listed. Call (717) 786-7708 to confirm.

How much does Esther M Horst cost?

It has not listed its tuition. Call (717) 786-7708 to ask.

What is Esther M Horst's phone number?

(717) 786-7708.

Where is Esther M Horst?

Refton, PA 17568. It is a home daycare, so the provider shares the street address with families directly.

Sources: Pennsylvania Department of Human Services, Office of Child Development and Early Learning (license and visits).