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Home › PA › Refton › Esther M Horst
Refton PA 17568 · License #CER-00242725 · Home-based · Family Child Care Home
Not published by the state. Owners can add hours via profile claim.
When they operate
Schedule type not published.
Ages served
Ages not published.
3290.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The file for Child #1, Child # 2, and Child #3 not contain signed parental consent for emergency medical care
Corrected Corrected by Jul 17, 2025
Category: recordkeeping. Marked corrected in the state record.
3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff employee #1 must be removed from childcare position by close of business 6.30.25. All required clearances must be obtained before staff person#1 may resume a childcare position.
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.
Corrected Corrected by Jul 17, 2025
Category: background checks. Marked corrected in the state record.
3290.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is 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.
Corrected Corrected by Jul 17, 2025
Category: ratio. Marked corrected in the state record.
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
3290.131(b)(2)/3290.182(1) · 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.
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.
Corrected Corrected by Jul 19, 2024
Category: health medication. Marked corrected in the state record.
3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care 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.
Corrected Corrected by Jul 25, 2024
Category: recordkeeping. Marked corrected in the state record.
3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.
Staff person #1 has not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.
Corrected Corrected by Jun 27, 2023
Category: health medication. Marked corrected in the state record.
3290.124(e) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.
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.
Corrected Corrected by May 8, 2023
Category: recordkeeping. Marked corrected in the state record.
3290.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.
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.
Corrected Corrected by Jul 25, 2023
Category: health medication. Marked corrected in the state record.
3290.94(a)(9) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
Fire drill log was not updated every 60 days and last date completed was dated 4.12.22. (Corrected on Site)
Corrected Corrected by May 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3290.95(b) · The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.
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)
Corrected Corrected by May 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.
Staff person #1 has not obtained an annual minimum of 12 clock hours of child care training.
Corrected Corrected by Jul 19, 2023
Category: recordkeeping. Marked corrected in the state record.
3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.
The file for Staff person #1 did not contain 12 clock hours of child care annual training.
Corrected Corrected by Jul 12, 2022
Category: recordkeeping. Marked corrected in the state record.
3290.151(a)(2) · A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
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.
Corrected Corrected by Jun 17, 2022
Category: health medication. Marked corrected in the state record.
3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.
The emergency plan did not include accommodations for infants and toddlers.
Corrected Corrected by Jul 5, 2022
Category: physical safety. Marked corrected in the state record.
3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.
It was observed that the rabies immunization certificate for Monica the cat was expired.
Corrected Corrected by May 10, 2022
Category: health medication. Marked corrected in the state record.
3290.124(e) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information
The emergency contact in file for child #4 and child #5 was not updated within 6 months. The last update was 2/21/21.
Corrected Corrected by Apr 28, 2022
Category: recordkeeping. Marked corrected in the state record.
3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
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.
Corrected Corrected by May 19, 2022
Category: health medication. Marked corrected in the state record.