Severe reports

The most serious findings in the state inspection reports we hold: deaths, sexual and physical abuse, restraints that injured a child, suicide attempts, medical neglect and hospitalisations. Every quote below is the licensing agency's own wording, and each one was read against its report by a person before it was listed here.

Roy Maas Youth Alternatives Meadows TX

Inspected November 6, 2025 Physical abuse or assault
A caregiver became irate and shoved and physically aggressed a child.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

New Life Childrens Treatment Center TX

Inspected December 30, 2024 Physical abuse or assault
On video, a staff member was seen shoving a child to prevent them from going into the room of a peer.

From the state's report. Risk level: High. Cited: 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment.

Laurel Ridge Treatment Center TX

Inspected November 27, 2024 Restraint or seclusion causing injury
Child in care was injured during an unnecessary restraint when excessive physical force was used.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

Laurel Ridge Treatment Center TX

Inspected October 28, 2024 Sexual abuse
Allegations involving inappropriate sexual comments made by a staff member were not reported timely to Licensing.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child.

Texas NeuroRehab Center TX

Inspected June 19, 2024 Physical abuse or assault
A staff threw away a child's food in response to the child spitting at their feet.

From the state's report. Risk level: High. Cited: 748.2307(14) - Other Prohibited Punishments-withholding food that meets the child's nutritional requirements.

Texas NeuroRehab Center TX

Inspected June 19, 2024 Physical abuse or assault
While a child was being restrained by staff, another staff choked the child.

From the state's report. Risk level: High. Cited: 748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing.

Texas NeuroRehab Center TX

Inspected June 19, 2024 Restraint or seclusion causing injury
A child received a bloody, swollen nose during a restraint due to a staff member banging their head on the ground.

From the state's report. Risk level: High. Cited: 748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force.

Clear Vision Youth Center, LLC TX

Inspected May 15, 2024 Physical abuse or assault
A caregiver used excessive physical force by hitting a 9-year-old child with a shoe approximately three times.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Pathways Youth & Family Services,Inc. dba Habilitative Homes TX

Inspected April 1, 2024 Physical abuse or assault
Through interviews it was confirmed a staff dragged a child in care by the hair to the bathroom to sprayed child off in shower as a form of punishment.

From the state's report. Risk level: High. Cited: 748.2307(6) - Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child.

Texas Hill Country School TX

Inspected January 8, 2024 Physical abuse or assault
Through interviews with staff and children in care, it was determined that a staff member slammed a child in care to the ground when performing a restraint on the child.

From the state's report. Risk level: High. Cited: 748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force.

Miracal's Place TX

Inspected November 2, 2023 Physical abuse or assault
A youth in care was found to be physically abused by a caregiver.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Embracing Destiny Foundation RTC TX

Inspected September 18, 2023 Physical abuse or assault
A caregiver failed to adhere to a child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver physically abused a child in care.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Gulf Coast Trades Center TX

Inspected July 12, 2023 Sexual abuse
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member was found having inappropriate sexual contact and relationship with a 17-year-old child in care.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

HMIH CEDAR CREST, LLC TX

Inspected July 11, 2023 Death Suicide attempt or self-harm
Caregivers were unaware that a child in care, who had history of suicidal gestures, went into the restroom until the door was opened for another child. The child was found unresponsive with clothing around their neck.

From the state's report. Risk level: High. Cited: 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being.

Fostering Life Youth Ranch, LLC Meraki TX

Inspected June 11, 2023 Restraint or seclusion causing injury
During a short personal restraint a child received carpet burn to his face and his elbow.

From the state's report. Risk level: High. Cited: 748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child.

HMIH CEDAR CREST, LLC TX

Inspected May 18, 2023 Sexual abuse
An incident report reviewed showed an incident was documented on 5/7/23 that two children were involved in non consensual sexual activity and this was not reported to Licensing.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child.

High Sky Children's Ranch TX

Inspected April 19, 2023 Sexual abuse
A caregiver failed to supervise children resulting in children engaging in inappropriate sexual behavior.

From the state's report. Risk level: High. Cited: 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity.

HMIH CEDAR CREST, LLC TX

Inspected April 12, 2023 Physical abuse or assault
It was determined through interviews that a staff member did push a child, making the child fall and hit their head.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

HMIH CEDAR CREST, LLC TX

Staff were not aware and accountable of a child's activities when the child was able to obtain a razor and cut themselves seriously enough to where the child required medical attention and had stitches for the injury.

From the state's report. Risk level: High. Cited: 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity.

HMIH CEDAR CREST, LLC TX

Inspected March 13, 2023 Sexual abuse
During the course of the investigation it was determined a staff member encouraged children in care to show staff their private parts and requested that the children engage in inappropriate sexual activity.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Davidson Respite House TX

Inspected February 22, 2023 Physical abuse or assault
During the investigation it was determined that children were subjected to corporal punishment when staff members pulled them by their arms.

From the state's report. Risk level: High. Cited: 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting.

HMIH CEDAR CREST, LLC TX

Inspected February 1, 2023 Suicide attempt or self-harm Hospitalisation
Medication was not kept inaccessible other than employees responsible for storing the medication, as a child was able to obtain 6 bottles of medication and ingested an unknown amount of medication, requiring that child to be hospitalized.

From the state's report. Risk level: High. Cited: 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication.

Gulf Coast Trades Center TX

Inspected January 24, 2023 Sexual abuse
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member was found having inappropriate communication and sexual contact with a 17-year-old child in care.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

DePelchin Children's Center-Richmond Campus TX

Inspected December 17, 2022 Physical abuse or assault
A caregiver restrained a child by dragging him by his feet while another staff member grabbed his arms immediately after the child had fallen several feet onto a hard floor.

From the state's report. Risk level: High. Cited: 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child.

ABH Texas Inc. DBA Devereux Texas Treatment Network TX

Inspected December 12, 2022 Restraint or seclusion causing injury
A tenured campus supervisor was observed on video utilizing inappropriate restraint techniques and physical force against a child resulting in multiple injuries to the child's face, wrist, torso, and back of head.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Caring Heart Residential Care Services LLC TX

Inspected October 22, 2022 Sexual abuse
The operation failed to report sexual abuse against a child in care by another resident.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child.

Texas NeuroRehab Center TX

Inspected July 18, 2022 Restraint or seclusion causing injury
During the course of this investigation, it was determined that a staff member conducted an unnecessary EBI and used unnecessary strength forcing a child in care to the ground causing a bruise on their face.

From the state's report. Risk level: High. Cited: 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child.

DePelchin Children's Center-Richmond Campus TX

Inspected May 4, 2022 Physical abuse or assault
Staff received an RTB for physical abuse and neglectful supervision.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Texas Hill Country School TX

Inspected March 24, 2022 Restraint or seclusion causing injury
A staff member’s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Hill Country Youth Ranch Residential Treatment Center TX

Inspected March 8, 2022 Restraint or seclusion causing injury
It is alleged that staff became physically aggressive with a child in care and executed an improper and unwarranted restraint on the child in care which resulted in an injury.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Caring Heart Residential Care Services LLC TX

Inspected March 6, 2022 Physical abuse or assault
A caregiver slammed a child in care to the ground as a form of discipline which caused the child physical pain.

From the state's report. Risk level: High. Cited: 748.2301(b)(2) - Disciplinary Measures-must not be physically or emotionally damaging to the child.

Caring Heart Residential Care Services LLC TX

Inspected March 6, 2022 Physical abuse or assault
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver put a child in care at risk of physical harm when he slammed the child to the ground.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Caring Heart Residential Care Services LLC TX

Inspected February 11, 2022 Physical abuse or assault
All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Caring Heart Residential Care Services LLC TX

Inspected January 11, 2022 Physical abuse or assault
A caregiver used hitting as a method of discipline.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Gulf Coast Trades Center TX

Inspected January 6, 2022 Sexual abuse
A staff wrote and sent a letter to a child in care, encouraging future sexual contact with him.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Caring Heart Residential Care Services LLC TX

Inspected January 6, 2022 Physical abuse or assault
All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Caring Heart Residential Care Services LLC TX

Inspected December 1, 2021 Physical abuse or assault
2 caregivers used corporal punishment on children in care when they punched the child/ren.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Caring Heart Residential Care Services LLC TX

Inspected November 29, 2021 Physical abuse or assault
3 of the 3 children interviewed stated that a staff member pinches and pulls on the residents.

From the state's report. Risk level: High. Cited: 748.2307(6) - Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child.

HMIH CEDAR CREST, LLC TX

Inspected October 28, 2021 Sexual abuse
On multiple occasions at the operation, a staff member sexually abused a child resident who was left in this staff member's care.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation. The state recorded it as corrected at the inspection.

DePelchin Children's Center-Richmond Campus TX

Inspected August 2, 2021 Physical abuse or assault
A staff member utilized corporal punishment when a child in care was choked.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

St Peter - St Joseph Childrens Home Emergency Shelter TX

Inspected May 26, 2021 Sexual abuse
A staff member had inappropriate relationships with children in care.

From the state's report. Risk level: Medium High. Cited: 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

New Life Childrens Treatment Center TX

Inspected May 25, 2021 Physical abuse or assault
Staff threw a water bottle and struck resident in the face.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

New Life Childrens Treatment Center TX

Inspected May 6, 2021 Physical abuse or assault
A staff member shoved a resident in between restraints.

From the state's report. Risk level: High. Cited: 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting.

City of Hope Missions, DBA, Hearts-Way Youth Shelter TX

Inspected March 30, 2021 Physical abuse or assault
A child in care was subjected to physical abuse by a operation staff member.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Hands of Healing TX

Inspected March 27, 2021 Restraint or seclusion causing injury
A caregiver used excessive force during a restraint, causing substantial physical injury to a child.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

Hands of Healing TX

Inspected March 22, 2021 Physical abuse or assault
A staff dragged a child across the floor by gripping his ankles one with each hand and pulled the child.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Roy Maas Youth Alternatives Meadows TX

Inspected March 18, 2021 Sexual abuse
A caregiver who was on a safety plan due to an inappropriate relationship with a child in care allowed the child to stay at their home while still employed at the operation.

From the state's report. Risk level: Medium High. Cited: 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

Roy Maas Youth Alternatives Meadows TX

Inspected March 18, 2021 Sexual abuse
Administrator was aware of on-going inappropriate relationship between a staff member at the operation and a child in care.

From the state's report. Risk level: Medium High. Cited: 748.535(2)(H) - Child-care administrator responsibilities-Ensuring persons whose behavior or health status presents danger to children are not allowed at operation.

Laurel Ridge Treatment Center TX

Inspected March 18, 2021 Sexual abuse
Staff were aware of allegations made by child in care regarding alleged inappropriate touching from a staff member.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child.

How a report gets on this page

A program reads every inspection report we collect and picks out findings that describe serious harm, using the state's own severity rating or complaint outcome where there is one. A person then reads the report and approves or rejects each one. Unsubstantiated complaints are not listed. This page is not complete: it covers the states and reports reviewed so far, and a facility's absence here says nothing about its record. Every report we hold, flagged or not, is on the state trackers.