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.

Triple 7 Ranch GRO TX

Inspected June 2, 2023 Physical abuse or assault

Caregiver observed corporal punishment of a child, and failed to intervene.

A caregiver was observed using corporal punishment on a child.

From the state's report. Risk level: High. Cited: 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety; 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Guardian Angels I Residential Treatment Center TX

Inspected May 29, 2023 Physical abuse or assault

Staff used unnecessary force when pushing a child before restraining her three separate times.

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.

Bluebonnet Haven, LLC TX

Inspected May 22, 2023 Physical abuse or assault

During the investigation it was found two staff physically abused two children when completing two separate inappropriate restraints.

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 Ambience Residential Treatment Center TX

Inspected May 18, 2023 Physical abuse or assault

A staff admitted to a case worker to using an inappropriate restraint towards a child in care by placing his arms behind his back.

From the state's report. Risk level: High. Cited: 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back.

Unity Children's Home - Girls TX

Inspected May 18, 2023 Physical abuse or assault

A caregiver pulled the hair of a child in care, grabbed the child by the neck and threatened the 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..

Camp Worth, LLC TX

Inspected May 4, 2023 Physical abuse or assault

A caregiver used an inappropriate technique on a child which caused him to the be thrown on the ground with excessive force.

A 15 year old child in care was provoked to engage in a physical altercation with a staff person where the child was slammed to the ground and held in an inappropriate hold.

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; 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Kinship Konnection, LLC TX

Inspected April 26, 2023 Physical abuse or assault

During the investigation it was found that a staff member used excessive physical force and slapped a child in care, putting them at risk for physical injury.

During the investigation it was found that a staff member hit a child in care on the back of the head.

During the investigation it was found that a staff member improperly restrained a child in care by holding the child around the neck with the child's hands behind their back

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; 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.; 748.2605(a)(2) - Personal Restraints Prohibited-Restraints that obstruct child's airway.

The Burke Foundation-Pathfinders RTC TX

In an investigation conducted by DFPS, two staff were found reason to believe for physical abuse of a child.

Staff was observed via the EBI video, using excessive force when he lifted the child off of the ground during a restraint, causing the child's feet to drag; consequently, causing both child and staff to fall to the ground and injuring the child's foot.

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; 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

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.

Bluebonnet Haven, LLC TX

Inspected April 10, 2023 Restraint or seclusion causing injury

It was found during the investigation a child sustained injuries as the result of an improper 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.

HMIH CEDAR CREST, LLC TX

Inspected April 8, 2023 Self-harm Hospitalisation

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.

Bayes Achievement Center TX

Inspected March 11, 2023 Physical abuse or assault

A staff member hit a child in care.

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.

New Horizons Ranch Residential Treatment Center TX

Inspected March 9, 2023 Sexual abuse

Upon reviewing letters and pictures from a caregiver it was determined that the caregiver has maintained an inappropriate relationship with a child 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.

Fort Behavioral Health TX

Inspected February 28, 2023 Suicide attempt

A caregiver failed to abide by a child's supervision requirements which resulted in a suicide attempt.

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.

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.

Castillo Childrens Center TX

Inspected February 21, 2023 Restraint or seclusion causing injury

Children interviewed reported that during restraints it was hard to breathe, or that they could not breathe.

Children also stated that they had witnessed staff perform restraints this way and that they heard the children say that they were being hurt.

From the state's report. Risk level: High. Cited: 748.2605(a)(1) - Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso; 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child.

Safe Haven Youth Ranch TX

Inspected February 7, 2023 Physical abuse or assault

Video camera footage, captured by the facility, showed a staff using her forearm to push a child back into his room, forcing him to comply to directives for quiet, calm down time.

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.

HMIH CEDAR CREST, LLC TX

Inspected February 1, 2023 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.

Kensley Care LLC dba Kensley Care South TX

Inspected January 18, 2023 Physical abuse or assault

During the course of the investigation this standard was found to be deficient when a caregiver threatened to physically harm a child in care and pulled him by his hoodie.

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.

Castillo Childrens Center TX

Inspected January 18, 2023 Physical abuse or assault

In a video recording, it was heard that staff was threatening to hit and beat children multiple times in a severe manner.

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.

Fort Behavioral Health TX

Inspected January 13, 2023 Sexual abuse

A caregiver engaged in an inappropriate relationship and did not maintain appropriate boundaries when engaging 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.

Fort Behavioral Health TX

Inspected December 21, 2022 Physical abuse or assault

A staff member pushed a child against a wall as a form 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..

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.

Connections TX

Inspected December 8, 2022 Sexual abuse Self-harm

During this investigation it was confirmed staff had an inappropriate relationship with a child in care. This same staff was aware of a child self-harming and did not report to hotline or other staff present to ensure the safety of 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.

New Beginnings TX

Inspected December 5, 2022 Physical abuse or assault

Staff member stated during interview they did push victim prior to restraint and did not accept the apology victim offered them. Two children confirmed staff member pushed victim to the floor.

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.

Sunny Glen Childrens Home TX

Inspected November 23, 2022 Sexual abuse

A staff member was having an inappropriate relationship with a youth 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.

Fostering Life Youth Ranch, LLC TX

Inspected November 10, 2022 Restraint or seclusion causing injury

After the restraint, the was observed with scratches on her face and bruising on her wrist and was later taken to the doctor for complaints of pain in her chest and arms.

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.

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.

The Childrens Home of Lubbock TX

Inspected October 10, 2022 Sexual abuse

A 32-year-old volunteer for the operation engaged in inappropriate sexualized contact with two 10-year-old males in care.

During the course of the investigation, it was determined that an operational volunteer did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with two children in care.

From the state's report. Risk level: High; Risk level: Medium High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

La Maison, LLC TX

Inspected September 15, 2022 Physical abuse or assault

A child was inappropriately restrained.

From the state's report. Risk level: High. Cited: 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back.

Meridell Achievement Center TX

Inspected August 30, 2022 Physical abuse or assault

During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.

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 Hope Youth Center TX

Inspected August 22, 2022 Physical abuse or assault

Staff engaged in physical discipline by slamming child on a table due to child refusing to follow instructions.

Staff member slammed child on a table during the incident.

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.; 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Camp Worth, LLC TX

Inspected August 18, 2022 Restraint or seclusion causing injury

A youth in care was injured in the face during an attempt of a restraint by a staff member.

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.

Center for Success and Independence TX

Inspected August 9, 2022 Physical abuse or assault

A staff unnecessarily grabbed, pulled, and pushed a child as a means to get the child to comply.

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.

Fort Behavioral Health TX

Inspected July 18, 2022 Physical abuse or assault

A staff member hit a child in the chest after the child had a verbal altercation with the staff member.

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..

Texas Girls and Boys Ranch TX

Inspected July 18, 2022 Sexual abuse

A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.

During the course of the investigation, it was determined that two operational caregiver(s) did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with six children in care.

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; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

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.

Hill Country Youth Ranch Residential Treatment Center TX

Inspected July 15, 2022 Physical abuse or assault

Staff pushed child and was observed on camera doing so.

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.

Bridgeway Home-Montgomery County Youth Services TX

Inspected July 5, 2022 Self-harm Hospitalisation

The residents returned to the facility and shared pills amongst each other and several residents were rushed to the hospital due to ingestion.

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.

The Childrens Home of Lubbock TX

Inspected June 28, 2022 Physical abuse or assault

Caregiver struck a 14 year old child with a shoe.

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..

Fort Behavioral Health TX

Inspected June 16, 2022 Physical abuse or assault

Two staff implemented an improper hold by forcibly pushing and restraining a child against the wall.

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.

Hill Country Youth Ranch Residential Treatment Center TX

Inspected June 13, 2022 Physical abuse or assault

A child in care was so distraught after the staff member pushed the child into their room and closed the door that the child began banging loudly on the door to her room.

A staff member pushed a child two times causing the child to fall.

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; 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Fort Behavioral Health TX

Inspected June 9, 2022 Sexual abuse Police involvement

A caregiver was informed by 16-year-old and 14-year-old child in care that they were sexually assaulted and the caregiver observed blood on the children(s) clothing. The caregiver then failed to immediately seek medical attention or contact law enforcement as related to the incident.

She had the children shower after a sexual assault before returning them to the operation.

From the state's report. Risk level: High; Risk level: Medium High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

East Texas Open Door Inc TX

Inspected June 7, 2022 Physical abuse or assault

Several children indicated staff threatened to physical harm children in care.

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.

Shiloh Treatment Center TX

Inspected May 18, 2022 Physical abuse or assault

A staff member grabbed a child by the arm and dragged them off a couch and down a hallway.

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.

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.

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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. Only findings the state substantiated are listed: a citation, or a complaint the investigator upheld. A child running away is listed only when it ended in a death or a serious injury. 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.