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 June 30, 2026 Physical abuse or assault

Video footage obtained of a restraint showed staff dragging a child out of their room by their foot, which showed a disregard for the risk of physical discomfort or pain.

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.

Youth Health Associates Glenn Heights Academy TX

Inspected June 24, 2026 Physical abuse or assault

A caregiver pushed 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.

Sanctuary of Hope TX

Inspected June 9, 2026 Physical abuse or assault

It was confirmed that a staff member used corporal punishment by hitting a child on the buttocks.

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 Horizons Ranch Residential Treatment Center TX

Inspected April 2, 2026 Physical abuse or assault

Multiple children and staff witnessed staff put a child into a chokehold.

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..

The Pride Lands Center of Hope TX

Inspected March 15, 2026 Sexual abuse

It was determined that a staff member had sexually inappropriate communication 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.

Zachary's House LLC TX

Inspected March 11, 2026 Sexual abuse

The operation failed to demonstrate prudent judgment by placing a child in care identified to have a sexual behavior problem with a roommate, resulting in a disclosure of sexual abuse by the collateral child.

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.

Aim to Achieve Ranch TX

Inspected January 24, 2026 Physical abuse or assault

In a review of the investigation, it was found that a caregiver pushed down on a child's 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.

Blessed Kidz Residential Treatment Center, LLC TX

Inspected January 10, 2026 Sexual abuse

Although findings were inconclusive regarding a staff's inappropriate contact with a child, there is evidence to support a staff member had a lack of prudent judgment as a child was able to access a staff person's nude photo and save to their personal phone.

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.

Sweeten Home for Children Inc. TX

Inspected December 31, 2025 Physical abuse or assault

A staff was recorded on video pushing a child forward.

From the state's report. Risk level: High. Cited: 748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment..

right at home care 2 Inc. TX

Inspected December 30, 2025 Physical abuse or assault

A staff threatened to physically assault 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 December 23, 2025 Physical abuse or assault

I child in care was subjected to corporal punishment by a caregiver.

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..

The Burke Foundation-Pathfinders RTC TX

Inspected December 6, 2025 Physical abuse or assault

It was observed a staff member used excessive force to initiate a restraint by grabbing a child in care's arm from behind and swinging them into a door.

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.

Fred and Mabel Parks Youth Ranch TX

Inspected November 25, 2025 Sexual abuse

The staff member reportedly asked the child whether her boyfriend believed she was engaging in sexual activity.

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.

Gentle Mental Treatment Center LLC TX

Inspected November 14, 2025 Sexual abuse Child missing or ran away

A staff member picked up a youth while on runaway status and transported them to their home. Staff did not notify the operation or law enforcement of the childÂ’s whereabouts while engaging in an inappropriate relationship with the child.

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.

Kid Net Foundation dba Jonathan's Place TX

Inspected November 14, 2025 Physical abuse or assault

A caregiver shoved a toddler causing them to fall to the floor instead of using a less forceful technique such as blocking the toddler.

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.

Tshepang Center Residential Treatment Center, LLC TX

Inspected November 13, 2025 Physical abuse or assault

Based on the video observed, staff was seen pushing child towards the wall and grabbing him by the neck.

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.

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..

Inspirational Hope House TX

Inspected October 24, 2025 Physical abuse or assault

A child in care was physically assaulted by staff member at the operation.

A staff member at the operation performed an inappropriate restraint on a child in care, restricting the child's ability to breathe and causing pain.

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.; 748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child.

New Horizons Ranch Residential Treatment Center TX

Inspected October 21, 2025 Restraint or seclusion causing injury

A child in care received a serious physical injury during a restraint.

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.

MiOwn Home, LLC TX

Inspected September 26, 2025 Physical abuse or assault

A caregiver locked a child in care out of the operation, which resulted in the child kicking the door and breaking it.

From the state's report. Risk level: High. Cited: 748.685(c)(2) - Caregiver responsibility - provide a safe environment.

Shiloh Treatment Center TX

Inspected September 20, 2025 Physical abuse or assault

An operational staff member responded to a child in a physically aggressive manner by pushing the child as a means of discipline prior to conducting an inappropriate restraint.

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.

Clear Vision Youth Center, LLC TX

Inspected September 11, 2025 Physical abuse or assault

In plain words: A staff member used an improper restraint on a child by pulling the child from a vehicle, slamming the child to the ground, applying body weight, and placing the child in a choke hold. Our summary of the state's report. The state's own wording follows.

First caregiver on scene conducted an improper restraint on a child in care that involved removing the child from a vehicle and slamming the child's face down to the ground, placing their weight on the child, then placing the child in a choke hold as the child was moved from the ground into the caregiver's vehicle.

From the state's report. Risk level: High. Cited: 748.2605(a)(2) - Personal Restraints Prohibited-Restraints that obstruct child's airway.

Brotherhood Academy TX

Inspected August 26, 2025 Physical abuse or assault

It was determined that a child in care in care was treated in an unnecessary manner and harsh manner when a caregiver pushed them.

From the state's report. Risk level: High. Cited: 748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment..

Child Crisis Center of El Paso TX

Inspected August 17, 2025 Physical abuse or assault

Caregiver slapped child on the head.

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..

Blessed Kidz Residential Treatment Center, LLC TX

Inspected July 15, 2025 Physical abuse or assault

A caregiver threatened to hit a child in care.

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..

DeFlourish Home, LLC TX

Inspected July 9, 2025 Physical abuse or assault

In a review of the DFPS investigation, it was found that a staff member bit a child in care, which resulted in the child sustaining bruising to the upper left shoulder.

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

Graceful Pathways LLC TX

Inspected July 1, 2025 Physical abuse or assault

Caregiver pushed a child in response to the child's behavior.

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..

Shiloh Treatment Center TX

Inspected June 25, 2025 Physical abuse or assault

A caregiver aggressively shoved a 13-year-old child in care on three occasions during a struggle over the caregiver's personal items.

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..

Adiee Girls Rosenberg, Inc TX

Inspected June 7, 2025 Sexual abuse Police involvement

A staff did not provide youth with a safe environment when he engaged in inappropriate sexual activity with children in their care. Staff confessed to law enforcement that he took the youth to Walmart, sexually abused them, and had naked photos of the girls on his phone.

From the state's report. Risk level: High. Cited: 748.685(c)(2) - Caregiver responsibility - provide a safe environment.

Empower Youth Homes LLC TX

Inspected June 7, 2025 Physical abuse or assault

A caregiver retaliated by hitting a youth in care during a physical altercation.

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.

Blue Skies TX

Inspected June 6, 2025 Physical abuse or assault

A staff member admitted during the investigation that they hit a child in care at the operation. Video footage shows that staff member did in fact hit and punch children in care at the operation.

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..

True Home of Hope Inc TX

Inspected May 24, 2025 Physical abuse or assault

Three youth in care reported witnessing staff member push youth in care.

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. Georgia's TX

Inspected May 3, 2025 Physical abuse or assault

It was corroborated by staff and children in care that a staff member performed an EBI by pushing children up against the wall.

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.

Safe Haven Youth Ranch TX

Inspected April 4, 2025 Physical abuse or assault

A staff member choked a child in care 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..

New Horizons Ranch Residential Treatment Center TX

Inspected March 17, 2025 Restraint or seclusion causing injury

A child in care was seriously bruised from a restraint conducted by a caregiver.

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.

Pathways 3H Youth Ranch TX

Inspected March 15, 2025 Physical abuse or assault

It was confirmed by staff and children that staff will use excessive force while implementing EBI restraints.

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.

Victorious Residential Care LLC TX

Inspected March 7, 2025 Physical abuse or assault

A caregiver used unnecessary force when she refused to walk away and restraint a child while the child was being aggressive.

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.

South Texas Adolescent Rehabilitation & Education - STARE TX

Inspected February 22, 2025 Restraint or seclusion causing injury

Child received an injury to the face after an inappropriate restraint.

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..

La Maison, LLC TX

Inspected February 18, 2025 Physical abuse or assault

It was determined that a child was inappropriately restrained due to the caregiver using too much force.

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 February 11, 2025 Physical abuse or assault

A staff member attempted to kick a child in the head while the child was in handcuffs laying on the ground.

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 Horizons Audrey Grace House RTC TX

Inspected January 18, 2025 Suicide attempt Self-harm

A child was left unsupervised with an unlocked medication cabinet, resulting in the child ingesting a significant amount of medication in a suicide attempt.

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.

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.

Creighton Oaks Residential Treatment Center TX

Inspected December 22, 2024 Physical abuse or assault

While reviewing video of the incident a child was inappropriately restrained.

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.

The One Discovery RTC TX

Inspected December 12, 2024 Physical abuse or assault

Based on the information gathered and obtained throughout the investigation it was determined a staff member slammed a child to the ground.

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.

Armanis House Inc. Residential Care TX

Inspected November 27, 2024 Physical abuse or assault

Two staff members interviewed stated the staff did hit the child back as she was defending herself.

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..

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.

The Childrens Home Emergency Shelter TX

Inspected October 29, 2024 Physical abuse or assault

During the investigation, it was found that a child in care was pushed by a staff member. Video footage of the incident was reviewed and showed a staff member pushing a child in care.

From the state's report. Risk level: High. Cited: 748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment..

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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.