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.

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.

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.

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.

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.

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.

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.

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..

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.

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..

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 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.

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.