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..

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.

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.

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.

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..

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..

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.

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 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..

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..

Shiloh Treatment Center TX

Inspected October 29, 2024 Physical abuse or assault

The staff used corporal punishment as a means to get a child to comply.

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..

A.B.E Residential Services TX

Inspected October 4, 2024 Physical abuse or assault

It was determined that a caregiver choked a child to where they couldn't breathe.

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.

Caring Heart Residential Care Services LLC TX

Inspected September 16, 2024 Physical abuse or assault

Multiple children advised of being hit by staff.

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 August 8, 2024 Physical abuse or assault

While reviewing video footage a staff was observed twisting a child's arm behind their back during an improper restraint.

From the state's report. Risk level: High. Cited: 748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back.

Guardian Angels I Residential Treatment Center TX

Inspected August 8, 2024 Physical abuse or assault

A caregiver physically pushed and used a close fist to punch a child in care.

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.

Creighton Oaks Residential Treatment Center TX

Inspected July 30, 2024 Physical abuse or assault

A staff member admitted to hitting 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..

Hope for Tomorrow DBA Bridge to Hope TX

Inspected July 26, 2024 Physical abuse or assault

Multiple children reported staff driving recklessly- speeding, going off the road, and almost hitting a barrier.

From the state's report. Risk level: High. Cited: 748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance.

Guardian Angels I Residential Treatment Center TX

Inspected July 25, 2024 Physical abuse or assault

During the investigation, there were multiple accounts of a caregiver pushing 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..

New Horizons Audrey Grace House RTC TX

Inspected July 9, 2024 Physical abuse or assault

A staff slapped a child in care.

A child in care was slapped by a 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.; 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 TX

Inspected July 9, 2024 Physical abuse or assault

The Incident Report noted the caregiver finding "pooled blood" on the floor of the room where the assault took place, and the child sustained a knot on their head, a bloody nose, as well as bruising.

From the state's report. Risk level: High. Cited: 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain.

San Marcos Treatment Center TX

Inspected July 4, 2024 Physical abuse or assault

During the review of this investigation, interviews reported that a staff member slapped a child in care during a 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..

TRELS Home For Children TX

Inspected June 24, 2024 Physical abuse or assault

The staff member pushed the child in care's chin during the restraint.

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.

Texas NeuroRehab Center TX

While a child was being restrained by staff, another staff choked the child.

A staff threw away a child's food in response to the child spitting at their feet.

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(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing; 748.2307(14) - Other Prohibited Punishments-withholding food that meets the child's nutritional requirements; 748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force.

Texas NeuroRehab Center TX

Inspected June 12, 2024 Physical abuse or assault

During a restraint, a staff used excessive force to take a child to the ground, causing the child to chip a tooth upon impact.

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.

Older

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.