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.
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.
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.
The provider was out of compliance with R380-80-4(2) by a staff member, who witnessed child abuse, not immediately notifying Child Protective Services intake or law enforcement. During the investigation, the evidence substantiated that a staff member witnessed another staff member forcefully hit a client in the stomach and did not report it to the provider or to CPS.
The staff member hit a client in the stomach, a use of unapproved and non-trauma-informed behavior management.
From the state's report. Out of compliance, complaint, investigation inspection. Cited: R380-80-4(2) Report abuse or neglect; R501-1-4(5)(a)-(l) Congregate care behavior management policy.
Staff 5 utilized inappropriate restraint techniques with Youth A by restraining Youth A against the wall, positioning Youth A to face her rather than away from her, as well as using her knee against his back 6 and holding Youth A’s arms across his neck.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.5159 Youth restraint; pregnant youth; reduction, prevention; prohibited.
The program self-reported that on August 31, 2025, Staff A shoved Resident A. Staff B stated that they witnessed Staff A shove Resident A, which they considered unnecessary rough handling of Resident A. The licensing coordinator reviewed video footage of the incident from two separate angles, confirming that Staff A roughly handle Resident A by shoving them out of the kitchen.
From the state's report. Non-compliant, complaint visit. Cited: He-C 4001.22(b)(11) Program staff shall not use rough handling on residents, including but not limited to, grabbing, pushing, pulling, and dragging..
Evidence does support the allegations that Staff 1 slapped Youth A and Youth B along with pushing Youth B on to a couch while saying derogatory statements to Youth B. TECHNICAL ASSISTANCE: Technical assistance was offered regarding staff’s interactions with the youth in the program and other staff.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
On January 23, 2025, Community Care Licensing (CCL) received allegation staff improperly restrained a minor in care. [...] Based on confidential interviews and records reviewed, the allegation that staff improperly restrained a minor in care is SUBSTANTIATED because the preponderance of the evidence standard has been met.
From the state's report. Substantiated. "[...]" marks text left out between sentences.
Staff 1 pushing Youth A backwards with two hands in a forward motion causing Youth A to stumble backwards. Staff 1 pushing Youth A into a wooden chair in the TV area, which caused Youth A to then fall to the ground.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The agency is found in non-compliance based on staff and youth interviews, and video footage, staff pushed Youth A, which is a prohibited form of discipline.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
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..
The facility is found in noncompliance as per interviews and video review Staff 1 grabbed Youth A by the collar area of his shirt and pushed Youth A against the wall.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Based on confidential interviews and documents reviewed, the preponderance of evidence standard has been met and the allegations that staff restrained minor, resulting in minor sustaining bruises, Staff hit minor, and Staff do not provide a safe environment for minor is substantiated.
From the state's report. Substantiated (one of several allegations).
Each youth provided a statement to police about the alleged incident. [...] Resident #3 further stated that Staff B told them to hit the blunt.
From the state's report. Deficiency cited, severity D, incident survey. "[...]" marks text left out between sentences.
Based on interviews and camera footage, as well as documentation, Youth A was assaulted by Supervisor 1 and Supervisor 2. Supervisor 1 punched Youth A minimally twice and kicked her in the stomach. [...] Youth A and Staff 2 reported Supervisor 2 hit Youth A. Staff 1 reported Supervisor 2 was physically aggressive with Youth A but could not specifically remember how.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions. "[...]" marks text left out between sentences.
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..
The report revealed that Child #1 was assessed by Staff D and alleged obtaining injuries because of the restraint. [...] (4) A review on April 1, 2025, at approximately 1:49pm of video footage from March 6, 2025 revealed Staff B shove Child #1 on two separate occasions prior to Child #1 assaulting Staff B in retaliation. [...] Staff B is observed interacting with Child #1, who then turns his/her back to walk away and at this moment Staff B is observed shoving Child #1. [...] Based on video footage of the incident, Staff B is observed using corporal punishment, by pushing Child #1 on two occasions.
From the state's report. Deficiency cited, severity D, incident, licensure complaint survey. "[...]" marks text left out between sentences.
(GA00184433) Findings Include: Review on September 7, 2025 at 10:30 a.m. of the Intake Information form for intake GA00184433 revealed that Resident #1 rushed Staff A and Staff A slammed Resident #1 into the wall to stop Resident #1 from lunging into him/her. [...] Finally, Staff B stated that Resident #1 was brought back to the group home by law enforcement. [...] Finally, Resident #2 stated that Resident #1 left the group home and was brought back by the police. [...] The investigation revealed that upon resident interview, staff interviews and documentation review, Staff A engaged in a confrontation with Resident #1 that resulted in corporal punishment being used by Staff A against Resident #1.
From the state's report. Deficiency cited, severity D, incident survey. "[...]" marks text left out between sentences.
Resident A reported that Staff A responded by getting up from a sitting position, kicked them in the shin, then "tossed" them at the bathroom door. [...] Resident B stated that they witnessed Resident A step on Staff A’s shoes, and that Staff A punched Resident A in the waist area, pushed them into the door, and “punched” them in the throat with an open hand. [...] Resident D stated that they witnessed Resident A step on Staff A’s shoes and that Staff A stood up from a sitting position, grabbed Resident A by the throat and slammed Resident A into a wall.
From the state's report. Non-compliant, complaint visit. Cited: He-C 4001.22(b)(11) Program staff shall not use rough handling on residents, including but not limited to, grabbing, pushing, pulling, and dragging.. "[...]" marks text left out between sentences.
Within the video and through out interviews, Staff 1 is seen throwing oranges at the youth and then attempting to kick Youth A in the head.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4109 Program statement.
In plain words: Records showed residents earned money for cleaning. A child reported hearing rumors about a staff member and another child having a sexual relationship. An incident report noted a child wrapped a fan cord around their neck while staff were busy, leading to a restraint. During that restraint, a child reported a staff member twisted their wrist and forced them to the ground. Our summary of the state's report. The state's own wording follows.
[Resident 5]'s and [Resident 10]'s pages documented that on May 25, 2025 and June 7, 2025, [Resident 5] and [Resident 10] earned $20 per day each for "cleaning apartment," and $10 each on June 3, 2025 for "cleaning feet." 7.In an interview, [Resident 3] stated [Resident 5] is [Staff 1]'s "number one worker," and that [Resident 3] has heard rumors from multiple people regarding [Resident 5] and [Staff 1] being in a sexual relationship. [...] 9.In an interview, [Resident 5] reported other residents have made comments to [Resident 5] about [Resident 5] and [Staff 1] being in a sexual relationship.
A review of [Resident 4]'s medical record revealed a document titled, "Incident Report Form," dated May 25, 2025, which stated, "..There was a situation going on that had staff a bit pre-occupied and peer...went to talk to [Resident 4] and found [Resident 4] with a standing fan cord wrapped around [Resident 4's] neck. [Peer] yelled for staff...[Resident 4's] peer...came out of the room carrying the standing fan...[Resident 2] was sitting on the bed and [Staff 7] moved into escort [Resident 4]...[Resident 4] was put into a PCS restraint to escort [Resident 4] down the hall..." 7. [...] During this restraint [Resident 2] reported staff twisted [Resident 2]'s wrist and put [Resident 2] down to the ground, stating "it hurt." [Resident 2] also stated staff will use their hands or knee to hold the residents down on the floor "like police grabbing you." 10.
From the state's report. Deficiency cited, complaint. Cited: R9-10-716.A.7.a. Behavioral Health Services A. An administrator shall ensure that: 7. A resident does not: a. Use or have access to any materials, furnishings ...; R9-10-711.B.2.i. Resident Rights B. An administrator shall ensure that: 2. A resident is not subjected to: i. Restraint;. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.
Upon review of video, it was determined that Staff 1 grabbed and pushed Youth A.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
It is supported via interviews and video footage Staff 1 punched Youth A. It is further supported through video footage as Staff 1 is also viewed charging towards Youth A to further engage in the physical altercation.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
On 11/06/2024, Community Care Licensing received allegations that staff hit minor in care and staff pepper sprayed minors in care. [...] In regard to the allegations that staff ([Staff 4]) hit minor ([Child 1]) in care and staff ([Staff 4]) pepper sprayed minors ([Child 2], [Child 3]) in care; it was reported that [Child 2] and [Child 3] sprayed [Staff 4] with "silly string." It was further reported that CONTINIUED ON THE NEXT PAGE [Staff 4] became upset by this and retaliated by pepper spraying [Child 2] and [Child 3]. Furthermore, it was reported that [Staff 4] also physically struck [Child 1], [Child 2] and [Child 3] during this incident. [...] The video clearly shows [Staff 4] throwing closed fist punches on the minors' head and body areas.
From the state's report. Substantiated. Cited: 87072(c)(11). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.
The agency is found in non-compliance as per Staff 3’s interview she reported she witnessed Staff 1 punch Youth A in the head 32 three times, and curse at him multiple times and failed to follow the agency policy, child protection law and file a complaint.
From the state's report. Violation established, special investigation. Cited: 400.10127.
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..
Child 2 also explained that the staff used their legs to push against her in an attempt to get her to stand and when she refused, they pulled her out of her room and into the commons.
From the state's report. Deficiency cited, complaint survey. Cited: N 132 483.356(b) PROTECTION OF RESIDENTS.
The agency is found in non-compliance as during staff and youth interviews, Staff 1 used both of his hands to push and hold Youth’s A head and neck into Youth’s A bed mattress.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158.
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.
The agency is found in non-compliance as per youth and staff interviews, documentation and video reviewed Staff 1 pushed Youth A during an incident that occurred on 05/25/2025.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
As a result of the investigation conducted including camera footage review and interviews conducted, the allegation that staff handled minor in a rough manner is SUBSTANTIATED meaning the "preponderance of the evidence" standard has been met.
From the state's report. Substantiated (one of several allegations).
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..
Incident Summary- "On May 27, 2025, Client [Client #1] disclosed to staff that she was sexually assaulted by a peer, Client [Former client 3], during a supervised group outing to the YMCA on May 23, 2025. [...] Was physically assaulted by [Former client 3] while in the hot tub at the local YMCA;
From the state's report. Deficiency cited, annual and complaint survey. Cited: V 293. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.
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..
Provider substantiated for sexual abuse based on the following: Review of camera footage revealed the following: On May 3, 2025, at approximately 9:36am, Individual #1 and Employee #1 entered the cool down/sensory room. Employee #1 and Individual #1 engaged in inappropriate touching, to include Individual grabbing Employee #1's waist band, slapping/smacking Employee #1 on the bottom several times, and Employee #1 grabbing/caressing Individual #1's face. [...] Employee #1 then performed oral sex on Individual #1 three times.
From the state's report. Non-compliance, DBHDS human rights inspection. Cited: 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.. "[...]" marks text left out between sentences.
Additional Non-Compliance Found During Investigation: Behavior Management: Improper restraint technique was used in dealing with a resident's behaviors.
From the state's report. Found during a substantiated complaint investigation. Cited: 340:110-3-154.2(a)(2) behavior management methods;.
Program staff self-reported an incident that occurred on June 4, 2025, when a staff member, Staff C, physically assaulted Resident A, resulting in the immediate termination of Staff C. Staff A stated that Staff B reported the incident to them after reviewing video of the incident. [...] Staff C turned off the lights in the living room, threw Resident A’s suitcase and two stuffed animals out the front door, then ran at Resident A and pushed them up against the wall by their throat.
From the state's report. Founded, problem resolved, complaint visit. Cited: He-C 4001.22(b)(2) Program staff shall not use corporal punishment.. The state recorded it as corrected at the inspection. "[...]" marks text left out between sentences.
Behavior Management: Staff member punched a resident in the nose, causing injury.
From the state's report. Substantiated complaint. Cited: 340:110-3-154.2(b)(1) behaviors that could cause physical pain, such as shaking, striking, spanking, grabbing, yanking, pulling, pushing ....
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.
In plain words: A child in the program slammed a bedroom door, and a staff member allegedly followed, screamed and cursed, and shoved the child. Another child reported that the staff member pushed the door open, hitting and hurting the first child's arm. Our summary of the state's report. The state's own wording follows.
Client #3 was sent to the emergency department for an X-ray of the left wrist. [...] Client #3 went into their bedroom and slammed the door, then [Mental health technician 1] came into the room, slammed the door, screamed, "Don't slam this [expletive] door!" Client #3 stated, "I won't slam this [expletive] door in a sassy way." The client reported being shoved into the " cubby " by [Mental health technician 1], and then being put into a PRT and taken out into the hallway. [...] One second later, [Mental health technician 1] was seen aggressively pushing past Client #4 who was standing in the doorway. [...] [Mental health technician 1] reported that she heard small plastic blocks hit the floor. [...] Client #4 reported that Client #3 had gone into the bedroom and slammed the door and was behind the door when [Mental health technician 1] pushed the door open and it hit Client #3 and hurt their arm. [...] Client #3 stated that [Mental health technician 1] came into the bedroom, slammed the door and started screaming and cursing.
From the state's report. Deficiency cited, recertification survey. Cited: N 128 PROTECTION OF RESIDENTS N 128 The Resident affected was assessed by Nursing and. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.
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..
The agency is found in non-compliance as per youth and staff interviews and documentation reviewed Staff 1 attempted to hit Youth A after Youth A hit her during the incident that occurred on 04/04/2025.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158.
Video footage reviewed by the licensing coordinator showed Staff C slapping around the area of Resident A's head, although it was unclear if contact was made. Later, Staff C visibly pushes Resident A when Resident A turns to walk away.
From the state's report. Founded, problem resolved, complaint visit. Cited: He-C 4001.22(b)(2) Program staff shall not use corporal punishment.. The state recorded it as corrected at the inspection.
It was observed in the footage that staff was using aggressive restraint techniques including a knee across the clients abdomen with the staff’s weight pressuring down and slamming the client to the ground.
From the state's report. Out of compliance, complaint, focus inspection. Cited: R380-80-6(1)(a)-(i) Client rights.
The second incident involved Staff 1 pushing Youth B backwards and running Youth B 11 into the wall and Staff 1 maneuvered Youth B to the ground where Staff 1 was on top of Youth B and pinned Youth B’s arms down.
The facility is found in noncompliance as per interviews and video footage reviewed, Staff 1 pushed Youth B twice in the commons area.
From the state's report. Violation established, special investigation; Repeat violation established, special investigation. Cited: CCI Rule 400.4159 Youth restraint; pregnant youth; reduction,; CCI Rule 400.4158 Intervention standards and prohibitions.
It was alleged that [Staff 1] hit [Child 1] back and attempted to restrain [Child 1] during this interaction. Immediately following the interaction, [Staff 1] called law enforcement and reported they had been assaulted in the facility.
From the state's report. Substantiated. Cited: 87072(c)(1). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.
During the inspection, the investigator identified that a former staff member had yelled at clients and thrown a chair in the classroom with clients present.
From the state's report. Out of compliance, investigation inspection. Cited: R380-80-5(4) Provider shall protect clients from abuse, prevent abuse.
Allegation The agency is found in noncompliance when Staff 2 pushed Youth A against the wall on 04/10/2025. Additional Finding The agency is found in noncompliance when Staff 1 pushed Youth A against the door on 04/10/2025.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions..
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..
Furthermore, the evidence shows [Staff 4] physically assaulting [Child 1] by wrestling and throwing [Child 1] to the ground resulted in [Child 1]'s broken arm. [...] Moreover, based on the evidence, [Staff 4] was arrested for PC 243(D)- Battery with serious bodily injury and PC 273a(a)- child abuse with possible great bodily injury.
From the state's report. Substantiated. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.
The facility is found in noncompliance as per staff and youth interviews and video review, Supervisor pushed Youth A onto a table, pulled Youth A up from the table and held Youth A against the wall.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
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.