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.

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.

ROP ATCS JOANN HOUSE CA

Inspected December 20, 2024 Physical abuse or assault Police involvement

Law enforcement arrived to assist facility with ensuring safety of clients. Furthermore, interviews also confirmed that [Child 1] was pushed by [Staff 2] into the wall when [Child 1] was running towards [Staff 2] during the crisis.

From the state's report. Substantiated (one of several allegations). Cited: 87072(C)(16). 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.

MPA at Pike: The Hall Farm and Blake House NH

Inspected December 17, 2024 Physical abuse or assault

Resident B reported that they observed Staff A trying to move Resident A out of the door of their bedroom, that Staff A tried to push Resident A out of the way and Resident B thinks Staff A pushed Resident A on their arms.

From the state's report. Non-compliant, complaint visit. Cited: He-C 4001.22(b)(2) Program staff shall not use corporal punishment..

BCL Partners: Leading Youth for Excellence (Lyfe) PA

Inspected December 13, 2024 Physical abuse or assault

Child A was escalated, and staff A was viewed on the video initiating a restraint after the child kicked a trash can, but the child's behavior did not present as a danger of of others.

From the state's report. Citation, complaint inspection. Cited: 55 Pa. Code § 3800.202 Appropriate Use of Restrictive Procedures.

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.

Clarence Fischer Center MI

Inspected December 11, 2024 Physical abuse or assault

The facility is found in noncompliance as Staff 1 slammed Youth A into the wall per Youth A’s interview and video footage.

From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.

UHS Of Provo Canyon dba Springville Campus UT

Inspected December 3, 2024 Physical abuse or assault

During an investigation inspection and review of video footage from 12/01/2024, it was observed that a staff member struck a client during a restraint.

From the state's report. Out of compliance, investigation inspection. Cited: R380-80-6(1)(a)-(i) Client rights.

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..

Calumet Center MI

Inspected November 26, 2024 Physical abuse or assault

Based on interviews conducted, video footage reviewed, and documentation reviewed, this violation is established regarding Staff 1 hitting Youth A on the back of the head.

From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.

Eagle Village Leppien MI

Inspected November 25, 2024 Physical abuse or assault

The facility is found in noncompliance as Staff 1 and Staff 2 were pulling Youth A’s arms when attempting to get Youth A into the restraint and Staff 1 pushed Youth A into his bedroom upon releasing Youth A from the escort hold per video footage.

From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.

Nashua Children's Home NH

Inspected November 25, 2024 Physical abuse or assault

The department received a complaint alleging concerns for a resident who told the complainant that a staff member threw them against the wall, and showed the complainant a bruise on their leg, which the resident believes happened because of this incident. The resident stated [Staff A] pulled them off their bed and pushed them to the wall because they were not following the rules and that [Staff A] put their arms on their back, and they could not move.

From the state's report. Non-compliant, complaint visit. Cited: He-C 4001.22(e) Program staff shall use restraint in accordance with RSA 126-U..

Vassar House MI

Inspected November 25, 2024 Physical abuse or assault

The agency is in non-compliance as per video review, Supervisor Y dragged Youth A across the floor several feet by her right arm.

From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.

Great Lakes Center for Autism Treatment & Research MI

Inspected November 22, 2024 Physical abuse or assault

The facility is found in violation as per interviews conducted and documentation reviewed, Staff 1 had inappropriate contact with Youth A as Complainant reported Staff 1 slapped Youth A multiple times, and Staff 1 admitted to pushing Youth A’s arms away from 4 him.

From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.

PLAN-IT LIFE, INC CA

Inspected November 22, 2024 Physical abuse or assault

On 09/11/2024, Community Care Licensing received allegation that staff choked a minor while in care. [...] In regard to the allegation that staff ([Staff 1]) choked a minor ([Child 1]) while in care; it was specifically reported that on 09/09/2024, they witnessed [Child 1] get "choked" by a facility staff member (name not provided at the time of the disclosure). During investigation, confidential interviews disclosed that it was [Staff 1] that choked [Child 1] as well as physically pushing [Child 1]. [...] Confidential interviews also reported that San Bernardino County's Open Case Investigations (OCI) substantiated this incident for physical abuse against [Staff 1]. Based on the confidential interviews, a review of pertinent documentation and a review of video footage, the preponderance of evidence standard has been met, and the allegation that staff choked [Child 1] while in care is substantiated.

From the state's report. Substantiated. Cited: 87072(c)(1). "[...]" 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.

ORANGEWOOD CHILDREN AND FAMILY CENTER CA

Inspected November 14, 2024 Physical abuse or assault

LPA observed [Child 1] walked out of their bedroom and [Staff 2] and [Staff 3] pushed [Child 1] back into their bedroom while [Staff 8] held the door open.

From the state's report. Substantiated (one of several allegations). Cited: 84072(d)(18). 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.

Easterseals Gammon Academy at Zachary Road NH

Inspected November 7, 2024 Physical abuse or assault

Resident B witnessed the incident and reported observing Staff D pushing Resident A into the wall by his face.

From the state's report. Non-compliant, complaint visit. Cited: He-C 4001.22(b)(2) Program staff shall not use corporal punishment..

SUNRISE HOME CA

Inspected November 7, 2024 Physical abuse or assault

The video captures staff [Staff 1] push a resident against a wall and punch the resident's chest area.

From the state's report. Substantiated. 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.

HAVEN OF WALNUT CREEK, LLC, THE CA

Inspected November 7, 2024 Physical abuse or assault

The video shows staff [Staff 1] hit a resident in the face and the resident to immediately turn their face away.

From the state's report. Substantiated. 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.

Seven Hills New Hampshire NH

Inspected November 6, 2024 Physical abuse or assault

The complainant stated that on the morning of November 2, 2024, Staff C struck Resident A on the back of their head and neck region. Staff A and B both stated Resident A had just been deescalated and was leaving the program kitchen, when Staff C struck Resident A in the back of their head and neck using an open hand strike.

From the state's report. Non-compliant, complaint visit. Cited: He-C 4001.22(b)(1) Program staff shall not abuse or neglect residents..

BLISSFUL LIVING GROUP HOME, INC. CA

Inspected November 4, 2024 Death Sexual abuse Physical abuse or assault

In plain words: A report alleged that a staff member sexually abused a client at the facility by kissing him and touching his genitals over his clothing. The state issued a civil penalty to the program based on this finding of sexual abuse. Our summary of the state's report. The state's own wording follows.

On April 16, 2024, the Department received a complaint alleging a Blissful Living Group Home, Inc. (BLGHI) staff ([Staff 1]) (Reference Confidential Names form LIC811 dated 11/4/24) sexually abused a client in care. [...] A client alleged that while at her home, [Staff 1] sexually abused him by kissing him on the lips and fondling his genitals over his clothing. [...] Under Health and Safety Code (HSC) section 1548(f)(1)(F)(2), a violation the Department determines results in sexual abuse as defined in Section 11165.1 of the Penal Code to a child receiving care through a Short Term Residential Therapeutic Program (STRTP) there shall be a civil penalty of $2,500. [...] A copy of this report, Confidential Names form LIC811 dated 11/4/24, Appeal Rights and form LIC 421D(CRP) for a Civil Penalty Assessment - Death / Serious Bodily Injury / Physical Abuse were given to the facility representative.

From the state's report. Deficiency cited at inspection. "[...]" 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.

DANGERFIELD HOME #2 CA

Inspected November 1, 2024 Physical abuse or assault

In video footage, Staff 2 is observed handling Child 1 in a rough manner and confiscating [Child 1] laptop/chrome book.

From the state's report. Substantiated. 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.

DREAM HOME RESIDENTIAL CA

Inspected October 30, 2024 Physical abuse or assault

During the investigation of the allegations, Staff member physically abused minor in care. [...] Confidential interviews indicated that staff hit the minor while in care during a visit to the hospital.

From the state's report. Substantiated. Cited: 80072(a)(3). "[...]" marks text left out between sentences.

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..

Adrienne's House NC

On 9/22/24 Client #1 tried to elope and was laken to the hospital for evaluation. [...] Client #1 told hospital staff that Staff #1 pushed her and denied her water. [...] Staff #1 came and pushed her back into her bedroom.

From the state's report. Deficiency cited, annual, complaint, and follow-up survey. Cited: V 132) G.S. 131E-256(G) HCPR-Notification,. "[...]" marks text left out between sentences.

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.

Just In Time Youth Services II NC

Staff (Staff #1) then tried to open the door and realized that there was something pushed a against the door. [...] "Arrestee Information: [Staff #1]. Type of arrest: Taken into custody. [...] Charge #1: Rape- 2nd degree. [...] Charge #3: Statutory rape of a child <15 or =15. [...] He (Former Client #6) then asked [Staff #1] if he wanted him to do oral sex on him. [Former Client #6] then performed oral sex on [Staff #1]. [Staff #1] ejaculated in client's mouth. [Staff #1] then cleaned himself with [Former Client #6]'s shirt. [Former Client #6] afterwards told [Staff #2] at the facility." [...] " then ran away from the home (facility) and Cc went to the police." Facility staff called the police when he ran away. He told police there was evidence. [...] Later that day, Former Client #6 informed Staff #2 about the sexual abuse. [...] Staff #1 was charged with Rape- 2nd degree, Indecent Liberties and Statutory rape of a child <15 or =15.

From the state's report. Deficiency cited, complaint survey, Type A1 violation; Deficiency cited, complaint survey. Cited: V 512) 27D .0304 Client Rights - Harm, Abuse, Neglect; V 132) G.S. 131E-256(G) HCPR-Notification,. "[...]" marks text left out between sentences.

KidsPeace National Centers: Ross House PA

Inspected September 27, 2024 Physical abuse or assault

Staff members A & B are also noted to kick the VC on back and under buttocks while the VC remained face down.

From the state's report. Citation, complaint inspection. Cited: 55 Pa. Code § 3800.32.c Specific Rights; 55 Pa. Code § 3800.32.b Specific Rights.

BOYS REPUBLIC GRAVES STRTP CA

Inspected September 26, 2024 Physical abuse or assault

Incident report received on January 5, 2024 referenced a, "need for proper follow up supervision and protocols to be implemented following the incident by requesting additional supervision...." Emails received show two on-duty staff, written up for "failure to provide appropriate supervision during your shift, which resulted in one student being subjected to three separate incidents of physical assault with three other students over the course of a two hour period.

From the state's report. Substantiated.

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..

Lincoln Center MI

Inspected September 13, 2024 Physical abuse or assault

The agency is found in non-compliance as per video reviewed, Staff 7 pulled Youth A by his shirt and around his waist to stop him from exiting the pod.

From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.

Children's Village-Shelter MI

Inspected September 5, 2024 Physical abuse or assault

The agency is found in non-compliance as per staff interviews and video review, Staff 1 pushed Youth A two times during an incident on 06/29/2024.

From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions..

TURNING POINT-HAMPTON COURT CA

Inspected September 5, 2024 Physical abuse or assault

On August 16, 2023, CCL received allegations that staff physically abused residents, staff emotionally and verbally abused residents, Staff handled residents in an aggressive manner, staff employed inappropriate forms of discipline with residents, staff inappropriately restrained residents, and staff did not accord dignity to residents in care. [...] Based on the confidential interviews and documentary evidence, the Department has determined that there is a preponderance of evidence that staff [Staff 1] and [Staff 2] physically abused clients [Child 1], [Child 2], [Child 3] and [Child 4] while in care.

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.

MURPHY-HARPST CHILDREN'S CENTERS, INC. GA

Inspected September 5, 2024 Physical abuse or assault Hospitalisation

Lastly, Staff D indicated that later that evening Resident #1 reported his/her injuries to staff and was taken to the hospital. [...] Resident #1 further stated that he/she swung at Staff B and tried gorging his/her left eye out and Staff B slammed Resident #1 to the ground pressing his/her face to the ground.

From the state's report. Deficiency cited, severity D, licensure complaint survey. "[...]" marks text left out between sentences.

FLORENCE CRITTENTON SERVICES OF ARIZONA, INC AZ

Inspected September 4, 2024 Physical abuse or assault

In plain words: A youth program supervisor stated a child in the program reported a staff member pushed and hit the child. Our summary of the state's report. The state's own wording follows.

3. A review of [Resident 1] ' s medical record revealed a document titled "Florence Crittenton Internal Investigation Report." The report included a "Summary Timeline of Events" which stated, "Tuesday, September 3, 2024, On Sunday, September 1st, 2024, Youth Program Supervisor [NAME] notified [Staff 5], [Resident 1 ' s] grandmother called the Campus Lead ' s phone, stating, "[Resident 1] reported staff pushed [Resident 1] and hit [Resident 1].

From the state's report. Deficiency cited, complaint. Cited: B. An administrator shall ensure that: 1. A resident is treated with dignity, respect, and consideration;. 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.

Perimeter Behavioral of the Ozarks AR

At approximately 9:35 AM, via video in hallway footage, two male staff members were seen dragging Client #1 from the seclusion room holding the client under both arms, two female staff members were following.

A review of the emergency safety intervention justification packet dated 08/11/2024 at 1715 [5:15 PM] with a physical and chemical restraint safety intervention implemented revealed Client #3 received an injury due to improper technique of the applied physical restraint. [...] Client #3 during the video review of the emergency safety intervention, it revealed client was pulled from the melee at 5:21 PM and placed into a physical restraint, then received a chemical restraint at Client #3 was interviewed on 8/28/24 1:21 PM and indicated an injury to the right side of the head that occurred during the emergency safety intervention.

From the state's report. Deficiency cited, complaint survey. Cited: N 126 PROTECTION OF RESIDENTS N 126; N 128 PROTECTION OF RESIDENTS N 128. "[...]" marks text left out between sentences.

YAI ELECTRIC ST - CCH CA

Inspected August 22, 2024 Physical abuse or assault

Based on the information that this LPA was able to gather the allegations that client was confined to his room, that staff handled client in a rough manner and that [Child 1] was inappropriately supervised are substantated.

From the state's report. Substantiated. Cited: 84078(b), 84072(d)(23). 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.

Meadowlark Academy WY

Inspected August 19, 2024 Physical abuse or assault

It was reported that a youth stated staff pushed him into a dresser on 6-27-2024, however it was not Reported reported to DFS until 7-2-2024 .

From the state's report. Evidence supports non-compliance, DFS notice. Cited: Chapter 3, Section 3 Abuse and/or Neglect Reporting.

Gemma Services PA

On , child A was mistreated by staff member A. Staff member A inappropriately restrained child A resulting in a scratch on child A face.

On , child A was placed in a restrictive procedure that was used as a program substitution to restrain Child A. Staff member A inappropriately restrained child A resulting in a scratch on child A face.

From the state's report. Citation, complaint inspection. Cited: 55 Pa. Code § 3800.32.b Specific Rights; 55 Pa. Code § 3800.202.a Appropriate Use of Restrictive Procedures.

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.

Kentwood Campus MI

Inspected August 7, 2024 Physical abuse or assault

The agency is found in non-compliance as interviews with Youth A, Supervisor 1 and Supervisor 2 confirm Staff 1 hit Youth A in the face. Additionally, Supervisor 3 reported Staff 1 informed her Staff 1 hit Youth A.

From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Criminal history check, subject to requirements; staff qualifications.

Utah Health Operations LLC dba Newport Academy UT

Inspected August 6, 2024 Physical abuse or assault

The staff member pushed the client causing the client to fall into a bed frame.

From the state's report. Out of compliance, focus inspection. Cited: R380-80-6(1)(a)-(i) Client rights.

Highfields MI

Inspected July 31, 2024 Physical abuse or assault

The facility was found in non-compliance as per staff and youth interviews and video review, Staff 1 pushed Youth A multiple times and threw Youth A to the side during the escalated incident that occurred on 05/18/2024.

From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.

Oakgrove School/Waterfall Canyon Academy dba Residential Treatment One UT

Inspected July 31, 2024 Physical abuse or assault

During the inspection, the investigator observed via video footage a staff aggressively shove a client in the back acting outside of their behavior management training.

From the state's report. Out of compliance, focus inspection. Cited: R380-80-6(1)(a)-(i) Client rights.

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.

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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.