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.

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.

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.

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 child’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.

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.

Laurel Ridge Treatment Center TX

Inspected October 28, 2024 Sexual abuse

Allegations involving inappropriate sexual comments made by a staff member were not reported timely to Licensing.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child.

Brownstone Residential Care TX

Inspected September 13, 2024 Sexual abuse Police involvement

In plain words: The state found that a staff member had inappropriate sexual relations with children in care. Staff also neglected supervision, which led to a child getting a staff member's firearm and being arrested. Additionally, staff left children alone at the facility and gave a child keys to access medications and other prohibited areas. Our summary of the state's report. The state's own wording follows.

During the inspection, it was determined a staff member had inappropriate sexual relations with children in care; staff was neglectful in supervision resulting in a child gaining access to, and being arrested for the possession of, staff's firearm; and staff being neglectful in supervision by leaving children in care alone and unsupervised at the facility while providing a child keys which access medications, supplies, and other prohibited areas.

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. The state recorded it as corrected at the inspection.

Greener Pastures RTC TX

Inspected May 23, 2024 Sexual abuse

Operation did not call in to report when they became aware of an allegation made by a child in care of being sexually assaulted by another child.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child.

Triple 7 Ranch GRO TX

Inspected August 18, 2023 Sexual abuse

Review of incident reports revealed an alleged sexual abuse incident was not called in to Licensing.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child.

Gulf Coast Trades Center TX

Inspected July 12, 2023 Sexual abuse

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.A staff member was found having inappropriate sexual contact and relationship with a 17-year-old 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 March 13, 2023 Sexual abuse

During the course of the investigation it was determined a staff member encouraged children in care to show staff their private parts and requested that the children engage in inappropriate sexual activity.

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 Horizons Ranch Residential Treatment Center TX

Inspected March 9, 2023 Sexual abuse

Upon reviewing letters and pictures from a caregiver it was determined that the caregiver has maintained an inappropriate relationship 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.

Gulf Coast Trades Center TX

Inspected January 24, 2023 Sexual abuse

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.A staff member was found having inappropriate communication and sexual contact with a 17-year-old 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.

Fort Behavioral Health TX

Inspected January 13, 2023 Sexual abuse

A caregiver engaged in an inappropriate relationship and did not maintain appropriate boundaries when engaging children 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.

Connections TX

Inspected December 8, 2022 Sexual abuse Self-harm

During this investigation it was confirmed staff had an inappropriate relationship with a child in care. This same staff was aware of a child self-harming and did not report to hotline or other staff present to ensure the safety of 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.

Sunny Glen Childrens Home TX

Inspected November 23, 2022 Sexual abuse

A staff member was having an inappropriate relationship with a youth 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.

Caring Heart Residential Care Services LLC TX

Inspected October 22, 2022 Sexual abuse

The operation failed to report sexual abuse against a child in care by another resident.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child.

The Childrens Home of Lubbock TX

Inspected October 10, 2022 Sexual abuse

A 32-year-old volunteer for the operation engaged in inappropriate sexualized contact with two 10-year-old males in care.

During the course of the investigation, it was determined that an operational volunteer did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with two children in care.

From the state's report. Risk level: High; Risk level: Medium High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

Texas Girls and Boys Ranch TX

Inspected July 18, 2022 Sexual abuse

A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.

During the course of the investigation, it was determined that two operational caregiver(s) did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with six children in care.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

Fort Behavioral Health TX

Inspected June 9, 2022 Sexual abuse Police involvement

A caregiver was informed by 16-year-old and 14-year-old child in care that they were sexually assaulted and the caregiver observed blood on the children(s) clothing. The caregiver then failed to immediately seek medical attention or contact law enforcement as related to the incident.

She had the children shower after a sexual assault before returning them to the operation.

From the state's report. Risk level: High; Risk level: Medium High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

Gulf Coast Trades Center TX

Inspected January 6, 2022 Sexual abuse

A staff wrote and sent a letter to a child in care, encouraging future sexual contact with him.

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.

Hill Country Youth Ranch TX

Inspected November 24, 2021 Sexual abuse

Evidence and information gathered support that a staff member inappropriately touched, provided substances to and inadequately supervised children 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 October 28, 2021 Sexual abuse

On multiple occasions at the operation, a staff member sexually abused a child resident who was left in this staff member's 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. The state recorded it as corrected at the inspection.

Fort Behavioral Health TX

Inspected August 11, 2021 Sexual abuse

A caregiver did not demonstrate self-control by having inappropriate sexual conversations, exchanging nude photos, and propositioning to engage in sexual activities 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.

Hill Country Youth Ranch TX

Inspected August 4, 2021 Sexual abuse

A child in care was sexually abused by a staff member.

The operation did not report to Licensing concerns of an inappropriate relationship between a child in care and a staff member for possible sexual abuse.

From the state's report. Risk level: High; Risk level: Medium High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child.

Hope Haven of East Texas TX

Inspected July 15, 2021 Sexual abuse

A direct care staff had sexually inappropriate web searches on her phone (accessible to the kids) and used adult/inappropriate language while driving three girls in the operation's van.

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.

Autistic Treatment Center, Inc. TX

Inspected June 21, 2021 Sexual abuse

While unsupervised the child in care engaged in inappropriate sexual contact with an adult 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.

St Peter - St Joseph Childrens Home Emergency Shelter TX

Inspected May 26, 2021 Sexual abuse

A staff member had inappropriate relationships with children 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.

Cal Farley's Boys Ranch TX

Inspected April 26, 2021 Sexual abuse

A caregiver engaged in a discussion with children in care about the caregiver’s personal sexual activities and preferences.

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.

Roy Maas Youth Alternatives Meadows TX

Inspected March 18, 2021 Sexual abuse

Administrator was aware of on-going inappropriate relationship between a staff member at the operation and a child in care.

A caregiver who was on a safety plan due to an inappropriate relationship with a child in care allowed the child to stay at their home while still employed at the operation.

From the state's report. Risk level: Medium High. Cited: 748.535(2)(H) - Child-care administrator responsibilities-Ensuring persons whose behavior or health status presents danger to children are not allowed at operation; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

Laurel Ridge Treatment Center TX

Inspected March 18, 2021 Sexual abuse

Staff were aware of allegations made by child in care regarding alleged inappropriate touching from a staff member.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child.

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.