Laurel Ridge Treatment Center

During a follow-up inspection 16/18 bathrooms were found to be without proper ventilation.

During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved.

Two rooms did not have paper towels available in the restroom. This was corrected at inspection when the direct care staff placed paper towels in the two restrooms..

Eight of the showers had mold in the grout. One shower had mold observed in the ceiling of the shower area. One of the bedrooms was missing part of a baseboard which had small nails sticking out from the wall.

A reportable incident occurred 09/01/2025 at 2:40 pm; however, the operation did not report the incident to Statewide Intake until 09/04/2025 at 11:52 pm.

During the investigation, staff confirmed they gave a child permission to punch a chair, and the child ended up fracturing their arm.

Emergency evacuation plan was not posted in 3 of the 4 areas.

During the walkthrough of the operation multiple safety hazards were identified to include walkways, mold on an exterior walls and glass shards on the outside back deck.

When reviewing four out of four records reviewed did not have required educational plans.

Emergency Evacuation Diagram was found to not have all the required information.

During the walkthrough the showers in the residential areas were found to be without warm and hot water.

A child in care was not taken to a follow up appointment pertaining to an injury.

Operation has not obtained required yearly fire inspection.

This standard was found deficient as part of a DFPS Investigation.

Child in care was injured during an unnecessary restraint when excessive physical force was used.

Staff member administered an unnecessary restraint to get a child to comply.

Operation staff did not provide immediate care or treatment after seeing child was injured and unresponsive.

It was confirmed by operation staff and a child that medication was kept in a child's backpack and not in a locked container.

A child was told that they should not smile because they should not be happy to be at the operation.

A child was denied access to a bible.

It was confirmed that a child did not receive their prescription medications for two days.

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

It was confirmed that a caregiver threatened to deny a child hygiene time if they did not comply.

Staff were unaware that a child was in the shower leading to a maintenance worker walking in on the child while they were using the bathroom.

Two staff supervising children in care did not have active background checks.

Lavaca Unit had 3 staff for 16 children in care.

Operation did not have yearly fire inspection conducted timely.

Outdoor area in Lavaca Unit had animal feces, a cracked plastic weight stand and broken wooden bench head rest.

Time of the incidents listed in the annual log is not present.

Date of admission is not present in the annual summary log.

During an interview with former staff member, it was stated they have not been employed by the operation since 10/17/2023. The staff member's background is showing active as of 11/13/2023.

Operation did not have a documented Child Care Policy.

Children in care were told they would be put in Seclusion for not obeying directives given by staff memer.

During the investigation it was determined that caregivers yelled directly at children in care.

During the investigation it was determined that caregivers are caring for more than five children with treatment services at a time.

During the investigation it was determined a caregiver did not demonstrate prudent judgement when they failed to redirect inappropriate comments made towards them from a child in care.

Operation did not report a serious incident to licensing involving inappropriate behaviors between children in care.

Upon inspection, it was observed that medications counted did not match the amount recorded in the medciation log.

Severe weather drills are not being conducted every six months.

Upon inspection, it was found that child's rights provided to children are missing many of the rights as provided by the standards.

Upon review of background checks, it was found that staff statuses for one person are not accurate.

Staff did not have the required annual emergency behavioral intervention training, normalcy training or trauma informed care training.

Staff did not have the required pre-service training regarding psychotropic medications.

Staff did not have the required annual psychotropic medication training.

Staff did not have the required pre-service training hours regarding EBI or trauma informed care.

Staff were aware of allegations made by child in care regarding alleged inappropriate touching from a staff member. Staff were aware of the outcry and did not report to licensing.