New Horizons Ranch Residential Treatment Center

A child in care received a serious physical injury during a restraint.

Resolution: Corrected: 2025-11-26

A child in care received a serious physical injury during a restraint.

Resolution: Corrected: 2025-11-26

A child in care received a serious physical injury during a restraint.

Resolution: Corrected: 2025-11-26

A child in care received a serious physical injury during a restraint.

Resolution: Corrected: 2025-11-26

A child in care was restrained for only being verbally aggressive.

Resolution: Corrected: 2025-06-02

A child in care was restrained for only being verbally aggressive.

Resolution: Corrected: 2025-06-02

A child in care was restrained for only being verbally aggressive.

Resolution: Corrected: 2025-06-02

A child in care was restrained for only being verbally aggressive.

Resolution: Corrected: 2025-06-02

The triggered review completed did not contain information required throughout standard 748.2907.

Resolution: Corrected: 2025-05-27

The triggered review completed did not contain information required throughout standard 748.2907.

Resolution: Corrected: 2025-05-27

The triggered review completed did not contain information required throughout standard 748.2907.

Resolution: Corrected: 2025-05-27

The triggered review completed did not contain information required throughout standard 748.2907.

Resolution: Corrected: 2025-05-27

The medication count for a child in care was did not have an accurate count of the prescribed medication.

Resolution: Corrected: 2024-12-27

The medication count for a child in care was did not have an accurate count of the prescribed medication.

Resolution: Corrected: 2024-12-27

The medication count for a child in care was did not have an accurate count of the prescribed medication.

Resolution: Corrected: 2024-12-27

The medication count for a child in care was did not have an accurate count of the prescribed medication.

Resolution: Corrected: 2024-12-27

An investigation determined a child should have received medical attention on 8/18/24, but was not seen until 8/19/24.

Resolution: Corrected: 2024-09-24

An investigation determined a child should have received medical attention on 8/18/24, but was not seen until 8/19/24.

Resolution: Corrected: 2024-09-24

An investigation determined a child should have received medical attention on 8/18/24, but was not seen until 8/19/24.

Resolution: Corrected: 2024-09-24

An investigation determined a child should have received medical attention on 8/18/24, but was not seen until 8/19/24.

Resolution: Corrected: 2024-09-24

A staff member used emergency behavior intervention on a child in care for a non-emergency situation.

Resolution: Corrected: 2024-09-18

A staff member restrained a child without attempting de-escalation.

Resolution: Corrected: 2024-09-18

A staff member restrained a child without attempting de-escalation.

Resolution: Corrected: 2024-09-18

A staff member used emergency behavior intervention on a child in care for a non-emergency situation.

Resolution: Corrected: 2024-09-18

A staff member restrained a child without attempting de-escalation.

Resolution: Corrected: 2024-09-18

A staff member used emergency behavior intervention on a child in care for a non-emergency situation.

Resolution: Corrected: 2024-09-18

A staff member restrained a child without attempting de-escalation.

Resolution: Corrected: 2024-09-18

A staff member used emergency behavior intervention on a child in care for a non-emergency situation.

Resolution: Corrected: 2024-09-18

3 serious incident reports regarding an unauthorized absence did not have the time and/or date of the notification to the case worker and/or law enforcement officer and the names of those they spoke to.

Resolution: Corrected: 2024-03-29

1 child's service plan contained the name of two other individuals. Additionally, the unauthorized absence log contained the wrong staff member's name responsible for a child who ran away.

Resolution: Corrected: 2024-03-29

1 child's service plan contained the name of two other individuals. Additionally, the unauthorized absence log contained the wrong staff member's name responsible for a child who ran away.

Resolution: Corrected: 2024-03-29

3 serious incident reports regarding an unauthorized absence did not have the time and/or date of the notification to the case worker and/or law enforcement officer and the names of those they spoke to.

Resolution: Corrected: 2024-03-29

1 child's service plan contained the name of two other individuals. Additionally, the unauthorized absence log contained the wrong staff member's name responsible for a child who ran away.

Resolution: Corrected: 2024-03-29

3 serious incident reports regarding an unauthorized absence did not have the time and/or date of the notification to the case worker and/or law enforcement officer and the names of those they spoke to.

Resolution: Corrected: 2024-03-29

3 serious incident reports regarding an unauthorized absence did not have the time and/or date of the notification to the case worker and/or law enforcement officer and the names of those they spoke to.

Resolution: Corrected: 2024-03-29

1 child's service plan contained the name of two other individuals. Additionally, the unauthorized absence log contained the wrong staff member's name responsible for a child who ran away.

Resolution: Corrected: 2024-03-29

During the course of the investigation, it was determined that a hazardous item was left in reach of a child.

Resolution: Corrected: 2024-03-08

During the course of the investigation, it was determined that a hazardous item was left in reach of a child.

Resolution: Corrected: 2024-03-08

During the course of the investigation, it was determined that a hazardous item was left in reach of a child.

Resolution: Corrected: 2024-03-08

During the course of the investigation, it was determined that a hazardous item was left in reach of a child.

Resolution: Corrected: 2024-03-08

It was noted that during an investigation, a child was not properly restrained.

Resolution: Corrected: 2024-03-15

It was noted during an investigation that a child in care was being restrained which resulted in a child being restrained inappropriately as the child in care resisted.

Resolution: Corrected: 2024-03-15

It was noted during an investigation that a child in care was being restrained which resulted in a child being restrained inappropriately as the child in care resisted.

Resolution: Corrected: 2024-03-15

It was noted that during an investigation, a child was not properly restrained.

Resolution: Corrected: 2024-03-15

It was noted during an investigation that a child in care was being restrained which resulted in a child being restrained inappropriately as the child in care resisted.

Resolution: Corrected: 2024-03-15

It was noted during an investigation that a child in care was being restrained which resulted in a child being restrained inappropriately as the child in care resisted.

Resolution: Corrected: 2024-03-15

It was noted that during an investigation, a child was not properly restrained.

Resolution: Corrected: 2024-03-15

It was noted that during an investigation, a child was not properly restrained.

Resolution: Corrected: 2024-03-15

It was noted in this investigation that a child in care was grabbed by the front of the shirt.

Resolution: Corrected: 2024-01-12

It was noted during the investigation that profane language was used during an incident that had escalated on a child in care.

Resolution: Corrected: 2024-01-12

It was noted during the investigation that profane language was used during an incident that had escalated on a child in care.

Resolution: Corrected: 2024-01-12

It was noted in this investigation that a child in care was grabbed by the front of the shirt.

Resolution: Corrected: 2024-01-12

It was noted during the investigation that profane language was used during an incident that had escalated on a child in care.

Resolution: Corrected: 2024-01-12

It was noted in this investigation that a child in care was grabbed by the front of the shirt.

Resolution: Corrected: 2024-01-12

It was noted during the investigation that profane language was used during an incident that had escalated on a child in care.

Resolution: Corrected: 2024-01-12

It was noted in this investigation that a child in care was grabbed by the front of the shirt.

Resolution: Corrected: 2024-01-12

Records were requested on 12/4/23 (by email), on 12/7/23 (by email), and on 12/18 (by email & by phone). Records were provided by the operation on 12/18/23.

Resolution: Corrected: 2024-02-09

Records were requested on 12/4/23 (by email), on 12/7/23 (by email), and on 12/18 (by email & by phone). Records were provided by the operation on 12/18/23.

Resolution: Corrected: 2024-02-09

Records were requested on 12/4/23 (by email), on 12/7/23 (by email), and on 12/18 (by email & by phone). Records were provided by the operation on 12/18/23.

Resolution: Corrected: 2024-02-09

Records were requested on 12/4/23 (by email), on 12/7/23 (by email), and on 12/18 (by email & by phone). Records were provided by the operation on 12/18/23.

Resolution: Corrected: 2024-02-09

The suicide screening indicates it was done 13 days late.

Resolution: Corrected: 2023-12-29

The suicide screening indicates it was done 13 days late.

Resolution: Corrected: 2023-12-29

The suicide screening indicates it was done 13 days late.

Resolution: Corrected: 2023-12-29

The suicide screening indicates it was done 13 days late.

Resolution: Corrected: 2023-12-29

A staff member allowed children to go to an unauthorized outdoor area. As a result, the children ran away and committed inappropriate physical contact with each other.

Resolution: Corrected: 2023-12-29

A staff member allowed children to go to an unauthorized outdoor area. As a result, the children ran away and committed inappropriate physical contact with each other.

Resolution: Corrected: 2023-12-29

A staff member allowed children to go to an unauthorized outdoor area. As a result, the children ran away and committed inappropriate physical contact with each other.

Resolution: Corrected: 2023-12-29

A staff member allowed children to go to an unauthorized outdoor area. As a result, the children ran away and committed inappropriate physical contact with each other.

Resolution: Corrected: 2023-12-29

Three children and two staff stated that staff will use curse words around children. Staff said they will repeat what children say as a way to have them rethink their own words.

Resolution: Corrected: 2023-09-13

Three children and two staff stated that staff will use curse words around children. Staff said they will repeat what children say as a way to have them rethink their own words.

Resolution: Corrected: 2023-09-13

Three children and two staff stated that staff will use curse words around children. Staff said they will repeat what children say as a way to have them rethink their own words.

Resolution: Corrected: 2023-09-13

Three children and two staff stated that staff will use curse words around children. Staff said they will repeat what children say as a way to have them rethink their own words.

Resolution: Corrected: 2023-09-13

Four children described examples of being restrained for not following directions or situations that were not an emergency.

Resolution: Corrected: 2023-06-22

Four children described excessive force being used during restraints, such as being slammed against a wall or floor, arms twisting back, and being bent over.

Resolution: Corrected: 2023-06-22

Four children described examples of being restrained for not following directions or situations that were not an emergency.

Resolution: Corrected: 2023-06-22

Four children described excessive force being used during restraints, such as being slammed against a wall or floor, arms twisting back, and being bent over.

Resolution: Corrected: 2023-06-22

Four children described examples of being restrained for not following directions or situations that were not an emergency.

Resolution: Corrected: 2023-06-22

Four children described excessive force being used during restraints, such as being slammed against a wall or floor, arms twisting back, and being bent over.

Resolution: Corrected: 2023-06-22

Four children described examples of being restrained for not following directions or situations that were not an emergency.

Resolution: Corrected: 2023-06-22

Four children described excessive force being used during restraints, such as being slammed against a wall or floor, arms twisting back, and being bent over.

Resolution: Corrected: 2023-06-22

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

Resolution: Corrected: 2023-05-22

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

Resolution: Corrected: 2023-05-22

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

Resolution: Corrected: 2023-05-22

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

Resolution: Corrected: 2023-05-22

A child with high-risk behaviors noted did not have a plan to address these behaviors in their service plan.

Resolution: Corrected: 2023-02-22

7 previous staff members who are no longer employed at the operation were not inactivated within 7 days of unemployment. The administrator inactivated these staff during the inspection.

Resolution: Corrected at inspection

7 previous staff members who are no longer employed at the operation were not inactivated within 7 days of unemployment. The administrator inactivated these staff during the inspection.

Resolution: Corrected at inspection

A child with high-risk behaviors noted did not have a plan to address these behaviors in their service plan.

Resolution: Corrected: 2023-02-22

7 previous staff members who are no longer employed at the operation were not inactivated within 7 days of unemployment. The administrator inactivated these staff during the inspection.

Resolution: Corrected at inspection

A child with high-risk behaviors noted did not have a plan to address these behaviors in their service plan.

Resolution: Corrected: 2023-02-22

A child with high-risk behaviors noted did not have a plan to address these behaviors in their service plan.

Resolution: Corrected: 2023-02-22

7 previous staff members who are no longer employed at the operation were not inactivated within 7 days of unemployment. The administrator inactivated these staff during the inspection.

Resolution: Corrected at inspection

One child did not have a TB test documented in their record. The child was at a doctor's appointment and recieved a test today. The results will be done in 48 hours.

Resolution: Corrected at inspection

One child did not have a TB test documented in their record. The child was at a doctor's appointment and recieved a test today. The results will be done in 48 hours.

Resolution: Corrected at inspection

One child did not have a TB test documented in their record. The child was at a doctor's appointment and recieved a test today. The results will be done in 48 hours.

Resolution: Corrected at inspection

One child did not have a TB test documented in their record. The child was at a doctor's appointment and recieved a test today. The results will be done in 48 hours.

Resolution: Corrected at inspection

4 out of 10 medication logs did not have the required signature of the person who administered the dose.

Resolution: Corrected: 2022-07-28

4 out of 10 medication logs did not have the required signature of the person who administered the dose.

Resolution: Corrected: 2022-07-28

4 out of 10 medication logs did not have the required signature of the person who administered the dose.

Resolution: Corrected: 2022-07-28

4 out of 10 medication logs did not have the required signature of the person who administered the dose.

Resolution: Corrected: 2022-07-28

A child in care assisted staff by monitoring a restraint conducted on another child in care.

Resolution: Corrected: 2022-07-22

A child in care assisted staff by monitoring a restraint conducted on another child in care.

Resolution: Corrected: 2022-07-22

A child in care assisted staff by monitoring a restraint conducted on another child in care.

Resolution: Corrected: 2022-07-22

A child in care assisted staff by monitoring a restraint conducted on another child in care.

Resolution: Corrected: 2022-07-22

2 children's service plans noted high-risk behaviors but did not include specific plans that address these behaviors.

Resolution: Corrected: 2022-06-22

2 children's service plans noted high-risk behaviors but did not include specific plans that address these behaviors.

Resolution: Corrected: 2022-06-22

2 children's service plans noted high-risk behaviors but did not include specific plans that address these behaviors.

Resolution: Corrected: 2022-06-22

2 children's service plans noted high-risk behaviors but did not include specific plans that address these behaviors.

Resolution: Corrected: 2022-06-22

A few of The Ranch's policies were not followed regarding this incident. -Night staff members were sleeping. -Staff sleeping was not reported, and staff is trained to report this. -Concerns that hadn't been handled and needed more attention were not relayed to higher-up Supervisors/chain of command.

Resolution: Corrected: 2022-06-24

A few of The Ranch's policies were not followed regarding this incident. -Night staff members were sleeping. -Staff sleeping was not reported, and staff is trained to report this. -Concerns that hadn't been handled and needed more attention were not relayed to higher-up Supervisors/chain of command.

Resolution: Corrected: 2022-06-24

A few of The Ranch's policies were not followed regarding this incident. -Night staff members were sleeping. -Staff sleeping was not reported, and staff is trained to report this. -Concerns that hadn't been handled and needed more attention were not relayed to higher-up Supervisors/chain of command.

Resolution: Corrected: 2022-06-24

A few of The Ranch's policies were not followed regarding this incident. -Night staff members were sleeping. -Staff sleeping was not reported, and staff is trained to report this. -Concerns that hadn't been handled and needed more attention were not relayed to higher-up Supervisors/chain of command.

Resolution: Corrected: 2022-06-24

A caregiver was administering medication without having a signature on the medication file.

Resolution: Corrected: 2022-03-23

A caregiver was administering medication without having a signature on the medication file.

Resolution: Corrected: 2022-03-23

A caregiver was administering medication without having a signature on the medication file.

Resolution: Corrected: 2022-03-23

A caregiver was administering medication without having a signature on the medication file.

Resolution: Corrected: 2022-03-23

A child in care's prescription label was altered by a staff member. The instructions stated take 1 tablet by mouth every morning but morning was mark through and night was written by pen.

Resolution: Corrected: 2022-04-07

A child in care's prescription label was altered by a staff member. The instructions stated take 1 tablet by mouth every morning but morning was mark through and night was written by pen.

Resolution: Corrected: 2022-04-07

A child in care's prescription label was altered by a staff member. The instructions stated take 1 tablet by mouth every morning but morning was mark through and night was written by pen.

Resolution: Corrected: 2022-04-07

A child in care's prescription label was altered by a staff member. The instructions stated take 1 tablet by mouth every morning but morning was mark through and night was written by pen.

Resolution: Corrected: 2022-04-07

It was found that the child in care was not seen for a follow up medical appointment as it was requested by the ER doctor at the time of discharge.

Resolution: Corrected: 2022-03-18

It was found that the child in care was not seen for a follow up medical appointment as it was requested by the ER doctor at the time of discharge.

Resolution: Corrected: 2022-03-18

It was found that the child in care was not seen for a follow up medical appointment as it was requested by the ER doctor at the time of discharge.

Resolution: Corrected: 2022-03-18

It was found that the child in care was not seen for a follow up medical appointment as it was requested by the ER doctor at the time of discharge.

Resolution: Corrected: 2022-03-18

A report to licensing that a child contracted a communicable disease was not made within 24 hours.

Resolution: Corrected: 2022-01-28

A report to licensing that a child contracted a communicable disease was not made within 24 hours.

Resolution: Corrected: 2022-01-28

A report to licensing that a child contracted a communicable disease was not made within 24 hours.

Resolution: Corrected: 2022-01-28

A report to licensing that a child contracted a communicable disease was not made within 24 hours.

Resolution: Corrected: 2022-01-28

The operation/staff failed to provide the level of monitoring and oversight necessary to help ensure a child's compliance with their diabetic treatment regimen. Staff was not aware of the child's supervision needs during blood sugar checks, which directly led to the child being hospitalized.

Resolution: Corrected: 2022-07-01

A child with a history of struggling with medical compliance, was made responsible for monitoring their blood sugar levels. The child was also able to sneak snacks, as other children in care reported.

Resolution: Corrected: 2022-07-01

Staff was unaware of a child's medical needs outlined in the service plan, which resulted in the child's medical needs not being properly met.

Resolution: Corrected: 2022-07-01

Staff was unaware of a child's medical needs outlined in the service plan, which resulted in the child's medical needs not being properly met.

Resolution: Corrected: 2022-07-01

Staff was unaware of a child's medical needs outlined in the service plan, which resulted in the child's medical needs not being properly met.

Resolution: Corrected: 2022-07-01

The operation/staff failed to provide the level of monitoring and oversight necessary to help ensure a child's compliance with their diabetic treatment regimen. Staff was not aware of the child's supervision needs during blood sugar checks, which directly led to the child being hospitalized.

Resolution: Corrected: 2022-07-01

A child with a history of struggling with medical compliance, was made responsible for monitoring their blood sugar levels. The child was also able to sneak snacks, as other children in care reported.

Resolution: Corrected: 2022-07-01

Staff was unaware of a child's medical needs outlined in the service plan, which resulted in the child's medical needs not being properly met.

Resolution: Corrected: 2022-07-01

The operation/staff failed to provide the level of monitoring and oversight necessary to help ensure a child's compliance with their diabetic treatment regimen. Staff was not aware of the child's supervision needs during blood sugar checks, which directly led to the child being hospitalized.

Resolution: Corrected: 2022-07-01

A child with a history of struggling with medical compliance, was made responsible for monitoring their blood sugar levels. The child was also able to sneak snacks, as other children in care reported.

Resolution: Corrected: 2022-07-01

The operation/staff failed to provide the level of monitoring and oversight necessary to help ensure a child's compliance with their diabetic treatment regimen. Staff was not aware of the child's supervision needs during blood sugar checks, which directly led to the child being hospitalized.

Resolution: Corrected: 2022-07-01

A child with a history of struggling with medical compliance, was made responsible for monitoring their blood sugar levels. The child was also able to sneak snacks, as other children in care reported.

Resolution: Corrected: 2022-07-01

During the investigation it was determined that the caregiver in charge failed to supervised children by falling sleep and not checking on them after waking up. As a result the children ran away from the operation.

Resolution: Corrected: 2021-08-12

During the investigation it was determined that the caregiver in charge failed to supervised children by falling sleep and not checking on them after waking up. As a result the children ran away from the operation.

Resolution: Corrected: 2021-08-12

During the investigation it was determined that the caregiver in charge failed to supervised children by falling sleep and not checking on them after waking up. As a result the children ran away from the operation.

Resolution: Corrected: 2021-08-12

During the investigation it was determined that the caregiver in charge failed to supervised children by falling sleep and not checking on them after waking up. As a result the children ran away from the operation.

Resolution: Corrected: 2021-08-12

A child's service plan contained inaccurate and outdated information and instructions for supervision

Resolution: Corrected: 2021-08-04

A child's service plan contained inaccurate and outdated information and instructions for supervision

Resolution: Corrected: 2021-08-04

A child's service plan contained inaccurate and outdated information and instructions for supervision

Resolution: Corrected: 2021-08-04

A child's service plan contained inaccurate and outdated information and instructions for supervision

Resolution: Corrected: 2021-08-04

Three children in care were forced to do exercise as discipline

Resolution: Corrected: 2021-08-04

Three children in care were forced to do exercise as discipline

Resolution: Corrected: 2021-08-04

Three children in care were forced to do exercise as discipline

Resolution: Corrected: 2021-08-04

Three children in care were forced to do exercise as discipline

Resolution: Corrected: 2021-08-04

A child in care was not given their medication accordingly. Within the 3 month period reviewed, the child missed a total of 18 dosages from a total of 3 medications. The child was also given the wrong dosage of medication 3 times. Another child in care was given their medication specifically prescribed for 3PM after 4PM on 8 occasions. There was no documentation created to record these incidents.

Resolution: Corrected: 2021-04-16

A child in care was able to sexually act out with another due to a staff member neglecting to properly check on the child when going to have a conversation with the only other staff member in the house.

Resolution: Corrected: 2021-05-31

The Investigator visually witnessed a staff member caring for 5 children, who were on increased supervision due to sexually acting out, with their eyes closed for an extended amount of time while supervising 4 of the children. When their eyes were open, the staff had to ask the children were the fourth child was, as they were unaware.

Resolution: Corrected: 2021-04-30