Shiloh Treatment Center

The operation failed to complete an incident report related to a non-routine incident concerning aggression and an EBI incident that occurred between a youth and two operational staff members.

Resolution: Corrected: 2025-11-04

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.

Resolution: Corrected: 2025-11-04

An operational staff member exceeded the required time limit when utilizing prone and supine restraints as required in Minimum Standards.

Resolution: Corrected: 2025-11-04

Staff did not attempt de-escalation or a lesser intervention prior to utilizing a restraint.

Resolution: Corrected: 2025-11-04

Two caregivers were involved in a physical restraint of a child, and staff members failed to ensure that signs of distress were monitored appropriately during the restraint.

Resolution: Corrected: 2025-11-04

Two operational staff members completed an EBI transport for a child by dragging the child across the living room area of the home.

Resolution: Corrected: 2025-11-04

The details documented in the operational Emergency Personal Restraint Report are inconsistent with the events observed in the operational video recording.

Resolution: Corrected: 2025-11-04

An operational staff member failed to release a youth from a physical hold, when the youth was no longer displaying behavior that exhibited that the child was a danger to himself or others.

Resolution: Corrected: 2025-11-04

Two caregivers were involved in a physical restraint of a child, and staff members failed to ensure that signs of distress were monitored appropriately during the restraint.

Resolution: Corrected: 2025-11-04

The details documented in the operational Emergency Personal Restraint Report are inconsistent with the events observed in the operational video recording.

Resolution: Corrected: 2025-11-04

An operational staff member placed a child in a prone and supine position during a restraint on a couch. The staff member failed to discontinue the restraint when the child verbally indicated that he was having difficulty with breathing.

Resolution: Corrected: 2025-11-04

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.

Resolution: Corrected: 2025-11-04

An operational staff member exceeded the required time limit when utilizing prone and supine restraints as required in Minimum Standards.

Resolution: Corrected: 2025-11-04

Staff did not attempt de-escalation or a lesser intervention prior to utilizing a restraint.

Resolution: Corrected: 2025-11-04

The operation failed to complete an incident report related to a non-routine incident concerning aggression and an EBI incident that occurred between a youth and two operational staff members.

Resolution: Corrected: 2025-11-04

Two operational staff members completed an EBI transport for a child by dragging the child across the living room area of the home.

Resolution: Corrected: 2025-11-04

An operational staff member failed to release a youth from a physical hold, when the youth was no longer displaying behavior that exhibited that the child was a danger to himself or others.

Resolution: Corrected: 2025-11-04

An operational staff member placed a child in a prone and supine position during a restraint on a couch. The staff member failed to discontinue the restraint when the child verbally indicated that he was having difficulty with breathing.

Resolution: Corrected: 2025-11-04

During a monitoring inspection, it was found that one out of four staff files reviewed there was no documentation of any contact with the applicant's previous employers.

Resolution: Corrected: 2025-08-12

The unauthorized absence log does not have the required components such as the child's age, gender or date of admission.

Resolution: Corrected: 2025-08-12

During a monitoring inspection staff files reviewed did not include the personnel's job description.

Resolution: Corrected: 2025-08-12

During a monitoring inspection a staff record reviewed did not contain a copy of a high school diploma to indicate that they qualify for their position at the operation.

Resolution: Corrected: 2025-08-12

The operation did not have an overall annual EBI evaluation for review.

Resolution: Corrected: 2025-08-12

The operation did not have an overall annual EBI evaluation for review.

Resolution: Corrected: 2025-08-12

During a monitoring inspection, it was found that one out of four staff files reviewed there was no documentation of any contact with the applicant's previous employers.

Resolution: Corrected: 2025-08-12

During a monitoring inspection staff files reviewed did not include the personnel's job description.

Resolution: Corrected: 2025-08-12

The unauthorized absence log does not have the required components such as the child's age, gender or date of admission.

Resolution: Corrected: 2025-08-12

During a monitoring inspection a staff record reviewed did not contain a copy of a high school diploma to indicate that they qualify for their position at the operation.

Resolution: Corrected: 2025-08-12

The operation did not have an overall annual EBI evaluation for review.

Resolution: Corrected: 2025-08-12

During a monitoring inspection, it was found that one out of four staff files reviewed there was no documentation of any contact with the applicant's previous employers.

Resolution: Corrected: 2025-08-12

During a monitoring inspection staff files reviewed did not include the personnel's job description.

Resolution: Corrected: 2025-08-12

The unauthorized absence log does not have the required components such as the child's age, gender or date of admission.

Resolution: Corrected: 2025-08-12

During a monitoring inspection a staff record reviewed did not contain a copy of a high school diploma to indicate that they qualify for their position at the operation.

Resolution: Corrected: 2025-08-12

A caregiver aggressively shoved a 13-year-old child in care on three occasions during a struggle over the caregiver's personal items.

Resolution: Corrected: 2025-09-01

During a DFPS investigation, it was found a 13-year-old child in care was neglectfully supervised when a caregiver repeatedly failed to de-escalate her.

Resolution: Corrected: 2025-09-01

A 13-year-old child with documented high-risk behaviors was not adequately supervised, and proper de-escalation techniques were not utilized by direct care staff.

Resolution: Corrected: 2025-09-01

A caregiver aggressively shoved a 13-year-old child in care on three occasions during a struggle over the caregiver's personal items.

Resolution: Corrected: 2025-09-01

A caregiver aggressively shoved a 13-year-old child in care on three occasions during a struggle over the caregiver's personal items.

Resolution: Corrected: 2025-09-01

During a DFPS investigation, it was found a 13-year-old child in care was neglectfully supervised when a caregiver repeatedly failed to de-escalate her.

Resolution: Corrected: 2025-09-01

A 13-year-old child with documented high-risk behaviors was not adequately supervised, and proper de-escalation techniques were not utilized by direct care staff.

Resolution: Corrected: 2025-09-01

During a DFPS investigation, it was found a 13-year-old child in care was neglectfully supervised when a caregiver repeatedly failed to de-escalate her.

Resolution: Corrected: 2025-09-01

A 13-year-old child with documented high-risk behaviors was not adequately supervised, and proper de-escalation techniques were not utilized by direct care staff.

Resolution: Corrected: 2025-09-01

The review of two restraint reports showed the basis for EBI was not an emergency situation.

Resolution: Corrected: 2025-06-27

One of the children records reviewed found the last service plan review was completed on February 20, 2025.

Resolution: Corrected: 2025-06-27

The review of two children records found that both children who are over the age of 6 did not sign the Child's Rights statement acknowledging they have read and understood the listed rights.

Resolution: Corrected: 2025-06-27

The review of two children records found normalcy was not addressed in the children's service plan.

Resolution: Corrected: 2025-06-27

The review of two restraint reports showed the basis for EBI was not an emergency situation.

Resolution: Corrected: 2025-06-27

One of the children records reviewed found the last service plan review was completed on February 20, 2025.

Resolution: Corrected: 2025-06-27

The review of two restraint reports showed the basis for EBI was not an emergency situation.

Resolution: Corrected: 2025-06-27

The review of two children records found normalcy was not addressed in the children's service plan.

Resolution: Corrected: 2025-06-27

The review of two children records found that both children who are over the age of 6 did not sign the Child's Rights statement acknowledging they have read and understood the listed rights.

Resolution: Corrected: 2025-06-27

The review of two children records found normalcy was not addressed in the children's service plan.

Resolution: Corrected: 2025-06-27

One of the children records reviewed found the last service plan review was completed on February 20, 2025.

Resolution: Corrected: 2025-06-27

The review of two children records found that both children who are over the age of 6 did not sign the Child's Rights statement acknowledging they have read and understood the listed rights.

Resolution: Corrected: 2025-06-27

Two staff records reviewed were missing documentation of the results of any contact with an applicant's previous employers. Two other records did not include results of contact from all previous employers prior to application date.

Resolution: Corrected: 2025-03-04

Two children did not received their dental exam within 90 days of admission.

Resolution: Corrected: 2025-03-04

Three children records reviewed were missing TB screening results.

Resolution: Corrected: 2025-03-04

Four staff records reviewed were missing documentation of current CPR/First Aid certificate.

Resolution: Corrected: 2025-03-04

One staff record reviewed missing proof of education.

Resolution: Corrected: 2025-03-04

Documentation of suicidal training that covers the risk factors, protective factors, and warning signs of suicide was missing in three staff records reviewed.

Resolution: Corrected: 2025-03-04

One staff record reviewed is missing documentation of supervised experience training.

Resolution: Corrected: 2025-03-04

Immunization record was missing from one of the children's records reviewed.

Resolution: Corrected: 2025-03-04

Three children records reviewed were missing TB screening results.

Resolution: Corrected: 2025-03-04

One staff record reviewed missing proof of education.

Resolution: Corrected: 2025-03-04

Immunization record was missing from one of the children's records reviewed.

Resolution: Corrected: 2025-03-04

Two staff records reviewed were missing documentation of the results of any contact with an applicant's previous employers. Two other records did not include results of contact from all previous employers prior to application date.

Resolution: Corrected: 2025-03-04

Two children did not received their dental exam within 90 days of admission.

Resolution: Corrected: 2025-03-04

Three children records reviewed were missing TB screening results.

Resolution: Corrected: 2025-03-04

Four staff records reviewed were missing documentation of current CPR/First Aid certificate.

Resolution: Corrected: 2025-03-04

Documentation of suicidal training that covers the risk factors, protective factors, and warning signs of suicide was missing in three staff records reviewed.

Resolution: Corrected: 2025-03-04

One staff record reviewed is missing documentation of supervised experience training.

Resolution: Corrected: 2025-03-04

Two staff records reviewed were missing documentation of the results of any contact with an applicant's previous employers. Two other records did not include results of contact from all previous employers prior to application date.

Resolution: Corrected: 2025-03-04

Two children did not received their dental exam within 90 days of admission.

Resolution: Corrected: 2025-03-04

One staff record reviewed is missing documentation of supervised experience training.

Resolution: Corrected: 2025-03-04

Documentation of suicidal training that covers the risk factors, protective factors, and warning signs of suicide was missing in three staff records reviewed.

Resolution: Corrected: 2025-03-04

Four staff records reviewed were missing documentation of current CPR/First Aid certificate.

Resolution: Corrected: 2025-03-04

Immunization record was missing from one of the children's records reviewed.

Resolution: Corrected: 2025-03-04

One staff record reviewed missing proof of education.

Resolution: Corrected: 2025-03-04

All eleven interviewed children reported that they were not familiar with the administrator's name since their placement. Five of seven direct care staff identified someone else as the administrator. Additionally, all staff reported that staff meetings have been conducted by shift supervisors or trainers. The administrator acknowledged that her school responsibilities may have limited her involvement in her role at the RTC.

Resolution: Corrected: 2025-02-18

All eleven interviewed children reported that they were not familiar with the administrator's name since their placement. Five of seven direct care staff identified someone else as the administrator. Additionally, all staff reported that staff meetings have been conducted by shift supervisors or trainers. The administrator acknowledged that her school responsibilities may have limited her involvement in her role at the RTC.

Resolution: Corrected: 2025-02-18

All eleven interviewed children reported that they were not familiar with the administrator's name since their placement. Five of seven direct care staff identified someone else as the administrator. Additionally, all staff reported that staff meetings have been conducted by shift supervisors or trainers. The administrator acknowledged that her school responsibilities may have limited her involvement in her role at the RTC.

Resolution: Corrected: 2025-02-18

A staff member did not use prudent judgement and self-control while trying to de-escalate a child having maladaptive behaviors which led to the child being injured.

Resolution: Corrected: 2025-01-03

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 child was injured by a staff member after an accident.

Resolution: Corrected: 2025-01-03

The staff used corporal punishment as a means to get a child to comply.

Resolution: Corrected: 2025-01-03

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 child was injured by a staff member after an accident.

Resolution: Corrected: 2025-01-03

The staff used corporal punishment as a means to get a child to comply.

Resolution: Corrected: 2025-01-03

A staff member did not use prudent judgement and self-control while trying to de-escalate a child having maladaptive behaviors which led to the child being injured.

Resolution: Corrected: 2025-01-03

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 child was injured by a staff member after an accident.

Resolution: Corrected: 2025-01-03

A staff member did not use prudent judgement and self-control while trying to de-escalate a child having maladaptive behaviors which led to the child being injured.

Resolution: Corrected: 2025-01-03

While reviewing employee files, it was observed that 1 out of the 6 files reviewed did not conduct reference checks.

Resolution: Corrected: 2024-03-08

One of the two first aid kits did not contain tweezers.

Resolution: Corrected: 2024-03-08

While reviewing staff files, 4 out of 6 staff files did not contain job descriptions.

Resolution: Corrected: 2024-03-08

When conducting a walk through in the girl's unit, it was observed that one of the hand washing sinks did not have sufficient hot water pressure.

Resolution: Corrected: 2024-03-08

The last weather drill was not completed within the last six months.

Resolution: Corrected: 2024-03-08

While conducting a walkthrough of the girls unit, it was observed that the cleaning supplies were accessible and not locked back.

Resolution: Corrected at inspection

While conducting a walkthrough of the girls unit, it was observed that the cleaning supplies were accessible and not locked back.

Resolution: Corrected at inspection

When conducting a walk through in the girl's unit, it was observed that one of the hand washing sinks did not have sufficient hot water pressure.

Resolution: Corrected: 2024-03-08

The last weather drill was not completed within the last six months.

Resolution: Corrected: 2024-03-08

One of the two first aid kits did not contain tweezers.

Resolution: Corrected: 2024-03-08

While conducting a walkthrough of the girls unit, it was observed that the cleaning supplies were accessible and not locked back.

Resolution: Corrected at inspection

While reviewing employee files, it was observed that 1 out of the 6 files reviewed did not conduct reference checks.

Resolution: Corrected: 2024-03-08

While reviewing staff files, 4 out of 6 staff files did not contain job descriptions.

Resolution: Corrected: 2024-03-08

When conducting a walk through in the girl's unit, it was observed that one of the hand washing sinks did not have sufficient hot water pressure.

Resolution: Corrected: 2024-03-08

The last weather drill was not completed within the last six months.

Resolution: Corrected: 2024-03-08

One of the two first aid kits did not contain tweezers.

Resolution: Corrected: 2024-03-08

While reviewing employee files, it was observed that 1 out of the 6 files reviewed did not conduct reference checks.

Resolution: Corrected: 2024-03-08

While reviewing staff files, 4 out of 6 staff files did not contain job descriptions.

Resolution: Corrected: 2024-03-08

Operation did not report a child's allegation of abuse by a staff member until four days after the allegations were made.

Resolution: Corrected: 2023-12-22

Operation did not report a child's allegation of abuse by a staff member until four days after the allegations were made.

Resolution: Corrected: 2023-12-22

Operation did not report a child's allegation of abuse by a staff member until four days after the allegations were made.

Resolution: Corrected: 2023-12-22

There was a delay in the child receiving medical care.

Resolution: Corrected: 2023-06-13

There was a delay in the child receiving medical care.

Resolution: Corrected: 2023-06-13

There was a delay in the child receiving medical care.

Resolution: Corrected: 2023-06-13

During the walkthrough it was observed in room #4 a dresser drawer and a window blind were damaged. In Room#2 the window blind was damaged. Work orders were submitted on 3/16/2023 during the inspection.

Resolution: Corrected: 2023-03-23

During the walkthrough it was observed in room #4 a dresser drawer and a window blind were damaged. In Room#2 the window blind was damaged. Work orders were submitted on 3/16/2023 during the inspection.

Resolution: Corrected: 2023-03-23

During the walkthrough it was observed in room #4 a dresser drawer and a window blind were damaged. In Room#2 the window blind was damaged. Work orders were submitted on 3/16/2023 during the inspection.

Resolution: Corrected: 2023-03-23

The parent orientation does not have any information on the frequency of notifications that will be made to parents.

Resolution: Corrected: 2023-03-03

The parent orientation does not have any information on the frequency of notifications that will be made to parents.

Resolution: Corrected: 2023-03-03

The parent orientation does not have any information on the frequency of notifications that will be made to parents.

Resolution: Corrected: 2023-03-03

A staff member failed to accurately depict the incident when completing the incident report. The staff member did not detail the role they played in the incident or the harm they caused to the child. The staff member falsified records by omitting dragging the child and portraying the child as the aggressor.

Resolution: Corrected: 2022-08-26

Operation employees failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in TFC ?261.001 and further defined in TAC Rule ?707.801, which resulted in an immediate danger to a child's physical health and safety.

Resolution: Corrected: 2022-08-26

A staff member pulled a child by their hair.

Resolution: Corrected: 2022-08-26

A staff member witnessed a serious incident and did not immediately report it.

Resolution: Corrected: 2022-08-26

A staff member recognized another staff members actions were inappropriate and still failed to intervene.

Resolution: Corrected: 2022-08-26

A staff member failed to utilize proper de-escalation techniques when they realized a child was having a crisis and instead of professionally assisting the child, exhibited physical aggression to the child in care.

Resolution: Corrected: 2022-08-26

A staff member grabbed a child by the arm and dragged them off a couch and down a hallway. Then the staff member pushed the child into a bedroom.

Resolution: Corrected: 2022-08-26

A staff member removed items from a child's bedroom as punishment.

Resolution: Corrected: 2022-08-26

A staff member failed to accurately depict the incident when completing the incident report. The staff member did not detail the role they played in the incident or the harm they caused to the child. The staff member falsified records by omitting dragging the child and portraying the child as the aggressor.

Resolution: Corrected: 2022-08-26

A staff member recognized another staff members actions were inappropriate and still failed to intervene.

Resolution: Corrected: 2022-08-26

A staff member removed items from a child's bedroom as punishment.

Resolution: Corrected: 2022-08-26

A staff member failed to utilize proper de-escalation techniques when they realized a child was having a crisis and instead of professionally assisting the child, exhibited physical aggression to the child in care.

Resolution: Corrected: 2022-08-26

A staff member failed to accurately depict the incident when completing the incident report. The staff member did not detail the role they played in the incident or the harm they caused to the child. The staff member falsified records by omitting dragging the child and portraying the child as the aggressor.

Resolution: Corrected: 2022-08-26

Operation employees failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in TFC ?261.001 and further defined in TAC Rule ?707.801, which resulted in an immediate danger to a child's physical health and safety.

Resolution: Corrected: 2022-08-26

A staff member grabbed a child by the arm and dragged them off a couch and down a hallway. Then the staff member pushed the child into a bedroom.

Resolution: Corrected: 2022-08-26

A staff member pulled a child by their hair.

Resolution: Corrected: 2022-08-26

A staff member pulled a child by their hair.

Resolution: Corrected: 2022-08-26

A staff member grabbed a child by the arm and dragged them off a couch and down a hallway. Then the staff member pushed the child into a bedroom.

Resolution: Corrected: 2022-08-26

Operation employees failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in TFC ?261.001 and further defined in TAC Rule ?707.801, which resulted in an immediate danger to a child's physical health and safety.

Resolution: Corrected: 2022-08-26

A staff member witnessed a serious incident and did not immediately report it.

Resolution: Corrected: 2022-08-26

A staff member witnessed a serious incident and did not immediately report it.

Resolution: Corrected: 2022-08-26

A staff member recognized another staff members actions were inappropriate and still failed to intervene.

Resolution: Corrected: 2022-08-26

A staff member removed items from a child's bedroom as punishment.

Resolution: Corrected: 2022-08-26

A staff member failed to utilize proper de-escalation techniques when they realized a child was having a crisis and instead of professionally assisting the child, exhibited physical aggression to the child in care.

Resolution: Corrected: 2022-08-26

Staff member only has 1 hour of the T.I.C training when the requirement is 2 hourss.

Resolution: Corrected: 2022-02-25

Medication log does not have what time the residence medication is being given.

Resolution: Corrected: 2022-02-25

Operation failed to assure staff Background checks are being verified every 3 months.

Resolution: Corrected: 2022-02-25

During the walkthrough two bottle of cleaning supply where left in unlocked cabinets.

Resolution: Corrected at inspection

Staff member only has 1 hour of the T.I.C training when the requirement is 2 hourss.

Resolution: Corrected: 2022-02-25

Medication log does not have what time the residence medication is being given.

Resolution: Corrected: 2022-02-25

During the walkthrough two bottle of cleaning supply where left in unlocked cabinets.

Resolution: Corrected at inspection

Staff member only has 1 hour of the T.I.C training when the requirement is 2 hourss.

Resolution: Corrected: 2022-02-25

Operation failed to assure staff Background checks are being verified every 3 months.

Resolution: Corrected: 2022-02-25

Operation failed to assure staff Background checks are being verified every 3 months.

Resolution: Corrected: 2022-02-25

During the walkthrough two bottle of cleaning supply where left in unlocked cabinets.

Resolution: Corrected at inspection

Medication log does not have what time the residence medication is being given.

Resolution: Corrected: 2022-02-25

There are 4 staff members currently working in the homes that do not have background checks.

Resolution: Corrected: 2022-01-24

During the walkthrough I observed toilets in 58C to not be cleaned properly, and the refrigerator door to be dirty. In house 58B I observed a cloth mattress to be without a mattress cover and exposed wire trimming.

Resolution: Corrected: 2022-01-12

During the walkthrough I observed toilets in 58C to not be cleaned properly, and the refrigerator door to be dirty. In house 58B I observed a cloth mattress to be without a mattress cover and exposed wire trimming.

Resolution: Corrected: 2022-01-12

During the walkthrough I observed toilets in 58C to not be cleaned properly, and the refrigerator door to be dirty. In house 58B I observed a cloth mattress to be without a mattress cover and exposed wire trimming.

Resolution: Corrected: 2022-01-12

There are 4 staff members currently working in the homes that do not have background checks.

Resolution: Corrected: 2022-01-24

There are 4 staff members currently working in the homes that do not have background checks.

Resolution: Corrected: 2022-01-24

One staff file lacks an valid drivers license/

Resolution: Corrected at inspection

The operations policy advises that the facility administers drug test quarterly but multiple staff have not had drug test in a number of years.

Resolution: Corrected: 2021-10-18

The operations policy advises that the facility administers drug test quarterly but multiple staff have not had drug test in a number of years.

Resolution: Corrected: 2021-10-18

The operations policy advises that the facility administers drug test quarterly but multiple staff have not had drug test in a number of years.

Resolution: Corrected: 2021-10-18

One staff file lacks an valid drivers license/

Resolution: Corrected at inspection

One staff file lacks an valid drivers license/

Resolution: Corrected at inspection

The facility is permitted to take children 3-17 years old but has excepted a resident who is 18 years old upon being admitted.

Resolution: Corrected: 2021-09-15

The facility is permitted to take children 3-17 years old but has excepted a resident who is 18 years old upon being admitted.

Resolution: Corrected: 2021-09-15

The facility is permitted to take children 3-17 years old but has excepted a resident who is 18 years old upon being admitted.

Resolution: Corrected: 2021-09-15