you can report the place to the state board of health and the county and state health departments and they will send and investigator over to the facility without notifying the facility. then the facility will have to conform to the health codes for sanitation/health hazzards and so on. They will give them a certain amount of time to bring it up to code or close it down. My son is in a residential treatment center and if my son was living in such a situation as here I would be raising H.... Everytime my son is moved to another facility by DHS I check them out and obtain information from various official agencies about that agency. Theres no reason for the conditions you discribe. The kids in the residentail treatment facilities all have set chores to do but when their rooms and so on arent taken care of right the adults in charge are supposed to get on top of it and see that the situations remain up to health department codes.