San Diego SHRF THJ (2025-2026 inspection cycle)

February 26, 2026 Kelly Martinez, Sheriff-Coroner San Diego County Sheriff’s Office 9621 Ridgehaven Ct. San Diego, CA 92123 2025-2026 COMPREHENSIVE INSPECTION, PENAL CODE SECTION 6031, WELFARE & INSTITUTIONS CODE SECTION 209, SAN DIEGO TEMPORARY HOLDING FACILITIES Dear Sheriff Martinez: The 2025-2026 Comprehensive Inspection of some of the San Diego County Sheriff's Office Temporary Holding Facilities has been completed. The following facilities were inspected between Thursday, February 12, 2026 and Friday, February 13, 2026: FACILITY NAME BSCC # FACILITY TYPE Poway Station 4465 THJ Fallbrook Substation 4468 THJ Valley Center Station 4470 THJ Lakeside Sheriff’s Substation 4490 THJ San Marcos Substation 4606 THJ 4 S Ranch Sheriff’s Substation 4609 THJ These inspections were conducted pursuant to Penal Code Section 6031 to determine compliance with the Minimum Standards for Local Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition to inspection(s) by the BSCC, inspections are also required annually by the County Health Officer and biennially by the State Fire Marshal or an authorized representative (Health and Safety Code Sections 101045 and 13146.1). The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards for Local Detention Facilities at any of the stations. Refer to the attached Procedures Checklist for detailed information. We identified the following item of noncompliance with Title 24 Minimum Standards for Local Detention Facilities: Kelly Martinez Sheriff-Coroner Page 2 POWAY STATION: 1231.2.22 Audio Monitoring System (Audio or Visual Monitoring 2.22): There was no audio monitoring system in any of the cells. Refer to the attached Physical Plant Checklist for detailed information. Please refer to the Living Area Space Evaluation attachment for information related to the rated capacity of each facility. CORRECTIVE ACTION PLAN (CAP) An Exit Briefing with your staff was held on Friday, February 13, 2026, BSCC staff presented an overview of the inspection and discussed technical assistance and best practice recommendations. BSCC staff reviewed and provided an Initial Inspection Report for noncompliance items found during the inspection. A CAP addressing the outstanding item of noncompliance is due to the BSCC no later than 03/13/2026. * * * Please email me at tim.mcwilliams@bscc.ca.gov or call (916) 916-956-1559 if you have any questions. Sincerely, TIM MCWILLIAMS Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, San Diego County Superior Court* Chair, Grand Jury, San Diego County* Chair, Board of Supervisors, San Diego County* County Administrator, San Diego County* J. Anderson, Sergeant, San Diego County Sheriff’s Office *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 4465+ San Diego SHRF THJ CI LTR 25-26 TEMPORARY HOLDING FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4465 FACILITY NAME: Poway Station FACILITY TYPE: THJ PERSON(S) INTERVIEWED: Sgt. Anderson, Sgt. Harrison FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/2026 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1024 COURT HOLDING AND TEMPORARY The BSCC Standards and Training for HOLDING FACILITY TRAINING Corrections (STC) division found the agency in compliance with applicable regulations At a minimum, all supervisors of and personnel who during the 23-24 compliance monitoring supervise incarcerated persons in, a Court Holding or cycle. Temporary Holding facility shall complete eight hours of specialized corrections training. Such training shall San Diego County has a Training Department include, but not be limited to: that maintains training records for each (a) applicable minimum jail standards; employee. (b) jail operations liability; (c) separation of incarcerated persons; (d) emergency procedures and planning, fire and life ☒ ☐ ☐ PM 10.1 Orientation Phase Training safety; and; PM 2.55 Non-Biased Based Policing (e) suicide prevention; (f) de-escalation; Some of the training topics were the following (g) juvenile procedures; (in addition to other training): Incarcerated (h) racial bias; and, Person with Disabilities, Telephone Access, (i) mental illness. Transportation of Incarcerated Persons, Fire Response, Temporary Holding Cell, Note: Each agency shall determine if additional training is Discrimination, and Juvenile Procedures needed based upon, but not limited to, the complexity of the facility, the number of people incarcerated, the employees' level of experience and training, and other relevant factors. Such training shall be completed as soon as practical, but Deputies are trained upon assignment to this in any event not more than six months after the date of facility. assigned responsibility. Successful completion of Core ☒ ☐ ☐ training or supplemental Core training, pursuant to Section 1020, Corrections Officer Core Course, may be substituted for the initial eight hours of training. A total of eight hours of refresher training shall be PM 10.6 Continual Professional Training - completed every two years. Successful completion of the Sworn ☒ ☐ ☐ requirements in Section 1025, Continuing Professional Training may be substituted for the eight-hour refresher. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1027 NUMBER OF PERSONNEL C.1. Minimum Staffing A sufficient number of personnel shall be employed in ☒ ☐ ☐ each local detention facility to ensure the implementation and operation of the programs and activities required by these regulations. Whenever there is a person in custody, there shall be at Staff are present whenever an arrestee is in a least one employee on duty at all times in a local holding cell. detention facility or in the building which houses a local ☒ ☐ ☐ detention facility who shall be immediately available and accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which Staff maintains supervision of the arrestee would conflict with the supervision and care of ☒ ☐ ☐ while in the station. incarcerated people in the event of an emergency. Whenever one or more females are in custody, there Staffing for the facility is comprised of several shall be at least one female employee who shall be teams. Each team has female staff members ☒ ☐ ☐ immediately available and accessible to such females. who can be immediately available. Note: Reference PC § 4021. In order to determine if there is a sufficient number of The Sheriff’s Office ensures there is sufficient personnel for a specific facility, the facility administrator staffing to cover all required needs. A staff shall prepare and retain a staffing plan indicating the roster was provided for review. The roster personnel assigned in the facility and their duties. Such a included all staff members, those who were ☒ ☐ ☐ staffing plan shall be reviewed by the Board staff at the working as well as those on their days off, time of their biennial inspection. The results of such a their work assignments, and the times they review and recommendations shall be reported to the worked. local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS I.64 Safety Checks: Inmates, Housing and Holding Areas The facility administrator shall develop and implement policy and procedures for conducting safety checks that Each arrestee has completed a Temporary include, but are not limited to, the following: Holding Cell Checklist, which includes (a) Safety checks will determine the safety and well-being medical questions, cell placement, charges, of individuals and shall be conducted at least hourly and safety check documentation. Also ☒ ☐ ☐ through direct visual observation of all people held and included is the time of removal from the housed in the facility. facility. Two months (November and December 2025) were provided for this inspection. All fields of the documents inspected were filled. Date/time of placement in the holding facility was documented as was the exit time. (b) There shall be no more than a 60-minute lapse When an arrestee is in the facility, safety between safety checks. ☒ ☐ ☐ checks are conducted within 15 minutes of the previous check. (c) Safety checks for people in sobering cells, safety cells, No safety or sobering cells at this facility. and restraints shall occur more frequently as outlined in ☐ ☐ ☒ section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied No regular pattern was discovered when ☒ ☐ ☐ intervals. reviewing safety check documentation. (e) There shall be a written plan that includes the The date and time of each safety check are documentation of all safety checks. Documentation shall identified in the observation reports. include: ☒ ☐ ☐ (1) the actual time at which each individual safety check occurred; 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) the location where each individual safety check This facility has three holding cells. When a occurred, such as a cell, module, or dormitory safety check is completed, it includes number; and, ☒ ☐ ☐ observing arrestees in their cell and documenting the observation on the Temporary Holding Cell Checklist. (3) Initials or employee identification number of staff This is included in the observation report. ☒ ☐ ☐ who completed the safety check(s). (f) A documented process by which safety checks are A supervisor reviews the previous day’s reviewed at regular defined intervals by a supervisor or documentation and indicates their body facility manager, including methods of mitigating patterns ☒ ☐ ☐ number and initials in the lower corner. All of inconsistent documentation, or untimely completion of, Temporary Holding Cell Checklists were safety checks. reviewed and signed by a supervisor. 1028 FIRE AND LIFE SAFETY STAFF H.1 Fire Procedures M.5 Medical Emergencies (a) Whenever there is a person in custody, there shall be M.6 Life Threatening Emergencies: Code ☒ ☐ ☐ at least one person on duty at all times who meets the Blue training standards established by the Board for general M.34 Personal Protective Equipment (PPE) fire and life safety. [Penal Code section 6030(c)]. The facility manager shall ensure that there is at least one Prior to being assigned to work at a facility, person on duty who trained in fire and life safety staff members are trained in fire and life procedures that relate specifically to the facility. ☒ ☐ ☐ safety. Upon transfer to a new facility, staff members are trained in the procedures specific to that facility. (b) The facility administrator, in conjunction with the The Training Bureau provided a Line-Up health authority, shall develop and implement policies Training, Response to Life-Threatening and and procedures consistent with the requirements of Penal Medical Emergencies, Topic #22, where staff Code Section 6048(b) that require correctional officers had to verify that they completed the training ☒ ☐ ☐ certified in cardiopulmonary resuscitation (CPR) to begin activity. This training included identification of CPR on a nonresponsive person without obtaining agency policies and the use of CPR, and approval from supervisors or medical staff, when it is safe when available, an AED. and appropriate to do so. These policies shall cover the following key elements: PM 10.2 First Aid and CPR Training ☒ ☐ ☐ (1) Acceptable CPR methods and application. (2) Correctional officers shall be certified in CPR and a Staff receive a CPR certification card. This copy of the certification shall be on file in the facility or at ☒ ☐ ☐ agency also maintains records to identify a central location and available for review. when training is needed. (3) Correctional officers shall immediately summon A Training Bulletin, “Initiating a 911 medical aid when a person is identified as nonresponsive Response,” identifies that facility staff are and shall administer CPR unless the correctional officer ☒ ☐ ☐ expected to provide emergency medical care is aware of a known medical condition(s) that would shall be provided with efficiency and speedily contraindicate its use. without compromising security. (4) Correctional officers shall use personal protective This is included in policy M.34 equipment when administering CPR whenever possible ☒ ☐ ☐ to reduce exposure to bodily fluids or bloodborne pathogens that may contain disease-causing agents. (5) If an imminent physical danger prevents a Staff members are trained that CPR is only correctional officer from safely administering CPR, they performed when safety and security are not shall begin or resume CPR as soon as the threat has compromised ☒ ☐ ☐ passed, or the nonresponsive person has been safely removed from danger, provided medical aid has not yet arrived. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) The correctional officer shall continue administering Basic life supporting care is continued until CPR, absent imminent physical danger, until the paramedics or medical personnel arrive and nonresponsive person shows obvious signs of life, such assume care. ☒ ☐ ☐ as normal breathing or physical or verbal responses, or until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative This facility does not maintain medical staff. medical responders are present when a person is However, if there is a need for EMS, ☒ ☐ ☐ identified as nonresponsive, correctional officers shall paramedics assume CPR. defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL3 San Diego County Sheriff’s Office Detention Services Bureau – Manual of Policies and Facility administrator(s) shall develop and publish a Procedures. manual of policy and procedures for the facility. The policy and procedures manual shall address all San Diego County Sheriff’s Office Policy applicable Title 15 and Title 24 regulations and shall be Manual (PM) comprehensively reviewed and updated at least every ☒ ☐ ☐ two years. Such a manual shall be made available to all employees. The policy manuals are updated on an as- Notes: The policies and procedures required in needed basis several times per year. subsections (a)(6) and (a)(7) may be placed in a However, all policy manuals are reviewed separate manual to ensure confidentiality. annually. Subsections (c) and (d) do not apply and have been deleted. (a) The manual for Temporary Holding, Type I, II, and III A.3 Table of Organization facilities shall provide for, but not be limited to, the following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility B.38 Facility Inspections ☒ ☐ ☐ administrator/manager. PM 1.8 Facility Appearance and Maintenance (3) Policy on the use of force that meets current state PM 11.1 Use of Force Guidelines and federal legal requirements and includes ☒ ☐ ☐ prohibition of the use of carotid restraint and choke This pertains to all staff. holds. (4) Policy on the use of restraint equipment, including I.93 Use of Restraint Equipment the restraint of pregnant persons as referenced in ☒ ☐ ☐ M.38 Pregnant Incarcerated Persons Penal Code Section 3407. (5) Procedure and criteria for screening newly M.38 Pregnant Incarcerated Persons received persons for release. ☒ ☐ ☐ Q.77 Permissive Release of Pre-arraignment Misdemeanor Incarcerated Persons 3 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) Security and control including physical counts and H.2 Facility Emergency Operations Manual searches of the facility and incarcerated persons, I.16 Facility Security-Screenings of Persons contraband control, and key control. Entering a Detention Facility or Support Each facility administrator shall, at least annually, Facility review, evaluate, and make a record of security I.25 Key Control measures. The review and evaluation shall include I-41 Cell Searches of Incarcerated Persons internal and external security measures of the facility I.43 Count Procedures of Incarcerated ☒ ☐ ☐ including security measures specific to prevention of Persons sexual abuse and sexual harassment. I.52 Strip and Pat Down Searches of Incarcerated Persons I.61 Facility Security – Central Control F.16 Sexual Misconduct Case Assignments & Investigations I.66 Facility Security/Physical Security (7) Emergency procedures include: H.1 Fire Procedures (A) fire suppression preplan as required by ☒ ☐ ☐ section 1032 of these regulations; (B) escape, disturbances, and the taking of I.43 County Procedures for Incarcerated hostages; Persons D.15 Training in Emergency Plans and Critical Incidents H.2 Facility Emergency Operations Manual ☒ ☐ ☐ I.5 Emergency Escape Procedures of Incarcerated Persons I.7 Riot and Disorder Policy I.3 Hostage Policy PM 6.58 Prisoner Escapes PM 9.3 Crisis Negotiation (C) mass arrests; ☒ ☐ ☐ H.14 Mobile Booking (D) natural disasters; ☒ ☐ ☐ H.2 Facility Emergency Operations Manual (E) periodic testing of emergency equipment; and ☒ ☐ ☐ I.1 Emergency Alarm Systems (F) storage, issue, and use of weapons, B. 38 Facility Inspections ammunition, chemical agents, and related H.11 Storage and Use of Toxic, Caustic security devices. ☒ ☐ ☐ Materials I.69 Facility Security-Weapons PM 6.66 Chemical Agents Policy (8) Suicide Prevention. J.5 Suicide Prevention Practices Incarcerated Persons & Detentions Safety Program ☒ ☐ ☐ M.4 Suicide Prevention and Focused Response Team (9) Separation of incarcerated persons. J.3 Separation: Definition and Use ☒ ☐ ☐ R.1 Incarcerated Person Classification (10) Zero tolerance in the prevention of sexual abuse D.13 In-Service Training and sexual harassment. ☒ ☐ ☐ F.16 Sexual Misconduct Case Assignment & Investigations (11) Policy and procedure to detect, prevent, and F.16 Sexual Misconduct Case Assignment & respond to retaliation against any staff or person after Investigations reporting any abuse. PM 6.127 Prison Rape Elimination Act ☒ ☐ ☐ The policy manual identifies how personnel and incarcerated persons can report instances of sexual abuse, harassment, and retaliation. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (12) Release policy, including release planning for Incarcerated persons are not held long incarcerated persons. ☐ ☐ ☒ enough to formulate a release plan from this facility. (e) The manual for Temporary Holding, Court Holding, The San Diego County Sheriff’s Office Type I, II, III, and IV facilities shall provide for, but not be website provides informational pamphlets on limited to, the following: how to report instances of sexual (1) multiple internal ways for incarcerated people to abuse/harassment. Informational posters are privately report sexual abuse and sexual displayed on the walls informing arrestees of ☒ ☐ ☐ harassment, retaliation by other incarcerated how to report. persons or staff for reporting sexual abuse and sexual harassment, and staff neglect or violation of responsibilities that may have contributed to such incidents, (2) a method for uninvolved incarcerated persons, Information on reporting sexual assault, family, community members, and other interested harassment, and misconduct is available on third parties to report sexual abuse or sexual the agency website. harassment. The method for reporting shall be ☒ ☐ ☐ publicly posted at the facility. The lobby of the substation has an informational poster identifying reporting methods. 1030 SUICIDE PREVENTION PROGRAM J.5 Inmate Suicide Prevention Practices & Inmate Safety Program The facility shall have a comprehensive written suicide prevention program developed by the facility administrator or designee, in conjunction with the health ☒ ☐ ☐ authority and mental health director, to identify, monitor, and provide treatment to those incarcerated persons who present a suicide risk. The program shall include the following: (a) Annual suicide prevention training for all custodial The training is conducted annually on an personnel. ongoing basis. The training team determines ☒ ☐ ☐ when it is time for each person to attend training. (b) Intake screening for suicide risk immediately upon PM 6.13 Inmate Intake Form intake and prior to housing assignment. ☒ ☐ ☐ A suicide assessment is conducted at intake. (c) Suicide prevention screening during special Arrestees do not stay at this facility and are situations, including placement in restrictive housing, transferred to another facility if they are to ☒ ☐ ☐ following a hearing, and after a transfer or change in remain in custody. classification. (d) Provisions facilitating communication among I.96 Providing Assistance to arresting/transporting officers, facility staff, court staff, Arresting/Transporting Officer ☒ ☐ ☐ medical and mental health personnel in relation to suicide risk. (e) Housing recommendations for people at risk of suicide Active suicidal incarcerated persons are not that balance safety and environment. The least restrictive ☒ ☐ ☐ accepted at this facility and are transported to environment should be considered. either the hospital or the jail. (f) Supervision depending on level of suicide risk. Should a person become suicidal while at this facility, additional observation checks are ☒ ☐ ☐ made until transport to another facility can be arranged. (g) Suicide attempt and suicide intervention policies and Suicide intervention policies are part of the ☒ ☐ ☐ procedures. detentions manual. (h) Provisions for reporting suicides and suicides Reports are written about actual or attempted ☒ ☐ ☐ attempts. suicides and forwarded to NicheRMS. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 A Critical Incident Review Board reviews (i) Multi-disciplinary administrative review of suicides and incidents and may prompt changes in attempted suicides as defined by the facility ☒ ☐ ☐ practices or policies. administrator, including the development of a corrective action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. Follow-up care for those suffering mental Note: Subsection (k) does not apply and has been ☒ ☐ ☐ health issues is provided at another facility deleted. 1032 FIRE SUPPRESSION PREPLANNING H.1 Fire Procedures H.7 Fire/Safety Inspections, Testing Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire Marshal, or both, in developing a plan for fire suppression which shall include, but not be limited to: (a) a fire suppression pre-plan developed with the local fire department to be included as part of the policy and ☒ ☐ ☐ procedures manual (Title 15, California Code of Regulations Section 1029); (b) monthly fire prevention inspections by facility staff with Verification was made that monthly fire two-year retention of the inspection record; prevention inspections are conducted and retained by the agency. These are identified ☒ ☐ ☐ as the Hazard Assessment Monthly Checklist and the Physical Security Inspection Checklist. (c) fire prevention inspections as required by Health and The last fire inspection was completed on Safety Code Section 13146.1(a) and (b) which requires ☒ ☐ ☐ 06/25/25 by the City of Poway Fire inspections at least once every two years; Department. (d) an evacuation plan; and H.3 Evacuation Plans ☒ ☐ ☐ A Site Evacuation Plan (SEP) was provided for this inspection. It was revised and updated on 01/21/26. (e) a plan for the emergency housing of incarcerated Determined at the time, and need for ☒ ☐ ☐ people in the case of fire. emergency housing. 1044 INCIDENT REPORTS F.5 Incarcerated Person Incident Reports (JIMS) Each facility administrator shall develop written policies F.9 Crime Reports and Major Incident and procedures for the maintenance of written records Documentation ☒ ☐ ☐ and reporting of all incidents which result in physical PM 6.71 Crime Case Reports harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other Incident records are maintained in the Jail person. Information Management System (JIMS). Such records shall include the names of the persons Records are attached to each involved involved, a description of the incident, the actions taken, incarcerated person and include the type of ☒ ☐ ☐ and the date and time of the occurrence. incident, those involved, actions taken, and the date/time of occurrence. Such a written record shall be prepared by the staff No reports regarding incarcerated persons assigned to investigate the incident and submitted to the emanated from this facility. However, there facility manager or designee. was one report from the time period ☒ ☐ ☐ requested (November and December 2025), which occurred at the substation (not the holding area). This report was to document a firearm that was surrendered to the agency. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 7 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1046 DEATH IN CUSTODY M.7 Incarcerated Person Deaths PM 6.5 Unusual Incident, Death, and Serious (a) The facility administrator shall develop written policy Injury Notification and procedures to comply with the in-custody death ☒ ☐ ☐ reporting requirements of Government Code section An In-Custody Death Advocate and 12525. The facility administrator shall submit a copy of Department Investigation Coordinator the report filed pursuant to section 12525 to the BSCC (ICDADIC) is responsible for submitting this within 10 days of an in-custody death. information. (b) The facility administrator, in cooperation with the The ICDADIC is the coordinator of the review health administrator, shall develop written policy and team. Members of the team include the procedures to conduct an initial review and complete a Medical Services Administrator, Chief written report of every in-custody death within 30 days of Medical Officer, other healthcare staff, and the death. The team that conducts the initial review shall ☒ ☐ ☐ the ICDADIC coordinator, among others. include, at a minimum, the facility administrator or designee, the health administrator, the responsible physician and other health care, and supervision staff who are relevant to the incident. Deaths shall be reviewed to determine the These occurrences are also investigated by appropriateness of clinical care; whether changes to the San Diego County CLERB (Citizens Law ☒ ☐ ☐ policies, procedures, or practices are warranted; and to Enforcement Review Board). identify issues that require further study. (c) The facility administrator shall submit a copy of the This is the responsibility of the ICDADIC. initial review report of every in-custody death to the BSCC within 60 days of the death. The facility administrator shall ☒ ☐ ☐ provide a copy of the initial review report that comports with the disclosure requirements of section 832.10 of the Penal Code. The initial review report shall contain the following The reports written for an In-Custody Death at information: a substation include all the items listed in this (1) Demographic information subsection. (A) Full name of the decedent (B) Date of birth (C) Date of death (D) Time of death (E) Gender (F) Race and ethnicity (G) Relevant medical history ☒ ☐ ☐ (2) Facility Information (A) Name and location of the detention facility (B) Description of the location where the death occurred within the facility (C) Date and time of the incident (D) Detention facility personnel (including names and roles) involved in the reporting of the death or incident (3) Any relevant circumstances leading up to death, including behavioral health or medical issues. (d) In any case in which a minor dies while detained in a jail, lockup, or court holding facility the BSCC may inspect and evaluate the jail, lockup, or court holding facility pursuant to the provisions of this subchapter within 30 calendar days of the death. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 8 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1050 CLASSIFICATION PLAN R.1 Incarcerated Person Classification R.3 Incarcerated Person Classification Code (a) Each administrator of a temporary holding, Type I, II, – Descriptor Definitions or III facility shall develop and implement a written classification plan designed to properly assign incarcerated persons to housing units and activities There are three holding cells used for according to the categories of gender identity, age, arrestees at this facility. Incarcerated persons criminal sophistication, seriousness of crime charged, are only held for a short time at this facility. physical or mental health needs, assaultive/non- assaultive behavior, risk of being sexually abused, or San Diego County Sheriff’s Office has a sexually harassed and other criteria which will provide for Booking Acceptance Criteria document, the safety of the incarcerated people and staff. Such which identifies the types of bookings that can ☒ ☐ ☐ housing unit assignment shall be accomplished to the be accepted. extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, There are no programs available at this the agency shall consider on a case-by-case basis temporary holding facility. Care is taken to whether a placement would ensure the health and safety appropriately separate those who need of the incarcerated person, and whether the placement ☒ ☐ ☐ protection from others. would present management or security problems. A person’s own views with respect to their own safety shall be given serious consideration. 1051 COMMUNICABLE DISEASES M.9 Receiving Screening M.37 Standard Precautions and Infectious The facility administrator, in cooperation with the Agents/Communicable Disease Control responsible physician, shall develop written policies and ☒ ☐ ☐ PM 6.100 Bloodborne Pathogen Exposure/ procedures specifying those symptoms that require Control medical isolation of an incarcerated person until a medical evaluation is completed. At the time of intake into the facility, an inquiry shall be PM 6.13 Inmate Intake Form made of the person being booked as to whether the person has or has had any communicable diseases, such An initial medical screening takes place at the as tuberculosis or has observable symptoms of time of reception. Incarcerated persons who ☒ ☐ ☐ tuberculosis or any other communicable diseases, or have any type of medical issues are other special medical problem identified by the health transported directly to the jail. authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION M.2 Requests for Medical Information J.5 Suicide Prevention Practices for The facility administrator, in cooperation with the Incarcerated Persons & Detention Safety responsible physician, shall develop written policies and ☒ ☐ ☐ Program procedures to identify and evaluate all incarcerated J.7 Emergency Transportation of people who may be in behavioral crisis. Evaluation of Incarcerated Persons with Mental Health behavioral crisis may include telehealth. Needs If an evaluation from medical or mental health staff is not Arrestees suffering from an active behavioral readily available, an incarcerated person shall be crisis episode are not accepted at this facility. considered in behavioral crisis for the purpose of this ☒ ☐ ☐ Instead, they are transported to the hospital section if they appear to be a danger to themselves or or jail. others or appear gravely disabled. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 9 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 An evaluation from medical or mental health staff shall be This is done when booked into the jail. secured within 24 hours of identification or at the next ☒ ☐ ☐ daily sick call, whichever is earliest. Separation may be used if necessary, to protect the Staff verified that this occurs whenever ☒ ☐ ☐ safety of the person in crisis or others. possible. 1053 ADMINISTRATIVE SEPARATION J.3 Separation: Definition and Use R.1 Incarcerated Person Classification ☒ ☐ ☐ Except for Type IV facilities, facility administrators shall develop and implement policies and procedures for the administrative separation of incarcerated people. Policies and procedures must include: There are no administrative separation cells (a) Administrative separation may consist of separate at this facility. housing but shall not involve any other deprivation of privileges than is necessary to obtain the objective of protecting the welfare of incarcerated people and facility ☐ ☐ ☒ staff. Note: Subsections (b) through (e) do not apply and have been deleted. 1055 USE OF SAFETY CELL There is no safety cell at this facility. The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who ☐ ☐ ☒ display behavior which results in the destruction of property or reveals an intent to cause physical harm to self or others. The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures governing safety cell use and may delegate ☐ ☐ ☒ authority to place an incarcerated person in a safety cell to a physician. Policies and procedures shall include, but not be limited to: (a) In no case shall the safety cell be used for punishment ☐ ☐ ☒ or as a substitute for treatment. (b) A person shall be placed in a safety cell only with the approval of the facility manager or designee, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every four hours. (c) A medical assessment shall be completed as soon as possible, but not more than 12 hours from the time of placement in the safety cell. The person shall be ☐ ☐ ☒ medically cleared for continued retention, referral to advanced treatment, or removal from the safety cell a minimum of every 24 hours thereafter. (d) The facility manager, designee or responsible health care staff shall obtain a mental health opinion/consultation with responsible health care staff on ☐ ☐ ☒ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least twice every 30 minutes, with no more than a 15-minute ☐ ☐ ☒ lapse between safety checks. Such observation shall be documented. (f) Procedures shall be established to assure ☐ ☐ ☒ administration of necessary nutrition and fluids. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 0 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) People placed in the safety cell shall be allowed to retain sufficient clothing or be provided with a suitably designed “safety garment,” to provide for their personal ☐ ☐ ☒ privacy unless specific identifiable risks to the person's safety or to the security of the facility are documented. 1056 USE OF SOBERING CELL There is no sobering cell at this facility. The sobering cell described in Title 24, Part 2, Section ☐ ☐ ☒ 1231.2.4, shall be used for temporary holding of incarcerated people who are a threat to their own safety or the safety of others due to their state of intoxication. A person shall be removed from the sobering cell as soon as they are able to continue the admission process or are ☐ ☐ ☒ no longer a risk to themselves or others. In no case shall a person remain in a sobering cell over six hours without an evaluation by medical or custody staff to determine whether the person has an urgent ☐ ☐ ☒ medical problem, pursuant to section 1213 of these regulations. At 12 hours from the time of placement, all persons must ☐ ☐ ☒ receive an evaluation by responsible health care staff. Intermittent direct visual observation of people held in the sobering cell shall be conducted no less than every half ☐ ☐ ☒ hour. Such observation shall be documented. 1057 DEVELOPMENTAL DISABILITIES M.9 Receiving Screening J. Separation: Definition and Use The facility administrator, in cooperation with the responsible physician, shall develop written policies and There are no medical staff at this facility. ☒ ☐ ☐ procedures for the identification and evaluation, Arrestees who present themselves as having appropriate classification and housing, protection, and developmental disabilities are not accepted nondiscrimination of all incarcerated persons with and transported to the jail for booking. developmental disabilities. The health authority or designee shall contact the This is done at the larger jail facility. regional center for any incarcerated person suspected or confirmed to have a developmental disability for the ☒ ☐ ☐ purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. 1058 USE OF RESTRAINT DEVICES I.93 Restraint Devices The facility administrator, in cooperation with the responsible physician, shall develop and implement Compliance is based upon policy. The use of written policies and procedures for the use of restraint the WRAP at this facility is only done for devices. Restraint devices include any devices which transport purposes, if needed. immobilize extremities or prevent the incarcerated person ☒ ☐ ☐ from being ambulatory. The provisions of this section do not apply to the use of handcuffs, shackles, or other restraint devices when used to restrain incarcerated people for security reasons. The facility manager may delegate authority to place an incarcerated person in restraints to responsible health care staff. (a) The policy shall address the following areas: The WRAP. ☒ ☐ ☐ (1) acceptable restraint devices; (2) signs or symptoms which should result in immediate medical/mental health referral; availability ☐ ☐ ☒ of cardiopulmonary resuscitation equipment; (3) protective housing of restrained persons; ☐ ☐ ☒ 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) provision for hydration and sanitation needs; and, ☐ ☐ ☒ (5) exercising of extremities. ☐ ☐ ☒ (b) Policy shall also include, but not be limited to, the following requirements: ☐ ☐ ☒ (1) In no case shall restraints be used for punishment or as a substitute for treatment. (2) Restraint devices shall only be used on incarcerated people who display behavior which ☐ ☐ ☒ results in the destruction of property or reveal an intent to cause physical harm to self or others. (3) Restraint devices should be used only when less restrictive alternatives, including verbal de-escalation ☐ ☐ ☒ techniques, have been attempted and are deemed ineffective. (4) An incarcerated person shall be placed in restraints only with the approval of the facility manager, the facility watch commander, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every hour. (5) Continuous direct visual observation shall be ☐ ☐ ☒ maintained until a medical opinion can be obtained. (6) A medical opinion on placement and retention shall be secured within one hour from the time of ☐ ☐ ☒ placement. (7) A medical assessment shall be completed within ☐ ☐ ☒ four hours of placement. (8) Continuous direct visual observation shall be conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to ensure the safety and well-being of the incarcerated person. Such observation shall be documented. ☐ ☐ ☒ While in restraint devices all incarcerated persons shall be housed alone or in a specified housing area which makes provisions to protect the person from abuse. (9) If the facility manager, or designee, in consultation with responsible health care staff determines that an incarcerated person cannot be safely removed from ☐ ☐ ☒ restraints after eight hours, the person shall be taken to a medical facility for further evaluation. (10) Where applicable, the facility manager shall use the restraint device manufacturer’s recommended ☐ ☐ ☒ maximum time limits for placement. (11) All events and information related to the placement in restraints shall be documented and shall be video recorded unless exigent circumstances prevent staff from doing so. The documentation shall ☐ ☐ ☒ include: the reason for placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1058.5 RESTRAINTS AND PREGNANT PERSONS M.38 Pregnant Incarcerated Persons The facility administrator, in cooperation with the responsible physician, shall develop written policies and ☒ ☐ ☐ procedures for the use of restraint devices on pregnant people. In accordance with Penal Code Section 3407, the policy shall include reference to the following: (1) An incarcerated person known to be pregnant or Pregnant persons are only handcuffed in the in recovery after delivery or termination of the front of the body, not behind. ☒ ☐ ☐ pregnancy shall not be restrained by the use of leg or waist restraints, or handcuffs behind the body. (2) An incarcerated pregnant person in labor, during Verified by policy and interview. delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ☒ ☐ ☐ ankles, or both, unless deemed necessary for the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional Verified by policy and interview. who is currently responsible for the medical care of an incarcerated pregnant person during a medical ☒ ☐ ☐ emergency, labor, delivery, or recovery after delivery or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s Pregnancy tests are offered within 72 hours pregnancy, they shall be advised, orally or in writing, of arrival at the larger jail facility. ☐ ☐ ☒ of the standards and policies governing incarcerated pregnant people. 1067 ACCESS TO TELEPHONE P.2 Telephone Access The facility administrator shall develop written policies Telephones are accessible at the time of and procedures which allow access to a telephone or reception. communication device beyond those telephone calls which are required by Section 851.5 of the Penal Code. Individuals who are known to have, or are perceived by Video Relay Service (VRS), Captioned others as having hearing or speech impairments shall be ☒ ☐ ☐ Telephone Service (CTS), TDD, TTY, and provided access to the appropriate telecommunication Telephone Relay Service (TRS) are also device which will facilitate communication. Such devices available for those with hearing impairments. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 1068 ACCESS TO COURTS AND COUNSEL N.5 Access to Courts / Attorneys / Legal Advice The facility administrator shall develop written policies ☒ ☐ ☐ and procedures to ensure incarcerated persons have access to the court and to legal counsel. Such access shall consist of: (b) confidential consultation with attorneys. ☒ ☐ ☐ This is in-person and through the telephone. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1080 RULES AND DISCIPLINARY ACTIONS Discipline is not administered at this facility. Wherever discipline is administered, each facility administrator shall establish written rules and disciplinary actions to guide the conduct of incarcerated persons. ☐ ☐ ☒ Notes: If discipline IS NOT administered, written policy should indicate as such. If discipline IS administered, Sections 1080, 1081, 1082, 1083 and 1084 apply. Such rules and disciplinary actions shall be stated simply and affirmatively and posted conspicuously in housing ☐ ☐ ☒ units and the booking area or issued to each person upon booking. For those individuals with limited literacy, who are unable to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them ☐ ☐ ☒ verbally or provide them with material in an understandable form regarding jail rules and disciplinary procedures and actions. 1081 PLAN FOR DISCIPLINE OF INCARCERATED Discipline is not administered at this facility. PERSONS Each facility administrator shall develop written policies and procedures for discipline of incarcerated persons. The plan shall include, but not be limited to, the following elements: ☐ ☐ ☒ (a) Temporary Loss of Privileges: For minor acts of non- conformance or minor violations of facility rules, staff may impose a temporary loss of privileges, such as access to television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation and supervisory approval. (b) Disciplinary Actions: Major violations of facility rules or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing ☐ ☐ ☒ by the staff member observing the act and submitted to the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Loss of good time/work time. ☐ ☐ ☒ 2. Placement in disciplinary separation. ☐ ☐ ☒ 3. Loss of privileges mandated by regulations. ☐ ☐ ☒ A staff member with investigative and disciplinary authority shall be designated as a disciplinary officer to ☐ ☐ ☒ impose such consequences. Staff shall not participate in disciplinary review if they are ☐ ☐ ☒ involved in the charges. Such charges pending against an incarcerated person shall be acted on with the following provisions and within specified timeframes: ☐ ☐ ☒ 1. A copy of the report, or a separate written notice of the violation(s), shall be provided to the incarcerated person. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 2. Unless declined by the incarcerated person, a hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been ☐ ☐ ☒ informed of the charges in writing. The hearing may be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The ☐ ☐ ☒ incarcerated person shall have access to staff or assistance when they have limited literacy, or the issues are complex. 4. A charge(s) shall be acted on no later than 72 hours after an incarcerated person has been ☐ ☐ ☒ informed of the charge(s) in writing. 5. Subsequent to final disposition of disciplinary charges by the disciplinary officer, the charges and ☐ ☐ ☒ the action taken shall be reviewed by the facility manager or designee. 6. The incarcerated person shall be advised in a written statement by the fact-finders about the evidence relied on and the reasons for the ☐ ☐ ☒ disciplinary action. A copy of the record shall be kept pursuant to Penal Code Section 4019.5. 7. There shall be a policy of review and appeal to a ☐ ☐ ☒ supervisor on all disciplinary action. 1082 FORMS OF DISCIPLINE Discipline is not administered at this facility. The degree of actions taken by the disciplinary officer shall be directly related to the severity of the rule infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of discipline shall consist of, but not be limited to, the following: (a) Loss of privileges. ☐ ☐ ☒ (b) Extra work detail. (c) Short term lockdown for less than 24 hours. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal Code Section 4019. (f) Forfeiture of “work time” credits earned under Penal Code Section 4019. (g) Disciplinary separation. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS Discipline is not administered at this facility. The Penal Code and the State Constitution expressly prohibit all cruel and unusual punishment. Disciplinary actions shall not include corporal punishment, group punishment when feasible, or physical or psychological degradation. ☐ ☐ ☒ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) If a person is on disciplinary separation status for 30 consecutive days there shall be a review by the facility manager before the disciplinary separation status is continued. This review shall include a ☐ ☐ ☒ consultation with health care staff. Such reviews shall continue at least every fifteen days thereafter until the disciplinary status has ended. This review shall be documented. (2) The disciplinary separation cells or cell shall have the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be issued clothing and bedding as specified in Articles 13 and 14 of these regulations and shall not be deprived of them through any portion of the day ☐ ☐ ☒ except that those incarcerated persons who engage in the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a person of such articles of clothing and bedding shall be reviewed by the facility manager or designee during each 24-hour period. (3) If after placement in separation, mental health or medical staff determine that an individual has serious mental illness or an intellectual disability, they shall ☐ ☐ ☒ be removed from disciplinary separation immediately upon this determination. (b) The delegation of authority to any incarcerated person or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group ☐ ☐ ☒ of incarcerated people. Note: PC § 4019.5. (c) In no case shall a safety cell, as specified in Title 24, Part 2, 1231.2.5, or any restraint device be used for ☐ ☐ ☒ disciplinary purposes. (d) No incarcerated person may be deprived of the implements necessary to maintain an acceptable level of ☐ ☐ ☒ personal hygiene as specified in Section 1265 of these regulations. (e) Food shall not be withheld as a disciplinary measure. ☐ ☐ ☒ (f) Correspondence privileges shall not be withheld except in cases where the incarcerated person has violated correspondence regulations, in which case ☐ ☐ ☒ correspondence may be suspended for no longer than 72 hours, without the review and approval of the facility manager. (g) In no case shall access to courts and legal counsel be ☐ ☐ ☒ suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS Discipline is not administered at this facility. Penal Code Section 4019.5 requires that a record is kept ☐ ☐ ☒ of all disciplinary actions administered therefore. This requirement may be satisfied by retaining copies of rule violation reports and report of the disposition of each. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1270 STANDARD BEDDING AND LINEN ISSUE This is a temporary holding facility. Arrestees are held only a short time before transfer or The standard issue of clean suitable bedding and linens, release. However, blankets are available if for each incarcerated person entering a living area who is needed. ☒ ☐ ☐ expected to remain overnight, shall include, but not be limited to: (a) one serviceable mattress which meets the requirements of Section 1272 of these regulations; (b) one mattress cover or one sheet; ☐ ☐ ☒ (d) one blanket or more depending up on climatic ☐ ☐ ☒ conditions. Policy and procedure shall require that items (a), (b), and ☐ ☐ ☒ (d) above be provided prior to the first night in the facility. Two blankets or sleep bag may be issued in place of one mattress cover or one sheet at the request of the ☐ ☐ ☒ incarcerated person. Temporary Holding facilities which hold persons longer than 12 hours shall provide an incarcerated person with bedding and linen that meet the requirements of (a), (b) ☐ ☐ ☒ and (d) above prior to their first night in the facility and every night thereafter. 1280 FACILITY SANITATION, SAFETY, AND L.4 Housekeeping Plan MAINTENANCE PM 1.8 Facility Appearance and Maintenance The facility administrator shall develop written policies and procedures for the maintenance of an acceptable Each facility has a daily cleaning plan. ☒ ☐ ☐ level of cleanliness, repair, and safety throughout the facility. Such a plan shall provide for a regular schedule of housekeeping tasks and inspections to identify and correct unsanitary or unsafe conditions or work practices which may be found. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 7 of 21 A351 TH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? If YES, see remaining document for Title 15, Article 9 inspection. Penal Code Sections 6030 and 6031.4 require the biennial inspection of local detention facilities that hold According to policy, minors can be held in jail minors in secure detention in the jail. Title 15, Article 9 cells. On a practical level, this facility tries to establishes the minimum standards of how facilities hold avoid using this type of secure detention. minors in temporary custody in the jail. ☒ ☐ However, no minors were held in secure ☐ custody during the inspection time frame Facilities that do not hold minors in the jail cells are not (November – December 2025). subject to Title 15, Article 9 biennial inspections; however, if minors are held in the building, they may be subject to the requirements of Welfare and Institutions Code section 207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR PM 6.3 Juvenile Detention Procedures IN AN ADULT DETENTION FACILITY All Juvenile procedures are covered under The facility administrator shall develop policy and ☒ ☐ this policy and verified at the time of procedures for notification of the court of jurisdiction and ☐ inspection. All regulations identified below the parent, guardian, or person standing in loco are covered under this policy section. parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1142 WRITTEN POLICIES AND PROCEDURES PM 6.3 Juvenile Detention Procedures The facility administrator shall develop written policies ☒ ☐ and procedures concerning minors being held in ☐ temporary custody which shall address: (a) suicide risk and prevention; (b) use of restraints; ☒ ☐ ☐ (c) emergency medical assistance and services; and ☒ ☐ ☐ (d) prohibiting use of discipline. ☒ ☐ ☐ 1143 CARE OF MINORS IN TEMPORARY PM 6.3 Juvenile Detention Procedures CUSTODY ☒ ☐ ☐ (a) The following shall be made available to all minors held in temporary custody: (1) access to toilets and washing facilities; (2) one snack during term of temporary custody if Snacks are available. the minor has not eaten within the past four (4) ☒ ☐ hours or is otherwise in need of appropriate ☐ nourishment; (3) access to drinking water; ☒ ☐ ☐ (4) access to language services; ☒ ☐ ☐ (5) access to disabilities services; ☒ ☐ ☐ (6) sanitary napkins, panty liners, and tampons as ☒ ☐ requested; ☐ (7) privacy during consultation with family, guardian, ☒ ☐ and/or lawyer; ☐ (8) blankets and clothing, as necessary, to assure ☒ ☐ Blankets are available. the comfort of the minor; and ☐ 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 8 of 21 A351 TH PRO eff. 04.01.25 (9) personal clothing unless the clothing is inadequate, presents a health or safety problem, or ☒ ☐ ☐ is required to be utilized as evidence of an offense. (b) Upon entry, the minor shall be informed in writing of what is available under this section, and it shall be ☒ ☐ posted in at least one conspicuous place to which ☐ minors have access. 1144 CONTACT BETWEEN MINORS AND PM 6.3 Juvenile Detention Procedures INCARCERATED ADULTS ☒ ☐ The facility administrator shall establish policies and ☐ procedures to restrict contact, as defined in Section 1006, between minors and adults confined in the facility. In situations where brief or accidental contact may There is no contact between adults and occur, such as booking or facility movement, facility staff juveniles. (trained in the supervision of incarcerated people) shall ☒ ☐ ☐ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1145 DECISION ON SECURE CUSTODY PM 6.3 Juvenile Detention Procedures A minor who is taken into temporary custody by a peace officer on the basis that they are a person described by Section 602 of the Welfare and Institutions Code may be held in secure custody in a law enforcement facility that contains a lockup for adults if the minor is 14 years of age or older and if, in the reasonable belief of the peace officer, the minor presents a serious security risk of harm to self or others, as long as all other conditions of secure custody set forth in these standards are met. ☒ ☐ ☐ Any minor in temporary custody who is less than 14 years of age, or who does not in the reasonable belief of the peace officer present a serious security risk of harm to self or others, shall not be placed in secure custody, but may be kept in non-secure custody in the facility as long as all other conditions of non-secure custody set forth in these standards are met. Note: Minors in secure detention are 14 years of age or older. In making the determination whether the minor presents The arresting deputy determines all risk a serious security risk of harm to self or others, the ☒ ☐ factors identified in this regulation prior to officer may take into account the following factors: ☐ deciding on secure detention. (a) age, maturity, and delinquent history of the minor; (b) severity of the offense(s) for which the minor was ☒ ☐ taken into custody; ☐ (c) minor's behavior, including the degree to which the ☒ ☐ minor appears to be cooperative or non-cooperative; ☐ (d) the availability of staff to provide adequate ☒ ☐ supervision or protection of the minor; and ☐ (e) the age, type, and number of other individuals who ☒ ☐ are detained in the facility. ☐ 1146 CONDITIONS OF SECURE CUSTODY PM 6.3 Juvenile Detention Procedures While in secure custody, minors may be locked in a Factors are needed to determine secure room or other secure enclosure, secured to a cuffing rail, ☒ ☐ detention. ☐ or otherwise reasonably restrained as necessary to prevent escape and protect the minor and others from harm. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 1 9 of 21 A351 TH PRO eff. 04.01.25 1147 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY INSIDE A LOCKED ENCLOSURE (a) Minors shall receive adequate supervision which, at ☒ ☐ ☐ a minimum, includes: (1) constant auditory access to staff by the minor; and (2) safety checks, as defined in Section 1006, of the Safety checks are completed every 15 minor by staff of the law enforcement facility, at least ☒ ☐ minutes by agency policy. ☐ once every 30 minutes, which shall be documented. (b) Minors of different genders shall not be placed in the same locked room unless under constant direct visual ☒ ☐ ☐ observation by staff of the law enforcement facility. 1148 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY OUTSIDE OF A LOCKED ENCLOSURE Unless necessary, juveniles are usually not ☒ ☐ held in secure custody. Minors held in secure custody outside of a locked ☐ enclosure shall not be secured to a stationary object for more than 60 minutes unless no other locked enclosure is available. A staff person from the facility shall provide constant direct visual observation to assure the minor's safety ☒ ☐ ☐ while secured to a stationary object. Securing minors to a stationary object for longer than 60 minutes, and every 30 minutes thereafter, shall be ☒ ☐ ☐ approved by a supervisor. The decision for securing a minor to a stationary object for longer than 60 minutes, and every 30 minutes ☒ ☐ thereafter shall be based upon the best interests of the ☐ minor and shall be documented. 1149 CRITERIA FOR NON-SECURE CUSTODY PM 6.3 Juvenile Detention Procedures Minors held in temporary custody, who do not meet the criteria for secure custody as specified in Section 207.1(b) of the Welfare and Institutions Code, may be ☒ ☐ held in non- secure custody to investigate the case, ☐ facilitate release of the minor to a parent or guardian, or arrange for transfer of the minor to an appropriate juvenile facility. While minors are held in temporary non- secure custody the provisions of Section 1143 apply. 1150 SUPERVISION OF MINORS IN NON- PM 6.3 Juvenile Detention Procedures SECURE CUSTODY Non secure custody is held in a separate Minors held in non-secure custody shall receive area and out of sight of the holding cells and constant direct visual observation by staff of the law ☒ ☐ in constant view of the arresting deputy. ☐ enforcement facility. Entry and release times shall be documented and made available for review. Monitoring a minor using audio, video, or other electronic devices shall never replace constant direct visual observation. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 2 0 of 21 A351 TH PRO eff. 04.01.25 1151 MINORS UNDER THE INFLUENCE OF ANY PM 6.3 Juvenile Detention Procedures INTOXICATING SUBSTANCE IN SECURE OR NON-SECURE CUSTODY Facility administrators shall develop policies and ☒ ☐ procedures providing that a medical clearance shall be ☐ obtained for minors who are under the influence of drugs, alcohol, or any other intoxicating substance to the extent that they are unable to care for themselves, prior to secure or non-secure custody of that minor. Supervision of minors in secure custody in a locked Both adult and juvenile safety checks are room shall include safety checks at least once every 15 completed every 15 minutes. minutes until resolution of the intoxicated state or ☒ ☐ ☐ release. These safety checks shall be documented, with actual time of occurrence recorded. Supervision of minors in secure custody outside of a locked room shall be supervised in accordance with ☒ ☐ ☐ Section 1148. Supervision of minors in nonsecure custody shall be Those held in nonsecure custody are under ☒ ☐ ☐ supervised in accordance with Section 1150. continual observation. 4465 San Diego SHRF Poway Station THJ CI PRO 25-26 Page 2 1 of 21 A351 TH PRO eff. 04.01.25 ADULT COURT AND TEMPORARY HOLDING FACILITIES PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: 6/94; 2/99; 2001 BSCC Code: 4465 FACILITY NAME: San Diego County Sheriff Poway Station FACILITY TYPE: THJ APPLICABLE REGULATIONS (Check All That 6/94: X 2/99: 2001: OTHER: Apply): FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/2026 TITLE 24 SECTION YES NO N/A COMMENTS Reception and Booking (2.1) X Contains a weapons locker, designed as outlined in these regulations. Contains a cell or room for confinement pending X booking Contains a detoxification cell (WA in TH; NA in CH) No sobering cells. 01: Name changed to “sobering cell.” X 2-99: Two detoxification cells are provided if both male and female inmates are held. Contains safety cell(s) (WA in TH; NA in CH) X No safety cells. Shower room available 2-99: Access to shower must be within the secure X area Provides secure vault or storage for inmate valuables X Telephone(s) available for inmate use (PC § 851.5) X 2-99: Unobstructed access to hot and cold running X water Temporary Holding Cell or Room (2.2) X Contains 10 square feet of floor area per inmate Holds no more than 16 inmates X Is not smaller than 40 square feet and has a clear X ceiling height of 8 feet or more Contains sufficient seating to accommodate all X inmates Contains water closet (toilet), washbasin, and drinking X fountain Provides for clear visual supervision by staff X A bunk is provided if inmates are held 12 hours or X more Temporary Staging Cell or Room (2.3) No staging cells. Holds inmates classified and segregated per Title 15 § X 1050 and 1053 Detoxification/Sobering Cell (2.4) No sobering cells. 01: Name change to “sobering cell” Contains 20 square feet of floor area per inmate X Safety Cell (2.5) No safety cells. Contains 48 square feet with one floor dimension of a least 6 feet and a clear ceiling height of 8 feet or more X 4465 San Diego SHRF Poway Station THJ CI PHY 25-26 - 1 - A382 PHY CH-TH 94 99 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Safety Equipment Storage (2.19) Adequate space is provided to store equipment such X as fire extinguishers, SCBA, emergency lights, etc. Janitors' Closet (2.20) Lockable, containing a mop sink and storage space X 01: Mop sink may be separate from janitors’ closet Audio or Visual Monitoring (2.22) No audio monitoring system in any of the There is an audio monitoring system capable of cells. Appears to have been removed (25- alerting staff in a central control. When visual 26). electronic surveillance is use, it is located primarily in X corridors, elevators, or at points on the security perimeter such as entrances and exits. 2-99: Video monitoring option deleted. Emergency Power (2.24) There is an emergency power source available and capable of providing minimal lighting in all areas and X maintaining fire and life safety, security, communication and alarm systems. Attorney Interview Space (2.26) X Available and provides for confidentiality Water Closets (Toilets)/Urinals (3.1) Provide for inmate privacy/modesty with staff being able to visual supervise; provided at a ratio of 1:16 in X holding and staging cells. See regulation for calculations of urinal substitutions. Washbasins (3.2) Provide hot and cold or tempered water; provided at a ratio of 1:16 in holding and staging cells. See X regulation for calculations of washbasin trough substitutions. Drinking Fountains (3.3) 2-99: Available in each temporary holding, staging and X sobering cell. Water outlet (bubbler) is mechanically actuated and at an angle that prevents wastewater from flowing over the outlet (bubbler); there is a mouth guard on the X water outlet (bubbler). 2-99: Mouth guard requirement deleted Showers (3.4) (NA in CH) Available in the security area; provide hot and cold or tempered water; shower stalls/areas are designed and X constructed of materials that are impervious to water and soap so that they may be easily cleaned. Beds/Bunks (3.5) At least 30 inches wide and 76 inches long with 21 inches between pans; constructed of pan bottom type X or concrete; securely fastened to the floor and/or wall in facilities higher than minimum security. Lighting (3.6) Lighting is centrally controlled and/or Lighting is sufficient to permit easy reading by a occupant-controlled in housing cells or X person with normal vision, night lighting is sufficient for rooms. Light fixtures are of secure design. purposes of supervision. Windows (3.7) Windows that are accessible to inmates are no greater X than 5 inches in on dimension. 4465 San Diego SHRF Poway Station THJ CI PHY 25-26 - 2 - A382 PHY CH-TH 94 99 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Cell Padding (3.8) No padded cells. The floors and partition are padded in detoxification cells. In safety cells, floors, doors, walls and everything on them are padded. All padded cells are X equipped with an tamper resistant fire sprinkler approved by the SFM. Mirrors/Shelves/Clothes Hooks (3.9) A mirror of a material appropriate to the level of X security is provided near each washbasin. Consistent with security needs, shelves and clothes hooks are provided wherever feasible. X 2-99: Requirement for shelves and hooks deleted Clothes hooks are of a collapsible hook type X 2-99: Requirement for hooks deleted Seating (3.10) Seating is designed to the level of security. When bench seating is used, eighteen inches of bench are X provided per inmate. 2-99: In holding and staging cells, seating is securely fastened to the wall and/or floor. Weapons Locker (3.12) A secure weapons locker is located outside the security perimeter of the facility and no weapons are X brought into the security area. Lockers have individual compartments, locks and keys. Design Requirements (102(c)6) Design requirements as specified in Title 24, Part 1, 102(c)6 are met. (See regulation for specific X requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 4465 San Diego SHRF Poway Station THJ CI PHY 25-26 - 3 - A382 PHY CH-TH 94 99 01.dot (03/01) BOARD OF STATE AND COMMUNITY CORRECTIONS - BIENNIAL INSPECTION ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION BSCC Code: 4465 FACILITY: Poway Station TYPE: THJ RC: (8) FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/2026 ROOMS EACH ROOM EACH CELL FIXTURES* Cell Applicable # DIMENSIONS Location Total RC Type Standards Cells (L x W x H) # Beds RC T U W F S 2 Holding 1994 1 0 (2) (2) 6.1 x 7.1 x 8 1 1 1 Note: 4 ft. bench. Formally named Middle Holding, the cell is now numbered as #2. 3 Holding 1994 1 0 (4) (4) 7.1 x 7.1 x 8 1 1 1 Note: 7 ft. bench; no toilet and drinking fountain. Formally named Right, the cell is now numbered as #3. 1 Holding 1994 1 0 (2) (2) 7.5 x 9 x 8 1 1 1 Note: 3 ft. bench. ADA cell. Formally named Left, the cell is now numbered as #1. Note: Bench space limits the rated capacity of each cell. All cells have combo units. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 4465 San Diego SHRF Poway THJ CI LASE 25-26E 25-26 - 1 - A360 LAS Adult.dot (9/98) TEMPORARY HOLDING FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4468 FACILITY NAME: Fallbrook Substation FACILITY TYPE: THJ PERSON(S) INTERVIEWED: Sgt. Anderson, Sgt. Scroggins FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/26 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1024 COURT HOLDING AND TEMPORARY The BSCC Standards and Training for HOLDING FACILITY TRAINING Corrections (STC) division found the agency in compliance with applicable regulations At a minimum, all supervisors of and personnel who during the 23-24 compliance monitoring supervise incarcerated persons in, a Court Holding or cycle. Temporary Holding facility shall complete eight hours of specialized corrections training. Such training shall San Diego County has a Training Department include, but not be limited to: that maintains training records for each (a) applicable minimum jail standards; employee. (b) jail operations liability; (c) separation of incarcerated persons; (d) emergency procedures and planning, fire and life ☒ ☐ ☐ PM 10.1 Orientation Phase Training safety; and; PM 2.55 Non-Biased Based Policing (e) suicide prevention; (f) de-escalation; (g) juvenile procedures; (h) racial bias; and, (i) mental illness. Note: Each agency shall determine if additional training is needed based upon, but not limited to, the complexity of the facility, the number of people incarcerated, the employees' level of experience and training, and other relevant factors. Such training shall be completed as soon as practical, but Deputies are trained upon assignment to this in any event not more than six months after the date of facility. assigned responsibility. Successful completion of Core ☒ ☐ ☐ training or supplemental Core training, pursuant to Section 1020, Corrections Officer Core Course, may be substituted for the initial eight hours of training. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 A total of eight hours of refresher training shall be PM 10.6 Continual Professional Training – completed every two years. Successful completion of the Sworn requirements in Section 1025, Continuing Professional Training may be substituted for the eight-hour refresher. A Training Completion Report and Training Attendance Rosters were reviewed for this ☒ ☐ ☐ inspection. Topics included, but not limited to, Temporary Holding Cell, Strategic Communication, Promoting Compassion in Detention Facilities, Crisis Screening, and patrol-related topics. 1027 NUMBER OF PERSONNEL C.1. Minimum Staffing A sufficient number of personnel shall be employed in ☒ ☐ ☐ each local detention facility to ensure the implementation and operation of the programs and activities required by these regulations. Whenever there is a person in custody, there shall be at Staff are present whenever an arrestee is in a least one employee on duty at all times in a local holding cell. detention facility or in the building which houses a local ☒ ☐ ☐ detention facility who shall be immediately available and accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which Staff maintains supervision of the arrestee would conflict with the supervision and care of ☒ ☐ ☐ while in the station. incarcerated people in the event of an emergency. Whenever one or more females are in custody, there Staffing for the facility is comprised of several shall be at least one female employee who shall be teams. Each team has female staff members ☒ ☐ ☐ immediately available and accessible to such females. who can be immediately available. Note: Reference PC § 4021. In order to determine if there is a sufficient number of The Sheriff’s Office ensures there is sufficient personnel for a specific facility, the facility administrator staffing to cover all required needs. An shall prepare and retain a staffing plan indicating the Employee Roster was provided for review. personnel assigned in the facility and their duties. Such a Deputies are assigned to one of four teams, ☒ ☐ ☐ staffing plan shall be reviewed by the Board staff at the ensuring 24/7 coverage. time of their biennial inspection. The results of such a review and recommendations shall be reported to the local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS I.64 Safety Checks: Inmates, Housing and Holding Areas The facility administrator shall develop and implement policy and procedures for conducting safety checks that Each arrestee has completed a Temporary include, but are not limited to, the following: ☒ ☐ ☐ Holding Cell Checklist which includes medical (a) Safety checks will determine the safety and well-being questions, cell placement, charges, and of individuals and shall be conducted at least hourly safety check documentation. Also included is through direct visual observation of all people held and the time of removal from the facility. housed in the facility. (b) There shall be no more than a 60-minute lapse When an arrestee is in the facility safety between safety checks. ☒ ☐ ☐ checks are conducted within 15 minutes of the previous check. (c) Safety checks for people in sobering cells, safety cells, No safety or sobering cells at this facility. and restraints shall occur more frequently as outlined in ☐ ☐ ☒ section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied No regular pattern was discovered when ☒ ☐ ☐ intervals. reviewing safety check documentation. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) There shall be a written plan that includes the The date and time of each safety check are documentation of all safety checks. Documentation shall identified in the observation reports. include: ☒ ☐ ☐ (1) the actual time at which each individual safety check occurred; (2) the location where each individual safety check This facility has three holding cells. When a occurred, such as a cell, module, or dormitory safety check is completed, it includes number; and, observing arrestees in their cell and ☒ ☐ ☐ documented on the Temporary Holding Cell Checklist. Two months (November & December) of safety check documentation were reviewed for this inspection. (3) Initials or employee identification number of staff This is included in the observation report. ☒ ☐ ☐ who completed the safety check(s). (f) A documented process by which safety checks are A supervisor reviews the previous day’s reviewed at regular defined intervals by a supervisor or documentation and indicates their body facility manager, including methods of mitigating patterns ☒ ☐ ☐ number and signature at the bottom of the of inconsistent documentation, or untimely completion of, page. safety checks. 1028 FIRE AND LIFE SAFETY STAFF H.1 Fire Procedures M.5 Medical Emergencies (a) Whenever there is a person in custody, there shall be M.6 Life Threatening Emergencies: Code ☒ ☐ ☐ at least one person on duty at all times who meets the Blue training standards established by the Board for general M.34 Personal Protective Equipment (PPE) fire and life safety. [Penal Code section 6030(c)]. The facility manager shall ensure that there is at least one Prior to being assigned to work at a facility, person on duty who trained in fire and life safety staff members are trained in fire and life procedures that relate specifically to the facility. ☒ ☐ ☐ safety. Upon transfer to a new facility, staff members are trained in the procedures specific to that facility. (b) The facility administrator, in conjunction with the The Training Bureau provided a Line-Up health authority, shall develop and implement policies Training, Response to Life-Threatening and and procedures consistent with the requirements of Penal Medical Emergencies, Topic #22, where staff Code Section 6048(b) that require correctional officers had to verify that they completed the training ☒ ☐ ☐ certified in cardiopulmonary resuscitation (CPR) to begin activity. This training included identification of CPR on a nonresponsive person without obtaining agency policies and the use of CPR, and approval from supervisors or medical staff, when it is safe when available, an AED. and appropriate to do so. These policies shall cover the following key elements: PM 10.2 First Aid and CPR Training ☒ ☐ ☐ (1) Acceptable CPR methods and application. Staff are trained every two years. (2) Correctional officers shall be certified in CPR and a Staff receive a CPR certification card. This copy of the certification shall be on file in the facility or at agency also maintains records to identify a central location and available for review. ☒ ☐ ☐ when training is needed. This facility is staffed with law enforcement deputies and not detention deputies. (3) Correctional officers shall immediately summon A Training Bulletin, “Initiating a 911 medical aid when a person is identified as nonresponsive Response,” identifies that facility staff are and shall administer CPR unless the correctional officer ☒ ☐ ☐ expected to provide emergency medical care is aware of a known medical condition(s) that would shall be provided with efficiency and speedily contraindicate its use. without compromising security. (4) Correctional officers shall use personal protective This is included in policy M.34 equipment when administering CPR whenever possible ☒ ☐ ☐ to reduce exposure to bodily fluids or bloodborne pathogens that may contain disease-causing agents. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) If an imminent physical danger prevents a Staff members are trained that CPR is only correctional officer from safely administering CPR, they performed when safety and security are not shall begin or resume CPR as soon as the threat has compromised ☒ ☐ ☐ passed, or the nonresponsive person has been safely removed from danger, provided medical aid has not yet arrived. (6) The correctional officer shall continue administering Basic life supporting care is continued until CPR, absent imminent physical danger, until the paramedics or medical personnel arrive and nonresponsive person shows obvious signs of life, such assume care. ☒ ☐ ☐ as normal breathing or physical or verbal responses, or until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative This facility does not maintain medical staff. medical responders are present when a person is However, if there is a need for EMS, ☒ ☐ ☐ identified as nonresponsive, correctional officers shall paramedics assume CPR. defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL3 San Diego County Sheriff’s Office Detention Services Bureau – Manual of Policies and Facility administrator(s) shall develop and publish a Procedures. manual of policy and procedures for the facility. The policy and procedures manual shall address all San Diego County Sheriff’s Office Policy applicable Title 15 and Title 24 regulations and shall be Manual (PM) comprehensively reviewed and updated at least every ☒ ☐ ☐ two years. Such a manual shall be made available to all employees. The policy manuals are updated on an as- Notes: The policies and procedures required in needed basis several times per year. subsections (a)(6) and (a)(7) may be placed in a However, all policy manuals are reviewed separate manual to ensure confidentiality. annually. Subsections (c) and (d) do not apply and have been deleted. (a) The manual for Temporary Holding, Type I, II, and III A.3 Table of Organization facilities shall provide for, but not be limited to, the following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility B.38 Facility Inspections ☒ ☐ ☐ administrator/manager. PM 1.8 Facility Appearance and Maintenance (3) Policy on the use of force that meets current state PM 11.1 Use of Force Guidelines and federal legal requirements and includes ☒ ☐ ☐ prohibition of the use of carotid restraint and choke This pertains to all staff. holds. (4) Policy on the use of restraint equipment, including I.93 Use of Restraint Equipment the restraint of pregnant persons as referenced in ☒ ☐ ☐ M.38 Pregnant Incarcerated Persons Penal Code Section 3407. (5) Procedure and criteria for screening newly M.38 Pregnant Incarcerated Persons received persons for release. ☒ ☐ ☐ Q.77 Permissive Release of Pre-arraignment Misdemeanor Incarcerated Persons 3 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) Security and control including physical counts and H.2 Facility Emergency Operations Manual searches of the facility and incarcerated persons, I.16 Facility Security-Screenings of Persons contraband control, and key control. Entering a Detention Facility or Support Each facility administrator shall, at least annually, Facility review, evaluate, and make a record of security I.25 Key Control measures. The review and evaluation shall include I-41 Cell Searches of Incarcerated Persons internal and external security measures of the facility I.43 Count Procedures of Incarcerated including security measures specific to prevention of Persons sexual abuse and sexual harassment. I.52 Strip and Pat Down Searches of ☒ ☐ ☐ Incarcerated Persons I.61 Facility Security – Central Control F.16 Sexual Misconduct Case Assignments & Investigations I.66 Facility Security/Physical Security A daily safety and security inspection is conducted. The prevention of sexual abuse and harassment is conducted yearly, and the policy is updated, if needed. (7) Emergency procedures include: H.1 Fire Procedures (A) fire suppression preplan as required by ☒ ☐ ☐ section 1032 of these regulations; (B) escape, disturbances, and the taking of I.43 County Procedures for Incarcerated hostages; Persons D.15 Training in Emergency Plans and Critical Incidents H.2 Facility Emergency Operations Manual ☒ ☐ ☐ I.5 Emergency Escape Procedures of Incarcerated Persons I.7 Riot and Disorder Policy I.3 Hostage Policy PM 6.58 Prisoner Escapes PM 9.3 Crisis Negotiation (C) mass arrests; ☒ ☐ ☐ H.14 Mobile Booking (D) natural disasters; ☒ ☐ ☐ H.2 Facility Emergency Operations Manual (E) periodic testing of emergency equipment; and ☒ ☐ ☐ I.1 Emergency Alarm Systems (F) storage, issue, and use of weapons, B. 38 Facility Inspections ammunition, chemical agents, and related H.11 Storage and Use of Toxic, Caustic security devices. ☒ ☐ ☐ Materials I.69 Facility Security-Weapons PM 6.66 Chemical Agents Policy (8) Suicide Prevention. J.5 Suicide Prevention Practices Incarcerated Persons & Detentions Safety Program ☒ ☐ ☐ M.4 Suicide Prevention and Focused Response Team (9) Separation of incarcerated persons. J.3 Separation: Definition and Use ☒ ☐ ☐ R.1 Incarcerated Person Classification (10) Zero tolerance in the prevention of sexual abuse D.13 In-Service Training and sexual harassment. ☒ ☐ ☐ F.16 Sexual Misconduct Case Assignment & Investigations 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (11) Policy and procedure to detect, prevent, and F.16 Sexual Misconduct Case Assignment & respond to retaliation against any staff or person after Investigations reporting any abuse. PM 6.127 Prison Rape Elimination Act ☒ ☐ ☐ The policy manual identifies how personnel and incarcerated persons can report instances of sexual abuse, harassment, and retaliation. (12) Release policy, including release planning for Incarcerated persons are not held long incarcerated persons. ☐ ☐ ☒ enough to formulate a release plan from this facility. (e) The manual for Temporary Holding, Court Holding, The San Diego County Sheriff’s Office Type I, II, III, and IV facilities shall provide for, but not be website provides informational pamphlets on limited to, the following: how to report instances of sexual (1) multiple internal ways for incarcerated people to abuse/harassment. Informational posters are privately report sexual abuse and sexual displayed on the walls informing arrestees of ☒ ☐ ☐ harassment, retaliation by other incarcerated how to report. persons or staff for reporting sexual abuse and sexual harassment, and staff neglect or violation of responsibilities that may have contributed to such incidents, (2) a method for uninvolved incarcerated persons, Information on reporting sexual assault, family, community members, and other interested harassment, and misconduct is available on third parties to report sexual abuse or sexual the agency website. harassment. The method for reporting shall be ☒ ☐ ☐ publicly posted at the facility. The lobby of the substation has an informational poster identifying reporting methods. 1030 SUICIDE PREVENTION PROGRAM J.5 Inmate Suicide Prevention Practices & Inmate Safety Program The facility shall have a comprehensive written suicide prevention program developed by the facility administrator or designee, in conjunction with the health ☒ ☐ ☐ authority and mental health director, to identify, monitor, and provide treatment to those incarcerated persons who present a suicide risk. The program shall include the following: (a) Annual suicide prevention training for all custodial The training is conducted annually on an personnel. ongoing basis. The training team determines ☒ ☐ ☐ when it is time for each person to attend training (b) Intake screening for suicide risk immediately upon PM 6.13 Inmate Intake Form intake and prior to housing assignment. ☒ ☐ ☐ A suicide assessment is conducted at intake. (c) Suicide prevention screening during special Arrestees do not stay at this facility and are situations, including placement in restrictive housing, transferred to another facility if they are to ☒ ☐ ☐ following a hearing, and after a transfer or change in remain in custody and are suicidal. classification. (d) Provisions facilitating communication among I.96 Providing Assistance to arresting/transporting officers, facility staff, court staff, Arresting/Transporting Officer ☒ ☐ ☐ medical and mental health personnel in relation to suicide risk. (e) Housing recommendations for people at risk of suicide Active suicidal incarcerated persons are not that balance safety and environment. The least restrictive ☒ ☐ ☐ accepted at this facility and are transported to environment should be considered. either the hospital or the jail. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) Supervision depending on level of suicide risk. Should a person become suicidal while at this facility, additional observation checks are ☒ ☐ ☐ made until transport to another facility can be arranged. (g) Suicide attempt and suicide intervention policies and Suicide intervention policies are part of the ☒ ☐ ☐ procedures. detentions manual (h) Provisions for reporting suicides and suicides Reports are written for actual or attempted ☒ ☐ ☐ attempts. suicides and forwarded to NicheRMS A Critical Incident Review Board reviews (i) Multi-disciplinary administrative review of suicides and incidents and may prompt changes in attempted suicides as defined by the facility ☒ ☐ ☐ practices or policies. administrator, including the development of a corrective action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. Follow-up care for those suffering mental Note: Subsection (k) does not apply and has been ☒ ☐ ☐ health issues is provided at another facility deleted. 1032 FIRE SUPPRESSION PREPLANNING H.1 Fire Procedures H.7 Fire/Safety Inspections, Testing Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire Marshal, or both, in developing a plan for fire suppression which shall include, but not be limited to: (a) a fire suppression pre-plan developed with the local fire department to be included as part of the policy and ☒ ☐ ☐ procedures manual (Title 15, California Code of Regulations Section 1029); (b) monthly fire prevention inspections by facility staff with Verification was made that monthly fire two-year retention of the inspection record; prevention inspections are conducted and ☒ ☐ ☐ retained by the agency. These are identified as the Sheriff’s Department Physical Security Inspection Checklist. (c) fire prevention inspections as required by Health and The last fire inspection was completed on Safety Code Section 13146.1(a) and (b) which requires 1/22/2026 by the North County Fire ☒ ☐ ☐ inspections at least once every two years; Protection District . (d) an evacuation plan; and H.3 Evacuation Plans ☒ ☐ ☐ Each facility has a Site Evacuation Plan (SEP) and a Fire Safety Plan. This facility’s plan was last updated 07/24/24. (e) a plan for the emergency housing of incarcerated Determined at the time, and need for ☒ ☐ ☐ people in the case of fire. emergency housing. 1044 INCIDENT REPORTS F.5 Incarcerated Person Incident Reports (JIMS) Each facility administrator shall develop written policies F.9 Crime Reports and Major Incident and procedures for the maintenance of written records Documentation ☒ ☐ ☐ and reporting of all incidents which result in physical PM 6.71 Crime Case Reports harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other Incident records are maintained in the Jail person. Information Management System (JIMS). Such records shall include the names of the persons Records are attached to each involved involved, a description of the incident, the actions taken, incarcerated person and include the type of ☒ ☐ ☐ and the date and time of the occurrence. incident, those involved, actions taken, and the date/time of occurrence. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 7 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Such a written record shall be prepared by the staff No reports regarding incarcerated persons assigned to investigate the incident and submitted to the ☒ ☐ ☐ emanated from this facility. facility manager or designee. 1046 DEATH IN CUSTODY M.7 Incarcerated Person Deaths PM 6.5 Unusual Incident, Death, and Serious (a) The facility administrator shall develop written policy Injury Notification and procedures to comply with the in-custody death ☒ ☐ ☐ reporting requirements of Government Code section An In-Custody Death Advocate and 12525. The facility administrator shall submit a copy of Department Investigation Coordinator the report filed pursuant to section 12525 to the BSCC (ICDADIC) is responsible for submitting this within 10 days of an in-custody death. information. (b) The facility administrator, in cooperation with the The ICDADIC is the coordinator of the review health administrator, shall develop written policy and team. Members of the team include the procedures to conduct an initial review and complete a Medical Services Administrator, Chief written report of every in-custody death within 30 days of Medical Officer, other healthcare staff, and the death. The team that conducts the initial review shall ☒ ☐ ☐ the ICDADIC coordinator, among others. include, at a minimum, the facility administrator or designee, the health administrator, the responsible physician and other health care, and supervision staff who are relevant to the incident. Deaths shall be reviewed to determine the These occurrences are also investigated by appropriateness of clinical care; whether changes to the San Diego County CLERB (Citizens Law ☒ ☐ ☐ policies, procedures, or practices are warranted; and to Enforcement Review Board). identify issues that require further study. (c) The facility administrator shall submit a copy of the This is the responsibility of the ICDADIC. initial review report of every in-custody death to the BSCC within 60 days of the death. The facility administrator shall ☒ ☐ ☐ provide a copy of the initial review report that comports with the disclosure requirements of section 832.10 of the Penal Code. The initial review report shall contain the following The reports written for an In-Custody Death at information: a substation include all the items listed in this (1) Demographic information subsection. (A) Full name of the decedent (B) Date of birth (C) Date of death (D) Time of death (E) Gender (F) Race and ethnicity (G) Relevant medical history ☒ ☐ ☐ (2) Facility Information (A) Name and location of the detention facility (B) Description of the location where the death occurred within the facility (C) Date and time of the incident (D) Detention facility personnel (including names and roles) involved in the reporting of the death or incident (3) Any relevant circumstances leading up to death, including behavioral health or medical issues. (d) In any case in which a minor dies while detained in a jail, lockup, or court holding facility the BSCC may inspect and evaluate the jail, lockup, or court holding facility pursuant to the provisions of this subchapter within 30 calendar days of the death. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 8 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1050 CLASSIFICATION PLAN R.1 Incarcerated Person Classification R.3 Incarcerated Person Classification Code (a) Each administrator of a temporary holding, Type I, II, – Descriptor Definitions or III facility shall develop and implement a written classification plan designed to properly assign incarcerated persons to housing units and activities There are three holding cells used for according to the categories of gender identity, age, arrestees at this facility. Incarcerated persons criminal sophistication, seriousness of crime charged, are only held for a short time at this facility. physical or mental health needs, assaultive/non- assaultive behavior, risk of being sexually abused, or San Diego County Sheriff’s Office has a sexually harassed and other criteria which will provide for Booking Acceptance Criteria document, the safety of the incarcerated people and staff. Such which identifies the types of bookings that can ☒ ☐ ☐ housing unit assignment shall be accomplished to the be accepted. extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, There are no programs available at this the agency shall consider on a case-by-case basis temporary holding facility. Care is taken to whether a placement would ensure the health and safety appropriately separate those who need of the incarcerated person, and whether the placement ☒ ☐ ☐ protection from others. would present management or security problems. A person’s own views with respect to their own safety shall be given serious consideration. 1051 COMMUNICABLE DISEASES M.9 Receiving Screening M.37 Standard Precautions and Infectious The facility administrator, in cooperation with the Agents/Communicable Disease Control responsible physician, shall develop written policies and ☒ ☐ ☐ PM 6.100 Bloodborne Pathogen Exposure/ procedures specifying those symptoms that require Control medical isolation of an incarcerated person until a medical evaluation is completed. At the time of intake into the facility, an inquiry shall be PM 6.13 Inmate Intake Form made of the person being booked as to whether the person has or has had any communicable diseases, such An initial medical screening takes place at the as tuberculosis or has observable symptoms of time of reception. Incarcerated persons who ☒ ☐ ☐ tuberculosis or any other communicable diseases, or have any type of medical issues are other special medical problem identified by the health transported directly to the jail. authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION M.2 Requests for Medical Information J.5 Suicide Prevention Practices for The facility administrator, in cooperation with the Incarcerated Persons & Detentions Safety responsible physician, shall develop written policies and ☒ ☐ ☐ Program procedures to identify and evaluate all incarcerated J.7 Emergency Transportation of people who may be in behavioral crisis. Evaluation of Incarcerated Persons with Mental Health behavioral crisis may include telehealth. Needs If an evaluation from medical or mental health staff is not Arrestees suffering from an active behavioral readily available, an incarcerated person shall be crisis episode are not accepted at this facility. considered in behavioral crisis for the purpose of this ☒ ☐ ☐ Instead, they are transported to the hospital section if they appear to be a danger to themselves or or jail. others or appear gravely disabled. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 9 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 An evaluation from medical or mental health staff shall be This is done when booked into the jail. secured within 24 hours of identification or at the next ☒ ☐ ☐ daily sick call, whichever is earliest. Separation may be used if necessary, to protect the Staff verified that this occurs whenever ☒ ☐ ☐ safety of the person in crisis or others. possible. 1053 ADMINISTRATIVE SEPARATION J.3 Separation: Definition and Use R.1 Incarcerated Person Classification ☒ ☐ ☐ Except for Type IV facilities, facility administrators shall develop and implement policies and procedures for the administrative separation of incarcerated people. Policies and procedures must include: There are no administrative separation cells (a) Administrative separation may consist of separate at this facility. All cells are designed the housing but shall not involve any other deprivation of same. privileges than is necessary to obtain the objective of protecting the welfare of incarcerated people and facility ☐ ☐ ☒ staff. Note: Subsections (b) through (e) do not apply and have been deleted. 1055 USE OF SAFETY CELL There is no safety cell at this facility. The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who ☐ ☐ ☒ display behavior which results in the destruction of property or reveals an intent to cause physical harm to self or others. The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures governing safety cell use and may delegate ☐ ☐ ☒ authority to place an incarcerated person in a safety cell to a physician. Policies and procedures shall include, but not be limited to: (a) In no case shall the safety cell be used for punishment ☐ ☐ ☒ or as a substitute for treatment. (b) A person shall be placed in a safety cell only with the approval of the facility manager or designee, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every four hours. (c) A medical assessment shall be completed as soon as possible, but not more than 12 hours from the time of placement in the safety cell. The person shall be ☐ ☐ ☒ medically cleared for continued retention, referral to advanced treatment, or removal from the safety cell a minimum of every 24 hours thereafter. (d) The facility manager, designee or responsible health care staff shall obtain a mental health opinion/consultation with responsible health care staff on ☐ ☐ ☒ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least twice every 30 minutes, with no more than a 15-minute ☐ ☐ ☒ lapse between safety checks. Such observation shall be documented. (f) Procedures shall be established to assure ☐ ☐ ☒ administration of necessary nutrition and fluids. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 0 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) People placed in the safety cell shall be allowed to retain sufficient clothing or be provided with a suitably designed “safety garment,” to provide for their personal ☐ ☐ ☒ privacy unless specific identifiable risks to the person's safety or to the security of the facility are documented. 1056 USE OF SOBERING CELL There is no sobering cell at this facility. The sobering cell described in Title 24, Part 2, Section ☐ ☐ ☒ 1231.2.4, shall be used for temporary holding of incarcerated people who are a threat to their own safety or the safety of others due to their state of intoxication. A person shall be removed from the sobering cell as soon as they are able to continue the admission process or are ☐ ☐ ☒ no longer a risk to themselves or others. In no case shall a person remain in a sobering cell over six hours without an evaluation by medical or custody staff to determine whether the person has an urgent ☐ ☐ ☒ medical problem, pursuant to section 1213 of these regulations. At 12 hours from the time of placement, all persons must ☐ ☐ ☒ receive an evaluation by responsible health care staff. Intermittent direct visual observation of people held in the sobering cell shall be conducted no less than every half ☐ ☐ ☒ hour. Such observation shall be documented. 1057 DEVELOPMENTAL DISABILITIES M.9 Receiving Screening J. Separation: Definition and Use The facility administrator, in cooperation with the responsible physician, shall develop written policies and There are no medical staff at this facility. procedures for the identification and evaluation, ☒ ☐ ☐ Arrestees that present themselves as having appropriate classification and housing, protection, and developmental disabilities may be accepted nondiscrimination of all incarcerated persons with at this facility. If not accepted, the person is developmental disabilities. transported to the jail for booking, or the hospital. The health authority or designee shall contact the This is done at the larger jail facility. regional center for any incarcerated person suspected or confirmed to have a developmental disability for the ☒ ☐ ☐ purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. 1058 USE OF RESTRAINT DEVICES I.93 Restraint Devices The facility administrator, in cooperation with the responsible physician, shall develop and implement Compliance is based upon policy. The use of written policies and procedures for the use of restraint the WRAP at this facility is only done for devices. Restraint devices include any devices which transport purposes, if needed, and is not used immobilize extremities or prevent the incarcerated person ☒ ☐ ☐ to hold incarcerated persons in this facility. from being ambulatory. The provisions of this section do not apply to the use of handcuffs, shackles, or other restraint devices when used to restrain incarcerated people for security reasons. The facility manager may delegate authority to place an incarcerated person in restraints to responsible health care staff. (a) The policy shall address the following areas: The WRAP. ☒ ☐ ☐ (1) acceptable restraint devices; (2) signs or symptoms which should result in immediate medical/mental health referral; availability ☐ ☐ ☒ of cardiopulmonary resuscitation equipment; 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) protective housing of restrained persons; ☐ ☐ ☒ (4) provision for hydration and sanitation needs; and, ☐ ☐ ☒ (5) exercising of extremities. ☐ ☐ ☒ (b) Policy shall also include, but not be limited to, the following requirements: ☐ ☐ ☒ (1) In no case shall restraints be used for punishment or as a substitute for treatment. (2) Restraint devices shall only be used on incarcerated people who display behavior which ☐ ☐ ☒ results in the destruction of property or reveal an intent to cause physical harm to self or others. (3) Restraint devices should be used only when less restrictive alternatives, including verbal de-escalation ☐ ☐ ☒ techniques, have been attempted and are deemed ineffective. (4) An incarcerated person shall be placed in restraints only with the approval of the facility manager, the facility watch commander, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every hour. (5) Continuous direct visual observation shall be ☐ ☐ ☒ maintained until a medical opinion can be obtained. (6) A medical opinion on placement and retention shall be secured within one hour from the time of ☐ ☐ ☒ placement. (7) A medical assessment shall be completed within ☐ ☐ ☒ four hours of placement. (8) Continuous direct visual observation shall be conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to ensure the safety and well-being of the incarcerated person. Such observation shall be documented. ☐ ☐ ☒ While in restraint devices all incarcerated persons shall be housed alone or in a specified housing area which makes provisions to protect the person from abuse. (9) If the facility manager, or designee, in consultation with responsible health care staff determines that an incarcerated person cannot be safely removed from ☐ ☐ ☒ restraints after eight hours, the person shall be taken to a medical facility for further evaluation. (10) Where applicable, the facility manager shall use the restraint device manufacturer’s recommended ☐ ☐ ☒ maximum time limits for placement. (11) All events and information related to the placement in restraints shall be documented and shall be video recorded unless exigent circumstances prevent staff from doing so. The documentation shall ☐ ☐ ☒ include: the reason for placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1058.5 RESTRAINTS AND PREGNANT PERSONS M.38 Pregnant Incarcerated Persons The facility administrator, in cooperation with the responsible physician, shall develop written policies and ☒ ☐ ☐ procedures for the use of restraint devices on pregnant people. In accordance with Penal Code Section 3407, the policy shall include reference to the following: (1) An incarcerated person known to be pregnant or Pregnant persons are only handcuffed in the in recovery after delivery or termination of the front of the body, not behind. ☒ ☐ ☐ pregnancy shall not be restrained by the use of leg or waist restraints, or handcuffs behind the body. (2) An incarcerated pregnant person in labor, during Verified by policy and interview. delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ☒ ☐ ☐ ankles, or both, unless deemed necessary for the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional Verified by policy and interview. who is currently responsible for the medical care of an incarcerated pregnant person during a medical ☒ ☐ ☐ emergency, labor, delivery, or recovery after delivery or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s Pregnancy tests are offered within 72 hours pregnancy, they shall be advised, orally or in writing, of arrival at the larger jail facility. ☒ ☐ ☐ of the standards and policies governing incarcerated pregnant people. 1067 ACCESS TO TELEPHONE P.2 Telephone Access The facility administrator shall develop written policies Telephones are accessible at the time of and procedures which allow access to a telephone or reception. communication device beyond those telephone calls which are required by Section 851.5 of the Penal Code. Individuals who are known to have, or are perceived by Video Relay Service (VRS), Captioned others as having hearing or speech impairments shall be ☒ ☐ ☐ Telephone Service (CTS), TDD, TTY, and provided access to the appropriate telecommunication Telephone Relay Service (TRS) are also device which will facilitate communication. Such devices available for those with hearing impairments. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 1068 ACCESS TO COURTS AND COUNSEL N.5 Access to Courts / Attorneys / Legal Advice The facility administrator shall develop written policies ☒ ☐ ☐ and procedures to ensure incarcerated persons have access to the court and to legal counsel. Such access shall consist of: (b) confidential consultation with attorneys. ☒ ☐ ☐ This is in-person and by telephone. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1080 RULES AND DISCIPLINARY ACTIONS Discipline is not administered at this facility. Wherever discipline is administered, each facility administrator shall establish written rules and disciplinary actions to guide the conduct of incarcerated persons. ☐ ☐ ☒ Notes: If discipline IS NOT administered, written policy should indicate as such. If discipline IS administered, Sections 1080, 1081, 1082, 1083 and 1084 apply. Such rules and disciplinary actions shall be stated simply and affirmatively and posted conspicuously in housing ☐ ☐ ☒ units and the booking area or issued to each person upon booking. For those individuals with limited literacy, who are unable to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them ☐ ☐ ☒ verbally or provide them with material in an understandable form regarding jail rules and disciplinary procedures and actions. 1081 PLAN FOR DISCIPLINE OF INCARCERATED Discipline is not administered at this facility. PERSONS Each facility administrator shall develop written policies and procedures for discipline of incarcerated persons. The plan shall include, but not be limited to, the following elements: ☐ ☐ ☒ (a) Temporary Loss of Privileges: For minor acts of non- conformance or minor violations of facility rules, staff may impose a temporary loss of privileges, such as access to television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation and supervisory approval. (b) Disciplinary Actions: Major violations of facility rules or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing ☐ ☐ ☒ by the staff member observing the act and submitted to the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Loss of good time/work time. ☐ ☐ ☒ 2. Placement in disciplinary separation. ☐ ☐ ☒ 3. Loss of privileges mandated by regulations. ☐ ☐ ☒ A staff member with investigative and disciplinary authority shall be designated as a disciplinary officer to ☐ ☐ ☒ impose such consequences. Staff shall not participate in disciplinary review if they are ☐ ☐ ☒ involved in the charges. Such charges pending against an incarcerated person shall be acted on with the following provisions and within specified timeframes: ☐ ☐ ☒ 1. A copy of the report, or a separate written notice of the violation(s), shall be provided to the incarcerated person. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 2. Unless declined by the incarcerated person, a hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been ☐ ☐ ☒ informed of the charges in writing. The hearing may be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The ☐ ☐ ☒ incarcerated person shall have access to staff or assistance when they have limited literacy, or the issues are complex. 4. A charge(s) shall be acted on no later than 72 hours after an incarcerated person has been ☐ ☐ ☒ informed of the charge(s) in writing. 5. Subsequent to final disposition of disciplinary charges by the disciplinary officer, the charges and ☐ ☐ ☒ the action taken shall be reviewed by the facility manager or designee. 6. The incarcerated person shall be advised in a written statement by the fact-finders about the evidence relied on and the reasons for the ☐ ☐ ☒ disciplinary action. A copy of the record shall be kept pursuant to Penal Code Section 4019.5. 7. There shall be a policy of review and appeal to a ☐ ☐ ☒ supervisor on all disciplinary action. 1082 FORMS OF DISCIPLINE Discipline is not administered at this facility. The degree of actions taken by the disciplinary officer shall be directly related to the severity of the rule infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of discipline shall consist of, but not be limited to, the following: (a) Loss of privileges. ☐ ☐ ☒ (b) Extra work detail. (c) Short term lockdown for less than 24 hours. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal Code Section 4019. (f) Forfeiture of “work time” credits earned under Penal Code Section 4019. (g) Disciplinary separation. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS Discipline is not administered at this facility. The Penal Code and the State Constitution expressly prohibit all cruel and unusual punishment. Disciplinary actions shall not include corporal punishment, group punishment when feasible, or physical or psychological degradation. ☐ ☐ ☒ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) If a person is on disciplinary separation status for 30 consecutive days there shall be a review by the facility manager before the disciplinary separation status is continued. This review shall include a ☐ ☐ ☒ consultation with health care staff. Such reviews shall continue at least every fifteen days thereafter until the disciplinary status has ended. This review shall be documented. (2) The disciplinary separation cells or cell shall have the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be issued clothing and bedding as specified in Articles 13 and 14 of these regulations and shall not be deprived of them through any portion of the day ☐ ☐ ☒ except that those incarcerated persons who engage in the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a person of such articles of clothing and bedding shall be reviewed by the facility manager or designee during each 24-hour period. (3) If after placement in separation, mental health or medical staff determine that an individual has serious mental illness or an intellectual disability, they shall ☐ ☐ ☒ be removed from disciplinary separation immediately upon this determination. (b) The delegation of authority to any incarcerated person or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group ☐ ☐ ☒ of incarcerated people. Note: PC § 4019.5. (c) In no case shall a safety cell, as specified in Title 24, Part 2, 1231.2.5, or any restraint device be used for ☐ ☐ ☒ disciplinary purposes. (d) No incarcerated person may be deprived of the implements necessary to maintain an acceptable level of ☐ ☐ ☒ personal hygiene as specified in Section 1265 of these regulations. (e) Food shall not be withheld as a disciplinary measure. ☐ ☐ ☒ (f) Correspondence privileges shall not be withheld except in cases where the incarcerated person has violated correspondence regulations, in which case ☐ ☐ ☒ correspondence may be suspended for no longer than 72 hours, without the review and approval of the facility manager. (g) In no case shall access to courts and legal counsel be ☐ ☐ ☒ suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS Discipline is not administered at this facility. Penal Code Section 4019.5 requires that a record is kept ☐ ☐ ☒ of all disciplinary actions administered therefore. This requirement may be satisfied by retaining copies of rule violation reports and report of the disposition of each. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1270 STANDARD BEDDING AND LINEN ISSUE This is a temporary holding facility. Arrestees are held only a short time before transfer or The standard issue of clean suitable bedding and linens, release. However, blankets are available if for each incarcerated person entering a living area who is needed. ☒ ☐ ☐ expected to remain overnight, shall include, but not be limited to: (a) one serviceable mattress which meets the requirements of Section 1272 of these regulations; (b) one mattress cover or one sheet; ☐ ☐ ☒ (d) one blanket or more depending up on climatic ☐ ☐ ☒ conditions. Policy and procedure shall require that items (a), (b), and ☐ ☐ ☒ (d) above be provided prior to the first night in the facility. Two blankets or sleep bag may be issued in place of one mattress cover or one sheet at the request of the ☐ ☐ ☒ incarcerated person. Temporary Holding facilities which hold persons longer than 12 hours shall provide an incarcerated person with bedding and linen that meet the requirements of (a), (b) ☐ ☐ ☒ and (d) above prior to their first night in the facility and every night thereafter. 1280 FACILITY SANITATION, SAFETY, AND L.4 Housekeeping Plan MAINTENANCE PM 1.8 Facility Appearance and Maintenance The facility administrator shall develop written policies and procedures for the maintenance of an acceptable Each facility has a daily cleaning plan. ☒ ☐ ☐ level of cleanliness, repair, and safety throughout the facility. Such a plan shall provide for a regular schedule of housekeeping tasks and inspections to identify and correct unsanitary or unsafe conditions or work practices which may be found. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 7 of 21 A351 TH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? If YES, see remaining document for Title 15, Article 9 inspection. Penal Code Sections 6030 and 6031.4 require the biennial inspection of local detention facilities that hold minors in secure detention in the jail. Title 15, Article 9 According to policy, minors can be held in establishes the minimum standards of how facilities hold jail cells. On a practical level, this facility minors in temporary custody in the jail. ☒ tries to avoid using this type of secure ☐ ☐ detention. However, there was only one Facilities that do not hold minors in the jail cells are not instance of this occurring. subject to Title 15, Article 9 biennial inspections; however, if minors are held in the building, they may be subject to the requirements of Welfare and Institutions Code section 207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR PM 6.3 Juvenile Detention Procedures IN AN ADULT DETENTION FACILITY All Juvenile procedures are covered under The facility administrator shall develop policy and ☒ this policy and verified at the time of procedures for notification of the court of jurisdiction and ☐ ☐ inspection. All regulations identified below the parent, guardian, or person standing in loco are covered under this policy section. parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1142 WRITTEN POLICIES AND PROCEDURES PM 6.3 Juvenile Detention Procedures The facility administrator shall develop written policies ☒ and procedures concerning minors being held in ☐ ☐ temporary custody which shall address: (a) suicide risk and prevention; (b) use of restraints; ☒ ☐ ☐ (c) emergency medical assistance and services; and ☒ ☐ ☐ (d) prohibiting use of discipline. ☒ ☐ ☐ 1143 CARE OF MINORS IN TEMPORARY PM 6.3 Juvenile Detention Procedures CUSTODY ☒ ☐ (a) The following shall be made available to all minors ☐ held in temporary custody: (1) access to toilets and washing facilities; (2) one snack during term of temporary custody if Snacks are available. the minor has not eaten within the past four (4) ☒ hours or is otherwise in need of appropriate ☐ ☐ nourishment; (3) access to drinking water; ☒ ☐ ☐ (4) access to language services; ☒ ☐ ☐ (5) access to disabilities services; ☒ ☐ ☐ (6) sanitary napkins, panty liners, and tampons as ☒ requested; ☐ ☐ (7) privacy during consultation with family, guardian, ☒ and/or lawyer; ☐ ☐ (8) blankets and clothing, as necessary, to assure ☒ Blankets are available. the comfort of the minor; and ☐ ☐ 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 8 of 21 A351 TH PRO eff. 04.01.25 (9) personal clothing unless the clothing is inadequate, presents a health or safety problem, or ☒ ☐ ☐ is required to be utilized as evidence of an offense. (b) Upon entry, the minor shall be informed in writing of what is available under this section, and it shall be ☒ posted in at least one conspicuous place to which ☐ ☐ minors have access. 1144 CONTACT BETWEEN MINORS AND PM 6.3 Juvenile Detention Procedures INCARCERATED ADULTS ☒ The facility administrator shall establish policies and ☐ ☐ procedures to restrict contact, as defined in Section 1006, between minors and adults confined in the facility. In situations where brief or accidental contact may There is no contact between adults and occur, such as booking or facility movement, facility staff juveniles. (trained in the supervision of incarcerated people) shall ☒ ☐ ☐ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1145 DECISION ON SECURE CUSTODY PM 6.3 Juvenile Detention Procedures A minor who is taken into temporary custody by a peace officer on the basis that they are a person described by Section 602 of the Welfare and Institutions Code may be held in secure custody in a law enforcement facility that contains a lockup for adults if the minor is 14 years of age or older and if, in the reasonable belief of the peace officer, the minor presents a serious security risk of harm to self or others, as long as all other conditions of secure custody set forth in these standards are met. ☒ ☐ ☐ Any minor in temporary custody who is less than 14 years of age, or who does not in the reasonable belief of the peace officer present a serious security risk of harm to self or others, shall not be placed in secure custody, but may be kept in non-secure custody in the facility as long as all other conditions of non-secure custody set forth in these standards are met. Note: Minors in secure detention are 14 years of age or older. In making the determination whether the minor presents The arresting deputy determines all risk a serious security risk of harm to self or others, the ☒ factors identified in this regulation prior to officer may take into account the following factors: ☐ ☐ deciding on secure detention. (a) age, maturity, and delinquent history of the minor; (b) severity of the offense(s) for which the minor was ☒ taken into custody; ☐ ☐ (c) minor's behavior, including the degree to which the ☒ minor appears to be cooperative or non-cooperative; ☐ ☐ (d) the availability of staff to provide adequate ☒ supervision or protection of the minor; and ☐ ☐ (e) the age, type, and number of other individuals who ☒ are detained in the facility. ☐ ☐ 1146 CONDITIONS OF SECURE CUSTODY PM 6.3 Juvenile Detention Procedures While in secure custody, minors may be locked in a Factors are needed to determine secure room or other secure enclosure, secured to a cuffing rail, ☒ detention. ☐ ☐ or otherwise reasonably restrained as necessary to prevent escape and protect the minor and others from harm. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 1 9 of 21 A351 TH PRO eff. 04.01.25 1147 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY INSIDE A LOCKED ENCLOSURE (a) Minors shall receive adequate supervision which, at ☒ ☐ ☐ a minimum, includes: (1) constant auditory access to staff by the minor; and (2) safety checks, as defined in Section 1006, of the Safety checks are completed every 15 minor by staff of the law enforcement facility, at least ☒ minutes per agency policy. ☐ ☐ once every 30 minutes, which shall be documented. (b) Minors of different genders shall not be placed in the same locked room unless under constant direct visual ☒ ☐ ☐ observation by staff of the law enforcement facility. 1148 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY OUTSIDE OF A LOCKED ENCLOSURE Unless necessary, juveniles are usually not ☒ held in secure custody. Minors held in secure custody outside of a locked ☐ ☐ enclosure shall not be secured to a stationary object for more than 60 minutes unless no other locked enclosure is available. A staff person from the facility shall provide constant direct visual observation to assure the minor's safety ☒ ☐ ☐ while secured to a stationary object. Securing minors to a stationary object for longer than 60 minutes, and every 30 minutes thereafter, shall be ☒ ☐ ☐ approved by a supervisor. The decision for securing a minor to a stationary object for longer than 60 minutes, and every 30 minutes ☒ ☐ thereafter shall be based upon the best interests of the ☐ minor and shall be documented. 1149 CRITERIA FOR NON-SECURE CUSTODY PM 6.3 Juvenile Detention Procedures Minors held in temporary custody, who do not meet the criteria for secure custody as specified in Section 207.1(b) of the Welfare and Institutions Code, may be ☒ held in non- secure custody to investigate the case, ☐ ☐ facilitate release of the minor to a parent or guardian, or arrange for transfer of the minor to an appropriate juvenile facility. While minors are held in temporary non- secure custody the provisions of Section 1143 apply. 1150 SUPERVISION OF MINORS IN NON- PM 6.3 Juvenile Detention Procedures SECURE CUSTODY Non-secure custody is held in a separate Minors held in non-secure custody shall receive area and out of sight of the holding cells and constant direct visual observation by staff of the law ☒ in constant view of the arresting deputy. ☐ ☐ enforcement facility. Entry and release times shall be documented and made available for review. Monitoring a minor using audio, video, or other electronic devices shall never replace constant direct visual observation. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 2 0 of 21 A351 TH PRO eff. 04.01.25 1151 MINORS UNDER THE INFLUENCE OF ANY PM 6.3 Juvenile Detention Procedures INTOXICATING SUBSTANCE IN SECURE OR NON-SECURE CUSTODY Facility administrators shall develop policies and ☒ procedures providing that a medical clearance shall be ☐ ☐ obtained for minors who are under the influence of drugs, alcohol, or any other intoxicating substance to the extent that they are unable to care for themselves, prior to secure or non-secure custody of that minor. Supervision of minors in secure custody in a locked Both adult and juvenile safety checks are room shall include safety checks at least once every 15 completed every 15 minutes. minutes until resolution of the intoxicated state or ☒ ☐ ☐ release. These safety checks shall be documented, with actual time of occurrence recorded. Supervision of minors in secure custody outside of a locked room shall be supervised in accordance with ☒ ☐ ☐ Section 1148. Supervision of minors in nonsecure custody shall be Those held in nonsecure custody are under ☒ ☐ ☐ supervised in accordance with Section 1150. continual observation. 4468 San Diego SHRF Fallbrook Station THJ CI PRO 25-26 Page 2 1 of 21 A351 TH PRO eff. 04.01.25 ADULT COURT AND TEMPORARY HOLDING FACILITIES PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: 6/94; 2/99; 2001 BSCC Code: 4468 FACILITY NAME: Fallbrook Substation FACILITY TYPE: THJ APPLICABLE REGULATIONS (Check All That 6/94: 2/99: X 2001: OTHER: Apply): FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/2026 TITLE 24 SECTION YES NO N/A COMMENTS Reception and Booking (2.1) Contains a weapons locker, designed as outlined in X these regulations. Contains a cell or room for confinement pending X booking Contains a detoxification cell (WA in TH; NA in CH) No sobering cells. 01: Name changed to “sobering cell.” X 2-99: Two detoxification cells are provided if both male and female inmates are held. Contains safety cell(s) (WA in TH; NA in CH) X No safety cells. Shower room available 2-99: Access to shower must be within the secure X area Provides secure vault or storage for inmate valuables X Telephone(s) available for inmate use (PC § 851.5) X 2-99: Unobstructed access to hot and cold running X water Temporary Holding Cell or Room (2.2) X Contains 10 square feet of floor area per inmate Holds no more than 16 inmates X Is not smaller than 40 square feet and has a clear X ceiling height of 8 feet or more Contains sufficient seating to accommodate all X inmates Contains water closet (toilet), washbasin, and drinking X fountain Provides for clear visual supervision by staff X A bunk is provided if inmates are held 12 hours or X more Temporary Staging Cell or Room (2.3) No temporary staging cells. Holds inmates classified and segregated per Title 15 § X 1050 and 1053 Detoxification/Sobering Cell (2.4) No sobering cells. 01: Name change to “sobering cell” X Contains 20 square feet of floor area per inmate Safety Cell (2.5) No safety cells. Contains 48 square feet with one floor dimension of a X least 6 feet and a clear ceiling height of 8 feet or more Safety Equipment Storage (2.19) Adequate space is provided to store equipment such as fire extinguishers, SCBA, emergency lights, etc. X 4468 San Diego SHRF Fallbrook Substation THJ CI PHY 25-26 - 1 - A382 PHY CH-TH 94 99 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Janitors' Closet (2.20) Lockable, containing a mop sink and storage space 01: Mop sink may be separate from janitors’ closet X Audio or Visual Monitoring (2.22) Audio monitoring and video monitoring in There is an audio monitoring system capable of each cell. alerting staff in a central control. When visual electronic surveillance is use, it is located primarily in corridors, elevators, or at points on the security perimeter such as entrances and exits. X 2-99: Video monitoring option deleted. Emergency Power (2.24) There is an emergency power source available and capable of providing minimal lighting in all areas and maintaining fire and life safety, security, X communication and alarm systems. Attorney Interview Space (2.26) Available and provides for confidentiality X Water Closets (Toilets)/Urinals (3.1) Provide for inmate privacy/modesty with staff being able to visual supervise; provided at a ratio of 1:16 in holding and staging cells. See regulation for X calculations of urinal substitutions. Washbasins (3.2) Provide hot and cold or tempered water; provided at a ratio of 1:16 in holding and staging cells. See regulation for calculations of washbasin trough X substitutions. Drinking Fountains (3.3) 2-99: Available in each temporary holding, staging and X sobering cell. Water outlet (bubbler) is mechanically actuated and at an angle that prevents wastewater from flowing over the outlet (bubbler); there is a mouth guard on the water outlet (bubbler). X 2-99: Mouth guard requirement deleted Showers (3.4) (NA in CH) Available in the security area; provide hot and cold or tempered water; shower stalls/areas are designed and constructed of materials that are impervious to water X and soap so that they may be easily cleaned. Beds/Bunks (3.5) At least 30 inches wide and 76 inches long with 21 inches between pans; constructed of pan bottom type or concrete; securely fastened to the floor and/or wall X in facilities higher than minimum security. Lighting (3.6) Lighting is centrally controlled and/or Lighting is sufficient to permit easy reading by a occupant-controlled in housing cells or person with normal vision, night lighting is sufficient for rooms. Light fixtures are of secure design. X purposes of supervision. Windows (3.7) Windows that are accessible to inmates are no greater than 5 inches in on dimension. X 4468 San Diego SHRF Fallbrook Substation THJ CI PHY 25-26 - 2 - A382 PHY CH-TH 94 99 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Cell Padding (3.8) The floors and partition are padded in detoxification cells. In safety cells, floors, doors, walls and everything on them are padded. All padded cells are equipped with an tamper resistant fire sprinkler X approved by the SFM. All padding is: approved for use by the SFM; nonporous; at least ½ inch thick; of a unitary or laminated construction; firmly bonded to all surfaces; X and, without exposed seams. Mirrors/Shelves/Clothes Hooks (3.9) A mirror of a material appropriate to the level of X security is provided near each washbasin. Consistent with security needs, shelves and clothes hooks are provided wherever feasible. X 2-99: Requirement for shelves and hooks deleted Clothes hooks are of a collapsible hook type 2-99: Requirement for hooks deleted X Seating (3.10) Seating is designed to the level of security. When bench seating is used, eighteen inches of bench are provided per inmate. 2-99: In holding and staging cells, seating is securely X fastened to the wall and/or floor. Weapons Locker (3.12) A secure weapons locker is located outside the security perimeter of the facility and no weapons are brought into the security area. Lockers have individual X compartments, locks and keys. Design Requirements (102(c)6) Design requirements as specified in Title 24, Part 1, 102(c)6 are met. (See regulation for specific requirements. Note areas of non-compliance that are applicable to the facility type and construction date in X the "comments" section.) 4468 San Diego SHRF Fallbrook Substation THJ CI PHY 25-26 - 3 - A382 PHY CH-TH 94 99 01.dot (03/01) ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 4468 FACILITY: Fallbrook Substation TYPE: THJ RC: (9) FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/26 ROOMS EACH ROOM Cell Applicable # EACH CELL DIMENSIONS FIXTURES* Location Total RC Type Standards Cells (L x W x H) # Beds RC T U W F S 1 Holding 1999 1 (3) (3) 4'8" x 10’10” x 1 1 1 8’9" Note: 53 sq. ft. Bench 4'8", capacity based on seating. 2 Holding 1999 1 (3) (3) 5'8" x 9’11 x 8'9" 1 1 1 Note: 58 sq. ft. Bench 4'6", capacity based on seating. 3 Holding 1999 1 (3) (3) 8'1" x 10'0"x 8’9” 1 1 1 Note: 81 sq. ft. Bench 5'1", capacity based on seating. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 4468 San Diego SHRF Fallbrook Substation THJ CI LASE 25-26 - 1 - A360 LAS Adult.dot (03/01) TEMPORARY HOLDING FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4490 FACILITY NAME: Valley Center Station FACILITY TYPE: THJ PERSON(S) INTERVIEWED: Sgt. Anderson, Lt. Tingley FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/13/26 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1024 COURT HOLDING AND TEMPORARY The BSCC Standards and Training for HOLDING FACILITY TRAINING Corrections (STC) division found the agency in compliance with applicable regulations At a minimum, all supervisors of and personnel who during the 23-24 compliance monitoring supervise incarcerated persons in, a Court Holding or cycle. Temporary Holding facility shall complete eight hours of specialized corrections training. Such training shall San Diego County has a Training Department include, but not be limited to: that maintains training records for each (a) applicable minimum jail standards; employee. (b) jail operations liability; (c) separation of incarcerated persons; (d) emergency procedures and planning, fire and life ☒ ☐ ☐ PM 10.1 Orientation Phase Training safety; and; PM 2.55 Non-Biased Based Policing (e) suicide prevention; (f) de-escalation; Some of the training topics were the following (g) juvenile procedures; (in addition to other training): Temp. Holding (h) racial bias; and, cell, Discrimination, Security Awareness, (i) mental illness. Juvenile Procedures, Naloxone training, Promoting Compassion in Detention Note: Each agency shall determine if additional training is Facilities, and Annual Safety Programs. needed based upon, but not limited to, the complexity of the facility, the number of people incarcerated, the employees' level of experience and training, and other relevant factors. Such training shall be completed as soon as practical, but Deputies are trained upon assignment to this in any event not more than six months after the date of facility. assigned responsibility. Successful completion of Core ☒ ☐ ☐ training or supplemental Core training, pursuant to Section 1020, Corrections Officer Core Course, may be substituted for the initial eight hours of training. A total of eight hours of refresher training shall be PM 10.6 Continual Professional Training - completed every two years. Successful completion of the Sworn ☒ ☐ ☐ requirements in Section 1025, Continuing Professional Training may be substituted for the eight-hour refresher. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1027 NUMBER OF PERSONNEL C.1. Minimum Staffing A sufficient number of personnel shall be employed in ☒ ☐ ☐ each local detention facility to ensure the implementation and operation of the programs and activities required by these regulations. Whenever there is a person in custody, there shall be at Staff are present whenever an arrestee is in a least one employee on duty at all times in a local holding cell. detention facility or in the building which houses a local ☒ ☐ ☐ detention facility who shall be immediately available and accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which Staff maintains supervision of the arrestee would conflict with the supervision and care of ☒ ☐ ☐ while in the station. incarcerated people in the event of an emergency. Whenever one or more females are in custody, there Staffing for the facility is comprised of several shall be at least one female employee who shall be teams. Each team has female staff members ☒ ☐ ☐ immediately available and accessible to such females. who can be immediately available. Note: Reference PC § 4021. In order to determine if there is a sufficient number of The Sheriff’s Office ensures there is sufficient personnel for a specific facility, the facility administrator staffing to cover all required needs. A staffing shall prepare and retain a staffing plan indicating the roster was provided, which identified all personnel assigned in the facility and their duties. Such a personnel assigned to the substation and ☒ ☐ ☐ staffing plan shall be reviewed by the Board staff at the their assigned responsibilities. time of their biennial inspection. The results of such a review and recommendations shall be reported to the local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS I.64 Safety Checks: Inmates, Housing and Holding Areas The facility administrator shall develop and implement policy and procedures for conducting safety checks that Each arrestee has completed a Temporary include, but are not limited to, the following: Holding Cell Checklist, which includes (a) Safety checks will determine the safety and well-being medical questions, cell placement, charges, of individuals and shall be conducted at least hourly and safety check documentation. Also through direct visual observation of all people held and included is the time of removal from the housed in the facility. ☒ ☐ ☐ facility. Two months (November and December 2025) of safety check documentation were requested for this inspection. Observation checks occur approximately every 15 minutes. The documents reviewed identified when a person was placed in the cell, if they underwent an interview, and the time they were released or transported out of the facility. (b) There shall be no more than a 60-minute lapse When an arrestee is in the facility, safety between safety checks. ☒ ☐ ☐ checks are conducted within 15 minutes of the previous check. (c) Safety checks for people in sobering cells, safety cells, No safety or sobering cells at this facility. and restraints shall occur more frequently as outlined in ☐ ☐ ☒ section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied No regular pattern was discovered when ☒ ☐ ☐ intervals. reviewing safety check documentation. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) There shall be a written plan that includes the The date and time of each safety check are documentation of all safety checks. Documentation shall identified in the observation reports. include: ☒ ☐ ☐ (1) the actual time at which each individual safety check occurred; (2) the location where each individual safety check This facility has one cell. When a safety occurred, such as a cell, module, or dormitory check is completed, it includes observing ☒ ☐ ☐ number; and, arrestees in their cell and documented on the Temporary Holding Cell Checklist. (3) Initials or employee identification number of staff This is included in the observation report. ☒ ☐ ☐ who completed the safety check(s). (f) A documented process by which safety checks are A supervisor reviews the previous days’ reviewed at regular defined intervals by a supervisor or documentation and indicated by their body facility manager, including methods of mitigating patterns ☒ ☐ ☐ number and initials in the lower corner. of inconsistent documentation, or untimely completion of, safety checks. 1028 FIRE AND LIFE SAFETY STAFF H.1 Fire Procedures M.5 Medical Emergencies (a) Whenever there is a person in custody, there shall be M.6 Life Threatening Emergencies: Code ☒ ☐ ☐ at least one person on duty at all times who meets the Blue training standards established by the Board for general M.34 Personal Protective Equipment (PPE) fire and life safety. [Penal Code section 6030(c)]. The facility manager shall ensure that there is at least one Prior to being assigned to work at a facility, person on duty who trained in fire and life safety staff members are trained in fire and life procedures that relate specifically to the facility. ☒ ☐ ☐ safety. Upon transfer to a new facility, staff members are trained in the procedures specific to that facility. (b) The facility administrator, in conjunction with the The Training Bureau provided a Line-Up health authority, shall develop and implement policies Training, Response to Life-Threatening and and procedures consistent with the requirements of Penal Medical Emergencies, Topic #22, where staff Code Section 6048(b) that require correctional officers had to verify that they completed the training ☒ ☐ ☐ certified in cardiopulmonary resuscitation (CPR) to begin activity. This training included identification of CPR on a nonresponsive person without obtaining agency policies and the use of CPR, and approval from supervisors or medical staff, when it is safe when available, an AED. This facility has an and appropriate to do so. AED, Narcan, and a first aid kit available. These policies shall cover the following key elements: PM 10.2 First Aid and CPR Training ☒ ☐ ☐ (1) Acceptable CPR methods and application. (2) Correctional officers shall be certified in CPR and a Staff receive a CPR certification card. This copy of the certification shall be on file in the facility or at ☒ ☐ ☐ agency also maintains records to identify a central location and available for review. when training is needed. (3) Correctional officers shall immediately summon A Training Bulletin, “Initiating a 911 medical aid when a person is identified as nonresponsive Response,” identifies that facility staff are and shall administer CPR unless the correctional officer ☒ ☐ ☐ expected to provide emergency medical care is aware of a known medical condition(s) that would with efficiency and speed without contraindicate its use. compromising security. (4) Correctional officers shall use personal protective This is included in policy M.34. equipment when administering CPR whenever possible ☒ ☐ ☐ to reduce exposure to bodily fluids or bloodborne pathogens that may contain disease-causing agents. (5) If an imminent physical danger prevents a Staff members are trained that CPR is only correctional officer from safely administering CPR, they performed when safety and security are not shall begin or resume CPR as soon as the threat has compromised. ☒ ☐ ☐ passed, or the nonresponsive person has been safely removed from danger, provided medical aid has not yet arrived. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) The correctional officer shall continue administering Basic life supporting care is continued until CPR, absent imminent physical danger, until the paramedics or medical personnel arrive and nonresponsive person shows obvious signs of life, such assume care. ☒ ☐ ☐ as normal breathing or physical or verbal responses, or until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative This facility does not maintain medical staff. medical responders are present when a person is However, if there is a need for EMS, ☒ ☐ ☐ identified as nonresponsive, correctional officers shall paramedics assume CPR. defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL3 San Diego County Sheriff’s Office Detention Services Bureau – Manual of Policies and Facility administrator(s) shall develop and publish a Procedures. manual of policy and procedures for the facility. The policy and procedures manual shall address all San Diego County Sheriff’s Office Policy applicable Title 15 and Title 24 regulations and shall be Manual (PM) comprehensively reviewed and updated at least every ☒ ☐ ☐ two years. Such a manual shall be made available to all employees. The policy manuals are updated on an as- Notes: The policies and procedures required in needed basis several times per year. subsections (a)(6) and (a)(7) may be placed in a However, all policy manuals are reviewed separate manual to ensure confidentiality. annually. Subsections (c) and (d) do not apply and have been deleted. (a) The manual for Temporary Holding, Type I, II, and III A.3 Table of Organization facilities shall provide for, but not be limited to, the following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility B.38 Facility Inspections ☒ ☐ ☐ administrator/manager. PM 1.8 Facility Appearance and Maintenance (3) Policy on the use of force that meets current state PM 11.1 Use of Force Guidelines and federal legal requirements and includes ☒ ☐ ☐ prohibition of the use of carotid restraint and choke This pertains to all staff. holds. (4) Policy on the use of restraint equipment, including I.93 Use of Restraint Equipment the restraint of pregnant persons as referenced in ☒ ☐ ☐ M.38 Pregnant Incarcerated Persons Penal Code Section 3407. (5) Procedure and criteria for screening newly M.38 Pregnant Incarcerated Persons received persons for release. ☒ ☐ ☐ Q.77 Permissive Release of Pre-arraignment Misdemeanor Incarcerated Persons 3 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) Security and control including physical counts and H.2 Facility Emergency Operations Manual searches of the facility and incarcerated persons, I.16 Facility Security-Screenings of Persons contraband control, and key control. Entering a Detention Facility or Support Each facility administrator shall, at least annually, Facility review, evaluate, and make a record of security I.25 Key Control measures. The review and evaluation shall include I-41 Cell Searches of Incarcerated Persons internal and external security measures of the facility I.43 Count Procedures of Incarcerated ☒ ☐ ☐ including security measures specific to prevention of Persons sexual abuse and sexual harassment. I.52 Strip and Pat Down Searches of Incarcerated Persons I.61 Facility Security – Central Control F.16 Sexual Misconduct Case Assignments & Investigations I.66 Facility Security/Physical Security (7) Emergency procedures include: H.1 Fire Procedures (A) fire suppression preplan as required by ☒ ☐ ☐ section 1032 of these regulations; (B) escape, disturbances, and the taking of I.43 County Procedures for Incarcerated hostages; Persons D.15 Training in Emergency Plans and Critical Incidents H.2 Facility Emergency Operations Manual ☒ ☐ ☐ I.5 Emergency Escape Procedures of Incarcerated Persons I.7 Riot and Disorder Policy I.3 Hostage Policy PM 6.58 Prisoner Escapes PM 9.3 Crisis Negotiation (C) mass arrests; ☒ ☐ ☐ H.14 Mobile Booking (D) natural disasters; ☒ ☐ ☐ H.2 Facility Emergency Operations Manual (E) periodic testing of emergency equipment; and ☒ ☐ ☐ I.1 Emergency Alarm Systems (F) storage, issue, and use of weapons, B. 38 Facility Inspections ammunition, chemical agents, and related H.11 Storage and Use of Toxic, Caustic security devices. ☒ ☐ ☐ Materials I.69 Facility Security-Weapons PM 6.66 Chemical Agents Policy (8) Suicide Prevention. J.5 Suicide Prevention Practices Incarcerated Persons & Detentions Safety Program ☒ ☐ ☐ M.4 Suicide Prevention and Focused Response Team (9) Separation of incarcerated persons. J.3 Separation: Definition and Use ☒ ☐ ☐ R.1 Incarcerated Person Classification (10) Zero tolerance in the prevention of sexual abuse D.13 In-Service Training and sexual harassment. ☒ ☐ ☐ F.16 Sexual Misconduct Case Assignment & Investigations (11) Policy and procedure to detect, prevent, and F.16 Sexual Misconduct Case Assignment & respond to retaliation against any staff or person after Investigations reporting any abuse. PM 6.127 Prison Rape Elimination Act ☒ ☐ ☐ The policy manual identifies how personnel and incarcerated persons can report instances of sexual abuse, harassment, and retaliation. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (12) Release policy, including release planning for Incarcerated persons are not held long incarcerated persons. ☐ ☐ ☒ enough to formulate a release plan from this facility. (e) The manual for Temporary Holding, Court Holding, The San Diego County Sheriff’s Office Type I, II, III, and IV facilities shall provide for, but not be website provides informational pamphlets on limited to, the following: how to report instances of sexual (1) multiple internal ways for incarcerated people to abuse/harassment. Informational posters are privately report sexual abuse and sexual displayed on the walls informing arrestees of ☒ ☐ ☐ harassment, retaliation by other incarcerated how to report. persons or staff for reporting sexual abuse and sexual harassment, and staff neglect or violation of responsibilities that may have contributed to such incidents, (2) a method for uninvolved incarcerated persons, Information on reporting sexual assault, family, community members, and other interested harassment, and misconduct is available on third parties to report sexual abuse or sexual the agency website. harassment. The method for reporting shall be ☒ ☐ ☐ publicly posted at the facility. The lobby of the substation has an informational poster identifying reporting methods. 1030 SUICIDE PREVENTION PROGRAM J.5 Inmate Suicide Prevention Practices & Inmate Safety Program The facility shall have a comprehensive written suicide prevention program developed by the facility administrator or designee, in conjunction with the health ☒ ☐ ☐ authority and mental health director, to identify, monitor, and provide treatment to those incarcerated persons who present a suicide risk. The program shall include the following: (a) Annual suicide prevention training for all custodial The training is conducted annually on an personnel. ongoing basis. The training team determines ☒ ☐ ☐ when it is time for each person to attend training. (b) Intake screening for suicide risk immediately upon PM 6.13 Inmate Intake Form intake and prior to housing assignment. ☒ ☐ ☐ A suicide assessment is conducted at intake. (c) Suicide prevention screening during special Arrestees do not stay at this facility and are situations, including placement in restrictive housing, transferred to another facility if they are to ☒ ☐ ☐ following a hearing, and after a transfer or change in remain in custody. classification. (d) Provisions facilitating communication among I.96 Providing Assistance to arresting/transporting officers, facility staff, court staff, Arresting/Transporting Officer ☒ ☐ ☐ medical and mental health personnel in relation to suicide risk. (e) Housing recommendations for people at risk of suicide Active suicidal incarcerated persons are not that balance safety and environment. The least restrictive ☒ ☐ ☐ accepted at this facility and are transported to environment should be considered. either the hospital or the jail. (f) Supervision depending on level of suicide risk. Should a person become suicidal while at this facility, additional observation checks are ☒ ☐ ☐ made until transport to another facility can be arranged. (g) Suicide attempt and suicide intervention policies and Suicide intervention policies are part of the ☒ ☐ ☐ procedures. detentions manual. (h) Provisions for reporting suicides and suicides Reports are written about actual or attempted ☒ ☐ ☐ attempts. suicides and forwarded to NicheRMS. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 A Critical Incident Review Board reviews (i) Multi-disciplinary administrative review of suicides and incidents and may prompt changes in attempted suicides as defined by the facility ☒ ☐ ☐ practices or policies. administrator, including the development of a corrective action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. Follow-up care for those suffering mental Note: Subsection (k) does not apply and has been ☒ ☐ ☐ health issues is provided at another facility. deleted. 1032 FIRE SUPPRESSION PREPLANNING H.1 Fire Procedures H.7 Fire/Safety Inspections, Testing Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire Marshal, or both, in developing a plan for fire suppression which shall include, but not be limited to: (a) a fire suppression pre-plan developed with the local fire department to be included as part of the policy and ☒ ☐ ☐ procedures manual (Title 15, California Code of Regulations Section 1029); (b) monthly fire prevention inspections by facility staff with Verification was made that monthly fire two-year retention of the inspection record; prevention inspections are conducted and ☒ ☐ ☐ retained by the agency. These are identified as the Lakeside Sheriff’s Substation Holding Cells ‘ Fire and Safety Inspection Report. (c) fire prevention inspections as required by Health and The last fire inspection was completed on Safety Code Section 13146.1(a) and (b) which requires ☒ ☐ ☐ 10/23/25 by the Valley Center Fire Protection inspections at least once every two years; District. (d) an evacuation plan; and H.3 Evacuation Plans ☒ ☐ ☐ This facility also has a Site Evacuation Plan and Fire Safety Plan, which was updated on 10/01/2025. (e) a plan for the emergency housing of incarcerated Determined at the time, and need for ☒ ☐ ☐ people in the case of fire. emergency housing. 1044 INCIDENT REPORTS F.5 Incarcerated Person Incident Reports (JIMS) Each facility administrator shall develop written policies F.9 Crime Reports and Major Incident and procedures for the maintenance of written records Documentation ☒ ☐ ☐ and reporting of all incidents which result in physical PM 6.71 Crime Case Reports harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other Incident records are maintained in the Jail person. Information Management System (JIMS). Such records shall include the names of the persons Records are attached to each involved involved, a description of the incident, the actions taken, incarcerated person and include the type of ☒ ☐ ☐ and the date and time of the occurrence. incident, those involved, actions taken, and the date/time of occurrence. Such a written record shall be prepared by the staff Verification was made that there were no assigned to investigate the incident and submitted to the ☒ ☐ ☐ reports regarding incarcerated persons facility manager or designee. emanating from this facility. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 7 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1046 DEATH IN CUSTODY M.7 Incarcerated Person Deaths PM 6.5 Unusual Incident, Death, and Serious (a) The facility administrator shall develop written policy Injury Notification and procedures to comply with the in-custody death ☒ ☐ ☐ reporting requirements of Government Code section An In-Custody Death Advocate and 12525. The facility administrator shall submit a copy of Department Investigation Coordinator the report filed pursuant to section 12525 to the BSCC (ICDADIC) is responsible for submitting this within 10 days of an in-custody death. information. (b) The facility administrator, in cooperation with the The ICDADIC is the coordinator of the review health administrator, shall develop written policy and team. Members of the team include the procedures to conduct an initial review and complete a Medical Services Administrator, Chief written report of every in-custody death within 30 days of Medical Officer, other healthcare staff, and the death. The team that conducts the initial review shall ☒ ☐ ☐ the ICDADIC coordinator, among others. include, at a minimum, the facility administrator or designee, the health administrator, the responsible physician and other health care, and supervision staff who are relevant to the incident. Deaths shall be reviewed to determine the These occurrences are also investigated by appropriateness of clinical care; whether changes to the San Diego County CLERB (Citizens Law ☒ ☐ ☐ policies, procedures, or practices are warranted; and to Enforcement Review Board). identify issues that require further study. (c) The facility administrator shall submit a copy of the This is the responsibility of the ICDADIC. initial review report of every in-custody death to the BSCC within 60 days of the death. The facility administrator shall ☒ ☐ ☐ provide a copy of the initial review report that comports with the disclosure requirements of section 832.10 of the Penal Code. The initial review report shall contain the following The reports written for an In-Custody Death at information: a substation include all the items listed in this (1) Demographic information subsection. (A) Full name of the decedent (B) Date of birth (C) Date of death (D) Time of death (E) Gender (F) Race and ethnicity (G) Relevant medical history ☒ ☐ ☐ (2) Facility Information (A) Name and location of the detention facility (B) Description of the location where the death occurred within the facility (C) Date and time of the incident (D) Detention facility personnel (including names and roles) involved in the reporting of the death or incident (3) Any relevant circumstances leading up to death, including behavioral health or medical issues. (d) In any case in which a minor dies while detained in a jail, lockup, or court holding facility the BSCC may inspect and evaluate the jail, lockup, or court holding facility pursuant to the provisions of this subchapter within 30 calendar days of the death. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 8 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1050 CLASSIFICATION PLAN R.1 Incarcerated Person Classification R.3 Incarcerated Person Classification Code (a) Each administrator of a temporary holding, Type I, II, – Descriptor Definitions or III facility shall develop and implement a written classification plan designed to properly assign incarcerated persons to housing units and activities There is one cell used for arrestees at this according to the categories of gender identity, age, facility. Incarcerated persons are only held for criminal sophistication, seriousness of crime charged, a short time at this facility. physical or mental health needs, assaultive/non- assaultive behavior, risk of being sexually abused, or San Diego County Sheriff’s Office has a sexually harassed and other criteria which will provide for Booking Acceptance Criteria document, the safety of the incarcerated people and staff. Such which identifies the types of bookings that can ☒ ☐ ☐ housing unit assignment shall be accomplished to the be accepted. extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, There are no programs available at this the agency shall consider on a case-by-case basis temporary holding facility. Care is taken to whether a placement would ensure the health and safety appropriately separate those who need of the incarcerated person, and whether the placement ☒ ☐ ☐ protection from others. would present management or security problems. A person’s own views with respect to their own safety shall be given serious consideration. 1051 COMMUNICABLE DISEASES M.9 Receiving Screening M.37 Standard Precautions and Infectious The facility administrator, in cooperation with the Agents/Communicable Disease Control responsible physician, shall develop written policies and ☒ ☐ ☐ PM 6.100 Bloodborne Pathogen Exposure/ procedures specifying those symptoms that require Control medical isolation of an incarcerated person until a medical evaluation is completed. At the time of intake into the facility, an inquiry shall be PM 6.13 Inmate Intake Form made of the person being booked as to whether the person has or has had any communicable diseases, such An initial medical screening takes place at the as tuberculosis or has observable symptoms of time of reception. Incarcerated persons who ☒ ☐ ☐ tuberculosis or any other communicable diseases, or have any type of medical issues are other special medical problem identified by the health transported directly to the jail. authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION M.2 Requests for Medical Information J.5 Suicide Prevention Practices for The facility administrator, in cooperation with the Incarcerated Persons & Detentions Safety responsible physician, shall develop written policies and ☒ ☐ ☐ Program procedures to identify and evaluate all incarcerated J.7 Emergency Transportation of people who may be in behavioral crisis. Evaluation of Incarcerated Persons with Mental Health behavioral crisis may include telehealth. Needs If an evaluation from medical or mental health staff is not Arrestees suffering from an active behavioral readily available, an incarcerated person shall be crisis episode are not accepted at this facility. considered in behavioral crisis for the purpose of this ☒ ☐ ☐ Instead, they are transported to the hospital section if they appear to be a danger to themselves or or jail. others or appear gravely disabled. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 9 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 An evaluation from medical or mental health staff shall be This is done when booked into the jail. secured within 24 hours of identification or at the next ☒ ☐ ☐ daily sick call, whichever is earliest. Separation may be used if necessary, to protect the Staff verified that this occurs whenever ☒ ☐ ☐ safety of the person in crisis or others. possible. 1053 ADMINISTRATIVE SEPARATION J.3 Separation: Definition and Use R.1 Incarcerated Person Classification ☒ ☐ ☐ Except for Type IV facilities, facility administrators shall develop and implement policies and procedures for the administrative separation of incarcerated people. Policies and procedures must include: There are no administrative separation cells (a) Administrative separation may consist of separate at this facility. housing but shall not involve any other deprivation of privileges than is necessary to obtain the objective of protecting the welfare of incarcerated people and facility ☐ ☐ ☒ staff. Note: Subsections (b) through (e) do not apply and have been deleted. 1055 USE OF SAFETY CELL There is no safety cell at this facility. The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who ☐ ☐ ☒ display behavior which results in the destruction of property or reveals an intent to cause physical harm to self or others. The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures governing safety cell use and may delegate ☐ ☐ ☒ authority to place an incarcerated person in a safety cell to a physician. Policies and procedures shall include, but not be limited to: (a) In no case shall the safety cell be used for punishment ☐ ☐ ☒ or as a substitute for treatment. (b) A person shall be placed in a safety cell only with the approval of the facility manager or designee, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every four hours. (c) A medical assessment shall be completed as soon as possible, but not more than 12 hours from the time of placement in the safety cell. The person shall be ☐ ☐ ☒ medically cleared for continued retention, referral to advanced treatment, or removal from the safety cell a minimum of every 24 hours thereafter. (d) The facility manager, designee or responsible health care staff shall obtain a mental health opinion/consultation with responsible health care staff on ☐ ☐ ☒ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least twice every 30 minutes, with no more than a 15-minute ☐ ☐ ☒ lapse between safety checks. Such observation shall be documented. (f) Procedures shall be established to assure ☐ ☐ ☒ administration of necessary nutrition and fluids. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 0 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) People placed in the safety cell shall be allowed to retain sufficient clothing or be provided with a suitably designed “safety garment,” to provide for their personal ☐ ☐ ☒ privacy unless specific identifiable risks to the person's safety or to the security of the facility are documented. 1056 USE OF SOBERING CELL There is no sobering cell at this facility. The sobering cell described in Title 24, Part 2, Section ☐ ☐ ☒ 1231.2.4, shall be used for temporary holding of incarcerated people who are a threat to their own safety or the safety of others due to their state of intoxication. A person shall be removed from the sobering cell as soon as they are able to continue the admission process or are ☐ ☐ ☒ no longer a risk to themselves or others. In no case shall a person remain in a sobering cell over six hours without an evaluation by medical or custody staff to determine whether the person has an urgent ☐ ☐ ☒ medical problem, pursuant to section 1213 of these regulations. At 12 hours from the time of placement, all persons must ☐ ☐ ☒ receive an evaluation by responsible health care staff. Intermittent direct visual observation of people held in the sobering cell shall be conducted no less than every half ☐ ☐ ☒ hour. Such observation shall be documented. 1057 DEVELOPMENTAL DISABILITIES M.9 Receiving Screening J. Separation: Definition and Use The facility administrator, in cooperation with the responsible physician, shall develop written policies and There are no medical staff at this facility. ☒ ☐ ☐ procedures for the identification and evaluation, Arrestees who present themselves as having appropriate classification and housing, protection, and developmental disabilities are not accepted nondiscrimination of all incarcerated persons with and transported to the jail for booking. developmental disabilities. The health authority or designee shall contact the This is done at the larger jail facility. regional center for any incarcerated person suspected or confirmed to have a developmental disability for the ☒ ☐ ☐ purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. 1058 USE OF RESTRAINT DEVICES I.93 Restraint Devices The facility administrator, in cooperation with the responsible physician, shall develop and implement Compliance is based upon policy. The use of written policies and procedures for the use of restraint the WRAP at this facility is only done for devices. Restraint devices include any devices which transport purposes, if needed. immobilize extremities or prevent the incarcerated person ☒ ☐ ☐ from being ambulatory. The provisions of this section do not apply to the use of handcuffs, shackles, or other restraint devices when used to restrain incarcerated people for security reasons. The facility manager may delegate authority to place an incarcerated person in restraints to responsible health care staff. (a) The policy shall address the following areas: The WRAP. ☒ ☐ ☐ (1) acceptable restraint devices; (2) signs or symptoms which should result in immediate medical/mental health referral; availability ☐ ☐ ☒ of cardiopulmonary resuscitation equipment; (3) protective housing of restrained persons; ☐ ☐ ☒ 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) provision for hydration and sanitation needs; and, ☐ ☐ ☒ (5) exercising of extremities. ☐ ☐ ☒ (b) Policy shall also include, but not be limited to, the following requirements: ☐ ☐ ☒ (1) In no case shall restraints be used for punishment or as a substitute for treatment. (2) Restraint devices shall only be used on incarcerated people who display behavior which ☐ ☐ ☒ results in the destruction of property or reveal an intent to cause physical harm to self or others. (3) Restraint devices should be used only when less restrictive alternatives, including verbal de-escalation ☐ ☐ ☒ techniques, have been attempted and are deemed ineffective. (4) An incarcerated person shall be placed in restraints only with the approval of the facility manager, the facility watch commander, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every hour. (5) Continuous direct visual observation shall be ☐ ☐ ☒ maintained until a medical opinion can be obtained. (6) A medical opinion on placement and retention shall be secured within one hour from the time of ☐ ☐ ☒ placement. (7) A medical assessment shall be completed within ☐ ☐ ☒ four hours of placement. (8) Continuous direct visual observation shall be conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to ensure the safety and well-being of the incarcerated person. Such observation shall be documented. ☐ ☐ ☒ While in restraint devices all incarcerated persons shall be housed alone or in a specified housing area which makes provisions to protect the person from abuse. (9) If the facility manager, or designee, in consultation with responsible health care staff determines that an incarcerated person cannot be safely removed from ☐ ☐ ☒ restraints after eight hours, the person shall be taken to a medical facility for further evaluation. (10) Where applicable, the facility manager shall use the restraint device manufacturer’s recommended ☐ ☐ ☒ maximum time limits for placement. (11) All events and information related to the placement in restraints shall be documented and shall be video recorded unless exigent circumstances prevent staff from doing so. The documentation shall ☐ ☐ ☒ include: the reason for placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1058.5 RESTRAINTS AND PREGNANT PERSONS M.38 Pregnant Incarcerated Persons The facility administrator, in cooperation with the responsible physician, shall develop written policies and ☒ ☐ ☐ procedures for the use of restraint devices on pregnant people. In accordance with Penal Code Section 3407, the policy shall include reference to the following: (1) An incarcerated person known to be pregnant or Pregnant persons are only handcuffed in the in recovery after delivery or termination of the front of the body, not behind. ☒ ☐ ☐ pregnancy shall not be restrained by the use of leg or waist restraints, or handcuffs behind the body. (2) An incarcerated pregnant person in labor, during Verified by policy and interview. delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ☒ ☐ ☐ ankles, or both, unless deemed necessary for the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional Verified by policy and interview. who is currently responsible for the medical care of an incarcerated pregnant person during a medical ☒ ☐ ☐ emergency, labor, delivery, or recovery after delivery or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s Pregnancy tests are offered within 72 hours pregnancy, they shall be advised, orally or in writing, of arrival at the larger jail facility. ☐ ☐ ☒ of the standards and policies governing incarcerated pregnant people. 1067 ACCESS TO TELEPHONE P.2 Telephone Access The facility administrator shall develop written policies Telephones are accessible at the time of and procedures which allow access to a telephone or reception. communication device beyond those telephone calls which are required by Section 851.5 of the Penal Code. Individuals who are known to have, or are perceived by Video Relay Service (VRS), Captioned others as having hearing or speech impairments shall be ☒ ☐ ☐ Telephone Service (CTS), TDD, TTY, and provided access to the appropriate telecommunication Telephone Relay Service (TRS) are also device which will facilitate communication. Such devices available for those with hearing impairments. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 1068 ACCESS TO COURTS AND COUNSEL N.5 Access to Courts / Attorneys / Legal Advice The facility administrator shall develop written policies ☒ ☐ ☐ and procedures to ensure incarcerated persons have access to the court and to legal counsel. Such access shall consist of: (b) confidential consultation with attorneys. ☒ ☐ ☐ This is in-person and by telephone. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1080 RULES AND DISCIPLINARY ACTIONS Discipline is not administered at this facility. Wherever discipline is administered, each facility administrator shall establish written rules and disciplinary actions to guide the conduct of incarcerated persons. ☐ ☐ ☒ Notes: If discipline IS NOT administered, written policy should indicate as such. If discipline IS administered, Sections 1080, 1081, 1082, 1083 and 1084 apply. Such rules and disciplinary actions shall be stated simply and affirmatively and posted conspicuously in housing ☐ ☐ ☒ units and the booking area or issued to each person upon booking. For those individuals with limited literacy, who are unable to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them ☐ ☐ ☒ verbally or provide them with material in an understandable form regarding jail rules and disciplinary procedures and actions. 1081 PLAN FOR DISCIPLINE OF INCARCERATED Discipline is not administered at this facility. PERSONS Each facility administrator shall develop written policies and procedures for discipline of incarcerated persons. The plan shall include, but not be limited to, the following elements: ☐ ☐ ☒ (a) Temporary Loss of Privileges: For minor acts of non- conformance or minor violations of facility rules, staff may impose a temporary loss of privileges, such as access to television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation and supervisory approval. (b) Disciplinary Actions: Major violations of facility rules or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing ☐ ☐ ☒ by the staff member observing the act and submitted to the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Loss of good time/work time. ☐ ☐ ☒ 2. Placement in disciplinary separation. ☐ ☐ ☒ 3. Loss of privileges mandated by regulations. ☐ ☐ ☒ A staff member with investigative and disciplinary authority shall be designated as a disciplinary officer to ☐ ☐ ☒ impose such consequences. Staff shall not participate in disciplinary review if they are ☐ ☐ ☒ involved in the charges. Such charges pending against an incarcerated person shall be acted on with the following provisions and within specified timeframes: ☐ ☐ ☒ 1. A copy of the report, or a separate written notice of the violation(s), shall be provided to the incarcerated person. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 2. Unless declined by the incarcerated person, a hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been ☐ ☐ ☒ informed of the charges in writing. The hearing may be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The ☐ ☐ ☒ incarcerated person shall have access to staff or assistance when they have limited literacy, or the issues are complex. 4. A charge(s) shall be acted on no later than 72 hours after an incarcerated person has been ☐ ☐ ☒ informed of the charge(s) in writing. 5. Subsequent to final disposition of disciplinary charges by the disciplinary officer, the charges and ☐ ☐ ☒ the action taken shall be reviewed by the facility manager or designee. 6. The incarcerated person shall be advised in a written statement by the fact-finders about the evidence relied on and the reasons for the ☐ ☐ ☒ disciplinary action. A copy of the record shall be kept pursuant to Penal Code Section 4019.5. 7. There shall be a policy of review and appeal to a ☐ ☐ ☒ supervisor on all disciplinary action. 1082 FORMS OF DISCIPLINE Discipline is not administered at this facility. The degree of actions taken by the disciplinary officer shall be directly related to the severity of the rule infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of discipline shall consist of, but not be limited to, the following: (a) Loss of privileges. ☐ ☐ ☒ (b) Extra work detail. (c) Short term lockdown for less than 24 hours. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal Code Section 4019. (f) Forfeiture of “work time” credits earned under Penal Code Section 4019. (g) Disciplinary separation. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS Discipline is not administered at this facility. The Penal Code and the State Constitution expressly prohibit all cruel and unusual punishment. Disciplinary actions shall not include corporal punishment, group punishment when feasible, or physical or psychological degradation. ☐ ☐ ☒ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) If a person is on disciplinary separation status for 30 consecutive days there shall be a review by the facility manager before the disciplinary separation status is continued. This review shall include a ☐ ☐ ☒ consultation with health care staff. Such reviews shall continue at least every fifteen days thereafter until the disciplinary status has ended. This review shall be documented. (2) The disciplinary separation cells or cell shall have the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be issued clothing and bedding as specified in Articles 13 and 14 of these regulations and shall not be deprived of them through any portion of the day ☐ ☐ ☒ except that those incarcerated persons who engage in the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a person of such articles of clothing and bedding shall be reviewed by the facility manager or designee during each 24-hour period. (3) If after placement in separation, mental health or medical staff determine that an individual has serious mental illness or an intellectual disability, they shall ☐ ☐ ☒ be removed from disciplinary separation immediately upon this determination. (b) The delegation of authority to any incarcerated person or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group ☐ ☐ ☒ of incarcerated people. Note: PC § 4019.5. (c) In no case shall a safety cell, as specified in Title 24, Part 2, 1231.2.5, or any restraint device be used for ☐ ☐ ☒ disciplinary purposes. (d) No incarcerated person may be deprived of the implements necessary to maintain an acceptable level of ☐ ☐ ☒ personal hygiene as specified in Section 1265 of these regulations. (e) Food shall not be withheld as a disciplinary measure. ☐ ☐ ☒ (f) Correspondence privileges shall not be withheld except in cases where the incarcerated person has violated correspondence regulations, in which case ☐ ☐ ☒ correspondence may be suspended for no longer than 72 hours, without the review and approval of the facility manager. (g) In no case shall access to courts and legal counsel be ☐ ☐ ☒ suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS Discipline is not administered at this facility. Penal Code Section 4019.5 requires that a record is kept ☐ ☐ ☒ of all disciplinary actions administered therefore. This requirement may be satisfied by retaining copies of rule violation reports and report of the disposition of each. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1270 STANDARD BEDDING AND LINEN ISSUE This is a temporary holding facility. Arrestees are held only a short time before transfer or The standard issue of clean suitable bedding and linens, release. However, blankets are available if for each incarcerated person entering a living area who is needed. ☒ ☐ ☐ expected to remain overnight, shall include, but not be limited to: (a) one serviceable mattress which meets the requirements of Section 1272 of these regulations; (b) one mattress cover or one sheet; ☐ ☐ ☒ (d) one blanket or more depending up on climatic ☐ ☐ ☒ conditions. Policy and procedure shall require that items (a), (b), and ☐ ☐ ☒ (d) above be provided prior to the first night in the facility. Two blankets or sleep bag may be issued in place of one mattress cover or one sheet at the request of the ☐ ☐ ☒ incarcerated person. Temporary Holding facilities which hold persons longer than 12 hours shall provide an incarcerated person with bedding and linen that meet the requirements of (a), (b) ☐ ☐ ☒ and (d) above prior to their first night in the facility and every night thereafter. 1280 FACILITY SANITATION, SAFETY, AND L.4 Housekeeping Plan MAINTENANCE PM 1.8 Facility Appearance and Maintenance The facility administrator shall develop written policies and procedures for the maintenance of an acceptable Each facility has a daily cleaning plan. ☒ ☐ ☐ level of cleanliness, repair, and safety throughout the facility. Such a plan shall provide for a regular schedule of housekeeping tasks and inspections to identify and correct unsanitary or unsafe conditions or work practices which may be found. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 7 of 21 A351 TH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? If YES, see remaining document for Title 15, Article 9 inspection. Penal Code Sections 6030 and 6031.4 require the biennial inspection of local detention facilities that hold minors in secure detention in the jail. Title 15, Article 9 According to policy, minor can be held in jail establishes the minimum standards of how facilities hold cells. On a practical level, this facility has not minors in temporary custody in the jail. ☒ been done in a long time and prefers to use ☐ ☐ non-secure custody methods. There were no Facilities that do not hold minors in the jail cells are not juveniles held during the time frame subject to Title 15, Article 9 biennial inspections; requested (November and December 2025). however, if minors are held in the building, they may be subject to the requirements of Welfare and Institutions Code section 207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR PM 6.3 Juvenile Detention Procedures IN AN ADULT DETENTION FACILITY All Juvenile procedures are covered under The facility administrator shall develop policy and ☒ this policy and verified at the time of procedures for notification of the court of jurisdiction and ☐ ☐ inspection. All regulations identified below the parent, guardian, or person standing in loco are covered under this policy section. parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1142 WRITTEN POLICIES AND PROCEDURES PM 6.3 Juvenile Detention Procedures The facility administrator shall develop written policies ☒ and procedures concerning minors being held in ☐ ☐ temporary custody which shall address: (a) suicide risk and prevention; (b) use of restraints; ☒ ☐ ☐ (c) emergency medical assistance and services; and ☒ ☐ ☐ (d) prohibiting use of discipline. ☒ ☐ ☐ 1143 CARE OF MINORS IN TEMPORARY PM 6.3 Juvenile Detention Procedures CUSTODY ☒ ☐ (a) The following shall be made available to all minors ☐ held in temporary custody: (1) access to toilets and washing facilities; (2) one snack during term of temporary custody if Snacks are available. the minor has not eaten within the past four (4) ☒ hours or is otherwise in need of appropriate ☐ ☐ nourishment; (3) access to drinking water; ☒ ☐ ☐ (4) access to language services; ☒ ☐ ☐ (5) access to disabilities services; ☒ ☐ ☐ (6) sanitary napkins, panty liners, and tampons as ☒ requested; ☐ ☐ (7) privacy during consultation with family, guardian, ☒ and/or lawyer; ☐ ☐ (8) blankets and clothing, as necessary, to assure ☒ Blankets are available. the comfort of the minor; and ☐ ☐ 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 8 of 21 A351 TH PRO eff. 04.01.25 (9) personal clothing unless the clothing is inadequate, presents a health or safety problem, or ☒ ☐ ☐ is required to be utilized as evidence of an offense. (b) Upon entry, the minor shall be informed in writing of what is available under this section, and it shall be ☒ posted in at least one conspicuous place to which ☐ ☐ minors have access. 1144 CONTACT BETWEEN MINORS AND PM 6.3 Juvenile Detention Procedures INCARCERATED ADULTS ☒ The facility administrator shall establish policies and ☐ ☐ procedures to restrict contact, as defined in Section 1006, between minors and adults confined in the facility. In situations where brief or accidental contact may There is no contact between adults and occur, such as booking or facility movement, facility staff juveniles. (trained in the supervision of incarcerated people) shall ☒ ☐ ☐ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1145 DECISION ON SECURE CUSTODY PM 6.3 Juvenile Detention Procedures A minor who is taken into temporary custody by a peace Very few juveniles are held at this facility. officer on the basis that they are a person described by Section 602 of the Welfare and Institutions Code may be held in secure custody in a law enforcement facility that contains a lockup for adults if the minor is 14 years of age or older and if, in the reasonable belief of the peace officer, the minor presents a serious security risk of harm to self or others, as long as all other conditions of secure custody set forth in these standards are met. ☒ ☐ ☐ Any minor in temporary custody who is less than 14 years of age, or who does not in the reasonable belief of the peace officer present a serious security risk of harm to self or others, shall not be placed in secure custody, but may be kept in non-secure custody in the facility as long as all other conditions of non-secure custody set forth in these standards are met. Note: Minors in secure detention are 14 years of age or older. In making the determination whether the minor presents The arresting deputy determines all risk a serious security risk of harm to self or others, the ☒ factors identified in this regulation prior to officer may take into account the following factors: ☐ ☐ making a decision for secure detention. (a) age, maturity, and delinquent history of the minor; (b) severity of the offense(s) for which the minor was ☒ taken into custody; ☐ ☐ (c) minor's behavior, including the degree to which the ☒ minor appears to be cooperative or non-cooperative; ☐ ☐ (d) the availability of staff to provide adequate ☒ supervision or protection of the minor; and ☐ ☐ (e) the age, type, and number of other individuals who ☒ are detained in the facility. ☐ ☐ 1146 CONDITIONS OF SECURE CUSTODY PM 6.3 Juvenile Detention Procedures While in secure custody, minors may be locked in a Factors are needed to determine secure room or other secure enclosure, secured to a cuffing rail, ☒ detention. ☐ ☐ or otherwise reasonably restrained as necessary to prevent escape and protect the minor and others from harm. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 1 9 of 21 A351 TH PRO eff. 04.01.25 1147 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY INSIDE A LOCKED ENCLOSURE (a) Minors shall receive adequate supervision which, at ☒ ☐ ☐ a minimum, includes: (1) constant auditory access to staff by the minor; and (2) safety checks, as defined in Section 1006, of the Safety checks are completed every 15 minor by staff of the law enforcement facility, at least ☒ minutes per agency policy. ☐ ☐ once every 30 minutes, which shall be documented. (b) Minors of different genders shall not be placed in the same locked room unless under constant direct visual ☒ ☐ ☐ observation by staff of the law enforcement facility. 1148 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY OUTSIDE OF A LOCKED ENCLOSURE Unless necessary, juveniles are usually not ☒ held in secure custody. Minors held in secure custody outside of a locked ☐ ☐ enclosure shall not be secured to a stationary object for more than 60 minutes unless no other locked enclosure is available. A staff person from the facility shall provide constant direct visual observation to assure the minor's safety ☒ ☐ ☐ while secured to a stationary object. Securing minors to a stationary object for longer than 60 minutes, and every 30 minutes thereafter, shall be ☒ ☐ ☐ approved by a supervisor. The decision for securing a minor to a stationary object for longer than 60 minutes, and every 30 minutes ☒ ☐ thereafter shall be based upon the best interests of the ☐ minor and shall be documented. 1149 CRITERIA FOR NON-SECURE CUSTODY PM 6.3 Juvenile Detention Procedures Minors held in temporary custody, who do not meet the criteria for secure custody as specified in Section 207.1(b) of the Welfare and Institutions Code, may be ☒ held in non- secure custody to investigate the case, ☐ ☐ facilitate release of the minor to a parent or guardian, or arrange for transfer of the minor to an appropriate juvenile facility. While minors are held in temporary non- secure custody the provisions of Section 1143 apply. 1150 SUPERVISION OF MINORS IN NON- PM 6.3 Juvenile Detention Procedures SECURE CUSTODY Non-secure custody is held in a separate Minors held in non-secure custody shall receive area and out of sight of the holding cells and constant direct visual observation by staff of the law ☒ in constant view of the arresting deputy. ☐ ☐ enforcement facility. Entry and release times shall be documented and made available for review. Monitoring a minor using audio, video, or other electronic devices shall never replace constant direct visual observation. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 2 0 of 21 A351 TH PRO eff. 04.01.25 1151 MINORS UNDER THE INFLUENCE OF ANY PM 6.3 Juvenile Detention Procedures INTOXICATING SUBSTANCE IN SECURE OR NON-SECURE CUSTODY Facility administrators shall develop policies and ☒ procedures providing that a medical clearance shall be ☐ ☐ obtained for minors who are under the influence of drugs, alcohol, or any other intoxicating substance to the extent that they are unable to care for themselves, prior to secure or non-secure custody of that minor. Supervision of minors in secure custody in a locked Both adult and juvenile safety checks are room shall include safety checks at least once every 15 completed every 15 minutes. minutes until resolution of the intoxicated state or ☒ ☐ ☐ release. These safety checks shall be documented, with actual time of occurrence recorded. Supervision of minors in secure custody outside of a locked room shall be supervised in accordance with ☒ ☐ ☐ Section 1148. Supervision of minors in nonsecure custody shall be Those held in nonsecure custody are under ☒ ☐ ☐ supervised in accordance with Section 1150. continual observation. 4490 San Diego SHRF Valley Center Station THJ CI PRO 25-26 Page 2 1 of 21 A351 TH PRO eff. 04.01.25 ADULT COURT AND TEMPORARY HOLDING FACILITIES PHYSICAL PLANT EVALUATION Board of State and Community Corrections1 Applicable Title 24 Regulations: 6/94; 2/99; 2001 BSCC Code: 4470 FACILITY NAME: Valley Center Station FACILITY TYPE: THJ APPLICABLE REGULATIONS (Check All That 6/94: 2/99: X 2001: OTHER: Apply): FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/13/2026 TITLE 24 SECTION YES NO N/A COMMENTS Reception and Booking (2.1) Initial/pre-booking only. Contains a weapons locker, designed as outlined in X these regulations. Contains a cell or room for confinement pending X booking Contains a detoxification cell (WA in TH; NA in CH) 01: Name changed to “sobering cell.” X 2-99: Two detoxification cells are provided if both male and female inmates are held. Contains safety cell(s) (WA in TH; NA in CH) X Shower room available 2-99: Access to shower must be within the secure X area Provides secure vault or storage for inmate valuables X Telephone(s) available for inmate use (PC § 851.5) X 2-99: Unobstructed access to hot and cold running X water Temporary Holding Cell or Room (2.2) X Contains 10 square feet of floor area per inmate Holds no more than 16 inmates X Is not smaller than 40 square feet and has a clear Ceiling height 9'. X ceiling height of 8 feet or more Contains sufficient seating to accommodate all X inmates Contains water closet (toilet), washbasin, and drinking X fountain Provides for clear visual supervision by staff X A bunk is provided if inmates are held 12 hours or X more Temporary Staging Cell or Room (2.3) Holds inmates classified and segregated per Title 15 § X 1050 and 1053 Holds inmates for four hours or less X Limited to holding no more than 80 inmates X Contains 10 square feet of floor area per inmates and X has a clear ceiling height of 8 feet or more. Is at least 160 square feet X 1 Formerly the Corrections Standards Authority. 4470 San Diego SHRF Valley Center Station THJ CI PHY 25-26 - 1 - A382 PHY CH-TH 94 99 01.dot (03/01;rev. 2/02) TITLE 24 SECTION YES NO N/A COMMENTS Contains sufficient seating to accommodate all X inmates Contains water closets (toilets), wash basins and X drinking fountains as specified by these regulations Provides for clear visual supervision by staff X Detoxification/Sobering Cell (2.4) 01: Name change to “sobering cell” X Contains 20 square feet of floor area per inmate Is limited to no more than 8 inmates X Is no smaller than 60 square feet and has a clear X ceiling height of 8 feet or more Contains a water closet (toilet) wash basin and X drinking fountain as specified by these regulations Has padded partitions located next to toilet fixtures X Provides for clear visual supervision by staff X Padding on floor X 01: A shower is accessible in the secure portion of X the facility. Safety Cell (2.5) Contains 48 square feet with one floor dimension of a X least 6 feet and a clear ceiling height of 8 feet or more Is limited to one inmate X Contains a flushing ring toilet, mounted flush with the X floor, with controls located outside the cell Padded floor, door and walls X Equipped with a variable intensity, security light, X inaccessible to the occupant Has one or more vertical view panels, not more than 4 inches wide nor less than 24 inches long, which X provide a view of the entire cell Has a food pass with lockable shutter no more than 4 inches high and, with between 26 and 32 inches from X the bottom of the food pass to the floor 01: Wall or ceiling mounted devices are inaccessible X to inmate occupant. Safety Equipment Storage (2.19) Adequate space is provided to store equipment such X as fire extinguishers, SCBA, emergency lights, etc. Janitors' Closet (2.20) Lockable, containing a mop sink and storage space X 01: Mop sink may be separate from janitors’ closet Audio or Visual Monitoring (2.22) There is an audio monitoring system capable of alerting staff in a central control. When visual electronic surveillance is use, it is located primarily in X corridors, elevators, or at points on the security perimeter such as entrances and exits. 2-99: Video monitoring option deleted. Emergency Power (2.24) There is an emergency power source available and capable of providing minimal lighting in all areas and X maintaining fire and life safety, security, communication and alarm systems. 4470 San Diego SHRF Valley Center Station THJ CI PHY 25-26 - 2 - A382 PHY CH-TH 94 99 01.dot (03/01;rev. 2/02) TITLE 24 SECTION YES NO N/A COMMENTS Attorney Interview Space (2.26) X Available and provides for confidentiality Water Closets (Toilets)/Urinals (3.1) Provide for inmate privacy/modesty with staff being able to visual supervise; provided at a ratio of 1:16 in X holding and staging cells. See regulation for calculations of urinal substitutions. Washbasins (3.2) Provide hot and cold or tempered water; provided at a ratio of 1:16 in holding and staging cells. See X regulation for calculations of washbasin trough substitutions. Drinking Fountains (3.3) 2-99: Available in each temporary holding, staging and X sobering cell. Water outlet (bubbler) is mechanically actuated and at an angle that prevents wastewater from flowing over the outlet (bubbler); there is a mouth guard on the X water outlet (bubbler). 2-99: Mouth guard requirement deleted Showers (3.4) (NA in CH) Available in the security area; provide hot and cold or tempered water; shower stalls/areas are designed and X constructed of materials that are impervious to water and soap so that they may be easily cleaned. Beds/Bunks (3.5) At least 30 inches wide and 76 inches long with 21 inches between pans; constructed of pan bottom type X or concrete; securely fastened to the floor and/or wall in facilities higher than minimum security. 01: Must be elevated off the floor. Lighting (3.6) Lighting is centrally controlled and/or Lighting is sufficient to permit easy reading by a occupant-controlled in housing cells or X person with normal vision, night lighting is sufficient for rooms. Light fixtures are of secure design. purposes of supervision. Windows (3.7) Windows that are accessible to inmates are no greater X than 5 inches in on dimension. Cell Padding (3.8) The floors and partition are padded in detoxification cells. In safety cells, floors, doors, walls and X everything on them are padded. All padded cells are equipped with an tamper resistant fire sprinkler approved by the SFM. All padding is: approved for use by the SFM; nonporous; at least ½ inch thick; of a unitary or X laminated construction; firmly bonded to all surfaces; and, without exposed seams. Seating (3.10) Seating is designed to the level of security. When bench seating is used, eighteen inches of bench are X provided per inmate. 2-99: In holding and staging cells, seating is securely fastened to the wall and/or floor. 4470 San Diego SHRF Valley Center Station THJ CI PHY 25-26 - 3 - A382 PHY CH-TH 94 99 01.dot (03/01;rev. 2/02) TITLE 24 SECTION YES NO N/A COMMENTS Weapons Locker (3.12) (NA type IV and Minimum-Security Facilities) A secure weapons locker is located outside the X security perimeter of the facility and no weapons are brought into the security area. Lockers have individual compartments, locks and keys. Design Requirements (102(c)6) Design requirements as specified in Title 24, Part 1, 102(c)6 are met. (See regulation for specific X requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) Note: 2018-2020 Inspection Cycle did not include a physical walk-through of the facility, due to the COVID-19 Emergency Declaration. Information contained is from previous inspections and discussions with SDSD Staff. 4470 San Diego SHRF Valley Center Station THJ CI PHY 25-26 - 4 - A382 PHY CH-TH 94 99 01.dot (03/01;rev. 2/02) ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 4470 FACILITY: Valley Center Station TYPE: THJ RC: (9) FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/13/2026 ROOMS EACH ROOM Cell Applicable # EACH CELL DIMENSIONS FIXTURES* Location Total RC Type Standards Cells # Beds RC (L x W x H) T U W F S 1 Holding 1999 1 0 (3) (3) 7'10" x 7'0" 1 1 1 Note: Bench seating @ 4'7" feet; seating for 3 inmates. Cell approximately 55 square feet (less 7 square foot chase) = 48 square feet. 2 Holding 1999 1 0 (3) (3) 7'10" x 8'3" 1 1 1 Note: Bench seating @ 4'6" feet; seating for 3 inmates. Cell approximately 65 square feet (less 10 square foot chase) = 55 square feet. 3 Holding 1999 1 0 (3) (3) 7'10" x 7'1" 1 1 1 Note: Bench seating @ 4'6" feet; seating for 3 inmates. Cell approximately 55 square feet (less 10 square foot chase) = 44 square feet. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 4470 San Diego SHRF Valley Center Station THJ CI LASE 25-26 - 1 - A360 LAS Adult.dot (03/01) TEMPORARY HOLDING FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4490 FACILITY NAME: Lakeside Sheriff’s Substation FACILITY TYPE: THJ PERSON(S) INTERVIEWED: Sgt. Anderson, Sgt. Valencia FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/13/26 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1024 COURT HOLDING AND TEMPORARY The BSCC Standards and Training for HOLDING FACILITY TRAINING Corrections (STC) division found the agency in compliance with applicable regulations At a minimum, all supervisors of and personnel who during the 23-24 compliance monitoring supervise incarcerated persons in, a Court Holding or cycle. Temporary Holding facility shall complete eight hours of specialized corrections training. Such training shall San Diego County has a Training Department include, but not be limited to: that maintains training records for each (a) applicable minimum jail standards; employee. (b) jail operations liability; (c) separation of incarcerated persons; (d) emergency procedures and planning, fire and life ☒ ☐ ☐ PM 10.1 Orientation Phase Training safety; and; PM 2.55 Non-Biased Based Policing (e) suicide prevention; (f) de-escalation; Some of the training topics were the following (g) juvenile procedures; (in addition to other training): Temp. Holding (h) racial bias; and, cell, Discrimination, Security Awareness, (i) mental illness. Juvenile Procedures, Naloxone training, Promoting Compassion in Detention Note: Each agency shall determine if additional training is Facilities, and Annual Safety Programs. needed based upon, but not limited to, the complexity of the facility, the number of people incarcerated, the employees' level of experience and training, and other relevant factors. Such training shall be completed as soon as practical, but Deputies are trained upon assignment to this in any event not more than six months after the date of facility. assigned responsibility. Successful completion of Core ☒ ☐ ☐ training or supplemental Core training, pursuant to Section 1020, Corrections Officer Core Course, may be substituted for the initial eight hours of training. A total of eight hours of refresher training shall be PM 10.6 Continual Professional Training - completed every two years. Successful completion of the Sworn ☒ ☐ ☐ requirements in Section 1025, Continuing Professional Training may be substituted for the eight-hour refresher. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1027 NUMBER OF PERSONNEL C.1. Minimum Staffing A sufficient number of personnel shall be employed in ☒ ☐ ☐ each local detention facility to ensure the implementation and operation of the programs and activities required by these regulations. Whenever there is a person in custody, there shall be at Staff are present whenever an arrestee is in a least one employee on duty at all times in a local holding cell. detention facility or in the building which houses a local ☒ ☐ ☐ detention facility who shall be immediately available and accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which Staff maintain supervision of the arrestee would conflict with the supervision and care of ☒ ☐ ☐ while in the station. incarcerated people in the event of an emergency. Whenever one or more females are in custody, there Staffing for the facility is comprised of several shall be at least one female employee who shall be teams. Each team has female staff members ☒ ☐ ☐ immediately available and accessible to such females. who can be immediately available. Note: Reference PC § 4021. In order to determine if there is a sufficient number of The Sheriff’s Office ensures there is sufficient personnel for a specific facility, the facility administrator staffing to cover all required needs. A staffing shall prepare and retain a staffing plan indicating the roster was provided, which identified all personnel assigned in the facility and their duties. Such a personnel assigned to the substation and ☒ ☐ ☐ staffing plan shall be reviewed by the Board staff at the their assigned responsibilities. time of their biennial inspection. The results of such a review and recommendations shall be reported to the local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS I.64 Safety Checks: Inmates, Housing and Holding Areas The facility administrator shall develop and implement policy and procedures for conducting safety checks that Each arrestee has completed a Temporary include, but are not limited to, the following: Holding Cell Checklist, which includes (a) Safety checks will determine the safety and well-being medical questions, cell placement, charges, of individuals and shall be conducted at least hourly and safety check documentation. Also through direct visual observation of all people held and included is the time of removal from the housed in the facility. ☒ ☐ ☐ facility. Two months (November and December 2025) of safety check documentation were requested for this inspection. Observation checks occur approximately every 15 minutes. The documents reviewed identified when a person was placed in the cell, if they underwent an interview, and the time they were released or transported out of the facility. (b) There shall be no more than a 60-minute lapse When an arrestee is in the facility, safety between safety checks. ☒ ☐ ☐ checks are conducted within 15 minutes of the previous check. (c) Safety checks for people in sobering cells, safety cells, No safety or sobering cells at this facility. and restraints shall occur more frequently as outlined in ☐ ☐ ☒ section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied No regular pattern was discovered when ☒ ☐ ☐ intervals. reviewing safety check documentation. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) There shall be a written plan that includes the The date and time of each safety check are documentation of all safety checks. Documentation shall identified in the observation reports. include: ☒ ☐ ☐ (1) the actual time at which each individual safety check occurred; (2) the location where each individual safety check This facility has one cell. When a safety occurred, such as a cell, module, or dormitory check is completed, it includes observing ☒ ☐ ☐ number; and, arrestees in their cell and documented on the Temporary Holding Cell Checklist. (3) Initials or employee identification number of staff This is included in the observation report. ☒ ☐ ☐ who completed the safety check(s). (f) A documented process by which safety checks are A supervisor reviews the previous days’ reviewed at regular defined intervals by a supervisor or documentation and indicated by their body facility manager, including methods of mitigating patterns ☒ ☐ ☐ number and initials in the lower corner. of inconsistent documentation, or untimely completion of, safety checks. 1028 FIRE AND LIFE SAFETY STAFF H.1 Fire Procedures M.5 Medical Emergencies (a) Whenever there is a person in custody, there shall be M.6 Life Threatening Emergencies: Code ☒ ☐ ☐ at least one person on duty at all times who meets the Blue training standards established by the Board for general M.34 Personal Protective Equipment (PPE) fire and life safety. [Penal Code section 6030(c)]. The facility manager shall ensure that there is at least one Prior to being assigned to work at a facility, person on duty who trained in fire and life safety staff members are trained in fire and life procedures that relate specifically to the facility. ☒ ☐ ☐ safety. Upon transfer to a new facility, staff members are trained in the procedures specific to that facility. (b) The facility administrator, in conjunction with the The Training Bureau provided a Line-Up health authority, shall develop and implement policies Training, Response to Life-Threatening and and procedures consistent with the requirements of Penal Medical Emergencies, Topic #22, where staff Code Section 6048(b) that require correctional officers had to verify that they completed the training ☒ ☐ ☐ certified in cardiopulmonary resuscitation (CPR) to begin activity. This training included identification of CPR on a nonresponsive person without obtaining agency policies and the use of CPR, and approval from supervisors or medical staff, when it is safe when available, an AED. This facility has an and appropriate to do so. AED, Narcan, and a first aid kit available. These policies shall cover the following key elements: PM 10.2 First Aid and CPR Training ☒ ☐ ☐ (1) Acceptable CPR methods and application. (2) Correctional officers shall be certified in CPR and a Staff receive a CPR certification card. This copy of the certification shall be on file in the facility or at ☒ ☐ ☐ agency also maintains records to identify a central location and available for review. when training is needed. (3) Correctional officers shall immediately summon A Training Bulletin, “Initiating a 911 medical aid when a person is identified as nonresponsive Response,” identifies that facility staff are and shall administer CPR unless the correctional officer ☒ ☐ ☐ expected to provide emergency medical care is aware of a known medical condition(s) that would with efficiency and speed without contraindicate its use. compromising security. (4) Correctional officers shall use personal protective This is included in policy M.34. equipment when administering CPR whenever possible ☒ ☐ ☐ to reduce exposure to bodily fluids or bloodborne pathogens that may contain disease-causing agents. (5) If an imminent physical danger prevents a Staff members are trained that CPR is only correctional officer from safely administering CPR, they performed when safety and security are not shall begin or resume CPR as soon as the threat has compromised. ☒ ☐ ☐ passed, or the nonresponsive person has been safely removed from danger, provided medical aid has not yet arrived. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) The correctional officer shall continue administering Basic life-supporting care is continued until CPR, absent imminent physical danger, until the paramedics or medical personnel arrive and nonresponsive person shows obvious signs of life, such assume care. ☒ ☐ ☐ as normal breathing or physical or verbal responses, or until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative This facility does not maintain medical staff. medical responders are present when a person is However, if there is a need for EMS, ☒ ☐ ☐ identified as nonresponsive, correctional officers shall paramedics assume CPR. defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL3 San Diego County Sheriff’s Office Detention Services Bureau – Manual of Policies and Facility administrator(s) shall develop and publish a Procedures. manual of policy and procedures for the facility. The policy and procedures manual shall address all San Diego County Sheriff’s Office Policy applicable Title 15 and Title 24 regulations and shall be Manual (PM) comprehensively reviewed and updated at least every ☒ ☐ ☐ two years. Such a manual shall be made available to all employees. The policy manuals are updated on an as- Notes: The policies and procedures required in needed basis several times per year. subsections (a)(6) and (a)(7) may be placed in a However, all policy manuals are reviewed separate manual to ensure confidentiality. annually. Subsections (c) and (d) do not apply and have been deleted. (a) The manual for Temporary Holding, Type I, II, and III A.3 Table of Organization facilities shall provide for, but not be limited to, the following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility B.38 Facility Inspections ☒ ☐ ☐ administrator/manager. PM 1.8 Facility Appearance and Maintenance (3) Policy on the use of force that meets current state PM 11.1 Use of Force Guidelines and federal legal requirements and includes ☒ ☐ ☐ prohibition of the use of carotid restraint and choke This pertains to all staff. holds. (4) Policy on the use of restraint equipment, including I.93 Use of Restraint Equipment the restraint of pregnant persons as referenced in ☒ ☐ ☐ M.38 Pregnant Incarcerated Persons Penal Code Section 3407. (5) Procedure and criteria for screening newly M.38 Pregnant Incarcerated Persons received persons for release. ☒ ☐ ☐ Q.77 Permissive Release of Pre-arraignment Misdemeanor Incarcerated Persons 3 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) Security and control including physical counts and H.2 Facility Emergency Operations Manual searches of the facility and incarcerated persons, I.16 Facility Security-Screenings of Persons contraband control, and key control. Entering a Detention Facility or Support Each facility administrator shall, at least annually, Facility review, evaluate, and make a record of security I.25 Key Control measures. The review and evaluation shall include I-41 Cell Searches of Incarcerated Persons internal and external security measures of the facility I.43 Count Procedures of Incarcerated ☒ ☐ ☐ including security measures specific to prevention of Persons sexual abuse and sexual harassment. I.52 Strip and Pat Down Searches of Incarcerated Persons I.61 Facility Security – Central Control F.16 Sexual Misconduct Case Assignments & Investigations I.66 Facility Security/Physical Security (7) Emergency procedures include: H.1 Fire Procedures (A) fire suppression preplan as required by ☒ ☐ ☐ section 1032 of these regulations; (B) escape, disturbances, and the taking of I.43 County Procedures for Incarcerated hostages; Persons D.15 Training in Emergency Plans and Critical Incidents H.2 Facility Emergency Operations Manual ☒ ☐ ☐ I.5 Emergency Escape Procedures of Incarcerated Persons I.7 Riot and Disorder Policy I.3 Hostage Policy PM 6.58 Prisoner Escapes PM 9.3 Crisis Negotiation (C) mass arrests; ☒ ☐ ☐ H.14 Mobile Booking (D) natural disasters; ☒ ☐ ☐ H.2 Facility Emergency Operations Manual (E) periodic testing of emergency equipment; and ☒ ☐ ☐ I.1 Emergency Alarm Systems (F) storage, issue, and use of weapons, B. 38 Facility Inspections ammunition, chemical agents, and related H.11 Storage and Use of Toxic, Caustic security devices. ☒ ☐ ☐ Materials I.69 Facility Security-Weapons PM 6.66 Chemical Agents Policy (8) Suicide Prevention. J.5 Suicide Prevention Practices Incarcerated Persons & Detentions Safety Program ☒ ☐ ☐ M.4 Suicide Prevention and Focused Response Team (9) Separation of incarcerated persons. J.3 Separation: Definition and Use ☒ ☐ ☐ R.1 Incarcerated Person Classification (10) Zero tolerance in the prevention of sexual abuse D.13 In-Service Training and sexual harassment. ☒ ☐ ☐ F.16 Sexual Misconduct Case Assignment & Investigations (11) Policy and procedure to detect, prevent, and F.16 Sexual Misconduct Case Assignment & respond to retaliation against any staff or person after Investigations reporting any abuse. PM 6.127 Prison Rape Elimination Act ☒ ☐ ☐ The policy manual identifies how personnel and incarcerated persons can report instances of sexual abuse, harassment, and retaliation. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (12) Release policy, including release planning for Incarcerated persons are not held long incarcerated persons. ☐ ☐ ☒ enough to formulate a release plan from this facility. (e) The manual for Temporary Holding, Court Holding, The San Diego County Sheriff’s Office Type I, II, III, and IV facilities shall provide for, but not be website provides informational pamphlets on limited to, the following: how to report instances of sexual (1) multiple internal ways for incarcerated people to abuse/harassment. Informational posters are privately report sexual abuse and sexual displayed on the walls informing arrestees of ☒ ☐ ☐ harassment, retaliation by other incarcerated how to report. persons or staff for reporting sexual abuse and sexual harassment, and staff neglect or violation of responsibilities that may have contributed to such incidents, (2) a method for uninvolved incarcerated persons, Information on reporting sexual assault, family, community members, and other interested harassment, and misconduct is available on third parties to report sexual abuse or sexual the agency website. harassment. The method for reporting shall be ☒ ☐ ☐ publicly posted at the facility. The lobby of the substation has an informational poster identifying reporting methods. 1030 SUICIDE PREVENTION PROGRAM J.5 Inmate Suicide Prevention Practices & Inmate Safety Program The facility shall have a comprehensive written suicide prevention program developed by the facility administrator or designee, in conjunction with the health ☒ ☐ ☐ authority and mental health director, to identify, monitor, and provide treatment to those incarcerated persons who present a suicide risk. The program shall include the following: (a) Annual suicide prevention training for all custodial The training is conducted annually on an on- personnel. going basis. The training team determines ☒ ☐ ☐ when it is time for each person to attend training. (b) Intake screening for suicide risk immediately upon PM 6.13 Inmate Intake Form intake and prior to housing assignment. ☒ ☐ ☐ A suicide assessment is conducted at intake. (c) Suicide prevention screening during special Arrestees do not stay at this facility and are situations, including placement in restrictive housing, transferred to another facility if they are to ☒ ☐ ☐ following a hearing, and after a transfer or change in remain in custody. classification. (d) Provisions facilitating communication among I.96 Providing Assistance to arresting/transporting officers, facility staff, court staff, Arresting/Transporting Officer ☒ ☐ ☐ medical and mental health personnel in relation to suicide risk. (e) Housing recommendations for people at risk of suicide Active suicidal incarcerated persons are not that balance safety and environment. The least restrictive ☒ ☐ ☐ accepted at this facility and are transported to environment should be considered. either the hospital or the jail. (f) Supervision depending on level of suicide risk. Should a person become suicidal while at this facility, additional observation checks are ☒ ☐ ☐ made until transport to another facility can be arranged. (g) Suicide attempt and suicide intervention policies and Suicide intervention policies are part of the ☒ ☐ ☐ procedures. detentions manual. (h) Provisions for reporting suicides and suicides Reports are written about actual or attempted ☒ ☐ ☐ attempts. suicides and forwarded to NicheRMS. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 A Critical Incident Review Board reviews (i) Multi-disciplinary administrative review of suicides and incidents and may prompt changes in attempted suicides as defined by the facility ☒ ☐ ☐ practices or policies. administrator, including the development of a corrective action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. Follow-up care for those suffering mental Note: Subsection (k) does not apply and has been ☒ ☐ ☐ health issues is provided at another facility. deleted. 1032 FIRE SUPPRESSION PREPLANNING H.1 Fire Procedures H.7 Fire/Safety Inspections, Testing Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire Marshal, or both, in developing a plan for fire suppression which shall include, but not be limited to: (a) a fire suppression pre-plan developed with the local fire department to be included as part of the policy and ☒ ☐ ☐ procedures manual (Title 15, California Code of Regulations Section 1029); (b) monthly fire prevention inspections by facility staff with Verification was made that monthly fire two-year retention of the inspection record; prevention inspections are conducted and ☒ ☐ ☐ retained by the agency. These are identified as the Lakeside Sheriff’s Substation Holding Cells ‘ Fire and Safety Inspection Report. (c) fire prevention inspections as required by Health and The last fire inspection was completed on Safety Code Section 13146.1(a) and (b) which requires ☒ ☐ ☐ 10/14/24 by the Lakeside Fire Protection inspections at least once every two years; District. (d) an evacuation plan; and H.3 Evacuation Plans ☒ ☐ ☐ This facility also has a Site Evacuation Plan and Fire Safety Plan, which was updated on 01/21/2026. (e) a plan for the emergency housing of incarcerated Determined at the time, and need for ☒ ☐ ☐ people in the case of fire. emergency housing. 1044 INCIDENT REPORTS F.5 Incarcerated Person Incident Reports (JIMS) Each facility administrator shall develop written policies F.9 Crime Reports and Major Incident and procedures for the maintenance of written records Documentation ☒ ☐ ☐ and reporting of all incidents which result in physical PM 6.71 Crime Case Reports harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other Incident records are maintained in the Jail person. Information Management System (JIMS). Such records shall include the names of the persons Records are attached to each involved involved, a description of the incident, the actions taken, incarcerated person and include the type of ☒ ☐ ☐ and the date and time of the occurrence. incident, those involved, actions taken, and the date/time of occurrence. Such a written record shall be prepared by the staff Verification was made that there were no assigned to investigate the incident and submitted to the ☒ ☐ ☐ reports regarding incarcerated persons facility manager or designee. emanating from this facility. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 7 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1046 DEATH IN CUSTODY M.7 Incarcerated Person Deaths PM 6.5 Unusual Incident, Death, and Serious (a) The facility administrator shall develop written policy Injury Notification and procedures to comply with the in-custody death ☒ ☐ ☐ reporting requirements of Government Code section An In-Custody Death Advocate and 12525. The facility administrator shall submit a copy of Department Investigation Coordinator the report filed pursuant to section 12525 to the BSCC (ICDADIC) is responsible for submitting this within 10 days of an in-custody death. information. (b) The facility administrator, in cooperation with the The ICDADIC is the coordinator of the review health administrator, shall develop written policy and team. Members of the team include the procedures to conduct an initial review and complete a Medical Services Administrator, Chief written report of every in-custody death within 30 days of Medical Officer, other healthcare staff, and the death. The team that conducts the initial review shall ☒ ☐ ☐ the ICDADIC coordinator, among others. include, at a minimum, the facility administrator or designee, the health administrator, the responsible physician and other health care, and supervision staff who are relevant to the incident. Deaths shall be reviewed to determine the These occurrences are also investigated by appropriateness of clinical care; whether changes to the San Diego County CLERB (Citizens Law ☒ ☐ ☐ policies, procedures, or practices are warranted; and to Enforcement Review Board). identify issues that require further study. (c) The facility administrator shall submit a copy of the This is the responsibility of the ICDADIC. initial review report of every in-custody death to the BSCC within 60 days of the death. The facility administrator shall ☒ ☐ ☐ provide a copy of the initial review report that comports with the disclosure requirements of section 832.10 of the Penal Code. The initial review report shall contain the following The reports written for an In-Custody Death at information: a substation include all the items listed in this (1) Demographic information subsection. (A) Full name of the decedent (B) Date of birth (C) Date of death (D) Time of death (E) Gender (F) Race and ethnicity (G) Relevant medical history ☒ ☐ ☐ (2) Facility Information (A) Name and location of the detention facility (B) Description of the location where the death occurred within the facility (C) Date and time of the incident (D) Detention facility personnel (including names and roles) involved in the reporting of the death or incident (3) Any relevant circumstances leading up to death, including behavioral health or medical issues. (d) In any case in which a minor dies while detained in a jail, lockup, or court holding facility the BSCC may inspect and evaluate the jail, lockup, or court holding facility pursuant to the provisions of this subchapter within 30 calendar days of the death. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 8 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1050 CLASSIFICATION PLAN R.1 Incarcerated Person Classification R.3 Incarcerated Person Classification Code (a) Each administrator of a temporary holding, Type I, II, – Descriptor Definitions or III facility shall develop and implement a written classification plan designed to properly assign incarcerated persons to housing units and activities There is one cell used for arrestees at this according to the categories of gender identity, age, facility. Incarcerated persons are only held for criminal sophistication, seriousness of crime charged, a short time at this facility. physical or mental health needs, assaultive/non- assaultive behavior, risk of being sexually abused, or The San Diego County Sheriff’s Office has a sexually harassed and other criteria which will provide for Booking Acceptance Criteria document, the safety of the incarcerated people and staff. Such which identifies the types of bookings that can ☒ ☐ ☐ housing unit assignment shall be accomplished to the be accepted. extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, There are no programs available at this the agency shall consider on a case-by-case basis temporary holding facility. Care is taken to whether a placement would ensure the health and safety appropriately separate those who need of the incarcerated person, and whether the placement ☒ ☐ ☐ protection from others. would present management or security problems. A person’s own views with respect to their own safety shall be given serious consideration. 1051 COMMUNICABLE DISEASES M.9 Receiving Screening M.37 Standard Precautions and Infectious The facility administrator, in cooperation with the Agents/Communicable Disease Control responsible physician, shall develop written policies and ☒ ☐ ☐ PM 6.100 Bloodborne Pathogen Exposure/ procedures specifying those symptoms that require Control medical isolation of an incarcerated person until a medical evaluation is completed. At the time of intake into the facility, an inquiry shall be PM 6.13 Inmate Intake Form made of the person being booked as to whether the person has or has had any communicable diseases, such An initial medical screening takes place at the as tuberculosis or has observable symptoms of time of reception. Incarcerated persons who ☒ ☐ ☐ tuberculosis or any other communicable diseases, or have any type of medical issues are other special medical problem identified by the health transported directly to the jail. authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION M.2 Requests for Medical Information J.5 Suicide Prevention Practices for The facility administrator, in cooperation with the Incarcerated Persons & Detentions Safety responsible physician, shall develop written policies and ☒ ☐ ☐ Program procedures to identify and evaluate all incarcerated J.7 Emergency Transportation of people who may be in behavioral crisis. Evaluation of Incarcerated Persons with Mental Health behavioral crisis may include telehealth. Needs If an evaluation from medical or mental health staff is not Arrestees suffering from an active behavioral readily available, an incarcerated person shall be crisis episode are not accepted at this facility. considered in behavioral crisis for the purpose of this ☒ ☐ ☐ Instead, they are transported to the hospital section if they appear to be a danger to themselves or or jail. others or appear gravely disabled. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 9 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 An evaluation from medical or mental health staff shall be This is done when booked into the jail. secured within 24 hours of identification or at the next ☒ ☐ ☐ daily sick call, whichever is earliest. Separation may be used if necessary, to protect the Staff verified that this occurs whenever ☒ ☐ ☐ safety of the person in crisis or others. possible. 1053 ADMINISTRATIVE SEPARATION J.3 Separation: Definition and Use R.1 Incarcerated Person Classification ☒ ☐ ☐ Except for Type IV facilities, facility administrators shall develop and implement policies and procedures for the administrative separation of incarcerated people. Policies and procedures must include: There are no administrative separation cells (a) Administrative separation may consist of separate at this facility. housing but shall not involve any other deprivation of privileges than is necessary to obtain the objective of protecting the welfare of incarcerated people and facility ☐ ☐ ☒ staff. Note: Subsections (b) through (e) do not apply and have been deleted. 1055 USE OF SAFETY CELL There is no safety cell at this facility. The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who ☐ ☐ ☒ display behavior which results in the destruction of property or reveals an intent to cause physical harm to self or others. The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures governing safety cell use and may delegate ☐ ☐ ☒ authority to place an incarcerated person in a safety cell to a physician. Policies and procedures shall include, but not be limited to: (a) In no case shall the safety cell be used for punishment ☐ ☐ ☒ or as a substitute for treatment. (b) A person shall be placed in a safety cell only with the approval of the facility manager or designee, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every four hours. (c) A medical assessment shall be completed as soon as possible, but not more than 12 hours from the time of placement in the safety cell. The person shall be ☐ ☐ ☒ medically cleared for continued retention, referral to advanced treatment, or removal from the safety cell a minimum of every 24 hours thereafter. (d) The facility manager, designee or responsible health care staff shall obtain a mental health opinion/consultation with responsible health care staff on ☐ ☐ ☒ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least twice every 30 minutes, with no more than a 15-minute ☐ ☐ ☒ lapse between safety checks. Such observation shall be documented. (f) Procedures shall be established to assure ☐ ☐ ☒ administration of necessary nutrition and fluids. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 0 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) People placed in the safety cell shall be allowed to retain sufficient clothing or be provided with a suitably designed “safety garment,” to provide for their personal ☐ ☐ ☒ privacy unless specific identifiable risks to the person's safety or to the security of the facility are documented. 1056 USE OF SOBERING CELL There is no sobering cell at this facility. The sobering cell described in Title 24, Part 2, Section ☐ ☐ ☒ 1231.2.4, shall be used for temporary holding of incarcerated people who are a threat to their own safety or the safety of others due to their state of intoxication. A person shall be removed from the sobering cell as soon as they are able to continue the admission process or are ☐ ☐ ☒ no longer a risk to themselves or others. In no case shall a person remain in a sobering cell over six hours without an evaluation by medical or custody staff to determine whether the person has an urgent ☐ ☐ ☒ medical problem, pursuant to section 1213 of these regulations. At 12 hours from the time of placement, all persons must ☐ ☐ ☒ receive an evaluation by responsible health care staff. Intermittent direct visual observation of people held in the sobering cell shall be conducted no less than every half ☐ ☐ ☒ hour. Such observation shall be documented. 1057 DEVELOPMENTAL DISABILITIES M.9 Receiving Screening J. Separation: Definition and Use The facility administrator, in cooperation with the responsible physician, shall develop written policies and There are no medical staff at this facility. ☒ ☐ ☐ procedures for the identification and evaluation, Arrestees who present themselves as having appropriate classification and housing, protection, and developmental disabilities are not accepted nondiscrimination of all incarcerated persons with and transported to the jail for booking. developmental disabilities. The health authority or designee shall contact the This is done at the larger jail facility. regional center for any incarcerated person suspected or confirmed to have a developmental disability for the ☒ ☐ ☐ purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. 1058 USE OF RESTRAINT DEVICES I.93 Restraint Devices The facility administrator, in cooperation with the responsible physician, shall develop and implement Compliance is based upon policy. The use of written policies and procedures for the use of restraint the WRAP at this facility is only done for devices. Restraint devices include any devices which transport purposes, if needed. immobilize extremities or prevent the incarcerated person ☒ ☐ ☐ from being ambulatory. The provisions of this section do not apply to the use of handcuffs, shackles, or other restraint devices when used to restrain incarcerated people for security reasons. The facility manager may delegate authority to place an incarcerated person in restraints to responsible health care staff. (a) The policy shall address the following areas: The WRAP. ☒ ☐ ☐ (1) acceptable restraint devices; (2) signs or symptoms which should result in immediate medical/mental health referral; availability ☐ ☐ ☒ of cardiopulmonary resuscitation equipment; (3) protective housing of restrained persons; ☐ ☐ ☒ 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) provision for hydration and sanitation needs; and, ☐ ☐ ☒ (5) exercising of extremities. ☐ ☐ ☒ (b) Policy shall also include, but not be limited to, the following requirements: ☐ ☐ ☒ (1) In no case shall restraints be used for punishment or as a substitute for treatment. (2) Restraint devices shall only be used on incarcerated people who display behavior which ☐ ☐ ☒ results in the destruction of property or reveal an intent to cause physical harm to self or others. (3) Restraint devices should be used only when less restrictive alternatives, including verbal de-escalation ☐ ☐ ☒ techniques, have been attempted and are deemed ineffective. (4) An incarcerated person shall be placed in restraints only with the approval of the facility manager, the facility watch commander, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every hour. (5) Continuous direct visual observation shall be ☐ ☐ ☒ maintained until a medical opinion can be obtained. (6) A medical opinion on placement and retention shall be secured within one hour from the time of ☐ ☐ ☒ placement. (7) A medical assessment shall be completed within ☐ ☐ ☒ four hours of placement. (8) Continuous direct visual observation shall be conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to ensure the safety and well-being of the incarcerated person. Such observation shall be documented. ☐ ☐ ☒ While in restraint devices all incarcerated persons shall be housed alone or in a specified housing area which makes provisions to protect the person from abuse. (9) If the facility manager, or designee, in consultation with responsible health care staff determines that an incarcerated person cannot be safely removed from ☐ ☐ ☒ restraints after eight hours, the person shall be taken to a medical facility for further evaluation. (10) Where applicable, the facility manager shall use the restraint device manufacturer’s recommended ☐ ☐ ☒ maximum time limits for placement. (11) All events and information related to the placement in restraints shall be documented and shall be video recorded unless exigent circumstances prevent staff from doing so. The documentation shall ☐ ☐ ☒ include: the reason for placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1058.5 RESTRAINTS AND PREGNANT PERSONS M.38 Pregnant Incarcerated Persons The facility administrator, in cooperation with the responsible physician, shall develop written policies and ☒ ☐ ☐ procedures for the use of restraint devices on pregnant people. In accordance with Penal Code Section 3407, the policy shall include reference to the following: (1) An incarcerated person known to be pregnant or Pregnant persons are only handcuffed in the in recovery after delivery or termination of the front of the body, not behind. ☒ ☐ ☐ pregnancy shall not be restrained by the use of leg or waist restraints, or handcuffs behind the body. (2) An incarcerated pregnant person in labor, during Verified by policy and interview. delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ☒ ☐ ☐ ankles, or both, unless deemed necessary for the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional Verified by policy and interview. who is currently responsible for the medical care of an incarcerated pregnant person during a medical ☒ ☐ ☐ emergency, labor, delivery, or recovery after delivery or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s Pregnancy tests are offered within 72 hours pregnancy, they shall be advised, orally or in writing, of arrival at the larger jail facility. ☐ ☐ ☒ of the standards and policies governing incarcerated pregnant people. 1067 ACCESS TO TELEPHONE P.2 Telephone Access The facility administrator shall develop written policies Telephones are accessible at the time of and procedures which allow access to a telephone or reception. communication device beyond those telephone calls which are required by Section 851.5 of the Penal Code. Individuals who are known to have, or are perceived by Video Relay Service (VRS), Captioned others as having hearing or speech impairments shall be ☒ ☐ ☐ Telephone Service (CTS), TDD, TTY, and provided access to the appropriate telecommunication Telephone Relay Service (TRS) are also device which will facilitate communication. Such devices available for those with hearing impairments. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 1068 ACCESS TO COURTS AND COUNSEL N.5 Access to Courts / Attorneys / Legal Advice The facility administrator shall develop written policies ☒ ☐ ☐ and procedures to ensure incarcerated persons have access to the court and to legal counsel. Such access shall consist of: (b) confidential consultation with attorneys. ☒ ☐ ☐ This is in-person and by telephone. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1080 RULES AND DISCIPLINARY ACTIONS Discipline is not administered at this facility. Wherever discipline is administered, each facility administrator shall establish written rules and disciplinary actions to guide the conduct of incarcerated persons. ☐ ☐ ☒ Notes: If discipline IS NOT administered, written policy should indicate as such. If discipline IS administered, Sections 1080, 1081, 1082, 1083 and 1084 apply. Such rules and disciplinary actions shall be stated simply and affirmatively and posted conspicuously in housing ☐ ☐ ☒ units and the booking area or issued to each person upon booking. For those individuals with limited literacy, who are unable to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them ☐ ☐ ☒ verbally or provide them with material in an understandable form regarding jail rules and disciplinary procedures and actions. 1081 PLAN FOR DISCIPLINE OF INCARCERATED Discipline is not administered at this facility. PERSONS Each facility administrator shall develop written policies and procedures for discipline of incarcerated persons. The plan shall include, but not be limited to, the following elements: ☐ ☐ ☒ (a) Temporary Loss of Privileges: For minor acts of non- conformance or minor violations of facility rules, staff may impose a temporary loss of privileges, such as access to television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation and supervisory approval. (b) Disciplinary Actions: Major violations of facility rules or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing ☐ ☐ ☒ by the staff member observing the act and submitted to the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Loss of good time/work time. ☐ ☐ ☒ 2. Placement in disciplinary separation. ☐ ☐ ☒ 3. Loss of privileges mandated by regulations. ☐ ☐ ☒ A staff member with investigative and disciplinary authority shall be designated as a disciplinary officer to ☐ ☐ ☒ impose such consequences. Staff shall not participate in disciplinary review if they are ☐ ☐ ☒ involved in the charges. Such charges pending against an incarcerated person shall be acted on with the following provisions and within specified timeframes: ☐ ☐ ☒ 1. A copy of the report, or a separate written notice of the violation(s), shall be provided to the incarcerated person. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 2. Unless declined by the incarcerated person, a hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been ☐ ☐ ☒ informed of the charges in writing. The hearing may be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The ☐ ☐ ☒ incarcerated person shall have access to staff or assistance when they have limited literacy, or the issues are complex. 4. A charge(s) shall be acted on no later than 72 hours after an incarcerated person has been ☐ ☐ ☒ informed of the charge(s) in writing. 5. Subsequent to final disposition of disciplinary charges by the disciplinary officer, the charges and ☐ ☐ ☒ the action taken shall be reviewed by the facility manager or designee. 6. The incarcerated person shall be advised in a written statement by the fact-finders about the evidence relied on and the reasons for the ☐ ☐ ☒ disciplinary action. A copy of the record shall be kept pursuant to Penal Code Section 4019.5. 7. There shall be a policy of review and appeal to a ☐ ☐ ☒ supervisor on all disciplinary action. 1082 FORMS OF DISCIPLINE Discipline is not administered at this facility. The degree of actions taken by the disciplinary officer shall be directly related to the severity of the rule infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of discipline shall consist of, but not be limited to, the following: (a) Loss of privileges. ☐ ☐ ☒ (b) Extra work detail. (c) Short term lockdown for less than 24 hours. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal Code Section 4019. (f) Forfeiture of “work time” credits earned under Penal Code Section 4019. (g) Disciplinary separation. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS Discipline is not administered at this facility. The Penal Code and the State Constitution expressly prohibit all cruel and unusual punishment. Disciplinary actions shall not include corporal punishment, group punishment when feasible, or physical or psychological degradation. ☐ ☐ ☒ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) If a person is on disciplinary separation status for 30 consecutive days there shall be a review by the facility manager before the disciplinary separation status is continued. This review shall include a ☐ ☐ ☒ consultation with health care staff. Such reviews shall continue at least every fifteen days thereafter until the disciplinary status has ended. This review shall be documented. (2) The disciplinary separation cells or cell shall have the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be issued clothing and bedding as specified in Articles 13 and 14 of these regulations and shall not be deprived of them through any portion of the day ☐ ☐ ☒ except that those incarcerated persons who engage in the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a person of such articles of clothing and bedding shall be reviewed by the facility manager or designee during each 24-hour period. (3) If after placement in separation, mental health or medical staff determine that an individual has serious mental illness or an intellectual disability, they shall ☐ ☐ ☒ be removed from disciplinary separation immediately upon this determination. (b) The delegation of authority to any incarcerated person or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group ☐ ☐ ☒ of incarcerated people. Note: PC § 4019.5. (c) In no case shall a safety cell, as specified in Title 24, Part 2, 1231.2.5, or any restraint device be used for ☐ ☐ ☒ disciplinary purposes. (d) No incarcerated person may be deprived of the implements necessary to maintain an acceptable level of ☐ ☐ ☒ personal hygiene as specified in Section 1265 of these regulations. (e) Food shall not be withheld as a disciplinary measure. ☐ ☐ ☒ (f) Correspondence privileges shall not be withheld except in cases where the incarcerated person has violated correspondence regulations, in which case ☐ ☐ ☒ correspondence may be suspended for no longer than 72 hours, without the review and approval of the facility manager. (g) In no case shall access to courts and legal counsel be ☐ ☐ ☒ suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS Discipline is not administered at this facility. Penal Code Section 4019.5 requires that a record is kept ☐ ☐ ☒ of all disciplinary actions administered therefore. This requirement may be satisfied by retaining copies of rule violation reports and report of the disposition of each. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1270 STANDARD BEDDING AND LINEN ISSUE This is a temporary holding facility. Arrestees are held only a short time before transfer or The standard issue of clean suitable bedding and linens, release. However, blankets are available if for each incarcerated person entering a living area who is needed. ☒ ☐ ☐ expected to remain overnight, shall include, but not be limited to: (a) one serviceable mattress which meets the requirements of Section 1272 of these regulations; (b) one mattress cover or one sheet; ☐ ☐ ☒ (d) one blanket or more depending up on climatic ☐ ☐ ☒ conditions. Policy and procedure shall require that items (a), (b), and ☐ ☐ ☒ (d) above be provided prior to the first night in the facility. Two blankets or sleep bag may be issued in place of one mattress cover or one sheet at the request of the ☐ ☐ ☒ incarcerated person. Temporary Holding facilities which hold persons longer than 12 hours shall provide an incarcerated person with bedding and linen that meet the requirements of (a), (b) ☐ ☐ ☒ and (d) above prior to their first night in the facility and every night thereafter. 1280 FACILITY SANITATION, SAFETY, AND L.4 Housekeeping Plan MAINTENANCE PM 1.8 Facility Appearance and Maintenance The facility administrator shall develop written policies and procedures for the maintenance of an acceptable Each facility has a daily cleaning plan. ☒ ☐ ☐ level of cleanliness, repair, and safety throughout the facility. Such a plan shall provide for a regular schedule of housekeeping tasks and inspections to identify and correct unsanitary or unsafe conditions or work practices which may be found. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 7 of 21 A351 TH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? If YES, see remaining document for Title 15, Article 9 inspection. Penal Code Sections 6030 and 6031.4 require the biennial inspection of local detention facilities that hold minors in secure detention in the jail. Title 15, Article 9 According to policy, minors can be held in jail establishes the minimum standards of how facilities hold cells. On a practical level, this facility has not minors in temporary custody in the jail. ☒ ☐ done this in a long time. There were no ☐ juveniles held during the time frame Facilities that do not hold minors in the jail cells are not requested (November and December 2025). subject to Title 15, Article 9 biennial inspections; however, if minors are held in the building, they may be subject to the requirements of Welfare and Institutions Code section 207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR PM 6.3 Juvenile Detention Procedures IN AN ADULT DETENTION FACILITY All Juvenile procedures are covered under The facility administrator shall develop policy and ☒ this policy and verified at the time of procedures for notification of the court of jurisdiction and ☐ ☐ inspection. All regulations identified below the parent, guardian, or person standing in loco are covered under this policy section. parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1142 WRITTEN POLICIES AND PROCEDURES PM 6.3 Juvenile Detention Procedures The facility administrator shall develop written policies ☒ and procedures concerning minors being held in ☐ ☐ temporary custody which shall address: (a) suicide risk and prevention; (b) use of restraints; ☒ ☐ ☐ (c) emergency medical assistance and services; and ☒ ☐ ☐ (d) prohibiting use of discipline. ☒ ☐ ☐ 1143 CARE OF MINORS IN TEMPORARY PM 6.3 Juvenile Detention Procedures CUSTODY ☒ ☐ (a) The following shall be made available to all minors ☐ held in temporary custody: (1) access to toilets and washing facilities; (2) one snack during term of temporary custody if Snacks are available. the minor has not eaten within the past four (4) ☒ hours or is otherwise in need of appropriate ☐ ☐ nourishment; (3) access to drinking water; ☒ ☐ ☐ (4) access to language services; ☒ ☐ ☐ (5) access to disabilities services; ☒ ☐ ☐ (6) sanitary napkins, panty liners, and tampons as ☒ requested; ☐ ☐ (7) privacy during consultation with family, guardian, ☒ and/or lawyer; ☐ ☐ (8) blankets and clothing, as necessary, to assure ☒ Blankets are available. the comfort of the minor; and ☐ ☐ 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 8 of 21 A351 TH PRO eff. 04.01.25 (9) personal clothing unless the clothing is inadequate, presents a health or safety problem, or ☒ ☐ ☐ is required to be utilized as evidence of an offense. (b) Upon entry, the minor shall be informed in writing of what is available under this section, and it shall be ☒ posted in at least one conspicuous place to which ☐ ☐ minors have access. 1144 CONTACT BETWEEN MINORS AND PM 6.3 Juvenile Detention Procedures INCARCERATED ADULTS ☒ The facility administrator shall establish policies and ☐ ☐ procedures to restrict contact, as defined in Section 1006, between minors and adults confined in the facility. In situations where brief or accidental contact may There is no contact between adults and occur, such as booking or facility movement, facility staff juveniles. (trained in the supervision of incarcerated people) shall ☒ ☐ ☐ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1145 DECISION ON SECURE CUSTODY PM 6.3 Juvenile Detention Procedures A minor who is taken into temporary custody by a peace Very few juveniles are held at this facility. officer on the basis that they are a person described by Section 602 of the Welfare and Institutions Code may be held in secure custody in a law enforcement facility that contains a lockup for adults if the minor is 14 years of age or older and if, in the reasonable belief of the peace officer, the minor presents a serious security risk of harm to self or others, as long as all other conditions of secure custody set forth in these standards are met. ☒ ☐ ☐ Any minor in temporary custody who is less than 14 years of age, or who does not in the reasonable belief of the peace officer present a serious security risk of harm to self or others, shall not be placed in secure custody, but may be kept in non-secure custody in the facility as long as all other conditions of non-secure custody set forth in these standards are met. Note: Minors in secure detention are 14 years of age or older. In making the determination whether the minor presents The arresting deputy determines all risk a serious security risk of harm to self or others, the ☒ factors identified in this regulation prior to officer may take into account the following factors: ☐ ☐ deciding on secure detention. (a) age, maturity, and delinquent history of the minor; (b) severity of the offense(s) for which the minor was ☒ taken into custody; ☐ ☐ (c) minor's behavior, including the degree to which the ☒ minor appears to be cooperative or non-cooperative; ☐ ☐ (d) the availability of staff to provide adequate ☒ supervision or protection of the minor; and ☐ ☐ (e) the age, type, and number of other individuals who ☒ are detained in the facility. ☐ ☐ 1146 CONDITIONS OF SECURE CUSTODY PM 6.3 Juvenile Detention Procedures While in secure custody, minors may be locked in a Factors are needed to determine secure room or other secure enclosure, secured to a cuffing rail, ☒ detention. ☐ ☐ or otherwise reasonably restrained as necessary to prevent escape and protect the minor and others from harm. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 1 9 of 21 A351 TH PRO eff. 04.01.25 1147 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY INSIDE A LOCKED ENCLOSURE (a) Minors shall receive adequate supervision which, at ☒ ☐ ☐ a minimum, includes: (1) constant auditory access to staff by the minor; and (2) safety checks, as defined in Section 1006, of the Safety checks are completed every 15 minor by staff of the law enforcement facility, at least ☒ minutes by agency policy. ☐ ☐ once every 30 minutes, which shall be documented. (b) Minors of different genders shall not be placed in the same locked room unless under constant direct visual ☒ ☐ ☐ observation by staff of the law enforcement facility. 1148 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY OUTSIDE OF A LOCKED ENCLOSURE Unless necessary, juveniles are usually not ☒ held in secure custody. Minors held in secure custody outside of a locked ☐ ☐ enclosure shall not be secured to a stationary object for more than 60 minutes unless no other locked enclosure is available. A staff person from the facility shall provide constant direct visual observation to assure the minor's safety ☒ ☐ ☐ while secured to a stationary object. Securing minors to a stationary object for longer than 60 minutes, and every 30 minutes thereafter, shall be ☒ ☐ ☐ approved by a supervisor. The decision for securing a minor to a stationary object for longer than 60 minutes, and every 30 minutes ☒ ☐ thereafter shall be based upon the best interests of the ☐ minor and shall be documented. 1149 CRITERIA FOR NON-SECURE CUSTODY PM 6.3 Juvenile Detention Procedures Minors held in temporary custody, who do not meet the criteria for secure custody as specified in Section 207.1(b) of the Welfare and Institutions Code, may be ☒ held in non- secure custody to investigate the case, ☐ ☐ facilitate release of the minor to a parent or guardian, or arrange for transfer of the minor to an appropriate juvenile facility. While minors are held in temporary non- secure custody the provisions of Section 1143 apply. 1150 SUPERVISION OF MINORS IN NON- PM 6.3 Juvenile Detention Procedures SECURE CUSTODY Non-secure custody is held in a separate Minors held in non-secure custody shall receive area and out of sight of the holding cells and constant direct visual observation by staff of the law ☒ in constant view of the arresting deputy. ☐ ☐ enforcement facility. Entry and release times shall be documented and made available for review. Monitoring a minor using audio, video, or other electronic devices shall never replace constant direct visual observation. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 2 0 of 21 A351 TH PRO eff. 04.01.25 1151 MINORS UNDER THE INFLUENCE OF ANY PM 6.3 Juvenile Detention Procedures INTOXICATING SUBSTANCE IN SECURE OR NON-SECURE CUSTODY Facility administrators shall develop policies and ☒ procedures providing that a medical clearance shall be ☐ ☐ obtained for minors who are under the influence of drugs, alcohol, or any other intoxicating substance to the extent that they are unable to care for themselves, prior to secure or non-secure custody of that minor. Supervision of minors in secure custody in a locked Both adult and juvenile safety checks are room shall include safety checks at least once every 15 completed every 15 minutes. minutes until resolution of the intoxicated state or ☒ ☐ ☐ release. These safety checks shall be documented, with actual time of occurrence recorded. Supervision of minors in secure custody outside of a locked room shall be supervised in accordance with ☒ ☐ ☐ Section 1148. Supervision of minors in nonsecure custody shall be Those held in nonsecure custody are under ☒ ☐ ☐ supervised in accordance with Section 1150. continual observation. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PRO 25-26 Page 2 1 of 21 A351 TH PRO eff. 04.01.25 ADULT COURT AND TEMPORARY HOLDING FACILITIES PHYSICAL PLANT EVALUATION BOARD OF STATE AND COMMUNITY CORRECTIONS Applicable Title 24 Regulations: 6/94; 2/99; 2001; 2005; 2008; 2010 BSCC Code: 4490 FACILITY NAME: Lakeside Sheriff’s Substation FACILITY TYPE: THJ APPLICABLE REGULATIONS (Check All That 6/94: 2/99: 2001: 2005: 2008: 2010: X Apply): FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/13/2026 TITLE 24 SECTION YES NO N/A COMMENTS Reception and Booking (2.1) Contains a weapons locker, designed as outlined in X these regulations. Contains a cell or room for confinement pending X booking Contains a detoxification cell (WA in TH; NA in CH) 01: Name changed to “sobering cell.” X 2-99: Two detoxification cells are provided if both male and female inmates are held. Contains safety cell(s) (WA in TH; NA in CH) X Shower room available 2-99: Access to shower must be within the secure X area Provides secure vault or storage for inmate valuables X Telephone(s) available for inmate use (PC § 851.5) X 2-99: Unobstructed access to hot and cold running X water Temporary Holding Cell or Room (2.2) X Contains 10 square feet of floor area per inmate Holds no more than 16 inmates X Is not smaller than 40 square feet and has a clear X ceiling height of 8 feet or more Contains sufficient seating to accommodate all X inmates Contains water closet (toilet), washbasin, and drinking X fountain Provides for clear visual supervision by staff X A bunk is provided if inmates are held 12 hours or X more Temporary Staging Cell or Room (2.3) Holds inmates classified and segregated per Title 15 § X 1050 and 1053 Safety Equipment Storage (2.19) Adequate space is provided to store equipment such X as fire extinguishers, SCBA, emergency lights, etc. Janitors' Closet (2.20) Lockable, containing a mop sink and storage space X 01: Mop sink may be separate from janitors’ closet 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PHY 25-26 1 A382 PHY CH-TH 94 99 01 05.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Audio or Visual Monitoring (2.22) There is an audio monitoring system capable of alerting staff in a central control. When visual electronic surveillance is use, it is located primarily in corridors, elevators, or at points on the security perimeter such as entrances and exits. X 2-99: Video monitoring option deleted. 10: Deleted language referring to central control point. 10: Terminate at a location where staff can respond immediately. Emergency Power (2.24) There is an emergency power source available and capable of providing minimal lighting in all areas and X maintaining fire and life safety, security, communication and alarm systems. Attorney Interview Space (2.26) X Available and provides for confidentiality Water Closets (Toilets)/Urinals (3.1) Provide for inmate privacy/modesty with staff being able to visual supervise; provided at a ratio of 1:16 in X holding and staging cells. See regulation for calculations of urinal substitutions. Washbasins (3.2) Provide hot and cold or tempered water; provided at a ratio of 1:16 in holding and staging cells. See X regulation for calculations of washbasin trough substitutions. Drinking Fountains (3.3) 2-99: Available in each temporary holding, staging and X sobering cell. Water outlet (bubbler) is mechanically actuated and at an angle that prevents wastewater from flowing over the outlet (bubbler); there is a mouth guard on the X water outlet (bubbler). 2-99: Mouth guard requirement deleted Lighting (3.6) Lighting is centrally controlled and/or Lighting is sufficient to permit easy reading by a occupant-controlled in housing cells or X person with normal vision, night lighting is sufficient for rooms. Light fixtures are of secure design. purposes of supervision. Windows (3.7) Windows that are accessible to inmates are no greater X than 5 inches in on dimension. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PHY 25-26 2 A382 PHY CH-TH 94 99 01 05.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Seating (3.10) Seating is designed to the level of security. When bench seating is used, eighteen inches of bench are provided per inmate. 2-99: In holding and staging cells, seating is securely fastened to the wall and/or floor. X Weapons Locker (3.12) A secure weapons locker is located outside the security perimeter of the facility and no weapons are brought into the security area. Lockers have individual X compartments, locks and keys. Design Requirements (102(c)6) Design requirements as specified in Title 24, Part 1, 102(c)6 are met. (See regulation for specific X requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI PHY 25-26 3 A382 PHY CH-TH 94 99 01 05.dot (8/05) ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 4490 FACILITY: Lakeside Sheriff’s Substation TYPE: THJ RC: (4) FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/13/2026 ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S BOOKING RM 118 H 2010 1 (4) 13’0”x 8’0”x 8’1” 1 1 1 Bench = 6’0” 72”/18” = RC 4 13x8 = 104SF 104/10= 10 One Minor (Non-Secure) Room Adjacent to Holding Cell. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets (), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 4490 San Diego SHRF Lakeside Sheriff’s Substation THJ CI LASE 25-26 - 1 - A360 LAS Adult-05.dot (8/05) TEMPORARY HOLDING FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4606 FACILITY NAME: San Marcos Substation FACILITY TYPE: THJ PERSON(S) INTERVIEWED: Sgt. Anderson, Sgt. Ector FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/26 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1024 COURT HOLDING AND TEMPORARY The BSCC Standards and Training for HOLDING FACILITY TRAINING Corrections (STC) division found the agency in compliance with applicable regulations At a minimum, all supervisors of and personnel who during the 23-24 compliance monitoring supervise incarcerated persons in, a Court Holding or cycle. Temporary Holding facility shall complete eight hours of specialized corrections training. Such training shall San Diego County has a Training Department include, but not be limited to: that maintains training records for each (a) applicable minimum jail standards; employee. (b) jail operations liability; (c) separation of incarcerated persons; (d) emergency procedures and planning, fire and life ☒ ☐ ☐ PM 10.1 Orientation Phase Training safety; and; PM 2.55 Non-Biased Based Policing (e) suicide prevention; (f) de-escalation; (g) juvenile procedures; (h) racial bias; and, (i) mental illness. Note: Each agency shall determine if additional training is needed based upon, but not limited to, the complexity of the facility, the number of people incarcerated, the employees' level of experience and training, and other relevant factors. Such training shall be completed as soon as practical, but Deputies are trained upon assignment to this in any event not more than six months after the date of facility. assigned responsibility. Successful completion of Core ☒ ☐ ☐ training or supplemental Core training, pursuant to Section 1020, Corrections Officer Core Course, may be substituted for the initial eight hours of training. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 A total of eight hours of refresher training shall be PM 10.6 Continual Professional Training – completed every two years. Successful completion of the Sworn requirements in Section 1025, Continuing Professional Training may be substituted for the eight-hour refresher. A Training Completion Report and Training Attendance Rosters were reviewed for this ☒ ☐ ☐ inspection. Topics for inclusion, but not limited to, include Temporary Holding Cell, Strategic Communication, Promoting Compassion in Detention Facilities, Crisis Screening, and patrol-related topics. 1027 NUMBER OF PERSONNEL C.1. Minimum Staffing A sufficient number of personnel shall be employed in ☒ ☐ ☐ each local detention facility to ensure the implementation and operation of the programs and activities required by these regulations. Whenever there is a person in custody, there shall be at Staff are present whenever an arrestee is in a least one employee on duty at all times in a local holding cell. detention facility or in the building which houses a local ☒ ☐ ☐ detention facility who shall be immediately available and accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which Staff maintain supervision of the arrestee would conflict with the supervision and care of ☒ ☐ ☐ while in the station. incarcerated people in the event of an emergency. Whenever one or more females are in custody, there Staffing for the facility is comprised of several shall be at least one female employee who shall be teams. Each team has female staff members ☒ ☐ ☐ immediately available and accessible to such females. who can be immediately available. Note: Reference PC § 4021. In order to determine if there is a sufficient number of The Sheriff’s Office ensures there is sufficient personnel for a specific facility, the facility administrator staffing to cover all required needs. An shall prepare and retain a staffing plan indicating the Employee Roster was provided for review. personnel assigned in the facility and their duties. Such a Deputies are assigned to one of four teams, ☒ ☐ ☐ staffing plan shall be reviewed by the Board staff at the ensuring 24/7 coverage. time of their biennial inspection. The results of such a review and recommendations shall be reported to the local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS I.64 Safety Checks: Inmates, Housing and Holding Areas The facility administrator shall develop and implement policy and procedures for conducting safety checks that Each arrestee has completed a Temporary include, but are not limited to, the following: ☒ ☐ ☐ Holding Cell Checklist which includes medical (a) Safety checks will determine the safety and well-being questions, cell placement, charges, and of individuals and shall be conducted at least hourly safety check documentation. Also included is through direct visual observation of all people held and the time of removal from the facility. housed in the facility. (b) There shall be no more than a 60-minute lapse When an arrestee is in the facility, safety between safety checks. ☒ ☐ ☐ checks are conducted within 15 minutes of the previous check. (c) Safety checks for people in sobering cells, safety cells, No safety or sobering cells at this facility. and restraints shall occur more frequently as outlined in ☐ ☐ ☒ section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied No regular pattern was discovered when ☒ ☐ ☐ intervals. reviewing safety check documentation. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) There shall be a written plan that includes the The date and time of each safety check are documentation of all safety checks. Documentation shall identified in the observation reports. include: ☒ ☐ ☐ (1) the actual time at which each individual safety check occurred; (2) the location where each individual safety check This facility has three holding cells. When a occurred, such as a cell, module, or dormitory safety check is completed, it includes number; and, observing arrestees in their cell and ☒ ☐ ☐ documented on the Temporary Holding Cell Checklist. Two months (November & December) of safety check documentation were reviewed for this inspection. (3) Initials or employee identification number of staff This is included in the observation report. ☒ ☐ ☐ who completed the safety check(s). (f) A documented process by which safety checks are A supervisor reviews the previous days’ reviewed at regular defined intervals by a supervisor or documentation and indicated by their body facility manager, including methods of mitigating patterns ☒ ☐ ☐ number and signature at the bottom of the of inconsistent documentation, or untimely completion of, page. safety checks. 1028 FIRE AND LIFE SAFETY STAFF H.1 Fire Procedures M.5 Medical Emergencies (a) Whenever there is a person in custody, there shall be M.6 Life Threatening Emergencies: Code ☒ ☐ ☐ at least one person on duty at all times who meets the Blue training standards established by the Board for general M.34 Personal Protective Equipment (PPE) fire and life safety. [Penal Code section 6030(c)]. The facility manager shall ensure that there is at least one Prior to being assigned to work at a facility, person on duty who trained in fire and life safety staff members are trained in fire and life procedures that relate specifically to the facility. ☒ ☐ ☐ safety. Upon transfer to a new facility, staff members are trained in the procedures specific to that facility. (b) The facility administrator, in conjunction with the The Training Bureau provided a Line-Up health authority, shall develop and implement policies Training, Response to Life-Threatening and and procedures consistent with the requirements of Penal Medical Emergencies, Topic #22, where staff Code Section 6048(b) that require correctional officers had to verify that they completed the training ☒ ☐ ☐ certified in cardiopulmonary resuscitation (CPR) to begin activity. This training included identification of CPR on a nonresponsive person without obtaining agency policies and the use of CPR, and approval from supervisors or medical staff, when it is safe when available, an AED. and appropriate to do so. These policies shall cover the following key elements: PM 10.2 First Aid and CPR Training ☒ ☐ ☐ (1) Acceptable CPR methods and application. Staff are trained every two years. (2) Correctional officers shall be certified in CPR and a Staff receive a CPR certification card. This copy of the certification shall be on file in the facility or at agency also maintains records to identify a central location and available for review. ☒ ☐ ☐ when training is needed. This facility is staffed with law enforcement deputies and not detention deputies. (3) Correctional officers shall immediately summon A Training Bulletin, “Initiating a 911 medical aid when a person is identified as nonresponsive Response,” identifies that facility staff are and shall administer CPR unless the correctional officer ☒ ☐ ☐ expected to provide emergency medical care is aware of a known medical condition(s) that would shall be provided with efficiency and speedily contraindicate its use. without compromising security. (4) Correctional officers shall use personal protective This is included in policy M.34 equipment when administering CPR whenever possible ☒ ☐ ☐ to reduce exposure to bodily fluids or bloodborne pathogens that may contain disease-causing agents. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) If an imminent physical danger prevents a Staff members are trained that CPR is only correctional officer from safely administering CPR, they performed when safety and security are not shall begin or resume CPR as soon as the threat has compromised ☒ ☐ ☐ passed, or the nonresponsive person has been safely removed from danger, provided medical aid has not yet arrived. (6) The correctional officer shall continue administering Basic life supporting care is continued until CPR, absent imminent physical danger, until the paramedics or medical personnel arrive and nonresponsive person shows obvious signs of life, such assume care. ☒ ☐ ☐ as normal breathing or physical or verbal responses, or until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative This facility does not maintain medical staff. medical responders are present when a person is However, if there is a need for EMS, ☒ ☐ ☐ identified as nonresponsive, correctional officers shall paramedics assume CPR. defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL3 San Diego County Sheriff’s Office Detention Services Bureau – Manual of Policies and Facility administrator(s) shall develop and publish a Procedures. manual of policy and procedures for the facility. The policy and procedures manual shall address all San Diego County Sheriff’s Office Policy applicable Title 15 and Title 24 regulations and shall be Manual (PM) comprehensively reviewed and updated at least every ☒ ☐ ☐ two years. Such a manual shall be made available to all employees. The policy manuals are updated on an as- Notes: The policies and procedures required in needed basis several times per year. subsections (a)(6) and (a)(7) may be placed in a However, all policy manuals are reviewed separate manual to ensure confidentiality. annually. Subsections (c) and (d) do not apply and have been deleted. (a) The manual for Temporary Holding, Type I, II, and III A.3 Table of Organization facilities shall provide for, but not be limited to, the following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility B.38 Facility Inspections ☒ ☐ ☐ administrator/manager. PM 1.8 Facility Appearance and Maintenance (3) Policy on the use of force that meets current state PM 11.1 Use of Force Guidelines and federal legal requirements and includes ☒ ☐ ☐ prohibition of the use of carotid restraint and choke This pertains to all staff. holds. (4) Policy on the use of restraint equipment, including I.93 Use of Restraint Equipment the restraint of pregnant persons as referenced in ☒ ☐ ☐ M.38 Pregnant Incarcerated Persons Penal Code Section 3407. (5) Procedure and criteria for screening newly M.38 Pregnant Incarcerated Persons received persons for release. ☒ ☐ ☐ Q.77 Permissive Release of Pre-arraignment Misdemeanor Incarcerated Persons 3 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) Security and control including physical counts and H.2 Facility Emergency Operations Manual searches of the facility and incarcerated persons, I.16 Facility Security-Screenings of Persons contraband control, and key control. Entering a Detention Facility or Support Each facility administrator shall, at least annually, Facility review, evaluate, and make a record of security I.25 Key Control measures. The review and evaluation shall include I-41 Cell Searches of Incarcerated Persons internal and external security measures of the facility I.43 Count Procedures of Incarcerated including security measures specific to prevention of Persons sexual abuse and sexual harassment. I.52 Strip and Pat Down Searches of ☒ ☐ ☐ Incarcerated Persons I.61 Facility Security – Central Control F.16 Sexual Misconduct Case Assignments & Investigations I.66 Facility Security/Physical Security A daily safety and security inspection is conducted. The prevention of sexual abuse and harassment is conducted yearly, and the policy is updated if needed. (7) Emergency procedures include: H.1 Fire Procedures (A) fire suppression preplan as required by ☒ ☐ ☐ section 1032 of these regulations; (B) escape, disturbances, and the taking of I.43 County Procedures for Incarcerated hostages; Persons D.15 Training in Emergency Plans and Critical Incidents H.2 Facility Emergency Operations Manual ☒ ☐ ☐ I.5 Emergency Escape Procedures of Incarcerated Persons I.7 Riot and Disorder Policy I.3 Hostage Policy PM 6.58 Prisoner Escapes PM 9.3 Crisis Negotiation (C) mass arrests; ☒ ☐ ☐ H.14 Mobile Booking (D) natural disasters; ☒ ☐ ☐ H.2 Facility Emergency Operations Manual (E) periodic testing of emergency equipment; and ☒ ☐ ☐ I.1 Emergency Alarm Systems (F) storage, issue, and use of weapons, B. 38 Facility Inspections ammunition, chemical agents, and related H.11 Storage and Use of Toxic, Caustic security devices. ☒ ☐ ☐ Materials I.69 Facility Security-Weapons PM 6.66 Chemical Agents Policy (8) Suicide Prevention. J.5 Suicide Prevention Practices Incarcerated Persons & Detentions Safety Program ☒ ☐ ☐ M.4 Suicide Prevention and Focused Response Team (9) Separation of incarcerated persons. J.3 Separation: Definition and Use ☒ ☐ ☐ R.1 Incarcerated Person Classification (10) Zero tolerance in the prevention of sexual abuse D.13 In-Service Training and sexual harassment. ☒ ☐ ☐ F.16 Sexual Misconduct Case Assignment & Investigations 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (11) Policy and procedure to detect, prevent, and F.16 Sexual Misconduct Case Assignment & respond to retaliation against any staff or person after Investigations reporting any abuse. PM 6.127 Prison Rape Elimination Act ☒ ☐ ☐ The policy manual identifies how personnel and incarcerated persons can report instances of sexual abuse, harassment, and retaliation. (12) Release policy, including release planning for Incarcerated persons are not held long incarcerated persons. ☐ ☐ ☒ enough to formulate a release plan from this facility. (e) The manual for Temporary Holding, Court Holding, The San Diego County Sheriff’s Office Type I, II, III, and IV facilities shall provide for, but not be website provides informational pamphlets on limited to, the following: how to report instances of sexual (1) multiple internal ways for incarcerated people to abuse/harassment. Informational posters are privately report sexual abuse and sexual displayed on the walls informing arrestees of ☒ ☐ ☐ harassment, retaliation by other incarcerated how to report. persons or staff for reporting sexual abuse and sexual harassment, and staff neglect or violation of responsibilities that may have contributed to such incidents, (2) a method for uninvolved incarcerated persons, Information on reporting sexual assault, family, community members, and other interested harassment, and misconduct is available on third parties to report sexual abuse or sexual the agency website. harassment. The method for reporting shall be ☒ ☐ ☐ publicly posted at the facility. The lobby of the substation has an informational poster identifying reporting methods. 1030 SUICIDE PREVENTION PROGRAM J.5 Inmate Suicide Prevention Practices & Inmate Safety Program The facility shall have a comprehensive written suicide prevention program developed by the facility administrator or designee, in conjunction with the health ☒ ☐ ☐ authority and mental health director, to identify, monitor, and provide treatment to those incarcerated persons who present a suicide risk. The program shall include the following: (a) Annual suicide prevention training for all custodial The training is conducted annually on an personnel. ongoing basis. The training team determines ☒ ☐ ☐ when it is time for each person to attend training (b) Intake screening for suicide risk immediately upon PM 6.13 Inmate Intake Form intake and prior to housing assignment. ☒ ☐ ☐ A suicide assessment is conducted at intake. (c) Suicide prevention screening during special Arrestees do not stay at this facility and are situations, including placement in restrictive housing, transferred to another facility if they are to ☒ ☐ ☐ following a hearing, and after a transfer or change in remain in custody and are suicidal. classification. (d) Provisions facilitating communication among I.96 Providing Assistance to arresting/transporting officers, facility staff, court staff, Arresting/Transporting Officer ☒ ☐ ☐ medical and mental health personnel in relation to suicide risk. (e) Housing recommendations for people at risk of suicide Active suicidal incarcerated persons are not that balance safety and environment. The least restrictive ☒ ☐ ☐ accepted at this facility and are transported to environment should be considered. either the hospital or the jail. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) Supervision depending on level of suicide risk. Should a person become suicidal while at this facility, additional observation checks are ☒ ☐ ☐ made until transport to another facility can be arranged. (g) Suicide attempt and suicide intervention policies and Suicide intervention policies are part of the ☒ ☐ ☐ procedures. detentions manual. (h) Provisions for reporting suicides and suicides Reports are written for actual or attempted ☒ ☐ ☐ attempts. suicides and forwarded to NicheRMS A Critical Incident Review Board reviews (i) Multi-disciplinary administrative review of suicides and incidents and may prompt changes in attempted suicides as defined by the facility ☒ ☐ ☐ practices or policies. administrator, including the development of a corrective action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. Follow-up care for those suffering mental Note: Subsection (k) does not apply and has been ☒ ☐ ☐ health issues is provided at another facility. deleted. 1032 FIRE SUPPRESSION PREPLANNING H.1 Fire Procedures H.7 Fire/Safety Inspections, Testing Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire Marshal, or both, in developing a plan for fire suppression which shall include, but not be limited to: (a) a fire suppression pre-plan developed with the local fire department to be included as part of the policy and ☒ ☐ ☐ procedures manual (Title 15, California Code of Regulations Section 1029); (b) monthly fire prevention inspections by facility staff with Verification was made that monthly fire two-year retention of the inspection record; prevention inspections are conducted and ☒ ☐ ☐ retained by the agency. These are identified as the Sheriff’s Department Physical Security Inspection Checklist. (c) fire prevention inspections as required by Health and The last fire inspection was completed on Safety Code Section 13146.1(a) and (b) which requires ☒ ☐ ☐ 07/24/2025 by the San Marcos Fire inspections at least once every two years; Department. (d) an evacuation plan; and H.3 Evacuation Plans ☒ ☐ ☐ Each facility has a Site Evacuation Plan (SEP) and a Fire Safety Plan. (e) a plan for the emergency housing of incarcerated Determined at the time, and need for ☒ ☐ ☐ people in the case of fire. emergency housing. 1044 INCIDENT REPORTS F.5 Incarcerated Person Incident Reports (JIMS) Each facility administrator shall develop written policies F.9 Crime Reports and Major Incident and procedures for the maintenance of written records Documentation ☒ ☐ ☐ and reporting of all incidents which result in physical PM 6.71 Crime Case Reports harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other Incident records are maintained in the Jail person. Information Management System (JIMS). Such records shall include the names of the persons Records are attached to each involved involved, a description of the incident, the actions taken, incarcerated person and include the type of ☒ ☐ ☐ and the date and time of the occurrence. incident, those involved, actions taken, and the date/time of occurrence. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 7 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Such a written record shall be prepared by the staff No reports regarding incarcerated persons assigned to investigate the incident and submitted to the ☒ ☐ ☐ emanated from this facility. facility manager or designee. 1046 DEATH IN CUSTODY M.7 Incarcerated Person Deaths PM 6.5 Unusual Incident, Death, and Serious (a) The facility administrator shall develop written policy Injury Notification and procedures to comply with the in-custody death ☒ ☐ ☐ reporting requirements of Government Code section An In-Custody Death Advocate and 12525. The facility administrator shall submit a copy of Department Investigation Coordinator the report filed pursuant to section 12525 to the BSCC (ICDADIC) is responsible for submitting this within 10 days of an in-custody death. information. (b) The facility administrator, in cooperation with the The ICDADIC is the coordinator of the review health administrator, shall develop written policy and team. Members of the team include the procedures to conduct an initial review and complete a Medical Services Administrator, Chief written report of every in-custody death within 30 days of Medical Officer, other healthcare staff, and the death. The team that conducts the initial review shall ☒ ☐ ☐ the ICDADIC coordinator, among others. include, at a minimum, the facility administrator or designee, the health administrator, the responsible physician and other health care, and supervision staff who are relevant to the incident. Deaths shall be reviewed to determine the These occurrences are also investigated by appropriateness of clinical care; whether changes to the San Diego County CLERB (Citizens Law ☒ ☐ ☐ policies, procedures, or practices are warranted; and to Enforcement Review Board). identify issues that require further study. (c) The facility administrator shall submit a copy of the This is the responsibility of the ICDADIC. initial review report of every in-custody death to the BSCC within 60 days of the death. The facility administrator shall ☒ ☐ ☐ provide a copy of the initial review report that comports with the disclosure requirements of section 832.10 of the Penal Code. The initial review report shall contain the following The reports written for an In-Custody Death at information: a substation include all the items listed in this (1) Demographic information subsection. (A) Full name of the decedent (B) Date of birth (C) Date of death (D) Time of death (E) Gender (F) Race and ethnicity (G) Relevant medical history ☒ ☐ ☐ (2) Facility Information (A) Name and location of the detention facility (B) Description of the location where the death occurred within the facility (C) Date and time of the incident (D) Detention facility personnel (including names and roles) involved in the reporting of the death or incident (3) Any relevant circumstances leading up to death, including behavioral health or medical issues. (d) In any case in which a minor dies while detained in a jail, lockup, or court holding facility the BSCC may inspect and evaluate the jail, lockup, or court holding facility pursuant to the provisions of this subchapter within 30 calendar days of the death. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 8 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1050 CLASSIFICATION PLAN R.1 Incarcerated Person Classification R.3 Incarcerated Person Classification Code (a) Each administrator of a temporary holding, Type I, II, – Descriptor Definitions or III facility shall develop and implement a written classification plan designed to properly assign incarcerated persons to housing units and activities There are three holding cells used for according to the categories of gender identity, age, arrestees at this facility. Incarcerated persons criminal sophistication, seriousness of crime charged, are only held for a short time at this facility. physical or mental health needs, assaultive/non- assaultive behavior, risk of being sexually abused, or San Diego County Sheriff’s Office has a sexually harassed and other criteria which will provide for Booking Acceptance Criteria document, the safety of the incarcerated people and staff. Such which identifies the types of bookings that can ☒ ☐ ☐ housing unit assignment shall be accomplished to the be accepted. extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, There are no programs available at this the agency shall consider on a case-by-case basis temporary holding facility. Care is taken to whether a placement would ensure the health and safety appropriately separate those who need of the incarcerated person, and whether the placement ☒ ☐ ☐ protection from others. would present management or security problems. A person’s own views with respect to their own safety shall be given serious consideration. 1051 COMMUNICABLE DISEASES M.9 Receiving Screening M.37 Standard Precautions and Infectious The facility administrator, in cooperation with the Agents/Communicable Disease Control responsible physician, shall develop written policies and ☒ ☐ ☐ PM 6.100 Bloodborne Pathogen Exposure/ procedures specifying those symptoms that require Control medical isolation of an incarcerated person until a medical evaluation is completed. At the time of intake into the facility, an inquiry shall be PM 6.13 Inmate Intake Form made of the person being booked as to whether the person has or has had any communicable diseases, such An initial medical screening takes place at the as tuberculosis or has observable symptoms of time of reception. Incarcerated persons who ☒ ☐ ☐ tuberculosis or any other communicable diseases, or have any type of medical issues are other special medical problem identified by the health transported directly to the jail or hospital. authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION M.2 Requests for Medical Information J.5 Suicide Prevention Practices for The facility administrator, in cooperation with the Incarcerated Persons & Detentions Safety responsible physician, shall develop written policies and ☒ ☐ ☐ Program procedures to identify and evaluate all incarcerated J.7 Emergency Transportation of people who may be in behavioral crisis. Evaluation of Incarcerated Persons with Mental Health behavioral crisis may include telehealth. Needs If an evaluation from medical or mental health staff is not Arrestees suffering from an active behavioral readily available, an incarcerated person shall be crisis episode are not accepted at this facility. considered in behavioral crisis for the purpose of this ☒ ☐ ☐ Instead, they are transported to the hospital section if they appear to be a danger to themselves or or jail. others or appear gravely disabled. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 9 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 An evaluation from medical or mental health staff shall be This is done when booked into the jail. secured within 24 hours of identification or at the next ☒ ☐ ☐ daily sick call, whichever is earliest. Separation may be used if necessary, to protect the Staff verified that this occurs whenever ☒ ☐ ☐ safety of the person in crisis or others. possible. 1053 ADMINISTRATIVE SEPARATION J.3 Separation: Definition and Use R.1 Incarcerated Person Classification ☒ ☐ ☐ Except for Type IV facilities, facility administrators shall develop and implement policies and procedures for the administrative separation of incarcerated people. Policies and procedures must include: There are no administrative separation cells (a) Administrative separation may consist of separate at this facility. All cells are designed the housing but shall not involve any other deprivation of same. privileges than is necessary to obtain the objective of protecting the welfare of incarcerated people and facility ☐ ☐ ☒ staff. Note: Subsections (b) through (e) do not apply and have been deleted. 1055 USE OF SAFETY CELL There is no safety cell at this facility. The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who ☐ ☐ ☒ display behavior which results in the destruction of property or reveals an intent to cause physical harm to self or others. The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures governing safety cell use and may delegate ☐ ☐ ☒ authority to place an incarcerated person in a safety cell to a physician. Policies and procedures shall include, but not be limited to: (a) In no case shall the safety cell be used for punishment ☐ ☐ ☒ or as a substitute for treatment. (b) A person shall be placed in a safety cell only with the approval of the facility manager or designee, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every four hours. (c) A medical assessment shall be completed as soon as possible, but not more than 12 hours from the time of placement in the safety cell. The person shall be ☐ ☐ ☒ medically cleared for continued retention, referral to advanced treatment, or removal from the safety cell a minimum of every 24 hours thereafter. (d) The facility manager, designee or responsible health care staff shall obtain a mental health opinion/consultation with responsible health care staff on ☐ ☐ ☒ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least twice every 30 minutes, with no more than a 15-minute ☐ ☐ ☒ lapse between safety checks. Such observation shall be documented. (f) Procedures shall be established to assure ☐ ☐ ☒ administration of necessary nutrition and fluids. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 0 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) People placed in the safety cell shall be allowed to retain sufficient clothing or be provided with a suitably designed “safety garment,” to provide for their personal ☐ ☐ ☒ privacy unless specific identifiable risks to the person's safety or to the security of the facility are documented. 1056 USE OF SOBERING CELL There is no sobering cell at this facility. The sobering cell described in Title 24, Part 2, Section ☐ ☐ ☒ 1231.2.4, shall be used for temporary holding of incarcerated people who are a threat to their own safety or the safety of others due to their state of intoxication. A person shall be removed from the sobering cell as soon as they are able to continue the admission process or are ☐ ☐ ☒ no longer a risk to themselves or others. In no case shall a person remain in a sobering cell over six hours without an evaluation by medical or custody staff to determine whether the person has an urgent ☐ ☐ ☒ medical problem, pursuant to section 1213 of these regulations. At 12 hours from the time of placement, all persons must ☐ ☐ ☒ receive an evaluation by responsible health care staff. Intermittent direct visual observation of people held in the sobering cell shall be conducted no less than every half ☐ ☐ ☒ hour. Such observation shall be documented. 1057 DEVELOPMENTAL DISABILITIES M.9 Receiving Screening J. Separation: Definition and Use The facility administrator, in cooperation with the responsible physician, shall develop written policies and There are no medical staff at this facility. procedures for the identification and evaluation, ☒ ☐ ☐ Arrestees who present themselves as having appropriate classification and housing, protection, and developmental disabilities may be accepted nondiscrimination of all incarcerated persons with at this facility. If not accepted, the person is developmental disabilities. transported to the jail for booking or the hospital. The health authority or designee shall contact the This is done at the larger jail facility. regional center for any incarcerated person suspected or confirmed to have a developmental disability for the ☒ ☐ ☐ purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. 1058 USE OF RESTRAINT DEVICES I.93 Restraint Devices The facility administrator, in cooperation with the responsible physician, shall develop and implement Compliance is based upon policy. The use of written policies and procedures for the use of restraint the WRAP at this facility is only done for devices. Restraint devices include any devices which transport purposes, if needed, and is not used immobilize extremities or prevent the incarcerated person ☒ ☐ ☐ to hold incarcerated persons in this facility. from being ambulatory. The provisions of this section do not apply to the use of handcuffs, shackles, or other restraint devices when used to restrain incarcerated people for security reasons. The facility manager may delegate authority to place an incarcerated person in restraints to responsible health care staff. (a) The policy shall address the following areas: The WRAP. ☒ ☐ ☐ (1) acceptable restraint devices; (2) signs or symptoms which should result in immediate medical/mental health referral; availability ☐ ☐ ☒ of cardiopulmonary resuscitation equipment; 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) protective housing of restrained persons; ☐ ☐ ☒ (4) provision for hydration and sanitation needs; and, ☐ ☐ ☒ (5) exercising of extremities. ☐ ☐ ☒ (b) Policy shall also include, but not be limited to, the following requirements: ☐ ☐ ☒ (1) In no case shall restraints be used for punishment or as a substitute for treatment. (2) Restraint devices shall only be used on incarcerated people who display behavior which ☐ ☐ ☒ results in the destruction of property or reveal an intent to cause physical harm to self or others. (3) Restraint devices should be used only when less restrictive alternatives, including verbal de-escalation ☐ ☐ ☒ techniques, have been attempted and are deemed ineffective. (4) An incarcerated person shall be placed in restraints only with the approval of the facility manager, the facility watch commander, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every hour. (5) Continuous direct visual observation shall be ☐ ☐ ☒ maintained until a medical opinion can be obtained. (6) A medical opinion on placement and retention shall be secured within one hour from the time of ☐ ☐ ☒ placement. (7) A medical assessment shall be completed within ☐ ☐ ☒ four hours of placement. (8) Continuous direct visual observation shall be conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to ensure the safety and well-being of the incarcerated person. Such observation shall be documented. ☐ ☐ ☒ While in restraint devices all incarcerated persons shall be housed alone or in a specified housing area which makes provisions to protect the person from abuse. (9) If the facility manager, or designee, in consultation with responsible health care staff determines that an incarcerated person cannot be safely removed from ☐ ☐ ☒ restraints after eight hours, the person shall be taken to a medical facility for further evaluation. (10) Where applicable, the facility manager shall use the restraint device manufacturer’s recommended ☐ ☐ ☒ maximum time limits for placement. (11) All events and information related to the placement in restraints shall be documented and shall be video recorded unless exigent circumstances prevent staff from doing so. The documentation shall ☐ ☐ ☒ include: the reason for placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1058.5 RESTRAINTS AND PREGNANT PERSONS M.38 Pregnant Incarcerated Persons The facility administrator, in cooperation with the responsible physician, shall develop written policies and ☒ ☐ ☐ procedures for the use of restraint devices on pregnant people. In accordance with Penal Code Section 3407, the policy shall include reference to the following: (1) An incarcerated person known to be pregnant or Pregnant persons are only handcuffed in the in recovery after delivery or termination of the front of the body, not behind. ☒ ☐ ☐ pregnancy shall not be restrained by the use of leg or waist restraints, or handcuffs behind the body. (2) An incarcerated pregnant person in labor, during Verified by policy and interview. delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ☒ ☐ ☐ ankles, or both, unless deemed necessary for the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional Verified by policy and interview. who is currently responsible for the medical care of an incarcerated pregnant person during a medical ☒ ☐ ☐ emergency, labor, delivery, or recovery after delivery or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s Pregnancy tests are offered within 72 hours pregnancy, they shall be advised, orally or in writing, of arrival at the larger jail facility. ☒ ☐ ☐ of the standards and policies governing incarcerated pregnant people. 1067 ACCESS TO TELEPHONE P.2 Telephone Access The facility administrator shall develop written policies Telephones are accessible at the time of and procedures which allow access to a telephone or reception. communication device beyond those telephone calls which are required by Section 851.5 of the Penal Code. Individuals who are known to have, or are perceived by Video Relay Service (VRS), Captioned others as having hearing or speech impairments shall be ☒ ☐ ☐ Telephone Service (CTS), TDD, TTY, and provided access to the appropriate telecommunication Telephone Relay Service (TRS) are also device which will facilitate communication. Such devices available for those with hearing impairments. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 1068 ACCESS TO COURTS AND COUNSEL N.5 Access to Courts / Attorneys / Legal Advice The facility administrator shall develop written policies ☒ ☐ ☐ and procedures to ensure incarcerated persons have access to the court and to legal counsel. Such access shall consist of: (b) confidential consultation with attorneys. ☒ ☐ ☐ This is in-person and through telephone. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1080 RULES AND DISCIPLINARY ACTIONS Discipline is not administered at this facility. Wherever discipline is administered, each facility administrator shall establish written rules and disciplinary actions to guide the conduct of incarcerated persons. ☐ ☐ ☒ Notes: If discipline IS NOT administered, written policy should indicate as such. If discipline IS administered, Sections 1080, 1081, 1082, 1083 and 1084 apply. Such rules and disciplinary actions shall be stated simply and affirmatively and posted conspicuously in housing ☐ ☐ ☒ units and the booking area or issued to each person upon booking. For those individuals with limited literacy, who are unable to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them ☐ ☐ ☒ verbally or provide them with material in an understandable form regarding jail rules and disciplinary procedures and actions. 1081 PLAN FOR DISCIPLINE OF INCARCERATED Discipline is not administered at this facility. PERSONS Each facility administrator shall develop written policies and procedures for discipline of incarcerated persons. The plan shall include, but not be limited to, the following elements: ☐ ☐ ☒ (a) Temporary Loss of Privileges: For minor acts of non- conformance or minor violations of facility rules, staff may impose a temporary loss of privileges, such as access to television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation and supervisory approval. (b) Disciplinary Actions: Major violations of facility rules or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing ☐ ☐ ☒ by the staff member observing the act and submitted to the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Loss of good time/work time. ☐ ☐ ☒ 2. Placement in disciplinary separation. ☐ ☐ ☒ 3. Loss of privileges mandated by regulations. ☐ ☐ ☒ A staff member with investigative and disciplinary authority shall be designated as a disciplinary officer to ☐ ☐ ☒ impose such consequences. Staff shall not participate in disciplinary review if they are ☐ ☐ ☒ involved in the charges. Such charges pending against an incarcerated person shall be acted on with the following provisions and within specified timeframes: ☐ ☐ ☒ 1. A copy of the report, or a separate written notice of the violation(s), shall be provided to the incarcerated person. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 2. Unless declined by the incarcerated person, a hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been ☐ ☐ ☒ informed of the charges in writing. The hearing may be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The ☐ ☐ ☒ incarcerated person shall have access to staff or assistance when they have limited literacy, or the issues are complex. 4. A charge(s) shall be acted on no later than 72 hours after an incarcerated person has been ☐ ☐ ☒ informed of the charge(s) in writing. 5. Subsequent to final disposition of disciplinary charges by the disciplinary officer, the charges and ☐ ☐ ☒ the action taken shall be reviewed by the facility manager or designee. 6. The incarcerated person shall be advised in a written statement by the fact-finders about the evidence relied on and the reasons for the ☐ ☐ ☒ disciplinary action. A copy of the record shall be kept pursuant to Penal Code Section 4019.5. 7. There shall be a policy of review and appeal to a ☐ ☐ ☒ supervisor on all disciplinary action. 1082 FORMS OF DISCIPLINE Discipline is not administered at this facility. The degree of actions taken by the disciplinary officer shall be directly related to the severity of the rule infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of discipline shall consist of, but not be limited to, the following: (a) Loss of privileges. ☐ ☐ ☒ (b) Extra work detail. (c) Short term lockdown for less than 24 hours. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal Code Section 4019. (f) Forfeiture of “work time” credits earned under Penal Code Section 4019. (g) Disciplinary separation. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS Discipline is not administered at this facility. The Penal Code and the State Constitution expressly prohibit all cruel and unusual punishment. Disciplinary actions shall not include corporal punishment, group punishment when feasible, or physical or psychological degradation. ☐ ☐ ☒ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) If a person is on disciplinary separation status for 30 consecutive days there shall be a review by the facility manager before the disciplinary separation status is continued. This review shall include a ☐ ☐ ☒ consultation with health care staff. Such reviews shall continue at least every fifteen days thereafter until the disciplinary status has ended. This review shall be documented. (2) The disciplinary separation cells or cell shall have the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be issued clothing and bedding as specified in Articles 13 and 14 of these regulations and shall not be deprived of them through any portion of the day ☐ ☐ ☒ except that those incarcerated persons who engage in the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a person of such articles of clothing and bedding shall be reviewed by the facility manager or designee during each 24-hour period. (3) If after placement in separation, mental health or medical staff determine that an individual has serious mental illness or an intellectual disability, they shall ☐ ☐ ☒ be removed from disciplinary separation immediately upon this determination. (b) The delegation of authority to any incarcerated person or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group ☐ ☐ ☒ of incarcerated people. Note: PC § 4019.5. (c) In no case shall a safety cell, as specified in Title 24, Part 2, 1231.2.5, or any restraint device be used for ☐ ☐ ☒ disciplinary purposes. (d) No incarcerated person may be deprived of the implements necessary to maintain an acceptable level of ☐ ☐ ☒ personal hygiene as specified in Section 1265 of these regulations. (e) Food shall not be withheld as a disciplinary measure. ☐ ☐ ☒ (f) Correspondence privileges shall not be withheld except in cases where the incarcerated person has violated correspondence regulations, in which case ☐ ☐ ☒ correspondence may be suspended for no longer than 72 hours, without the review and approval of the facility manager. (g) In no case shall access to courts and legal counsel be ☐ ☐ ☒ suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS Discipline is not administered at this facility. Penal Code Section 4019.5 requires that a record is kept ☐ ☐ ☒ of all disciplinary actions administered therefore. This requirement may be satisfied by retaining copies of rule violation reports and report of the disposition of each. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1270 STANDARD BEDDING AND LINEN ISSUE This is a temporary holding facility. Arrestees are held only a short time before transfer or The standard issue of clean suitable bedding and linens, release. However, blankets are available if for each incarcerated person entering a living area who is needed. ☒ ☐ ☐ expected to remain overnight, shall include, but not be limited to: (a) one serviceable mattress which meets the requirements of Section 1272 of these regulations; (b) one mattress cover or one sheet; ☐ ☐ ☒ (d) one blanket or more depending up on climatic ☐ ☐ ☒ conditions. Policy and procedure shall require that items (a), (b), and ☐ ☐ ☒ (d) above be provided prior to the first night in the facility. Two blankets or sleep bag may be issued in place of one mattress cover or one sheet at the request of the ☐ ☐ ☒ incarcerated person. Temporary Holding facilities which hold persons longer than 12 hours shall provide an incarcerated person with bedding and linen that meet the requirements of (a), (b) ☐ ☐ ☒ and (d) above prior to their first night in the facility and every night thereafter. 1280 FACILITY SANITATION, SAFETY, AND L.4 Housekeeping Plan MAINTENANCE PM 1.8 Facility Appearance and Maintenance The facility administrator shall develop written policies and procedures for the maintenance of an acceptable Each facility has a daily cleaning plan. ☒ ☐ ☐ level of cleanliness, repair, and safety throughout the facility. Such a plan shall provide for a regular schedule of housekeeping tasks and inspections to identify and correct unsanitary or unsafe conditions or work practices which may be found. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 7 of 21 A351 TH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? If YES, see remaining document for Title 15, Article 9 inspection. Penal Code Sections 6030 and 6031.4 require the biennial inspection of local detention facilities that hold minors in secure detention in the jail. Title 15, Article 9 According to policy, minors can be held in jail establishes the minimum standards of how facilities hold cells. On a practical level, this facility tries to minors in temporary custody in the jail. ☒ avoid using this type of secure detention. ☐ ☐ There were no minors held in any jail cells Facilities that do not hold minors in the jail cells are not during the time frame of this inspection. subject to Title 15, Article 9 biennial inspections; however, if minors are held in the building, they may be subject to the requirements of Welfare and Institutions Code section 207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR PM 6.3 Juvenile Detention Procedures IN AN ADULT DETENTION FACILITY All Juvenile procedures are covered under The facility administrator shall develop policy and ☒ this policy and verified at the time of procedures for notification of the court of jurisdiction and ☐ ☐ inspection. All regulations identified below the parent, guardian, or person standing in loco are covered under this policy section. parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1142 WRITTEN POLICIES AND PROCEDURES PM 6.3 Juvenile Detention Procedures The facility administrator shall develop written policies ☒ and procedures concerning minors being held in ☐ ☐ temporary custody which shall address: (a) suicide risk and prevention; (b) use of restraints; ☒ ☐ ☐ (c) emergency medical assistance and services; and ☒ ☐ ☐ (d) prohibiting use of discipline. ☒ ☐ ☐ 1143 CARE OF MINORS IN TEMPORARY PM 6.3 Juvenile Detention Procedures CUSTODY ☒ ☐ (a) The following shall be made available to all minors ☐ held in temporary custody: (1) access to toilets and washing facilities; (2) one snack during term of temporary custody if Snacks are available. the minor has not eaten within the past four (4) ☒ hours or is otherwise in need of appropriate ☐ ☐ nourishment; (3) access to drinking water; ☒ ☐ ☐ (4) access to language services; ☒ ☐ ☐ (5) access to disabilities services; ☒ ☐ ☐ (6) sanitary napkins, panty liners, and tampons as ☒ requested; ☐ ☐ (7) privacy during consultation with family, guardian, ☒ and/or lawyer; ☐ ☐ (8) blankets and clothing, as necessary, to assure ☒ Blankets are available. the comfort of the minor; and ☐ ☐ 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 8 of 21 A351 TH PRO eff. 04.01.25 (9) personal clothing unless the clothing is inadequate, presents a health or safety problem, or ☒ ☐ ☐ is required to be utilized as evidence of an offense. (b) Upon entry, the minor shall be informed in writing of what is available under this section, and it shall be ☒ posted in at least one conspicuous place to which ☐ ☐ minors have access. 1144 CONTACT BETWEEN MINORS AND PM 6.3 Juvenile Detention Procedures INCARCERATED ADULTS ☒ The facility administrator shall establish policies and ☐ ☐ procedures to restrict contact, as defined in Section 1006, between minors and adults confined in the facility. In situations where brief or accidental contact may There is no contact between adults and occur, such as booking or facility movement, facility staff juveniles. (trained in the supervision of incarcerated people) shall ☒ ☐ ☐ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1145 DECISION ON SECURE CUSTODY PM 6.3 Juvenile Detention Procedures A minor who is taken into temporary custody by a peace officer on the basis that they are a person described by Section 602 of the Welfare and Institutions Code may be held in secure custody in a law enforcement facility that contains a lockup for adults if the minor is 14 years of age or older and if, in the reasonable belief of the peace officer, the minor presents a serious security risk of harm to self or others, as long as all other conditions of secure custody set forth in these standards are met. ☒ ☐ ☐ Any minor in temporary custody who is less than 14 years of age, or who does not in the reasonable belief of the peace officer present a serious security risk of harm to self or others, shall not be placed in secure custody, but may be kept in non-secure custody in the facility as long as all other conditions of non-secure custody set forth in these standards are met. Note: Minors in secure detention are 14 years of age or older. In making the determination whether the minor presents The arresting deputy determines all risk a serious security risk of harm to self or others, the ☒ factors identified in this regulation prior to officer may take into account the following factors: ☐ ☐ deciding on secure detention. (a) age, maturity, and delinquent history of the minor; (b) severity of the offense(s) for which the minor was ☒ taken into custody; ☐ ☐ (c) minor's behavior, including the degree to which the ☒ minor appears to be cooperative or non-cooperative; ☐ ☐ (d) the availability of staff to provide adequate ☒ supervision or protection of the minor; and ☐ ☐ (e) the age, type, and number of other individuals who ☒ are detained in the facility. ☐ ☐ 1146 CONDITIONS OF SECURE CUSTODY PM 6.3 Juvenile Detention Procedures While in secure custody, minors may be locked in a Factors are needed to determine secure room or other secure enclosure, secured to a cuffing rail, ☒ detention. ☐ ☐ or otherwise reasonably restrained as necessary to prevent escape and protect the minor and others from harm. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 1 9 of 21 A351 TH PRO eff. 04.01.25 1147 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY INSIDE A LOCKED ENCLOSURE (a) Minors shall receive adequate supervision which, at ☒ ☐ ☐ a minimum, includes: (1) constant auditory access to staff by the minor; and (2) safety checks, as defined in Section 1006, of the Safety checks are completed every 15 minor by staff of the law enforcement facility, at least ☒ minutes per agency policy. ☐ ☐ once every 30 minutes, which shall be documented. (b) Minors of different genders shall not be placed in the same locked room unless under constant direct visual ☒ ☐ ☐ observation by staff of the law enforcement facility. 1148 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY OUTSIDE OF A LOCKED ENCLOSURE Unless necessary, juveniles are usually not ☒ held in secure custody. Minors held in secure custody outside of a locked ☐ ☐ enclosure shall not be secured to a stationary object for more than 60 minutes unless no other locked enclosure is available. A staff person from the facility shall provide constant direct visual observation to assure the minor's safety ☒ ☐ ☐ while secured to a stationary object. Securing minors to a stationary object for longer than 60 minutes, and every 30 minutes thereafter, shall be ☒ ☐ ☐ approved by a supervisor. The decision for securing a minor to a stationary object for longer than 60 minutes, and every 30 minutes ☒ ☐ thereafter shall be based upon the best interests of the ☐ minor and shall be documented. 1149 CRITERIA FOR NON-SECURE CUSTODY PM 6.3 Juvenile Detention Procedures Minors held in temporary custody, who do not meet the criteria for secure custody as specified in Section 207.1(b) of the Welfare and Institutions Code, may be ☒ held in non- secure custody to investigate the case, ☐ ☐ facilitate release of the minor to a parent or guardian, or arrange for transfer of the minor to an appropriate juvenile facility. While minors are held in temporary non- secure custody the provisions of Section 1143 apply. 1150 SUPERVISION OF MINORS IN NON- PM 6.3 Juvenile Detention Procedures SECURE CUSTODY Non-secure custody is held in a separate Minors held in non-secure custody shall receive area and out of sight of the holding cells and constant direct visual observation by staff of the law ☒ in constant view of the arresting deputy. ☐ ☐ enforcement facility. Entry and release times shall be documented and made available for review. Monitoring a minor using audio, video, or other electronic devices shall never replace constant direct visual observation. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 2 0 of 21 A351 TH PRO eff. 04.01.25 1151 MINORS UNDER THE INFLUENCE OF ANY PM 6.3 Juvenile Detention Procedures INTOXICATING SUBSTANCE IN SECURE OR NON-SECURE CUSTODY Facility administrators shall develop policies and ☒ procedures providing that a medical clearance shall be ☐ ☐ obtained for minors who are under the influence of drugs, alcohol, or any other intoxicating substance to the extent that they are unable to care for themselves, prior to secure or non-secure custody of that minor. Supervision of minors in secure custody in a locked Both adult and juvenile safety checks are room shall include safety checks at least once every 15 completed every 15 minutes. minutes until resolution of the intoxicated state or ☒ ☐ ☐ release. These safety checks shall be documented, with actual time of occurrence recorded. Supervision of minors in secure custody outside of a locked room shall be supervised in accordance with ☒ ☐ ☐ Section 1148. Supervision of minors in nonsecure custody shall be Those held in nonsecure custody are under ☒ ☐ ☐ supervised in accordance with Section 1150. continual observation. 4606 San Diego SHRF San Marcos Substation THJ CI PRO 25-26 Page 2 1 of 21 A351 TH PRO eff. 04.01.25 ADULT COURT AND TEMPORARY HOLDING FACILITIES PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: 6/94; 2/99; 2001 BSCC Code: 4606 FACILITY NAME: San Marcos Substation FACILITY TYPE: THJ APPLICABLE REGULATIONS (Check All That 6/94: 2/99: X 2001: OTHER: Apply): FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/2026 TITLE 24 SECTION YES NO N/A COMMENTS Reception and Booking (2.1) X Contains a weapons locker, designed as outlined in these regulations. Contains a cell or room for confinement pending X booking Contains a detoxification cell (WA in TH; NA in CH) No sobering cells. 01: Name changed to “sobering cell.” X 2-99: Two detoxification cells are provided if both male and female inmates are held. Contains safety cell(s) (WA in TH; NA in CH) X No safety cells. Shower room available 2-99: Access to shower must be within the secure X area Provides secure vault or storage for inmate valuables X Telephone(s) available for inmate use (PC § 851.5) X 2-99: Unobstructed access to hot and cold running X water Temporary Holding Cell or Room (2.2) X Contains 10 square feet of floor area per inmate Holds no more than 16 inmates X Is not smaller than 40 square feet and has a clear X ceiling height of 8 feet or more Contains sufficient seating to accommodate all X inmates Contains water closet (toilet), washbasin, and drinking X fountain Provides for clear visual supervision by staff X A bunk is provided if inmates are held 12 hours or X more Temporary Staging Cell or Room (2.3) No temporary staging cells. Holds inmates classified and segregated per Title 15 § X 1050 and 1053 Detoxification/Sobering Cell (2.4) No sobering cells. 01: Name change to “sobering cell” X Contains 20 square feet of floor area per inmate Safety Cell (2.5) No safety cells. Contains 48 square feet with one floor dimension of a X least 6 feet and a clear ceiling height of 8 feet or more 4606 San Diego SHRF San Marcos Substation THJ CI PHY 25-26 - 1 - A382 PHY CH-TH 94 99 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Safety Equipment Storage (2.19) Adequate space is provided to store equipment such X as fire extinguishers, SCBA, emergency lights, etc. Janitors' Closet (2.20) Lockable, containing a mop sink and storage space X 01: Mop sink may be separate from janitors’ closet Audio or Visual Monitoring (2.22) There is an audio monitoring system capable of alerting staff in a central control. When visual electronic surveillance is use, it is located primarily in X corridors, elevators, or at points on the security perimeter such as entrances and exits. 2-99: Video monitoring option deleted. Emergency Power (2.24) There is an emergency power source available and capable of providing minimal lighting in all areas and X maintaining fire and life safety, security, communication and alarm systems. Attorney Interview Space (2.26) X Available and provides for confidentiality Water Closets (Toilets)/Urinals (3.1) Provide for inmate privacy/modesty with staff being able to visual supervise; provided at a ratio of 1:16 in X holding and staging cells. See regulation for calculations of urinal substitutions. Washbasins (3.2) Tempered water. Provide hot and cold or tempered water; provided at a ratio of 1:16 in holding and staging cells. See X regulation for calculations of washbasin trough substitutions. Drinking Fountains (3.3) 2-99: Available in each temporary holding, staging and X sobering cell. Water outlet (bubbler) is mechanically actuated and at an angle that prevents wastewater from flowing over the outlet (bubbler); there is a mouth guard on the X water outlet (bubbler). 2-99: Mouth guard requirement deleted Showers (3.4) (NA in CH) Available in the security area; provide hot and cold or tempered water; shower stalls/areas are designed and X constructed of materials that are impervious to water and soap so that they may be easily cleaned. Beds/Bunks (3.5) At least 30 inches wide and 76 inches long with 21 inches between pans; constructed of pan bottom type X or concrete; securely fastened to the floor and/or wall in facilities higher than minimum security. 01: Must be elevated off the floor. Lighting (3.6) Lighting is centrally controlled and/or Lighting is sufficient to permit easy reading by a occupant-controlled in housing cells or person with normal vision, night lighting is sufficient for X rooms. Light fixtures are of secure design. purposes of supervision. 4606 San Diego SHRF San Marcos Substation THJ CI PHY 25-26 - 2 - A382 PHY CH-TH 94 99 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Windows (3.7) Windows that are accessible to inmates are no greater X than 5 inches in on dimension. Cell Padding (3.8) The floors and partition are padded in detoxification cells. In safety cells, floors, doors, walls and X everything on them are padded. All padded cells are equipped with an tamper resistant fire sprinkler approved by the SFM. All padding is: approved for use by the SFM; nonporous; at least ½ inch thick; of a unitary or X laminated construction; firmly bonded to all surfaces; and, without exposed seams. Mirrors/Shelves/Clothes Hooks (3.9) A mirror of a material appropriate to the level of X security is provided near each washbasin. Consistent with security needs, shelves and clothes hooks are provided wherever feasible. X 2-99: Requirement for shelves and hooks deleted Clothes hooks are of a collapsible hook type X 2-99: Requirement for hooks deleted Seating (3.10) Seating is designed to the level of security. When bench seating is used, eighteen inches of bench are X provided per inmate. 2-99: In holding and staging cells, seating is securely fastened to the wall and/or floor. Weapons Locker (3.12) A secure weapons locker is located outside the security perimeter of the facility and no weapons are X brought into the security area. Lockers have individual compartments, locks and keys. Design Requirements (102(c)6) Design requirements as specified in Title 24, Part 1, 102(c)6 are met. (See regulation for specific X requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 4606 San Diego SHRF San Marcos Substation THJ CI PHY 25-26 - 3 - A382 PHY CH-TH 94 99 01.dot (03/01) ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 4606 FACILITY: San Marcos Substation TYPE: THJ RC: (15) FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/2026 ROOMS EACH ROOM Cell Applicable # EACH CELL DIMENSIONS FIXTURES* Location Total RC Type Standards Cells (L x W x H) # Beds RC T U W F S 156 Holding 1999 1 0 (5) (5) 14'8" x 8'0" x 8’3” 1 1 1 Note: Less 13 sq. ft. (irregular shape) for 104 sq. ft. 8' bench, capacity based on seating. 157-159 Holding 1999 3 0 (2) (6) 9'5" x 5'4" x 8’3” 1 1 1 Note: Less 2 sq. ft. (irregular shape) for 48 sq. ft. 4' bench, capacity based on seating. 160 Holding 1999 1 0 (2) (2) 9'5" x 6' x 8’3” 1 1 1 Note: Less 2 sq. ft. (irregular shape) for 44 sq. ft. 4' bench, capacity based on seating. 161 Holding 1999 1 0 (2) (2) 8'7" x 8'0"x 8’3” 1 1 1 Note: Less 6 sq. ft. (irregular shape) for 63 sq. ft. 4' bench, capacity based on seating. ADA cell. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 4606 San Diego SHRF San Marcos Substation THJ CI LASE 25-26 - 1 - A360 LAS Adult.dot (03/01) TEMPORARY HOLDING FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4609 FACILITY NAME: 4 S Ranch Sheriff’s Substation FACILITY TYPE: THJ PERSON(S) INTERVIEWED: Sgt. Anderson, Sgt. Montan FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/26 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1024 COURT HOLDING AND TEMPORARY The BSCC Standards and Training for HOLDING FACILITY TRAINING Corrections (STC) division found the agency in compliance with applicable regulations At a minimum, all supervisors of and personnel who during the 23-24 compliance monitoring supervise incarcerated persons in, a Court Holding or cycle. Temporary Holding facility shall complete eight hours of specialized corrections training. Such training shall San Diego County has a Training Department include, but not be limited to: that maintains training records for each (a) applicable minimum jail standards; employee. (b) jail operations liability; (c) separation of incarcerated persons; (d) emergency procedures and planning, fire and life ☒ ☐ ☐ PM 10.1 Orientation Phase Training safety; and; PM 2.55 Non-Biased Based Policing (e) suicide prevention; (f) de-escalation; (g) juvenile procedures; (h) racial bias; and, (i) mental illness. Note: Each agency shall determine if additional training is needed based upon, but not limited to, the complexity of the facility, the number of people incarcerated, the employees' level of experience and training, and other relevant factors. Such training shall be completed as soon as practical, but Deputies are trained upon assignment to this in any event not more than six months after the date of facility. assigned responsibility. Successful completion of Core ☒ ☐ ☐ training or supplemental Core training, pursuant to Section 1020, Corrections Officer Core Course, may be substituted for the initial eight hours of training. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 A total of eight hours of refresher training shall be PM 10.6 Continual Professional Training – completed every two years. Successful completion of the Sworn requirements in Section 1025, Continuing Professional Training may be substituted for the eight-hour refresher. A Training Completion Report and Training Attendance Rosters were reviewed for this ☒ ☐ ☐ inspection. Topics for inclusion, but not limited to, Temporary Holding Cell, Strategic Communication, Promoting Compassion in Detention Facilities, Crisis Screening, and patrol-related topics. 1027 NUMBER OF PERSONNEL C.1. Minimum Staffing A sufficient number of personnel shall be employed in ☒ ☐ ☐ each local detention facility to ensure the implementation and operation of the programs and activities required by these regulations. Whenever there is a person in custody, there shall be at Staff are present whenever an arrestee is in a least one employee on duty at all times in a local holding cell. detention facility or in the building which houses a local ☒ ☐ ☐ detention facility who shall be immediately available and accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which Staff maintains supervision of the arrestee would conflict with the supervision and care of ☒ ☐ ☐ while in the station. incarcerated people in the event of an emergency. Whenever one or more females are in custody, there Staffing for the facility is comprised of several shall be at least one female employee who shall be teams. Each team has female staff members ☒ ☐ ☐ immediately available and accessible to such females. who can be immediately available. Note: Reference PC § 4021. In order to determine if there is a sufficient number of The Sheriff’s Office ensures there is sufficient personnel for a specific facility, the facility administrator staffing to cover all required needs. An shall prepare and retain a staffing plan indicating the Employee Roster was provided for review. personnel assigned in the facility and their duties. Such a Deputies are assigned to one of four teams, ☒ ☐ ☐ staffing plan shall be reviewed by the Board staff at the ensuring 24/7 coverage. time of their biennial inspection. The results of such a review and recommendations shall be reported to the local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS I.64 Safety Checks: Inmates, Housing and Holding Areas The facility administrator shall develop and implement policy and procedures for conducting safety checks that Each arrestee has completed a Temporary include, but are not limited to, the following: ☒ ☐ ☐ Holding Cell Checklist, which includes (a) Safety checks will determine the safety and well-being medical questions, cell placement, charges, of individuals and shall be conducted at least hourly and safety check documentation. Also through direct visual observation of all people held and included is the time of removal from the housed in the facility. facility. (b) There shall be no more than a 60-minute lapse When an arrestee is in the facility, safety between safety checks. ☒ ☐ ☐ checks are conducted within 15 minutes of the previous check. (c) Safety checks for people in sobering cells, safety cells, No safety or sobering cells at this facility. and restraints shall occur more frequently as outlined in ☐ ☐ ☒ section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied No regular pattern was discovered when ☒ ☐ ☐ intervals. reviewing safety check documentation. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) There shall be a written plan that includes the The date and time of each safety check are documentation of all safety checks. Documentation shall identified in the observation reports. include: ☒ ☐ ☐ (1) the actual time at which each individual safety check occurred; (2) the location where each individual safety check This facility has three holding cells. When a occurred, such as a cell, module, or dormitory safety check is completed, it includes number; and, observing arrestees in their cell and ☒ ☐ ☐ documented on the Temporary Holding Cell Checklist. Two months (November & December) of safety check documentation were reviewed for this inspection. (3) Initials or employee identification number of staff This is included in the observation report. ☒ ☐ ☐ who completed the safety check(s). (f) A documented process by which safety checks are A supervisor reviews the previous day’s reviewed at regular defined intervals by a supervisor or documentation and indicates their body facility manager, including methods of mitigating patterns ☒ ☐ ☐ number and signature at the bottom of the of inconsistent documentation, or untimely completion of, page. safety checks. 1028 FIRE AND LIFE SAFETY STAFF H.1 Fire Procedures M.5 Medical Emergencies (a) Whenever there is a person in custody, there shall be M.6 Life Threatening Emergencies: Code ☒ ☐ ☐ at least one person on duty at all times who meets the Blue training standards established by the Board for general M.34 Personal Protective Equipment (PPE) fire and life safety. [Penal Code section 6030(c)]. The facility manager shall ensure that there is at least one Prior to being assigned to work at a facility, person on duty who trained in fire and life safety staff members are trained in fire and life procedures that relate specifically to the facility. ☒ ☐ ☐ safety. Upon transfer to a new facility, staff members are trained in the procedures specific to that facility. (b) The facility administrator, in conjunction with the The Training Bureau provided a Line-Up health authority, shall develop and implement policies Training, Response to Life-Threatening and and procedures consistent with the requirements of Penal Medical Emergencies, Topic #22, where staff Code Section 6048(b) that require correctional officers had to verify that they completed the training ☒ ☐ ☐ certified in cardiopulmonary resuscitation (CPR) to begin activity. This training included identification of CPR on a nonresponsive person without obtaining agency policies and the use of CPR, and approval from supervisors or medical staff, when it is safe when available, an AED. and appropriate to do so. These policies shall cover the following key elements: PM 10.2 First Aid and CPR Training ☒ ☐ ☐ (1) Acceptable CPR methods and application. Staff are trained every two years. (2) Correctional officers shall be certified in CPR and a Staff receive a CPR certification card. This copy of the certification shall be on file in the facility or at agency also maintains records to identify a central location and available for review. ☒ ☐ ☐ when training is needed. This facility is staffed with law enforcement deputies and not detention deputies. (3) Correctional officers shall immediately summon A Training Bulletin, “Initiating a 911 medical aid when a person is identified as nonresponsive Response,” identifies that facility staff are and shall administer CPR unless the correctional officer ☒ ☐ ☐ expected to provide emergency medical care is aware of a known medical condition(s) that would shall be provided with efficiency and speedily contraindicate its use. without compromising security. (4) Correctional officers shall use personal protective This is included in policy M.34. equipment when administering CPR whenever possible ☒ ☐ ☐ to reduce exposure to bodily fluids or bloodborne pathogens that may contain disease-causing agents. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) If an imminent physical danger prevents a Staff members are trained that CPR is only correctional officer from safely administering CPR, they performed when safety and security are not shall begin or resume CPR as soon as the threat has compromised. ☒ ☐ ☐ passed, or the nonresponsive person has been safely removed from danger, provided medical aid has not yet arrived. (6) The correctional officer shall continue administering Basic life-supporting care is continued until CPR, absent imminent physical danger, until the paramedics or medical personnel arrive and nonresponsive person shows obvious signs of life, such assume care. ☒ ☐ ☐ as normal breathing or physical or verbal responses, or until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative This facility does not maintain medical staff. medical responders are present when a person is However, if there is a need for EMS, ☒ ☐ ☐ identified as nonresponsive, correctional officers shall paramedics assume CPR. defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL3 San Diego County Sheriff’s Office Detention Services Bureau – Manual of Policies and Facility administrator(s) shall develop and publish a Procedures. manual of policy and procedures for the facility. The policy and procedures manual shall address all San Diego County Sheriff’s Office Policy applicable Title 15 and Title 24 regulations and shall be Manual (PM) comprehensively reviewed and updated at least every ☒ ☐ ☐ two years. Such a manual shall be made available to all employees. The policy manuals are updated on an as- Notes: The policies and procedures required in needed basis several times per year. subsections (a)(6) and (a)(7) may be placed in a However, all policy manuals are reviewed separate manual to ensure confidentiality. annually. Subsections (c) and (d) do not apply and have been deleted. (a) The manual for Temporary Holding, Type I, II, and III A.3 Table of Organization facilities shall provide for, but not be limited to, the following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility B.38 Facility Inspections ☒ ☐ ☐ administrator/manager. PM 1.8 Facility Appearance and Maintenance (3) Policy on the use of force that meets current state PM 11.1 Use of Force Guidelines and federal legal requirements and includes ☒ ☐ ☐ prohibition of the use of carotid restraint and choke This pertains to all staff. holds. (4) Policy on the use of restraint equipment, including I.93 Use of Restraint Equipment the restraint of pregnant persons as referenced in ☒ ☐ ☐ M.38 Pregnant Incarcerated persons Penal Code Section 3407. (5) Procedure and criteria for screening newly M.38 Pregnant Incarcerated persons received persons for release. ☒ ☐ ☐ Q.77 Permissive Release of Pre-arraignment Misdemeanor Incarcerated Persons 3 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) Security and control including physical counts and H.2 Facility Emergency Operations Manual searches of the facility and incarcerated persons, I.16 Facility Security-Screenings of Persons contraband control, and key control. Entering a Detention Facility or Support Each facility administrator shall, at least annually, Facility review, evaluate, and make a record of security I.25 Key Control measures. The review and evaluation shall include I-41 Cell Searches of Incarcerated Persons internal and external security measures of the facility I.43 Count Procedures of Incarcerated including security measures specific to prevention of Persons sexual abuse and sexual harassment. I.52 Strip and Pat Down Searches of ☒ ☐ ☐ Incarcerated Persons I.61 Facility Security – Central Control F.16 Sexual Misconduct Case Assignments & Investigations I.66 Facility Security/Physical Security A daily safety and security inspection is conducted. The prevention of sexual abuse and harassment is conducted yearly and the policy is updated, if needed. (7) Emergency procedures include: H.1 Fire Procedures (A) fire suppression preplan as required by ☒ ☐ ☐ section 1032 of these regulations; (B) escape, disturbances, and the taking of I.43 County Procedures for Incarcerated hostages; Persons D.15 Training in Emergency Plans and Critical Incidents H.2 Facility Emergency Operations Manual ☒ ☐ ☐ I.5 Emergency Escape Procedures of Incarcerated Persons I.7 Riot and Disorder Policy I.3 Hostage Policy PM 6.58 Prisoner Escapes PM 9.3 Crisis Negotiation (C) mass arrests; ☒ ☐ ☐ H.14 Mobile Booking (D) natural disasters; ☒ ☐ ☐ H.2 Facility Emergency Operations Manual (E) periodic testing of emergency equipment; and ☒ ☐ ☐ I.1 Emergency Alarm Systems (F) storage, issue, and use of weapons, B. 38 Facility Inspections ammunition, chemical agents, and related H.11 Storage and Use of Toxic, Caustic security devices. ☒ ☐ ☐ Materials I.69 Facility Security-Weapons PM 6.66 Chemical Agents Policy (8) Suicide Prevention. J.5 Suicide Prevention Practices Incarcerated Persons & Detentions Safety Program ☒ ☐ ☐ M.4 Suicide Prevention and Focused Response Team (9) Separation of incarcerated persons. J.3 Separation: Definition and Use ☒ ☐ ☐ R.1 Incarcerated Person Classification (10) Zero tolerance in the prevention of sexual abuse D.13 In-Service Training and sexual harassment. ☒ ☐ ☐ F.16 Sexual Misconduct Case Assignment & Investigations 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (11) Policy and procedure to detect, prevent, and F.16 Sexual Misconduct Case Assignment & respond to retaliation against any staff or person after Investigations reporting any abuse. PM 6.127 Prison Rape Elimination Act ☒ ☐ ☐ The policy manual identifies personnel and incarcerated persons how to report instances of sexual abuse, harassment, and retaliation. (12) Release policy, including release planning for Incarcerated persons are not held long incarcerated persons. ☐ ☐ ☒ enough to formulate a release plan from this facility. (e) The manual for Temporary Holding, Court Holding, San Diego County Sheriff’s Office website Type I, II, III, and IV facilities shall provide for, but not be provides informational pamphlets on how to limited to, the following: report instances of sexual abuse/harassment. (1) multiple internal ways for incarcerated people to Informational posters are displayed on the privately report sexual abuse and sexual walls informing arrestees of how to report. ☒ ☐ ☐ harassment, retaliation by other incarcerated persons or staff for reporting sexual abuse and sexual harassment, and staff neglect or violation of responsibilities that may have contributed to such incidents, (2) a method for uninvolved incarcerated persons, Information on reporting sexual assault, family, community members, and other interested harassment, and misconduct is available on third parties to report sexual abuse or sexual the agency website. harassment. The method for reporting shall be ☒ ☐ ☐ publicly posted at the facility. The lobby of the substation has an informational poster identifying reporting methods. 1030 SUICIDE PREVENTION PROGRAM J.5 Inmate Suicide Prevention Practices & Inmate Safety Program The facility shall have a comprehensive written suicide prevention program developed by the facility administrator or designee, in conjunction with the health ☒ ☐ ☐ authority and mental health director, to identify, monitor, and provide treatment to those incarcerated persons who present a suicide risk. The program shall include the following: (a) Annual suicide prevention training for all custodial The training is conducted annually on an on- personnel. going basis. The training team determines ☒ ☐ ☐ when it is time for each person to attend training. (b) Intake screening for suicide risk immediately upon PM 6.13 Inmate Intake Form intake and prior to housing assignment. ☒ ☐ ☐ A suicide assessment is conducted at intake. (c) Suicide prevention screening during special Arrestees do not stay at this facility and are situations, including placement in restrictive housing, transferred to another facility if they are to ☒ ☐ ☐ following a hearing, and after a transfer or change in remain in custody and are suicidal. classification. (d) Provisions facilitating communication among I.96 Providing Assistance to arresting/transporting officers, facility staff, court staff, Arresting/Transporting Officer ☒ ☐ ☐ medical and mental health personnel in relation to suicide risk. (e) Housing recommendations for people at risk of suicide Active suicidal incarcerated persons are not that balance safety and environment. The least restrictive ☒ ☐ ☐ accepted at this facility and are transported to environment should be considered. either the hospital or the jail. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) Supervision depending on level of suicide risk. Should a person become suicidal while at this facility, additional observation checks are ☒ ☐ ☐ made until transport to another facility can be arranged. (g) Suicide attempt and suicide intervention policies and Suicide intervention policies are part of the ☒ ☐ ☐ procedures. detentions manual. (h) Provisions for reporting suicides and suicides Reports are written about actual or attempted ☒ ☐ ☐ attempts. suicides and forwarded to NicheRMS. A Critical Incident Review Board reviews (i) Multi-disciplinary administrative review of suicides and incidents and may prompt changes in attempted suicides as defined by the facility ☒ ☐ ☐ practices or policies. administrator, including the development of a corrective action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. Follow-up care for those suffering mental Note: Subsection (k) does not apply and has been ☒ ☐ ☐ health issues is provided at another facility. deleted. 1032 FIRE SUPPRESSION PREPLANNING H.1 Fire Procedures H.7 Fire/Safety Inspections, Testing Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire Marshal, or both, in developing a plan for fire suppression which shall include, but not be limited to: (a) a fire suppression pre-plan developed with the local fire department to be included as part of the policy and ☒ ☐ ☐ procedures manual (Title 15, California Code of Regulations Section 1029); (b) monthly fire prevention inspections by facility staff with Verification was made that monthly fire two-year retention of the inspection record; prevention inspections are conducted and ☒ ☐ ☐ retained by the agency. These are identified as the 4S Ranch Sheriff’s Substation Holding Cells / Fire and Safety Inspection Report. (c) fire prevention inspections as required by Health and The last fire inspection was completed on Safety Code Section 13146.1(a) and (b) which requires ☒ ☐ ☐ 12/01/2025 by the Rancho Santa Fe Fire inspections at least once every two years; Protection District (d) an evacuation plan; and H.3 Evacuation Plans ☒ ☐ ☐ Each facility has a Site Evacuation Plan (SEP) Fire Safety Plan. This facility’s plan was last updated 10/20/23. (e) a plan for the emergency housing of incarcerated Determined at the time and need for ☒ ☐ ☐ people in the case of fire. emergency housing. 1044 INCIDENT REPORTS F.5 Incarcerated Person Incident Reports (JIMS) Each facility administrator shall develop written policies F.9 Crime Reports and Major Incident and procedures for the maintenance of written records Documentation ☒ ☐ ☐ and reporting of all incidents which result in physical PM 6.71 Crime Case Reports harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other Incident records are maintained in the Jail person. Information Management System (JIMS). Such records shall include the names of the persons Records are attached to each involved involved, a description of the incident, the actions taken, incarcerated person and include the type of ☒ ☐ ☐ and the date and time of the occurrence. incident, those involved, actions taken, and the date/time of occurrence. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 7 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Such a written record shall be prepared by the staff No reports regarding incarcerated persons assigned to investigate the incident and submitted to the ☒ ☐ ☐ emanated from this facility. facility manager or designee. 1046 DEATH IN CUSTODY M.7 Incarcerated Person Deaths PM 6.5 Unusual Incident, Death, and Serious (a) The facility administrator shall develop written policy Injury Notification and procedures to comply with the in-custody death ☒ ☐ ☐ reporting requirements of Government Code section An In-Custody Death Advocate and 12525. The facility administrator shall submit a copy of Department Investigation Coordinator the report filed pursuant to section 12525 to the BSCC (ICDADIC) is responsible for submitting this within 10 days of an in-custody death. information. (b) The facility administrator, in cooperation with the The ICDADIC is the coordinator of the review health administrator, shall develop written policy and team. Members of the team include the procedures to conduct an initial review and complete a Medical Services Administrator, Chief written report of every in-custody death within 30 days of Medical Officer, Other Health Care staff, the the death. The team that conducts the initial review shall ☒ ☐ ☐ ICDADIC coordinator, among others. include, at a minimum, the facility administrator or designee, the health administrator, the responsible physician and other health care, and supervision staff who are relevant to the incident. Deaths shall be reviewed to determine the These occurrences are also investigated by appropriateness of clinical care; whether changes to the San Diego County CLERB (Citizens Law ☒ ☐ ☐ policies, procedures, or practices are warranted; and to Enforcement Review Board). identify issues that require further study. (c) The facility administrator shall submit a copy of the This is the responsibility of the ICDADIC. initial review report of every in-custody death to the BSCC within 60 days of the death. The facility administrator shall ☒ ☐ ☐ provide a copy of the initial review report that comports with the disclosure requirements of section 832.10 of the Penal Code. The initial review report shall contain the following The reports written for an In-Custody Death at information: a substation include all the items listed in this (1) Demographic information subsection. (A) Full name of the decedent (B) Date of birth (C) Date of death (D) Time of death (E) Gender (F) Race and ethnicity (G) Relevant medical history ☒ ☐ ☐ (2) Facility Information (A) Name and location of the detention facility (B) Description of the location where the death occurred within the facility (C) Date and time of the incident (D) Detention facility personnel (including names and roles) involved in the reporting of the death or incident (3) Any relevant circumstances leading up to death, including behavioral health or medical issues. (d) In any case in which a minor dies while detained in a jail, lockup, or court holding facility the BSCC may inspect and evaluate the jail, lockup, or court holding facility pursuant to the provisions of this subchapter within 30 calendar days of the death. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 8 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1050 CLASSIFICATION PLAN R.1 Incarcerated Person Classification R.3 Incarcerated Person Classification Code (a) Each administrator of a temporary holding, Type I, II, – Descriptor Definitions or III facility shall develop and implement a written classification plan designed to properly assign incarcerated persons to housing units and activities There are three holding cells used for according to the categories of gender identity, age, arrestees at this facility. Incarcerated persons criminal sophistication, seriousness of crime charged, are only held for a short time at this facility. physical or mental health needs, assaultive/non- assaultive behavior, risk of being sexually abused, or San Diego County Sheriff’s Office has a sexually harassed and other criteria which will provide for Booking Acceptance Criteria document which the safety of the incarcerated people and staff. Such identifies the types of bookings that can be ☒ ☐ ☐ housing unit assignment shall be accomplished to the accepted. extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, There are no programs available at this the agency shall consider on a case-by-case basis temporary holding facility. Care is taken to whether a placement would ensure the health and safety appropriately separate those that need of the incarcerated person, and whether the placement ☒ ☐ ☐ protection from others. would present management or security problems. A person’s own views with respect to their own safety shall be given serious consideration. 1051 COMMUNICABLE DISEASES M.9 Receiving Screening M.37 Standard Precautions and infectious The facility administrator, in cooperation with the Agents/Communicable Disease Control responsible physician, shall develop written policies and ☒ ☐ ☐ PM 6.100 Bloodborne Pathogen Exposure/ procedures specifying those symptoms that require Control medical isolation of an incarcerated person until a medical evaluation is completed. At the time of intake into the facility, an inquiry shall be PM 6.13 Inmate Intake Form made of the person being booked as to whether the person has or has had any communicable diseases, such An initial medical screening takes place at the as tuberculosis or has observable symptoms of time of reception. Incarcerated persons that ☒ ☐ ☐ tuberculosis or any other communicable diseases, or have any type of medical issues are other special medical problem identified by the health transported directly to the jail. authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION M.2 Requests for Medical Information J.5 Suicide Prevention Practices for The facility administrator, in cooperation with the Incarcerated Persons & Detentions Safety responsible physician, shall develop written policies and ☒ ☐ ☐ Program procedures to identify and evaluate all incarcerated J.7 Emergency Transportation of people who may be in behavioral crisis. Evaluation of Incarcerated Persons with Mental Health behavioral crisis may include telehealth. Needs If an evaluation from medical or mental health staff is not Arrestees suffering from an active behavioral readily available, an incarcerated person shall be crisis episode are not accepted at this facility. considered in behavioral crisis for the purpose of this ☒ ☐ ☐ Instead, they are transported to the hospital section if they appear to be a danger to themselves or or jail. others or appear gravely disabled. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 9 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 An evaluation from medical or mental health staff shall be This is done when booked into the jail. secured within 24 hours of identification or at the next ☒ ☐ ☐ daily sick call, whichever is earliest. Separation may be used if necessary, to protect the Staff verified that this occurs whenever ☒ ☐ ☐ safety of the person in crisis or others. possible. 1053 ADMINISTRATIVE SEPARATION J.3 Separation: Definition and Use R.1 Incarcerated Person Classification ☒ ☐ ☐ Except for Type IV facilities, facility administrators shall develop and implement policies and procedures for the administrative separation of incarcerated people. Policies and procedures must include: There are no administrative separation cells (a) Administrative separation may consist of separate at this facility. All cells are designed the housing but shall not involve any other deprivation of same. privileges than is necessary to obtain the objective of protecting the welfare of incarcerated people and facility ☐ ☐ ☒ staff. Note: Subsections (b) through (e) do not apply and have been deleted. 1055 USE OF SAFETY CELL There is no safety cell at this facility. The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who ☐ ☐ ☒ display behavior which results in the destruction of property or reveals an intent to cause physical harm to self or others. The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures governing safety cell use and may delegate ☐ ☐ ☒ authority to place an incarcerated person in a safety cell to a physician. Policies and procedures shall include, but not be limited to: (a) In no case shall the safety cell be used for punishment ☐ ☐ ☒ or as a substitute for treatment. (b) A person shall be placed in a safety cell only with the approval of the facility manager or designee, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every four hours. (c) A medical assessment shall be completed as soon as possible, but not more than 12 hours from the time of placement in the safety cell. The person shall be ☐ ☐ ☒ medically cleared for continued retention, referral to advanced treatment, or removal from the safety cell a minimum of every 24 hours thereafter. (d) The facility manager, designee or responsible health care staff shall obtain a mental health opinion/consultation with responsible health care staff on ☐ ☐ ☒ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least twice every 30 minutes, with no more than a 15-minute ☐ ☐ ☒ lapse between safety checks. Such observation shall be documented. (f) Procedures shall be established to assure ☐ ☐ ☒ administration of necessary nutrition and fluids. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 0 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) People placed in the safety cell shall be allowed to retain sufficient clothing or be provided with a suitably designed “safety garment,” to provide for their personal ☐ ☐ ☒ privacy unless specific identifiable risks to the person's safety or to the security of the facility are documented. 1056 USE OF SOBERING CELL There is no sobering cell at this facility. The sobering cell described in Title 24, Part 2, Section ☐ ☐ ☒ 1231.2.4, shall be used for temporary holding of incarcerated people who are a threat to their own safety or the safety of others due to their state of intoxication. A person shall be removed from the sobering cell as soon as they are able to continue the admission process or are ☐ ☐ ☒ no longer a risk to themselves or others. In no case shall a person remain in a sobering cell over six hours without an evaluation by medical or custody staff to determine whether the person has an urgent ☐ ☐ ☒ medical problem, pursuant to section 1213 of these regulations. At 12 hours from the time of placement, all persons must ☐ ☐ ☒ receive an evaluation by responsible health care staff. Intermittent direct visual observation of people held in the sobering cell shall be conducted no less than every half ☐ ☐ ☒ hour. Such observation shall be documented. 1057 DEVELOPMENTAL DISABILITIES M.9 Receiving Screening J. Separation: Definition and Use The facility administrator, in cooperation with the responsible physician, shall develop written policies and There are no medical staff at this facility. procedures for the identification and evaluation, ☒ ☐ ☐ Arrestees that present themselves as having appropriate classification and housing, protection, and developmental disabilities may be accepted nondiscrimination of all incarcerated persons with at this facility. If not accepted, the person is developmental disabilities. transported to the jail for booking, or the hospital. The health authority or designee shall contact the This is done at the larger jail facility. regional center for any incarcerated person suspected or confirmed to have a developmental disability for the ☒ ☐ ☐ purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. 1058 USE OF RESTRAINT DEVICES I.93 Restraint Devices The facility administrator, in cooperation with the responsible physician, shall develop and implement Compliance is based upon policy. The use of written policies and procedures for the use of restraint the WRAP at this facility is only done for devices. Restraint devices include any devices which transport purposes, if needed, and not used immobilize extremities or prevent the incarcerated person ☒ ☐ ☐ to hold incarcerated persons in this facility. from being ambulatory. The provisions of this section do not apply to the use of handcuffs, shackles, or other restraint devices when used to restrain incarcerated people for security reasons. The facility manager may delegate authority to place an incarcerated person in restraints to responsible health care staff. (a) The policy shall address the following areas: The WRAP. ☒ ☐ ☐ (1) acceptable restraint devices; (2) signs or symptoms which should result in immediate medical/mental health referral; availability ☐ ☐ ☒ of cardiopulmonary resuscitation equipment; 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 1 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) protective housing of restrained persons; ☐ ☐ ☒ (4) provision for hydration and sanitation needs; and, ☐ ☐ ☒ (5) exercising of extremities. ☐ ☐ ☒ (b) Policy shall also include, but not be limited to, the following requirements: ☐ ☐ ☒ (1) In no case shall restraints be used for punishment or as a substitute for treatment. (2) Restraint devices shall only be used on incarcerated people who display behavior which ☐ ☐ ☒ results in the destruction of property or reveal an intent to cause physical harm to self or others. (3) Restraint devices should be used only when less restrictive alternatives, including verbal de-escalation ☐ ☐ ☒ techniques, have been attempted and are deemed ineffective. (4) An incarcerated person shall be placed in restraints only with the approval of the facility manager, the facility watch commander, or ☐ ☐ ☒ responsible health care staff; continued retention shall be reviewed a minimum of every hour. (5) Continuous direct visual observation shall be ☐ ☐ ☒ maintained until a medical opinion can be obtained. (6) A medical opinion on placement and retention shall be secured within one hour from the time of ☐ ☐ ☒ placement. (7) A medical assessment shall be completed within ☐ ☐ ☒ four hours of placement. (8) Continuous direct visual observation shall be conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to ensure the safety and well-being of the incarcerated person. Such observation shall be documented. ☐ ☐ ☒ While in restraint devices all incarcerated persons shall be housed alone or in a specified housing area which makes provisions to protect the person from abuse. (9) If the facility manager, or designee, in consultation with responsible health care staff determines that an incarcerated person cannot be safely removed from ☐ ☐ ☒ restraints after eight hours, the person shall be taken to a medical facility for further evaluation. (10) Where applicable, the facility manager shall use the restraint device manufacturer’s recommended ☐ ☐ ☒ maximum time limits for placement. (11) All events and information related to the placement in restraints shall be documented and shall be video recorded unless exigent circumstances prevent staff from doing so. The documentation shall ☐ ☐ ☒ include: the reason for placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 2 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1058.5 RESTRAINTS AND PREGNANT PERSONS M.38 Pregnant Incarcerated Persons The facility administrator, in cooperation with the responsible physician, shall develop written policies and ☒ ☐ ☐ procedures for the use of restraint devices on pregnant people. In accordance with Penal Code Section 3407, the policy shall include reference to the following: (1) An incarcerated person known to be pregnant or Pregnant persons are only handcuffed in the in recovery after delivery or termination of the front of the body, not behind. ☒ ☐ ☐ pregnancy shall not be restrained by the use of leg or waist restraints, or handcuffs behind the body. (2) An incarcerated pregnant person in labor, during Verified by policy and interview. delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ☒ ☐ ☐ ankles, or both, unless deemed necessary for the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional Verified by policy and interview. who is currently responsible for the medical care of an incarcerated pregnant person during a medical ☒ ☐ ☐ emergency, labor, delivery, or recovery after delivery or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s Pregnancy tests are offered within 72 hours pregnancy, they shall be advised, orally or in writing, of arrival at the larger jail facility. ☒ ☐ ☐ of the standards and policies governing incarcerated pregnant people. 1067 ACCESS TO TELEPHONE P.2 Telephone Access The facility administrator shall develop written policies Telephones are accessible at the time of and procedures which allow access to a telephone or reception. communication device beyond those telephone calls which are required by Section 851.5 of the Penal Code. Individuals who are known to have, or are perceived by Video Relay Service (VRS), Captioned others as having hearing or speech impairments shall be ☒ ☐ ☐ Telephone Service (CTS), TDD, TTY, and provided access to the appropriate telecommunication Telephone Relay Service (TRS) are also device which will facilitate communication. Such devices available for those with hearing impairments. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 1068 ACCESS TO COURTS AND COUNSEL N.5 Access to Courts / Attorneys / Legal Advice The facility administrator shall develop written policies ☒ ☐ ☐ and procedures to ensure incarcerated persons have access to the court and to legal counsel. Such access shall consist of: (b) confidential consultation with attorneys. ☒ ☐ ☐ This is in-person and through telephone. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 3 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1080 RULES AND DISCIPLINARY ACTIONS Discipline is not administered at this facility. Wherever discipline is administered, each facility administrator shall establish written rules and disciplinary actions to guide the conduct of incarcerated persons. ☐ ☐ ☒ Notes: If discipline IS NOT administered, written policy should indicate as such. If discipline IS administered, Sections 1080, 1081, 1082, 1083 and 1084 apply. Such rules and disciplinary actions shall be stated simply and affirmatively and posted conspicuously in housing ☐ ☐ ☒ units and the booking area or issued to each person upon booking. For those individuals with limited literacy, who are unable to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them ☐ ☐ ☒ verbally or provide them with material in an understandable form regarding jail rules and disciplinary procedures and actions. 1081 PLAN FOR DISCIPLINE OF INCARCERATED Discipline is not administered at this facility. PERSONS Each facility administrator shall develop written policies and procedures for discipline of incarcerated persons. The plan shall include, but not be limited to, the following elements: ☐ ☐ ☒ (a) Temporary Loss of Privileges: For minor acts of non- conformance or minor violations of facility rules, staff may impose a temporary loss of privileges, such as access to television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation and supervisory approval. (b) Disciplinary Actions: Major violations of facility rules or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing ☐ ☐ ☒ by the staff member observing the act and submitted to the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Loss of good time/work time. ☐ ☐ ☒ 2. Placement in disciplinary separation. ☐ ☐ ☒ 3. Loss of privileges mandated by regulations. ☐ ☐ ☒ A staff member with investigative and disciplinary authority shall be designated as a disciplinary officer to ☐ ☐ ☒ impose such consequences. Staff shall not participate in disciplinary review if they are ☐ ☐ ☒ involved in the charges. Such charges pending against an incarcerated person shall be acted on with the following provisions and within specified timeframes: ☐ ☐ ☒ 1. A copy of the report, or a separate written notice of the violation(s), shall be provided to the incarcerated person. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 4 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 2. Unless declined by the incarcerated person, a hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been ☐ ☐ ☒ informed of the charges in writing. The hearing may be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The ☐ ☐ ☒ incarcerated person shall have access to staff or assistance when they have limited literacy, or the issues are complex. 4. A charge(s) shall be acted on no later than 72 hours after an incarcerated person has been ☐ ☐ ☒ informed of the charge(s) in writing. 5. Subsequent to final disposition of disciplinary charges by the disciplinary officer, the charges and ☐ ☐ ☒ the action taken shall be reviewed by the facility manager or designee. 6. The incarcerated person shall be advised in a written statement by the fact-finders about the evidence relied on and the reasons for the ☐ ☐ ☒ disciplinary action. A copy of the record shall be kept pursuant to Penal Code Section 4019.5. 7. There shall be a policy of review and appeal to a ☐ ☐ ☒ supervisor on all disciplinary action. 1082 FORMS OF DISCIPLINE Discipline is not administered at this facility. The degree of actions taken by the disciplinary officer shall be directly related to the severity of the rule infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of discipline shall consist of, but not be limited to, the following: (a) Loss of privileges. ☐ ☐ ☒ (b) Extra work detail. (c) Short term lockdown for less than 24 hours. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal Code Section 4019. (f) Forfeiture of “work time” credits earned under Penal Code Section 4019. (g) Disciplinary separation. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS Discipline is not administered at this facility. The Penal Code and the State Constitution expressly prohibit all cruel and unusual punishment. Disciplinary actions shall not include corporal punishment, group punishment when feasible, or physical or psychological degradation. ☐ ☐ ☒ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 5 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) If a person is on disciplinary separation status for 30 consecutive days there shall be a review by the facility manager before the disciplinary separation status is continued. This review shall include a ☐ ☐ ☒ consultation with health care staff. Such reviews shall continue at least every fifteen days thereafter until the disciplinary status has ended. This review shall be documented. (2) The disciplinary separation cells or cell shall have the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be issued clothing and bedding as specified in Articles 13 and 14 of these regulations and shall not be deprived of them through any portion of the day ☐ ☐ ☒ except that those incarcerated persons who engage in the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a person of such articles of clothing and bedding shall be reviewed by the facility manager or designee during each 24-hour period. (3) If after placement in separation, mental health or medical staff determine that an individual has serious mental illness or an intellectual disability, they shall ☐ ☐ ☒ be removed from disciplinary separation immediately upon this determination. (b) The delegation of authority to any incarcerated person or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group ☐ ☐ ☒ of incarcerated people. Note: PC § 4019.5. (c) In no case shall a safety cell, as specified in Title 24, Part 2, 1231.2.5, or any restraint device be used for ☐ ☐ ☒ disciplinary purposes. (d) No incarcerated person may be deprived of the implements necessary to maintain an acceptable level of ☐ ☐ ☒ personal hygiene as specified in Section 1265 of these regulations. (e) Food shall not be withheld as a disciplinary measure. ☐ ☐ ☒ (f) Correspondence privileges shall not be withheld except in cases where the incarcerated person has violated correspondence regulations, in which case ☐ ☐ ☒ correspondence may be suspended for no longer than 72 hours, without the review and approval of the facility manager. (g) In no case shall access to courts and legal counsel be ☐ ☐ ☒ suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS Discipline is not administered at this facility. Penal Code Section 4019.5 requires that a record is kept ☐ ☐ ☒ of all disciplinary actions administered therefore. This requirement may be satisfied by retaining copies of rule violation reports and report of the disposition of each. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 6 of 21 A351 TH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1270 STANDARD BEDDING AND LINEN ISSUE This is a temporary holding facility. Arrestees are held only a short time before transfer or The standard issue of clean suitable bedding and linens, release. However, blankets are available if for each incarcerated person entering a living area who is needed. ☒ ☐ ☐ expected to remain overnight, shall include, but not be limited to: (a) one serviceable mattress which meets the requirements of Section 1272 of these regulations; (b) one mattress cover or one sheet; ☐ ☐ ☒ (d) one blanket or more depending up on climatic ☐ ☐ ☒ conditions. Policy and procedure shall require that items (a), (b), and ☐ ☐ ☒ (d) above be provided prior to the first night in the facility. Two blankets or sleep bag may be issued in place of one mattress cover or one sheet at the request of the ☐ ☐ ☒ incarcerated person. Temporary Holding facilities which hold persons longer than 12 hours shall provide an incarcerated person with bedding and linen that meet the requirements of (a), (b) ☐ ☐ ☒ and (d) above prior to their first night in the facility and every night thereafter. 1280 FACILITY SANITATION, SAFETY, AND L.4 Housekeeping Plan MAINTENANCE PM 1.8 Facility Appearance and Maintenance The facility administrator shall develop written policies and procedures for the maintenance of an acceptable Each facility has a daily cleaning plan. ☒ ☐ ☐ level of cleanliness, repair, and safety throughout the facility. Such a plan shall provide for a regular schedule of housekeeping tasks and inspections to identify and correct unsanitary or unsafe conditions or work practices which may be found. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 7 of 21 A351 TH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? If YES, see remaining document for Title 15, Article 9 inspection. Penal Code Sections 6030 and 6031.4 require the biennial inspection of local detention facilities that hold According to policy, minor can be held in jail minors in secure detention in the jail. Title 15, Article 9 cells. On a practical level, this facility tries not establishes the minimum standards of how facilities hold to place minors in cells. There were no minors in temporary custody in the jail. ☒ ☐ juveniles held during the time frame ☐ requested (November and December 2025). Facilities that do not hold minors in the jail cells are not subject to Title 15, Article 9 biennial inspections; however, if minors are held in the building, they may be subject to the requirements of Welfare and Institutions Code section 207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR PM 6.3 Juvenile Detention Procedures IN AN ADULT DETENTION FACILITY All Juvenile procedures are covered under The facility administrator shall develop policy and ☒ this policy and verified at the time of procedures for notification of the court of jurisdiction and ☐ ☐ inspection. All regulations identified below the parent, guardian, or person standing in loco are covered under this policy section. parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1142 WRITTEN POLICIES AND PROCEDURES PM 6.3 Juvenile Detention Procedures The facility administrator shall develop written policies ☒ and procedures concerning minors being held in ☐ ☐ temporary custody which shall address: (a) suicide risk and prevention; (b) use of restraints; ☒ ☐ ☐ (c) emergency medical assistance and services; and ☒ ☐ ☐ (d) prohibiting use of discipline. ☒ ☐ ☐ 1143 CARE OF MINORS IN TEMPORARY PM 6.3 Juvenile Detention Procedures CUSTODY ☒ ☐ (a) The following shall be made available to all minors ☐ held in temporary custody: (1) access to toilets and washing facilities; (2) one snack during term of temporary custody if Snacks are available. the minor has not eaten within the past four (4) ☒ hours or is otherwise in need of appropriate ☐ ☐ nourishment; (3) access to drinking water; ☒ ☐ ☐ (4) access to language services; ☒ ☐ ☐ (5) access to disabilities services; ☒ ☐ ☐ (6) sanitary napkins, panty liners, and tampons as ☒ requested; ☐ ☐ (7) privacy during consultation with family, guardian, ☒ and/or lawyer; ☐ ☐ (8) blankets and clothing, as necessary, to assure ☒ Blankets are available. the comfort of the minor; and ☐ ☐ 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 8 of 21 A351 TH PRO eff. 04.01.25 (9) personal clothing unless the clothing is inadequate, presents a health or safety problem, or ☒ ☐ ☐ is required to be utilized as evidence of an offense. (b) Upon entry, the minor shall be informed in writing of what is available under this section, and it shall be ☒ posted in at least one conspicuous place to which ☐ ☐ minors have access. 1144 CONTACT BETWEEN MINORS AND PM 6.3 Juvenile Detention Procedures INCARCERATED ADULTS ☒ The facility administrator shall establish policies and ☐ ☐ procedures to restrict contact, as defined in Section 1006, between minors and adults confined in the facility. In situations where brief or accidental contact may There is no contact between adults and occur, such as booking or facility movement, facility staff juveniles. (trained in the supervision of incarcerated people) shall ☒ ☐ ☐ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1145 DECISION ON SECURE CUSTODY PM 6.3 Juvenile Detention Procedures A minor who is taken into temporary custody by a peace Very few juveniles are held at this facility. officer on the basis that they are a person described by Section 602 of the Welfare and Institutions Code may be held in secure custody in a law enforcement facility that contains a lockup for adults if the minor is 14 years of age or older and if, in the reasonable belief of the peace officer, the minor presents a serious security risk of harm to self or others, as long as all other conditions of secure custody set forth in these standards are met. ☒ ☐ ☐ Any minor in temporary custody who is less than 14 years of age, or who does not in the reasonable belief of the peace officer present a serious security risk of harm to self or others, shall not be placed in secure custody, but may be kept in non-secure custody in the facility as long as all other conditions of non-secure custody set forth in these standards are met. Note: Minors in secure detention are 14 years of age or older. In making the determination whether the minor presents The arresting deputy determines all risk a serious security risk of harm to self or others, the ☒ factors identified in this regulation prior to officer may take into account the following factors: ☐ ☐ making a decision for secure detention. (a) age, maturity, and delinquent history of the minor; (b) severity of the offense(s) for which the minor was ☒ taken into custody; ☐ ☐ (c) minor's behavior, including the degree to which the ☒ minor appears to be cooperative or non-cooperative; ☐ ☐ (d) the availability of staff to provide adequate ☒ supervision or protection of the minor; and ☐ ☐ (e) the age, type, and number of other individuals who ☒ are detained in the facility. ☐ ☐ 1146 CONDITIONS OF SECURE CUSTODY PM 6.3 Juvenile Detention Procedures While in secure custody, minors may be locked in a Factors are needed to determine secure room or other secure enclosure, secured to a cuffing rail, ☒ detention. ☐ ☐ or otherwise reasonably restrained as necessary to prevent escape and protect the minor and others from harm. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 1 9 of 21 A351 TH PRO eff. 04.01.25 1147 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY INSIDE A LOCKED ENCLOSURE (a) Minors shall receive adequate supervision which, at ☒ ☐ ☐ a minimum, includes: (1) constant auditory access to staff by the minor; and (2) safety checks, as defined in Section 1006, of the Safety checks are completed every 15 minor by staff of the law enforcement facility, at least ☒ minutes per agency policy. ☐ ☐ once every 30 minutes, which shall be documented. (b) Minors of different genders shall not be placed in the same locked room unless under constant direct visual ☒ ☐ ☐ observation by staff of the law enforcement facility. 1148 SUPERVISION OF MINORS IN SECURE PM 6.3 Juvenile Detention Procedures CUSTODY OUTSIDE OF A LOCKED ENCLOSURE Unless necessary, juveniles are usually not ☒ held in secure custody. Minors held in secure custody outside of a locked ☐ ☐ enclosure shall not be secured to a stationary object for more than 60 minutes unless no other locked enclosure is available. A staff person from the facility shall provide constant direct visual observation to assure the minor's safety ☒ ☐ ☐ while secured to a stationary object. Securing minors to a stationary object for longer than 60 minutes, and every 30 minutes thereafter, shall be ☒ ☐ ☐ approved by a supervisor. The decision for securing a minor to a stationary object for longer than 60 minutes, and every 30 minutes ☒ ☐ thereafter shall be based upon the best interests of the ☐ minor and shall be documented. 1149 CRITERIA FOR NON-SECURE CUSTODY PM 6.3 Juvenile Detention Procedures Minors held in temporary custody, who do not meet the criteria for secure custody as specified in Section 207.1(b) of the Welfare and Institutions Code, may be ☒ held in non- secure custody to investigate the case, ☐ ☐ facilitate release of the minor to a parent or guardian, or arrange for transfer of the minor to an appropriate juvenile facility. While minors are held in temporary non- secure custody the provisions of Section 1143 apply. 1150 SUPERVISION OF MINORS IN NON- PM 6.3 Juvenile Detention Procedures SECURE CUSTODY Non secure custody is held in a separate Minors held in non-secure custody shall receive area and out of sight of the holding cells and constant direct visual observation by staff of the law ☒ in constant view of the arresting deputy. ☐ ☐ enforcement facility. Entry and release times shall be documented and made available for review. Monitoring a minor using audio, video, or other electronic devices shall never replace constant direct visual observation. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 2 0 of 21 A351 TH PRO eff. 04.01.25 1151 MINORS UNDER THE INFLUENCE OF ANY PM 6.3 Juvenile Detention Procedures INTOXICATING SUBSTANCE IN SECURE OR NON-SECURE CUSTODY Facility administrators shall develop policies and ☒ procedures providing that a medical clearance shall be ☐ ☐ obtained for minors who are under the influence of drugs, alcohol, or any other intoxicating substance to the extent that they are unable to care for themselves, prior to secure or non-secure custody of that minor. Supervision of minors in secure custody in a locked Both adult and juvenile safety checks are room shall include safety checks at least once every 15 completed every 15 minutes. minutes until resolution of the intoxicated state or ☒ ☐ ☐ release. These safety checks shall be documented, with actual time of occurrence recorded. Supervision of minors in secure custody outside of a locked room shall be supervised in accordance with ☒ ☐ ☐ Section 1148. Supervision of minors in nonsecure custody shall be Those held in nonsecure custody are under ☒ ☐ ☐ supervised in accordance with Section 1150. continual observation. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PRO 25-26 Page 2 1 of 21 A351 TH PRO eff. 04.01.25 ADULT COURT AND TEMPORARY HOLDING FACILITIES PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: 6/94; 2/99; 2001; 2005 BSCC Code: 4609 FACILITY NAME: 4 S Ranch Sheriff’s Substation FACILITY TYPE: THJ APPLICABLE REGULATIONS (Check All That 6/94: 2/99: 2001: 2005: X OTHER: Apply): FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/2026 TITLE 24 SECTION YES NO N/A COMMENTS Reception and Booking (2.1) Contains a weapons locker, designed as outlined in X these regulations. Contains a cell or room for confinement pending X booking Contains a detoxification cell (WA in TH; NA in CH) 01: Name changed to “sobering cell.” X 2-99: Two detoxification cells are provided if both male and female inmates are held. Contains safety cell(s) (WA in TH; NA in CH) X Shower room available 2-99: Access to shower must be within the secure X area Provides secure vault or storage for inmate valuables X Telephone(s) available for inmate use (PC § 851.5) X 2-99: Unobstructed access to hot and cold running X water Temporary Holding Cell or Room (2.2) X Contains 10 square feet of floor area per inmate Holds no more than 16 inmates X Is not smaller than 40 square feet and has a clear X ceiling height of 8 feet or more Contains sufficient seating to accommodate all X inmates Contains water closet (toilet), washbasin, and drinking X fountain Provides for clear visual supervision by staff X A bunk is provided if inmates are held 12 hours or X more Temporary Staging Cell or Room (2.3) Holds inmates classified and segregated per Title 15 § X 1050 and 1053 Holds inmates for four hours or less X Limited to holding no more than 80 inmates X Contains 10 square feet of floor area per inmates and X has a clear ceiling height of 8 feet or more. Is at least 160 square feet X Contains sufficient seating to accommodate all X inmates 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PHY 25-26 - 1 - A382 PHY CH-TH 94 99 01 05.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Contains water closets (toilets), wash basins and X drinking fountains as specified by these regulations Provides for clear visual supervision by staff X Detoxification/Sobering Cell (2.4) No sobering cells. The remainder of the text 01: Name change to “sobering cell” X of the regulation has been deleted. Contains 20 square feet of floor area per inmate Safety Cell (2.5) No safety cells. The remainder of the text of Contains 48 square feet with one floor dimension of a X the regulation has been deleted. least 6 feet and a clear ceiling height of 8 feet or more Safety Equipment Storage (2.19) Adequate space is provided to store equipment such X as fire extinguishers, SCBA, emergency lights, etc. Janitors' Closet (2.20) Lockable, containing a mop sink and storage space X 01: Mop sink may be separate from janitors’ closet Audio or Visual Monitoring (2.22) There is an audio monitoring system capable of alerting staff in a central control. When visual electronic surveillance is use, it is located primarily in X corridors, elevators, or at points on the security perimeter such as entrances and exits. 2-99: Video monitoring option deleted. Emergency Power (2.24) There is an emergency power source available and capable of providing minimal lighting in all areas and X maintaining fire and life safety, security, communication and alarm systems. Attorney Interview Space (2.26) X Available and provides for confidentiality Water Closets (Toilets)/Urinals (3.1) Provide for inmate privacy/modesty with staff being able to visual supervise; provided at a ratio of 1:16 in X holding and staging cells. See regulation for calculations of urinal substitutions. Washbasins (3.2) Provide hot and cold or tempered water; provided at a ratio of 1:16 in holding and staging cells. See X regulation for calculations of washbasin trough substitutions. Drinking Fountains (3.3) 2-99: Available in each temporary holding, staging and X sobering cell. Water outlet (bubbler) is mechanically actuated and at an angle that prevents wastewater from flowing over the outlet (bubbler); there is a mouth guard on the X water outlet (bubbler). 2-99: Mouth guard requirement deleted Showers (3.4) (NA in CH) Available in the security area; provide hot and cold or tempered water; shower stalls/areas are designed and X constructed of materials that are impervious to water and soap so that they may be easily cleaned. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PHY 25-26 - 2 - A382 PHY CH-TH 94 99 01 05.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Beds/Bunks (3.5) At least 30 inches wide and 76 inches long with 21 inches between pans; constructed of pan bottom type X or concrete; securely fastened to the floor and/or wall in facilities higher than minimum security. Lighting (3.6) Lighting is centrally controlled and/or Lighting is sufficient to permit easy reading by a occupant-controlled in housing cells or X person with normal vision, night lighting is sufficient for rooms. Light fixtures are of secure design. purposes of supervision. Windows (3.7) Windows that are accessible to inmates are no greater X than 5 inches in on dimension. Cell Padding (3.8) The floors and partition are padded in detoxification- sobering cells. In safety cells, floors, doors, walls and X everything on them are padded. All padded cells are equipped with an tamper resistant fire sprinkler approved by the SFM. All padding is: approved for use by the SFM; nonporous; at least ½ inch thick; of a unitary or X laminated construction; firmly bonded to all surfaces; and, without exposed seams. Seating (3.10) Seating is designed to the level of security. When bench seating is used, eighteen inches of bench are X provided per inmate. 2-99: In holding and staging cells, seating is securely fastened to the wall and/or floor. Weapons Locker (3.12) Weapons locker located at entrance to A secure weapons locker is located outside the secure area from administration. security perimeter of the facility and no weapons are X brought into the security area. Lockers have individual compartments, locks and keys. Design Requirements (102(c)6) Design requirements as specified in Title 24, Part 1, 102(c)6 are met. (See regulation for specific X requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI PHY 25-26 - 3 - A382 PHY CH-TH 94 99 01 05.dot (8/05) ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State Community Corrections BSCC Code: 4609 FACILITY: 4 S Ranch Sheriff’s Substation TYPE: THJ RC: (6) FIELD REPRESENTATIVE: Tim McWilliams DATE: 02/12/26 ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S 1 Holding 2005 1 0 (2) (2) 9.6 x 9.9 x 8 1 1 1 2 Holding 2005 1 0 (2) (2) 9.6 x 7.3 x 8 1 1 1 3 Holding 2005 1 0 (2) (2) 6.11 x 9.11 x 8 1 1 1 2025-2026: Cell 3 is currently being used for Storage Note: Three-foot bench space limits rated capacity in each cell. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets (), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 4609 San Diego SHRF 4 S Ranch Sheriff’s Substation THJ CI LAS4609 San Diego SHRF 4SRS THJ CI LASE 25-26E 25-26 - 1 -A360 LAS Adult-05.dot (8/05)