San Mateo County Sheriff's Office (2023-2024 inspection cycle)

January 22, 2025 Christina Corpus, Sheriff San Mateo County Sheriff’s Office 330 Bradford Street Redwood City, CA 94063 2023-2024 TARGETED INSPECTION, PENAL CODE SECTION 6031, WELFARE & INSTITUTIONS CODE SECTION 209, SAN MATEO COUNTY DETENTION FACILITIES Dear Sheriff Corpus: A Targeted Inspection of the San Mateo County Sheriff's Office has been completed. A pre-inspection briefing was held on Wednesday, July 24, 2024, and the following facilities were inspected on November 6, 2024: FACILITY NAME BSCC # FACILITY TYPE Maguire Correctional Facility 4910 II Maple Street Correctional Facility 4925 II SM Transitional Facility (empty) 4927 IV 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. INSPECTION RESULTS We identified the following items of noncompliance with Title 15 Minimum Standards at the Maguire Correctional Facility and the Maple Street Correctional Facility (the San Mateo Transitional Facility was not utilized during this inspection cycle). Title 15 § Section 1027.5 Safety Checks: During the policy review portion of the Targeted Inspection, the Board of State and Community Corrections (BSCC) staff found agency policy did not state that the following would be documented: subsection (e) (2) the location of individual checks and (e) (3) initials or employee identification of staff who completed the safety check. BSCC staff provided technical assistance regarding the above-mentioned policy sections prior to conducting the physical onsite inspection. Agency supervision Christina Corpus Sheriff Page 2 updated these policies prior to the completion of the Targeted Inspection Report by BSCC staff. Title 15 § Section 1058 Use of Restraint Devices: During the policy review portion of the Targeted Inspection, BSCC staff found agency policy lacked the following: subsection (b) (4) continued retention shall be reviewed a minimum of every hour, (b) (5) continuous direct visual observation, (b) (7) a medical assessment within four hours, (b) (8) continuous direct visual observation at least twice every 30 minutes, (b) (9) if an incarcerated person cannot be safely removed after eight hours, they should be taken to a medical facility, (b) (10) where applicable the facility manager shall use the restraint device manufacturer’s recommended time limits, (b) (11) placements in restraints shall be documented and shall be video recorded… BSCC staff provided technical assistance regarding the above-mentioned policy sections prior to conducting the physical onsite inspection. Agency supervision updated these policies prior to the completion of the Targeted Inspection Report by BSCC staff. Refer to the attached Procedures Checklist for more detailed information. Refer to the Physical Plant Evaluation and Living Area Space Evaluation attachments for information related to Rated Capacity and Title 24 compliance. CORRECTIVE ACTION PLAN (CAP) An Exit Briefing with your staff was held on Tuesday, December 31, 2024; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. An Initial Inspection Report outlining the identified areas of noncompliance was provided to your staff. Noncompliance identified in the Initial Inspection Report was corrected prior to the conclusion of the inspection report; therefore, a CAP is not required. * * * Please email me at jill.farris@bscc.ca.gov or call (916) 261-4325 if you have any questions. 4910+ San Mateo County Sheriff’s Office II IV Targeted LTR 23-24 Christina Corpus Sheriff Page 3 Sincerely, JILL FARRIS Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, San Mateo County Superior Court* Chair, Grand Jury, San Mateo County* Chair, Board of Supervisors, San Mateo County* County Administrator, San Mateo County* Jonathan Sebring, Lieutenant, San Mateo Sheriff’s Office *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 4910+ San Mateo County Sheriff’s Office II IV Targeted LTR 23-24 TYPE II AND III FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4910 FACILITY NAME: Maguire Correctional Facility FACILITY TYPE: II PERSON(S) INTERVIEWED: Lieutenant Sebring, Sergeant Serrano FIELD REPRESENTATIVE: Jill Farris DATE: November 6, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1027.5 SAFETY CHECKS 506 Inmate Safety Checks “(d) Correctional staff shall conduct safety The facility administrator shall develop and implement checks by personally observing incarcerated policy and procedures for conducting safety checks that persons during every safety check. The include, but are not limited to, the following: observation shall be sufficient to determine (a) Safety checks will determine the safety and well- whether the incarcerated person is being of individuals and shall be conducted at least experiencing any stress or trauma.” hourly through direct visual observation of all people held and housed in the facility. BSCC staff reviewed a random sample of safety check logs from July 2024 and found ☒ ☐ ☐ that facility staff had conducted the majority of safety checks within 60 minutes of the previous safety check. BSCC staff discussed the finding of late safety checks and facility supervision and explained that it might be a documentation error they would address. The facility was not found noncompliant with this regulation; however, BSCC staff will conduct future inspections to determine continued compliance. (b) There shall be no more than a 60-minute lapse “(a) Safety checks shall be conducted at least between safety checks. once every 60 minutes and more frequently ☒ ☐ ☐ if necessary. (b) There shall be no more than a 60-minute lapse between safety checks.” (c) Safety checks for people in sobering cells, safety 518 Safety and Sobering Cells cells, and restraints shall occur more frequently as 512 Use of Restraints ☒ ☐ ☐ outlined in section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied “(c) Safety checks shall be conducted on an intervals. irregular schedule (staggered) so that incarcerated persons cannot predict when the checks will occur.” ☒ ☐ ☐ BSCC staff reviewed a random sample of safety check logs and found facility staff conducted safety checks at random or varied intervals for compliance with this regulation. 1 This document is intended for use as a tool during the targeted 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. 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 1 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) There shall be a written plan that includes the 506.3.1 Safety Check Documentation documentation of all safety checks. “(a) The actual time when each safety check Documentation shall include: occurred.” (1) the actual time at which each individual safety check occurred; ☒ ☐ ☐ BSCC staff reviewed a random sample of safety check logs and found the time, the location, and the employee(s) who conducted the safety check were documented for compliance with these regulations. (2) the location where each individual safety check “(b) The location where each safety check occurred, such as a cell, module, or dormitory occurred, such as a cell, module, or dormitory number; and, number. During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and agency supervision updated the policy prior to the onsite inspection. (3) Initials or employee identification number of staff “(c) Initials or member identification number of who completed the safety check(s). staff who completed the safety check(s).” During the policy review portion of the Targeted Inspection, BSCC staff found this ☒ ☐ ☐ section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and they updated the policy prior to the onsite inspection. (f) A documented process by which safety checks are 213 Daily Activity Logs and Shift Reports reviewed at regular defined intervals by a supervisor or 213.5 Supervisor Responsibilities facility manager, including methods of mitigating “Supervisors shall review the daily activity patterns of inconsistent documentation, or untimely logs and shift reports during the course of completion of, safety checks. each shift. Supervisors shall sign and include the date and time of review on each log or report. When appropriate, supervisors should include comments in the logbook with regard to an incident or unusual occurrence in the facility.” 506.3.1 Safety Check Documentation ☒ ☐ ☐ “Safety check documentation shall be reviewed at regular, defined intervals by the Division Commander or supervisor. The review shall include any noted inconsistent documentation or any untimely completion of safety checks.” BSCC staff reviewed a random sample of Red Book entries which showed supervisors reviewed the pod activities, which included timeliness of safety checks, for compliance with this regulation. 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 2 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1032 FIRE SUPPRESSION PREPLANNING 402 Fire Safety “The Division Commander shall ensure that a Pursuant to Penal Code Section 6031.1(b), the facility fire alarm and detection and suppression administrator shall consult with the local fire department system, as required by law, are installed, having jurisdiction over the facility, with the State Fire maintained, and periodically tested. Any ☒ ☐ ☐ Marshal, or both, in developing a plan for fire variance, exception, or equivalency issues suppression which shall include, but not be limited to: must be approved by the fire jurisdiction authorities and must not constitute a serious life-safety threat to the occupants of the facility.” (a) a fire suppression pre-plan developed with the local 402.3 Fire Suppression Pre-Planning fire department to be included as part of the policy and 402.4 Fire Prevention Equipment ☒ ☐ ☐ procedures manual (Title 15, California Code of 402.5 Firefighting Equipment Regulations Section 1029); (b) monthly fire prevention inspections by facility staff 402.3 Fire Suppression Pre-Planning with two-year retention of the inspection record; BSCC staff reviewed monthly Safety and ☒ ☐ ☐ Security Inspections dated between August 2022 – August 2024 and determined compliance with this regulation. (c) fire prevention inspections as required by Health and 402.3 Fire Suppression Pre-Planning Safety Code Section 13146.1(a) and (b) which requires inspections at least once every two years; BSCC staff reviewed the Redwood City & San Carlos Fire Department, Fire, and Life Safety ☒ ☐ ☐ Inspection Report dated April 11, 2024, and the Fire Marshall’s inspection dated December 11, 2024, for compliance with this regulation. (d) an evacuation plan; and, ☒ ☐ ☐ 402.3 Fire Suppression Pre-Planning (e) a plan for the emergency housing of incarcerated 402.8 Emergency Housing of Incarcerated ☒ ☐ ☐ people in the case of fire. Persons 1046 DEATH IN CUSTODY 515 Reporting In-Custody Deaths 515.3 Mandatory Reporting (a) The facility administrator shall develop written policy “Consistent with the requirements of and procedures to comply with the in-custody death Government Code § 12525 and within 10 reporting requirements of Government Code section days of an in-custody death, Facility ☒ ☐ ☐ 12525. The facility administrator shall submit a copy of Commanders or their designees shall submit the report filed pursuant to section 12525 to the BSCC Death in Custody Reporting Forms (BCIA within 10 days of an in-custody death. 713) to the California Department of Justice and provide a copy of that report to the BSCC.” 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 3 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The facility administrator, in cooperation with the 515.5 In-Custody Death Review health administrator, shall develop written policy and “The Sheriff is responsible for establishing a procedures to conduct an initial review and complete a team of qualified staff to conduct an written report of every in-custody death within 30 days of administrative review of every in-custody the death. The team that conducts the initial review shall death. At a minimum, the review team should include, at a minimum, the facility administrator or include the following (15 CCR 1046): designee, the health administrator, the responsible (a) Sheriff and/or the Division Commander, physician and other health care, and supervision staff (b) County Counsel, (c) District Attorney, (d) ☒ ☐ ☐ who are relevant to the incident. Investigative staff, (e) Health administrator, responsible physician, additional qualified health care professionals, supervisors, or other staff who are relevant to the incident The in-custody death review should be initiated as soon as practicable, and a written report shall be completed within 30 days of the death (Initial Death Review Report).” Deaths shall be reviewed to determine the “The team should review the appropriateness appropriateness of clinical care; whether changes to of clinical care, determine whether changes to policies, procedures, or practices are warranted; and to ☒ ☐ ☐ policies, procedures, or practices are identify issues that require further study. warranted, and identify issues that require further study.” (c) The facility administrator shall submit a copy of the 515.5 In-Custody Death Review initial review report of every in-custody death to the “The Facility Commander shall ensure that a BSCC within 60 days of the death. The facility copy of the Initial Death Review Report is ☒ ☐ ☐ administrator shall provide a copy of the initial review submitted to the BSCC within 60 days of the report that comports with the disclosure requirements of death.” section 832.10 of the Penal Code. The initial review report shall contain the following 515.5 In-Custody Death Review information: (1) Demographic information Agency policy includes this information. (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. 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 4 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1056 USE OF SOBERING CELL 518.4 Sobering Cell Procedures 518.1.1 Definitions The sobering cell described in Title 24, Part 2, Section “Sobering cell - A holding cell designed to 1231.2.4, shall be used for temporary holding of minimize the risk of injury by falling or incarcerated people who are a threat to their own safety dangerous behavior. It is used as an initial or the safety of others due to their state of intoxication. ☒ ☐ ☐ sobering place for arrestees or inmates who are a threat to their own safety or the safety of others as a result of being intoxicated from any substance, and who require a protected environment to prevent injury or victimization by other inmates.” A person shall be removed from the sobering cell as “(d) Inmates will be removed from the soon as they are able to continue the admission process sobering cell when they no longer pose a or are no longer a risk to themselves or others. ☒ ☐ ☐ threat to their own safety and the safety of others and are able to continue the booking process.” In no case shall a person remain in a sobering cell over “(c) Qualified health care professionals shall six hours without an evaluation by medical or custody assess the medical condition of the inmate in staff to determine whether the person has an urgent ☒ ☐ ☐ the sobering cell at least every six hours.” medical problem, pursuant to section 1213 of these regulations. At 12 hours from the time of placement, all persons must See above. ☒ ☐ ☐ receive an evaluation by responsible health care staff. Intermittent direct visual observation of people held in “(b) A safety check consisting of direct visual the sobering cell shall be conducted no less than every observation that is sufficient to assess the half hour. Such observation shall be documented. inmate’s well-being and behavior shall occur at least once every 30 minutes on an irregular schedule. Each visual observation of the inmate by staff shall be documented.” ☒ ☐ ☐ The agency had one sobering cell placement. Compliance was determined through policy review and documentation of the incident which showed staff conducted observations no less than every half hour. 1058 USE OF RESTRAINT DEVICES 512 Use of Restraints “This policy shall apply to the use of specific The facility administrator, in cooperation with the types of restraints, such as four/five-point responsible physician, shall develop and implement restraints, restraint chairs, ambulatory written policies and procedures for the use of restraint restraints, and similar restraint systems, as devices. Restraint devices include any devices which well as all other restraints, including immobilize extremities or prevent the incarcerated handcuffs, waist chains, and leg irons when ☒ ☐ ☐ person from being ambulatory. The provisions of this such restraints are used to restrain any section do not apply to the use of handcuffs, shackles, incarcerated person for prolonged periods.” or other restraint devices when used to restrain incarcerated people for security reasons. The facility BSCC staff reviewed a random sample of manager may delegate authority to place an Pro-Straint Chair placement incident reports incarcerated person in restraints to responsible health and determined compliance with these care staff. regulations. (a) The policy shall address the following areas: “…four/five-point restraints, restraint chairs, (1) acceptable restraint devices; ☒ ☐ ☐ ambulatory restraints, and similar restraint systems, as well as all other restraints…” 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 5 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) signs or symptoms which should result in 512.6 Availability of CPR Equipment immediate medical/mental health referral; ☒ ☐ ☐ availability of cardiopulmonary resuscitation equipment; (3) protective housing of restrained persons; 512.7 Restrained Incarcerated Person Holding “Restrained incarcerated persons should be protected from abuse by other incarcerated persons. Under no circumstances will ☒ ☐ ☐ restrained incarcerated persons be housed with incarcerated persons who are not in restraints. In most instances, restrained incarcerated persons are housed alone or in an area designated for restrained persons.” (4) provision for hydration and sanitation needs; and, ☒ ☐ ☐ 512.5 Food, Hydration, And Sanitation (5) exercising of extremities. 512.4 Range of Motion ☒ ☐ ☐ Range of motion occurred every two hours. (b) Policy shall also include, but not be limited to, the 512.2 Policy following requirements: “Restraints shall never be used for retaliation ☒ ☐ ☐ (1) In no case shall restraints be used for punishment or as punishment.” or as a substitute for treatment. (2) Restraint devices shall only be used on “It is the policy of this office that restraints incarcerated people who display behavior which shall be used only to prevent self-injury, injury ☒ ☐ ☐ results in the destruction of property or reveal an to others, or property damage.” intent to cause physical harm to self or others. (3) Restraint devices should be used only when less 512.2 Policy restrictive alternatives, including verbal de- “Restraints are to be applied only when less escalation techniques, have been attempted and are restrictive methods, including verbal de- deemed ineffective. ☒ ☐ ☐ escalation techniques, have been attempted and are deemed ineffective in controlling the dangerous behavior of an incarcerated person.” (4) An incarcerated person shall be placed in 512.3 Use of Restraints – Control restraints only with the approval of the facility “Excluding short-term use to gain immediate manager, the facility watch commander, or control, placing an incarcerated person in a responsible health care staff; continued retention restraint chair or other restraints for extended shall be reviewed a minimum of every hour. periods requires approval from the Division Commander or the authorized designee prior to taking action.” “(g) The specific reasons for the continued need for restraints shall be reviewed, documented, and approved by the Division ☒ ☐ ☐ Commander or the Watch Commander at least every hour.” During the policy review portion of the Targeted Inspection, BSCC staff found the provision to review continued retention shall be reviewed a minimum of every hour was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy before the onsite inspection. 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 6 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Continuous direct visual observation shall be “(h) Continuous direct visual observation shall maintained until a medical opinion can be obtained. be maintained until a medical opinion can be obtained.” During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (6) A medical opinion on placement and retention “(i) Within one hour of placement in restraints, shall be secured within one hour from the time of a qualified health care professional shall placement. document an opinion regarding the placement and retention of the restraints.” ☒ ☐ ☐ BSCC staff reviewed a random sample of chair placement observation logs and found the medical staff was present for the placement. (7) A medical assessment shall be completed within “(j) As soon as practicable, but within four four hours of placement. hours of placement in restraints, the incarcerated person shall be medically assessed to determine whether the person has a serious medical condition that is being masked by the aggressive behavior. The medical assessment shall be a face-to-face evaluation by a qualified health care ☒ ☐ ☐ professional.” During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 7 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) Continuous direct visual observation shall be (f) Staff members shall conduct continuous conducted at least twice every 30 minutes to ensure direct face-to-face observation at least twice that the restraints are properly employed, and to every 30 minutes on an irregular schedule to ensure the safety and well-being of the incarcerated check the incarcerated person's physical person. Such observation shall be documented. well-being and behavior. Restraints shall be While in restraint devices all incarcerated persons checked to verify the correct application and shall be housed alone or in a specified housing area to ensure they do not compromise circulation. which makes provisions to protect the person from All checks shall be documented, with the abuse. actual time recorded by the person doing the observation, along with a description of the incarcerated person's behavior. Any actions taken should also be noted in the log. ☒ ☐ ☐ During policy review, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance and facility supervision and updated the policy prior to the onsite inspection. BSCC staff reviewed a random selection of restraint chair observation logs and found staff conducted at least two visual observations every 30-mintues for compliance with this regulation. (9) If the facility manager, or designee, in “(k) If the Division Commander, or the consultation with responsible health care staff authorized designee, in consultation with determines that an incarcerated person cannot be responsible health care staff, determines that safely removed from restraints after eight hours, the the incarcerated person cannot be safely person shall be taken to a medical facility for further removed from restraints after eight hours, the evaluation. person shall be taken to a medical facility for further evaluation.” During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. BSCC staff reviewed a random sample of restraint chair logs and found the restraint chair was not utilized beyond eight hours. (10) Where applicable, the facility manager shall use “(l) Where applicable, the Division the restraint device manufacturer’s recommended Commander shall use the restraint device maximum time limits for placement. manufacturer's recommended maximum time limits for placement.” During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agnecy updated the policy prior to the onsite inspection. 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 8 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (11) All events and information related to the 512.3 Use of Restraints – Control placement in restraints shall be documented and “The use of restraints for purposes other than shall be video recorded unless exigent for the controlled movement or transportation circumstances prevent staff from doing so. The of an incarcerated person shall be documentation shall include: the reason for documented on appropriate logs and shall be placement; person authorizing placement; names of video recorded unless exigent circumstances staff involved in the placement; injuries sustained; prevent staff from doing so. The and the duration of placement. documentation shall include, at a minimum, the type of restraint used, when it was applied, a detailed description of why the restraint was needed, the name of the person authorizing placement, names of staff involved in the placement, any injuries sustained, when the ☒ ☐ ☐ restraints were removed and the duration of the placement.” During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. BSCC staff reviewed Pro-Straint Chair placement incident reports and determined compliance with this regulation. 1065 EXERCISE AND OUT OF CELL TIME 1005 Inmate Exercise and Recreation “The Division Commander or the authorized (a) The facility administrator of a Type II or III facility shall designee shall be responsible for ensuring develop written policies and procedures for a minimum there is sufficient secure space allocated for of 10 hours of out of cell time distributed over a period of physical exercise and recreation, and that a seven days to include: schedule is developed to ensure accessibility ☒ ☐ ☐ to both activities for all inmates.” BSCC staff reviewed a random sample of dayroom and recreation yard logs and determined compliance with these regulations. (1) an opportunity for three hours of exercise and 1005.3 Responsibilities ☒ ☐ ☐ “At least three hours per week of exercise opportunities shall be provided.” (2) an opportunity for seven hours of recreation. 1005.5 Access to Recreation “Each inmate shall have access to the ☒ ☐ ☐ minimum state-required recreational (leisure- time) activities outside the cell and adjacent dayroom areas.” Policies shall include reasonable and necessary 1005.6 Security and Supervision ☒ ☐ ☐ procedures to ensure safety and security. 4910 San Mateo Maguire Correctional Facility II PRO LASE 23-24 Page 9 of 9 A353 Type II & III Targeted PRO eff 07.01.24 BOARD OF STATE AND COMMUNITY CORRECTIONS - BIENNIAL INSPECTION ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION BSCC Code: 4910 FACILITY: Maguire Correctional Facility TYPE: II RC: 704 FIELD REPRESENTATIVE: Jill Farris DATE: November 6, 2024 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 1994 Maguire Facility 0B Historical Notes: Unless otherwise noted (Medical and 3rd Floor West), each module has 5 showers, 3292 square feet dayroom space (including mezzanine area), and a multipurpose room. Sufficient dayroom tables and seating need to be available to accommodate the rated capacity of each module. Booking (Three showers in intake; the area also includes two non-rated inmate lounges.) Transport Holding 1988 1 (11) (11) 13.5 x 9.5 1 1 1 Note: 16.8' bench. 1-2 Holding 1988 2 (8) (16) 9.7 x 8.3 1 1 1 Note: 12.4' bench 1 Safety 1988 2 (1) (2) 7.8 x 6.5 1 1 Soberin 1988 1 (8) (8) 15.9 x 10.2 1 1 1 g 2 Soberin 1988 1 (8) (8) 15.9 x 13.2 1 1 1 g Notes: Sobering 2 converted to the Mugshot room. 3, 4, 5 Holding 1988 3 (6) (18) 13.2 x 6.2 1 1 1 Note: 9.7' bench; holding cell #9 has been converted to storage. 6 Holding 1988 1 (12) (12) 13.2 x 8.9 1 1 1 Note: 19.4' bench 7 Holding 1988 1 (6) (6) 12.5 x 6.2 1 1 1 Note: 9.2' bench. Medical Clinic – 2nd Floor 1B Holding 1988 1 (1) (1) 7.9 x 5.9 1 1 1 Notes: An additional 22.8 X 14.0 waiting room with plumbing fixtures and moveable seating is available for inmates who do not need a secure holding cell. Acute Stabilization Unit, Psychiatric Services 2B Safety 1988 1 (1) (1) 7.0 x 6.6 1 Safety 1988 1 (1) (1) 7.5 x 6.2 x 7.5 1 Notes: The safety cells are offline, being used for storage. *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. 4910 San Mateo Maguire Correctional Facility II LASE 23-24 - 1 - A360 LAS Adult.dot (9/98) 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 Medical 1988 6 3 (1) (6) 13.7 x 8.7 1 1 1 Notes: One shower in the dayroom area of the module; irregular dimensions of rooms. OBS Medical 1988 4 3 (1) (4) 13.7 x 8.6 1 1 1 Notes: One shower in the dayroom area of the module; separate unit. 2nd Floor West – Medical Sheltered Living and Psychiatric Care 16 Dorm 1988 1 4 (4) (4) 26.2 x 13.6 1 1 1 12 Dorm 1988 1 4 (4) (4) 21.5 X 15.0 1 1 1 13, 14, 15 Single 1988 3 1 (1) (3) 13.5 x 8.9 1 1 1 Notes: Two showers in the dayroom. 9 Dorm 1988 1 6 (4) (4) 27.0 x 13.6 1 1 1 10, 11 Dorm 1988 2 4 (4) (8) 27.0 x 13.6 1 1 1 5-8 Single 1988 4 1 (1) (4) 13.4 x 8.6 1 1 1 1-2 Single 1988 2 1 (1) (2) 13.6 x 8.4 1 1 1 3-4 Double 1988 2 2 (2) (4) 13.6 x 8.4 1 1 1 Notes: Dimensions vary; two showers for the module and one shower in the dayroom for rooms 1-4. Housing – 3rd Floor West (Administrative Segregation/Disciplinary Isolation) Ad. Seg. A Double 1988 24 2 2 48 12.0 X 6.3 1 1 1 2 Notes: 1275 square feet dayroom; two showers in the central area. Ad. Seg. B Double 1988 16 2 2 32 12.0 X 6.3 1 1 1 2 Notes: 609 square feet of dayroom; two showers in the central area. Discipline Single 1988 4 1 (1) (4) 12.0 x 6.3 1 1 1 2 C Double 1988 4 2 (2) (8) 12.0 x 6.3 1 1 1 2 Notes: 415 square feet dayroom; two additional toilets and two showers in the central area. Housing – 3rd Floor East (Administrative Housing) Notes: Five showers; dayroom seating and tables for 64. Double 1988 48 2 96 80 12.0 X 6.3 1 1 1 5 Notes: Housing – 4th Floor West (Behavior Health) Notes: Five showers; dayroom seating and tables for 64 Double 1988 48 2 2 80 12.0 X 6.3 1 1 1 6 Notes: The top tier has anti-climb fencing. *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. 4910 San Mateo Maguire Correctional Facility II LASE 23-24 - 2 - A360 LAS Adult.dot (9/98) 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 Housing – 4th Floor East Notes: Double 1988 47 2 2 80 12.0 X 6.3 1 1 1 5 4.1 & 4.2 Holding 1988 2 (8) (16) 16.5 X 6.0 1 1 1 Notes: 12.5’ bench; located on transfer bridge to court. Housing – 5th Floor West (General Housing) Notes: Double 1988 48 2 2 96 12.0 X 6.3 1 1 1 6 Housing – 5th Floor East (General Housing) Notes: Five showers; dayroom seating and tables for 64. Double 1988 48 2 2 96 12.0 X 6.3 1 1 1 5 Housing – 6th Floor West (Protective Custody) Notes: Five showers; dayroom seating and tables for 64. Double 1988 48 2 2 96 12.0 X 6.3 1 1 1 5 Housing – 6th Floor East (Protective Custody) Notes: Five showers; dayroom seating and tables for 64. Double 1988 48 2 2 96 12.0 X 6.3 1 1 1 6 Court Holding Cells, 4th Floor, Hall of Justice Notes: The 4th Floor holding cells were in the 4915 SMSO HOJ LAS but are now staffed by MCF and considered part of MCF for policy and procedures, staffing, and budget processes. A Holding 1988 1 0 (15) (15) 14'6" x 10' 1 1 1 Note: 24' bench. D Holding 1988 1 0 (6) (6) 9'6" x 8' 1 1 1 Note: 10' bench. Seating limits capacity. B Holding 1988 1 0 (15) (15) 14' X 11' 1 1 1 Note: 22' bench. C Holding 1988 1 0 (15) (15) 13' 9" x 10'6" 1 1 1 Note: 23' bench. *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. 4910 San Mateo Maguire Correctional Facility II LASE 23-24 - 3 - A360 LAS Adult.dot (9/98) PHYSICAL PLANT EVALUATION BOARD OF STATE AND COMMUNITY CORRECTONS - BIENNIAL INSPECTION ADULT TYPE I, II, III AND IV FACILITIES APPLICABLE REGULATIONS: Title 24, California Code of Regulations (CCR) BSCC Code: 4910 FACILITY NAME: Maguire Correctional Facility FACILITY TYPE: II APPLICABLE REGULATIONS: 1980 1988 2001 FIELD REPRESENTATIVE: Jill Farris DATE: November 6, 2024 ARTICLE/SECTION YES NO N/A COMMENTS Temporary Holding Cells (2.2) X 0B Contain 10 square feet of floor per inmate Limited to no more than 16 inmates X No smaller than 40 square feet X Contain sufficient seating to accommodate all inmates X Toilet accessible X Water fountain accessible X Wash basin accessible X Provides clear visual supervision X Telephone accessible X Weapons Locker (3.12) X 1B External to the security area and equipped with individual compartments, locks and keys Temporary Staging Cell or Room (2.3) X No cells of this type were in this facility; the 1-91: Added provision for temporary staging cells- text of the regulation was deleted from this rooms checklist. Sobering Cells (2.4) X 2B Contain 20 square feet of floor per inmate Limited to no more than 8 inmates X No smaller than 60 square feet X Contain toilet X Contain washbasin X Contain drinking fountain X Partitions or handrails located next to toilet fixture to X provide support Provide easy, unobstructed visual observation X Padding on the floor X Shower-Delousing Room (3.4) X 3B Available in reception/booking Secure Vault or Storage Space (2.1) X 4B Available for inmate valuables Telephone (2.1) X 5B Available for inmate use per Penal Code § 851.5 Safety Cells (2.5) X Alternate granted 9/16/93 for 7.5' ceiling in 6B Contain 48 square feet with one floor dimension at one MH safety cell. The safety cells in the least 6 feet and ceiling height of at least 8 feet medical unit are not used. Limited to no more than one inmate X 4910 San Mateo Maguire Correctional Facility II PHY 23-24 - 1 - A381 PHY Type 80 86 88 91.dot (9/98) ARTICLE/SECTION YES NO N/A COMMENTS Contain flush ring toilet with controls located outside X the cell Padded floor, door and walls X Equipped with variable intensity, security light, X inaccessible to occupant Vertical view panel not more than 4 inches wide and X at least 24 inches long, in or adjacent to the door Provide a food pass with lockable shutter no more X than 4 inches high and located at least 30 inches above the floor Single Occupancy Cells (2.6) X 7B Maximum capacity of one inmate Contain a minimum of 60 square feet of floor area in X Type I facilities and 70 square feet in Type II and III facilities Have a minimum ceiling height of 8 feet X Contain toilet, washbasin and drinking fountain X Contain a bunk, desk and seat (Desk and seat not X required in Type I in later, less restrictive 1986 standards) Multiple Occupancy Cells (8227) X 8B 8-86: Deleted provision for multiple occupancy cells Contain 35 square feet per person Limited to no more than 8 inmates X No smaller than 100 square feet X Minimum ceiling height of 8 feet X Water closet separate from washbasin and drinking X fountain Sufficient bunks to accommodate each occupant X Provide storage space for each occupant's personal X items Multiple Occupancy Rooms (8229) X No cells of this type were in this facility; the 9B 8-86: Deleted provision for multiple occupancy rooms text of the regulation was deleted from this checklist. Double Occupancy Cells (2.7) X 10B 5-88: Added provision for double occupancy cells Maximum capacity of two inmates Contain a minimum of 60 square feet of floor space in X Type I facilities and 70 square feet in Type II and III facilities Have a minimum ceiling height of 8 feet and one floor X dimension at least 6 feet Contain toilet, washbasin and drinking fountain X Contain 2 bunks, 1 desk and seat (Desk and seat not X required in Type I facilities) Dormitories (2.8) X Dorms in this facility are evaluated under the 11B 8-86: Provision for dormitories added multiple occupancy cell regulation. Dorms are located in the separate medical/sheltered Contain 50 square feet of floor area per inmate and a housing unit. minimum of 8 feet ceiling height Be designed for no fewer than 8 and no more than 64 X inmates 4910 San Mateo Maguire Correctional Facility II PHY 23-24 - 2 - A381 PHY Type 80 86 88 91.dot (9/98) ARTICLE/SECTION YES NO N/A COMMENTS Facilities having a total rated capacity of 80 inmates or X less, may design dormitories for no fewer than 4 inmates Access to toilets separate from washbasins (ratio 1:8) X and drinking fountains Provide storage space for each inmates' personal X items Dayrooms (2.9) X 12B 8-86: Added requirement for 3 foot wide corridors in front of cells-rooms 35 square feet of floor area per inmate X Contain tables and seating to accommodate the X maximum number of inmates served Access to toilets, washbasins and drinking fountains X Available to all inmates in Type II and III facilities X (excluding special use cells) and to workers in Type I facilities Shower (3.4) X Available on a ratio of 1:16 Lighting (3.6) X 13B Sufficient to permit easy reading. Night lighting is sufficient to allow good supervision. 8-86: Specifies at least 20 foot-candles at desk level and in grooming areas, with night lighting not to exceed 5 foot-candles Beds-Bunks (3.5) X 14B 30 inches wide and 76 inches long Comfortable Living Environment [102(c)6] X 15B A comfortable living environment is maintained through an adequate heating and cooling system. Exercise Area -Type II, III and WA IV (2.10) X At least one exercise area must contain a minimum of 900 square feet 8-86: Outdoor exercise area provided X 8-86: Clear height of 15 feet with required surface X The facility installed several locked single- area meeting a formula of: 80% of maximum person exercise enclosures that lack a toilet, rated inmate population and number of one-hour wash basin, or drinking fountain in the exercise periods per day = required surface area administrative segregation housing unit. 01 Free access to a toilet, wash basin and drinking fountain Program Space - Type II and III (2.11) X Sufficient area and furnishings to meet the needs of the facility programs Dining Facilities (2.17) X 16B 15 square feet per inmate being fed Toilets, washbasins and showers are not in the same X room or not in view of inmate dining Visiting (2.18) X 17B Sufficient visiting area Contact visits whenever possible for minimum security X inmates 4910 San Mateo Maguire Correctional Facility II PHY 23-24 - 3 - A381 PHY Type 80 86 88 91.dot (9/98) ARTICLE/SECTION YES NO N/A COMMENTS Attorney Interviews (2.26) X 18B Provide for confidential attorney consultation Safety Equipment Storage (2.19) X 19B Adequate space is provided for storage of equipment such as fire extinguishers, SCBA, emergency lights, etc. Janitor Closet (2.20) X 20B Located in security areas lockable, containing a mop sink and storage space Storage Rooms (2.21) X 21B Sufficient space to accommodate inmate property, bedding and supplies Audio or Video Monitoring System -NA Type IV X (2.22) Audio monitoring system capable of alerting staff in a central control Video monitoring in corridors, main entries and/or exits X and programs or activity areas Fire Detection and Alarm System [102(c)6] X 22B Automatic fire alarm system capable of alerting staff in a central control point Emergency Power (2.24) X 23B Available to provide minimal lighting, maintain communications, alarm, fire, life and security systems Provide Space for: X Barber/beauty shop(2.15) 24B 8-86: Limit requirement to Type II and III facilities (Deleted 2/99)) Canteen (2.16) X 8-86: Added for II, III & IV facilities Confidential Interview Rooms (2.25) X 8-86: Added for Type II facilities 4910 San Mateo Maguire Correctional Facility II PHY 23-24 - 4 - A381 PHY Type 80 86 88 91.dot (9/98) TYPE II AND III FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4925 FACILITY NAME: Maple Street Correctional Facility FACILITY TYPE: II PERSON(S) INTERVIEWED: Sergeant Serrano and Lieutenant Sebring FIELD REPRESENTATIVE: Jill Farris DATE: November 6, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1027.5 SAFETY CHECKS 506 Inmate Safety Checks “(d) Correctional staff shall conduct safety The facility administrator shall develop and implement checks by personally observing incarcerated policy and procedures for conducting safety checks that persons during every safety check. The include, but are not limited to, the following: observation shall be sufficient to determine (a) Safety checks will determine the safety and well- whether the incarcerated person is being of individuals and shall be conducted at least experiencing any stress or trauma.” hourly through direct visual observation of all people held and housed in the facility. ☒ ☐ ☐ BSCC staff reviewed a random sample of safety check logs from July 2024 and found facility staff conducted the majority of safety checks within 60 minutes from the previous safety check for compliance with this regulation. (b) There shall be no more than a 60-minute lapse “(a) Safety checks shall be conducted at least between safety checks. once every 60 minutes and more frequently ☒ ☐ ☐ if necessary. (b) There shall be no more than a 60-minute lapse between safety checks.” (c) Safety checks for people in sobering cells, safety 518 Safety and Sobering Cells cells, and restraints shall occur more frequently as 512 Use of Restraints ☒ ☐ ☐ outlined in section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied “(c) Safety checks shall be conducted on an intervals. irregular schedule (staggered) so that incarcerated persons cannot predict when the checks will occur.” ☒ ☐ ☐ BSCC staff reviewed a random sample of safety check logs and found facility staff conducted safety checks in random or varied intervals for compliance with this regulation. 1 This document is intended for use as a tool during the targeted 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. 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 1 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) There shall be a written plan that includes the 506.3.1 Safety Check Documentation documentation of all safety checks. “(a) The actual time when each safety check Documentation shall include: occurred.” (1) the actual time at which each individual safety check occurred; ☒ ☐ ☐ BSCC staff reviewed a random sample of safety check logs and found the time, the location, and the employee(s) who conducted the safety check was documented for compliance with these regulations. (2) the location where each individual safety check “(b) The location where each safety check occurred, such as a cell, module, or dormitory occurred, such as a cell, module, or dormitory number; and, number. During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (3) Initials or employee identification number of staff “(c) Initials or member identification number of who completed the safety check(s). staff who completed the safety check(s).” During the policy review portion of the Targeted Inspection, BSCC staff found this ☒ ☐ ☐ section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (f) A documented process by which safety checks are 213 Daily Activity Logs and Shift Reports reviewed at regular defined intervals by a supervisor or 213.5 Supervisor Responsibilities facility manager, including methods of mitigating “Supervisors shall review the daily activity patterns of inconsistent documentation, or untimely logs and shift reports during the course of completion of, safety checks. each shift. Supervisors shall sign and include the date and time of review on each log or report. When appropriate, supervisors should include comments in the logbook with regard to an incident or unusual occurrence in the facility.” 506.3.1 Safety Check Documentation ☒ ☐ ☐ “Safety check documentation shall be reviewed at regular, defined intervals by the Division Commander or supervisor. The review shall include any noted inconsistent documentation or any untimely completion of safety checks.” BSCC staff reviewed a random sample of Red Book entries which showed supervisors reviewed the pod activities, which included timeliness of safety checks, for compliance with this regulation. 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 2 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1032 FIRE SUPPRESSION PREPLANNING 402 Fire Safety “The Division Commander shall ensure that a Pursuant to Penal Code Section 6031.1(b), the facility fire alarm and detection and suppression administrator shall consult with the local fire department system, as required by law, are installed, having jurisdiction over the facility, with the State Fire maintained, and periodically tested. Any ☒ ☐ ☐ Marshal, or both, in developing a plan for fire variance, exception, or equivalency issues suppression which shall include, but not be limited to: must be approved by the fire jurisdiction authorities and must not constitute a serious life-safety threat to the occupants of the facility.” (a) a fire suppression pre-plan developed with the local 402.3 Fire Suppression Pre-Planning fire department to be included as part of the policy and 402.4 Fire Prevention Equipment ☒ ☐ ☐ procedures manual (Title 15, California Code of 402.5 Firefighting Equipment Regulations Section 1029); (b) monthly fire prevention inspections by facility staff 402.3 Fire Suppression Pre-Planning with two-year retention of the inspection record; BSCC staff reviewed monthly fire prevention ☒ ☐ ☐ inspections by facility staff dated between August 2022 and August 2024, for compliance with this regulation. (c) fire prevention inspections as required by Health and 402.3 Fire Suppression Pre-Planning Safety Code Section 13146.1(a) and (b) which requires inspections at least once every two years; BSCC staff reviewed the State Fire Marshal’s ☒ ☐ ☐ inspection of the facility dated April 18, 2023, and the reinspection dated May 15, 2023, for compliance with this regulation. (d) an evacuation plan; and, ☒ ☐ ☐ 402.3 Fire Suppression Pre-Planning (e) a plan for the emergency housing of incarcerated 402.8 Emergency Housing of Incarcerated ☒ ☐ ☐ people in the case of fire. Persons 1046 DEATH IN CUSTODY 515 Reporting In-Custody Deaths 515.3 Mandatory Reporting (a) The facility administrator shall develop written policy “Consistent with the requirements of and procedures to comply with the in-custody death Government Code § 12525 and within 10 reporting requirements of Government Code section days of an in-custody death, Facility ☒ ☐ ☐ 12525. The facility administrator shall submit a copy of Commanders or their designees shall submit the report filed pursuant to section 12525 to the BSCC Death in Custody Reporting Forms (BCIA within 10 days of an in-custody death. 713) to the California Department of Justice and provide a copy of that report to the BSCC.” (b) The facility administrator, in cooperation with the 515.5 In-Custody Death Review health administrator, shall develop written policy and “The Sheriff is responsible for establishing a procedures to conduct an initial review and complete a team of qualified staff to conduct an written report of every in-custody death within 30 days of administrative review of every in-custody the death. The team that conducts the initial review shall death. At a minimum, the review team should include, at a minimum, the facility administrator or include the following (15 CCR 1046): designee, the health administrator, the responsible (a) Sheriff and/or the Division Commander, physician and other health care, and supervision staff (b) County Counsel, (c) District Attorney, (d) ☒ ☐ ☐ who are relevant to the incident. Investigative staff, (e) Health administrator, responsible physician, additional qualified health care professionals, supervisors, or other staff who are relevant to the incident The in-custody death review should be initiated as soon as practicable, and a written report shall be completed within 30 days of the death (Initial Death Review Report).” 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 3 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Deaths shall be reviewed to determine the “The team should review the appropriateness appropriateness of clinical care; whether changes to of clinical care, determine whether changes to policies, procedures, or practices are warranted; and to ☒ ☐ ☐ policies, procedures, or practices are identify issues that require further study. warranted, and identify issues that require further study.” (c) The facility administrator shall submit a copy of the 515.5 In-Custody Death Review initial review report of every in-custody death to the “The Facility Commander shall ensure that a BSCC within 60 days of the death. The facility copy of the Initial Death Review Report is ☒ ☐ ☐ administrator shall provide a copy of the initial review submitted to the BSCC within 60 days of the report that comports with the disclosure requirements of death.” section 832.10 of the Penal Code. The initial review report shall contain the following 515.5 In-Custody Death Review information: (1) Demographic information Agency policy includes this information. (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. 1056 USE OF SOBERING CELL 518.4 Sobering Cell Procedures 518.1.1 Definitions The sobering cell described in Title 24, Part 2, Section “Sobering cell - A holding cell designed to 1231.2.4, shall be used for temporary holding of minimize the risk of injury by falling or incarcerated people who are a threat to their own safety dangerous behavior. It is used as an initial or the safety of others due to their state of intoxication. sobering place for arrestees or inmates who are a threat to their own safety or the safety of ☒ ☐ ☐ others as a result of being intoxicated from any substance, and who require a protected environment to prevent injury or victimization by other inmates.” This facility does not use its sobering cells. Compliance is determined through policy review. 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 4 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A person shall be removed from the sobering cell as “(d) Inmates will be removed from the soon as they are able to continue the admission process sobering cell when they no longer pose a or are no longer a risk to themselves or others. ☒ ☐ ☐ threat to their own safety and the safety of others and are able to continue the booking process.” In no case shall a person remain in a sobering cell over “(c) Qualified health care professionals shall six hours without an evaluation by medical or custody assess the medical condition of the inmate in staff to determine whether the person has an urgent ☒ ☐ ☐ the sobering cell at least every six hours.” medical problem, pursuant to section 1213 of these regulations. At 12 hours from the time of placement, all persons must See above. ☒ ☐ ☐ receive an evaluation by responsible health care staff. Intermittent direct visual observation of people held in “(b) A safety check consisting of direct visual the sobering cell shall be conducted no less than every observation that is sufficient to assess the half hour. Such observation shall be documented. inmate’s well-being and behavior shall occur ☒ ☐ ☐ at least once every 30 minutes on an irregular schedule. Each visual observation of the inmate by staff shall be documented.” 1058 USE OF RESTRAINT DEVICES 512 Use of Restraints “This policy shall apply to the use of specific The facility administrator, in cooperation with the types of restraints, such as four/five-point responsible physician, shall develop and implement restraints, restraint chairs, ambulatory written policies and procedures for the use of restraint restraints, and similar restraint systems, as devices. Restraint devices include any devices which well as all other restraints, including immobilize extremities or prevent the incarcerated handcuffs, waist chains, and leg irons when ☒ ☐ ☐ person from being ambulatory. The provisions of this such restraints are used to restrain any section do not apply to the use of handcuffs, shackles, incarcerated person for prolonged periods.” or other restraint devices when used to restrain incarcerated people for security reasons. The facility This facility did not use restraints as outlined manager may delegate authority to place an in these regulations; compliance was incarcerated person in restraints to responsible health determined through policy review. care staff. (a) The policy shall address the following areas: “…four/five-point restraints, restraint chairs, (1) acceptable restraint devices; ☒ ☐ ☐ ambulatory restraints, and similar restraint systems, as well as all other restraints…” (2) signs or symptoms which should result in 512.6 Availability of CPR Equipment immediate medical/mental health referral; ☒ ☐ ☐ availability of cardiopulmonary resuscitation equipment; (3) protective housing of restrained persons; 512.7 Restrained Incarcerated Person Holding “Restrained incarcerated persons should be protected from abuse by other incarcerated persons. Under no circumstances will ☒ ☐ ☐ restrained incarcerated persons be housed with incarcerated persons who are not in restraints. In most instances, restrained incarcerated persons are housed alone or in an area designated for restrained persons.” (4) provision for hydration and sanitation needs; and, ☒ ☐ ☐ 512.5 Food, Hydration, And Sanitation (5) exercising of extremities. ☒ ☐ ☐ 512.4 Range of Motion 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 5 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Policy shall also include, but not be limited to, the 512.2 Policy following requirements: ☒ ☐ ☐ (1) In no case shall restraints be used for punishment “Restraints shall never be used for retaliation or as a substitute for treatment. or as punishment.” (2) Restraint devices shall only be used on “It is the policy of this office that restraints incarcerated people who display behavior which shall be used only to prevent self-injury, injury ☒ ☐ ☐ results in the destruction of property or reveal an to others, or property damage.” intent to cause physical harm to self or others. (3) Restraint devices should be used only when less 512.2 Policy restrictive alternatives, including verbal de- “Restraints are to be applied only when less escalation techniques, have been attempted and are restrictive methods, including verbal de- deemed ineffective. ☒ ☐ ☐ escalation techniques, have been attempted and are deemed ineffective in controlling the dangerous behavior of an incarcerated person.” (4) An incarcerated person shall be placed in 512.3 Use of Restraints – Control restraints only with the approval of the facility “Excluding short-term use to gain immediate manager, the facility watch commander, or control, placing an incarcerated person in a responsible health care staff; continued retention restraint chair or other restraints for extended shall be reviewed a minimum of every hour. periods requires approval from the Division Commander or the authorized designee prior to taking action.” “(g) The specific reasons for the continued need for restraints shall be reviewed, documented, and approved by the Division ☒ ☐ ☐ Commander or the Watch Commander at least every hour.” During the policy review portion of the Targeted Inspection, BSCC staff found the provision to review continued retention shall be reviewed a minimum of every hour was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (5) Continuous direct visual observation shall be “(h) Continuous direct visual observation shall maintained until a medical opinion can be obtained. be maintained until a medical opinion can be obtained.” During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (6) A medical opinion on placement and retention “(i) Within one hour of placement in restraints, shall be secured within one hour from the time of a qualified health care professional shall ☒ ☐ ☐ placement. document an opinion regarding the placement and retention of the restraints.” 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 6 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) A medical assessment shall be completed within “(j) As soon as practicable, but within four four hours of placement. hours of placement in restraints, the incarcerated person shall be medically assessed to determine whether the person has a serious medical condition that is being masked by the aggressive behavior. The medical assessment shall be a face-to-face evaluation by a qualified health care ☒ ☐ ☐ professional.” During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (8) Continuous direct visual observation shall be (f) Staff members shall conduct continuous conducted at least twice every 30 minutes to ensure direct face-to-face observation at least twice that the restraints are properly employed, and to every 30 minutes on an irregular schedule to ensure the safety and well-being of the incarcerated check the incarcerated person's physical person. Such observation shall be documented. well-being and behavior. Restraints shall be While in restraint devices all incarcerated persons checked to verify the correct application and shall be housed alone or in a specified housing area to ensure they do not compromise circulation. which makes provisions to protect the person from All checks shall be documented, with the abuse. actual time recorded by the person doing the observation, along with a description of ☒ ☐ ☐ the incarcerated person's behavior. Any actions taken should also be noted in the log. During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (9) If the facility manager, or designee, in “(k) If the Division Commander, or the consultation with responsible health care staff authorized designee, in consultation with determines that an incarcerated person cannot be responsible health care staff, determines that safely removed from restraints after eight hours, the the incarcerated person cannot be safely person shall be taken to a medical facility for further removed from restraints after eight hours, the evaluation. person shall be taken to a medical facility for further evaluation.” ☒ ☐ ☐ During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 7 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (10) Where applicable, the facility manager shall use “(l) Where applicable, the Division the restraint device manufacturer’s recommended Commander shall use the restraint device maximum time limits for placement. manufacturer's recommended maximum time limits for placement.” During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (11) All events and information related to the 512.3 Use of Restraints – Control placement in restraints shall be documented and “The use of restraints for purposes other than shall be video recorded unless exigent for the controlled movement or transportation circumstances prevent staff from doing so. The of an incarcerated person shall be documentation shall include: the reason for documented on appropriate logs and shall be placement; person authorizing placement; names of video recorded unless exigent circumstances staff involved in the placement; injuries sustained; prevent staff from doing so. The and the duration of placement. documentation shall include, at a minimum, the type of restraint used, when it was applied, a detailed description of why the restraint was needed, the name of the person authorizing ☒ ☐ ☐ placement, names of staff involved in the placement, any injuries sustained, when the restraints were removed and the duration of placement.” During policy review, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance and facility supervision and updated the policy prior to the onsite inspection. 1065 EXERCISE AND OUT OF CELL TIME 1005 Inmate Exercise and Recreation “The Division Commander or the authorized (a) The facility administrator of a Type II or III facility shall designee shall be responsible for ensuring develop written policies and procedures for a minimum there is sufficient secure space allocated for of 10 hours of out of cell time distributed over a period of physical exercise and recreation, and that a seven days to include: schedule is developed to ensure accessibility to both activities for all inmates.” ☒ ☐ ☐ Per facility staff, the dayroom is open every day on an alternating/rotating basis (top/bottom tier) with the door to the recreation yard unlocked. Both the dayroom and recreation yard are available in excess of this regulation. (1) an opportunity for three hours of exercise and 1005.3 Responsibilities ☒ ☐ ☐ “At least three hours per week of exercise opportunities shall be provided.” (2) an opportunity for seven hours of recreation. 1005.5 Access to Recreation “Each inmate shall have access to the ☒ ☐ ☐ minimum state-required recreational (leisure- time) activities outside the cell and adjacent dayroom areas.” 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 8 of 9 A353 Type II & III Targeted PRO eff 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Policies shall include reasonable and necessary 1005.6 Security and Supervision ☒ ☐ ☐ procedures to ensure safety and security. 4925 San Mateo Maple Street Correctional Facility II PRO 23-24 Page 9 of 9 A353 Type II & III Targeted PRO eff 07.01.24 ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 4925 FACILITY: Maple Street Correctional Facility TYPE: II RC: 586 FIELD REPRESENTATIVE: Sergeant Serrano and Lieutenant Sebring DATE: November 6, 2024 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 Intake, Processing Area 1 Safety 2005 1 1 (1) 9.6 x 6.7 x 8.4 1 1 1 1-2 Holding 2005 2 2 (4) 10.4 x 4.10 x 8.4 1 1 1 Notes: Bench space 36” + 20” = 56”. 11-12 Soberin 2005 2 5 (10) 17.11 x 6.9 x 8.4 1 1 1 g 3-7 Holding 2005 5 15 (15) 17.11 x 9.11 x 8.4 1 1 1 Notes: Bench space 131” + 175” = 306”. 8 Holding 2005 1 16 (16) 12.8 x 19.11x 8.4 1 1 1 Notes: Bench space – 150” + 125” + 51” = 326”. Irregular cell. 9 Holding 2005 1 8 (8) 12.4 x 12.9 x 8.4 1 1 1 Notes: Bench space – 148”. Irregular cell. 2nd FLOOR MEDICAL HOLDING 3-4 Holding 2005 2 (11) (22) 11.0 x 8.5 x 8.4 1 1 1 Notes: Bench space – 68 + 130 = 198”. 1-2 Holding 2005 1 (4) (8) 11.10 x 12.10 x 1 1 1 8.4 Notes: Bench space – 80”. 5 Holding 2005 1 (10) (10) 12’08” x 11’11” 1 Notes: ADA-accessible cell. Bench 10’ + 6’10”. Safety 2005 1 (1) (1) 9.6 x 6.7 x 8.4 1 1ST FLOOR *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. 4925 San Mateo Maple Street Correctional Facility II LASE 23-24 - 1 - A360 LAS Adult-05.dot (8/05) 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 BAY Down D 2005 14 2 2 28 13.5 x 6.3 x 8.4 1 1 1 2 Upstairs D 2005 18 2 2 36 13.5 x 6.3 x 8.4 1 1 1 3 MOUNTAIN Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 VALLEY Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 OCEAN Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 CORRIDOR 1-2 Holding 2005 2 (2) (2) 8.10 x 7.0 x Notes: Field representative to get seating measurements next inspection. 2-FLOOR BAY Down D 2005 14 2 2 28 13.5 x 6.3 x 8.4 1 1 1 2 Upstairs D 2005 18 2 2 36 13.5 x 6.3 x 8.4 1 1 1 3 MOUNTAIN Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 VALLEY Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 OCEAN Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 *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. 4925 San Mateo Maple Street Correctional Facility II LASE 23-24 - 2 - A360 LAS Adult-05.dot (8/05) 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 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 CORRIDOR 1-2 H 2005 2 (2) (2) 8.10 x 7.0 x 1 1 1 3RD FLOOR BAY – Behavioral Health Housing Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 OCEAN A-Side Disciplinary Housing Unit A Single 2005 8 1 8 8 13.5 x 6.3 x 8.4 1 1 1 1 Intake Overflow Unit B Single 2005 8 1 1 8 13.5 x 6.3 x 8.4 1 1 1 1 Double 2005 8 2 1 16 13.5 x 6.3 x 8.4 1 1 1 1 Administrative Housing Unit C Double 2005 8 2 2 16 13.5 x 6.3 x 8.4 1 1 1 1 MOUNTAIN Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 VALLEY Down Dorm 2005 3 8 8 24 15.8 x 23.9 x 8.4 1 1 1 2 Upstairs Dorm 2005 5 8 8 40 15.8 x 23.9 x 8.4 1 1 1 3 CORRIDOR – COURT HOLDING 1-2 Holding 2005 2 (2) (2) 8.10 x 7.0 x 1 1 1 1 Safety 2005 1 (1) (1) 6’07” x 7’09” x 8 1 *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. 4925 San Mateo Maple Street Correctional Facility II LASE 23-24 - 3 - A360 LAS Adult-05.dot (8/05) TYPE IV FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 4927 FACILITY NAME: SM Transitional Facility (empty during inspection) FACILITY TYPE: IV PERSON(S) INTERVIEWED: Sergeant Serrano, Lieutenant Sebring FIELD REPRESENTATIVE: Jill Farris DATE: November 6, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1027.5 SAFETY CHECKS 506 Inmate Safety Checks “(d) Correctional staff shall conduct safety The facility administrator shall develop and implement checks by personally observing incarcerated policy and procedures for conducting safety checks that persons during every safety check. The include, but are not limited to, the following: observation shall be sufficient to determine ☒ ☐ ☐ (a) Safety checks will determine the safety and well- whether the incarcerated person is being of individuals and shall be conducted at least experiencing any stress or trauma.” hourly through direct visual observation of all people held and housed in the facility. This facility is not in use, compliance is determined through policy review. (b) There shall be no more than a 60-minute lapse “(a) Safety checks shall be conducted at between safety checks. least once every 60 minutes and more ☒ ☐ ☐ frequently if necessary. (b) There shall be no more than a 60-minute lapse between safety checks.” (c) Safety checks for people in sobering cells, safety 518 Safety and Sobering Cells cells, and restraints shall occur more frequently as 512 Use of Restraints ☒ ☐ ☐ outlined in section 1055, section 1056, and section 1058 of these regulations. (d) Safety checks shall occur at random or varied “(c) Safety checks shall be conducted on an intervals. ☒ ☐ ☐ irregular schedule (staggered) so that incarcerated persons cannot predict when the checks will occur.” (e) There shall be a written plan that includes the 506.3.1 Safety Check Documentation documentation of all safety checks. Documentation shall “(a) The actual time when each safety check include: ☒ ☐ ☐ occurred.” (1) the actual time at which each individual safety check occurred; (2) the location where each individual safety check “(b) The location where each safety check occurred, such as a cell, module, or dormitory ☒ ☐ ☐ occurred, such as a cell, module, or number; and, dormitory number. (3) Initials or employee identification number of staff “(c) Initials or member identification number ☒ ☐ ☐ who completed the safety check(s). of staff who completed the safety check(s).” (f) A documented process by which safety checks are 213 Daily Activity Logs and Shift Reports reviewed at regular defined intervals by a supervisor or ☒ ☐ ☐ 213.5 Supervisor Responsibilities facility manager, including methods of mitigating patterns “Supervisors shall review the daily activity 1 This document is intended for use as a tool during the targeted 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. 4927 San Mateo Transitional Facility IV PRO 23-24 Page 1 of 6 A354 Type IV Targeted PRO eff 12.2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS of inconsistent documentation, or untimely completion of, logs and shift reports during the course of safety checks. each shift. Supervisors shall sign and include the date and time of review on each log or report. When appropriate, supervisors should include comments in the logbook with regard to an incident or unusual occurrence in the facility.” 506.3.1 Safety Check Documentation “Safety check documentation shall be reviewed at regular, defined intervals by the Division Commander or supervisor. The review shall include any noted inconsistent documentation or any untimely completion of safety checks.” This facility is not in use. Compliance was determined through policy review. 1032 FIRE SUPPRESSION PREPLANNING 402 Fire Safety “The Division Commander shall ensure that a Pursuant to Penal Code Section 6031.1(b), the facility fire alarm and detection and suppression administrator shall consult with the local fire department system, as required by law, are installed, having jurisdiction over the facility, with the State Fire maintained, and periodically tested. Any ☒ ☐ ☐ Marshal, or both, in developing a plan for fire suppression variance, exception, or equivalency issues which shall include, but not be limited to: must be approved by the fire jurisdiction authorities and must not constitute a serious life-safety threat to the occupants of the facility.” (a) a fire suppression pre-plan developed with the local 402.3 Fire Suppression Pre-Planning fire department to be included as part of the policy and 402.4 Fire Prevention Equipment ☒ ☐ ☐ procedures manual (Title 15, California Code of 402.5 Firefighting Equipment Regulations Section 1029); (b) monthly fire prevention inspections by facility staff 402.3 Fire Suppression Pre-Planning with two-year retention of the inspection record; BSCC staff reviewed monthly fire prevention ☒ ☐ ☐ inspections by facility staff dated between August 2022 and August 2024, for compliance with this regulation. (c) fire prevention inspections as required by Health and 402.3 Fire Suppression Pre-Planning Safety Code Section 13146.1(a) and (b) which requires inspections at least once every two years; BSCC staff reviewed the State Fire Marshal’s ☒ ☐ ☐ inspection of the facility dated April 18, 2023, and the reinspection from May 15, 2023, for compliance with this regulation. (d) an evacuation plan; and, ☒ ☐ ☐ 402.3 Fire Suppression Pre-Planning (e) a plan for the emergency housing of incarcerated 402.8 Emergency Housing of Incarcerated ☒ ☐ ☐ people in the case of fire. Persons 1046 DEATH IN CUSTODY 515 Reporting In-Custody Deaths 515.3 Mandatory Reporting (a) The facility administrator shall develop written policy “Consistent with the requirements of and procedures to comply with the in-custody death Government Code § 12525 and within 10 reporting requirements of Government Code section ☒ ☐ ☐ days of an in-custody death, Facility 12525. The facility administrator shall submit a copy of Commanders or their designees shall submit the report filed pursuant to section 12525 to the BSCC Death in Custody Reporting Forms (BCIA within 10 days of an in-custody death. 713) to the California Department of Justice and provide a copy of that report to the 4927 San Mateo Transitional Facility IV PRO 23-24 Page 2 of 6 A354 Type IV Targeted PRO eff 12.2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS BSCC.” (b) The facility administrator, in cooperation with the 515.5 In-Custody Death Review health administrator, shall develop written policy and “The Sheriff is responsible for establishing a procedures to conduct an initial review and complete a team of qualified staff to conduct an written report of every in-custody death within 30 days of administrative review of every in-custody the death. The team that conducts the initial review shall death. At a minimum, the review team should include, at a minimum, the facility administrator or include the following (15 CCR 1046): designee, the health administrator, the responsible (a) Sheriff and/or the Division Commander, physician and other health care, and supervision staff (b) County Counsel, (c) District Attorney, (d) ☒ ☐ ☐ who are relevant to the incident. Investigative staff, (e) Health administrator, responsible physician, additional qualified health care professionals, supervisors, or other staff who are relevant to the incident The in-custody death review should be initiated as soon as practicable, and a written report shall be completed within 30 days of the death (Initial Death Review Report).” Deaths shall be reviewed to determine the “The team should review the appropriateness appropriateness of clinical care; whether changes to of clinical care, determine whether changes policies, procedures, or practices are warranted; and to ☒ ☐ ☐ to policies, procedures, or practices are identify issues that require further study. warranted, and identify issues that require further study.” (c) The facility administrator shall submit a copy of the 515.5 In-Custody Death Review initial review report of every in-custody death to the “The Facility Commander shall ensure that a BSCC within 60 days of the death. The facility copy of the Initial Death Review Report is ☒ ☐ ☐ administrator shall provide a copy of the initial review submitted to the BSCC within 60 days of the report that comports with the disclosure requirements of death.” section 832.10 of the Penal Code. The initial review report shall contain the following 515.5 In-Custody Death Review information: (1) Demographic information Agency policy includes this information. (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. 4927 San Mateo Transitional Facility IV PRO 23-24 Page 3 of 6 A354 Type IV Targeted PRO eff 12.2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1058 USE OF RESTRAINT DEVICES 512 Use of Restraints “This policy shall apply to the use of specific The facility administrator, in cooperation with the types of restraints, such as four/five-point responsible physician, shall develop and implement restraints, restraint chairs, ambulatory written policies and procedures for the use of restraint restraints, and similar restraint systems, as devices. Restraint devices include any devices which well as all other restraints, including immobilize extremities or prevent the incarcerated ☒ ☐ ☐ handcuffs, waist chains, and leg irons when person from being ambulatory. The provisions of this such restraints are used to restrain any section do not apply to the use of handcuffs, shackles, or incarcerated person for prolonged periods.” other restraint devices when used to restrain incarcerated people for security reasons. The facility This facility is not in use. Compliance was manager may delegate authority to place an incarcerated determined through policy review. person in restraints to responsible health care staff. (a) The policy shall address the following areas: “…four/five-point restraints, restraint chairs, (1) acceptable restraint devices; ☒ ☐ ☐ ambulatory restraints, and similar restraint systems, as well as all other restraints…” (2) signs or symptoms which should result in 512.6 Availability of CPR Equipment immediate medical/mental health referral; availability ☒ ☐ ☐ of cardiopulmonary resuscitation equipment; (3) protective housing of restrained persons; 512.7 Restrained Incarcerated Person ☒ ☐ ☐ Holding (4) provision for hydration and sanitation needs; and, ☒ ☐ ☐ 512.5 Food, Hydration, And Sanitation (5) exercising of extremities. ☒ ☐ ☐ 512.4 Range of Motion (b) Policy shall also include, but not be limited to, the 512.2 Policy 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 “It is the policy of this office that restraints incarcerated people who display behavior which shall be used only to prevent self-injury, ☒ ☐ ☐ results in the destruction of property or reveal an injury to others, or property damage.” intent to cause physical harm to self or others. (3) Restraint devices should be used only when less 512.2 Policy restrictive alternatives, including verbal de- “Restraints are to be applied only when less escalation techniques, have been attempted and are restrictive methods, including verbal de- deemed ineffective. ☒ ☐ ☐ escalation techniques, have been attempted and are deemed ineffective in controlling the dangerous behavior of an incarcerated person.” (4) An incarcerated person shall be placed in 512.3 Use of Restraints – Control restraints only with the approval of the facility “Excluding short-term use to gain immediate manager, the facility watch commander, or control, placing an incarcerated person in a responsible health care staff; continued retention restraint chair or other restraints for extended shall be reviewed a minimum of every hour. periods requires approval from the Division Commander or the authorized designee prior to taking action.” ☒ ☐ ☐ “(g) The specific reasons for the continued need for restraints shall be reviewed, documented, and approved by the Division Commander or the Watch Commander at least every hour.” During the policy review portion of the 4927 San Mateo Transitional Facility IV PRO 23-24 Page 4 of 6 A354 Type IV Targeted PRO eff 12.2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Targeted Inspection, BSCC staff found the provision to review continued retention shall be reviewed a minimum of every hour. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (5) Continuous direct visual observation shall be “(h) Continuous direct visual observation maintained until a medical opinion can be obtained. shall be maintained until a medical opinion can be obtained.” During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (6) A medical opinion on placement and retention “(i) Within one hour of placement in shall be secured within one hour from the time of restraints, a qualified health care professional ☒ ☐ ☐ placement. shall document an opinion regarding the placement and retention of the restraints.” (7) A medical assessment shall be completed within “(j) As soon as practicable, but within four four hours of placement. hours of placement in restraints, the incarcerated person shall be medically assessed to determine whether the person has a serious medical condition that is being masked by the aggressive behavior. The medical assessment shall be a face-to-face evaluation by a qualified health care ☒ ☐ ☐ professional.” During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (8) Continuous direct visual observation shall be “(f) Staff members shall conduct continuous conducted at least twice every 30 minutes to ensure direct face-to-face observation at least twice that the restraints are properly employed, and to every 30 minutes on an irregular schedule to ensure the safety and well-being of the incarcerated check the incarcerated person's physical person. Such observation shall be documented. well-being and behavior. Restraints shall be While in restraint devices all incarcerated persons checked to verify the correct application and shall be housed alone or in a specified housing area to ensure they do not compromise which makes provisions to protect the person from circulation. All checks shall be documented, abuse. with the ☒ ☐ ☐ actual time recorded by the person doing the observation, along with a description of the incarcerated person's behavior. Any actions taken should also be noted in the log.” During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical 4927 San Mateo Transitional Facility IV PRO 23-24 Page 5 of 6 A354 Type IV Targeted PRO eff 12.2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS assistance to facility supervision, and they updated the policy prior to the onsite inspection. (9) If the facility manager, or designee, in “(k) If the Division Commander, or the consultation with responsible health care staff authorized designee, in consultation with determines that an incarcerated person cannot be responsible health care staff, determines that safely removed from restraints after eight hours, the the incarcerated person cannot be safely person shall be taken to a medical facility for further removed from restraints after eight hours, the evaluation. person shall be taken to a medical facility for further evaluation.” ☒ ☐ ☐ During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (10) Where applicable, the facility manager shall “(l) Where applicable, the Division use the restraint device manufacturer’s Commander shall use the restraint device recommended maximum time limits for placement. manufacturer's recommended maximum time limits for placement.” During the policy review portion of the ☒ ☐ ☐ Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. (11) All events and information related to the 512.3 Use of Restraints – Control placement in restraints shall be documented and “The use of restraints for purposes other than shall be video recorded unless exigent for the controlled movement or transportation circumstances prevent staff from doing so. The of an incarcerated person shall be documentation shall include: the reason for documented on appropriate logs and shall be placement; person authorizing placement; names of video recorded unless exigent circumstances staff involved in the placement; injuries sustained; prevent staff from doing so. The and the duration of placement. documentation shall include, at a minimum, the type of restraint used, when it was applied, a detailed description of why the restraint was needed, the name of the person ☒ ☐ ☐ authorizing placement, names of staff involved in the placement, any injuries sustained, when the restraints were removed and the duration of placement.” During the policy review portion of the Targeted Inspection, BSCC staff found this section of the regulation was not in agency policy. BSCC staff provided technical assistance to facility supervision, and the agency updated the policy prior to the onsite inspection. 4927 San Mateo Transitional Facility IV PRO 23-24 Page 6 of 6 A354 Type IV Targeted PRO eff 12.2023 ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 4927 FACILITY: SM Transitional Facility TYPE: IV RC: 88 FIELD REPRESENTATIVE: Jill Farris DATE: November 6, 2024 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 Male (Aspen) Cubicle 2005 1 8 8 8 23.5 x 17.9 x 8.4 4 4 3 Cubicle 2005 2 9 9 18 23.5 x 17.9 x 8.4 Note: Doors will remain open or unlocked. Male (Sequoia) Dorm 2005 3 8 8 24 23.5 x 17.9 x 8.4 4 4 3 Dorm 2005 1 6 6 6 24.25 x 17.9 x 8.4 Note: Doors will remain open or unlocked. Female (Laurel) Dorm 2005 3 8 8 24 23.5 x 17.9 x 8.4 4 4 3 Dorm 2005 1 8 8 8 24.25 x 17.9 x 8.4 Note: Doors will remain open or unlocked. *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. 4927 San Mateo Transitional Facility Type IV LASE 23-24 - 1 - A360 LAS Adult-05.dot (8/05) ADULT TYPE I, II, III AND IV FACILITIES PHYSICAL PLANT EVALUATION The Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 2005 BSCC Code: 4925 & 4927 FACILITY NAME: 4925 Maple Street Correctional Facility (MSCF) (II) FACILITY TYPE: II & IV 4927 SM Transitional Facility (SMTF) (IV) APPLICABLE REGULATIONS: 2005 FIELD REPRESENTATIVE: Jill Farris DATE: November 6, 2024 TITLE 24 SECTION YES NO N/A COMMENTS Reception and Booking (2.1) Contains a weapons locker outside the security X perimeter of the facility, designed as outlined in these regulations. Contains a cell or room for confinement pending X booking Contains a detoxification cell, where applicable Two sobering cells in intake. 01: Name change to “sobering cell.” X 2-99: Two detoxification cells are provided if both male and female inmates are held. Contains safety cell(s) (WA) One safety cell is in the intake, and one is on X the 2nd floor. 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 water for staff use. X Temporary Holding Cell or Room (2.2) Intake, two on the 2nd and 3rd floors. 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), wash basin, and drinking X fountain as specified by these regulations Provides for clear visual supervision by staff X Temporary Staging Cell or Room (2.3) Holds inmates classified and segregated per Title 15 § X 1050 and 1053 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 4925 4927 MSCF II & SMTF IV PHY 23-24 - 1 - A383 PHY Type 94 99 01 05 08.dot (11/09) TITLE 24 SECTION YES NO N/A COMMENTS Is no smaller than 60 square feet and has a clear ceiling height of 8 feet or more X Contains a water closet (toilet) wash basin and drinking fountain as specified by these regulations X 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. Single Occupancy Cells (2.6) X Maximum capacity of one inmate Contain a minimum of 60 square feet of floor area in Type I facilities and 70 square feet in Type II and III X facilities Have a minimum clear ceiling height of 8 feet and a X minimum width of 6 feet Contain a water closet (toilet), wash basin and X drinking fountain as specified by these regulations Contain a bunk, desk and seat (Desk and seat not required in Type I facilities.) X Double Occupancy Cells (2.7) X Maximum capacity of two inmates Contain a minimum of 60 square feet of floor area in Type I facilities and 70 square feet in Type II and III X facilities 4925 4927 MSCF II & SMTF IV PHY 23-24 - 2 - A383 PHY Type 94 99 01 05 08.dot (11/09) TITLE 24 SECTION YES NO N/A COMMENTS Have a minimum clear ceiling height of 8 feet and a X minimum width of 6 feet Contain a water closet (toilet), wash basin and X drinking fountain as specified by these regulations Contain 2 bunks, 1 desk and 1 seat (Desk and seat not required in Type I facilities.) X Dormitories (2.8) Contain at least 50 square feet of floor area per inmate for single bed units; at least 70 square feet of X floor space per inmate for double bed units; and, at least 90 square feet for triple bed units. Eight foot clear ceiling height required. Designed for no fewer than 4 and no more than 64 X inmates Provide access to toilets separate from wash basins and drinking fountains as specified by these X regulations Provide storage space for each inmate's personal X items (NA Type I) Dayrooms (2.9) (Required for inmates in Type II and III facilities (excluding "special use" cells) and inmate workers in Type I facilities.) Contain 35 square feet of floor area per inmate, X exclusive of 3 foot wide corridors in front of cells/rooms 2-99: Deleted 3 foot corridor in front of cells/rooms 10: Deleted the term “exclusive of 3 feet (914 mm).” Contain tables and seating to accommodate the maximum number of inmates allowed access at a given time. (Note 2001 revisions added reference to X access at a given time and are the least restrictive standard.) Exercise Area (2.10) One for each housing pod except for Provided in Type II and III facilities. Type IV facilities administrative segregation. X must have a recreation area or provide community access to one. Clear height of 15 feet X Has required surface area: 80 % of maximum rated inmate capacity, multiplied by 50 square feet, divided X by number of one-hour exercise periods per day, equals the required surface area. 2-99: Provides free access to a toilet, wash basin and X drinking fountain Provides adequate security X Program/Multipurpose Space (2.11) (NA Type I) Off each housing pod except administrative There is sufficient area and furnishings to meet the segregation. needs of the facility programs. (See regulation for X discussion of applicability to Type IV.) 4925 4927 MSCF II & SMTF IV PHY 23-24 - 3 - A383 PHY Type 94 99 01 05 08.dot (11/09) TITLE 24 SECTION YES NO N/A COMMENTS Medical Examination Room (2.12) Three exam rooms. There is one suitably equipped medical exam room in every Type II or III facility designed to house 25 or more inmates. X 2-99: Required in all facilities that provide on-site health care. Located within the security area and provide for X privacy of inmates Not less than 100 square feet of floor space with no X single dimension less than 7 feet Provide hot and cold running water 2-99: Hot and cold running water in any room where X medical procedures are provided 2-99: Lockable storage for medical supplies X Pharmaceutical Storage Space (2.13) There is lockable storage space for medical supplies X and pharmaceuticals (Title 15 § 1216). Medical Care Housing (2.14) Applicable to Type II and III facilities where the facility X program indicates special medical care housing is needed. Housing is located within the security area, accessible to both male and female inmates, but not in the living X area of either. Provides lockable storage area for medical X instruments 2-99: Negative pressure isolation rooms are designed to the community standard. X Hare Care Space (2.15) Space and equipment are available. X 2-99: Requirement deleted. Commissary (2.16) (NA Type I) X Inmates can purchase specified items. There is secure storage for commissary stock. 01: Revisions limit requirement for secure storage to circumstances when commissary supplies are X kept within the security perimeter. Dining Facilities (2.17) (NA Type I) There are 15 square feet and sufficient tables and X seating for each inmate being fed. Dining space does not include toilets, wash basins or showers, without an appropriate visual barrier. 2-99: Visual barrier requirement deleted for wash X basins 4925 4927 MSCF II & SMTF IV PHY 23-24 - 4 - A383 PHY Type 94 99 01 05 08.dot (11/09) TITLE 24 SECTION YES NO N/A COMMENTS Visiting Space (2.18) There is sufficient visiting area. X 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) A securely lockable janitor’s closet provides sufficient X storage for cleaning implements and supplies and is located within the security area (Type II only). A mop sink is available within the security area (Type II). It may be outside the security area in CH, TH and X Types I, III & IV. Storage Room (2.21) One or more storage rooms are required to accommodate a minimum of 80 cubic feet of storage per inmate for inmate clothing and personal property, institutional clothing, bedding and supplies. X (Type I facilities may be excluded from storage space requirement for personal and institutional clothing unless clothing is issued.) Audio or Visual Monitoring (2.22) (Prior to 2005 this was N/A for Type III and IV housing only minimum security inmates. In 2005 applicability was extended to all CH, TH, Type I, II, III and IV facilities regardless of security level.) X There is an audio monitoring system capable of alerting staff in a central control. When visual electronic surveillance is used, it is located primarily in corridors, elevators, or at points on the security perimeter such as entrances and exits. Laundry Facilities (2.23) Type IV facilities make provision for washing and X drying personal laundry. 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. Confidential Interview Rooms (2.25) Each housing pod except administrative There is at least one suitably furnished confidential segregation. interview room in every Type II facility designed for 25 X or more inmates. 2-99: Applicable to every facility which provides on- site health care Located in the security area, accessible by both male X and female inmates 4925 4927 MSCF II & SMTF IV PHY 23-24 - 5 - A383 PHY Type 94 99 01 05 08.dot (11/09) TITLE 24 SECTION YES NO N/A COMMENTS Provides at least 70 square feet floor area with no single dimension less than 6 feet X Attorney Interview Space (2.26) (NA Type IV) Available and provides for confidentiality X Water Closets (Toilets)/Urinals (3.1) Provide for inmate privacy/modesty with staff being able to visual supervise; one is provided in every single and double occupancy cell and at the following ratio elsewhere: 1:10 in dormitories (changed from 1:8 in 2001); 1:8 in detoxification/sobering cells; 1:16 in holding cells; X 1:20 in exercise areas; and, Accessible to dayroom occupants no specified ratio. 2-99: Accessible at no specified ratio in exercise areas. Privacy requirement deleted. See regulation for calculations of urinal substitutions. Wash basins (3.2) Provide hot and cold or tempered water; one is provided in every single and double occupancy cell and at the following ratio elsewhere: 1:10 in dormitories (changed from 1:8 in 2001); 1:8 in detoxification/sobering cells; 1:20 in exercise areas; and, X Accessible to dayrooms at no specified ratio. 2-99: Accessible in exercise areas at no specified ratio See regulation for calculations of wash basin trough substitutions. Drinking Fountains (3.3) One is provided in every single and double occupancy cell and in dormitories. Accessible to inmates in dayrooms 2-99: One is provided in every single and double X occupancy cell, holding and staging cells and detoxification cells. It must be accessible to inmates in dayrooms and exercise areas. The water outlet (bubbler) is mechanically actuated and at an angle that prevents wastewater from flowing X over the outlet (bubbler). Showers (3.4) Available at a ratio of 1:20; 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. 4925 4927 MSCF II & SMTF IV PHY 23-24 - 6 - A383 PHY Type 94 99 01 05 08.dot (11/09) 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 or concrete; securely fastened to the floor and/or wall X in facilities higher than minimum security. 01: Must be elevated off the floor. Must have a solid bottom. Lighting (3.6) Lighting in housing units, dayrooms and activity areas is sufficient to permit easy reading by a person with normal vision, and is not less than 20 foot-candles at desk level and in the grooming area. Night lighting is sufficient for purposes of supervision. X Lighting is centrally controlled and/or occupant controlled in housing cells or rooms. Light fixtures are of secure design in areas higher than minimum security. Windows (3.7) In housing areas higher than minimum security, 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 everything on them are padded. All padded cells are X equipped with a 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 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 wash basin. Seating (3.10) Seating is designed to the level of security. When bench seating is used, eighteen inches of bench are provided per inmate. X 2-99: In holding and staging cells, seating is securely fastened to the wall and/or floor. Table/Seat (3.11) (NA Type I) A table and seat is provided in single and double X occupancy cells. 4925 4927 MSCF II & SMTF IV PHY 23-24 - 7 - A383 PHY Type 94 99 01 05 08.dot (11/09) 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 security perimeter of the facility. Lockers have X individual compartments, locks and keys. 08: “No weapons are brought into the security area” deleted from the regulation. 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 X applicable to the facility type and construction date in the "comments" section.) 4925 4927 MSCF II & SMTF IV PHY 23-24 - 8 - A383 PHY Type 94 99 01 05 08.dot (11/09)