Santa Clara SHRF (2025-2026 inspection cycle)

July 10, 2025 Bob Jonsen, Sheriff Santa Clara County Sheriff’s Office 55 West Younger Avenue San Jose, CA 95110 2025-2026 COMPREHENSIVE INSPECTION, PENAL CODE SECTION 6031, WELFARE & INSTITUTIONS CODE SECTION 209, SANTA CLARA COUNTY SHERIFF’S OFFICE DETENTION FACILITIES Dear Sheriff Jonsen: The 2025-2026 Comprehensive Inspection of the Santa Clara County Sheriff's Office has been completed. A pre-inspection briefing was held on Wednesday, April 9, 2025, and the following facilities were inspected between Monday, May 19, 2025, and Wednesday, May 21, 2025: FACILITY NAME BSCC # FACILITY TYPE Main Jail 5120 II Elmwood Men’s Facility 5140 II Elmwood Women’s Facility 5180 II Family Justice Center 5200 CHJ Hall of Justice 5206 CHJ These inspections were conducted pursuant to Penal Code Section 6031 to determine compliance with the Minimum Standards for Local Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition to inspection(s) by the Board of State and Community Corrections (BSCC), inspections are also required annually by the County Health Officer and biennially by the State Fire Marshal or an authorized representative (Health and Safety Code Sections 101045 and 13146.1). The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified the following items of noncompliance with Title 15 and 24 Minimum Standards: Title 15, §1030, Suicide Prevention Program, Section (a) – Annual Suicide Prevention Training for all custodial personnel. Policy currently states that suicide prevention training provided on a biennial basis. Training is currently compliant, but policy as currently written is noncompliant. Bob Jonsen Sheriff Page 2 Title 15, §1065, Exercise and Out of Cell Time, Section (2) – An opportunity for seven hours of recreation. Policy currently does not mention the opportunity for seven hours of recreation. In practice, the facilities are compliant, but the policy as currently written is noncompliant. Title 24, §1231.8 Dormitories. Elmwood Men’s Facility, M-8 Housing, has 8 dormitory housing units with each dormitory having a rated capacity of 48. On the date of the inspection, 7 of the 8 dorms had from between 57 and 65 individuals housed on each dorm. Pod G was not being used due to construction on the housing unit. Due to exceeding the rated capacity, these housing units are noncompliant. Refer to the attached Procedures Checklist for 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 Wednesday, May 21, 2025; BSCC staff presented an overview of the inspection and discussed technical assistance and best practice recommendations. BSCC staff reviewed and provided an Initial Inspection Report for noncompliance items found during the inspection. Your agency provided BSCC staff with a CAP addressing these issues on June 25, 2025; we responded to the CAP under a separate cover letter. * * * Please email me at matthew.schuler@bscc.ca.gov or call (916) 261-4323 if you have any questions. Sincerely, MATTHEW SCHULER Field Representative Facilities Standards and Operations Division 5120+ Santa Clara SHRF II CHJ CI LTR 25-26 Bob Jonsen Sheriff Page 3 Enclosures Cc: Presiding Judge, Santa Clara County Superior Court* Chair, Grand Jury, Santa Clara County* Chair, Board of Supervisors, Santa Clara County* County Administrator, Santa Clara County* Michelle Asban, Assistant Sheriff, Santa Clara County Sheriff’s Office Ricardo Urena, Assistant Sheriff, Santa Clara County Sheriff’s Office *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 5120+ Santa Clara SHRF II CHJ CI LTR 25-26 TYPE II AND III FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 5120 FACILITY NAME: Santa Clara County Main Jail FACILITY TYPE: II PERSON(S) INTERVIEWED: Sergeant Erica Bravo FIELD REPRESENTATIVE: Matthew Schuler DATE: May 19, 2025 TITLE 15 SECTION P/P REFERENCE – COMMENTS2 1020 CORRECTIONS OFFICER CORE COURSE3 The BSCC Standards and Training for Corrections (STC) division found the agency in compliance with applicable (a) In addition to the provisions of California Penal Code Section regulations during the 2025-2026 compliance monitoring 831.5, all custodial personnel of a Type I, II, III, or IV facility shall cycle. successfully complete the “Corrections Officer Core Course” as described in Section 179 of Title 15, CCR, within one year from the date of assignment. (b) Custodial Personnel who have successfully completed the course of instruction required by Penal Code Section 832.3 shall also successfully complete the “Corrections Officer Basic Academy Supplemental Core Course” as described in Section 180 of Title 15, CCR, within one year from the date of assignment. 1021 JAIL SUPERVISORY TRAINING Prior to assuming supervisory duties, jail supervisors shall complete the core training requirements pursuant to Section 1020, Corrections Officer Core Course. In addition, supervisory personnel of any Type I, II, III or IV jail shall also be required to complete either the STC Supervisory Course (as described in Section 181, Title 15, CCR) or the POST supervisory course within one year from date of assignment. 1023 JAIL MANAGEMENT TRAINING Managerial personnel of any Type I, II, III or IV jail shall be required to complete either the STC management course (as described in Section 182, Title 15, CCR) or the POST management course within one year from date of assignment. 1025 CONTINUING PROFESSIONAL TRAINING With the exception of any year that a core training module is successfully completed, all facility/system administrators, managers, supervisors, and custody personnel of a Type I, II, III, or IV facility shall successfully complete the “annual required training” specified in Section 184 of Title 15, CCR. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 3 For STC participating agencies, consistency with training sections 1020, 1021, 1023 & 1025 is annually assessed by the STC Division. Unless otherwise indicated, the regulatory intent is for training to occur within one year from the date of assignment. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 1 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1027 NUMBER OF PERSONNEL PM 1.25 – Staffing PM 9.39 – Inmate Supervision A sufficient number of personnel shall be employed in each local detention facility to ensure the implementation The Facility Minimum Staffing Level is the ☒ ☐ ☐ and operation of the programs and activities required by level of staffing as determined by the Division these regulations. Commander to run essential operations and some routine operations. Whenever there is a person in custody, there shall be at PM 1.25 – Staffing least one employee on duty at all times in a local PM 9.39 – Inmate Supervision detention facility or in the building which houses a local detention facility who shall be immediately available and ☒ ☐ ☐ accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which PM 1.25 – Staffing would conflict with the supervision and care of PM 9.39 – Inmate Supervision ☒ ☐ ☐ incarcerated people in the event of an emergency. Whenever one or more females are in custody, there PM 1.25 – Staffing shall be at least one female employee who shall be PM 9.39 – Inmate Supervision immediately available and accessible to such females. ☒ ☐ ☐ At least one female employee available and Note: Reference PC § 4021. accessible whenever there is a female in custody. In order to determine if there is a sufficient number of PM 1.25 – Staffing personnel for a specific facility, the facility administrator PM 9.39 – Inmate Supervision shall prepare and retain a staffing plan indicating the personnel assigned in the facility and their duties. Such a BSCC staff reviewed the facility shift staffing plan shall be reviewed by the Board staff at the ☒ ☐ ☐ schedules and the documentation appeared time of their biennial inspection. The results of such a to be compliant with this regulation. review and recommendations shall be reported to the local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS SCCDM 9.39 – Inmate Supervision The facility administrator shall develop and implement Staff will observe inmates at least once every policy and procedures for conducting safety checks that 60 minutes or more frequently when include, but are not limited to, the following: warranted in special instances or selected (a) Safety checks will determine the safety and well- ☒ ☐ ☐ housing units. More frequent observation, being of individuals and shall be conducted at least such as every 15 minutes or every 30 hourly through direct visual observation of all people held minutes, will be dictated by other and housed in the facility. Departmental policy or will be stipulated in the housing unit post order. (b) There shall be no more than a 60-minute lapse PM 9.39 – Inmate Supervision between safety checks. Staff will observe inmates at least once every ☒ ☐ ☐ 60 minutes or more frequently when warranted in special instances or selected housing units. (c) Safety checks for people in sobering cells, safety PM 9.39 – Inmate Supervision cells, and restraints shall occur more frequently as outlined in section 1055, section 1056, and section 1058 More frequent observation, such as every 15 of these regulations. ☒ ☐ ☐ minutes or every 30 minutes, will be dictated by other Departmental policy or will be stipulated in the housing unit post order. (d) Safety checks shall occur at random or varied PM 9.39 – Inmate Supervision intervals. ☒ ☐ ☐ 5120 Santa Clara Main Jail II CI PRO 25-26 Page 2 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) There shall be a written plan that includes the PM 9.39 – Inmate Supervision documentation of all safety checks. Documentation shall include: BSCC staff reviewed a random sampling of (1) the actual time at which each individual safety ☒ ☐ ☐ safety check documents from January 2024 check occurred; through April 2025. The documentation appeared to be compliant with this regulation. (2) the location where each individual safety check PM 9.39 – Inmate Supervision occurred, such as a cell, module, or dormitory ☒ ☐ ☐ number; and, (3) Initials or employee identification number of staff PM 9.39 – Inmate Supervision who completed the safety check(s). A welfare check that results in normal activity will be documented as "welfare check ☒ ☐ ☐ complete" along with the time it was completed and the badge number of the officer completing the check. (f) A documented process by which safety checks are PM 9.39 – Inmate Supervision reviewed at regular defined intervals by a supervisor or PM 212.6 – Supervisor Responsibilities facility manager, including methods of mitigating patterns of inconsistent documentation, or untimely completion of, Supervisors shall review the daily activity logs safety checks. during the course of each shift. Supervisors shall sign and include the date and time of ☒ ☐ ☐ review on each shift activity log. When appropriate, supervisors should include comments in the shift activity log with regard to an incident or unusual occurrence in the jail. 1028 FIRE AND LIFE SAFETY STAFF PM 6.03 – Employee Training PM 10.03 – Fire Response Plan (a) Whenever there is a person in custody, there shall be PM 10.31 – Fire Prevention/Inspections at least one person on duty at all times who meets the training standards established by the Board for general Pursuant to Penal Code Section 6030(c) and fire and life safety. [Penal Code section 6030(c)]. Title 15 Section 1028, Correctional Officers ☒ ☐ ☐ receive fire and life safety training in their academy training and meet the training standards established by the Board of Corrections for general fire life and safety, which relate specifically to the facility. The facility manager shall ensure that there is at least one PM 6.03 – Employee Training person on duty who trained in fire and life safety PM 10.03 – Fire Response Plan procedures that relate specifically to the facility. PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ Correctional Officers shall, as a condition of employment, comply with CPR! AED and First Aid training requirements. (b) The facility administrator, in conjunction with the PM 6.03 – Employee Training health authority, shall develop and implement policies PM 10.03 – Fire Response Plan and procedures consistent with the requirements of PM 10.31 – Fire Prevention/Inspections Penal Code Section 6048(b) that require correctional officers certified in cardiopulmonary resuscitation (CPR) First aid certification is required every 3 years ☒ ☐ ☐ to begin CPR on a nonresponsive person without and CPR is required annually. CPR obtaining approval from supervisors or medical staff, certification must include the Automated when it is safe and appropriate to do so. External Defibrillator (AED) refresher-training component of CPR. These policies shall cover the following key elements: PM 6.03 – Employee Training (1) Acceptable CPR methods and application. PM 10.03 – Fire Response Plan ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections 5120 Santa Clara Main Jail II CI PRO 25-26 Page 3 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Correctional officers shall be certified in CPR and a PM 6.03 – Employee Training copy of the certification shall be on file in the facility or at PM 10.03 – Fire Response Plan ☒ ☐ ☐ a central location and available for review. PM 10.31 – Fire Prevention/Inspections (3) Correctional officers shall immediately summon PM 6.03 – Employee Training medical aid when a person is identified as nonresponsive PM 10.03 – Fire Response Plan and shall administer CPR unless the correctional officer PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ is aware of a known medical condition(s) that would contraindicate its use. (4) Correctional officers shall use personal protective PM 6.03 – Employee Training equipment when administering CPR whenever possible PM 10.03 – Fire Response Plan to reduce exposure to bodily fluids or bloodborne ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections pathogens that may contain disease-causing agents. (5) If an imminent physical danger prevents a PM 6.03 – Employee Training correctional officer from safely administering CPR, they PM 10.03 – Fire Response Plan shall begin or resume CPR as soon as the threat has PM 10.31 – Fire Prevention/Inspections passed, or the nonresponsive person has been safely ☒ ☐ ☐ removed from danger, provided medical aid has not yet arrived. (6) The correctional officer shall continue administering PM 6.03 – Employee Training CPR, absent imminent physical danger, until the PM 10.03 – Fire Response Plan nonresponsive person shows obvious signs of life, such PM 10.31 – Fire Prevention/Inspections as normal breathing or physical or verbal responses, or ☒ ☐ ☐ until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative PM 6.03 – Employee Training medical responders are present when a person is PM 10.03 – Fire Response Plan identified as nonresponsive, correctional officers shall ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL4 Santa Clara County Department of Corrections Policy and Procedures Manual Facility administrator(s) shall develop and publish a (PM) manual of policy and procedures for the facility. The policy and procedures manual shall address all Custody policy is in the process of shifting applicable Title 15 and Title 24 regulations and shall be over to Lexipol. Several sections have comprehensively reviewed and updated at least every already been transferred over. Those policies two years. Such a manual shall be made available to all are identified in the Table of Content. employees. ☒ ☐ ☐ All Department policies shall be reviewed not Notes: The policies and procedures required in less than once a year. The Professional subsections (a)(6) and (a)(7) may be placed in a separate Compliance and Audit Unit will establish an manual to ensure confidentiality. Subsections (c) and (d) annual schedule identifying policies to be do not apply and have been deleted. reviewed during a specific month. Policy was reviewed and updated May 9, 2025. Compliant with this regulation. (a) The manual for Temporary Holding, Type I, II, and III PM 1.07- Organizational Chart facilities shall provide for, but not be limited to, the PM 1.09 – Chain of Command following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility PM 1.29 – Watch Commander administrator/manager. Duties/Notifications to Executive ☒ ☐ ☐ Management 4 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 4 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Policy on the use of force that meets current state PM 511 – Use of Force and federal legal requirements and includes prohibition of the use of carotid restraint and choke Deputies Shall Not Use a Carotid Restraint or holds. Apply Pressure to a Person's Neck: The Sheriff's Office does not train deputies in the ☒ ☐ ☐ use of the carotid restraint/chokehold. The carotid restraint/chokehold is prohibited. Deputies shall not apply pressure to a person's neck. (4) Policy on the use of restraint equipment, including PM 512 (I) – Use of Restraints the restraint of pregnant persons as referenced in Penal Code Section 3407. Application of Security Restraints: Staff shall ☒ ☐ ☐ not leg shackle, waist chain, or apply handcuffs behind the back of a person known to be pregnant or in recovery after delivery. (5) Procedure and criteria for screening newly PM 11.15 – Misdemeanor Citation Releases received persons for release. ☒ ☐ ☐ SCCDM 11.31 – Inmate Release (6) Security and control including physical counts and PM 9.33 – Inmate Counts searches of the facility and incarcerated persons, PM 9.39 – Inmate Supervision contraband control, and key control. Each facility administrator shall, at least annually, Security Checks are conducted by staff at the review, evaluate, and make a record of security beginning of each shift and at 2300 hours measures. The review and evaluation shall include ☒ ☐ ☐ each day. internal and external security measures of the facility including security measures specific to prevention of BSCC staff reviewed the annual security sexual abuse and sexual harassment. review. The documentation appeared to be compliant with this regulation. (7) Emergency procedures include: PM 10.01 – Management of Emergency (A) fire suppression preplan as required by Plans ☒ ☐ ☐ section 1032 of these regulations; PM 10.31 – Fire Prevention/Inspections (B) escape, disturbances, and the taking of PM 10.11 - Escapes hostages; ☒ ☐ ☐ (C) mass arrests; PM 10.15 – Mass Arrests ☒ ☐ ☐ (D) natural disasters; PM 10.05 – Natural Disasters – Earthquakes PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.49 – Catastrophic Disaster Incident Plan (E) periodic testing of emergency equipment; PM 9.19 – Armory Operations and Security and, ☒ ☐ ☐ Equipment (F) storage, issue, and use of weapons, PM 9.19 – Armory Operations and Security ammunition, chemical agents, and related Equipment ☒ ☐ ☐ security devices. PM 9.25 – Use of Less Lethal Munitions (8) Suicide Prevention. PM 12.05 – Suicide Prevention ☒ ☐ ☐ (9) Separation of incarcerated persons. PM 13.01 – Classification Policy, Goals, and Objectives ☒ ☐ ☐ PM 13.03 – Administrative Segregation (10) Zero tolerance in the prevention of sexual abuse PM 606 – Prison Rape Elimination Act and sexual harassment. This Office has zero tolerance with regard to ☒ ☐ ☐ sexual abuse and sexual harassment in the jails. (11) Policy and procedure to detect, prevent, and PM 606 – Prison Rape Elimination Act respond to retaliation against any staff or person after ☒ ☐ ☐ reporting any abuse. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 5 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (12) Release policy, including release planning for PM 11.31 – Inmate Release incarcerated persons. ☒ ☐ ☐ PM 606 – Prison Rape Elimination Act (e) The manual for Temporary Holding, Court Holding, PM 606 – Prison Rape Elimination Act Type I, II, III, and IV facilities shall provide for, but not be limited to, the following: Incarcerated persons may report incidents (1) multiple internal ways for incarcerated people to anonymously or to any staff they choose. privately report sexual abuse and sexual Staff shall accommodate all incarcerated harassment, retaliation by other incarcerated ☒ ☐ ☐ person requests to report allegations. Staff persons or staff for reporting sexual abuse and shall accept reports made verbally, in writing, sexual harassment, and staff neglect or violation of anonymously, or from third parties and shall responsibilities that may have contributed to such promptly document all verbal reports. incidents, (2) a method for uninvolved incarcerated persons, PM 606 – Prison Rape Elimination Act family, community members, and other interested third parties to report sexual abuse or sexual Incarcerated persons may report sexual harassment. The method for reporting shall be abuse, sexual harassment, and/or retaliation publicly posted at the facility. to the Adult Custody Office of the Ombuds or another outside entity or agency designated by the PREA Coordinator that is not part of the Office. The outside entity or the Office should be able to receive, and immediately ☒ ☐ ☐ forward incarcerated person reports of sexual abuse and sexual harassment to the Division Commander, allowing the incarcerated person anonymity. BSCC staff noticed PREA postings within the facility’s lobby, housing units, and dormitories. 1030 SUICIDE PREVENTION PROGRAM PM 721 – Suicide Prevention and Intervention The facility shall have a comprehensive written suicide prevention program developed by the facility It is the policy of this Sheriff's Office to administrator or designee, in conjunction with the health minimize the incidence of suicide by authority and mental health director, to identify, monitor, establishing and maintaining a ☒ ☐ ☐ and provide treatment to those incarcerated persons who comprehensive suicide prevention and present a suicide risk. intervention program designed to identify The program shall include the following: incarcerated persons who are at risk of suicide and to intervene appropriately whenever possible. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 6 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Annual suicide prevention training for all custodial PM 721 – Suicide Prevention and personnel. Intervention All new sworn staff members who are responsible for supervising incarcerated persons shall complete a four-hour pre- service suicide prevention curriculum. The Assistant Sheriff of Custody Operations or the authorized designee and ACHS shall develop and implement classroom instructed suicide prevention training on a biennial basis. ☐ ☒ ☐ It shall be the responsibility of the Assistant Sheriff of Custody Operations or the authorized designee to coordinate with the Training and Professional Development Captain to ensure that suicide prevention training is provided in compliance with applicable statutes and standards. Policy as written is noncompliant with this regulation. Suicide prevention training is required on an annual basis. Training is compliant but the policy is out of compliance. (b) Intake screening for suicide risk immediately upon PM 721 – Suicide Prevention and intake and prior to housing assignment. Intervention All incarcerated persons shall undergo a ☒ ☐ ☐ medical and mental health screening performed by ACHS nursing staff during the intake process. (c) Suicide prevention screening during special PM 721 – Suicide Prevention and situations, including placement in restrictive housing, Intervention following a hearing, and after a transfer or change in classification. When special situations arise, a referral to ACHS Mental Health shall be made when the ☒ ☐ ☐ person is placed in restrictive housing, following a court hearing, under detox precautions, particularly during the first 72 hours of incarceration, and after a transfer or change in classification. (d) Provisions facilitating communication among PM 721 – Suicide Prevention and arresting/transporting officers, facility staff, court staff, Intervention medical and mental health personnel in relation to suicide risk. Suspicion of suicidality of an incarcerated person shall be communicated among arresting/transporting staff, jail staff, court ☒ ☐ ☐ staff, ACHS staff and result in a referral. Incarcerated persons with known suicide risk shall be monitored and referred to ACHS Mental Health staff for follow-up care as needed. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 7 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Housing recommendations for people at risk of PM 721 – Suicide Prevention and suicide that balance safety and environment. The least Intervention restrictive environment should be considered. An incarcerated person's supervision will be determined by ACHS Mental Health staff and the Classification Unit depending on suicide risk. Incarcerated persons who are on suicide precautions should be housed in a suicide resistant cell, prioritizing incarcerated persons assessed by ACHS Mental Health staff with higher risk if there are insufficient ☒ ☐ ☐ cells for all persons on precautions. When suicide resistant cells are not available, incarcerated persons should be placed in suicide precaution approved overflow cells, that are ideally near housing unit staff until a suicide resistant cell becomes available. Housing recommendations for incarcerated persons at risk of suicide balance safety and environment. The least restrictive environment should be considered. (f) Supervision depending on level of suicide risk. PM 721 – Suicide Prevention and Intervention Sworn staff will ensure that the following ☒ ☐ ☐ observations and interventions ordered by ACHS Mental Health staff for incarcerated persons at risk of suicide are followed. (g) Suicide attempt and suicide intervention policies and PM 721 – Suicide Prevention and procedures. ☒ ☐ ☐ Intervention (h) Provisions for reporting suicides and suicides PM 721 – Suicide Prevention and attempts. Intervention All suicides, attempted suicides, or injuries shall be documented in an administrative ☒ ☐ ☐ report. All in-custody deaths, including those resulting from suicide, shall be investigated and documented in accordance with Reviewing and Reporting In-Custody Deaths and Major Incident Notification Policies. (i) Multi-disciplinary administrative review of suicides and PM 721 – Suicide Prevention and attempted suicides as defined by the facility Intervention administrator, including the development of a corrective ☒ ☐ ☐ action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. PM 721 – Suicide Prevention and ☒ ☐ ☐ Intervention (k) Plan for mental health consultation following return PM 721 – Suicide Prevention and from court as determined by the mental health director. ☒ ☐ ☐ Intervention 1032 FIRE SUPPRESSION PREPLANNING PM 10.03 – Fire Response Plan PM 10.31 – Fire Prevention/Inspections Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department Pursuant to Penal Code Section 6031.1 (b), ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire the Chief or designee will consult with the Marshal, or both, in developing a plan for fire suppression State Fire Marshall or local fire Chief when which shall include, but not be limited to: developing the fire response plan. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 8 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) a fire suppression pre-plan developed with the local PM 10.03 – Fire Response Plan fire department to be included as part of the policy and PM 10.31 – Fire Prevention/Inspections procedures manual (Title 15, California Code of ☒ ☐ ☐ Regulations Section 1029); (b) monthly fire prevention inspections by facility staff PM 10.03 – Fire Response Plan with two-year retention of the inspection record; PM 10.31 – Fire Prevention/Inspections BSCC staff confirmed that the monthly fire ☒ ☐ ☐ prevention inspections are being conducted and the documentation is being retained for the required amount of time. (c) fire prevention inspections as required by Health and PM 10.03 – Fire Response Plan Safety Code Section 13146.1(a) and (b) which requires PM 10.31 – Fire Prevention/Inspections inspections at least once every two years; The State Fire Marshall or local fire Chief will ☒ ☐ ☐ conduct annual fire prevention inspections. Last Fire Inspection: May 21, 2024 (d) an evacuation plan; and, PM 10.03 – Fire Response Plan PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections (e) a plan for the emergency housing of incarcerated PM 10.03 – Fire Response Plan people in the case of fire. PM 10.31 – Fire Prevention/Inspections PM 10.33 – Emergency Housing/Mass Relocation ☒ ☐ ☐ Incarcerated population would be transferred to another jail facility within the county in the case of emergency housing. 1040 POPULATION ACCOUNTING PM 5.01 – Network System/CLARAnet PM 7.03 – Case Record Management Each facility administrator shall maintain a demographics accounting system which reflects the monthly average ☒ ☐ ☐ daily population of sentenced and non-sentenced people by gender and juvenile status. Facility administrators shall provide the Board with PM 5.01 – Network System/CLARAnet applicable demographic information as described in the PM 7.03 – Case Record Management ☒ ☐ ☐ Jail Profile Survey. 1041 RECORDS PM 1.51 – Data Classification and Control PM 1.61 – Records Retention, Maintenance, (a) Each facility administrator of a Type I, II, III or IV and Destruction facility shall develop written policies and procedures for PM 5.01 – Network System/CLARAnet the maintenance of individual records for each PM 7.03 – Case Record Management incarcerated person which shall include, but not be ☒ ☐ ☐ limited to, intake information, personal property receipts, commitment papers, court orders, reports of disciplinary actions taken, medical orders issued by the responsible physician and staff response, and non-medical information regarding disabilities and other limitations. (b) Each facility administrator shall collect accurate, PM 1.51 – Data Classification and Control uniform data for every allegation of sexual abuse at PM 1.61 – Records Retention, Maintenance, facilities under its direct control and from other facilities and Destruction with which it contracts for the confinement of its PM 5.01 – Network System/CLARAnet incarcerated people. The data collected shall include, at ☒ ☐ ☐ PM 7.03 – Case Record Management a minimum, the data necessary to satisfy the reporting requirements of 34 U.S.C. section 30303(a)(1). Note: federal survey on sexual violence. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 9 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1044 INCIDENT REPORTS PM 6.06 – Prison Rape Elimination Act PM 9.29 – Criminal Investigations Each facility administrator shall develop written policies PM 15.01 – Inmate Discipline Process and procedures for the maintenance of written records and reporting of all incidents which result in physical ☒ ☐ ☐ harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other person. Such records shall include the names of the persons PM 6.06 – Prison Rape Elimination Act involved, a description of the incident, the actions taken, PM 9.29 – Criminal Investigations and the date and time of the occurrence. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ BSCC staff reviewed a random sampling of incident reports from January 2024 through April 2025. The documentation appeared to be compliant with this regulation. Such a written record shall be prepared by the staff PM 6.06 – Prison Rape Elimination Act assigned to investigate the incident and submitted to the PM 9.29 – Criminal Investigations ☒ ☐ ☐ facility manager or designee. PM 15.01 – Inmate Discipline Process 1045 PUBLIC INFORMATION PLAN PM 217 – News Media Relations Each facility administrator of a Type I, II, III or IV facility shall develop written policies and procedures for the dissemination of information to the public, to other ☒ ☐ ☐ government agencies, and to the news media. The public and incarcerated persons shall have available for review the following material: (a) The Board of State and Community Corrections BSCC staff confirmed a copy of the Minimum Standards for Local Detention Facilities as regulations is in the lobby of each of the ☒ ☐ ☐ found in Title 15 of the California Code of Regulations. facilities. (b) Facility rules and procedures affecting incarcerated PM 217 – News Media Relations/Public people as specified in sections: Information ☒ ☐ ☐ (1) 1045, Public Information Plan (2) 1061, Education Plan PM 18.03 – Education Programs and ☒ ☐ ☐ Services (3) 1062, Visiting PM 17.01 – Inmate Social Visiting ☒ ☐ ☐ PM 17.03 – Inmate Hospital Visits (4) 1063, Correspondence PM 1008 – Inmate Correspondence ☒ ☐ ☐ (5) 1064, Library Service PM 1007 – Library Services ☒ ☐ ☐ (6) 1065, Exercise and Out of Cell Time PM 18.07 – Exercise and Recreation ☒ ☐ ☐ (7) 1066, Books, Newspapers, Periodicals and PM 1008 – Inmate Correspondence Writings ☒ ☐ ☐ (8) 1067, Access to Telephone PM 17.05 – Inmate Access to Telephones ☒ ☐ ☐ and Telecommunication Devices (9) 1068, Access to Courts and Counsel PM 14.01 – Legal Rights of Inmates ☒ ☐ ☐ PM 17.11- Inmate Attorney and Official Visits (10) 1069, Orientation Inmate Orientation Handbook ☒ ☐ ☐ (11) 1070, Individual/Family Service Programs PM 18.03 – Education Programs and Services ☒ ☐ ☐ PM 18.11 – Social Services (12) 1071, Voting PM 610 - Voting ☒ ☐ ☐ (13) 1072, Religious Observance PM 609 – Religious Programs and Services ☒ ☐ ☐ 5120 Santa Clara Main Jail II CI PRO 25-26 Page 10 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (14) 1073, Grievance Procedure PM 605 – Inmate Grievances Process ☒ ☐ ☐ (15) 1080, Rules and Disciplinary Actions PM 13.15 – Disciplinary Housing PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ (16) 1081, Plan for Discipline of Incarcerated PM 13.15 – Disciplinary Housing Persons PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ (17) 1082, Forms of Discipline PM 13.15 – Disciplinary Housing PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ (18) 1083, Limitations on Discipline PM 13.15 – Disciplinary Housing PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ (19) 1200, Responsibility for Health Care Services PM 12.01 – Medical Health Care Services ☒ ☐ ☐ 1046 DEATH IN CUSTODY PM 10.09 – Inmate Deaths PM 530 Reviewing and Reporting In-Custody (a) The facility administrator shall develop written policy Deaths and procedures to comply with the in-custody death reporting requirements of Government Code section It is the policy of the Department of Correction 12525. The facility administrator shall submit a copy of to ensure an inmate death occurring in a the report filed pursuant to section 12525 to the BSCC Department of Correction facility will be within 10 days of an in-custody death. handled in a manner that ensures compliance with State of California mandates, and in the cases of suspicious circumstances, in a manner ensuring the preservation of evidence and proper investigation of the ☒ ☐ ☐ circumstances surrounding the death. Within 10 days of an in-custody death, the Sheriff's Office shall: (a) Issue a report, in writing, to the Attorney General (Govt. Code § 12525); (b) Submit a copy of the in-custody death report, submitted to the Attorney General, to the Board of State and Community Corrections. (b) The facility administrator, in cooperation with the PM 12.09 – Inmate Deaths health administrator, shall develop written policy and procedures to conduct an initial review and complete a The in-custody death review should be written report of every in-custody death within 30 days of initiated as soon as practicable, and a written the death. The team that conducts the initial review shall report shall be completed within 30 days of ☒ ☐ ☐ include, at a minimum, the facility administrator or the death. The team should review the designee, the health administrator, the responsible appropriateness of clinical care, determine physician and other health care, and supervision staff whether changes to policies, procedures, or who are relevant to the incident. practices are warranted, and identify. Deaths shall be reviewed to determine the PM 12.09 – Inmate Deaths appropriateness of clinical care; whether changes to policies, procedures, or practices are warranted; and to The in-custody death review should be identify issues that require further study. initiated as soon as practicable, and a written report shall be completed within 30 days of ☒ ☐ ☐ the death. The team should review the appropriateness of clinical care, determine whether changes to policies, procedures, or practices are warranted, and identify. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 11 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The facility administrator shall submit a copy of the PM 12.09 – Inmate Deaths initial review report of every in-custody death to the BSCC within 60 days of the death. The facility A copy of that initial review report shall be administrator shall provide a copy of the initial review submitted to BSCC within 60 days of the report that comports with the disclosure requirements of ☒ ☐ ☐ death, and contain the information required section 832.10 of the Penal Code. by 15 CCR 1046. All information submitted to BSCC is disclosable under the California Public Records Act. The initial review report shall contain the following PM 12.09 – Inmate Deaths information: (1) Demographic 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 Minors are not held within this facility. 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. 1050 CLASSIFICATION PLAN PM 13.01 – Classification Policy, Goals, and Objectives (a) Each administrator of a temporary holding, Type I, II, or III facility shall develop and implement a written It is the policy of the Sheriff’s Office to classify classification plan designed to properly assign inmates using a classification system that is incarcerated persons to housing units and activities based on objective criteria to provide for according to the categories of gender identity, age, ongoing assessment of risk and behavior criminal sophistication, seriousness of crime charged, factors, management criteria and custody physical or mental health needs, assaultive/non- requirements for inmates confined in a assaultive behavior, risk of being sexually abused, or Custody Bureau facility. sexually harassed and other criteria which will provide for ☒ ☐ ☐ the safety of the incarcerated people and staff. Such housing unit assignment shall be accomplished to the extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 12 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Each administrator of a Type II or III facility shall establish PM 13.01 – Classification Policy, Goals, and and implement a classification system which will include Objectives the use of classification officers or a classification committee in order to properly assign incarcerated The Classification Plan provides a systematic persons to housing, work, rehabilitation programs, and method for assessing and classifying inmates leisure activities. Such a plan shall include the use of as based upon objective criteria. The much information as is available about and from the Classification Plan provides for a system to incarcerated person and shall provide for a channel of ☒ ☐ ☐ determine the level of security required, appeal by the incarcerated person to the facility housing assignment, and the participation in administrator or designee. Each person may request a correctional programs. review of their classification plan no more often than 30 days from their last review. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, PM 13.01 – Classification Policy, Goals, and the agency shall consider on a case-by-case basis Objectives whether a placement would ensure the health and safety of the incarcerated person, and whether the placement BSCC staff reviewed classification ☒ ☐ ☐ would present management or security problems. A assessments during the on-site inspection. person’s own views with respect to their own safety shall The assessments appear to be compliant be given serious consideration. with this regulation. 1051 COMMUNICABLE DISEASES PM 10.37 – Exposure Control Plan for Bloodborne Pathogens The facility administrator, in cooperation with the PM 10.41 – Exposure Control Plan for responsible physician, shall develop written policies and Respiratory Diseases procedures specifying those symptoms that require medical isolation of an incarcerated person until a It is the policy of the Department of Correction ☒ ☐ ☐ medical evaluation is completed. to recognize the need for exposure control to bloodborne pathogens in accordance with CAL/OSHA regulations and to develop and implement guidelines to eliminate or minimize staff risk to occupational exposure. At the time of intake into the facility, an inquiry shall be PM 10.37 – Exposure Control Plan for made of the person being booked as to whether the Bloodborne Pathogens person has or has had any communicable diseases, such PM 10.41 – Exposure Control Plan for as tuberculosis or has observable symptoms of Respiratory Diseases tuberculosis or any other communicable diseases, or ☒ ☐ ☐ other special medical problem identified by the health authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION PM 11.01 – Arrestee Admission for Booking PM 12.03 – Mental Health Services The facility administrator, in cooperation with the PM 721 – Suicide Prevention responsible physician, shall develop written policies and procedures to identify and evaluate all incarcerated Inmates are provided access to a people who may be in behavioral crisis. Evaluation of comprehensive mental health program. Any behavioral crisis may include telehealth. ☒ ☐ ☐ inmate exhibiting unusual behavior, symptoms of mental illness or symptoms of a developmental disability shall be immediately referred to Mental Health and separated from the general population pending an assessment from Mental Health. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 13 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS If an evaluation from medical or mental health staff is not PM 11.01 – Arrestee Admission for Booking readily available, an incarcerated person shall be PM 12.03 – Mental Health Services considered in behavioral crisis for the purpose of this PM 721 – Suicide Prevention section if they appear to be a danger to themselves or others or appear gravely disabled. Mental Health staff will respond immediately ☒ ☐ ☐ to any calls for emergency or crises intervention. In all other cases, they shall respond as soon as possible or within specified time limitations as agreed upon. An evaluation from medical or mental health staff shall be PM 11.01 – Arrestee Admission for Booking secured within 24 hours of identification or at the next PM 12.03 – Mental Health Services ☒ ☐ ☐ daily sick call, whichever is earliest. PM 721 – Suicide Prevention Separation may be used if necessary, to protect the PM 11.01 – Arrestee Admission for Booking safety of the person in crisis or others. PM 12.03 – Mental Health Services PM 721 – Suicide Prevention The determination to place a mental health ☒ ☐ ☐ inmate in a restraint room or seclusion room, as opposed to a safety cell, shall be made only by professional staff (Physician or RN) when less restrictive means are not, or will not be, effective. 1053 ADMINISTRATIVE SEPARATION PM 13.03 – Administrative Segregation Except for Type IV facilities, facility administrators shall To establish specific procedures regarding develop and implement policies and procedures for the administrative segregation operations in the administrative separation of incarcerated people. jail and to provide for the administrative segregation of inmates who are determined to be prone to: escape; assault staff or other ☒ ☐ ☐ inmates; disrupt the operations of the jail; or likely to need protection from other inmates; or the inmate(s) must be temporarily removed from the general population to enable staff to effectively conduct an investigation or inquiry as necessary. Policies and procedures must include: PM 13.03 – Administrative Segregation (a) Administrative separation may consist of separate housing but shall not involve any other deprivation of Administrative Segregation is not a punitive privileges than is necessary to obtain the objective of system. This type of segregation is not protecting the welfare of incarcerated people and facility imposed as a punishment for specific acts. It ☒ ☐ ☐ staff. should not incorporate any unnecessary restrictions or deprivations of privileges, except where required to maintain levels of safety and security within the facility. (b) Administrative separation must not adversely affect PM 13.03 – Administrative Segregation an incarcerated person’s health. ☒ ☐ ☐ 5120 Santa Clara Main Jail II CI PRO 25-26 Page 14 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Administrative separation may be used for PM 13.03 – Administrative Segregation incarcerated people who have: (1) A documented history of activity or behavior, or Administrative Segregation is a status of promoting such activity or behavior, that is criminal in confinement in which an inmate is placed in a nature, disruptive to facility operations, or affects the setting that offers a higher degree of control safety of the facility, other incarcerated people, and and supervision than otherwise available in facility staff. the general population of the jail. It should be (2) Influenced or participated in activity that is assigned to inmates who are determined to criminal in nature, disruptive to facility operations or be prone to escape, prone to assault staff or affects the safety of the facility, other incarcerated ☒ ☐ ☐ other inmates, likely to need protection from people, and facility staff. other inmates, or the inmate(s) must be (3) Committed assault, attempted assault, or temporarily removed from the general participated in a conspiracy to assault or harm other population to enable staff to effectively incarcerated persons or facility staff. conduct an investigation or inquiry as (4) A history of escape or have recently attempted necessary, if such administrative segregation escape. is determined to be necessary in order to (5) A demonstrated need for protection from other obtain the objective of protecting the inmates incarcerated people. and staff. (d) Documentation indicating the necessity of PM 13.03 – Administrative Segregation administrative separation to obtain the objective of protecting the welfare of incarcerated people and facility BSCC staff reviewed administrative staff. ☒ ☐ ☐ separation housing documentation during the on-site inspection. The documentation appeared to be compliant with this regulation. (e) A documented individualized ongoing review and PM 13.03 – Administrative Segregation evaluation of the need to continue placement in administrative separation. Classification staff will review the status of inmates in Administrative Segregation ☒ ☐ ☐ housing initially within 48 hours, and then every 30 days to confirm whether the segregation continues to be appropriate and necessary. 1055 USE OF SAFETY CELL PM 9.47 – Use of Safety Cell and Safety Devices The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who Safety cells may be used ONLY when the display behavior which results in the destruction of inmate is diagnosed with or is showing signs property or reveals an intent to cause physical harm to of having a serious mental illness, other self or others. interventions have been ineffective, and the following circumstances are present: ☒ ☐ ☐ 1. When an inmate reveals intent to cause physical harm to self or others; or 2. When an inmate displays behavior that may result in significant destruction of jail property. The facility administrator, in cooperation with the PM 9.47 – Use of Safety Cell and Safety responsible physician, shall develop written policies and Devices procedures governing safety cell use and may delegate authority to place an incarcerated person in a safety cell ☒ ☐ ☐ to a physician. Policies and procedures shall include, but not be limited to: 5120 Santa Clara Main Jail II CI PRO 25-26 Page 15 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) In no case shall the safety cell be used for punishment PM 9.47 – Use of Safety Cell and Safety or as a substitute for treatment. Devices ☒ ☐ ☐ Staff shall not use safety cells or safety devices to punish, discipline, or retaliate against inmates. (b) A person shall be placed in a safety cell only with the PM 9.47 – Use of Safety Cell and Safety approval of the facility manager or designee, or Devices responsible health care staff; continued retention shall be reviewed a minimum of every four hours. Approval from a supervisor is required before an inmate is placed in the safety cell. The ☒ ☐ ☐ Watch Commander shall be notified as soon as practical after the safety cell is used and shall determine whether to continue the use of the safety cell. (c) A medical assessment shall be completed as soon as PM 9.47 – Use of Safety Cell and Safety possible, but not more than 12 hours from the time of Devices placement in the safety cell. The person shall be medically cleared for continued retention, referral to A Watch Commander must approve the advanced treatment, or removal from the safety cell a ☒ ☐ ☐ continued retention of an inmate in a safety minimum of every 24 hours thereafter. cell after 8 hours, and will consult with medical and mental health staff about the appropriateness of continued retention. (d) The facility manager, designee or responsible health PM 9.47 – Use of Safety Cell and Safety care staff shall obtain a mental health Devices opinion/consultation with responsible health care staff on ☒ ☐ ☐ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least PM 9.47 – Use of Safety Cell and Safety twice every 30 minutes, with no more than a 15-minute Devices lapse between safety checks. Such observation shall be documented. Staff must directly observe the inmate a minimum of 4 times per hour with each observation at least 10 minutes apart. ☒ ☐ ☐ BSCC staff received no safety cell placement reports during this inspection cycle. The department confirmed that the cells have not been utilized during this inspection cycle. (f) Procedures shall be established to assure PM 9.47 – Use of Safety Cell and Safety administration of necessary nutrition and fluids. Devices ☒ ☐ ☐ BSCC staff confirmed that food/water would be offered to individuals while they are within the safety cells. (g) People placed in the safety cell shall be allowed to PM 9.47 – Use of Safety Cell and Safety retain sufficient clothing or be provided with a suitably Devices designed “safety garment,” to provide for their personal privacy unless specific identifiable risks to the person's Unless clothing is determined by a mental safety or to the security of the facility are documented. health clinician to represent a risk of self- ☒ ☐ ☐ harm, harm to others, or interference with monitoring, staff shall not remove most or all of an inmate's clothing when using safety cells. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 16 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1056 USE OF SOBERING CELL PM 11.05 – Use of Intake Sobering Cells, Holding Cells and Intake Lobby Chairs The sobering cell described in Title 24, Part 2, Section 1231.2.4, shall be used for temporary holding of ☒ ☐ ☐ Persons who are a threat to their own safety incarcerated people who are a threat to their own safety or the safety of others due to their state of or the safety of others due to their state of intoxication. intoxication will be placed in a Sobering Cell. A person shall be removed from the sobering cell as soon PM 11.05 – Use of Intake Sobering Cells, as they are able to continue the admission process or are Holding Cells and Intake Lobby Chairs no longer a risk to themselves or others. If an inmate is sufficiently intoxicated and needs a sheltered environment, booking staff ☒ ☐ ☐ will place the inmate in a Sobering Cell. The booking officer shall postpone the booking process until the inmate has sobered sufficiently to continue with the booking process. In no case shall a person remain in a sobering cell over PM 11.05 – Use of Intake Sobering Cells, six hours without an evaluation by medical or custody Holding Cells and Intake Lobby Chairs staff to determine whether the person has an urgent medical problem, pursuant to section 1213 of these Booking staff will remove inmates from the regulations. Sobering Cell as soon as it is possible to do so. If the inmate is to remain in the Sobering ☒ ☐ ☐ Cell more than six hours, booking staff shall contact medical staff to evaluate the inmate and determine if there may be other medical considerations that need to be addressed. This medical evaluation shall be documented on the Sobering Cell Observation Log. At 12 hours from the time of placement, all persons must PM 11.05 – Use of Intake Sobering Cells, receive an evaluation by responsible health care staff. ☒ ☐ ☐ Holding Cells and Intake Lobby Chairs Intermittent direct visual observation of people held in the PM 11.05 – Use of Intake Sobering Cells, sobering cell shall be conducted no less than every half Holding Cells and Intake Lobby Chairs hour. Such observation shall be documented. Intermittent direct visual observation of inmates held in the Sobering Cell shall be conducted by booking staff every 15 minutes. ☒ ☐ ☐ BSCC staff received no sobering cell placement reports during this inspection cycle. The department confirmed that the cells have not been utilized during this inspection cycle. 1057 DEVELOPMENTAL DISABILITIES PM 11.03 – Medical Screening at Intake PM 12.01 – Medical Health Care Services The facility administrator, in cooperation with the PM 12.03 – Mental Health Services responsible physician, shall develop written policies and procedures for the identification and evaluation, Upon entrance into the facility, the appropriate classification and housing, protection, and arresting/transporting officer must escort the nondiscrimination of all incarcerated persons with arrestee to the nurse's station, located at the developmental disabilities. booking counter, for a medical screening. The ☒ ☐ ☐ intake-booking nurse completes a medical interview and either clears the person to continue with the booking process or refuses acceptance until the person is medically cleared at the hospital. BSCC staff confirmed this process during the on-site inspection. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 17 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The health authority or designee shall contact the PM 11.03 – Medical Screening at Intake regional center for any incarcerated person suspected or PM 12.01 – Medical Health Care Services confirmed to have a developmental disability for the PM 12.03 – Mental Health Services purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. Health care services shall be rendered pursuant to an agreement between the Santa Clara County Department of Correction, the ☒ ☐ ☐ Santa Clara County Valley Medical Center and the administering physician. The Santa Clara County Valley Medical Center Adult Custody Health Services Policies and Procedures Manual shall be accepted by this department as the authority for health care related policies. 1058 USE OF RESTRAINT DEVICES PM 512 – Use of Restraints The facility administrator, in cooperation with the responsible physician, shall develop and implement It is the policy of the Office of the Sheriff to written policies and procedures for the use of restraint use Security Restraints on persons to devices. Restraint devices include any devices which minimize the risk of injury and maintain safety immobilize extremities or prevent the incarcerated and security. Security Restraints shall be person from being ambulatory. The provisions of this applied in a manner that does not likely cause section do not apply to the use of handcuffs, shackles, or pain or injury. other restraint devices when used to restrain ☒ ☐ ☐ incarcerated people for security reasons. The facility The restraint chair is authorized for short term manager may delegate authority to place an incarcerated security; temporary control and transportation person in restraints to responsible health care staff. of a person identified as violent, destructive, self-destructive; or a person who refuses to comply with a court order for blood draw pursuant to Penal Code §296 consistent with the Office's Penal Code §296 Compliance policy. (a) The policy shall address the following areas: PM 512 – Use of Restraints (1) acceptable restraint devices; BSCC staff confirmed that the Restraint Chair ☒ ☐ ☐ and Therapeutic Restraints are addressed in the policy manual. (2) signs or symptoms which should result in PM 512 – Use of Restraints immediate medical/mental health referral; availability of cardiopulmonary resuscitation equipment; BSCC staff noticed AED devices throughout ☒ ☐ ☐ the facility during the on-site inspection. AED devices are located outside each of the housing units. (3) protective housing of restrained persons; PM 512 – Use of Restraints ☒ ☐ ☐ (4) provision for hydration and sanitation needs; and, PM 512 – Use of Restraints Persons in the restraint chair will be offered ☒ ☐ ☐ water at least every hour and, if practical, an opportunity to use the restroom. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 18 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) exercising of extremities. PM 512 – Use of Restraints Staff shall remove the restraint applied to one limb, each hour to allow the person to exercise that limb for at least five minutes. ☒ ☐ ☐ Staff shall request that medical staff assess the person at the time the person is placed in the restraint chair and at least once per hour while the person remains in the restraint chair. (b) Policy shall also include, but not be limited to, the PM 512 – Use of Restraints following requirements: (1) In no case shall restraints be used for punishment Restraints Shall Not Be Used for Improper or as a substitute for treatment. Purpose: Staff are prohibited from using Security Restraints to punish, degrade, ☒ ☐ ☐ humiliate, discipline, retaliate against, improperly coerce, discriminate against, or unnecessarily cause pain or injury to a person. Security Restraints shall be removed as soon as practical. (2) Restraint devices shall only be used on PM 512 – Use of Restraints incarcerated people who display behavior which results in the destruction of property or reveal an The restraint chair is authorized for short term intent to cause physical harm to self or others. ☒ ☐ ☐ security; temporary control and transportation of a person identified as violent, destructive, self-destructive. (3) Restraint devices should be used only when less PM 512 – Use of Restraints restrictive alternatives, including verbal de-escalation techniques, have been attempted and are deemed When possible, staff shall first consider the ineffective. use of a safety cell. The restraint chair shall ☒ ☐ ☐ only be used when other less restrictive alternatives have failed, or it is apparent that they will be ineffective in controlling the person. (4) An incarcerated person shall be placed in PM 512 – Use of Restraints restraints only with the approval of the facility manager, the facility watch commander, or BSCC staff confirmed through policy and responsible health care staff; continued retention ☒ ☐ ☐ documentation review that no person placed shall be reviewed a minimum of every hour. into the restraint chair meets or exceeds this time frame. (5) Continuous direct visual observation shall be PM 512 – Use of Restraints maintained until a medical opinion can be obtained. Unless time and circumstances do not permit, ☒ ☐ ☐ medical staff shall be present during the person's placement into the restraint chair. (6) A medical opinion on placement and retention PM 512 – Use of Restraints shall be secured within one hour from the time of ☒ ☐ ☐ placement. (7) A medical assessment shall be completed within PM 512 – Use of Restraints four hours of placement. Unless time and circumstances do not permit, medical staff shall be present during the person's placement into the restraint chair. ☒ ☐ ☐ BSCC staff confirmed through policy and documentation review that no person placed into the restraint chair exceeds this time frame. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 19 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) Continuous direct visual observation shall be PM 512 – Use of Restraints conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to At least once every 15 minutes, staff shall ensure the safety and well-being of the incarcerated check the person's welfare and document the person. Such observation shall be documented. welfare check on an Inmate Observation While in restraint devices all incarcerated persons Form, as well as any comments regarding the shall be housed alone or in a specified housing area health, physical condition, or demeanor of the which makes provisions to protect the person from ☒ ☐ ☐ person. abuse. BSCC staff reviewed a random sampling of restraint chair placement reports from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. (9) If the facility manager, or designee, in PM 512 – Use of Restraints consultation with responsible health care staff determines that an incarcerated person cannot be The maximum time a person can be secured safely removed from restraints after eight hours, the in the restraint chair is two hours, not person shall be taken to a medical facility for further including the time necessary for insertion and evaluation. removal. If the person is still violent or self- ☒ ☐ ☐ destructive after two hours, the person may remain in the restraint chair for up to an additional two hours with the approval of the watch commander or higher-ranking supervisor. (10) Where applicable, the facility manager shall use PM 512 – Use of Restraints the restraint device manufacturer’s recommended ☒ ☐ ☐ maximum time limits for placement. (11) All events and information related to the PM 512 – Use of Restraints placement in restraints shall be documented and shall be video recorded unless exigent The supervisor shall ensure that the person's circumstances prevent staff from doing so. The entire time in the restraint chair is captured on documentation shall include: the reason for ☒ ☐ ☐ video. placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 1058.5 RESTRAINTS AND PREGNANT PERSONS PM 512 – Use of Restraints The facility administrator, in cooperation with the Staff shall not leg shackle, waist chain, or responsible physician, shall develop written policies and apply handcuffs behind the back of a person procedures for the use of restraint devices on pregnant known to be pregnant or in recovery after ☒ ☐ ☐ people. In accordance with Penal Code Section 3407, the delivery. policy shall include reference to the following: Pregnant persons shall not be placed into the restraint chair. (1) An incarcerated person known to be pregnant or PM 512 – Use of Restraints in recovery after delivery or termination of the pregnancy shall not be restrained by the use of leg BSCC staff spoke with several pregnant or waist restraints, or handcuffs behind the body. incarcerated individuals while conducting the on-site inspection. They confirmed that, while ☐ ☐ ☒ being transported within the facility and outside the facility, they are only handcuffed in the front of their bodies. No other restraints used. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 20 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) An incarcerated pregnant person in labor, during PM 512 – Use of Restraints delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ankles, or both, unless deemed necessary for ☐ ☐ ☒ the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional PM 512 – Use of Restraints who is currently responsible for the medical care of an incarcerated pregnant person during a medical emergency, labor, delivery, or recovery after delivery ☐ ☐ ☒ or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s PM 512 – Use of Restraints pregnancy, they shall be advised, orally or in writing, of the standards and policies governing incarcerated ☐ ☐ ☒ pregnant people. 1059 DNA COLLECTION, USE OF FORCE PM 511 – Use of Force PM 13.05 – Penal Code 296 Compliance (a) Pursuant to Penal Code Section 298.1, authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force to Deputies may use Appropriate Force to collect blood specimens, saliva samples, or thumb or ☒ ☐ ☐ collect evidence required by Penal Code palm print impressions from individuals who are required section 296 consistent with the Sheriff's to provide such samples, specimens or impressions Office Penal Code Section 296 Compliance pursuant to Penal Code Section 296 and who refuse policy. following written or oral request. (1) For the purpose of this regulation, the “use of PM 511 – Use of Force reasonable force” shall be defined as the force that PM 13.05 – Penal Code 296 Compliance an objective, trained and competent correctional employee, faced with similar facts and Reasonable force may be employed to collect ☒ ☐ ☐ circumstances, would consider necessary and blood/saliva samples and print impressions reasonable to gain compliance with this regulation. from individuals who refuse to voluntarily provide those samples or impressions. (2) The use of reasonable force shall be preceded by PM 511 – Use of Force efforts to secure voluntary compliance. Efforts to PM 13.05 – Penal Code 296 Compliance secure voluntary compliance shall be documented and include an advisement of the legal obligation to If an inmate refuses to voluntarily comply with ☒ ☐ ☐ provide the requisite specimen, sample or PC 296 requirements, staff conducting the impression and the consequences of refusal. collection process will make verbal attempts in an effort to gain voluntary compliance. (b) The force shall not be used without the prior written PM 511 – Use of Force authorization of the facility watch commander or PM 13.05 – Penal Code 296 Compliance designee on duty. The authorization shall include information that reflects the fact that the offender was ☒ ☐ ☐ The Watch Commander will submit the asked to provide the requisite specimen, sample, or completed form and the corresponding impression and refused. reports to the Division Commander. (c) If the use of reasonable force includes a cell PM 511 – Use of Force extraction, the extraction shall be videotaped, including PM 13.05 – Penal Code 296 Compliance audio. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the The Sergeant will ensure that the incident is ☒ ☐ ☐ length of time required by statute. Notwithstanding the recorded (video) in accordance with use of the video as evidence in a criminal proceeding, the applicable guidelines in Department policy tape shall be retained administratively. 9.55, Video Documentation. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 21 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1061 EDUCATION PROGRAM PM 18.01 – Program’s Unit Goals and Objectives The facility administrator of any Type II or III facility shall PM 18.03 – Educational Programs and plan and shall request of appropriate public officials an Services education program for incarcerated persons. To provide guidelines for a comprehensive ☒ ☐ ☐ educational and vocational program that will allow inmates to strengthen self -esteem, grow in social responsibilities, expand occupational skills and achieve academic success. When such services are not made available by the PM 18.01 – Program’s Unit Goals and appropriate public officials, then the facility administrator Objectives shall develop and implement an education program with ☒ ☐ ☐ PM 18.03 – Educational Programs and available resources. Services Such a plan shall provide for the voluntary academic or PM 18.01 – Program’s Unit Goals and vocational, or both, education of housed people. Objectives PM 18.03 – Educational Programs and Services The Santa Clara County Department of ☒ ☐ ☐ Correction is committed to making a variety of learning opportunities available to inmates during their incarceration. Access to programs will be made without regard to an inmate’s disability or special needs. Reasonable criteria for program eligibility shall be PM 18.01 – Program’s Unit Goals and established. Modified academic or vocational Objectives opportunities may be provided based on sound security PM 18.03 – Educational Programs and practices or a person’s failure to abide by facility rules Services and regulations. Reasonable criteria for eligibility shall be established for inmates who wish to ☒ ☐ ☐ voluntarily participate in a program. Inmates shall be allowed to participate within the security parameters of the Department. Inmates may be removed from any class based on facility security or the inmate’s failure to abide by facility rules and regulations. 1062 VISITING PM 17.01 – Inmate Social Visiting PM 17.03 – Inmate Hospital Visits The facility administrator shall develop and implement PM 17.15 – Video Conferencing and Video written policies and procedures, which include the Visiting following requirements: ☒ ☐ ☐ (a) A visiting program which shall provide for: The Department of Correction will permit (1) As many in-person visits and visitors as facility inmates to have visits with family and friends schedules, space, and number of personnel will as facility schedules, space, and number of allow. personnel allow. (2) A publicly posted schedule of facility visiting PM 17.01 – Inmate Social Visiting hours. If practicable, visiting hours should be made PM 17.03 – Inmate Hospital Visits available on weekends, evenings, or holidays. PM 17.15 – Video Conferencing and Video Visiting ☒ ☐ ☐ BSCC staff confirmed that the visiting schedule is on the Department’s website. Scheduling can be made online. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 22 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) For all incarcerated persons in Type II, III, and IV PM 17.01 – Inmate Social Visiting facilities there shall be allowed no fewer than two PM 17.03 – Inmate Hospital Visits visits totaling at least one hour per incarcerated PM 17.15 – Video Conferencing and Video person each week. Visiting Each inmate will be allowed no fewer than two visits totaling at least one hour per week ☒ ☐ ☐ absent exigent circumstances. Inmates will not be denied visitation with persons of their choice except where there is evidence that such visitation would jeopardize the safety and security of the facility, inmate or visitor; however, inmates may refuse a visit. (b) Visits may not be cancelled unless a legitimate PM 17.01 – Inmate Social Visiting operational or safety and security concern exists. All PM 17.03 – Inmate Hospital Visits cancelled visits must be documented. The facility PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ manager or designee shall regularly review cancelled Visiting visits and document such review. (c) The visiting policies developed pursuant to this PM 17.01 – Inmate Social Visiting section shall include provision for visitation by minor PM 17.03 – Inmate Hospital Visits children of the incarcerated person. PM 17.15 – Video Conferencing and Video Visiting A child will be allowed to visit when ☒ ☐ ☐ accompanied by an adult provided that either the visitor or the inmate is the child's parent or legal guardian. The adult visitor must present a certified court document stipulating guardianship for the child if he or she is not the parent. (d) Video visitation may be used to supplement existing PM 17.01 – Inmate Social Visiting visitation programs, but shall not be used to fulfill the PM 17.03 – Inmate Hospital Visits requirements of this section if in-person visitation is ☒ ☐ ☐ PM 17.15 – Video Conferencing and Video requested by an incarcerated person. Visiting (e) Facilities shall not charge for visitation when visitors PM 17.01 – Inmate Social Visiting are onsite and participating in either in-person or video PM 17.03 – Inmate Hospital Visits visitation. For purposes of this subsection, “onsite” is PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ defined as the location where the incarcerated person is Visiting housed. (f) Subdivision (d) shall not apply to facilities which (1) PM 17.01 – Inmate Social Visiting exclusively used video visitation prior to January 1, 2017 PM 17.03 – Inmate Hospital Visits or (2) had been designed without in-person visitation PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ space and conditionally awarded by the Board prior to Visiting June 27, 2017. (g) If a local detention facility offered video visitation only PM 17.01 – Inmate Social Visiting as of January 1, 2017, the first hour of remote video PM 17.03 – Inmate Hospital Visits visitation per week shall be offered free of charge. ☒ ☐ ☐ PM 17.15 – Video Conferencing and Video Visiting Types and availability of visitation, including: Note: Reference PC § 6031.1(a)(4) (June 2017). Mode of visitation; In-Person, Noncontact, and Video Visitation at the Main Adult and Elmwood Facilities. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 23 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Visitation hours; Visiting Days: Monday through Sunday (excluding Wednesday) Hours: Monday, Tuesday, Thursday, and Friday: 0810 0920 1030 1400 1510 1620 Saturday and Sunday: 0700 0810 0920 1030 1400 1510 1620 5120 Santa Clara Main Jail II CI PRO 25-26 Page 24 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Time inmates are allowed for visitation; and, The Main Jail and the Elmwood Correctional Facility utilize the same Online Visitor Registration (OVR) system. Therefore, your already established visiting account, can be used to schedule visits at either facility. See Visiting registration below. Visiting rules vary slightly from the Elmwood Correctional Facility. Rules are posted at each facility. Visitors should educate themselves about the jail facility’s rules. Visits are accommodated on a first-come, first-served basis via the visiting OVR system. Visits may be cancelled without prior notice due to facility emergencies or when an inmate has been relocated to another housing unit. If relocation occurs, visitors may reschedule another visit via the OVR system. Inmates may have two 60-minute visits per week. Up to two (2) adults may visit. Each adult will receive a 30-minute visits. Children – must be biologically related to the Adult visitor or the inmate. A reasonable number of children may visit as long as they are constantly supervised and remain well behaved. An original and/or notarized birth certificate is required for each child at the time of each visit. Children who are 18 years or older will be counted as adults and must have their own account/register in the OVR system. Visitors must check in 30 minutes before the scheduled visit. Adult visitors are required to present valid government-issued picture I.D. photo identification, (Driver’s License, Green Card, Passport, Military I.D., or Mexican Consulate Card). ***The person registered in OVR must present the ID used to register. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 25 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Any restrictions on inmate visitation. A visitor who falsifies identifying information will be suspended or barred from the facility for a period of time determined by the Facility Commander or their designee (California Penal Code 4507.5). If a visitor is late, the visit will be cancelled. Missing or cancelling a scheduled visit counts as having a visit. All visitors must wear shoes and clothing that is appropriate for visiting. Your visit will be cancelled, and you will be denied entry into the facility if these rules are not followed. Any questions or clarification of these rules must be directed to the Information Desk Officer. 1063 CORRESPONDENCE PM 17.13 – Inmate Correspondence PM 14.01 – Legal Rights of Inmates The facility administrator shall develop written policies PM 1008 - Mail and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that an Incarcerated persons may, at their own incarcerated person may send or receive; expense, send and receive mail without ☒ ☐ ☐ restrictions on quantity, provided it does not jeopardize the safety of staff, visitors, or other incarcerated persons, or poses an unreasonable disruption to the orderly operation of the facilities. (b) an incarcerated person’s correspondence may be PM 17.13 – Inmate Correspondence read when there is a valid security reason and the facility PM 14.01 – Legal Rights of Inmates manager or designee approves; PM 1008 – Mail ☒ ☐ ☐ Incoming correspondence may be read when there is a valid security reason, and the Division Commander or the authorized designee has granted approval. (c) jail staff shall not review an incarcerated person’s PM 17.13 – Inmate Correspondence correspondence to or from state and federal courts, any PM 14.01 – Legal Rights of Inmates member of the State Bar or holder of public office, and PM 1008 - Mail the State Board of State and Community Corrections; however, jail authorities may open and inspect such mail Incarcerated persons may correspond only to search for contraband, cash, checks, or money confidentially with courts, legal counsel, orders and in the presence of the incarcerated person; officials of this Office, elected officials, jail ☒ ☐ ☐ oversight entities, government officials, or officers of the court provided the correspondence has been inspected and searched for contraband, cash and checks. Such searches shall be conducted in the presence of the incarcerated person. (d) incarcerated persons may correspond, confidentially, PM 17.13 – Inmate Correspondence with the facility manager or the facility administrator; and, PM 14.01 – Legal Rights of Inmates ☒ ☐ ☐ PM 1008 - Mail 5120 Santa Clara Main Jail II CI PRO 25-26 Page 26 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) those incarcerated persons who are without funds PM 17.13 – Inmate Correspondence shall be permitted at least four postage paid envelopes PM 14.01 – Legal Rights of Inmates and eight sheets of paper each week to permit PM 1008 - Mail correspondence with family members and friends but without limitation on the number of postage paid Indigent incarcerated persons may order envelopes and sheets of paper to their attorney and to writing materials on a weekly basis to permit the courts. correspondence with family members and friends, pursuant to a schedule established by the Assistant Sheriff of Custody Operations or the authorized designee. ☒ ☐ ☐ Writing materials should include the following (15 CCR 1063): (a) At least four pre-stamped envelopes for correspondence with family and friends (b) At least eight sheets of writing paper (c) One pencil 1064 LIBRARY SERVICES PM 1007 – Library Services The facility administrator shall develop written policies and procedures for library service in all Type II, III, and IV The Assistant Sheriff of Custody Operations facilities. The scope of such service shall be determined or the authorized designee is responsible for by the facility administrator. The library service shall the administration of library services and to include access to the following resources via paper provide for library operations. The library ☒ ☐ ☐ documents or through electronic media and include services shall include access via paper current information on community services and documents or through electronic media to resources, and religious, educational, legal reference legal reference materials, current information material and recreational reading material. on community services and resources, and religious, educational, and recreational reading material. 1065 EXERCISE AND OUT OF CELL TIME PM 18.07 – Exercise and Recreation (a) The facility administrator of a Type II or III facility shall BSCC staff reviewed a random sampling of develop written policies and procedures for a minimum of ☒ ☐ ☐ exercise and out of cell logs from January 10 hours of out of cell time distributed over a period of 2024 through April 2025. The documentation seven days to include: appeared to be compliant with this regulation. (1) an opportunity for three hours of exercise and PM 18.07 – Exercise and Recreation Inmates will be granted access to outdoor exercise using a variety of fixed and movable ☒ ☐ ☐ equipment. Inmates shall be offered a minimum of three hours of supervised outdoor recreation each week as required by Title 15 regulations. (2) an opportunity for seven hours of recreation. PM 18.07 – Exercise and Recreation In practice, the department is compliant with this regulation, but the policy does not ☐ ☒ ☐ mention the required seven hours of recreation time. Policy is noncompliant with this regulation. Policies shall include reasonable and necessary PM 18.07 – Exercise and Recreation procedures to ensure safety and security. ☒ ☐ ☐ 5120 Santa Clara Main Jail II CI PRO 25-26 Page 27 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1066 BOOKS, NEWSPAPERS, PERIODICALS, AND PM 1007 – Library Services WRITINGS PM 18.05 – Library Services (a) The facility administrator of a Type II or III facility shall The Assistant Sheriff of Custody Operations develop written policies and procedures which will permit or the authorized designee is responsible for incarcerated persons to purchase, receive and read any the administration of library services and to book, newspaper, periodical, or writing accepted for provide for library operations. The library distribution by the United States Postal Service. The services shall include access via paper facility administrator shall develop and implement a documents or through electronic media to written plan to make available a current newspaper or legal reference materials, current information other like source, including a non-English language ☒ ☐ ☐ on community services and resources, and alternative, to ensure reasonable access to interested religious, educational, and recreational people. Nothing herein shall be construed as limiting the reading material. right of a facility administrator to: All incarcerated persons, regardless of their classification or housing status, shall be entitled to access library services and materials. Access to library services may be delayed or restricted due to facility lockdown or other emergencies. (1) exclude any publications or writings based on any PM 1007 – Library Services legitimate penological interest; ☒ ☐ ☐ PM 18.05 – Library Services (2) exclude obscene publications or writings, and PM 1007 – Library Services mail containing information concerning where, how, PM 18.05 – Library Services or from whom such matter may be obtained; and any matter of a character tending to incite murder, arson, riot, violent racism, or any other form of violence; any matter of a character tending to incite crimes against ☒ ☐ ☐ children; any matter concerning unlawful gambling or an unlawful lottery; the manufacture or use of weapons, narcotics, or explosives; or any other unlawful activity; (3) open and inspect any publications or packages PM 1007 – Library Services received by an incarcerated person; and ☒ ☐ ☐ PM 18.05 – Library Services (4) restrict the number of books, newspapers, PM 1007 – Library Services periodicals, or writings the incarcerated person may PM 18.05 – Library Services have in their cell or elsewhere in the facility at one time. ☒ ☐ ☐ Each inmate shall be allowed to have in his/her possession a maximum of 5 books and/or magazines at any one time. 1067 ACCESS TO TELEPHONE PM 17.05 – Inmate Access to Telephone and Telecommunication Devices The facility administrator shall develop written policies PM 13.11 – Custody A.D.A. Plan and procedures which allow access to a telephone or communication device beyond those telephone calls Telecommunication Devices will be made which are required by Section 851.5 of the Penal Code. available to deaf or hearing-impaired Individuals who are known to have, or are perceived by inmates, as necessary, to make these phone others as having hearing or speech impairments shall be calls. Hearing inmates may also have access ☒ ☐ ☐ provided access to the appropriate telecommunication to communicate with deaf or hearing- device which will facilitate communication. Such devices impaired persons. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 28 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1068 ACCESS TO COURTS AND COUNSEL PM 17.11 – Inmate Attorney and Official Visits The facility administrator shall develop written policies It is the policy of the Department of Correction and procedures to ensure incarcerated persons have ☒ ☐ ☐ to permit inmates to have visits with attorneys access to the court and to legal counsel. and official visitors under conditions Such access shall consist of: consistent with the security of the jail. (a) unlimited mail as provided in Section 1063 of these PM 17.11 – Inmate Attorney and Official Visits regulations, and, PM 1008 - Mail Incarcerated persons may correspond confidentially with courts, legal counsel, officials of this Office, elected officials, jail ☒ ☐ ☐ oversight entities, government officials, or officers of the court provided the correspondence has been inspected and searched for contraband, cash and checks. Such searches shall be conducted in the presence of the incarcerated person. (b) confidential consultation with attorneys. PM 17.11 – Inmate Attorney and Official Visits Conversations between inmates and their Attorneys may be visually observed by officers, but not listened to or recorded in any manner. All reasonable precautions shall be ☒ ☐ ☐ taken to preserve the confidentiality of the attorney/client relationship. BSCC staff witnessed incarcerated individuals meeting with their counsel during the on-site inspection. 1069 ORIENTATION PM 11.21 – Inmate Processing and Orientation (a) In Type II, III, and IV facilities, the facility administrator shall develop written policies and procedures for the The orientation video will also be played once implementation of a program for people newly admitted each shift on every television set throughout to the facility designed to orient them at the time of the facility by way of a centrally controlled ☒ ☐ ☐ placement in a living area. videocassette recorder located in Central Control. The Control Officer is responsible for ensuring the video is played each shift. The video is closed-captioned and is played in English, Spanish and Vietnamese languages. Both written and verbal information shall be provided and PM 11.21 – Inmate Processing and may be supplemented with video orientation. Orientation ☒ ☐ ☐ The orientation information is provided on the tablet, handbook, and played on an orientation video played throughout the day. Provision shall be made to provide accessible orientation PM 11.21 – Inmate Processing and information to each person, including those with Orientation disabilities, limited literacy, or those with limited English ☒ ☐ ☐ proficiency (LEP). Such a program shall be published and include, but not PM 11.21 – Inmate Processing and be limited to, the following: Orientation (1) correspondence, visiting, and telephone usage ☒ ☐ ☐ rules; (2) rules and disciplinary procedures; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation 5120 Santa Clara Main Jail II CI PRO 25-26 Page 29 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) grievance procedures; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (4) programs and activities available and method of PM 11.21 – Inmate Processing and application; ☒ ☐ ☐ Orientation (5) medical and mental health services; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (6) classification/housing assignments; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (7) court appearance where scheduled, if known; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (8) voting, including registration; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (9) zero tolerance policy against sexual abuse and PM 11.21 – Inmate Processing and sexual harassment; and, ☒ ☐ ☐ Orientation (10) availability of personal care items and PM 11.21 – Inmate Processing and opportunities for personal hygiene. ☒ ☐ ☐ Orientation 1070 INDIVIDUAL/FAMILY SERVICE PROGRAMS PM 18.01 – Program Unit’s Goals and Objectives The facility administrator of a Type II, III, or IV facility shall PM 18.11 – Social Services develop written policies and procedures which facilitate PM 18.15 – Correctional Industries cooperation with appropriate public or private agencies for individual or family social service programs for ☒ ☐ ☐ incarcerated persons. Such a program shall utilize the services and resources available in the community and may be in the form of a resource guide or actual service delivery. The range and source of such services shall be at the PM 18.01 – Program Unit’s Goals and discretion of the facility administrator and may include: Objectives (a) risk and needs assessments; PM 18.11 – Social Services (b) best practices in: PM 18.15 – Correctional Industries (1) individual, group or family counseling; (2) drug and alcohol abuse counseling; Programs at the Main Jail include: (3) cognitive behavioral interventions; (4) vocational testing and counseling; RoadMap to Recovery (5) employment counseling; ☒ ☐ ☐ Five Keys (6) discharge and reentry planning; CIC Ministries (c) referral to community resources and programs; Carry the Vision (d) reentry planning and service development; Life Skills – HealthRight360 (e) legal assistance; Recovery Circle – Rehabilitation Officer (f) regional center services for the developmentally disabled; and, (g) community volunteers. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 30 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1071 VOTING PM 610 – Incarcerated Persons Voting The facility administrator of a Type I (holding sentenced Incarcerated persons who have not been incarcerated workers) II, III or IV facility shall develop convicted of a felony and are in custody written policies and procedures whereby the county during trial continue to have the right to vote. registrar of voters allows qualified voters to vote in local, Except for individual incarcerated persons state, and federal elections, pursuant to election codes. who have lost the right to vote, sentenced incarcerated persons also maintain this right. Because incarcerated persons are unable to ☒ ☐ ☐ access public voting polls, the Facility Commander or the authorized designee shall develop written procedures whereby the county registrar of voters allows qualified incarcerated persons to vote in local, state and federal elections, pursuant to election codes (15 CCR 1071). lncarcerated persons should be advised of voting methods during the incarcerated person orientation. 1072 RELIGIOUS OBSERVANCES PM 1015 – Religious Programs The facility administrator of a Type I, II, III or IV facility This policy provides guidance regarding the shall develop written policies and procedures to provide right of incarcerated persons to exercise their ☒ ☐ ☐ opportunities for incarcerated persons to participate in religion and for evaluating accommodation religious services, practices, and counseling on a requests for faith-based religious practices of voluntary basis. incarcerated persons. 1073 GRIEVANCE PROCEDURE PM 609 - Grievances (a) Each administrator of a Type II, III, or IV facility and It is the policy of this Office that any Type I facilities which hold incarcerated workers shall incarcerated person may file a grievance develop written policies and procedures whereby all relating to any condition of confinement, incarcerated persons have the opportunity and ability to which includes but is not limited to, housing, submit and appeal grievances relating to any conditions healthcare, food services, clothing, bedding, ☒ ☐ ☐ of confinement, including but not limited to: medical care; hygiene and sanitation needs, recreation classification actions; disciplinary actions; program opportunities, classification actions, participation; telephone, mail, and visiting procedures; disciplinary actions, program participation, and food, clothing, and bedding. telephone and mail use procedures, visiting Such policies and procedures shall include: procedures, and allegations of sexual abuse, staff conduct, and use of force. (1) a grievance form; PM 609 – Grievances Incarcerated persons are encouraged to file grievances electronically through the tablet; however, paper grievances are available and ☒ ☐ ☐ can be placed in a secured lock box, which are in each housing unit. Housing unit staff are responsible for ensuring a reasonable supply of grievance forms are available in each housing unit. (2) instructions for registering and appealing a PM 609 - Grievances grievance, including relevant deadlines; Incarcerated persons will receive information concerning the grievance procedure during ☒ ☐ ☐ the orientation process. Information regarding the grievance process is contained in the rule book. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 31 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) a process for submission and handling of PM 609 – Grievances anonymous grievances; ☒ ☐ ☐ The Office accepts anonymous grievances and will investigate the grievance. (4) resolution of the grievance at the lowest PM 609 - Grievances appropriate staff level; When incarcerated persons have a complaint, they may bring it to the attention of ☒ ☐ ☐ facility staff before filing a formal grievance. Staff shall attempt to solve the issue at the lowest level possible. (5) appeal to the next level of review; PM 609 – Grievances Incarcerated persons may appeal the finding of a grievance to the Grievance Unit. The Grievance Unit will gather the relevant ☒ ☐ ☐ documentation and route the appeal to the responsible facility commander or the authorized designee or business unit manager. (6) written reasons for denial of grievance at each PM 609 – Grievances level of review which acts on the grievance; BSCC staff reviewed a random sampling of completed grievances and the appeals, if ☒ ☐ ☐ applicable, from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. (7) provision for a non-automated initial response PM 609 - Grievances within a reasonable time limit which shall not exceed a period of 15 calendar days; The electronic or paper grievance will be acknowledged within 5 days, but in no event longer than 15 days. ☒ ☐ ☐ BSCC staff reviewed a random sampling of grievances from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. Responses were within the required timeframe. (8) provision for resolving questions of jurisdiction PM 609 - Grievances within the facility; ☒ ☐ ☐ (9) provision for providing a copy of the grievance, PM 609 - Grievances appeal, response, and related documents to the incarcerated person; and, For electronic grievances, the Grievance Unit provides an electronic acknowledgement of receipt to the incarcerated person through the tablet. For paper grievances, the Grievance ☒ ☐ ☐ Unit electronically logs the grievance and returns a paper copy of the grievance, and any other documents submitted to the incarcerated person with a grievance tracking number. (10) The facility manager or designee shall conduct PM 609 - Grievances regular review of grievances, responses, and appeals. The Assistant Sheriff of Custody Operations ☒ ☐ ☐ or the authorized designee shall conduct a periodic review of grievances, responses, and appeals. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 32 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Grievance System Abuse: PM 609 - Grievances The facility may establish written policy and procedure to control the submission of an excessive number of Incarcerated persons shall use the grievance grievances. process only for legitimate problems or complaints. If there is concern that an ☒ ☐ incarcerated person is abusing the grievance process, the person shall be informed that continued behavior may result in disciplinary action. 1080 RULES AND DISCIPLINARY ACTIONS PM 15.01 – Inmate Discipline Process Wherever discipline is administered, each facility It is the policy of the Department of Correction administrator shall establish written rules and disciplinary to have in place a system of inmate discipline actions to guide the conduct of incarcerated persons. that will: serve to protect the public, inmates, ☒ ☐ ☐ and staff; maintain order in the jail through the Notes: If discipline IS NOT administered, written policy impartial application of inmate rules of should indicate as such. If discipline IS administered, conduct; and a hearing procedure that Sections 1080, 1081, 1082, 1083 and 1084 apply. incorporates all applicable due process requirements. Such rules and disciplinary actions shall be stated simply PM 15.01 – Inmate Discipline Process and affirmatively and posted conspicuously in housing units and the booking area or issued to each person upon Inmates will be required to conform to the booking. standards of conduct reflected in the Department's Inmate Orientation and Rule ☒ ☐ ☐ Book. An inmate violating any rule may be subject to disciplinary action under the provisions of this policy and/or the Inmate Orientation and Rule Book. For those individuals with limited literacy, who are unable PM 15.01 – Inmate Discipline Process to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them The Inmate Orientation and Rule Book shall verbally or provide them with material in an be available in English, Spanish and understandable form regarding jail rules and disciplinary Vietnamese. When literacy or language procedures and actions. ☒ ☐ ☐ understanding or disability prevents an inmate from understanding the Inmate Orientation and Rule Book, a staff member or qualified interpreter (hearing impaired only) shall assist. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 33 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1081 PLAN FOR DISCIPLINE OF INCARCERATED PM 15.01 – Inmate Discipline Process PERSONS It is the policy of the Department of Correction Each facility administrator shall develop written policies to have in place a system of inmate discipline and procedures for discipline of incarcerated persons. that will: serve to protect the public, inmates, The plan shall include, but not be limited to, the following and staff; maintain order in the jail through the elements: impartial application of inmate rules of (a) Temporary Loss of Privileges: For minor acts of non- conduct; and a hearing procedure that conformance or minor violations of facility rules, staff may incorporates all applicable due process impose a temporary loss of privileges, such as access to requirements. television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation Formal sanctions for Minor rule violations and supervisory approval. include such restriction as: I. Loss of privileges such as social visitation ☒ ☐ ☐ (one visit), commissary (one purchase period), or Inmate Worker or program status. 2. Assignment of up to 8 hours of extra work detail. 3. Housing unit confinement/lockdown for up to 23 hours. Lockdown shall not include restrictions of attorney or official visits, regular· meals at scheduled times, clothing/linen issue, showering, required exercise, mail, or access to legal/court services, medical/mental health services or chaplaincy services. (b) Disciplinary Actions: Major violations of facility rules PM 15.01 – Inmate Discipline Process or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing Formal sanctions for Major rule violations by the staff member observing the act and submitted to include such restrictions as: the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Any of those sanctions which may be imposed under a Minor rule violation. 2. A rehousal to another unit with the approval of Classification staff. 3. Disciplinary Housing up to, but not longer than, ten consecutive days per rule violation. a. When approved by the Division Captain, Disciplinary Housing may include a ☒ ☐ ☐ disciplinary diet. Medical staff must be consulted for any continuation of the diet every 72 hours after the initial placement. b. Continuous confinement for more than 30 days requires the review and approval of the Classification Unit and Division Captain and consultation with medical staff. 4. Loss of good and/or work time credits for sentenced prisoners as pem1itted under Penal Code Section 4019. 5. Assignment of up to 16 hours of extra work detail. 1. Loss of good time/work time. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ 5120 Santa Clara Main Jail II CI PRO 25-26 Page 34 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 2. Placement in disciplinary separation. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ 3. Loss of privileges mandated by regulations. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ A staff member with investigative and disciplinary PM 15.01 – Inmate Discipline Process authority shall be designated as a disciplinary officer to impose such consequences. If the inmate denied committing a Major or Criminal rule violation (not guilty plea) and ☒ ☐ ☐ requests an Infraction Hearing, the fom1s will be forwarded to the Division Infraction Coordinator for scheduling of an Infraction Hearing with the Hearing Officer. Staff shall not participate in disciplinary review if they are PM 15.01 – Inmate Discipline Process involved in the charges. ☒ ☐ ☐ Such charges pending against an incarcerated person PM 15.01 – Inmate Discipline Process shall be acted on with the following provisions and within specified timeframes: Staff shall give a copy of the completed 1. A copy of the report, or a separate written notice Inmate Infraction form to the involved inmate, of the violation(s), shall be provided to the which serves as a notice to the inmate that he incarcerated person. or she has been infracted. ☒ ☐ ☐ BSCC staff reviewed a random sampling of disciplinary reports and findings from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. 2. Unless declined by the incarcerated person, a PM 15.01 – Inmate Discipline Process hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been informed of the charges in writing. The hearing may ☒ ☐ ☐ be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to PM 15.01 – Inmate Discipline Process appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The The inmate shall have the right to present incarcerated person shall have access to staff or ☒ ☐ ☐ relevant evidence on his/her behalf, at no assistance when they have limited literacy, or the expense to the County, provided that it will not issues are complex. jeopardize facility safety or correctional goals. 4. A charge(s) shall be acted on no later than 72 PM 15.01 – Inmate Discipline Process hours after an incarcerated person has been informed of the charge(s) in writing. This meeting must take place no more than 72 hours after the notification of charges. If the meeting takes place after 72 hours from ☒ ☐ ☐ the time of notification, the Sergeant shall dismiss the infraction and forward the infraction form indicating the dismissal to the Infraction Coordinator for processing. 5. Subsequent to final disposition of disciplinary PM 15.01 – Inmate Discipline Process charges by the disciplinary officer, the charges and the action taken shall be reviewed by the facility All disciplinary hearings and actions will be manager or designee. reviewed by the Division Captain or designee ☒ ☐ ☐ who shall not be the Hearing Officer. He or she may affirm, reduce or dismiss discipline but it cannot be increased. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 35 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 6. The incarcerated person shall be advised in a PM 15.01 – Inmate Discipline Process written statement by the fact-finders about the evidence relied on and the reasons for the A written statement by the fact finder (Hearing disciplinary action. A copy of the record shall be kept Officer) of evidence relied upon for the pursuant to Penal Code Section 4019.5. disciplinary action taken is required for each ☒ ☐ ☐ charged violation. This will be written in the narrative section at the bottom of the Infraction fom1 and on the Record of Finding form. 7. There shall be a policy of review and appeal to a PM 15.01 – Inmate Discipline Process supervisor on all disciplinary action. ☒ ☐ ☐ 1082 FORMS OF DISCIPLINE PM 15.01 – Inmate Discipline Process The degree of actions taken by the disciplinary officer Formal sanctions for Minor rule violations shall be directly related to the severity of the rule include such restriction as: infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of I. Loss of privileges such as social visitation discipline shall consist of, but not be limited to, the (one visit), commissary (one purchase following: period), or Inmate Worker or program status. (a) Loss of privileges. (b) Extra work detail. 2. Assignment of up to 8 hours of extra work (c) Short term lockdown for less than 24 hours. detail. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal 3. Housing unit confinement/lockdown for up Code Section 4019. to 23 hours. Lockdown shall not include ☒ ☐ ☐ (f) Forfeiture of “work time” credits earned under Penal restrictions of attorney or official visits, Code Section 4019. regular· meals at scheduled times, (g) Disciplinary separation. clothing/linen issue, showering, required exercise, mail, or access to legal/court services, medical/mental health services or chaplaincy services. 4. Loss of good and/or work time credits for sentenced prisoners as pem1itted under Penal Code Section 4019. 5. Assignment of up to 16 hours of extra work detail. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS PM 15.01 – Inmate Discipline Process The Penal Code and the State Constitution expressly The Penal Code and the State Constitution prohibit all cruel and unusual punishment. Disciplinary expressly prohibit all cruel and w1t1sual actions shall not include corporal punishment, group punishment. punishment when feasible, or physical or psychological degradation. ☒ ☐ ☐ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 36 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) If a person is on disciplinary separation status for PM 15.01 – Inmate Discipline Process 30 consecutive days there shall be a review by the facility manager before the disciplinary separation If an inmate is in Disciplinary Housing status status is continued. This review shall include a for 30 consecutive days, the Division Captain consultation with health care staff. Such reviews shall shall review the inmate's status before the continue at least every fifteen days thereafter until ☒ ☐ ☐ Disciplinary Housing status is continued. This the disciplinary status has ended. This review shall review shall include consultation with medical be documented. staff and will continue every 15 days thereafter until the Disciplinary status has ended. (2) The disciplinary separation cells or cell shall have PM 15.01 – Inmate Discipline Process the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be Inmates in Disciplinary Housing shall be issued clothing and bedding as specified in Articles issued clothing and bedding as specified in 13 and 14 of these regulations and shall not be Articles 12 and 1 3 of Title 24 and shall not be deprived of them through any portion of the day deprived of them through any portion of the except that those incarcerated persons who engage day except that those inmates who engage in in the destruction of bedding or clothing may be ☒ ☐ ☐ the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a deprived of such articles. The decision to person of such articles of clothing and bedding shall deprive inmates of such articles of clothing be reviewed by the facility manager or designee and bedding shall be reviewed by the Watch during each 24-hour period. Commander each 24-hour period and shall be documented on an employee's rep01t to the Division Captain. (3) If after placement in separation, mental health or PM 15.01 – Inmate Discipline Process medical staff determine that an individual has serious PM 605 – Incarcerated Persons Rights – mental illness or an intellectual disability, they shall Protection from Abuse be removed from disciplinary separation immediately . upon this determination. It is the policy of this office to make every reasonable effort to protect incarcerated persons from abuse, physical punishment, injury, harassment, intimidation, or loss or ☒ ☐ ☐ damage to personal property by other incarcerated persons or staff. Staff shall take reasonable actions to safeguard vulnerable persons from others and shall use the classification policies and procedures to make housing decisions that will provide for incarcerated person safety. (b) The delegation of authority to any incarcerated person PM 15.01 – Inmate Discipline Process or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group Pursuant to Penal Code 4019.5 and Title 15, of incarcerated people. the delegation of authority to any inmate or ☒ ☐ ☐ group of inmates to exercise the right of Note: PC § 4019.5. punishment over any other inmate or group of inmates is expressly prohibited. (c) In no case shall a safety cell, as specified in Title 24, PM 15.01 – Inmate Discipline Process Part 2, 1231.2.5, or any restraint device be used for disciplinary purposes. ☒ ☐ ☐ In no case shall a safety cell or any restraint device be used for disciplinary purposes. (d) No incarcerated person may be deprived of the PM 15.01 – Inmate Discipline Process implements necessary to maintain an acceptable level of personal hygiene as specified in Section 1265 of these No inmate may be deprived of the implements regulations. ☒ ☐ ☐ necessary to maintain an acceptable level of personal hygiene as specified in Title 15, Section 1265. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 37 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Food shall not be withheld as a disciplinary measure. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ Food shall not be withheld as a disciplinary measure. (f) Correspondence privileges shall not be withheld PM 15.01 – Inmate Discipline Process except in cases where the incarcerated person has violated correspondence regulations, in which case Correspondence privileges shall not be correspondence may be suspended for no longer than 72 withheld except in cases where the inmate hours, without the review and approval of the facility has violated correspondence regulations, in ☒ ☐ ☐ manager. which case correspondence may be suspended for no longer than 72 hrs, without the review and approval of the Watch Commander. (g) In no case shall access to courts and legal counsel be PM 15.01 – Inmate Discipline Process suspended as a disciplinary measure. In no case shall access to courts and legal ☒ ☐ ☐ counsel be suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS PM 15.01 – Inmate Discipline Process Penal Code Section 4019.5 requires that a record is kept Pursuant to Penal Code 4019.5 and Title 15, of all disciplinary actions administered therefore. This the Department will keep a record of inmate requirement may be satisfied by retaining copies of rule infractions, disciplinary records and the violation reports and report of the disposition of each. sanctions imposed. ☒ ☐ ☐ BSCC staff reviewed copies of random disciplinary files while doing the on-site inspection. The documentation is compliant with this regulation. 1206.5 MANAGEMENT OF COMMUNICABLE PM 10.37 – Exposure Control Plan for DISEASES IN A CUSTODY SETTING Bloodborne Pathogens PM 10.41 – Exposure Control Plan for (a) The responsible physician, in conjunction with the Respiratory Diseases facility administrator and the county health officer, shall develop a written plan to address the identification, It is the policy of the Department of Correction treatment, control and follow-up management of to recognize the need for exposure control to tuberculosis and other communicable diseases. The plan bloodborne pathogens in accordance with shall cover the intake screening procedures, CAL/OSHA regulations and to develop and identification of relevant symptoms, referral for a medical ☒ ☐ ☐ implement guidelines to eliminate or minimize evaluation, treatment responsibilities during staff risk to occupational exposure. incarceration and coordination with public health officials for follow-up treatment in the community. The plan shall It is the policy of the Department of Correction reflect the current local incidence of communicable to provide a process to recognize respiratory diseases which threaten the health of incarcerated based communicable diseases and to people and staff. develop and implement guidelines to prevent and control staff or inmate exposures to those diseases. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 38 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Consistent with the above plan, the health authority PM 10.37 – Exposure Control Plan for shall, in cooperation with the facility administrator and the Bloodborne Pathogens county health officer, set forth in writing, policies and PM 10.41 – Exposure Control Plan for procedures in conformance with applicable state and Respiratory Diseases federal law, which include, but are not limited to: (1) The types of communicable diseases to be Bloodborne Pathogens: Pathogenic reported; microorganisms present in human blood that can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B Virus (HBV), Hepatitis C Virus ☒ ☐ ☐ (HCV) and Human Immunodeficiency Virus (HIV). Tuberculin Skin Test {TST): A skin test used for determining prior or possible current TB infection. The test involves injecting a solution of a purified protein derivative (PPD) under the skin of the forearm to detect for TB bacteria. If TB bacteria are detected, a skin reaction will occur around the injection site. (2) The persons who shall receive the medical PM 10.37 – Exposure Control Plan for reports; Bloodborne Pathogens PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ The QI Manager will notify the County Health Officer when an inmate has a suspected/ confirmed case of Tuberculosis. (3) Sharing of medical information with incarcerated PM 10.37 – Exposure Control Plan for persons and custody staff; Bloodborne Pathogens ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases (4) Medical procedures required to identify the PM 10.37 – Exposure Control Plan for presence of disease(s) and lessen the risk of Bloodborne Pathogens exposure to others; PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ Send the exposed employee to the appropriate healthcare provider to obtain a medical evaluation (after the initial first aid) within one hour of the exposure or sooner. (5) Medical confidentiality requirements; PM 10.37 – Exposure Control Plan for Bloodborne Pathogens ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases (6) Housing considerations based upon behavior, PM 10.37 – Exposure Control Plan for medical needs, and safety of the affected Bloodborne Pathogens incarcerated persons; PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ Medical staff will make appropriate housing arrangements for any exposed inmates who may require medical segregation. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 39 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) Provisions for consent by an incarcerated person PM 10.37 – Exposure Control Plan for that address the limits of confidentiality; and, Bloodborne Pathogens PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ To protect the confidentiality of the employee and source individual, the Supervisor's First Report of Injury shall not include information concerning HIV status of the source individual or employee. (8) Reporting and appropriate action upon the PM 10.37 – Exposure Control Plan for possible exposure of custody staff to a Bloodborne Pathogens communicable disease. ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases 1211 SICK CALL PM 12.01 – Medical Health Care Services PM 701 – Access to Health Care The facility administrator, in cooperation with the health authority, shall develop written policies and procedures, It is the policy of the Department of Correction which provide daily sick call for all incarcerated persons to ensure medical health services are or provision made that any incarcerated person ☒ ☐ ☐ provided to all inmates regardless of age, requesting medical/mental health attention be given such race, color, national origin, ancestry, religion, attention. sex/gender, sexual orientation, disability, medical condition, political beliefs, organizational affiliations, or marital status. 1240 FREQUENCY OF SERVING PM 900 – Food Services In Temporary Holding, Type I, II, and III facilities, and those Type IV facilities where food is served, food shall Meals shall be served at least three times be served three times in any 24-hour period. At least one during each 24-hour period. At least one meal of these meals shall include hot food. Supplemental food must include hot food. Any deviation from this must be served to incarcerated persons if more than 14 requirement shall be subject to the review and hours pass between evening and morning meals. ☒ ☐ ☐ approval of a registered dietitian to ensure Additionally, supplemental food must be served to people that incarcerated persons receive meals that on medical diets in less than the time period outlined meet nutritional guidelines. above, if prescribed by the responsible physician. There must be no more than 14 hours between a substantial evening meal and breakfast. A minimum of fifteen minutes shall be allowed for the PM 900 – Food Services actual consumption of each meal except for those on medical diets where the responsible physician has Incarcerated persons must be provided a ☒ ☐ ☐ prescribed additional time. minimum of 15 minutes dining time for each meal. Provisions shall be made for incarcerated persons who PM 900 – Food Services may miss a regularly scheduled facility meal. They shall be provided with a substitute meal and beverage, and on Incarcerated persons who miss, or may miss, medical diets shall be provided with their prescribed a regularly scheduled meal must be provided meal. with a beverage and a sandwich or substitute meal. Approved snacks should be served to incarcerated persons on medical diets in less ☒ ☐ ☐ than the 14-hour period if prescribed by the Responsible Physician or registered dietitian. Incarcerated persons on medical or therapeutic meals who miss their regularly scheduled meal will be provided with their prescribed meal. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 40 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1260 STANDARD INSTITUTIONAL CLOTHING PM 16.03 – Inmate Clothing, bedding and Linens The standard issue of climatically suitable clothing to incarcerated people held after arraignment in all but The Department shall maintain a supply of Court Holding, Temporary Holding, and Type IV facilities ☒ ☐ ☐ clean clothing, blankets, mattresses and shall include, but not be limited to: linens for issue at a level adequate to supply (a) Clean socks and footwear; the actual and replacement needs of the inmate population. (b) Clean outergarments; and, PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (c) Clean undergarments; PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (1) For males – shorts and undershirt, and PM 16.03 – Inmate Clothing, bedding and Linens Standard clothing, bedding and linen issue for male inmates: a. One pair of pants b. One shirt c. One roll, which includes one pair of underwear, one pair of socks, one T -shirt and ☒ ☐ ☐ one towel d. One pair of shower sandals e. Two sheets f. Two blankets g. One thermal (issued only during inclement weather to inmates housed at Main Jail South and the Elmwood Men's Facility) h. One denim jacket (issued only to minimum- security inmates) (2) For females – bra and two pairs of panties. PM 16.03 – Inmate Clothing, bedding and Linens Standard clothing, bedding and linen issue for female inmates: a. Two pairs of pants b. Two shirts or maternity smocks c. Two thermals d. Seven pairs of underwear · ☒ ☐ ☐ e. Three bras f Three pair of socks g. One pair of shower sandals h. Two blankets i. Two sheets J. One washcloth k. Two towels l. One nightgown m. One paper/plastic bag for storage of dirty laundry clothes. The person’s personal undergarments and footwear may PM 16.03 – Inmate Clothing, bedding and be substituted for the institutional undergarments and Linens footwear specified in this regulation. This option ☒ ☐ ☐ notwithstanding, the facility has the primary responsibility to provide the personal undergarments and footwear. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 41 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS All issued and exchanged clothing shall be clean and free PM 16.03 – Inmate Clothing, bedding and of holes or tears, reasonably fitted, durable, easily Linens laundered and repaired. Undergarments shall be clean, free of holes or tears, and substantially free of stains. Clothing, blankets and linens shall be of good Individuals shall be able to select the garment type more quality fabric, reasonably fitted, and cleaned compatible with their gender identity and gender prior to issuance. Staff will make reasonable expression. efforts to replace tom, worn-out, stained or ☐ ☐ ☒ unsuitable items of clothing, bedding and linens. BSCC staff inspected the clothing and linens in the property/clothing rooms during the on- site inspection. The issued clothing and bedding meet these regulation standards. 1264 CONTROL OF VERMIN IN PERSONAL PM 805 – Pest Control CLOTHING Clothing, bedding, and other property that is There shall be written policies and procedures developed suspected of being infested shall either be by the facility administrator to control contamination removed from the facility or cleaned and ☒ ☐ ☐ and/or spread of vermin in all incarcerated people’s treated by the following methods, as personal clothing. Infested clothing shall be cleaned, appropriate or as directed by the pest control disinfected, or stored in a closed container so as to provider or the Responsible Physician. eradicate or stop the spread of vermin. 1265 ISSUE OF PERSONAL CARE ITEMS PM 607 - Grooming There shall be written policies and procedures developed lncarcerated persons are expected to ☒ ☐ ☐ by the facility administrator for the issue of personal maintain their hygiene using approved hygiene items. personal care items. Each menstruating person shall be provided with sanitary PM 607 - Grooming napkins, panty liners, and tampons as requested with no maximum allowance. ☒ ☐ ☐ BSCC staff confirmed that all three products were available during the on-site inspection. Each person to be held over 24 hours who is unable to PM 607 - Grooming supply themself with the following personal care items, because of either indigency or the absence of a canteen, lncarcerated persons will be issued a free shall be issued: personal hygiene kit upon their initial housing ☒ ☐ ☐ (a) Toothbrush, unit. Certain personal care items, such as soap, sanitary napkins, and toilet paper, may be supplied as needed. (b) Dentifrice, PM 607 - Grooming ☒ ☐ ☐ (c) Soap, PM 607 - Grooming ☒ ☐ ☐ (d) Comb, and PM 607 - Grooming ☒ ☐ ☐ (e) Shaving implements. PM 607 - Grooming ☒ ☐ ☐ Personal care items shall be issued within the first 12 PM 607 - Grooming hours of housing assignment. ☒ ☐ ☐ Incarcerated persons shall not be required to share any PM 607 - Grooming personal care items listed in items “a” through “d.” No incarcerated person will be denied the ☒ ☐ ☐ necessary personal care items. For sanitation and security reasons, personal care items shall not be shared. Incarcerated people will not share disposable razors. PM 607 - Grooming ☒ ☐ ☐ 5120 Santa Clara Main Jail II CI PRO 25-26 Page 42 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Double edged safety razors, electric razors, and other PM 607 - Grooming shaving instruments capable of breaking the skin, when shared among incarcerated people, must be disinfected Grooming equipment will be disinfected between individual uses by the method prescribed by the before and after each use by the methods State Board of Barbering and Cosmetology in Sections approved by the State Board of Barbering and 979 and 980, Division 9, Title 16, California Code of Cosmetology to meet the requirements of (16 ☒ ☐ ☐ Regulations. CCR 979; 16 CCR 980. BSCC staff confirmed that shaving devices are disinfected before each use during the on- site inspection. 1266 SHOWERING PM 607 - Grooming There shall be written policies and procedures developed Personal care items, shower, wash and toilet by the facility administrator for showering/bathing. facilities and hair-cutting services used to ☒ ☐ ☐ maintain persona! hygiene shall not be denied to an incarcerated person for punitive reasons. Incarcerated persons shall be permitted to shower/bathe PM 607 - Grooming upon assignment to a housing unit and at least every other day or more often if possible. lncarcerated persons shall have access to operable showers. lncarcerated persons shall ☒ ☐ ☐ be permitted to shower upon assignment to a housing unit, at least every other day thereafter and more often if practicable. Absent exigent circumstances, no person shall be PM 607 - Grooming prohibited from showering at least every other day following assignment to a housing unit. If showering is lncarcerated persons shall have access to prohibited, it must be approved by the facility manager or operable showers. lncarcerated persons shall ☒ ☐ ☐ designee, and the reason(s) for prohibition shall be be permitted to shower upon assignment to a documented. housing unit, at least every other day thereafter and more often if practicable. 1267 HAIR CARE SERVICES PM 607 - Grooming (a) Hair care services shall be available. The Assistant Sheriff of Custody Operations ☒ ☐ ☐ or the authorized designee shall establish written procedures for incarcerated person hair care services. (b) Except those who may not shave for reasons of PM 607 - Grooming identification in court, incarcerated people shall be allowed to shave daily and receive hair care services at lncarcerated persons shall generally be least once a month. The facility administrator may permitted to receive hair care services once suspend this requirement in relation to people who are per month after being in custody for at least ☒ ☐ ☐ considered to be a danger to themselves or others. 30 days. Staff may suspend access to hair care services if an incarcerated person appears to be a danger to themself or others or to the safety and security of the facility. (c) Equipment shall be disinfected, after each use, by a PM 607 - Grooming method approved by the State Board of Barbering and Cosmetology to meet the requirements of Title 16, Grooming equipment will be disinfected Division 9, Sections 979 and 980, California Code of before and after each use by the methods Regulations. approved by the State Board of Barbering and Cosmetology to meet the requirements of (16 ☒ ☐ ☐ CCR 979; 16 CCR 980. BSCC staff confirmed that hair care devices are disinfected before each use during the on- site inspection. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 43 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1270 STANDARD BEDDING AND LINEN ISSUE PM 16.03 – Inmate Clothing, bedding and Linens The standard issue of clean suitable bedding and linens, for each incarcerated person entering a living area who Mattresses shall be enclosed in easily is expected to remain overnight, shall include, but not be cleaned non-absorbent ticking, conform to limited to: ☒ ☐ ☐ the size of bunks/beds and be certified by the (a) one serviceable mattress which meets the manufacturer as meeting all requirements of requirements of Section 1272 of these regulations; the State Fire Marshal and the Bureau of Home Furnishings' test standard for penal mattresses. (b) one mattress cover or one sheet; PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (c) one towel; and, PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (d) one blanket or more depending up on climatic PM 16.03 – Inmate Clothing, bedding and conditions. ☒ ☐ ☐ Linens Policy and procedure shall require that items (a), (b), and PM 16.03 – Inmate Clothing, bedding and (d) above be provided prior to the first night in the facility. ☒ ☐ ☐ Linens Two blankets or sleep bag may be issued in place of one PM 16.03 – Inmate Clothing, bedding and mattress cover or one sheet at the request of the Linens ☒ ☐ ☐ incarcerated person. 1280 FACILITY SANITATION, SAFETY, AND PM 16.01 – Sanitation Inspections and MAINTENANCE Housekeeping Plan The facility administrator shall develop written policies Staff will conduct a daily sanitation inspection and procedures for the maintenance of an acceptable of their assigned area. The sanitary condition, level of cleanliness, repair and safety throughout the ☒ ☐ ☐ any sanitary deficiencies and the actions facility. Such a plan shall provide for a regular schedule taken to correct those deficiencies will be of housekeeping tasks and inspections to identify and documented on the post log. correct unsanitary or unsafe conditions or work practices which may be found. Medical care housing as described in Title 24, Part 2, PM 16.01 – Sanitation Inspections and Section 1231.2.14, shall be cleaned and sanitized Housekeeping Plan according to policies and procedures established by the ☒ ☐ ☐ health authority. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 44 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? Juveniles are not held within the detention facility. Facilities that do not hold minors in the jail cells are not subject to Title 15, Article 9 biennial inspections; ☐ ☒ ☐ however, if minors are held in the building, they may be subject to the requirements of WIC §207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR IN AN ADULT DETENTION FACILITY The facility administrator shall develop policy and procedures for notification of the court of jurisdiction and ☐ ☐ ☒ the parent, guardian, or person standing in loco parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1101 RESTRICTIONS ON CONTACT WITH INCARCERATED ADULTS The facility administrator shall establish policies and procedures to restrict sight and sound contact, as ☐ ☐ ☒ defined in Section 1006, between detained minors and adults confined in the facility. The policies and procedures should consider trauma-informed approaches in protecting minors from contact. In situations where brief or accidental contact may occur, such as booking or facility movement, facility staff (trained in the supervision of incarcerated people) shall ☐ ☐ ☒ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1102 CLASSIFICATION The facility administrator shall develop and implement a written plan designed to provide for the safety of staff ☐ ☐ ☒ and minors held at the facility. The plan shall include the following: (a) a procedure for receiving and transmitting information regarding minors who present a risk or hazard to self or others while confined at the facility, and ☐ ☐ ☒ the separation of such minors to the extent possible within the limits of the facility. (b) a procedure to provide care for any minor who appears to be in need of or who requests medical, mental health, or developmental disability treatment. Written procedures shall be established by the ☐ ☐ ☒ responsible health administrator in cooperation with the facility administrator. (c) a suicide prevention program designed to identify, monitor, and provide treatment to those minors who ☐ ☐ ☒ present a suicide risk. (d) provide that minors be housed separately from adults and not be allowed to come or remain in contact with adults except as provided in Section 208(c) of the ☐ ☐ ☒ Welfare and Institutions Code. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 45 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1103 RELEASE PROCEDURES Facility staff shall notify the parents or guardians prior to the release of a minor. The minor's personal clothing ☐ ☐ ☒ and valuables shall be returned to the minor, parents or guardian, upon the minor's release or consent. 1104 SUPERVISION OF MINORS The facility administrator shall develop and implement policy and procedures that provide for: ☐ ☐ ☒ (a) continuous around-the-clock supervision of minors with assurance that staff can hear and respond; and, (b) safety checks of minors at least once every 30 minutes. These safety checks shall include the direct visual observation of movement and skin. Safety checks shall not be replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to ☐ ☐ ☒ detect overt, aggressive, or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented. 1105 RECREATIONAL PROGRAMS The facility administrator shall develop written policies and procedures to provide a recreation program that shall protect the welfare of minors and incarcerated ☐ ☐ ☒ adults, recognize facility security needs and comply with minimum jail standards for recreation (California Code of Regulations, Title 15, Section 1065). 1106 DISCIPLINARY PROCEDURES Nothing in this regulation shall prevent the administrator from removing a detained minor from the general population or program for reasons of the minor's mental or physical health; or under any circumstances in which ☐ ☐ ☒ the safety of the minor, incarcerated adults, staff, the program or community is endangered, pending a disciplinary action or review. With the exceptions noted below, the provisions of Section 1080-1084 shall apply when a minor is involved in disciplinary actions. (a) Pursuant to Welfare and Institutions Code Section 208.3, minors may not be placed in room confinement ☐ ☐ ☒ for disciplinary purposes. (b) Permitted forms of discipline include: (1) temporary loss of privileges; and, ☐ ☐ ☒ (2) loss of privileges mandated by applicable regulations. ☐ ☐ ☒ (c) Access to visitation and recreation shall be restricted only after a second level review by a supervisor or manager and shall not extend beyond five days without ☐ ☐ ☒ subsequent review. (d) Prohibited forms of discipline include: (1) discipline that does not fit the violation; ☐ ☐ ☒ (2) corporal punishment; ☐ ☐ ☒ (3) discipline imposed by incarcerated persons; ☐ ☐ ☒ 5120 Santa Clara Main Jail II CI PRO 25-26 Page 46 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) placement in safety cells, sobering cells, or any other cell not specifically designated for the ☐ ☐ ☒ detention of minors; (5) deprivation of food; and, ☐ ☐ ☒ (6) room confinement. ☐ ☐ ☒ 1120 EDUCATION PROGRAM FOR MINORS IN JAILS Whenever a minor is held in a Type II or III facility, the facility administrator shall coordinate with the County ☐ ☐ ☒ Department of Education or County Superintendent of Schools to provide education programs as required by Section 48200 of the Education Code. 1122.5 PREGNANT MINORS (a) The health administrator, in cooperation with the facility administrator, shall develop written policies and ☐ ☐ ☒ procedures pertaining to pregnant minors that address the requirements in Title 15, Section 1417. (b) The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures for the use of restraint devices on pregnant minors. The policy shall address requirements of Penal ☐ ☐ ☒ Code 3407. Policy shall include reference to the following: (1) A minor known to be pregnant or in recovery after delivery or termination of the pregnancy shall not be restrained by the use of leg or waist ☐ ☐ ☒ restraints, or handcuffs behind the body. (2) A pregnant minor in labor, during delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ankles, or both, unless deemed necessary for the ☐ ☐ ☒ safety and security of the minor, the staff, or the public. (3) Restraints shall be removed when a professional who is currently responsible for the medical care of a pregnant minor during a medical emergency, labor, delivery, or recovery after delivery or ☐ ☐ ☒ termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of a minor's pregnancy, they shall be advised, orally or in writing, of the ☐ ☐ ☒ standards and policies governing pregnant minors. 5120 Santa Clara Main Jail II CI PRO 25-26 Page 47 of 47 A353 Type II & III PRO eff. 04.01.25 PHYSICAL PLANT EVALUATION BOARD OF STATE AND COMMUNITY CORRECTIONS - COMPREHENSIVE INSPECTION ADULT TYPE I, II, III AND IV FACILITIES APPLICABLE REGULATIONS: 3/80; 8/86; 5/88; 1/91 Title 24, California Code of Regulations (CCR) BSCC Code: 5120 FACILITY NAME: Santa Clara Main Jail FACILITY TYPE: II APPLICABLE REGULATIONS (Check All That Apply): 3/80: X 8/86: 5/88: X 1/91: OTHER: 1963, 2005, 2015 FIELD REPRESENTATIVE: Matthew Schuler DATE : 05/19/2025 ARTICLE/SECTION YES NO N/A COMMENTS Temporary Holding Cells (2.2) ☒ ☐ ☐ Contain 10 square feet of floor per inmate Limited to no more than 16 inmates ☒ ☐ ☐ No smaller than 40 square feet ☒ ☐ ☐ Contain sufficient seating to accommodate all inmates ☒ ☐ ☐ Toilet accessible ☒ ☐ ☐ Water fountain accessible ☒ ☐ ☐ Wash basin accessible ☒ ☐ ☐ Provides clear visual supervision ☒ ☐ ☐ Telephone accessible ☒ ☐ ☐ Weapons Locker (3.12) External to the security area and equipped with ☒ ☐ ☐ individual compartments, locks and keys Temporary Staging Cell or Room (2.3) No cells of this type in the facility. Remainder of checklist deleted from this regulation. 1-91: Added provision for temporary staging cells- rooms ☐ ☐ ☒ Holds inmates classified and segregated per Title 15 § 1050 and § 1053 Sobering Cells (2.4) See additional comments under sobering cell. ☒ ☐ ☐ LASE updated to reflect conversion of cells. Contain 20 square feet of floor per inmate Limited to no more than 8 inmates ☒ ☐ ☐ No smaller than 60 square feet ☒ ☐ ☐ Contain toilet ☒ ☐ ☐ Contain washbasin ☒ ☐ ☐ Contain drinking fountain ☒ ☐ ☐ Partitions or handrails located next to toilet fixture to ☒ ☐ ☐ provide support Provide easy, unobstructed visual observation ☒ ☐ ☐ Padding on the floor ☒ ☐ ☐ Shower-Delousing Room (3.4) Two showers located in dress in/out area. ☒ ☐ ☐ Available in reception/booking 5120 Santa Clara Main Jail II CI PHY 25-26 - 1 - A381 PHY Type 80 86 88 91.dot (9/98) ARTICLE/SECTION YES NO N/A COMMENTS Secure Vault or Storage Space (2.1) ☒ ☐ ☐ Available for inmate valuables Telephone (2.1) ☒ ☐ ☐ Available for inmate use per Penal Code § 851.5 Safety Cells (2.5) ☒ ☐ ☐ Contain 48 square feet with one floor dimension at least 6 feet and ceiling height of at least 8 feet Limited to no more than one inmate ☒ ☐ ☐ Contain flush ring toilet with controls located outside ☒ ☐ ☐ the cell Padded floor, door and walls ☒ ☐ ☐ Equipped with variable intensity, security light, ☒ ☐ ☐ inaccessible to occupant Vertical view panel not more than 4 inches wide and ☒ ☐ ☐ at least 24 inches long, in or adjacent to the door Provide a food pass with lockable shutter no more than 4 inches high and located at least 30 inches ☒ ☐ ☐ above the floor Single Occupancy Cells (2.6) Some Double cells on the 4th and 5th floor were ☒ ☐ ☐ remodel into ADA single cells (2018). Maximum capacity of one inmate Contain a minimum of 60 square feet of floor area in Cells in “south jail” meet the 1963 physical Type I facilities and 70 square feet in Type II and III ☒ ☐ ☐ plant requirements. facilities Have a minimum ceiling height of 8 feet Remodel cells on 4th, 5th 7th floors ceiling ☒ ☐ ☐ heights 7’.6”. Contain toilet, washbasin and drinking fountain ☒ ☐ ☐ Contain a bunk, desk and seat (Desk and seat not Some cells with desks do not have seats. This required in Type I in later, less restrictive 1986 was for cells in the main (newer portion) jail. ☒ ☐ ☐ standards) Multiple Occupancy Cells (8227) Old South jail was demolished (2020). 8-86: Deleted provision for multiple occupancy cells ☐ ☐ ☒ Multiple Occupancy Rooms (8229) No cells of this type in the facility. The remainder of the regulation was deleted from 8-86: Deleted provision for multiple occupancy rooms this checklist. ☐ ☐ ☒ Limited to housing persons in Type III and IV facilities and workers in Type I and II facilities Double Occupancy Cells (2.7) 5-88: Added provision for double occupancy cells ☒ ☐ ☐ Maximum capacity of two inmates Contain a minimum of 60 square feet of floor space in Type I facilities and 70 square feet in Type II and III ☒ ☐ ☐ facilities Have a minimum ceiling height of 8 feet and one floor ☒ ☐ ☐ dimension at least 6 feet Contain toilet, washbasin and drinking fountain ☒ ☐ ☐ 5120 Santa Clara Main Jail II CI PHY 25-26 - 2 - A381 PHY Type 80 86 88 91.dot (9/98) ARTICLE/SECTION YES NO N/A COMMENTS Contain 2 bunks, 1 desk and seat (Desk and seat not required in Type I facilities) ☒ ☐ ☐ Dormitories (2.8) Old jail (south) dorms were demolished 2020. 8-86: Provision for dormitories added ☐ ☐ ☒ Contain 50 square feet of floor area per inmate and a minimum of 8 feet ceiling height Be designed for no fewer than 8 and no more than 64 ☐ ☐ ☒ inmates Facilities having a total rated capacity of 80 inmates or less, may design dormitories for no fewer than 4 ☐ ☐ ☒ inmates Access to toilets separate from washbasins (ratio 1:8) ☐ ☐ ☒ and drinking fountains Provide storage space for each inmates' personal items ☐ ☐ ☒ Dayrooms (2.9) ☒ ☐ ☐ 8-86: Added requirement for 3 foot wide corridors in front of cells-rooms 35 square feet of floor area per inmate ☒ ☐ ☐ Contain tables and seating to accommodate the ☒ ☐ ☐ maximum number of inmates served Access to toilets, washbasins and drinking fountains ☒ ☐ ☐ Available to all inmates in Type II and III facilities (excluding special use cells) and to workers in Type I ☒ ☐ ☐ facilities Shower (3.4) ☒ ☐ ☐ Available on a ratio of 1:16 Lighting (3.6) 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) ☒ ☐ ☐ 30 inches wide and 76 inches long Comfortable Living Environment [102(c)6] A comfortable living environment is maintained ☒ ☐ ☐ through an adequate heating and cooling system. Exercise Area -Type II, III and WA IV (2.10) ☒ ☐ ☐ At least one exercise area must contain a minimum of 900 square feet 8-86: Outdoor exercise area provided ☐ ☐ ☒ 5120 Santa Clara Main Jail II CI PHY 25-26 - 3 - A381 PHY Type 80 86 88 91.dot (9/98) ARTICLE/SECTION YES NO N/A COMMENTS 8-86: Clear height of 15 feet with required surface area meeting a formula of: 80% of maximum ☐ ☐ ☒ rated inmate population and number of one-hour exercise periods per day = required surface area Program Space - Type II and III (2.11) Sufficient area and furnishings to meet the needs of ☒ ☐ ☐ the facility programs Dining Facilities (2.17) ☒ ☐ ☐ 15 square feet per inmate being fed Toilets, washbasins and showers are not in the same room or not in view of inmate dining ☒ ☐ ☐ Visiting (2.18) ☒ ☐ ☐ Sufficient visiting area Contact visits whenever possible for minimum security inmates ☐ ☐ ☒ Attorney Interviews (2.26) ☒ ☐ ☐ Provide for confidential attorney consultation Safety Equipment Storage (2.19) Adequate space is provided for storage of equipment ☒ ☐ ☐ such as fire extinguishers, SCBA, emergency lights, etc. Janitor Closet (2.20) Each floor and each Mod has closet space. Located in security areas lockable, containing a mop ☒ ☐ ☐ sink and storage space Storage Rooms (2.21) Sufficient space to accommodate inmate property, ☒ ☐ ☐ bedding and supplies Audio or Video Monitoring System -NA Type IV (2.22) ☒ ☐ ☐ Audio monitoring system capable of alerting staff in a central control Video monitoring in corridors, main entries and/or exits and programs or activity areas ☒ ☐ ☐ Fire Detection and Alarm System [102(c)6] Automatic fire alarm system capable of alerting staff in ☒ ☐ ☐ a central control point Emergency Power (2.24) Available to provide minimal lighting, maintain ☒ ☐ ☐ communications, alarm, fire, life and security systems 5120 Santa Clara Main Jail II CI PHY 25-26 - 4 - A381 PHY Type 80 86 88 91.dot (9/98) ARTICLE/SECTION YES NO N/A COMMENTS Provide Space for: Barber/beauty shop(2.15) ☐ ☐ ☒ 8-86: Limit requirement to Type II and III facilities (Deleted 2/99) Canteen (2.16) ☒ ☐ ☐ 8-86: Added for II, III & IV facilities Confidential Interview Rooms (2.25) 8-86: Added for Type II facilities ☒ ☐ ☐ 5120 Santa Clara Main Jail II CI PHY 25-26 - 5 - A381 PHY Type 80 86 88 91.dot (9/98) BOARD OF STATE AND COMMUNITY CORRECTIONS - COMPREHENSIVE INSPECTION ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION BSCC Code: 5120 FACILITY: Santa Clara County Main Jail TYPE: II RC: 793 FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/19/2025 ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # RC RC (L x W x H) T U W F S Beds Court Movement Area - see notes under individual cells. Changed applicable standards from 1980 to 1988 to reconcile RC with space and/or facility requirements. T1, 2 Holding 1988 2 - (16) (32) 19.0' x 9.5' 1 - 1 1 - Notes: Less 15 sq. ft.; two 14’ benches (c 28 feet of bench) “T” denotes transportation room. Prior LASE listed applicable standards of 1980. Unclear how RC was established, as 1980 standard for toilets is 1:8. However, by applying 1988, later less restrictive standards, it allows for a 1:16 toilet ratio. T3, 4 Holding 1988 2 - (16) (32) 18.5' x 10.0' 1 - 1 1 - Notes: Two 13.8’ benches (c 27.67 feet of bench) – (prior LASE said 30 – re-measured 98-00). Prior LASE listed applicable standards of 1980. Unclear how RC was established, as 1980 standard for toilets is 1:8. However, by applying 1988, later less restrictive standards, it allows for a 1:16 toilet ratio. Changed applicable standards this inspection cycle so consistent with RC. T5, 6, 7 Holding 1988 3 - (8) (24) 10.0' x 9.6' 1 - 1 1 - Notes: Each cell has two 6-foot benches (total 12’ feet of bench per cell) - seating and facilities limit RC. Cells 6 and 7 temporarily used as storage during 2004/2006 inspection. T8, 9,10 Holding 1988 3 - (4) (12) 8.5’ x 7.2’ 1 - 1 1 - Notes: Cells 8 – 10 each have one 7.2’ bench (prior LASE listed 8 feet – re-measured 98-00); seating limits RC. T11 Holding 1988 1 - (3) (3) 8.5’ x 7.2’ 1 - 1 1 - Notes: 5-foot bench (prior LASE listed bench space of 8’ > re-measured 98-00). On prior LASE, this cell was grouped with T8-14, each listed as having RC of 4. After re-measuring, RC changed to 3. Seating limits RC. INTAKE A – Male Booking//Receiving Area - see notes under individual cells. Changed applicable standards from 1980 to 1988 to reconcile RC with space and/or facility requirements. No impact on other cells. A-B-C Safety 1988 3 - (1) (3) 5.8' x 8.8' 1 - - - - Notes: Three safety cells. Variable light (switch located in pipe chase adjacent to cell). Grates in A, B, & C to be replaced due to grid size. During the 2012-2014 cycle, we found that cells A and C were converted to storage and C is not used. I-1 Holding 1988 1 - (8) (8) 15.6’ x 6.9’ 1 - 1 1 - Notes: Dimensions are irregular; 12-foot bench. – cell slightly larger, dimensions reflect depth to partition of alcove containing W/F and T units. Seating limits capacity. Outside security. I-2 Holding 1988 1 - (12) (12) 15.5' x 9.5' 1 - 1 1 - Notes: Irregular room. One 8-foot bench, and one ten-foot-eleven-inch bench (approx. 19 ft bench) Bench limits capacity (last LASE appears to have used sq. ft to establish RC of 14, changed to 12). Prior LASE listed applicable standards of 1980. Unclear how RC was established, as 1980 standard for toilets/wash basins is 1:8. However, by applying 1988, later less restrictive standards, it allows for a 1:16 toilet ratio. Footage requirements the same. Changed applicable standards this inspection cycle so consistent with RC. I-3 Sobering 1988 1 - (7) (7) 15.4' x 9.6' 1 - 1 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. 5120 Santa Clara Main Jail II CI LASE 25-26 - 1 - A360 LAS Adult.dot (9/98) ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # RC RC (L x W x H) T U W F S Beds Notes: Padded floor; three wall-mounted phones; seating added; they have been using it as a holding cell; depth of 15’4” to back wall, however, it is 11.8’ to the padded partition that separates the room from the alcove with W/F and T facilities in it. I-4 Holding 1988 1 - (14) (14) 15.4' x 9.8' 1 - 1 1 - Notes: Approx. 22’ of bench (two benches, each 10’11”). Padded floor. Seating limits capacity. Prior LASE listed 24’ bench, re-measured 98-00. Prior LASE listed applicable standards of 1980. Unclear how RC was established, as 1980 standard for toilets/wash basins is 1:8. However, by applying 1988, later less restrictive standards, it allows for a 1:16 toilet ratio. Footage requirements the same. Changed applicable standards this inspection cycle so consistent with RC. I-6 Holding 1988 1 - (5) (5) 8.8' x 8.0' 1 - 1 1 - Notes: 8’ bench; less 8 square feet; prior LASE listed 9’ bench, re-measured 98-00. I-7 Holding 1988 1 - (4) (4) 8.6' x 6.5' 1 - 1 1 - Notes: 6.4’ bench, irregular shaped room; prior LASE listed 9 ft bench, re-measured 98-00. I-8 to I-10 Holding 1988 3 - (4) (12) 8.8' x 6.9' 1 - 1 1 - Notes: 6.6’ bench in each cell (prior LASE listed 9’, re-measured 98-00). I-11 Holding 1988 1 - (2) (2) Not measured 1 - 1 1 - Notes: Irregular shape (not measured); 4’ bench. Dimensions are irregular. INTAKE B – Female Booking/Receiving Area Note: Restroom available in lobby area for inmate use I-12 Holding 1988 1 - * * 10.3’ x 7.4’ 1 - 1 1 - Notes: Two wall-mounted phones; partition was padded since last inspection; floor padded, grates’ grid space large suggested replacement if use as Sobering (same as with Intake A safety cells); round pillar extends into room about 2.3’ making square footage slightly less than calculated from dimensions. Prior LASE listed RC as (4) – was based on fact there was a 6’ bench in cell. Listed as Holding Cell on last LASE, however does not meet the physical plant standards for one. Does meet those for Sobering Cell > changed this cycle. If department wishes to utilize this as a holding cell, will need to install seating. If used as Sobering, RC would be (4). During the 2012-2014 cycle, this cell was closed for restroom use only. I-13 Holding 1988 1 - * * 10.3’ x 7.6’ 1 - 1 1 - Notes: Same as I-12 except no pillar in room. Prior LASE listed RC as (7), as room used to contain a 12’ bench. If used as Sobering, RC would be (4). I-14 Holding 1988 1 - (7) (7) 10.3' X 7.3' 1 - 1 1 - Notes: 12’ bench, partition (not padded), two wall-mounted phones, sq. ft limits capacity. D Safety 1988 1 - (1) (1) 8.3' X 6.3' 1 - - - - Notes: Has dimmer switch; less 10 square feet. CLASSIFICATION – see notes under individual cells. Changed applicable standards from 1980 to 1988 to reconcile RC with space and/or facility requirements. No impact on other cells. C-A Holding 1988 1 (8) (8) (not measured) 1 - 1 1 - Notes: 8 chairs (not fixed seating); Irregular dimensions; approximately 234 square; 2 phones; RC appears based on the number of seats, not footage (2010). Prior LASE listed applicable standards of 1980. 1980 standard for toilets/wash basins are 1:8. By applying 1988, later less restrictive, standards, it allows for a 1:16 toilet ratio. Footage requirements the same. Changed applicable standards this inspection cycle so consistent with RC. C-B Holding 1988 1 (7) (7) (not measured) 1 - 1 1 - Notes: 7 chairs (not fixed seating); Irregular dimensions; approximately 131 square feet. RC appears based on Seat, not footage (2010). Prior LASE listed applicable standards of 1980. 1980 standard for toilets/wash basins are 1:8. By applying *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. 5120 Santa Clara Main Jail II CI LASE 25-26 - 2 - A360 LAS Adult.dot (9/98) ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # RC RC (L x W x H) T U W F S Beds 1988, later less restrictive, standards, it allows for a 1:16 toilet ratio. Footage requirements the same. Changed applicable standards this inspection cycle so consistent with RC. C-1 Holding 1988 1 - (3) (3) (not measured) 1 - 1 1 - Notes: 6’ bench; Irregular dimensions; approximately 50 square feet. C-2, 3 Holding 1988 2 - (4) (8) 8.9’ x 6.0’ 1 - 1 1 - Notes: 6’ bench; seating limits capacity. H-1 Holding 1988 1 - (4) (4) 8.8' x 7.2' 1 - 1 1 - Notes: 6’ bench; seating limits capacity (prior LASE listed RC of 5). H-2 Holding 1988 1 - (4) (4) (not measured) 1 - 1 1 - Notes: 6’ bench; Irregular dimensions; seating limits capacity (prior LASE listed RC of 5). C-4 Holding 1988 1 - (15) (15) 17.5’ x 10.0 1 - 1 1 - Notes: One 14.1’ bench and one 8.75’ bench = 22.85 feet of bench (prior LASE listed bench as 16’); seating limits capacity. Prior LASE listed applicable standards of 1980. Appears RC was established using bench space; however, 1980 standard for toilets/wash basins are 1:8. By applying 1988, later less restrictive, standards, it allows for a 1:16 toilet ratio. Footage requirements the same. Changed applicable standards this inspection cycle so consistent with RC. C5 – 9 Holding 1988 5 - (4) (20) 10.0’ x 7.0’ 1 - 1 1 - Notes: 6’ bench; seating limits capacity. NOTE: Two (2) showers for receiving area are located in dress-out room. There are two more in a second room that was also used for dress-out but was converted to a SRT tactical room; these showers are not accessible to inmates (prior LASE indicated 4 showers, however, now there are only 2). 2nd MEDICAL FLOOR - consists of 3 housing areas 2-C - Infirmary - contains a bathroom area with 1-tub, and 2-showers for all 2D inmates. M-1 Multiple 1980 1 4 - Not rated (not measured) 1 - 1 1 - Notes: Primarily used for female inmates. M-2, 3 Single 1980 2 1 - Not rated (not measured) 1 - 1 1 - Notes: Negative pressure rooms. M4-7 Single 1980 4 1 - Not rated (not measured) 1 - 1 1 - M8 Single 1980 1 - - Not (not measured) - - - - - ADA rated Notes: Isolation room. M9-10 Single 1980 2 1 - Not rated (not measured) 1 - 1 1 - M-11 Multiple 1980 1 6 - Not rated (not measured) 1 - 1 1 - 2 -C – contains a bath area with 1-tub and 2-showers for 2C inmates. M – 12 Multiple 1980 1 4 - Not (not measured) 1 - 1 1 - rated M 13 - 19 Single 1980 7 1 - Not (not measured) 1 - 1 1 - rated 2–B Special. Housing - contains a bath area with 1-tub and 2-showers for all 2B inmates; this is special housing for inmates using crutches, wheelchairs, artificial limbs, etc. S – 1 Single 1980 1 2 1 1 12.5' x 10.0' 1 - 1 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. 5120 Santa Clara Main Jail II CI LASE 25-26 - 3 - A360 LAS Adult.dot (9/98) ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # RC RC (L x W x H) T U W F S Beds Notes: Handicap cell, handrails by commode. S 2 – 5 Single 1980 4 2 1 4 12.3' x 6.0' 1 - 1 1 - S – 6 Single 1980 1 1 1 1 12.3' x 10.0' 1 - 1 1 - Notes: Handicap cell; handrails by commode. S 7 – 11 Single 1980 5 1 1 5 12.3' x 6.0' 1 - 1 1 - S 12 Single 1980 1 1 1 1 12.3’ x 10.0' 1 - 1 1 - ADA Notes: Handicap cell; handrails by commode. S 13 - 16 Single 1980 4 1 1 4 12.3' x 6.0' 1 - 1 1 - S 17 Single 1980 1 1 1 1 12.3' x 10.0' 1 - 1 1 - ADA Notes: Handicap cell; handrails by commode. S 18 – 20 Single 1980 3 1 1 3 12.3' x 6.0' 1 - 1 1 - S 21 – 22 Single 1980 2 1 1 2 (not measured) 1 - 1 1 - ADA Notes: Minimum 70 square feet. Handicap cell; handrails by commode. S 23 – 25 Single 1980 3 1 1 3 12.3' x 6.1' 1 - 1 1 - S 26 Single 1980 1 1 1 1 12.3’ x 9.0’ 1 - 1 1 - ADA Notes: Handicap cell; handrails by commode. S 27 – 29 Single 1980 3 1 1 3 12.3’ x 6.1’ 1 - 1 1 - S30 Single 1980 1 1 1 1 (not measured) 1 - 1 1 - ADA Notes: Handicap cell; irregular dimensions; handrails by commode. 4th FLOOR 4A Pod A was divided into three separate pods 2018 (MJB). A1 Single 2015 7 1 1 7 12.3’ x 6.0 x 7.6 1 - 1 1 2 Single 2015 8 2 2 16 12.3’ x 6.0 ADA A2 Double 2015 16 2 2 32 12.3’ x 6.0 x 7.6 1 - 1 1 2 A3 Single 2015 16 1 1 16 12.3’ x 6.0 x. 7.6 1 - 1 1 2 4B – Housing area consists of three distinct pods (Special Management). Pod 1 Single 1980 16 1 1 15 12.3’ x 6.0” 1 - 1 1 2* Pod 2 Single 1980 16 1 1 16 12.3’ x 6.0” 1 - 1 1 2 Pod 3 Single 1980 16 1 1 16 12.3’ x 6.0” 1 - 1 1 2 4C – housing unit consists of three distinct pods. Pod 1 Single 1980 16 1 1 16 12.3’ x 6.0” 1 - 1 1 2 Pod 2 Single 1980 16 1 1 16 12.3’ x 6.0” 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. 5120 Santa Clara Main Jail II CI LASE 25-26 - 4 - A360 LAS Adult.dot (9/98) ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # RC RC (L x W x H) T U W F S Beds Pod 3 Single 1980 16 1 1 16 12.3’ x 6.0” 1 - 1 1 2* 5th FLOOR Pod A was divided into three separate pods 2018 (MJB) A1 Single 2015 10 1 1 10 12.3’ x 6.0 x 7.6 1 - 1 1 2 Single 2015 4 1 1 4 12.3’ x 6.0” ADA A2 Double 2005 16 2 2 32 12.3’ x 6.0’ 1 - 1 1 2 A3 Single 2005 16 1 1 16 12.3’ x 6.0’ 1 1 1 5B Single 1980 1 1 1 1 12.3’ x 6.0” 1 - 1 1 ADA Double 1980 46 2 92 92 12.3’ x 6.0” 1 - 1 1 4 5C Single 1980 32 1 1 32 12.3’ x 6.0” 1 - 1 1 2 Double 1980 16 2 2 32 12.3’ x 6.0” 1 - 1 1 6th FLOOR –There is a total of 2475 sq. ft. of dayroom space which limits the rated capacity in each pod to 70. (Pod A & B have 95 beds). MJB 10/12 A Single 1980 3 3 1 3 12.3' x 6.0' 1 - 1 1 4 Double 1980 45 2 2 90 12.3' x 6.0' 1 - 1 1 B Single 1980 32 32 1 32 12.3' x 6.0' 1 - 1 1 4 Double 1980 16 2 2 32 12.3' x 6.0' 1 - 1 1 C Single 1980 1 1 1 1 12.3' x 6.0' 1 - 1 1 4 Double 1980 47 2 94 12.3' x 6.0' 1 - 1 1 7th FLOOR – There is a total of 2475 sq. ft. of dayroom space which limits the rated capacity in each pod to 70. (All Pod have been double bunk). MJB 10/12 A Double 1980 48 2 96 96 12.3' x 6.0' 1 - 1 1 4 B Double 1980 16 32 2 32 12.3' x 6.0' 1 - 1 1 4 Single 1980 32 1 32 32 C Double 1980 48 96 2 70 12.3' x 6.0' 1 - 1 1 4 8th Floor Acute Psychiatric Unit – Special use cell type. 8A2 Office Acute Mental Health Unit. Originally 48 beds, it now contains 43 actual beds with 5 cells converted to office space. Combine cell 41 & 43 for ADA Cell 2020-2022 cycle MJB A Single 1980 36 36 1 36 12.3’ x 6.0” 1 - 1 1 3 2013 Single 5 5 1 5 ADA S1 Safety 1980 1 1 1 (1) 10.5’ x 6.0’ 1 - - - - S2 Seclusion 1980 1 1 1 (1) 10.5’ x 6.0’ 1 - - - - Room Notes: Safety cell converted to a ‘seclusion room” in acute psychiatric care unit. *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. 5120 Santa Clara Main Jail II CI LASE 25-26 - 5 - A360 LAS Adult.dot (9/98) ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # RC RC (L x W x H) T U W F S Beds Restraint Special 1980 1 - - - Not measured - - - - - Rm #1 Use Restraint Special 1980 1 - - - Not measured - - - - - Rm #2 Use Combine cell 8B27 & 29 for ADA Cell 2020-2022 cycle MJB B Single 1980 44 1 1 44 12.3' x 6.0' 1 - 1 1 4 2013 2018 Single 2 1 1 2 ADA Combine cell 11 & 13 for ADA Cell 2020-2022 cycle MJB 8C Single 1980 46 1 1 46 11.5' x 12.2' 1 - 1 1 4 Single 1 1 1 1 1 ADA *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. 5120 Santa Clara Main Jail II CI LASE 25-26 - 6 - A360 LAS Adult.dot (9/98) TYPE II AND III FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 5140 FACILITY NAME: Santa Clara County Elmwood Men’s Facility FACILITY TYPE: II PERSON(S) INTERVIEWED: Sergeant Mario Sparacino FIELD REPRESENTATIVE: Matthew Schuler DATE: May 20, 2025 TITLE 15 SECTION P/P REFERENCE – COMMENTS2 1020 CORRECTIONS OFFICER CORE COURSE3 The BSCC Standards and Training for Corrections (STC) division found the agency in compliance with applicable (a) In addition to the provisions of California Penal Code Section regulations during the 2025-2026 compliance monitoring 831.5, all custodial personnel of a Type I, II, III, or IV facility shall cycle. successfully complete the “Corrections Officer Core Course” as described in Section 179 of Title 15, CCR, within one year from the date of assignment. (b) Custodial Personnel who have successfully completed the course of instruction required by Penal Code Section 832.3 shall also successfully complete the “Corrections Officer Basic Academy Supplemental Core Course” as described in Section 180 of Title 15, CCR, within one year from the date of assignment. 1021 JAIL SUPERVISORY TRAINING Prior to assuming supervisory duties, jail supervisors shall complete the core training requirements pursuant to Section 1020, Corrections Officer Core Course. In addition, supervisory personnel of any Type I, II, III or IV jail shall also be required to complete either the STC Supervisory Course (as described in Section 181, Title 15, CCR) or the POST supervisory course within one year from date of assignment. 1023 JAIL MANAGEMENT TRAINING Managerial personnel of any Type I, II, III or IV jail shall be required to complete either the STC management course (as described in Section 182, Title 15, CCR) or the POST management course within one year from date of assignment. 1025 CONTINUING PROFESSIONAL TRAINING With the exception of any year that a core training module is successfully completed, all facility/system administrators, managers, supervisors, and custody personnel of a Type I, II, III, or IV facility shall successfully complete the “annual required training” specified in Section 184 of Title 15, CCR. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 3 For STC participating agencies, consistency with training sections 1020, 1021, 1023 & 1025 is annually assessed by the STC Division. Unless otherwise indicated, the regulatory intent is for training to occur within one year from the date of assignment. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 1 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1027 NUMBER OF PERSONNEL PM 1.25 – Staffing PM 9.39 – Inmate Supervision A sufficient number of personnel shall be employed in each local detention facility to ensure the implementation The Facility Minimum Staffing Level is the ☒ ☐ ☐ and operation of the programs and activities required by level of staffing as determined by the Division these regulations. Commander to run essential operations and some routine operations Whenever there is a person in custody, there shall be at PM 1.25 – Staffing least one employee on duty at all times in a local PM 9.39 – Inmate Supervision detention facility or in the building which houses a local detention facility who shall be immediately available and ☒ ☐ ☐ accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which PM 1.25 – Staffing would conflict with the supervision and care of PM 9.39 – Inmate Supervision ☒ ☐ ☐ incarcerated people in the event of an emergency. Whenever one or more females are in custody, there PM 1.25 – Staffing shall be at least one female employee who shall be PM 9.39 – Inmate Supervision immediately available and accessible to such females. ☒ ☐ ☐ At least one female employee available and Note: Reference PC § 4021. accessible whenever there is a female in custody In order to determine if there is a sufficient number of PM 1.25 – Staffing personnel for a specific facility, the facility administrator PM 9.39 – Inmate Supervision shall prepare and retain a staffing plan indicating the personnel assigned in the facility and their duties. Such BSCC staff reviewed the facility shift a staffing plan shall be reviewed by the Board staff at the ☒ ☐ ☐ schedules and the documentation appeared time of their biennial inspection. The results of such a to be compliant with this regulation. review and recommendations shall be reported to the local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS SCCDM 9.39 – Inmate Supervision The facility administrator shall develop and implement Staff will observe inmates at least once every policy and procedures for conducting safety checks that 60 minutes or more frequently when include, but are not limited to, the following: warranted in special instances or selected (a) Safety checks will determine the safety and well- ☒ ☐ ☐ housing units. More frequent observation, being of individuals and shall be conducted at least such as every 15 minutes or every 30 hourly through direct visual observation of all people held minutes, will be dictated by other and housed in the facility. Departmental policy or will be stipulated in the housing unit post order. (b) There shall be no more than a 60-minute lapse PM 9.39 – Inmate Supervision between safety checks. Staff will observe inmates at least once every ☒ ☐ ☐ 60 minutes or more frequently when warranted in special instances or selected housing units. (c) Safety checks for people in sobering cells, safety PM 9.39 – Inmate Supervision cells, and restraints shall occur more frequently as outlined in section 1055, section 1056, and section 1058 More frequent observation, such as every 15 of these regulations. ☒ ☐ ☐ minutes or every 30 minutes, will be dictated by other Departmental policy or will be stipulated in the housing unit post order. (d) Safety checks shall occur at random or varied PM 9.39 – Inmate Supervision intervals. ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 2 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) There shall be a written plan that includes the PM 9.39 – Inmate Supervision documentation of all safety checks. Documentation shall include: BSCC staff reviewed a random sampling of (1) the actual time at which each individual safety ☒ ☐ ☐ safety check documents from January 2024 check occurred; through April 2025. The documentation appeared to be compliant with this regulation. (2) the location where each individual safety check PM 9.39 – Inmate Supervision occurred, such as a cell, module, or dormitory ☒ ☐ ☐ number; and, (3) Initials or employee identification number of staff PM 9.39 – Inmate Supervision who completed the safety check(s). A welfare check that results in normal activity will be documented as "welfare check ☒ ☐ ☐ complete" along with the time it was completed and the badge number of the officer completing the check. (f) A documented process by which safety checks are PM 9.39 – Inmate Supervision reviewed at regular defined intervals by a supervisor or PM 212.6 – Supervisor Responsibilities facility manager, including methods of mitigating patterns of inconsistent documentation, or untimely completion of, Supervisors shall review the daily activity logs safety checks. during the course of each shift. Supervisors shall sign and include the date and time of ☒ ☐ ☐ review on each shift activity log. When appropriate, supervisors should include comments in the shift activity log with regard to an incident or unusual occurrence in the jail. 1028 FIRE AND LIFE SAFETY STAFF PM 6.03 – Employee Training PM 10.03 – Fire Response Plan (a) Whenever there is a person in custody, there shall be PM 10.31 – Fire Prevention/Inspections at least one person on duty at all times who meets the training standards established by the Board for general Pursuant to Penal Code Section 6030(c) and fire and life safety. [Penal Code section 6030(c)]. Title 15 Section 1028, Correctional Officers ☒ ☐ ☐ receive fire and life safety training in their academy training and meet the training standards established by the Board of Corrections for general fire life and safety, which relate specifically to the facility. The facility manager shall ensure that there is at least one PM 6.03 – Employee Training person on duty who trained in fire and life safety PM 10.03 – Fire Response Plan procedures that relate specifically to the facility. PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ Correctional Officers shall, as a condition of employment, comply with CPR! AED and First Aid training requirements. (b) The facility administrator, in conjunction with the PM 6.03 – Employee Training health authority, shall develop and implement policies PM 10.03 – Fire Response Plan and procedures consistent with the requirements of PM 10.31 – Fire Prevention/Inspections Penal Code Section 6048(b) that require correctional officers certified in cardiopulmonary resuscitation (CPR) First aid certification is required every 3 years ☒ ☐ ☐ to begin CPR on a nonresponsive person without and CPR is required annually. CPR obtaining approval from supervisors or medical staff, certification must include the Automated when it is safe and appropriate to do so. External Defibrillator (AED) refresher-training component of CPR. These policies shall cover the following key elements: PM 6.03 – Employee Training (1) Acceptable CPR methods and application. PM 10.03 – Fire Response Plan ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 3 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Correctional officers shall be certified in CPR and a PM 6.03 – Employee Training copy of the certification shall be on file in the facility or at PM 10.03 – Fire Response Plan ☒ ☐ ☐ a central location and available for review. PM 10.31 – Fire Prevention/Inspections (3) Correctional officers shall immediately summon PM 6.03 – Employee Training medical aid when a person is identified as nonresponsive PM 10.03 – Fire Response Plan and shall administer CPR unless the correctional officer PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ is aware of a known medical condition(s) that would contraindicate its use. (4) Correctional officers shall use personal protective PM 6.03 – Employee Training equipment when administering CPR whenever possible PM 10.03 – Fire Response Plan to reduce exposure to bodily fluids or bloodborne ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections pathogens that may contain disease-causing agents. (5) If an imminent physical danger prevents a PM 6.03 – Employee Training correctional officer from safely administering CPR, they PM 10.03 – Fire Response Plan shall begin or resume CPR as soon as the threat has PM 10.31 – Fire Prevention/Inspections passed, or the nonresponsive person has been safely ☒ ☐ ☐ removed from danger, provided medical aid has not yet arrived. (6) The correctional officer shall continue administering PM 6.03 – Employee Training CPR, absent imminent physical danger, until the PM 10.03 – Fire Response Plan nonresponsive person shows obvious signs of life, such PM 10.31 – Fire Prevention/Inspections as normal breathing or physical or verbal responses, or ☒ ☐ ☐ until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative PM 6.03 – Employee Training medical responders are present when a person is PM 10.03 – Fire Response Plan identified as nonresponsive, correctional officers shall ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL4 Santa Clara County Department of Corrections Policy and Procedures Manual Facility administrator(s) shall develop and publish a (PM) manual of policy and procedures for the facility. The policy and procedures manual shall address all Custody policy is in the process of shifting applicable Title 15 and Title 24 regulations and shall be over to Lexipol. Several sections have already comprehensively reviewed and updated at least every been transferred over. Those policies are two years. Such a manual shall be made available to all identified in the Table of Content. employees. ☒ ☐ ☐ All Department policies shall be reviewed not Notes: The policies and procedures required in less than once a year. The Professional subsections (a)(6) and (a)(7) may be placed in a separate Compliance and Audit Unit will establish an manual to ensure confidentiality. Subsections (c) and (d) annual schedule identifying policies to be do not apply and have been deleted. reviewed during a specific month. Policy was reviewed and updated May 9, 2025. Compliant with this regulation. (a) The manual for Temporary Holding, Type I, II, and III PM 1.07- Organizational Chart facilities shall provide for, but not be limited to, the PM 1.09 – Chain of Command following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility PM 1.29 – Watch Commander administrator/manager. Duties/Notifications to Executive ☒ ☐ ☐ Management 4 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 4 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Policy on the use of force that meets current state PM 511 – Use of Force and federal legal requirements and includes prohibition of the use of carotid restraint and choke Deputies Shall Not Use a Carotid Restraint or holds. Apply Pressure to a Person's Neck: The Sheriff's Office does not train deputies in the ☒ ☐ ☐ use of the carotid restraint/chokehold. The carotid restraint/chokehold is prohibited. Deputies shall not apply pressure to a person's neck. (4) Policy on the use of restraint equipment, including PM 512 (I) – Use of Restraints the restraint of pregnant persons as referenced in Penal Code Section 3407. Application of Security Restraints: Staff shall ☒ ☐ ☐ not leg shackle, waist chain, or apply handcuffs behind the back of a person known to be pregnant or in recovery after delivery (5) Procedure and criteria for screening newly PM 11.15 – Misdemeanor Citation Releases received persons for release. ☒ ☐ ☐ SCCDM 11.31 – Inmate Release (6) Security and control including physical counts PM 9.33 – Inmate Counts and searches of the facility and incarcerated PM 9.39 – Inmate Supervision persons, contraband control, and key control. Each facility administrator shall, at least annually, Security Checks are conducted by staff at the review, evaluate, and make a record of security beginning of each shift and at 2300 hours measures. The review and evaluation shall include ☒ ☐ ☐ each day. internal and external security measures of the facility including security measures specific to prevention of BSCC staff reviewed the annual security sexual abuse and sexual harassment. review. The documentation appeared to be compliant with this regulation. (7) Emergency procedures include: PM 10.01 – Management of Emergency (A) fire suppression preplan as required by Plans ☒ ☐ ☐ section 1032 of these regulations; PM 10.31 – Fire Prevention/Inspections (B) escape, disturbances, and the taking of PM 10.11 - Escapes hostages; ☒ ☐ ☐ (C) mass arrests; PM 10.15 – Mass Arrests ☒ ☐ ☐ (D) natural disasters; PM 10.05 – Natural Disasters – Earthquakes PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.49 – Catastrophic Disaster Incident Plan (E) periodic testing of emergency equipment; PM 9.19 – Armory Operations and Security and, ☒ ☐ ☐ Equipment (F) storage, issue, and use of weapons, PM 9.19 – Armory Operations and Security ammunition, chemical agents, and related Equipment ☒ ☐ ☐ security devices. PM 9.25 – Use of Less Lethal Munitions (8) Suicide Prevention. PM 12.05 – Suicide Prevention ☒ ☐ ☐ (9) Separation of incarcerated persons. PM 13.01 – Classification Policy, Goals, and Objectives ☒ ☐ ☐ PM 13.03 – Administrative Segregation (10) Zero tolerance in the prevention of sexual abuse PM 606 – Prison Rape Elimination Act and sexual harassment. This Office has zero tolerance with regard to ☒ ☐ ☐ sexual abuse and sexual harassment in the jails. (11) Policy and procedure to detect, prevent, and PM 606 – Prison Rape Elimination Act respond to retaliation against any staff or person after ☒ ☐ ☐ reporting any abuse. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 5 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (12) Release policy, including release planning for PM 11.31 – Inmate Release incarcerated persons. ☒ ☐ ☐ PM 606 – Prison Rape Elimination Act (e) The manual for Temporary Holding, Court Holding, PM 606 – Prison Rape Elimination Act Type I, II, III, and IV facilities shall provide for, but not be limited to, the following: Incarcerated persons may report incidents (1) multiple internal ways for incarcerated people to anonymously or to any staff they choose. privately report sexual abuse and sexual Staff shall accommodate all incarcerated harassment, retaliation by other incarcerated ☒ ☐ ☐ person requests to report allegations. Staff persons or staff for reporting sexual abuse and shall accept reports made verbally, in writing, sexual harassment, and staff neglect or violation of anonymously, or from third parties and shall responsibilities that may have contributed to such promptly document all verbal reports. incidents, (2) a method for uninvolved incarcerated persons, PM 606 – Prison Rape Elimination Act family, community members, and other interested third parties to report sexual abuse or sexual Incarcerated persons may report sexual harassment. The method for reporting shall be abuse, sexual harassment, and/or retaliation publicly posted at the facility. to the Adult Custody Office of the Ombuds or another outside entity or agency designated by the PREA Coordinator that is not part of the Office. The outside entity or the Office ☒ ☐ ☐ should be able to receive, and immediately forward incarcerated person reports of sexual abuse and sexual harassment to the Division Commander, allowing the incarcerated person anonymity. BSCC staff noticed PREA postings within the facility’s lobby, housing units, and dormitories. 1030 SUICIDE PREVENTION PROGRAM PM 721 – Suicide Prevention and Intervention The facility shall have a comprehensive written suicide It is the policy of this Sheriff's Office to prevention program developed by the facility minimize the incidence of suicide by administrator or designee, in conjunction with the health establishing and maintaining a authority and mental health director, to identify, monitor, ☒ ☐ ☐ comprehensive suicide prevention and and provide treatment to those incarcerated persons who intervention program designed to identify present a suicide risk. incarcerated persons who are at risk of The program shall include the following: suicide and to intervene appropriately whenever possible. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 6 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Annual suicide prevention training for all custodial PM 721 – Suicide Prevention and Intervention personnel. All new sworn staff members who are responsible for supervising incarcerated persons shall complete a four-hour pre- service suicide prevention curriculum. The Assistant Sheriff of Custody Operations or the authorized designee and ACHS shall develop and implement classroom instructed suicide prevention training on a biennial basis. It shall be the responsibility of the Assistant ☐ ☒ ☐ Sheriff of Custody Operations or the authorized designee to coordinate with the Training and Professional Development Captain to ensure that suicide prevention training is provided in compliance with applicable statutes and standards. Policy as written is noncompliant with this regulation. Suicide prevention training is required on an annual basis. The training is current and compliant but the policy is noncompliant. (b) Intake screening for suicide risk immediately upon PM 721 – Suicide Prevention and Intervention intake and prior to housing assignment. All incarcerated persons shall undergo a ☒ ☐ ☐ medical and mental health screening performed by ACHS nursing staff during the intake process. (c) Suicide prevention screening during special PM 721 – Suicide Prevention and Intervention situations, including placement in restrictive housing, following a hearing, and after a transfer or change in When special situations arise, a referral to classification. ACHS Mental Health shall be made when the person is placed in restrictive housing, ☒ ☐ ☐ following a court hearing, under detox precautions, particularly during the first 72 hours of incarceration, and after a transfer or change in classification. (d) Provisions facilitating communication among PM 721 – Suicide Prevention and Intervention arresting/transporting officers, facility staff, court staff, medical and mental health personnel in relation to suicide Suspicion of suicidality of an incarcerated risk. person shall be communicated among arresting/transporting staff, jail staff, court ☒ ☐ ☐ staff, ACHS staff and result in a referral. Incarcerated persons with known suicide risk shall be monitored and referred to ACHS Mental Health staff for follow-up care as needed. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 7 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Housing recommendations for people at risk of PM 721 – Suicide Prevention and Intervention suicide that balance safety and environment. The least restrictive environment should be considered. An incarcerated person's supervision will be determined by ACHS Mental Health staff and the Classification Unit depending on suicide risk. Incarcerated persons who are on suicide precautions should be housed in a suicide resistant cell, prioritizing incarcerated persons assessed by ACHS Mental Health staff with higher risk if there are insufficient cells for all ☒ ☐ ☐ persons on precautions. When suicide resistant cells are not available, incarcerated persons should be placed in suicide precaution approved overflow cells, that are ideally near housing unit staff until a suicide resistant cell becomes available. Housing recommendations for incarcerated persons at risk of suicide balance safety and environment. The least restrictive environment should be considered. (f) Supervision depending on level of suicide risk. PM 721 – Suicide Prevention and Intervention Sworn staff will ensure that the following ☒ ☐ ☐ observations and interventions ordered by ACHS Mental Health staff for incarcerated persons at risk of suicide are followed. (g) Suicide attempt and suicide intervention policies and PM 721 – Suicide Prevention and Intervention procedures. ☒ ☐ ☐ (h) Provisions for reporting suicides and suicides PM 721 – Suicide Prevention and Intervention attempts. All suicides, attempted suicides, or injuries shall be documented in an administrative report. All in-custody deaths, including those ☒ ☐ ☐ resulting from suicide, shall be investigated and documented in accordance with Reviewing and Reporting In-Custody Deaths and Major Incident Notification Policies. (i) Multi-disciplinary administrative review of suicides and PM 721 – Suicide Prevention and Intervention attempted suicides as defined by the facility administrator, including the development of a corrective ☒ ☐ ☐ action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. PM 721 – Suicide Prevention and Intervention ☒ ☐ ☐ (k) Plan for mental health consultation following return PM 721 – Suicide Prevention and Intervention from court as determined by the mental health director. ☒ ☐ ☐ 1032 FIRE SUPPRESSION PREPLANNING PM 10.03 – Fire Response Plan PM 10.31 – Fire Prevention/Inspections Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department Pursuant to Penal Code Section 6031.1 (b), ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire the Chief or designee will consult with the Marshal, or both, in developing a plan for fire suppression State Fire Marshall or local fire Chief when which shall include, but not be limited to: developing the fire response plan. (a) a fire suppression pre-plan developed with the local PM 10.03 – Fire Response Plan fire department to be included as part of the policy and PM 10.31 – Fire Prevention/Inspections procedures manual (Title 15, California Code of ☒ ☐ ☐ Regulations Section 1029); 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 8 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) monthly fire prevention inspections by facility staff PM 10.03 – Fire Response Plan with two-year retention of the inspection record; PM 10.31 – Fire Prevention/Inspections BSCC staff confirmed that the monthly fire ☒ ☐ ☐ prevention inspections are being conducted and the documentation is being retained for the required amount of time. (c) fire prevention inspections as required by Health and PM 10.03 – Fire Response Plan Safety Code Section 13146.1(a) and (b) which requires PM 10.31 – Fire Prevention/Inspections inspections at least once every two years; The State Fire Marshall or local fire Chief will ☒ ☐ ☐ conduct annual fire prevention inspections. Last Fire Inspection: March 21, 2024 (d) an evacuation plan; and, PM 10.03 – Fire Response Plan PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections (e) a plan for the emergency housing of incarcerated PM 10.03 – Fire Response Plan people in the case of fire. PM 10.31 – Fire Prevention/Inspections PM 10.33 – Emergency Housing/Mass Relocation ☒ ☐ ☐ Incarcerated population would be transferred to another jail facility within the county in the case of emergency housing. 1040 POPULATION ACCOUNTING PM 5.01 – Network System/CLARAnet PM 7.03 – Case Record Management Each facility administrator shall maintain a demographics accounting system which reflects the monthly average ☒ ☐ ☐ daily population of sentenced and non-sentenced people by gender and juvenile status. Facility administrators shall provide the Board with PM 5.01 – Network System/CLARAnet applicable demographic information as described in the PM 7.03 – Case Record Management ☒ ☐ ☐ Jail Profile Survey. 1041 RECORDS PM 1.51 – Data Classification and Control PM 1.61 – Records Retention, Maintenance, (a) Each facility administrator of a Type I, II, III or IV and Destruction facility shall develop written policies and procedures for PM 5.01 – Network System/CLARAnet the maintenance of individual records for each PM 7.03 – Case Record Management incarcerated person which shall include, but not be ☒ ☐ ☐ limited to, intake information, personal property receipts, commitment papers, court orders, reports of disciplinary actions taken, medical orders issued by the responsible physician and staff response, and non-medical information regarding disabilities and other limitations. (b) Each facility administrator shall collect accurate, PM 1.51 – Data Classification and Control uniform data for every allegation of sexual abuse at PM 1.61 – Records Retention, Maintenance, facilities under its direct control and from other facilities and Destruction with which it contracts for the confinement of its PM 5.01 – Network System/CLARAnet incarcerated people. The data collected shall include, at ☒ ☐ ☐ PM 7.03 – Case Record Management a minimum, the data necessary to satisfy the reporting requirements of 34 U.S.C. section 30303(a)(1). Note: federal survey on sexual violence. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 9 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1044 INCIDENT REPORTS PM 6.06 – Prison Rape Elimination Act PM 9.29 – Criminal Investigations Each facility administrator shall develop written policies PM 15.01 – Inmate Discipline Process and procedures for the maintenance of written records and reporting of all incidents which result in physical ☒ ☐ ☐ harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other person. Such records shall include the names of the persons PM 6.06 – Prison Rape Elimination Act involved, a description of the incident, the actions taken, PM 9.29 – Criminal Investigations and the date and time of the occurrence. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ BSCC staff reviewed a random sampling of incident reports from January 2024 through April 2025. The documentation appeared to be compliant with this regulation. Such a written record shall be prepared by the staff PM 6.06 – Prison Rape Elimination Act assigned to investigate the incident and submitted to the PM 9.29 – Criminal Investigations ☒ ☐ ☐ facility manager or designee. PM 15.01 – Inmate Discipline Process 1045 PUBLIC INFORMATION PLAN PM 217 – News Media Relations Each facility administrator of a Type I, II, III or IV facility shall develop written policies and procedures for the dissemination of information to the public, to other ☒ ☐ ☐ government agencies, and to the news media. The public and incarcerated persons shall have available for review the following material: (a) The Board of State and Community Corrections BSCC staff confirmed a copy of the Minimum Standards for Local Detention Facilities as regulations is in the lobby of each of the ☒ ☐ ☐ found in Title 15 of the California Code of Regulations. facilities. (b) Facility rules and procedures affecting incarcerated PM 217 – News Media Relations/Public people as specified in sections: Information ☒ ☐ ☐ (1) 1045, Public Information Plan (2) 1061, Education Plan PM 18.03 – Education Programs and ☒ ☐ ☐ Services (3) 1062, Visiting PM 17.01 – Inmate Social Visiting ☒ ☐ ☐ PM 17.03 – Inmate Hospital Visits (4) 1063, Correspondence PM 1008 – Inmate Correspondence ☒ ☐ ☐ (5) 1064, Library Service PM 1007 – Library Services ☒ ☐ ☐ (6) 1065, Exercise and Out of Cell Time PM 18.07 – Exercise and Recreation ☒ ☐ ☐ (7) 1066, Books, Newspapers, Periodicals and PM 1008 – Inmate Correspondence Writings ☒ ☐ ☐ (8) 1067, Access to Telephone PM 17.05 – Inmate Access to Telephones ☒ ☐ ☐ and Telecommunication Devices (9) 1068, Access to Courts and Counsel PM 14.01 – Legal Rights of Inmates ☒ ☐ ☐ PM 17.11- Inmate Attorney and Official Visits (10) 1069, Orientation Inmate Orientation Handbook ☒ ☐ ☐ (11) 1070, Individual/Family Service Programs PM 18.03 – Education Programs and Services ☒ ☐ ☐ PM 18.11 – Social Services (12) 1071, Voting PM 610 - Voting ☒ ☐ ☐ (13) 1072, Religious Observance PM 609 – Religious Programs and Services ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 10 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (14) 1073, Grievance Procedure PM 605 – Inmate Grievances Process ☒ ☐ ☐ (15) 1080, Rules and Disciplinary Actions PM 13.15 – Disciplinary Housing PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ (16) 1081, Plan for Discipline of Incarcerated PM 13.15 – Disciplinary Housing Persons PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ (17) 1082, Forms of Discipline PM 13.15 – Disciplinary Housing PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ (18) 1083, Limitations on Discipline PM 13.15 – Disciplinary Housing PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ (19) 1200, Responsibility for Health Care Services PM 12.01 – Medical Health Care Services ☒ ☐ ☐ 1046 DEATH IN CUSTODY PM 10.09 – Inmate Deaths PM 530 Reviewing and Reporting In-Custody (a) The facility administrator shall develop written policy Deaths and procedures to comply with the in-custody death reporting requirements of Government Code section It is the policy of the Department of Correction 12525. The facility administrator shall submit a copy of to ensure an inmate death occurring in a the report filed pursuant to section 12525 to the BSCC Department of Correction facility will be within 10 days of an in-custody death. handled in a manner that ensures compliance with State of California mandates, and in the cases of suspicious circumstances, in a manner ensuring the preservation of evidence and proper investigation of the circumstances ☒ ☐ ☐ surrounding the death. Within 10 days of an in-custody death, the Sheriff's Office shall: (a) Issue a report, in writing, to the Attorney General (Govt. Code § 12525); (b) Submit a copy of the in-custody death report, submitted to the Attorney General, to the Board of State and Community Corrections (b) The facility administrator, in cooperation with the PM 12.09 – Inmate Deaths health administrator, shall develop written policy and procedures to conduct an initial review and complete a The in-custody death review should be written report of every in-custody death within 30 days of initiated as soon as practicable, and a written the death. The team that conducts the initial review shall report shall be completed within 30 days of ☒ ☐ ☐ include, at a minimum, the facility administrator or the death. The team should review the designee, the health administrator, the responsible appropriateness of clinical care, determine physician and other health care, and supervision staff whether changes to policies, procedures, or who are relevant to the incident. practices are warranted, and identify. Deaths shall be reviewed to determine the PM 12.09 – Inmate Deaths appropriateness of clinical care; whether changes to policies, procedures, or practices are warranted; and to The in-custody death review should be identify issues that require further study. initiated as soon as practicable, and a written report shall be completed within 30 days of ☒ ☐ ☐ the death. The team should review the appropriateness of clinical care, determine whether changes to policies, procedures, or practices are warranted, and identify. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 11 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The facility administrator shall submit a copy of the PM 12.09 – Inmate Deaths initial review report of every in-custody death to the BSCC within 60 days of the death. The facility A copy of that initial review report shall be administrator shall provide a copy of the initial review submitted to BSCC within 60 days of the report that comports with the disclosure requirements of ☒ ☐ ☐ death, and contain the information required by section 832.10 of the Penal Code. 15 CCR 1046. All information submitted to BSCC is disclosable under the California Public Records Act. The initial review report shall contain the following PM 12.09 – Inmate Deaths information: (1) Demographic 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 Minors are not held within this facility. 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. 1050 CLASSIFICATION PLAN PM 13.01 – Classification Policy, Goals, and Objectives (a) Each administrator of a temporary holding, Type I, II, or III facility shall develop and implement a written It is the policy of the Sheriff’s Office to classify classification plan designed to properly assign inmates using a classification systern that is incarcerated persons to housing units and activities based on objective criteria to provide for according to the categories of gender identity, age, ongoing assessment of risk and behavior criminal sophistication, seriousness of crime charged, factors, management criteria and custody physical or mental health needs, assaultive/non- requirements for inmates confined in a assaultive behavior, risk of being sexually abused, or Custody Bureau facility. sexually harassed and other criteria which will provide for ☒ ☐ ☐ the safety of the incarcerated people and staff. Such housing unit assignment shall be accomplished to the extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 12 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Each administrator of a Type II or III facility shall establish PM 13.01 – Classification Policy, Goals, and and implement a classification system which will include Objectives the use of classification officers or a classification committee in order to properly assign incarcerated The Classification Plan provides a systematic persons to housing, work, rehabilitation programs, and method for assessing and classifying inmates leisure activities. Such a plan shall include the use of as based upon objective criteria. The much information as is available about and from the Classification Plan provides for a system to incarcerated person and shall provide for a channel of ☒ ☐ ☐ determine the level of security required, appeal by the incarcerated person to the facility housing assignment, and the participation in administrator or designee. Each person may request a correctional programs. review of their classification plan no more often than 30 days from their last review. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, PM 13.01 – Classification Policy, Goals, and the agency shall consider on a case-by-case basis Objectives whether a placement would ensure the health and safety of the incarcerated person, and whether the placement BSCC staff reviewed classification ☒ ☐ ☐ would present management or security problems. A assessments during the on-site inspection. person’s own views with respect to their own safety shall The assessments appear to be compliant with be given serious consideration. this regulation. 1051 COMMUNICABLE DISEASES PM 10.37 – Exposure Control Plan for Bloodborne Pathogens The facility administrator, in cooperation with the PM 10.41 – Exposure Control Plan for responsible physician, shall develop written policies and Respiratory Diseases procedures specifying those symptoms that require medical isolation of an incarcerated person until a It is the policy of the Department of Correction ☒ ☐ ☐ medical evaluation is completed. to recognize the need for exposure control to bloodborne pathogens in accordance with CAL/OSHA regulations and to develop and implement guidelines to eliminate or minimize staff risk to occupational exposure. At the time of intake into the facility, an inquiry shall be PM 10.37 – Exposure Control Plan for made of the person being booked as to whether the Bloodborne Pathogens person has or has had any communicable diseases, such PM 10.41 – Exposure Control Plan for as tuberculosis or has observable symptoms of Respiratory Diseases tuberculosis or any other communicable diseases, or ☒ ☐ ☐ other special medical problem identified by the health authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION PM 11.01 – Arrestee Admission for Booking PM 12.03 – Mental Health Services The facility administrator, in cooperation with the PM 721 – Suicide Prevention responsible physician, shall develop written policies and procedures to identify and evaluate all incarcerated Inmates are provided access to a people who may be in behavioral crisis. Evaluation of comprehensive mental health program. Any behavioral crisis may include telehealth. ☒ ☐ ☐ inmate exhibiting unusual behavior, symptoms of mental illness or symptoms of a developmental disability shall be immediately referred to Mental Health and separated from the general population pending an assessment from Mental Health. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 13 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS If an evaluation from medical or mental health staff is not PM 11.01 – Arrestee Admission for Booking readily available, an incarcerated person shall be PM 12.03 – Mental Health Services considered in behavioral crisis for the purpose of this PM 721 – Suicide Prevention section if they appear to be a danger to themselves or others or appear gravely disabled. Mental Health staff will respond immediately ☒ ☐ ☐ to any calls for emergency or crises intervention. In all other cases, they shall respond as soon as possible or within specified time limitations as agreed upon. An evaluation from medical or mental health staff shall be PM 11.01 – Arrestee Admission for Booking secured within 24 hours of identification or at the next PM 12.03 – Mental Health Services ☒ ☐ ☐ daily sick call, whichever is earliest. PM 721 – Suicide Prevention Separation may be used if necessary, to protect the PM 11.01 – Arrestee Admission for Booking safety of the person in crisis or others. PM 12.03 – Mental Health Services PM 721 – Suicide Prevention The determination to place a mental health ☒ ☐ ☐ inmate in a restraint room or seclusion room, as opposed to a safety cell, shall be made only by professional staff (Physician or RN) when less restrictive means are not, or will not be, effective. 1053 ADMINISTRATIVE SEPARATION PM 13.03 – Administrative Segregation Except for Type IV facilities, facility administrators shall To establish specific procedures regarding develop and implement policies and procedures for the administrative segregation operations in the administrative separation of incarcerated people. jail and to provide for the administrative segregation of inmates who are determined to be prone to: escape; assault staff or other ☒ ☐ ☐ inmates; disrupt the operations of the jail; or likely to need protection from other inmates; or the inmate(s) must be temporarily removed from the general population to enable staff to effectively conduct an investigation or inquiry as necessary. Policies and procedures must include: PM 13.03 – Administrative Segregation (a) Administrative separation may consist of separate housing but shall not involve any other deprivation of Administrative Segregation is not a punitive privileges than is necessary to obtain the objective of system. This type of segregation is not protecting the welfare of incarcerated people and facility imposed as a punishment for specific acts. It ☒ ☐ ☐ staff. should not incorporate any unnecessary restrictions or deprivations of privileges, except where required to maintain levels of safety and security within the facility. (b) Administrative separation must not adversely affect PM 13.03 – Administrative Segregation an incarcerated person’s health. ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 14 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Administrative separation may be used for PM 13.03 – Administrative Segregation incarcerated people who have: (1) A documented history of activity or behavior, or Administrative Segregation is a status of promoting such activity or behavior, that is criminal in confinement in which an inmate is placed in a nature, disruptive to facility operations, or affects the setting that offers a higher degree of control safety of the facility, other incarcerated people, and and supervision than otherwise available in facility staff. the general population of the jail. It should be (2) Influenced or participated in activity that is assigned to inmates who are determined to criminal in nature, disruptive to facility operations or be prone to escape, prone to assault staff or affects the safety of the facility, other incarcerated ☒ ☐ ☐ other inmates, likely to need protection from people, and facility staff. other inmates, or the inmate(s) must be (3) Committed assault, attempted assault, or temporarily removed from the general participated in a conspiracy to assault or harm other population to enable staff to effectively incarcerated persons or facility staff. conduct an investigation or inquiry as (4) A history of escape or have recently attempted necessary, if such administrative segregation escape. is determined to be necessary in order to (5) A demonstrated need for protection from other obtain the objective of protecting the inmates incarcerated people. and staff (d) Documentation indicating the necessity of PM 13.03 – Administrative Segregation administrative separation to obtain the objective of protecting the welfare of incarcerated people and facility BSCC staff reviewed administrative staff. ☒ ☐ ☐ separation housing documentation during the on-site inspection. The documentation appeared to be compliant with this regulation. (e) A documented individualized ongoing review and PM 13.03 – Administrative Segregation evaluation of the need to continue placement in administrative separation. Classification staff will review the status of inmates in Administrative Segregation ☒ ☐ ☐ housing initially within 48 hours, and then every 30 days to confirm whether the segregation continues to be appropriate and necessary. 1055 USE OF SAFETY CELL PM 9.47 – Use of Safety Cell and Safety Devices The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who Safety cells may be used ONLY when the display behavior which results in the destruction of inmate is diagnosed with or is showing signs property or reveals an intent to cause physical harm to of having a serious mental illness, other self or others. interventions have been ineffective, and the following circumstances are present: ☒ ☐ ☐ 1. When an inmate reveals intent to cause physical harm to self or others; or 2. When an inmate displays behavior that may result in significant destruction of jail property. The facility administrator, in cooperation with the PM 9.47 – Use of Safety Cell and Safety responsible physician, shall develop written policies and Devices procedures governing safety cell use and may delegate authority to place an incarcerated person in a safety cell ☒ ☐ ☐ to a physician. Policies and procedures shall include, but not be limited to: 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 15 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) In no case shall the safety cell be used for punishment PM 9.47 – Use of Safety Cell and Safety or as a substitute for treatment. Devices ☒ ☐ ☐ Staff shall not use safety cells or safety devices to punish, discipline, or retaliate against inmates. (b) A person shall be placed in a safety cell only with the PM 9.47 – Use of Safety Cell and Safety approval of the facility manager or designee, or Devices responsible health care staff; continued retention shall be reviewed a minimum of every four hours. Approval from a supervisor is required before an inmate is placed in the safety cell. The ☒ ☐ ☐ Watch Commander shall be notified as soon as practical after the safety cell is used and shall determine whether to continue the use of the safety cell. (c) A medical assessment shall be completed as soon as PM 9.47 – Use of Safety Cell and Safety possible, but not more than 12 hours from the time of Devices placement in the safety cell. The person shall be medically cleared for continued retention, referral to A Watch Commander must approve the advanced treatment, or removal from the safety cell a ☒ ☐ ☐ continued retention of an inmate in a safety minimum of every 24 hours thereafter. cell after 8 hours, and will consult with medical and mental health staff about the appropriateness of continued retention. (d) The facility manager, designee or responsible health PM 9.47 – Use of Safety Cell and Safety care staff shall obtain a mental health Devices opinion/consultation with responsible health care staff on ☒ ☐ ☐ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least PM 9.47 – Use of Safety Cell and Safety twice every 30 minutes, with no more than a 15-minute Devices lapse between safety checks. Such observation shall be documented. Staff must directly observe the inmate a minimum of 4 times per hour with each observation at least 10 minutes apart. ☒ ☐ ☐ BSCC staff received no safety cell placement reports during this inspection cycle. The department confirmed that the cells have not been utilized during this inspection cycle. (f) Procedures shall be established to assure PM 9.47 – Use of Safety Cell and Safety administration of necessary nutrition and fluids. Devices ☒ ☐ ☐ BSCC staff confirmed that food/water would be offered to individuals while they are within the safety cells. (g) People placed in the safety cell shall be allowed to PM 9.47 – Use of Safety Cell and Safety retain sufficient clothing or be provided with a suitably Devices designed “safety garment,” to provide for their personal privacy unless specific identifiable risks to the person's Unless clothing is determined by a mental safety or to the security of the facility are documented. health clinician to represent a risk of self- ☒ ☐ ☐ harm, harm to others, or interference with monitoring, staff shall not remove most or all of an inmate's clothing when using safety cells. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 16 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1056 USE OF SOBERING CELL PM 11.05 – Use of Intake Sobering Cells, Holding Cells and Intake Lobby Chairs The sobering cell described in Title 24, Part 2, Section 1231.2.4, shall be used for temporary holding of ☒ ☐ ☐ Persons who are a threat to their own safety incarcerated people who are a threat to their own safety or the safety of others due to their state of or the safety of others due to their state of intoxication. intoxication will be placed in a Sobering Cell. A person shall be removed from the sobering cell as soon PM 11.05 – Use of Intake Sobering Cells, as they are able to continue the admission process or are Holding Cells and Intake Lobby Chairs no longer a risk to themselves or others. If an inmate is sufficiently intoxicated and needs a sheltered environment, booking staff ☒ ☐ ☐ will place the inmate in a Sobering Cell. The booking officer shall postpone the booking process until the inmate has sobered sufficiently to continue with the booking process. In no case shall a person remain in a sobering cell over PM 11.05 – Use of Intake Sobering Cells, six hours without an evaluation by medical or custody Holding Cells and Intake Lobby Chairs staff to determine whether the person has an urgent medical problem, pursuant to section 1213 of these Booking staff will remove inmates from the regulations. Sobering Cell as soon as it is possible to do so. If the inmate is to remain in the Sobering ☒ ☐ ☐ Cell more than six hours, booking staff shall contact medical staff to evaluate the inmate and determine if there may be other medical considerations that need to be addressed. This medical evaluation shall be documented on the Sobering Cell Observation Log. At 12 hours from the time of placement, all persons must PM 11.05 – Use of Intake Sobering Cells, receive an evaluation by responsible health care staff. ☒ ☐ ☐ Holding Cells and Intake Lobby Chairs Intermittent direct visual observation of people held in the PM 11.05 – Use of Intake Sobering Cells, sobering cell shall be conducted no less than every half Holding Cells and Intake Lobby Chairs hour. Such observation shall be documented. Intermittent direct visual observation of inmates held in the Sobering Cell shall be conducted by booking staff every 15 minutes. ☒ ☐ ☐ BSCC staff received no sobering cell placement reports during this inspection cycle. The department confirmed that the cells have not been utilized during this inspection cycle. 1057 DEVELOPMENTAL DISABILITIES PM 11.03 – Medical Screening at Intake PM 12.01 – Medical Health Care Services The facility administrator, in cooperation with the PM 12.03 – Mental Health Services responsible physician, shall develop written policies and procedures for the identification and evaluation, Upon entrance into the facility, the appropriate classification and housing, protection, and arresting/transporting officer must escort the nondiscrimination of all incarcerated persons with arrestee to the nurse's station, located at the developmental disabilities. booking counter, for a medical screening. The ☒ ☐ ☐ intake-booking nurse completes a medical interview and either clears the person to continue with the booking process or refuses acceptance until the person is medically cleared at the hospital. BSCC staff confirmed this process during the on-site inspection. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 17 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The health authority or designee shall contact the PM 11.03 – Medical Screening at Intake regional center for any incarcerated person suspected or PM 12.01 – Medical Health Care Services confirmed to have a developmental disability for the PM 12.03 – Mental Health Services purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. Health care services shall be rendered pursuant to an agreement between the Santa Clara County Department of Correction, the ☒ ☐ ☐ Santa Clara County Valley Medical Center and the administering physician. The Santa Clara County Valley Medical Center Adult Custody Health Services Policies and Procedures Manual shall be accepted by this department as the authority for health care related policies. 1058 USE OF RESTRAINT DEVICES PM 512 – Use of Restraints The facility administrator, in cooperation with the It is the policy of the Office of the Sheriff to use responsible physician, shall develop and implement Security Restraints on persons to minimize written policies and procedures for the use of restraint the risk of injury and maintain safety and devices. Restraint devices include any devices which security. Security Restraints shall be applied immobilize extremities or prevent the incarcerated in a manner that does not likely cause pain or person from being ambulatory. The provisions of this injury. section do not apply to the use of handcuffs, shackles, or ☒ ☐ ☐ other restraint devices when used to restrain The restraint chair is authorized for short term incarcerated people for security reasons. The facility security; temporary control and transportation manager may delegate authority to place an incarcerated of a person identified as violent, destructive, person in restraints to responsible health care staff. self-destructive; or a person who refuses to comply with a court order for blood draw pursuant to Penal Code §296 consistent with the Office's Penal Code §296 Compliance policy. (a) The policy shall address the following areas: PM 512 – Use of Restraints (1) acceptable restraint devices; BSCC staff confirmed that the Restraint Chair ☒ ☐ ☐ and Therapeutic Restraints are addressed in the policy manual. (2) signs or symptoms which should result in PM 512 – Use of Restraints immediate medical/mental health referral; availability of cardiopulmonary resuscitation equipment; BSCC staff noticed AED devices throughout ☒ ☐ ☐ the facility during the on-site inspection. AED devices are located outside each of the housing units. (3) protective housing of restrained persons; PM 512 – Use of Restraints ☒ ☐ ☐ (4) provision for hydration and sanitation needs; and, PM 512 – Use of Restraints Persons in the restraint chair will be offered ☒ ☐ ☐ water at least every hour and, if practical, an opportunity to use the restroom. (5) exercising of extremities. PM 512 – Use of Restraints Staff shall remove the restraint applied to one limb, each hour to allow the person to exercise that limb for at least five minutes. ☒ ☐ ☐ Staff shall request that medical staff assess the person at the time the person is placed in the restraint chair and at least once per hour while the person remains in the restraint chair. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 18 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Policy shall also include, but not be limited to, the PM 512 – Use of Restraints following requirements: (1) In no case shall restraints be used for punishment Restraints Shall Not Be Used for Improper or as a substitute for treatment. Purpose: Staff are prohibited from using Security Restraints to punish, degrade, ☒ ☐ ☐ humiliate, discipline, retaliate against, improperly coerce, discriminate against, or unnecessarily cause pain or injury to a person. Security Restraints shall be removed as soon as practical. (2) Restraint devices shall only be used on PM 512 – Use of Restraints incarcerated people who display behavior which results in the destruction of property or reveal an The restraint chair is authorized for short term intent to cause physical harm to self or others. ☒ ☐ ☐ security; temporary control and transportation of a person identified as violent, destructive, self-destructive. (3) Restraint devices should be used only when less PM 512 – Use of Restraints restrictive alternatives, including verbal de-escalation techniques, have been attempted and are deemed When possible, staff shall first consider the ineffective. use of a safety cell. The restraint chair shall ☒ ☐ ☐ only be used when other less restrictive alternatives have failed, or it is apparent that they will be ineffective in controlling the person. (4) An incarcerated person shall be placed in PM 512 – Use of Restraints restraints only with the approval of the facility manager, the facility watch commander, or BSCC staff confirmed through policy and responsible health care staff; continued retention ☒ ☐ ☐ documentation review that no person placed shall be reviewed a minimum of every hour. into the restraint chair meets or exceeds this time frame. (5) Continuous direct visual observation shall be PM 512 – Use of Restraints maintained until a medical opinion can be obtained. Unless time and circumstances do not permit, ☒ ☐ ☐ medical staff shall be present during the person's placement into the restraint chair. (6) A medical opinion on placement and retention PM 512 – Use of Restraints shall be secured within one hour from the time of ☒ ☐ ☐ placement. (7) A medical assessment shall be completed within PM 512 – Use of Restraints four hours of placement. Unless time and circumstances do not permit, medical staff shall be present during the person's placement into the restraint chair. ☒ ☐ ☐ BSCC staff confirmed through policy and documentation review that no person placed into the restraint chair exceeds this time frame. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 19 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) Continuous direct visual observation shall be PM 512 – Use of Restraints conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to At least once every 15 minutes, staff shall ensure the safety and well-being of the incarcerated check the person's welfare and document the person. Such observation shall be documented. welfare check on an Inmate Observation While in restraint devices all incarcerated persons Form, as well as any comments regarding the shall be housed alone or in a specified housing area health, physical condition, or demeanor of the which makes provisions to protect the person from ☒ ☐ ☐ person. abuse. BSCC staff reviewed a random sampling of restraint chair placement reports from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. (9) If the facility manager, or designee, in PM 512 – Use of Restraints consultation with responsible health care staff determines that an incarcerated person cannot be The maximum time a person can be secured safely removed from restraints after eight hours, the in the restraint chair is two hours, not including person shall be taken to a medical facility for further the time necessary for insertion and removal. evaluation. ☒ ☐ ☐ If the person is still violent or self-destructive after two hours, the person may remain in the restraint chair for up to an additional two hours with the approval of the watch commander or higher-ranking supervisor. (10) Where applicable, the facility manager shall use PM 512 – Use of Restraints the restraint device manufacturer’s recommended ☒ ☐ ☐ maximum time limits for placement. (11) All events and information related to the PM 512 – Use of Restraints placement in restraints shall be documented and shall be video recorded unless exigent The supervisor shall ensure that the person's circumstances prevent staff from doing so. The entire time in the restraint chair is captured on documentation shall include: the reason for ☒ ☐ ☐ video. placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 1058.5 RESTRAINTS AND PREGNANT PERSONS PM 512 – Use of Restraints The facility administrator, in cooperation with the Staff shall not leg shackle, waist chain, or responsible physician, shall develop written policies and apply handcuffs behind the back of a person procedures for the use of restraint devices on pregnant known to be pregnant or in recovery after ☒ ☐ ☐ people. In accordance with Penal Code Section 3407, the delivery. policy shall include reference to the following: Pregnant persons shall not be placed into the restraint chair. (1) An incarcerated person known to be pregnant or PM 512 – Use of Restraints in recovery after delivery or termination of the pregnancy shall not be restrained by the use of leg BSCC staff spoke with several pregnant or waist restraints, or handcuffs behind the body. incarcerated individuals while conducting the on-site inspection. They confirmed that, while ☐ ☐ ☒ being transported within the facility and outside the facility, they are only handcuffed in the front of their bodies. No other restraints used. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 20 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) An incarcerated pregnant person in labor, during PM 512 – Use of Restraints delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ankles, or both, unless deemed necessary for ☐ ☐ ☒ the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional PM 512 – Use of Restraints who is currently responsible for the medical care of an incarcerated pregnant person during a medical emergency, labor, delivery, or recovery after delivery ☐ ☐ ☒ or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s PM 512 – Use of Restraints pregnancy, they shall be advised, orally or in writing, of the standards and policies governing incarcerated ☐ ☐ ☒ pregnant people. 1059 DNA COLLECTION, USE OF FORCE PM 511 – Use of Force PM 13.05 – Penal Code 296 Compliance (a) Pursuant to Penal Code Section 298.1, authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force to Deputies may use Appropriate Force to collect blood specimens, saliva samples, or thumb or ☒ ☐ ☐ collect evidence required by Penal Code palm print impressions from individuals who are required section 296 consistent with the Sheriff's Office to provide such samples, specimens or impressions Penal Code Section 296 Compliance policy. pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this regulation, the “use of PM 511 – Use of Force reasonable force” shall be defined as the force that PM 13.05 – Penal Code 296 Compliance an objective, trained and competent correctional employee, faced with similar facts and Reasonable force may be employed to collect ☒ ☐ ☐ circumstances, would consider necessary and blood/saliva samples and print impressions reasonable to gain compliance with this regulation. from individuals who refuse to voluntarily provide those samples or impressions. (2) The use of reasonable force shall be preceded by PM 511 – Use of Force efforts to secure voluntary compliance. Efforts to PM 13.05 – Penal Code 296 Compliance secure voluntary compliance shall be documented and include an advisement of the legal obligation to If an inmate refuses to voluntarily comply with ☒ ☐ ☐ provide the requisite specimen, sample or PC 296 requirements, staff conducting the impression and the consequences of refusal. collection process will make verbal attempts in an effort to gain voluntary compliance. (b) The force shall not be used without the prior written PM 511 – Use of Force authorization of the facility watch commander or PM 13.05 – Penal Code 296 Compliance designee on duty. The authorization shall include information that reflects the fact that the offender was ☒ ☐ ☐ The Watch Commander will submit the asked to provide the requisite specimen, sample, or completed form and the corresponding impression and refused. reports to the Division Commander. (c) If the use of reasonable force includes a cell PM 511 – Use of Force extraction, the extraction shall be videotaped, including PM 13.05 – Penal Code 296 Compliance audio. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the The Sergeant will ensure that the incident is ☒ ☐ ☐ length of time required by statute. Notwithstanding the recorded (video) in accordance with use of the video as evidence in a criminal proceeding, the applicable guidelines in Department policy tape shall be retained administratively. 9.55, Video Documentation. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 21 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1061 EDUCATION PROGRAM PM 18.01 – Program’s Unit Goals and Objectives The facility administrator of any Type II or III facility shall PM 18.03 – Educational Programs and plan and shall request of appropriate public officials an Services education program for incarcerated persons. ☒ ☐ ☐ To provide guidelines for a comprehensive educational and vocational program that will allow inmates to strengthen self-esteem, grow in social responsibilities, expand occupational skills and achieve academic success. When such services are not made available by the PM 18.01 – Program’s Unit Goals and appropriate public officials, then the facility administrator Objectives shall develop and implement an education program with ☒ ☐ ☐ PM 18.03 – Educational Programs and available resources. Services Such a plan shall provide for the voluntary academic or PM 18.01 – Program’s Unit Goals and vocational, or both, education of housed people. Objectives PM 18.03 – Educational Programs and Services The Santa Clara County Department of ☒ ☐ ☐ Correction is committed to making a variety of learning opportunities available to inmates during their incarceration. Access to programs will be made without regard to an inmate’s disability or special needs. Reasonable criteria for program eligibility shall be PM 18.01 – Program’s Unit Goals and established. Modified academic or vocational Objectives opportunities may be provided based on sound security PM 18.03 – Educational Programs and practices or a person’s failure to abide by facility rules Services and regulations. Reasonable criteria for eligibility shall be established for inmates who wish to ☒ ☐ ☐ voluntarily participate in a program. Inmates shall be allowed to participate within the security parameters of the Department. Inmates may be removed from any class based on facility security or the inmate’s failure to abide by facility rules and regulations. 1062 VISITING PM 17.01 – Inmate Social Visiting PM 17.03 – Inmate Hospital Visits The facility administrator shall develop and implement PM 17.15 – Video Conferencing and Video written policies and procedures, which include the Visiting following requirements: ☒ ☐ ☐ (a) A visiting program which shall provide for: The Department of Correction will permit (1) As many in-person visits and visitors as facility inmates to have visits with family and friends schedules, space, and number of personnel will as facility schedules, space, and number of allow. personnel allow. (2) A publicly posted schedule of facility visiting PM 17.01 – Inmate Social Visiting hours. If practicable, visiting hours should be made PM 17.03 – Inmate Hospital Visits available on weekends, evenings, or holidays. PM 17.15 – Video Conferencing and Video Visiting ☒ ☐ ☐ BSCC staff confirmed that the visiting schedule is on the Department’s website. Scheduling can be made online. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 22 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) For all incarcerated persons in Type II, III, and IV PM 17.01 – Inmate Social Visiting facilities there shall be allowed no fewer than two PM 17.03 – Inmate Hospital Visits visits totaling at least one hour per incarcerated PM 17.15 – Video Conferencing and Video person each week. Visiting Each inmate will be allowed no fewer than two visits totaling at least one hour per week ☒ ☐ ☐ absent exigent circumstances. Inmates will not be denied visitation with persons of their choice except where there is evidence that such visitation would jeopardize the safety and security of the facility, inmate or visitor; however, inmates may refuse a visit. (b) Visits may not be cancelled unless a legitimate PM 17.01 – Inmate Social Visiting operational or safety and security concern exists. All PM 17.03 – Inmate Hospital Visits cancelled visits must be documented. The facility PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ manager or designee shall regularly review cancelled Visiting visits and document such review. (c) The visiting policies developed pursuant to this PM 17.01 – Inmate Social Visiting section shall include provision for visitation by minor PM 17.03 – Inmate Hospital Visits children of the incarcerated person. PM 17.15 – Video Conferencing and Video Visiting A child will be allowed to visit when ☒ ☐ ☐ accompanied by an adult provided that either the visitor or the inmate is the child's parent or legal guardian. The adult visitor must present a certified court document stipulating guardianship for the child if he or she is not the parent. (d) Video visitation may be used to supplement existing PM 17.01 – Inmate Social Visiting visitation programs, but shall not be used to fulfill the PM 17.03 – Inmate Hospital Visits requirements of this section if in-person visitation is ☒ ☐ ☐ PM 17.15 – Video Conferencing and Video requested by an incarcerated person. Visiting (e) Facilities shall not charge for visitation when visitors PM 17.01 – Inmate Social Visiting are onsite and participating in either in-person or video PM 17.03 – Inmate Hospital Visits visitation. For purposes of this subsection, “onsite” is PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ defined as the location where the incarcerated person is Visiting housed. (f) Subdivision (d) shall not apply to facilities which (1) PM 17.01 – Inmate Social Visiting exclusively used video visitation prior to January 1, 2017 PM 17.03 – Inmate Hospital Visits or (2) had been designed without in-person visitation PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ space and conditionally awarded by the Board prior to Visiting June 27, 2017. (g) If a local detention facility offered video visitation only PM 17.01 – Inmate Social Visiting as of January 1, 2017, the first hour of remote video PM 17.03 – Inmate Hospital Visits visitation per week shall be offered free of charge. ☒ ☐ ☐ PM 17.15 – Video Conferencing and Video Visiting Types and availability of visitation, including: Note: Reference PC § 6031.1(a)(4) (June 2017). Mode of visitation; In-Person, Noncontact, and Video Visitation at the Main Adult and Elmwood Facilities. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 23 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Visitation hours; Visiting Days: Monday through Sunday (excluding Wednesday) Hours: Monday, Tuesday, Thursday, and Friday: 0810 0920 1030 1400 1510 1620 Saturday and Sunday: 0700 0810 0920 1030 1400 1510 1620 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 24 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Time inmates are allowed for visitation; and, The Main Jail and the Elmwood Correctional Facility utilize the same Online Visitor Registration (OVR) system. Therefore, your already established visiting account, can be used to schedule visits at either facility. See Visiting registration below. Visiting rules vary slightly from the Elmwood Correctional Facility. Rules are posted at each facility. Visitors should educate themselves about the jail facility’s rules. Visits are accommodated on a first-come, first-served basis via the visiting OVR system. Visits may be cancelled without prior notice due to facility emergencies or when an inmate has been relocated to another housing unit. If relocation occurs, visitors may reschedule another visit via the OVR system. Inmates may have two 60-minute visits per week. Up to two (2) adults may visit. Each adult will receive a 30-minute visits. Children – must be biologically related to the Adult visitor or the inmate. A reasonable number of children may visit as long as they are constantly supervised and remain well behaved. An original and/or notarized birth certificate is required for each child at the time of each visit. Children who are 18 years or older will be counted as adults and must have their own account/register in the OVR system. Visitors must check in 30 minutes before the scheduled visit. Adult visitors are required to present valid government-issued picture I.D. photo identification, (Driver’s License, Green Card, Passport, Military I.D., or Mexican Consulate Card). ***The person registered in OVR must present the ID used to register. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 25 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Any restrictions on inmate visitation. A visitor who falsifies identifying information will be suspended or barred from the facility for a period of time determined by the Facility Commander or their designee (California Penal Code 4507.5). If a visitor is late, the visit will be cancelled. Missing or cancelling a scheduled visit counts as having a visit. All visitors must wear shoes and clothing that is appropriate for visiting. Your visit will be cancelled, and you will be denied entry into the facility if these rules are not followed. Any questions or clarification of these rules must be directed to the Information Desk Officer. 1063 CORRESPONDENCE PM 17.13 – Inmate Correspondence PM 14.01 – Legal Rights of Inmates The facility administrator shall develop written policies PM 1008 - Mail and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that an Incarcerated persons may, at their own incarcerated person may send or receive; expense, send and receive mail without ☒ ☐ ☐ restrictions on quantity, provided it does not jeopardize the safety of staff, visitors, or other incarcerated persons, or poses an unreasonable disruption to the orderly operation of the facilities. (b) an incarcerated person’s correspondence may be PM 17.13 – Inmate Correspondence read when there is a valid security reason and the facility PM 14.01 – Legal Rights of Inmates manager or designee approves; PM 1008 – Mail ☒ ☐ ☐ Incoming correspondence may be read when there is a valid security reason, and the Division Commander or the authorized designee has granted approval. (c) jail staff shall not review an incarcerated person’s PM 17.13 – Inmate Correspondence correspondence to or from state and federal courts, any PM 14.01 – Legal Rights of Inmates member of the State Bar or holder of public office, and PM 1008 - Mail the State Board of State and Community Corrections; however, jail authorities may open and inspect such mail Incarcerated persons may correspond only to search for contraband, cash, checks, or money confidentially with courts, legal counsel, orders and in the presence of the incarcerated person; officials of this Office, elected officials, jail ☒ ☐ ☐ oversight entities, government officials, or officers of the court provided the correspondence has been inspected and searched for contraband, cash and checks. Such searches shall be conducted in the presence of the incarcerated person. (d) incarcerated persons may correspond, confidentially, PM 17.13 – Inmate Correspondence with the facility manager or the facility administrator; and, PM 14.01 – Legal Rights of Inmates ☒ ☐ ☐ PM 1008 - Mail 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 26 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) those incarcerated persons who are without funds PM 17.13 – Inmate Correspondence shall be permitted at least four postage paid envelopes PM 14.01 – Legal Rights of Inmates and eight sheets of paper each week to permit PM 1008 - Mail correspondence with family members and friends but without limitation on the number of postage paid Indigent incarcerated persons may order envelopes and sheets of paper to their attorney and to writing materials on a weekly basis to permit the courts. correspondence with family members and friends, pursuant to a schedule established by the Assistant Sheriff of Custody Operations or ☒ ☐ ☐ the authorized designee. Writing materials should include the following (15 CCR 1063): (a) At least four pre-stamped envelopes for correspondence with family and friends (b) At least eight sheets of writing paper (c) One pencil 1064 LIBRARY SERVICES PM 1007 – Library Services The facility administrator shall develop written policies and procedures for library service in all Type II, III, and IV The Assistant Sheriff of Custody Operations facilities. The scope of such service shall be determined or the authorized designee is responsible for by the facility administrator. The library service shall the administration of library services and to include access to the following resources via paper provide for library operations. The library ☒ ☐ ☐ documents or through electronic media and include services shall include access via paper current information on community services and documents or through electronic media to resources, and religious, educational, legal reference legal reference materials, current information material and recreational reading material. on community services and resources, and religious, educational, and recreational reading material. 1065 EXERCISE AND OUT OF CELL TIME PM 18.07 – Exercise and Recreation (a) The facility administrator of a Type II or III facility shall BSCC staff reviewed a random sampling of develop written policies and procedures for a minimum of ☒ ☐ ☐ exercise and out of cell logs from January 10 hours of out of cell time distributed over a period of 2024 through April 2025. The documentation seven days to include: appeared to be compliant with this regulation. (1) an opportunity for three hours of exercise and PM 18.07 – Exercise and Recreation Inmates will be granted access to outdoor exercise using a variety of fixed and movable ☒ ☐ ☐ equipment. Inmates shall be offered a minimum of three hours of supervised outdoor recreation each week as required by Title 15 regulations. (2) an opportunity for seven hours of recreation. PM 18.07 – Exercise and Recreation In practice, the department is compliant with this regulation, but the policy does not ☐ ☒ ☐ mention the required seven hours of recreation time. Policy is noncompliant with this regulation. Policies shall include reasonable and necessary PM 18.07 – Exercise and Recreation procedures to ensure safety and security. ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 27 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1066 BOOKS, NEWSPAPERS, PERIODICALS, AND PM 1007 – Library Services WRITINGS PM 18.05 – Library Services (a) The facility administrator of a Type II or III facility shall The Assistant Sheriff of Custody Operations develop written policies and procedures which will permit or the authorized designee is responsible for incarcerated persons to purchase, receive and read any the administration of library services and to book, newspaper, periodical, or writing accepted for provide for library operations. The library distribution by the United States Postal Service. The services shall include access via paper facility administrator shall develop and implement a documents or through electronic media to written plan to make available a current newspaper or legal reference materials, current information other like source, including a non-English language ☒ ☐ ☐ on community services and resources, and alternative, to ensure reasonable access to interested religious, educational, and recreational people. Nothing herein shall be construed as limiting the reading material. right of a facility administrator to: All incarcerated persons, regardless of their classification or housing status, shall be entitled to access library services and materials. Access to library services may be delayed or restricted due to facility lockdown or other emergencies. (1) exclude any publications or writings based on any PM 1007 – Library Services legitimate penological interest; ☒ ☐ ☐ PM 18.05 – Library Services (2) exclude obscene publications or writings, and PM 1007 – Library Services mail containing information concerning where, how, PM 18.05 – Library Services or from whom such matter may be obtained; and any matter of a character tending to incite murder, arson, riot, violent racism, or any other form of violence; any matter of a character tending to incite crimes against ☒ ☐ ☐ children; any matter concerning unlawful gambling or an unlawful lottery; the manufacture or use of weapons, narcotics, or explosives; or any other unlawful activity; (3) open and inspect any publications or packages PM 1007 – Library Services received by an incarcerated person; and ☒ ☐ ☐ PM 18.05 – Library Services (4) restrict the number of books, newspapers, PM 1007 – Library Services periodicals, or writings the incarcerated person may PM 18.05 – Library Services have in their cell or elsewhere in the facility at one time. ☒ ☐ ☐ Each inmate shall be allowed to have in his/her possession a maximum of 5 books and/or magazines at any one time. 1067 ACCESS TO TELEPHONE PM 17.05 – Inmate Access to Telephone and Telecommunication Devices The facility administrator shall develop written policies PM 13.11 – Custody A.D.A. Plan and procedures which allow access to a telephone or communication device beyond those telephone calls Telecommunication Devices will be made which are required by Section 851.5 of the Penal Code. available to deaf or hearing-impaired inmates, Individuals who are known to have, or are perceived by as necessary, to make these phone calls. others as having hearing or speech impairments shall be Hearing inmates may also have access to ☒ ☐ ☐ provided access to the appropriate telecommunication communicate with deaf or hearing-impaired device which will facilitate communication. Such devices persons. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 28 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1068 ACCESS TO COURTS AND COUNSEL PM 17.11 – Inmate Attorney and Official Visits The facility administrator shall develop written policies It is the policy of the Department of Correction and procedures to ensure incarcerated persons have ☒ ☐ ☐ to permit inmates to have visits with attorneys access to the court and to legal counsel. and official visitors under conditions Such access shall consist of: consistent with the security of the jail. (a) unlimited mail as provided in Section 1063 of these PM 17.11 – Inmate Attorney and Official Visits regulations, and, PM 1008 - Mail Incarcerated persons may correspond confidentially with courts, legal counsel, officials of this Office, elected officials, jail ☒ ☐ ☐ oversight entities, government officials, or officers of the court provided the correspondence has been inspected and searched for contraband, cash and checks. Such searches shall be conducted in the presence of the incarcerated person. (b) confidential consultation with attorneys. PM 17.11 – Inmate Attorney and Official Visits Conversations between inmates and their Attorneys may be visually observed by officers, but not listened to or recorded in any manner. All reasonable precautions shall be ☒ ☐ ☐ taken to preserve the confidentiality of the attorney/client relationship. BSCC staff witnessed incarcerated individuals meeting with their counsel during the on-site inspection. 1069 ORIENTATION PM 11.21 – Inmate Processing and Orientation (a) In Type II, III, and IV facilities, the facility administrator shall develop written policies and procedures for the The orientation video will also be played once implementation of a program for people newly admitted each shift on every television set throughout to the facility designed to orient them at the time of the facility by way of a centrally controlled ☒ ☐ ☐ placement in a living area. videocassette recorder located in Central Control. The Control Officer is responsible for ensuring the video is played each shift. The video is closed-captioned and is played in English, Spanish and Vietnamese languages. Both written and verbal information shall be provided and PM 11.21 – Inmate Processing and may be supplemented with video orientation. Orientation ☒ ☐ ☐ The orientation information is provided on the tablet, handbook, and played on an orientation video played throughout the day. Provision shall be made to provide accessible orientation PM 11.21 – Inmate Processing and information to each person, including those with Orientation disabilities, limited literacy, or those with limited English ☒ ☐ ☐ proficiency (LEP). Such a program shall be published and include, but not PM 11.21 – Inmate Processing and be limited to, the following: Orientation (1) correspondence, visiting, and telephone usage ☒ ☐ ☐ rules; (2) rules and disciplinary procedures; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 29 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) grievance procedures; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (4) programs and activities available and method of PM 11.21 – Inmate Processing and application; ☒ ☐ ☐ Orientation (5) medical and mental health services; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (6) classification/housing assignments; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (7) court appearance where scheduled, if known; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (8) voting, including registration; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (9) zero tolerance policy against sexual abuse and PM 11.21 – Inmate Processing and sexual harassment; and, ☒ ☐ ☐ Orientation (10) availability of personal care items and PM 11.21 – Inmate Processing and opportunities for personal hygiene. ☒ ☐ ☐ Orientation 1070 INDIVIDUAL/FAMILY SERVICE PROGRAMS PM 18.01 – Program Unit’s Goals and Objectives The facility administrator of a Type II, III, or IV facility shall PM 18.11 – Social Services develop written policies and procedures which facilitate PM 18.15 – Correctional Industries cooperation with appropriate public or private agencies for individual or family social service programs for ☒ ☐ ☐ incarcerated persons. Such a program shall utilize the services and resources available in the community and may be in the form of a resource guide or actual service delivery. The range and source of such services shall be at the PM 18.01 – Program Unit’s Goals and discretion of the facility administrator and may include: Objectives (a) risk and needs assessments; PM 18.11 – Social Services (b) best practices in: PM 18.15 – Correctional Industries (1) individual, group or family counseling; (2) drug and alcohol abuse counseling; Programs at the Main Jail include: (3) cognitive behavioral interventions; (4) vocational testing and counseling; RoadMap to Recovery (5) employment counseling; ☒ ☐ ☐ Five Keys (6) discharge and reentry planning; CIC Ministries (c) referral to community resources and programs; Carry the Vision (d) reentry planning and service development; Life Skills – HealthRight360 (e) legal assistance; Recovery Circle – Rehabilitation Officer (f) regional center services for the developmentally disabled; and, (g) community volunteers. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 30 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1071 VOTING PM 610 – Incarcerated Persons Voting The facility administrator of a Type I (holding sentenced Incarcerated persons who have not been incarcerated workers) II, III or IV facility shall develop convicted of a felony and are in custody written policies and procedures whereby the county during trial continue to have the right to vote. registrar of voters allows qualified voters to vote in local, Except for individual incarcerated persons state, and federal elections, pursuant to election codes. who have lost the right to vote, sentenced incarcerated persons also maintain this right. Because incarcerated persons are unable to ☒ ☐ ☐ access public voting polls, the Facility Commander or the authorized designee shall develop written procedures whereby the county registrar of voters allows qualified incarcerated persons to vote in local, state and federal elections, pursuant to election codes (15 CCR 1071). lncarcerated persons should be advised of voting methods during the incarcerated person orientation. 1072 RELIGIOUS OBSERVANCES PM 1015 – Religious Programs The facility administrator of a Type I, II, III or IV facility This policy provides guidance regarding the shall develop written policies and procedures to provide right of incarcerated persons to exercise their ☒ ☐ ☐ opportunities for incarcerated persons to participate in religion and for evaluating accommodation religious services, practices, and counseling on a requests for faith-based religious practices of voluntary basis. incarcerated persons. 1073 GRIEVANCE PROCEDURE PM 609 - Grievances (a) Each administrator of a Type II, III, or IV facility and It is the policy of this Office that any Type I facilities which hold incarcerated workers shall incarcerated person may file a grievance develop written policies and procedures whereby all relating to any condition of confinement, incarcerated persons have the opportunity and ability to which includes but is not limited to, housing, submit and appeal grievances relating to any conditions healthcare, food services, clothing, bedding, ☒ ☐ ☐ of confinement, including but not limited to: medical care; hygiene and sanitation needs, recreation classification actions; disciplinary actions; program opportunities, classification actions, participation; telephone, mail, and visiting procedures; disciplinary actions, program participation, and food, clothing, and bedding. telephone and mail use procedures, visiting Such policies and procedures shall include: procedures, and allegations of sexual abuse, staff conduct, and use of force. (1) a grievance form; PM 609 – Grievances Incarcerated persons are encouraged to file grievances electronically through the tablet; however, paper grievances are available and ☒ ☐ ☐ can be placed in a secured lock box, which are in each housing unit. Housing unit staff are responsible for ensuring a reasonable supply of grievance forms are available in each housing unit. (2) instructions for registering and appealing a PM 609 - Grievances grievance, including relevant deadlines; Incarcerated persons will receive information concerning the grievance procedure during ☒ ☐ ☐ the orientation process. Information regarding the grievance process is contained in the rule book. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 31 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) a process for submission and handling of PM 609 – Grievances anonymous grievances; ☒ ☐ ☐ The Office accepts anonymous grievances and will investigate the grievance. (4) resolution of the grievance at the lowest PM 609 - Grievances appropriate staff level; When incarcerated persons have a complaint, they may bring it to the attention of facility staff ☒ ☐ ☐ before filing a formal grievance. Staff shall attempt to solve the issue at the lowest level possible. (5) appeal to the next level of review; PM 609 – Grievances Incarcerated persons may appeal the finding of a grievance to the Grievance Unit. The Grievance Unit will gather the relevant ☒ ☐ ☐ documentation and route the appeal to the responsible facility commander or the authorized designee or business unit manager. (6) written reasons for denial of grievance at each PM 609 – Grievances level of review which acts on the grievance; BSCC staff reviewed a random sampling of completed grievances and the appeals, if ☒ ☐ ☐ applicable, from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. (7) provision for a non-automated initial response PM 609 - Grievances within a reasonable time limit which shall not exceed a period of 15 calendar days; The electronic or paper grievance will be acknowledged within 5 days, but in no event longer than 15 days. ☒ ☐ ☐ BSCC staff reviewed a random sampling of grievances from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. Responses were within the required timeframe. (8) provision for resolving questions of jurisdiction PM 609 – Grievances within the facility; ☒ ☐ ☐ (9) provision for providing a copy of the grievance, PM 609 - Grievances appeal, response, and related documents to the incarcerated person; and, For electronic grievances, the Grievance Unit provides an electronic acknowledgement of receipt to the incarcerated person through the tablet. For paper grievances, the Grievance ☒ ☐ ☐ Unit electronically logs the grievance and returns a paper copy of the grievance, and any other documents submitted to the incarcerated person with a grievance tracking number. (10) The facility manager or designee shall conduct PM 609 - Grievances regular review of grievances, responses, and appeals. The Assistant Sheriff of Custody Operations ☒ ☐ ☐ or the authorized designee shall conduct a periodic review of grievances, responses, and appeals. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 32 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Grievance System Abuse: PM 609 - Grievances The facility may establish written policy and procedure to control the submission of an excessive number of Incarcerated persons shall use the grievance grievances. process only for legitimate problems or complaints. If there is concern that an ☒ ☐ incarcerated person is abusing the grievance process, the person shall be informed that continued behavior may result in disciplinary action. 1080 RULES AND DISCIPLINARY ACTIONS PM 15.01 – Inmate Discipline Process Wherever discipline is administered, each facility It is the policy of the Department of Correction administrator shall establish written rules and disciplinary to have in place a system of inmate discipline actions to guide the conduct of incarcerated persons. that will: serve to protect the public, inmates, ☒ ☐ ☐ and staff; maintain order in the jail through the Notes: If discipline IS NOT administered, written policy impartial application of inmate rules of should indicate as such. If discipline IS administered, conduct; and a hearing procedure that Sections 1080, 1081, 1082, 1083 and 1084 apply. incorporates all applicable due process requirements. Such rules and disciplinary actions shall be stated simply PM 15.01 – Inmate Discipline Process and affirmatively and posted conspicuously in housing units and the booking area or issued to each person upon Inmates will be required to conform to the booking. standards of conduct reflected in the Department's Inmate Orientation and Rule ☒ ☐ ☐ Book. An inmate violating any rule may be subject to disciplinary action under the provisions of this policy and/or the Inmate Orientation and Rule Book. For those individuals with limited literacy, who are unable PM 15.01 – Inmate Discipline Process to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them The Inmate Orientation and Rule Book shall verbally or provide them with material in an be available in English, Spanish and understandable form regarding jail rules and disciplinary Vietnamese. When literacy or language procedures and actions. ☒ ☐ ☐ understanding or disability prevents an inmate from understanding the Inmate Orientation and Rule Book, a staff member or qualified interpreter (hearing impaired only) shall assist. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 33 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1081 PLAN FOR DISCIPLINE OF INCARCERATED PM 15.01 – Inmate Discipline Process PERSONS It is the policy of the Department of Correction Each facility administrator shall develop written policies to have in place a system of inmate discipline and procedures for discipline of incarcerated persons. that will: serve to protect the public, inmates, The plan shall include, but not be limited to, the following and staff; maintain order in the jail through the elements: impartial application of inmate rules of (a) Temporary Loss of Privileges: For minor acts of non- conduct; and a hearing procedure that conformance or minor violations of facility rules, staff may incorporates all applicable due process impose a temporary loss of privileges, such as access to requirements. television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation Formal sanctions for Minor rule violations and supervisory approval. include such restriction as: I. Loss of privileges such as social visitation ☒ ☐ ☐ (one visit), commissary (one purchase period), or Inmate Worker or program status. 2. Assignment of up to 8 hours of extra work detail. 3. Housing unit confinernent/lockdown for up to 23 hours. Lockdown shall not include restrictions of attorney or official visits, regular· meals at scheduled times, clothing/linen issue, showering, required exercise, mail, or access to legal/court services, medical/mental health services or chaplaincy services. (b) Disciplinary Actions: Major violations of facility rules PM 15.01 – Inmate Discipline Process or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing Formal sanctions for Major rule violations by the staff member observing the act and submitted to include such restrictions as: the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Any of those sanctions which may be imposed under a Minor rule violation. 2. A rehousal to another unit with the approval of Classification staff. 3. Disciplinary Housing up to, but not longer than, ten consecutive days per rule violation. a. When approved by the Division Captain, Disciplinary Housing may include a ☒ ☐ ☐ disciplinary diet. Medical staff must be consulted for any continuation of the diet every 72 hours after the initial placement. b. Continuous confinement for more than 30 days requires the review and approval of the Classification Unit and Division Captain and consultation with medical staff. 4. Loss of good and/or work time credits for sentenced prisoners as pem1itted under Penal Code Section 4019. 5. Assignment of up to 16 hours of extra work detail. 1. Loss of good time/work time. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 34 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 2. Placement in disciplinary separation. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ 3. Loss of privileges mandated by regulations. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ A staff member with investigative and disciplinary PM 15.01 – Inmate Discipline Process authority shall be designated as a disciplinary officer to impose such consequences. If the inmate denied committing a Major or Criminal rule violation (not guilty plea) and ☒ ☐ ☐ requests an Infraction Hearing, the fom1s will be forwarded to the Division Infraction Coordinator for scheduling of an Infraction Hearing with the Hearing Officer. Staff shall not participate in disciplinary review if they are PM 15.01 – Inmate Discipline Process involved in the charges. ☒ ☐ ☐ Such charges pending against an incarcerated person PM 15.01 – Inmate Discipline Process shall be acted on with the following provisions and within specified timeframes: Staff shall give a copy of the completed 1. A copy of the report, or a separate written notice Inmate Infraction form to the involved inmate, of the violation(s), shall be provided to the which serves as a notice to the inmate that he incarcerated person. or she has been infracted. ☒ ☐ ☐ BSCC staff reviewed a random sampling of disciplinary reports and findings from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. 2. Unless declined by the incarcerated person, a PM 15.01 – Inmate Discipline Process hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been informed of the charges in writing. The hearing may ☒ ☐ ☐ be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to PM 15.01 – Inmate Discipline Process appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The The inmate shall have the right to present incarcerated person shall have access to staff or ☒ ☐ ☐ relevant evidence on his/her behalf, at no assistance when they have limited literacy, or the expense to the County, provided that it will not issues are complex. jeopardize facility safety or correctional goals. 4. A charge(s) shall be acted on no later than 72 PM 15.01 – Inmate Discipline Process hours after an incarcerated person has been informed of the charge(s) in writing. This meeting must take place no more than 72 hours after the notification of charges. If the meeting takes place after 72 hours from ☒ ☐ ☐ the time of notification, the Sergeant shall dismiss the infraction and forward the infraction form indicating the dismissal to the Infraction Coordinator for processing. 5. Subsequent to final disposition of disciplinary PM 15.01 – Inmate Discipline Process charges by the disciplinary officer, the charges and the action taken shall be reviewed by the facility All disciplinary hearings and actions will be manager or designee. reviewed by the Division Captain or designee ☒ ☐ ☐ who shall not be the Hearing Officer. He or she may affirm, reduce or dismiss discipline but it cannot be increased. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 35 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 6. The incarcerated person shall be advised in a PM 15.01 – Inmate Discipline Process written statement by the fact-finders about the evidence relied on and the reasons for the A written statement by the fact finder (Hearing disciplinary action. A copy of the record shall be kept Officer) of evidence relied upon for the pursuant to Penal Code Section 4019.5. disciplinary action taken is required for each ☒ ☐ ☐ charged violation. This will be written in the narrative section at the bottom of the Infraction fom1 and on the Record of Finding form. 7. There shall be a policy of review and appeal to a PM 15.01 – Inmate Discipline Process supervisor on all disciplinary action. ☒ ☐ ☐ 1082 FORMS OF DISCIPLINE PM 15.01 – Inmate Discipline Process The degree of actions taken by the disciplinary officer Formal sanctions for Minor rule violations shall be directly related to the severity of the rule include such restriction as: infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of I. Loss of privileges such as social visitation discipline shall consist of, but not be limited to, the (one visit), commissary (one purchase following: period), or Inmate Worker or program status. (a) Loss of privileges. (b) Extra work detail. 2. Assignment of up to 8 hours of extra work (c) Short term lockdown for less than 24 hours. detail. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal 3. Housing unit confinernent/lockdown for up Code Section 4019. to 23 hours. Lockdown shall not include ☒ ☐ ☐ (f) Forfeiture of “work time” credits earned under Penal restrictions of attorney or official visits, Code Section 4019. regular· meals at scheduled times, (g) Disciplinary separation. clothing/linen issue, showering, required exercise, mail, or access to legal/court services, medical/mental health services or chaplaincy services. 4. Loss of good and/or work time credits for sentenced prisoners as pem1itted under Penal Code Section 4019. 5. Assignment of up to 16 hours of extra work detail. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS PM 15.01 – Inmate Discipline Process The Penal Code and the State Constitution expressly The Penal Code and the State Constitution prohibit all cruel and unusual punishment. Disciplinary expressly prohibit all cruel and unusual actions shall not include corporal punishment, group punishment. punishment when feasible, or physical or psychological degradation. ☒ ☐ ☐ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 36 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) If a person is on disciplinary separation status for PM 15.01 – Inmate Discipline Process 30 consecutive days there shall be a review by the facility manager before the disciplinary separation If an inmate is in Disciplinary Housing status status is continued. This review shall include a for 30 consecutive days, the Division Captain consultation with health care staff. Such reviews shall review the inmate's status before the shall continue at least every fifteen days thereafter ☒ ☐ ☐ Disciplinary Housing status is continued. This until the disciplinary status has ended. This review review shall include consultation with medical shall be documented. staff and will continue every 15 days thereafter until the Disciplinary status has ended. (2) The disciplinary separation cells or cell shall have PM 15.01 – Inmate Discipline Process the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be Inmates in Disciplinary Housing shall be issued clothing and bedding as specified in Articles issued clothing and bedding as specified in 13 and 14 of these regulations and shall not be Articles 12 and 1 3 of Title 24 and shall not be deprived of them through any portion of the day deprived of them through any portion of the except that those incarcerated persons who engage day except that those inmates who engage in in the destruction of bedding or clothing may be ☒ ☐ ☐ the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a deprived of such articles. The decision to person of such articles of clothing and bedding shall deprive inmates of such articles of clothing be reviewed by the facility manager or designee and bedding shall be reviewed by the Watch during each 24-hour period. Commander each 24-hour period and shall be documented on an employee's rep01t to the Division Captain. (3) If after placement in separation, mental health or PM 15.01 – Inmate Discipline Process medical staff determine that an individual has serious PM 605 – Incarcerated Persons Rights – mental illness or an intellectual disability, they shall Protection from Abuse be removed from disciplinary separation immediately . upon this determination. It is the policy of this office to make every reasonable effort to protect incarcerated persons from abuse, physical punishment, injury, harassment, intimidation, or loss or ☒ ☐ ☐ damage to personal property by other incarcerated persons or staff. Staff shall take reasonable actions to safeguard vulnerable persons from others and shall use the classification policies and procedures to make housing decisions that will provide for incarcerated person safety. (b) The delegation of authority to any incarcerated person PM 15.01 – Inmate Discipline Process or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group Pursuant to Penal Code 4019.5 and Title 15, of incarcerated people. the delegation of authority to any inmate or ☒ ☐ ☐ group of inmates to exercise the right of Note: PC § 4019.5. punishment over any other inmate or group of inmates is expressly prohibited. (c) In no case shall a safety cell, as specified in Title 24, PM 15.01 – Inmate Discipline Process Part 2, 1231.2.5, or any restraint device be used for disciplinary purposes. ☒ ☐ ☐ In no case shall a safety cell or any restraint device be used for disciplinary purposes. (d) No incarcerated person may be deprived of the PM 15.01 – Inmate Discipline Process implements necessary to maintain an acceptable level of personal hygiene as specified in Section 1265 of these No inmate may be deprived of the implements regulations. ☒ ☐ ☐ necessary to maintain an acceptable level of personal hygiene as specified in Title 15, Section 1265. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 37 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Food shall not be withheld as a disciplinary measure. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ Food shall not be withheld as a disciplinary measure. (f) Correspondence privileges shall not be withheld PM 15.01 – Inmate Discipline Process except in cases where the incarcerated person has violated correspondence regulations, in which case Correspondence privileges shall not be correspondence may be suspended for no longer than 72 withheld except in cases where the inmate hours, without the review and approval of the facility has violated correspondence regulations, in ☒ ☐ ☐ manager. which case correspondence may be suspended for no longer than 72 hrs, without the review and approval of the Watch Commander. (g) In no case shall access to courts and legal counsel be PM 15.01 – Inmate Discipline Process suspended as a disciplinary measure. In no case shall access to courts and legal ☒ ☐ ☐ counsel be suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS PM 15.01 – Inmate Discipline Process Penal Code Section 4019.5 requires that a record is kept Pursuant to Penal Code 4019.5 and Title 15, of all disciplinary actions administered therefore. This the Department will keep a record of inmate requirement may be satisfied by retaining copies of rule infractions, disciplinary records and the violation reports and report of the disposition of each. sanctions imposed. ☒ ☐ ☐ BSCC staff reviewed copies of random disciplinary files while doing the on-site inspection. The documentation is compliant with this regulation. 1206.5 MANAGEMENT OF COMMUNICABLE PM 10.37 – Exposure Control Plan for DISEASES IN A CUSTODY SETTING Bloodborne Pathogens PM 10.41 – Exposure Control Plan for (a) The responsible physician, in conjunction with the Respiratory Diseases facility administrator and the county health officer, shall develop a written plan to address the identification, It is the policy of the Department of Correction treatment, control and follow-up management of to recognize the need for exposure control to tuberculosis and other communicable diseases. The plan bloodborne pathogens in accordance with shall cover the intake screening procedures, CAL/OSHA regulations and to develop and identification of relevant symptoms, referral for a medical ☒ ☐ ☐ implement guidelines to eliminate or minimize evaluation, treatment responsibilities during staff risk to occupational exposure. incarceration and coordination with public health officials for follow-up treatment in the community. The plan shall It is the policy of the Department of Correction reflect the current local incidence of communicable to provide a process to recognize respiratory diseases which threaten the health of incarcerated based communicable diseases and to people and staff. develop and implement guidelines to prevent and control staff or inmate exposures to those diseases. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 38 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Consistent with the above plan, the health authority PM 10.37 – Exposure Control Plan for shall, in cooperation with the facility administrator and the Bloodborne Pathogens county health officer, set forth in writing, policies and PM 10.41 – Exposure Control Plan for procedures in conformance with applicable state and Respiratory Diseases federal law, which include, but are not limited to: (1) The types of communicable diseases to be Bloodborne Pathogens: Pathogenic reported; microorganisms present in human blood that can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B Virus (HBV), Hepatitis C Virus ☒ ☐ ☐ (HCV) and Human Immunodeficiency Virus (HIV). Tuberculin Skin Test {TST): A skin test used for determining prior or possible current TB infection. The test involves injecting a solution of a purified protein derivative (PPD) under the skin of the forearm to detect for TB bacteria. If TB bacteria are detected, a skin reaction will occur around the injection site. (2) The persons who shall receive the medical PM 10.37 – Exposure Control Plan for reports; Bloodborne Pathogens PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ The QI Manager will notify the County Health Officer when an inmate has a suspected/ confirmed case of Tuberculosis. (3) Sharing of medical information with incarcerated PM 10.37 – Exposure Control Plan for persons and custody staff; Bloodborne Pathogens ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases (4) Medical procedures required to identify the PM 10.37 – Exposure Control Plan for presence of disease(s) and lessen the risk of Bloodborne Pathogens exposure to others; PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ Send the exposed employee to the appropriate healthcare provider to obtain a medical evaluation (after the initial first aid) within one hour of the exposure or sooner. (5) Medical confidentiality requirements; PM 10.37 – Exposure Control Plan for Bloodborne Pathogens ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases (6) Housing considerations based upon behavior, PM 10.37 – Exposure Control Plan for medical needs, and safety of the affected Bloodborne Pathogens incarcerated persons; PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ Medical staff will make appropriate housing arrangements for any exposed inmates who may require medical segregation. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 39 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) Provisions for consent by an incarcerated person PM 10.37 – Exposure Control Plan for that address the limits of confidentiality; and, Bloodborne Pathogens PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ To protect the confidentiality of the employee and source individual, the Supervisor's First Report of Injury shall not include information concerning HIV status of the source individual or employee. (8) Reporting and appropriate action upon the PM 10.37 – Exposure Control Plan for possible exposure of custody staff to a Bloodborne Pathogens communicable disease. ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases 1211 SICK CALL PM 12.01 – Medical Health Care Services PM 701 – Access to Health Care The facility administrator, in cooperation with the health authority, shall develop written policies and procedures, It is the policy of the Department of Correction which provide daily sick call for all incarcerated persons to ensure medical health services are or provision made that any incarcerated person ☒ ☐ ☐ provided to all inmates regardless of age, requesting medical/mental health attention be given such race, color, national origin, ancestry, religion, attention. sex/gender, sexual orientation, disability, medical condition, political beliefs, organizational affiliations, or marital status. 1240 FREQUENCY OF SERVING PM 900 – Food Services In Temporary Holding, Type I, II, and III facilities, and Meals shall be served at least three times those Type IV facilities where food is served, food shall during each 24-hour period. At least one meal be served three times in any 24-hour period. At least one must include hot food. Any deviation from this of these meals shall include hot food. Supplemental food requirement shall be subject to the review and must be served to incarcerated persons if more than 14 approval of a registered dietitian to ensure ☒ ☐ ☐ hours pass between evening and morning meals. that incarcerated persons receive meals that Additionally, supplemental food must be served to people meet nutritional guidelines. on medical diets in less than the time period outlined above, if prescribed by the responsible physician. There must be no more than 14 hours between a substantial evening meal and breakfast. A minimum of fifteen minutes shall be allowed for the PM 900 – Food Services actual consumption of each meal except for those on medical diets where the responsible physician has Incarcerated persons must be provided a ☒ ☐ ☐ prescribed additional time. minimum of 15 minutes dining time for each meal. Provisions shall be made for incarcerated persons who PM 900 – Food Services may miss a regularly scheduled facility meal. They shall be provided with a substitute meal and beverage, and on Incarcerated persons who miss, or may miss, medical diets shall be provided with their prescribed a regularly scheduled meal must be provided meal. with a beverage and a sandwich or substitute meal. Approved snacks should be served to incarcerated persons on medical diets in less ☒ ☐ ☐ than the 14-hour period if prescribed by the Responsible Physician or registered dietitian. Incarcerated persons on medical or therapeutic meals who miss their regularly scheduled meal will be provided with their prescribed meal. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 40 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1260 STANDARD INSTITUTIONAL CLOTHING PM 16.03 – Inmate Clothing, bedding and Linens The standard issue of climatically suitable clothing to incarcerated people held after arraignment in all but The Department shall maintain a supply of Court Holding, Temporary Holding, and Type IV facilities ☒ ☐ ☐ clean clothing, blankets, mattresses and shall include, but not be limited to: linens for issue at a level adequate to supply (a) Clean socks and footwear; the actual and replacement needs of the inmate population. (b) Clean outergarments; and, PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (c) Clean undergarments; PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (1) For males – shorts and undershirt, and PM 16.03 – Inmate Clothing, bedding and Linens Standard clothing, bedding and linen issue for male inmates: a. One pair of pants b. One shirt c. One roll, which includes one pair of underwear, one pair of socks, one T -shirt and ☒ ☐ ☐ one towel d. One pair of shower sandals e. Two sheets f. Two blankets g. One thermal (issued only during inclement weather to inmates housed at Main Jail South and the Elmwood Men's Facility) h. One denim jacket (issued only to minimum- security inmates) (2) For females – bra and two pairs of panties. PM 16.03 – Inmate Clothing, bedding and Linens Standard clothing, bedding and linen issue for female inmates: a. Two pairs of pants b. Two shirts or maternity smocks c. Two thermals d. Seven pairs of underwear · ☒ ☐ ☐ e. Three bras f Three pair of socks g. One pair of shower sandals h. Two blankets i. Two sheets J. One washcloth k. Two towels l. One nightgown m. One paper/plastic bag for storage of dirty laundry clothes. The person’s personal undergarments and footwear may PM 16.03 – Inmate Clothing, bedding and be substituted for the institutional undergarments and Linens footwear specified in this regulation. This option ☒ ☐ ☐ notwithstanding, the facility has the primary responsibility to provide the personal undergarments and footwear. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 41 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS All issued and exchanged clothing shall be clean and free PM 16.03 – Inmate Clothing, bedding and of holes or tears, reasonably fitted, durable, easily Linens laundered and repaired. Undergarments shall be clean, free of holes or tears, and substantially free of stains. Clothing, blankets and linens shall be of good Individuals shall be able to select the garment type more quality fabric, reasonably fitted, and cleaned compatible with their gender identity and gender prior to issuance. Staff will make reasonable expression. efforts to replace tom, worn-out, stained or ☐ ☒ ☐ unsuitable items of clothing, bedding and linens. BSCC staff inspected the clothing and linens in the property/clothing rooms during the on- site inspection. The issued clothing and bedding meet these regulation standards. 1264 CONTROL OF VERMIN IN PERSONAL PM 805 – Pest Control CLOTHING Clothing, bedding, and other property that is There shall be written policies and procedures developed suspected of being infested shall either be by the facility administrator to control contamination removed from the facility or cleaned and ☒ ☐ ☐ and/or spread of vermin in all incarcerated people’s treated by the following methods, as personal clothing. Infested clothing shall be cleaned, appropriate or as directed by the pest control disinfected, or stored in a closed container so as to provider or the Responsible Physician. eradicate or stop the spread of vermin. 1265 ISSUE OF PERSONAL CARE ITEMS PM 607 - Grooming There shall be written policies and procedures developed lncarcerated persons are expected to ☒ ☐ ☐ by the facility administrator for the issue of personal maintain their hygiene using approved hygiene items. personal care items. Each menstruating person shall be provided with sanitary PM 607 - Grooming napkins, panty liners, and tampons as requested with no maximum allowance. ☒ ☐ ☐ BSCC staff confirmed that all three products were available during the on-site inspection. Each person to be held over 24 hours who is unable to PM 607 - Grooming supply themself with the following personal care items, because of either indigency or the absence of a canteen, lncarcerated persons will be issued a free shall be issued: personal hygiene kit upon their initial housing ☒ ☐ ☐ (a) Toothbrush, unit. Certain personal care items, such as soap, sanitary napkins, and toilet paper, may be supplied as needed. (b) Dentifrice, PM 607 - Grooming ☒ ☐ ☐ (c) Soap, PM 607 - Grooming ☒ ☐ ☐ (d) Comb, and PM 607 - Grooming ☒ ☐ ☐ (e) Shaving implements. PM 607 - Grooming ☒ ☐ ☐ Personal care items shall be issued within the first 12 PM 607 - Grooming hours of housing assignment. ☒ ☐ ☐ Incarcerated persons shall not be required to share any PM 607 - Grooming personal care items listed in items “a” through “d.” No incarcerated person will be denied the ☒ ☐ ☐ necessary personal care items. For sanitation and security reasons, personal care items shall not be shared. Incarcerated people will not share disposable razors. PM 607 - Grooming ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 42 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Double edged safety razors, electric razors, and other PM 607 - Grooming shaving instruments capable of breaking the skin, when shared among incarcerated people, must be disinfected Grooming equipment will be disinfected between individual uses by the method prescribed by the before and after each use by the methods State Board of Barbering and Cosmetology in Sections approved by the State Board of Barbering and 979 and 980, Division 9, Title 16, California Code of Cosmetology to meet the requirements of (16 ☒ ☐ ☐ Regulations. CCR 979; 16 CCR 980. BSCC staff confirmed that shaving devices are disinfected before each use during the on- site inspection. 1266 SHOWERING PM 607 - Grooming There shall be written policies and procedures developed Personal care items, shower, wash and toilet by the facility administrator for showering/bathing. facilities and hair-cutting services used to ☒ ☐ ☐ maintain persona! hygiene shall not be denied to an incarcerated person for punitive reasons. Incarcerated persons shall be permitted to shower/bathe PM 607 - Grooming upon assignment to a housing unit and at least every other day or more often if possible. lncarcerated persons shall have access to operable showers. lncarcerated persons shall ☒ ☐ ☐ be permitted to shower upon assignment to a housing unit, at least every other day thereafter and more often if practicable. Absent exigent circumstances, no person shall be PM 607 - Grooming prohibited from showering at least every other day following assignment to a housing unit. If showering is lncarcerated persons shall have access to prohibited, it must be approved by the facility manager or operable showers. lncarcerated persons shall ☒ ☐ ☐ designee, and the reason(s) for prohibition shall be be permitted to shower upon assignment to a documented. housing unit, at least every other day thereafter and more often if practicable. 1267 HAIR CARE SERVICES PM 607 - Grooming (a) Hair care services shall be available. The Assistant Sheriff of Custody Operations ☒ ☐ ☐ or the authorized designee shall establish written procedures for incarcerated person hair care services. (b) Except those who may not shave for reasons of PM 607 - Grooming identification in court, incarcerated people shall be allowed to shave daily and receive hair care services at lncarcerated persons shall generally be least once a month. The facility administrator may permitted to receive hair care services once suspend this requirement in relation to people who are per month after being in custody for at least ☒ ☐ ☐ considered to be a danger to themselves or others. 30 days. Staff may suspend access to hair care services if an incarcerated person appears to be a danger to themself or others or to the safety and security of the facility. (c) Equipment shall be disinfected, after each use, by a PM 607 - Grooming method approved by the State Board of Barbering and Cosmetology to meet the requirements of Title 16, Grooming equipment will be disinfected Division 9, Sections 979 and 980, California Code of before and after each use by the methods Regulations. approved by the State Board of Barbering and Cosmetology to meet the requirements of (16 ☒ ☐ ☐ CCR 979; 16 CCR 980). BSCC staff confirmed that hair care devices are disinfected before each use during the on- site inspection. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 43 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1270 STANDARD BEDDING AND LINEN ISSUE PM 16.03 – Inmate Clothing, bedding and Linens The standard issue of clean suitable bedding and linens, for each incarcerated person entering a living area who Mattresses shall be enclosed in easily is expected to remain overnight, shall include, but not be cleaned non-absorbent ticking, conform to the limited to: ☒ ☐ ☐ size of bunks/beds and be certified by the (a) one serviceable mattress which meets the manufacturer as meeting all requirements of requirements of Section 1272 of these regulations; the State Fire Marshal and the Bureau of Home Furnishings' test standard for penal mattresses. (b) one mattress cover or one sheet; PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (c) one towel; and, PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (d) one blanket or more depending up on climatic PM 16.03 – Inmate Clothing, bedding and conditions. ☒ ☐ ☐ Linens Policy and procedure shall require that items (a), (b), and PM 16.03 – Inmate Clothing, bedding and (d) above be provided prior to the first night in the facility. ☒ ☐ ☐ Linens Two blankets or sleep bag may be issued in place of one PM 16.03 – Inmate Clothing, bedding and mattress cover or one sheet at the request of the Linens ☒ ☐ ☐ incarcerated person. 1280 FACILITY SANITATION, SAFETY, AND PM 16.01 – Sanitation Inspections and MAINTENANCE Housekeeping Plan The facility administrator shall develop written policies Staff will conduct a daily sanitation inspection and procedures for the maintenance of an acceptable of their assigned area. The sanitary condition, level of cleanliness, repair and safety throughout the ☒ ☐ ☐ any sanitary deficiencies and the actions facility. Such a plan shall provide for a regular schedule taken to correct those deficiencies will be of housekeeping tasks and inspections to identify and documented on the post log. correct unsanitary or unsafe conditions or work practices which may be found. Medical care housing as described in Title 24, Part 2, PM 16.01 – Sanitation Inspections and Section 1231.2.14, shall be cleaned and sanitized Housekeeping Plan according to policies and procedures established by the ☒ ☐ ☐ health authority. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 44 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? Juveniles are not held within the detention facility. Facilities that do not hold minors in the jail cells are not subject to Title 15, Article 9 biennial inspections; ☐ ☒ ☐ however, if minors are held in the building, they may be subject to the requirements of WIC §207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR IN AN ADULT DETENTION FACILITY The facility administrator shall develop policy and procedures for notification of the court of jurisdiction and ☐ ☐ ☒ the parent, guardian, or person standing in loco parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1101 RESTRICTIONS ON CONTACT WITH INCARCERATED ADULTS The facility administrator shall establish policies and procedures to restrict sight and sound contact, as ☐ ☐ ☒ defined in Section 1006, between detained minors and adults confined in the facility. The policies and procedures should consider trauma-informed approaches in protecting minors from contact. In situations where brief or accidental contact may occur, such as booking or facility movement, facility staff (trained in the supervision of incarcerated people) shall ☐ ☐ ☒ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1102 CLASSIFICATION The facility administrator shall develop and implement a written plan designed to provide for the safety of staff ☐ ☐ ☒ and minors held at the facility. The plan shall include the following: (a) a procedure for receiving and transmitting information regarding minors who present a risk or hazard to self or others while confined at the facility, and ☐ ☐ ☒ the separation of such minors to the extent possible within the limits of the facility. (b) a procedure to provide care for any minor who appears to be in need of or who requests medical, mental health, or developmental disability treatment. Written procedures shall be established by the ☐ ☐ ☒ responsible health administrator in cooperation with the facility administrator. (c) a suicide prevention program designed to identify, monitor, and provide treatment to those minors who ☐ ☐ ☒ present a suicide risk. (d) provide that minors be housed separately from adults and not be allowed to come or remain in contact with adults except as provided in Section 208(c) of the ☐ ☐ ☒ Welfare and Institutions Code. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 45 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1103 RELEASE PROCEDURES Facility staff shall notify the parents or guardians prior to the release of a minor. The minor's personal clothing ☐ ☐ ☒ and valuables shall be returned to the minor, parents or guardian, upon the minor's release or consent. 1104 SUPERVISION OF MINORS The facility administrator shall develop and implement policy and procedures that provide for: ☐ ☐ ☒ (a) continuous around-the-clock supervision of minors with assurance that staff can hear and respond; and, (b) safety checks of minors at least once every 30 minutes. These safety checks shall include the direct visual observation of movement and skin. Safety checks shall not be replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to ☐ ☐ ☒ detect overt, aggressive, or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented. 1105 RECREATIONAL PROGRAMS The facility administrator shall develop written policies and procedures to provide a recreation program that shall protect the welfare of minors and incarcerated ☐ ☐ ☒ adults, recognize facility security needs and comply with minimum jail standards for recreation (California Code of Regulations, Title 15, Section 1065). 1106 DISCIPLINARY PROCEDURES Nothing in this regulation shall prevent the administrator from removing a detained minor from the general population or program for reasons of the minor's mental or physical health; or under any circumstances in which ☐ ☐ ☒ the safety of the minor, incarcerated adults, staff, the program or community is endangered, pending a disciplinary action or review. With the exceptions noted below, the provisions of Section 1080-1084 shall apply when a minor is involved in disciplinary actions. (a) Pursuant to Welfare and Institutions Code Section 208.3, minors may not be placed in room confinement ☐ ☐ ☒ for disciplinary purposes. (b) Permitted forms of discipline include: (1) temporary loss of privileges; and, ☐ ☐ ☒ (2) loss of privileges mandated by applicable regulations. ☐ ☐ ☒ (c) Access to visitation and recreation shall be restricted only after a second level review by a supervisor or manager and shall not extend beyond five days without ☐ ☐ ☒ subsequent review. (d) Prohibited forms of discipline include: (1) discipline that does not fit the violation; ☐ ☐ ☒ (2) corporal punishment; ☐ ☐ ☒ (3) discipline imposed by incarcerated persons; ☐ ☐ ☒ 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 46 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) placement in safety cells, sobering cells, or any other cell not specifically designated for the ☐ ☐ ☒ detention of minors; (5) deprivation of food; and, ☐ ☐ ☒ (6) room confinement. ☐ ☐ ☒ 1120 EDUCATION PROGRAM FOR MINORS IN JAILS Whenever a minor is held in a Type II or III facility, the facility administrator shall coordinate with the County ☐ ☐ ☒ Department of Education or County Superintendent of Schools to provide education programs as required by Section 48200 of the Education Code. 1122.5 PREGNANT MINORS (a) The health administrator, in cooperation with the facility administrator, shall develop written policies and ☐ ☐ ☒ procedures pertaining to pregnant minors that address the requirements in Title 15, Section 1417. (b) The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures for the use of restraint devices on pregnant minors. The policy shall address requirements of Penal ☐ ☐ ☒ Code 3407. Policy shall include reference to the following: (1) A minor known to be pregnant or in recovery after delivery or termination of the pregnancy shall not be restrained by the use of leg or waist ☐ ☐ ☒ restraints, or handcuffs behind the body. (2) A pregnant minor in labor, during delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ankles, or both, unless deemed necessary for the ☐ ☐ ☒ safety and security of the minor, the staff, or the public. (3) Restraints shall be removed when a professional who is currently responsible for the medical care of a pregnant minor during a medical emergency, labor, delivery, or recovery after delivery or ☐ ☐ ☒ termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of a minor's pregnancy, they shall be advised, orally or in writing, of the ☐ ☐ ☒ standards and policies governing pregnant minors. 5140 Santa Clara Elmwood Men’s Facility II CI PRO 25-26 Page 47 of 47 A353 Type II & III PRO eff. 04.01.25 PHYSICAL PLANT EVALUATION BOARD OF STATE AND COMMUNITY CORRECTIONS - COMPREHENSIVE INSPECTION ADULT TYPE I, II, III AND IV FACILITIES Applicable Title 24 Regulations: 3/80; 8/86; 5/88; 1/91 BSCC: 5140 FACILITY NAME: Elmwood Complex – Men’s Facility FACILITY TYPE: II APPLICABLE REGULATIONS (Check All That Apply): 3/80: X 8/86: 5/88: 1/91: X OTHER: 1963 FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/20/2025 TITLE 24 SECTION YES NO N/A COMMENTS Temporary Holding Cells (2.2) ☒ ☐ ☐ Contain 10 square feet of floor per inmate Limited to no more than 16 inmates ☒ ☐ ☐ No smaller than 40 square feet ☒ ☐ ☐ Contain sufficient seating to accommodate all inmates ☒ ☐ ☐ Toilet accessible ☒ ☐ ☐ Water fountain accessible ☒ ☐ ☐ Wash basin accessible ☒ ☐ ☐ Provides clear visual supervision ☒ ☐ ☐ Telephone accessible ☒ ☐ ☐ Weapons Locker (3.12) External to the security area and equipped with ☒ ☐ ☐ individual compartments, locks and keys Temporary Staging Cell or Room (2.3) 1-91: Added provision for temporary staging cells- rooms ☐ ☐ ☒ Holds inmates classified and segregated per Title 15 § 1050 and § 1053 Limited to holding inmates up to 4 hours ☐ ☐ ☒ Maximum capacity of no more than 80 inmates ☐ ☐ ☒ Contains 10 square feet of floor space per inmate and ☐ ☐ ☒ has a ceiling height of at least 8 feet No smaller than 160 square feet ☐ ☐ ☒ Contains seating to accommodate all inmates ☐ ☐ ☒ Contains water closet, wash basin and drinking ☐ ☐ ☒ fountain Provides unobstructed visual supervision of inmates by staff ☐ ☐ ☒ Detoxification/Sobering Cells (2.4) No cells of this type in the facility. 01: Name change to “sobering cell” ☐ ☐ ☒ Contain 20 square feet of floor per inmate 5140 Santa Clara Elmwood Men’s Facility II CI PHY 25-26 - 1 - A381 PHY Type 80 86 88 91.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Shower-Delousing Room (3.4) ☒ ☐ ☐ Available in reception/booking Secure Vault or Storage Space (2.1) ☒ ☐ ☐ Available for inmate valuables Telephone (2.1) ☐ ☐ ☒ Available for inmate use per Penal Code § 851.5 Safety Cells (2.5) Was previously marked as N/A. There are two safety cells in receiving. However, they ☒ ☐ ☐ Contain 48 square feet with one floor dimension at are used for storage. least 6 feet and ceiling height of at least 8 feet Limited to no more than one inmate ☒ ☐ ☐ Contain flush ring toilet with controls located outside ☒ ☐ ☐ the cell Padded floor, door and walls ☒ ☐ ☐ Equipped with variable intensity, security light, ☒ ☐ ☐ inaccessible to occupant Vertical view panel not more than 4 inches wide and ☒ ☐ ☐ at least 24 inches long, in or adjacent to the door Provide a food pass with lockable shutter no more than 4 inches high and located at least 30 inches ☒ ☐ ☐ above the floor Single Occupancy Cells (2.6) ☒ ☐ ☐ 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 ☒ ☐ ☐ facilities Have a minimum ceiling height of 8 feet ☒ ☐ ☐ Contain toilet, washbasin and drinking fountain ☒ ☐ ☐ Contain a bunk, desk and seat (Desk and seat not required in Type I in later, less restrictive 1986 ☒ ☐ ☐ standards) Multiple Occupancy Cells (8227) No cells of this type. 8-86: Deleted provision for multiple occupancy cells ☐ ☐ ☒ Contain 35 square feet per person Limited to no more than 8 inmates ☐ ☐ ☐ No smaller than 100 square feet ☐ ☐ ☐ Minimum ceiling height of 8 feet ☐ ☐ ☐ Water closet separate from washbasin and drinking ☐ ☐ ☐ fountain Sufficient bunks to accommodate each occupant ☐ ☐ ☐ Provide storage space for each occupant's personal items ☐ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PHY 25-26 - 2 - A381 PHY Type 80 86 88 91.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Multiple Occupancy Rooms (8229) 8-86: Deleted provision for multiple occupancy rooms ☒ ☐ ☐ Limited to housing persons in Type III and IV facilities and workers in Type I and II facilities Contain 50 square feet of floor area per person and a ☒ ☐ ☐ minimum of 8 feet ceiling height Limited to no more than 16 persons ☒ ☐ ☐ Access to toilets separate from washbasins (ratio 1:8) ☒ ☐ ☐ and drinking fountains Provide storage space for each occupant's personal items ☒ ☐ ☐ Double Occupancy Cells (2.7) 5-88: Added provision for double occupancy cells ☒ ☐ ☐ Maximum capacity of two inmates Contain a minimum of 60 square feet of floor space in Type I facilities and 70 square feet in Type II and III ☒ ☐ ☐ facilities Have a minimum ceiling height of 8 feet and one floor ☒ ☐ ☐ dimension at least 6 feet Contain toilet, washbasin and drinking fountain ☒ ☐ ☐ Contain 2 bunks, 1 desk and seat (Desk and seat not required in Type I facilities) ☒ ☐ ☐ Dormitories (2.8) On the date of inspection, M-8 Dormitories were over the rated capacity on 7 of the 8 8-86: Provision for dormitories added housing units. Contain 50 square feet of floor area per inmate and a On the date of the inspection, 7 of the 8 minimum of 8 feet ceiling height dorms had from between 57 and 65 ☐ ☒ ☐ individuals housed on each dorm. Pod G was not being used due to construction on the housing unit. Due to exceeding the rated capacity these housing units are noncompliant. Be designed for no fewer than 8 and no more than 64 ☒ ☐ ☐ inmates Facilities having a total rated capacity of 80 inmates or less, may design dormitories for no fewer than 4 ☐ ☐ ☒ inmates Access to toilets separate from washbasins (ratio 1:8) and drinking fountains ☒ ☐ ☐ 01: Ratio changed to 1:10 Provide storage space for each inmates' personal items ☒ ☐ ☐ Dayrooms (2.9) 8-86: Added requirement for 3 foot wide corridors in ☒ ☐ ☐ front of cells-rooms 99: Corridor requirement deleted 35 square feet of floor area per inmate ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PHY 25-26 - 3 - A381 PHY Type 80 86 88 91.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Contain tables and seating to accommodate the ☒ ☐ ☐ maximum number of inmates served Access to toilets, washbasins and drinking fountains ☒ ☐ ☐ Available to all inmates in Type II and III facilities (excluding special use cells) and to workers in Type I ☒ ☐ ☐ facilities Shower (3.4) Available on a ratio of 1:16 ☒ ☐ ☐ 01: Ratio changed to 1:20 Lighting (3.6) 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) ☒ ☐ ☐ 30 inches wide and 76 inches long Comfortable Living Environment [102(c)6] A comfortable living environment is maintained ☒ ☐ ☐ through an adequate heating and cooling system. Exercise Area -Type II, III and WA IV (2.10) ☒ ☐ ☐ At least one exercise area must contain a minimum of 900 square feet 8-86: Outdoor exercise area provided ☒ ☐ ☐ 8-86: Clear height of 15 feet with required surface area meeting a formula of: 80% of maximum rated inmate population and number of one-hour ☒ ☐ ☐ exercise periods per day = required surface area Program Space - Type II and III (2.11) Sufficient area and furnishings to meet the needs of ☒ ☐ ☐ the facility programs Dining Facilities (2.17) ☒ ☐ ☐ 15 square feet per inmate being fed Toilets, washbasins and showers are not in the same room or not in view of inmate dining ☒ ☐ ☐ Visiting (2.18) ☒ ☐ ☐ Sufficient visiting area Contact visits whenever possible for minimum security inmates ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PHY 25-26 - 4 - A381 PHY Type 80 86 88 91.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Attorney Interviews (2.26) ☒ ☐ ☐ Provide for confidential attorney consultation Safety Equipment Storage (2.19) Adequate space is provided for storage of equipment ☒ ☐ ☐ such as fire extinguishers, SCBA, emergency lights, etc. Janitor Closet (2.20) Located in security areas lockable, containing a mop ☒ ☐ ☐ sink and storage space Storage Rooms (2.21) Sufficient space to accommodate inmate property, ☒ ☐ ☐ bedding and supplies Audio or Video Monitoring System -NA Type IV (2.22) ☒ ☐ ☐ Audio monitoring system capable of alerting staff in a central control Video monitoring in corridors, main entries and/or exits and programs or activity areas ☒ ☐ ☐ Fire Detection and Alarm System [102(c)6] Automatic fire alarm system capable of alerting staff in ☒ ☐ ☐ a central control point Emergency Power (2.24) Available to provide minimal lighting, maintain ☒ ☐ ☐ communications, alarm, fire, life and security systems Provide Space for: Barber/beauty shop(2.15) ☒ ☐ ☐ 8-86: Limit requirement to Type II and III facilities 99: Requirement deleted Canteen (2.16) ☒ ☐ ☐ 8-86: Added for II, III & IV facilities Confidential Interview Rooms (2.25) 8-86: Added for Type II facilities ☒ ☐ ☐ 5140 Santa Clara Elmwood Men’s Facility II CI PHY 25-26 - 5 - A381 PHY Type 80 86 88 91.dot (03/01) BOARD OF STATE AND COMMUNITY CORRECTIONS - COMPREHENSIVE INSPECTION ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION BSCC Code: 5140 FACILITY: Elmwood Complex – Men’s Facility TYPE: II RC: 2307 FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/20/2025 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 INMATE PROCESSING 206 Holding 1991 1 (4) (4) 55 sq. ft. 1 1 1 207 Holding 1991 1 (4) (4) 55 sq. ft. 1 1 1 Notes: Benches in 206 and 207 measure 78 inches, limiting capacity to 4. Room 4 Holding 1991 1 (6) (6) 72 sq. ft. 1 1 1 Notes: Two benches totaling 109 inches, limit capacity to 6. 223, 224 Safety 1991 2 (1) (2) 6.0' x 8.11' x 9.1' 1 Notes: Safety Cells use for storage. 225 Holding 1991 1 (5) (5) 60 sq. ft. 1 1 1 Notes: Two benches totaling 106 inches, limit capacity to 5. Unit Note: Although this inmate processing area was completed in 1991, it was not added to the LASE until the 2012-2014 inspection cycle. The area is operated 24/7 exclusively for receiving inmates transferred from the Main Jail. BARRACKS HOUSING Barracks 1 Dorm 1963 1 120 56 56 44.0' x 38.0’ x 5 3 8 1 4 11.0' Notes: Building with two housing areas (one on each end) and central/common dayroom and bathroom areas. 60 beds each side. Dimensions reflect that of only one of the housing areas. Formerly A & 1A. Dayroom has five tables (4 seats each), extra plastic chairs, and a long picnic-style table. It appears the RC was established using the cubic feet requirement. Toilet/urinal fixtures only support a total of 56 for the barracks, as we can only count the urinals as one using the 1/3 formula. Over capacity (space and facilities). Barracks 2 Dorm 1963 1 108 56 56 44.0' x 38.0’ x 5 3 8 1 5 11.0' Notes: Building with two housing areas (one on each end) and central/common dayroom and bathroom areas. 74 beds each side (14 triple-bunks and 16 double-bunks on each side). Dimensions reflect that of only one of the housing areas. Dayroom has five tables (4 seats each) and a long picnic-style table. It appears the RC was established using the cubic feet requirement. Toilets and wash basins only support a total of 48 for the barracks, as we can only count the urinals as one using the 1/3 formula. Over capacity (space and facilities). Barracks 3 Dorm 1963 1 50 40 40 29.0' x 65.7' x 4 2 5 1 6 12.0’ Notes: Prior LASE indicated this housing area was being held in reserve and only utilized when the facility population increased. It is in use this inspection cycle. Barracks consist of a single housing area. Bathroom urinal is five feet in length (prior LASE listed it as six). Urinal counted as one, as it can only represent 1/3 of the total toilets required. It appears the RC was established using the cubic feet requirement, however, the T/U only support 40 Over capacity (space and facilities). Barracks 4 Dorm 1963 1 60 48 48 27.0' x 90.0’ x 5 2 8 1 4 12.0' *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. 5140 Santa Clara Elmwood Men’s Facility II CI LASE 25-26 - 1 - A360 LAS Adult.dot (9/98) 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 Notes: Dorm housing with 28 double bunks & 4 singles. Dorms 4 & 5 are in a two-story building. Dorm 4 is downstairs with Dorm 5 upstairs. Toilet/urinal fixtures limit the RC to 56. Over capacity (space and facilities). Footage (cubic) supports 58. If requested, the RC can be increased from 48 to 56. Barracks 5 Dorm 1963 1 66 48 48 27.0' x 90.0’ x 6 2 8 1 4 12.0' Notes: Dorm housing with 30 double bunks & 4 singles. Dorms 4 & 5 are in a two-story building. Dorm 4 is downstairs with Dorm 5 upstairs. Prior LASE listed only 5 toilets, this inspection reflects the addition of a 6th toilet. Footage (cubic) supports 58. If requested, the RC can be increased from 48 to 58. Over capacity (space and facilities). Barracks 6 Dorm 1963 1 62 56 56 120.0' x 27.0’ x 6 2 8 1 4 12.0' Notes: Dorm housing. Dorms 6 & 7 are in a two-story building. Dorm 6 is downstairs with Dorm 7 upstairs. Toilets/wash basins/showers limit space for 64. Contains 19 double and 12 triple bunks. Prior LASE indicated there were only 4T, 3U, and 7W. Increased toilets and additional wash basin can support 64, if agency requested re-evaluation. Over capacity (facilities). Footage would support RC of 77. Over capacity (facilities). Barracks 7 Dorm 1963 1 62 56 56 120.0' x 27.0’ x 6 2 8 1 4 12.0' Notes: Dorm housing. Dorms 6 & 7 are in a two-story building. Dorm 6 is downstairs with Dorm 7 upstairs. Toilets/wash basins/showers limit space for 64. Contains 30 double and 5 single bunks. Prior LASE indicated there were only 4T and 3U. Increased toilets can support 64, if agency requested re-evaluation. Over capacity (facilities). Footage would support RC of 77. Over capacity (facilities). Barracks 8 Dorm 1963 1 120 56 56 44.0' x 38.0’ x 5 3 8 1 5 11.0' Notes: Building with two housing areas (one on each end) and central/common dayroom and bathroom areas. 60 beds each side. Dimensions reflect that of only one of the housing areas. Formerly 8 & 8A. It appears the RC was established using the cubic feet requirement. Toilet/urinal fixtures only support a total of 56 for the barracks, as we can only count the urinals as one using the 1/3 formula. Over capacity (space and facilities). RC from 72 to 56 98/00 cycle. If replace one urinal with a toilet, RC could be increased to 64. Dorm closed during the 2020/2022 cycle (MJB). Barracks 9 Dorm 1963 1 120 56 56 44.0' x 38.0’ x 5 3 8 1 5 11.0' Notes: Building with two housing areas (one on each end) and central/common dayroom and bathroom areas. 60 beds each side. Dimensions reflect that of only one of the housing areas. Formerly 9 & 9A. It appears the RC was established using the cubic feet requirement. Toilet/urinal fixtures only support a total of 56 for the barracks, as we can only count the urinals as one using the 1/3 formula. Over capacity (space and facilities). RC from 72 to 56 98/00 cycle. If replace one urinal with a toilet, RC could be increased to 64. Dorm closed during the 2020/2022 cycle. Barracks Dorm 1963 1 57 32 32 26.0' x 79.0’ x 4 2 4 1 6 10 11.0' Notes: Barracks 10 & 11 are in the same building. They share the same central/common bathroom area. Prior LASE indicated these barracks would be replaced with new M-8, however they remain in use. Contains 26 triple and 5 single bunks. Prior LASE listed separate toilet facilities for each Barracks 10 & 11 instead of the combined area. Footage would support RC of 45, limited by facilities. Over capacity (space and facilities). Wash basin/shower fixtures support 64 – split between the two makes for 32 each barrack. Barracks Dorm 1963 1 57 32 32 26.0' x 79.0’ x 4 2 4 1 6 11 11.0' Notes: Barracks 10 & 11 are in the same building. They share the same central/common bathroom area. Contains 26 triples and 5 singles bunks. Prior LASE listed plumbing fixtures for this unit separate from bldg. 10, however, bathroom is common/shared area. Footage would support RC of 45, limited by facilities. Over capacity (space and facilities). Wash basin/shower fixtures support 64 – split between the two makes for 32 each barrack. *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. 5140 Santa Clara Elmwood Men’s Facility II CI LASE 25-26 - 2 - A360 LAS Adult.dot (9/98) 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 Barracks Dorm 1963 1 120 56 56 20.0' x 44.0’ x 5 3 8 1 5 12 12.0' Notes: Prior LASE listed “12 & 13 were formerly the medium security dorm (north & south) now divided. A & B rooms as dimensioned plus 20’ x 30’ x 12’ in C-room. Remainder (40 x 44) minus (20 x 30) is dayroom.” Building 12 has two housing areas (one on each end) and central/common dayroom and bathroom areas. 60 beds each side. Prior LASE listed RC as 60+, unclear how this was established as fixtures and footage (based on prior LASE language) support 56. Over capacity (space and facilities). RC changed from 60+ to 56 98/00 cycle. Barracks Dorm 1963 1 120 56 56 20.0' x 44.0’ x 5 3 8 1 5 13 12.0' Notes: Prior LASE listed “12 & 13 were formerly the medium security dorm (north & south) now divided. A & B rooms as dimensioned plus 20’ x 30’ x 12’ in C-room. Remainder (40 x 44) minus (20 x 30) is dayroom.” Building 13 has two housing areas (one on each end) and central/common dayroom and bathroom areas. 60 beds each side. Prior LASE listed RC as 60+, unclear how this was established as fixtures and footage (based on prior LASE) support 56. RC changed from 60+ to 56 98/00 cycle. Notes: Transition barracks. Closed by fire department. Not in use this inspection cycle. Due to the fact it is off-line, it is not being included in the RC. Reaffirmed during 10/12 Note: Two dayrooms (A) for General Population (B) for Medical – 476 sq. ft = 952 Total sq ft. RC 27.2 Used for medical inmates due to dayroom space. 529 sq. ft. Will be opened later this year (2018). BUILDING M-1 – Medical and Discipline Housing 313-316 Dorm 1980 4 10 (10) (40) 20.6 x 18.0 x 9 1 1 318-319 S 1980 2 1 (1) (1) 105 sq ft. 1 1 1 321-222 S 1980 2 1 (1) (1) 105 sq ft. 1 1 1 324-325 S 1980 2 1 (1) (1) 105 sq ft. 1 1 1 327-328 S 1980 2 1 (1) (1) 105 sq ft. 1 1 1 General Population 330-331- S 1980 2 1 1 2 105 sq ft. 1 1 1 333-337 Dorm 1980 4 8 8 32 20.6 x 18.0 x 9 1 1 338-339 Dorm 1980 2 8 8 16 20.6 x 18.0 x 9 1 1 BUILDING M-2 Consists of four separate housing areas designated as units A, B, C, & D.) Prior LASE states, “Variance 9-16-81 for 1/20 shower ratio. Excess housing space allocated to dayrooms.” M-2 is a rectangular-shaped bldg. with two housing areas at each end, for a total of four. (During 10/12 cycle, each housing unit will be counted as one living space, meaning cubicle reference does not apply). For historical reference, please refer to previous LASE. Dorms appear to have enough space to house 64 inmates, however, each unit only has three showers, which will limit RC to 60. (MJB) – 5/2012. During the 2016-18 cycle, “A” only had 5 toilets. RC is limited to 50. BCD RC 60. Building remodel during 2020-2022. A Multiple 1980 3 68 48 50 6 6 1 3 B Multiple 1980 3 68 48 60 6 6 1 3 C Multiple 1980 3 68 48 60 6 6 1 3 D Multiple 1980 3 70 48 60 6 6 1 3 BUILDING M-3 Consists of four separate housing areas designated as units A, B, C, & D.) Prior LASE states, “Variance 9-16-81 for 1/20 shower ratio. Excess housing space allocated to dayrooms.” M-3 is a rectangular-shaped bldg. with two housing areas at each end, for a total of four. (During 10/12 cycle, each housing unit will be counted as one living space, meaning cubicle reference does not apply). By using the current dormitory measurements, each dorm has enough space to house 64 inmates; however, *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. 5140 Santa Clara Elmwood Men’s Facility II CI LASE 25-26 - 3 - A360 LAS Adult.dot (9/98) 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 each unit only has three showers, which will limit their RC to 60. (MJB) – 5/2012. For historical reference, please refer to previous LASE. A Multiple 1980 3 68 60 60 4080 sq. ft 6 6 1 3 B Multiple 1980 3 68 60 60 4080 sq. ft 6 6 1 3 C Multiple 1980 3 68 60 60 4080 sq. ft 6 6 1 3 D Multiple 1980 3 68 60 60 4080 sq. ft. 6 6 1 3 M-4 HOUSING Podular housing design. Bldg. has four pods titled A-D. Each pod has two tiers with 24 cells on each tier, for a total of 48 cells per pod. Visiting facilities located inside the bldg. Four holding cells in the bldg. Dayroom space 3,648 for each pod. For historical reference, please refer to previous LASE. MJB 10/12 cycle. Cell 10, 11, 18, & 19 cells ADA remodel MJB 2020. A Single 1980 7 1 1 5 6.9’ x 11.5’ 1 1 1 5 Double 1980 31 2 2 62 6.9’ x 11.5’ 1 1 1 Notes: During 2016-18 inspections, 17 single bunks were turned into double bunks + added a shower. (MJB) B Double 1980 24 2 2 48 6.9’ x 11.5’ 1 - 1 1 5 Double 1980 24 2 2 48 6.9’ x 11.5’ 1 1 1 Notes: During 2016-18 inspections, 17 single bunks were turned into double bunks + added a shower. (MJB) C Double 1980 24 2 2 48 6.9’ x 11.5’ 1 - 1 1 5 Double 1980 24 2 2 48 6.9’ x 11.5’ 1 1 1 Notes: During 2016-18 inspections, 17 single bunks were turned into double bunks + added a shower. (MJB) D Double 1980 48 2 2 48 6.9’ x 11.5’ 1 - 1 1 5 Double 1980 24 2 2 48 6.9’ x 11.5’ 1 1 1 Notes: During 2016-18 inspections, 17 single bunks were turned into double bunks + added a shower. (MJB) Holding Holding 1980 4 - (6) (24) 11.0’ x 7.0’ 1 - 1 1 - Notes: Two 5.6’ benches in cell for c11’ bench space; footage minus 8.48’. M-5 HOUSING Podular housing design. Bldg. has four pods titled A-D. Each pod has two tiers with 24 cells each on tier, 48 in pod. Four holding cells in bldg. Dayroom space 3,648 for each pod. For historical reference, please refer to previous LASE. MJB 10/12 cycle. A Double 1980 48 2 2 96 6.9’ x 11.5’ 1 - 1 1 5 B Double 1980 48 2 2 96 6.9’ x 11.5’ 1 - 1 1 5 C Double 1980 48 2 2 96 6.9’ x 11.5’ 1 - 1 1 5 D Double 1980 48 2 2 96 6.9’ x 11.5’ 1 - 1 1 5 Holding Holding 1980 4 - (6) (24) 11.0’ x 7.0’ 1 - 1 1 - Notes: Two 5.6’ benches in cell for c11’ bench space; footage minus 8.48’. SPECIAL HOUSING The following housing units are located in the same bldg. and have a common/shared bath area. Prior LASE listed “Four isolation cells 7’ x 12.25’ not counted in capacity.” Not included on facility count sheet during 2012-2014 inspection. Multiple 1980 2 8 8 16 17.5’ x 18.5’ 2 2 1 1 Notes: “Variance granted 5/18/83 to permit 16 capacity.” Housing consists of two cubicles with 8 beds each. *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. 5140 Santa Clara Elmwood Men’s Facility II CI LASE 25-26 - 4 - A360 LAS Adult.dot (9/98) 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 M-8 HOUSING Consists of four housing pods; East has Pods A-D; West has Pods E-H. POD A: Irregular-shaped housing unit with upper and lower tiers; top tier has four cubicles numbered 1-4; 5-8 are downstairs; dimensions are for each cubicle; there is a centralized dayroom in addition to cubicles 7 & 8 being used as dayroom space for a total of 3312.4 sq ft. A total of 68 beds in this pod but space limits RC to 48. Exercise area attached to pod. For historical reference, please refer to previous LASE. (MJB) – 5/2012. Dorm 1991 4 9 8 32 24.5’ x 16.9’ x 9.6’ Dorm 1991 2 16 8 16 24.5’ x 16.9’ x 9.6’ 4 3 6 1 3 POD B: Irregular-shaped housing unit with upper and lower tiers; top tier has four cubicles numbered 1-4; 5-8 are downstairs; dimensions are for each cubicle; there is a centralized dayroom in addition to cubicles 7 & 8 being used as dayroom space for a total of 3312.4 sq ft. A total of 68 beds in this pod but space limits RC to 48. Exercise area attached to pod. For historical reference, please refer to previous LASE. (MJB) – 5/2012. Dorm 1991 4 9 8 32 24.5’ x 16.9’ x 9.6’ 4 3 6 1 3 Dorm 1991 2 16 8 16 24.5’ x 16.9’ x 9.6’ POD C: Irregular-shaped housing unit with upper and lower tiers; top tier has four cubicles numbered 1-4; 5-8 are downstairs; dimensions are for each cubicle; there is a centralized dayroom in addition to cubicles 7 & 8 being used as dayroom space for a total of 3312.4 sq ft. A total of 68 beds in this pod but space limits RC to 48. Exercise area attached to pod. For historical reference, please refer to previous LASE. (MJB) – 5/2012. Dorm 1991 4 9 8 32 24.5’ x 16.9’ x 9.6’ 4 3 6 1 3 Dorm 1991 2 16 8 16 24.5’ x 16.9’ x 9.6’ POD D: Irregular-shaped housing unit with upper and lower tiers; top tier has four cubicles numbered 1-4; 5-8 are downstairs; dimensions are for each cubicle; there is a centralized dayroom in addition to cubicles 7 & 8 being used as dayroom space for a total of 3312.4 sq ft. A total of 68 beds in this pod but space limits RC to 48. Exercise area attached to pod. For historical reference, please refer to previous LASE. (MJB) – 5/2012. Dorm 1991 4 9 8 32 24.5’ x 16.9’ x 9.6’ 4 3 6 1 3 Dorm 1991 2 16 8 16 24.5’ x 16.9’ x 9.6’ A-D 1991 1 7.1 x 8.1 x 9.0 1 1 Note: Otherwise a holding cell, this is considered non-rated space as no fountain is installed on the porcelain sink. Bench space of 85 inches would limit capacity to four in the event a fountain is added. POD E: Irregular-shaped housing unit with upper and lower tiers; top tier has four cubicles numbered 1-4; 5-8 are downstairs; dimensions are for each cubicle; there is a centralized dayroom in addition to cubicles 7 & 8 being used as dayroom space for a total of 3312.4 sq ft. A total of 68 beds in this pod but space limits RC to 48. Exercise area attached to pod. For historical reference, please refer to previous LASE. (MJB) – 5/2012. Dorm 1991 4 9 8 32 24.5’ x 16.9’ x 9.6’ 4 3 6 1 3 Dorm 1991 2 16 8 16 24.5’ x 16.9’ x 9.6’ POD F: Irregular-shaped housing unit with upper and lower tiers; top tier has four cubicles numbered 1-4; 5-8 are downstairs; dimensions are for each cubicle; there is a centralized dayroom in addition to cubicles 7 & 8 being used as dayroom space for a total of 3312.4 sq ft. A total of 68 beds in this pod but space limits RC to 48. Exercise area attached to pod. For historical reference, please refer to previous LASE. (MJB) – 5/2012. Dorm 1991 4 9 8 32 24.5’ x 16.9’ x 9.6’ 4 3 6 1 3 Dorm 1991 2 16 8 16 24.5’ x 16.9’ x 9.6’ *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. 5140 Santa Clara Elmwood Men’s Facility II CI LASE 25-26 - 5 - A360 LAS Adult.dot (9/98) 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 POD G: Irregular-shaped housing unit with upper and lower tiers; top tier has four cubicles numbered 1-4; 5-8 are downstairs; dimensions are for each cubicle; there is a centralized dayroom in addition to cubicles 7 & 8 being used as dayroom space for a total of 3312.4 sq ft. A total of 68 beds in this pod but space limits RC to 48. Exercise area attached to pod. For historical reference, please refer to previous LASE. (MJB) – 5/2012. Dorm 1991 4 9 8 32 24.5’ x 16.9’ x 9.6’ 4 3 6 1 3 Dorm 1991 2 16 8 16 24.5’ x 16.9’ x 9.6’ POD H: Irregular-shaped housing unit with upper and lower tiers; top tier has four cubicles numbered 1-4; 5-8 are downstairs; dimensions are for each cubicle; there is a centralized dayroom in addition to cubicles 7 & 8 being used as dayroom space for a total of 3312.4 sq ft. A total of 68 beds in this pod but space limits RC to 48. Exercise area attached to pod. For historical reference, please refer to previous LASE. (MJB) – 5/2012. Dorm 1991 4 9 8 32 24.5’ x 16.9’ x 9.6’ 4 3 6 1 3 Dorm 1991 2 16 8 16 24.5’ x 16.9’ x 9.6’ E-H 1991 1 7.1 x 8.1 x 9.0 1 1 Notes: Otherwise a holding cell, this is considered non-rated space as no fountain is installed on the porcelain sink. Bench space of 85 inches would limit capacity to four in the event a fountain is added. Space added to LASE during 2012-2014 inspection cycle. M-8 COURT STAGING 1 Holding 1991 1 (4) (4) 10.11 x 7.5 x 9.1 1 1 1 Notes: Bench space of 74 inches limits capacity to four. 2 Holding 1991 1 (4) (4) 10.11 x 8.11 x 9.1 1 1 1 Notes: Bench space of 74 inches limits capacity to four. 3 Holding 1991 1 (4) (4) 10.11 x 7.4 x 9.1 1 1 1 Notes: Bench space of 74 inches limits capacity to four. 4 1991 (Not measure) 1 1 1 Notes:: This area was originally intended as a holding cell; however, the area is instead used for storage. 5 1991 Approx. 270 sq. 1 2 1 ft. Notes: Intended as a staging area, it is considered non-rated space as no benches are present in this cell. 6-8 1991 1991 3 (4) (12) 10.10 x 7.4 x 9.1 1 1 1 Notes: These cells each contain 74 inches of bench space, limiting capacity to four each. Area Note: In existence since 1991, the Court Staging area was added to LASE during the 2012-2014 inspection cycle. *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. 5140 Santa Clara Elmwood Men’s Facility II CI LASE 25-26 - 6 - A360 LAS Adult.dot (9/98) TYPE II AND III FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 5180 FACILITY NAME: Santa Clara County Elmwood Women’s Facility FACILITY TYPE: II PERSON(S) INTERVIEWED: Sergeant Mario Sparacino FIELD REPRESENTATIVE: Matthew Schuler DATE: May 20, 2025 TITLE 15 SECTION P/P REFERENCE – COMMENTS2 1020 CORRECTIONS OFFICER CORE COURSE3 The BSCC Standards and Training for Corrections (STC) division found the agency in compliance with applicable (a) In addition to the provisions of California Penal Code Section regulations during the 2025-2026 compliance monitoring 831.5, all custodial personnel of a Type I, II, III, or IV facility shall cycle. successfully complete the “Corrections Officer Core Course” as described in Section 179 of Title 15, CCR, within one year from the date of assignment. (b) Custodial Personnel who have successfully completed the course of instruction required by Penal Code Section 832.3 shall also successfully complete the “Corrections Officer Basic Academy Supplemental Core Course” as described in Section 180 of Title 15, CCR, within one year from the date of assignment. 1021 JAIL SUPERVISORY TRAINING Prior to assuming supervisory duties, jail supervisors shall complete the core training requirements pursuant to Section 1020, Corrections Officer Core Course. In addition, supervisory personnel of any Type I, II, III or IV jail shall also be required to complete either the STC Supervisory Course (as described in Section 181, Title 15, CCR) or the POST supervisory course within one year from date of assignment. 1023 JAIL MANAGEMENT TRAINING Managerial personnel of any Type I, II, III or IV jail shall be required to complete either the STC management course (as described in Section 182, Title 15, CCR) or the POST management course within one year from date of assignment. 1025 CONTINUING PROFESSIONAL TRAINING With the exception of any year that a core training module is successfully completed, all facility/system administrators, managers, supervisors, and custody personnel of a Type I, II, III, or IV facility shall successfully complete the “annual required training” specified in Section 184 of Title 15, CCR. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 3 For STC participating agencies, consistency with training sections 1020, 1021, 1023 & 1025 is annually assessed by the STC Division. Unless otherwise indicated, the regulatory intent is for training to occur within one year from the date of assignment. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 1 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1027 NUMBER OF PERSONNEL PM 1.25 – Staffing PM 9.39 – Inmate Supervision A sufficient number of personnel shall be employed in each local detention facility to ensure the implementation The Facility Minimum Staffing Level is the ☒ ☐ ☐ and operation of the programs and activities required by level of staffing as determined by the Division these regulations. Commander to run essential operations and some routine operations. Whenever there is a person in custody, there shall be at PM 1.25 – Staffing least one employee on duty at all times in a local PM 9.39 – Inmate Supervision detention facility or in the building which houses a local detention facility who shall be immediately available and ☒ ☐ ☐ accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which PM 1.25 – Staffing would conflict with the supervision and care of PM 9.39 – Inmate Supervision ☒ ☐ ☐ incarcerated people in the event of an emergency. Whenever one or more females are in custody, there PM 1.25 – Staffing shall be at least one female employee who shall be PM 9.39 – Inmate Supervision immediately available and accessible to such females. ☒ ☐ ☐ At least one female employee available and Note: Reference PC § 4021. accessible whenever there is a female in custody. In order to determine if there is a sufficient number of PM 1.25 – Staffing personnel for a specific facility, the facility administrator PM 9.39 – Inmate Supervision shall prepare and retain a staffing plan indicating the personnel assigned in the facility and their duties. Such a staffing plan shall be reviewed by the Board staff at the ☒ ☐ ☐ BSCC staff reviewed the facility shift time of their biennial inspection. The results of such a schedules and the documentation appeared review and recommendations shall be reported to the to be compliant with this regulation. local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS SCCDM 9.39 – Inmate Supervision The facility administrator shall develop and implement Staff will observe inmates at least once every policy and procedures for conducting safety checks that 60 minutes or more frequently when include, but are not limited to, the following: warranted in special instances or selected (a) Safety checks will determine the safety and well- ☒ ☐ ☐ housing units. More frequent observation, being of individuals and shall be conducted at least such as every 15 minutes or every 30 hourly through direct visual observation of all people held minutes, will be dictated by other and housed in the facility. Departmental policy or will be stipulated in the housing unit post order. (b) There shall be no more than a 60-minute lapse PM 9.39 – Inmate Supervision between safety checks. Staff will observe inmates at least once every ☒ ☐ ☐ 60 minutes or more frequently when warranted in special instances or selected housing units. (c) Safety checks for people in sobering cells, safety PM 9.39 – Inmate Supervision cells, and restraints shall occur more frequently as outlined in section 1055, section 1056, and section 1058 More frequent observation, such as every 15 of these regulations. ☒ ☐ ☐ minutes or every 30 minutes, will be dictated by other Departmental policy or will be stipulated in the housing unit post order. (d) Safety checks shall occur at random or varied PM 9.39 – Inmate Supervision intervals. ☒ ☐ ☐ 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 2 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) There shall be a written plan that includes the PM 9.39 – Inmate Supervision documentation of all safety checks. Documentation shall include: BSCC staff reviewed a random sampling of (1) the actual time at which each individual safety ☒ ☐ ☐ safety check documents from January 2024 check occurred; through April 2025. The documentation appeared to be compliant with this regulation. (2) the location where each individual safety check PM 9.39 – Inmate Supervision occurred, such as a cell, module, or dormitory ☒ ☐ ☐ number; and, (3) Initials or employee identification number of staff PM 9.39 – Inmate Supervision who completed the safety check(s). A welfare check that results in normal activity will be documented as "welfare check ☒ ☐ ☐ complete" along with the time it was completed and the badge number of the officer completing the check. (f) A documented process by which safety checks are PM 9.39 – Inmate Supervision reviewed at regular defined intervals by a supervisor or PM 212.6 – Supervisor Responsibilities facility manager, including methods of mitigating patterns of inconsistent documentation, or untimely completion of, Supervisors shall review the daily activity logs safety checks. during the course of each shift. Supervisors shall sign and include the date and time of ☒ ☐ ☐ review on each shift activity log. When appropriate, supervisors should include comments in the shift activity log with regard to an incident or unusual occurrence in the jail. 1028 FIRE AND LIFE SAFETY STAFF PM 6.03 – Employee Training PM 10.03 – Fire Response Plan (a) Whenever there is a person in custody, there shall be PM 10.31 – Fire Prevention/Inspections at least one person on duty at all times who meets the training standards established by the Board for general Pursuant to Penal Code Section 6030(c) and fire and life safety. [Penal Code section 6030(c)]. Title 15 Section 1028, Correctional Officers ☒ ☐ ☐ receive fire and life safety training in their academy training and meet the training standards established by the Board of Corrections for general fire life and safety, which relate specifically to the facility. The facility manager shall ensure that there is at least one PM 6.03 – Employee Training person on duty who trained in fire and life safety PM 10.03 – Fire Response Plan procedures that relate specifically to the facility. PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ Correctional Officers shall, as a condition of employment, comply with CPR! AED and First Aid training requirements. (b) The facility administrator, in conjunction with the PM 6.03 – Employee Training health authority, shall develop and implement policies PM 10.03 – Fire Response Plan and procedures consistent with the requirements of PM 10.31 – Fire Prevention/Inspections Penal Code Section 6048(b) that require correctional officers certified in cardiopulmonary resuscitation (CPR) First aid certification is required every 3 years ☒ ☐ ☐ to begin CPR on a nonresponsive person without and CPR is required annually. CPR obtaining approval from supervisors or medical staff, certification must include the Automated when it is safe and appropriate to do so. External Defibrillator (AED) refresher-training component of CPR. These policies shall cover the following key elements: PM 6.03 – Employee Training (1) Acceptable CPR methods and application. PM 10.03 – Fire Response Plan ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 3 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Correctional officers shall be certified in CPR and a PM 6.03 – Employee Training copy of the certification shall be on file in the facility or at PM 10.03 – Fire Response Plan ☒ ☐ ☐ a central location and available for review. PM 10.31 – Fire Prevention/Inspections (3) Correctional officers shall immediately summon PM 6.03 – Employee Training medical aid when a person is identified as nonresponsive PM 10.03 – Fire Response Plan and shall administer CPR unless the correctional officer PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ is aware of a known medical condition(s) that would contraindicate its use. (4) Correctional officers shall use personal protective PM 6.03 – Employee Training equipment when administering CPR whenever possible PM 10.03 – Fire Response Plan to reduce exposure to bodily fluids or bloodborne ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections pathogens that may contain disease-causing agents. (5) If an imminent physical danger prevents a PM 6.03 – Employee Training correctional officer from safely administering CPR, they PM 10.03 – Fire Response Plan shall begin or resume CPR as soon as the threat has PM 10.31 – Fire Prevention/Inspections passed, or the nonresponsive person has been safely ☒ ☐ ☐ removed from danger, provided medical aid has not yet arrived. (6) The correctional officer shall continue administering PM 6.03 – Employee Training CPR, absent imminent physical danger, until the PM 10.03 – Fire Response Plan nonresponsive person shows obvious signs of life, such PM 10.31 – Fire Prevention/Inspections as normal breathing or physical or verbal responses, or ☒ ☐ ☐ until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative PM 6.03 – Employee Training medical responders are present when a person is PM 10.03 – Fire Response Plan identified as nonresponsive, correctional officers shall ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections defer CPR to those individuals. 1029 POLICY AND PROCEDURES MANUAL4 Santa Clara County Department of Corrections Policy and Procedures Manual Facility administrator(s) shall develop and publish a (PM) manual of policy and procedures for the facility. The policy and procedures manual shall address all Custody policy is in the process of shifting applicable Title 15 and Title 24 regulations and shall be over to Lexipol. Several sections have already comprehensively reviewed and updated at least every been transferred over. Those policies are two years. Such a manual shall be made available to all identified in the Table of Content. employees. ☒ ☐ ☐ All Department policies shall be reviewed not Notes: The policies and procedures required in less than once a year. The Professional subsections (a)(6) and (a)(7) may be placed in a separate Compliance and Audit Unit will establish an manual to ensure confidentiality. Subsections (c) and (d) annual schedule identifying policies to be do not apply and have been deleted. reviewed during a specific month. Policy was reviewed and updated May 9, 2025. Compliant with this regulation. (a) The manual for Temporary Holding, Type I, II, and III PM 1.07- Organizational Chart facilities shall provide for, but not be limited to, the PM 1.09 – Chain of Command following: ☒ ☐ ☐ (1) Table of organization, including channels of communications. (2) Inspections and operations reviews by the facility PM 1.29 – Watch Commander administrator/manager. Duties/Notifications to Executive ☒ ☐ ☐ Management 4 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 4 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Policy on the use of force that meets current state PM 511 – Use of Force and federal legal requirements and includes prohibition of the use of carotid restraint and choke Deputies Shall Not Use a Carotid Restraint or holds. Apply Pressure to a Person's Neck: The Sheriff's Office does not train deputies in the ☒ ☐ ☐ use of the carotid restraint/chokehold. The carotid restraint/chokehold is prohibited. Deputies shall not apply pressure to a person's neck. (4) Policy on the use of restraint equipment, including PM 512 (I) – Use of Restraints the restraint of pregnant persons as referenced in Penal Code Section 3407. Application of Security Restraints: Staff shall ☒ ☐ ☐ not leg shackle, waist chain, or apply handcuffs behind the back of a person known to be pregnant or in recovery after delivery. (5) Procedure and criteria for screening newly PM 11.15 – Misdemeanor Citation Releases received persons for release. ☒ ☐ ☐ SCCDM 11.31 – Inmate Release (6) Security and control including physical counts PM 9.33 – Inmate Counts and searches of the facility and incarcerated PM 9.39 – Inmate Supervision persons, contraband control, and key control. Each facility administrator shall, at least annually, Security Checks are conducted by staff at the review, evaluate, and make a record of security beginning of each shift and at 2300 hours measures. The review and evaluation shall include ☒ ☐ ☐ each day. internal and external security measures of the facility including security measures specific to prevention of BSCC staff reviewed the annual security sexual abuse and sexual harassment. review. The documentation appeared to be compliant with this regulation. (7) Emergency procedures include: PM 10.01 – Management of Emergency (A) fire suppression preplan as required by Plans ☒ ☐ ☐ section 1032 of these regulations; PM 10.31 – Fire Prevention/Inspections (B) escape, disturbances, and the taking of PM 10.11 - Escapes hostages; ☒ ☐ ☐ (C) mass arrests; PM 10.15 – Mass Arrests ☒ ☐ ☐ (D) natural disasters; PM 10.05 – Natural Disasters – Earthquakes PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.49 – Catastrophic Disaster Incident Plan (E) periodic testing of emergency equipment; PM 9.19 – Armory Operations and Security and, ☒ ☐ ☐ Equipment (F) storage, issue, and use of weapons, PM 9.19 – Armory Operations and Security ammunition, chemical agents, and related Equipment ☒ ☐ ☐ security devices. PM 9.25 – Use of Less Lethal Munitions (8) Suicide Prevention. PM 12.05 – Suicide Prevention ☒ ☐ ☐ (9) Separation of incarcerated persons. PM 13.01 – Classification Policy, Goals, and Objectives ☒ ☐ ☐ PM 13.03 – Administrative Segregation (10) Zero tolerance in the prevention of sexual abuse PM 606 – Prison Rape Elimination Act and sexual harassment. This Office has zero tolerance with regard to ☒ ☐ ☐ sexual abuse and sexual harassment in the jails. (11) Policy and procedure to detect, prevent, and PM 606 – Prison Rape Elimination Act respond to retaliation against any staff or person after ☒ ☐ ☐ reporting any abuse. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 5 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (12) Release policy, including release planning for PM 11.31 – Inmate Release incarcerated persons. ☒ ☐ ☐ PM 606 – Prison Rape Elimination Act (e) The manual for Temporary Holding, Court Holding, PM 606 – Prison Rape Elimination Act Type I, II, III, and IV facilities shall provide for, but not be limited to, the following: Incarcerated persons may report incidents (1) multiple internal ways for incarcerated people to anonymously or to any staff they choose. privately report sexual abuse and sexual Staff shall accommodate all incarcerated harassment, retaliation by other incarcerated ☒ ☐ ☐ person requests to report allegations. Staff persons or staff for reporting sexual abuse and shall accept reports made verbally, in writing, sexual harassment, and staff neglect or violation of anonymously, or from third parties and shall responsibilities that may have contributed to such promptly document all verbal reports. incidents, (2) a method for uninvolved incarcerated persons, PM 606 – Prison Rape Elimination Act family, community members, and other interested third parties to report sexual abuse or sexual Incarcerated persons may report sexual harassment. The method for reporting shall be abuse, sexual harassment, and/or retaliation publicly posted at the facility. to the Adult Custody Office of the Ombuds or another outside entity or agency designated by the PREA Coordinator that is not part of the Office. The outside entity or the Office ☒ ☐ ☐ should be able to receive, and immediately forward incarcerated person reports of sexual abuse and sexual harassment to the Division Commander, allowing the incarcerated person anonymity. BSCC staff noticed PREA postings within the facility’s lobby, housing units, and dormitories. 1030 SUICIDE PREVENTION PROGRAM PM 721 – Suicide Prevention and Intervention The facility shall have a comprehensive written suicide It is the policy of this Sheriff's Office to prevention program developed by the facility minimize the incidence of suicide by administrator or designee, in conjunction with the health establishing and maintaining a authority and mental health director, to identify, monitor, ☒ ☐ ☐ comprehensive suicide prevention and and provide treatment to those incarcerated persons who intervention program designed to identify present a suicide risk. incarcerated persons who are at risk of The program shall include the following: suicide and to intervene appropriately whenever possible. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 6 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Annual suicide prevention training for all custodial PM 721 – Suicide Prevention and Intervention personnel. All new sworn staff members who are responsible for supervising incarcerated persons shall complete a four-hour pre- service suicide prevention curriculum. The Assistant Sheriff of Custody Operations or the authorized designee and ACHS shall develop and implement classroom instructed suicide prevention training on a biennial basis. It shall be the responsibility of the Assistant ☐ ☒ ☐ Sheriff of Custody Operations or the authorized designee to coordinate with the Training and Professional Development Captain to ensure that suicide prevention training is provided in compliance with applicable statutes and standards. Policy as written is noncompliant with this regulation. Suicide prevention training is required on an annual basis. The training is current and compliant but the policy is noncompliant. (b) Intake screening for suicide risk immediately upon PM 721 – Suicide Prevention and Intervention intake and prior to housing assignment. All incarcerated persons shall undergo a ☒ ☐ ☐ medical and mental health screening performed by ACHS nursing staff during the intake process. (c) Suicide prevention screening during special PM 721 – Suicide Prevention and Intervention situations, including placement in restrictive housing, following a hearing, and after a transfer or change in When special situations arise, a referral to classification. ACHS Mental Health shall be made when the person is placed in restrictive housing, ☒ ☐ ☐ following a court hearing, under detox precautions, particularly during the first 72 hours of incarceration, and after a transfer or change in classification. (d) Provisions facilitating communication among PM 721 – Suicide Prevention and Intervention arresting/transporting officers, facility staff, court staff, medical and mental health personnel in relation to suicide Suspicion of suicidality of an incarcerated risk. person shall be communicated among arresting/transporting staff, jail staff, court ☒ ☐ ☐ staff, ACHS staff and result in a referral. Incarcerated persons with known suicide risk shall be monitored and referred to ACHS Mental Health staff for follow-up care as needed. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 7 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Housing recommendations for people at risk of PM 721 – Suicide Prevention and Intervention suicide that balance safety and environment. The least restrictive environment should be considered. An incarcerated person's supervision will be determined by ACHS Mental Health staff and the Classification Unit depending on suicide risk. Incarcerated persons who are on suicide precautions should be housed in a suicide resistant cell, prioritizing incarcerated persons assessed by ACHS Mental Health staff with higher risk if there are insufficient cells for all ☒ ☐ ☐ persons on precautions. When suicide resistant cells are not available, incarcerated persons should be placed in suicide precaution approved overflow cells, that are ideally near housing unit staff until a suicide resistant cell becomes available. Housing recommendations for incarcerated persons at risk of suicide balance safety and environment. The least restrictive environment should be considered. (f) Supervision depending on level of suicide risk. PM 721 – Suicide Prevention and Intervention Sworn staff will ensure that the following ☒ ☐ ☐ observations and interventions ordered by ACHS Mental Health staff for incarcerated persons at risk of suicide are followed. (g) Suicide attempt and suicide intervention policies and PM 721 – Suicide Prevention and Intervention procedures. ☒ ☐ ☐ (h) Provisions for reporting suicides and suicides PM 721 – Suicide Prevention and Intervention attempts. All suicides, attempted suicides, or injuries shall be documented in an administrative report. All in-custody deaths, including those ☒ ☐ ☐ resulting from suicide, shall be investigated and documented in accordance with Reviewing and Reporting In-Custody Deaths and Major Incident Notification Policies. (i) Multi-disciplinary administrative review of suicides and PM 721 – Suicide Prevention and Intervention attempted suicides as defined by the facility administrator, including the development of a corrective ☒ ☐ ☐ action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. PM 721 – Suicide Prevention and Intervention ☒ ☐ ☐ (k) Plan for mental health consultation following return PM 721 – Suicide Prevention and Intervention from court as determined by the mental health director. ☒ ☐ ☐ 1032 FIRE SUPPRESSION PREPLANNING PM 10.03 – Fire Response Plan PM 10.31 – Fire Prevention/Inspections Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department Pursuant to Penal Code Section 6031.1 (b), ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire the Chief or designee will consult with the Marshal, or both, in developing a plan for fire suppression State Fire Marshall or local fire Chief when which shall include, but not be limited to: developing the fire response plan. (a) a fire suppression pre-plan developed with the local PM 10.03 – Fire Response Plan fire department to be included as part of the policy and PM 10.31 – Fire Prevention/Inspections procedures manual (Title 15, California Code of ☒ ☐ ☐ Regulations Section 1029); 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 8 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) monthly fire prevention inspections by facility staff PM 10.03 – Fire Response Plan with two-year retention of the inspection record; PM 10.31 – Fire Prevention/Inspections BSCC staff confirmed that the monthly fire ☒ ☐ ☐ prevention inspections are being conducted and the documentation is being retained for the required amount of time. (c) fire prevention inspections as required by Health and PM 10.03 – Fire Response Plan Safety Code Section 13146.1(a) and (b) which requires PM 10.31 – Fire Prevention/Inspections inspections at least once every two years; The State Fire Marshall or local fire Chief will ☒ ☐ ☐ conduct annual fire prevention inspections. Last Fire Inspection: March 21, 2024 (d) an evacuation plan; and, PM 10.03 – Fire Response Plan PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections (e) a plan for the emergency housing of incarcerated PM 10.03 – Fire Response Plan people in the case of fire. PM 10.31 – Fire Prevention/Inspections PM 10.33 – Emergency Housing/Mass Relocation ☒ ☐ ☐ Incarcerated population would be transferred to another jail facility within the county in the case of emergency housing. 1040 POPULATION ACCOUNTING PM 5.01 – Network System/CLARAnet PM 7.03 – Case Record Management Each facility administrator shall maintain a demographics accounting system which reflects the monthly average ☒ ☐ ☐ daily population of sentenced and non-sentenced people by gender and juvenile status. Facility administrators shall provide the Board with PM 5.01 – Network System/CLARAnet applicable demographic information as described in the PM 7.03 – Case Record Management ☒ ☐ ☐ Jail Profile Survey. 1041 RECORDS PM 1.51 – Data Classification and Control PM 1.61 – Records Retention, Maintenance, (a) Each facility administrator of a Type I, II, III or IV and Destruction facility shall develop written policies and procedures for PM 5.01 – Network System/CLARAnet the maintenance of individual records for each PM 7.03 – Case Record Management incarcerated person which shall include, but not be ☒ ☐ ☐ limited to, intake information, personal property receipts, commitment papers, court orders, reports of disciplinary actions taken, medical orders issued by the responsible physician and staff response, and non-medical information regarding disabilities and other limitations. (b) Each facility administrator shall collect accurate, PM 1.51 – Data Classification and Control uniform data for every allegation of sexual abuse at PM 1.61 – Records Retention, Maintenance, facilities under its direct control and from other facilities and Destruction with which it contracts for the confinement of its PM 5.01 – Network System/CLARAnet incarcerated people. The data collected shall include, at ☒ ☐ ☐ PM 7.03 – Case Record Management a minimum, the data necessary to satisfy the reporting requirements of 34 U.S.C. section 30303(a)(1). Note: federal survey on sexual violence. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 9 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1044 INCIDENT REPORTS PM 6.06 – Prison Rape Elimination Act PM 9.29 – Criminal Investigations Each facility administrator shall develop written policies PM 15.01 – Inmate Discipline Process and procedures for the maintenance of written records and reporting of all incidents which result in physical ☒ ☐ ☐ harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other person. Such records shall include the names of the persons PM 6.06 – Prison Rape Elimination Act involved, a description of the incident, the actions taken, PM 9.29 – Criminal Investigations and the date and time of the occurrence. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ BSCC staff reviewed a random sampling of incident reports from January 2024 through April 2025. The documentation appeared to be compliant with this regulation. Such a written record shall be prepared by the staff PM 6.06 – Prison Rape Elimination Act assigned to investigate the incident and submitted to the PM 9.29 – Criminal Investigations ☒ ☐ ☐ facility manager or designee. PM 15.01 – Inmate Discipline Process 1045 PUBLIC INFORMATION PLAN PM 217 – News Media Relations Each facility administrator of a Type I, II, III or IV facility shall develop written policies and procedures for the dissemination of information to the public, to other ☒ ☐ ☐ government agencies, and to the news media. The public and incarcerated persons shall have available for review the following material: (a) The Board of State and Community Corrections BSCC staff confirmed a copy of the Minimum Standards for Local Detention Facilities as regulations is in the lobby of each of the ☒ ☐ ☐ found in Title 15 of the California Code of Regulations. facilities. (b) Facility rules and procedures affecting incarcerated PM 217 – News Media Relations/Public people as specified in sections: Information ☒ ☐ ☐ (1) 1045, Public Information Plan (2) 1061, Education Plan PM 18.03 – Education Programs and ☒ ☐ ☐ Services (3) 1062, Visiting PM 17.01 – Inmate Social Visiting ☒ ☐ ☐ PM 17.03 – Inmate Hospital Visits (4) 1063, Correspondence PM 1008 – Inmate Correspondence ☒ ☐ ☐ (5) 1064, Library Service PM 1007 – Library Services ☒ ☐ ☐ (6) 1065, Exercise and Out of Cell Time PM 18.07 – Exercise and Recreation ☒ ☐ ☐ (7) 1066, Books, Newspapers, Periodicals and PM 1008 – Inmate Correspondence Writings ☒ ☐ ☐ (8) 1067, Access to Telephone PM 17.05 – Inmate Access to Telephones ☒ ☐ ☐ and Telecommunication Devices (9) 1068, Access to Courts and Counsel PM 14.01 – Legal Rights of Inmates ☒ ☐ ☐ PM 17.11- Inmate Attorney and Official Visits (10) 1069, Orientation Inmate Orientation Handbook ☒ ☐ ☐ (11) 1070, Individual/Family Service Programs PM 18.03 – Education Programs and Services ☒ ☐ ☐ PM 18.11 – Social Services (12) 1071, Voting PM 610 - Voting ☒ ☐ ☐ (13) 1072, Religious Observance PM 609 – Religious Programs and Services ☒ ☐ ☐ 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 10 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (14) 1073, Grievance Procedure PM 605 – Inmate Grievances Process ☒ ☐ ☐ (15) 1080, Rules and Disciplinary Actions PM 13.15 – Disciplinary Housing ☒ ☐ ☐ PM 15.01 – Inmate Discipline Process (16) 1081, Plan for Discipline of Incarcerated PM 13.15 – Disciplinary Housing Persons ☒ ☐ ☐ PM 15.01 – Inmate Discipline Process (17) 1082, Forms of Discipline PM 13.15 – Disciplinary Housing ☒ ☐ ☐ PM 15.01 – Inmate Discipline Process (18) 1083, Limitations on Discipline PM 13.15 – Disciplinary Housing ☒ ☐ ☐ PM 15.01 – Inmate Discipline Process (19) 1200, Responsibility for Health Care Services PM 12.01 – Medical Health Care Services ☒ ☐ ☐ 1046 DEATH IN CUSTODY PM 10.09 – Inmate Deaths PM 530 Reviewing and Reporting In-Custody (a) The facility administrator shall develop written policy Deaths and procedures to comply with the in-custody death reporting requirements of Government Code section It is the policy of the Department of Correction 12525. The facility administrator shall submit a copy of to ensure an inmate death occurring in a the report filed pursuant to section 12525 to the BSCC Department of Correction facility will be within 10 days of an in-custody death. handled in a manner that ensures compliance with State of California mandates, and in the cases of suspicious circumstances, in a manner ensuring the preservation of evidence and proper investigation of the circumstances ☒ ☐ ☐ surrounding the death. Within 10 days of an in-custody death, the Sheriff's Office shall: (a) Issue a report, in writing, to the Attorney General (Govt. Code § 12525); (b) Submit a copy of the in-custody death report, submitted to the Attorney General, to the Board of State and Community Corrections (b) The facility administrator, in cooperation with the PM 12.09 – Inmate Deaths health administrator, shall develop written policy and procedures to conduct an initial review and complete a The in-custody death review should be written report of every in-custody death within 30 days of initiated as soon as practicable, and a written the death. The team that conducts the initial review shall report shall be completed within 30 days of ☒ ☐ ☐ include, at a minimum, the facility administrator or the death. The team should review the designee, the health administrator, the responsible appropriateness of clinical care, determine physician and other health care, and supervision staff whether changes to policies, procedures, or who are relevant to the incident. practices are warranted, and identify. Deaths shall be reviewed to determine the PM 12.09 – Inmate Deaths appropriateness of clinical care; whether changes to policies, procedures, or practices are warranted; and to The in-custody death review should be identify issues that require further study. initiated as soon as practicable, and a written report shall be completed within 30 days of ☒ ☐ ☐ the death. The team should review the appropriateness of clinical care, determine whether changes to policies, procedures, or practices are warranted, and identify. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 11 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The facility administrator shall submit a copy of the PM 12.09 – Inmate Deaths initial review report of every in-custody death to the BSCC within 60 days of the death. The facility A copy of that initial review report shall be administrator shall provide a copy of the initial review submitted to BSCC within 60 days of the report that comports with the disclosure requirements of ☒ ☐ ☐ death, and contain the information required by section 832.10 of the Penal Code. 15 CCR 1046. All information submitted to BSCC is disclosable under the California Public Records Act. The initial review report shall contain the following PM 12.09 – Inmate Deaths information: (1) Demographic 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 Minors are not held within this facility. 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. 1050 CLASSIFICATION PLAN PM 13.01 – Classification Policy, Goals, and Objectives (a) Each administrator of a temporary holding, Type I, II, or III facility shall develop and implement a written It is the policy of the Sheriff’s Office to classify classification plan designed to properly assign inmates using a classification systern that is incarcerated persons to housing units and activities based on objective criteria to provide for according to the categories of gender identity, age, ongoing assessment of risk and behavior criminal sophistication, seriousness of crime charged, factors, management criteria and custody physical or mental health needs, assaultive/non- requirements for inmates confined in a assaultive behavior, risk of being sexually abused, or Custody Bureau facility. sexually harassed and other criteria which will provide for ☒ ☐ ☐ the safety of the incarcerated people and staff. Such housing unit assignment shall be accomplished to the extent possible within the limits of the available number of distinct housing units or cells in a facility. The written classification plan shall be based on objective criteria and include receiving screening performed at the time of intake by trained personnel, and a record of each person's classification level, housing restrictions, and housing assignments. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 12 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Each administrator of a Type II or III facility shall establish PM 13.01 – Classification Policy, Goals, and and implement a classification system which will include Objectives the use of classification officers or a classification committee in order to properly assign incarcerated The Classification Plan provides a systematic persons to housing, work, rehabilitation programs, and method for assessing and classifying inmates leisure activities. Such a plan shall include the use of as based upon objective criteria. The much information as is available about and from the Classification Plan provides for a system to incarcerated person and shall provide for a channel of ☒ ☐ ☐ determine the level of security required, appeal by the incarcerated person to the facility housing assignment, and the participation in administrator or designee. Each person may request a correctional programs. review of their classification plan no more often than 30 days from their last review. Note: Subsection (b) does not apply and has been deleted. (c) In deciding housing and programming assignments, PM 13.01 – Classification Policy, Goals, and the agency shall consider on a case-by-case basis Objectives whether a placement would ensure the health and safety of the incarcerated person, and whether the placement BSCC staff reviewed classification ☒ ☐ ☐ would present management or security problems. A assessments during the on-site inspection. person’s own views with respect to their own safety shall The assessments appear to be compliant with be given serious consideration. this regulation. 1051 COMMUNICABLE DISEASES PM 10.37 – Exposure Control Plan for Bloodborne Pathogens The facility administrator, in cooperation with the PM 10.41 – Exposure Control Plan for responsible physician, shall develop written policies and Respiratory Diseases procedures specifying those symptoms that require medical isolation of an incarcerated person until a It is the policy of the Department of Correction ☒ ☐ ☐ medical evaluation is completed. to recognize the need for exposure control to bloodborne pathogens in accordance with CAL/OSHA regulations and to develop and implement guidelines to eliminate or minimize staff risk to occupational exposure. At the time of intake into the facility, an inquiry shall be PM 10.37 – Exposure Control Plan for made of the person being booked as to whether the Bloodborne Pathogens person has or has had any communicable diseases, such PM 10.41 – Exposure Control Plan for as tuberculosis or has observable symptoms of Respiratory Diseases tuberculosis or any other communicable diseases, or ☒ ☐ ☐ other special medical problem identified by the health authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION PM 11.01 – Arrestee Admission for Booking PM 12.03 – Mental Health Services The facility administrator, in cooperation with the PM 721 – Suicide Prevention responsible physician, shall develop written policies and procedures to identify and evaluate all incarcerated Inmates are provided access to a people who may be in behavioral crisis. Evaluation of comprehensive mental health program. Any behavioral crisis may include telehealth. ☒ ☐ ☐ inmate exhibiting unusual behavior, symptoms of mental illness or symptoms of a developmental disability shall be immediately referred to Mental Health and separated from the general population pending an assessment from Mental Health. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 13 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS If an evaluation from medical or mental health staff is not PM 11.01 – Arrestee Admission for Booking readily available, an incarcerated person shall be PM 12.03 – Mental Health Services considered in behavioral crisis for the purpose of this PM 721 – Suicide Prevention section if they appear to be a danger to themselves or others or appear gravely disabled. Mental Health staff will respond immediately ☒ ☐ ☐ to any calls for emergency or crises intervention. In all other cases, they shall respond as soon as possible or within specified time limitations as agreed upon. An evaluation from medical or mental health staff shall be PM 11.01 – Arrestee Admission for Booking secured within 24 hours of identification or at the next PM 12.03 – Mental Health Services ☒ ☐ ☐ daily sick call, whichever is earliest. PM 721 – Suicide Prevention Separation may be used if necessary, to protect the PM 11.01 – Arrestee Admission for Booking safety of the person in crisis or others. PM 12.03 – Mental Health Services PM 721 – Suicide Prevention The determination to place a mental health ☒ ☐ ☐ inmate in a restraint room or seclusion room, as opposed to a safety cell, shall be made only by professional staff (Physician or RN) when less restrictive means are not, or will not be, effective. 1053 ADMINISTRATIVE SEPARATION PM 13.03 – Administrative Segregation Except for Type IV facilities, facility administrators shall To establish specific procedures regarding develop and implement policies and procedures for the administrative segregation operations in the administrative separation of incarcerated people. jail and to provide for the administrative segregation of inmates who are determined to be prone to: escape; assault staff or other ☒ ☐ ☐ inmates; disrupt the operations of the jail; or likely to need protection from other inmates; or the inmate(s) must be temporarily removed from the general population to enable staff to effectively conduct an investigation or inquiry as necessary. Policies and procedures must include: PM 13.03 – Administrative Segregation (a) Administrative separation may consist of separate housing but shall not involve any other deprivation of Administrative Segregation is not a punitive privileges than is necessary to obtain the objective of system. This type of segregation is not protecting the welfare of incarcerated people and facility imposed as a punishment for specific acts. It ☒ ☐ ☐ staff. should not incorporate any unnecessary restrictions or deprivations of privileges, except where required to maintain levels of safety and security within the facility. (b) Administrative separation must not adversely affect PM 13.03 – Administrative Segregation an incarcerated person’s health. ☒ ☐ ☐ 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 14 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Administrative separation may be used for PM 13.03 – Administrative Segregation incarcerated people who have: (1) A documented history of activity or behavior, or promoting such activity or behavior, that is criminal in Administrative Segregation is a status of nature, disruptive to facility operations, or affects the confinement in which an inmate is placed in a safety of the facility, other incarcerated people, and setting that offers a higher degree of control facility staff. and supervision than otherwise available in (2) Influenced or participated in activity that is the general population of the jail. It should be criminal in nature, disruptive to facility operations or assigned to inmates who are determined to affects the safety of the facility, other incarcerated be prone to escape, prone to assault staff or ☒ ☐ ☐ people, and facility staff. other inmates, likely to need protection from (3) Committed assault, attempted assault, or other inmates, or the inmate(s) must be participated in a conspiracy to assault or harm other temporarily removed from the general incarcerated persons or facility staff. population to enable staff to effectively (4) A history of escape or have recently attempted conduct an investigation or inquiry as escape. necessary, if such administrative segregation (5) A demonstrated need for protection from other is determined to be necessary in order to incarcerated people. obtain the objective of protecting the inmates and staff. (d) Documentation indicating the necessity of PM 13.03 – Administrative Segregation administrative separation to obtain the objective of protecting the welfare of incarcerated people and facility BSCC staff reviewed administrative staff. ☒ ☐ ☐ separation housing documentation during the on-site inspection. The documentation appeared to be compliant with this regulation. (e) A documented individualized ongoing review and PM 13.03 – Administrative Segregation evaluation of the need to continue placement in administrative separation. Classification staff will review the status of inmates in Administrative Segregation ☒ ☐ ☐ housing initially within 48 hours, and then every 30 days to confirm whether the segregation continues to be appropriate and necessary. 1055 USE OF SAFETY CELL PM 9.47 – Use of Safety Cell and Safety Devices The safety cell described in Title 24, Part 2, Section 1231.2.5, shall be used to hold only those people who Safety cells may be used ONLY when the display behavior which results in the destruction of inmate is diagnosed with or is showing signs property or reveals an intent to cause physical harm to of having a serious mental illness, other self or others. interventions have been ineffective, and the following circumstances are present: ☒ ☐ ☐ 1. When an inmate reveals intent to cause physical harm to self or others; or 2. When an inmate displays behavior that may result in significant destruction of jail property. The facility administrator, in cooperation with the PM 9.47 – Use of Safety Cell and Safety responsible physician, shall develop written policies and Devices procedures governing safety cell use and may delegate authority to place an incarcerated person in a safety cell ☒ ☐ ☐ to a physician. Policies and procedures shall include, but not be limited to: 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 15 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) In no case shall the safety cell be used for punishment PM 9.47 – Use of Safety Cell and Safety or as a substitute for treatment. Devices ☒ ☐ ☐ Staff shall not use safety cells or safety devices to punish, discipline, or retaliate against inmates. (b) A person shall be placed in a safety cell only with the PM 9.47 – Use of Safety Cell and Safety approval of the facility manager or designee, or Devices responsible health care staff; continued retention shall be reviewed a minimum of every four hours. Approval from a supervisor is required before an inmate is placed in the safety cell. The ☒ ☐ ☐ Watch Commander shall be notified as soon as practical after the safety cell is used and shall determine whether to continue the use of the safety cell. (c) A medical assessment shall be completed as soon as PM 9.47 – Use of Safety Cell and Safety possible, but not more than 12 hours from the time of Devices placement in the safety cell. The person shall be medically cleared for continued retention, referral to A Watch Commander must approve the advanced treatment, or removal from the safety cell a ☒ ☐ ☐ continued retention of an inmate in a safety minimum of every 24 hours thereafter. cell after 8 hours, and will consult with medical and mental health staff about the appropriateness of continued retention. (d) The facility manager, designee or responsible health PM 9.47 – Use of Safety Cell and Safety care staff shall obtain a mental health Devices opinion/consultation with responsible health care staff on ☒ ☐ ☐ placement and retention, which shall be secured as soon as possible, but not more than 12 hours from placement. (e) Direct visual observation shall be conducted at least PM 9.47 – Use of Safety Cell and Safety twice every 30 minutes, with no more than a 15-minute Devices lapse between safety checks. Such observation shall be documented. Staff must directly observe the inmate a minimum of 4 times per hour with each observation at least 10 minutes apart. ☒ ☐ ☐ BSCC staff received no safety cell placement reports during this inspection cycle. The department confirmed that the cells have not been utilized during this inspection cycle. (f) Procedures shall be established to assure PM 9.47 – Use of Safety Cell and Safety administration of necessary nutrition and fluids. Devices ☒ ☐ ☐ BSCC staff confirmed that food/water would be offered to individuals while they are within the safety cells. (g) People placed in the safety cell shall be allowed to PM 9.47 – Use of Safety Cell and Safety retain sufficient clothing or be provided with a suitably Devices designed “safety garment,” to provide for their personal privacy unless specific identifiable risks to the person's Unless clothing is determined by a mental safety or to the security of the facility are documented. health clinician to represent a risk of self- ☒ ☐ ☐ harm, harm to others, or interference with monitoring, staff shall not remove most or all of an inmate's clothing when using safety cells. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 16 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1056 USE OF SOBERING CELL PM 11.05 – Use of Intake Sobering Cells, Holding Cells and Intake Lobby Chairs The sobering cell described in Title 24, Part 2, Section 1231.2.4, shall be used for temporary holding of ☒ ☐ ☐ Persons who are a threat to their own safety incarcerated people who are a threat to their own safety or the safety of others due to their state of or the safety of others due to their state of intoxication. intoxication will be placed in a Sobering Cell. A person shall be removed from the sobering cell as soon PM 11.05 – Use of Intake Sobering Cells, as they are able to continue the admission process or are Holding Cells and Intake Lobby Chairs no longer a risk to themselves or others. If an inmate is sufficiently intoxicated and needs a sheltered environment, booking staff ☒ ☐ ☐ will place the inmate in a Sobering Cell. The booking officer shall postpone the booking process until the inmate has sobered sufficiently to continue with the booking process. In no case shall a person remain in a sobering cell over PM 11.05 – Use of Intake Sobering Cells, six hours without an evaluation by medical or custody Holding Cells and Intake Lobby Chairs staff to determine whether the person has an urgent medical problem, pursuant to section 1213 of these Booking staff will remove inmates from the regulations. Sobering Cell as soon as it is possible to do so. If the inmate is to remain in the Sobering ☒ ☐ ☐ Cell more than six hours, booking staff shall contact medical staff to evaluate the inmate and determine if there may be other medical considerations that need to be addressed. This medical evaluation shall be documented on the Sobering Cell Observation Log. At 12 hours from the time of placement, all persons must PM 11.05 – Use of Intake Sobering Cells, receive an evaluation by responsible health care staff. ☒ ☐ ☐ Holding Cells and Intake Lobby Chairs Intermittent direct visual observation of people held in the PM 11.05 – Use of Intake Sobering Cells, sobering cell shall be conducted no less than every half Holding Cells and Intake Lobby Chairs hour. Such observation shall be documented. Intermittent direct visual observation of inmates held in the Sobering Cell shall be conducted by booking staff every 15 minutes. ☒ ☐ ☐ BSCC staff received no sobering cell placement reports during this inspection cycle. The department confirmed that the cells have not been utilized during this inspection cycle. 1057 DEVELOPMENTAL DISABILITIES PM 11.03 – Medical Screening at Intake PM 12.01 – Medical Health Care Services The facility administrator, in cooperation with the PM 12.03 – Mental Health Services responsible physician, shall develop written policies and procedures for the identification and evaluation, Upon entrance into the facility, the appropriate classification and housing, protection, and arresting/transporting officer must escort the nondiscrimination of all incarcerated persons with arrestee to the nurse's station, located at the developmental disabilities. booking counter, for a medical screening. The ☒ ☐ ☐ intake-booking nurse completes a medical interview and either clears the person to continue with the booking process or refuses acceptance until the person is medically cleared at the hospital. BSCC staff confirmed this process during the on-site inspection. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 17 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The health authority or designee shall contact the PM 11.03 – Medical Screening at Intake regional center for any incarcerated person suspected or PM 12.01 – Medical Health Care Services confirmed to have a developmental disability for the PM 12.03 – Mental Health Services purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. Health care services shall be rendered pursuant to an agreement between the Santa Clara County Department of Correction, the ☒ ☐ ☐ Santa Clara County Valley Medical Center and the administering physician. The Santa Clara County Valley Medical Center Adult Custody Health Services Policies and Procedures Manual shall be accepted by this department as the authority for health care related policies. 1058 USE OF RESTRAINT DEVICES PM 512 – Use of Restraints The facility administrator, in cooperation with the It is the policy of the Office of the Sheriff to use responsible physician, shall develop and implement Security Restraints on persons to minimize written policies and procedures for the use of restraint the risk of injury and maintain safety and devices. Restraint devices include any devices which security. Security Restraints shall be applied immobilize extremities or prevent the incarcerated in a manner that does not likely cause pain or person from being ambulatory. The provisions of this injury. section do not apply to the use of handcuffs, shackles, or ☒ ☐ ☐ other restraint devices when used to restrain The restraint chair is authorized for short term incarcerated people for security reasons. The facility security; temporary control and transportation manager may delegate authority to place an incarcerated of a person identified as violent, destructive, person in restraints to responsible health care staff. self-destructive; or a person who refuses to comply with a court order for blood draw pursuant to Penal Code §296 consistent with the Office's Penal Code §296 Compliance policy. (a) The policy shall address the following areas: PM 512 – Use of Restraints (1) acceptable restraint devices; BSCC staff confirmed that the Restraint Chair ☒ ☐ ☐ and Therapeutic Restraints are addressed in the policy manual. (2) signs or symptoms which should result in PM 512 – Use of Restraints immediate medical/mental health referral; availability of cardiopulmonary resuscitation equipment; BSCC staff noticed AED devices throughout ☒ ☐ ☐ the facility during the on-site inspection. AED devices are located outside each of the housing units. (3) protective housing of restrained persons; PM 512 – Use of Restraints ☒ ☐ ☐ (4) provision for hydration and sanitation needs; and, PM 512 – Use of Restraints Persons in the restraint chair will be offered ☒ ☐ ☐ water at least every hour and, if practical, an opportunity to use the restroom. (5) exercising of extremities. PM 512 – Use of Restraints Staff shall remove the restraint applied to one limb, each hour to allow the person to exercise that limb for at least five minutes. ☒ ☐ ☐ Staff shall request that medical staff assess the person at the time the person is placed in the restraint chair and at least once per hour while the person remains in the restraint chair. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 18 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Policy shall also include, but not be limited to, the PM 512 – Use of Restraints following requirements: (1) In no case shall restraints be used for punishment Restraints Shall Not Be Used for Improper or as a substitute for treatment. Purpose: Staff are prohibited from using Security Restraints to punish, degrade, ☒ ☐ ☐ humiliate, discipline, retaliate against, improperly coerce, discriminate against, or unnecessarily cause pain or injury to a person. Security Restraints shall be removed as soon as practical. (2) Restraint devices shall only be used on PM 512 – Use of Restraints incarcerated people who display behavior which results in the destruction of property or reveal an The restraint chair is authorized for short term intent to cause physical harm to self or others. ☒ ☐ ☐ security; temporary control and transportation of a person identified as violent, destructive, self-destructive. (3) Restraint devices should be used only when less PM 512 – Use of Restraints restrictive alternatives, including verbal de-escalation techniques, have been attempted and are deemed When possible, staff shall first consider the ineffective. use of a safety cell. The restraint chair shall ☒ ☐ ☐ only be used when other less restrictive alternatives have failed, or it is apparent that they will be ineffective in controlling the person. (4) An incarcerated person shall be placed in PM 512 – Use of Restraints restraints only with the approval of the facility manager, the facility watch commander, or BSCC staff confirmed through policy and responsible health care staff; continued retention ☒ ☐ ☐ documentation review that no person placed shall be reviewed a minimum of every hour. into the restraint chair meets or exceeds this time frame. (5) Continuous direct visual observation shall be PM 512 – Use of Restraints maintained until a medical opinion can be obtained. Unless time and circumstances do not permit, ☒ ☐ ☐ medical staff shall be present during the person's placement into the restraint chair. (6) A medical opinion on placement and retention PM 512 – Use of Restraints shall be secured within one hour from the time of ☒ ☐ ☐ placement. (7) A medical assessment shall be completed within PM 512 – Use of Restraints four hours of placement. Unless time and circumstances do not permit, medical staff shall be present during the person's placement into the restraint chair. ☒ ☐ ☐ BSCC staff confirmed through policy and documentation review that no person placed into the restraint chair exceeds this time frame. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 19 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) Continuous direct visual observation shall be PM 512 – Use of Restraints conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to At least once every 15 minutes, staff shall ensure the safety and well-being of the incarcerated check the person's welfare and document the person. Such observation shall be documented. welfare check on an Inmate Observation While in restraint devices all incarcerated persons Form, as well as any comments regarding the shall be housed alone or in a specified housing area health, physical condition, or demeanor of the which makes provisions to protect the person from ☒ ☐ ☐ person. abuse. BSCC staff reviewed a random sampling of restraint chair placement reports from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. (9) If the facility manager, or designee, in PM 512 – Use of Restraints consultation with responsible health care staff determines that an incarcerated person cannot be The maximum time a person can be secured safely removed from restraints after eight hours, the in the restraint chair is two hours, not including person shall be taken to a medical facility for further the time necessary for insertion and removal. evaluation. ☒ ☐ ☐ If the person is still violent or self-destructive after two hours, the person may remain in the restraint chair for up to an additional two hours with the approval of the watch commander or higher-ranking supervisor. (10) Where applicable, the facility manager shall use PM 512 – Use of Restraints the restraint device manufacturer’s recommended ☒ ☐ ☐ maximum time limits for placement. (11) All events and information related to the PM 512 – Use of Restraints placement in restraints shall be documented and shall be video recorded unless exigent The supervisor shall ensure that the person's circumstances prevent staff from doing so. The entire time in the restraint chair is captured on documentation shall include: the reason for ☒ ☐ ☐ video. placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 1058.5 RESTRAINTS AND PREGNANT PERSONS PM 512 – Use of Restraints The facility administrator, in cooperation with the Staff shall not leg shackle, waist chain, or responsible physician, shall develop written policies and apply handcuffs behind the back of a person procedures for the use of restraint devices on pregnant known to be pregnant or in recovery after ☒ ☐ ☐ people. In accordance with Penal Code Section 3407, the delivery. policy shall include reference to the following: Pregnant persons shall not be placed into the restraint chair. (1) An incarcerated person known to be pregnant or PM 512 – Use of Restraints in recovery after delivery or termination of the pregnancy shall not be restrained by the use of leg BSCC staff spoke with several pregnant or waist restraints, or handcuffs behind the body. incarcerated individuals while conducting the on-site inspection. They confirmed that, while ☐ ☐ ☒ being transported within the facility and outside, the facility they are only handcuffed in the front of their bodies. No other restraints used. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 20 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) An incarcerated pregnant person in labor, during PM 512 – Use of Restraints delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ankles, or both, unless deemed necessary for ☐ ☐ ☒ the safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional PM 512 – Use of Restraints who is currently responsible for the medical care of an incarcerated pregnant person during a medical emergency, labor, delivery, or recovery after delivery ☐ ☐ ☒ or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s PM 512 – Use of Restraints pregnancy, they shall be advised, orally or in writing, of the standards and policies governing incarcerated ☐ ☐ ☒ pregnant people. 1059 DNA COLLECTION, USE OF FORCE PM 511 – Use of Force PM 13.05 – Penal Code 296 Compliance (a) Pursuant to Penal Code Section 298.1, authorized law enforcement, custodial, or corrections personnel Deputies may use Appropriate Force to including peace officers, may employ reasonable force to collect evidence required by Penal Code collect blood specimens, saliva samples, or thumb or ☒ ☐ ☐ section 296 consistent with the Sheriff's Office palm print impressions from individuals who are required Penal Code Section 296 Compliance policy. to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this regulation, the “use of PM 511 – Use of Force reasonable force” shall be defined as the force that PM 13.05 – Penal Code 296 Compliance an objective, trained and competent correctional employee, faced with similar facts and Reasonable force may be employed to collect ☒ ☐ ☐ circumstances, would consider necessary and blood/saliva samples and print impressions reasonable to gain compliance with this regulation. from individuals who refuse to voluntarily provide those samples or impressions. (2) The use of reasonable force shall be preceded by PM 511 – Use of Force efforts to secure voluntary compliance. Efforts to PM 13.05 – Penal Code 296 Compliance secure voluntary compliance shall be documented and include an advisement of the legal obligation to If an inmate refuses to voluntarily comply with ☒ ☐ ☐ provide the requisite specimen, sample or PC 296 requirements, staff conducting the impression and the consequences of refusal. collection process will make verbal attempts in an effort to gain voluntary compliance. (b) The force shall not be used without the prior written PM 511 – Use of Force authorization of the facility watch commander or PM 13.05 – Penal Code 296 Compliance designee on duty. The authorization shall include information that reflects the fact that the offender was ☒ ☐ ☐ The Watch Commander will submit the asked to provide the requisite specimen, sample, or completed form and the corresponding impression and refused. reports to the Division Commander. (c) If the use of reasonable force includes a cell PM 511 – Use of Force extraction, the extraction shall be videotaped, including PM 13.05 – Penal Code 296 Compliance audio. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the The Sergeant will ensure that the incident is ☒ ☐ ☐ length of time required by statute. Notwithstanding the recorded (video) in accordance with use of the video as evidence in a criminal proceeding, the applicable guidelines in Department policy tape shall be retained administratively. 9.55, Video Documentation. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 21 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1061 EDUCATION PROGRAM PM 18.01 – Program’s Unit Goals and Objectives The facility administrator of any Type II or III facility shall PM 18.03 – Educational Programs and plan and shall request of appropriate public officials an Services education program for incarcerated persons. To provide guidelines for a comprehensive ☒ ☐ ☐ educational and vocational program that will allow inmates to strengthen self -esteem, grow in social responsibilities, expand occupational skills and achieve academic success. When such services are not made available by the PM 18.01 – Program’s Unit Goals and appropriate public officials, then the facility administrator Objectives shall develop and implement an education program with ☒ ☐ ☐ PM 18.03 – Educational Programs and available resources. Services Such a plan shall provide for the voluntary academic or PM 18.01 – Program’s Unit Goals and vocational, or both, education of housed people. Objectives PM 18.03 – Educational Programs and Services The Santa Clara County Department of ☒ ☐ ☐ Correction is committed to making a variety of learning opportunities available to inmates during their incarceration. Access to programs will be made without regard to an inmate’s disability or special needs. Reasonable criteria for program eligibility shall be PM 18.01 – Program’s Unit Goals and established. Modified academic or vocational Objectives opportunities may be provided based on sound security PM 18.03 – Educational Programs and practices or a person’s failure to abide by facility rules Services and regulations. Reasonable criteria for eligibility shall be established for inmates who wish to ☒ ☐ ☐ voluntarily participate in a program. Inmates shall be allowed to participate within the security parameters of the Department. Inmates may be removed from any class based on facility security or the inmate’s failure to abide by facility rules and regulations. 1062 VISITING PM 17.01 – Inmate Social Visiting PM 17.03 – Inmate Hospital Visits The facility administrator shall develop and implement PM 17.15 – Video Conferencing and Video written policies and procedures, which include the Visiting following requirements: ☒ ☐ ☐ (a) A visiting program which shall provide for: The Department of Correction will permit (1) As many in-person visits and visitors as facility inmates to have visits with family and friends schedules, space, and number of personnel will as facility schedules, space, and number of allow. personnel allow. (2) A publicly posted schedule of facility visiting PM 17.01 – Inmate Social Visiting hours. If practicable, visiting hours should be made PM 17.03 – Inmate Hospital Visits available on weekends, evenings, or holidays. PM 17.15 – Video Conferencing and Video Visiting ☒ ☐ ☐ BSCC staff confirmed that the visiting schedule is on the Department’s website. Scheduling can be made online. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 22 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) For all incarcerated persons in Type II, III, and IV PM 17.01 – Inmate Social Visiting facilities there shall be allowed no fewer than two PM 17.03 – Inmate Hospital Visits visits totaling at least one hour per incarcerated PM 17.15 – Video Conferencing and Video person each week. Visiting Each inmate will be allowed no fewer than two visits totaling at least one hour per week ☒ ☐ ☐ absent exigent circumstances. Inmates will not be denied visitation with persons of their choice except where there is evidence that such visitation would jeopardize the safety and security of the facility, inmate or visitor; however, inmates may refuse a visit. (b) Visits may not be cancelled unless a legitimate PM 17.01 – Inmate Social Visiting operational or safety and security concern exists. All PM 17.03 – Inmate Hospital Visits cancelled visits must be documented. The facility PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ manager or designee shall regularly review cancelled Visiting visits and document such review. (c) The visiting policies developed pursuant to this PM 17.01 – Inmate Social Visiting section shall include provision for visitation by minor PM 17.03 – Inmate Hospital Visits children of the incarcerated person. PM 17.15 – Video Conferencing and Video Visiting A child will be allowed to visit when ☒ ☐ ☐ accompanied by an adult provided that either the visitor or the inmate is the child's parent or legal guardian. The adult visitor must present a certified court document stipulating guardianship for the child if he or she is not the parent. (d) Video visitation may be used to supplement existing PM 17.01 – Inmate Social Visiting visitation programs, but shall not be used to fulfill the PM 17.03 – Inmate Hospital Visits requirements of this section if in-person visitation is ☒ ☐ ☐ PM 17.15 – Video Conferencing and Video requested by an incarcerated person. Visiting (e) Facilities shall not charge for visitation when visitors PM 17.01 – Inmate Social Visiting are onsite and participating in either in-person or video PM 17.03 – Inmate Hospital Visits visitation. For purposes of this subsection, “onsite” is PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ defined as the location where the incarcerated person is Visiting housed. (f) Subdivision (d) shall not apply to facilities which (1) PM 17.01 – Inmate Social Visiting exclusively used video visitation prior to January 1, 2017 PM 17.03 – Inmate Hospital Visits or (2) had been designed without in-person visitation PM 17.15 – Video Conferencing and Video ☒ ☐ ☐ space and conditionally awarded by the Board prior to Visiting June 27, 2017. (g) If a local detention facility offered video visitation only PM 17.01 – Inmate Social Visiting as of January 1, 2017, the first hour of remote video PM 17.03 – Inmate Hospital Visits visitation per week shall be offered free of charge. ☒ ☐ ☐ PM 17.15 – Video Conferencing and Video Visiting Types and availability of visitation, including: Note: Reference PC § 6031.1(a)(4) (June 2017). Mode of visitation; In-Person, Noncontact, and Video Visitation at the Main Adult and Elmwood Facilities. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 23 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Visitation hours; Visiting Days: Monday through Sunday (excluding Wednesday) Hours: Monday, Tuesday, Thursday, and Friday: 0810 0920 1030 1400 1510 1620 Saturday and Sunday: 0700 0810 0920 1030 1400 1510 1620 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 24 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Time inmates are allowed for visitation; and, The Main Jail and the Elmwood Correctional Facility utilize the same Online Visitor Registration (OVR) system. Therefore, your already established visiting account, can be used to schedule visits at either facility. See Visiting registration below. Visiting rules vary slightly from the Elmwood Correctional Facility. Rules are posted at each facility. Visitors should educate themselves about the jail facility’s rules. Visits are accommodated on a first-come, first-served basis via the visiting OVR system. Visits may be cancelled without prior notice due to facility emergencies or when an inmate has been relocated to another housing unit. If relocation occurs, visitors may reschedule another visit via the OVR system. Inmates may have two 60-minute visits per week. Up to two (2) adults may visit. Each adult will receive a 30-minute visits. Children – must be biologically related to the Adult visitor or the inmate. A reasonable number of children may visit as long as they are constantly supervised and remain well behaved. An original and/or notarized birth certificate is required for each child at the time of each visit. Children who are 18 years or older will be counted as adults and must have their own account/register in the OVR system. Visitors must check in 30 minutes before the scheduled visit. Adult visitors are required to present valid government-issued picture I.D. photo identification, (Driver’s License, Green Card, Passport, Military I.D., or Mexican Consulate Card). ***The person registered in OVR must present the ID used to register. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 25 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Any restrictions on inmate visitation. A visitor who falsifies identifying information will be suspended or barred from the facility for a period of time determined by the Facility Commander or their designee (California Penal Code 4507.5). If a visitor is late, the visit will be cancelled. Missing or cancelling a scheduled visit counts as having a visit. All visitors must wear shoes and clothing that is appropriate for visiting. Your visit will be cancelled, and you will be denied entry into the facility if these rules are not followed. Any questions or clarification of these rules must be directed to the Information Desk Officer. 1063 CORRESPONDENCE PM 17.13 – Inmate Correspondence PM 14.01 – Legal Rights of Inmates The facility administrator shall develop written policies PM 1008 - Mail and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that an Incarcerated persons may, at their own incarcerated person may send or receive; expense, send and receive mail without ☒ ☐ ☐ restrictions on quantity, provided it does not jeopardize the safety of staff, visitors, or other incarcerated persons, or poses an unreasonable disruption to the orderly operation of the facilities. (b) an incarcerated person’s correspondence may be PM 17.13 – Inmate Correspondence read when there is a valid security reason and the facility PM 14.01 – Legal Rights of Inmates manager or designee approves; PM 1008 – Mail ☒ ☐ ☐ Incoming correspondence may be read when there is a valid security reason, and the Division Commander or the authorized designee has granted approval. (c) jail staff shall not review an incarcerated person’s PM 17.13 – Inmate Correspondence correspondence to or from state and federal courts, any PM 14.01 – Legal Rights of Inmates member of the State Bar or holder of public office, and PM 1008 - Mail the State Board of State and Community Corrections; however, jail authorities may open and inspect such mail Incarcerated persons may correspond only to search for contraband, cash, checks, or money confidentially with courts, legal counsel, orders and in the presence of the incarcerated person; officials of this Office, elected officials, jail ☒ ☐ ☐ oversight entities, government officials, or officers of the court provided the correspondence has been inspected and searched for contraband, cash and checks. Such searches shall be conducted in the presence of the incarcerated person. (d) incarcerated persons may correspond, confidentially, PM 17.13 – Inmate Correspondence with the facility manager or the facility administrator; and, PM 14.01 – Legal Rights of Inmates ☒ ☐ ☐ PM 1008 - Mail 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 26 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) those incarcerated persons who are without funds PM 17.13 – Inmate Correspondence shall be permitted at least four postage paid envelopes PM 14.01 – Legal Rights of Inmates and eight sheets of paper each week to permit PM 1008 - Mail correspondence with family members and friends but without limitation on the number of postage paid Indigent incarcerated persons may order envelopes and sheets of paper to their attorney and to writing materials on a weekly basis to permit the courts. correspondence with family members and friends, pursuant to a schedule established by the Assistant Sheriff of Custody Operations or ☒ ☐ ☐ the authorized designee. Writing materials should include the following (15 CCR 1063): (a) At least four pre-stamped envelopes for correspondence with family and friends (b) At least eight sheets of writing paper (c) One pencil 1064 LIBRARY SERVICES PM 1007 – Library Services The facility administrator shall develop written policies The Assistant Sheriff of Custody Operations and procedures for library service in all Type II, III, and IV or the authorized designee is responsible for facilities. The scope of such service shall be determined the administration of library services and to by the facility administrator. The library service shall provide for library operations. The library include access to the following resources via paper ☒ ☐ ☐ services shall include access via paper documents or through electronic media and include documents or through electronic media to current information on community services and legal reference materials, current information resources, and religious, educational, legal reference on community services and resources, and material and recreational reading material. religious, educational, and recreational reading material. 1065 EXERCISE AND OUT OF CELL TIME PM 18.07 – Exercise and Recreation (a) The facility administrator of a Type II or III facility shall BSCC staff reviewed a random sampling of develop written policies and procedures for a minimum of ☒ ☐ ☐ exercise and out of cell logs from January 10 hours of out of cell time distributed over a period of 2024 through April 2025. The documentation seven days to include: appeared to be compliant with this regulation. (1) an opportunity for three hours of exercise and PM 18.07 – Exercise and Recreation Inmates will be granted access to outdoor exercise using a variety of fixed and movable ☒ ☐ ☐ equipment. Inmates shall be offered a minimum of three hours of supervised outdoor recreation each week as required by Title 15 regulations. (2) an opportunity for seven hours of recreation. PM 18.07 – Exercise and Recreation In practice, the department is compliant with this regulation, but the policy does not ☐ ☒ ☐ mention the required seven hours of recreation time. Policy is noncompliant with this regulation. Policies shall include reasonable and necessary PM 18.07 – Exercise and Recreation procedures to ensure safety and security. ☒ ☐ ☐ 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 27 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1066 BOOKS, NEWSPAPERS, PERIODICALS, AND PM 1007 – Library Services WRITINGS PM 18.05 – Library Services (a) The facility administrator of a Type II or III facility shall The Assistant Sheriff of Custody Operations develop written policies and procedures which will permit or the authorized designee is responsible for incarcerated persons to purchase, receive and read any the administration of library services and to book, newspaper, periodical, or writing accepted for provide for library operations. The library distribution by the United States Postal Service. The services shall include access via paper facility administrator shall develop and implement a documents or through electronic media to written plan to make available a current newspaper or legal reference materials, current information other like source, including a non-English language ☒ ☐ ☐ on community services and resources, and alternative, to ensure reasonable access to interested religious, educational, and recreational people. Nothing herein shall be construed as limiting the reading material. right of a facility administrator to: All incarcerated persons, regardless of their classification or housing status, shall be entitled to access library services and materials. Access to library services may be delayed or restricted due to facility lockdown or other emergencies. (1) exclude any publications or writings based on any PM 1007 – Library Services legitimate penological interest; ☒ ☐ ☐ PM 18.05 – Library Services (2) exclude obscene publications or writings, and PM 1007 – Library Services mail containing information concerning where, how, PM 18.05 – Library Services or from whom such matter may be obtained; and any matter of a character tending to incite murder, arson, riot, violent racism, or any other form of violence; any matter of a character tending to incite crimes against ☒ ☐ ☐ children; any matter concerning unlawful gambling or an unlawful lottery; the manufacture or use of weapons, narcotics, or explosives; or any other unlawful activity; (3) open and inspect any publications or packages PM 1007 – Library Services received by an incarcerated person; and ☒ ☐ ☐ PM 18.05 – Library Services (4) restrict the number of books, newspapers, PM 1007 – Library Services periodicals, or writings the incarcerated person may PM 18.05 – Library Services have in their cell or elsewhere in the facility at one time. ☒ ☐ ☐ Each inmate shall be allowed to have in his/her possession a maximum of 5 books and/or magazines at any one time. 1067 ACCESS TO TELEPHONE PM 17.05 – Inmate Access to Telephone and Telecommunication Devices The facility administrator shall develop written policies PM 13.11 – Custody A.D.A. Plan and procedures which allow access to a telephone or communication device beyond those telephone calls Telecommunication Devices will be made which are required by Section 851.5 of the Penal Code. available to deaf or hearing-impaired inmates, Individuals who are known to have, or are perceived by as necessary, to make these phone calls. others as having hearing or speech impairments shall be Hearing inmates may also have access to ☒ ☐ ☐ provided access to the appropriate telecommunication communicate with deaf or hearing-impaired device which will facilitate communication. Such devices persons. may include but are not limited to videophones, teletypewriters, or third-party communications assistance. An individual’s access to telephone communications shall not be withdrawn unless doing so is required to uphold the safety and security of the facility. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 28 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1068 ACCESS TO COURTS AND COUNSEL PM 17.11 – Inmate Attorney and Official Visits The facility administrator shall develop written policies It is the policy of the Department of Correction and procedures to ensure incarcerated persons have ☒ ☐ ☐ to permit inmates to have visits with attorneys access to the court and to legal counsel. and official visitors under conditions Such access shall consist of: consistent with the security of the jail. (a) unlimited mail as provided in Section 1063 of these PM 17.11 – Inmate Attorney and Official Visits regulations, and, PM 1008 - Mail Incarcerated persons may correspond confidentially with courts, legal counsel, officials of this Office, elected officials, jail ☒ ☐ ☐ oversight entities, government officials, or officers of the court provided the correspondence has been inspected and searched for contraband, cash and checks. Such searches shall be conducted in the presence of the incarcerated person. (b) confidential consultation with attorneys. PM 17.11 – Inmate Attorney and Official Visits Conversations between inmates and their Attorneys may be visually observed by officers, but not listened to or recorded in any manner. All reasonable precautions shall be ☒ ☐ ☐ taken to preserve the confidentiality of the attorney/client relationship. BSCC staff witnessed incarcerated individuals meeting with their counsel during the on-site inspection. 1069 ORIENTATION PM 11.21 – Inmate Processing and Orientation (a) In Type II, III, and IV facilities, the facility administrator shall develop written policies and procedures for the The orientation video will also be played once implementation of a program for people newly admitted each shift on every television set throughout to the facility designed to orient them at the time of the facility by way of a centrally controlled ☒ ☐ ☐ placement in a living area. videocassette recorder located in Central Control. The Control Officer is responsible for ensuring the video is played each shift. The video is closed-captioned and is played in English, Spanish and Vietnamese languages. Both written and verbal information shall be provided and PM 11.21 – Inmate Processing and may be supplemented with video orientation. Orientation ☒ ☐ ☐ The orientation information is provided on the tablet, handbook, and played on an orientation video played throughout the day. Provision shall be made to provide accessible orientation PM 11.21 – Inmate Processing and information to each person, including those with Orientation disabilities, limited literacy, or those with limited English ☒ ☐ ☐ proficiency (LEP). Such a program shall be published and include, but not PM 11.21 – Inmate Processing and be limited to, the following: Orientation (1) correspondence, visiting, and telephone usage ☒ ☐ ☐ rules; (2) rules and disciplinary procedures; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 29 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) grievance procedures; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (4) programs and activities available and method of PM 11.21 – Inmate Processing and application; ☒ ☐ ☐ Orientation (5) medical and mental health services; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (6) classification/housing assignments; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (7) court appearance where scheduled, if known; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (8) voting, including registration; PM 11.21 – Inmate Processing and ☒ ☐ ☐ Orientation (9) zero tolerance policy against sexual abuse and PM 11.21 – Inmate Processing and sexual harassment; and, ☒ ☐ ☐ Orientation (10) availability of personal care items and PM 11.21 – Inmate Processing and opportunities for personal hygiene. ☒ ☐ ☐ Orientation 1070 INDIVIDUAL/FAMILY SERVICE PROGRAMS PM 18.01 – Program Unit’s Goals and Objectives The facility administrator of a Type II, III, or IV facility shall PM 18.11 – Social Services develop written policies and procedures which facilitate PM 18.15 – Correctional Industries cooperation with appropriate public or private agencies for individual or family social service programs for ☒ ☐ ☐ incarcerated persons. Such a program shall utilize the services and resources available in the community and may be in the form of a resource guide or actual service delivery. The range and source of such services shall be at the PM 18.01 – Program Unit’s Goals and discretion of the facility administrator and may include: Objectives (a) risk and needs assessments; PM 18.11 – Social Services (b) best practices in: PM 18.15 – Correctional Industries (1) individual, group or family counseling; (2) drug and alcohol abuse counseling; Programs at the Main Jail include: (3) cognitive behavioral interventions; (4) vocational testing and counseling; RoadMap to Recovery (5) employment counseling; ☒ ☐ ☐ Five Keys (6) discharge and reentry planning; CIC Ministries (c) referral to community resources and programs; Carry the Vision (d) reentry planning and service development; Life Skills – HealthRight360 (e) legal assistance; Recovery Circle – Rehabilitation Officer (f) regional center services for the developmentally disabled; and, (g) community volunteers. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 30 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1071 VOTING PM 610 – Incarcerated Persons Voting The facility administrator of a Type I (holding sentenced Incarcerated persons who have not been incarcerated workers) II, III or IV facility shall develop convicted of a felony and are in custody written policies and procedures whereby the county during trial continue to have the right to vote. registrar of voters allows qualified voters to vote in local, Except for individual incarcerated persons state, and federal elections, pursuant to election codes. who have lost the right to vote, sentenced incarcerated persons also maintain this right. Because incarcerated persons are unable to ☒ ☐ ☐ access public voting polls, the Facility Commander or the authorized designee shall develop written procedures whereby the county registrar of voters allows qualified incarcerated persons to vote in local, state and federal elections, pursuant to election codes (15 CCR 1071). lncarcerated persons should be advised of voting methods during the incarcerated person orientation. 1072 RELIGIOUS OBSERVANCES PM 1015 – Religious Programs The facility administrator of a Type I, II, III or IV facility This policy provides guidance regarding the shall develop written policies and procedures to provide right of incarcerated persons to exercise their ☒ ☐ ☐ opportunities for incarcerated persons to participate in religion and for evaluating accommodation religious services, practices, and counseling on a requests for faith-based religious practices of voluntary basis. incarcerated persons. 1073 GRIEVANCE PROCEDURE PM 609 - Grievances (a) Each administrator of a Type II, III, or IV facility and It is the policy of this Office that any Type I facilities which hold incarcerated workers shall incarcerated person may file a grievance develop written policies and procedures whereby all relating to any condition of confinement, incarcerated persons have the opportunity and ability to which includes but is not limited to, housing, submit and appeal grievances relating to any conditions healthcare, food services, clothing, bedding, ☒ ☐ ☐ of confinement, including but not limited to: medical care; hygiene and sanitation needs, recreation classification actions; disciplinary actions; program opportunities, classification actions, participation; telephone, mail, and visiting procedures; disciplinary actions, program participation, and food, clothing, and bedding. telephone and mail use procedures, visiting Such policies and procedures shall include: procedures, and allegations of sexual abuse, staff conduct, and use of force. (1) a grievance form; PM 609 – Grievances Incarcerated persons are encouraged to file grievances electronically through the tablet; however, paper grievances are available and ☒ ☐ ☐ can be placed in a secured lock box, which are in each housing unit. Housing unit staff are responsible for ensuring a reasonable supply of grievance forms are available in each housing unit. (2) instructions for registering and appealing a PM 609 - Grievances grievance, including relevant deadlines; Incarcerated persons will receive information concerning the grievance procedure during ☒ ☐ ☐ the orientation process. Information regarding the grievance process is contained in the rule book. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 31 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) a process for submission and handling of PM 609 – Grievances anonymous grievances; ☒ ☐ ☐ The Office accepts anonymous grievances and will investigate the grievance. (4) resolution of the grievance at the lowest PM 609 - Grievances appropriate staff level; When incarcerated persons have a complaint, they may bring it to the attention of facility staff ☒ ☐ ☐ before filing a formal grievance. Staff shall attempt to solve the issue at the lowest level possible. (5) appeal to the next level of review; PM 609 – Grievances Incarcerated persons may appeal the finding of a grievance to the Grievance Unit. The Grievance Unit will gather the relevant ☒ ☐ ☐ documentation and route the appeal to the responsible facility commander or the authorized designee or business unit manager. (6) written reasons for denial of grievance at each PM 609 – Grievances level of review which acts on the grievance; BSCC staff reviewed a random sampling of completed grievances and the appeals, if ☒ ☐ ☐ applicable, from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. (7) provision for a non-automated initial response PM 609 - Grievances within a reasonable time limit which shall not exceed a period of 15 calendar days; The electronic or paper grievance will be acknowledged within 5 days, but in no event longer than 15 days. ☒ ☐ ☐ BSCC staff reviewed a random sampling of grievances from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. Responses were within the required timeframe. (8) provision for resolving questions of jurisdiction PM 609 - Grievances within the facility; ☒ ☐ ☐ (9) provision for providing a copy of the grievance, PM 609 - Grievances appeal, response, and related documents to the incarcerated person; and, For electronic grievances, the Grievance Unit provides an electronic acknowledgement of receipt to the incarcerated person through the tablet. For paper grievances, the Grievance ☒ ☐ ☐ Unit electronically logs the grievance and returns a paper copy of the grievance, and any other documents submitted to the incarcerated person with a grievance tracking number. (10) The facility manager or designee shall conduct PM 609 - Grievances regular review of grievances, responses, and appeals. The Assistant Sheriff of Custody Operations ☒ ☐ ☐ or the authorized designee shall conduct a periodic review of grievances, responses, and appeals. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 32 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Grievance System Abuse: PM 609 - Grievances The facility may establish written policy and procedure to control the submission of an excessive number of Incarcerated persons shall use the grievance grievances. process only for legitimate problems or complaints. If there is concern that an ☒ ☐ incarcerated person is abusing the grievance process, the person shall be informed that continued behavior may result in disciplinary action. 1080 RULES AND DISCIPLINARY ACTIONS PM 15.01 – Inmate Discipline Process Wherever discipline is administered, each facility It is the policy of the Department of Correction administrator shall establish written rules and disciplinary to have in place a system of inmate discipline actions to guide the conduct of incarcerated persons. that will: serve to protect the public, inmates, ☒ ☐ ☐ and staff; maintain order in the jail through the Notes: If discipline IS NOT administered, written policy impartial application of inmate rules of should indicate as such. If discipline IS administered, conduct; and a hearing procedure that Sections 1080, 1081, 1082, 1083 and 1084 apply. incorporates all applicable due process requirements. Such rules and disciplinary actions shall be stated simply PM 15.01 – Inmate Discipline Process and affirmatively and posted conspicuously in housing units and the booking area or issued to each person upon Inmates will be required to conform to the booking. standards of conduct reflected in the Department's Inmate Orientation and Rule ☒ ☐ ☐ Book. An inmate violating any rule may be subject to disciplinary action under the provisions of this policy and/or the Inmate Orientation and Rule Book. For those individuals with limited literacy, who are unable PM 15.01 – Inmate Discipline Process to read English, and for persons with disabilities, provision shall be made for the jail staff to instruct them The Inmate Orientation and Rule Book shall verbally or provide them with material in an be available in English, Spanish and understandable form regarding jail rules and disciplinary Vietnamese. When literacy or language procedures and actions. ☒ ☐ ☐ understanding or disability prevents an inmate from understanding the Inmate Orientation and Rule Book, a staff member or qualified interpreter (hearing impaired only) shall assist. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 33 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1081 PLAN FOR DISCIPLINE OF INCARCERATED PM 15.01 – Inmate Discipline Process PERSONS It is the policy of the Department of Correction Each facility administrator shall develop written policies to have in place a system of inmate discipline and procedures for discipline of incarcerated persons. that will: serve to protect the public, inmates, The plan shall include, but not be limited to, the following and staff; maintain order in the jail through the elements: impartial application of inmate rules of (a) Temporary Loss of Privileges: For minor acts of non- conduct; and a hearing procedure that conformance or minor violations of facility rules, staff may incorporates all applicable due process impose a temporary loss of privileges, such as access to requirements. television, telephones, commissary, or lockdown for less than 24 hours, provided there is written documentation Formal sanctions for Minor rule violations and supervisory approval. include such restriction as: I. Loss of privileges such as social visitation ☒ ☐ ☐ (one visit), commissary (one purchase period), or Inmate Worker or program status. 2. Assignment of up to 8 hours of extra work detail. 3. Housing unit confinernent/lockdown for up to 23 hours. Lockdown shall not include restrictions of attorney or official visits, regular· meals at scheduled times, clothing/linen issue, showering, required exercise, mail, or access to legal/court services, medical/mental health services or chaplaincy services. (b) Disciplinary Actions: Major violations of facility rules PM 15.01 – Inmate Discipline Process or repetitive minor acts of non-conformance or repetitive minor violations of facility rules shall be reported in writing Formal sanctions for Major rule violations by the staff member observing the act and submitted to include such restrictions as: the disciplinary officer. The consequences of such violations may include, but are not limited to: 1. Any of those sanctions which may be imposed under a Minor rule violation. 2. A rehousal to another unit with the approval of Classification staff. 3. Disciplinary Housing up to, but not longer than, ten consecutive days per rule violation. a. When approved by the Division Captain, Disciplinary Housing may include a ☒ ☐ ☐ disciplinary diet. Medical staff must be consulted for any continuation of the diet every 72 hours after the initial placement. b. Continuous confinement for more than 30 days requires the review and approval of the Classification Unit and Division Captain and consultation with medical staff. 4. Loss of good and/or work time credits for sentenced prisoners as pem1itted under Penal Code Section 4019. 5. Assignment of up to 16 hours of extra work detail. 1. Loss of good time/work time. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 34 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 2. Placement in disciplinary separation. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ 3. Loss of privileges mandated by regulations. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ A staff member with investigative and disciplinary PM 15.01 – Inmate Discipline Process authority shall be designated as a disciplinary officer to impose such consequences. If the inmate denied committing a Major or Criminal rule violation (not guilty plea) and ☒ ☐ ☐ requests an Infraction Hearing, the fom1s will be forwarded to the Division Infraction Coordinator for scheduling of an Infraction Hearing with the Hearing Officer. Staff shall not participate in disciplinary review if they are PM 15.01 – Inmate Discipline Process involved in the charges. ☒ ☐ ☐ Such charges pending against an incarcerated person PM 15.01 – Inmate Discipline Process shall be acted on with the following provisions and within specified timeframes: 1. A copy of the report, or a separate written notice Staff shall give a copy of the completed of the violation(s), shall be provided to the Inmate Infraction form to the involved inmate, incarcerated person. which serves as a notice to the inmate that he ☒ ☐ ☐ or she has been infracted. BSCC staff reviewed a random sampling of disciplinary reports and findings from January 2025 through April 2025. The documentation appeared to be compliant with this regulation. 2. Unless declined by the incarcerated person, a PM 15.01 – Inmate Discipline Process hearing shall be provided no sooner than 24 hours after the report has been submitted to the disciplinary officer and the incarcerated person has been informed of the charges in writing. The hearing may ☒ ☐ ☐ be postponed or continued for a reasonable time through a written waiver by the incarcerated person, or for good cause. 3. The incarcerated person shall be permitted to PM 15.01 – Inmate Discipline Process appear on their own behalf at the time of hearing and present witnesses and documentary evidence. The The inmate shall have the right to present incarcerated person shall have access to staff or ☒ ☐ ☐ relevant evidence on his/her behalf, at no assistance when they have limited literacy, or the expense to the County, provided that it will not issues are complex. jeopardize facility safety or correctional goals. 4. A charge(s) shall be acted on no later than 72 PM 15.01 – Inmate Discipline Process hours after an incarcerated person has been informed of the charge(s) in writing. This meeting must take place no more than 72 hours after the notification of charges. If the meeting takes place after 72 hours from ☒ ☐ ☐ the time of notification, the Sergeant shall dismiss the infraction and forward the infraction form indicating the dismissal to the Infraction Coordinator for processing. 5. Subsequent to final disposition of disciplinary PM 15.01 – Inmate Discipline Process charges by the disciplinary officer, the charges and the action taken shall be reviewed by the facility All disciplinary hearings and actions will be manager or designee. reviewed by the Division Captain or designee ☒ ☐ ☐ who shall not be the Hearing Officer. He or she may affirm, reduce or dismiss discipline but it cannot be increased. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 35 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 6. The incarcerated person shall be advised in a PM 15.01 – Inmate Discipline Process written statement by the fact-finders about the evidence relied on and the reasons for the A written statement by the fact finder (Hearing disciplinary action. A copy of the record shall be kept Officer) of evidence relied upon for the pursuant to Penal Code Section 4019.5. disciplinary action taken is required for each ☒ ☐ ☐ charged violation. This will be written in the narrative section at the bottom of the Infraction fom1 and on the Record of Finding form. 7. There shall be a policy of review and appeal to a PM 15.01 – Inmate Discipline Process supervisor on all disciplinary action. ☒ ☐ ☐ 1082 FORMS OF DISCIPLINE PM 15.01 – Inmate Discipline Process The degree of actions taken by the disciplinary officer Formal sanctions for Minor rule violations shall be directly related to the severity of the rule include such restriction as: infraction and promotion of desired behavior through a progressive disciplinary process. Acceptable forms of I. Loss of privileges such as social visitation discipline shall consist of, but not be limited to, the (one visit), commissary (one purchase following: period), or Inmate Worker or program status. (a) Loss of privileges. (b) Extra work detail. 2. Assignment of up to 8 hours of extra work (c) Short term lockdown for less than 24 hours. detail. (d) Removal from work details. (e) Forfeiture of “good time” credits earned under Penal 3. Housing unit confinernent/lockdown for up Code Section 4019. to 23 hours. Lockdown shall not include ☒ ☐ ☐ (f) Forfeiture of “work time” credits earned under Penal restrictions of attorney or official visits, Code Section 4019. regular· meals at scheduled times, (g) Disciplinary separation. clothing/linen issue, showering, required exercise, mail, or access to legal/court services, medical/mental health services or chaplaincy services. 4. Loss of good and/or work time credits for sentenced prisoners as pem1itted under Penal Code Section 4019. 5. Assignment of up to 16 hours of extra work detail. 1083 LIMITATIONS ON DISCIPLINARY ACTIONS PM 15.01 – Inmate Discipline Process The Penal Code and the State Constitution expressly The Penal Code and the State Constitution prohibit all cruel and unusual punishment. Disciplinary expressly prohibit all cruel and unusual actions shall not include corporal punishment, group punishment. punishment when feasible, or physical or psychological degradation. ☒ ☐ ☐ Additionally, there shall be the following limitations: (a) Disciplinary separation shall be considered an option of last resort and as a response to the most serious and threatening behavior, for the shortest time possible, and with the least restrictive conditions possible. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 36 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) If a person is on disciplinary separation status for PM 15.01 – Inmate Discipline Process 30 consecutive days there shall be a review by the facility manager before the disciplinary separation If an inmate is in Disciplinary Housing status status is continued. This review shall include a for 30 consecutive days, the Division Captain consultation with health care staff. Such reviews shall review the inmate's status before the shall continue at least every fifteen days thereafter ☒ ☐ ☐ Disciplinary Housing status is continued. This until the disciplinary status has ended. This review review shall include consultation with medical shall be documented. staff and will continue every 15 days thereafter until the Disciplinary status has ended. (2) The disciplinary separation cells or cell shall have PM 15.01 – Inmate Discipline Process the minimum furnishings and space specified in Title 24, Part 2, 1231.2.6 and 2.7. Occupants shall be Inmates in Disciplinary Housing shall be issued clothing and bedding as specified in Articles issued clothing and bedding as specified in 13 and 14 of these regulations and shall not be Articles 12 and 1 3 of Title 24 and shall not be deprived of them through any portion of the day deprived of them through any portion of the except that those incarcerated persons who engage day except that those inmates who engage in in the destruction of bedding or clothing may be ☒ ☐ ☐ the destruction of bedding or clothing may be deprived of such articles. The decision to deprive a deprived of such articles. The decision to person of such articles of clothing and bedding shall deprive inmates of such articles of clothing be reviewed by the facility manager or designee and bedding shall be reviewed by the Watch during each 24-hour period. Commander each 24-hour period and shall be documented on an employee's rep01t to the Division Captain. (3) If after placement in separation, mental health or PM 15.01 – Inmate Discipline Process medical staff determine that an individual has serious PM 605 – Incarcerated Persons Rights – mental illness or an intellectual disability, they shall Protection from Abuse be removed from disciplinary separation immediately . upon this determination. It is the policy of this office to make every reasonable effort to protect incarcerated persons from abuse, physical punishment, injury, harassment, intimidation, or loss or ☒ ☐ ☐ damage to personal property by other incarcerated persons or staff. Staff shall take reasonable actions to safeguard vulnerable persons from others and shall use the classification policies and procedures to make housing decisions that will provide for incarcerated person safety. (b) The delegation of authority to any incarcerated person PM 15.01 – Inmate Discipline Process or group of incarcerated people to exercise the right of punishment over any other incarcerated person or group Pursuant to Penal Code 4019.5 and Title 15, of incarcerated people. the delegation of authority to any inmate or ☒ ☐ ☐ group of inmates to exercise the right of Note: PC § 4019.5. punishment over any other inmate or group of inmates is expressly prohibited. (c) In no case shall a safety cell, as specified in Title 24, PM 15.01 – Inmate Discipline Process Part 2, 1231.2.5, or any restraint device be used for disciplinary purposes. ☒ ☐ ☐ In no case shall a safety cell or any restraint device be used for disciplinary purposes. (d) No incarcerated person may be deprived of the PM 15.01 – Inmate Discipline Process implements necessary to maintain an acceptable level of personal hygiene as specified in Section 1265 of these No inmate may be deprived of the implements regulations. ☒ ☐ ☐ necessary to maintain an acceptable level of personal hygiene as specified in Title 15, Section 1265. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 37 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Food shall not be withheld as a disciplinary measure. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ Food shall not be withheld as a disciplinary measure. (f) Correspondence privileges shall not be withheld PM 15.01 – Inmate Discipline Process except in cases where the incarcerated person has violated correspondence regulations, in which case Correspondence privileges shall not be correspondence may be suspended for no longer than 72 withheld except in cases where the inmate hours, without the review and approval of the facility has violated correspondence regulations, in ☒ ☐ ☐ manager. which case correspondence may be suspended for no longer than 72 hrs, without the review and approval of the Watch Commander. (g) In no case shall access to courts and legal counsel be PM 15.01 – Inmate Discipline Process suspended as a disciplinary measure. In no case shall access to courts and legal ☒ ☐ ☐ counsel be suspended as a disciplinary measure. 1084 DISCIPLINARY RECORDS PM 15.01 – Inmate Discipline Process Penal Code Section 4019.5 requires that a record is kept Pursuant to Penal Code 4019.5 and Title 15, of all disciplinary actions administered therefore. This the Department will keep a record of inmate requirement may be satisfied by retaining copies of rule infractions, disciplinary records and the violation reports and report of the disposition of each. sanctions imposed. ☒ ☐ ☐ BSCC staff reviewed copies of random disciplinary files while doing the on-site inspection. The documentation is compliant with this regulation. 1206.5 MANAGEMENT OF COMMUNICABLE PM 10.37 – Exposure Control Plan for DISEASES IN A CUSTODY SETTING Bloodborne Pathogens PM 10.41 – Exposure Control Plan for (a) The responsible physician, in conjunction with the Respiratory Diseases facility administrator and the county health officer, shall develop a written plan to address the identification, It is the policy of the Department of Correction treatment, control and follow-up management of to recognize the need for exposure control to tuberculosis and other communicable diseases. The plan bloodborne pathogens in accordance with shall cover the intake screening procedures, CAL/OSHA regulations and to develop and identification of relevant symptoms, referral for a medical ☒ ☐ ☐ implement guidelines to eliminate or minimize evaluation, treatment responsibilities during staff risk to occupational exposure. incarceration and coordination with public health officials for follow-up treatment in the community. The plan shall It is the policy of the Department of Correction reflect the current local incidence of communicable to provide a process to recognize respiratory diseases which threaten the health of incarcerated based communicable diseases and to people and staff. develop and implement guidelines to prevent and control staff or inmate exposures to those diseases. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 38 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Consistent with the above plan, the health authority PM 10.37 – Exposure Control Plan for shall, in cooperation with the facility administrator and the Bloodborne Pathogens county health officer, set forth in writing, policies and PM 10.41 – Exposure Control Plan for procedures in conformance with applicable state and Respiratory Diseases federal law, which include, but are not limited to: (1) The types of communicable diseases to be Bloodborne Pathogens: Pathogenic reported; microorganisms present in human blood that can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B Virus (HBV), Hepatitis C Virus ☒ ☐ ☐ (HCV) and Human Immunodeficiency Virus (HIV). Tuberculin Skin Test {TST): A skin test used for determining prior or possible current TB infection. The test involves injecting a solution of a purified protein derivative (PPD) under the skin of the forearm to detect for TB bacteria. If TB bacteria are detected, a skin reaction will occur around the injection site. (2) The persons who shall receive the medical PM 10.37 – Exposure Control Plan for reports; Bloodborne Pathogens PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ The QI Manager will notify the County Health Officer when an inmate has a suspected/ confirmed case of Tuberculosis. (3) Sharing of medical information with incarcerated PM 10.37 – Exposure Control Plan for persons and custody staff; Bloodborne Pathogens ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases (4) Medical procedures required to identify the PM 10.37 – Exposure Control Plan for presence of disease(s) and lessen the risk of Bloodborne Pathogens exposure to others; PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ Send the exposed employee to the appropriate healthcare provider to obtain a medical evaluation (after the initial first aid) within one hour of the exposure or sooner. (5) Medical confidentiality requirements; PM 10.37 – Exposure Control Plan for Bloodborne Pathogens ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases (6) Housing considerations based upon behavior, PM 10.37 – Exposure Control Plan for medical needs, and safety of the affected Bloodborne Pathogens incarcerated persons; PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ Medical staff will make appropriate housing arrangements for any exposed inmates who may require medical segregation. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 39 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) Provisions for consent by an incarcerated person PM 10.37 – Exposure Control Plan for that address the limits of confidentiality; and, Bloodborne Pathogens PM 10.41 – Exposure Control Plan for Respiratory Diseases ☒ ☐ ☐ To protect the confidentiality of the employee and source individual, the Supervisor's First Report of Injury shall not include information concerning HIV status of the source individual or employee. (8) Reporting and appropriate action upon the PM 10.37 – Exposure Control Plan for possible exposure of custody staff to a Bloodborne Pathogens communicable disease. ☒ ☐ ☐ PM 10.41 – Exposure Control Plan for Respiratory Diseases 1211 SICK CALL PM 12.01 – Medical Health Care Services PM 701 – Access to Health Care The facility administrator, in cooperation with the health authority, shall develop written policies and procedures, It is the policy of the Department of Correction which provide daily sick call for all incarcerated persons to ensure medical health services are or provision made that any incarcerated person ☒ ☐ ☐ provided to all inmates regardless of age, requesting medical/mental health attention be given such race, color, national origin, ancestry, religion, attention. sex/gender, sexual orientation, disability, medical condition, political beliefs, organizational affiliations, or marital status. 1240 FREQUENCY OF SERVING PM 900 – Food Services In Temporary Holding, Type I, II, and III facilities, and Meals shall be served at least three times those Type IV facilities where food is served, food shall during each 24-hour period. At least one meal be served three times in any 24-hour period. At least one must include hot food. Any deviation from this of these meals shall include hot food. Supplemental food requirement shall be subject to the review and must be served to incarcerated persons if more than 14 approval of a registered dietitian to ensure ☒ ☐ ☐ hours pass between evening and morning meals. that incarcerated persons receive meals that Additionally, supplemental food must be served to people meet nutritional guidelines. on medical diets in less than the time period outlined above, if prescribed by the responsible physician. There must be no more than 14 hours between a substantial evening meal and breakfast. A minimum of fifteen minutes shall be allowed for the PM 900 – Food Services actual consumption of each meal except for those on medical diets where the responsible physician has Incarcerated persons must be provided a ☒ ☐ ☐ prescribed additional time. minimum of 15 minutes dining time for each meal. Provisions shall be made for incarcerated persons who PM 900 – Food Services may miss a regularly scheduled facility meal. They shall be provided with a substitute meal and beverage, and on Incarcerated persons who miss, or may miss, medical diets shall be provided with their prescribed a regularly scheduled meal must be provided meal. with a beverage and a sandwich or substitute meal. Approved snacks should be served to incarcerated persons on medical diets in less ☒ ☐ ☐ than the 14-hour period if prescribed by the Responsible Physician or registered dietitian. Incarcerated persons on medical or therapeutic meals who miss their regularly scheduled meal will be provided with their prescribed meal. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 40 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1260 STANDARD INSTITUTIONAL CLOTHING PM 16.03 – Inmate Clothing, bedding and Linens The standard issue of climatically suitable clothing to incarcerated people held after arraignment in all but The Department shall maintain a supply of Court Holding, Temporary Holding, and Type IV facilities ☒ ☐ ☐ clean clothing, blankets, mattresses and shall include, but not be limited to: linens for issue at a level adequate to supply (a) Clean socks and footwear; the actual and replacement needs of the inmate population. (b) Clean outergarments; and, PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (c) Clean undergarments; PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (1) For males – shorts and undershirt, and PM 16.03 – Inmate Clothing, bedding and Linens Standard clothing, bedding and linen issue for male inmates: a. One pair of pants b. One shirt c. One roll, which includes one pair of underwear, one pair of socks, one T -shirt and ☒ ☐ ☐ one towel d. One pair of shower sandals e. Two sheets f. Two blankets g. One thermal (issued only during inclement weather to inmates housed at Main Jail South and the Elmwood Men's Facility) h. One denim jacket (issued only to minimum- security inmates) (2) For females – bra and two pairs of panties. PM 16.03 – Inmate Clothing, bedding and Linens Standard clothing, bedding and linen issue for female inmates: a. Two pairs of pants b. Two shirts or maternity smocks c. Two thermals d. Seven pairs of underwear · ☒ ☐ ☐ e. Three bras f Three pair of socks g. One pair of shower sandals h. Two blankets i. Two sheets J. One washcloth k. Two towels l. One nightgown m. One paper/plastic bag for storage of dirty laundry clothes. The person’s personal undergarments and footwear may PM 16.03 – Inmate Clothing, bedding and be substituted for the institutional undergarments and Linens footwear specified in this regulation. This option ☒ ☐ ☐ notwithstanding, the facility has the primary responsibility to provide the personal undergarments and footwear. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 41 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS All issued and exchanged clothing shall be clean and free PM 16.03 – Inmate Clothing, bedding and of holes or tears, reasonably fitted, durable, easily Linens laundered and repaired. Undergarments shall be clean, free of holes or tears, and substantially free of stains. Clothing, blankets and linens shall be of good Individuals shall be able to select the garment type more quality fabric, reasonably fitted, and cleaned compatible with their gender identity and gender prior to issuance. Staff will make reasonable expression. efforts to replace tom, worn-out, stained or ☐ ☒ ☐ unsuitable items of clothing, bedding and linens. BSCC staff inspected the clothing and linens in the property/clothing rooms during the on- site inspection. The issued clothing and bedding meet these regulation standards. 1264 CONTROL OF VERMIN IN PERSONAL PM 805 – Pest Control CLOTHING Clothing, bedding, and other property that is There shall be written policies and procedures developed suspected of being infested shall either be by the facility administrator to control contamination removed from the facility or cleaned and ☒ ☐ ☐ and/or spread of vermin in all incarcerated people’s treated by the following methods, as personal clothing. Infested clothing shall be cleaned, appropriate or as directed by the pest control disinfected, or stored in a closed container so as to provider or the Responsible Physician. eradicate or stop the spread of vermin. 1265 ISSUE OF PERSONAL CARE ITEMS PM 607 - Grooming There shall be written policies and procedures developed lncarcerated persons are expected to ☒ ☐ ☐ by the facility administrator for the issue of personal maintain their hygiene using approved hygiene items. personal care items. Each menstruating person shall be provided with sanitary PM 607 - Grooming napkins, panty liners, and tampons as requested with no maximum allowance. ☒ ☐ ☐ BSCC staff confirmed that all three products were available during the on-site inspection. Each person to be held over 24 hours who is unable to PM 607 - Grooming supply themself with the following personal care items, because of either indigency or the absence of a canteen, lncarcerated persons will be issued a free shall be issued: personal hygiene kit upon their initial housing ☒ ☐ ☐ (a) Toothbrush, unit. Certain personal care items, such as soap, sanitary napkins, and toilet paper, may be supplied as needed. (b) Dentifrice, PM 607 - Grooming ☒ ☐ ☐ (c) Soap, PM 607 - Grooming ☒ ☐ ☐ (d) Comb, and PM 607 - Grooming ☒ ☐ ☐ (e) Shaving implements. PM 607 - Grooming ☒ ☐ ☐ Personal care items shall be issued within the first 12 PM 607 - Grooming hours of housing assignment. ☒ ☐ ☐ Incarcerated persons shall not be required to share any PM 607 - Grooming personal care items listed in items “a” through “d.” No incarcerated person will be denied the ☒ ☐ ☐ necessary personal care items. For sanitation and security reasons, personal care items shall not be shared. Incarcerated people will not share disposable razors. PM 607 - Grooming ☒ ☐ ☐ 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 42 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Double edged safety razors, electric razors, and other PM 607 - Grooming shaving instruments capable of breaking the skin, when shared among incarcerated people, must be disinfected Grooming equipment will be disinfected between individual uses by the method prescribed by the before and after each use by the methods State Board of Barbering and Cosmetology in Sections approved by the State Board of Barbering and 979 and 980, Division 9, Title 16, California Code of Cosmetology to meet the requirements of (16 ☒ ☐ ☐ Regulations. CCR 979; 16 CCR 980). BSCC staff confirmed that shaving devices are disinfected before each use during the on- site inspection. 1266 SHOWERING PM 607 - Grooming There shall be written policies and procedures developed Personal care items, shower, wash and toilet by the facility administrator for showering/bathing. facilities and hair-cutting services used to ☒ ☐ ☐ maintain persona! hygiene shall not be denied to an incarcerated person for punitive reasons. Incarcerated persons shall be permitted to shower/bathe PM 607 - Grooming upon assignment to a housing unit and at least every other day or more often if possible. lncarcerated persons shall have access to operable showers. lncarcerated persons shall ☒ ☐ ☐ be permitted to shower upon assignment to a housing unit, at least every other day thereafter and more often if practicable. Absent exigent circumstances, no person shall be PM 607 - Grooming prohibited from showering at least every other day following assignment to a housing unit. If showering is lncarcerated persons shall have access to prohibited, it must be approved by the facility manager or operable showers. lncarcerated persons shall ☒ ☐ ☐ designee, and the reason(s) for prohibition shall be be permitted to shower upon assignment to a documented. housing unit, at least every other day thereafter and more often if practicable. 1267 HAIR CARE SERVICES PM 607 - Grooming (a) Hair care services shall be available. The Assistant Sheriff of Custody Operations ☒ ☐ ☐ or the authorized designee shall establish written procedures for incarcerated person hair care services. (b) Except those who may not shave for reasons of PM 607 - Grooming identification in court, incarcerated people shall be allowed to shave daily and receive hair care services at lncarcerated persons shall generally be least once a month. The facility administrator may permitted to receive hair care services once suspend this requirement in relation to people who are per month after being in custody for at least ☒ ☐ ☐ considered to be a danger to themselves or others. 30 days. Staff may suspend access to hair care services if an incarcerated person appears to be a danger to themself or others or to the safety and security of the facility. (c) Equipment shall be disinfected, after each use, by a PM 607 - Grooming method approved by the State Board of Barbering and Cosmetology to meet the requirements of Title 16, Grooming equipment will be disinfected Division 9, Sections 979 and 980, California Code of before and after each use by the methods Regulations. approved by the State Board of Barbering and Cosmetology to meet the requirements of (16 ☒ ☐ ☐ CCR 979; 16 CCR 980). BSCC staff confirmed that hair care devices are disinfected before each use during the on- site inspection. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 43 of 47 A353 Type II & III PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1270 STANDARD BEDDING AND LINEN ISSUE PM 16.03 – Inmate Clothing, bedding and Linens The standard issue of clean suitable bedding and linens, for each incarcerated person entering a living area who Mattresses shall be enclosed in easily is expected to remain overnight, shall include, but not be cleaned non-absorbent ticking, conform to the limited to: ☒ ☐ ☐ size of bunks/beds and be certified by the (a) one serviceable mattress which meets the manufacturer as meeting all requirements of requirements of Section 1272 of these regulations; the State Fire Marshal and the Bureau of Home Furnishings' test standard for penal mattresses. (b) one mattress cover or one sheet; PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (c) one towel; and, PM 16.03 – Inmate Clothing, bedding and ☒ ☐ ☐ Linens (d) one blanket or more depending up on climatic PM 16.03 – Inmate Clothing, bedding and conditions. ☒ ☐ ☐ Linens Policy and procedure shall require that items (a), (b), and PM 16.03 – Inmate Clothing, bedding and (d) above be provided prior to the first night in the facility. ☒ ☐ ☐ Linens Two blankets or sleep bag may be issued in place of one PM 16.03 – Inmate Clothing, bedding and mattress cover or one sheet at the request of the Linens ☒ ☐ ☐ incarcerated person. 1280 FACILITY SANITATION, SAFETY, AND PM 16.01 – Sanitation Inspections and MAINTENANCE Housekeeping Plan The facility administrator shall develop written policies Staff will conduct a daily sanitation inspection and procedures for the maintenance of an acceptable of their assigned area. The sanitary condition, level of cleanliness, repair and safety throughout the ☒ ☐ ☐ any sanitary deficiencies and the actions facility. Such a plan shall provide for a regular schedule taken to correct those deficiencies will be of housekeeping tasks and inspections to identify and documented on the post log. correct unsanitary or unsafe conditions or work practices which may be found. Medical care housing as described in Title 24, Part 2, PM 16.01 – Sanitation Inspections and Section 1231.2.14, shall be cleaned and sanitized Housekeeping Plan according to policies and procedures established by the ☒ ☐ ☐ health authority. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 44 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in jail cells? Juveniles are not held within the detention facility. Facilities that do not hold minors in the jail cells are not subject to Title 15, Article 9 biennial inspections; ☐ ☒ ☐ however, if minors are held in the building, they may be subject to the requirements of WIC §207.1. 1047 SERIOUS ILLNESS OR INJURY OF A MINOR IN AN ADULT DETENTION FACILITY The facility administrator shall develop policy and procedures for notification of the court of jurisdiction and ☐ ☐ ☒ the parent, guardian, or person standing in loco parentis, in the event of a suicide attempt, serious illness, injury or death of a minor in custody. 1101 RESTRICTIONS ON CONTACT WITH INCARCERATED ADULTS The facility administrator shall establish policies and procedures to restrict sight and sound contact, as ☐ ☐ ☒ defined in Section 1006, between detained minors and adults confined in the facility. The policies and procedures should consider trauma-informed approaches in protecting minors from contact. In situations where brief or accidental contact may occur, such as booking or facility movement, facility staff (trained in the supervision of incarcerated people) shall ☐ ☐ ☒ maintain a constant, side-by-side presence with the minor or the adult to prevent sustained contact. 1102 CLASSIFICATION The facility administrator shall develop and implement a written plan designed to provide for the safety of staff ☐ ☐ ☒ and minors held at the facility. The plan shall include the following: (a) a procedure for receiving and transmitting information regarding minors who present a risk or hazard to self or others while confined at the facility, and ☐ ☐ ☒ the separation of such minors to the extent possible within the limits of the facility. (b) a procedure to provide care for any minor who appears to be in need of or who requests medical, mental health, or developmental disability treatment. Written procedures shall be established by the ☐ ☐ ☒ responsible health administrator in cooperation with the facility administrator. (c) a suicide prevention program designed to identify, monitor, and provide treatment to those minors who ☐ ☐ ☒ present a suicide risk. (d) provide that minors be housed separately from adults and not be allowed to come or remain in contact with adults except as provided in Section 208(c) of the ☐ ☐ ☒ Welfare and Institutions Code. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 45 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1103 RELEASE PROCEDURES Facility staff shall notify the parents or guardians prior to the release of a minor. The minor's personal clothing ☐ ☐ ☒ and valuables shall be returned to the minor, parents or guardian, upon the minor's release or consent. 1104 SUPERVISION OF MINORS The facility administrator shall develop and implement policy and procedures that provide for: ☐ ☐ ☒ (a) continuous around-the-clock supervision of minors with assurance that staff can hear and respond; and, (b) safety checks of minors at least once every 30 minutes. These safety checks shall include the direct visual observation of movement and skin. Safety checks shall not be replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to ☐ ☐ ☒ detect overt, aggressive, or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented. 1105 RECREATIONAL PROGRAMS The facility administrator shall develop written policies and procedures to provide a recreation program that shall protect the welfare of minors and incarcerated ☐ ☐ ☒ adults, recognize facility security needs and comply with minimum jail standards for recreation (California Code of Regulations, Title 15, Section 1065). 1106 DISCIPLINARY PROCEDURES Nothing in this regulation shall prevent the administrator from removing a detained minor from the general population or program for reasons of the minor's mental or physical health; or under any circumstances in which ☐ ☐ ☒ the safety of the minor, incarcerated adults, staff, the program or community is endangered, pending a disciplinary action or review. With the exceptions noted below, the provisions of Section 1080-1084 shall apply when a minor is involved in disciplinary actions. (a) Pursuant to Welfare and Institutions Code Section 208.3, minors may not be placed in room confinement ☐ ☐ ☒ for disciplinary purposes. (b) Permitted forms of discipline include: (1) temporary loss of privileges; and, ☐ ☐ ☒ (2) loss of privileges mandated by applicable regulations. ☐ ☐ ☒ (c) Access to visitation and recreation shall be restricted only after a second level review by a supervisor or manager and shall not extend beyond five days without ☐ ☐ ☒ subsequent review. (d) Prohibited forms of discipline include: (1) discipline that does not fit the violation; ☐ ☐ ☒ (2) corporal punishment; ☐ ☐ ☒ (3) discipline imposed by incarcerated persons; ☐ ☐ ☒ 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 46 of 47 A353 Type II & III PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) placement in safety cells, sobering cells, or any other cell not specifically designated for the ☐ ☐ ☒ detention of minors; (5) deprivation of food; and, ☐ ☐ ☒ (6) room confinement. ☐ ☐ ☒ 1120 EDUCATION PROGRAM FOR MINORS IN JAILS Whenever a minor is held in a Type II or III facility, the facility administrator shall coordinate with the County ☐ ☐ ☒ Department of Education or County Superintendent of Schools to provide education programs as required by Section 48200 of the Education Code. 1122.5 PREGNANT MINORS (a) The health administrator, in cooperation with the facility administrator, shall develop written policies and ☐ ☐ ☒ procedures pertaining to pregnant minors that address the requirements in Title 15, Section 1417. (b) The facility administrator, in cooperation with the responsible physician, shall develop written policies and procedures for the use of restraint devices on pregnant minors. The policy shall address requirements of Penal ☐ ☐ ☒ Code 3407. Policy shall include reference to the following: (1) A minor known to be pregnant or in recovery after delivery or termination of the pregnancy shall not be restrained by the use of leg or waist ☐ ☐ ☒ restraints, or handcuffs behind the body. (2) A pregnant minor in labor, during delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ankles, or both, unless deemed necessary for the ☐ ☐ ☒ safety and security of the minor, the staff, or the public. (3) Restraints shall be removed when a professional who is currently responsible for the medical care of a pregnant minor during a medical emergency, labor, delivery, or recovery after delivery or ☐ ☐ ☒ termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of a minor's pregnancy, they shall be advised, orally or in writing, of the ☐ ☐ ☒ standards and policies governing pregnant minors. 5180 Santa Clara Elmwood Women’s Facility II CI PRO 25-26 Page 47 of 47 A353 Type II & III PRO eff. 04.01.25 PHYSICAL PLANT EVALUATION BOARD OF STATE AND COMMUNITY CORRECTIONS - COMPREHENSIVE INSPECTION ADULT TYPE I, II, III AND IV FACILITIES Applicable Title 24 Regulations: 3/80; 8/86; 5/88; 1/91 BSCC Code: 5180 FACILITY NAME: Elmwood Complex Women’s Facility FACILITY TYPE: II APPLICABLE REGULATIONS (Check All That Apply): 3/80: X 8/86: X 5/88: 1/91: OTHER: 1963 FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/20/2025 TITLE 24 SECTION YES NO N/A COMMENTS Temporary Holding Cells (2.2) ☒ ☐ ☐ Contain 10 square feet of floor per inmate Limited to no more than 16 inmates ☒ ☐ ☐ No smaller than 40 square feet ☒ ☐ ☐ Contain sufficient seating to accommodate all inmates ☒ ☐ ☐ Toilet accessible ☒ ☐ ☐ Water fountain accessible ☒ ☐ ☐ Wash basin accessible ☒ ☐ ☐ Provides clear visual supervision ☒ ☐ ☐ Telephone accessible ☒ ☐ ☐ Weapons Locker (3.12) External to the security area and equipped with ☒ ☐ ☐ individual compartments, locks and keys Temporary Staging Cell or Room (2.3) A Court Staging Cell has existed for years; however, it was added to the LASE during 1-91: Added provision for temporary staging cells- 2010-2012 inspection cycle. rooms ☒ ☐ ☐ Holds inmates classified and segregated per Title 15 § 1050 and § 1053 Limited to holding inmates up to 4 hours ☒ ☐ ☐ Maximum capacity of no more than 80 inmates ☒ ☐ ☐ Contains 10 square feet of floor space per inmate and ☒ ☐ ☐ has a ceiling height of at least 8 feet No smaller than 160 square feet ☒ ☐ ☐ Contains seating to accommodate all inmates ☒ ☐ ☐ Contains water closet, wash basin and drinking ☒ ☐ ☐ fountain Provides unobstructed visual supervision of inmates by staff ☒ ☐ ☐ Sobering Cells (2.4) ☒ ☐ ☐ 01: Name change to “sobering cell” Contain 20 square feet of floor per inmate Limited to no more than 8 inmates ☒ ☐ ☐ 5140 Santa Clara Elmwood Women’s Facility II CI PHY 25-26 - 1 - A381 PHY Type 80 86 88 91.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS No smaller than 60 square feet ☒ ☐ ☐ Contain toilet ☒ ☐ ☐ Contain washbasin ☒ ☐ ☐ Contain drinking fountain ☒ ☐ ☐ Partitions or handrails located next to toilet fixture to ☒ ☐ ☐ provide support Provide easy, unobstructed visual observation ☒ ☐ ☐ Padding on the floor ☒ ☐ ☐ Shower-Delousing Room (3.4) ☒ ☐ ☐ Available in reception/booking Secure Vault or Storage Space (2.1) ☒ ☐ ☐ Available for inmate valuables Telephone (2.1) ☒ ☐ ☐ Available for inmate use per Penal Code § 851.5 Safety Cells (2.5) Two safety cells in W3/Intake area are under 1980 standards: two safety cells in W-1 are ☒ ☐ ☐ Contain 48 square feet with one floor dimension at under 1963 Standards. least 6 feet and ceiling height of at least 8 feet Limited to no more than one inmate ☒ ☐ ☐ Contain flush ring toilet with controls located outside ☒ ☐ ☐ the cell Padded floor, door and walls ☒ ☐ ☐ Equipped with variable intensity, security light, Applies to W3 cells only. ☒ ☐ ☐ inaccessible to occupant Vertical view panel not more than 4 inches wide and Applies to W3 cells only. ☒ ☐ ☐ at least 24 inches long, in or adjacent to the door Provide a food pass with lockable shutter no more Applies to W3 cells only. than 4 inches high and located at least 30 inches ☒ ☐ ☐ above the floor Single Occupancy Cells (2.6) ☒ ☐ ☐ 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 ☒ ☐ ☐ facilities Have a minimum ceiling height of 8 feet ☒ ☐ ☐ Contain toilet, washbasin and drinking fountain ☒ ☐ ☐ Contain a bunk, desk and seat (Desk and seat not This does not apply to the old cells. required in Type I in later, less restrictive 1986 ☒ ☐ ☐ standards) Multiple Occupancy Cells (8227) 8-86: Deleted provision for multiple occupancy cells ☐ ☐ ☒ Contain 35 square feet per person Limited to no more than 8 inmates ☐ ☐ ☒ No smaller than 100 square feet ☐ ☐ ☒ 5140 Santa Clara Elmwood Women’s Facility II CI PHY 25-26 - 2 - A381 PHY Type 80 86 88 91.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Minimum ceiling height of 8 feet ☐ ☐ ☒ Water closet separate from washbasin and drinking ☐ ☐ ☒ fountain Sufficient bunks to accommodate each occupant ☐ ☐ ☒ Provide storage space for each occupant's personal items ☐ ☐ ☒ Multiple Occupancy Rooms (8229) 8-86: Deleted provision for multiple occupancy rooms ☐ ☐ ☒ Limited to housing persons in Type III and IV facilities and workers in Type I and II facilities Contain 50 square feet of floor area per person and a ☐ ☐ ☒ minimum of 8 feet ceiling height Limited to no more than 16 persons ☐ ☐ ☒ Access to toilets separate from washbasins (ratio 1:8) ☐ ☐ ☒ and drinking fountains Provide storage space for each occupant's personal items ☐ ☐ ☒ Double Occupancy Cells (2.7) 5-88: Added provision for double occupancy cells ☐ ☐ ☒ Maximum capacity of two inmates Contain a minimum of 60 square feet of floor space in Type I facilities and 70 square feet in Type II and III ☐ ☐ ☒ facilities Have a minimum ceiling height of 8 feet and one floor ☐ ☐ ☒ dimension at least 6 feet Contain toilet, washbasin and drinking fountain ☐ ☐ ☒ Contain 2 bunks, 1 desk and seat (Desk and seat not required in Type I facilities) ☐ ☐ ☒ Dormitories (2.8) 8-86: Provision for dormitories added ☒ ☐ ☐ Contain 50 square feet of floor area per inmate and a minimum of 8 feet ceiling height Be designed for no fewer than 8 and no more than 64 ☒ ☐ ☐ inmates Facilities having a total rated capacity of 80 inmates or less, may design dormitories for no fewer than 4 ☐ ☐ ☒ inmates Access to toilets separate from washbasins (ratio 1:8) . and drinking fountains ☒ ☐ ☐ 01: Ratio changed to 1:10 Provide storage space for each inmates' personal items ☒ ☐ ☐ Dayrooms (2.9) Requirement deleted in 1999. 8-86: Added requirement for 3 foot wide corridors in ☐ ☐ ☒ front of cells-rooms 99: Corridor requirement deleted 35 square feet of floor area per inmate ☒ ☐ ☐ 5140 Santa Clara Elmwood Women’s Facility II CI PHY 25-26 - 3 - A381 PHY Type 80 86 88 91.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Contain tables and seating to accommodate the ☒ ☐ ☐ maximum number of inmates served Access to toilets, washbasins and drinking fountains ☒ ☐ ☐ Available to all inmates in Type II and III facilities (excluding special use cells) and to workers in Type I ☒ ☐ ☐ facilities Shower (3.4) . Available on a ratio of 1:16 ☒ ☐ ☐ 01: Ratio changed to 1:20 Lighting (3.6) 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) ☒ ☐ ☐ 30 inches wide and 76 inches long Comfortable Living Environment [102(c)6] A comfortable living environment is maintained ☒ ☐ ☐ through an adequate heating and cooling system. Exercise Area -Type II, III and WA IV (2.10) ☒ ☐ ☐ At least one exercise area must contain a minimum of 900 square feet 8-86: Outdoor exercise area provided ☒ ☐ ☐ 8-86: Clear height of 15 feet with required surface area meeting a formula of: 80% of maximum ☒ ☐ ☐ rated inmate population and number of one-hour exercise periods per day = required surface area Program Space - Type II and III (2.11) Sufficient area and furnishings to meet the needs of ☒ ☐ ☐ the facility programs Dining Facilities (2.17) Inmates eat in their housing units. ☐ ☐ ☒ 15 square feet per inmate being fed Toilets, washbasins and showers are not in the same room or not in view of inmate dining ☒ ☐ ☐ Visiting (2.18) ☒ ☐ ☐ Sufficient visiting area Contact visits whenever possible for minimum security inmates ☒ ☐ ☐ 5140 Santa Clara Elmwood Women’s Facility II CI PHY 25-26 - 4 - A381 PHY Type 80 86 88 91.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Attorney Interviews (2.26) ☒ ☐ ☐ Provide for confidential attorney consultation Safety Equipment Storage (2.19) Adequate space is provided for storage of equipment ☒ ☐ ☐ such as fire extinguishers, SCBA, emergency lights, etc. Janitor Closet (2.20) Located in security areas lockable, containing a mop ☒ ☐ ☐ sink and storage space Storage Rooms (2.21) Sufficient space to accommodate inmate property, ☒ ☐ ☐ bedding and supplies Audio or Video Monitoring System -NA Type IV (2.22) ☒ ☐ ☐ Audio monitoring system capable of alerting staff in a central control Video monitoring in corridors, main entries and/or exits and programs or activity areas ☒ ☐ ☐ Fire Detection and Alarm System [102(c)6] ☒ ☐ ☐ Automatic fire alarm system capable of alerting staff in a central control point Emergency Power (2.24) Available to provide minimal lighting, maintain ☒ ☐ ☐ communications, alarm, fire, life and security systems Provide Space for: Barber/beauty shop(2.15) ☒ ☐ ☐ 8-86: Limit requirement to Type II and III facilities 99: Requirement deleted Canteen (2.16) ☒ ☐ ☐ 8-86: Added for II, III & IV facilities Confidential Interview Rooms (2.25) 8-86: Added for Type II facilities ☒ ☐ ☐ 5140 Santa Clara Elmwood Women’s Facility II CI PHY 25-26 - 5 - A381 PHY Type 80 86 88 91.dot (03/01) BOARD OF STATE AND COMMUNITY CORRECTIONS - COMPREHENSIVE INSPECTION ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION BSCC Code: 5180 FACILITY: Elmwood Complex – Women’s Facility TYPE: II RC: 633 FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/20/2025 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 W-3 INTAKE – (not currently utilized) Facility process transfers from main jail and commitments. Holding areas 6 & 7 are lobby-style seating areas. 1 & 2 Safety 1980 2 - (1) (2) 6.5’ x 8.5’ 1 - - - - 3 Sobering 1980 1 - (4) (4) 10.2’ x 8.9’ 1 - 1 1 - Notes: Prior LASE listed RC as 5, however, footage limits are to (4) – changed 98/00 inspection. 4 Holding 1980 1 - (4) (4) 7.9’ x 9.0’ 1 - 1 1 - Notes: 5 Holding 1980 1 - (4) (4) 7.1’ x 9.0’ 1 - 1 1 - Notes: Prior LASE states 7’ bench limits capacity. 8 Holding 1980 1 - (4) (4) 7.0’ x 11.7’ 1 - 1 1 - Notes: 7-foot bench limits capacity. W-1 – (not currently utilized) Used for minimum security housing Safety 1963 1 - 1 (1) 7.0' X 8.0' 1 - - - - Dorm 1 Dorm 1963 1 42 26 26 18.5' X 66.0 X 6 - 7 1 4 11.0' Notes: Unclear how RC was established, cubic foot requirement limits capacity to 26. Dorm 2 Dorm 1963 1 40 26 26 18.5' X 66.0 X 6 - 7 1 4 11.0' Notes: Unclear how RC was established, cubic foot requirement limits capacity to 26. SPECIAL USE SOUTH – (not currently utilized) enclosed area C 1-6 Single 1963 6 1 1 6 7.5' X 8.5’ X 11.0' 1 - 1 1 * Notes: Single occupancy cells. One shower in unit for these six cells’ use. Prior LASE indicated these cells were double- bunked. They were single-bunked 98/00 cycle. SPECIAL USE (Felony West) Safety 1963 1 - (1) (1) 7.0' X 8.0' 1 - - - - Notes: Flush ring toilet. C 1-14 Single 1963 14 1 1 14 7.5' X 8.5’ X 1 - 1 1 * 11.0' Notes: Variance for double occupancy denied 9-13-78. P.C. Housing. Cell #s duplicates the C1-6 above. Two showers are available in unit for occupants. Prior LASE listed these cells as being double-bunked. They were single-bunked 98/00 cycle. *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. 5180 Santa Clara Elmwood Women’s Facility II CI LASE 25-26 - 1 - A360 LAS Adult.dot (9/98) 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 WDD OBSERVATION (not currently utilized) Obs Single 1963 3 1 (1) (3) 7.4' X 8.5’ X 10.0' 1 - 1 1 - Notes: Prior LASE listed there being four single observation cells. There are only three in this area. Holding 1963 1 - 5 (5) 7.3' X 7.4’ X 10.0' 1 - 1 1 - Notes: Prior LASE listed 18’`bench – no bench in cell; did contain six plastic chairs. Holding 1963 1 - 5 (5) 8.2' X 7.6’ X 10.0' 1 - 1 1 - Notes: 20-foot bench; verify seating next cycle – currently used for storage. Holding 1963 1 - 5 (5) 8.2' X 6.4’ X 10.0' 1 - 1 1 - Notes: 20-foot bench; verify seating next cycle – currently used for storage. WOMEN’S MINIMUM MW- Dorm 1986 1 30 11 11 17.3' X 33.0' 6 - 6 1 3 South Notes: Prior LASE indicated it was used as a classroom but had included it as part of the rated capacity. 98/00 cycle used for housing. Unclear how RC was established. Under either 1980 multiple occupancy room or 1986 dorm-housing standards, required footage per inmate is 50 sq. ft. Based on the dimensions above, RC should be 11. The footage does not address dayroom requirements. Additionally, 1980 standards did not provide for dorm housing. As housing footage requirement is the same per inmate under 1980 Multiple and 1986 Dorm, changed listing from 1980 Dorm to 1986 Dorm this cycle. This is based on the maximum capacity for multiple (16) versus dorm (64), and the previously assigned RC. MW- Dorm 1986 1 30 11 11 17.3' X 33.0' 6 - 6 1 3 North Notes: Unclear how RC was established. Under either 1980 multiple occupancy room or 1986 dorm-housing standards, required footage per inmate is 50 sq. ft. Based on the dimensions above, RC should be 11. The footage does not address dayroom requirements. Additionally, 1980 standards did not provide for dorm housing. As housing footage requirement is the same per inmate under 1980 Multiple and 1986 Dorm, changed listing from 1980 Dorm to 1986 Dorm this cycle. This is based on the maximum capacity for multiple (16) versus dorm (64), and the previously assigned RC. W4 – building consists of 3 housing areas: A-C W4 A-Housing – exercise yard adjacent to unit A Single 1980 32 1 1 32 7.0' X 11.0' 1 - 1 1 2 Double 1980 14 2 2 28 7.0' X 11.0' A-Iso Single 1980 2 1 1 2 7.0' X 11.9' 1 - 1 1 2 Notes: Can use showers in general A-Housing area. Single rooms 10/11 was combing for ADA. B Single 1980 32 1 1 32 7.0' X 11.0' 1 - 1 1 4 Double 1980 14 2 2 28 7.0' X 11.0' 1 - 1 1 B-Iso Single 1980 1 1 1 1 7.0' X 11.9' 1 - 1 1 4 Notes: Can use showers in general A-Housing area. W4 C-Housing – contains 3 separate and distinct housing areas (1-3) C1 Single 1980 16 1 1 16 6.9’ X 10.3’ 1 - 1 1 2 Notes: Dayroom has 1 shower upstairs; 1 shower downstairs. *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. 5180 Santa Clara Elmwood Women’s Facility II CI LASE 25-26 - 2 - A360 LAS Adult.dot (9/98) 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 C2 Single 1980 16 1 1 32 6.9’ X 10.3’ 1 - 1 1 2 C3 Single 1980 16 1 1 16 6.9’ X 10.3’ 1 - 1 1 2 COURT STAGING Staging 1980 1 (16) (16) 410 sq ft 1 1 1 Notes: Add to the LASE during 2012-2014 cycle, this Court staging cell has two exits and contains six benches at 108 inches each. The single toilet limits capacity to 16. W-2 HOUSING Notes: Building has two sides for housing; each side contains three pods each. Side 1 contains pods A-C; Side 2 contains pods D-F. RC raised by adding living area to dayroom space. Each dormitory measure 5,716 sq ft. Although each dormitory can house up to 64, RC is limited to 60 due to shower ratio. STATION 1 A Dorm 1986 1 72 60 60 5716 sq ft 6 - 7 1 3 B Dorm 1986 1 74 60 60 5716 sq ft 6 - 7 1 3 C Dorm 1986 1 62 60 60 5716 sq ft 6 - 7 1 3 STATION 2 D Dorm 1986 1 84 60 60 5716 sq ft 6 - 7 1 3 E Dorm 1986 1 84 60 60 5716 sq ft 6 - 7 1 3 F Dorm 1986 1 84 60 60 5716 sq ft 6 - 7 1 3 SPECIAL USE – cells located in the W2 building Holding 1980 2 - 3 (6) 8.5' X 5.7' 2 - 2 2 - Notes: One located near each housing workstation. 5.6’ bench. Seating limits capacity. Prior LASE listed RC as (4) per cell, changed to (3) 98/00 cycle. *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. 5180 Santa Clara Elmwood Women’s Facility II CI LASE 25-26 - 3 - A360 LAS Adult.dot (9/98) COURT HOLDING FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 5200 FACILITY NAME: Santa Clara Family Justice Center FACILITY TYPE: CHJ PERSON(S) INTERVIEWED: Lieutenant Ramon Marquez FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/21/2025 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1024 COURT HOLDING AND TEMPORARY PM 6.03 – Employee Training HOLDING FACILITY TRAINING The BSCC Standards and Training for At a minimum, all supervisors of and personnel who Corrections (STC) division found the agency supervise incarcerated persons in, a Court Holding or in compliance with applicable regulations Temporary Holding facility shall complete eight hours of during the 2025-2026 compliance monitoring specialized corrections training. Such training shall cycle. include, but not be limited to: (a) applicable minimum jail standards; It is the policy of the Department of Correction (b) jail operations liability; to provide training to its employees in (c) separation of incarcerated persons; accordance with Standards and Training for (d) emergency procedures and planning, fire and life Corrections (STC), consistent with Titles 15 ☒ ☐ ☐ safety; and, and 24 of the California Administrative Code (e) suicide prevention; (CAC) and Section 6035 of the California (f) de-escalation; Penal Code, aimed at improving employee (g) juvenile procedures; performance and facilitating career (h) racial bias; and, development. (i) mental illness. Note: Each agency shall determine if additional training is needed based upon, but not limited to, the complexity of the facility, the number of people incarcerated, the employees' level of experience and training, and other relevant factors. Such training shall be completed as soon as practical, but PM 6.03 – Employee Training in any event not more than six months after the date of assigned responsibility. Successful completion of Core Core STC training consists of entry-level or training or supplemental Core training, pursuant to ☐ basic training linked to specific job ☒ ☐ Section 1020, Corrections Officer Core Course, may be classifications for which attendance is substituted for the initial eight hours of training. mandatory within the first 12 months of appointment to a position. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 1 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 A total of eight hours of refresher training shall be PM 6.03 – Employee Training completed every two years. Successful completion of the requirements in Section 1025, Continuing Professional Annual training consists of specialized or Training may be substituted for the eight-hour refresher. refresher training that develops or enhances ☒ ☐ ☐ job-related skills. Flexibility is permitted in course content and method of instruction in order to meet changing conditions and local needs. 1027 NUMBER OF PERSONNEL PM 1.25 – Staffing PM 9.39 – Inmate Supervision A sufficient number of personnel shall be employed in each local detention facility to ensure the implementation The Facility Minimum Staffing Level is the ☒ ☐ ☐ and operation of the programs and activities required by level of staffing as determined by the Division these regulations. Commander to run essential operations and some routine operations. Whenever there is a person in custody, there shall be at PM 1.25 – Staffing least one employee on duty at all times in a local PM 9.39 – Inmate Supervision detention facility or in the building which houses a local detention facility who shall be immediately available and ☒ ☐ ☐ accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which PM 1.25 – Staffing would conflict with the supervision and care of PM 9.39 – Inmate Supervision ☒ ☐ ☐ incarcerated people in the event of an emergency. Whenever one or more females are in custody, there PM 1.25 – Staffing shall be at least one female employee who shall be PM 9.39 – Inmate Supervision immediately available and accessible to such females. ☒ ☐ ☐ At least one female employee available and Note: Reference PC § 4021. accessible whenever there is a female in custody. In order to determine if there is a sufficient number of PM 1.25 – Staffing personnel for a specific facility, the facility administrator PM 9.39 – Inmate Supervision shall prepare and retain a staffing plan indicating the personnel assigned in the facility and their duties. Such a staffing plan shall be reviewed by the Board staff at the ☒ ☐ ☐ BSCC staff reviewed the facility shift time of their biennial inspection. The results of such a schedules and the documentation appeared review and recommendations shall be reported to the to be compliant with this regulation. local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS SCCDM 9.39 – Inmate Supervision The facility administrator shall develop and implement Staff will observe inmates at least once every policy and procedures for conducting safety checks that 60 minutes or more frequently when include, but are not limited to, the following: warranted in special instances or selected (a) Safety checks will determine the safety and well-being ☒ ☐ ☐ housing units. More frequent observation, of individuals and shall be conducted at least hourly such as every 15 minutes or every 30 through direct visual observation of all people held and minutes, will be dictated by other housed in the facility. Departmental policy or will be stipulated in the housing unit post order. (b) There shall be no more than a 60-minute lapse PM 9.39 – Inmate Supervision between safety checks. Staff will observe inmates at least once every ☒ ☐ ☐ 60 minutes or more frequently when warranted in special instances or selected housing units. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 2 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) Safety checks for people in sobering cells, safety cells, PM 9.39 – Inmate Supervision and restraints shall occur more frequently as outlined in section 1055, section 1056, and section 1058 of these More frequent observation, such as every 15 regulations. ☒ ☐ ☐ minutes or every 30 minutes, will be dictated by other Departmental policy or will be stipulated in the housing unit post order. (d) Safety checks shall occur at random or varied PM 9.39 – Inmate Supervision intervals. ☒ ☐ ☐ BSCC staff confirmed that the safety checks performed were random and varied. (e) There shall be a written plan that includes the PM 9.39 – Inmate Supervision documentation of all safety checks. Documentation shall include: BSCC staff reviewed a random sampling of (1) the actual time at which each individual safety ☒ ☐ ☐ safety check documents from January 2024 check occurred; through April 2025. The documentation appeared to be compliant with this regulation. (2) the location where each individual safety check PM 9.39 – Inmate Supervision occurred, such as a cell, module, or dormitory ☒ ☐ ☐ number; and, (3) Initials or employee identification number of staff PM 9.39 – Inmate Supervision who completed the safety check(s). A welfare check that results in normal activity will be documented as "welfare check ☒ ☐ ☐ complete" along with the time it was completed and the badge number of the officer completing the check. (f) A documented process by which safety checks are PM 9.39 – Inmate Supervision reviewed at regular defined intervals by a supervisor or PM 212.6 – Supervisor Responsibilities facility manager, including methods of mitigating patterns of inconsistent documentation, or untimely completion of, Supervisors shall review the daily activity logs safety checks. during the course of each shift. Supervisors shall sign and include the date and time of ☒ ☐ ☐ review on each shift activity log. When appropriate, supervisors should include comments in the shift activity log with regard to an incident or unusual occurrence in the jail. 1028 FIRE AND LIFE SAFETY STAFF PM 6.03 – Employee Training PM 10.03 – Fire Response Plan (a) Whenever there is a person in custody, there shall be PM 10.31 – Fire Prevention/Inspections at least one person on duty at all times who meets the training standards established by the Board for general Pursuant to Penal Code Section 6030(c) and fire and life safety. [Penal Code section 6030(c)]. Title 15 Section 1028, Correctional Officers ☒ ☐ ☐ receive fire and life safety training in their academy training and meet the training standards established by the Board of Corrections for general fire life and safety, which relate specifically to the facility. The facility manager shall ensure that there is at least one PM 6.03 – Employee Training person on duty who trained in fire and life safety PM 10.03 – Fire Response Plan procedures that relate specifically to the facility. PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ Correctional Officers shall, as a condition of employment, comply with CPR! AED and First Aid training requirements. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 3 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) The facility administrator, in conjunction with the PM 6.03 – Employee Training health authority, shall develop and implement policies PM 10.03 – Fire Response Plan and procedures consistent with the requirements of Penal PM 10.31 – Fire Prevention/Inspections Code Section 6048(b) that require correctional officers certified in cardiopulmonary resuscitation (CPR) to begin First aid certification is required every 3 years ☒ ☐ ☐ CPR on a nonresponsive person without obtaining and CPR is required annually. CPR approval from supervisors or medical staff, when it is safe certification must include the Automated and appropriate to do so. External Defibrillator (AED) refresher-training component of CPR. These policies shall cover the following key elements: PM 6.03 – Employee Training (1) Acceptable CPR methods and application. PM 10.03 – Fire Response Plan ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections (2) Correctional officers shall be certified in CPR and a PM 6.03 – Employee Training copy of the certification shall be on file in the facility or at PM 10.03 – Fire Response Plan ☒ ☐ ☐ a central location and available for review. PM 10.31 – Fire Prevention/Inspections (3) Correctional officers shall immediately summon PM 6.03 – Employee Training medical aid when a person is identified as nonresponsive PM 10.03 – Fire Response Plan and shall administer CPR unless the correctional officer PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ is aware of a known medical condition(s) that would contraindicate its use. (4) Correctional officers shall use personal protective PM 6.03 – Employee Training equipment when administering CPR whenever possible PM 10.03 – Fire Response Plan to reduce exposure to bodily fluids or bloodborne ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections pathogens that may contain disease-causing agents. (5) If an imminent physical danger prevents a PM 6.03 – Employee Training correctional officer from safely administering CPR, they PM 10.03 – Fire Response Plan shall begin or resume CPR as soon as the threat has PM 10.31 – Fire Prevention/Inspections passed, or the nonresponsive person has been safely ☒ ☐ ☐ removed from danger, provided medical aid has not yet arrived. (6) The correctional officer shall continue administering PM 6.03 – Employee Training CPR, absent imminent physical danger, until the PM 10.03 – Fire Response Plan nonresponsive person shows obvious signs of life, such PM 10.31 – Fire Prevention/Inspections as normal breathing or physical or verbal responses, or ☒ ☐ ☐ until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative PM 6.03 – Employee Training medical responders are present when a person is PM 10.03 – Fire Response Plan identified as nonresponsive, correctional officers shall ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections defer CPR to those individuals. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 4 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1029 POLICY AND PROCEDURES MANUAL3 Santa Clara County Department of Corrections Policy and Procedures Manual Facility administrator(s) shall develop and publish a (PM) manual of policy and procedures for the facility. The policy and procedures manual shall address all Custody policy is in the process of shifting applicable Title 15 and Title 24 regulations and shall be over to Lexipol. Several sections have already comprehensively reviewed and updated at least every been transferred over. Those policies are two years. Such a manual shall be made available to all identified in the Table of Content. employees. ☒ ☐ ☐ All Department policies shall be reviewed not Notes: The policies and procedures required in less than once a year. The Professional subsections (a)(6) and (a)(7) may be placed in a separate Compliance and Audit Unit will establish an manual to ensure confidentiality. Subsection (d) does not annual schedule identifying policies to be apply and has been deleted. reviewed during a specific month. Policy was reviewed and updated May 9, 2025. Compliant with this regulation. (a) The manual shall provide for, but not be limited to, the PM 1.07- Organizational Chart following: PM 1.09 – Chain of Command (1) Table of organization, including channels of ☒ ☐ ☐ communications. (2) Inspections and operations reviews by the facility PM 1.29 – Watch Commander administrator/manager. Duties/Notifications to Executive ☒ ☐ ☐ Management (3) Policy on the use of force that meets current state PM 511 – Use of Force and federal legal requirements and includes prohibition of the use of carotid restraint and choke Deputies Shall Not Use a Carotid Restraint or holds. Apply Pressure to a Person's Neck: The Sheriff's Office does not train deputies in the ☒ ☐ ☐ use of the carotid restraint/chokehold. The carotid restraint/chokehold is prohibited. Deputies shall not apply pressure to a person's neck. (4) Policy on the use of restraint equipment, including PM 512 (I) – Use of Restraints the restraint of pregnant persons as referenced in Penal Code Section 3407. Application of Security Restraints: Staff shall ☒ ☐ ☐ not leg shackle, waist chain, or apply handcuffs behind the back of a person known to be pregnant or in recovery after delivery. (6) Security and control including physical counts and PM 9.33 – Inmate Counts searches of the facility and incarcerated persons, PM 9.39 – Inmate Supervision contraband control, and key control. Each facility administrator shall, at least annually, Security Checks are conducted by staff at the review, evaluate, and make a record of security beginning of each shift and at 2300 hours measures. The review and evaluation shall include ☒ ☐ ☐ each day. internal and external security measures of the facility including security measures specific to prevention of BSCC staff reviewed the annual security sexual abuse and sexual harassment. review. The documentation appeared to be compliant with this regulation. (7) Emergency procedures include: PM 10.01 – Management of Emergency (A) fire suppression preplan as required by Plans ☒ ☐ ☐ section 1032 of these regulations; PM 10.31 – Fire Prevention/Inspections (B) escape, disturbances, and the taking of PM 10.11 - Escapes hostages; ☒ ☐ ☐ 3 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 5 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (C) mass arrests; PM 10.15 – Mass Arrests ☒ ☐ ☐ (D) natural disasters; PM 10.05 – Natural Disasters – Earthquakes PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.49 – Catastrophic Disaster Incident Plan (E) periodic testing of emergency equipment; PM 9.19 – Armory Operations and Security and, ☒ ☐ ☐ Equipment (F) storage, issue, and use of weapons, PM 9.19 – Armory Operations and Security ammunition, chemical agents, and related Equipment ☒ ☐ ☐ security devices. PM 9.25 – Use of Less Lethal Munitions (8) Suicide Prevention. PM 12.05 – Suicide Prevention ☒ ☐ ☐ (9) Separation of incarcerated persons. PM 13.01 – Classification Policy, Goals, and Objectives ☒ ☐ ☐ PM 13.03 – Administrative Segregation (10) Zero tolerance in the prevention of sexual abuse PM 606 – Prison Rape Elimination Act and sexual harassment. This Office has zero tolerance with regard to ☒ ☐ ☐ sexual abuse and sexual harassment in the jails. (11) Policy and procedure to detect, prevent, and PM 606 – Prison Rape Elimination Act respond to retaliation against any staff or person after ☒ ☐ ☐ reporting any abuse. (12) Release policy, including release planning for PM 11.31 – Inmate Release incarcerated persons. ☒ ☐ ☐ PM 606 – Prison Rape Elimination Act (c) The manual for court holding facilities shall include all The Courts Division uses the same policy as of the procedures listed in subsection (a), except number the detention facilities. ☒ ☐ ☐ (5) (which has been deleted). (e) The manual for Temporary Holding, Court Holding, PM 606 – Prison Rape Elimination Act Type I, II, III, and IV facilities shall provide for, but not be limited to, the following: Incarcerated persons may report incidents (1) multiple internal ways for incarcerated people to anonymously or to any staff they choose. Staff privately report sexual abuse and sexual shall accommodate all incarcerated person harassment, retaliation by other incarcerated ☒ ☐ ☐ requests to report allegations. Staff shall persons or staff for reporting sexual abuse and accept reports made verbally, in writing, sexual harassment, and staff neglect or violation of anonymously, or from third parties and shall responsibilities that may have contributed to such promptly document all verbal reports. incidents, (2) a method for uninvolved incarcerated persons, PM 606 – Prison Rape Elimination Act family, community members, and other interested third parties to report sexual abuse or sexual Incarcerated persons may report sexual harassment. The method for reporting shall be abuse, sexual harassment, and/or retaliation publicly posted at the facility. to the Adult Custody Office of the Ombuds or another outside entity or agency designated by the PREA Coordinator that is not part of the Office. The outside entity or the Office should ☒ ☐ ☐ be able to receive, and immediately forward incarcerated person reports of sexual abuse and sexual harassment to the Division Commander, allowing the incarcerated person anonymity. BSCC staff noticed PREA postings within the facility’s lobby, housing units, and dormitories. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 6 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1030 SUICIDE PREVENTION PROGRAM PM 721 – Suicide Prevention and Intervention The facility shall have a comprehensive written suicide It is the policy of this Sheriff's Office to prevention program developed by the facility minimize the incidence of suicide by administrator or designee, in conjunction with the health establishing and maintaining a authority and mental health director, to identify, monitor, ☒ ☐ ☐ comprehensive suicide prevention and and provide treatment to those incarcerated persons who intervention program designed to identify present a suicide risk. incarcerated persons who are at risk of The program shall include the following: suicide and to intervene appropriately whenever possible. (a) Annual suicide prevention training for all custodial PM 721 – Suicide Prevention and Intervention personnel. All new sworn staff members who are responsible for supervising incarcerated persons shall complete a four-hour pre- service suicide prevention curriculum. The Assistant Sheriff of Custody Operations or the authorized designee and ACHS shall develop and implement classroom instructed suicide prevention training on a biennial basis. It shall be the responsibility of the Assistant ☐ ☒ ☐ Sheriff of Custody Operations or the authorized designee to coordinate with the Training and Professional Development Captain to ensure that suicide prevention training is provided in compliance with applicable statutes and standards. Policy as written is noncompliant with this regulation. Suicide prevention training is required on an annual basis. The training is current and compliant but the policy is noncompliant. (b) Intake screening for suicide risk immediately upon PM 721 – Suicide Prevention and Intervention intake and prior to housing assignment. All incarcerated persons shall undergo a ☒ ☐ ☐ medical and mental health screening performed by ACHS nursing staff during the intake process. (c) Suicide prevention screening during special PM 721 – Suicide Prevention and Intervention situations, including placement in restrictive housing, following a hearing, and after a transfer or change in When special situations arise, a referral to classification. ACHS Mental Health shall be made when the person is placed in restrictive housing, ☒ ☐ ☐ following a court hearing, under detox precautions, particularly during the first 72 hours of incarceration, and after a transfer or change in classification. (d) Provisions facilitating communication among PM 721 – Suicide Prevention and Intervention arresting/transporting officers, facility staff, court staff, medical and mental health personnel in relation to suicide Suspicion of suicidality of an incarcerated risk. person shall be communicated among arresting/transporting staff, jail staff, court ☒ ☐ ☐ staff, ACHS staff and result in a referral. Incarcerated persons with known suicide risk shall be monitored and referred to ACHS Mental Health staff for follow-up care as needed. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 7 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) Housing recommendations for people at risk of suicide PM 721 – Suicide Prevention and Intervention that balance safety and environment. The least restrictive environment should be considered. An incarcerated person's supervision will be determined by ACHS Mental Health staff and the Classification Unit depending on suicide risk. Incarcerated persons who are on suicide precautions should be housed in a suicide resistant cell, prioritizing incarcerated persons assessed by ACHS Mental Health staff with higher risk if there are insufficient cells for all ☒ ☐ ☐ persons on precautions. When suicide resistant cells are not available, incarcerated persons should be placed in suicide precaution approved overflow cells, that are ideally near housing unit staff until a suicide resistant cell becomes available. Housing recommendations for incarcerated persons at risk of suicide balance safety and environment. The least restrictive environment should be considered. (f) Supervision depending on level of suicide risk. PM 721 – Suicide Prevention and Intervention Sworn staff will ensure that the following ☒ ☐ ☐ observations and interventions ordered by ACHS Mental Health staff for incarcerated persons at risk of suicide are followed. (g) Suicide attempt and suicide intervention policies and PM 721 – Suicide Prevention and Intervention procedures. ☒ ☐ ☐ (h) Provisions for reporting suicides and suicides PM 721 – Suicide Prevention and Intervention attempts. All suicides, attempted suicides, or injuries shall be documented in an administrative report. All in-custody deaths, including those ☒ ☐ ☐ resulting from suicide, shall be investigated and documented in accordance with Reviewing and Reporting In-Custody Deaths and Major Incident Notification Policies. (i) Multi-disciplinary administrative review of suicides and PM 721 – Suicide Prevention and Intervention attempted suicides as defined by the facility administrator, including the development of a corrective ☒ ☐ ☐ action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. PM 721 – Suicide Prevention and Intervention ☒ ☐ ☐ (k) Plan for mental health consultation following return PM 721 – Suicide Prevention and Intervention from court as determined by the mental health director. ☒ ☐ ☐ 1032 FIRE SUPPRESSION PREPLANNING PM 10.03 – Fire Response Plan PM 10.31 – Fire Prevention/Inspections Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department Pursuant to Penal Code Section 6031.1 (b), ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire the Chief or designee will consult with the Marshal, or both, in developing a plan for fire suppression State Fire Marshall or local fire Chief when which shall include, but not be limited to: developing the fire response plan. (a) a fire suppression pre-plan developed with the local PM 10.03 – Fire Response Plan fire department to be included as part of the policy and PM 10.31 – Fire Prevention/Inspections procedures manual (Title 15, California Code of ☒ ☐ ☐ Regulations Section 1029); 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 8 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) monthly fire prevention inspections by facility staff PM 10.03 – Fire Response Plan basis with two year retention of the inspection record; PM 10.31 – Fire Prevention/Inspections BSCC staff confirmed that the monthly fire ☒ ☐ ☐ prevention inspections are being conducted and the documentation is being retained for the required amount of time. (c) fire prevention inspections as required by Health and PM 10.03 – Fire Response Plan Safety Code Section 13146.1(a) and (b) which requires PM 10.31 – Fire Prevention/Inspections inspections at least once every two years; The State Fire Marshall or local fire Chief will ☒ ☐ ☐ conduct annual fire prevention inspections. Last Fire Inspection: May 21, 2024 (d) an evacuation plan; and, PM 10.03 – Fire Response Plan PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections (e) a plan for the emergency housing of incarcerated PM 10.03 – Fire Response Plan people in the case of fire. PM 10.31 – Fire Prevention/Inspections PM 10.33 – Emergency Housing/Mass Relocation ☒ ☐ ☐ Incarcerated population would be transferred to another jail facility within the county in the case of emergency housing. 1044 INCIDENT REPORTS PM 6.06 – Prison Rape Elimination Act PM 9.29 – Criminal Investigations Each facility administrator shall develop written policies PM 15.01 – Inmate Discipline Process and procedures for the maintenance of written records and reporting of all incidents which result in physical ☒ ☐ ☐ harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other person. Such records shall include the names of the persons PM 6.06 – Prison Rape Elimination Act involved, a description of the incident, the actions taken, PM 9.29 – Criminal Investigations and the date and time of the occurrence. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ BSCC staff reviewed a random sampling of incident reports from January 2024 through April 2025. The documentation appeared to be compliant with this regulation. Such a written record shall be prepared by the staff PM 6.06 – Prison Rape Elimination Act assigned to investigate the incident and submitted to the PM 9.29 – Criminal Investigations ☒ ☐ ☐ facility manager or designee. PM 15.01 – Inmate Discipline Process 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 9 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1046 DEATH IN CUSTODY PM 10.09 – Inmate Deaths PM 530 Reviewing and Reporting In-Custody (a) The facility administrator shall develop written policy Deaths and procedures to comply with the in-custody death reporting requirements of Government Code section It is the policy of the Department of Correction 12525. The facility administrator shall submit a copy of to ensure an inmate death occurring in a the report filed pursuant to section 12525 to the BSCC Department of Correction facility will be within 10 days of an in-custody death. handled in a manner that ensures compliance with State of California mandates, and in the cases of suspicious circumstances, in a manner ensuring the preservation of evidence and proper investigation of the circumstances ☒ ☐ ☐ surrounding the death. Within 10 days of an in-custody death, the Sheriff's Office shall: (a) Issue a report, in writing, to the Attorney General (Govt. Code § 12525); (b) Submit a copy of the in-custody death report, submitted to the Attorney General, to the Board of State and Community Corrections (b) The facility administrator, in cooperation with the PM 12.09 – Inmate Deaths health administrator, shall develop written policy and procedures to conduct an initial review and complete a The in-custody death review should be written report of every in-custody death within 30 days of initiated as soon as practicable, and a written the death. The team that conducts the initial review shall report shall be completed within 30 days of ☒ ☐ ☐ include, at a minimum, the facility administrator or the death. The team should review the designee, the health administrator, the responsible appropriateness of clinical care, determine physician and other health care, and supervision staff whether changes to policies, procedures, or who are relevant to the incident. practices are warranted, and identify. Deaths shall be reviewed to determine the PM 12.09 – Inmate Deaths appropriateness of clinical care; whether changes to policies, procedures, or practices are warranted; and to The in-custody death review should be identify issues that require further study. initiated as soon as practicable, and a written report shall be completed within 30 days of ☒ ☐ ☐ the death. The team should review the appropriateness of clinical care, determine whether changes to policies, procedures, or practices are warranted, and identify. (c) The facility administrator shall submit a copy of the PM 12.09 – Inmate Deaths initial review report of every in-custody death to the BSCC within 60 days of the death. The facility administrator shall A copy of that initial review report shall be provide a copy of the initial review report that comports submitted to BSCC within 60 days of the with the disclosure requirements of section 832.10 of the ☒ ☐ ☐ death, and contain the information required by Penal Code. 15 CCR 1046. All information submitted to BSCC is disclosable under the California Public Records Act. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 10 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The initial review report shall contain the following PM 12.09 – Inmate Deaths information: (1) Demographic 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 PM 12.09 – Inmate Deaths 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. 1050 CLASSIFICATION PLAN PM 13.01 – Classification Policy, Goals, and Objectives (b) Each administrator of a court holding facility shall establish and implement a written plan designed to It is the policy of the Sheriff’s Office to classify provide for the safety of staff and people held and housed inmates using a classification systern that is at the facility. The plan shall include receiving and based on objective criteria to provide for ☒ ☐ ☐ transmitting of information regarding incarcerated ongoing assessment of risk and behavior persons who represent unusual risk or hazard while factors, management criteria and custody confined at the facility, and the separation of such requirements for inmates confined in a persons to the extent possible within the limits of the court Custody Bureau facility. holding facility. (c) In deciding housing and programming assignments, PM 13.01 – Classification Policy, Goals, and the agency shall consider on a case-by-case basis Objectives whether a placement would ensure the health and safety of the incarcerated person, and whether the placement BSCC staff reviewed classification ☒ ☐ ☐ would present management or security problems. A assessments during the on-site inspection. person’s own views with respect to their own safety shall The assessments appear to be compliant with be given serious consideration. this regulation. 1051 COMMUNICABLE DISEASES PM 10.37 – Exposure Control Plan for Bloodborne Pathogens The facility administrator, in cooperation with the PM 10.41 – Exposure Control Plan for responsible physician, shall develop written policies and Respiratory Diseases procedures specifying those symptoms that require medical isolation of an incarcerated person until a It is the policy of the Department of Correction ☒ ☐ ☐ medical evaluation is completed to recognize the need for exposure control to bloodborne pathogens in accordance with CAL/OSHA regulations and to develop and implement guidelines to eliminate or minimize staff risk to occupational exposure. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 11 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 At the time of intake into the facility, an inquiry shall be PM 10.37 – Exposure Control Plan for made of the person being booked as to whether the Bloodborne Pathogens person has or has had any communicable diseases, such PM 10.41 – Exposure Control Plan for as tuberculosis or has observable symptoms of Respiratory Diseases tuberculosis or any other communicable diseases, or ☒ ☐ ☐ other special medical problem identified by the health authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION PM 11.01 – Arrestee Admission for Booking PM 12.03 – Mental Health Services The facility administrator, in cooperation with the PM 721 – Suicide Prevention responsible physician, shall develop written policies and procedures to identify and evaluate all incarcerated Inmates are provided access to a people who may be in behavioral crisis. Evaluation of comprehensive mental health program. Any behavioral crisis may include telehealth. ☒ ☐ ☐ inmate exhibiting unusual behavior, symptoms of mental illness or symptoms of a developmental disability shall be immediately referred to Mental Health and separated from the general population pending an assessment from Mental Health. If an evaluation from medical or mental health staff is not PM 11.01 – Arrestee Admission for Booking readily available, an incarcerated person shall be PM 12.03 – Mental Health Services considered in behavioral crisis for the purpose of this PM 721 – Suicide Prevention section if they appear to be a danger to themselves or others or appear gravely disabled. Mental Health staff will respond immediately ☒ ☐ ☐ to any calls for emergency or crises intervention. In all other cases, they shall respond as soon as possible or within specified time limitations as agreed upon. An evaluation from medical or mental health staff shall be PM 11.01 – Arrestee Admission for Booking secured within 24 hours of identification or at the next PM 12.03 – Mental Health Services ☒ ☐ ☐ daily sick call, whichever is earliest. PM 721 – Suicide Prevention Separation may be used if necessary, to protect the PM 11.01 – Arrestee Admission for Booking safety of the person in crisis or others. PM 12.03 – Mental Health Services PM 721 – Suicide Prevention The determination to place a mental health ☒ ☐ ☐ inmate in a restraint room or seclusion room, as opposed to a safety cell, shall be made only by professional staff (Physician or RN) when less restrictive means are not, or will not be, effective. 1053 ADMINISTRATIVE SEPARATION PM 13.03 – Administrative Segregation Except for Type IV facilities, facility administrators shall To establish specific procedures regarding develop and implement policies and procedures for the administrative segregation operations in the administrative separation of incarcerated people. jail and to provide for the administrative segregation of inmates who are determined to be prone to: escape; assault staff or other ☒ ☐ ☐ inmates; disrupt the operations of the jail; or likely to need protection from other inmates; or the inmate(s) must be temporarily removed from the general population to enable staff to effectively conduct an investigation or inquiry as necessary. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 12 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policies and procedures must include: PM 13.03 – Administrative Segregation (a) Administrative separation may consist of separate housing but shall not involve any other deprivation of Administrative Segregation is not a punitive privileges than is necessary to obtain the objective of system. This type of segregation is not protecting the welfare of incarcerated people and facility imposed as a punishment for specific acts. It ☒ ☐ ☐ staff. should not incorporate any unnecessary restrictions or deprivations of privileges, Note: Subsections (b) through (e) do not apply and have except where required to maintain levels of been deleted. safety and security within the facility. 1057 DEVELOPMENTAL DISABILITIES PM 11.03 – Medical Screening at Intake PM 12.01 – Medical Health Care Services The facility administrator, in cooperation with the PM 12.03 – Mental Health Services responsible physician, shall develop written policies and procedures for the identification and evaluation, Upon entrance into the facility, the appropriate classification and housing, protection, and arresting/transporting officer must escort the nondiscrimination of all incarcerated persons with arrestee to the nurse's station, located at the developmental disabilities. booking counter, for a medical screening. The ☒ ☐ ☐ intake-booking nurse completes a medical interview and either clears the person to continue with the booking process or refuses acceptance until the person is medically cleared at the hospital. BSCC staff confirmed this process during the on-site inspection. The health authority or designee shall contact the PM 11.03 – Medical Screening at Intake regional center for any incarcerated person suspected or PM 12.01 – Medical Health Care Services confirmed to have a developmental disability for the PM 12.03 – Mental Health Services purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. Health care services shall be rendered pursuant to an agreement between the Santa Clara County Department of Correction, the ☒ ☐ ☐ Santa Clara County Valley Medical Center and the administering physician. The Santa Clara County Valley Medical Center Adult Custody Health Services Policies and Procedures Manual shall be accepted by this department as the authority for health care related policies. 1058 USE OF RESTRAINT DEVICES PM 512 – Use of Restraints The facility administrator, in cooperation with the It is the policy of the Office of the Sheriff to use responsible physician, shall develop and implement Security Restraints on persons to minimize written policies and procedures for the use of restraint the risk of injury and maintain safety and devices. Restraint devices include any devices which security. Security Restraints shall be applied immobilize extremities or prevent the incarcerated person in a manner that does not likely cause pain or from being ambulatory. The provisions of this section do injury. not apply to the use of handcuffs, shackles, or other ☒ ☐ ☐ restraint devices when used to restrain incarcerated The restraint chair is authorized for short term people for security reasons. The facility manager may security; temporary control and transportation delegate authority to place an incarcerated person in of a person identified as violent, destructive, restraints to responsible health care staff. self-destructive; or a person who refuses to comply with a court order for blood draw pursuant to Penal Code §296 consistent with the Office's Penal Code §296 Compliance policy. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 13 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (a) The policy shall address the following areas: PM 512 – Use of Restraints (1) acceptable restraint devices; BSCC staff confirmed that the Restraint Chair ☒ ☐ ☐ and Therapeutic Restraints are addressed in the policy manual. (2) signs or symptoms which should result in PM 512 – Use of Restraints immediate medical/mental health referral; availability of cardiopulmonary resuscitation equipment; BSCC staff noticed AED devices throughout ☒ ☐ ☐ the facility during the on-site inspection. AED devices are located outside each of the housing units. (3) protective housing of restrained persons; PM 512 – Use of Restraints ☒ ☐ ☐ (4) provision for hydration and sanitation needs; and, PM 512 – Use of Restraints Persons in the restraint chair will be offered ☒ ☐ ☐ water at least every hour and, if practical, an opportunity to use the restroom. (5) exercising of extremities. PM 512 – Use of Restraints Staff shall remove the restraint applied to one limb, each hour to allow the person to exercise that limb for at least five minutes. ☒ ☐ ☐ Staff shall request that medical staff assess the person at the time the person is placed in the restraint chair and at least once per hour while the person remains in the restraint chair. (b) Policy shall also include, but not be limited to, the PM 512 – Use of Restraints following requirements: (1) In no case shall restraints be used for punishment Restraints Shall Not Be Used for Improper or as a substitute for treatment. Purpose: Staff are prohibited from using Security Restraints to punish, degrade, ☒ ☐ ☐ humiliate, discipline, retaliate against, improperly coerce, discriminate against, or unnecessarily cause pain or injury to a person. Security Restraints shall be removed as soon as practical. (2) Restraint devices shall only be used on PM 512 – Use of Restraints incarcerated people who display behavior which results in the destruction of property or reveal an The restraint chair is authorized for short term intent to cause physical harm to self or others. ☒ ☐ ☐ security; temporary control and transportation of a person identified as violent, destructive, self-destructive. (3) Restraint devices should be used only when less PM 512 – Use of Restraints restrictive alternatives, including verbal de-escalation techniques, have been attempted and are deemed When possible, staff shall first consider the ineffective. use of a safety cell. The restraint chair shall ☒ ☐ ☐ only be used when other less restrictive alternatives have failed, or it is apparent that they will be ineffective in controlling the person. (4) An incarcerated person shall be placed in PM 512 – Use of Restraints restraints only with the approval of the facility manager, the facility watch commander, or BSCC staff confirmed through policy and responsible health care staff; continued retention ☒ ☐ ☐ documentation review that no person placed shall be reviewed a minimum of every hour. into the restraint chair meets or exceeds this time frame. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 14 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) Continuous direct visual observation shall be PM 512 – Use of Restraints maintained until a medical opinion can be obtained. Unless time and circumstances do not permit, ☒ ☐ ☐ medical staff shall be present during the person's placement into the restraint chair. (6) A medical opinion on placement and retention PM 512 – Use of Restraints shall be secured within one hour from the time of ☒ ☐ ☐ placement. (7) A medical assessment shall be completed within PM 512 – Use of Restraints four hours of placement. Unless time and circumstances do not permit, medical staff shall be present during the person's placement into the restraint chair. ☒ ☐ ☐ BSCC staff confirmed through policy and documentation review that no person placed into the restraint chair exceeds this time frame. (8) Continuous direct visual observation shall be PM 512 – Use of Restraints conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to At least once every 15 minutes, staff shall ensure the safety and well-being of the incarcerated check the person's welfare and document the person. Such observation shall be documented. welfare check on an Inmate Observation While in restraint devices all incarcerated persons Form, as well as any comments regarding the shall be housed alone or in a specified housing area ☐ ☐ ☒ health, physical condition, or demeanor of the which makes provisions to protect the person from person. abuse. BSCC staff did not receive any documentation related to this regulation being used in the court’s holding facility. (9) If the facility manager, or designee, in consultation PM 512 – Use of Restraints with responsible health care staff determines that an incarcerated person cannot be safely removed from The maximum time a person can be secured restraints after eight hours, the person shall be taken in the restraint chair is two hours, not including to a medical facility for further evaluation. the time necessary for insertion and removal. ☒ ☐ ☐ If the person is still violent or self-destructive after two hours, the person may remain in the restraint chair for up to an additional two hours with the approval of the watch commander or higher-ranking supervisor. (10) Where applicable, the facility manager shall use PM 512 – Use of Restraints the restraint device manufacturer’s recommended ☒ ☐ ☐ maximum time limits for placement. (11) All events and information related to the PM 512 – Use of Restraints placement in restraints shall be documented and shall be video recorded unless exigent The supervisor shall ensure that the person's circumstances prevent staff from doing so. The entire time in the restraint chair is captured on documentation shall include: the reason for ☒ ☐ ☐ video. placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 15 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1058.5 RESTRAINTS AND PREGNANT PERSONS PM 512 – Use of Restraints The facility administrator, in cooperation with the Staff shall not leg shackle, waist chain, or responsible physician, shall develop written policies and apply handcuffs behind the back of a person procedures for the use of restraint devices on pregnant known to be pregnant or in recovery after ☒ ☐ ☐ people. In accordance with Penal Code Section 3407, the delivery. policy shall include reference to the following: Pregnant persons shall not be placed into the restraint chair. (1) An incarcerated person known to be pregnant or PM 512 – Use of Restraints in recovery after delivery or termination of the pregnancy shall not be restrained by the use of leg or BSCC staff spoke with several pregnant waist restraints, or handcuffs behind the body. incarcerated individuals while conducting the on-site inspection. They confirmed that, while ☐ ☐ ☒ being transported within the facility and outside the facility, they are only handcuffed in the front of their bodies. No other restraints used. (2) An incarcerated pregnant person in labor, during PM 512 – Use of Restraints delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ankles, or both, unless deemed necessary for the ☐ ☐ ☒ safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional PM 512 – Use of Restraints who is currently responsible for the medical care of an incarcerated pregnant person during a medical emergency, labor, delivery, or recovery after delivery ☐ ☐ ☒ or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s PM 512 – Use of Restraints pregnancy, they shall be advised, orally or in writing, of the standards and policies governing incarcerated ☐ ☐ ☒ pregnant people. 1068 ACCESS TO COURTS AND COUNSEL PM 17.11 – Inmate Attorney and Official Visits The facility administrator shall develop written policies It is the policy of the Department of Correction and procedures to ensure incarcerated persons have ☒ ☐ ☐ to permit inmates to have visits with attorneys access to the court and to legal counsel. and official visitors under conditions Such access shall consist of: consistent with the security of the jail. (b) confidential consultation with attorneys. PM 17.11 – Inmate Attorney and Official Visits Conversations between inmates and their Attorneys may be visually observed by officers, but not listened to or recorded in any manner. All reasonable precautions shall be ☒ ☐ ☐ taken to preserve the confidentiality of the attorney/client relationship. BSCC staff witnessed incarcerated individuals meeting with their counsel during the on-site inspection. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 16 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1280 FACILITY SANITATION, SAFETY, AND PM 16.01 – Sanitation Inspections and MAINTENANCE Housekeeping Plan The facility administrator shall develop written policies Staff will conduct a daily sanitation inspection and procedures for the maintenance of an acceptable of their assigned area. The sanitary condition, level of cleanliness, repair and safety throughout the ☒ ☐ ☐ any sanitary deficiencies and the actions facility. Such a plan shall provide for a regular schedule taken to correct those deficiencies will be of housekeeping tasks and inspections to identify and documented on the post log. correct unsanitary or unsafe conditions or work practices which may be found. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 17 of 20 A350 CH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in a cell or other secure portion of PM 13.13 – Juvenile Inmates the Court Holding facility? ☒ ☐ ☐ 1047 SERIOUS ILLNESS OR INJURY OF A MINOR PM 13.13 – Juvenile Inmates IN AN ADULT DETENTION FACILITY Report of death, serious illness or injury of a The facility administrator shall develop policy and juvenile shall be in accordance with the procedures for notification of the court of jurisdiction and Department's policy #12.09, Inmate Death, the parent, guardian, or person standing in loco parentis, and shall meet the additional reporting in the event of a suicide attempt, serious illness, injury or requirements that include, but are not limited death of a minor in custody. to: ☒ 1. A copy of the in-custody death report that ☐ ☐ is provided to the Attorney General shall be submitted to the Board of Corrections within 10 calendar days after the death. 2. Notification by the Division Commander or designee shall be made to the Juvenile Court and the parent, guardian, or person standing in loco parentis, in the event of a serious illness, injury or death of a minor. 1122.5 PREGNANT MINORS PM 13.13 – Juvenile Inmates (a) The health administrator, in cooperation with the Reproductive services shall be available to facility administrator, shall develop written policies and both male and female juveniles. Such procedures pertaining to pregnant minors that address ☒ ☐ ☐ services shall include but not be limited to the requirements in Title 15, Section 1417. those prescribed by Welfare and Institutions Code, section 220, 221, and 222, and H & S Code 25958. (b) The facility administrator, in cooperation with the PM 13.13 – Juvenile Inmates responsible physician, shall develop written policies and PM 512 – Use of Restraints procedures for the use of restraint devices on pregnant minors. The policy shall address requirements of Penal ☒ ☐ ☐ Code 3407. Policy shall include reference to the following: (1) A minor known to be pregnant or in recovery after PM 13.13 – Juvenile Inmates delivery shall not be restrained by the use of leg PM 512 – Use of Restraints irons, waist chains, or handcuffs behind the body. Staff shall not leg shackle, waist chain, or apply handcuffs behind the back of a person ☒ ☐ ☐ known to be pregnant or in recovery after delivery. Pregnant persons shall not be placed into the restraint chair. (2) A pregnant minor in labor, during delivery, or in PM 13.13 – Juvenile Inmates recovery after delivery, shall not be restrained by the PM 512 – Use of Restraints wrists, ankles, or both, unless deemed necessary for ☒ ☐ ☐ the safety and security of the minor, the staff, or the public. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 18 of 20 A350 CH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Restraints shall be removed when a professional PM 13.13 – Juvenile Inmates who is currently responsible for the medical care of a PM 512 – Use of Restraints pregnant minor during a medical emergency, labor, ☒ ☐ ☐ delivery, or recovery after delivery determines that the removal of restraints is medically necessary. (4) Upon confirmation of a minor's pregnancy, she PM 13.13 – Juvenile Inmates shall be advised, orally or in writing, of the standards PM 512 – Use of Restraints ☒ ☐ ☐ and policies governing pregnant minors. 1161 CONDITIONS OF DETENTION PM 13.13 – Juvenile Inmates Court holding facilities shall be designed to provide the Juvenile inmates shall not be housed with following: ☒ ☐ ☐ adult inmates or inmates not confirmed to be (a) Separation of minors from adults in accordance with under the age of eighteen. Section 208 of the Welfare and Institutions Code. (b) Separation of minors in accordance with an PM 13.13 – Juvenile Inmates established classification plan. ☒ ☐ ☐ (c) Secure non-public access, movement within and PM 13.13 – Juvenile Inmates egress. If the same entrance/exit is used by both minors and adults, movements shall be scheduled in such a Communication between juvenile inmates manner that there is no opportunity for contact. and adult inmates shall not be allowed. Situations in which a juvenile and an adult inmate may be in the same room, area or corridor are limited to: a. booking; b. awaiting visiting or sick call; ☒ ☐ ☐ c. inmate workers present while performing work necessary for the operation of the facility, such as meal service and janitorial services; d. movement of inmates in custody within the facility; and, e. supervised program activities pursuant to section 208( c) of the Welfare and Institutions Code. An existing court holding facility built in accordance with PM 13.13 – Juvenile Inmates construction standards at the time of construction shall be considered as being in compliance with this article Juveniles are brought directly into the unless the condition of the structure is determined by the courtroom and, once finished, they are appropriate authority to be dangerous to life, health, or transported directly back to the juvenile hall. ☒ ☐ ☐ welfare of minors. Upon notification of noncompliance with this section, the facility administrator shall develop and submit a plan for corrective action to the Board within 90 days. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 19 of 20 A350 CH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1162 SUPERVISION OF MINORS PM 13.13 – Juvenile Inmates A sufficient number of personnel shall be employed in Supervision of a juvenile shall be in each facility to permit unscheduled safety checks of all accordance with Departmental policy and minors at least twice every 30 minutes, and to ensure the shall at a minimum provide for: implementation and operation of the activities required by these regulations. There shall be a written plan that 1. Continuous staff supervision with the ☒ ☐ ☐ includes the documentation and review of safety checks. assurance that staff can hear and respond. 2. Direct visual supervision every 30 minutes on an irregular schedule with all safety checks documented in a separate post log book used exclusively for juveniles. 1163 CLASSIFICATION PM 13.13 – Juvenile Inmates The administrator of a court holding facility shall establish The Classification Supervisor shall ensure and implement a written plan designed to provide for the that a juvenile inmate is identified and safety of staff and minors held at the facility. The plan classified appropriately. A "f' will be used as shall include receiving and transmitting of information the fourth field of the SPRB code to indicate regarding minors who represent a risk or hazard to self ☒ ☐ ☐ that the inmate is a juvenile. or others while confined at the facility, and the separation of such minors to the extent possible within the limits of the court holding facility, and for the separation of minors from any adults confined there as required by Section 208 of the Welfare and Institutions Code. 5200 Santa Clara Family Justice Center CHJ CI PRO 25-26 Page 20 of 20 A350 CH PRO eff. 04.01.25 ADULT COURT AND TEMPORARY HOLDING FACILITIES PHYSICAL PLANT EVALUATION BOARD OF STATE AND COMMUNITY CORRECTIONS Applicable Title 24 Regulations: 6/94; 2/99; 2001; 2005; 2008; 2010 BSCC Code: 5200 FACILITY NAME: Santa Clara County Family Justice Center FACILITY TYPE: CHJ APPLICABLE REGULATIONS (Check All That Apply): 6/94: 2/99: 2001: 2005: 2008: 2010: X FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/21/2025 TITLE 24 SECTION YES NO N/A COMMENTS Reception and Booking (2.1) Contains a weapons locker, designed as outlined in ☒ ☐ ☐ these regulations. Contains a cell or room for confinement pending ☒ ☐ ☐ booking Contains a detoxification cell (WA in TH; NA in CH) 01: Name changed to “sobering cell.” ☐ ☐ ☒ 2-99: Two detoxification cells are provided if both male and female inmates are held. Contains safety cell(s) (WA in TH; NA in CH) ☐ ☐ ☒ Shower room available 2-99: Access to shower must be within the secure ☐ ☐ ☒ area Provides secure vault or storage for inmate valuables ☒ ☐ ☐ Telephone(s) available for inmate use (PC § 851.5) ☒ ☐ ☐ 2-99: Unobstructed access to hot and cold running water ☒ ☐ ☐ Temporary Holding Cell or Room (2.2) ☒ ☐ ☐ Contains 10 square feet of floor area per inmate Holds no more than 16 inmates ☒ ☐ ☐ Is not smaller than 40 square feet and has a clear ☒ ☐ ☐ ceiling height of 8 feet or more Contains sufficient seating to accommodate all ☒ ☐ ☐ inmates Contains water closet (toilet), washbasin, and drinking ☒ ☐ ☐ fountain Provides for clear visual supervision by staff ☒ ☐ ☐ A bunk is provided if inmates are held 12 hours or Court Facility. more ☐ ☐ ☒ Temporary Staging Cell or Room (2.3) Holds inmates classified and segregated per Title 15 § ☐ ☐ ☒ 1050 and 1053 Safety Equipment Storage (2.19) Adequate space is provided to store equipment such ☒ ☐ ☐ as fire extinguishers, SCBA, emergency lights, etc. 5200 Santa Clara Family Justice Center CHJ CI PHY 25-26 - 1 - A382 PHY CH-TH 94 99 01 05.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Janitors' Closet (2.20) Lockable, containing a mop sink and storage space ☒ ☐ ☐ 01: Mop sink may be separate from janitors’ closet Audio or Visual Monitoring (2.22) There is an audio monitoring system capable of alerting staff in a central control. When visual electronic surveillance is use, it is located primarily in corridors, elevators, or at points on the security perimeter such as entrances and exits. ☒ ☐ ☐ 2-99: Video monitoring option deleted. 10: Deleted language referring to central control point. 10: Terminate at a location where staff can respond immediately. Emergency Power (2.24) There is an emergency power source available and capable of providing minimal lighting in all areas and ☒ ☐ ☐ maintaining fire and life safety, security, communication and alarm systems. Attorney Interview Space (2.26) Available and provides for confidentiality ☒ ☐ ☐ Water Closets (Toilets)/Urinals (3.1) Provide for inmate privacy/modesty with staff being able to visual supervise; provided at a ratio of 1:16 in ☒ ☐ ☐ holding and staging cells. See regulation for calculations of urinal substitutions. Washbasins (3.2) Provide hot and cold or tempered water; provided at a ratio of 1:16 in holding and staging cells. See ☒ ☐ ☐ regulation for calculations of washbasin trough substitutions. Drinking Fountains (3.3) 2-99: Available in each temporary holding, staging and ☒ ☐ ☐ sobering cell. Water outlet (bubbler) is mechanically actuated and at an angle that prevents wastewater from flowing over the outlet (bubbler); there is a mouth guard on the ☒ ☐ ☐ water outlet (bubbler). 2-99: Mouth guard requirement deleted 5200 Santa Clara Family Justice Center CHJ CI PHY 25-26 - 2 - A382 PHY CH-TH 94 99 01 05.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Lighting (3.6) Lighting is sufficient to permit easy reading by a person with normal vision, night lighting is sufficient for purposes of supervision. ☒ ☐ ☐ Lighting is centrally controlled and/or occupant controlled in housing cells or rooms. Light fixtures are of secure design. Windows (3.7) Windows that are accessible to inmates are no greater ☒ ☐ ☐ than 5 inches in on dimension. Seating (3.10) Seating is designed to the level of security. When bench seating is used, eighteen inches of bench are provided per inmate. ☒ ☐ ☐ 2-99: In holding and staging cells, seating is securely fastened to the wall and/or floor. Weapons Locker (3.12) A secure weapons locker is located outside the security perimeter of the facility and no weapons are ☒ ☐ ☐ brought into the security area. Lockers have individual compartments, locks and keys. Design Requirements (102(c)6) Design requirements as specified in Title 24, Part 1, 102(c)6 are met. (See regulation for specific requirements. Note areas of non-compliance that are ☒ ☐ ☐ applicable to the facility type and construction date in the "comments" section.) 5200 Santa Clara Family Justice Center CHJ CI PHY 25-26 - 3 - A382 PHY CH-TH 94 99 01 05.dot (8/05) ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 5200 FACILITY: Santa Clara Family Justice Center TYPE: CHJ RC: 0 FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/21/2025 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 Basement (Juvenile Area) A1 H 2010 1 (5) 9.5 x7.8 x8.6 1 1 1 Bench Space – 91” A2 H 2010 1 (3) 9.5 x 9.5 x 8.6 1 1 1 Bench Space – 69 “ A3 H 2010 1 (3) 9.5 x 9.2 x 8.6 1 1 1 Bench Space – 70” A4 H 2010 1 (3) 9.5 x 9.5 x 8.6 1 1 1 Bench Space – 62” B1 H 2010 1 (8) 7.9 x 11.3 x 8.6 1 1 1 Bench Space – 93” + 72” =165” B2 H 2010 1 (8) 7.11 x 7.10 x 8.6 1 1 1 Bench Space – 95” + 72 =167” B3 H 2010 1 (8) 7.11 x 7.10 x 8.6 1 1 1 Bench Space – 95” + 72 =167” B4 H 2010 1 (8) 7.11 x 7.10 x 8.6 1 1 1 Bench Space – 95” + 72 =167” B5 H 2010 1 (8) 7.11 x 7.10 x 8.6 1 1 1 Bench Space – 95” + 72 =167” B6 H 2010 1 (2) 9.01 x 7.3 x 8.6 1 1 1 Bench Space – 43 “ B7 H 2010 1 (9) 9.1 x 9.9 x 8.6 1 1 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. 5200 Santa Clara Family Justice Center CHJ CI LASE 25-26 - 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 Bench Space – 46” + 117 = 163” B8 H 2010 1 (3) 9.1 x 6.5 x 8.6 1 1 1 Bench Space – 66” B9 H 2010 1 (3) 7.11 x 10.6 x 8.6 1 1 1 Bench Space – 61” C1 H 2010 1 (9) 11.3 x 7.10 x 8.6 1 1 1 Bench Space –94” + 72” =166” C2 H 2010 1 (9) 11.3 x 7.10 x 8.6 1 1 1 Bench Space – 94” + 72” =166” C3 H 2010 1 (4) 11.4 x 9.8 x 8.6 1 1 1 Bench Space – 75” C4 H 2010 1 (9) 10.5 x 8.8 x 8.6 1 1 1 Bench Space – 61 “ + 104” = 165” C5 H 2010 1 (5) 10.5 x 7.7 x 8.6 1 1 1 Bench Space – 91” C6 H 2010 1 (9) 7.7 x 12.1 x 8.6 1 1 1 Bench Space – 70 “ + 91” = 161” C7 H 2010 1 (9) 10.5 x 8.8 x 8.6 1 1 1 Bench Space – 61 “ + 104” = 165” C8 H 2010 1 (5) 10.5 x 7.7 x 8.6 1 1 1 Bench Space – 91” 2nd floor (South) 2A H 2010 1 (11) 12.9 x 9.0 8.6 1 1 1 227Bench Space – 31” + 108” + 88” =227” 2B H 2010 1 (9) 12.9 x 7.5 x 8.6 1 1 1 Bench Space – 157 + 118” = 275” *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. 5200 Santa Clara Family Justice Center CHJ CI LASE 25-26 - 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 3rd floor(South) 3A H 2010 1 (11) 10.8 x 11.10 x 8.6 1 1 1 Bench Space – 105” + 98” = 203 3rd Floor (North) 3B H 2010 1 (11) 10.8 x 11.2 x 8.6 1 1 1 Bench Space – 99” + 115” = 214 4th Floor (South) 4A H 2010 1 (6) 9.7 x 10.7 x 8.6 1 1 1 Bench Space – 118 4th Floor (North) 4B H 2010 1 (10) 11.10 x 9.1 x 8.6 1 1 1 Bench Space – 133 + 109 + 102 + 64 =408 5th Floor 5A H 2010 1 (10) 10.6 x 10.8 8.61 1 1 1 NOTE: Interview Room on each 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. 5200 Santa Clara Family Justice Center CHJ CI LASE 25-26 - 3 - A360 LAS Adult-05.dot (8/05) COURT HOLDING FACILITIES Board of State and Community Corrections PROCEDURES1 BSCC Code: 5206 FACILITY NAME: Santa Clara Hall of Justice FACILITY TYPE: CHJ PERSON(S) INTERVIEWED: Lieutenant Ramon Marquez FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/21/2025 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1024 COURT HOLDING AND TEMPORARY PM 6.03 – Employee Training HOLDING FACILITY TRAINING The BSCC Standards and Training for At a minimum, all supervisors of and personnel who Corrections (STC) division found the agency supervise incarcerated persons in, a Court Holding or in compliance with applicable regulations Temporary Holding facility shall complete eight hours of during the 2025-2026 compliance monitoring specialized corrections training. Such training shall cycle. include, but not be limited to: (a) applicable minimum jail standards; It is the policy of the Department of Correction (b) jail operations liability; to provide training to its employees in (c) separation of incarcerated persons; accordance with Standards and Training for (d) emergency procedures and planning, fire and life Corrections (STC), consistent with Titles 15 ☒ ☐ ☐ safety; and, and 24 of the California Administrative Code (e) suicide prevention; (CAC) and Section 6035 of the California (f) de-escalation; Penal Code, aimed at improving employee (g) juvenile procedures; performance and facilitating career (h) racial bias; and, development. (i) mental illness. Note: Each agency shall determine if additional training is needed based upon, but not limited to, the complexity of the facility, the number of people incarcerated, the employees' level of experience and training, and other relevant factors. Such training shall be completed as soon as practical, but PM 6.03 – Employee Training in any event not more than six months after the date of assigned responsibility. Successful completion of Core Core STC training consists of entry-level or training or supplemental Core training, pursuant to basic training linked to specific job ☒ ☐ ☐ Section 1020, Corrections Officer Core Course, may be classifications for which attendance is substituted for the initial eight hours of training. mandatory within the first 12 months of appointment to a position. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 4 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 1 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 A total of eight hours of refresher training shall be PM 6.03 – Employee Training completed every two years. Successful completion of the requirements in Section 1025, Continuing Professional Annual training consists of specialized or Training may be substituted for the eight-hour refresher. refresher training that develops or enhances ☒ ☐ ☐ job-related skills. Flexibility is permitted in course content and method of instruction in order to meet changing conditions and local needs. 1027 NUMBER OF PERSONNEL PM 1.25 – Staffing PM 9.39 – Inmate Supervision A sufficient number of personnel shall be employed in each local detention facility to ensure the implementation The Facility Minimum Staffing Level is the ☒ ☐ ☐ and operation of the programs and activities required by level of staffing as determined by the Division these regulations. Commander to run essential operations and some routine operations. Whenever there is a person in custody, there shall be at PM 1.25 – Staffing least one employee on duty at all times in a local PM 9.39 – Inmate Supervision detention facility or in the building which houses a local detention facility who shall be immediately available and ☒ ☐ ☐ accessible to incarcerated people in the event of an emergency. Such an employee shall not have any other duties which PM 1.25 – Staffing would conflict with the supervision and care of PM 9.39 – Inmate Supervision ☒ ☐ ☐ incarcerated people in the event of an emergency. Whenever one or more females are in custody, there PM 1.25 – Staffing shall be at least one female employee who shall be PM 9.39 – Inmate Supervision immediately available and accessible to such females. ☒ ☐ ☐ At least one female employee available and Note: Reference PC § 4021. accessible whenever there is a female in custody. In order to determine if there is a sufficient number of PM 1.25 – Staffing personnel for a specific facility, the facility administrator PM 9.39 – Inmate Supervision shall prepare and retain a staffing plan indicating the personnel assigned in the facility and their duties. Such a staffing plan shall be reviewed by the Board staff at the ☒ ☐ ☐ BSCC staff reviewed the facility shift time of their biennial inspection. The results of such a schedules and the documentation appeared review and recommendations shall be reported to the to be compliant with this regulation. local jurisdiction having fiscal responsibility for the facility. 1027.5 SAFETY CHECKS SCCDM 9.39 – Inmate Supervision The facility administrator shall develop and implement Staff will observe inmates at least once every policy and procedures for conducting safety checks that 60 minutes or more frequently when include, but are not limited to, the following: warranted in special instances or selected (a) Safety checks will determine the safety and well-being ☒ ☐ ☐ housing units. More frequent observation, of individuals and shall be conducted at least hourly such as every 15 minutes or every 30 through direct visual observation of all people held and minutes, will be dictated by other housed in the facility. Departmental policy or will be stipulated in the housing unit post order. (b) There shall be no more than a 60-minute lapse PM 9.39 – Inmate Supervision between safety checks. Staff will observe inmates at least once every ☒ ☐ ☐ 60 minutes or more frequently when warranted in special instances or selected housing units. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 2 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) Safety checks for people in sobering cells, safety cells, PM 9.39 – Inmate Supervision and restraints shall occur more frequently as outlined in section 1055, section 1056, and section 1058 of these More frequent observation, such as every 15 regulations. ☒ ☐ ☐ minutes or every 30 minutes, will be dictated by other Departmental policy or will be stipulated in the housing unit post order. (d) Safety checks shall occur at random or varied PM 9.39 – Inmate Supervision intervals. ☒ ☐ ☐ BSCC staff confirmed that the safety checks performed were random and varied. (e) There shall be a written plan that includes the PM 9.39 – Inmate Supervision documentation of all safety checks. Documentation shall include: BSCC staff reviewed a random sampling of (1) the actual time at which each individual safety ☒ ☐ ☐ safety check documents from January 2024 check occurred; through April 2025. The documentation appeared to be compliant with this regulation. (2) the location where each individual safety check PM 9.39 – Inmate Supervision occurred, such as a cell, module, or dormitory ☒ ☐ ☐ number; and, (3) Initials or employee identification number of staff PM 9.39 – Inmate Supervision who completed the safety check(s). A welfare check that results in normal activity will be documented as "welfare check ☒ ☐ ☐ complete" along with the time it was completed and the badge number of the officer completing the check. (f) A documented process by which safety checks are PM 9.39 – Inmate Supervision reviewed at regular defined intervals by a supervisor or PM 212.6 – Supervisor Responsibilities facility manager, including methods of mitigating patterns of inconsistent documentation, or untimely completion of, Supervisors shall review the daily activity logs safety checks. during the course of each shift. Supervisors shall sign and include the date and time of ☒ ☐ ☐ review on each shift activity log. When appropriate, supervisors should include comments in the shift activity log with regard to an incident or unusual occurrence in the jail. 1028 FIRE AND LIFE SAFETY STAFF PM 6.03 – Employee Training PM 10.03 – Fire Response Plan (a) Whenever there is a person in custody, there shall be PM 10.31 – Fire Prevention/Inspections at least one person on duty at all times who meets the training standards established by the Board for general Pursuant to Penal Code Section 6030(c) and fire and life safety. [Penal Code section 6030(c)]. Title 15 Section 1028, Correctional Officers ☒ ☐ ☐ receive fire and life safety training in their academy training and meet the training standards established by the Board of Corrections for general fire life and safety, which relate specifically to the facility. The facility manager shall ensure that there is at least one PM 6.03 – Employee Training person on duty who trained in fire and life safety PM 10.03 – Fire Response Plan procedures that relate specifically to the facility. PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ Correctional Officers shall, as a condition of employment, comply with CPR! AED and First Aid training requirements. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 3 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) The facility administrator, in conjunction with the PM 6.03 – Employee Training health authority, shall develop and implement policies PM 10.03 – Fire Response Plan and procedures consistent with the requirements of Penal PM 10.31 – Fire Prevention/Inspections Code Section 6048(b) that require correctional officers certified in cardiopulmonary resuscitation (CPR) to begin First aid certification is required every 3 years ☒ ☐ ☐ CPR on a nonresponsive person without obtaining and CPR is required annually. CPR approval from supervisors or medical staff, when it is safe certification must include the Automated and appropriate to do so. External Defibrillator (AED) refresher-training component of CPR. These policies shall cover the following key elements: PM 6.03 – Employee Training (1) Acceptable CPR methods and application. PM 10.03 – Fire Response Plan ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections (2) Correctional officers shall be certified in CPR and a PM 6.03 – Employee Training copy of the certification shall be on file in the facility or at PM 10.03 – Fire Response Plan ☒ ☐ ☐ a central location and available for review. PM 10.31 – Fire Prevention/Inspections (3) Correctional officers shall immediately summon PM 6.03 – Employee Training medical aid when a person is identified as nonresponsive PM 10.03 – Fire Response Plan and shall administer CPR unless the correctional officer PM 10.31 – Fire Prevention/Inspections ☒ ☐ ☐ is aware of a known medical condition(s) that would contraindicate its use. (4) Correctional officers shall use personal protective PM 6.03 – Employee Training equipment when administering CPR whenever possible PM 10.03 – Fire Response Plan to reduce exposure to bodily fluids or bloodborne ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections pathogens that may contain disease-causing agents. (5) If an imminent physical danger prevents a PM 6.03 – Employee Training correctional officer from safely administering CPR, they PM 10.03 – Fire Response Plan shall begin or resume CPR as soon as the threat has PM 10.31 – Fire Prevention/Inspections passed, or the nonresponsive person has been safely ☒ ☐ ☐ removed from danger, provided medical aid has not yet arrived. (6) The correctional officer shall continue administering PM 6.03 – Employee Training CPR, absent imminent physical danger, until the PM 10.03 – Fire Response Plan nonresponsive person shows obvious signs of life, such PM 10.31 – Fire Prevention/Inspections as normal breathing or physical or verbal responses, or ☒ ☐ ☐ until medical staff or alternative medical responders arrive and take over. (7) In situations where medical staff or alternative PM 6.03 – Employee Training medical responders are present when a person is PM 10.03 – Fire Response Plan identified as nonresponsive, correctional officers shall ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections defer CPR to those individuals. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 4 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1029 POLICY AND PROCEDURES MANUAL3 Santa Clara County Department of Corrections Policy and Procedures Manual Facility administrator(s) shall develop and publish a (PM) manual of policy and procedures for the facility. The policy and procedures manual shall address all Custody policy is in the process of shifting applicable Title 15 and Title 24 regulations and shall be over to Lexipol. Several sections have already comprehensively reviewed and updated at least every been transferred over. Those policies are two years. Such a manual shall be made available to all identified in the Table of Content. employees. ☒ ☐ ☐ All Department policies shall be reviewed not Notes: The policies and procedures required in less than once a year. The Professional subsections (a)(6) and (a)(7) may be placed in a separate Compliance and Audit Unit will establish an manual to ensure confidentiality. Subsection (d) does not annual schedule identifying policies to be apply and has been deleted. reviewed during a specific month. Policy was reviewed and updated May 9, 2025. Compliant with this regulation. (a) The manual shall provide for, but not be limited to, the PM 1.07- Organizational Chart following: PM 1.09 – Chain of Command (1) Table of organization, including channels of ☒ ☐ ☐ communications. (2) Inspections and operations reviews by the facility PM 1.29 – Watch Commander administrator/manager. Duties/Notifications to Executive ☒ ☐ ☐ Management (3) Policy on the use of force that meets current state PM 511 – Use of Force and federal legal requirements and includes prohibition of the use of carotid restraint and choke Deputies Shall Not Use a Carotid Restraint or holds. Apply Pressure to a Person's Neck: The Sheriff's Office does not train deputies in the ☒ ☐ ☐ use of the carotid restraint/chokehold. The carotid restraint/chokehold is prohibited. Deputies shall not apply pressure to a person's neck. (4) Policy on the use of restraint equipment, including PM 512 (I) – Use of Restraints the restraint of pregnant persons as referenced in Penal Code Section 3407. Application of Security Restraints: Staff shall ☒ ☐ ☐ not leg shackle, waist chain, or apply handcuffs behind the back of a person known to be pregnant or in recovery after delivery. (6) Security and control including physical counts and PM 9.33 – Inmate Counts searches of the facility and incarcerated persons, PM 9.39 – Inmate Supervision contraband control, and key control. Each facility administrator shall, at least annually, Security Checks are conducted by staff at the review, evaluate, and make a record of security beginning of each shift and at 2300 hours measures. The review and evaluation shall include ☒ ☐ ☐ each day. internal and external security measures of the facility including security measures specific to prevention of BSCC staff reviewed the annual security sexual abuse and sexual harassment. review. The documentation appeared to be compliant with this regulation. (7) Emergency procedures include: PM 10.01 – Management of Emergency (A) fire suppression preplan as required by Plans ☒ ☐ ☐ section 1032 of these regulations; PM 10.31 – Fire Prevention/Inspections (B) escape, disturbances, and the taking of PM 10.11 - Escapes hostages; ☒ ☐ ☐ 3 Procedures related to security and emergency response may be in a separate manual to ensure confidentiality by limiting general access. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 5 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (C) mass arrests; PM 10.15 – Mass Arrests ☒ ☐ ☐ (D) natural disasters; PM 10.05 – Natural Disasters – Earthquakes PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.49 – Catastrophic Disaster Incident Plan (E) periodic testing of emergency equipment; PM 9.19 – Armory Operations and Security and, ☒ ☐ ☐ Equipment (F) storage, issue, and use of weapons, PM 9.19 – Armory Operations and Security ammunition, chemical agents, and related Equipment ☒ ☐ ☐ security devices. PM 9.25 – Use of Less Lethal Munitions (8) Suicide Prevention. PM 12.05 – Suicide Prevention ☒ ☐ ☐ (9) Separation of incarcerated persons. PM 13.01 – Classification Policy, Goals, and Objectives ☒ ☐ ☐ PM 13.03 – Administrative Segregation (10) Zero tolerance in the prevention of sexual abuse PM 606 – Prison Rape Elimination Act and sexual harassment. This Office has zero tolerance with regard to ☒ ☐ ☐ sexual abuse and sexual harassment in the jails. (11) Policy and procedure to detect, prevent, and PM 606 – Prison Rape Elimination Act respond to retaliation against any staff or person after ☒ ☐ ☐ reporting any abuse. (12) Release policy, including release planning for PM 11.31 – Inmate Release incarcerated persons. ☒ ☐ ☐ PM 606 – Prison Rape Elimination Act (c) The manual for court holding facilities shall include all The Courts Division uses the same policy as of the procedures listed in subsection (a), except number the detention facilities. ☒ ☐ ☐ (5) (which has been deleted). (e) The manual for Temporary Holding, Court Holding, PM 606 – Prison Rape Elimination Act Type I, II, III, and IV facilities shall provide for, but not be limited to, the following: Incarcerated persons may report incidents (1) multiple internal ways for incarcerated people to anonymously or to any staff they choose. Staff privately report sexual abuse and sexual shall accommodate all incarcerated person harassment, retaliation by other incarcerated ☒ ☐ ☐ requests to report allegations. Staff shall persons or staff for reporting sexual abuse and accept reports made verbally, in writing, sexual harassment, and staff neglect or violation of anonymously, or from third parties and shall responsibilities that may have contributed to such promptly document all verbal reports. incidents, (2) a method for uninvolved incarcerated persons, PM 606 – Prison Rape Elimination Act family, community members, and other interested third parties to report sexual abuse or sexual Incarcerated persons may report sexual harassment. The method for reporting shall be abuse, sexual harassment, and/or retaliation publicly posted at the facility. to the Adult Custody Office of the Ombuds or another outside entity or agency designated by the PREA Coordinator that is not part of the Office. The outside entity or the Office should ☒ ☐ ☐ be able to receive, and immediately forward incarcerated person reports of sexual abuse and sexual harassment to the Division Commander, allowing the incarcerated person anonymity. BSCC staff noticed PREA postings within the facility’s lobby, housing units, and dormitories. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 6 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1030 SUICIDE PREVENTION PROGRAM PM 721 – Suicide Prevention and Intervention The facility shall have a comprehensive written suicide It is the policy of this Sheriff's Office to prevention program developed by the facility minimize the incidence of suicide by administrator or designee, in conjunction with the health establishing and maintaining a authority and mental health director, to identify, monitor, ☒ ☐ ☐ comprehensive suicide prevention and and provide treatment to those incarcerated persons who intervention program designed to identify present a suicide risk. incarcerated persons who are at risk of The program shall include the following: suicide and to intervene appropriately whenever possible. (a) Annual suicide prevention training for all custodial PM 721 – Suicide Prevention and Intervention personnel. All new sworn staff members who are responsible for supervising incarcerated persons shall complete a four-hour pre- service suicide prevention curriculum. The Assistant Sheriff of Custody Operations or the authorized designee and ACHS shall develop and implement classroom instructed suicide prevention training on a biennial basis. It shall be the responsibility of the Assistant ☐ ☒ ☐ Sheriff of Custody Operations or the authorized designee to coordinate with the Training and Professional Development Captain to ensure that suicide prevention training is provided in compliance with applicable statutes and standards. Policy as written is noncompliant with this regulation. Suicide prevention training is required on an annual basis. The training is current and compliant but the policy is noncompliant. (b) Intake screening for suicide risk immediately upon PM 721 – Suicide Prevention and Intervention intake and prior to housing assignment. All incarcerated persons shall undergo a ☒ ☐ ☐ medical and mental health screening performed by ACHS nursing staff during the intake process. (c) Suicide prevention screening during special PM 721 – Suicide Prevention and Intervention situations, including placement in restrictive housing, following a hearing, and after a transfer or change in When special situations arise, a referral to classification. ACHS Mental Health shall be made when the person is placed in restrictive housing, ☒ ☐ ☐ following a court hearing, under detox precautions, particularly during the first 72 hours of incarceration, and after a transfer or change in classification. (d) Provisions facilitating communication among PM 721 – Suicide Prevention and Intervention arresting/transporting officers, facility staff, court staff, medical and mental health personnel in relation to suicide Suspicion of suicidality of an incarcerated risk. person shall be communicated among arresting/transporting staff, jail staff, court ☒ ☐ ☐ staff, ACHS staff and result in a referral. Incarcerated persons with known suicide risk shall be monitored and referred to ACHS Mental Health staff for follow-up care as needed. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 7 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) Housing recommendations for people at risk of suicide PM 721 – Suicide Prevention and Intervention that balance safety and environment. The least restrictive environment should be considered. An incarcerated person's supervision will be determined by ACHS Mental Health staff and the Classification Unit depending on suicide risk. Incarcerated persons who are on suicide precautions should be housed in a suicide resistant cell, prioritizing incarcerated persons assessed by ACHS Mental Health staff with higher risk if there are insufficient cells for all ☒ ☐ ☐ persons on precautions. When suicide resistant cells are not available, incarcerated persons should be placed in suicide precaution approved overflow cells, that are ideally near housing unit staff until a suicide resistant cell becomes available. Housing recommendations for incarcerated persons at risk of suicide balance safety and environment. The least restrictive environment should be considered. (f) Supervision depending on level of suicide risk. PM 721 – Suicide Prevention and Intervention Sworn staff will ensure that the following ☒ ☐ ☐ observations and interventions ordered by ACHS Mental Health staff for incarcerated persons at risk of suicide are followed. (g) Suicide attempt and suicide intervention policies and PM 721 – Suicide Prevention and Intervention procedures. ☒ ☐ ☐ (h) Provisions for reporting suicides and suicides PM 721 – Suicide Prevention and Intervention attempts. All suicides, attempted suicides, or injuries shall be documented in an administrative report. All in-custody deaths, including those ☒ ☐ ☐ resulting from suicide, shall be investigated and documented in accordance with Reviewing and Reporting In-Custody Deaths and Major Incident Notification Policies. (i) Multi-disciplinary administrative review of suicides and PM 721 – Suicide Prevention and Intervention attempted suicides as defined by the facility administrator, including the development of a corrective ☒ ☐ ☐ action plan to address deficiencies identified in the administrative review. (j) Provisions for follow up care as needed. PM 721 – Suicide Prevention and Intervention ☒ ☐ ☐ (k) Plan for mental health consultation following return PM 721 – Suicide Prevention and Intervention from court as determined by the mental health director. ☒ ☐ ☐ 1032 FIRE SUPPRESSION PREPLANNING PM 10.03 – Fire Response Plan PM 10.31 – Fire Prevention/Inspections Pursuant to Penal Code Section 6031.1(b), the facility administrator shall consult with the local fire department Pursuant to Penal Code Section 6031.1 (b), ☒ ☐ ☐ having jurisdiction over the facility, with the State Fire the Chief or designee will consult with the Marshal, or both, in developing a plan for fire suppression State Fire Marshall or local fire Chief when which shall include, but not be limited to: developing the fire response plan. (a) a fire suppression pre-plan developed with the local PM 10.03 – Fire Response Plan fire department to be included as part of the policy and PM 10.31 – Fire Prevention/Inspections procedures manual (Title 15, California Code of ☒ ☐ ☐ Regulations Section 1029); 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 8 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) monthly fire prevention inspections by facility staff PM 10.03 – Fire Response Plan basis with two year retention of the inspection record; PM 10.31 – Fire Prevention/Inspections BSCC staff confirmed that the monthly fire ☒ ☐ ☐ prevention inspections are being conducted and the documentation is being retained for the required amount of time. (c) fire prevention inspections as required by Health and PM 10.03 – Fire Response Plan Safety Code Section 13146.1(a) and (b) which requires PM 10.31 – Fire Prevention/Inspections inspections at least once every two years; The State Fire Marshall or local fire Chief will ☒ ☐ ☐ conduct annual fire prevention inspections. Last Fire Inspection: May 21, 2024 (d) an evacuation plan; and, PM 10.03 – Fire Response Plan PM 10.09 – Emergency Evacuation ☒ ☐ ☐ PM 10.31 – Fire Prevention/Inspections (e) a plan for the emergency housing of incarcerated PM 10.03 – Fire Response Plan people in the case of fire. PM 10.31 – Fire Prevention/Inspections PM 10.33 – Emergency Housing/Mass Relocation ☒ ☐ ☐ Incarcerated population would be transferred to another jail facility within the county in the case of emergency housing. 1044 INCIDENT REPORTS PM 6.06 – Prison Rape Elimination Act PM 9.29 – Criminal Investigations Each facility administrator shall develop written policies PM 15.01 – Inmate Discipline Process and procedures for the maintenance of written records and reporting of all incidents which result in physical ☒ ☐ ☐ harm, or serious threat of physical harm, to an employee or incarcerated person of a detention facility or other person. Such records shall include the names of the persons PM 6.06 – Prison Rape Elimination Act involved, a description of the incident, the actions taken, PM 9.29 – Criminal Investigations and the date and time of the occurrence. PM 15.01 – Inmate Discipline Process ☒ ☐ ☐ BSCC staff reviewed a random sampling of incident reports from January 2024 through April 2025. The documentation appeared to be compliant with this regulation. Such a written record shall be prepared by the staff PM 6.06 – Prison Rape Elimination Act assigned to investigate the incident and submitted to the PM 9.29 – Criminal Investigations ☒ ☐ ☐ facility manager or designee. PM 15.01 – Inmate Discipline Process 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 9 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1046 DEATH IN CUSTODY PM 10.09 – Inmate Deaths PM 530 Reviewing and Reporting In-Custody (a) The facility administrator shall develop written policy Deaths and procedures to comply with the in-custody death reporting requirements of Government Code section It is the policy of the Department of Correction 12525. The facility administrator shall submit a copy of to ensure an inmate death occurring in a the report filed pursuant to section 12525 to the BSCC Department of Correction facility will be within 10 days of an in-custody death. handled in a manner that ensures compliance with State of California mandates, and in the cases of suspicious circumstances, in a manner ensuring the preservation of evidence and proper investigation of the circumstances ☒ ☐ ☐ surrounding the death. Within 10 days of an in-custody death, the Sheriff's Office shall: (a) Issue a report, in writing, to the Attorney General (Govt. Code § 12525); (b) Submit a copy of the in-custody death report, submitted to the Attorney General, to the Board of State and Community Corrections (b) The facility administrator, in cooperation with the PM 12.09 – Inmate Deaths health administrator, shall develop written policy and procedures to conduct an initial review and complete a The in-custody death review should be written report of every in-custody death within 30 days of initiated as soon as practicable, and a written the death. The team that conducts the initial review shall report shall be completed within 30 days of ☒ ☐ ☐ include, at a minimum, the facility administrator or the death. The team should review the designee, the health administrator, the responsible appropriateness of clinical care, determine physician and other health care, and supervision staff whether changes to policies, procedures, or who are relevant to the incident. practices are warranted, and identify. Deaths shall be reviewed to determine the PM 12.09 – Inmate Deaths appropriateness of clinical care; whether changes to policies, procedures, or practices are warranted; and to The in-custody death review should be identify issues that require further study. initiated as soon as practicable, and a written report shall be completed within 30 days of ☒ ☐ ☐ the death. The team should review the appropriateness of clinical care, determine whether changes to policies, procedures, or practices are warranted, and identify. (c) The facility administrator shall submit a copy of the PM 12.09 – Inmate Deaths initial review report of every in-custody death to the BSCC within 60 days of the death. The facility administrator shall A copy of that initial review report shall be provide a copy of the initial review report that comports submitted to BSCC within 60 days of the with the disclosure requirements of section 832.10 of the ☒ ☐ ☐ death, and contain the information required by Penal Code. 15 CCR 1046. All information submitted to BSCC is disclosable under the California Public Records Act. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 10 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The initial review report shall contain the following PM 12.09 – Inmate Deaths information: (1) Demographic 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 PM 12.09 – Inmate Deaths 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. 1050 CLASSIFICATION PLAN PM 13.01 – Classification Policy, Goals, and Objectives (b) Each administrator of a court holding facility shall establish and implement a written plan designed to It is the policy of the Sheriff’s Office to classify provide for the safety of staff and people held and housed inmates using a classification systern that is at the facility. The plan shall include receiving and based on objective criteria to provide for ☒ ☐ ☐ transmitting of information regarding incarcerated ongoing assessment of risk and behavior persons who represent unusual risk or hazard while factors, management criteria and custody confined at the facility, and the separation of such requirements for inmates confined in a persons to the extent possible within the limits of the court Custody Bureau facility. holding facility. (c) In deciding housing and programming assignments, PM 13.01 – Classification Policy, Goals, and the agency shall consider on a case-by-case basis Objectives whether a placement would ensure the health and safety of the incarcerated person, and whether the placement BSCC staff reviewed classification ☒ ☐ ☐ would present management or security problems. A assessments during the on-site inspection. person’s own views with respect to their own safety shall The assessments appear to be compliant with be given serious consideration. this regulation. 1051 COMMUNICABLE DISEASES PM 10.37 – Exposure Control Plan for Bloodborne Pathogens The facility administrator, in cooperation with the PM 10.41 – Exposure Control Plan for responsible physician, shall develop written policies and Respiratory Diseases procedures specifying those symptoms that require medical isolation of an incarcerated person until a It is the policy of the Department of Correction ☒ ☐ ☐ medical evaluation is completed to recognize the need for exposure control to bloodborne pathogens in accordance with CAL/OSHA regulations and to develop and implement guidelines to eliminate or minimize staff risk to occupational exposure. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 11 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 At the time of intake into the facility, an inquiry shall be PM 10.37 – Exposure Control Plan for made of the person being booked as to whether the Bloodborne Pathogens person has or has had any communicable diseases, such PM 10.41 – Exposure Control Plan for as tuberculosis or has observable symptoms of Respiratory Diseases tuberculosis or any other communicable diseases, or ☒ ☐ ☐ other special medical problem identified by the health authority. The response shall be noted on the medical screening from. 1052 BEHAVIORAL CRISIS IDENTIFICATION PM 11.01 – Arrestee Admission for Booking PM 12.03 – Mental Health Services The facility administrator, in cooperation with the PM 721 – Suicide Prevention responsible physician, shall develop written policies and procedures to identify and evaluate all incarcerated Inmates are provided access to a people who may be in behavioral crisis. Evaluation of comprehensive mental health program. Any behavioral crisis may include telehealth. ☒ ☐ ☐ inmate exhibiting unusual behavior, symptoms of mental illness or symptoms of a developmental disability shall be immediately referred to Mental Health and separated from the general population pending an assessment from Mental Health. If an evaluation from medical or mental health staff is not PM 11.01 – Arrestee Admission for Booking readily available, an incarcerated person shall be PM 12.03 – Mental Health Services considered in behavioral crisis for the purpose of this PM 721 – Suicide Prevention section if they appear to be a danger to themselves or others or appear gravely disabled. Mental Health staff will respond immediately ☒ ☐ ☐ to any calls for emergency or crises intervention. In all other cases, they shall respond as soon as possible or within specified time limitations as agreed upon. An evaluation from medical or mental health staff shall be PM 11.01 – Arrestee Admission for Booking secured within 24 hours of identification or at the next PM 12.03 – Mental Health Services ☒ ☐ ☐ daily sick call, whichever is earliest. PM 721 – Suicide Prevention Separation may be used if necessary, to protect the PM 11.01 – Arrestee Admission for Booking safety of the person in crisis or others. PM 12.03 – Mental Health Services PM 721 – Suicide Prevention The determination to place a mental health ☒ ☐ ☐ inmate in a restraint room or seclusion room, as opposed to a safety cell, shall be made only by professional staff (Physician or RN) when less restrictive means are not, or will not be, effective. 1053 ADMINISTRATIVE SEPARATION PM 13.03 – Administrative Segregation Except for Type IV facilities, facility administrators shall To establish specific procedures regarding develop and implement policies and procedures for the administrative segregation operations in the administrative separation of incarcerated people. jail and to provide for the administrative segregation of inmates who are determined to be prone to: escape; assault staff or other ☒ ☐ ☐ inmates; disrupt the operations of the jail; or likely to need protection from other inmates; or the inmate(s) must be temporarily removed from the general population to enable staff to effectively conduct an investigation or inquiry as necessary. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 12 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policies and procedures must include: PM 13.03 – Administrative Segregation (a) Administrative separation may consist of separate housing but shall not involve any other deprivation of Administrative Segregation is not a punitive privileges than is necessary to obtain the objective of system. This type of segregation is not protecting the welfare of incarcerated people and facility imposed as a punishment for specific acts. It ☒ ☐ ☐ staff. should not incorporate any unnecessary restrictions or deprivations of privileges, Note: Subsections (b) through (e) do not apply and have except where required to maintain levels of been deleted. safety and security within the facility. 1057 DEVELOPMENTAL DISABILITIES PM 11.03 – Medical Screening at Intake PM 12.01 – Medical Health Care Services The facility administrator, in cooperation with the PM 12.03 – Mental Health Services responsible physician, shall develop written policies and procedures for the identification and evaluation, Upon entrance into the facility, the appropriate classification and housing, protection, and arresting/transporting officer must escort the nondiscrimination of all incarcerated persons with arrestee to the nurse's station, located at the developmental disabilities. booking counter, for a medical screening. The ☒ ☐ ☐ intake-booking nurse completes a medical interview and either clears the person to continue with the booking process or refuses acceptance until the person is medically cleared at the hospital. BSCC staff confirmed this process during the on-site inspection. The health authority or designee shall contact the PM 11.03 – Medical Screening at Intake regional center for any incarcerated person suspected or PM 12.01 – Medical Health Care Services confirmed to have a developmental disability for the PM 12.03 – Mental Health Services purposes of diagnosis or treatment within 24 hours of such determination, excluding holidays and weekends. Health care services shall be rendered pursuant to an agreement between the Santa Clara County Department of Correction, the ☒ ☐ ☐ Santa Clara County Valley Medical Center and the administering physician. The Santa Clara County Valley Medical Center Adult Custody Health Services Policies and Procedures Manual shall be accepted by this department as the authority for health care related policies. 1058 USE OF RESTRAINT DEVICES PM 512 – Use of Restraints The facility administrator, in cooperation with the It is the policy of the Office of the Sheriff to use responsible physician, shall develop and implement Security Restraints on persons to minimize written policies and procedures for the use of restraint the risk of injury and maintain safety and devices. Restraint devices include any devices which security. Security Restraints shall be applied immobilize extremities or prevent the incarcerated person in a manner that does not likely cause pain or from being ambulatory. The provisions of this section do injury. not apply to the use of handcuffs, shackles, or other ☒ ☐ ☐ restraint devices when used to restrain incarcerated The restraint chair is authorized for short term people for security reasons. The facility manager may security; temporary control and transportation delegate authority to place an incarcerated person in of a person identified as violent, destructive, restraints to responsible health care staff. self-destructive; or a person who refuses to comply with a court order for blood draw pursuant to Penal Code §296 consistent with the Office's Penal Code §296 Compliance policy. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 13 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (a) The policy shall address the following areas: PM 512 – Use of Restraints (1) acceptable restraint devices; BSCC staff confirmed that the Restraint Chair ☒ ☐ ☐ and Therapeutic Restraints are addressed in the policy manual. (2) signs or symptoms which should result in PM 512 – Use of Restraints immediate medical/mental health referral; availability of cardiopulmonary resuscitation equipment; BSCC staff noticed AED devices throughout ☒ ☐ ☐ the facility during the on-site inspection. AED devices are located outside each of the housing units. (3) protective housing of restrained persons; PM 512 – Use of Restraints ☒ ☐ ☐ (4) provision for hydration and sanitation needs; and, PM 512 – Use of Restraints Persons in the restraint chair will be offered ☒ ☐ ☐ water at least every hour and, if practical, an opportunity to use the restroom. (5) exercising of extremities. PM 512 – Use of Restraints Staff shall remove the restraint applied to one limb, each hour to allow the person to exercise that limb for at least five minutes. ☒ ☐ ☐ Staff shall request that medical staff assess the person at the time the person is placed in the restraint chair and at least once per hour while the person remains in the restraint chair. (b) Policy shall also include, but not be limited to, the PM 512 – Use of Restraints following requirements: (1) In no case shall restraints be used for punishment Restraints Shall Not Be Used for Improper or as a substitute for treatment. Purpose: Staff are prohibited from using Security Restraints to punish, degrade, ☒ ☐ ☐ humiliate, discipline, retaliate against, improperly coerce, discriminate against, or unnecessarily cause pain or injury to a person. Security Restraints shall be removed as soon as practical. (2) Restraint devices shall only be used on PM 512 – Use of Restraints incarcerated people who display behavior which results in the destruction of property or reveal an The restraint chair is authorized for short term intent to cause physical harm to self or others. ☒ ☐ ☐ security; temporary control and transportation of a person identified as violent, destructive, self-destructive. (3) Restraint devices should be used only when less PM 512 – Use of Restraints restrictive alternatives, including verbal de-escalation techniques, have been attempted and are deemed When possible, staff shall first consider the ineffective. use of a safety cell. The restraint chair shall ☒ ☐ ☐ only be used when other less restrictive alternatives have failed, or it is apparent that they will be ineffective in controlling the person. (4) An incarcerated person shall be placed in PM 512 – Use of Restraints restraints only with the approval of the facility manager, the facility watch commander, or BSCC staff confirmed through policy and responsible health care staff; continued retention ☒ ☐ ☐ documentation review that no person placed shall be reviewed a minimum of every hour. into the restraint chair meets or exceeds this time frame. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 14 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) Continuous direct visual observation shall be PM 512 – Use of Restraints maintained until a medical opinion can be obtained. Unless time and circumstances do not permit, ☒ ☐ ☐ medical staff shall be present during the person's placement into the restraint chair. (6) A medical opinion on placement and retention PM 512 – Use of Restraints shall be secured within one hour from the time of ☒ ☐ ☐ placement. (7) A medical assessment shall be completed within PM 512 – Use of Restraints four hours of placement. Unless time and circumstances do not permit, medical staff shall be present during the person's placement into the restraint chair. ☒ ☐ ☐ BSCC staff confirmed through policy and documentation review that no person placed into the restraint chair exceeds this time frame. (8) Continuous direct visual observation shall be PM 512 – Use of Restraints conducted at least twice every 30 minutes to ensure that the restraints are properly employed, and to At least once every 15 minutes, staff shall ensure the safety and well-being of the incarcerated check the person's welfare and document the person. Such observation shall be documented. welfare check on an Inmate Observation While in restraint devices all incarcerated persons Form, as well as any comments regarding the shall be housed alone or in a specified housing area ☐ ☐ ☒ health, physical condition, or demeanor of the which makes provisions to protect the person from person. abuse. BSCC staff did not receive any documentation related to this regulation being used in the court’s holding facility. (9) If the facility manager, or designee, in consultation PM 512 – Use of Restraints with responsible health care staff determines that an incarcerated person cannot be safely removed from The maximum time a person can be secured restraints after eight hours, the person shall be taken in the restraint chair is two hours, not including to a medical facility for further evaluation. the time necessary for insertion and removal. ☒ ☐ ☐ If the person is still violent or self-destructive after two hours, the person may remain in the restraint chair for up to an additional two hours with the approval of the watch commander or higher-ranking supervisor. (10) Where applicable, the facility manager shall use PM 512 – Use of Restraints the restraint device manufacturer’s recommended ☒ ☐ ☐ maximum time limits for placement. (11) All events and information related to the PM 512 – Use of Restraints placement in restraints shall be documented and shall be video recorded unless exigent The supervisor shall ensure that the person's circumstances prevent staff from doing so. The entire time in the restraint chair is captured on documentation shall include: the reason for ☒ ☐ ☐ video. placement; person authorizing placement; names of staff involved in the placement; injuries sustained; and the duration of placement. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 15 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1058.5 RESTRAINTS AND PREGNANT PERSONS PM 512 – Use of Restraints The facility administrator, in cooperation with the Staff shall not leg shackle, waist chain, or responsible physician, shall develop written policies and apply handcuffs behind the back of a person procedures for the use of restraint devices on pregnant known to be pregnant or in recovery after ☒ ☐ ☐ people. In accordance with Penal Code Section 3407, the delivery. policy shall include reference to the following: Pregnant persons shall not be placed into the restraint chair. (1) An incarcerated person known to be pregnant or PM 512 – Use of Restraints in recovery after delivery or termination of the pregnancy shall not be restrained by the use of leg or BSCC staff spoke with several pregnant waist restraints, or handcuffs behind the body. incarcerated individuals while conducting the on-site inspection. They confirmed that, while ☐ ☐ ☒ being transported within the facility and outside the facility, they are only handcuffed in the front of their bodies. No other restraints used. (2) An incarcerated pregnant person in labor, during PM 512 – Use of Restraints delivery, or in recovery after delivery or termination of the pregnancy, shall not be restrained by the wrists, ankles, or both, unless deemed necessary for the ☐ ☐ ☒ safety and security of the incarcerated person, the staff, or the public. (3) Restraints shall be removed when a professional PM 512 – Use of Restraints who is currently responsible for the medical care of an incarcerated pregnant person during a medical emergency, labor, delivery, or recovery after delivery ☐ ☐ ☒ or termination of the pregnancy determines that the removal of restraints is medically necessary. (4) Upon confirmation of an incarcerated person’s PM 512 – Use of Restraints pregnancy, they shall be advised, orally or in writing, of the standards and policies governing incarcerated ☐ ☐ ☒ pregnant people. 1068 ACCESS TO COURTS AND COUNSEL PM 17.11 – Inmate Attorney and Official Visits The facility administrator shall develop written policies It is the policy of the Department of Correction and procedures to ensure incarcerated persons have ☒ ☐ ☐ to permit inmates to have visits with attorneys access to the court and to legal counsel. and official visitors under conditions Such access shall consist of: consistent with the security of the jail. (b) confidential consultation with attorneys. PM 17.11 – Inmate Attorney and Official Visits Conversations between inmates and their Attorneys may be visually observed by officers, but not listened to or recorded in any manner. All reasonable precautions shall be ☒ ☐ ☐ taken to preserve the confidentiality of the attorney/client relationship. BSCC staff witnessed incarcerated individuals meeting with their counsel during the on-site inspection. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 16 of 20 A350 CH PRO eff. 04.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1280 FACILITY SANITATION, SAFETY, AND PM 16.01 – Sanitation Inspections and MAINTENANCE Housekeeping Plan The facility administrator shall develop written policies Staff will conduct a daily sanitation inspection and procedures for the maintenance of an acceptable of their assigned area. The sanitary condition, level of cleanliness, repair and safety throughout the ☒ ☐ ☐ any sanitary deficiencies and the actions facility. Such a plan shall provide for a regular schedule taken to correct those deficiencies will be of housekeeping tasks and inspections to identify and documented on the post log. correct unsanitary or unsafe conditions or work practices which may be found. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 17 of 20 A350 CH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Are minors held in a cell or other secure portion of PM 13.13 – Juvenile Inmates the Court Holding facility? ☒ ☐ ☐ 1047 SERIOUS ILLNESS OR INJURY OF A MINOR PM 13.13 – Juvenile Inmates IN AN ADULT DETENTION FACILITY Report of death, serious illness or injury of a The facility administrator shall develop policy and juvenile shall be in accordance with the procedures for notification of the court of jurisdiction and Department's policy #12.09, Inmate Death, the parent, guardian, or person standing in loco parentis, and shall meet the additional reporting in the event of a suicide attempt, serious illness, injury or requirements that include, but are not limited death of a minor in custody. to: ☒ 1. A copy of the in-custody death report that ☐ ☐ is provided to the Attorney General shall be submitted to the Board of Corrections within 10 calendar days after the death. 2. Notification by the Division Commander or designee shall be made to the Juvenile Court and the parent, guardian, or person standing in loco parentis, in the event of a serious illness, injury or death of a minor. 1122.5 PREGNANT MINORS PM 13.13 – Juvenile Inmates (a) The health administrator, in cooperation with the Reproductive services shall be available to facility administrator, shall develop written policies and both male and female juveniles. Such procedures pertaining to pregnant minors that address ☒ ☐ ☐ services shall include but not be limited to the requirements in Title 15, Section 1417. those prescribed by Welfare and Institutions Code, section 220, 221, and 222, and H & S Code 25958. (b) The facility administrator, in cooperation with the PM 13.13 – Juvenile Inmates responsible physician, shall develop written policies and PM 512 – Use of Restraints procedures for the use of restraint devices on pregnant minors. The policy shall address requirements of Penal ☒ ☐ ☐ Code 3407. Policy shall include reference to the following: (1) A minor known to be pregnant or in recovery after PM 13.13 – Juvenile Inmates delivery shall not be restrained by the use of leg PM 512 – Use of Restraints irons, waist chains, or handcuffs behind the body. Staff shall not leg shackle, waist chain, or apply handcuffs behind the back of a person ☒ ☐ ☐ known to be pregnant or in recovery after delivery. Pregnant persons shall not be placed into the restraint chair. (2) A pregnant minor in labor, during delivery, or in PM 13.13 – Juvenile Inmates recovery after delivery, shall not be restrained by the PM 512 – Use of Restraints wrists, ankles, or both, unless deemed necessary for ☒ ☐ ☐ the safety and security of the minor, the staff, or the public. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 18 of 20 A350 CH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Restraints shall be removed when a professional PM 13.13 – Juvenile Inmates who is currently responsible for the medical care of a PM 512 – Use of Restraints pregnant minor during a medical emergency, labor, ☒ ☐ ☐ delivery, or recovery after delivery determines that the removal of restraints is medically necessary. (4) Upon confirmation of a minor's pregnancy, she PM 13.13 – Juvenile Inmates shall be advised, orally or in writing, of the standards PM 512 – Use of Restraints ☒ ☐ ☐ and policies governing pregnant minors. 1161 CONDITIONS OF DETENTION PM 13.13 – Juvenile Inmates Court holding facilities shall be designed to provide the Juvenile inmates shall not be housed with following: ☒ ☐ ☐ adult inmates or inmates not confirmed to be (a) Separation of minors from adults in accordance with under the age of eighteen. Section 208 of the Welfare and Institutions Code. (b) Separation of minors in accordance with an PM 13.13 – Juvenile Inmates established classification plan. ☒ ☐ ☐ (c) Secure non-public access, movement within and PM 13.13 – Juvenile Inmates egress. If the same entrance/exit is used by both minors and adults, movements shall be scheduled in such a Communication between juvenile inmates manner that there is no opportunity for contact. and adult inmates shall not be allowed. Situations in which a juvenile and an adult inmate may be in the same room, area or corridor are limited to: a. booking; b. awaiting visiting or sick call; ☒ ☐ ☐ c. inmate workers present while performing work necessary for the operation of the facility, such as meal service and janitorial services; d. movement of inmates in custody within the facility; and, e. supervised program activities pursuant to section 208( c) of the Welfare and Institutions Code. An existing court holding facility built in accordance with PM 13.13 – Juvenile Inmates construction standards at the time of construction shall be considered as being in compliance with this article Juveniles are brought directly into the unless the condition of the structure is determined by the courtroom and, once finished, they are appropriate authority to be dangerous to life, health, or transported directly back to the juvenile hall. ☒ ☐ ☐ welfare of minors. Upon notification of noncompliance with this section, the facility administrator shall develop and submit a plan for corrective action to the Board within 90 days. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 19 of 20 A350 CH PRO eff. 04.01.25 DETENTION OF MINORS TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1162 SUPERVISION OF MINORS PM 13.13 – Juvenile Inmates A sufficient number of personnel shall be employed in Supervision of a juvenile shall be in each facility to permit unscheduled safety checks of all accordance with Departmental policy and minors at least twice every 30 minutes, and to ensure the shall at a minimum provide for: implementation and operation of the activities required by these regulations. There shall be a written plan that 1. Continuous staff supervision with the ☒ ☐ ☐ includes the documentation and review of safety checks. assurance that staff can hear and respond. 2. Direct visual supervision every 30 minutes on an irregular schedule with all safety checks documented in a separate post log book used exclusively for juveniles. 1163 CLASSIFICATION PM 13.13 – Juvenile Inmates The administrator of a court holding facility shall establish The Classification Supervisor shall ensure and implement a written plan designed to provide for the that a juvenile inmate is identified and safety of staff and minors held at the facility. The plan classified appropriately. A "f' will be used as shall include receiving and transmitting of information the fourth field of the SPRB code to indicate regarding minors who represent a risk or hazard to self ☒ ☐ ☐ that the inmate is a juvenile. or others while confined at the facility, and the separation of such minors to the extent possible within the limits of the court holding facility, and for the separation of minors from any adults confined there as required by Section 208 of the Welfare and Institutions Code. 5206 Santa Clara HOJ CHJ CI PRO 25-26 Page 20 of 20 A350 CH PRO eff. 04.01.25 PHYSICAL PLANT EVALUATION BOARD OF STATE AND COMMUNITY CORRECTIONS - COMPREHENSIVE INSPECTION ADULT COURT AND TEMPORARY HOLDING FACILITIES APPLICABLE REGULATIONS: 1/78 Title 24, California Code of Regulations (CCR) BSCC Code: 5206 FACILITY NAME: Santa Clara County Hall of Justice FACILITY TYPE: CHJ APPLICABLE REGULATIONS (Check All That Apply): 1/78: X OTHER: 1988 FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/21/2025 ARTICLE/SECTION YES NO N/A COMMENTS Temporary Holding Cells (2.2) Inmates are moved either in the AM or PM based on scheduled court time. ☒ ☐ ☐ Contain 10 square feet of floor per inmate Limited to no more than 16 inmates ☒ ☐ ☐ No smaller than 40 square feet ☒ ☐ ☐ Contain sufficient seating to accommodate all inmates ☒ ☐ ☐ Toilet accessible ☒ ☐ ☐ Wash basin accessible ☒ ☐ ☐ Drinking fountain accessible ☒ ☐ ☐ Provide for adequate visual supervision of inmates ☒ ☐ ☐ Bunk provided to inmates held between hours of 2400 and 0600 (Later, less restrictive 1994 standards only require a bunk if inmates are held longer than 12 ☐ ☒ ☐ hours) Weapons Locker (3.12) There also are gun lockers located immediately adjacent to each courtroom. External to the security area and equipped with ☒ ☐ ☐ individual compartments, locks and keys Sobering Cells (WA) (2.4) There are no cells of this type in the court ☐ ☒ holding facilities. Text of this regulation is ☐ deleted from this checklist. Safety Cells (WA) (2.5) There are no cells of this type in the court holding facilities. Text of this regulation is Contain 48 square feet with one floor dimension at ☐ ☒ deleted from this checklist. ☐ least 6 feet Shower-Delousing Room (3.4) ☐ ☒ Available ☐ Secure Vault or Storage Space (2.1) Individuals remanded to jail are searched and property removed, inventoried, and placed in Available for inmate valuables ☒ ☐ ☐ a locked container for transport to the Jail with the inmate. Telephone (2.1) Inmates will use phone when they return back to jail. Available for inmate use per Penal Code § 851.5 ☒ ☐ ☐ 5206 Santa Clara HOJ CHJ CI PHY 25-26 - 1 - A370 PHY CH-TH 1-78.dot (9/98) ARTICLE/SECTION YES NO N/A COMMENTS Audio Monitoring (2.22) Cameras are in the hallways and monitors are located in the workstations. There are call For facilities planned or constructed after 8-86 buttons located in the attorney rooms. Each ☒ ☐ ☐ bailiff has a video-monitor that looks into the hallway of his or her holding area. Janitor Closet (2.20) Available ☒ ☐ ☐ Storage Rooms (WA) (2.21) Available ☒ ☐ ☐ Emergency Power (2.24) Available to maintain fire and life safety, security, ☒ ☐ ☐ communications and alarm systems Attorney Interview Space (2.26) Available ☒ ☐ ☐ 5206 Santa Clara HOJ CHJ CI PHY 25-26 - 2 - A370 PHY CH-TH 1-78.dot (9/98) BOARD OF STATE AND COMMUNITY CORRECTIONS - COMPREHENSIVE INSPECTION ADULT DETENTION FACILITY LIVING AREA SPACE EVALUATION BSCC Code: 5206 FACILITY: Santa Clara County Hall of Justice TYPE: CHJ RC: 0 FIELD REPRESENTATIVE: Matthew Schuler DATE: 05/20/2025 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 WORKSTATION #1 Basement (Workstation 1) – no cell labeled I; no 2nd floor – the first accessible floor from the basement elevator is the 3rd floor. A Holding 1980 1 - 12 (12) 8.8’ x 13.9’ 1 - 1 1 - Notes: 18’ bench. B Holding 1980 1 - 1 (1) 6.0’ x 6.8’ 1 - 1 1 - Notes: 2.5’ bench. C Holding 1980 1 - 1 (1) 5.9’ x 6.8’ 1 - 1 1 - Notes: 2.5’ bench. D Holding 1980 1 - 1 (1) 5.8’ x 6.8’ 1 - 1 1 - Notes: 2.5’ bench. E Holding 1980 1 - 1 (1) 5.8’ x 6.8’ 1 - 1 1 - Notes: 2.5’ bench. F Holding 1980 1 - 1 (1) 6.1’ x 6.8’ 1 - 1 1 - Notes: 2.5’ bench. G Holding 1980 1 - 0 (0) 7.8’ x 19.1’ 1 - 1 1 - Notes: 20.2’ bench. During the 2006-2008 cycle, the LASE was adjusted to reflect that cell G is now used for storage. Originally rated for 13. H Holding 1980 1 - 22 (22) 15.7’ x 15.8’ 2 - 1 1 - Notes: 6.4’ x 5.1’ cutout; 34.3’ bench. J Holding 1980 1 - 22 (22) 15.4 X 15.6 2 - 1 1 - Notes: used for females; 33’ bench. K Holding 1980 1 - 22 (22) 15.6’ x 14.8’ 2 - 1 1 - Notes: 33’ bench. Third Floor (Workstation 1) Holding 1978 1 - 5 (5) 8.7’ x 5.5’ 1 - 1 1 - Notes: 4.5’ + 3.3’ bench. Fourth Floor (Workstation 1) Holding 1978 1 - 5 (5) 8.7’ x 5.5’ 1 - 1 1 - Notes: 4.5’ + 3.3’ bench. Fifth Floor (Workstation 1) Holding 1978 1 - 5 (5) 8.7’ x 5.5’ 1 - 1 1 - Notes: 4.5’ + 3.3’ 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. 5206 Santa Clara HOJ CHJ CI LASE 25-26 - 1 - A360 LAS Adult.dot (9/98) 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 Sixth Floor (Workstation 1) Holding 1978 1 - 5 (5) 8.7’ x 5.5’ 1 - 1 1 - Notes: 4.5’ + 3.3’ bench. WORKSTATION #2 – basement and 4 floors with holding cells Basement (Workstation 2) – six cells WBH1 Holding 1980 1 - 8 (8) 9.3’ x 12.4’ 1 - 1 1 - Notes: handicap accessible, 9.3’ + 3.6’ bench. WBH2 Holding 1980 1 - 8 (8) 9.3’ x 8.4’ 1 - 1 1 - Notes: 12’ bench. WBH3 Holding 1980 1 - 16 (16) 19.5’ x 8.6’ 1 - 1 1 - Notes: irregular; 12’ + 15.3’ bench; prior LASE listed RC of (17), changed this cycle to (16) due to holding cell capacity limit and facilities ratio. WBH4 Holding 1980 1 - 16 (16) 17.6’ x 9.7’ 1 - 1 1 - Notes: cutout 3.4’ x 4.5’; 11.3’ + 4.8’ + 9’ bench. WBH5 Holding 1980 1 - 16 (16) 17.6’ x 10.2’ 1 - 1 1 - Notes: outcropping – subtract 8.5’ from square footage; 16.1’ + 12.7 + 2.8’ bench; prior LASE listed RC as (14), changed to (16) this cycle. WBH6 Holding 1980 1 - 16 (16) 17.7’ x 10’ 1 - 1 1 - Notes: 6’ + 10.3 + 4.3’ + 3.8’ bench. Third Floor (Workstation 2) – one holding cell Holding 1980 1 - 5 (5) 9.8’ x 8.8’ 1 - 1 1 - Notes: handicap accessible cell; 7.3’ bench and one stool. Fourth Floor (Workstation 2) – two holding cells Holding 1980 1 - 5 (5) 8.8’ x 7’ 1 - 1 1 - Notes: irregular shape; 7.3’ bench and one stool; seating limits RC. Holding 1980 1 - 5 (5) 8.8’ x 7’ 1 - 1 1 - Notes: irregular shape; 7.3’ bench and one stool; seating limits RC. Fifth Floor (Workstation 2) – two holding cells Holding 1980 1 - 5 (5) 8.8’ x 7’ 1 - 1 1 - Notes: irregular shape; 7.3’ bench and one stool; seating limits RC. Holding 1980 1 - 5 (5) 8.8’ x 7’ 1 - 1 1 - Notes: irregular shape; 7.3’ bench and one stool; seating limits RC. Sixth Floor (Workstation 2) – two holding cells Holding 1980 1 - 5 (5) 8.8’ x 7’ 1 - 1 1 - Notes: irregular shape; 7.3’ bench and one stool; seating limits RC. Holding 1980 1 - 5 (5) 8.8’ x 7’ 1 - 1 1 - Notes: irregular shape; 7.3’ bench and one stool; seating limits RC. WORKSTATION #3 – basement and 5 floors with holding cells Basement (Workstation 3) EBH1 Holding 1980 1 - 8 (8) 9’ x 10.3’ 1 - 1 1 - Notes: 8.9’ + 3.5’ 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. 5206 Santa Clara HOJ CHJ CI LASE 25-26 - 2 - A360 LAS Adult.dot (9/98) 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 EBH2 Holding 1980 1 - 8 (8) 9.8’ x 9’ 1 - 1 1 - Notes: irregular shaped; 8.9’ + 3.1’ bench. EBH3 Holding 1980 1 - 16 (16) 19.3’ x 8.6’ 1 - 1 1 - Notes: irregular shaped; used for females; 15’ and 12.6’ bench. EBH4 Holding 1980 1 - 16 (16) 17.3’ x 9.3’ 1 - 1 1 - Notes: 9’ + 13.1’ + 4.4’ bench. EBH5 Holding 1980 1 - 16 (16) 21.4’ x 10.9’ 1 - 1 1 - Notes: 15.4’ + 11.5’ + 4.1’ + 3.1’ bench. EBH6 Holding 1980 1 - 16 (16) 17.3’ x 10’ 1 - 1 1 - Notes: 13.8’ x 8.7’ + 4’ bench. Second Floor (Workstation 3) – 4 holding cells and 2 interview rooms (2EI1 and 2EI2) 2EH1 Holding 1980 1 - 2 (2) 7.2’ x 5.5’ 1 - 1 1 - Notes: 2’ bench and one stool. 2EH2 Holding 1980 1 - 6 (6) 11.7’ x 8.3’ 1 - 1 1 - Notes: 3.6’ + 6.4’ bench. 2EH3 Holding 1980 1 - 5 (5) 11.7’ x 8.3’ 1 - 1 1 - Notes: 4.8’ + 1.5’ bench and one stool. 2EH4 Holding 1980 1 - 2 (2) 7.2’ x 5.5’ 1 - 1 1 - Notes: 2’ bench and one stool. Third Floor (Workstation 3) – 2 holding cells and 2 interview rooms 3EHC Holding 1980 1 - 4 (4) 8.4’ x 6.9’ 1 - 1 1 - Notes: 5.8’ bench and one stool. 3EHD Holding 1980 1 - 3 (3) 8.4’ x 6.9’ 1 - 1 1 - Notes: 5.8’ bench (no stool). Fourth Floor (Workstation 3) – 2 holding cells and 2 interview rooms 4EHC Holding 1980 1 - 4 (4) 8.4’ x 6.9’ 1 - 1 1 - Notes: 5.8’ bench and one stool. 4EHD Holding 1980 1 - 4 (4) 8.4’ x 6.9’ 1 - 1 1 - Notes: 5.8’ bench and one stool. Fifth Floor (Workstation 3) – 2 holding cells and 2 interview rooms 5EHC Holding 1980 1 - 4 (4) 8.4’ x 6.9’ 1 - 1 1 - Notes: 5.8’ bench and one stool. 5EHD Holding 1980 1 - 4 (4) 8.4’ x 6.9’ 1 - 1 1 - Notes: 5.8’ bench and one stool. Sixth Floor (Workstation 3) – 2 holding cells and 2 interview rooms 6EHC Holding 1980 1 - 4 (4) 8.4’ x 6.9’ 1 - 1 1 - Notes: 5.8’ bench and one stool. 6EHD Holding 1980 1 - 4 (4) 8.4’ x 6.9’ 1 - 1 1 - Notes: 5.8’ bench and one stool. *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. 5206 Santa Clara HOJ CHJ CI LASE 25-26 - 3 - A360 LAS Adult.dot (9/98)