Butte County Probation Inspection Rpt (2023-2024 inspection cycle)

July 13, 2023 Melissa Romero, Chief of Probation Butte County Probation Department 42 Country Center Drive Oroville, CA 95965 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, YUBA COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Romero: The 2023-2024 Comprehensive Inspection of the Butte County Probation Department has been completed. A pre-inspection briefing was held on Thursday, February 9, 2023, and the following facilities were inspected between Tuesday, March 14, 2023 and Friday, March 17, 2023 : FACILITY NAME BSCC # FACILITY TYPE Butte Juvenile Hall 7027 JH Camp Condor 7029 CAMP SYTF Commitment to 7030 SYTF Success Program (CSP) These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to the annual inspection, Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. All local inspections were conducted as required. However, regarding the Nutrition evaluation conducted on November 15, 2022, the County Department of Public Health evaluator identified deficiencies. Specifically, there was no Registered Dietician on record to provide nutrient guidance and other dietary support to food service staff. This also did not enable the Department of Public Health evaluators to obtain needed analysis in Melissa Romero, Chief of Probation Page 2 multiple areas of the evaluation. Following the BSCC inspection, the county hired a Registered Dietician to provide the recommended nutritional guidance. INSPECTION RESULTS We identified the following items of noncompliance with Title 15 Minimum Standards: Juvenile Hall 1321 Staffing (f): BSCC staff observed that there were no sufficient food service personnel to meet the minimum requirements of this regulation, which includes, but is not limited to, completing the evening Cook responsibilities for youth meals. Per Title 15 section (f) of this regulation, in part, the facility is required to have sufficient food service personnel available to plan menus meeting the nutritional requirements of youth, provide kitchen supervision, and direct food preparation and servings. 1329 Suicide Prevention Plan (b) (4): Per the facility’s policy and, in part, Title 15, youth found to be at-risk for suicide are placed on “Suicide Watch” status and remain under direct observation pending behavioral health assessment. BSCC staff discovered that facility policy and, in part, Title 15 was not being followed. 1329 Suicide Prevention Plan (c): Per the facility policy, unless an immediate safety concern, detention staff will contact behavioral health and maintain direct observation of the youth pending a behavioral health assessment to remove the youth’s clothing. Per Title 15 of this section, suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. BSCC staff discovered that facility policy and, in part, Title 15 was not being followed. 1433 Requests for Health Care Services: Title 15 regulations require that youth shall be provided the opportunity to confidentially convey, either through written or verbal communications, a request for medical, dental, or behavioral/mental health services. BSCC staff discovered that facility policy and, in part, Title 15 was not being followed. Camp Condor/ Secure Treatment Facility 1321 Staffing (f): BSCC staff observed that there were no sufficient food service personnel to meet the minimum requirements of this regulation, which includes, but is not limited to, completing the evening Cook responsibilities for youth meals. Per Title 15 section (f) of this regulation, in part, the facility is required to have sufficient food service personnel available to plan menus meeting the nutritional requirements of youth, provide kitchen supervision, and direct food preparation and servings. 7027 7029 7030 Butte Probation JH Camp SYTF LTR 23-24 Melissa Romero, Chief of Probation Page 3 1433 Requests for Health Care Services: Title 15 regulations require that youth shall be provided the opportunity to confidentially convey, either through written or verbal communications, a request for medical, dental, or behavioral/mental health services. BSCC staff discovered that facility policy and, in part, Title 15 was not being followed. Refer to the attached Procedures Checklist for detailed information. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity and Title 24 compliance. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified and no areas of noncompliance were noted. CORRECTIVE ACTION PLAN (CAP) An Exit Briefing with your staff was held on Friday, March 17, 2023; 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. Your agency corrected the items of noncompliance following the inspection. However, Title 15 regulations, Section 1321 Staffing, remains non-compliant. On May 27, 2023, Superintendent Nino Pinocchio provided a CAP addressing the facility’s action to correct the remaining item of noncompliance. According to the CAP provided, the food services staffing issue that resulted in the noncompliance will be corrected by July 1, 2023. * * * Please email me at forrest.coleman@bscc.ca.gov or call (916) 508-7559 if you have any questions. Sincerely, FORREST COLEMAN Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, ButteCounty Juvenile Court* Chair, Juvenile Justice Commission, Butte County* Chair, Board of Supervisors, Butte County* County Administrator, Butte County* Superintendent of Institutions, Nino Pinocchio, Butte County Probation Dept Assistant Superintendent Mariah Ruddy, Butte County Probation Dept 7027 7029 7030 Butte Probation JH Camp SYTF LTR 23-24 Melissa Romero, Chief of Probation Page 4 *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7027 7029 7030 Butte Probation JH Camp SYTF LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7027 FACILITY NAME: Butte County Juvenile Hall (BCJH) FACILITY TYPE: Juvenile Hall PERSON(S) INTERVIEWED: Nino Pinocchio, Superintendent; Mariah Ruddy, Assistant Superintendent; Lauren K. Tuft, RN Charge; Timothy Bowers, Cook (Acting Supervising Cook); Nick Catomerisios, Principal; Joseph Crispin, Teacher; Ayana Venable, Supervisor Juvenile Detention Officer; Dawn Lopez, Juvenile Detention Officer; Male youth 17 years old; Multiple random youth. FIELD REPRESENTATIVE: Forrest Coleman DATE: March 17, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF Due to this inspection being conducted three BUILDING AND GROUNDS months into the 2023-2024 inspection cycle, we requested that the agency provide all On an annual basis, or as otherwise required by law, "County Inspections and Evaluation of each juvenile facility administrator shall obtain a Grounds" inspection reports that occurred documented inspection and evaluation from the following the agency’s prior February 2022 following: Board of State and Community Corrections (BSCC) inspection and or inspections and evaluations that occurred within a year of the date of the current inspection. (A) County building inspection by agency designated by Lexipol Policy Section 107.3..2(a) the Board of Supervisors to approve building safety; ☒ ☐ ☐ Completed on March 13, 2023, and inspected by Charles Climent, GSD. (B) Fire authority having jurisdiction, including a fire Lexipol Policy Section 107.3.2(b) clearance as required by Health and Safety Code Section 13146.1 (a) and (b); Completed on July 21, 2021, and inspected ☒ ☐ ☐ by City of Oroville Fire Department • This inspection requirement is biennial. 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 5 for the complete list and text of regulations. 7027 Butte Juvenile Hall PRO 23-24 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with Lexipol Policy Section 107.3.2(c) Health and Safety Code Section 101045; Environmental Health – Inspection completed on November 15, 2022, by Leslie Roberts, EH Specialist Nutritional – Evaluation completed on November 15, 2022, by Amber McPherson, Public Health Prog Mgr., and Caitlyn Parker, Public Health Nutritionist. We observed that several deficiencies were identified in the report submitted by Butte County Public Health. There was no Registered Dietician on record to provide ☒ ☐ ☐ nutrient and other dietary analysis to the Department of Public Health evaluators. It was recommended that the agency hire a Registered Dietitian. At the time of this report, the Butte County Juvenile Hall (BCJH) has hired a registered Dietician. Medical/Mental Health - Evaluated on November 15, 2022, by David Canton, Health Officer, Butte County Public Health, and Monica Sodertrom, RN, Dir. Community Health, PH. (D) County superintendent of schools on the adequacy Lexipol Policy Section 107.3.2(d) of educational services and facilities as required in Section 1370; Evaluated on December 1, 2022, by Carie ☒ ☐ ☐ Webb, Executive Dir. Shasta County OED, and Cheyenne Mizenko, Asst Principal, Shasta County OED. (E) Juvenile court as required by Section 209 of the Lexipol Policy Section 107.3.2(e) Welfare and Institutions Code Completed on December 12, 2022, by ☒ ☐ ☐ Honorable Kimberly Merrifield, Presiding Judge, Butte County (F) Juvenile Justice Commission as required by Section Lexipol Policy Section 107.3.2(f) 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the Completed on March 29, 2022, by Chair Welfare and Institutions Code. Darin Haerle and commission inspectors, ☒ ☐ ☐ Matt Thomas and Janet Goodson. A 2023 inspection is pending this month, March 2023. 7027 Butte Juvenile Hall PRO 23-24 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS BSCC Note: Compliance with this section is An Appointment and Qualification Letter, determined by receipt of the Chief Probation Officer’s dated January 10, 2023, was received from certification letter confirming that all elements of Butte County Chief Probation Officer (CPO) Melissa Romero certifying all appointments of regulation are met. staff are pursuant to the applicable laws (a) Appointment including minimum standards from BSCC, In each juvenile facility there shall be a superintendent, ☒ ☐ ☐ Penal Code 6035. Further, that all staff director or facility manager in charge of its program and present at the facility meet all required qualifications and clearances including employees. Such superintendent, director, facility contract personnel, volunteers, and other manager and other employees of the facility shall be non-employees. appointed by the facility administrator pursuant to applicable provisions of law. The letter confirms that the BCJH complies with the elements of this regulation. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess Policy 100, Organizational Structure, knowledge, skills and abilities appropriate to Appointment, and Responsibility their job classification and duties in accordance Policy 302, Detention Training Officer with applicable civil service or merit system rules; ☒ ☐ ☐ The elements of this regulation are confirmed in the CPO appointment and qualifications letter dated January 10, 2023. (2) require a medical evaluation and physical Policy 100, Organizational Structure, examination including tuberculosis screening Appointment, and Responsibility test and evaluation for immunity to contagious ☒ ☐ ☐ The elements of this regulation are confirmed illnesses of childhood (i.e., diphtheria, rubeola, in the CPO appointment and qualifications rubella, and mumps); letter dated January 10, 2023. (3) adhere to the minimum standards for the Policy 100, Organizational Structure, selection and training requirements adopted by Appointment, and Responsibility the Board pursuant to Section 6035 of the Penal Policy 302, Detention Training Officer Code; and ☒ ☐ The Board of State and Community ☐ Corrections, Standard and Training for Corrections (STC) Division reports that the Butte County Probation Department meets Title 15 regulation minimum standards for staff training requirements. (4) conduct a criminal records review, on each new Policy 100, Organizational Structure, employee, and psychological examination in Appointment, and Responsibility ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. 7027 Butte Juvenile Hall PRO 23-24 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Contract personnel, volunteers, and other non- Policy 308 Volunteers and Student employees of the facility, who may be present at the Internships facility, shall have such clearance and qualifications as may be required by law, and their presence at the Unless always supervised, all contract facility shall be subject to the approval and control of ☒ ☐ ☐ personnel, volunteers, and other non- members of the facility, who may be present the facility manager. at the facility, have had such clearance and qualifications as may be required by law and their presence is subject to the approval and control of the Chief Probation Officer. 1321 STAFFING Camp Condor is a detention camp within the BCJH complex, on a housing unit. The Camp Each juvenile facility shall: and the Juvenile Hall conduct staff training together. Cross-training the staff provides an opportunity to utilize staff from either facility if needed. Further, Camp Condor abides by the same BCJH policies and procedures, as well as the Title 15 regulations including, but not limited to, staff training and qualifications. a) have an adequate number of personnel sufficient to Policy 217, Staffing Plan carry out the overall facility operation and its We reviewed the Agency’s Organization programming, to provide for safety and security of Chart, random weekly staff schedules, and youth and staff, and meet established standards and ☒ ☐ ☐ daily unit schedules. In addition, we made regulations; personal observations. As a result, we were able to conclude that BCJH meets Title 15 minimum standards for this regulation. b) ensure that no required services shall be denied Policy 217, Staffing Plan because of insufficient numbers of staff on duty Per the above policy, the Superintendent shall absent exigent circumstances; ensure that a staffing plan conforming to the type and size of this facility is prepared and maintained as described in the policy. Detention staff from Camp Condor provide additional youth supervision support. ☒ ☐ ☐ Through our documentation review, personal observations, as well as, through interviews with youth housed at the facilities and detention staff, BCJH regularly ensures that the staffing is adequate, and that programming and services are not canceled because of staffing issues. 7027 Butte Juvenile Hall PRO 23-24 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS c) have a sufficient number of supervisory level staff to Policy 217, Staffing Plan ensure adequate supervision of all staff members; In review of the daily staff schedule, as well as, through interviews with youth housed at the facility and staff, we confirmed that there is a Supervising Juvenile Detention Officer (SJDO) present at the facility on each shift. ☒ ☐ ☐ When the SJDO is absent from the shift, a JDO is assigned to work in the Supervisor’s role, as the ”Lead Officer”. BCJH complies with the Title 15 minimum standards for this regulation. d) have a clearly identified person on duty at all times Policy 217, Staffing Plan who is responsible for operations and activities and The facility Superintendent is responsible for has completed the Juvenile Corrections Officer Core the daily overall operations of the facility. Course and PC 832 training; ☒ ☐ ☐ In review of the sign-in to work shift scheduler, a supervisor is clearly always identified and on duty. e) have at least one staff member present on each Policy 217, Staffing Plan living unit whenever there are youth in the living unit; Through personal observations, as well as through interviews with staff and youth ☒ ☐ ☐ housed at the facility, BCJH regularly ensures that there is always a staff present in the unit or where a youth is present. Youth are never left unsupervised. 7027 Butte Juvenile Hall PRO 23-24 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) have sufficient food service personnel relative to the Policy 200 Financial Practices, Section 200.8, number and security of living units, including staff Staffing Plan qualified and available to: plan menus meeting Through staff interviews and personal nutritional requirements of youth; provide kitchen observation, it was discovered that the facility supervision; direct food preparation and servings; is experiencing food service personnel (Cook) conduct related training programs for culinary staff; staffing challenges due to two vacant cook and maintain necessary records; or, a facility may positions. serve food that meets nutritional standards prepared by an outside source; Noncompliance was discovered when BSCC staff observed that there was no sufficient food service personnel to meet the minimum requirements of this regulation, which includes but is not limited to, completing the evening Cook responsibilities for youth meals. As a result, upon a Cook ending his day shift, the Cook leaves cooked and or uncooked ☐ ☒ ☐ prepared meals for the evening detention staff to warm or cook for the youths’ evening meals. Per the agency’s Orientation, Training, and Qualifications policy and procedure, detention and or camp staff are not qualified or responsible to work as the facility cook on a regular basis. Prior to submittal of this report, the agency provided a Corrective Action Plan (CAP) indicating efforts being made to hire an adequate number of food service personnel. According to the CAP, two cooks are going through the hiring process. BSCC will follow up with the agency within 30 days of this report. 7027 Butte Juvenile Hall PRO 23-24 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy 201, Supervision of Youth medical, dental, mental health, building Policy 217, Staffing Plan maintenance, transportation, control room, facility security and other support staff for the efficient BSCC staff interviewed medical services management of the facility, and to ensure that youth personnel, education services, and detention supervision staff shall not be diverted from staff. We also made personal observations supervising youth; and, over the course of the inspection week. BCJH has one full-time Nurse that works Monday through Friday from 0630 to 1500. There is a Licensed Vocational Nurse who covers weekend shifts. According to medical personnel, health services is actively making efforts to fill two vacant Nurse positions. Due to no medical staff being onsite during the evening hours, the SJDO conducts the ☒ ☐ ☐ evening pill pass to youth. BSCC staff discussed the importance of ensuring that any detention staff who dispense medication to youth must be trained and orientated by medical services personnel. Due to a critical unforeseen circumstance, the facility is temporarily without a Mental Health Clinician. In the interim, the facility may contact WellPath call helpline for emergencies. Medical services are also providing additional assistance with duties that may be applicable to their knowledge base. BCJH complies with Title 15 minimum standards for this regulation. h) assign sufficient youth supervision staff to provide Policy 201, Supervision of Youth continuous wide-awake supervision of youth, subject Policy 217, Staffing Plan to temporary variations in staff assignments to meet special program needs. Staffing shall be in BSCC staff interviewed detention staff and compliance with a minimum youth-staff ratio for the reviewed housing unit logs, programming following facility types: schedules, and employee daily schedules. ☒ ☐ ☐ The Butte County JH regularly provides youth supervision staffing levels that enable the facility to meet the minimum standards for this regulation. BCJH complies with Title 15 minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Juvenile Halls (minimum youth-staff ratio) Policy 201, Supervision of Youth (A) during the hours that youth are awake, one wide- Policy 217, Staffing Plan awake youth supervision staff member on duty for each 10 youth in detention; Through documentation review, personal observations, as well as interviews with youth and detention staff, the facility regularly ensures that there is one wide-awake youth supervision staff member on duty for each 10 youth in detention. ☒ ☐ ☐ Per policy, the Agency conducts an annual comprehensive staffing analysis to evaluate personnel requirements and available staffing levels. At the time of this inspection, there were 7 youth in the juvenile hall detention facility. All detention youth were housed in the E unit. (B) during the hours that youth are confined to their Policy 201, Supervision of Youth room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ Policy 217, Staffing Plan youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Policy 201, Supervision of Youth members on duty at all times, regardless of the Policy 217, Staffing Plan number of youth in detention, unless an arrangement has been made for backup support Through a review of housing unit logs, the services which allow for immediate response to daily staff schedule, personal observations, emergencies; and, as well as through interviews with detention staff, BCJH regularly ensures that the ☒ ☐ ☐ minimum youth-to-staff ratio is met. To ensure that the Shift Schedule form provides clarity of staffing ratios working a particular pod, the Shift Scheduler form was updated to accurately reflect staff Pod assignments. (D) at least one youth supervision staff member on duty Policy 201, Supervision of Youth who is the same gender as youth housed in the Through documentation review, personal facility. observations, as well as through interviews with youth and detention staff, BCJH regularly ☒ ☐ ☐ ensures that there are always male and female staff on duty. At the time of this inspection, there were no female youth detained at the BCJH. 7027 Butte Juvenile Hall PRO 23-24 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) personnel with primary responsibility for other duties Policy 201, Supervision of Youth such as administration, supervision of personnel, Only youth supervision staff provide academic or trade instruction, clerical, kitchen or supervision of the youth. maintenance shall not be classified as youth ☒ ☐ ☐ supervision staff positions. BCJH meets Title 15 minimum standards for this regulation (2) Special Purpose Juvenile Halls (minimum The Butte County Juvenile Hall is not a youth-staff ratio) Special Purpose Juvenile Hall. The below (A) during hours that youth are awake, one wide-awake ☐ ☐ ☒ section A thru E is not applicable to this facility. youth supervision staff member is on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement ☐ ☐ ☒ has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or ☐ ☐ ☒ maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) Although Butte County Camp Condor is (A) during the hours that youth are awake, one wide- located on a housing unit within the juvenile awake youth supervision staff member on duty for hall complex, cross-trains staff, and abides by each 15 youth in the camp population; the same policies and procedures as the ☐ ☐ ☒ BCJH, it is identified as a separate facility. Therefore, the below camp section A through F is not applicable to this facility inspection report. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless arrangements ☐ ☐ ☒ have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility; 7027 Butte Juvenile Hall PRO 23-24 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the function of ☐ ☐ ☒ the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, farm, forestry, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy 300 Member Orientation AND TRAINING Policy 303 Training (a) Prior to assuming any responsibilities each youth The elements of this regulation are confirmed supervision staff member shall be properly oriented in the Butte Chief Probation Officer’s (CPO) to their duties, including: Appointment and Qualifications Letter provided by Butte County CPO Melissa Romero, and dated January 10, 2023. The letter certifies that BCJH correctional officers ☒ ☐ ☐ have been appointed with applicable provisions of law. According to the Board of State and Community Corrections’ Standard and Training for Corrections (STC) Division, Butte County JH meets Title 15 minimum standards regarding staff training and orientation. (1) youth supervision duties; Policy 303 Training Per the above policy, the facility has a four- phase training process. The first phase is conducted by the Administrative Supervisor. ☒ ☐ ☐ The elements of this regulation are identified in Phase One of the training procedure and confirmed in the CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023. (2) scope of decisions they shall make; Policy 303 Training The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the training procedure and confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. (3) the identity of their supervisor; Policy 303 Training ☒ ☐ ☐ The elements of this regulation are identified in Phase One of the BCJH training procedure. 7027 Butte Juvenile Hall PRO 23-24 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) the identity of persons who are responsible to Policy 303 Training them; The Administrative Supervisor provides initial training and assigns a JDO to the new hire ☒ ☐ ☐ that will provide training through Phase Two of the training process. A Training Officer (TO) will be assigned to the trainee at Phase Three of the new hire training process. (5) persons to contact for decisions that are beyond Policy 303 Training their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. Policy 303 Training The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the BCJH training procedure. Qualifications Letter dated January 10, 2023. (b) Prior to assuming any responsibility for the Policy 300 Member Orientation supervision of youth, each youth supervision staff Policy 303 Training member shall receive a minimum of 40 hours of facility-specific orientation, including: The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. ☒ ☐ ☐ According to the Board of State and Community Corrections’ Standard and Training for Corrections (STC) Division, Butte County JH ensures each youth supervision staff member shall receive a minimum of 40 hours of facility-specific orientation training. (1) individual and group supervision techniques; Policy 300 Member Orientation Policy 303 Training The Juvenile Hall Superintendent, Supervising Detention Officer (SJDO), and the Training Officer (TO) ensure that staff ☒ ☐ ☐ meet mandated training requirements and pass or fail the new hire training. BCJH meets Title 15 regulation minimum standards for this regulation. (2) regulations and policies relating to discipline and Policy 300 Member Orientation rights of youth pursuant to law and the provisions Policy 303 Training of this chapter; The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the new hire training and confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. (3) basic health, sanitation and safety measures; Policy 300 Member Orientation ☒ ☐ ☐ Policy 303 Training 7027 Butte Juvenile Hall PRO 23-24 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) suicide prevention and response to suicide Policy 300 Member Orientation attempts Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications ☒ ☐ ☐ Letter dated January 10, 2023. In addition, detention staff receive suicide prevention training as part of their annual training program. (5) policies regarding use of force, de-escalation Policy 300 Member Orientation techniques, chemical agents, mechanical and Policy 303 Training physical restraints; The elements of this regulation are confirmed ☒ ☐ ☐ in the CPO Appointment and Qualifications Letter dated January 10, 2023. (6) review of policies and procedures referencing Policy 300 Member Orientation trauma and trauma-informed approaches; Policy 303 Training ☒ ☐ ☐ BCJH meets Title 15 regulation minimum standards for this regulation. (7) procedures to follow in the event of Policy 300 Member Orientation emergencies; ☒ ☐ ☐ Policy 303 Training (8) routine security measures, including facility Policy 300 Member Orientation perimeter and grounds; Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications ☒ ☐ ☐ Letter dated January 10, 2023. BCJH meets Title 15 regulation minimum standards for this regulation. (9) crisis intervention and mental health referrals to Policy 300 Member Orientation mental health services; Policy 303 Training ☒ ☐ ☐ Staff receive initial training in addition to an annual suicide prevention update. (10) documentation; and Policy 300 Member Orientation ☒ ☐ ☐ Policy 303 Training 7027 Butte Juvenile Hall PRO 23-24 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (11) fire/life safety training Policy 300 Member Orientation Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. ☒ ☐ ☐ Staff also receive annual emergency procedures training and or acknowledge a review of policy and procedure. BCJH meets Title 15 regulation minimum standards for this regulation. (c) Prior to assuming sole supervision of youth, each Policy 303 Training youth supervision staff member shall successfully complete the requirements of the Juvenile The elements of this regulation are confirmed Corrections Officer Core Course pursuant to Penal in the CPO Appointment and Qualifications Code Section 6035. ☒ ☐ ☐ Letter dated January 10, 2023. Staff complete CORE within the first year of assignment. (d) Prior to exercising the powers of a peace officer Policy 303 Training youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal The elements of this regulation are identified Code. in Phase Three of the new hire training process and confirmed in the CPO ☒ ☐ ☐ Appointment and Qualifications Letter dated January 10, 2023. Staff complete PC 832 within the first year of assignment. 1323 FIRE AND LIFE SAFETY 402 Fire Safety Whenever there is a youth in a juvenile facility, there shall In review of documentation, all staff shall be at least one wide awake person on duty at all times receive Fire and Life Safety Training either who meets the training standards established by the through CORE training or other contracted Board for general fire and life safety which relate certified providers. specifically to the facility. ☒ ☐ ☐ The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. BCJH meets Title 15 minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1324 POLICY AND PROCEDURES MANUAL Policy 103 Detention Manual Policy 102 Annual Review and Performance- All facility administrators shall develop, publish, and Based Goals and Objectives implement a manual of written policies and procedures that address, at a minimum, all regulations that are The facility manual is available in electronic applicable to the facility. Such a manual shall be made and hard copy format. A hard copy version is available to all employees, reviewed by all employees, available in each unit. Per policy and and shall be administratively reviewed at a minimum confirmed by the facility Superintendent, the every two years, and updated, as necessary. Those manual is administratively reviewed at a records relating to the standards and requirements set minimum every two years and updated as forth in these regulations shall be accessible to the Board needed. on request. ☒ ☐ ☐ The manual shall include: A letter dated March 23, 2023, provided by Superintendent Nino Pinocchio, confirmed that an annual administrative review of the BCJH policy and procedures manual was conducted from March 6, 2023, to March 16, 2023. As part of the annual review, all BSCC detention staff participated in a policy and procedures annual update training. BCJH meets Title 15 minimum standards for this regulation. (a) table of organization, including channels of Policy 100 Organizational, Structure, communications and a description of job Appointment, and Responsibility classifications; ☒ ☐ ☐ BCJH meets Title 15 minimum standards for this regulation. (b) responsibility of the probation department, purpose Policy 100 Organizational, Structure, of programs, relationship to the juvenile court, the Appointment, and Responsibility Juvenile Justice/Delinquency Prevention Commission or Probation Committee, probation In review of annual inspection reports by the staff, school personnel and other agencies that are Juvenile Court, the Juvenile Justice involved in juvenile facility programs; Commission, and through interviews with the probation staff, school personnel, and other ☒ ☐ ☐ agencies, all collaborative partners have a clear and articulable understanding of their roles and expectations as they relate to the relationship, responsibilities, and purpose of programs outlined by the Butte County Probation Department’s policy and procedure manual. (c) responsibilities of all employees; Policy 100 Organizational, Structure, Appointment, and Responsibility ☒ ☐ ☐ Detention staff have access to the policy and procedure manuals in hard copy and or electronic format. (d) initial orientation and training program for Policy 303 Training employees; ☒ ☐ ☐ BCJH meets Title 15 minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) initial orientation, including safety and security issues Policy 307 Health Care Orientation and and anti-discrimination policies, for support staff, Training contract employees, school, mental/behavioral Policy 308 Volunteers and Student health and medical staff, program providers and internships volunteers; Policy 311 Support Personnel Orientation and Training ☒ ☐ ☐ Prior to initial entry to the facility, the BCJH ensures new support staff, contractors, and or volunteers undergo a safety/security briefing and must complete the initial orientation training. BCJH meets Title 15 minimum standards for this regulation. (f) maintenance of record-keeping, statistics and Policy 222 Records Care and Maintenance communication system to ensure: ☒ ☐ ☐ (1) efficient operation of the juvenile facility; Policy 222 Records Care and Maintenance Handwritten logs and housing unit programming forms are the main means of record keeping of day-to-day programming ☒ ☐ ☐ and facility operations. BCJH meets Title 15 minimum standards for this regulation. (2) legal and proper care of youth; Policy 222 Records Care and Maintenance BCJH meets Title 15 minimum standards for ☒ ☐ ☐ this regulation. (3) maintenance of individual youth's records; Policy 222 Records Care and Maintenance ☒ ☐ ☐ (4) supply of information to the juvenile court and Policy 222 Records Care and Maintenance those authorized by the court or by the law; and, The agency utilizes a case management ☒ ☐ ☐ system for communication and record keeping with the courts, juvenile probation, and statistical data collection. (5) release of information regarding youth. Policy 222 Records Care and Maintenance ☒ ☐ ☐ (g) ethical responsibilities; Policy 302 Detention Training ☒ ☐ ☐ Policy 303 Training (h) trauma-informed approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all BCJH detention staff participated in training that included but was not limited to trauma- informed approaches. 7027 Butte Juvenile Hall PRO 23-24 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) culturally responsive approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all BCJH detention staff participated in training that included but was not limited to culturally responsive approaches. (j) gender responsive approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all BCJH detention staff participated in training that included but was not limited to gender- responsive approaches. (k) a non-discrimination provision that provides that all Policy 608 Youth Nondiscrimination youth within the facility shall have fair and equal access to all available services, placement, care, BSCC staff reviewed the above policy and treatment, and benefits, and provides that no person orientation packets, and interviewed youth to shall be subject to discrimination or harassment on conclude that the BCJH meets compliance the basis of actual or perceived race, ethnic group with the elements of this regulation. identification, ancestry, national origin, immigration ☒ ☐ ☐ status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy 513 Management of Weapons and chemical agents related security devices, and Control Devices ☒ ☐ ☐ weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy 501 Youth Intake Cal eligibility information and enrollment of eligible ☒ ☐ ☐ youth; and, (n) establishment of a policy that prohibits all forms of Policy 306 Prison Rape Elimination Act sexual abuse, sexual assault and sexual (PREA)Training harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 402 Fire Safety The facility administrator shall consult with the local fire Overall, based on the documentation department having jurisdiction over the facility, or with the ☒ ☐ ☐ provided, the facility meets compliance with State Fire Marshal, in developing a plan for fire safety the elements contained in this section of the which shall include, but not be limited to: Title 15 regulations. a) a fire prevention plan to be included as part of the Policy 402 Fire Safety manual of policy and procedures; ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) monthly fire and life safety inspections by facility Policy 402 Fire Safety staff with two- year retention of the inspection record; BSCC staff requested a review of the facility’s monthly fire and life safety inspection documentation from their prior BSCC inspection on July 21, 2021, to the present. ☒ ☐ ☐ The facility provided detailed and comprehensive fire and life safety inspection records. BSCC meets Title 15 minimum standards for this regulation. c) fire prevention inspections as required by Health Policy 402 Fire Safety and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ A fire inspection was completed by the City of Oroville Fire Department on July 21, 2021. d) an evacuation plan; Policy 402 Fire Safety ☒ ☐ ☐ BCJH meets Title 15 minimum standards for this regulation. e) documented fire drills not less than quarterly; Policy 402 Fire Safety BSCC staff requested a review of quarterly fire drills’ documentation for the full 2020-2022 inspection cycle. BCJH exceeded Title 15 ☒ ☐ ☐ minimum standards for fire drill expectations, in terms of intervals of occurrence. Fire Drill records show that fire drills occur monthly, although required quarterly. f) a written plan for the emergency housing of youth in Policy 402 Fire Safety the case of fire; and, BCJH has multiple mutual aid contracts with ☒ ☐ ☐ neighboring counties where youth can be housed in the event of an emergency evacuation. g) development of a fire suppression pre-plan in Policy 402 Fire Safety cooperation with the local fire department. ☒ ☐ ☐ BCJH meets Title 15 minimum standards for this regulation. 1326 SECURITY REVIEW Policy 102 Annual Review and Performance- Based Goals and Objectives Each facility administrator shall develop policies and procedures to annually review, evaluate, and document An annual BCJH security checklist dated security of the facility. The review and evaluation shall December 14, 2023, was provided by include internal and external security, including, but not Superintendent Nino Pinocchio confirming an ☒ ☐ ☐ limited to, key control, equipment, and staff training. annual administrative review and evaluation of the BCJH facility. BCJH meets Title 15 minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1327 EMERGENCY PROCEDURES Policy 400 Facility Emergencies Policy 404 Emergency Evacuation The facility administrator shall develop facility-specific policies and procedures for emergencies that shall A letter dated March 23, 2023, provided by include, but not be limited to: Superintendent Nino Pinocchio, confirmed that an annual administrative review of the ☒ ☐ ☐ BCJH emergency procedures was conducted from March 6, 2023, to March 16, 2023. As part of the annual review, all BSCC detention staff participated in an emergency procedures annual update training. (a) escape, disturbances, and the taking of hostages; Policy 400 Facility Emergencies Procedure 400 Facility Emergencies ☒ ☐ ☐ (b) civil disturbance, active shooter and terrorist attack; Policy 400 Facility Emergencies ☒ ☐ ☐ (c) fire and natural disasters; Policy 400 Facility Emergencies ☒ ☐ ☐ (d) periodic testing of emergency equipment; Policy 400 Facility Emergencies ☒ ☐ ☐ BCJH meets Title 15 minimum standards for this regulation. (e) emergency evacuation of the facility; and Policy 400 Facility Emergencies Procedure 400 Facility Emergencies Policy 404 Emergency Evacuation BCJH has multiple mutual aid contracts with ☒ ☐ ☐ neighboring counties where youth can be housed in the event of an emergency evacuation. (f) a program to provide all youth supervision staff with Policy 400 Facility Emergencies an annual review of emergency procedures. A letter dated March 23, 2023, provided by Superintendent Nino Pinocchio, confirmed that an annual administrative review of the BCJH emergency procedures was conducted from March 6, 2023, to March 16, 2023. As ☒ ☐ ☐ part of the annual review, all BCJH detention staff participated in an emergency procedures annual update training. BCJH meets Title 15 Minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy 506 Youth Safety Checks The facility administrator shall develop and implement We reviewed Safety Checks logs for policy and procedures that provide for direct visual December 2022, and January and February observation of youth at a minimum of every 15 minutes, of 2023. at random or varied intervals during hours when youth BSCC staff confirmed that safety checks were are asleep or when youth are in their rooms, confined in conducted per Title 15 minimum standards. holding cells or confined to their bed in a dormitory. Supervision is not replaced, but may be supplemented In review, the logbook is used for safety by, an audio/visual electronic surveillance system checks, unit activities, shift summaries, etc. All designed to detect overt, aggressive or assaultive information is documented on the same behavior and to summon aid in emergencies. All safety logbook page. As a result, tracking safety checks shall be documented with the actual time the check compliance can be inconsistent and check is completed. confusing. Youth’s whereabouts get lost or difficult to locate. ☒ ☐ ☐ BSCC staff discussed and provided best outcome recommendations that primarily focused on having the ability to clearly review and track safety checks. At a minimum, we suggest that safety checks are recorded on a separate page of the logbook independent of other day-to-day noted information. In addition, we discussed the importance of clearly identifying (in print) the staff that are conducting the safety checks. This could be noted at the beginning of each shift or when a particular staff arrives at the housing unit. 1329 SUICIDE PREVENTION PLAN Policy 707 Suicide Prevention and Intervention Procedure 707 Suicide Prevention and The facility administrator, in collaboration with the Intervention healthcare and behavioral/mental health administrators, shall plan and implement written policies ☒ ☐ ☐ The Superintendent in collaboration with the and procedures which delineate a Suicide Prevention Heal Care Administrator has a suicide Plan. The plan shall consider the needs of youth experiencing past or current trauma. Suicide prevention prevention plan in place. responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Policy 300 Member Orientation 1322, Youth Supervision Staff Orientation, and Policy 707 Suicide Prevention and Training and the Juvenile Corrections Officer Core Intervention Course. The elements of this regulation are confirmed in the CPO Appointment and Qualifications ☒ ☐ ☐ Letter dated January 10, 2023. An annual refresher training is included in the BCJH Suicide Prevention Plan. In addition, staff receive suicide prevention training during Counselor CORE training. 7027 Butte Juvenile Hall PRO 23-24 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Policy 400 Emergency Procedures Precautionary Protocols (1) All youth shall be screened for risk of We reviewed random youth intake screenings suicide at intake and as needed during and/or assessments completed by Intake detention. facility staff. BCJH intake staff screen, assess, and identify youth who may be a suicide risk. The elements of this regulation are performed ☒ ☐ ☐ via staff’s personal observations, intake questions, interviews with the arresting officer, and information from parents. Medical staff conduct an assessment as well. BCJH meets Title 15 minimum standards for this regulation (2) All youth supervision staff who perform Policy 700 Health Authorities intake processes shall be trained in screening youth for risk of suicide. The elements of this regulation are confirmed in the CPO appointment and qualifications ☒ ☐ ☐ letter dated July 10, 2023. An annual refresher training is included in the BCJH Suicide Prevention Plan. (3) All youth who have been identified during Policy 400 Emergency Procedures the intake screening process to be at risk of suicide shall be referred to Youth identified during the intake screening behavioral/mental health staff for a suicide process to be at-risk of suicide shall be seen risk assessment. by a WellPath Behavioral Health therapist within 96 hours of admission. In review of the above policy, incident reports, ☒ ☐ ☐ and an interview with health services staff, BSCC staff confirmed that the BCJH meets Title 15 minimum standards for this regulation. Due to a tragic and unforeseen circumstance, we did not interview behavioral health staff. 7027 Butte Juvenile Hall PRO 23-24 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed Policy 707 Suicide Prevention and to ensure the youth’s safety pending the Intervention behavioral/mental health assessment. Procedure 707 Suicide Prevention and Intervention Per the above policy, youth found to be at-risk for suicide are placed on “Suicide Watch” status and remain under direct observation pending behavioral health assessment. This policy, in part, mirrors Title 15 Regulation, 1329 Suicide Prevention Plan, Section (b)(4). The facility was determined to be noncompliant with the elements of this ☐ ☒ ☐ regulation. BSCC staff identified noncompliance in review of the sole suicidal behavior Serious Incident Report (SIR). The SIR indicated that detention staff covered the window of a youth who expressed suicide ideations and was determined to be a suicide risk. Immediately following the inspection, to ensure compliance, the facility initiated an immediate suicide procedure update training, created a “Suicide Watch Check Off Sheet”, and updated policy and procedure. 7027 Butte Juvenile Hall PRO 23-24 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Referral process to behavioral/mental health staff Policy 400 Emergency Procedures for assessment and/or services. Procedure 707 Suicide Prevention and Intervention We requested to review suicide attempts and or suicide ideations from 2022 to the present. Per the facility policy, if there is an immediate safety concern, detention staff may determine that the youth’s clothing shall be removed. Otherwise, detention staff will contact behavioral health and maintain direct observation of the youth pending a behavioral health assessment to remove a youth’s clothing. This was determined to be ☒ ☐ ☐ noncompliant. BSCC staff identified noncompliance in review of the sole suicidal behavior Serious Incident Report (SIR). The SIR indicated that detention staff physically restrained a youth to remove his clothing when there was not an immediate safety concern to do so prior to contacting behavioral health services. Immediately following the inspection, to ensure compliance, the facility initiated an immediate suicide procedure update training, created a “Suicide Watch Check Off Sheet”, and updated policy and procedure. 7027 Butte Juvenile Hall PRO 23-24 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Procedures for monitoring of youth identified at risk Policy 707 Suicide Prevention and for suicide. Intervention Procedure 707 Suicide Prevention and Intervention To monitor youth at-risk for suicide, the facility utilizes the following: • Suicide Watch - Direct visual observation • 5-8 minute watch • Special Observation - Housing and room items allowed precautions. Per the above policy, youth found to be at-risk for suicide are placed on “Suicide Watch” status and remain under direct observation pending behavioral health assessment. This ☒ ☐ ☐ policy, in part, mirrors Title 15 Regulation, 1329 Suicide Prevention Plan, Section (a)(4). The facility was determined to be noncompliant with the elements of this regulation. BSCC staff identified noncompliance in review of the sole suicidal behavior Serious Incident Report (SIR). The SIR indicated that detention staff covered the window of a youth who expressed suicide ideations and was determined to be a suicide risk. Immediately following the inspection, to ensure compliance, the facility initiated an immediate suicide procedure update training, created a “Suicide Watch Check Off Sheet”, and updated policy and procedure. (e) Safety Interventions Procedure 707 Suicide Prevention and (1) Procedures to address intervention Intervention protocols for youth identified at risk for ☒ ☐ ☐ suicide which may include, but are not BCJH meets Title 15 minimum standards for limited to: this regulation. A. Housing consideration Procedure 707 Suicide Prevention and ☒ ☐ ☐ Intervention B. Treatment strategies including Procedure 707 Suicide Prevention and trauma-informed approaches Intervention The elements of this regulation are confirmed in the CPO appointment and qualifications ☒ ☐ ☐ letter dated July 10, 2023. An annual refresher training that includes trauma-informed approaches is included in the BCJH Suicide Prevention Plan. 7027 Butte Juvenile Hall PRO 23-24 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Policy 707 Suicide Prevention and Intervention (2) Procedure 707 Suicide Prevention and Intervention (f) Communication Policy 501 Youth Intake (1) The intake process shall include communication with the arresting officer and family guardians regarding the youth’s ☒ ☐ ☐ past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current Procedure 707 Suicide Prevention and information sharing about youth at risk for Intervention suicide with youth supervision, healthcare, and behavioral/mental health staff. BSCC staff provided best practice outcomes for documenting, monitoring, and sharing youth suicide ideation behaviors. Following ☒ ☐ ☐ the inspection, the facility developed a Suicide Watch Check Off Sheet to provide needed documentation of suicide behaviors. BCJH meets Title 15 minimum standards for this regulation. (g) Debriefing of Critical Incidents Related to Suicides Policy 707 Suicide Prevention and or Attempts Intervention (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, BCJH meets Title 15 minimum standards for during and after the critical incident. this regulation. (2) Process for a debriefing event with affected Policy 707 Suicide Prevention and staff. ☒ ☐ ☐ Intervention (3) Process for a debriefing event with affected Policy 707 Suicide Prevention and youth. Intervention ☒ ☐ ☐ BCJH meets Title 15 minimum standards for this regulation (h) Documentation Policy 707 Suicide Prevention and (1) Documentation processes shall be Intervention developed to ensure compliance with this ☒ ☐ ☐ Procedure 707 Suicide Prevention and regulation Intervention Youth identified at risk for suicide shall not be denied Policy 707 Suicide Prevention and the opportunity to participate in facility programs, Intervention services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety BCJH meets Title 15 minimum standards for ☒ ☐ ☐ of the youth or security of the facility. Any deprivation of this regulation programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy 101 Authority and Legal Assistance Each facility shall submit to the Board a letter of At the time of this inspection, there were no ☒ ☐ ☐ notification on each legal action, pertaining to conditions reports of legal action having occurred since of confinement, filed against persons or legal entities the prior inspection. responsible for juvenile facility operation. 7027 Butte Juvenile Hall PRO 23-24 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy 523 Reporting In-Custody Deaths OF A YOUTH WHILE DETAINED Policy 524 In-Custody Deaths Reviews (1) Death of a Youth. At the time of this inspection, there were no (a) The facility administrator, in cooperation with the reports of death of a youth in custody having health administrator and the behavioral/mental occurred since the prior inspection. health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the Policy 523 Reporting In-Custody Deaths facility administrator, shall develop written policies Policy 524 In-Custody Deaths Reviews and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Policy 523 Reporting In-Custody Deaths Board a copy of the report submitted to the Attorney Policy 524 In-Custody Deaths Reviews General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy 523 Reporting In-Custody Deaths the administrator, the Board may within 30 calendar Policy 524 In-Custody Deaths Reviews days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy 400 Emergency Procedures (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to necessary ☒ ☐ ☐ parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy 500 Population Management Each juvenile facility shall submit required population Per the Board of State and Community and profile survey reports to the Board within 10 ☒ ☐ ☐ Corrections, records show that the BCJH working days after the end of each reporting period, in Profile Survey Reports are timely and meet a format to be provided by the Board. minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1343 JUVENILE FACILITY CAPACITY Policy 1101 Crowding When the number of youth detained in a living unit of a The BCJH has not exceeded its rated juvenile facility exceeds its rated capacity for more than capacity. ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility At the time of this inspection, Butte County administrator shall provide a crowding report to the Juvenile Hall’s rated capacity is 25 youth. Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy 501Youth Intake Procedure 501 Youth Intake The facility administrator shall develop and implement written policies and procedures for admittance of youth We requested to review 10 youth Intake that emphasize respectful and humane engagement Packet forms that occurred between July with youth, and reflect that the admission process may 2022 to present, or the 10 most recent forms be traumatic to youth who may have already completed. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and A review of the documentation indicates literacy needs of youth. In addition to the requirements BCJH complies with the minimum standards of Sections 1324 and 1430 of these regulations: for this regulation. ☒ ☐ ☐ Through a combination of a variety of documentation reviews, interviews with youth housed at the facilities, interviews with detention staff, and interviews with medical health partners, we confirmed that the BCJH meets compliance with this regulation. BSCC staff was impressed with the utilization of an intake check-off sheet and the individual assessment and screening tool. (a) the admittance process shall include: Policy 501 Youth Intake (1) Access to two free phone calls within one hour Procedure 501 Youth Intake of admittance in accordance with the provisions of Welfare and Institution Code Section 627; ☒ ☐ ☐ We reviewed documentation and interviewed youth housed at the facility and detention staff. (2) Offer of a shower; Policy 501 Youth Intake Procedure 501 Youth Intake ☒ ☐ ☐ Youth and detention staff interviewed report that youth are offered showers and clean clothes upon intake. (3) Documented secure storage of personal Policy 501 Youth Intake belongings; ☒ ☐ ☐ Procedure 501 Youth Intake (4) Offer of food upon arrival; Policy 501 Youth Intake Procedure 501 Youth Intake ☒ ☐ ☐ The intake check-off sheet and the booking sheet provides assurance that youth are offered a meal at intake. 7027 Butte Juvenile Hall PRO 23-24 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Screening for physical and behavioral health Policy 501 Youth Intake and safety issues, intellectual or developmental Policy 504 Case Management disabilities; Policy 701 Youth Screening and Evaluation In review of youth intake documentation, the facility medical and behavioral health personnel evaluate youth within 96 hours of ☒ ☐ ☐ admittance utilizing a MAYSI II form. In addition, intake staff ask youth targeted questions to make determinations. BCJH meets Title 15 minimum standards for this regulation. (6) Screening for physical and developmental Policy 701 Youth Screening and Evaluation disabilities in accordance with Sections 1329, Procedure 501 Youth Intake 1413, and 1430 of these regulations; Through documentation and interviews with ☒ ☐ ☐ medical and behavioral health staff, we confirmed that BCJH ensures that all youth have a full medical exam within 96 hours of intake. (7) Contact with Regional Center for the Policy 501Youth Intake Developmentally Disabled for youth that are Procedure 501 Youth Intake suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. Procedure 502 Youth Classification ☒ ☐ ☐ (b) juvenile hall administrators shall establish written Procedure 502 Youth Classification criteria for detention that considers the least restrictive environment. We observed documentation showing that all youth are screened by utilizing a classification ☒ ☐ ☐ form that assesses the housing unit placement of the youth based on the criminal sophistication of a youth. (c) juvenile camps and post-dispositional programs in Policy 501 Youth Intake juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform them of program guidelines ☐ ☐ ☒ and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and Policy 501 Youth Intake procedures that advise any committed youth of the ☒ ☐ ☐ estimated length of his/her stay. 7027 Butte Juvenile Hall PRO 23-24 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy 501 Youth Intake ABUSE Policy 502 Classification Policy 701 Youth Screening The facility administrator shall develop and implement written policies and procedures to reduce the risk of The facility reported that it relies, in part, on sexual abuse by or upon youth. The policy shall require the onsite Licensed Marriage and Family facility staff to assess each youth within 72 hours of Therapist (LMFT) to conduct the screening admission based on the following information: that applies to this regulation. Sadly, due to very unfortunate and unforeseen circumstance, the facility LMFT was not available to confirm screenings and no documentation was provided confirming information. Although noncompliance appeared evident, ☒ ☐ ☐ BSCC staff reviewed multiple intake, classification, and youth screening policies and documentation to determine, cumulatively, compliance is met for this regulation. The facility policy differs from practice. We provided technical assistance to employ the facility to follow its own policy. Since the inspection, to enable the facility to readily provide proof of practice for this regulation, the facility developed and incorporated a “Sexual Victimization Assessment” spreadsheet to be completed during the intake process. (a) Prior sexual victimization or abusiveness; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (b) Gender nonconforming appearance or manner; or Policy 501Youth Intake identification as lesbian, gay or bisexual, Policy 502 classification transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (d) Age; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (e) Level of emotional and cognitive development; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (f) Physical size and stature; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (g) Mental illness or mental disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Intellectual or developmental disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (i) Physical disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (j) The youth’s perception of vulnerability; and, Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (k) Any other specific information about the individual Policy 501 Youth Intake youth that may indicate heightened needs for Policy 701 Youth Screening ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Policy 501 Youth Intake conversations with the youth during the admittance process, medical and behavioral health screenings; during classification assessments; and by reviewing ☒ ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy 701 Youth Screening controls on the dissemination of information within the facility relative to responses received pursuant to this assessment in order to ensure that sensitive information ☒ ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Policy 520 Release The facility administrator shall develop and implement Compliance with this regulation is confirmed written policies and procedures for release of youth based on review of facility policies and from custody which provide for: procedures, a review of random selection of ☒ ☐ ☐ juvenile hall release forms, interviews with collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) verification of identity/release papers; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ (b) return of personal clothing and valuables; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ (c) notification to the youth's parents or guardian; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) notification to the facility health care provider in Policy 520 Release accordance with Sections 1408 and 1437 of these Procedure 520 Youth Release regulations, for coordination with outside agencies; and, BSCC staff interviewed medical services personnel to help in determining compliance with minimum standards for this section of ☒ ☐ ☐ the regulation. BSCC staff were impressed with efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. (e) notification of school staff; Policy 520 Release Procedure 520 Youth Release BSCC staff interviewed education services (Teacher and Principal) to help in determining compliance with minimum standards for this section of the regulation. ☒ ☐ ☐ We were impressed with the efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. (f) notification of facility mental health personnel. Policy 520 Release Procedure 520 Youth Release BSCC staff reviewed policy and interviewed health services and detention staff to assist in confirming compliance. The facility LMFT and the Deputy Probation ☒ ☐ ☐ Officer (DPO) play vital roles in release transition planning for youth. BSCC staff were impressed with the efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement Policy 520 Release policies and procedures for post-disposition youth to Youth transition plans are discussed during coordinate the provision of transitional and reentry regularly scheduled MDT meetings. In services including, but not limited to, medical and addition, the facility LMFT in conjunction with behavioral health, education, probation supervision and the youth’s DPO, the Superintendent or community-based services. designee, and detention officers develop all post-dispositional services for a youth being released. In addition, education services ☒ ☐ ☐ attend the MDT and provide the youth with a transition education packet. While BSCC applauds the multi-collaborative efforts being made, we discussed the benefits that include proof of practice, when these efforts are documented on a transition plan document. The facility administrator shall develop and implement Policy 520 Release written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Policy 502 Youth Classification Procedure 502 Youth Classification The facility administrator shall develop and implement written policies and procedures on classification of Through a review of the above policy, youth for the purpose of determining housing placement ☒ ☐ ☐ admission classification example, we in the facility. determined that the BCJH meets compliance with the elements of this regulation. Such procedures shall: (a) provide for the safety of the youth, other youth, Policy 502 Youth Classification facility staff, and the public by placing youth in the Procedure 502 Youth Classification appropriate, least restrictive housing and program settings. Housing assignments shall consider the Through a review of the above policy, need for single, double or dormitory assignment or ☒ ☐ ☐ interviews with supervisory staff, and location within the dormitory; admission documentation, we determined that the BCJH meets compliance with the elements of this regulation. (b) consider facility populations and physical design of Policy 502 Youth Classification the facility; Procedure 502 Youth Classification ☒ ☐ ☐ (c) provide that a youth shall be classified upon Policy 502 Youth Classification admittance to the facility; classification factors shall Procedure 502 Youth Classification include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, Through a review of the above policy, legal status, public safety considerations, admission documentation, and interviews medical/mental health considerations, gender and with supervisory staff, we determined that the gender identity of the youth; ☒ ☐ ☐ BCJH meets compliance with the elements of this regulation. BSCC staff found the facility’s “Transgender / Intersex Youth Preference Form” and procedures to be well-referenced. 7027 Butte Juvenile Hall PRO 23-24 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, including Policy 502 Youth Classification provisions that consider the level of supervision and Procedure 502 Youth Classification ☒ ☐ ☐ the youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Policy 502 Youth Classification from the general population or assign youth to a Procedure 502 Youth Classification single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 502 Youth Classification transgender, questioning or intersex identification or Procedure 502 Youth Classification status as an indicator of likelihood of being sexually abusive. Through a review of the above policy, ☒ ☐ ☐ admission documentation, and interviews with supervisory staff, we determined that the BCJH meets compliance with the elements of this regulation. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Procedure 502.5 Transgender / Intersex Youth The facility administrator shall develop written policies and procedures ensuring respectful and equitable ☒ ☐ ☐ treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender Procedure 502.5 Transgender / Intersex identity and shall refer to the youth by the youth’s Youth preferred name and gender pronoun, regardless of A Transgender / Intersex Youth Preference the youth’s legal name. Facilities may prohibit the Form is provided to youth as part of the intake use of gang or slang names or names that ☒ ☐ ☐ process. otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Procedure 502.5 Transgender / Intersex themselves in a manner consistent with their Youth gender identity and shall provide youth with the ☒ ☐ ☐ institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room Procedure 502.5 Transgender / Intersex that best meets their individual needs and promotes Youth their safety and well-being. Staff may not Through a review of the above policy, automatically house youth according to their admission documentation, and interviews external anatomy and shall document the reasons ☒ ☐ ☐ with detention and supervisory staff, we for any decision to house youth in a unit that does determined that the BCJH meets compliance not match their gender identity. In making a housing with the elements of this regulation decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. 7027 Butte Juvenile Hall PRO 23-24 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Facility administrators shall ensure that Procedure 502.5 Transgender / Intersex transgender and intersex youth have access to Youth medical and behavioral health providers qualified to ☒ ☐ ☐ provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Procedure 502.5 Transgender / Intersex necessary security considerations and physical Youth plant, facility staff shall make every effort to ensure ☒ ☐ ☐ the safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 516 Searches youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Policy 503 Youth Orientation Procedure 503 Youth Orientation The facility administrator shall develop and implement written policies and procedures to orient a youth prior to BSCC staff reviewed policy and procedure, placement in a living area. Both written and verbal requested to review 10 orientation packet information shall be provided and supplemented with ☒ ☐ ☐ examples, interviewed camp staff, and video orientation if feasible. Provision shall be made to interviewed youth housed at the facility to help provide accessible orientation information to all determine compliance. detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall BCJH meets Title 15 minimum standards for include information that addresses: the elements of this regulation. (a) facility rules including contraband and searches Policy 503 Youth Orientation and disciplinary procedures; Procedure 503 Youth Orientation Included in the orientation packet are the expected rules and responsibilities. Through ☒ ☐ ☐ our discussions, the agency found it necessary to add a youth’s signature to the intake orientation check-off sheet acknowledging receipt and understanding of the documentation. (b) facility’s system of positive behavior interventions Policy 503 Youth Orientation and supports, including behavior expectations, Procedure 503 Youth Orientation incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Policy 503 Youth Orientation facility’s policy prohibiting sexual abuse and sexual Procedure 503 Youth Orientation harassment and how to report incidents or ☒ ☐ ☐ suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) the existence of the grievance procedure, the steps Policy 503 Youth Orientation that must be taken to use it, the youth’s right to be Procedure 503 Youth Orientation free of retaliation for reporting a grievance, and the name of the person or position designated to BSCC staff were impressed with the ☒ ☐ ☐ resolve the issue; comprehensive grievance acknowledgment form provided to youth at intake. (f) access to legal services and information on the Policy 503 Youth Orientation court process; Procedure 503 Youth Orientation ☒ ☐ ☐ (g) access to routine and emergency health and mental Policy 503 Youth Orientation health care; Procedure 503 Youth Orientation ☒ ☐ ☐ (h) access to education, religious services, and Policy 503 Youth Orientation recreational activities; Procedure 503 Youth Orientation ☒ ☐ ☐ We interviewed youth and intake staff to help in determining that BCJH meets compliance with the elements of this regulation. (i) housing assignments; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 503 Youth Orientation including the availability of personal care items Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that BCJH meets compliance with the elements of this regulation. (k) rules and access to correspondence, visits and Policy 503 Youth Orientation telephone use; Procedure 503 Youth Orientation ☒ ☐ ☐ (l) availability of reading materials, programming, and Policy 503 Youth Orientation other activities; Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that BCJH meets compliance with the elements of this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (m) facility policies on the use of force, use of restraints, Policy 503 Youth Orientation chemical agents and room confinement; Procedure 503 Youth Orientation We interviewed youth and intake staff to help in determining that BCJH meets compliance with the elements of this regulation. Policy indicates that Use of Force options are authorized to be utilized “without warning for ☒ ☐ ☐ purposes of defense and control”. We provided technical assistance for the facility to update language in the youth intake packet that aligns with Title 15 that, in part, specifies use of force is to be used when reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, staff, others, and the facility. (n) immigration legal services; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free Policy 503 Youth Orientation from physical, verbal or sexual abuse and Procedure 503 Youth Orientation harassment by other youth and staff; ☒ ☐ ☐ We interviewed youth and intake staff to help in determining that BCJH meets compliance with the elements of this regulation. (q) availability of services and programs in a language Policy 503 Youth Orientation other than English if appropriate; Procedure 503 Youth Orientation ☒ ☐ ☐ (r) the process for requesting different housing, Policy 503 Youth Orientation education, programming and work assignments; Procedure 503 Youth Orientation ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 503 Youth Orientation information regarding the youth’s stay in the facility Procedure 503 Youth Orientation that at a minimum includes answers to frequently asked questions and provides contact information ☒ ☐ ☐ for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Policy 503 Youth Orientation Title 15 Minimum Standards for Juvenile Facilities. Procedure 503 Youth Orientation ☒ ☐ ☐ We interviewed youth and intake staff to help in determining that BCJH meets compliance with the elements of this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy 502 Youth Classification Policy 601 Safety Removals (Room The facility administrator shall develop and implement Confinement) written policies and procedures that address: There were no reports of the Separation of youth reported since the prior BSCC inspection. The Facility does not have a specific “Separation” policy where Separation of a ☒ ☐ ☐ youth from the general group occurs outside of a sleeping room. The policy used for Separation is a room confinement policy. BSCC staff discussed best practice outcomes to formulate a specific policy for “Separation” to differentiate it from room confinement in policy. (a) separation of youth for reasons that include, but are Policy 502 Youth Classification not be limited to, medical and mental health conditions, assaultive behavior, disciplinary By Title 15 definition, “Separation” means consequences and protective custody. limiting a youth’s participation in regular programming for a specific purpose. Separation may be used as discipline and a youth does not have to be placed in his/her room when separated from the group. BCJH only has a room confinement policy. ☒ ☐ ☐ Per Title 15 regulations, room confinement may not be used as a form of discipline. BSCC staff provided Technical Assistance in distinguishing the difference between “Separation” and “Room Confinement” as defined by Title 15. In addition, our technical assistance included recommending that the facility develop a policy that specifically addresses “Separation” as defined in Title 15. (b) consideration of positive youth development and Policy 502 Youth Classification trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal Policy 502 Youth Classification privileges available at the facility, except when Policy 601 Safety Removals (Room necessary to accomplish the objective of Confinement) separation. After reviewing the above policy, ☒ ☐ ☐ documentation, and interviews with youth, the agency is compliant with the minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) when the objective of the separation is discipline, Policy 601 Safety Removals (Room Title 15 Section 1390 shall apply. Confinement) ☒ ☐ ☐ By Title 15 definition, “Separation” means limiting a youth’s participation in regular programming for a specific purpose. (e) when separation results in room confinement, the Policy 601 Safety Removals (Room separation shall occur in accordance with Welfare Confinement) and Institutions Code Section 208.3 and ☒ ☐ ☐ Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy 601 Safety Removals (Room of separated youth to determine if separation Confinement) ☒ ☐ ☐ remains necessary. 1354.5 ROOM CONFINEMENT Policy 601 Safety Removal (Room Confinement) (a) The facility administrator shall develop and implement written policies and procedures BSCC staff requested to review random room addressing the confinement of youth in their room confinement-related incident reports, that are consistent with Welfare and Institutions ☒ ☐ ☐ reviewed room confinement logs, and Code Section 208.3. The placement of a youth in interviewed youth detained at the facility as room confinement shall be accomplished in well as detention staff. We also interviewed accordance with the following guidelines: collaborative partners to gain further insight to confirm compliance with this regulation (1) Room confinement shall not be used before Policy 601 Safety Removals (Room other, less restrictive, options have been Confinement) attempted and exhausted, unless attempting ☒ ☐ ☐ those options poses a threat to the safety or BCJH meets Title 15 minimum standards for security of any youth or staff. the elements of this regulation. (2) Room confinement shall not be used for the Policy 601 Safety Removals (Room purposes of punishment, coercion, Confinement) convenience, or retaliation by staff. ☒ ☐ ☐ Documentation supports compliance with this regulation. Room confinement is always used appropriately. confinement shall not be used to the extent that it Policy 601 Safety Removals (Room compromises the mental and physical health of the Confinement) ☒ ☐ ☐ youth. 7027 Butte Juvenile Hall PRO 23-24 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) A youth may be held up to four hours in room Policy 601 Safety Removals (Room confinement. After the youth has been held in room Confinement) confinement for a period of four hours, staff shall do one or more of the following: Since the prior inspection, documentation shows that no youth has been held in room confinement beyond the four-hour threshold. The facility uses the following documentation tools to help track and log room confinement ☒ ☐ ☐ include, but are not limited to: • Administration Separation Monitoring Log • Pod Logbook • Safety and Security Behavioral Removal log • Administrative Separation Check Off Log (1) Return the youth to general population. Policy 601 Safety Removals (Room ☒ ☐ ☐ Confinement) (2) Consult with mental health or medical staff. Policy 601 Safety Removals (Room Confinement) Per policy, if after one hour the youth’s ☒ ☐ ☐ behavior continues to be a threat to facility safety and security, the facility LMFT may be contacted to assess and counsel the youth. (3) Develop an individualized plan that includes the Policy 601 Safety Removals (Room goals and objectives to be met in order to Confinement) reintegrate the youth to general population. ☒ ☐ ☐ Individualized plans are identified as Behavior Modification Plans. (4) If room confinement must be extended beyond Policy 601 Safety Removals (Room four hours, staff shall do each of the following: Confinement) Since the prior inspection, documentation ☒ ☐ ☐ shows that no youth has been held in room confinement beyond the four- hour threshold. (A) Document the reasons for room Policy 601 Safety Removals (Room confinement and the basis for the Confinement) extension, the date and time the youth was first placed in room confinement, and when ☒ ☐ ☐ The facility utilizes an Administrative he or she is eventually released from room Separation Form that complies with the confinement. elements of this regulation. (B) Develop an individualized plan that Policy 601 Safety Removals (Room includes the goals and objectives to be met Confinement) in order to integrate the youth to general ☒ ☐ ☐ population. (C) Obtain documented authorization by the Policy 601 Safety Removals (Room facility superintendent or his or her Confinement) ☒ ☐ ☐ designee every four hours thereafter. 7027 Butte Juvenile Hall PRO 23-24 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) This section is not intended to limit the use of Policy 601 Safety Removals (Room single-person rooms or cells for the housing of Confinement) youth in juvenile facilities and does not apply to ☒ ☐ ☐ normal sleeping hours. (6) This section does not apply to youth or wards Policy 601 Safety Removals (Room in court holding facilities or adult facilities. ☒ ☐ ☐ Confinement) (7) Nothing in this section shall be construed to Policy 601 Safety Removals (Room conflict with any law providing greater or Confinement) ☒ ☐ ☐ additional protections to youth. (8) This section does not apply during an Policy 601 Safety Removals (Room extraordinary emergency circumstance that Confinement) requires a significant departure from normal institutional operations, including a natural disaster or facility-wide threat that poses an ☒ ☐ ☐ imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy 601 Safety Removals (Room placed in a locked cell or sleeping room to treat Confinement) and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not ☒ ☐ ☐ required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 504 Case Management The facility administrator shall develop and implement BCJH meets Title 15 minimum standards for ☒ ☐ ☐ written policies and procedures for assessment and the elements of this regulation. case planning. 7027 Butte Juvenile Hall PRO 23-24 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Assessment: Policy 504 Case Management The assessment is based on information collected As part of the initial assessment, within during the admission process with periodic review, two days of intake, the LMFT, Lisa which includes the youth's risk factors, needs and Creamer O’Donnell, completes the MAYSI strengths including, but not limited to, identification II with the youth and makes the of substance abuse history, educational, vocational, appropriate review. The assessment counseling, behavioral health, consideration of includes descriptions of the youth issues known history of trauma, and family strengths and needs. ☒ ☐ ☐ and places an emphasis on youth strengths. On a risk and needs basis, LMFT O’Donnell meets with the youth monthly to discuss case plan and progress towards goals. BCJH meets Title 15 minimum standards for the elements of this regulation. (b) Institutional Case Plan: Policy 504 Case Management (1) A case plan shall be developed for each youth held for at least 30 days or more and created Within fourteen days of the review, the LMFT within 40 days of admission. creates a report/plan for the youth. ☒ ☐ ☐ BCJH meets Title 15 minimum standards for the elements of this regulation. (2) The institutional plan shall include, but not be Policy 504 Case Management limited to, written documentation that provides: ☒ ☐ ☐ (A) objectives and time frame for the resolution Policy 504 Case Management of problems identified in the assessment; ☒ ☐ ☐ (B) a plan for meeting the objectives that Policy 504 Case Management includes a description of program resources needed and individuals responsible for ☒ ☐ ☐ BSCC staff were impressed with the level of detail and consistency with the initial assuring that the plan is implemented; assessment and plan. (3) periodic evaluation of progress towards meeting Policy 504 Case Management the objectives, including periodic review and The facility LMFT in conjunction with the discussion of the plan with the youth; assigned detention staff plays a major role in ensuring the elements of this regulation are ☒ ☐ ☐ met. BSCC staff emphasized to the agency that to ensure ongoing compliance, it is vital that detention staff document and maintain consistency with periodic review and discussion of the plan with the youth. 7027 Butte Juvenile Hall PRO 23-24 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) a transition plan, the contents of which shall be Policy 504 Case Management subject to existing resources, shall be Policy 518 Discharge Plan developed for post dispositional youth in accordance with Section 1351; and, BSCC staff provided Technical Assistance to the facility to ensure implementation of its ☒ ☐ ☐ discharge policy is appropriately followed. This may be achieved with the development of a formal transition release document to adequately provide oversight and proof of practice. (5) in as much as possible and if appropriate, the Policy 504 Case Management plan, including the transition plan, shall be Policy 518 Discharge Plan developed with input from the family, supportive ☒ ☐ ☐ adults, youth, and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Policy 704 Counseling Services Policy 518 Discharge Plan The facility administrator shall develop and implement written policies and procedures ensuring the availability ☒ ☐ ☐ BCJH meets Title 15 minimum standards for of appropriate counseling and casework services for all the elements of this regulation. youth. Policies and procedures shall ensure: (a) youth will receive assistance with needs or Policy 704 Counseling Services concerns that may arise; ☒ ☐ ☐ The facility LMFT and WellPath services are available to assist youth. (b) youth will receive assistance in requesting contact Policy 704 Counseling Services with parents, other supportive adults, attorney, ☒ ☐ ☐ BCJH meets Title 15 minimum standards for clergy, probation officer, or other public official; and, the elements of this regulation (c) youth will be provided access to available Policy 704 Counseling Services ☒ ☐ ☐ resources to meet the youth’s needs. 1357 USE OF FORCE Policy 305 Chemical Agents Training Procedure 514.1 The facility administrator, in cooperation with the Policy 514 Use of Force responsible physician, shall develop and implement Procedure 514 Force Options written policies and procedures for the use of force, Policy 515 Restraints which may include chemical agents. Force shall never be applied as punishment, discipline, retaliation or treatment. We requested to review the 10 most recent ☒ ☐ ☐ Use of Force (UOF) Incident reports covering (a) At a minimum, each facility shall develop policies the time from the prior July 21, 2021, and procedures which: inspection to the current inspection. We also interviewed youth housed at the facility and facility detention staff. The facility is compliant with Title 15 minimum standards for this regulation. (1) restricts the use of force to that which is deemed Policy 514 Use of Force reasonable and necessary, as defined in Section Procedure 514 Force Options 1302 to ensure the safety and security of youth, Procedure 514.1 Chemical Agents ☒ ☐ ☐ staff, others and the facility. Decontamination Procedure 7027 Butte Juvenile Hall PRO 23-24 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) outline the force options available to staff Policy 514 Use of Force including both physical and non-physical options Procedure 514 Force Options ☒ ☐ ☐ and define when those force options are appropriate. (3) describe force options or techniques that are Policy 514 Use of Force expressly prohibited by the facility. Procedure 514 Force Options BCJH Use of Force Options include the below: • Verbal Commands • OC Spray ☒ ☐ ☐ • Soft Hands / Physical Escort • Hard hands / Full Restraint • Strikes / Kicks • Convex Shield • Mechanical Restraints (4) describe the requirements of staff to report any Policy 514 Use of Force inappropriate use of force, and to take Procedure 514 Force Options ☒ ☐ ☐ affirmative action to immediately stop it. (5) define a standardized reporting format that Policy 514 Use of Force includes time period and procedure for Procedure 514 Force Options documenting and reporting the use of force, including reporting requirements of A review of incident reports requested show management and line staff and procedures for that BCJH documents and reports incidents in reviewing and tracking use of force incidents by ☒ ☐ ☐ accordance with Title 15 minimum standards. supervisory and or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system Policy 514 Use of Force for investigating unreasonable use of force. Procedure 514 Force Options Through a review of the Use of Force incident reports, we observe that the supervisor ☒ ☐ ☐ provides a final analysis and debrief of the incident. Also, the Superintendent reviews the use of force incident reports to ensure the use of force was in accordance with facility policy. (7) define the role, notification, and follow-up Policy 514 Use of Force procedures required after use of force incidents Procedure 514 Force Options for medical, mental health staff and parents or legal guardians. ☒ ☐ ☐ BSCC staff interviewed supervisory, detention, and medical staff to help determine compliance with the elements of this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) describe the limitations of use of force on Policy 307 Health Care Orientation and pregnant youth in accordance with Penal Code Training Section 6030(f) and Welfare and Institutions ☒ ☐ ☐ Code Section 222. Policy 514 Use of Force Policy 515 Restraints (b) Facilities that authorize chemical agents as a force Policy 305 Chemical Agents Training option shall include policies and procedures that: Policy 514 Use of Force Procedure 514.1 Chemical Agents Decontamination Procedure ☒ ☐ ☐ There were no reports of chemical agent use since the prior July 21, 2021 inspection. (1) identify who is approved to carry and/or utilize Policy 305 Chemical Agents Training chemical agents in the facility and the type, size Policy 514 Use of Force ☒ ☐ ☐ and the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used Policy 514 Use of Force when there is an imminent threat to the youth’s safety or the safety of others and only when de- We reviewed policy and interviewed JDO and escalation efforts have been unsuccessful or are ☒ ☐ ☐ SJDO to determine that BCJH meets not reasonably possible. compliance with Title 15 minimum standards for this regulation. (3) outline the facility’s approved methods and Policy 514 Use of Force timelines for decontamination from chemical Procedure 514.1 Chemical Agents agents. This shall include that youth who have Decontamination Procedure been exposed to chemical agents shall not be ☒ ☐ ☐ left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Policy 514 Use of Force procedures required after use of force incidents ☒ ☐ ☐ involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident Policy 514 Use of Force of use of chemical agents, including the Procedure 514.1 Chemical Agents reasons for which it was used, efforts to de- Decontamination Procedure escalate prior to use, youth and staff involved, ☒ ☐ ☐ the date, time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure Policy 305 Chemical Agents Training which require that agencies provide initial and regular training in use of force and chemical agents The elements of this regulation are identified when appropriate that address: in Phase One of the training procedure and ☒ ☐ ☐ confirmed in the CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023. 7027 Butte Juvenile Hall PRO 23-24 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) known medical and behavioral health Procedure 514 Force Options Policy 305 Chemical Agents Training conditions that would contraindicate certain types of force; ☒ ☐ ☐ (2) acceptable chemical agents and the methods Procedure 514 Force Options of application. ☒ ☐ ☐ (3) signs or symptoms that should result in Procedure 514 Force Options Procedure 514.1 Chemical Agents immediate referral to medical or behavioral health. ☒ ☐ ☐ Decontamination Procedure (4) instruction on the Constitutional Limitations of Procedure 514 Force Options Use of Force. ☒ ☐ ☐ (5) physical training force options that may require Procedure 514 Force Options the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Procedure 514 Force Options ☒ ☐ ☐ training. 1358 USE OF PHYSICAL RESTRAINTS Policy 515 Restraints The facility administrator, in cooperation with the We requested to review the 10 most recent Use of Physical Restrain Incident Reports responsible physician and mental health director, shall covering the time from the prior July 21, 2021, develop and implement written policies and procedures inspection to the current inspection. We also ☒ ☐ ☐ for the use of restraint devices. Restraint devices interviewed youth housed at the facility and include any devices which immobilize a youth's facility detention staff. extremities and/or prevent the youth from being The facility is compliant with Title 15 minimum ambulatory. standards for this regulation Physical restraints may be used only for those youth Policy 515 Restraints who present an immediate danger to themselves or We observed that, in all instances, physical others, who exhibit behavior which results in the restraints were justifiably used and when less destruction of property, or reveals the intent to cause restrictive alternatives were exhausted. ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy 515 Restraints discipline, or as a substitute for treatment. The use of BCJH meets Title 15 minimum standards for restraint devices that attach a youth to a wall, floor or the elements of this regulation. other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7027 Butte Juvenile Hall PRO 23-24 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The provisions of this section do not apply to the use of Policy 515 Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy 515 Restraints of the facility manager or designee. The facility manager BCJH meets Title 15 minimum standards for may delegate authority to place a youth in restraints to a ☒ ☐ ☐ the elements of this regulation. physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy 515 Restraints retention shall be secured as soon as possible, but no We were able to confirm that medical staff later than two hours from the time of placement. The ☒ ☐ ☐ provide ongoing review and assessment youth shall be medically cleared for continued retention while a youth is in mechanical or any type of at least every three hours thereafter. restraint. A mental health consultation shall be secured as soon as Policy 515 Restraints possible, but in no case longer than four hours from the We were able to confirm that behavioral time of placement, to assess the need for mental health ☒ ☐ ☐ health staff provide ongoing review and treatment. assessment while a youth is in mechanical or any type of restraint. Continuous direct visual supervision shall be conducted Policy 515 Restraints to ensure that the restraints are properly employed, and Through documentation review and to ensure the safety and well-being of the youth. Observations of the youth's behavior and any staff ☒ ☐ ☐ interviews with detention and medical staff, we were able to confirm that the youth remain interventions shall be documented at least every 15 under constant supervision until the restraints minutes, with actual time of the documentation recorded. are removed. In addition to the requirements above, policies and Policy 515 Restraints procedures shall address: (a) documentation of the circumstances leading to an Policy 515 Restraints ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate Policy 515 Restraints ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. Policy 515 Restraints ☒ ☐ ☐ (d) signs or symptoms which should result in Policy 515 Restraints ☒ ☐ ☐ immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation Policy 515 Restraints ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Policy 515 Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy 515 Restraints ☒ ☐ ☐ (h) exercising of extremities. Policy 515 Restraints ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR Policy 515 Restraints MOVEMENT AND TRANSPORTATION WITHIN THE It is the policy of the facility that the use of FACILITY. restraints should be reserved only for transportation outside of the facility. The Facility Administrator, in cooperation with the ☒ ☐ ☐ Restraints shall never be used by staff within responsible physician and behavioral/mental health the confines of the Juvenile Hall complex. director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Policy 515 Restraints approved to utilize restraint devices and the The CPO appointment and qualifications required training. letter dated January 10, 2023, written by CPO ☒ ☐ ☐ Melissa Romero, confirms that the elements of this regulation comply with Title 15 minimum standards. (b) the circumstances leading to the application of Policy 515 Restraints ☒ ☐ ☐ restraints must be documented. (c) an individual assessment of the need to apply restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known ☐ ☐ ☒ medical or mental health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Policy 515 Restraints with a clearly defined expectation that restraint ☒ ☐ ☐ devices shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section6030(f) and ☐ ☐ ☒ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Policy 507 Safety Room (a) The facility administrator, and where applicable, in Compliance with this regulation is based cooperation with the responsible physician, shall solely on review of policy and procedure develop and implement written policies and manual as the facility safety room has not procedures governing the use of safety rooms, as been utilized in the prior or current inspection described in Title 24, Part 2, Section 1230.1.13. The cycle. room shall be used to hold only those youth who ☒ ☐ ☐ Review of Safety Room policy and present an immediate danger to themselves or procedures revealed compliance with this others, who exhibit behavior which results in the regulation. destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 7027 Butte Juvenile Hall PRO 23-24 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) include provisions for administration of Policy 507 Safety Room necessary nutrition and fluids, access to a ☒ ☐ ☐ toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or Policy 507 Safety Room designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Policy 507 Safety Room and documentation of the youth's behavior and ☒ ☐ ☐ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the Policy 507 Safety Room ☒ ☐ ☐ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Policy 507 Safety Room where appropriate, or an assessment at the ☒ ☐ ☐ next daily sick call; and, (6) provide a process for documenting the reason Policy 507 Safety Room for placement, including attempts to use less ☒ ☐ ☐ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be Policy 507 Safety Room accomplished in accordance with the following: At the time of this inspection, the facility ☒ ☐ ☐ reported no occurrences for the use of the Safety Room. (1) safety room shall not be used before other less Policy 507 Safety Room restrictive options have been attempted and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes Policy 507 Safety Room of punishment, coercion, convenience, or retaliation by staff. ☒ ☐ ☐ At the time of this inspection, the facility reported no occurrences for the use of the Safety Room. (3) safety room shall not be used to the extent that Policy 507 Safety Room it compromises the mental and physical health ☒ ☐ ☐ of the youth. (c) A youth may be held up to four hours in the safety Policy 507 Safety Room room. After the youth has been held in the safety ☒ ☐ ☐ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. Policy 507 Safety Room ☒ ☐ ☐ (2) consult with mental health or medical staff, Policy 507 Safety Room ☒ ☐ ☐ (3) develop an individualized plan that includes the Policy 507 Safety Room goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. 7027 Butte Juvenile Hall PRO 23-24 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) If confinement in the safety room must be extended Policy 507 Safety Room beyond four hours, staff shall develop an individualized plan that includes the requirements ☒ ☐ ☐ of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Policy 516 Searches The facility administrator shall develop and implement Procedure 516 Searches written policies and procedures governing the search of 501 Youth intake youth, the facility, and visitors. Policies and procedures Procedure 502.5 Transgender Intersexed shall provide that: Youth BSCC staff requested and reviewed 5 random ☒ ☐ ☐ examples from July 2022 to December 2022 and 5 most recent examples in 2023. We also interviewed youth housed at the facility, as well as detention staff. It was concluded that the facility complies with Title 15 minimum standards of this regulation. (a) Searches shall be conducted to ensure the safety Policy 516 Searches and security of the facility, public, visitors, youth, Procedure 516 Searches ☒ ☐ ☐ and staff. (b) Searches shall be conducted in a manner that Policy 516 Searches preserves the privacy and dignity of the person Procedure 516 Searches being searched and shall not be conducted for harassment or as a form of discipline or The facility utilizes the following search punishment. protocols: modified strip search (partial clothing adjusted or removed), pat-down ☒ ☐ ☐ search, strip search, physical body cavity search (physician and search warrant required), and canine-assisted search. It was concluded that the facility complies with Title 15 minimum standards of this regulation. (c) Strip searches and visual or physical body cavity 501 Youth intake searches shall comply with Penal Code Section Policy 516 Searches 4030. The facility maintains expectations for strip ☒ ☐ ☐ searches pursuant to PC 4030, for pre- detention youth and post-detention youth. All strip searches are approved in advance of the search. (d) Physical body cavity searches shall only be Policy 516 Searches conducted by a medical professional. ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only Policy 516 Searches be strip searched with prior approval of a supervisor Procedure 516 Searches when there is reasonable suspicion based on ☒ ☐ ☐ specific and articulable facts to believe that youth is It was concluded that the facility complies with concealing contraband. The reasonable suspicion Title 15 minimum standards of this regulation. shall be documented. 7027 Butte Juvenile Hall PRO 23-24 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Searches of transgender and intersex youth shall Procedure 502.5 Transgender Intersexed comply with Section 1352.5. Youth Policy 516 Searches The facility has protocols in the policy ☒ ☐ ☐ addressing expectations for staff related to searching youth who are transgender. A Transgender / Intersex Youth Preference Form is provided to youth as part of the intake process and identifies search preferences for the youth. (g) Cross-gender pat-down searches and strip Policy 516 Searches searches are prohibited except in exigent Procedure 516 Searches circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy 609 Youth Grievances The facility administrator shall develop and implement BSCC staff reviewed 8 random youth written policies and procedures whereby any youth may grievances and due process documentation appeal and have resolved grievances relating to any examples from July 2022 to the date of the condition of confinement, including but not limited to inspection. It is very impressionable that youth health care services, classification decisions, program write very few grievances. We also ☒ ☐ ☐ participation, telephone, mail or visiting procedures, interviewed youth housed at the facility, as food, clothing, bedding, mistreatment, harassment or well as detention staff. violations of the nondiscrimination policy. There shall be We concluded that the BCJH complies with no time limit on filing grievances. Policies and Title 15 minimum standards of this regulation. procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy 609 Youth Grievances grievance, which includes provisions for the youth During our physical inspection, we observed to have free access to the form; that grievances were readily available to ☒ ☐ ☐ youth. In addition, grievance lock boxes were located in the housing pods to allow youth to confidentially submit a grievance if needed. (b) the youth shall have the option to confidentially file Policy 609 Youth Grievances the grievance or to deliver the form to any youth The youth were aware of the grievance supervision staff working in the facility; ☒ ☐ ☐ procedures and the location of the grievances and the grievance lockbox to confidentially file a grievance if needed. (c) resolution of the grievance at the lowest appropriate Policy 609 Youth Grievances ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to Policy 609 Youth Grievances grievances within three (3) business days, ☒ ☐ ☐ grievances that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Policy 609 Youth Grievances his/her version of the grievance to a person not directly involved in the circumstances which led ☒ ☐ ☐ The youth interviewed indicated that during the intake and orientation process, the to the grievance. grievance procedure was clearly explained. 7027 Butte Juvenile Hall PRO 23-24 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Provision for a staff representative approved by Policy 609 Youth Grievances ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 609 Youth Grievances which includes the reasons for the decisions; The documentation as well as interviews ☒ ☐ ☐ show that detention staff respond professionally. (f) a system which provides that any appeal of a Policy 609 Youth Grievances grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten Policy 609 Youth Grievances (10) business days unless circumstances dictate a longer time frame. The youth shall be notified of ☒ ☐ ☐ The documentation as well as interviews show that detention staff respond to any delay; and, grievances in a timely fashion. (h) the policy shall provide multiple internal and Policy 609 Youth Grievances external methods to report sexual abuse and sexual ☒ ☐ ☐ harassment. Whether or not associated with a grievance, concerns Policy 609 Youth Grievances of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Policy 209 Special Incident Report preparation A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or Throughout the inspection process, written death of an employee, youth or other person(s) shall be reports of various incidents were requested ☒ ☐ ☐ maintained. Such written record shall be prepared by the and received. In review, BCJH incident staff and submitted to the facility manager by the end of reports are written and prepared as required the shift, unless additional time is necessary and by Title 15 minimum standards. authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Policy 514 Use of Force DNA SPECIMENS, SAMPLES, IMPRESSIONS Policy 522 Biological Samples (a) Pursuant to Penal Code Section 298.1 authorized Compliance with this regulation is based law enforcement, custodial, or corrections solely on review of policy and procedure personnel including peace officers, may employ manual as the use of force to collect DNA has reasonable force to collect blood specimens, saliva ☒ ☐ ☐ not been conducted this inspection cycle. samples, and thumb or palm print impressions from individuals who are required to provide such Review of Biological Samples policy and samples, specimens or impressions pursuant to procedures revealed compliance with this Penal Code Section 296 and who refuse following regulation. written or oral request. (1) For the purpose of this section, the “use of Policy 522 Biological Samples reasonable force” shall be defined as the force that an objective, trained and competent correctional employee, faced with similar facts ☒ ☐ ☐ and circumstances, would consider necessary and reasonable to gain compliance with this section. 7027 Butte Juvenile Hall PRO 23-24 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) The use of reasonable force shall be preceded by Policy 522 Biological Samples efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented and include an advisement of the ☒ ☐ ☐ legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Policy 522 Biological Samples authorization of the supervising officer on duty. The Per the above policy, if a youth refuses to authorization shall include information that reflects ☒ ☐ ☐ cooperate with the sample collection, force the fact that the offender was asked to provide the will not be used in the collection of samples requisite specimen, sample, or impression and except as authorized by a court order. refused. (1) If the use of reasonable force includes a cell Policy 522 Biological Samples extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the ☒ ☐ ☐ agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM Policy 1003 Youth Educational Services (a) School Programs Per Title 15, Section 1313 County Inspection and Evaluation of Building and Grounds (d), The County Board of Education shall provide for the the facility was evaluated on December 1, administration and operation of juvenile court schools in 2022, by Carie Webb, Executive Dir. Shasta conjunction with the Chief Probation Officer, or designee County OED, and Cheyenne Mizenko, Asst pursuant to applicable State laws. The school and facility Principal, Shasta County OED. administrators shall develop and implement written policy and procedures to ensure communication and BSCC staff interviewed education staff coordination between educators and probation staff. (Teacher and Principal), as well as youth Culturally responsive and trauma-informed approaches detained at the facility. We also physically should be applied when providing instruction. Education inspected classrooms. staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. 7027 Butte Juvenile Hall PRO 23-24 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements Policy 1003 Youth Educational Services The facility school program shall comply with the State Compliance was confirmed as part of the Education Code and County Board of Education policies, required annual, Title 15, Section 1313 all applicable federal education statutes and regulations County Inspection and Evaluation of Building and provide for an annual evaluation of the educational and Grounds evaluation. The facility was program offerings. As stated in the 2009 California evaluated on December 1, 2022, by Carie Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ Webb, Executive Dir. Shasta County OED, establish and maintain learning environments that are and Cheyenne Mizenko, Asst Principal, physically, emotionally, and intellectually safe. Youth shall Shasta County OED. be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Policy 1003 Youth Educational Services program shall be free from discriminatory action. Staff BSCC staff physically inspected classrooms shall refer to transgender, intersex and gender- and interviewed a classroom teacher. We nonconforming youth by their preferred name and found that the learning environment and the gender. ☒ ☐ ☐ quality of educational programming meet the Title 15 minimum standards for this regulation. (1) The course of study shall comply with the State Policy 1003 Youth Educational Services Education Code and include, but not be limited ☒ ☐ ☐ to, courses required for high school graduation. (2) Information and preparation for the High School Policy 1003 Youth Educational Services Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Policy 1003 Youth Educational Services education and vocational opportunities. The school program provides a transition packet at release that contains college ☒ ☐ ☐ preparation materials and information. The facility is making efforts to provide online courses from Butte Community College. (4) Administration of the High School Equivalency Policy 1003 Youth Educational Services Tests as approved by the California Department ☒ ☐ ☐ of Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to Policy 1003 Youth Educational Services youth who do not demonstrate sufficient progress towards grade level standards. ☒ ☐ ☐ Per the annual education services evaluation, BCJH is compliant with Title 15 minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) The minimum school day shall be consistent with Policy 1003 Youth Educational Services State Education Code Requirements for juvenile The Table Mountain school day is from court schools. The facility administrator, in Monday through Friday from 8:30am - conjunction with education staff, must ensure 3:00pm. that operational procedures do not interfere with ☒ ☐ ☐ the time afforded for the minimum instructional Per the annual education services evaluation, day. Absences, time out of class or educational BCJH is compliant with Title 15 minimum instruction, both excused and unexcused, shall standards for this regulation. be documented. (7) Education shall be provided to all youth Policy 1003 Youth Educational Services regardless of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate threat ☒ ☐ ☐ to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Policy 1003 Youth Educational Services (1) Positive behavior management will be In conjunction with Probation, Education implemented to reduce the need for disciplinary Services utilize the Positive Behavior action in the school setting and be integrated into ☒ ☐ ☐ Interventions & Supports (PBIS) system. the facility's overall behavioral management plan Throughout the day, youth earn points for and security system. good behavior and participation in school and programming after school. (2) School staff shall be advised of administrative Policy 1003 Youth Educational Services decisions made by probation staff that may The classroom Teacher and the Principal affect the educational programming of students. ☒ ☐ ☐ expressed that Probation does well in keeping education staff advised of circumstances that may affect a student. (3) Except as otherwise provided by the State Policy 1003 Youth Educational Services Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State ☒ ☐ ☐ Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Policy 1003 Youth Educational Services education staff will develop policies and procedures that address the rights of any ☒ ☐ ☐ Educational services provide supplemental assistance to youth through two full-time student who has continuing difficulty completing Paraprofessionals. a school day. 7027 Butte Juvenile Hall PRO 23-24 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Provisions for Special Populations Policy 1003 Youth Educational Services (1) State and federal laws and regulations shall be Educational services provide supplemental observed for all individuals with disabilities or assistance to youth through two full-time suspected disabilities. This includes but is not Paraprofessionals. ☒ ☐ ☐ limited to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy 1003 Youth Educational Services afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 1003 Youth Educational Services (1) Youth shall be interviewed after admittance and BSCC staff interviewed education staff a record maintained that documents a youth's ☒ ☐ ☐ (Teacher and Principal), as well as youth educational history, including but not limited to: detained at the facility. We also physically inspected classrooms. (A) School progress/school history; Policy 1003 Youth Educational Services ☒ ☐ ☐ (B) Home Language Survey and the results of Policy 1003 Youth Educational Services the State Test used for English language ☒ ☐ ☐ proficiency; (C) Needs and services of special populations Policy 1003 Youth Educational Services as defined by the State Education Code, including but not limited to, students with Per the annual education services special needs. ☒ ☐ ☐ evaluation, BCJH meets compliance with Title 15 minimum standards for this regulation. (D) Discipline problems. Policy 1003 Youth Educational Services ☒ ☐ ☐ (2) Youth will be immediately enrolled in school. Policy 1003 Youth Educational Services Educational staff shall conduct an assessment to determine the youth's general academic ☒ ☐ ☐ functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy 1003 Youth Educational Services education plan shall be developed for each youth within five school days. BSCC staff interviewed education services ☒ ☐ ☐ staff and reviewed student records to confirm compliance with the elements of this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Upon enrollment, education staff shall comply Policy 1003 Youth Educational Services with the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Policy 1003 Youth Educational Services (1) The complete facility educational record of the ☒ ☐ ☐ youth shall be forwarded to the next educational placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Policy 1003 Youth Educational Services provide appropriate credit (full or partial) for course work completed while in juvenile court ☒ ☐ ☐ school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 1003 Youth Educational Services (1) The Superintendent of Schools and the Chief Education services work closely with the Probation Officer or designee, shall develop behavioral health and probation staff to policies and procedures to meet the transition facilitate multi-disciplinary meetings to needs of youth, including the development of an ☒ ☐ ☐ discuss the needs of youth being released. All education transition plan, in accordance with the efforts are made to ensure the involvement State Education Code and in alignment with Title and or input from the parent(s), the DPO, 15, Minimum Standards for Juvenile Facilities, assigned JCO, therapist, and any other Section 1355. supportive adults and the youth. (h) Post-Secondary Education Opportunities Policy 1003 Youth Educational Services (1) The school and facility administrator should, Outside of the school program, we were whenever possible, collaborate with local post- impressed with the Welding Program that ☒ ☐ ☐ secondary education providers to facilitate enables a youth to earn a Certified Welding access to educational and vocational Certificate. opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy 1000 Youth Programs and Services EXERCISE. Policy 1002 Programs Exercise and Recreation Procedure 1002 Daily Schedules The facility administrator shall develop and implement written policies and procedures for programs, BSCC staff requested and reviewed random recreation, and exercise for all youth. The intent is to ☒ ☐ ☐ Programs Exercise and Recreation logs and minimize the amount of time youth are in their rooms or documentation for the months of December their bed area. 2022 and January and February of 2023. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Juvenile facilities shall provide the opportunity for Policy 1002 Programs Exercise and programs, recreation, and exercise a minimum of three Recreation hours a day during the week and five hours a day each Procedure 1002 Daily Schedules Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather The program schedules show the programs permitting. provided. Technical assistance was provided in suggesting to the agency that to ensure ☒ ☐ ☐ ongoing compliance, individual youth participation and non-participation should be clearly documented on a consistent basis. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. A youth’s participation in programs, recreation, and Policy 1002 Programs Exercise and exercise may be suspended only upon a written finding Recreation by the administrator/manager or designee that a youth ☒ ☐ ☐ Procedure 1002 Daily Schedules represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Policy 1002 Programs Exercise and be posted in the living units. Recreation Procedure 1002 Daily Schedules ☒ ☐ ☐ During the physical facility inspection, we observed program and recreation schedule calendars posted in the living units. There will be a written annual review of the programs, Policy 102 Annual Review and Performance- recreation, and exercise by the responsible agency to Based Goals and Objectives ensure content offered is current, consistent, and Policy 1002 Programs Exercise and ☒ ☐ ☐ relevant to the population. Recreation Procedure 1002 Daily Schedules (a) Programs. All youth shall be provided with the Policy 1002 Programs Exercise and opportunity for at least one hour of daily Recreation programming to include, but not be limited to, trauma Procedure 1002 Daily Schedules focused, cognitive, evidence-based, best practice interventions that are culturally relevant and BSCC staff requested and reviewed random linguistically appropriate, or pro-social interventions Programs Exercise and Recreation logs and and activities designed to reduce recidivism. These documentation for the months of December programs should be based on the youth’s individual 2022 and January and February of 2023. We needs as required by Sections 1355 and 1356. Such ☒ ☐ ☐ also interviewed youth housed at the facility, programs may be provided under the direction of the detention staff, behavioral health staff, and Chief Probation Officer or the County Office of education service staff. Education and can be administered by county partners such as mental health agencies, community BSCC staff concluded that the facility based organizations, faith-based organizations or complies with Title 15 minimum standards for Probation staff. this regulation. Programs may include but are not limited to: 7027 Butte Juvenile Hall PRO 23-24 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Cognitive Behavior Interventions; Policy 1002 Programs Exercise and (2) Management of Stress and Trauma; Recreation (3) Anger Management; Procedure 1002 Daily Schedules (4) Conflict Resolution; (5) Juvenile Justice System; The facility has an assigned Youth Programs (6) Trauma-related interventions; Coordinating Supervisor responsible for (7) Victim Awareness; recruitment, research, and program (8) Self-Improvement; development. (9) Parenting Skills and support; (10) Tolerance and Diversity; The facility provides meaningful programming (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; for youth. In particular, the facility is one of (13) Gender Specific Programming; only a few detention facilities to have an (14) Art, creative writing, or self-expression; actual Boys and Girls Club component at the (15) CPR and First Aid training; facility that is onsite weekly, providing (16) Restorative Justice or Civic Engagement; ☒ ☐ ☐ programming services and counseling. The (17) Career and leadership opportunities; and, facility also has a gardening program, (18) Other topics suitable to the youth population. substance abuse counseling, and programming provided in conjunction with education services. BSCC staff discussed the importance of clearly documenting specific programs that occurred to ensure required structured programming is accounted for. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. (b) Recreation. All youth shall be provided the Policy 1002 Programs Exercise and opportunity for at least one hour of daily access to Recreation unscheduled activities such as leisure reading, letter Procedure 1002 Daily Schedules writing, and entertainment. Activities shall be ☒ ☐ ☐ supervised and include orientation and may include BSCC staff concluded that the facility coaching of youth. complies with Title 15 minimum standards for this regulation. (c) Exercise. All youth shall be provided with the Policy 1002 Programs Exercise and opportunity for at least one hour of large muscle Recreation activity each day. Procedure 1002 Daily Schedules After a review of program activity logs, and ☒ ☐ ☐ interviews with youth housed at the facility and detention staff, Butte County JH meets compliance with the Title 15 minimum standards for this regulation. The administrator/manager may suspend, for a period Policy 1002 Programs Exercise and not to exceed 24 hours, access to recreation and Recreation programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7027 Butte Juvenile Hall PRO 23-24 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1372 RELIGIOUS PROGRAM Policy 1007 Religious programs Procedure 1002 Daily Schedules The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth Butte County JH meets compliance with the ☒ ☐ ☐ shall be allowed to participate in an activity outside of Title 15 minimum standards for this their room if he/she elects not to participate in religious regulation. programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy 1007 Religious programs Procedure 1002 Daily Schedules Through interviews with youth housed at the ☒ ☐ ☐ facility and a review of the programming schedules, we were able to determine that Butte County JH meets compliance with the Title 15 minimum standards for this regulation. (b) availability of clergy; and, Policy 1007 Religious programs ☒ ☐ ☐ (c) availability of religious diets. Policy 1007 Religious programs Through documentation and interviews with youth housed at the facility, medical staff, and food services personnel, we were able to determine that BCJH is in compliance with the ☒ ☐ ☐ Title 15 minimum standards for this regulation. Per policy, the agency honors religious diets. The request for a religious diet is made to medical staff. Medical staff informs the food service personnel of the religious diet request. 1373 WORK PROGRAM Policy 105 Youth Work Program Procedure 519 Transportation of Youth The facility administrator shall develop policies and Outside of the Facility procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth ☒ ☐ ☐ Review of policy and procedures revealed shall be meaningful, constructive and related to compliance with this regulation. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 7027 Butte Juvenile Hall PRO 23-24 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1374 VISITING Policy 1008 Youth Visitation Procedure 1008 Youth Visitation The facility administrator shall develop and implement written policies and procedures for visiting, that include BSCC staff reviewed visiting policy and provisions for special visits. Youth shall be allowed to procedure, visiting schedules, and logs for receive visits by parents, guardians or persons standing December 2022 and January and February of in loco parentis, and children of youth. Other family ☒ ☐ ☐ 2023. We also interviewed youth and members, such as grandparents and siblings, and detention staff. Based on information received supportive adults, may be allowed to visit with the and interviews, BSCC staff conclude that approval of the facility administrator or designee, and in BCJH complies with Title 15 minimum conjunction with the youth’s case plan or in the best standards for this regulation. interest of the youth. All visits shall occur at reasonable times, subject only to Policy 1008 Youth Visitation the limitations necessary to maintain order and security. Procedure 1008 Youth Visitation Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, BCJH ensures visiting occurs at reasonable whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ times and if a visitor is denied, the youth the safety of youth or staff in the facility. Any denial of affected is notified. visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy 1008 Youth Visitation per week. Visits may be supervised, but conversations Procedure 1008 Youth Visitation shall not be monitored unless there is a security or safety need. A review of visiting logs and interviews with ☒ ☐ ☐ youth confirm that BCJH ensures youth have an opportunity to have visitation for a minimum of two hours per week. Provisions for special visits, in addition to the two-hour Policy 1008 Youth Visitation minimum and/or outside of the regular visiting hours, Procedure 1008 Youth Visitation shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family ☒ ☐ ☐ Butte County JH meets compliance with the therapy and professional visits shall be accommodated Title 15 minimum standards for this outside the provisions of this regulation. Facilities may regulation. provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy 1008 Youth Visitation alternative, but not as a replacement, to in-person Procedure 1008 Youth Visitation ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy 1001 Youth Mail The facility administrator shall develop and implement Staff and youth interviewed as well as review ☒ ☐ ☐ written policies and procedures for correspondence of policy and procedures revealed compliance which provide that: with this regulation. (a) there is no limitation on the volume of mail that youth Policy 1001 Youth Mail may send or receive; ☒ ☐ ☐ (b) youth may send two letters per week postage free; Policy 1001 Youth Mail ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) youth may correspond confidentially with state and Policy 1001 Youth Mail federal courts, any member of the State Bar or holder Butte County JH meets compliance with the of public office, and the Board; however, authorized Title 15 minimum standards for the elements facility staff may open and inspect such mail only to ☒ ☐ ☐ of this regulation. search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy 1001 Youth Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and ☒ ☐ ☐ Butte County JH meets compliance with the Title 15 minimum standards for this security, public safety, or youth safety is jeopardized. regulation. 1376 TELEPHONE ACCESS Policy 1006 Youth Telephone Access The administrator of each juvenile facility shall develop BSCC staff interviewed detention staff and and implement written policies and procedures to provide interviewed youth housed at the facility. We youth with access to telephone communications. ☒ ☐ ☐ also reviewed policy and procedures. BCJH meets compliance with the elements of this regulation. 1377 ACCESS TO LEGAL SERVICES Policy 1001 Youth Mail Policy 603 Youth Access to Courts and The facility administrator shall develop written Counsel procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: BSCC staff interviewed detention staff and ☒ ☐ ☐ interviewed youth housed at the facility. We also reviewed policy and procedures. BCJH meets compliance with the elements of this regulation. (a) access, upon request by the youth, to licensed Policy 603 Youth Access to Courts and attorneys and their authorized representatives; Counsel ☒ ☐ ☐ (b) provision for confidential consultation with Policy 603 Youth Access to Courts and attorneys; and, Counsel ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Policy 1001 Youth Mail cost-free telephone access as appropriate. ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1390 DISCIPLINE Policy 600 Youth Discipline and Positive Behavior The facility administrator shall develop and implement Procedure 600 Youth Discipline (Explanation written policies and procedures for the discipline of youth of PBIS System) that shall promote acceptable behavior; including the use of positive behavior interventions and supports. BSCC staff reviewed discipline process Discipline shall be imposed at the least restrictive level incident report examples for October 2022 which promotes the desired behavior and shall not and December 2022 or the 10 most recent include corporal punishment, group punishment, examples. We also interviewed youth housed physical or psychological degradation. Deprivation of the at the facility and detention staff. following is not permitted: ☒ ☐ ☐ Behavior management is guided by the Positive Behavior Interventions and Supports (PBIS) system that promotes and incentivizes good behavior through good behavior management tokens that youth earn daily. Youth are aware of expectations through positive behavior interventions and supports. We interviewed youth and detention staff and physically inspected the facility to aid in confirming compliance with the Title 15 minimum standards for this regulation. (a) bed and bedding; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (b) daily shower, access to drinking fountain, toilet and Policy 600 Youth Discipline and Positive personal hygiene items, and clean clothing; Behavior In addition to interviewing youth housed at the ☒ ☐ ☐ facility, regarding any deprivation of use, we randomly tested the functionality of toilets and drinking fountains. (c) full nutrition; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (d) contact with parent or attorney; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (e) exercise; Policy 600 Youth Discipline and Positive Behavior We interviewed youth housed at the facility and detention staff and reviewed ☒ ☐ ☐ documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) medical services and counseling; Policy 600 Youth Discipline and Positive Behavior We interviewed youth, medical staff, and behavioral health staff in addition to reviewing ☒ ☐ ☐ documentation. The facility complies with the Title 15 minimum standards for this regulation. (g) religious services; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (h) clean and sanitary living conditions; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (i) the right to send and receive mail; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (j) education; and, Policy 600 Youth Discipline and Positive Behavior We interviewed youth, medical staff, and ☒ ☐ ☐ behavioral health staff in addition to reviewing documentation. The facility complies with the Title 15 minimum standards for this regulation. (k) rehabilitative programming. Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior The facility administrator shall establish rules of conduct Policy 600 Youth Discipline and Positive and disciplinary penalties to guide the conduct of youth. Behavior Such rules and penalties shall include both major We interviewed youth and detention staff and violations and minor violations, be stated simply and affirmatively, and be made available to all youth. ☒ ☐ ☐ reviewed random incident reports that document proof of practice regarding Provision shall be made to provide accessible disciplinary actions including both minor and information to youth with disabilities, limited English major rule violations. We also observed the proficiency, or limited literacy. facility rules posted on the housing unit walls. 1391 DISCIPLINE PROCESS Policy 600 Youth Discipline and Positive Behavior The facility administrator shall develop and implement Procedure 600 Youth Discipline (Explanation written policies and procedures for the administration of of PBIS System) discipline which shall include, but not be limited to: BSCC staff reviewed discipline process ☒ ☐ ☐ incident report examples for October 2022 and December 2022 or the 10 most recent examples. We also interviewed youth housed at the facility and detention staff. 7027 Butte Juvenile Hall PRO 23-24 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) designation of personnel authorized to impose Policy 600 Youth Discipline and Positive discipline for violation of rules; Behavior ☒ ☐ ☐ (b) prohibiting discipline to be delegated to any youth; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (c) definition of major and minor rule violations and Policy 600 Youth Discipline and Positive their consequences, and due process Behavior ☒ ☐ ☐ requirements; (d) trauma-informed approaches and positive behavior Policy 600 Youth Discipline and Positive interventions; Behavior Procedure 600 Youth Discipline The elements of this regulation are confirmed in CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023 ☒ ☐ ☐ The agency’s policies and procedures ensure that detention staff makes use of training that ensure developmentally appropriate, trauma- informed approaches to working with youth while implementing positive behavior intervention. (e) minor rule violations may be handled informally by Policy 600 Youth Discipline and Positive counseling, advising the youth of expected conduct Behavior imposing a minor consequence. Discipline shall be Procedure 600 Youth Discipline accompanied by written documentation and a policy of review and appeal to a supervisor; and, BSCC staff reviewed policy, reviewed ☒ ☐ ☐ discipline sheets, interviewed youth housed at the facility, and interviewed detention staff. Our findings confirmed that BCJH meets Title 15 minimum standards for this regulation (f) major rule violations and the discipline process Policy 600 Youth Discipline and Positive shall be documented and require the following: Behavior BSCC staff reviewed policy, reviewed due process reports, interviewed youth housed at the facility, and interviewed detention staff. Our findings confirmed that BCJH meets Title 15 minimum standards for this regulation. ☒ ☐ ☐ Youth are oriented and understand that major rule violations are violations that directly affect the safety and security of the facility and/or disrupt the normal operation of the facility and programming. We concluded that BCJH meets Title 15 minimum standards for this regulation. 7027 Butte Juvenile Hall PRO 23-24 - 63 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) written notice of violation prior to a hearing; Policy 600 Youth Discipline and Positive Behavior BSCC staff reviewed policy, reviewed due process reports, interviewed youth housed at ☒ ☐ ☐ the facility, and interviewed detention staff. Our findings confirmed that BCJH meets Title 15 minimum standards for this regulation. (2) accommodations provided to youth with Policy 600 Youth Discipline and Positive disabilities, limited literacy, and English Behavior ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy 600 Youth Discipline and Positive incident; Behavior ☒ ☐ ☐ We concluded that BCJH meets Title 15 minimum standards for this regulation (4) opportunity for the youth to be heard, present Policy 600 Youth Discipline and Positive evidence and testimony; Behavior BSCC staff requested to review discipline process incident report examples for October 2022 and December 2022 and the 10 most ☒ ☐ ☐ recent examples. We also interviewed youth housed at the facility and detention staff. The facility does well in documenting that youth are, in a timely manner, provided the opportunity to appeal a discipline being imposed. (5) provision for youth to be assisted by staff in the Policy 600 Youth Discipline and Positive hearing process; ☒ ☐ ☐ Behavior (6) provision for administrative review. Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (g) violations that result in a removal from camp or Policy 600 Youth Discipline and Positive commitment program, but not a return to court, will Behavior follow the due process provisions in subsection (e) ☒ ☐ ☐ above. 1410 MANAGEMENT OF COMMUNICABLE Policy 706 Communicable Diseases - Youth DISEASES. To aid in confirming compliance with Title 15 The health administrator/responsible physician, in minimum standards for this regulation, we cooperation with the facility administrator and the local reviewed the annual Medical / Mental, health officer, shall develop written policies and ☒ ☐ ☐ Nutrition, and Environmental Health procedures to address the identification, treatment, evaluations by qualified evaluators. control and follow-up management of communicable diseases. The policies and procedures shall address, BSCC staff concluded that BCJH meets Title but not be limited to: 15 minimum standards for this regulation 7027 Butte Juvenile Hall PRO 23-24 - 64 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Intake health screening procedures; Policy 706 Communicable Diseases- Youth A complete health appraisal will be conducted by Health Services staff on all new intakes within 96 hours (excluding holidays) of their ☒ ☐ ☐ admission into detention. BSCC staff interviewed medical personnel to help confirm compliance with the Title 15 minimum standards for this regulation. (b) Identification of relevant symptoms; Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ (c) Referral for medical evaluation; Policy 706 Communicable Diseases- Youth BSCC staff interviewed medical personnel to ☒ ☐ ☐ help confirm compliance with the Title 15 minimum standards for this regulation (d) Treatment responsibilities during detention; Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ (e) Coordination with public and private community- Policy 706 Communicable Diseases- Youth based resources for follow-up treatment; To aid in confirming compliance with Title 15 ☒ ☐ ☐ minimum standards for this regulation, we interviewed medical and behavioral health personnel. (f) Applicable reporting requirements; and, Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ (g) Strategies for handling disease outbreaks. Policy 706 Communicable Diseases- Youth To aid in confirming compliance with Title 15 minimum standards, we reviewed the annual Medical/Mental, Nutrition, and Environmental ☒ ☐ ☐ Health evaluations by qualified evaluators. BSCC staff also interviewed medical personnel to help determine that BCJH meets the minimum requirements for this regulation. The policies and procedures shall be updated as Policy 706 Communicable Diseases- Youth necessary to reflect communicable disease priorities identified by the local health officer and currently Per policy, the physician and the facility recommended public health interventions. administrator shall establish policies and ☒ ☐ ☐ procedures to ensure the quality and adequacy of health care services are assessed every two years. 7027 Butte Juvenile Hall PRO 23-24 - 65 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Policy 702 Availability and Standards of Care (EXCERPT) The regulation requires that youth shall be The health administrator, in cooperation with the facility provided the opportunity to confidentially administrator, shall develop policy and procedures to convey. either through written or verbal establish a daily routine for youth to convey requests for communications, a request for medical, emergency and non-emergency medical, dental and dental, or behavioral/mental health services. behavioral/mental health care services. Noncompliance was discovered when BSCC staff observed that BCJH youth in detention must request and submit MH slips to staff or to a supervisor who places the request in a letter basket for the nurse to retrieve. BSCC staff provided technical assistance to ☒ ☐ ☐ recommend placing a lock box in each living unit where youth may place medical and or mental health medical request slips in the locked box. At the time of submitting this report, the item of noncompliance has been corrected. The agency is currently following compliant procedures as it relates to youth submitting medical health services requests. The facility will incorporate the same procedures for behavioral services requests. The agency has taken a proactive approach in updating policy to reflect changes in policy. 1480 STANDARD FACILTY CLOTHING ISSUE Policy 807 Youth Hygiene The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Policy 807 Youth Hygiene laundered, in good repair, and free of holes and tears. BSCC staff interviewed youth and reviewed ☐ ☒ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (b) The standard issue of climatically suitable clothing Policy 807 Youth Hygiene for youth shall consist of but not be limited to: ☒ ☐ ☐ (1) Socks and serviceable footwear; Policy 807 Youth Hygiene BSCC staff interviewed youth and reviewed documentation to determine that the facility ☒ ☐ ☐ meets compliance with the Title 15 minimum standards for this regulation. (2) Outer garments; Policy 807 Youth Hygiene ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 66 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) New non-disposable underwear which shall Policy 807 Youth Hygiene remain with the youth throughout their stay, and; BSCC staff interviewed youth and reviewed ☒ ☐ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (4) Undergarments, that are freshly laundered and Policy 807 Youth Hygiene free of stains, including tee shirts and bras. BSCC staff interviewed youth and reviewed ☒ ☐ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (c) Clothing is laundered at the temperature required Policy 807 Youth Hygiene by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Policy 807 Youth Hygiene ☒ ☐ ☐ 1482 CLOTHING EXCHANGE Policy 807 Youth Hygiene The facility administrator shall develop and implement BSCC staff interviewed youth and reviewed written policies and site-specific procedures for the documentation to determine that the facility cleaning and scheduled exchange of clothing. Unless meets compliance with the Title 15 minimum work, climatic conditions, or illness necessitates more standards for this regulation. ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy 706 Communicable Diseases- Youths PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or ☒ ☐ ☐ spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy 807 Youth Hygiene There shall be written policies and site-specific procedures developed and implemented by the facility BSCC staff interviewed youth and reviewed administrator for the availability of personal hygiene documentation to determine that the facility ☒ ☐ ☐ items. Each female youth shall be provided with meets compliance with the Title 15 minimum sanitary napkins, panty liners and tampons as standards for this regulation. requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; Policy 807 Youth Hygiene ☒ ☐ ☐ (b) Toothpaste; Policy 807 Youth Hygiene ☒ ☐ ☐ (c) Soap; Policy 807 Youth Hygiene ☒ ☐ ☐ (d) Comb; Policy 807 Youth Hygiene ☒ ☐ ☐ (e) Shaving implements; Policy 807 Youth Hygiene ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 67 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Deodorant; Policy 807 Youth Hygiene ☒ ☐ ☐ (g) Lotion; Policy 807 Youth Hygiene ☒ ☐ ☐ (h) Shampoo; and, Policy 807 Youth Hygiene ☒ ☐ ☐ (i) Post-shower conditioning hair products. Policy 807 Youth Hygiene ☒ ☐ ☐ Youth shall not be required to share any personal care Policy 807 Youth Hygiene items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. BSCC staff interviewed youth and reviewed Youth shall not share disposable razors. Double edged documentation to determine that the facility safety razors, electric razors, and other shaving meets compliance with the Title 15 minimum instruments capable of breaking the skin, when shared ☒ ☐ ☐ standards for this regulation. among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy 807 Youth Hygiene There shall be written policies and site specific BSCC staff interviewed youth and reviewed procedures developed and implemented by the facility documentation to determine that the facility administrator for showering/bathing and brushing of meets compliance with the Title 15 minimum ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on standards for this regulation. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy 607 Grooming Policy 807 Youth Hygiene Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of BSCC staff interviewed youth and reviewed identification in Court. All youth shall have equal documentation to determine that the facility ☒ ☐ ☐ opportunity to shave face and body hair. The facility meets compliance with the Title 15 minimum administrator may suspend this requirement in relation standards for this regulation. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) Policy 807 Youth Hygiene Policy 607 Grooming Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. BSCC staff interviewed youth and reviewed ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each documentation to determine that the facility haircut or procedure, by a method approved by the meets compliance with the Title 15 minimum State Board of Barbering and Cosmetology. standards for this regulation. 1500 STANDARD BEDDING AND LINEN ISSUE Policy 807 Youth Hygiene Clean laundered, suitable bedding and linens, in good BSCC staff interviewed youth and reviewed repair, shall be provided for each youth entering a living ☒ ☐ ☐ documentation to determine that the facility area who is expected to remain overnight, shall include, meets compliance with the Title 15 minimum but not be limited to: standards for this regulation. (a) One mattress or mattress-pillow combination which Policy 807 Youth Hygiene meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Policy 807 Youth Hygiene (a) above; ☒ ☐ ☐ (c) One mattress cover and a sheet or two sheets; Policy 807 Youth Hygiene ☒ ☐ ☐ (d) One towel; and, Policy 807 Youth Hygiene ☒ ☐ ☐ 7027 Butte Juvenile Hall PRO 23-24 - 68 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) One blanket or more, up on request Policy 807 Youth Hygiene ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Policy 807 Youth Hygiene The facility administrator shall develop and implement BSCC staff interviewed youth and reviewed site specific written policies and procedures for the documentation to determine that the facility scheduled exchange of laundered bedding and linen meets compliance with the Title 15 minimum ☒ ☐ ☐ issued to each youth housed. Washable items such as standards for this regulation. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Policy 807 Youth Hygiene once a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE BSCC staff interviewed youth and reviewed documentation to determine that the facility The facility administrator shall develop and implement meets compliance with the Title 15 minimum written policies and site-specific procedures for the standards for this regulation. maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7027 Butte Juvenile Hall PRO 23-24 - 69 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the facility. (Refer to the JPCF Program Agreement, ☐ ☐ ☒ Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of age and older. ☒ ☐ ☐ The facility has been approved to hold persons under the juvenile court who are ages 19 through 21. ☒ ☐ ☐ The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ Vio Section 300 of the Welfare and Institutions Code (WIC) ☒ lation ☐ are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from Vio ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☐ lation ☒ Federal Minors (ICE Holds or ORR Contract) are held in the facility. ☐ ☒ ☐ If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately Vio ☐ separated from minors. ☒ lation ☐ Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐ Vio facility in a manner that allows contact with minors. ☒ lation ☐ 7027 Butte Juvenile Hall PRO 23-24 - 70 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: 7027 FACILITY: Butte County Juvenile Hall TYPE: JH RC: 25 FIELD REPRESENTATIVE: Forrest Coleman DATE: March 17, 2023 ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS Designation Type Standards Rooms # RC RC or Square/Cubic T U W F S Beds Feet INTAKE/CONTROL 1 & 2 Holding 1998 2 3 (6) 50 sq. ft. 3 Holding 1998 1 5 (5) 84 sq. ft. 1 1 1 1 Comb unit. Can be used as a locked sleeping room. 4 Safety 1998 1 1 (1) 64 sq. ft. 1 (1) Contact interview room and (1) non-contact interview room. Showers and Toilet area are available. Property and storage rooms meet Title 24 Standards. Medical 1998 1 192 sq. ft. 1 Holding 1998 1 5 (5) 75 sq. ft. Waiting room for minors seeing the doctor. Unit A Welding Program (No youth housed in Unit A) Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 797 sq. ft. Rec. 1998 1,295 sq. ft Share with unit B. Unit B Boys and Girls club (Offices for Boys and Girl club and Therapist). Also used as an extra recreation unit. Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 786 sq. ft. *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. 7027 Butte Juvenile Hall LAS 23-24 - 1 - Rec. 1998 1,295 sq. ft Share with unit A. Unit C The unit has been modified for sight and sound separation from the other detained youths. The facility added blinds, tinted windows, and created a new out-of-bounds area to ensure sight and sound separation. Update 20-22 inspection cycle - Unit C may be used to house SB 823 youth. ROOMS EACH ROOM COMMENTS Unit Room Applicable # Each Total Size (L x W x H) FIXTURES* Designation Type Standards Rooms Room RC or Square/Cubic # RC Feet T U W F S Beds Unit D Storage and offices for school staff. Unit D will also be a recreation unit for SB 823 youth. Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. 1 1 1 1 ft. Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 790 sq. ft. Rec. 1998 1,225 Share with unit C. sq. ft Unit E Eagle Pod (Currently house Detention Youth) Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. 1 1 1 1 ft. Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 792 sq. ft. Rec. 1998 612 sq. ft Unit F Camp Condor (Currently house Camp youth and SYTF youth) These are two shared facilities located within the Juvenile Hall Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. 1 1 1 1 ft. Dayroom 1998 1,200 *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. 7027 Butte Juvenile Hall LAS 23-24 - 2 - sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 725 sq. ft. Rec. 1998 610 sq. ft Notes: Units Rec yards are less than 40 feet in width. They will not count towards facility’s overall recreation space. Unit B is used as program space for Boys and Girls Club. Sleeping rooms are not used. Unit C Modification has been made and approved by BSCC to ensure sight and sound separation from other detained youths. 2017 – Unit “E” is now Detention youth pod. Comments: Superintendent Nino Pinocchio reports no changes to the facility during the 2023- 2024 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. 7027 Butte Juvenile Hall LAS 23-24 - 3 - JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7029 FACILITY NAME: Butte County Camp Program (Camp Condor) FACILITY TYPE: Juvenile Hall PERSON(S) INTERVIEWED: Nino Pinocchio, Superintendent; Mariah Ruddy, Assistant Superintendent; Lauren K. Tuft, RN Charge; Timothy Bowers, Cook (Acting Supervising Cook); Nick Catomerisios, Principal; Joseph Crispin, Teacher; Ayana Venable, Supervisor Juvenile Detention Officer; Dawn Lopez, Juvenile Detention Officer; Male youth 17 years old; Multiple random youth FIELD REPRESENTATIVE: Forrest Coleman DATE: March 17, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF The Butte County Camp Condor (BCCC) is a BUILDING AND GROUNDS housing unit within the Butte County Juvenile Hall (BCJH) complex. The two facilities On an annual basis, or as otherwise required by law, coexist utilizing the same inspectors and each juvenile facility administrator shall obtain a evaluators for annual county inspections and documented inspection and evaluation from the the evaluation of buildings and grounds. following: Due to this inspection being conducted three months into the 2023-2024 inspection cycle, we requested that the agency provide all "County Inspections and Evaluation of Grounds" inspection reports that occurred following the agency’s prior February 2022 Board of State and Community Corrections (BSCC) inspection and or inspections and evaluations that occurred within a year of the date of the current inspection. (A) County building inspection by agency designated by Lexipol Policy Section 107.3..2(a) the Board of Supervisors to approve building safety; ☒ ☐ ☐ Completed on March 13, 2023, and inspected by Charles Climent, GSD. (B) Fire authority having jurisdiction, including a fire Lexipol Policy Section 107.3.2(b) clearance as required by Health and Safety Code Section 13146.1 (a) and (b); Completed on July 21, 2021, and inspected ☒ ☐ ☐ by City of Oroville Fire Department • This inspection requirement is biennial. 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 5 for the complete list and text of regulations. 7029 Butte Camp Condor PRO 23-24 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with Lexipol Policy Section 107.3.2(c) Health and Safety Code Section 101045; Environmental Health – Inspection completed on November 15, 2022, by Leslie Roberts, EH Specialist Nutritional – Evaluation completed on November 15, 2022, by Amber McPherson, Public Health Prog Mgr., and Caitlyn Parker, Public Health Nutritionist. We observed that several deficiencies were identified in the report submitted by Butte County Public Health. There was no Registered Dietician on record to provide ☒ ☐ ☐ nutrient and other dietary analysis to the Department of Public Health evaluators. It was recommended that the agency hire a Registered Dietitian. At the time of this report, the Butte County Camp Condor (BCCC) has hired a registered Dietician. Medical/Mental Health - Evaluated on November 15, 2022, by David Canton, Health Officer, Butte County Public health, and Monica Sodertrom, RN, Dir. Community Health, PH. (D) County superintendent of schools on the adequacy Lexipol Policy Section 107.3.2(d) of educational services and facilities as required in Section 1370; Evaluated on December 1, 2022, by Carie ☒ ☐ ☐ Webb, Executive Dir. Shasta County OED, and Cheyenne Mizenko, Asst Principal, Shasta County OED. (E) Juvenile court as required by Section 209 of the Lexipol Policy Section 107.3.2(e) Welfare and Institutions Code Completed on December 12, 2022, by ☒ ☐ ☐ Honorable Kimberly Merrifield, Presiding Judge, Butte County (F) Juvenile Justice Commission as required by Section Lexipol Policy Section 107.3.2(f) 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the Completed on March 29, 2022, by Chair Welfare and Institutions Code. Darin Haerle and commission inspectors, ☒ ☐ ☐ Matt Thomas and Janet Goodson. A 2023 inspection is pending this month, March 2023. 7029 Butte Camp Condor PRO 23-24 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS The Butte County Camp Condor (BCCC) is a BSCC Note: Compliance with this section is housing unit within the Butte County Juvenile determined by receipt of the Chief Probation Officer’s Hall (BCJH) complex. The two facilities certification letter confirming that all elements of coexist utilizing the same appointments, qualifications, and training expectations for all regulation are met. employees. In addition, both facilities abide by (a) Appointment the same policies and procedures. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and An Appointment and Qualification Letter, employees. Such superintendent, director, facility dated January 10, 2023, was received from manager and other employees of the facility shall be Butte County Chief Probation Officer (CPO) appointed by the facility administrator pursuant to ☒ ☐ ☐ Melissa Romero certifying all appointments of applicable provisions of law. staff are pursuant to the applicable laws including minimum standards from BSCC, Penal Code 6035. Further, that all staff present at the facility meet all required qualifications and clearances including contract personnel, volunteers, and other non-employees. The letter confirms that Camp Condor complies with the elements of this regulation. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess Policy 100, Organizational Structure, knowledge, skills and abilities appropriate to Appointment, and Responsibility their job classification and duties in accordance Policy 302, Camp Training Officer with applicable civil service or merit system ☒ ☐ ☐ rules; The elements of this regulation are confirmed in the CPO appointment and qualifications letter dated January 10, 2023. (2) require a medical evaluation and physical Policy 100, Organizational Structure, examination including tuberculosis screening Appointment, and Responsibility test and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, ☒ ☐ ☐ The elements of this regulation are confirmed rubella, and mumps); in the CPO appointment and qualifications letter dated January 10, 2023. (3) adhere to the minimum standards for the Policy 100, Organizational Structure, selection and training requirements adopted by Appointment, and Responsibility the Board pursuant to Section 6035 of the Penal Policy 302, Camp Training Officer Code; and The Board of State and Community ☒ ☐ ☐ Corrections, Standard and Training for Corrections (STC), Division reports that the Butte County Probation Department meets Title 15 regulation minimum standards for staff training requirements. (4) conduct a criminal records review, on each new Policy 100, Organizational Structure, employee, and psychological examination in Appointment, and Responsibility accordance with Section 1031 et seq. of the ☒ ☐ ☐ Government Code. 7029 Butte Camp Condor PRO 23-24 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Contract personnel, volunteers, and other non- Policy 308 Volunteers and Student employees of the facility, who may be present at the Internships facility, shall have such clearance and qualifications as may be required by law, and their presence at the Unless always supervised, all contract personnel, volunteers, and other non- facility shall be subject to the approval and control of ☒ ☐ ☐ members of the facility, who may be present the facility manager. at the facility, have had such clearance and qualifications as may be required by law and their presence is subject to the approval and control of the Chief Probation Officer. 1321 STAFFING Camp Condor is a camp within the BCJH complex, on a housing unit. The Camp and Each juvenile facility shall: the Juvenile Hall conduct staff training together. Cross-training the staff provides an opportunity to utilize staff from either facility if needed. Further, Camp Condor abides by the same BCJH policies and procedures, as well as the Title 15 regulations including, but not limited to, staff training and qualifications. a) have an adequate number of personnel sufficient to Policy 217, Staffing Plan carry out the overall facility operation and its programming, to provide for safety and security of We reviewed the Agency’s Organization youth and staff, and meet established standards and Chart, random weekly staff schedules, and regulations; daily unit schedules. In addition, we made ☒ ☐ ☐ personal observations. As a result, we were able to conclude that Camp Condor meets Title 15 minimum standards for this regulation. b) ensure that no required services shall be denied Policy 217, Staffing Plan because of insufficient numbers of staff on duty absent exigent circumstances; Per the above policy, the Superintendent shall ensure that a staffing plan conforming to the type and size of this facility is prepared and maintained as described in the policy. Juvenile Hall detention staff provide additional youth supervision support. ☒ ☐ ☐ Through our documentation review and personal observations, as well as through interviews with youth housed at the camp and camp staff, Camp Condor regularly ensures that the staffing is adequate, and that programming and services are not canceled because of staffing issues. 7029 Butte Camp Condor PRO 23-24 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS c) have a sufficient number of supervisory level staff to Policy 217, Staffing Plan ensure adequate supervision of all staff members; In review of the daily staff schedule, as well as through interviews with youth housed at the facility and staff, we confirmed that there is a Supervising Juvenile Detention Officer (SJDO) present at the facility on each shift. ☒ ☐ ☐ When the SJDO is absent from the shift, a JDO is assigned to work in the Supervisor’s role, as the” Lead Officer”. Camp Condor complies with the Title 15 minimum standards for this regulation. d) have a clearly identified person on duty at all times Policy 217, Staffing Plan who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core The facility Superintendent is responsible for Course and PC 832 training; the daily overall operations of the facility. ☒ ☐ ☐ In review of the sign-in to work shift scheduler, a supervisor is clearly always identified and on duty. e) have at least one staff member present on each Policy 217, Staffing Plan living unit whenever there are youth in the living unit; Through personal observations, as well as through interviews with staff and youth ☒ ☐ ☐ housed at the facility, Camp Condor regularly ensures that there is always a staff present in the unit or where a youth is present. Youth are never left unsupervised 7029 Butte Camp Condor PRO 23-24 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) have sufficient food service personnel relative to the Policy 200 Financial Practices, Section 200.8, number and security of living units, including staff Staffing Plan qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen Through staff interviews and personal supervision; direct food preparation and servings; observation, it was discovered that the facility conduct related training programs for culinary staff; is experiencing food service personnel (Cook) and maintain necessary records; or, a facility may staffing challenges due to two vacant cook serve food that meets nutritional standards prepared positions. by an outside source; Noncompliance was discovered when BSCC staff observed that there were no sufficient food service personnel to meet the minimum requirements of this regulation, which includes but is not limited to, completing the evening Cook responsibilities for youth meals. As a result, upon a Cook ending his day shift, the Cook leaves cooked and or uncooked ☐ ☒ ☐ prepared meals for the evening probation staff to warm or cook for the youths’ evening meals. Per the agency’s Orientation, Training, and Qualifications policy and procedure, detention and or camp staff are not qualified or responsible to work as the facility cook on a regular basis. Prior to submittal of this report, the agency provided a Corrective Action Plan (CAP) indicating efforts being made to hire an adequate number of food service personnel. According to CAP, two cooks are going through the hiring process. BSCC will follow up with the agency within 30 days of this report. 7029 Butte Camp Condor PRO 23-24 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy 201, Supervision of Youth medical, dental, mental health, building Policy 217, Staffing Plan maintenance, transportation, control room, facility security and other support staff for the efficient BSCC staff interviewed medical services management of the facility, and to ensure that youth personnel, education services, and camp supervision staff shall not be diverted from staff. We also made personal observations supervising youth; and, over the course of the inspection week. Camp Condor has one full-time Nurse that works Monday through Friday from 0630 to 1500. There is a Licensed Vocational Nurse who covers weekend shifts. According to medical personnel, health services is actively making efforts to fill two vacant Nurse positions. Due to no medical staff being onsite during the evening hours, the SJDO conducts the evening pill pass to youth. BSCC staff ☒ ☐ ☐ discussed the importance of ensuring that any camp staff who dispenses medication to youth must be trained and orientated by medical services personnel. Due to a critical unforeseen circumstance, the facility is temporarily without a Mental Health Clinician. In the interim, the facility may contact WellPath call helpline for emergencies. Medical services are also providing additional assistance with duties that may be applicable to their knowledge base. Camp Condor complies with Title 15 minimum standards for this regulation. h) assign sufficient youth supervision staff to provide Policy 201, Supervision of Youth continuous wide-awake supervision of youth, subject Policy 217, Staffing Plan to temporary variations in staff assignments to meet special program needs. Staffing shall be in BSCC staff interviewed camp staff and compliance with a minimum youth-staff ratio for the reviewed housing unit logs, programming following facility types: schedules, and employee daily schedules. ☒ ☐ ☐ The Butte County Camp regularly provides youth supervision staffing levels that enable the facility to meet the minimum standards for this regulation. Camp Condor complies with Title 15 minimum standards for this regulation. 7029 Butte Camp Condor PRO 23-24 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Juvenile Halls (minimum youth-staff ratio) Policy 201, Supervision of Youth (A) during the hours that youth are awake, one wide- Policy 217, Staffing Plan awake youth supervision staff member on duty for each 10 youth in detention; Although Butte County Camp Condor is ☐ ☐ ☒ located on a housing unit within the Butte County Juvenile Hall complex, it is not considered a juvenile hall. Therefore, this section (A thru E) is not applicable. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each ☐ ☐ ☒ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or ☐ ☐ ☒ maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (minimum The Butte County Camp Condor is not a youth-staff ratio) Special Purpose Juvenile Hall. The below (A) during hours that youth are awake, one wide-awake section A thru E is not applicable to this facility. ☐ ☐ ☒ youth supervision staff member is on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth ☐ ☐ ☒ in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement ☐ ☐ ☒ has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or ☐ ☐ ☒ maintenance shall not be classified as youth supervision staff positions. 7029 Butte Camp Condor PRO 23-24 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Camps (minimum youth -staff ratio) Camp Condor is a separate facility within the (A) during the hours that youth are awake, one wide- juvenile hall complex that shares and cross- awake youth supervision staff member on duty for trains staff and abides by the same policies each 15 youth in the camp population; and procedures as the BCJH. Through documentation review and personal observations, as well as interviews with youth and camp staff, the facility regularly ensures that there is one wide-awake youth supervision staff member on duty for each 10 ☒ ☐ ☐ youth in detention. Per policy, the Agency conducts an annual comprehensive staffing analysis to evaluate personnel requirements and available staffing levels. At the time of this inspection, there were 4 youth in the Camp Condor facility. All camp youth were housed in the F Unit. (B) during the hours that youth are confined to their room Policy 201, Supervision of Youth for the purpose of sleeping, one wide-awake youth Policy 217, Staffing Plan supervision staff member on duty for each 30 youth ☒ ☐ ☐ present in the facility; (C) at least two wide-awake youth supervision staff Policy 201, Supervision of Youth members on duty at all times, regardless of the Policy 217, Staffing Plan number of youth in residence, unless arrangements have been made for backup support services which Through a review of housing unit logs and the allow for immediate response to emergencies; daily staff schedule, personal observations, and as well as through interviews with camp staff, Camp Condor regularly ensures that the ☒ ☐ ☐ minimum youth-to-staff ratio is met. To ensure that the Shift Schedule form provides clarity of staffing ratios working a particular pod, the Shift Scheduler form was updated to accurately reflect staff Pod assignments. (D) at least one youth supervision staff member on duty Policy 201, Supervision of Youth who is the same gender as youth housed in the facility; Through documentation review, personal observations, and as well as through interviews with youth and camp staff, Camp ☒ ☐ ☐ Condor regularly ensures that there are always male and female staff on duty. At the time of this inspection, there were no female youth detained at Camp Condor. 7029 Butte Camp Condor PRO 23-24 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) in addition to the minimum staff to youth ratio Policy 201, Supervision of Youth required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types Only youth supervision staff provide of youth committed to the camp; and the function of supervision of the youth. ☒ ☐ ☐ the camp in determining the level of supervision necessary to maintain the safety and welfare of Camp Condor meets Title 15 minimum youth and staff; standards for this regulation (F) personnel with primary responsibility for other duties Policy 201, Supervision of Youth such as administration, supervision of personnel, Policy 217, Staffing Plan academic or trade instruction, clerical, farm, forestry, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy 300 Member Orientation AND TRAINING Policy 303 Training (a) Prior to assuming any responsibilities each youth The elements of this regulation are confirmed supervision staff member shall be properly oriented in the Butte Chief Probation Officer’s (CPO) to their duties, including: Appointment and Qualifications Letter provided by Butte County CPO Melissa Romero, and dated January 10, 2023. The letter certifies that Camp Condor correctional ☒ ☐ ☐ officers have been appointed with applicable provisions of law. According to the Board of State and Community Corrections’ Standard and Training for Corrections (STC) Division, Butte County JH meets Title 15 minimum standards regarding staff training and orientation. (1) youth supervision duties; Policy 303 Training Per the above policy, the facility has a four- phase training process. The first phase is conducted by the Administrative Supervisor. ☒ ☐ ☐ The elements of this regulation are identified in Phase One of the training procedure and confirmed in the CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023. (2) scope of decisions they shall make; Policy 303 Training The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the training procedure and confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. (3) the identity of their supervisor; Policy 303 Training The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the Butte County Juvenile Hall (BCJH) training procedure. 7029 Butte Camp Condor PRO 23-24 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) the identity of persons who are responsible to Policy 303 Training them; The Administrative Supervisor provides initial training and assigns a JDO to the new hire ☒ ☐ ☐ that will provide training through Phase Two of the training process. A Training Officer (TO) will be assigned to the trainee at Phase Three of the new hire training process. (5) persons to contact for decisions that are beyond Policy 303 Training their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. Policy 303 Training The elements of this regulation are identified in Phase One of the Butte County Juvenile ☒ ☐ ☐ Hall (BCJH) training procedure. Qualifications Letter dated January 10, 2023. (b) Prior to assuming any responsibility for the Policy 300 Member Orientation supervision of youth, each youth supervision staff Policy 303 Training member shall receive a minimum of 40 hours of facility-specific orientation, including: The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. ☒ ☐ ☐ According to the Board of State and Community Corrections’ Standard and Training for Corrections (STC) Division, Butte County Camp Condor ensures each youth supervision staff member shall receive a minimum of 40 hours of facility-specific orientation training. (1) individual and group supervision techniques; Policy 300 Member Orientation Policy 303 Training The Juvenile Hall Superintendent, Assistant Superintendent, the Supervising Detention Officer (SJDO), and the Training Officer (TO) ☒ ☐ ☐ ensure that staff meet mandated training requirements and pass or fail the new hire training. Camp Condor meets Title 15 regulation minimum standards for this regulation. (2) regulations and policies relating to discipline and Policy 300 Member Orientation rights of youth pursuant to law and the provisions Policy 303 Training of this chapter; The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the new hire training and confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. (3) basic health, sanitation and safety measures; Policy 300 Member Orientation ☒ ☐ ☐ Policy 303 Training 7029 Butte Camp Condor PRO 23-24 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) suicide prevention and response to suicide Policy 300 Member Orientation attempts Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications ☒ ☐ ☐ Letter dated January 10, 2023. In addition, camp staff receive suicide prevention training as part of their annual training program. (5) policies regarding use of force, de-escalation Policy 300 Member Orientation techniques, chemical agents, mechanical and Policy 303 Training physical restraints; The elements of this regulation are confirmed ☒ ☐ ☐ in the CPO Appointment and Qualifications Letter dated January 10, 2023. (6) review of policies and procedures referencing Policy 300 Member Orientation trauma and trauma-informed approaches; Policy 303 Training ☒ ☐ ☐ Camp Condor meets Title 15 regulation minimum standards for this regulation. (7) procedures to follow in the event of Policy 300 Member Orientation emergencies; ☒ ☐ ☐ Policy 303 Training (8) routine security measures, including facility Policy 300 Member Orientation perimeter and grounds; Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications ☒ ☐ ☐ Letter dated January 10, 2023 Camp Condor meets Title 15 regulation minimum standards for this regulation. (9) crisis intervention and mental health referrals to Policy 300 Member Orientation mental health services; Policy 303 Training ☒ ☐ ☐ Staff receive initial training in addition to an annual suicide prevention update. (10) documentation; and Policy 300 Member Orientation ☒ ☐ ☐ Policy 303 Training 7029 Butte Camp Condor PRO 23-24 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (11) fire/life safety training Policy 300 Member Orientation Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. ☒ ☐ ☐ Staff also receive annual emergency procedures training and or acknowledge a review of policy and procedure. Camp Condor meets Title 15 regulation minimum standards for this regulation. (c) Prior to assuming sole supervision of youth, each Policy 303 Training youth supervision staff member shall successfully complete the requirements of the Juvenile The elements of this regulation are confirmed Corrections Officer Core Course pursuant to Penal in the CPO Appointment and Qualifications Code Section 6035. ☒ ☐ ☐ Letter dated January 10, 2023. Staff complete CORE within the first year of assignment. (d) Prior to exercising the powers of a peace officer Policy 303 Training youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal The elements of this regulation are identified Code. in Phase Three of the new hire training process and confirmed in the CPO ☒ ☐ ☐ Appointment and Qualifications Letter dated January 10, 2023. Staff complete PC 832 within the first year of assignment. 1323 FIRE AND LIFE SAFETY 402 Fire Safety Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times In review of documentation, all staff shall who meets the training standards established by the receive Fire and Life Safety Training either Board for general fire and life safety which relate through CORE training or other contracted specifically to the facility. certified providers. ☒ ☐ ☐ The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. Camp Condor meets Title 15 minimum standards for this regulation. 7029 Butte Camp Condor PRO 23-24 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1324 POLICY AND PROCEDURES MANUAL Policy 103 Detention Manual Policy 102 Annual Review and Performance- All facility administrators shall develop, publish, and Based Goals and Objectives implement a manual of written policies and procedures that address, at a minimum, all regulations that are The facility manual is available in electronic applicable to the facility. Such a manual shall be made and hard copy format. A hard copy version is available to all employees, reviewed by all employees, available in each unit. Per policy and and shall be administratively reviewed at a minimum confirmed by the facility Superintendent, the every two years, and updated, as necessary. Those manual is administratively reviewed at a records relating to the standards and requirements set minimum every two years and updated as forth in these regulations shall be accessible to the Board needed. on request. The manual shall include: ☒ ☐ ☐ A letter dated March 23, 2023, provided by Superintendent Nino Pinocchio, confirmed that an annual administrative review of the BCJH policy and procedures manual, that includes Camp Condor, was conducted from March 6, 2023, to March 16, 2023. As part of the annual review, all BSCC camp staff participated in a policy and procedures annual update training. Camp Condor meets Title 15 minimum standards for this regulation. (a) table of organization, including channels of Policy 100 Organizational, Structure, communications and a description of job Appointment, and Responsibility classifications; ☒ ☐ ☐ Camp Condor meets Title 15 minimum standards for this regulation. (b) responsibility of the probation department, purpose Policy 100 Organizational, Structure, of programs, relationship to the juvenile court, the Appointment, and Responsibility Juvenile Justice/Delinquency Prevention Commission or Probation Committee, probation In review of annual inspection reports by the staff, school personnel and other agencies that are Juvenile Court, the Juvenile Justice involved in juvenile facility programs; Commission, and through interviews with the probation staff, school personnel, and other ☒ ☐ ☐ agencies, all collaborative partners have a clear and articulable understanding of their roles and expectations as they relate to the relationship, responsibilities, and purpose of programs outlined by the Butte County Probation Department’s policy and procedure manual. (c) responsibilities of all employees; Policy 100 Organizational, Structure, Appointment, and Responsibility ☒ ☐ ☐ Camp staff have access to the policy and procedure manuals in hard copy and or electronic format. (d) initial orientation and training program for Policy 303 Training employees; ☒ ☐ ☐ Camp Condor meets Title 15 minimum standards for this regulation. 7029 Butte Camp Condor PRO 23-24 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) initial orientation, including safety and security issues Policy 307 Health Care Orientation and and anti-discrimination policies, for support staff, Training contract employees, school, mental/behavioral Policy 308 Volunteers and Student health and medical staff, program providers and internships volunteers; Policy 311 Support Personnel Orientation and Training Prior to initial entry to the facility, the Camp ☒ ☐ ☐ Condor ensures new support staff, contractors, and or volunteers undergo a safety/security briefing and must complete the initial orientation training. Camp Condor meets Title 15 minimum standards for this regulation. (f) maintenance of record-keeping, statistics and Policy 222 Records Care and Maintenance communication system to ensure: ☒ ☐ ☐ (1) efficient operation of the juvenile facility; Policy 222 Records Care and Maintenance Handwritten logs and housing unit programming forms are the main means of record keeping of day-to-day programming ☒ ☐ ☐ and facility operations. Camp Condor meets Title 15 minimum standards for this regulation. (2) legal and proper care of youth; Policy 222 Records Care and Maintenance Camp Condor meets Title 15 minimum ☒ ☐ ☐ standards for this regulation. (3) maintenance of individual youth's records; Policy 222 Records Care and Maintenance ☒ ☐ ☐ (4) supply of information to the juvenile court and Policy 222 Records Care and Maintenance those authorized by the court or by the law; and, The agency utilizes a case management system for communication and record ☒ ☐ ☐ keeping with the courts, juvenile probation, and statistical data collection. (5) release of information regarding youth. Policy 222 Records Care and Maintenance ☒ ☐ ☐ (g) ethical responsibilities; Policy 302 Detention Training ☒ ☐ ☐ Policy 303 Training (h) trauma-informed approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all Camp Condor camp staff participated in training that included but was not limited to trauma- informed approaches. 7029 Butte Camp Condor PRO 23-24 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) culturally responsive approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all Camp Condor camp staff participated in training that included but was not limited to culturally responsive approaches. (j) gender responsive approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all Camp Condor camp staff participated in training that included but was not limited to gender- responsive approaches. (k) a non-discrimination provision that provides that all Policy 608 Youth Nondiscrimination youth within the facility shall have fair and equal access to all available services, placement, care, BSCC staff reviewed the above policy and treatment, and benefits, and provides that no person orientation packets and interviewed youth to shall be subject to discrimination or harassment on conclude that the Camp Condor meets the basis of actual or perceived race, ethnic group compliance with the elements of this identification, ancestry, national origin, immigration ☒ ☐ ☐ regulation. status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy 513 Management of Weapons and chemical agents related security devices, and Control Devices ☒ ☐ ☐ weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy 501 Youth Intake Cal eligibility information and enrollment of eligible ☒ ☐ ☐ youth; and, (n) establishment of a policy that prohibits all forms of Policy 306 Prison Rape Elimination Act sexual abuse, sexual assault and sexual (PREA)Training harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 402 Fire Safety The facility administrator shall consult with the local fire Overall, based on the documentation department having jurisdiction over the facility, or with the ☒ ☐ ☐ provided, the facility meets compliance with State Fire Marshal, in developing a plan for fire safety the elements contained in this section of the which shall include, but not be limited to: Title 15 regulations. a) a fire prevention plan to be included as part of the Policy 402 Fire Safety manual of policy and procedures; ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) monthly fire and life safety inspections by facility Policy 402 Fire Safety staff with two- year retention of the inspection record; BSCC staff requested a review of the facility’s monthly fire and life safety inspection documentation from their prior BSCC inspection on July 21, 2021, to the present. ☒ ☐ ☐ The facility provided detailed and comprehensive fire and life safety inspection records. Butte County Camp Condor meets Title 15 minimum standards for this regulation. c) fire prevention inspections as required by Health Policy 402 Fire Safety and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ A fire inspection was completed by the City of Oroville Fire Department on July 21, 2021. d) an evacuation plan; Policy 402 Fire Safety ☒ ☐ ☐ Camp Condor meets Title 15 minimum standards for this regulation. e) documented fire drills not less than quarterly; Policy 402 Fire Safety BSCC staff requested a review of quarterly fire drills’ documentation for the full 2020-2022 inspection cycle. Camp Condor exceeded Title 15 minimum standards for fire drill ☒ ☐ ☐ expectations, in terms of intervals of occurrence. Fire Drill records show that fire drills occur monthly, although required quarterly. f) a written plan for the emergency housing of youth in Policy 402 Fire Safety the case of fire; and, Camp Condor has multiple mutual aid ☒ ☐ ☐ contracts with neighboring counties where youth can be housed in the event of an emergency evacuation. g) development of a fire suppression pre-plan in Policy 402 Fire Safety cooperation with the local fire department. ☒ ☐ ☐ Camp Condor meets Title 15 minimum standards for this regulation 7029 Butte Camp Condor PRO 23-24 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1326 SECURITY REVIEW Policy 102 Annual Review and Performance- Each facility administrator shall develop policies and Based Goals and Objectives procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall Camp Condor is included as a part of a include internal and external security, including, but not received annual BCJH security checklist, limited to, key control, equipment, and staff training. dated December 14, 2023, and provided by ☒ ☐ ☐ Superintendent Nino Pinocchio, confirming an annual administrative review and evaluation of the Camp Condor facility. Camp Condor meets Title 15 minimum standards for this regulation. 1327 EMERGENCY PROCEDURES Policy 400 Facility Emergencies The facility administrator shall develop facility-specific Policy 404 Emergency Evacuation policies and procedures for emergencies that shall include, but not be limited to: A letter dated March 23, 2023, provided by Superintendent Nino Pinocchio, confirmed that an annual administrative review of the ☒ ☐ ☐ BCJH emergency procedures, that includes Camp Condor, was conducted from March 6, 2023, to March 16, 2023. As part of the annual review, all BSCC camp staff participated in an emergency procedures annual update training. (a) escape, disturbances, and the taking of hostages; Policy 400 Facility Emergencies Procedure 400 Facility Emergencies ☒ ☐ ☐ (b) civil disturbance, active shooter and terrorist attack; Policy 400 Facility Emergencies ☒ ☐ ☐ (c) fire and natural disasters; Policy 400 Facility Emergencies ☒ ☐ ☐ (d) periodic testing of emergency equipment; Policy 400 Facility Emergencies ☒ ☐ ☐ Camp Condor meets Title 15 minimum standards for this regulation. (e) emergency evacuation of the facility; and Policy 400 Facility Emergencies Procedure 400 Facility Emergencies Policy 404 Emergency Evacuation Camp Condor has multiple mutual aid ☒ ☐ ☐ contracts with neighboring counties where youth can be housed in the event of an emergency evacuation. 7029 Butte Camp Condor PRO 23-24 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) a program to provide all youth supervision staff with Policy 400 Facility Emergencies an annual review of emergency procedures. A letter dated March 23, 2023, provided by Superintendent Nino Pinocchio, confirmed that an annual administrative review of the Camp Condor emergency procedures was conducted from March 6, 2023, to March 16, ☒ ☐ ☐ 2023. As part of the annual review, all BSCC camp staff participated in an emergency procedures annual update training. Camp Condor meets Title 15 Minimum standards for this regulation. 1328 SAFETY CHECKS Policy 506 Youth Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual We reviewed Safety Checks logs for observation of youth at a minimum of every 15 minutes, December 2022, and January and February at random or varied intervals during hours when youth of 2023. are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. BSCC staff confirmed that safety checks were Supervision is not replaced, but may be supplemented conducted per Title 15 minimum standards. by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive In review, the logbook is used for safety behavior and to summon aid in emergencies. All safety checks, unit activities, shift summaries, etc. All checks shall be documented with the actual time the information is documented on the same check is completed. logbook page. As a result, tracking safety check compliance can be inconsistent and confusing. Youth’s whereabouts get lost or ☒ ☐ ☐ difficult to locate. BSCC staff discussed and provided best outcome recommendations that primarily focused on having the ability to clearly review and track safety checks. At a minimum, we suggest that safety checks are recorded on a separate page of the logbook independent of other day-to-day noted information. In addition, we discussed the importance of clearly identifying (in print) the staff that are conducting the safety checks. This could be noted at the beginning of each shift or when a particular staff arrives at the housing unit. 1329 SUICIDE PREVENTION PLAN Policy 707 Suicide Prevention and Intervention The facility administrator, in collaboration with the Procedure 707 Suicide Prevention and healthcare and behavioral/mental health Intervention administrators, shall plan and implement written policies and procedures which delineate a Suicide Prevention ☒ ☐ ☐ The Superintendent, in collaboration with the Plan. The plan shall consider the needs of youth Health Care Administrator, has a suicide experiencing past or current trauma. Suicide prevention prevention plan in place. responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: 7029 Butte Camp Condor PRO 23-24 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Suicide prevention training as required in Section Policy 300 Member Orientation 1322, Youth Supervision Staff Orientation, and Policy 707 Suicide Prevention and Training and the Juvenile Corrections Officer Core Intervention Course. The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. ☒ ☐ ☐ An annual refresher training is included in the BCJH / Camp Condor Suicide Prevention Plan. In addition, staff receive suicide prevention training during Counselor CORE training. (b) Screening, Identification Assessment and Policy 400 Emergency Procedures Precautionary Protocols (1) All youth shall be screened for risk of We reviewed random youth intake screenings suicide at intake and as needed during and/or assessments completed by Intake detention. facility staff. Camp Condor intake staff screen, assess, and identify youth who may be a suicide risk. The elements of this regulation are performed via staff’s personal ☒ ☐ ☐ observations, intake questions, interviews with the arresting officer, and information from parents. Medical staff conduct an assessment as well. Camp Condor meets Title 15 minimum standards for this regulation (2) All youth supervision staff who perform Policy 700 Health Authorities intake processes shall be trained in screening youth for risk of suicide. The elements of this regulation are confirmed in the CPO appointment and qualifications ☒ ☐ ☐ letter dated July 10, 2023. An annual refresher training is included in the Camp Condor Suicide Prevention Plan. (3) All youth who have been identified during Policy 400 Emergency Procedures the intake screening process to be at risk of suicide shall be referred to Youth identified during the intake screening behavioral/mental health staff for a suicide process to be at-risk of suicide shall be seen risk assessment. by a WellPath Behavioral Health therapist within 96 hours of admission. In review of the above policy, incident reports, ☒ ☐ ☐ and an interview with health services staff, BSCC staff confirmed that Camp Condor meets Title 15 minimum standards for this regulation. Due to a tragic and unforeseen circumstance, we did not interview behavioral health staff. 7029 Butte Camp Condor PRO 23-24 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed Policy 707 Suicide Prevention and to ensure the youth’s safety pending the Intervention behavioral/mental health assessment. ☒ ☐ ☐ Procedure 707 Suicide Prevention and Intervention (c) Referral process to behavioral/mental health staff Policy 400 Emergency Procedures for assessment and/or services. Procedure 707 Suicide Prevention and Intervention We requested to review suicide attempts and ☒ ☐ ☐ or suicide ideations for 2022 to the present. Camp Condor meets Title 15 minimum standards for this regulation (d) Procedures for monitoring of youth identified at risk Policy 707 Suicide Prevention and for suicide. Intervention Procedure 707 Suicide Prevention and Intervention To monitor youth at-risk for suicide, the facility ☒ ☐ ☐ utilizes the following: • Suicide Watch - Direct visual observation • 5-8 minute watch • Special Observation - Housing and room items allowed precautions. (e) Safety Interventions Procedure 707 Suicide Prevention and (1) Procedures to address intervention Intervention protocols for youth identified at risk for ☒ ☐ ☐ suicide which may include, but are not Camp Condor meets Title 15 minimum limited to: standards for this regulation. A. Housing consideration Procedure 707 Suicide Prevention and ☒ ☐ ☐ Intervention B. Treatment strategies including Procedure 707 Suicide Prevention and trauma-informed approaches Intervention The elements of this regulation are confirmed in the CPO appointment and qualifications ☒ ☐ ☐ letter dated July 10, 2023. An annual refresher training that includes trauma-informed approaches is included in the Camp Condor Suicide Prevention Plan. (2) Procedures to instruct youth supervision Policy 707 Suicide Prevention and staff how to respond to youth who exhibit Intervention suicidal behaviors. ☒ ☐ ☐ Procedure 707 Suicide Prevention and Intervention (f) Communication Policy 501 Youth Intake (1) The intake process shall include communication with the arresting officer and family guardians regarding the youth’s ☒ ☐ ☐ past or present suicidal ideations, behaviors or attempts. 7029 Butte Camp Condor PRO 23-24 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Procedures for clear and current Procedure 707 Suicide Prevention and information sharing about youth at risk for Intervention suicide with youth supervision, healthcare, and behavioral/mental health staff. BSCC staff provided best practice outcomes for documenting, monitoring, and sharing youth suicide ideation behaviors. Following ☒ ☐ ☐ the inspection, the facility developed a Suicide Watch Check-Off Sheet to provide needed documentation of suicide behaviors. Camp Condor meets Title 15 minimum standards for this regulation. (g) Debriefing of Critical Incidents Related to Suicides Policy 707 Suicide Prevention and or Attempts Intervention (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, Camp Condor meets Title 15 minimum during and after the critical incident. standards for this regulation. (2) Process for a debriefing event with affected Policy 707 Suicide Prevention and staff. ☒ ☐ ☐ Intervention (3) Process for a debriefing event with affected Policy 707 Suicide Prevention and youth. Intervention ☒ ☐ ☐ Camp Condor meets Title 15 minimum standards for this regulation (h) Documentation Policy 707 Suicide Prevention and (1) Documentation processes shall be Intervention developed to ensure compliance with this ☒ ☐ ☐ Procedure 707 Suicide Prevention and regulation Intervention Youth identified at risk for suicide shall not be denied Policy 707 Suicide Prevention and the opportunity to participate in facility programs, Intervention services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety Camp Condor meets Title 15 minimum of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ standards for this regulation programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy 101 Authority and Legal Assistance Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions At the time of this inspection, there were no ☒ ☐ ☐ of confinement, filed against persons or legal entities reports of legal action having occurred since responsible for juvenile facility operation. the prior inspection. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Policy 523 Reporting In-Custody Deaths Policy 524 In-Custody Deaths Reviews (1) Death of a Youth. (a) The facility administrator, in cooperation with the At the time of this inspection, there were no health administrator and the behavioral/mental reports of death of a youth in custody having health director, shall develop written policies and occurred since the prior inspection. ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. 7029 Butte Camp Condor PRO 23-24 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) The health administrator, in cooperation with the Policy 523 Reporting In-Custody Deaths facility administrator, shall develop written policies Policy 524 In-Custody Deaths Reviews and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Policy 523 Reporting In-Custody Deaths Board a copy of the report submitted to the Attorney Policy 524 In-Custody Deaths Reviews General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy 523 Reporting In-Custody Deaths the administrator, the Board may within 30 calendar Policy 524 In-Custody Deaths Reviews days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy 400 Emergency Procedures (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to necessary parties, which may include the Juvenile Court, the ☒ ☐ ☐ parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy 500 Population Management Each juvenile facility shall submit required population and profile survey reports to the Board within 10 Per the Board of State and Community working days after the end of each reporting period, in ☒ ☐ ☐ Corrections, records show that the Camp a format to be provided by the Board. Condor Profile Survey Reports are timely and meet minimum standards for this regulation. 1343 JUVENILE FACILITY CAPACITY Policy 1101 Crowding When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than Camp Condor has not exceeded its rated fifteen (15) calendar days in a month, the facility capacity. ☒ ☐ ☐ administrator shall provide a crowding report to the Board in a format provided by the Board. At the time of this inspection, Butte County Camp Condor’s rated capacity is 15 youth. 7029 Butte Camp Condor PRO 23-24 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350 ADMITTANCE PROCEDURES Policy 501 Youth Intake Procedure 501 Youth Intake The facility administrator shall develop and implement written policies and procedures for admittance of youth We requested to review 10 youth Intake that emphasize respectful and humane engagement Packet forms that occurred between July with youth, and reflect that the admission process may 2022 to present, or the 10 most recent forms be traumatic to youth who may have already completed. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and A review of the documentation indicates literacy needs of youth. In addition to the requirements Camp Condor complies with the minimum of Sections 1324 and 1430 of these regulations: standards for this regulation. ☒ ☐ ☐ Through a combination of a variety of documentation reviews, interviews with youth housed at the facilities, interviews with camp staff, and interviews with medical health partners, we confirmed that Camp Condor meets compliance with this regulation. BSCC staff was impressed with the utilization of an intake check-off sheet and the individual assessment and screening tool. (a) the admittance process shall include: Policy 501 Youth Intake (1) Access to two free phone calls within one hour Procedure 501 Youth Intake of admittance in accordance with the provisions ☒ ☐ ☐ of Welfare and Institution Code Section 627; We reviewed documentation and interviewed youth housed at the facility and camp staff. (2) Offer of a shower; Policy 501 Youth Intake Procedure 501 Youth Intake ☒ ☐ ☐ Youth and camp staff interviewed report that youth are offered showers and clean clothes upon intake. (3) Documented secure storage of personal Policy 501 Youth Intake belongings; ☒ ☐ ☐ Procedure 501 Youth Intake (4) Offer of food upon arrival; Policy 501 Youth Intake Procedure 501 Youth Intake ☒ ☐ ☐ The intake check-off sheet and the booking sheet provide assurance that youth are offered a meal at intake. 7029 Butte Camp Condor PRO 23-24 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Screening for physical and behavioral health Policy 501 Youth Intake and safety issues, intellectual or developmental Policy 504 Case Management disabilities; Policy 701 Youth Screening and Evaluation In review of youth intake documentation, the facility medical and behavioral health personnel evaluate youth within 96 hours of ☒ ☐ ☐ admittance, utilizing a MAYSI II form. In addition, intake staff ask youth targeted questions to make determinations. Camp Condor meets Title 15 minimum standards for this regulation. (6) Screening for physical and developmental Policy 701 Youth Screening and Evaluation disabilities in accordance with Sections 1329, Procedure 501 Youth Intake 1413, and 1430 of these regulations; Through documentation and interviews with ☒ ☐ ☐ medical and behavioral health staff, we confirmed that Camp Condor ensures that all youth have a full medical exam within 96 hours of intake. (7) Contact with Regional Center for the Policy 501 Youth Intake Developmentally Disabled for youth that are Procedure 501 Youth Intake suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. Procedure 502 Youth Classification ☒ ☐ ☐ (b) juvenile hall administrators shall establish written Procedure 502 Youth Classification criteria for campthat considers the least restrictive environment. We observed documentation showing that all youth are screened by utilizing a classification ☒ ☐ ☐ form that assesses the housing unit placement of the youth based on the criminal sophistication of the youth. (c) juvenile camps and post-dispositional programs in Policy 501 Youth Intake juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform them of program guidelines ☐ ☐ ☒ and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and Policy 501 Youth Intake procedures that advise any committed youth of the ☒ ☐ ☐ estimated length of his/her stay. 7029 Butte Camp Condor PRO 23-24 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy 501 Youth Intake ABUSE Policy 502 Classification Policy 701 Youth Screening The facility administrator shall develop and implement written policies and procedures to reduce the risk of The facility reported that it relies, in part, on sexual abuse by or upon youth. The policy shall require the onsite Licensed Marriage and Family facility staff to assess each youth within 72 hours of Therapist (LMFT) to conduct the screening admission based on the following information: that applies to this regulation. Sadly, due to very unfortunate and unforeseen circumstance, the facility LMFT was not available to confirm screenings and no documentation provides confirming information. Although noncompliance appeared evident, ☒ ☐ ☐ BSCC staff reviewed multiple intake, classification, and youth screening policies and documentation to determine, cumulatively, compliance is met for this regulation. The facility policy differs from practice. We provided technical assistance to employ the facility to follow its own policy. Since the inspection, to enable the facility to readily provide proof of practice for this regulation, the facility developed and incorporated a “Sexual Victimization Assessment” spreadsheet to be completed during the intake process. (a) Prior sexual victimization or abusiveness; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (b) Gender nonconforming appearance or manner; or Policy 501 Youth Intake identification as lesbian, gay or bisexual, Policy 502 classification transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (d) Age; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (e) Level of emotional and cognitive development; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (f) Physical size and stature; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (g) Mental illness or mental disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Intellectual or developmental disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (i) Physical disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (j) The youth’s perception of vulnerability; and, Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (k) Any other specific information about the individual Policy 501 Youth Intake youth that may indicate heightened needs for Policy 701 Youth Screening supervision, additional safety precautions, or ☒ ☐ ☐ separation from certain other youth. Staff shall ascertain this information through Policy 501 Youth Intake conversations with the youth during the admittance process, medical and behavioral health screenings; during classification assessments; and by reviewing ☒ ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy 701 Youth Screening controls on the dissemination of information within the facility relative to responses received pursuant to this assessment in order to ensure that sensitive information ☒ ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Policy 520 Release The facility administrator shall develop and implement written policies and procedures for release of youth Compliance with this regulation is confirmed from custody which provide for: based on review of facility policies and procedures, a review of a random selection of ☒ ☐ ☐ juvenile hall release forms, interviews with collaborative partners, and as well as interviews with camp staff and youth housed at the facility. (a) verification of identity/release papers; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ (b) return of personal clothing and valuables; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ (c) notification to the youth's parents or guardian; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) notification to the facility health care provider in Policy 520 Release accordance with Sections 1408 and 1437 of these Procedure 520 Youth Release regulations, for coordination with outside agencies; and, BSCC staff interviewed medical services personnel to help in determining compliance with minimum standards for this section of ☒ ☐ ☐ the regulation. BSCC staff were impressed with efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. (e) notification of school staff; Policy 520 Release Procedure 520 Youth Release BSCC staff interviewed education services (Teacher and Principal) to help in determining compliance with minimum standards for this section of the regulation. ☒ ☐ ☐ We were impressed with the efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. (f) notification of facility mental health personnel. Policy 520 Release Procedure 520 Youth Release BSCC staff reviewed policy and interviewed health services and camp staff to assist in confirming compliance. The facility LMFT and the Deputy Probation ☒ ☐ ☐ Officer (DPO) play vital roles in release transition planning for youth. BSCC staff were impressed with the efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. 7029 Butte Camp Condor PRO 23-24 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement Policy 520 Release policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Youth transition plans are discussed during services including, but not limited to, medical and regularly scheduled MDT meetings. In behavioral health, education, probation supervision and addition, the facility LMFT in conjunction with community-based services. the youth’s DPO, the Superintendent or designee, and camp detention officers develop all post-dispositional services for a youth being released. In addition, education ☒ ☐ ☐ services attend the MDT and provide the youth with a transition education packet. While BSCC applauds the multi-collaborative efforts being made, we discussed the benefits that including proof of practice, when these efforts are documented on a transition plan document. The facility administrator shall develop and implement Policy 520 Release written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Policy 502 Youth Classification The facility administrator shall develop and implement Procedure 502 Youth Classification written policies and procedures on classification of youth for the purpose of determining housing placement Through a review of the above policy and 10 in the facility. ☒ ☐ ☐ admission classification examples, we Such procedures shall: determined that Camp Condor meets compliance with the elements of this regulation. (a) provide for the safety of the youth, other youth, Policy 502 Youth Classification facility staff, and the public by placing youth in the Procedure 502 Youth Classification appropriate, least restrictive housing and program settings. Housing assignments shall consider the Through a review of the above policy, need for single, double or dormitory assignment or ☒ ☐ ☐ admission documentation, and interviews location within the dormitory; with supervisory staff, we determined that Camp Condor meets compliance with the elements of this regulation. (b) consider facility populations and physical design of Policy 502 Youth Classification the facility; Procedure 502 Youth Classification ☒ ☐ ☐ (c) provide that a youth shall be classified upon Policy 502 Youth Classification admittance to the facility; classification factors shall Procedure 502 Youth Classification include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, Through a review of the above policy, legal status, public safety considerations, admission documentation, and interviews medical/mental health considerations, gender and with supervisory staff, we determined that gender identity of the youth; ☒ ☐ ☐ Camp Condor meets compliance with the elements of this regulation. BSCC staff found the facility’s “Transgender / Intersex Youth Preference Form” and procedures to be well-referenced. 7029 Butte Camp Condor PRO 23-24 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, including Policy 502 Youth Classification provisions that consider the level of supervision and Procedure 502 Youth Classification ☒ ☐ ☐ the youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Policy 502 Youth Classification from the general population or assign youth to a Procedure 502 Youth Classification single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 502 Youth Classification transgender, questioning or intersex identification or Procedure 502 Youth Classification status as an indicator of likelihood of being sexually abusive. Through a review of the above policy, ☒ ☐ ☐ admission documentation, and interviews with supervisory staff, we determined that Camp Condor meets compliance with the elements of this regulation. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Procedure 502.5 Transgender /Intersex Youth The facility administrator shall develop written policies and procedures ensuring respectful and equitable ☒ ☐ ☐ treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender Procedure 502.5 Transgender / Intersex identity and shall refer to the youth by the youth’s Youth preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the A Transgender/Intersex Youth Preference use of gang or slang names or names that Form is provided to youth as part of the intake ☒ ☐ ☐ otherwise compromise facility operations as process. determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Procedure 502.5 Transgender / Intersex themselves in a manner consistent with their Youth gender identity and shall provide youth with the ☒ ☐ ☐ institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room Procedure 502.5 Transgender / Intersex that best meets their individual needs and promotes Youth their safety and well-being. Staff may not automatically house youth according to their Through a review of the above policy, external anatomy and shall document the reasons admission documentation, and interviews for any decision to house youth in a unit that does ☒ ☐ ☐ with camp and supervisory staff, we not match their gender identity. In making a housing determined that Camp Condor meets decision, staff shall consider the youth’s compliance with the elements of this preferences, as well as any recommendations from regulation the youth’s health or behavioral health provider. 7029 Butte Camp Condor PRO 23-24 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Facility administrators shall ensure that Procedure 502.5 Transgender / Intersex transgender and intersex youth have access to Youth medical and behavioral health providers qualified to ☒ ☐ ☐ provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Procedure 502.5 Transgender / Intersex necessary security considerations and physical Youth plant, facility staff shall make every effort to ensure the safety and privacy of transgender and intersex ☒ ☐ ☐ youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 516 Searches youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Policy 503 Youth Orientation The facility administrator shall develop and implement Procedure 503 Youth Orientation written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal BSCC staff reviewed policy and procedure, information shall be provided and supplemented with requested to review 10 orientation packet video orientation if feasible. Provision shall be made to examples, interviewed camp staff, and ☒ ☐ ☐ provide accessible orientation information to all interviewed youth housed at the facility to help detained youth including those with disabilities, limited determine compliance. literacy, or English language learners. Orientation shall include information that addresses: Camp Condor meets Title 15 minimum standards for the elements of this regulation. (a) facility rules including contraband and searches Policy 503 Youth Orientation and disciplinary procedures; Procedure 503 Youth Orientation Included in the orientation packet are the expected rules and responsibilities. Through ☒ ☐ ☐ our discussions, the agency found it necessary to add a youth’s signature to the intake orientation check-off sheet, acknowledging receipt and understanding of the documentation. (b) facility’s system of positive behavior interventions Policy 503 Youth Orientation and supports, including behavior expectations, Procedure 503 Youth Orientation incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Policy 503 Youth Orientation facility’s policy prohibiting sexual abuse and sexual Procedure 503 Youth Orientation harassment and how to report incidents or ☒ ☐ ☐ suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) the existence of the grievance procedure, the steps Policy 503 Youth Orientation that must be taken to use it, the youth’s right to be Procedure 503 Youth Orientation free of retaliation for reporting a grievance, and the name of the person or position designated to BSCC staff were impressed with the ☒ ☐ ☐ resolve the issue; comprehensive grievance acknowledgment form provided to youth at intake. (f) access to legal services and information on the Policy 503 Youth Orientation court process; Procedure 503 Youth Orientation ☒ ☐ ☐ (g) access to routine and emergency health and mental Policy 503 Youth Orientation health care; Procedure 503 Youth Orientation ☒ ☐ ☐ (h) access to education, religious services, and Policy 503 Youth Orientation recreational activities; Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Camp Condor meets compliance with the elements of this regulation. (i) housing assignments; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 503 Youth Orientation including the availability of personal care items Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Camp Condor meets compliance with the elements of this regulation. (k) rules and access to correspondence, visits and Policy 503 Youth Orientation telephone use; Procedure 503 Youth Orientation ☒ ☐ ☐ (l) availability of reading materials, programming, and Policy 503 Youth Orientation other activities; Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Camp Condor meets compliance with the elements of this regulation. 7029 Butte Camp Condor PRO 23-24 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (m) facility policies on the use of force, use of restraints, Policy 503 Youth Orientation chemical agents and room confinement; Procedure 503 Youth Orientation We interviewed youth and intake staff to help in determining that Camp Condor meets compliance with the elements of this regulation. Policy indicates that Use of Force options are authorized to be utilized “without warning for ☒ ☐ ☐ purposes of defense and control”. We provided technical assistance for the facility to update language in the youth intake packet that aligns with Title 15 that, in part, specifies use of force is to be used when reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, staff, others, and the facility. (n) immigration legal services; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free Policy 503 Youth Orientation from physical, verbal or sexual abuse and Procedure 503 Youth Orientation harassment by other youth and staff; We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Camp Condor meets compliance with the elements of this regulation. (q) availability of services and programs in a language Policy 503 Youth Orientation other than English if appropriate; Procedure 503 Youth Orientation ☒ ☐ ☐ (r) the process for requesting different housing, Policy 503 Youth Orientation education, programming and work assignments; Procedure 503 Youth Orientation ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 503 Youth Orientation information regarding the youth’s stay in the facility Procedure 503 Youth Orientation that at a minimum includes answers to frequently asked questions and provides contact information ☒ ☐ ☐ for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Policy 503 Youth Orientation Title 15 Minimum Standards for Juvenile Facilities. Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Camp Condor meets compliance with the elements of this regulation. 7029 Butte Camp Condor PRO 23-24 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy 502 Youth Classification Policy 601 Safety Removals (Room The facility administrator shall develop and implement Confinement) written policies and procedures that address: There were no reports of the Separation of youth reported since the prior BSCC inspection. The Facility does not have a specific “Separation” policy where Separation of a ☒ ☐ ☐ youth from the general group occurs outside of a sleeping room. The policy used for Separation is a room confinement policy. BSCC staff discussed best practice outcomes to formulate a specific policy for “Separation” to differentiate it from room confinement in policy. (a) separation of youth for reasons that include, but are Policy 502 Youth Classification not be limited to, medical and mental health conditions, assaultive behavior, disciplinary By Title 15 definition, “Separation” means consequences and protective custody. limiting a youth’s participation in regular programming for a specific purpose. Separation may be used as discipline and a youth does not have to be placed in his/her room when separated from the group. Camp Condor is located within the BCJH complex and abides by the same policies and ☒ ☐ ☐ procedures as the BCJH. BCJH only has a room confinement policy. Per Title 15 regulations, room confinement may not be used as a form of discipline. BSCC staff provided Technical Assistance in distinguishing the difference between “Separation” and “Room Confinement” as defined by Title 15. In addition, our Technical Assistance included recommending that the facility develop a policy that specifically addresses “Separation” as defined in Title 15. (b) consideration of positive youth development and Policy 502 Youth Classification trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal Policy 502 Youth Classification privileges available at the facility, except when Policy 601 Safety Removals (Room necessary to accomplish the objective of Confinement) separation. After reviewing the above policy, ☒ ☐ ☐ documentation, and interviews with youth, the agency is compliant with the minimum standards for this regulation. 7029 Butte Camp Condor PRO 23-24 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) when the objective of the separation is discipline, Policy 601 Safety Removals (Room Title 15 Section 1390 shall apply. Confinement) ☒ ☐ ☐ By Title 15 definition, “Separation” means limiting a youth’s participation in regular programming for a specific purpose. (e) when separation results in room confinement, the Policy 601 Safety Removals (Room separation shall occur in accordance with Welfare Confinement) and Institutions Code Section 208.3 and ☒ ☐ ☐ Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy 601 Safety Removals (Room of separated youth to determine if separation Confinement) ☒ ☐ ☐ remains necessary. 1354.5 ROOM CONFINEMENT Policy 601 Safety Removal (Room (a) The facility administrator shall develop and Confinement) implement written policies and procedures addressing the confinement of youth in their room BSCC staff requested to reviewed random that are consistent with Welfare and Institutions room confinement-related incident reports, Code Section 208.3. The placement of a youth in ☒ ☐ ☐ reviewed room confinement logs, and room confinement shall be accomplished in interviewed youth detained at the facility as accordance with the following guidelines: well as camp staff. We also interviewed collaborative partners to gain further insight to confirm compliance with this regulation (1) Room confinement shall not be used before Policy 601 Safety Removals (Room other, less restrictive, options have been Confinement) attempted and exhausted, unless attempting ☒ ☐ ☐ those options poses a threat to the safety or Camp Condor meets Title 15 minimum security of any youth or staff. standards for the elements of this regulation. (2) Room confinement shall not be used for the Policy 601 Safety Removals (Room purposes of punishment, coercion, Confinement) convenience, or retaliation by staff. ☒ ☐ ☐ Documentation supports compliance with this regulation. Room confinement is always used appropriately. confinement shall not be used to the extent that it Policy 601 Safety Removals (Room compromises the mental and physical health of the Confinement) ☒ ☐ ☐ youth. 7029 Butte Camp Condor PRO 23-24 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) A youth may be held up to four hours in room Policy 601 Safety Removals (Room confinement. After the youth has been held in room Confinement) confinement for a period of four hours, staff shall do one or more of the following: Since the prior inspection, documentation shows that no youth has been held in room confinement beyond the four-hour threshold. The facility uses the following documentation tools to help track and log room confinement ☒ ☐ ☐ including, but are not limited to: • Administration Separation Monitoring Log • Pod Logbook • Safety and Security Behavioral Removal log • Administrative Separation Check Off Log (1) Return the youth to general population. Policy 601 Safety Removals (Room ☒ ☐ ☐ Confinement) (2) Consult with mental health or medical staff. Policy 601 Safety Removals (Room Confinement) Per policy, if after one hour the youth’s ☒ ☐ ☐ behavior continue to be a threat to facility safety and security, the facility LMFT may be contacted to assess and counsel the youth. (3) Develop an individualized plan that includes the Policy 601 Safety Removals (Room goals and objectives to be met in order to Confinement) reintegrate the youth to general population. ☒ ☐ ☐ Individualized plans are identified as Behavior Modification Plans. (4) If room confinement must be extended beyond Policy 601 Safety Removals (Room four hours, staff shall do each of the following: Confinement) ☒ ☐ ☐ Since the prior inspection, documentation shows that no youth has been held in room confinement beyond the four-hour threshold. (A) Document the reasons for room Policy 601 Safety Removals (Room confinement and the basis for the Confinement) extension, the date and time the youth was first placed in room confinement, and when ☒ ☐ ☐ The facility utilizes an Administrative he or she is eventually released from room Separation Form that complies with the confinement. elements of this regulation. (B) Develop an individualized plan that Policy 601 Safety Removals (Room includes the goals and objectives to be met Confinement) in order to integrate the youth to general ☒ ☐ ☐ population. (C) Obtain documented authorization by the Policy 601 Safety Removals (Room facility superintendent or his or her Confinement) ☒ ☐ ☐ designee every four hours thereafter. 7029 Butte Camp Condor PRO 23-24 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) This section is not intended to limit the use of Policy 601 Safety Removals (Room single-person rooms or cells for the housing of Confinement) youth in juvenile facilities and does not apply to ☒ ☐ ☐ normal sleeping hours. (6) This section does not apply to youth or wards Policy 601 Safety Removals (Room in court holding facilities or adult facilities. ☒ ☐ ☐ Confinement) (7) Nothing in this section shall be construed to Policy 601 Safety Removals (Room conflict with any law providing greater or Confinement) ☒ ☐ ☐ additional protections to youth. (8) This section does not apply during an Policy 601 Safety Removals (Room extraordinary emergency circumstance that Confinement) requires a significant departure from normal institutional operations, including a natural disaster or facility-wide threat that poses an imminent and substantial risk of harm to ☒ ☐ ☐ multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy 601 Safety Removals (Room placed in a locked cell or sleeping room to treat Confinement) and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an illness. ☒ ☐ ☐ Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 504 Case Management The facility administrator shall develop and implement written policies and procedures for assessment and ☒ ☐ ☐ Camp Condor meets Title 15 minimum case planning. standards for the elements of this regulation. (a) Assessment: Policy 504 Case Management The assessment is based on information collected during the admission process with periodic review, As part of the initial assessment, within two which includes the youth's risk factors, needs and days of intake, the LMFT, Lisa Creamer strengths including, but not limited to, identification O’Donnell, completes the MAYSI II with the of substance abuse history, educational, vocational, youth and makes the appropriate review. counseling, behavioral health, consideration of The assessment includes descriptions of known history of trauma, and family strengths and the youth’s issues and places an emphasis ☒ ☐ ☐ needs. on youth’s strengths. On a risk and needs basis, LMFT O’Donnell meets with the youth monthly to discuss case plan and progress towards goals. Camp Condor meets Title 15 minimum standards for the elements of this regulation. 7029 Butte Camp Condor PRO 23-24 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Institutional Case Plan: Policy 504 Case Management (1) A case plan shall be developed for each youth held for at least 30 days or more and created ☒ ☐ ☐ Camp Condor meets Title 15 minimum within 40 days of admission. standards for the elements of this regulation. (2) The institutional plan shall include, but not be Policy 504 Case Management limited to, written documentation that provides: ☒ ☐ ☐ (A) objectives and time frame for the resolution Policy 504 Case Management of problems identified in the assessment; ☒ ☐ ☐ (B) a plan for meeting the objectives that Policy 504 Case Management includes a description of program resources needed and individuals responsible for ☒ ☐ ☐ assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy 504 Case Management the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; (4) a transition plan, the contents of which shall be Policy 504 Case Management subject to existing resources, shall be Policy 518 Discharge Plan developed for post dispositional youth in ☒ ☐ ☐ accordance with Section 1351; and, Camp Condor meets Title 15 minimum standards for the elements of this regulation. (5) in as much as possible and if appropriate, the Policy 504 Case Management plan, including the transition plan, shall be Policy 518 Discharge Plan developed with input from the family, supportive ☒ ☐ ☐ adults, youth, and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Policy 704 Counseling Services The facility administrator shall develop and implement Policy 518 Discharge Plan written policies and procedures ensuring the availability ☒ ☐ ☐ of appropriate counseling and casework services for all Camp Condor meets Title 15 minimum youth. Policies and procedures shall ensure: standards for the elements of this regulation. (a) youth will receive assistance with needs or Policy 704 Counseling Services concerns that may arise; ☒ ☐ ☐ The facility LMFT and WellPath services are available to assist youth. (b) youth will receive assistance in requesting contact Policy 704 Counseling Services with parents, other supportive adults, attorney, clergy, probation officer, or other public official; and, ☒ ☐ ☐ Camp Condor meets Title 15 minimum standards for the elements of this regulation (c) youth will be provided access to available Policy 704 Counseling Services resources to meet the youth’s needs. ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1357 USE OF FORCE Policy 305 Chemical Agents Training The facility administrator, in cooperation with the Procedure 514.1 responsible physician, shall develop and implement Policy 514 Use of Force written policies and procedures for the use of force, Procedure 514 Force Options which may include chemical agents. Force shall never Policy 515 Restraints be applied as punishment, discipline, retaliation or treatment. We requested to review the 10 most recent (a) At a minimum, each facility shall develop policies Use of Force (UOF) Incident reports covering ☒ ☐ ☐ and procedures which: the time from the prior July 21, 2021, inspection to the current inspection. We also interviewed youth housed at the facility and facility camp staff. The facility is compliant with Title 15 minimum standards for this regulation (1) restricts the use of force to that which is deemed Policy 514 Use of Force reasonable and necessary, as defined in Section Procedure 514 Force Options 1302 to ensure the safety and security of youth, Procedure 514.1 Chemical Agents ☒ ☐ ☐ staff, others and the facility. Decontamination Procedure (2) outline the force options available to staff Policy 514 Use of Force including both physical and non-physical options Procedure 514 Force Options and define when those force options are ☒ ☐ ☐ appropriate. (3) describe force options or techniques that are Policy 514 Use of Force expressly prohibited by the facility. Procedure 514 Force Options Camp Condor Use of Force Options include the below: • Verbal Commands • OC Spray ☒ ☐ ☐ • Soft Hands / Physical Escort • Hard hands / Full Restraint • Strikes / Kicks • Convex Shield • Mechanical Restraints (4) describe the requirements of staff to report any Policy 514 Use of Force inappropriate use of force, and to take Procedure 514 Force Options ☒ ☐ ☐ affirmative action to immediately stop it. (5) define a standardized reporting format that Policy 514 Use of Force includes time period and procedure for Procedure 514 Force Options documenting and reporting the use of force, including reporting requirements of A review of incident reports requested show management and line staff and procedures for that Camp Condor documents and reports reviewing and tracking use of force incidents by incidents in accordance with Title 15 minimum supervisory and or management staff, which ☒ ☐ ☐ standards. include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. 7029 Butte Camp Condor PRO 23-24 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) Include an administrative review and a system Policy 514 Use of Force for investigating unreasonable use of force. Procedure 514 Force Options Through a review of the Use of Force incident reports, we observe that the supervisor ☒ ☐ ☐ provides a final analysis and debrief of the incident. Also, the Superintendent reviews the use of force incident reports to ensure the use of force was in accordance with facility policy. (7) define the role, notification, and follow-up Policy 514 Use of Force procedures required after use of force incidents Procedure 514 Force Options for medical, mental health staff and parents or legal guardians. BSCC staff interviewed supervisory, camp, ☒ ☐ ☐ and medical staff to help determine compliance with the elements of this regulation. (8) describe the limitations of use of force on Policy 307 Health Care Orientation and pregnant youth in accordance with Penal Code Training Section 6030(f) and Welfare and Institutions ☒ ☐ ☐ Policy 514 Use of Force Code Section 222. Policy 515 Restraints (b) Facilities that authorize chemical agents as a force Policy 305 Chemical Agents Training option shall include policies and procedures that: Policy 514 Use of Force Procedure 514.1 Chemical Agents Decontamination Procedure ☒ ☐ ☐ There were no reports of chemical agent use since the prior July 21, 2021, inspection. (1) identify who is approved to carry and/or utilize Policy 305 Chemical Agents Training chemical agents in the facility and the type, size Policy 514 Use of Force and the approved method of deployment for ☒ ☐ ☐ those chemical agents. (2) mandate that chemical agents only be used Policy 514 Use of Force when there is an imminent threat to the youth’s safety or the safety of others and only when de- We reviewed policy and interviewed JDO and escalation efforts have been unsuccessful or are ☒ ☐ ☐ SJDO to determine that Camp Condor meets not reasonably possible. compliance with Title 15 minimum standards for this regulation. (3) outline the facility’s approved methods and Policy 514 Use of Force timelines for decontamination from chemical Procedure 514.1 Chemical Agents agents. This shall include that youth who have Decontamination Procedure been exposed to chemical agents shall not be ☒ ☐ ☐ left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Policy 514 Use of Force procedures required after use of force incidents involving chemical agents for medical, mental ☒ ☐ ☐ health staff and parents or legal guardians. 7029 Butte Camp Condor PRO 23-24 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) provide for the documentation of each incident Policy 514 Use of Force of use of chemical agents, including the Procedure 514.1 Chemical Agents reasons for which it was used, efforts to de- Decontamination Procedure escalate prior to use, youth and staff involved, the date, time and location of use, ☒ ☐ ☐ decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure Policy 305 Chemical Agents Training which require that agencies provide initial and regular training in use of force and chemical agents The elements of this regulation are identified when appropriate that address: in Phase One of the training procedure and ☒ ☐ ☐ confirmed in the CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023 (1) known medical and behavioral health Procedure 514 Force Options conditions that would contraindicate certain Policy 305 Chemical Agents Training types of force; ☒ ☐ ☐ (2) acceptable chemical agents and the methods Procedure 514 Force Options of application. ☒ ☐ ☐ (3) signs or symptoms that should result in Procedure 514 Force Options immediate referral to medical or behavioral Procedure 514.1 Chemical Agents health. Decontamination Procedure ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Procedure 514 Force Options Use of Force. ☒ ☐ ☐ (5) physical training force options that may require Procedure 514 Force Options the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Procedure 514 Force Options training. ☒ ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS Policy 515 Restraints The facility administrator, in cooperation with the We requested to review the 10 most recent responsible physician and mental health director, shall Use of Physical Restraint Incident Reports develop and implement written policies and procedures covering the time from the prior July 21, 2021, for the use of restraint devices. Restraint devices inspection to the current inspection. We also ☒ ☐ ☐ include any devices which immobilize a youth's interviewed youth housed at the facility and extremities and/or prevent the youth from being facility camp staff. ambulatory. The facility is compliant with Title 15 minimum standards for this regulation 7029 Butte Camp Condor PRO 23-24 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Physical restraints may be used only for those youth Policy 515 Restraints who present an immediate danger to themselves or We observed that in all instances, physical others, who exhibit behavior which results in the restraints were justifiably used and when less destruction of property, or reveals the intent to cause restrictive alternatives were exhausted. ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy 515 Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or Camp Condor meets Title 15 minimum other fixture, including a restraint chair, or through affixing standards for the elements of this regulation. of hands and feet together behind the back (hogtying) is ☒ ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy 515 Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed ☒ ☐ ☐ by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy 515 Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a Camp Condor meets Title 15 minimum physician. Reasons for continued retention in restraints ☒ ☐ ☐ standards for the elements of this regulation. shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy 515 Restraints retention shall be secured as soon as possible, but no later than two hours from the time of placement. The We were able to confirm that medical staff youth shall be medically cleared for continued retention ☒ ☐ ☐ provides ongoing review and assessment at least every three hours thereafter. while a youth is in mechanical or any type of restraint. A mental health consultation shall be secured as soon as Policy 515 Restraints possible, but in no case longer than four hours from the time of placement, to assess the need for mental health We were able to confirm that behavioral treatment. ☒ ☐ ☐ health staff provides ongoing review and assessment while a youth is in mechanical or any type of restraint. Continuous direct visual supervision shall be conducted Policy 515 Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. Through documentation review and Observations of the youth's behavior and any staff interviews with camp and medical staff, we ☒ ☐ ☐ interventions shall be documented at least every 15 were able to confirm that the youth remain minutes, with actual time of the documentation recorded. under constant supervision until the restraints are removed. In addition to the requirements above, policies and Policy 515 Restraints procedures shall address: (a) documentation of the circumstances leading to an Policy 515 Restraints application of restraints. ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) known medical conditions that would contraindicate Policy 515 Restraints certain restraint devices and/or techniques. ☒ ☐ ☐ (c) acceptable restraint devices. Policy 515 Restraints ☒ ☐ ☐ (d) signs or symptoms which should result in Policy 515 Restraints immediate medical/mental health referral. ☒ ☐ ☐ (e) availability of cardiopulmonary resuscitation Policy 515 Restraints equipment. ☒ ☐ ☐ (f) protective housing of restrained youth. While in Policy 515 Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy 515 Restraints ☒ ☐ ☐ (h) exercising of extremities. Policy 515 Restraints ☒ ☐ ☐ 1358.5 USE OF RESTRAINT DEVICES FOR Policy 515 Restraints MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. It is the policy of the Facility that the use of restraints should be reserved only for The Facility Administrator, in cooperation with the transportation outside of the facility. responsible physician and behavioral/mental health ☒ ☐ ☐ director, shall develop and implement written policies Restraints shall never be used by staff within and procedures for the use of restraint devices when the confines of the Juvenile Hall complex. the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Policy 515 Restraints approved to utilize restraint devices and the required training. The CPO appointment and qualifications letter dated January 10, 2023, written by CPO ☒ ☐ ☐ Melissa Romero, confirms that the elements of this regulation comply with Title 15 minimum standards. (b) the circumstances leading to the application of Policy 515 Restraints restraints must be documented. ☒ ☐ ☐ (c) an individual assessment of the need to apply restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental health conditions, trauma ☐ ☐ ☒ informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Policy 515 Restraints with a clearly defined expectation that restraint devices shall not be used for the purposes of ☒ ☐ ☐ discipline or retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section6030(f) and ☐ ☐ ☒ Welfare and Institutions Code Section 222. 7029 Butte Camp Condor PRO 23-24 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1359 SAFETY ROOM PROCEDURES Policy 507 Safety Room (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall Compliance with this regulation is based develop and implement written policies and solely on review of policy and procedure procedures governing the use of safety rooms, as manual as the facility safety room has not described in Title 24, Part 2, Section 1230.1.13. The been utilized in the prior or current inspection room shall be used to hold only those youth who cycle. present an immediate danger to themselves or ☒ ☐ ☐ others, who exhibit behavior which results in the Review of Safety Room policy and destruction of property, or reveals the intent to procedures revealed compliance with this cause self-inflicted physical harm. A safety room regulation. shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of Policy 507 Safety Room necessary nutrition and fluids, access to a toilet, and suitable clothing to provide for ☒ ☐ ☐ privacy; (2) provide for approval of the facility manager, or Policy 507 Safety Room designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Policy 507 Safety Room and documentation of the youth's behavior and any staff interventions every 15 minutes, with ☒ ☐ ☐ actual time recorded; (4) provide that the youth shall be evaluated by the Policy 507 Safety Room facility manager, or designee, every four hours; ☒ ☐ ☐ (5) provide for immediate medical assessment, Policy 507 Safety Room where appropriate, or an assessment at the ☒ ☐ ☐ next daily sick call; and, (6) provide a process for documenting the reason Policy 507 Safety Room for placement, including attempts to use less restrictive means of control, and decisions to ☒ ☐ ☐ continue and end placement. (b) The placement of a youth in the safety room shall be Policy 507 Safety Room accomplished in accordance with the following: At the time of this inspection, the facility ☒ ☐ ☐ reported no occurrences for the use of the Safety Room. (1) safety room shall not be used before other less Policy 507 Safety Room restrictive options have been attempted and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes Policy 507 Safety Room of punishment, coercion, convenience, or retaliation by staff. At the time of this inspection, the facility ☒ ☐ ☐ reported no occurrences for the use of the Safety Room. (3) safety room shall not be used to the extent that Policy 507 Safety Room it compromises the mental and physical health ☒ ☐ ☐ of the youth. 7029 Butte Camp Condor PRO 23-24 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) A youth may be held up to four hours in the safety Policy 507 Safety Room room. After the youth has been held in the safety room for a period of four hours, staff shall do one or ☒ ☐ ☐ more of the following: (1) return the youth to general population. Policy 507 Safety Room ☒ ☐ ☐ (2) consult with mental health or medical staff, Policy 507 Safety Room ☒ ☐ ☐ (3) develop an individualized plan that includes the Policy 507 Safety Room goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. (d) If confinement in the safety room must be extended Policy 507 Safety Room beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 and the goals and objectives to ☒ ☐ ☐ be met in order to integrate the youth to general population. 1360 SEARCHES Policy 516 Searches The facility administrator shall develop and implement Procedure 516 Searches written policies and procedures governing the search of 501 Youth Intake youth, the facility, and visitors. Policies and procedures Procedure 502.5 Transgender Intersexed shall provide that: Youth BSCC staff requested 5 random examples ☒ ☐ ☐ from July 2022 to December 2022 or the 5 most recent in 2023. We also interviewed youth housed at the facility. It was concluded that the facility complies with Title 15 minimum standards of this regulation. (a) Searches shall be conducted to ensure the safety Policy 516 Searches and security of the facility, public, visitors, youth, Procedure 516 Searches ☒ ☐ ☐ and staff. (b) Searches shall be conducted in a manner that Policy 516 Searches preserves the privacy and dignity of the person Procedure 516 Searches being searched and shall not be conducted for harassment or as a form of discipline or The facility utilizes the following search punishment. protocols: modified strip search (partial clothing adjusted or removed), pat down ☒ ☐ ☐ search, strip search, physical body cavity search (physician and search warrant required), and canine-assisted search. It was concluded that the facility complies with Title 15 minimum standards of this regulation. (c) Strip searches and visual or physical body cavity 501 Youth Intake searches shall comply with Penal Code Section Policy 516 Searches 4030. The facility maintains expectations for strip ☒ ☐ ☐ searches pursuant to PC 4030, for pre-camp youth and post-camp youth. All strip searches are approved in advance of the search. (d) Physical body cavity searches shall only be Policy 516 Searches conducted by a medical professional. ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Any youth held after a camp hearing shall only be Policy 516 Searches strip searched with prior approval of a supervisor Procedure 516 Searches when there is reasonable suspicion based on specific and articulable facts to believe that youth is ☒ ☐ ☐ It was concluded that the facility complies with concealing contraband. The reasonable suspicion Title 15 minimum standards of this regulation. shall be documented. (f) Searches of transgender and intersex youth shall Procedure 502.5 Transgender / Intersexed comply with Section 1352.5. Youth Policy 516 Searches The facility has protocols in the policy addressing expectations for staff related to ☒ ☐ ☐ searching youth who are transgender. A Transgender / Intersex Youth Preference Form is provided to youth as part of the intake process and identifies search preferences for the youth. (g) Cross-gender pat-down searches and strip Policy 516 Searches searches are prohibited except in exigent Procedure 516 Searches circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy 609 Youth Grievances The facility administrator shall develop and implement written policies and procedures whereby any youth may BSCC staff reviewed 8 random youth appeal and have resolved grievances relating to any grievances and due process documentation condition of confinement, including but not limited to examples from July 2022 to the date of the health care services, classification decisions, program inspection. It is very impressionable that youth participation, telephone, mail or visiting procedures, write very few grievances. We also ☒ ☐ ☐ food, clothing, bedding, mistreatment, harassment or interviewed youth housed at the facility, as violations of the nondiscrimination policy. There shall be well as camp staff. no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility We concluded that the Camp Condor manager ensures: complies with Title 15 minimum standards of this regulation. (a) a grievance form and instructions for registering a Policy 609 Youth Grievances grievance, which includes provisions for the youth to have free access to the form; During our physical inspection, we observed that grievances were readily available to ☒ ☐ ☐ youth. In addition, grievance lock boxes were located in the housing pods to allow youth to confidentially submit a grievance if needed. (b) the youth shall have the option to confidentially file Policy 609 Youth Grievances the grievance or to deliver the form to any youth supervision staff working in the facility; The youth were aware of the grievance ☒ ☐ ☐ procedures and the location of the grievances and the grievance lockbox to confidentially file a grievance if needed. (c) resolution of the grievance at the lowest appropriate Policy 609 Youth Grievances staff level; ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provision for a prompt review and initial response to Policy 609 Youth Grievances grievances within three (3) business days, grievances that relate to health and safety issues ☒ ☐ ☐ must be addressed immediately; (1) The youth may elect to be present to explain Policy 609 Youth Grievances his/her version of the grievance to a person not directly involved in the circumstances which led The youth interviewed indicated that during ☒ ☐ ☐ to the grievance. the intake and orientation process, the grievance procedure was clearly explained. (2) Provision for a staff representative approved by Policy 609 Youth Grievances the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Policy 609 Youth Grievances which includes the reasons for the decisions; ☒ ☐ ☐ The documentation as well as interviews show that camp staff respond professionally. (f) a system which provides that any appeal of a Policy 609 Youth Grievances grievance shall be heard by a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance; (g) resolution of the grievance must occur within ten Policy 609 Youth Grievances (10) business days unless circumstances dictate a longer time frame. The youth shall be notified of The documentation as well as interviews ☒ ☐ ☐ any delay; and, show that camp staff respond to grievances in a timely fashion. (h) the policy shall provide multiple internal and Policy 609 Youth Grievances external methods to report sexual abuse and sexual ☒ ☐ ☐ harassment. Whether or not associated with a grievance, concerns Policy 609 Youth Grievances of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Policy 209 Special Incident Report A written report of all incidents which result in physical preparation harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be Throughout the inspection process, written maintained. Such written record shall be prepared by the ☒ ☐ ☐ reports of various incidents were requested staff and submitted to the facility manager by the end of and received. In review, Camp Condor the shift, unless additional time is necessary and incident reports are written and prepared as authorized by the facility manager or designee. required by Title 15 minimum standards. 1363 USE OF REASONABLE FORCE TO COLLECT Policy 514 Use of Force DNA SPECIMENS, SAMPLES, IMPRESSIONS Policy 522 Biological Samples (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections Compliance with this regulation is based personnel including peace officers, may employ solely on review of policy and procedure reasonable force to collect blood specimens, saliva manual as the use of force to collect DNA has ☒ ☐ ☐ samples, and thumb or palm print impressions from not been conducted this inspection cycle. individuals who are required to provide such samples, specimens or impressions pursuant to Review of Biological Samples policy and Penal Code Section 296 and who refuse following procedures revealed compliance with this written or oral request. regulation. 7029 Butte Camp Condor PRO 23-24 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) For the purpose of this section, the “use of Policy 522 Biological Samples reasonable force” shall be defined as the force that an objective, trained and competent correctional employee, faced with similar facts ☒ ☐ ☐ and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy 522 Biological Samples efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented and include an advisement of the ☒ ☐ ☐ legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Policy 522 Biological Samples authorization of the supervising officer on duty. The authorization shall include information that reflects Per the above policy, if a youth refuses to the fact that the offender was asked to provide the ☒ ☐ ☐ cooperate with the sample collection, force requisite specimen, sample, or impression and will not be used in the collection of samples refused. except as authorized by a court order. (1) If the use of reasonable force includes a cell Policy 522 Biological Samples extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the length of time required by ☒ ☐ ☐ statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7029 Butte Camp Condor PRO 23-24 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM Policy 1003 Youth Educational Services (a) School Programs The County Board of Education shall provide for the Per Title 15, Section 1313 County Inspection administration and operation of juvenile court schools in and Evaluation of Building and Grounds (d), conjunction with the Chief Probation Officer, or designee the facility was evaluated on December 1, pursuant to applicable State laws. The school and facility 2022, by Carie Webb, Executive Dir. Shasta administrators shall develop and implement written policy County OED, and Cheyenne Mizenko, Asst and procedures to ensure communication and Principal, Shasta County OED. coordination between educators and probation staff. Culturally responsive and trauma-informed approaches BSCC staff interviewed education staff should be applied when providing instruction. Education (Teacher and Principal), as well as youth staff should collaborate with the facility administrator to detained at the facility. We also physically use technology to facilitate learning and ensure safe inspected classrooms. technology practices. The facility administrator shall request an annual review of each required element of the ☒ ☐ ☐ program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Policy 1003 Youth Educational Services The facility school program shall comply with the State Education Code and County Board of Education policies, Compliance was confirmed as part of the all applicable federal education statutes and regulations required annual, Title 15, Section 1313 and provide for an annual evaluation of the educational County Inspection and Evaluation of Building program offerings. As stated in the 2009 California and Grounds evaluation. The facility was Standards for the Teaching Profession, teachers shall evaluated on December 1, 2022, by Carie ☒ ☐ ☐ establish and maintain learning environments that are Webb, Executive Dir. Shasta County OED, physically, emotionally, and intellectually safe. Youth shall and Cheyenne Mizenko, Asst Principal, be provided a rigorous, quality educational program that Shasta County OED. responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Policy 1003 Youth Educational Services program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- BSCC staff physically inspected classrooms nonconforming youth by their preferred name and and interviewed a classroom teacher. We gender. found that the learning environment and the ☒ ☐ ☐ quality of educational programming meet the Title 15 minimum standards for this regulation. (1) The course of study shall comply with the State Policy 1003 Youth Educational Services Education Code and include, but not be limited ☒ ☐ ☐ to, courses required for high school graduation. 7029 Butte Camp Condor PRO 23-24 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Information and preparation for the High School Policy 1003 Youth Educational Services Equivalency Test as approved by the California Department of Education shall be made ☒ ☐ ☐ available to eligible youth. (3) Youth shall be informed of post-secondary Policy 1003 Youth Educational Services education and vocational opportunities. The school program provides a transition packet at release that contains college ☒ ☐ ☐ preparation materials and information. The facility is making efforts to provide online courses from Butte Community College. (4) Administration of the High School Equivalency Policy 1003 Youth Educational Services Tests as approved by the California Department of Education, shall be made available when ☒ ☐ ☐ possible. (5) Supplemental instruction shall be afforded to Policy 1003 Youth Educational Services youth who do not demonstrate sufficient progress towards grade level standards. Per the annual education services evaluation, ☒ ☐ ☐ Camp Condor is compliant with Title 15 minimum standards for this regulation. (6) The minimum school day shall be consistent with Policy 1003 Youth Educational Services State Education Code Requirements for juvenile court schools. The facility administrator, in The Table Mountain school day is from conjunction with education staff, must ensure Monday through Friday from 8:30am - that operational procedures do not interfere with 3:00pm. ☒ ☐ ☐ the time afforded for the minimum instructional day. Absences, time out of class or educational Per the annual education services evaluation, instruction, both excused and unexcused, shall Camp Condor is compliant with Title 15 be documented. minimum standards for this regulation. (7) Education shall be provided to all youth Policy 1003 Youth Educational Services regardless of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate threat ☒ ☐ ☐ to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Policy 1003 Youth Educational Services (1) Positive behavior management will be implemented to reduce the need for disciplinary In conjunction with Probation, Education action in the school setting and be integrated into Services utilize the Positive Behavior the facility's overall behavioral management plan ☒ ☐ ☐ Interventions & Supports (PBIS) system. and security system. Throughout the day, youth earn points for good behavior and participation in school and programming after school. (2) School staff shall be advised of administrative Policy 1003 Youth Educational Services decisions made by probation staff that may affect the educational programming of students. The classroom Teacher and the Principal ☒ ☐ ☐ expressed that Probation does well in keeping education staff advised of circumstances that may affect a student. 7029 Butte Camp Condor PRO 23-24 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Except as otherwise provided by the State Policy 1003 Youth Educational Services Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State ☒ ☐ ☐ Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Policy 1003 Youth Educational Services education staff will develop policies and procedures that address the rights of any Educational services provide supplemental ☒ ☐ ☐ student who has continuing difficulty completing assistance to youth through two full-time a school day. Paraprofessionals. (d) Provisions for Special Populations Policy 1003 Youth Educational Services (1) State and federal laws and regulations shall be Educational services provide supplemental observed for all individuals with disabilities or assistance to youth through two full-time suspected disabilities. This includes but is not Paraprofessionals. limited to child find, assessment, continuum of ☒ ☐ ☐ alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy 1003 Youth Educational Services afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 1003 Youth Educational Services (1) Youth shall be interviewed after admittance and BSCC staff interviewed education staff a record maintained that documents a youth's ☒ ☐ ☐ (Teacher and Principal), as well as youth educational history, including but not limited to: detained at the facility. We also physically inspected classrooms. (A) School progress/school history; Policy 1003 Youth Educational Services ☒ ☐ ☐ (B) Home Language Survey and the results of Policy 1003 Youth Educational Services the State Test used for English language ☒ ☐ ☐ proficiency; (C) Needs and services of special populations Policy 1003 Youth Educational Services as defined by the State Education Code, including but not limited to, students with Per the annual education services special needs. ☒ ☐ ☐ evaluation, Camp Condor meets compliance with Title 15 minimum standards for this regulation. (D) Discipline problems. Policy 1003 Youth Educational Services ☒ ☐ ☐ (2) Youth will be immediately enrolled in school. Policy 1003 Youth Educational Services Educational staff shall conduct an assessment to determine the youth's general academic ☒ ☐ ☐ functioning levels to enable placement in core curriculum courses. 7029 Butte Camp Condor PRO 23-24 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) After admission to the facility, a preliminary Policy 1003 Youth Educational Services education plan shall be developed for each youth within five school days. BSCC staff interviewed education services ☒ ☐ ☐ staff and reviewed student records to confirm compliance with the elements of this regulation. (4) Upon enrollment, education staff shall comply Policy 1003 Youth Educational Services with the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Policy 1003 Youth Educational Services (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Policy 1003 Youth Educational Services provide appropriate credit (full or partial) for course work completed while in juvenile court ☒ ☐ ☐ school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 1003 Youth Educational Services (1) The Superintendent of Schools and the Chief Education services work closely with the Probation Officer or designee, shall develop behavioral health and probation staff to policies and procedures to meet the transition facilitate multi-disciplinary meetings to needs of youth, including the development of an ☒ ☐ ☐ discuss the needs of youth being released. All education transition plan, in accordance with the efforts are made to ensure the involvement State Education Code and in alignment with Title and or input from the parent(s), the DPO, 15, Minimum Standards for Juvenile Facilities, assigned JCO, therapist, and any other Section 1355. supportive adults and the youth. (h) Post-Secondary Education Opportunities Policy 1003 Youth Educational Services (1) The school and facility administrator should, Outside of the school Camp program, we whenever possible, collaborate with local post- were impressed with the Welding Program secondary education providers to facilitate ☒ ☐ ☐ that enables a youth to earn a Certified access to educational and vocational Welding Certificate. opportunities for youth that considers the use of technology to implement these programs. 7029 Butte Camp Condor PRO 23-24 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1371 PROGRAMS, RECREATION, AND Policy 1000 Youth Programs and Services EXERCISE. Policy 1002 Programs Exercise and Recreation The facility administrator shall develop and implement Procedure 1002 Daily Schedules written policies and procedures for programs, recreation, and exercise for all youth. The intent is to BSCC staff requested and reviewed random minimize the amount of time youth are in their rooms or Programs Exercise and Recreation logs for ☒ ☐ ☐ their bed area. the months of December 2022 and January and February of 2023. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. Juvenile facilities shall provide the opportunity for Policy 1002 Programs Exercise and programs, recreation, and exercise a minimum of three Recreation hours a day during the week and five hours a day each Procedure 1002 Daily Schedules Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather The program schedules show the programs permitting. provided. Technical assistance was provided in suggesting to the agency that to ensure ☒ ☐ ☐ ongoing compliance, individual youth participation and non-participation should be clearly documented on a consistent basis. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. A youth’s participation in programs, recreation, and Policy 1002 Programs Exercise and exercise may be suspended only upon a written finding Recreation by the administrator/manager or designee that a youth Procedure 1002 Daily Schedules ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Policy 1002 Programs Exercise and be posted in the living units. Recreation Procedure 1002 Daily Schedules ☒ ☐ ☐ During the physical facility inspection, we observed program and recreation schedule calendars posted in the living units. There will be a written annual review of the programs, Policy 102 Annual Review and Performance- recreation, and exercise by the responsible agency to Based Goals and Objectives ensure content offered is current, consistent, and Policy 1002 Programs Exercise and relevant to the population. ☒ ☐ ☐ Recreation Procedure 1002 Daily Schedules 7029 Butte Camp Condor PRO 23-24 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Programs. All youth shall be provided with the Policy 1002 Programs Exercise and opportunity for at least one hour of daily Recreation programming to include, but not be limited to, trauma Procedure 1002 Daily Schedules focused, cognitive, evidence-based, best practice interventions that are culturally relevant and BSCC staff requested and reviewed random linguistically appropriate, or pro-social interventions Programs Exercise and Recreation logs and and activities designed to reduce recidivism. These documentation for the months of December programs should be based on the youth’s individual 2022 January and February of 2023. We also needs as required by Sections 1355 and 1356. Such ☒ ☐ ☐ interviewed youth housed at the facility, camp programs may be provided under the direction of the staff, behavioral health staff, and education Chief Probation Officer or the County Office of service staff. Education and can be administered by county partners such as mental health agencies, community BSCC staff concluded that the facility based organizations, faith-based organizations or complies with Title 15 minimum standards for Probation staff. this regulation. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; Policy 1002 Programs Exercise and (2) Management of Stress and Trauma; Recreation (3) Anger Management; Procedure 1002 Daily Schedules (4) Conflict Resolution; (5) Juvenile Justice System; The facility has an assigned Youth Programs (6) Trauma-related interventions; Coordinating Supervisor responsible for (7) Victim Awareness; recruitment, research, and program (8) Self-Improvement; development. (9) Parenting Skills and support; (10) Tolerance and Diversity; The facility provides meaningful programming (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; for youth. In particular, the facility is one of (13) Gender Specific Programming; only a few juvenile facilities to have an actual (14) Art, creative writing, or self-expression; Boys and Girls Club component at the facility (15) CPR and First Aid training; that is onsite weekly providing programming (16) Restorative Justice or Civic Engagement; services and counseling. The facility also has (17) Career and leadership opportunities; and, a gardening program, substance abuse (18) Other topics suitable to the youth population. counseling, and programming provided in ☒ ☐ ☐ conjunction with education services. We were impressed with the community involvement component of the program, allowing camp youth to contribute to the local community while also experiencing positive interactions with community leaders, local businesses, and families. In terms of structured programming, BSCC staff discussed the importance of clearly documenting specific programs that occurred to ensure required structured programming is accounted for. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. 7029 Butte Camp Condor PRO 23-24 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Recreation. All youth shall be provided the Policy 1002 Programs Exercise and opportunity for at least one hour of daily access to Recreation unscheduled activities such as leisure reading, letter Procedure 1002 Daily Schedules writing, and entertainment. Activities shall be ☒ ☐ ☐ supervised and include orientation and may include BSCC staff concluded that the facility coaching of youth. complies with Title 15 minimum standards for this regulation. (c) Exercise. All youth shall be provided with the Policy 1002 Programs Exercise and opportunity for at least one hour of large muscle Recreation activity each day. Procedure 1002 Daily Schedules After a review of program activity logs, and ☒ ☐ ☐ interviews with youth housed at the facility and camp staff, Butte County Camp Condor meets compliance with the Title 15 minimum standards for this regulation. The administrator/manager may suspend, for a period Policy 1002 Programs Exercise and not to exceed 24 hours, access to recreation and Recreation programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy 1007 Religious programs The facility administrator shall provide access to Procedure 1002 Daily Schedules religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth Camp Condor meets compliance with the Title shall be allowed to participate in an activity outside of ☒ ☐ ☐ 15 minimum standards for this regulation. their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy 1007 Religious programs Procedure 1002 Daily Schedules Through interviews with youth housed at the ☒ ☐ ☐ facility and a review of the programming schedules, we were able to determine that Camp Condor meets compliance with the Title 15 minimum standards for this regulation. (b) availability of clergy; and, Policy 1007 Religious programs ☒ ☐ ☐ (c) availability of religious diets. Policy 1007 Religious programs Through documentation and interviews with youth housed at the facility, medical staff, and food services personnel, we were able to determine that Camp Condor is in compliance with the Title 15 minimum standards for this ☒ ☐ ☐ regulation. Per policy, the agency honors religious diets. The request for a religious diet is made to medical staff. Medical staff informs the food service personnel of the religious diet request. 7029 Butte Camp Condor PRO 23-24 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy 105 Youth Work Program The facility administrator shall develop policies and Procedure 519 Transportation of Youth procedures regarding the fair and consistent assignment Outside of the Facility of youth to work programs. Work assigned to a youth shall be meaningful, constructive and related to ☒ ☐ ☐ Review of policy and procedures revealed vocational training or increasing a youth's sense of compliance with this regulation. responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING Policy 1008 Youth Visitation The facility administrator shall develop and implement Procedure 1008 Youth Visitation written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to BSCC staff reviewed visiting policy and receive visits by parents, guardians or persons standing procedure, visiting schedules, and logs for in loco parentis, and children of youth. Other family December 2022 and January and February of ☒ ☐ ☐ members, such as grandparents and siblings, and 2023. We also interviewed youth and camp supportive adults, may be allowed to visit with the staff. Based on information received and approval of the facility administrator or designee, and in interviews, BSCC staff conclude that Camp conjunction with the youth’s case plan or in the best Condor complies with Title 15 minimum interest of the youth. standards for this regulation. All visits shall occur at reasonable times, subject only to Policy 1008 Youth Visitation the limitations necessary to maintain order and security. Procedure 1008 Youth Visitation Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, Camp Condor ensures visiting occurs at whether the visitor’s criminal history represents a risk to reasonable times and if a visitor is denied, the ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of youth affected is notified. visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy 1008 Youth Visitation per week. Visits may be supervised, but conversations Procedure 1008 Youth Visitation shall not be monitored unless there is a security or safety need. A review of visiting logs and interviews with ☒ ☐ ☐ youth confirm that Camp Condor ensures youth have an opportunity to have visitation for a minimum of two hours per week. Provisions for special visits, in addition to the two-hour Policy 1008 Youth Visitation minimum and/or outside of the regular visiting hours, Procedure 1008 Youth Visitation shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family Butte County JH meets compliance with the therapy and professional visits shall be accommodated ☒ ☐ ☐ Title 15 minimum standards for this outside the provisions of this regulation. Facilities may regulation. provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy 1008 Youth Visitation alternative, but not as a replacement, to in-person Procedure 1008 Youth Visitation ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy 1001 Youth Mail The facility administrator shall develop and implement written policies and procedures for correspondence Staff and youth interviewed as well as review ☒ ☐ ☐ which provide that: of policy and procedures revealed compliance with this regulation. 7029 Butte Camp Condor PRO 23-24 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) there is no limitation on the volume of mail that youth Policy 1001 Youth Mail may send or receive; ☒ ☐ ☐ (b) youth may send two letters per week postage free; Policy 1001 Youth Mail ☒ ☐ ☐ (c) youth may correspond confidentially with state and Policy 1001 Youth Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized Butte County Camp Condor meets facility staff may open and inspect such mail only to ☒ ☐ ☐ compliance with the Title 15 minimum search for contraband and in the presence of the standards for the elements of this regulation. youth; and, (d) incoming and outgoing mail, other than that described Policy 1001 Youth Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and Butte County Camp Condor meets ☒ ☐ ☐ security, public safety, or youth safety is jeopardized. compliance with the Title 15 minimum standards for this regulation. 1376 TELEPHONE ACCESS Policy 1006 Youth Telephone Access The administrator of each juvenile facility shall develop BSCC staff interviewed camp staff and and implement written policies and procedures to provide interviewed youth housed at the facility. We youth with access to telephone communications. ☒ ☐ ☐ also reviewed policy and procedures. Camp Condor meets compliance with the elements of this regulation. 1377 ACCESS TO LEGAL SERVICES Policy 1001 Youth Mail Policy 603 Youth Access to Courts and The facility administrator shall develop written Counsel procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: BSCC staff interviewed camp staff and ☒ ☐ ☐ interviewed youth housed at the facility. We also reviewed policy and procedures. Camp Condor meets compliance with the elements of this regulation. (a) access, upon request by the youth, to licensed Policy 603 Youth Access to Courts and attorneys and their authorized representatives; Counsel ☒ ☐ ☐ (b) provision for confidential consultation with Policy 603 Youth Access to Courts and attorneys; and, Counsel ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Policy 1001 Youth Mail cost-free telephone access as appropriate. ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1390 DISCIPLINE Policy 600 Youth Discipline and Positive The facility administrator shall develop and implement Behavior written policies and procedures for the discipline of youth Procedure 600 Youth Discipline (Explanation that shall promote acceptable behavior; including the use of PBIS System) of positive behavior interventions and supports. Discipline shall be imposed at the least restrictive level BSCC staff reviewed discipline process which promotes the desired behavior and shall not incident report examples for October 2022 include corporal punishment, group punishment, and December 2022 or the 10 most recent physical or psychological degradation. Deprivation of the examples. We also interviewed youth housed following is not permitted: at the facility and camp staff. Behavior management is guided by the ☒ ☐ ☐ positive Behavior Interventions and Supports (PBIS) system that promotes and incentivizes good behavior through good behavior management tokens that youth earn daily. Youth are aware of expectations through positive behavior interventions and supports. We interviewed youth and camp staff and physically inspected the facility to aid in confirming compliance with the Title 15 minimum standards for this regulation. (a) bed and bedding; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (b) daily shower, access to drinking fountain, toilet and Policy 600 Youth Discipline and Positive personal hygiene items, and clean clothing; Behavior In addition to interviewing youth housed at the ☒ ☐ ☐ facility, regarding any deprivation of use, we randomly tested the functionality of toilets and drinking fountains. (c) full nutrition; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (d) contact with parent or attorney; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (e) exercise; Policy 600 Youth Discipline and Positive Behavior We interviewed youth housed at the facility ☒ ☐ ☐ and camp staff. BSCC staff also reviewed documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. (f) medical services and counseling; Policy 600 Youth Discipline and Positive Behavior BSCC staff interviewed youth, medical staff, and behavioral health staff in addition to ☒ ☐ ☐ reviewing documentation. The facility complies with the Title 15 minimum standards for this regulation. 7029 Butte Camp Condor PRO 23-24 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) religious services; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (h) clean and sanitary living conditions; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (i) the right to send and receive mail; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (j) education; and, Policy 600 Youth Discipline and Positive Behavior BSCC staff interviewed youth, medical staff, and behavioral health staff in addition to ☒ ☐ ☐ reviewing documentation. The facility complies with the Title 15 minimum standards for this regulation. (k) rehabilitative programming. Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior The facility administrator shall establish rules of conduct Policy 600 Youth Discipline and Positive and disciplinary penalties to guide the conduct of youth. Behavior Such rules and penalties shall include both major violations and minor violations, be stated simply and BSCC staff interviewed youth and camp staff affirmatively, and be made available to all youth. and reviewed random incident reports that ☒ ☐ ☐ Provision shall be made to provide accessible document proof of practice regarding information to youth with disabilities, limited English disciplinary actions including both minor and proficiency, or limited literacy. major rule violations. We also observed the facility rules posted on the housing unit walls. 1391 DISCIPLINE PROCESS Policy 600 Youth Discipline and Positive The facility administrator shall develop and implement Behavior written policies and procedures for the administration of Procedure 600 Youth Discipline (Explanation discipline which shall include, but not be limited to: of PBIS System) BSCC staff reviewed discipline process ☒ ☐ ☐ incident report examples for October 2022 and December 2022 or the 10 most recent examples. We also interviewed youth housed at the facility and camp staff. (a) designation of personnel authorized to impose Policy 600 Youth Discipline and Positive discipline for violation of rules; Behavior ☒ ☐ ☐ (b) prohibiting discipline to be delegated to any youth; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (c) definition of major and minor rule violations and Policy 600 Youth Discipline and Positive their consequences, and due process Behavior ☒ ☐ ☐ requirements; 7029 Butte Camp Condor PRO 23-24 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) trauma-informed approaches and positive behavior Policy 600 Youth Discipline and Positive interventions; Behavior Procedure 600 Youth Discipline The elements of this regulation are confirmed in CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023 ☒ ☐ ☐ The agency’s policies and procedures ensure that camp staff makes use of training that ensure developmentally appropriate, trauma- informed approaches to working with youth while implementing positive behavior intervention. (e) minor rule violations may be handled informally by Policy 600 Youth Discipline and Positive counseling, advising the youth of expected conduct Behavior imposing a minor consequence. Discipline shall be Procedure 600 Youth Discipline accompanied by written documentation and a policy of review and appeal to a supervisor; and, BSCC staff reviewed policy, reviewed ☒ ☐ ☐ discipline sheets, interviewed youth housed at the facility, and interviewed camp staff. Our findings confirmed that Camp Condor meets Title 15 minimum standards for this regulation (f) major rule violations and the discipline process Policy 600 Youth Discipline and Positive shall be documented and require the following: Behavior BSCC staff reviewed policy, reviewed due process reports, interviewed youth housed at the facility, and interviewed camp staff. Our findings confirmed that Camp Condor meets Title 15 minimum standards for this regulation. ☒ ☐ ☐ Youth are oriented and understand that major rule violations are violations that directly affect the safety and security of the facility, and/or disrupt the normal operation of the facility and programming. We concluded that Camp Condor meets Title 15 minimum standards for this regulation. (1) written notice of violation prior to a hearing; Policy 600 Youth Discipline and Positive Behavior BSCC staff reviewed policy, reviewed due process reports, interviewed youth housed at ☒ ☐ ☐ the facility, and interviewed camp staff. Our findings confirmed that Camp Condor meets Title 15 minimum standards for this regulation. 7029 Butte Camp Condor PRO 23-24 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) accommodations provided to youth with Policy 600 Youth Discipline and Positive disabilities, limited literacy, and English Behavior ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy 600 Youth Discipline and Positive incident; Behavior ☒ ☐ ☐ We concluded that Camp Condor meets Title 15 minimum standards for this regulation (4) opportunity for the youth to be heard, present Policy 600 Youth Discipline and Positive evidence and testimony; Behavior BSCC staff requested to review discipline process incident report examples for October 2022 and December 2022 or the 10 most ☒ ☐ ☐ recent examples. We also interviewed youth housed at the facility and camp staff. The facility does well in documenting that youth are, in a timely manner, provided the opportunity to appeal a discipline being imposed. (5) provision for youth to be assisted by staff in the Policy 600 Youth Discipline and Positive hearing process; ☒ ☐ ☐ Behavior (6) provision for administrative review. Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (g) violations that result in a removal from camp or Policy 600 Youth Discipline and Positive commitment program, but not a return to court, will Behavior follow the due process provisions in subsection (e) ☒ ☐ ☐ above. 1410 MANAGEMENT OF COMMUNICABLE Policy 706 Communicable Diseases- Youth DISEASES. To aid in confirming compliance with Title 15 The health administrator/responsible physician, in minimum standards for this regulation, we cooperation with the facility administrator and the local reviewed the annual Medical / Mental, health officer, shall develop written policies and Nutrition, and Environmental Health ☒ ☐ ☐ procedures to address the identification, treatment, evaluations by qualified evaluators. control and follow-up management of communicable diseases. The policies and procedures shall address, BSCC staff concluded that Camp Condor but not be limited to: meets Title 15 minimum standards for this regulation (a) Intake health screening procedures; Policy 706 Communicable Diseases- Youth A complete health appraisal will be conducted by Health Services staff on all new intakes within 96 hours (excluding holidays) of their ☒ ☐ ☐ admission into detention. BSCC staff interviewed medical personnel to help confirm compliance with the Title 15 minimum standards for this regulation. (b) Identification of relevant symptoms; Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Referral for medical evaluation; Policy 706 Communicable Diseases- Youth BSCC staff interviewed medical personnel to ☒ ☐ ☐ help confirm compliance with the Title 15 minimum standards for this regulation (d) Treatment responsibilities during detention; Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ (e) Coordination with public and private community- Policy 706 Communicable Diseases- Youth based resources for follow-up treatment; To aid in confirming compliance with Title 15 ☒ ☐ ☐ minimum standards for this regulation, we interviewed medical and behavioral health personnel. (f) Applicable reporting requirements; and, Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ (g) Strategies for handling disease outbreaks. Policy 706 Communicable Diseases- Youth To aid in confirming compliance with Title 15 minimum standards, we reviewed the annual Medical/Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. ☒ ☐ ☐ BSCC staff also interviewed medical personnel to help determine that Camp Condor meets the minimum requirements for this regulation. The policies and procedures shall be updated as Policy 706 Communicable Diseases- Youth necessary to reflect communicable disease priorities identified by the local health officer and currently Per policy, the physician and the facility recommended public health interventions. administrator shall establish policies and ☒ ☐ ☐ procedures to ensure the quality and adequacy of health care services are assessed every two years. 7029 Butte Camp Condor PRO 23-24 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Policy 702 Availability and Standards of Care (EXCERPT) The regulation requires that youth shall be The health administrator, in cooperation with the facility provided the opportunity to confidentially administrator, shall develop policy and procedures to convey, either through written or verbal establish a daily routine for youth to convey requests for communications, a request for medical, emergency and non-emergency medical, dental and dental, or behavioral / mental health services. behavioral/mental health care services. Noncompliance was discovered when BSCC staff observed that Camp Condor youth in camp must request and submit MH slips to staff or to a supervisor who places the request in a letter basket for the nurse to retrieve. BSCC staff provided technical assistance to ☒ ☐ ☐ recommend placing a lock box on each living unit where youth may place medical and or mental health medical request slips in the locked box. At the time of submitting this report, the item of noncompliance has been corrected. The agency is currently following compliant procedures as it relates to youth submitting medical health services requests. The facility will incorporate the same procedures for behavioral services request. The agency has taken a proactive approach in updating policy to reflect changes in policy. 1480 STANDARD FACILTY CLOTHING ISSUE Policy 807 Youth Hygiene The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Policy 807 Youth Hygiene laundered, in good repair, and free of holes and tears. BSCC staff interviewed youth and reviewed ☐ ☒ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (b) The standard issue of climatically suitable clothing Policy 807 Youth Hygiene for youth shall consist of but not be limited to: ☒ ☐ ☐ (1) Socks and serviceable footwear; Policy 807 Youth Hygiene BSCC staff interviewed youth and reviewed ☒ ☐ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (2) Outer garments; Policy 807 Youth Hygiene ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 63 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) New non-disposable underwear which shall Policy 807 Youth Hygiene remain with the youth throughout their stay, and; BSCC staff interviewed youth and reviewed ☒ ☐ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (4) Undergarments, that are freshly laundered and Policy 807 Youth Hygiene free of stains, including tee shirts and bras. BSCC staff interviewed youth and reviewed ☒ ☐ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (c) Clothing is laundered at the temperature required Policy 807 Youth Hygiene by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Policy 807 Youth Hygiene ☒ ☐ ☐ 1482 CLOTHING EXCHANGE Policy 807 Youth Hygiene The facility administrator shall develop and implement BSCC staff interviewed youth and reviewed written policies and site-specific procedures for the documentation to determine that the facility cleaning and scheduled exchange of clothing. Unless meets compliance with the Title 15 minimum work, climatic conditions, or illness necessitates more standards for this regulation. ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy 706 Communicable Diseases- Youths PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or ☒ ☐ ☐ spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy 807 Youth Hygiene There shall be written policies and site-specific procedures developed and implemented by the facility BSCC staff interviewed youth and reviewed administrator for the availability of personal hygiene documentation to determine that the facility ☒ ☐ ☐ items. Each female youth shall be provided with meets compliance with the Title 15 minimum sanitary napkins, panty liners and tampons as standards for this regulation. requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; Policy 807 Youth Hygiene ☒ ☐ ☐ (b) Toothpaste; Policy 807 Youth Hygiene ☒ ☐ ☐ (c) Soap; Policy 807 Youth Hygiene ☒ ☐ ☐ (d) Comb; Policy 807 Youth Hygiene ☒ ☐ ☐ (e) Shaving implements; Policy 807 Youth Hygiene ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 64 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Deodorant; Policy 807 Youth Hygiene ☒ ☐ ☐ (g) Lotion; Policy 807 Youth Hygiene ☒ ☐ ☐ (h) Shampoo; and, Policy 807 Youth Hygiene ☒ ☐ ☐ (i) Post-shower conditioning hair products. Policy 807 Youth Hygiene ☒ ☐ ☐ Youth shall not be required to share any personal care Policy 807 Youth Hygiene items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. BSCC staff interviewed youth and reviewed Youth shall not share disposable razors. Double edged documentation to determine that the facility safety razors, electric razors, and other shaving meets compliance with the Title 15 minimum instruments capable of breaking the skin, when shared ☒ ☐ ☐ standards for this regulation. among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy 807 Youth Hygiene There shall be written policies and site specific BSCC staff interviewed youth and reviewed procedures developed and implemented by the facility documentation to determine that the facility administrator for showering/bathing and brushing of meets compliance with the Title 15 minimum ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on standards for this regulation. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy 607 Grooming Policy 807 Youth Hygiene Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of BSCC staff interviewed youth and reviewed identification in Court. All youth shall have equal documentation to determine that the facility ☒ ☐ ☐ opportunity to shave face and body hair. The facility meets compliance with the Title 15 minimum administrator may suspend this requirement in relation standards for this regulation. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) Policy 807 Youth Hygiene Policy 607 Grooming Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. BSCC staff interviewed youth and reviewed ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each documentation to determine that the facility haircut or procedure, by a method approved by the meets compliance with the Title 15 minimum State Board of Barbering and Cosmetology. standards for this regulation. 1500 STANDARD BEDDING AND LINEN ISSUE Policy 807 Youth Hygiene Clean laundered, suitable bedding and linens, in good BSCC staff interviewed youth and reviewed repair, shall be provided for each youth entering a living ☒ ☐ ☐ documentation to determine that the facility area who is expected to remain overnight, shall include, meets compliance with the Title 15 minimum but not be limited to: standards for this regulation. (a) One mattress or mattress-pillow combination which Policy 807 Youth Hygiene meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Policy 807 Youth Hygiene (a) above; ☒ ☐ ☐ (c) One mattress cover and a sheet or two sheets; Policy 807 Youth Hygiene ☒ ☐ ☐ (d) One towel; and, Policy 807 Youth Hygiene ☒ ☐ ☐ 7029 Butte Camp Condor PRO 23-24 - 65 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) One blanket or more, up on request Policy 807 Youth Hygiene ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Policy 807 Youth Hygiene The facility administrator shall develop and implement BSCC staff interviewed youth and reviewed site specific written policies and procedures for the documentation to determine that the facility scheduled exchange of laundered bedding and linen meets compliance with the Title 15 minimum ☒ ☐ ☐ issued to each youth housed. Washable items such as standards for this regulation. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Policy 807 Youth Hygiene once a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE BSCC staff interviewed youth and reviewed documentation to determine that the facility The facility administrator shall develop and implement meets compliance with the Title 15 minimum written policies and site-specific procedures for the standards for this regulation. maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7029 Butte Camp Condor PRO 23-24 - 66 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the facility. (Refer to the JPCF Program Agreement, ☒ ☐ ☐ Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of age and older. ☒ ☐ ☐ The facility has been approved to hold persons under the juvenile court who are ages 19 through 21. ☒ ☐ ☐ The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ Vio Section 300 of the Welfare and Institutions Code (WIC) ☐ lation ☒ are held only in non-secure, separate and segregated facilities. CAMPOF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from Vio ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☐ lation ☒ Federal Minors (ICE Holds or ORR Contract) are held in the facility. ☐ ☐ ☒ If yes to the above, the Monthly Report on the Campof Status Offenders/Federal Minors is submitted to the ☐ ☐ ☒ BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in campis proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately Vio ☐ separated from minors. ☐ lation ☒ Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐ Vio facility in a manner that allows contact with minors. ☐ lation ☒ 7029 Butte Camp Condor PRO 23-24 - 67 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: 7029 FACILITY: Butte County Camp Condor TYPE: Camp RC: 15 FIELD REPRESENTATIVE: Forrest Coleman DATE: March 17, 2023 ROOMS EACH ROOM COMMENTS Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* Designation Type Standards Rooms # RC RC or Square/Cubic T U W F S Beds Feet INTAKE/CONTROL 1 & 2 Holding 1998 2 3 (6) 50 sq. ft. 3 Holding 1998 1 5 (5) 84 sq. ft. 1 1 1 1 Comb unit. Can be used as a locked sleeping room. 4 Safety 1998 1 1 (1) 64 sq. ft. 1 (1) Contact interview room and (1) non-contact interview room. Showers and Toilet area are available. Property and storage rooms meet Title 24 Standards. Medical 1998 1 192 sq. ft. 1 Holding 1998 1 5 (5) 75 sq. ft. Waiting room for minors seeing the doctor. Unit A Welding Program (No youth housed in Unit A) Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 797 sq. ft. Rec. 1998 1,295 sq. ft Share with unit B. Unit B Boys and Girls club (Offices for Boys and Girl club and Therapist). Also used as an extra recreation unit. Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 786 sq. ft. Rec. 1998 1,295 sq. ft Share with unit A. *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. 7029 Butte Camp Condor LASE 23-24 - 1 - Unit C The unit has been modified for sight and sound separation from the other detained youths. The facility added blinds and tinted windows and created a new out-of-bounds area to ensure sight and sound separation. Update 20-22 inspection cycle- Unit C may be used to house SB 823 youth. ROOMS EACH ROOM COMMENTS Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* Designation Type Standards Rooms # RC RC or Square/Cubic T U W F S Beds Feet Unit D Storage and offices for school staff. Unit D will also be a recreation unit for SB 823 youth. Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 790 sq. ft. Rec. 1998 1,225 sq. Share with unit C. ft Unit F Camp Condor (Currently house Camp youth and SYTF youth) The current Camp population is 4. These are two shared facilities located within the Juvenile Hall complex Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 725 sq. ft. Rec. 1998 610 sq. ft Notes: Units Rec yards are less than 40 feet in width. They will not count towards facility’s overall recreation space. Unit B is used as program space for Boys and Girls Club. Sleeping rooms are not used. Unit C Modification has been made and approved by BSCC to ensure sight and sound separation from other detained youths. 2017 – Unit “E” is now Detention youth pod. Comments: Superintendent Nino Pinocchio reports no changes to the facility during the 2023-2024 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. 7029 Butte Camp Condor LASE 23-24 - 2 - JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7030 FACILITY NAME: Secure Youth Treatment Facility (Committed to Success FACILITY TYPE: Juvenile Hall Program) PERSON(S) INTERVIEWED: Nino Pinocchio, Superintendent; Mariah Ruddy, Assistant Superintendent; Lauren K. Tuft, RN Charge; Timothy Bowers, Cook (Acting Supervising Cook); Nick Catomerisios, Principal; Joseph Crispin, Teacher; Ayana Venable, Supervisor Juvenile Detention Officer; Dawn Lopez, Juvenile Detention Officer; Male youth 17 years old; Multiple random youth. FIELD REPRESENTATIVE: Forrest Coleman DATE: March 17, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF The Butte County Secure Youth Treatment BUILDING AND GROUNDS Facility (SYTF), also referred to as Committed to Success Program (CSP), is a housing unit On an annual basis, or as otherwise required by law, shared with Butte County Camp Condor each juvenile facility administrator shall obtain a facility and located within the Butte County documented inspection and evaluation from the Juvenile Hall complex. The Juvenile Hall, following: Camp Condor and the SYTF (Committed to Success Program (CSP)) facilities coexist utilizing the same inspectors and evaluators for annual county inspections and the evaluation of buildings and grounds. Any policy and procedure references made to the Juvenile Hall and Camp facilities operations also apply to the SYTF. Due to this inspection being conducted three months into the 2023-2024 inspection cycle, we requested that the agency provide all "County Inspections and Evaluation of Grounds" inspection reports that occurred following the agency’s prior February 2022 Board of State and Community Corrections (BSCC) inspection and or inspections and evaluations that occurred within a year of the date of the current inspection. (A) County building inspection by agency designated by Lexipol Policy Section 107. 3..2(a) the Board of Supervisors to approve building safety; ☒ ☐ ☐ Completed on March 13, 2023, and inspected by Charles Climent, GSD. (B) Fire authority having jurisdiction, including a fire Lexipol Policy Section 107.3.2(b) clearance as required by Health and Safety Code Section 13146.1 (a) and (b); Completed on July 21, 2021, and inspected ☒ ☐ ☐ by City of Oroville Fire Department • This inspection requirement is biennial. 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 5 for the complete list and text of regulations. 7030 Butte CSP SYTF PRO 23-24 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with Lexipol Policy Section 107.3.2(c) Health and Safety Code Section 101045; Environmental Health – Inspection completed on November 15, 2022, by Leslie Roberts, EH Specialist Nutritional – Evaluation completed on November 15, 2022, by Amber McPherson, Public Health Prog Mgr., and Caitlyn Parker, Public Health Nutritionist. We observed that several deficiencies were identified in the report submitted by Butte County Public Health. There was no Registered Dietician on record to provide ☒ ☐ ☐ nutrient and other dietary analysis to the Department of Public Health evaluators. It was recommended that the agency hire a Registered Dietitian. At the time of this report, the Butte County Secure Youth Treatment Facility has hired a registered Dietician. Medical/Mental Health - Evaluated on November 15, 2022, by David Canton, Health Officer, Butte County Public health, and Monica Sodertrom, RN, Dir. Community Health, PH. (D) County superintendent of schools on the adequacy Lexipol Policy Section 107.3.2(d) of educational services and facilities as required in Section 1370; Evaluated on December 1, 2022, by Carie ☒ ☐ ☐ Webb, Executive Dir. Shasta County OED, and Cheyenne Mizenko, Asst Principal, Shasta County OED. (E) Juvenile court as required by Section 209 of the Lexipol Policy Section 107.3.2(e) Welfare and Institutions Code Completed on December 12, 2022, by ☒ ☐ ☐ Honorable Kimberly Merrifield, Presiding Judge, Butte County (F) Juvenile Justice Commission as required by Section Lexipol Policy Section 107.3.2(f) 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the Completed on March 29, 2022, by Chair Welfare and Institutions Code. Darin Haerle and commission inspectors, ☒ ☐ ☐ Matt Thomas and Janet Goodson. A 2023 inspection is pending this month, March 2023. 7030 Butte CSP SYTF PRO 23-24 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS The Butte County Secure Youth Treatment BSCC Note: Compliance with this section is Facility is a shared housing unit with the camp determined by receipt of the Chief Probation Officer’s and is located within the Butte County certification letter confirming that all elements of Juvenile Hall complex. The three facilities coexist utilizing the same appointments, regulation are met. qualifications, and training expectations for all (a) Appointment employees. In addition, both facilities abide by In each juvenile facility there shall be a superintendent, the same policies and procedures. director or facility manager in charge of its program and employees. Such superintendent, director, facility An Appointment and Qualification Letter, manager and other employees of the facility shall be dated January 10, 2023, was received from appointed by the facility administrator pursuant to Butte County Chief Probation Officer (CPO) applicable provisions of law. ☒ ☐ ☐ Melissa Romero certifying all appointments of staff are pursuant to the applicable laws including minimum standards from BSCC, Penal Code 6035. Further, that all staff present at the facility meet all required qualifications and clearances including contract personnel, volunteers, and other non-employees. The letter confirms that the Secure Youth Treatment Facility complies with the elements of this regulation. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess Policy 100, Organizational Structure, knowledge, skills and abilities appropriate to Appointment, and Responsibility their job classification and duties in accordance Policy 302, Camp Training Officer with applicable civil service or merit system ☒ ☐ ☐ rules; The elements of this regulation are confirmed in the CPO appointment and qualifications letter dated January 10, 2023. (2) require a medical evaluation and physical Policy 100, Organizational Structure, examination including tuberculosis screening Appointment, and Responsibility test and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, ☒ ☐ ☐ The elements of this regulation are confirmed rubella, and mumps); in the CPO appointment and qualifications letter dated January 10, 2023. (3) adhere to the minimum standards for the Policy 100, Organizational Structure, selection and training requirements adopted by Appointment, and Responsibility the Board pursuant to Section 6035 of the Penal Policy 302, Camp Training Officer Code; and The Board of State and Community ☒ ☐ ☐ Corrections, Standard and Training for Corrections (STC), Division reports that the Butte County Probation Department meets Title 15 regulation minimum standards for staff training requirements. (4) conduct a criminal records review, on each new Policy 100, Organizational Structure, employee, and psychological examination in Appointment, and Responsibility accordance with Section 1031 et seq. of the ☒ ☐ ☐ Government Code. 7030 Butte CSP SYTF PRO 23-24 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Contract personnel, volunteers, and other non- Policy 308 Volunteers and Student employees of the facility, who may be present at the Internships facility, shall have such clearance and qualifications as may be required by law, and their presence at the Unless always supervised, all contract personnel, volunteers, and other non- facility shall be subject to the approval and control of ☒ ☐ ☐ members of the facility, who may be present the facility manager. at the facility, have had such clearance and qualifications as may be required by law and their presence is subject to the approval and control of the Chief Probation Officer. 1321 STAFFING Secure Youth Treatment Facility is a facility within the BCJH complex and shared with the Each juvenile facility shall: Camp facility on a housing unit. The SYTF, Camp, and the Juvenile Hall conduct staff training together. Cross-training the staff provides an opportunity to utilize staff from either facility if needed. Further, Secure Youth Treatment Facility abides by the same BCJH policies and procedures, as well as the Title 15 regulations including, but not limited to, staff training and qualifications. a) have an adequate number of personnel sufficient to Policy 217, Staffing Plan carry out the overall facility operation and its programming, to provide for safety and security of We reviewed the Agency’s Organization youth and staff, and meet established standards and Chart, random weekly staff schedules, and regulations; daily unit schedules. In addition, we made ☒ ☐ ☐ personal observations. As a result, we were able to conclude that Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. b) ensure that no required services shall be denied Policy 217, Staffing Plan because of insufficient numbers of staff on duty absent exigent circumstances; Per the above policy, the Superintendent shall ensure that a staffing plan conforming to the type and size of this facility is prepared and maintained as described in the policy. Juvenile Hall detention staff provide additional youth supervision support. ☒ ☐ ☐ Through our documentation review, personal observations, and as well as through interviews with youth housed at the SYTF and staff, we concluded that the Secure Youth Treatment Facility regularly ensures staffing is adequate and that programming and services are not canceled because of staffing issues. 7030 Butte CSP SYTF PRO 23-24 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS c) have a sufficient number of supervisory level staff to Policy 217, Staffing Plan ensure adequate supervision of all staff members; In review of the daily staff schedule, as well as through interviews with youth housed at the facility and staff, we confirmed that there is a Supervising Juvenile Detention Officer (SJDO) present at the facility on each shift. ☒ ☐ ☐ When the SJDO is absent from the shift, a JDO is assigned to work in the Supervisor’s role, as the” Lead Officer”. Secure Youth Treatment Facility complies with the Title 15 minimum standards for this regulation. d) have a clearly identified person on duty at all times Policy 217, Staffing Plan who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core The facility Superintendent is responsible for Course and PC 832 training; the daily overall operations of the facility. ☒ ☐ ☐ In review of the sign-in to work shift scheduler, a supervisor is clearly always identified and on duty. e) have at least one staff member present on each Policy 217, Staffing Plan living unit whenever there are youth in the living unit; Through personal observations, as well as through interviews with staff and youth ☒ ☐ ☐ housed at the facility, Secure Youth Treatment Facility regularly ensures that there is always a staff present in the unit or where a youth is present. Youth are never left unsupervised. 7030 Butte CSP SYTF PRO 23-24 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) have sufficient food service personnel relative to the Policy 200 Financial Practices, Section 200.8, number and security of living units, including staff Staffing Plan qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen Through staff interviews and personal supervision; direct food preparation and servings; observation, it was discovered that the facility conduct related training programs for culinary staff; is experiencing food service personnel (Cook) and maintain necessary records; or, a facility may staffing challenges due to two vacant cook serve food that meets nutritional standards prepared positions. by an outside source; Noncompliance was discovered when BSCC staff observed that there were no sufficient food service personnel to meet the minimum requirements of this regulation, which includes, but is not limited to, completing the evening Cook responsibilities for youth meals. As a result, upon a Cook ending his day shift, the Cook leaves cooked and or uncooked ☐ ☒ ☐ prepared meals for the evening probation staff to warm or cook for the youths’ evening meals. Per the agency’s Orientation, Training, and Qualifications policy and procedure, detention and or SYTF staff are not qualified or responsible to work as the facility cook on a regular basis. Prior to submittal of this report, the agency provided a Corrective Action Plan (CAP) indicating efforts being made to hire an adequate number of food service personnel. According to CAP, two cooks are going through the hiring process. BSCC will follow up with the agency within 30 days of this report. 7030 Butte CSP SYTF PRO 23-24 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy 201, Supervision of Youth medical, dental, mental health, building Policy 217, Staffing Plan maintenance, transportation, control room, facility security and other support staff for the efficient BSCC staff interviewed medical services management of the facility, and to ensure that youth personnel, education services, and SYTF supervision staff shall not be diverted from staff. We also made personal observations supervising youth; and, over the course of the inspection week. Secure Youth Treatment Facility has one full- time Nurse that works Monday through Friday from 0630 to 1500. There is a Licensed Vocational Nurse who covers weekend shifts. According to medical personnel, health services is actively making efforts to fill two vacant Nurse positions. Due to no medical staff being onsite during the evening hours, the SJDO conducts the evening pill pass to youth. BSCC staff discussed the importance ☒ ☐ ☐ of ensuring that any SYTF staff who dispenses medication to youth must be trained and orientated by medical services personnel. Due to a critical unforeseen circumstance, the facility is temporarily without a Mental Health Clinician. In the interim, the facility may contact WellPath call helpline for emergencies. Medical services are also providing additional assistance with duties that may be applicable to their knowledge base. Secure Youth Treatment Facility complies with Title 15 minimum standards for this regulation. h) assign sufficient youth supervision staff to provide Policy 201, Supervision of Youth continuous wide-awake supervision of youth, subject Policy 217, Staffing Plan to temporary variations in staff assignments to meet special program needs. Staffing shall be in BSCC staff interviewed SYTF staff, reviewed compliance with a minimum youth-staff ratio for the housing unit logs, programming schedules, following facility types: and employee daily schedules. The Butte County Camp regularly provides ☒ ☐ ☐ youth supervision staffing levels that enable the facility to meet the minimum standards for this regulation. Secure Youth Treatment Facility complies with Title 15 minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Juvenile Halls (minimum youth-staff ratio) Policy 201, Supervision of Youth (A) during the hours that youth are awake, one wide- Policy 217, Staffing Plan awake youth supervision staff member on duty for each 10 youth in detention; Although Butte County Secure Youth Treatment Facility shares the Camp housing ☐ ☐ ☒ unit and is located within the Butte County Juvenile Hall complex, the SYTF is not considered a juvenile hall. Therefore, this section (A thru E) is not applicable. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each ☐ ☐ ☒ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or ☐ ☐ ☒ maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (minimum The Butte County Secure Youth Treatment youth-staff ratio) Facility is not a Special Purpose Juvenile Hall. (A) during hours that youth are awake, one wide-awake The below section A thru E is not applicable to ☐ ☐ ☒ youth supervision staff member is on duty for each this facility. 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth ☐ ☐ ☒ in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement ☐ ☐ ☒ has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or ☐ ☐ ☒ maintenance shall not be classified as youth supervision staff positions. 7030 Butte CSP SYTF PRO 23-24 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Camps (minimum youth -staff ratio) Secure Youth Treatment Facility shares a (A) during the hours that youth are awake, one wide- housing unit with the Camp facility. SYTF is a awake youth supervision staff member on duty for separate facility within the juvenile hall each 15 youth in the camp population; complex that shares and cross-trains staff and abides by the same policies and procedures as the BCJH. Through documentation review, personal observations, and as well as interviews with youth and SYTF staff, the facility regularly ensures that there is one wide-awake youth ☒ ☐ ☐ supervision staff member on duty for each 10 youth in detention. Per policy, the Agency conducts an annual comprehensive staffing analysis to evaluate personnel requirements and available staffing levels. At the time of this inspection, there were 3 youth in the Secure Youth Treatment Facility. All SYTF youth were housed in the F Unit. (B) during the hours that youth are confined to their room Policy 201, Supervision of Youth for the purpose of sleeping, one wide-awake youth Policy 217, Staffing Plan supervision staff member on duty for each 30 youth ☒ ☐ ☐ present in the facility; (C) at least two wide-awake youth supervision staff Policy 201, Supervision of Youth members on duty at all times, regardless of the Policy 217, Staffing Plan number of youth in residence, unless arrangements have been made for backup support services which Through a review of housing unit logs and the allow for immediate response to emergencies; daily staff schedule, personal observations, and as well as through interviews with SYTF staff, Secure Youth Treatment Facility regularly ensures that the minimum youth to ☒ ☐ ☐ staff ratio is met. To ensure that the Shift Schedule form provides clarity of staffing ratios working a particular pod, the Shift Scheduler form was updated to accurately reflect staff Pod assignments. (D) at least one youth supervision staff member on duty Policy 201, Supervision of Youth who is the same gender as youth housed in the facility; Through documentation review, personal observations, and as well as through interviews with youth and SYTF staff, Secure Youth Treatment Facility regularly ensures ☒ ☐ ☐ that there are always male and female staff on duty. At the time of this inspection, there were no female youth detained at the Secure Youth Treatment Facility. 7030 Butte CSP SYTF PRO 23-24 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) in addition to the minimum staff to youth ratio Policy 201, Supervision of Youth required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types Only youth supervision staff provide of youth committed to the camp; and the function of supervision of the youth. ☒ ☐ ☐ the camp in determining the level of supervision necessary to maintain the safety and welfare of Secure Youth Treatment Facility meets Title youth and staff; 15 minimum standards for this regulation (F) personnel with primary responsibility for other duties Policy 201, Supervision of Youth such as administration, supervision of personnel, Policy 217, Staffing Plan academic or trade instruction, clerical, farm, forestry, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy 300 Member Orientation AND TRAINING Policy 303 Training (a) Prior to assuming any responsibilities each youth The elements of this regulation are confirmed supervision staff member shall be properly oriented in the Butte Chief Probation Officer’s (CPO) to their duties, including: Appointment and Qualifications Letter provided by Butte County CPO Melissa Romero, and dated January 10, 2023. The letter certifies that Secure Youth Treatment ☒ ☐ ☐ Facility correctional officers have been appointed with applicable provisions of law. According to the Board of State and Community Corrections’ Standard and Training for Corrections (STC) Division, Butte County JH meets Title 15 minimum standards regarding staff training and orientation. (1) youth supervision duties; Policy 303 Training Per the above policy, the facility has a four- phase training process. The first phase is conducted by the Administrative Supervisor. ☒ ☐ ☐ The elements of this regulation are identified in Phase One of the training procedure and confirmed in the CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023. (2) scope of decisions they shall make; Policy 303 Training The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the training procedure and confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. (3) the identity of their supervisor; Policy 303 Training The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the Butte County Juvenile Hall (BCJH) training procedure. 7030 Butte CSP SYTF PRO 23-24 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) the identity of persons who are responsible to Policy 303 Training them; The Administrative Supervisor provides initial training and assigns a JDO to the new hire ☒ ☐ ☐ that will provide training through Phase Two of the training process. A Training Officer (TO) will be assigned to the trainee at Phase Three of the new hire training process. (5) persons to contact for decisions that are beyond Policy 303 Training their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. Policy 303 Training The elements of this regulation are identified in Phase One of the Butte County Juvenile ☒ ☐ ☐ Hall (BCJH) training procedure. Qualifications Letter dated January 10, 2023. (b) Prior to assuming any responsibility for the Policy 300 Member Orientation supervision of youth, each youth supervision staff Policy 303 Training member shall receive a minimum of 40 hours of facility-specific orientation, including: The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. ☒ ☐ ☐ According to the Board of State and Community Corrections’ Standard and Training for Corrections (STC) Division, Butte County Secure Youth Treatment Facility ensures each youth supervision staff member shall receive a minimum of 40 hours of facility- specific orientation training. (1) individual and group supervision techniques; Policy 300 Member Orientation Policy 303 Training The Juvenile Hall Superintendent, Assistant Superintendent, the Supervising Detention Officer (SJDO), and the Training Officer (TO) ensure that staff meet mandated training ☒ ☐ ☐ requirements and pass or fail the new hire training. Secure Youth Treatment Facility meets Title 15 regulation minimum standards for this regulation. (2) regulations and policies relating to discipline and Policy 300 Member Orientation rights of youth pursuant to law and the provisions Policy 303 Training of this chapter; The elements of this regulation are identified ☒ ☐ ☐ in Phase One of the new hire training and confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. (3) basic health, sanitation and safety measures; Policy 300 Member Orientation ☒ ☐ ☐ Policy 303 Training 7030 Butte CSP SYTF PRO 23-24 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) suicide prevention and response to suicide Policy 300 Member Orientation attempts Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications ☒ ☐ ☐ Letter dated January 10, 2023. In addition, SYTF staff receive suicide prevention training as part of their annual training program. (5) policies regarding use of force, de-escalation Policy 300 Member Orientation techniques, chemical agents, mechanical and Policy 303 Training physical restraints; The elements of this regulation are confirmed ☒ ☐ ☐ in the CPO Appointment and Qualifications Letter dated January 10, 2023. (6) review of policies and procedures referencing Policy 300 Member Orientation trauma and trauma-informed approaches; Policy 303 Training ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 regulation minimum standards for this regulation. (7) procedures to follow in the event of Policy 300 Member Orientation emergencies; ☒ ☐ ☐ Policy 303 Training (8) routine security measures, including facility Policy 300 Member Orientation perimeter and grounds; Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications ☒ ☐ ☐ Letter dated January 10, 2023 Secure Youth Treatment Facility meets Title 15 regulation minimum standards for this regulation. (9) crisis intervention and mental health referrals to Policy 300 Member Orientation mental health services; Policy 303 Training ☒ ☐ ☐ Staff receive initial training in addition to an annual suicide prevention update. (10) documentation; and Policy 300 Member Orientation ☒ ☐ ☐ Policy 303 Training 7030 Butte CSP SYTF PRO 23-24 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (11) fire/life safety training Policy 300 Member Orientation Policy 303 Training The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. ☒ ☐ ☐ Staff also receive annual emergency procedures training and or acknowledge a review of policy and procedure. Secure Youth Treatment Facility meets Title 15 regulation minimum standards for this regulation. (c) Prior to assuming sole supervision of youth, each Policy 303 Training youth supervision staff member shall successfully complete the requirements of the Juvenile The elements of this regulation are confirmed Corrections Officer Core Course pursuant to Penal in the CPO Appointment and Qualifications Code Section 6035. ☒ ☐ ☐ Letter dated January 10, 2023. Staff complete CORE within the first year of assignment. (d) Prior to exercising the powers of a peace officer Policy 303 Training youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal The elements of this regulation are identified Code. in Phase Three of the new hire training process and confirmed in the CPO ☒ ☐ ☐ Appointment and Qualifications Letter dated January 10, 2023. Staff complete PC 832 within the first year of assignment. 1323 FIRE AND LIFE SAFETY 402 Fire Safety Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times In review of documentation, all staff shall who meets the training standards established by the receive Fire and Life Safety Training either Board for general fire and life safety which relate through CORE training or other contracted specifically to the facility. certified providers. ☒ ☐ ☐ The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1324 POLICY AND PROCEDURES MANUAL Policy 103 Detention Manual Policy 102 Annual Review and Performance- All facility administrators shall develop, publish, and Based Goals and Objectives implement a manual of written policies and procedures that address, at a minimum, all regulations that are The facility manual is available in electronic applicable to the facility. Such a manual shall be made and hard copy format. A hard copy version is available to all employees, reviewed by all employees, available on each unit. Per policy and and shall be administratively reviewed at a minimum confirmed by the facility Superintendent, the every two years, and updated, as necessary. Those manual is administratively reviewed at a records relating to the standards and requirements set minimum every two years and updated as forth in these regulations shall be accessible to the Board needed. on request. The manual shall include: ☒ ☐ ☐ A letter dated March 23, 2023, provided by Superintendent Nino Pinocchio, confirmed that an annual administrative review of the BCJH policy and procedures manual, that includes Secure Youth Treatment Facility, was conducted from March 6, 2023, to March 16, 2023. As part of the annual review, all BCJH SYTF staff participated in a policy and procedures annual update training. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (a) table of organization, including channels of Policy 100 Organizational, Structure, communications and a description of job Appointment, and Responsibility classifications; ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (b) responsibility of the probation department, purpose Policy 100 Organizational, Structure, of programs, relationship to the juvenile court, the Appointment, and Responsibility Juvenile Justice/Delinquency Prevention Commission or Probation Committee, probation In review of annual inspection reports by the staff, school personnel and other agencies that are Juvenile Court, the Juvenile Justice involved in juvenile facility programs; Commission, and through interviews with the probation staff, school personnel, and other ☒ ☐ ☐ agencies, all collaborative partners have a clear and articulable understanding of their roles and expectations as they relate to the relationship, responsibilities, and purpose of programs outlined by the Butte County Probation Department’s policy and procedure manual. (c) responsibilities of all employees; Policy 100 Organizational, Structure, Appointment, and Responsibility ☒ ☐ ☐ SYTF staff have access to the policy and procedure manuals in hard copy and or electronic format. (d) initial orientation and training program for Policy 303 Training employees; ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) initial orientation, including safety and security issues Policy 307 Health Care Orientation and and anti-discrimination policies, for support staff, Training contract employees, school, mental/behavioral Policy 308 Volunteers and Student health and medical staff, program providers and internships volunteers; Policy 311 Support Personnel Orientation and Training Prior to initial entry to the facility, the Secure ☒ ☐ ☐ Youth Treatment Facility ensures new support staff, contractors, and or volunteers undergo a safety / security briefing and must complete the initial orientation training. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (f) maintenance of record-keeping, statistics and Policy 222 Records Care and Maintenance communication system to ensure: ☒ ☐ ☐ (1) efficient operation of the juvenile facility; Policy 222 Records Care and Maintenance Handwritten logs and housing unit programming forms are the main means of record keeping of day-to-day programming ☒ ☐ ☐ and facility operations. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (2) legal and proper care of youth; Policy 222 Records Care and Maintenance ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (3) maintenance of individual youth's records; Policy 222 Records Care and Maintenance ☒ ☐ ☐ (4) supply of information to the juvenile court and Policy 222 Records Care and Maintenance those authorized by the court or by the law; and, The agency utilizes a case management ☒ ☐ ☐ system for communication and record keeping with the courts, juvenile probation, and statistical data collection. (5) release of information regarding youth. Policy 222 Records Care and Maintenance ☒ ☐ ☐ (g) ethical responsibilities; Policy 302 Detention Training ☒ ☐ ☐ Policy 303 Training (h) trauma-informed approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all Secure Youth Treatment Facility (SYTF) staff participated in training that included but was not limited to trauma-informed approaches. 7030 Butte CSP SYTF PRO 23-24 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) culturally responsive approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all Secure Youth Treatment Facility (SYTF) staff participated in training that included but was not limited to culturally responsive approaches. (j) gender responsive approaches; Policy 102 Annual Review and Performance- Based Goals and Objectives 300 Member Orientation Policy 302 Detention Training Policy 700 Health Authorities ☒ ☐ ☐ As part of annual review training, all Secure Youth Treatment Facility / Camp Condor staff participated in training that included but was not limited to gender-responsive approaches. (k) a non-discrimination provision that provides that all Policy 608 Youth Nondiscrimination youth within the facility shall have fair and equal access to all available services, placement, care, BSCC staff reviewed the above policy and treatment, and benefits, and provides that no person orientation packets and interviewed youth to shall be subject to discrimination or harassment on conclude that the Secure Youth Treatment the basis of actual or perceived race, ethnic group Facility meets compliance with the elements identification, ancestry, national origin, immigration ☒ ☐ ☐ of this regulation. status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy 513 Management of Weapons and chemical agents related security devices, and Control Devices ☒ ☐ ☐ weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy 501 Youth Intake Cal eligibility information and enrollment of eligible ☒ ☐ ☐ youth; and, (n) establishment of a policy that prohibits all forms of Policy 306 Prison Rape Elimination Act sexual abuse, sexual assault and sexual (PREA)Training harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 402 Fire Safety The facility administrator shall consult with the local fire Overall, based on the documentation department having jurisdiction over the facility, or with the ☒ ☐ ☐ provided, the facility meets compliance with State Fire Marshal, in developing a plan for fire safety the elements contained in this section of the which shall include, but not be limited to: Title 15 regulations. a) a fire prevention plan to be included as part of the Policy 402 Fire Safety manual of policy and procedures; ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) monthly fire and life safety inspections by facility Policy 402 Fire Safety staff with two- year retention of the inspection record; BSCC staff requested a review of the facility’s monthly fire and life safety inspection documentation from their prior BSCC inspection on July 21, 2021, to the present. ☒ ☐ ☐ The facility provided detailed and comprehensive fire and life safety inspection records. The SYTF meets Title 15 minimum standards for this regulation. c) fire prevention inspections as required by Health Policy 402 Fire Safety and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ A fire inspection was completed by the City of Oroville Fire Department on July 21, 2021. d) an evacuation plan; Policy 402 Fire Safety ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. e) documented fire drills not less than quarterly; Policy 402 Fire Safety BSCC staff requested a review of quarterly fire drills’ documentation for the full 2020-2022 inspection cycle. Secure Youth Treatment ☒ ☐ ☐ Facility exceeded Title 15 minimum standards for fire drill expectations, in terms of intervals of occurrence. Fire Drill records show that fire drills occur monthly, although required quarterly. f) a written plan for the emergency housing of youth in Policy 402 Fire Safety the case of fire; and, Secure Youth Treatment Facility has multiple ☒ ☐ ☐ mutual aid contracts with neighboring counties where youth can be housed in the event of an emergency evacuation. g) development of a fire suppression pre-plan in Policy 402 Fire Safety cooperation with the local fire department. ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. 1326 SECURITY REVIEW Policy 102 Annual Review and Performance- Each facility administrator shall develop policies and Based Goals and Objectives procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall Secure Youth Treatment Facility is included include internal and external security, including, but not as part of a received annual BCJH security limited to, key control, equipment, and staff training. checklist, dated December 14, 2023, and provided by Superintendent Nino Pinocchio, ☒ ☐ ☐ confirming an annual administrative review and evaluation of the Secure Youth Treatment Facility. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1327 EMERGENCY PROCEDURES Policy 400 Facility Emergencies The facility administrator shall develop facility-specific Policy 404 Emergency Evacuation policies and procedures for emergencies that shall include, but not be limited to: A letter dated March 23, 2023, provided by Superintendent Nino Pinocchio, confirmed that an annual administrative review of the ☒ ☐ ☐ BCJH emergency procedures, that includes Secure Youth Treatment Facility, was conducted from March 6, 2023, to March 16, 2023. As part of the annual review, all SYTF staff participated in an emergency procedures annual update training. (a) escape, disturbances, and the taking of hostages; Policy 400 Facility Emergencies Procedure 400 Facility Emergencies ☒ ☐ ☐ (b) civil disturbance, active shooter and terrorist attack; Policy 400 Facility Emergencies ☒ ☐ ☐ (c) fire and natural disasters; Policy 400 Facility Emergencies ☒ ☐ ☐ (d) periodic testing of emergency equipment; Policy 400 Facility Emergencies ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (e) emergency evacuation of the facility; and Policy 400 Facility Emergencies Procedure 400 Facility Emergencies Policy 404 Emergency Evacuation ☒ ☐ ☐ Secure Youth Treatment Facility has multiple mutual aid contracts with neighboring counties where youth can be housed in the event of an emergency evacuation. (f) a program to provide all youth supervision staff with Policy 400 Facility Emergencies an annual review of emergency procedures. A letter dated March 23, 2023, provided by Superintendent Nino Pinocchio, confirmed that an annual administrative review of the Secure Youth Treatment Facility emergency procedures was conducted from March 6, ☒ ☐ ☐ 2023, to March 16, 2023. As part of the annual review, all SYTF staff participated in an emergency procedures annual update training. Secure Youth Treatment Facility meets Title 15 Minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy 506 Youth Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual We reviewed Safety Checks logs for observation of youth at a minimum of every 15 minutes, December 2022, and January and February at random or varied intervals during hours when youth of 2023. are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. BSCC staff confirmed that safety checks were Supervision is not replaced, but may be supplemented conducted per Title 15 minimum standards. by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive In review, the logbook is used for safety behavior and to summon aid in emergencies. All safety checks, unit activities, shift summaries, etc. All checks shall be documented with the actual time the information is documented on the same check is completed. logbook page. As a result, tracking safety check compliance can be inconsistent and confusing. Youth’s whereabouts get lost or ☒ ☐ ☐ difficult to locate. BSCC staff discussed and provided best outcome recommendations that primarily focused on having the ability to clearly review and track safety checks. At a minimum, we suggest that safety checks are recorded on a separate page of the logbook independent of other day-to-day noted information. In addition, we discussed the importance of clearly identifying (in print) the staff that are conducting the safety checks. This could be noted at the beginning of each shift or when a particular staff arrives at the housing unit. 1329 SUICIDE PREVENTION PLAN Policy 707 Suicide Prevention and Intervention The facility administrator, in collaboration with the Procedure 707 Suicide Prevention and healthcare and behavioral/mental health Intervention administrators, shall plan and implement written policies and procedures which delineate a Suicide Prevention ☒ ☐ ☐ The Superintendent in collaboration with the Plan. The plan shall consider the needs of youth Health Care Administrator has a suicide experiencing past or current trauma. Suicide prevention prevention plan in place. responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Policy 300 Member Orientation 1322, Youth Supervision Staff Orientation, and Policy 707 Suicide Prevention and Training and the Juvenile Corrections Officer Core Intervention Course. The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter dated January 10, 2023. ☒ ☐ ☐ An annual refresher training is included in the BCJH/Camp and Secure Youth Treatment Facility Suicide Prevention Plan. In addition, staff receive suicide prevention training during Counselor CORE training. 7030 Butte CSP SYTF PRO 23-24 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Policy 400 Emergency Procedures Precautionary Protocols (1) All youth shall be screened for risk of We reviewed random youth intake screenings suicide at intake and as needed during and/or assessments completed by Intake detention. facility staff. Secure Youth Treatment Facility intake staff screen, assess, and identify youth who may be a suicide risk. The elements of this regulation are performed via staff’s ☒ ☐ ☐ personal observations, intake questions, interviews with the arresting officer, and information from parents. Medical staff conduct an assessment as well. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation (2) All youth supervision staff who perform Policy 700 Health Authorities intake processes shall be trained in screening youth for risk of suicide. The elements of this regulation are confirmed in the CPO appointment and qualifications letter dated July 10, 2023. ☒ ☐ ☐ An annual refresher training is included in the Secure Youth Treatment Facility Suicide Prevention Plan. (3) All youth who have been identified during Policy 400 Emergency Procedures the intake screening process to be at risk of suicide shall be referred to Youth identified during the intake screening behavioral/mental health staff for a suicide process to be at-risk of suicide shall be seen risk assessment. by a WellPath Behavioral Health therapist within 96 hours of admission. In review of the above policy, incident reports, ☒ ☐ ☐ and an interview with health services staff, BSCC staff confirmed that the Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. Due to a tragic and unforeseen circumstance, we did not interview behavioral health staff. (4) Precautionary protocols shall be developed Policy 707 Suicide Prevention and to ensure the youth’s safety pending the Intervention behavioral/mental health assessment. ☒ ☐ ☐ Procedure 707 Suicide Prevention and Intervention (c) Referral process to behavioral/mental health staff Policy 400 Emergency Procedures for assessment and/or services. Procedure 707 Suicide Prevention and Intervention We requested to review suicide attempts and ☒ ☐ ☐ or suicide ideations for 2022 to present. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation 7030 Butte CSP SYTF PRO 23-24 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Procedures for monitoring of youth identified at risk Policy 707 Suicide Prevention and for suicide. Intervention Procedure 707 Suicide Prevention and Intervention To monitor youth at-risk for suicide, the facility ☒ ☐ ☐ utilizes the following: • Suicide Watch - Direct visual observation • 5-8 minute watch • Special Observation - Housing and room items allowed precautions. (e) Safety Interventions Procedure 707 Suicide Prevention and (1) Procedures to address intervention Intervention protocols for youth identified at risk for ☒ ☐ ☐ suicide which may include, but are not Secure Youth Treatment Facility meets Title limited to: 15 minimum standards for this regulation. A. Housing consideration Procedure 707 Suicide Prevention and ☒ ☐ ☐ Intervention B. Treatment strategies including Procedure 707 Suicide Prevention and trauma-informed approaches Intervention The elements of this regulation are confirmed in the CPO appointment and qualifications letter dated July 10, 2023. ☒ ☐ ☐ An annual refresher training that includes trauma-informed approaches is included in the Secure Youth Treatment Facility Suicide Prevention Plan. (2) Procedures to instruct youth supervision Policy 707 Suicide Prevention and staff how to respond to youth who exhibit Intervention suicidal behaviors. ☒ ☐ ☐ Procedure 707 Suicide Prevention and Intervention (f) Communication Policy 501 Youth Intake (1) The intake process shall include communication with the arresting officer and family guardians regarding the youth’s ☒ ☐ ☐ past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current Procedure 707 Suicide Prevention and information sharing about youth at risk for Intervention suicide with youth supervision, healthcare, and behavioral/mental health staff. BSCC staff provided best practice outcomes for documenting, monitoring, and sharing youth suicide ideation behaviors. Following ☒ ☐ ☐ the inspection, the facility developed a Suicide Watch Check-Off Sheet to provide needed documentation of suicide behaviors. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Debriefing of Critical Incidents Related to Suicides Policy 707 Suicide Prevention and or Attempts Intervention (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, Secure Youth Treatment Facility meets Title during and after the critical incident. 15 minimum standards for this regulation. (2) Process for a debriefing event with affected Policy 707 Suicide Prevention and staff. ☒ ☐ ☐ Intervention (3) Process for a debriefing event with affected Policy 707 Suicide Prevention and youth. Intervention ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (h) Documentation Policy 707 Suicide Prevention and (1) Documentation processes shall be Intervention developed to ensure compliance with this ☒ ☐ ☐ Procedure 707 Suicide Prevention and regulation Intervention Youth identified at risk for suicide shall not be denied Policy 707 Suicide Prevention and the opportunity to participate in facility programs, Intervention services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety Secure Youth Treatment Facility meets Title of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ 15 minimum standards for this regulation. programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy 101 Authority and Legal Assistance Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions At the time of this inspection, there were no ☒ ☐ ☐ of confinement, filed against persons or legal entities reports of legal action having occurred since responsible for juvenile facility operation. the prior inspection. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Policy 523 Reporting In-Custody Deaths Policy 524 In-Custody Deaths Reviews (1) Death of a Youth. (a) The facility administrator, in cooperation with the At the time of this inspection, there were no health administrator and the behavioral/mental reports of death of a youth in custody having health director, shall develop written policies and occurred since the prior inspection. ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the Policy 523 Reporting In-Custody Deaths facility administrator, shall develop written policies Policy 524 In-Custody Deaths Reviews and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Policy 523 Reporting In-Custody Deaths Board a copy of the report submitted to the Attorney Policy 524 In-Custody Deaths Reviews General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. 7030 Butte CSP SYTF PRO 23-24 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Upon receipt of a report of the death of a youth from Policy 523 Reporting In-Custody Deaths the administrator, the Board may within 30 calendar Policy 524 In-Custody Deaths Reviews days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy 400 Emergency Procedures (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to necessary parties, which may include the Juvenile Court, the ☒ ☐ ☐ parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy 500 Population Management Each juvenile facility shall submit required population and profile survey reports to the Board within 10 Per the Board of State and Community working days after the end of each reporting period, in Corrections, records show that the Secure ☒ ☐ ☐ a format to be provided by the Board. Youth Treatment Facility Profile Survey Reports are timely and meet minimum standards for this regulation. 1343 JUVENILE FACILITY CAPACITY Policy 1101 Crowding When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than The Secure Youth Treatment Facility has not fifteen (15) calendar days in a month, the facility exceeded its rated capacity. administrator shall provide a crowding report to the ☒ ☐ ☐ Board in a format provided by the Board. At the time of this inspection, Butte County Secure Youth Treatment Facility’s rated capacity is 16 youth. 1350 ADMITTANCE PROCEDURES Policy 501 Youth Intake Procedure 501 Youth Intake The facility administrator shall develop and implement written policies and procedures for admittance of youth We requested to review 10 youth Intake that emphasize respectful and humane engagement Packet forms that occurred between July with youth, and reflect that the admission process may 2022 to present, or the 10 most recent forms be traumatic to youth who may have already completed. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and A review of the documentation indicates literacy needs of youth. In addition to the requirements Secure Youth Treatment Facility complies of Sections 1324 and 1430 of these regulations: with the minimum standards for this regulation. ☒ ☐ ☐ Through a combination of a variety of documentation reviews, interviews with youth housed at the facilities, interviews with SYTF staff, and interviews with medical health partners, we confirmed that the Secure Youth Treatment Facility meets compliance with this regulation. BSCC staff was impressed with the utilization of an intake check-off sheet and the individual assessment and screening tool. 7030 Butte CSP SYTF PRO 23-24 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) the admittance process shall include: Policy 501 Youth Intake (1) Access to two free phone calls within one hour Procedure 501 Youth Intake of admittance in accordance with the provisions ☒ ☐ ☐ of Welfare and Institution Code Section 627; We reviewed documentation and interviewed youth housed at the facility and SYTF staff. (2) Offer of a shower; Policy 501 Youth Intake Procedure 501 Youth Intake ☒ ☐ ☐ Youth and SYTF staff interviewed report that youth are offered showers and clean clothes upon intake. (3) Documented secure storage of personal Policy 501 Youth Intake belongings; ☒ ☐ ☐ Procedure 501 Youth Intake (4) Offer of food upon arrival; Policy 501 Youth Intake Procedure 501 Youth Intake ☒ ☐ ☐ The intake check-off sheet and the booking sheet provides assurance that youth are offered a meal at intake. (5) Screening for physical and behavioral health Policy 501 Youth Intake and safety issues, intellectual or developmental Policy 504 Case Management disabilities; Policy 701 Youth Screening and Evaluation In review of youth intake documentation, the facility medical and behavioral health personnel evaluate youth within 96 hours of ☒ ☐ ☐ admittance utilizing a MAYSI II form. In addition, intake staff ask youth targeted questions to make determinations. Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (6) Screening for physical and developmental Policy 701 Youth Screening and Evaluation disabilities in accordance with Sections 1329, Procedure 501 Youth Intake 1413, and 1430 of these regulations; Through documentation and interviews with ☒ ☐ ☐ medical and behavioral health staff, we confirmed that Secure Youth Treatment Facility ensures that all youth have a full medical exam within 96 hours of intake. (7) Contact with Regional Center for the Policy 501 Youth Intake Developmentally Disabled for youth that are Procedure 501 Youth Intake suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. Procedure 502 Youth Classification ☒ ☐ ☐ (b) juvenile hall administrators shall establish written Procedure 502 Youth Classification criteria for campthat considers the least restrictive environment. We observed documentation showing that all youth are screened by utilizing a classification ☒ ☐ ☐ form that assesses the housing unit placement of the youth based on the criminal sophistication of the youth. 7030 Butte CSP SYTF PRO 23-24 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) juvenile camps and post-dispositional programs in Policy 501 Youth Intake juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform them of program guidelines ☐ ☐ ☒ and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and Policy 501 Youth Intake procedures that advise any committed youth of the ☒ ☐ ☐ estimated length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy 501 Youth Intake ABUSE Policy 502 classification Policy 701 Youth Screening The facility administrator shall develop and implement written policies and procedures to reduce the risk of The facility reported that it relies, in part, on sexual abuse by or upon youth. The policy shall require the onsite Licensed Marriage and Family facility staff to assess each youth within 72 hours of Therapist (LMFT) to conduct the screening admission based on the following information: that applies to this regulation. Sadly, due to very unfortunate and unforeseen circumstance, the facility LMFT was not available to confirm screenings and no documentation provides confirming information. Although noncompliance appeared evident, ☒ ☐ ☐ BSCC staff reviewed multiple intake, classification, and youth screening policies and documentation to determine, cumulatively, compliance is met for this regulation. The facility policy differs from practice. We provided technical assistance to employ the facility to follow its own policy. Since the inspection, to enable the facility to readily provide proof of practice for this regulation, the facility developed and incorporated a “Sexual Victimization Assessment” spreadsheet to be completed during the intake process. (a) Prior sexual victimization or abusiveness; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (b) Gender nonconforming appearance or manner; or Policy 501 Youth Intake identification as lesbian, gay or bisexual, Policy 502 classification transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (d) Age; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Level of emotional and cognitive development; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (f) Physical size and stature; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (g) Mental illness or mental disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (h) Intellectual or developmental disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (i) Physical disabilities; Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (j) The youth’s perception of vulnerability; and, Policy 501 Youth Intake Policy 701 Youth Screening ☒ ☐ ☐ (k) Any other specific information about the individual Policy 501 Youth Intake youth that may indicate heightened needs for Policy 701 Youth Screening supervision, additional safety precautions, or ☒ ☐ ☐ separation from certain other youth. Staff shall ascertain this information through Policy 501 Youth Intake conversations with the youth during the admittance process, medical and behavioral health screenings; during classification assessments; and by reviewing ☒ ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy 701 Youth Screening controls on the dissemination of information within the facility relative to responses received pursuant to this assessment in order to ensure that sensitive information ☒ ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Policy 520 Release The facility administrator shall develop and implement written policies and procedures for release of youth Compliance with this regulation is confirmed from custody which provide for: based on review of facility policies and procedures, a review of a random selection of ☒ ☐ ☐ juvenile hall release forms, interviews with collaborative partners, and as well as interviews with SYTF staff and youth housed at the facility. (a) verification of identity/release papers; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ (b) return of personal clothing and valuables; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ (c) notification to the youth's parents or guardian; Policy 520 Release Procedure 520 Youth Release ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) notification to the facility health care provider in Policy 520 Release accordance with Sections 1408 and 1437 of these Procedure 520 Youth Release regulations, for coordination with outside agencies; and, BSCC staff interviewed medical services personnel to help in determining compliance with minimum standards for this section of ☒ ☐ ☐ the regulation. BSCC staff were impressed with efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. (e) notification of school staff; Policy 520 Release Procedure 520 Youth Release BSCC staff interviewed education services (Teacher and Principal) to help in determining compliance with minimum standards for this section of the regulation. ☒ ☐ ☐ We were impressed with the efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. (f) notification of facility mental health personnel. Policy 520 Release Procedure 520 Youth Release BSCC staff reviewed policy and interviewed health services and SYTF staff to assist in confirming compliance. The facility LMFT and the Deputy Probation ☒ ☐ ☐ Officer (DPO) play vital role in release transition planning for youth. BSCC staff were impressed with the efforts made to conduct weekly Multi-Disciplinary Team (MDT) meetings to ensure compliance with this regulation. 7030 Butte CSP SYTF PRO 23-24 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement Policy 520 Release policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Youth transition plans are discussed during services including, but not limited to, medical and regularly scheduled MDT meetings. In behavioral health, education, probation supervision and addition, the facility LMFT in conjunction with community-based services. the youth’s DPO, the Superintendent or designee, and camp detention officers develop all post-dispositional services for a youth being released. In addition, education ☒ ☐ ☐ services attend the MDT and provides the youth with a transition education packet. While BSCC applauds the multi-collaborative efforts being made, we discussed the benefits that including proof of practice, when these efforts are documented on a transition plan document. The facility administrator shall develop and implement Policy 520 Release written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Policy 502 Youth Classification The facility administrator shall develop and implement Procedure 502 Youth Classification written policies and procedures on classification of youth for the purpose of determining housing placement Through a review of the above policy and 10 in the facility. ☒ ☐ ☐ admission classification examples, we Such procedures shall: determined that the Secure Youth Treatment Facility meets compliance with the elements of this regulation. (a) provide for the safety of the youth, other youth, Policy 502 Youth Classification facility staff, and the public by placing youth in the Procedure 502 Youth Classification appropriate, least restrictive housing and program settings. Housing assignments shall consider the Through a review of the above policy, need for single, double or dormitory assignment or admission documentation, and interviews ☒ ☐ ☐ location within the dormitory; with supervisory staff, we determined that the Secure Youth Treatment Facility meets compliance with the elements of this regulation. (b) consider facility populations and physical design of Policy 502 Youth Classification the facility; Procedure 502 Youth Classification ☒ ☐ ☐ (c) provide that a youth shall be classified upon Policy 502 Youth Classification admittance to the facility; classification factors shall Procedure 502 Youth Classification include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, Through a review of the above policy, legal status, public safety considerations, admission documentation, and interviews medical/mental health considerations, gender and with supervisory staff, we determined that the gender identity of the youth; Secure Youth Treatment Facility meets ☒ ☐ ☐ compliance with the elements of this regulation. BSCC staff found the facility’s “Transgender / Intersex Youth Preference Form” and procedures to be well-referenced. 7030 Butte CSP SYTF PRO 23-24 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, including Policy 502 Youth Classification provisions that consider the level of supervision and Procedure 502 Youth Classification ☒ ☐ ☐ the youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Policy 502 Youth Classification from the general population or assign youth to a Procedure 502 Youth Classification single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 502 Youth Classification transgender, questioning or intersex identification or Procedure 502 Youth Classification status as an indicator of likelihood of being sexually abusive. Through a review of the above policy, admission documentation, and interviews ☒ ☐ ☐ with supervisory staff, we determined that the Secure Youth Treatment Facility meets compliance with the elements of this regulation. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Procedure 502.5 Transgender / Intersex The facility administrator shall develop written policies Youth and procedures ensuring respectful and equitable ☒ ☐ ☐ treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender Procedure 502.5 Transgender / Intersex identity and shall refer to the youth by the youth’s Youth preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the A Transgender / Intersex Youth Preference use of gang or slang names or names that Form is provided to youth as part of the intake ☒ ☐ ☐ otherwise compromise facility operations as process. determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Procedure 502.5 Transgender / Intersex themselves in a manner consistent with their Youth gender identity and shall provide youth with the ☒ ☐ ☐ institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room Procedure 502.5 Transgender / Intersex that best meets their individual needs and promotes Youth their safety and well-being. Staff may not automatically house youth according to their Through a review of the above policy, external anatomy and shall document the reasons admission documentation, and interviews for any decision to house youth in a unit that does ☒ ☐ ☐ with camp and supervisory staff, we not match their gender identity. In making a housing determined that the Secure Youth Treatment decision, staff shall consider the youth’s Facility meets compliance with the elements preferences, as well as any recommendations from of this regulation. the youth’s health or behavioral health provider. 7030 Butte CSP SYTF PRO 23-24 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Facility administrators shall ensure that Procedure 502.5 Transgender / Intersex transgender and intersex youth have access to Youth medical and behavioral health providers qualified to ☒ ☐ ☐ provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Procedure 502.5 Transgender / Intersex necessary security considerations and physical Youth plant, facility staff shall make every effort to ensure the safety and privacy of transgender and intersex ☒ ☐ ☐ youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 516 Searches youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Policy 503 Youth Orientation The facility administrator shall develop and implement Procedure 503 Youth Orientation written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal BSCC staff reviewed policy and procedure, information shall be provided and supplemented with requested to review 10 orientation packet video orientation if feasible. Provision shall be made to examples, interviewed SYTF staff, and provide accessible orientation information to all ☒ ☐ ☐ interviewed youth housed at the facility to help detained youth including those with disabilities, limited determine compliance. literacy, or English language learners. Orientation shall include information that addresses: Secure Youth Treatment Facility meets Title 15 minimum standards for the elements of this regulation. (a) facility rules including contraband and searches Policy 503 Youth Orientation and disciplinary procedures; Procedure 503 Youth Orientation Included in the orientation packet are the expected rules and responsibilities. Through ☒ ☐ ☐ our discussions, the agency found it necessary to add a youth’s signature to the intake orientation check-off sheet acknowledging receipt and understanding of the documentation. (b) facility’s system of positive behavior interventions Policy 503 Youth Orientation and supports, including behavior expectations, Procedure 503 Youth Orientation incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Policy 503 Youth Orientation facility’s policy prohibiting sexual abuse and sexual Procedure 503 Youth Orientation harassment and how to report incidents or ☒ ☐ ☐ suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) the existence of the grievance procedure, the steps Policy 503 Youth Orientation that must be taken to use it, the youth’s right to be Procedure 503 Youth Orientation free of retaliation for reporting a grievance, and the name of the person or position designated to ☒ ☐ ☐ BSCC staff were impressed with the resolve the issue; comprehensive grievance acknowledgment form provided to youth at intake. (f) access to legal services and information on the Policy 503 Youth Orientation court process; Procedure 503 Youth Orientation ☒ ☐ ☐ (g) access to routine and emergency health and mental Policy 503 Youth Orientation health care; Procedure 503 Youth Orientation ☒ ☐ ☐ (h) access to education, religious services, and Policy 503 Youth Orientation recreational activities; Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Secure Youth Treatment Facility meets compliance with the elements of this regulation. (i) housing assignments; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 503 Youth Orientation including the availability of personal care items Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Secure Youth Treatment Facility meets compliance with the elements of this regulation. (k) rules and access to correspondence, visits and Policy 503 Youth Orientation telephone use; Procedure 503 Youth Orientation ☒ ☐ ☐ (l) availability of reading materials, programming, and Policy 503 Youth Orientation other activities; Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Secure Youth Treatment Facility meets compliance with the elements of this regulation. 7030 Butte CSP SYTF PRO 23-24 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (m) facility policies on the use of force, use of restraints, Policy 503 Youth Orientation chemical agents and room confinement; Procedure 503 Youth Orientation We interviewed youth and intake staff to help in determining that Secure Youth Treatment Facility meets compliance with the elements of this regulation. Policy indicates that Use of Force options are authorized to be utilized “without warning for ☒ ☐ ☐ purposes of defense and control”. We provided technical assistance for the facility to update language in the youth intake packet that aligns with Title 15 that, in part, specifies use of force is to be used when reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, staff, others, and the facility. (n) immigration legal services; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy 503 Youth Orientation Procedure 503 Youth Orientation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free Policy 503 Youth Orientation from physical, verbal or sexual abuse and Procedure 503 Youth Orientation harassment by other youth and staff; We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Secure Youth Treatment Facility meets compliance with the elements of this regulation. (q) availability of services and programs in a language Policy 503 Youth Orientation other than English if appropriate; Procedure 503 Youth Orientation ☒ ☐ ☐ (r) the process for requesting different housing, Policy 503 Youth Orientation education, programming and work assignments; Procedure 503 Youth Orientation ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 503 Youth Orientation information regarding the youth’s stay in the facility Procedure 503 Youth Orientation that at a minimum includes answers to frequently asked questions and provides contact information ☒ ☐ ☐ for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Policy 503 Youth Orientation Title 15 Minimum Standards for Juvenile Facilities. Procedure 503 Youth Orientation We interviewed youth and intake staff to help ☒ ☐ ☐ in determining that Secure Youth Treatment Facility meets compliance with the elements of this regulation. 7030 Butte CSP SYTF PRO 23-24 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy 502 Youth Classification Policy 601 Safety Removals (Room The facility administrator shall develop and implement Confinement) written policies and procedures that address: There were no reports of the Separation of youth reported since the prior BSCC inspection. The Facility does not have a specific ☒ ☐ ☐ “Separation” policy where Separation of a youth from the general group occurs outside of a sleeping room. The policy used for Separation is a room confinement policy. BSCC staff discussed best practice outcomes to formulate a specific policy for “Separation” to differentiate it from room confinement in policy. (a) separation of youth for reasons that include, but are Policy 502 Youth Classification not be limited to, medical and mental health conditions, assaultive behavior, disciplinary By Title 15 definition “Separation” means consequences and protective custody. limiting a youth’s participation in regular programming for a specific purpose. Separation may be used as discipline and a youth does not have to be placed in his/her room when separated from the group. Secure Youth Treatment Facility is located within the BCJH complex and abides by the ☒ ☐ ☐ same policies and procedures as the BCJH. BCJH only has a room confinement policy. Per Title 15 regulations, room confinement may not be used as a form of discipline. BSCC staff provided Technical Assistance in distinguishing the difference between “Separation” and “Room Confinement” as defined by Title 15. In addition, our technical assistance included recommending that the facility develop a policy that specifically addresses “Separation” as defined in Title 15. (b) consideration of positive youth development and Policy 502 Youth Classification trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal Policy 502 Youth Classification privileges available at the facility, except when Policy 601 Safety Removals (Room necessary to accomplish the objective of Confinement) separation. After reviewing the above policy, ☒ ☐ ☐ documentation, and interviews with youth, the agency is compliant with the minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) when the objective of the separation is discipline, Policy 601 Safety Removals (Room Title 15 Section 1390 shall apply. Confinement) ☒ ☐ ☐ By Title 15 definition, “Separation” means limiting a youth’s participation in regular programming for a specific purpose. (e) when separation results in room confinement, the Policy 601 Safety Removals (Room separation shall occur in accordance with Welfare Confinement) and Institutions Code Section 208.3 and ☒ ☐ ☐ Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy 601 Safety Removals (Room of separated youth to determine if separation Confinement) ☒ ☐ ☐ remains necessary. 1354.5 ROOM CONFINEMENT Policy 601 Safety Removal (Room (a) The facility administrator shall develop and Confinement) implement written policies and procedures addressing the confinement of youth in their room BSCC staff requested to review random room that are consistent with Welfare and Institutions confinement-related incident reports, Code Section 208.3. The placement of a youth in ☒ ☐ ☐ reviewed room confinement logs, and room confinement shall be accomplished in interviewed youth detained at the facility as accordance with the following guidelines: well as SYTF staff. We also interviewed collaborative partners to gain further insight to confirm compliance with this regulation (1) Room confinement shall not be used before Policy 601 Safety Removals (Room other, less restrictive, options have been Confinement) attempted and exhausted, unless attempting those options poses a threat to the safety or ☒ ☐ ☐ Secure Youth Treatment Facility meets Title security of any youth or staff. 15 minimum standards for the elements of this regulation. (2) Room confinement shall not be used for the Policy 601 Safety Removals (Room purposes of punishment, coercion, Confinement) convenience, or retaliation by staff. ☒ ☐ ☐ Documentation supports compliance with this regulation. Room confinement is always used appropriately. confinement shall not be used to the extent that it Policy 601 Safety Removals (Room compromises the mental and physical health of the Confinement) ☒ ☐ ☐ youth. 7030 Butte CSP SYTF PRO 23-24 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) A youth may be held up to four hours in room Policy 601 Safety Removals (Room confinement. After the youth has been held in room Confinement) confinement for a period of four hours, staff shall do one or more of the following: Since the prior inspection, documentation shows that no youth has been held in room confinement beyond the four-hour threshold. The facility uses the following documentation tools to help track and log room confinement ☒ ☐ ☐ including, but are not limited to: • Administration Separation Monitoring Log • Pod Logbook • Safety and Security Behavioral Removal log • Administrative Separation Check-Off Log (1) Return the youth to general population. Policy 601 Safety Removals (Room ☒ ☐ ☐ Confinement) (2) Consult with mental health or medical staff. Policy 601 Safety Removals (Room Confinement) Per policy, if after one hour the youth’s ☒ ☐ ☐ behavior continues to be a threat to facility safety and security, the facility LMFT may be contacted to assess and counsel the youth. (3) Develop an individualized plan that includes the Policy 601 Safety Removals (Room goals and objectives to be met in order to Confinement) reintegrate the youth to general population. ☒ ☐ ☐ Individualized plans are identified as Behavior Modification Plans. (4) If room confinement must be extended beyond Policy 601 Safety Removals (Room four hours, staff shall do each of the following: Confinement) ☒ ☐ ☐ Since the prior inspection, documentation shows that no youth has been held in room confinement beyond the four-hour threshold. (A) Document the reasons for room Policy 601 Safety Removals (Room confinement and the basis for the Confinement) extension, the date and time the youth was first placed in room confinement, and when ☒ ☐ ☐ The facility utilizes an Administrative he or she is eventually released from room Separation Form that complies with the confinement. elements of this regulation. (B) Develop an individualized plan that Policy 601 Safety Removals (Room includes the goals and objectives to be met Confinement) in order to integrate the youth to general ☒ ☐ ☐ population. (C) Obtain documented authorization by the Policy 601 Safety Removals (Room facility superintendent or his or her Confinement) ☒ ☐ ☐ designee every four hours thereafter. (5) This section is not intended to limit the use of Policy 601 Safety Removals (Room single-person rooms or cells for the housing of Confinement) youth in juvenile facilities and does not apply to ☒ ☐ ☐ normal sleeping hours. 7030 Butte CSP SYTF PRO 23-24 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) This section does not apply to youth or wards Policy 601 Safety Removals (Room in court holding facilities or adult facilities. ☒ ☐ ☐ Confinement) (7) Nothing in this section shall be construed to Policy 601 Safety Removals (Room conflict with any law providing greater or Confinement) ☒ ☐ ☐ additional protections to youth. (8) This section does not apply during an Policy 601 Safety Removals (Room extraordinary emergency circumstance that Confinement) requires a significant departure from normal institutional operations, including a natural disaster or facility-wide threat that poses an imminent and substantial risk of harm to ☒ ☐ ☐ multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy 601 Safety Removals (Room placed in a locked cell or sleeping room to treat Confinement) and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an illness. ☒ ☐ ☐ Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 504 Case Management The facility administrator shall develop and implement written policies and procedures for assessment and Secure Youth Treatment Facility meets Title ☒ ☐ ☐ case planning. 15 minimum standards for the elements of this regulation. (a) Assessment: Policy 504 Case Management The assessment is based on information collected during the admission process with periodic review, As part of the initial assessment, within two which includes the youth's risk factors, needs and days of intake, the LMFT, Lisa Creamer strengths including, but not limited to, identification O’Donnell, completes the MAYSI II with the of substance abuse history, educational, vocational, youth and makes the appropriate review. counseling, behavioral health, consideration of The assessment includes descriptions of known history of trauma, and family strengths and the youth’s issues and places an emphasis needs. ☒ ☐ ☐ on youth’s strengths. On a risk and needs basis, LMFT O’Donnell meets with the youth monthly to discuss case plan and progress towards goals. Secure Youth Treatment Facility meets Title 15 minimum standards for the elements of this regulation. 7030 Butte CSP SYTF PRO 23-24 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Institutional Case Plan: Policy 504 Case Management (1) A case plan shall be developed for each youth held for at least 30 days or more and created within 40 days of admission. ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for the elements of this regulation. (2) The institutional plan shall include, but not be Policy 504 Case Management limited to, written documentation that provides: ☒ ☐ ☐ (A) objectives and time frame for the resolution Policy 504 Case Management of problems identified in the assessment; ☒ ☐ ☐ (B) a plan for meeting the objectives that Policy 504 Case Management includes a description of program resources needed and individuals responsible for ☒ ☐ ☐ assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy 504 Case Management the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; (4) a transition plan, the contents of which shall be Policy 504 Case Management subject to existing resources, shall be Policy 518 Discharge Plan developed for post dispositional youth in accordance with Section 1351; and, ☒ ☐ ☐ Secure Youth Treatment Facility meets Title 15 minimum standards for the elements of this regulation. (5) in as much as possible and if appropriate, the Policy 504 Case Management plan, including the transition plan, shall be Policy 518 Discharge Plan developed with input from the family, supportive ☒ ☐ ☐ adults, youth, and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Policy 704 Counseling Services The facility administrator shall develop and implement Policy 518 Discharge Plan written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ Secure Youth Treatment Facility meets Title youth. Policies and procedures shall ensure: 15 minimum standards for the elements of this regulation. (a) youth will receive assistance with needs or Policy 704 Counseling Services concerns that may arise; ☒ ☐ ☐ The facility LMFT and WellPath services are available to assist youth. (b) youth will receive assistance in requesting contact Policy 704 Counseling Services with parents, other supportive adults, attorney, clergy, probation officer, or other public official; and, Secure Youth Treatment Facility meets Title ☒ ☐ ☐ 15 minimum standards for the elements of this regulation (c) youth will be provided access to available Policy 704 Counseling Services resources to meet the youth’s needs. ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1357 USE OF FORCE Policy 305 Chemical Agents Training The facility administrator, in cooperation with the Procedure 514.1 responsible physician, shall develop and implement Policy 514 Use of Force written policies and procedures for the use of force, Procedure 514 Force Options which may include chemical agents. Force shall never Policy 515 Restraints be applied as punishment, discipline, retaliation or treatment. We requested to review the 10 most recent (a) At a minimum, each facility shall develop policies Use of Force (UOF) Incident reports covering ☒ ☐ ☐ and procedures which: the time from the prior July 21, 2021, inspection to the current inspection. We also interviewed youth housed at the facility and facility SYTF staff. The facility is compliant with Title 15 minimum standards for this regulation (1) restricts the use of force to that which is deemed Policy 514 Use of Force reasonable and necessary, as defined in Section Procedure 514 Force Options 1302 to ensure the safety and security of youth, Procedure 514.1 Chemical Agents ☒ ☐ ☐ staff, others and the facility. Decontamination Procedure (2) outline the force options available to staff Policy 514 Use of Force including both physical and non-physical options Procedure 514 Force Options and define when those force options are ☒ ☐ ☐ appropriate. (3) describe force options or techniques that are Policy 514 Use of Force expressly prohibited by the facility. Procedure 514 Force Options Secure Youth Treatment Facility Use of Force Options include the below: • Verbal Commands • OC Spray ☒ ☐ ☐ • Soft Hands / Physical Escort • Hard hands / Full Restraint • Strikes / Kicks • Convex Shield • Mechanical Restraints (4) describe the requirements of staff to report any Policy 514 Use of Force inappropriate use of force, and to take Procedure 514 Force Options ☒ ☐ ☐ affirmative action to immediately stop it. (5) define a standardized reporting format that Policy 514 Use of Force includes time period and procedure for Procedure 514 Force Options documenting and reporting the use of force, including reporting requirements of A review of incident reports requested show management and line staff and procedures for that Secure Youth Treatment Facility reviewing and tracking use of force incidents by documents and reports incidents in supervisory and or management staff, which ☒ ☐ ☐ accordance with Title 15 minimum standards. include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. 7030 Butte CSP SYTF PRO 23-24 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) Include an administrative review and a system Policy 514 Use of Force for investigating unreasonable use of force. Procedure 514 Force Options Through a review of the Use of Force incident reports, we observe that the supervisor ☒ ☐ ☐ provides a final analysis and debrief of the incident. Also, the Superintendent reviews the use of force incident reports to ensure the use of force was in accordance with facility policy. (7) define the role, notification, and follow-up Policy 514 Use of Force procedures required after use of force incidents Procedure 514 Force Options for medical, mental health staff and parents or legal guardians. BSCC staff interviewed supervisory, SYTF ☒ ☐ ☐ staff, and medical staff to help determine compliance with the elements of this regulation. (8) describe the limitations of use of force on Policy 307 Health Care Orientation and pregnant youth in accordance with Penal Code Training Section 6030(f) and Welfare and Institutions ☒ ☐ ☐ Policy 514 Use of Force Code Section 222. Policy 515 Restraints (b) Facilities that authorize chemical agents as a force Policy 305 Chemical Agents Training option shall include policies and procedures that: Policy 514 Use of Force Procedure 514.1 Chemical Agents Decontamination Procedure ☒ ☐ ☐ There were no reports of chemical agent use since the prior July 21, 2021, inspection. (1) identify who is approved to carry and/or utilize Policy 305 Chemical Agents Training chemical agents in the facility and the type, size Policy 514 Use of Force and the approved method of deployment for ☒ ☐ ☐ those chemical agents. (2) mandate that chemical agents only be used Policy 514 Use of Force when there is an imminent threat to the youth’s safety or the safety of others and only when de- We reviewed policy and interviewed JDO and escalation efforts have been unsuccessful or are SJDO to determine that Secure Youth ☒ ☐ ☐ not reasonably possible. Treatment Facility meets compliance with Title 15 minimum standards for this regulation. (3) outline the facility’s approved methods and Policy 514 Use of Force timelines for decontamination from chemical Procedure 514.1 Chemical Agents agents. This shall include that youth who have Decontamination Procedure been exposed to chemical agents shall not be ☒ ☐ ☐ left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Policy 514 Use of Force procedures required after use of force incidents involving chemical agents for medical, mental ☒ ☐ ☐ health staff and parents or legal guardians. 7030 Butte CSP SYTF PRO 23-24 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) provide for the documentation of each incident Policy 514 Use of Force of use of chemical agents, including the Procedure 514.1 Chemical Agents reasons for which it was used, efforts to de- Decontamination Procedure escalate prior to use, youth and staff involved, the date, time and location of use, ☒ ☐ ☐ decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure Policy 305 Chemical Agents Training which require that agencies provide initial and regular training in use of force and chemical agents The elements of this regulation are identified when appropriate that address: in Phase One of the training procedure and ☒ ☐ ☐ confirmed in the CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023 (1) known medical and behavioral health Procedure 514 Force Options conditions that would contraindicate certain Policy 305 Chemical Agents Training types of force; ☒ ☐ ☐ (2) acceptable chemical agents and the methods Procedure 514 Force Options of application. ☒ ☐ ☐ (3) signs or symptoms that should result in Procedure 514 Force Options immediate referral to medical or behavioral Procedure 514.1 Chemical Agents health. Decontamination Procedure ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Procedure 514 Force Options Use of Force. ☒ ☐ ☐ (5) physical training force options that may require Procedure 514 Force Options the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Procedure 514 Force Options training. ☒ ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS Policy 515 Restraints The facility administrator, in cooperation with the We requested to review the 10 most recent responsible physician and mental health director, shall Use of Physical Restraint Incident Reports develop and implement written policies and procedures covering the time from the prior July 21, 2021, for the use of restraint devices. Restraint devices inspection to the current inspection. We also ☒ ☐ ☐ include any devices which immobilize a youth's interviewed youth housed at the facility and extremities and/or prevent the youth from being facility SYTF staff. ambulatory. The facility is compliant with Title 15 minimum standards for this regulation Physical restraints may be used only for those youth Policy 515 Restraints who present an immediate danger to themselves or We observed that in all instances, physical others, who exhibit behavior which results in the restraints were justifiably used and when less destruction of property, or reveals the intent to cause restrictive alternatives were exhausted. ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. 7030 Butte CSP SYTF PRO 23-24 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS In no case shall restraints be used as punishment or Policy 515 Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or Secure Youth Treatment Facility meets Title other fixture, including a restraint chair, or through affixing 15 minimum standards for the elements of of hands and feet together behind the back (hogtying) is ☒ ☐ ☐ this regulation. prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy 515 Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed ☒ ☐ ☐ by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy 515 Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a Secure Youth Treatment Facility meets Title physician. Reasons for continued retention in restraints ☒ ☐ ☐ 15 minimum standards for the elements of shall be reviewed and documented at a minimum of this regulation. every hour. A medical opinion on the safety of placement and Policy 515 Restraints retention shall be secured as soon as possible, but no later than two hours from the time of placement. The We were able to confirm that medical staff youth shall be medically cleared for continued retention ☒ ☐ ☐ provide ongoing review and assessment at least every three hours thereafter. while a youth is in mechanical or any type of restraint. A mental health consultation shall be secured as soon as Policy 515 Restraints possible, but in no case longer than four hours from the time of placement, to assess the need for mental health We were able to confirm that behavioral treatment. ☒ ☐ ☐ health staff provide ongoing review and assessment while a youth is in mechanical or any type of restraint. Continuous direct visual supervision shall be conducted Policy 515 Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. Through documentation review and Observations of the youth's behavior and any staff interviews with camp and medical staff, we ☒ ☐ ☐ interventions shall be documented at least every 15 were able to confirm that the youth remain minutes, with actual time of the documentation recorded. under constant supervision until the restraints are removed. In addition to the requirements above, policies and Policy 515 Restraints procedures shall address: (a) documentation of the circumstances leading to an Policy 515 Restraints application of restraints. ☒ ☐ ☐ (b) known medical conditions that would contraindicate Policy 515 Restraints certain restraint devices and/or techniques. ☒ ☐ ☐ (c) acceptable restraint devices. Policy 515 Restraints ☒ ☐ ☐ (d) signs or symptoms which should result in Policy 515 Restraints immediate medical/mental health referral. ☒ ☐ ☐ (e) availability of cardiopulmonary resuscitation Policy 515 Restraints equipment. ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) protective housing of restrained youth. While in Policy 515 Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy 515 Restraints ☒ ☐ ☐ (h) exercising of extremities. Policy 515 Restraints ☒ ☐ ☐ 1358.5 USE OF RESTRAINT DEVICES FOR Policy 515 Restraints MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. It is the policy of the Facility that the use of restraints should be reserved only for The Facility Administrator, in cooperation with the transportation outside of the facility. responsible physician and behavioral/mental health ☒ ☐ ☐ director, shall develop and implement written policies Restraints shall never be used by staff within and procedures for the use of restraint devices when the confines of the Juvenile Hall complex. the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Policy 515 Restraints approved to utilize restraint devices and the required training. The CPO appointment and qualifications letter dated January 10, 2023, written by CPO ☒ ☐ ☐ Melissa Romero, confirms that the elements of this regulation comply with Title 15 minimum standards. (b) the circumstances leading to the application of Policy 515 Restraints restraints must be documented. ☒ ☐ ☐ (c) an individual assessment of the need to apply restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental health conditions, trauma ☐ ☐ ☒ informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Policy 515 Restraints with a clearly defined expectation that restraint devices shall not be used for the purposes of ☒ ☐ ☐ discipline or retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section6030(f) and ☐ ☐ ☒ Welfare and Institutions Code Section 222. 7030 Butte CSP SYTF PRO 23-24 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1359 SAFETY ROOM PROCEDURES Policy 507 Safety Room (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall Compliance with this regulation is based develop and implement written policies and solely on review of policy and procedure procedures governing the use of safety rooms, as manual as the facility safety room has not described in Title 24, Part 2, Section 1230.1.13. The been utilized in the prior or current inspection room shall be used to hold only those youth who cycle. present an immediate danger to themselves or ☒ ☐ ☐ others, who exhibit behavior which results in the Review of Safety Room policy and destruction of property, or reveals the intent to procedures revealed compliance with this cause self-inflicted physical harm. A safety room regulation. shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of Policy 507 Safety Room necessary nutrition and fluids, access to a toilet, and suitable clothing to provide for ☒ ☐ ☐ privacy; (2) provide for approval of the facility manager, or Policy 507 Safety Room designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Policy 507 Safety Room and documentation of the youth's behavior and any staff interventions every 15 minutes, with ☒ ☐ ☐ actual time recorded; (4) provide that the youth shall be evaluated by the Policy 507 Safety Room facility manager, or designee, every four hours; ☒ ☐ ☐ (5) provide for immediate medical assessment, Policy 507 Safety Room where appropriate, or an assessment at the ☒ ☐ ☐ next daily sick call; and, (6) provide a process for documenting the reason Policy 507 Safety Room for placement, including attempts to use less restrictive means of control, and decisions to ☒ ☐ ☐ continue and end placement. (b) The placement of a youth in the safety room shall be Policy 507 Safety Room accomplished in accordance with the following: At the time of this inspection, the facility ☒ ☐ ☐ reported no occurrences for the use of the Safety Room. (1) safety room shall not be used before other less Policy 507 Safety Room restrictive options have been attempted and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes Policy 507 Safety Room of punishment, coercion, convenience, or retaliation by staff. At the time of this inspection, the facility ☒ ☐ ☐ reported no occurrences for the use of the Safety Room. (3) safety room shall not be used to the extent that Policy 507 Safety Room it compromises the mental and physical health ☒ ☐ ☐ of the youth. 7030 Butte CSP SYTF PRO 23-24 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) A youth may be held up to four hours in the safety Policy 507 Safety Room room. After the youth has been held in the safety room for a period of four hours, staff shall do one or ☒ ☐ ☐ more of the following: (1) return the youth to general population. Policy 507 Safety Room ☒ ☐ ☐ (2) consult with mental health or medical staff, Policy 507 Safety Room ☒ ☐ ☐ (3) develop an individualized plan that includes the Policy 507 Safety Room goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. (d) If confinement in the safety room must be extended Policy 507 Safety Room beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 and the goals and objectives to ☒ ☐ ☐ be met in order to integrate the youth to general population. 1360 SEARCHES Policy 516 Searches The facility administrator shall develop and implement Procedure 516 Searches written policies and procedures governing the search of 501 Youth Intake youth, the facility, and visitors. Policies and procedures Procedure 502.5 Transgender Intersexed shall provide that: Youth BSCC staff requested 5 random examples ☒ ☐ ☐ from July 2022 to December 2022 and the 5 most recent in 2023. We also interviewed youth housed at the facility. It was concluded that the facility complies with Title 15 minimum standards of this regulation. (a) Searches shall be conducted to ensure the safety Policy 516 Searches and security of the facility, public, visitors, youth, Procedure 516 Searches ☒ ☐ ☐ and staff. (b) Searches shall be conducted in a manner that Policy 516 Searches preserves the privacy and dignity of the person Procedure 516 Searches being searched and shall not be conducted for harassment or as a form of discipline or The facility utilizes the following search punishment. protocols: modified strip search (partial clothing adjusted or removed), pat down ☒ ☐ ☐ search, strip search, physical body cavity search (physician and search warrant required), and canine-assisted search. It was concluded that the facility complies with Title 15 minimum standards of this regulation. (c) Strip searches and visual or physical body cavity 501 Youth Intake searches shall comply with Penal Code Section Policy 516 Searches 4030. The facility maintains expectations for strip ☒ ☐ ☐ searches pursuant to PC 4030, for pre-camp youth and post-camp youth. All strip searches are approved in advance of the search. (d) Physical body cavity searches shall only be Policy 516 Searches conducted by a medical professional. ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Any youth held after a camphearing shall only be Policy 516 Searches strip searched with prior approval of a supervisor Procedure 516 Searches when there is reasonable suspicion based on specific and articulable facts to believe that youth is ☒ ☐ ☐ It was concluded that the facility complies with concealing contraband. The reasonable suspicion Title 15 minimum standards of this regulation. shall be documented. (f) Searches of transgender and intersex youth shall Procedure 502.5 Transgender / Intersexed comply with Section 1352.5. Youth Policy 516 Searches The facility has protocols in the policy addressing expectations for staff related to ☒ ☐ ☐ searching youth who are transgender. A Transgender / Intersex Youth Preference Form is provided to youth as part of the intake process and identifies search preferences for the youth. (g) Cross-gender pat-down searches and strip Policy 516 Searches searches are prohibited except in exigent Procedure 516 Searches circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy 609 Youth Grievances The facility administrator shall develop and implement written policies and procedures whereby any youth may BSCC staff reviewed 8 random youth appeal and have resolved grievances relating to any grievances and due process documentation condition of confinement, including but not limited to examples from July 2022 to the date of the health care services, classification decisions, program inspection. It is very impressionable that youth participation, telephone, mail or visiting procedures, write very few grievances. We also ☒ ☐ ☐ food, clothing, bedding, mistreatment, harassment or interviewed youth housed at the facility, as violations of the nondiscrimination policy. There shall be well as SYTF staff. no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility We concluded that the Secure Youth manager ensures: Treatment Facility complies with Title 15 minimum standards of this regulation. (a) a grievance form and instructions for registering a Policy 609 Youth Grievances grievance, which includes provisions for the youth to have free access to the form; During our physical inspection, we observed that grievances were readily available to ☒ ☐ ☐ youth. In addition, grievance lock boxes were in the housing pods to allow youth to confidentially submit a grievance if needed. (b) the youth shall have the option to confidentially file Policy 609 Youth Grievances the grievance or to deliver the form to any youth supervision staff working in the facility; The youth were aware of the grievance ☒ ☐ ☐ procedures and the location of the grievances and the grievance lockbox to confidentially file a grievance if needed. (c) resolution of the grievance at the lowest appropriate Policy 609 Youth Grievances staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Policy 609 Youth Grievances grievances within three (3) business days, grievances that relate to health and safety issues ☒ ☐ ☐ must be addressed immediately; 7030 Butte CSP SYTF PRO 23-24 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) The youth may elect to be present to explain Policy 609 Youth Grievances his/her version of the grievance to a person not directly involved in the circumstances which led The youth interviewed indicated that during ☒ ☐ ☐ to the grievance. the intake and orientation process, the grievance procedure was clearly explained. (2) Provision for a staff representative approved by Policy 609 Youth Grievances the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Policy 609 Youth Grievances which includes the reasons for the decisions; The documentation as well as interviews ☒ ☐ ☐ show that Camp/SYTF staff respond professionally. (f) a system which provides that any appeal of a Policy 609 Youth Grievances grievance shall be heard by a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance; (g) resolution of the grievance must occur within ten Policy 609 Youth Grievances (10) business days unless circumstances dictate a longer time frame. The youth shall be notified of The documentation as well as interviews ☒ ☐ ☐ any delay; and, show that SYTF staff respond to grievances in a timely fashion. (h) the policy shall provide multiple internal and Policy 609 Youth Grievances external methods to report sexual abuse and sexual ☒ ☐ ☐ harassment. Whether or not associated with a grievance, concerns Policy 609 Youth Grievances of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Policy 209 Special Incident Report A written report of all incidents which result in physical preparation harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be Throughout the inspection process, written maintained. Such written record shall be prepared by the reports of various incidents were requested ☒ ☐ ☐ staff and submitted to the facility manager by the end of and received. In review, Secure Youth the shift, unless additional time is necessary and Treatment Facility incident reports are written authorized by the facility manager or designee. and prepared as required by Title 15 minimum standards. 1363 USE OF REASONABLE FORCE TO COLLECT Policy 514 Use of Force DNA SPECIMENS, SAMPLES, IMPRESSIONS Policy 522 Biological Samples (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections Compliance with this regulation is based personnel including peace officers, may employ solely on review of policy and procedure reasonable force to collect blood specimens, saliva manual as the use of force to collect DNA has ☒ ☐ ☐ samples, and thumb or palm print impressions from not been conducted this inspection cycle. individuals who are required to provide such samples, specimens or impressions pursuant to Review of Biological Samples policy and Penal Code Section 296 and who refuse following procedures revealed compliance with this written or oral request. regulation. 7030 Butte CSP SYTF PRO 23-24 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) For the purpose of this section, the “use of Policy 522 Biological Samples reasonable force” shall be defined as the force that an objective, trained and competent correctional employee, faced with similar facts ☒ ☐ ☐ and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy 522 Biological Samples efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented and include an advisement of the ☒ ☐ ☐ legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Policy 522 Biological Samples authorization of the supervising officer on duty. The authorization shall include information that reflects Per the above policy, if a youth refuses to the fact that the offender was asked to provide the ☒ ☐ ☐ cooperate with the sample collection, force requisite specimen, sample, or impression and will not be used in the collection of samples refused. except as authorized by a court order. (1) If the use of reasonable force includes a cell Policy 522 Biological Samples extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the length of time required by ☒ ☐ ☐ statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7030 Butte CSP SYTF PRO 23-24 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM Policy 1003 Youth Educational Services (a) School Programs The County Board of Education shall provide for the Per Title 15, Section 1313 County Inspection administration and operation of juvenile court schools in and Evaluation of Building and Grounds (d), conjunction with the Chief Probation Officer, or designee the facility was evaluated on December 1, pursuant to applicable State laws. The school and facility 2022, by Carie Webb, Executive Dir. Shasta administrators shall develop and implement written policy County OED, and Cheyenne Mizenko, Asst and procedures to ensure communication and Principal, Shasta County OED. coordination between educators and probation staff. Culturally responsive and trauma-informed approaches BSCC staff interviewed education staff should be applied when providing instruction. Education (Teacher and Principal), as well as youth staff should collaborate with the facility administrator to detained at the facility. We also physically use technology to facilitate learning and ensure safe inspected classrooms. technology practices. The facility administrator shall request an annual review of each required element of the ☒ ☐ ☐ program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Policy 1003 Youth Educational Services The facility school program shall comply with the State Education Code and County Board of Education policies, Compliance was confirmed as part of the all applicable federal education statutes and regulations required annual, Title 15, Section 1313 and provide for an annual evaluation of the educational County Inspection and Evaluation of Building program offerings. As stated in the 2009 California and Grounds evaluation. The facility was Standards for the Teaching Profession, teachers shall evaluated on December 1, 2022, by Carie ☒ ☐ ☐ establish and maintain learning environments that are Webb, Executive Dir. Shasta County OED, physically, emotionally, and intellectually safe. Youth shall and Cheyenne Mizenko, Asst Principal, be provided a rigorous, quality educational program that Shasta County OED. responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Policy 1003 Youth Educational Services program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- BSCC staff physically inspected classrooms nonconforming youth by their preferred name and and interviewed a classroom teacher. We gender. found that the learning environment and the ☒ ☐ ☐ quality of educational programming meet the Title 15 minimum standards for this regulation. (1) The course of study shall comply with the State Policy 1003 Youth Educational Services Education Code and include, but not be limited ☒ ☐ ☐ to, courses required for high school graduation. 7030 Butte CSP SYTF PRO 23-24 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Information and preparation for the High School Policy 1003 Youth Educational Services Equivalency Test as approved by the California Department of Education shall be made ☒ ☐ ☐ available to eligible youth. (3) Youth shall be informed of post-secondary Policy 1003 Youth Educational Services education and vocational opportunities. The school program provides a transition packet at release that contains college ☒ ☐ ☐ preparation materials and information. The facility is making efforts to provide online courses from Butte Community College. (4) Administration of the High School Equivalency Policy 1003 Youth Educational Services Tests as approved by the California Department of Education, shall be made available when ☒ ☐ ☐ possible. (5) Supplemental instruction shall be afforded to Policy 1003 Youth Educational Services youth who do not demonstrate sufficient progress towards grade level standards. Per the annual education services evaluation, ☒ ☐ ☐ Secure Youth Treatment Facility is compliant with Title 15 minimum standards for this regulation. (6) The minimum school day shall be consistent with Policy 1003 Youth Educational Services State Education Code Requirements for juvenile court schools. The facility administrator, in The Table Mountain school day is from conjunction with education staff, must ensure Monday through Friday from 8:30am - that operational procedures do not interfere with 3:00pm. the time afforded for the minimum instructional ☒ ☐ ☐ day. Absences, time out of class or educational Per the annual education services evaluation, instruction, both excused and unexcused, shall Secure Youth Treatment Facility is compliant be documented. with Title 15 minimum standards for this regulation. (7) Education shall be provided to all youth Policy 1003 Youth Educational Services regardless of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate threat ☒ ☐ ☐ to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Policy 1003 Youth Educational Services (1) Positive behavior management will be implemented to reduce the need for disciplinary In conjunction with Probation, Education action in the school setting and be integrated into Services utilize the Positive Behavior the facility's overall behavioral management plan ☒ ☐ ☐ Interventions & Supports (PBIS) system. and security system. Throughout the day, youth earn points for good behavior and participation in school and programming after school. (2) School staff shall be advised of administrative Policy 1003 Youth Educational Services decisions made by probation staff that may affect the educational programming of students. The classroom Teacher and the Principal ☒ ☐ ☐ expressed that Probation does well in keeping education staff advised of circumstances that may affect a student. 7030 Butte CSP SYTF PRO 23-24 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Except as otherwise provided by the State Policy 1003 Youth Educational Services Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State ☒ ☐ ☐ Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Policy 1003 Youth Educational Services education staff will develop policies and procedures that address the rights of any Educational services provide supplemental ☒ ☐ ☐ student who has continuing difficulty completing assistance to youth through two full-time a school day. Paraprofessionals. (d) Provisions for Special Populations Policy 1003 Youth Educational Services (1) State and federal laws and regulations shall be Educational services provide supplemental observed for all individuals with disabilities or assistance to youth through two full-time suspected disabilities. This includes but is not Paraprofessionals. limited to child find, assessment, continuum of ☒ ☐ ☐ alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy 1003 Youth Educational Services afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 1003 Youth Educational Services (1) Youth shall be interviewed after admittance and BSCC staff interviewed education staff a record maintained that documents a youth's ☒ ☐ ☐ (Teacher and Principal), as well as youth educational history, including but not limited to: detained at the facility. We also physically inspected classrooms. (A) School progress/school history; Policy 1003 Youth Educational Services ☒ ☐ ☐ (B) Home Language Survey and the results of Policy 1003 Youth Educational Services the State Test used for English language ☒ ☐ ☐ proficiency; (C) Needs and services of special populations Policy 1003 Youth Educational Services as defined by the State Education Code, including but not limited to, students with Per the annual education services special needs. ☒ ☐ ☐ evaluation, Secure Youth Treatment Facility meets compliance with Title 15 minimum standards for this regulation. (D) Discipline problems. Policy 1003 Youth Educational Services ☒ ☐ ☐ (2) Youth will be immediately enrolled in school. Policy 1003 Youth Educational Services Educational staff shall conduct an assessment to determine the youth's general academic ☒ ☐ ☐ functioning levels to enable placement in core curriculum courses. 7030 Butte CSP SYTF PRO 23-24 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) After admission to the facility, a preliminary Policy 1003 Youth Educational Services education plan shall be developed for each youth within five school days. BSCC staff interviewed education services ☒ ☐ ☐ staff and reviewed student records to confirm compliance with the elements of this regulation. (4) Upon enrollment, education staff shall comply Policy 1003 Youth Educational Services with the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Policy 1003 Youth Educational Services (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Policy 1003 Youth Educational Services provide appropriate credit (full or partial) for course work completed while in juvenile court ☒ ☐ ☐ school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 1003 Youth Educational Services (1) The Superintendent of Schools and the Chief Education services work closely with the Probation Officer or designee, shall develop behavioral health and probation staff to policies and procedures to meet the transition facilitate multi-disciplinary meetings to needs of youth, including the development of an ☒ ☐ ☐ discuss the needs of youth being released. All education transition plan, in accordance with the efforts are made to ensure the involvement State Education Code and in alignment with Title and or input from the parent(s), the DPO, 15, Minimum Standards for Juvenile Facilities, assigned JCO, therapist, and any other Section 1355. supportive adults, and the youth. (h) Post-Secondary Education Opportunities Policy 1003 Youth Educational Services (1) The school and facility administrator should, Outside of the school Camp program, we whenever possible, collaborate with local post- were impressed with the Welding Program secondary education providers to facilitate ☒ ☐ ☐ that enables a youth to earn a Certified access to educational and vocational Welding Certificate. opportunities for youth that considers the use of technology to implement these programs. 7030 Butte CSP SYTF PRO 23-24 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1371 PROGRAMS, RECREATION, AND Policy 1000 Youth Programs and Services EXERCISE. Policy 1002 Programs Exercise and Recreation The facility administrator shall develop and implement Procedure 1002 Daily Schedules written policies and procedures for programs, recreation, and exercise for all youth. The intent is to BSCC staff requested and reviewed random minimize the amount of time youth are in their rooms or Programs Exercise and Recreation logs for ☒ ☐ ☐ their bed area. the months of December 2022 and January and February of 2023. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. Juvenile facilities shall provide the opportunity for Policy 1002 Programs Exercise and programs, recreation, and exercise a minimum of three Recreation hours a day during the week and five hours a day each Procedure 1002 Daily Schedules Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather The program schedules show the programs permitting. provided. Technical assistance was provided in suggesting to the agency that, to ensure ☒ ☐ ☐ ongoing compliance, individual youth participation and non-participation should be clearly documented on a consistent basis. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. A youth’s participation in programs, recreation, and Policy 1002 Programs Exercise and exercise may be suspended only upon a written finding Recreation by the administrator/manager or designee that a youth Procedure 1002 Daily Schedules ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Policy 1002 Programs Exercise and be posted in the living units. Recreation Procedure 1002 Daily Schedules ☒ ☐ ☐ During the physical facility inspection, we observed program and recreation schedule calendars posted in the living units. There will be a written annual review of the programs, Policy 102 Annual Review and Performance- recreation, and exercise by the responsible agency to Based Goals and Objectives ensure content offered is current, consistent, and Policy 1002 Programs Exercise and relevant to the population. ☒ ☐ ☐ Recreation Procedure 1002 Daily Schedules 7030 Butte CSP SYTF PRO 23-24 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Programs. All youth shall be provided with the Policy 1002 Programs Exercise and opportunity for at least one hour of daily Recreation programming to include, but not be limited to, trauma Procedure 1002 Daily Schedules focused, cognitive, evidence-based, best practice interventions that are culturally relevant and BSCC staff requested and reviewed random linguistically appropriate, or pro-social interventions Programs Exercise and Recreation logs and and activities designed to reduce recidivism. These documentation for the months of December programs should be based on the youth’s individual 2022 January and February of 2023. We also needs as required by Sections 1355 and 1356. Such ☒ ☐ ☐ interviewed youth housed at the facility, SYTF programs may be provided under the direction of the staff, behavioral health staff, and education Chief Probation Officer or the County Office of service staff. Education and can be administered by county partners such as mental health agencies, community BSCC staff concluded that the facility based organizations, faith-based organizations or complies with Title 15 minimum standards for Probation staff. this regulation. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; Policy 1002 Programs Exercise and (2) Management of Stress and Trauma; Recreation (3) Anger Management; Procedure 1002 Daily Schedules (4) Conflict Resolution; (5) Juvenile Justice System; The facility has an assigned Youth Programs (6) Trauma-related interventions; Coordinating Supervisor responsible for (7) Victim Awareness; recruitment, research, and program (8) Self-Improvement; development. (9) Parenting Skills and support; (10) Tolerance and Diversity; The facility provides meaningful programming (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; for youth. In particular, the facility is one of (13) Gender Specific Programming; only a few juvenile facilities to have an actual (14) Art, creative writing, or self-expression; Boys and Girls Club component at the facility (15) CPR and First Aid training; that is onsite weekly providing programming (16) Restorative Justice or Civic Engagement; services and counseling. The facility also has (17) Career and leadership opportunities; and, a gardening program, substance abuse (18) Other topics suitable to the youth population. counseling, and programming provided in ☒ ☐ ☐ conjunction with education services. We were impressed with the community involvement component of the program, allowing camp youth to contribute to the local community while also experiencing positive interactions with community leaders, local businesses, and families. In terms of structured programming, BSCC staff discussed the importance of clearly documenting specific programs that occurred to ensure required structured programming is accounted for. BSCC staff concluded that the facility complies with Title 15 minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Recreation. All youth shall be provided the Policy 1002 Programs Exercise and opportunity for at least one hour of daily access to Recreation unscheduled activities such as leisure reading, letter Procedure 1002 Daily Schedules writing, and entertainment. Activities shall be ☒ ☐ ☐ supervised and include orientation and may include BSCC staff concluded that the facility coaching of youth. complies with Title 15 minimum standards for this regulation. (c) Exercise. All youth shall be provided with the Policy 1002 Programs Exercise and opportunity for at least one hour of large muscle Recreation activity each day. Procedure 1002 Daily Schedules After a review of program activity logs and ☒ ☐ ☐ interviews with youth housed at the facility and SYTF staff, Butte County Secure Youth Treatment Facility meets compliance with the Title 15 minimum standards for this regulation The administrator/manager may suspend, for a period Policy 1002 Programs Exercise and not to exceed 24 hours, access to recreation and Recreation programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy 1007 Religious programs The facility administrator shall provide access to Procedure 1002 Daily Schedules religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth Secure Youth Treatment Facility meets shall be allowed to participate in an activity outside of ☒ ☐ ☐ compliance with the Title 15 minimum their room if he/she elects not to participate in religious standards for this regulation. programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy 1007 Religious programs Procedure 1002 Daily Schedules Through interviews with youth housed at the facility and a review of the programming ☒ ☐ ☐ schedules, we were able to determine that Secure Youth Treatment Facility meets compliance with the Title 15 minimum standards for this regulation. (b) availability of clergy; and, Policy 1007 Religious programs ☒ ☐ ☐ (c) availability of religious diets. Policy 1007 Religious programs Through documentation and interviews with youth housed at the facility, medical staff, and food services personnel, we were able to determine that Secure Youth Treatment Facility is in compliance with the Title 15 ☒ ☐ ☐ minimum standards for this regulation. Per policy, the agency honors religious diets. The request for a religious diet is made to medical staff. Medical staff informs the food service personnel of the religious diet request. 7030 Butte CSP SYTF PRO 23-24 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy 105 Youth Work Program The facility administrator shall develop policies and Procedure 519 Transportation of Youth procedures regarding the fair and consistent assignment Outside of the Facility of youth to work programs. Work assigned to a youth shall be meaningful, constructive and related to ☒ ☐ ☐ Review of policy and procedures revealed vocational training or increasing a youth's sense of compliance with this regulation. responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING Policy 1008 Youth Visitation The facility administrator shall develop and implement Procedure 1008 Youth Visitation written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to BSCC staff reviewed visiting policy and receive visits by parents, guardians or persons standing procedure, visiting schedules, and logs for in loco parentis, and children of youth. Other family December 2022 and January and February of ☒ ☐ ☐ members, such as grandparents and siblings, and 2023. We also interviewed youth and SYTF supportive adults, may be allowed to visit with the staff. Based on information received and approval of the facility administrator or designee, and in interviews, BSCC staff conclude that Secure conjunction with the youth’s case plan or in the best Youth Treatment Facility complies with Title interest of the youth. 15 minimum standards for this regulation. All visits shall occur at reasonable times, subject only to Policy 1008 Youth Visitation the limitations necessary to maintain order and security. Procedure 1008 Youth Visitation Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, Secure Youth Treatment Facility ensures whether the visitor’s criminal history represents a risk to visiting occurs at reasonable times and if a ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitor is denied, the youth affected is notified. visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy 1008 Youth Visitation per week. Visits may be supervised, but conversations Procedure 1008 Youth Visitation shall not be monitored unless there is a security or safety need. A review of visiting logs and interviews with youth confirms that Secure Youth Treatment ☒ ☐ ☐ Facility ensures youth have an opportunity to have visitation for a minimum of two hours per week. Provisions for special visits, in addition to the two-hour Policy 1008 Youth Visitation minimum and/or outside of the regular visiting hours, Procedure 1008 Youth Visitation shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family Butte County JH meets compliance with the therapy and professional visits shall be accommodated ☒ ☐ ☐ Title 15 minimum standards for this outside the provisions of this regulation. Facilities may regulation. provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy 1008 Youth Visitation alternative, but not as a replacement, to in-person Procedure 1008 Youth Visitation ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy 1001 Youth Mail The facility administrator shall develop and implement written policies and procedures for correspondence Staff and youth interviewed as well as review ☒ ☐ ☐ which provide that: of policy and procedures revealed compliance with this regulation. 7030 Butte CSP SYTF PRO 23-24 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) there is no limitation on the volume of mail that youth Policy 1001 Youth Mail may send or receive; ☒ ☐ ☐ (b) youth may send two letters per week postage free; Policy 1001 Youth Mail ☒ ☐ ☐ © youth may correspond confidentially with state and Policy 1001 Youth Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized Butte County Secure Youth Treatment Facility facility staff may open and inspect such mail only to ☒ ☐ ☐ meets compliance with the Title 15 minimum search for contraband and in the presence of the standards for the elements of this regulation. youth; and, (d) incoming and outgoing mail, other than that described Policy 1001 Youth Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and Butte County Secure Youth Treatment Facility ☒ ☐ ☐ security, public safety, or youth safety is jeopardized. meets compliance with the Title 15 minimum standards for this regulation. 1376 TELEPHONE ACCESS Policy 1006 Youth Telephone Access The administrator of each juvenile facility shall develop BSCC staff interviewed SYTF staff and and implement written policies and procedures to provide interviewed youth housed at the facility. We youth with access to telephone communications. also reviewed policy and procedures. ☒ ☐ ☐ Secure Youth Treatment Facility meets compliance with the elements of this regulation. 1377 ACCESS TO LEGAL SERVICES Policy 1001 Youth Mail Policy 603 Youth Access to Courts and The facility administrator shall develop written Counsel procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: BSCC staff interviewed SYTF staff and interviewed youth housed at the facility. We ☒ ☐ ☐ also reviewed policy and procedures. Secure Youth Treatment Facility meets compliance with the elements of this regulation. (a) access, upon request by the youth, to licensed Policy 603 Youth Access to Courts and attorneys and their authorized representatives; Counsel ☒ ☐ ☐ (b) provision for confidential consultation with Policy 603 Youth Access to Courts and attorneys; and, Counsel ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Policy 1001 Youth Mail cost-free telephone access as appropriate. ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1390 DISCIPLINE Policy 600 Youth Discipline and Positive The facility administrator shall develop and implement Behavior written policies and procedures for the discipline of youth Procedure 600 Youth Discipline (Explanation that shall promote acceptable behavior; including the use of PBIS System) of positive behavior interventions and supports. Discipline shall be imposed at the least restrictive level BSCC staff reviewed discipline process which promotes the desired behavior and shall not incident report examples for October 2022 include corporal punishment, group punishment, and December 2022 or the 10 most recent physical or psychological degradation. Deprivation of the examples. We also interviewed youth housed following is not permitted: at the facility and SYTF staff. Behavior management is guided by the ☒ ☐ ☐ positive Behavior Interventions and Supports (PBIS) system that promotes and incentivizes good behavior through good behavior management tokens that youth earn daily. Youth are aware of expectations through positive behavior interventions and supports. We interviewed youth and SYTF staff and physically inspected the facility to aid in confirming compliance with the Title 15 minimum standards for this regulation (a) bed and bedding; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (b) daily shower, access to drinking fountain, toilet and Policy 600 Youth Discipline and Positive personal hygiene items, and clean clothing; Behavior In addition to interviewing youth housed at the ☒ ☐ ☐ facility, regarding any deprivation of use, we randomly tested the functionality of toilets and drinking fountains. (c) full nutrition; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (d) contact with parent or attorney; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (e) exercise; Policy 600 Youth Discipline and Positive Behavior We interviewed youth housed at the facility and SYTF staff. BSCC staff also reviewed ☒ ☐ ☐ documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. (f) medical services and counseling; Policy 600 Youth Discipline and Positive Behavior BSCC staff interviewed youth, medical staff, and behavioral health staff in addition to ☒ ☐ ☐ reviewing documentation. The facility complies with the Title 15 minimum standards for this regulation. 7030 Butte CSP SYTF PRO 23-24 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) religious services; Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (h) clean and sanitary living conditions; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (i) the right to send and receive mail; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (j) education; and, Policy 600 Youth Discipline and Positive Behavior BSCC staff interviewed youth, medical staff, and behavioral health staff in addition to ☒ ☐ ☐ reviewing documentation. The facility complies with the Title 15 minimum standards for this regulation. (k) rehabilitative programming. Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior The facility administrator shall establish rules of conduct Policy 600 Youth Discipline and Positive and disciplinary penalties to guide the conduct of youth. Behavior Such rules and penalties shall include both major violations and minor violations, be stated simply and BSCC staff interviewed youth and SYTF staff affirmatively, and be made available to all youth. and reviewed random incident reports that ☒ ☐ ☐ Provision shall be made to provide accessible document proof of practice regarding information to youth with disabilities, limited English disciplinary actions including both minor and proficiency, or limited literacy. major rule violations. We also observed the facility rules posted on the housing unit walls. 1391 DISCIPLINE PROCESS Policy 600 Youth Discipline and Positive The facility administrator shall develop and implement Behavior written policies and procedures for the administration of Procedure 600 Youth Discipline (Explanation discipline which shall include, but not be limited to: of PBIS System) ☒ ☐ ☐ BSCC staff reviewed discipline process incident report examples for October 2022 and December 2022 or the 10 most recent examples. We also interviewed youth housed at the facility and SYTF staff. (a) designation of personnel authorized to impose Policy 600 Youth Discipline and Positive discipline for violation of rules; Behavior ☒ ☐ ☐ (b) prohibiting discipline to be delegated to any youth; Policy 600 Youth Discipline and Positive Behavior ☒ ☐ ☐ (c) definition of major and minor rule violations and Policy 600 Youth Discipline and Positive their consequences, and due process Behavior ☒ ☐ ☐ requirements; 7030 Butte CSP SYTF PRO 23-24 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) trauma-informed approaches and positive behavior Policy 600 Youth Discipline and Positive interventions; Behavior Procedure 600 Youth Discipline The elements of this regulation are confirmed in CPO Melissa Romero’s Appointment and Qualifications Letter dated January 10, 2023 ☒ ☐ ☐ The agency’s policies and procedures ensure that SYTF staff makes use of training that ensure developmentally appropriate, trauma- informed approaches to working with youth while implementing positive behavior intervention. (e) minor rule violations may be handled informally by Policy 600 Youth Discipline and Positive counseling, advising the youth of expected conduct Behavior imposing a minor consequence. Discipline shall be Procedure 600 Youth Discipline accompanied by written documentation and a policy of review and appeal to a supervisor; and, BSCC staff reviewed policy, reviewed ☒ ☐ ☐ discipline sheets, interviewed youth housed at the facility, and interviewed SYTF staff. Our findings confirmed that Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (f) major rule violations and the discipline process Policy 600 Youth Discipline and Positive shall be documented and require the following: Behavior BSCC staff reviewed policy, reviewed due process reports, interviewed youth housed at the facility, and interviewed SYTF staff. Our findings confirmed that Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. ☒ ☐ ☐ Youth are oriented and understand that major rule violations are violations that directly affect the safety and security of the facility, and/or disrupt the normal operation of the facility and programming. We concluded that Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (1) written notice of violation prior to a hearing; Policy 600 Youth Discipline and Positive Behavior BSCC staff reviewed policy, reviewed due process reports, interviewed youth housed at ☒ ☐ ☐ the facility, and interviewed SYTF staff. Our findings confirmed that Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (2) accommodations provided to youth with Policy 600 Youth Discipline and Positive disabilities, limited literacy, and English Behavior ☒ ☐ ☐ language learners; 7030 Butte CSP SYTF PRO 23-24 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) hearing by a person who is not a party to the Policy 600 Youth Discipline and Positive incident; Behavior ☒ ☐ ☐ We concluded that Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation. (4) opportunity for the youth to be heard, present Policy 600 Youth Discipline and Positive evidence and testimony; Behavior BSCC staff requested to review discipline process incident report examples for October 2022 and December 2022 or the 10 most ☒ ☐ ☐ recent examples. We also interviewed youth housed at the facility and SYTF staff. The facility does well in documenting that youth are, in a timely manner, provided the opportunity to appeal a discipline being imposed. (5) provision for youth to be assisted by staff in the Policy 600 Youth Discipline and Positive hearing process; ☒ ☐ ☐ Behavior (6) provision for administrative review. Policy 600 Youth Discipline and Positive ☒ ☐ ☐ Behavior (g) violations that result in a removal from camp or Policy 600 Youth Discipline and Positive commitment program, but not a return to court, will Behavior follow the due process provisions in subsection (e) ☒ ☐ ☐ above. 1410 MANAGEMENT OF COMMUNICABLE Policy 706 Communicable Diseases- Youth DISEASES. To aid in confirming compliance with Title 15 The health administrator/responsible physician, in minimum standards for this regulation, we cooperation with the facility administrator and the local reviewed the annual Medical/Mental, health officer, shall develop written policies and Nutrition, and Environmental Health ☒ ☐ ☐ procedures to address the identification, treatment, evaluations by qualified evaluators. control and follow-up management of communicable diseases. The policies and procedures shall address, BSCC staff concluded that Secure Youth but not be limited to: Treatment Facility meets Title 15 minimum standards for this regulation (a) Intake health screening procedures; Policy 706 Communicable Diseases- Youth A complete health appraisal will be conducted by Health Services staff on all new intakes within 96 hours (excluding holidays) of their ☒ ☐ ☐ admission into detention. BSCC staff interviewed medical personnel to help confirm compliance with the Title 15 minimum standards for this regulation. (b) Identification of relevant symptoms; Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ (c) Referral for medical evaluation; Policy 706 Communicable Diseases- Youth BSCC staff interviewed medical personnel to ☒ ☐ ☐ help confirm compliance with the Title 15 minimum standards for this regulation (d) Treatment responsibilities during detention; Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Coordination with public and private community- Policy 706 Communicable Diseases- Youth based resources for follow-up treatment; To aid in confirming compliance with Title 15 ☒ ☐ ☐ minimum standards for this regulation, we interviewed medical and behavioral health personnel. (f) Applicable reporting requirements; and, Policy 706 Communicable Diseases- Youth ☒ ☐ ☐ (g) Strategies for handling disease outbreaks. Policy 706 Communicable Diseases- Youth To aid in confirming compliance with Title 15 minimum standards, we reviewed the annual Medical/Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. ☒ ☐ ☐ BSCC staff also interviewed medical personnel to help determine that Secure Youth Treatment Facility meets the minimum requirements for this regulation. The policies and procedures shall be updated as Policy 706 Communicable Diseases- Youth necessary to reflect communicable disease priorities identified by the local health officer and currently Per policy, the physician and the facility recommended public health interventions. administrator shall establish policies and ☒ ☐ ☐ procedures to ensure the quality and adequacy of health care services are assessed every two years. 7030 Butte CSP SYTF PRO 23-24 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Policy 702 Availability and Standards of Care (EXCERPT) The regulation requires that youth shall be The health administrator, in cooperation with the facility provided the opportunity to confidentially administrator, shall develop policy and procedures to convey, either through written or verbal establish a daily routine for youth to convey requests for communications, a request for medical, emergency and non-emergency medical, dental and dental, or behavioral/mental health services. behavioral/mental health care services. Noncompliance was discovered when BSCC staff observed that Secure Youth Treatment Facility youth in camp must request and submit MH slips to staff or to a supervisor who places the request in a letter basket for the nurse to retrieve. ☒ ☐ ☐ BSCC staff provided technical assistance to recommend placing a lock box in each living unit where youth may place medical and or mental health medical request slips in the locked box. At the time of submitting this report, the item of noncompliance has been corrected. The agency is currently following compliant procedures as it relates to youth submitting medical health services requests. The facility will incorporate the same procedures for behavioral services request. The agency has taken a proactive approach in updating policy to reflect changes in policy. 1480 STANDARD FACILTY CLOTHING ISSUE Policy 807 Youth Hygiene The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Policy 807 Youth Hygiene laundered, in good repair, and free of holes and tears. BSCC staff interviewed youth and reviewed ☒ ☐ ☒ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (b) The standard issue of climatically suitable clothing Policy 807 Youth Hygiene for youth shall consist of but not be limited to: ☒ ☐ ☐ (1) Socks and serviceable footwear; Policy 807 Youth Hygiene BSCC staff interviewed youth and reviewed documentation to determine that the facility ☒ ☐ ☐ meets compliance with the Title 15 minimum standards for this regulation. (2) Outer garments; Policy 807 Youth Hygiene ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) New non-disposable underwear which shall Policy 807 Youth Hygiene remain with the youth throughout their stay, and; BSCC staff interviewed youth and reviewed ☒ ☐ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (4) Undergarments, that are freshly laundered and Policy 807 Youth Hygiene free of stains, including tee shirts and bras. BSCC staff interviewed youth and reviewed ☒ ☐ ☐ documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (c) Clothing is laundered at the temperature required Policy 807 Youth Hygiene by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Policy 807 Youth Hygiene ☒ ☐ ☐ 1482 CLOTHING EXCHANGE Policy 807 Youth Hygiene The facility administrator shall develop and implement BSCC staff interviewed youth and reviewed written policies and site-specific procedures for the documentation to determine that the facility cleaning and scheduled exchange of clothing. Unless meets compliance with the Title 15 minimum work, climatic conditions, or illness necessitates more standards for this regulation. ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy 706 Communicable Diseases- Youths PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or ☒ ☐ ☐ spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy 807 Youth Hygiene There shall be written policies and site-specific procedures developed and implemented by the facility BSCC staff interviewed youth and reviewed administrator for the availability of personal hygiene documentation to determine that the facility ☒ ☐ ☐ items. Each female youth shall be provided with meets compliance with the Title 15 minimum sanitary napkins, panty liners and tampons as standards for this regulation. requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; Policy 807 Youth Hygiene ☒ ☐ ☐ (b) Toothpaste; Policy 807 Youth Hygiene ☒ ☐ ☐ (c) Soap; Policy 807 Youth Hygiene ☒ ☐ ☐ (d) Comb; Policy 807 Youth Hygiene ☒ ☐ ☐ (e) Shaving implements; Policy 807 Youth Hygiene ☒ ☐ ☐ (f) Deodorant; Policy 807 Youth Hygiene ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 63 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Lotion; Policy 807 Youth Hygiene ☒ ☐ ☐ (h) Shampoo; and, Policy 807 Youth Hygiene ☒ ☐ ☐ (i) Post-shower conditioning hair products. Policy 807 Youth Hygiene ☒ ☐ ☐ Youth shall not be required to share any personal care Policy 807 Youth Hygiene items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. BSCC staff interviewed youth and reviewed Youth shall not share disposable razors. Double edged documentation to determine that the facility safety razors, electric razors, and other shaving meets compliance with the Title 15 minimum instruments capable of breaking the skin, when shared ☒ ☐ ☐ standards for this regulation. among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy 807 Youth Hygiene There shall be written policies and site specific BSCC staff interviewed youth and reviewed procedures developed and implemented by the facility documentation to determine that the facility administrator for showering/bathing and brushing of meets compliance with the Title 15 minimum ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on standards for this regulation. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy 607 Grooming Policy 807 Youth Hygiene Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of BSCC staff interviewed youth and reviewed identification in Court. All youth shall have equal documentation to determine that the facility ☒ ☐ ☐ opportunity to shave face and body hair. The facility meets compliance with the Title 15 minimum administrator may suspend this requirement in relation standards for this regulation. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) Policy 807 Youth Hygiene Policy 607 Grooming Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. BSCC staff interviewed youth and reviewed ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each documentation to determine that the facility haircut or procedure, by a method approved by the meets compliance with the Title 15 minimum State Board of Barbering and Cosmetology. standards for this regulation. 1500 STANDARD BEDDING AND LINEN ISSUE Policy 807 Youth Hygiene Clean laundered, suitable bedding and linens, in good BSCC staff interviewed youth and reviewed repair, shall be provided for each youth entering a living ☒ ☐ ☐ documentation to determine that the facility area who is expected to remain overnight, shall include, meets compliance with the Title 15 minimum but not be limited to: standards for this regulation. (a) One mattress or mattress-pillow combination which Policy 807 Youth Hygiene meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Policy 807 Youth Hygiene (a) above; ☒ ☐ ☐ (c) One mattress cover and a sheet or two sheets; Policy 807 Youth Hygiene ☒ ☐ ☐ (d) One towel; and, Policy 807 Youth Hygiene ☒ ☐ ☐ (e) One blanket or more, up on request Policy 807 Youth Hygiene ☒ ☐ ☐ 7030 Butte CSP SYTF PRO 23-24 - 64 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1501 BEDDING LINEN EXCHANGE Policy 807 Youth Hygiene The facility administrator shall develop and implement BSCC staff interviewed youth and reviewed site specific written policies and procedures for the documentation to determine that the facility scheduled exchange of laundered bedding and linen meets compliance with the Title 15 minimum ☒ ☐ ☐ issued to each youth housed. Washable items such as standards for this regulation. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Policy 807 Youth Hygiene once a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE BSCC staff interviewed youth and reviewed documentation to determine that the facility The facility administrator shall develop and implement meets compliance with the Title 15 minimum written policies and site-specific procedures for the standards for this regulation. maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7030 Butte CSP SYTF PRO 23-24 - 65 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the facility. (Refer to the JPCF Program Agreement, ☒ ☐ ☐ Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of age and older. ☒ ☐ ☐ The facility has been approved to hold persons under the juvenile court who are ages 19 through 21. ☒ ☐ ☐ The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ Vio Section 300 of the Welfare and Institutions Code (WIC) ☐ lation ☒ are held only in non-secure, separate and segregated facilities. CAMPOF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from Vio ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☐ lation ☒ Federal Minors (ICE Holds or ORR Contract) are held in the facility. ☐ ☐ ☒ If yes to the above, the Monthly Report on the Camp of Status Offenders/Federal Minors is submitted to the ☐ ☐ ☒ BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in camp is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately Vio ☐ separated from minors. ☐ lation ☒ Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐ Vio facility in a manner that allows contact with minors. ☐ lation ☒ 7030 Butte CSP SYTF PRO 23-24 - 66 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: 7030 FACILITY: Butte County SYTF - Committed to Success Program (CSP) TYPE: SYTF RC: 16 FIELD REPRESENTATIVE: Forrest Coleman DATE: March 17, 2023 ROOMS EACH ROOM COMMENTS Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* Designation Type Standards Rooms # RC RC or Square/Cubic T U W F S Beds Feet INTAKE/CONTROL 1 & 2 Holding 1998 2 3 (6) 50 sq. ft. 3 Holding 1998 1 5 (5) 84 sq. ft. 1 1 1 1 Comb unit. Can be used as a locked sleeping room. 4 Safety 1998 1 1 (1) 64 sq. ft. 1 (1) Contact interview room and (1) non-contact interview room. Showers and Toilet area are available. Property and storage rooms meet Title 24 Standards. Medical 1998 1 192 sq. ft. 1 Holding 1998 1 5 (5) 75 sq. ft. Waiting room for minors seeing the doctor. Unit A Welding Program (No youth housed in Unit A) Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 797 sq. ft. Rec. 1998 1,295 sq. ft Share with unit B. Unit B Boys and Girls club (Offices for Boys and Girl club and Therapist). Also used as an extra recreation unit. Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 786 sq. ft. *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. 7030 Butte CSP SYTF LASE 23-24 - 1 - Rec. 1998 1,295 sq. ft Share with unit A. Unit C The unit has been modified for sight and sound separation from the other detained youths. The facility added blinds and tinted windows and created a new out-of-bounds area to ensure sight and sound separation. Update 20-22 inspection cycle- Unit C may be used to house SB 823 youth. ROOMS EACH ROOM COMMENTS Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* Designation Type Standards Rooms # RC RC or Square/Cubic T U W F S Beds Feet Unit D Storage and offices for school staff. Unit D will also be a recreation unit for SB 823 youth. Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 790 sq. ft. Rec. 1998 1,225 sq. Share with unit C. ft Unit F Camp Condor (Currently house Camp youth and SYTF youth) The current Camp population is 3 youth. These are two shared facilities located within the Juvenile Hall complex Singles 1998 12 1 1 12 70 sq. ft. 1 1 1 1 4 Doubles 1998 4 2 2 8 125 sq. ft. 1 1 1 1 Dayroom 1998 1,200 sq. ft. Interview 1998 1 60 sq. ft. School 1998 1 20 (20) 725 sq. ft. Rec. 1998 610 sq. ft Notes: Units Rec yards are less than 40 feet in width. They will not count towards facility’s overall recreation space. Unit B is used as program space for Boys and Girls Club. Sleeping rooms are not used. Unit C Modification has been made and approved by BSCC to ensure sight and sound separation from other detained youths. 2017 – Unit “E” is now Detention youth pod. Comments: Superintendent Nino Pinocchio reports no changes to the facility during the 2023-2024 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. 7030 Butte CSP SYTF LASE 23-24 - 2 - JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7027 7029 7030 FACILITY NAME: Butte County Juvenile Hall, Camp Condor, and SYTF FACILITY TYPE: JH Camp SYTF APPLICABLE REGULATIONS (Check All That 4/98: X 2001: 2003: OTHER: Apply): FIELD REPRESENTATIVE: Forrest Coleman DATE: March 17, 2023 Comments: Superintendent Nino Pinocchio reports no changes to the physical plant during the 2020-2022 inspection cycle. TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) ☒ ☐ ☐ Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of ☒ ☐ ☐ minors pending admission to JH Provides access to a shower ☒ ☐ ☐ Provides a secure vault or storage space for ☒ ☐ ☐ minor's valuables Provides telephone access to minors ☒ ☐ ☐ Provides staff access to hot and cold running water ☒ ☐ ☐ Locked Holding Room (1.2) ☒ ☐ ☐ Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area ☒ ☐ ☐ Contains seating to accommodate all minors as ☒ ☐ ☐ specified in these regulations 98: Provides access to a toilet, washbasin and One holding room provides a toilet, drinking fountain as specified in these washbasin, and drinking fountain. There are regulations also two dry holding rooms. ☒ ☐ ☐ 03: Be equipped with a toilet, washbasin and drinking fountain unless a procedure is in effect to provide access Maximizes staff visual supervision ☒ ☐ ☐ 03: Outward swinging or lateral sliding door ☐ ☐ ☒ required Natural Light (1.3) Visual access to natural light is provided in locked ☒ ☐ ☐ sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7 027 7029 7030 Butte Juvenile Hall, Camp Condor, SYTF PHY 23-24 - 1 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Corridors in living areas are at least eight feet ☐ ☐ ☒ wide. When doors are staggered or if rooms are located only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) JH living units do not exceed 30 minors and ☒ ☐ ☐ contain sleeping areas and plumbing fixtures, commensurate with the number of minors housed. Locked Sleeping Rooms (1.6) All rooms have toilets, washbasins, and drinking fountains. 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other ☒ ☐ ☐ access to these fixtures 03: Toilet, washbasin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) 98: Minimum of 63 square feet of floor area and a ☒ ☐ ☐ clear ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ☒ ☐ ☐ 01: View panel size changed to a minimum of 144 inches. 03: Outward swinging or lateral sliding door ☐ ☐ ☒ required Double Occupancy Sleeping Rooms (1.8) ☒ ☐ ☐ Minimum of 100 square feet floor area, a clear ceiling height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ☒ ☐ ☐ 01: View panel size changed to a minimum of 144 inches 03: Outward swinging or lateral sliding door ☐ ☐ ☒ required Dormitories (1.9) In JHs and camps, there is a minimum of 50 ☐ ☐ ☒ square feet of floor area per minor, with a minimum dormitory size of 200 square feet and a minimum clear ceiling height of eight feet. 7 027 7029 7030 Butte Juvenile Hall, Camp Condor, SYTF PHY 23-24 - 2 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS In JHs and camps, dormitories are designed for no ☐ ☐ ☒ fewer than four minors. 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps). ☐ ☐ ☒ 03: This subsection deleted, eliminating the 15 minor limitation. (See below.) 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more ☐ ☐ ☒ than 30 minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) ☒ ☐ ☐ JH dayrooms contain 35 square feet of floor area per minor. Dayrooms in camps and SPJHs contain 30 ☐ ☐ ☒ square feet of floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers. ☒ ☐ ☐ Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet dedicated ☐ ☐ ☒ indoor- outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9000 square feet dedicated indoor- outdoor space. 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ☐ ☐ ☒ 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ☒ ☐ ☐ 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor-outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor- outdoor space is a paved or "like" surface. ☒ ☐ ☐ 01: Changed from one-half to one-quarter of the space 7 027 7029 7030 Butte Juvenile Hall, Camp Condor, SYTF PHY 23-24 - 3 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped ☒ ☐ ☐ and of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single ☒ ☐ ☐ dimension less than 40 feet. Outdoor recreation area lighting allows for evening activities and provides security. ☒ ☐ ☐ Academic Classrooms (NA SPJH; 1.12) Each unit has a classroom. ☒ ☐ ☐ Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for every juvenile in the facility. The ☒ ☐ ☐ primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square feet of floor space for the teacher's desk and work ☒ ☐ ☐ area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to ☒ ☐ ☐ emergencies. Safety Room (1.13) ☒ ☐ ☐ Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Limited to one minor ☒ ☐ ☐ Padded as specified in these regulations ☒ ☐ ☐ There are one or more vertical view panels constructed of security glazing. Panels provide a ☒ ☐ ☐ view of the entire room and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these ☒ ☐ ☐ regulations Access to a toilet, wash basin and drinking fountain ☒ ☐ ☐ is provided. 03: Be equipped with a variable intensity security-type lighting fixture, with controls ☒ ☐ ☐ outside the room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access. ☒ ☐ ☐ Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped ☒ ☐ ☐ medical examination room in every juvenile facility. The examination room provides the following: 7 027 7029 7030 Butte Juvenile Hall, Camp Condor, SYTF PHY 23-24 - 4 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Space for routine and emergency examinations that ☒ ☐ ☐ is used for no other purpose; Privacy for minors; ☒ ☐ ☐ Lockable storage for medical supplies; ☒ ☐ ☐ Not less than 144 square feet floor space with no ☒ ☐ ☐ single dimension less than seven feet; Hot and cold running water; and, ☒ ☐ ☐ 01: Smooth, non-porous, washable surfaces. ☒ ☐ ☐ Pharmaceutical Storage (1.15) There is lockable storage space for medical ☒ ☐ ☐ supplies and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) Dining takes place in the dayroom. There is a minimum of 15 square feet floor space ☒ ☐ ☐ and sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate ☒ ☐ ☐ visual barrier. Visiting Space (1.17) ☒ ☐ ☐ Visiting space is provided. Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage ☒ ☐ ☐ space per minor for institutional clothing, bedding, supplies and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of ☒ ☐ ☐ secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety ☒ ☐ ☐ equipment, such as fire extinguishers, self- contained breathing apparatus, wire and bar cutters, emergency lights, etc. 7 027 7029 7030 Butte Juvenile Hall, Camp Condor, SYTF PHY 23-24 - 5 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Janitor Closet (1.21) There is at least one securely lockable janitorial ☒ ☐ ☐ closet containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping ☒ ☐ ☐ rooms; single and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control ☒ ☐ ☐ points, to maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) ☒ ☐ ☐ Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors There is a minimum of one suitably furnished ☒ ☐ ☐ interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. ☒ ☐ ☐ Court Holding Room for Minors (1.26) ☐ ☐ ☒ Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors ☐ ☐ ☒ Provides 40 square feet of floor area and a ☐ ☐ ☒ minimum clear ceiling height of eight feet Contains seating to accommodate all minors ☐ ☐ ☒ Contains a toilet, wash basin and drinking fountain ☐ ☐ ☒ as specified in these regulations Maximizes staffs' visual supervision of minors ☐ ☐ ☒ 7 027 7029 7030 Butte Juvenile Hall, Camp Condor, SYTF PHY 23-24 - 6 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked ☒ ☐ ☐ holding rooms. One toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Wash basins must provide hot and cold or ☒ ☐ ☐ tempered water and be available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) Drinking fountains are accessible to minors and ☒ ☐ ☐ staff in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from flowing over the ☒ ☐ ☐ bubbler. Showers (2.4) Each unit has two showers' downstairs and two showers upstairs. BSCC recommends removing all towel holders in Showers provide tempered water and are available ☒ ☐ ☐ the facility shower areas. on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. ☒ ☐ ☐ Beds (2.5) All beds are concrete. Beds are at least 30 inches wide and 76 long ☒ ☐ ☐ and are of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. ☒ ☐ ☐ Lighting (2.6) There is at least 20 foot-candles (216 1x) of ☒ ☐ ☐ illumination at desk level in locked sleeping rooms, single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good visibility and is conducive to sleep. ☒ ☐ ☐ 7 027 7029 7030 Butte Juvenile Hall, Camp Condor, SYTF PHY 23-24 - 7 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Padding (2.7) Padding in safety rooms covers the floor, door and ☒ ☐ ☐ walls to a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper-resistant fire sprinkler as approved by the State Fire Marshal ☒ ☐ ☐ (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all ☒ ☐ ☐ padded surfaces; and, is without exposed seams. Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench ☒ ☐ ☐ seating is allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security perimeter of the facility. (Personnel do not bring any ☒ ☐ ☐ weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking ☒ ☐ ☐ device. Assess for New Construction/Remodel or Repair: Security Glazing (2.10) (Added in 2003) Glass-clad polycarbonate. (Note to inspector: This will typically be assessed from specifications provided at plan review.) Security glazing complies with the minimum ☒ ☐ ☐ requirements of one of the following test standards: American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860- 94d, Class C glass; or, H. P. White Laboratory, Inc., HPW- TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met. ☒ ☐ ☐ (Note to inspector: See regulation for specific requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7 027 7029 7030 Butte Juvenile Hall, Camp Condor, SYTF PHY 23-24 - 8 - J456 PHY 98 01 03.dot (10/03)