Butte Probation Comprehensive (2023-2024 inspection cycle)

Initial Inspection Report 2023-2024 Biennial Inspection Cycle Date of Exit Briefing: 3/17/2023 Inspection Type: Annual County: Butte Facility Name(s): Butte County Juvenile Hall; Camp Condor; Committed to Success Program (SYTF) BSCC #(s): 7027; 7029; 7030 BSCC Type: JH, Camp, SYTF Facility Representatives: Superintendent, Nino Pinocchio; Assistant Superintendent, Mariah Ruddy BSCC Field Representative: Forrest Coleman Corrective Action Plan Required? YES DATE CAP DUE TO BSCC: May 27. 2023 Current Items of Noncompliance Title 15. Section Description This regulation’s non-compliance is in reference to (C) Local health officer, inspection in accordance with Health and Safety Code Section 101045. Deficiencies of non-compliancev were discovered in the Public health Inspection report dated November 15, 2022. The facility did not provide evidence of corrections made to non-compliant deficiencies. In addition, through personal observation and through § 1313. County Inspection and Evaluation of interviews with staff, the non-compliant deficiencies Building and Grounds. continue to exist. The Superintendent indicates that the deficiencies will be corrected prior to the Department of Public Health’s Follow up inspection in April 2023. This item of non-compliance has been corrected. On April 23, 2023, BCJH provided a letter confirmimng that it has corrected deficiencies discovered during its Public Health Inspection. Specifically, the agency has NAME County Initial Inspection Report Page 2 Title 15. Section Description contracted with a Registered Dietician to be available to food services personel. 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. Non-compliance was discovered when an incident report indicated that a youth’s clothing was physically removed. Contrary to the facility’s Policy, 707.3 Suicide Prevention and Intervention, the supervisor did not consult with a MH provider in person or by phone’ prior to physically removing the youth’s clothes and placing him in safety garments. Non-compliance was discovered in Section (d) of this § 1329. Suicide Prevention Plan. regulation that requires facilities to follow their Suicide Prevention Plan as it relates to following Procedures for monitoring of youth identified at risk for suicide. An incident report indicated that staff covered the room door window of a youth who was determined to be on suicide watch. We recommend remedial training for supervisors and detention staff, as well as any necessary added protocols. The Superintendent has indicated that an immediate training will occur. This item of non compliance has been corrected. On April 28, 2023, the BCJH provided changes made to NAME County Initial Inspection Report Page 2 Title 15. Section Description policy, and procedure, supervisors were re-trained on our Suicide Prevention and Intervention plan on March 22, 2023, and a Suicide Watch Checkoff Sheet that we created to ensure processes. Per Title 15, The facility must develop a policy for the Screening for the Risk of Sexual Abuse. The policy shall require facility staff to assess each youth within 72 hours of admission based on information received at intake. Non-compliance occurred due to the facility’s inability to provide documentation showing the screening was conducted per Title 15 minimum standards. § 1350.5. Screening for the Risk of Sexual The agency utilized the Prison Rape Elimination Act Abuse. (PREA) website to obtain a screening tool for intake staff to begin use immediately, Per the Superintendent. This item has been corrected. On April 28, 2023, BCJH provided a new Sexual Victimization Assessment screening tool and updated Procedure 501 on youth intakes that outlines the use of the form. (Per Title 15 of this section, (a) Youth shall be provided the opportunity to confidentially convey either through, written or verbal communications, § 1433. Requests for Health Care Services. request for medical, dental, or behavioral/mental health services. NAME County Initial Inspection Report Page 2 Title 15. Section Description Non-compliance was discovered due to observing that youth do not have an option to confidentially convey medical, dental, or behavioral/mental health requests. Currently, youth request and submit all medical slips to staff or supervisor who places the request in a letter basket for the nurse to retrieve. We recommend placing a lock box on each housing pod where youth may place medical, dental and mental health request slips in the lock box. Per the Superintendent, lock boxes with be placed on housing pods with a week. In addition, prior to lock box installation, youth will place medical care requests in a sealed envelope that will be submitted to the appropriate care staff. This item has been corrected. On April 28, 2023 BCJH provided confirmed updated policy and procedure regarding the lock boxes for med/mental health slips and pictures of the lockboxes mounted on housing units. Per Title 15 section (f) of this regulation, the facility is required to have have sufficient food service § 1321. Staffing. personnel relative to the number and security of living units, including staff qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct food preparation NAME County Initial Inspection Report Page 2 Title 15. Section Description and servings; conduct related training programs for culinary staff; and maintain necessary records. Through staff interviews and personal observation, it was discovered that the facility is experiencing food service personnel staffing challenges due to being down a cook. Non-compliance was discovered when we discovered that upon ending his day shift, the food service personnel leaves cooked and or uncooked prepared meals for the evening detention staff to cook or warm the youths’ evening meals. Qualifications indicated in the orientation, training and qualifications policy and procedure does not indicate that detention/camp staff are qualified or trained to work as the facility cook on a regular basis. The agency has expressed that three cooks are going through the hiring process. On May 25, 2023, BCJH provided a Corrective Action Plan (CAP) in the form of an email. The CAP indicates that BCJH proceeding with background and medical on two (2) cook applicants and are hopeful to have them in place by July 1, 2023. The two cooks will provide required food service staffing. Per the CAP, as a back-up plan, a current part-time cooks will work extra hours starting July 1, 2023 to provide required coverage to cover the entire week of meal preparation. NAME County Initial Inspection Report Page 2 Title 15. Section Description So by July 1, 2023 we shall be in compliance either through a temporary shift of scheduling and the addition of some part-time hours or through our full- time recruitment. Technical Assistance Provided Technical assistance was provided for non- compliant items mention in this Initial Inspection Report, as well as, in other areas were assistance were needed. Specific to the items identified in this document, we provided technical assistance through open dialogue, meeting with collaborative partners, and discussing practices that have resulted in favorable outcomes with maintaining Title 15 compliance. Additional Information No additional Information