Contra Costa Probation (2023-2024 inspection cycle)

November 13, 2024 Esa Ehmen-Krause, Chief Probation Officer Contra Costa Probation Department 50 Douglas Drive, Suite 200 Martinez, CA 94553 2023-2024 UNANNOUNCED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, CONTRA COSTA COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Ehmen-Krause: An Unannounced Inspection of the Contra Costa County Probation Department was completed for the following facilities on Thursday, October 30, 2024: FACILITY NAME BSCC # FACILITY TYPE Contra Costa County Juvenile Hall 7051 JH Briones Youth Academy Commitment Pathway 7056 CAMP Contra Costa County Secure Youth Treatment 7052 SYTF Facility 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. INSPECTION RESULTS The focus of the Unannounced Inspection was to evaluate four (4) Title 15 regulations. To ensure compliance with Title 15, we reviewed documentation for the following regulations: • 1328 Safety Checks • 1329 Suicide Prevention Plan • 1354.5 Room Confinement • 1361 Grievance Procedure We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Modified Procedures Checklist for detailed information. An Exit Briefing with your staff was held on Wednesday, October 30, 2024; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. Esa Ehmen-Krause Chief Probation Officer Page 2 * * * Please email me at craigus.thompson@bscc.ca.gov or call (916) 597-4610 if you have any questions. Sincerely, CRAIGUS THOMPSON SR. Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Contra Costa County Juvenile Court* Chair, Juvenile Justice Commission, Contra Costa County* Chair, Board of Supervisors, Contra Costa County* County Administrator, Contra Costa County* Malkia Crowder, Probation Director, Contra Costa County *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7051+ Contra Costa Probation JH SYTF Camp Unannounced LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST 1 2 BSCC Code: 7051 FACILITY NAME: John A. Davis Juvenile Hall (CCJH) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Malkia Crowder, Probation Director; Tamara Gusman-Taylor, Probation Manager; Greg Quesada, Institutional Supervisor II; Greg Quesada, Institutional Supervisor II; Steven Blum, Probation Manager Mental Health Services; LaTasha Jones, Institutional Supervisor I; Reynaldo Ramos, Juvenile Institutional Officer I; Dominic Tholmer, Juvenile Institutional Officer II; Tanya Wilson, Juvenile Institutional Officer II; Godfrey Guevarra, Juvenile Institutional Officer II; Jose Avelar, Juvenile Institutional Officer II FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: October 30, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Lexipol 506.3 policy manual The facility administrator shall develop and implement Lexipol 506 procedure manual policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, We reviewed the Juvenile Hall (JH) safety at random or varied intervals during hours when youth checks for the months of July, August, and are asleep or when youth are in their rooms, confined in September 2024. We also conducted a live holding cells or confined to their bed in a dormitory. review of the JH safety checks during the Supervision is not replaced, but may be supplemented inspection walkthrough. by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive Review of documentation as well as the facility behavior and to summon aid in emergencies. All safety walkthrough revealed safety checks are being checks shall be documented with the actual time the completed at random or varied intervals during check is completed. the hours youth are confined to their rooms. ☒ ☐ ☐ It should be noted, during the most recent Targeted Inspection, it was discovered the current system for documentation of safety checks had a glitch that was showing late checks being completed. The facility did a review of the system and reviewed the video footage of late checks. It was discovered the checks were in fact completed within fifteen (15) minutes. Since then, the IT department developed a new software system for documentation of safety checks. Interviews with staff revealed no issues with the new software system. 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedure Checklist and is only intended for the 2024 Unannounced Inspection of the Contra Costa John A. Davis Juvenile Hall. 7051 Contra Costa Juvenile Hall Unannounced PRO 23-24 Page 1 of 6 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Lexipol 707.4 policy manual The facility administrator, in collaboration with the Lexipol 707 procedure manual healthcare and behavioral/mental health administrators, shall plan and implement written policies and We reviewed two (2) youth Suicide Prevention procedures which delineate a Suicide Prevention Plan. Plan reports from the juvenile hall. Review of The plan shall consider the needs of youth experiencing policy and procedure manual and past or current trauma. Suicide prevention responses documentation provided revealed compliance shall be respectful and in the least invasive manner ☒ ☐ ☐ with this regulation. consistent with the level of suicide risk. The plan shall include the following elements: It should be noted we also reviewed the Building Supervisor Incident Review and Critique as well as the CO-3 Observation Record for both incidents. Youth placed on CO-3 are under direct supervision by staff at all times. (a) Suicide prevention training as required in Section Lexipol 707.12 policy manual 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Lexipol 701.3 policy manual Precautionary Protocols (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake Lexipol 701.12 policy manual processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Lexipol 701.1 policy manual intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. (4) Precautionary protocols shall be developed to Lexipol 707.3 procedure manual ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Lexipol 701.1 policy manual assessment and/or services. ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Lexipol 707.3 procedure manual for suicide. ☒ ☐ ☐ (e) Safety Interventions Lexipol 707.4 procedure manual (1) Procedures to address intervention protocols for youth identified at risk for suicide which may Lexipol 701.2 policy manual include, but are not limited to: ☒ ☐ ☐ (A) Housing consideration It should be noted Safety Plans are completed for each youth placed on CO-3 observation. (B) Treatment strategies including trauma- Lexipol 701.4 policy manual informed approaches ☒ ☐ ☐ (2) Procedures to instruct youth supervision staff how Lexipol 701.4 policy manual to respond to youth who exhibit suicidal behaviors. ☒ ☐ ☐ (f) Communication Lexipol 707.2 procedure manual (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. 7051 Contra Costa Juvenile Hall Unannounced PRO 23-24 Page 2 of 6 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures for clear and current information Lexipol 707.2 procedure manual sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental ☒ ☐ ☐ health staff. (g) Debriefing of Critical Incidents Related to Suicides or Lexipol 707.9 policy manual Attempts (1) Process for administrative review of the Documentation of debriefs are noted on the ☒ ☐ ☐ circumstances and responses proceeding, during Building Supervisor Incident Review and and after the critical incident. Critique form. (2) Process for a debriefing event with affected staff. Lexipol 707.9 policy manual ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Lexipol 707.9 policy manual ☒ ☐ ☐ (h) Documentation Lexipol 707.8.2 policy manual (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Lexipol 707.4 policy manual opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1354.5 ROOM CONFINEMENT Lexipol 601.1 policy manual (a) The facility administrator shall develop and Lexipol 601 procedure manual implement written policies and procedures addressing the confinement of youth in their room that are consistent We reviewed ten (10) youth Room Separation with Welfare and Institutions Code Section 208.3. The Checklist forms from the juvenile hall. Review placement of a youth in room confinement shall be of documentation provided revealed accomplished in accordance with the following compliance with this regulation. Review also guidelines: revealed the JH is doing an excellent job of documenting the youth’s behaviors while on ☒ ☐ ☐ room confinement as well as documenting the need to extend youth’s room confinement due to being a threat to the safety and security of the facility. However, we did provide some technical assistance regarding when multiple youth are involved in an incident to ensure each youth is individually assessed for return to the program. (1) Room confinement shall not be used before other, Lexipol 601.2 policy manual less restrictive, options have been attempted and exhausted, unless attempting those options poses a Review of documentation revealed all youth threat to the safety or security of any youth or staff. ☒ ☐ ☐ placed on room separation were appropriate as youth actions were posing a threat to the safety and security of the facility. (2) Room confinement shall not be used for the Lexipol 601.2 policy manual purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Lexipol 601.3 policy manual that it compromises the mental and physical health of ☒ ☐ ☐ the youth. 7051 Contra Costa Juvenile Hall Unannounced PRO 23-24 Page 3 of 6 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) A youth may be held up to four hours in room Lexipol 601.2 policy manual confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one It should be noted that the JH, BYA, and SYTF or more of the following: initiates the following protocols after a youth ☒ ☐ ☐ has been on room separation past three (3) hours which is above and beyond the regulation time of four (4) hours. (1) Return the youth to general population. Lexipol 601.3 policy manual ☒ ☐ ☐ (2) Consult with mental health or medical staff. Lexipol 601.3 policy manual ☒ ☐ ☐ (3) Develop an individualized plan that includes the Lexipol 601.3 policy manual goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Lexipol 601.3 policy manual four hours, staff shall do each of the following: (A) Document the reasons for room confinement During the current inspection cycle, no youth and the basis for the extension, the date and time at the JH has been extended beyond four (4) the youth was first placed in room confinement, ☒ ☐ ☐ hours of room confinement. Youth are instead and when he or she is eventually released from placed on Safety Plans which provide the room confinement. minimum Title 15 requirements with regards to programming, exercise, and recreation. (B) Develop an individualized plan that includes Lexipol 601.3 policy manual the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Lexipol 601.2 policy manual facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Lexipol 502.5 policy manual single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in Lexipol 601.2 policy manual court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Lexipol 601.2 policy manual conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Lexipol 601.2 policy manual extraordinary emergency circumstance that 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. 7051 Contra Costa Juvenile Hall Unannounced PRO 23-24 Page 4 of 6 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is Lexipol 502.5.1 policy manual placed in a locked cell or sleeping room to treat 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. 1361 GRIEVANCE PROCEDURE Lexipol 607 policy manual The facility administrator shall develop and implement Lexipol 607 procedure manual written policies and procedures whereby any youth may appeal and have resolved grievances relating to any We reviewed ten (10) grievances from the JH condition of confinement, including but not limited to submitted from July 2024 to the date of the JH health care services, classification decisions, program ☒ ☐ ☐ unannounced inspection. Review revealed participation, telephone, mail or visiting procedures, grievances are completed and processed food, clothing, bedding, mistreatment, harassment or within the guidelines of this regulation. violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Lexipol 607.3 policy manual grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (b) the youth shall have the option to confidentially file Lexipol 607.2 procedure manual the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ There is a confidential lock box located within each housing unit of the facility. (c) resolution of the grievance at the lowest appropriate Lexipol 607.4 policy manual staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Lexipol 607.3, 607.4.2 policy manual grievances within three (3) business days, grievances that relate to health and safety issues must be ☒ ☐ ☐ The grievance form was revised to ensure addressed immediately; ongoing compliance with this regulation. (1) The youth may elect to be present to explain Lexipol 607.4.5 policy manual his/her version of the grievance to a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by Lexipol 607.4.5 policy manual the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Lexipol 607.3 policy manual which includes the reasons for the decisions; ☒ ☐ ☐ (f) a system which provides that any appeal of a Lexipol 607.4.3 policy manual 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 (10) Lexipol 607.4.2 policy manual business days unless circumstances dictate a longer time frame. The youth shall be notified of any delay; and, ☒ ☐ ☐ The grievance form was revised to ensure ongoing compliance with this regulation. (h) the policy shall provide multiple internal and external Lexipol 607.5 policy manual methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ 7051 Contra Costa Juvenile Hall Unannounced PRO 23-24 Page 5 of 6 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Whether or not associated with a grievance, concerns of Lexipol 607.5 policy manual parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 7051 Contra Costa Juvenile Hall Unannounced PRO 23-24 Page 6 of 6 A453 JUV PRO eff. 07.01.24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST 1 2 BSCC Code: 7052 FACILITY NAME: Contra Costa Secure Youth Treatment Facility (SYTF) FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Malkia Crowder, Probation Director; Tamara Gusman-Taylor, Probation Manager; Greg Quesada, Institutional Supervisor II; Greg Quesada, Institutional Supervisor II; Steven Blum, Probation Manager Mental Health Services; LaTasha Jones, Institutional Supervisor I; Reynaldo Ramos, Juvenile Institutional Officer I; Dominic Tholmer, Juvenile Institutional Officer II; Tanya Wilson, Juvenile Institutional Officer II; Godfrey Guevarra, Juvenile Institutional Officer II; Jose Avelar, Juvenile Institutional Officer II FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: October 30, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Lexipol 506.3 policy manual The facility administrator shall develop and implement Lexipol 506 procedure manual policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, We reviewed the SYTF safety checks for the at random or varied intervals during hours when youth months of July, August, and September 2024. are asleep or when youth are in their rooms, confined in We also conducted a live review of the SYTF holding cells or confined to their bed in a dormitory. safety checks during the inspection Supervision is not replaced, but may be supplemented walkthrough. by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive Review of documentation as well as the facility behavior and to summon aid in emergencies. All safety walkthrough revealed safety checks are being checks shall be documented with the actual time the completed at random or varied intervals during check is completed. the hours youth are confined to their rooms. ☒ ☐ ☐ It should be noted, during the most recent Targeted Inspection, it was discovered the current system for documentation of safety checks had a glitch that was showing late checks being completed. The facility did a review of the system and reviewed the video footage of late checks. It was discovered the checks were in fact completed within fifteen (15) minutes. Since then, the IT department developed a new software system for documentation of safety checks. Interviews with staff revealed no issues with the new software system. 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedure Checklist and is only intended for the 2024 Unannounced Inspection of the Contra Costa Secure Youth Treatment Facility. 7052 Contra Costa SYTF Unannounced PRO 23-24 Page 1 of 5 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Lexipol 707.4 policy manual The facility administrator, in collaboration with the Lexipol 707 procedure manual healthcare and behavioral/mental health administrators, shall plan and implement written policies and At the time of the inspection, the SYTF has not procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ had a suicide attempt nor has a youth been The plan shall consider the needs of youth experiencing placed on any level of suicide watch. past or current trauma. Suicide prevention 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 Lexipol 707.12 policy manual 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Lexipol 701.3 policy manual Precautionary Protocols (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake Lexipol 707.12 policy manual processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Lexipol 701.1 policy manual intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. (4) Precautionary protocols shall be developed to Lexipol 707.3 procedure manual ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Lexipol 701.1 policy manual assessment and/or services. ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Lexipol 707.3 procedure manual for suicide. ☒ ☐ ☐ (e) Safety Interventions Lexipol 707.4 procedure manual (1) Procedures to address intervention protocols for youth identified at risk for suicide which may Lexipol 701.2 policy manual ☒ ☐ ☐ include, but are not limited to: (A) Housing consideration (B) Treatment strategies including trauma- Lexipol 701.4 policy manual informed approaches ☒ ☐ ☐ (2) Procedures to instruct youth supervision staff how Lexipol 701.4 policy manual to respond to youth who exhibit suicidal behaviors. ☒ ☐ ☐ (f) Communication Lexipol 707.2 procedure manual (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 information Lexipol 707.2 procedure manual sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental ☒ ☐ ☐ health staff. (g) Debriefing of Critical Incidents Related to Suicides or Lexipol 707.9 policy manual Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. 7052 Contra Costa SYTF Unannounced PRO 23-24 Page 2 of 5 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Process for a debriefing event with affected staff. Lexipol 707.9 policy manual ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Lexipol 707.9 policy manual ☒ ☐ ☐ (h) Documentation Lexipol 707.8.2 policy manual (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Lexipol 707.4 policy manual opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1354.5 ROOM CONFINEMENT Lexipol 601.1 policy manual (a) The facility administrator shall develop and Lexipol 601 procedure manual implement written policies and procedures addressing the confinement of youth in their room that are consistent Compliance for the regulation is based solely with Welfare and Institutions Code Section 208.3. The on the review of the facility’s policy and placement of a youth in room confinement shall be procedure manual as thus far this inspection accomplished in accordance with the following cycle there has not been an SYTF youth guidelines: ☒ ☐ ☐ placed on room separation or on a Safety Plan. Please see the Contra Costa County JH checklist for the facility practices of the remaining room confinement regulations listed below. (1) Room confinement shall not be used before other, Lexipol 601.2 policy manual less 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) Room confinement shall not be used for the Lexipol 601.2 policy manual purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Lexipol 601.3 policy manual that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room Lexipol 601.2 policy manual confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one It should be noted that the JH, BYA, and SYTF or more of the following: initiates the following protocols after a youth ☒ ☐ ☐ has been on room separation past three (3) hours which is above and beyond the regulation time of four (4) hours. (1) Return the youth to general population. Lexipol 601.3 policy manual ☒ ☐ ☐ (2) Consult with mental health or medical staff. Lexipol 601.3 policy manual ☒ ☐ ☐ (3) Develop an individualized plan that includes the Lexipol 601.3 policy manual goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. 7052 Contra Costa SYTF Unannounced PRO 23-24 Page 3 of 5 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) If room confinement must be extended beyond Lexipol 601.3 policy manual four hours, staff shall do each of the following: (A) Document the reasons for room confinement During the current inspection cycle, no youth and the basis for the extension, the date and time at the SYTF has been extended beyond four the youth was first placed in room confinement, (4) hours of room confinement. Youth are ☒ ☐ ☐ and when he or she is eventually released from instead placed on Safety Plans which provide room confinement. the minimum Title 15 requirements with regards to programming, exercise, and recreation. (B) Develop an individualized plan that includes Lexipol 601.3 policy manual the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Lexipol 601.2 policy manual facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Lexipol 502.5 policy manual single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in Lexipol 601.2 policy manual court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Lexipol 601.2 policy manual conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Lexipol 601.2 policy manual extraordinary emergency circumstance that 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 Lexipol 502.5.1 policy manual placed in a locked cell or sleeping room to treat 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. 7052 Contra Costa SYTF Unannounced PRO 23-24 Page 4 of 5 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE Lexipol 607 policy manual The facility administrator shall develop and implement Lexipol 607 procedure manual written policies and procedures whereby any youth may appeal and have resolved grievances relating to any We reviewed three (3) grievances from the condition of confinement, including but not limited to SYTF submitted from July 2024 to the date of health care services, classification decisions, program ☒ ☐ ☐ the SYTF unannounced inspection. Review participation, telephone, mail or visiting procedures, revealed grievances are completed and food, clothing, bedding, mistreatment, harassment or processed within the guidelines of this violations of the nondiscrimination policy. There shall be regulation. no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Lexipol 607.3 policy manual grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (b) the youth shall have the option to confidentially file Lexipol 607.2 procedure manual the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ There is a confidential lock box located within each housing unit of the facility. (c) resolution of the grievance at the lowest appropriate Lexipol 607.4 policy manual staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Lexipol 607.3, 607.4.2 policy manual grievances within three (3) business days, grievances that relate to health and safety issues must be ☒ ☐ ☐ The grievance form was revised to ensure addressed immediately; ongoing compliance with this regulation. (1) The youth may elect to be present to explain Lexipol 607.4.5 policy manual his/her version of the grievance to a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by Lexipol 607.4.5 policy manual the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Lexipol 607.3 policy manual which includes the reasons for the decisions; ☒ ☐ ☐ (f) a system which provides that any appeal of a Lexipol 607.4.3 policy manual 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 (10) Lexipol 607.4.2 policy manual business days unless circumstances dictate a longer time frame. The youth shall be notified of any delay; and, ☒ ☐ ☐ The grievance form was revised to ensure ongoing compliance with this regulation. (h) the policy shall provide multiple internal and external Lexipol 607.5 policy manual methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Whether or not associated with a grievance, concerns of Lexipol 607.5 policy manual parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 7052 Contra Costa SYTF Unannounced PRO 23-24 Page 5 of 5 A453 JUV PRO eff. 07.01.24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST 1 2 BSCC Code: 7056 FACILITY NAME: Briones Youth Academy (BYA) Commitment Pathway FACILITY TYPE: CAMP PERSON(S) INTERVIEWED: Malkia Crowder, Probation Director; Tamara Gusman-Taylor, Probation Manager; Greg Quesada, Institutional Supervisor II; Greg Quesada, Institutional Supervisor II; Steven Blum, Probation Manager Mental Health Services; LaTasha Jones, Institutional Supervisor I; Reynaldo Ramos, Juvenile Institutional Officer I; Dominic Tholmer, Juvenile Institutional Officer II; Tanya Wilson, Juvenile Institutional Officer II; Godfrey Guevarra, Juvenile Institutional Officer II; Jose Avelar, Juvenile Institutional Officer II FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: October 30, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Lexipol 506.3 policy manual The facility administrator shall develop and implement Lexipol 506 procedure manual policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, We reviewed the BYA safety checks for the at random or varied intervals during hours when youth months of July, August, and September 2024. are asleep or when youth are in their rooms, confined in We also conducted a live review of the BYA holding cells or confined to their bed in a dormitory. safety checks during the inspection Supervision is not replaced, but may be supplemented walkthrough. by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive Review of documentation as well as the facility behavior and to summon aid in emergencies. All safety walkthrough revealed safety checks are being checks shall be documented with the actual time the completed at random or varied intervals during check is completed. the hours youth are confined to their rooms. ☒ ☐ ☐ It should be noted, during the most recent Targeted Inspection, it was discovered the current system for documentation of safety checks had a glitch that was showing late checks being completed. The facility did a review of the system and reviewed the video footage of late checks. It was discovered the checks were in fact completed within fifteen (15) minutes. Since then, the IT department developed a new software system for documentation of safety checks. Interviews with staff revealed no issues with the new software system. 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedure Checklist and is only intended for the 2024 Unannounced Inspection of the Contra Costa Briones Youth Academy Camp. 7056 Contra Costa Briones Youth Academy Unannounced PRO 23-24 Page 1 of 5 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Lexipol 707.4 policy manual The facility administrator, in collaboration with the Lexipol 707 procedure manual healthcare and behavioral/mental health administrators, shall plan and implement written policies and At the time of the inspection, the BYA has not procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ had a suicide attempt nor has a youth been The plan shall consider the needs of youth experiencing placed on any level of suicide watch. past or current trauma. Suicide prevention 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 Lexipol 707.12 policy manual 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Lexipol 701.3 policy manual Precautionary Protocols (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake Lexipol 707.12 policy manual processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Lexipol 701.1 policy manual intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. (4) Precautionary protocols shall be developed to Lexipol 707.3 procedure manual ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Lexipol 701.1 policy manual assessment and/or services. ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Lexipol 707.3 procedure manual for suicide. ☒ ☐ ☐ (e) Safety Interventions Lexipol 707.4 procedure manual (1) Procedures to address intervention protocols for youth identified at risk for suicide which may Lexipol 701.2 policy manual ☒ ☐ ☐ include, but are not limited to: (A) Housing consideration (B) Treatment strategies including trauma- Lexipol 701.4 policy manual informed approaches ☒ ☐ ☐ (2) Procedures to instruct youth supervision staff how Lexipol 701.4 policy manual to respond to youth who exhibit suicidal behaviors. ☒ ☐ ☐ (f) Communication Lexipol 707.2 procedure manual (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 information Lexipol 707.2 procedure manual sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental ☒ ☐ ☐ health staff. (g) Debriefing of Critical Incidents Related to Suicides or Lexipol 707.9 policy manual Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. 7056 Contra Costa Briones Youth Academy Unannounced PRO 23-24 Page 2 of 5 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Process for a debriefing event with affected staff. Lexipol 707.9 policy manual ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Lexipol 707.9 policy manual ☒ ☐ ☐ (h) Documentation Lexipol 707.8.2 policy manual (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Lexipol 707.4 policy manual opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1354.5 ROOM CONFINEMENT Lexipol 601.1 policy manual (a) The facility administrator shall develop and Lexipol 601 procedure manual implement written policies and procedures addressing the confinement of youth in their room that are consistent We reviewed ten (10) youth Room Separation with Welfare and Institutions Code Section 208.3. The Checklist forms from the BYA. Review of placement of a youth in room confinement shall be documentation provided revealed compliance accomplished in accordance with the following with this regulation. Review also revealed the guidelines: BYA is doing an excellent job of documenting the youth’s behaviors while on room ☒ ☐ ☐ confinement as well as documenting the need to extend youth’s room confinement due to being a threat to the safety and security of the facility. However, we did provide some technical assistance regarding when multiple youth are involved in an incident to ensure each youth is individually assessed for return to the program. (1) Room confinement shall not be used before other, Lexipol 601.2 policy manual less restrictive, options have been attempted and exhausted, unless attempting those options poses a Review of documentation revealed all youth threat to the safety or security of any youth or staff. ☒ ☐ ☐ placed on room separation were appropriate as youth actions were posing a threat to the safety and security of the facility. (2) Room confinement shall not be used for the Lexipol 601.2 policy manual purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Lexipol 601.3 policy manual that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room Lexipol 601.2 policy manual confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one It should be noted that the JH, BYA, and SYTF or more of the following: initiates the following protocols after a youth ☒ ☐ ☐ has been on room separation past three (3) hours which is above and beyond the regulation time of four (4) hours. (1) Return the youth to general population. Lexipol 601.3 policy manual ☒ ☐ ☐ (2) Consult with mental health or medical staff. Lexipol 601.3 policy manual ☒ ☐ ☐ 7056 Contra Costa Briones Youth Academy Unannounced PRO 23-24 Page 3 of 5 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Develop an individualized plan that includes the Lexipol 601.3 policy manual goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Lexipol 601.3 policy manual four hours, staff shall do each of the following: (A) Document the reasons for room confinement During the current inspection cycle, no youth and the basis for the extension, the date and time at the BYA has been extended beyond four (4) the youth was first placed in room confinement, ☒ ☐ ☐ hours of room confinement. Youth are instead and when he or she is eventually released from placed on Safety Plans which provide the room confinement. minimum Title 15 requirements with regards to programming, exercise, and recreation. (B) Develop an individualized plan that includes Lexipol 601.3 policy manual the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Lexipol 601.2 policy manual facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Lexipol 502.5 policy manual single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in Lexipol 601.2 policy manual court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Lexipol 601.2 policy manual conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Lexipol 601.2 policy manual extraordinary emergency circumstance that 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 Lexipol 502.5.1 policy manual placed in a locked cell or sleeping room to treat 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. 7056 Contra Costa Briones Youth Academy Unannounced PRO 23-24 Page 4 of 5 A453 JUV PRO eff. 07.01.24 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE Lexipol 607 policy manual The facility administrator shall develop and implement Lexipol 607 procedure manual written policies and procedures whereby any youth may appeal and have resolved grievances relating to any We reviewed ten (10) grievances from the BYA condition of confinement, including but not limited to submitted from July 2024 to the date of the health care services, classification decisions, program ☒ ☐ ☐ BYA unannounced inspection. Review participation, telephone, mail or visiting procedures, revealed grievances are completed and food, clothing, bedding, mistreatment, harassment or processed within the guidelines of this violations of the nondiscrimination policy. There shall be regulation. no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Lexipol 607.3 policy manual grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (b) the youth shall have the option to confidentially file Lexipol 607.2 procedure manual the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ There is a confidential lock box located within each housing unit of the facility. (c) resolution of the grievance at the lowest appropriate Lexipol 607.4 policy manual staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Lexipol 607.3, 607.4.2 policy manual grievances within three (3) business days, grievances that relate to health and safety issues must be ☒ ☐ ☐ The grievance form was revised to ensure addressed immediately; ongoing compliance with this regulation. (1) The youth may elect to be present to explain Lexipol 607.4.5 policy manual his/her version of the grievance to a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by Lexipol 607.4.5 policy manual the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Lexipol 607.3 policy manual which includes the reasons for the decisions; ☒ ☐ ☐ (f) a system which provides that any appeal of a Lexipol 607.4.3 policy manual 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 (10) Lexipol 607.4.2 policy manual business days unless circumstances dictate a longer time frame. The youth shall be notified of any delay; and, ☒ ☐ ☐ The grievance form was revised to ensure ongoing compliance with this regulation. (h) the policy shall provide multiple internal and external Lexipol 607.5 policy manual methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Whether or not associated with a grievance, concerns of Lexipol 607.5 policy manual parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 7056 Contra Costa Briones Youth Academy Unannounced PRO 23-24 Page 5 of 5 A453 JUV PRO eff. 07.01.24