BSCC
El Dorado County Probation (2023-2024 inspection cycle)
Read the report at El Dorado County Probation ↗
May 28, 2024
Brian Richart, Chief Probation Officer
El Dorado Probation Department
3974 Durock Road, Suite 205
Shingle Springs, CA, 95682
2023-2024 TARGETED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS
209 & 885 , EL DORADO COUNTY PROBATION DEPARTMENT DETENTION
FACILITIES
Dear Chief Richart:
The 2023-2024 Targeted Inspection of the El Dorado County Probation Department has
been completed. A pre-inspection briefing was held on Wednesday, April 10, 2024, and
the following facilities were inspected between Tuesday, May 14, 2024 and Thursday,
May 16, 2024:
FACILITY NAME BSCC # FACILITY TYPE
South Lake Tahoe Juvenile Treatment
7079 JH
Center
South Tahoe Challenge Camp 7081 CAMP
El Dorado Secure Youth Treatment 7082 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. 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 inspection(s), 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.
INSPECTION RESULTS
We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the
attached Title 15 Procedures Checklist for detailed information.
Brian Richart, Chief Probation Officer
Page 2
No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the
Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments
for information related to Rated Capacity.
An Exit Briefing with your staff was held on Thursday, May 16, 2024; BSCC staff
presented an inspection overview and discussed technical assistance and best practice
recommendations.
* * *
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, El Dorado County Juvenile Court*
Chair, Juvenile Justice Commission, El Dorado County*
Chair, Board of Supervisors, El Dorado County*
County Administrator, El Dorado County*
Kaci Smith, Deputy Chief Officer, El Dorado County Probation
Beth Borovich, Assistant Deputy Chief Officer, El Dorado County Probation
*Copies of the inspection are available upon request or online at www.bscc.ca.gov.
7079+ El Dorado County Probation Department JH Camp SYTF Targeted LTR 23-24
JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7079
FACILITY NAME: South Lake Tahoe Juvenile Treatment Center (JTC) – FACILITY TYPE: JH
PERSON(S) INTERVIEWED: Beth Borovich, Assistant Deputy Chief Probation Officer (ADPCO); Fernando Palomar,
Deputy Probation Officer Supervisor (DPOS); Jennifer Ungar, Deputy Probation Officer II (DPO II); Pedro Vega-Perez,
Deputy Probation Officer II; Richard Gallegos-Guevara, Deputy Probation Officer Supervisor
FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: May 16, 2024
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS
1321 STAFFING The Board of State and Community
Corrections (BSCC) staff reviewed a variety
Each juvenile facility shall:
of documents including safety check records,
(a) have an adequate number of personnel sufficient to
grievances, disciplinary actions, and incident
carry out the overall facility operation and its
reports. January, February, and March 2024
programming, to provide for safety and security of youth
staffing schedules for the facility were also
and staff, and meet established standards and
reviewed. A review of these documents, as
regulations;
well as the policy and procedure manuals,
revealed compliance with this regulation.
At the time of the inspection, the Juvenile
Treatment Center (JTC) staffing consisted of:
• 1 Deputy Chief Probation Officer
(DCPO);
• 1 Assistant Deputy Chief Probation
Officer (ADCPO);
• 4 Deputy Probation Officers
☒ ☐ ☐ Supervisor (DPOS);
• 13 Deputy Probation Officer II (DPO
II);
• 5 Deputy Probation Officer I (DPO I);
• 1 Extra-Help Deputy Probation
Officer I (EH DPO I);
• 7 Extra-Help Deputy Probation
Officer II (EH DPO II);
• 1 Probation Assistant
• 1 Vacant Probation Assistant
The facility is also currently recruiting Extra-
Help staff.
The facility walkthrough as well as interviews
with the staff revealed the facility has
adequate staffing to carry out the overall
facility operations.
1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15
regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this
worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations,
Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of
regulations.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS
(b) ensure that no required services shall be denied A6-Staffing-Youth Supervision
because of insufficient numbers of staff on duty absent
☒ ☐ ☐
exigent circumstances;
(c) have a sufficient number of supervisory level staff to A Supervisor is identified on the daily shift
ensure adequate supervision of all staff members; ☒ ☐ ☐ rosters.
(d) have a clearly identified person on duty at all times A Supervisor is assigned to each shift. In the
who is responsible for operations and activities and has Supervisor’s absence, a Lead Officer is
completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ identified on the roster and assumes the
and PC 832 training; Supervisor’s role.
(e) have at least one staff member present on each living A6-Staffing-Youth Supervision
unit whenever there are youth in the living unit; ☒ ☐ ☐
(f) have sufficient food service personnel relative to the A6-Staffing-Food Service
number and security of living units, including staff
qualified and available to: plan menus meeting nutritional • 1 Correctional Food Services
requirements of youth; provide kitchen supervision; direct Supervisor
food preparation and servings; conduct related training ☒ ☐ ☐ • 2 Correctional Cooks
programs for culinary staff; and maintain necessary • 2 Extra-Help Correctional Cooks
records; or, a facility may serve food that meets nutritional
standards prepared by an outside source;
(g) have sufficient administrative, clerical, recreational, A6- Staffing- Administrative, Supervisory, and
medical, dental, mental health, building maintenance, Clerical
transportation, control room, facility security and other
support staff for the efficient management of the facility, ☒ ☐ ☐ • 1 Administrative Secretary
and to ensure that youth supervision staff shall not be
diverted from supervising youth; and,
(h) assign sufficient youth supervision staff to provide A6-Staffing-Youth Supervision
continuous wide awake supervision of youth, subject to
temporary variations in staff assignments to meet special Staffing ratios are maintained throughout the
☒ ☐ ☐
program needs. Staffing shall be in compliance with a facility for each housing unit.
minimum youth-staff ratio for the following facility types:
(1) Juvenile Halls A6-Staffing
(A) during the hours that youth are awake, one
wide-awake youth supervision staff member on The Juvenile Hall population at the time of
duty for each 10 youth in detention; the Targeted Inspection was 11 youths: nine
☒ ☐ ☐
males, and two females. A review of
documentation revealed staffing ratios are
met at all times.
(B) during the hours that youth are confined to their A6-Staffing-Youth Supervision
room for the purpose of sleeping, one wide-awake
youth supervision staff member on duty for each A minimum of four (4) staff are scheduled for
☒ ☐ ☐
30 youth in detention; each shift. A review of daily schedules
revealed compliance with this regulation.
(C) at least two wide-awake youth supervision staff A6-Staffing-Youth Supervision
members on duty at all times, regardless of the
number of youth in detention, unless an A review of daily schedules revealed
arrangement has been made for backup support ☒ ☐ ☐ compliance with this regulation.
services which allow for immediate response to
emergencies; and,
(D) at least one youth supervision staff member on A6- Staffing- Youth Supervision
duty who is the same gender as youth housed in
the facility. ☒ ☐ ☐ A review of daily schedules revealed
compliance with this regulation.
(E) personnel with primary responsibility for other A6-Staffing-Youth Supervision
duties such as administration, supervision of
personnel, academic or trade instruction, clerical, Staffing personnel listed within this regulation
☒ ☐ ☐
kitchen or maintenance shall not be classified as are not considered youth supervision staff.
youth supervision staff positions.
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(2) Special Purpose Juvenile Halls Not Applicable.
(A) during hours that youth are awake, one wide-
awake youth supervision staff member 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 Not Applicable.
(A) during the hours that youth are awake, one
wide-awake youth supervision staff member on ☐ ☐ ☒
duty for each 15 youth in the camp population;
(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;
(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.
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1328 SAFETY CHECKS We reviewed the facility’s safety checks for
0B
January, February, and March 2024. A review
The facility administrator shall develop and implement
of documentation revealed safety checks are
policy and procedures that provide for direct visual
being completed per regulation. It should be
observation of youth at a minimum of every 15 minutes,
noted that facility safety checks are
at random or varied intervals during hours when youth
completed every 10 minutes which is above
are asleep or when youth are in their rooms, confined in
and beyond Title 15 requirements of every 15
holding cells or confined to their bed in a dormitory.
minutes. The facility has also implemented
Supervision is not replaced, but may be supplemented
unannounced Supervisor safety check
by, an audio/visual electronic surveillance system ☒ ☐ ☐
rounds and Supervisor safety check audits
designed to detect overt, aggressive or assaultive
which occur daily and are documented in the
behavior and to summon aid in emergencies. All safety
facility’s Caseload Explorer (CE) system.
checks shall be documented with the actual time the
check is completed.
We also reviewed live-time safety checks as
we toured the facility. All checks reviewed
were in compliance with this regulation.
1354.5 ROOM CONFINEMENT §G9–Confinement
1B
(a) The facility administrator shall develop and
We reviewed eight (8) Room Confinement
implement written policies and procedures addressing
incident reports from JTC JH. A review of the
the confinement of youth in their room that are
documentation provided, and a review of the
consistent with Welfare and Institutions Code Section
policy and procedure manual revealed
208.3. The placement of a youth in room confinement
☒ ☐ ☐ compliance with this regulation.
shall be accomplished in accordance with the following
guidelines:
It should be noted that of the eight (8) room
confinement reports reviewed none required
youth to be in room confinement for over four
hours.
(1) Room confinement shall not be used before §G9–Confinement
other, less restrictive, options have been attempted
and exhausted, unless attempting those options Although in compliance it should be noted
poses a threat to the safety or security of any youth ☒ ☐ ☐ technical assistance was provided regarding
or staff. utilizing less restrictive options before placing
youth in room confinement.
(2) Room confinement shall not be used for the §G9-Confinement
purposes of punishment, coercion, convenience, or
☒ ☐ ☐
retaliation by staff.
(3) Room confinement shall not be used to the extent §G9-Confinement
that it compromises the mental and physical health
☒ ☐ ☐
of the youth.
(b) A youth may be held up to four hours in room §G9-Confinement
confinement. After the youth has been held in room
confinement for a period of four hours, staff shall do one ☒ ☐ ☐
or more of the following:
(1) Return the youth to general population. §G9-Confinement
☒ ☐ ☐
(2) Consult with mental health or medical staff. §G9-Confinement
☒ ☐ ☐
(3) Develop an individualized plan that includes the §G9-Confinement
goals and objectives to be met in order to reintegrate
☒ ☐ ☐
the youth to general population.
(4) If room confinement must be extended beyond §G9–Confinement
four hours, staff shall do each of the following:
(A) Document the reasons for room confinement It should be noted of the eight (8) room
and the basis for the extension, the date and time confinement reports reviewed none of the
☒ ☐ ☐
the youth was first placed in room confinement, incidents required youth to be in room
and when he or she is eventually released from confinement for over four hours.
room confinement.
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(B) Develop an individualized plan that includes §G9-Confinement
the goals and objectives to be met in order to
☒ ☐ ☐
integrate the youth to general population.
(C) Obtain documented authorization by the §G9-Confinement
facility superintendent or his or her designee
☒ ☐ ☐
every four hours thereafter.
(5) This section is not intended to limit the use of §G9-Confinement
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 §G9-Confinement
court holding facilities or adult facilities. ☒ ☐ ☐
(7) Nothing in this section shall be construed to §G9-Confinement
conflict with any law providing greater or additional
☒ ☐ ☐
protections to youth.
(8) This section does not apply during an §G9-Confinement
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 §G9–Confinement
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.
1357 USE OF FORCE §G10–Use of Force
The facility administrator, in cooperation with the
We reviewed eight (8) hands-on use of force
responsible physician, shall develop and implement
reports from the JTC JH facility. A review of
written policies and procedures for the use of force,
policy and procedure and documentation
which may include chemical agents. Force shall never
revealed compliance with this regulation. It
be applied as punishment, discipline, retaliation or ☒ ☐ ☐
should be noted each report reviewed
treatment.
contained staff efforts to de-escalate the
(a) At a minimum, each facility shall develop policies and
incident and command calls given to the
procedures which:
youth before going hands-on to protect the
safety of the youth and the facility.
(1) restricts the use of force to that which is deemed §G10–Use of Force
reasonable and necessary, as defined in Section 1302
to ensure the safety and security of youth, staff, others ☒ ☐ ☐
and the facility.
(2) outline the force options available to staff including §G10–Use of Force
both physical and non-physical options and define
☒ ☐ ☐
when those force options are appropriate.
(3) describe force options or techniques that are §G10–Use of Force
expressly prohibited by the facility. ☒ ☐ ☐
(4) describe the requirements of staff to report any §G10–Use of Force
inappropriate use of force, and to take affirmative
☒ ☐ ☐
action to immediately stop it.
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(5) define a standardized reporting format that §G10–Use of Force
includes time period and procedure for documenting
and reporting the use of force, including reporting
requirements of management and line staff and
procedures for reviewing and tracking use of force
incidents by 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 for §G10–Use of Force
investigating unreasonable use of force. ☒ ☐ ☐
(7) define the role, notification, and follow-up §G10–Use of Force
procedures required after use of force incidents for
medical, mental health staff and parents or legal It should be noted notifications to parents,
☒ ☐ ☐
guardians. medical, and mental health are documented
within the incident report.
(8) describe the limitations of use of force on pregnant §G10–Use of Force
youth in accordance with Penal Code Section 6030(f)
☒ ☐ ☐
and Welfare and Institutions Code Section 222.
(b) Facilities that authorize chemical agents as a force §G10.1–Oleoresin Capsicum (OC)
option shall include policies and procedures that:
(1) identify who is approved to carry and/or utilize It should be noted OC spray has not been
chemical agents in the facility and the type, size and ☒ ☐ ☐ utilized thus far within this inspection cycle.
the approved method of deployment for those
chemical agents.
(2) mandate that chemical agents only be used when §G10.1–Oleoresin Capsicum
there is an imminent threat to the youth’s safety or the
safety of others and only when de-escalation efforts
☒ ☐ ☐
have been unsuccessful or are not reasonably
possible.
(3) outline the facility’s approved methods and §G10.1–Oleoresin Capsicum
timelines for decontamination from chemical agents.
This shall include that youth who have 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 §G10.1–Oleoresin Capsicum
procedures required after use of force incidents
involving chemical agents for medical, mental health If the facility did have an OC spray incident
staff and parents or legal guardians. ☒ ☐ ☐ notification to parents, medical, and mental
health would be documented within the
incident report.
(5) provide for the documentation of each incident of §G10.1–Oleoresin Capsicum
use of chemical agents, including the reasons for
which it was used, efforts to de-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 which §G10.1–Oleoresin Capsicum
require that agencies provide initial and regular training
in use of force and chemical agents when appropriate
that address: ☒ ☐ ☐
(1) known medical and behavioral health conditions
that would contraindicate certain types of force;
(2) acceptable chemical agents and the methods of §G10.1–Oleoresin Capsicum
application. ☒ ☐ ☐
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(3) signs or symptoms that should result in §G10.1–Oleoresin Capsicum
immediate referral to medical or behavioral health. ☒ ☐ ☐
(4) instruction on the Constitutional Limitations of §G10.1–Oleoresin Capsicum
Use of Force. ☒ ☐ ☐
(5) physical training force options that may require §G10.1–Oleoresin Capsicum
the use of perishable skills. ☒ ☐ ☐
(6) timelines the facility uses to define regular §G10.1–Oleoresin Capsicum
training. ☒ ☐ ☐
1361 GRIEVANCE PROCEDURE §G5–Grievances
The facility administrator shall develop and implement
We reviewed the grievance logs from 2024
written policies and procedures whereby any youth may
for the JTC JH. In all, we reviewed seventeen
appeal and have resolved grievances relating to any
(17) youth grievance forms. A review of policy
condition of confinement, including but not limited to
and procedure and a review of the
health care services, classification decisions, program
☒ ☐ ☐ documentation provided revealed compliance
participation, telephone, mail or visiting procedures,
with this regulation.
food, clothing, bedding, mistreatment, harassment or
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 §G5–Grievances
grievance, which includes provisions for the youth to
have free access to the form; A walkthrough of the facility revealed youth
☒ ☐ ☐
have free access to grievance forms which
are in the dayroom of each living unit.
(b) the youth shall have the option to confidentially file §G5–Grievances
the grievance or to deliver the form to any youth
supervision staff working in the facility; ☒ ☐ ☐ A confidential lock box is located within each
housing unit of the facility.
(c) resolution of the grievance at the lowest appropriate §G5-Grievances
staff level; ☒ ☐ ☐
(d) provision for a prompt review and initial response to §G5–Grievances
grievances within three (3) business days, grievances
that relate to health and safety issues must be All grievances reviewed had an initial
☒ ☐ ☐
addressed immediately; response completed before three business
days.
(1) The youth may elect to be present to explain §G5-Grievances
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 §G5-Grievances
the facility administrator to assist the youth. ☒ ☐ ☐
(e) provision for a written response to the grievance §G5-Grievances
which includes the reasons for the decisions; ☒ ☐ ☐
(f) a system which provides that any appeal of a §G5-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 (10) §G5–Grievances
business days unless circumstances dictate a longer
time frame. The youth shall be notified of any delay; All grievances reviewed except for one (1)
and, were resolved before ten business days.
☒ ☐ ☐
Technical assistance was provided with
regard to ensuring youth grievance forms are
being resolved within ten (10) business days.
(h) the policy shall provide multiple internal and external §G5 - Grievances
methods to report sexual abuse and sexual harassment. ☒ ☐ ☐
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Whether or not associated with a grievance, concerns Dept. Policy §IV 15–Citizen Complaint
of parents, guardians, staff or other parties shall be
addressed and documented in accordance with written ☒ ☐ ☐
policies and procedures within a specified timeframe.
1371 PROGRAMS, RECREATION, AND §E4–Recreation, Programs, and Exercise
2B
EXERCISE.
A review of policy and procedures and daily
The facility administrator shall develop and implement
schedule revealed compliance with this
written policies and procedures for programs,
regulation. Documentation of youth’s
recreation, and exercise for all youth. The intent is to
programs, recreation, and exercise are
minimize the amount of time youth are in their rooms or
documented within the facility’s Caseload
their bed area. ☒ ☐ ☐
Explorer system. We reviewed the months of
January, February, and March 2023 from
JTC JH which also revealed compliance with
this regulation. Each youth receives a
minimum of one hour of programming,
exercise, and recreation daily.
Juvenile facilities shall provide the opportunity for §E4–Recreation, Programs, and Exercise
programs, recreation, and exercise a minimum of three
hours a day during the week and five hours a day each
Saturday, Sunday or other non-school days, of which ☒ ☐ ☐
one hour shall be an outdoor activity, weather
permitting.
A youth’s participation in programs, recreation, and §E4–Recreation, Programs, and Exercise
exercise may be suspended only upon a written finding
by the administrator/manager or designee that a youth
☒ ☐ ☐
represents a threat to the safety and security of the
facility.
Such program, recreation, and exercise schedule shall §F10–Daily Schedule
be posted in the living units.
It should be noted during the inspection
☒ ☐ ☐ walkthrough of the facility, that the youths’
daily schedule was observed posted within
the living unit.
There will be a written annual review of the programs, The Program’s Annual Review was
recreation, and exercise by the responsible agency to completed by Assistant Deputy Chief
ensure content offered is current, consistent, and ☒ ☐ ☐ Probation Officer Beth Borovich on May 15,
relevant to the population. 2024.
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(a) Programs. All youth shall be provided with the §M3–Commitment Programs Chances,
opportunity for at least one hour of daily programming to Choices, Changes,
include, but not be limited to, trauma focused, cognitive,
evidence-based, best practice interventions that are §M10–Pre-Dispositional Youth
culturally relevant and linguistically appropriate, or pro-
social interventions and activities designed to reduce
recidivism. These programs should be based on the §E4–Recreation, Programs, and Exercise
youth’s individual needs as required by Sections 1355
and 1356. Such programs may be provided under the All youth at the Juvenile Hall participate in
direction of the Chief Probation Officer or the County programming that focuses on trauma-
Office of Education and can be administered by county focused, cognitive, evidence-based, best
partners such as mental health agencies, community practice interventions that are culturally
based organizations, faith-based organizations or relevant and linguistically appropriate, or
Probation staff. prosocial interventions and activities
Programs may include but are not limited to: designed to reduce recidivism. During the
(1) Cognitive Behavior Interventions; inspection, BSCC was able to observe a
(2) Management of Stress and Trauma; Treatment Team meeting which is held every
☒ ☐ ☐
(3) Anger Management; Tuesday where the team discusses each
(4) Conflict Resolution; youth's participation in the facility programs
(5) Juvenile Justice System; and youth goals while detained.
(6) Trauma-related interventions;
(7) Victim Awareness; It should be noted the Mental Health team
(8) Self-Improvement; provides a minimum of one (1) hour of
(9) Parenting Skills and support; programming per day seven (7) days a week.
(10) Tolerance and Diversity;
(11) Healing Informed Approaches; Each youth interviewed stated they always
(12) Interventions by Credible Messengers; receive a minimum of one hour per day of
(13) Gender Specific Programming; programs, recreation, and exercise.
(14) Art, creative writing, or self-expression;
(15) CPR and First Aid training;
(16) Restorative Justice or Civic Engagement;
(17) Career and leadership opportunities; and,
(18) Other topics suitable to the youth population.
(b) Recreation. All youth shall be provided the opportunity §E4 – Recreation, Programs, and Exercise
for at least one hour of daily access to unscheduled
activities such as leisure reading, letter writing, and A review of documentation provided, and
entertainment. Activities shall be supervised and include ☒ ☐ ☐ interviews of youth and staff revealed
orientation and may include coaching of youth. compliance with this regulation.
(c) Exercise. All youth shall be provided with the §E4 – Recreation, Programs, and Exercise
opportunity for at least one hour of large muscle activity
each day. A review of documentation provided, and
☒ ☐ ☐ interviews of youth and staff revealed
compliance with this regulation.
The administrator/manager may suspend, for a period §E4 – Recreation, Programs, and Exercise
not to exceed 24 hours, access to recreation and
programs. The administrator/manager shall document It should be noted at no time during this
the reasons why suspension of recreation and programs ☒ ☐ ☐ inspection cycle did the facility Administrator
occurs. suspend youth access to recreation or
programs.
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JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7081
FACILITY NAME: South Tahoe Challenge Camp FACILITY TYPE: CAMP
PERSON(S) INTERVIEWED: Beth Borovich, Assistant Deputy Chief Probation Officer; Fernando Palomar, Deputy
Probation Officer Supervisor (DPOS); Jennifer Ungar, Deputy Probation Officer II (DPO II); Pedro Vega-Perez, Deputy
Probation Officer II; Richard Gallegos-Guevara, Deputy Probation Officer Supervisor
FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: May 16, 2024
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS
1321 STAFFING We reviewed a variety of documents
including safety check records, grievances,
Each juvenile facility shall:
disciplinary actions, and incident reports.
(a) have an adequate number of personnel sufficient to
Board of State and Community Corrections
carry out the overall facility operation and its
(BSCC) staff reviewed January, February,
programming, to provide for safety and security of youth
and March 2024 staffing schedules for the
and staff, and meet established standards and
facility. A review of these documents, as well
regulations;
as the policy and procedure manuals,
revealed compliance with this regulation.
At the time of the inspection, the Juvenile
Treatment Center (JTC) staffing consisted of:
• 1 Deputy Chief Probation Officer
(DCPO);
• 1 Assistant Deputy Chief Probation
Officer (ADCPO);
• 4 Deputy Probation Officers
☒ ☐ ☐ Supervisor (DPOS);
• 13 Deputy Probation Officer II (DPO
II);
• 5 Deputy Probation Officer I (DPO I);
• 1 Extra-Help Deputy Probation
Officer I (EH DPO I);
• 7 Extra-Help Deputy Probation
Officer II (EH DPO II);
• 1 Probation Assistant
• 1 Vacant Probation Assistant
The facility is also currently recruiting Extra-
Help staff.
The facility walkthrough and interviews with
the staff revealed the facility has adequate
staffing to carry out the overall facility
operations.
1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15
regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this
worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations,
Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of
regulations.
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(b) ensure that no required services shall be denied A6-Staffing-Youth Supervision
because of insufficient numbers of staff on duty absent
☒ ☐ ☐
exigent circumstances;
(c) have a sufficient number of supervisory level staff to A Supervisor is identified on the daily shift
ensure adequate supervision of all staff members; ☒ ☐ ☐ rosters.
(d) have a clearly identified person on duty at all times A Supervisor is assigned to each shift. In the
who is responsible for operations and activities and has Supervisor’s absence, a Lead Officer is
completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ identified on the roster and assumes the
and PC 832 training; Supervisor’s role.
(e) have at least one staff member present on each living A6-Staffing-Youth Supervision
unit whenever there are youth in the living unit; ☒ ☐ ☐
(f) have sufficient food service personnel relative to the A6-Staffing-Food Service
number and security of living units, including staff
qualified and available to: plan menus meeting nutritional • 1 Correctional Food Services
requirements of youth; provide kitchen supervision; direct Supervisor
food preparation and servings; conduct related training ☒ ☐ ☐ • 2 Correctional Cooks
programs for culinary staff; and maintain necessary • 2 Extra-Help Correctional Cooks
records; or, a facility may serve food that meets nutritional
standards prepared by an outside source;
(g) have sufficient administrative, clerical, recreational, A6-Staffing-Administrative, Supervisory, and
medical, dental, mental health, building maintenance, Clerical
transportation, control room, facility security and other
support staff for the efficient management of the facility, ☒ ☐ ☐ • 1 Administrative Secretary
and to ensure that youth supervision staff shall not be
diverted from supervising youth; and,
(h) assign sufficient youth supervision staff to provide A6-Staffing-Youth Supervision
continuous wide awake supervision of youth, subject to
temporary variations in staff assignments to meet special Staffing ratios are maintained throughout the
☒ ☐ ☐
program needs. Staffing shall be in compliance with a facility for each housing unit.
minimum youth-staff ratio for the following facility types:
(1) Juvenile Halls Not Applicable.
(A) during the hours that youth are awake, one
wide-awake youth supervision staff member 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.
(2) Special Purpose Juvenile Halls Not Applicable.
(A) during hours that youth are awake, one wide-
awake youth supervision staff member on duty for ☐ ☐ ☒
each 10 youth in detention;
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(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 A6-Staffing
(A) during the hours that youth are awake, one
wide-awake youth supervision staff member on Challenge Camp population at the time of the
duty for each 15 youth in the camp population; ☒ ☐ ☐ Targeted Inspection was one male youth. A
review of documentation revealed staffing
ratios are met at all times.
(B) during the hours that youth are confined to their A6-Staffing-Youth Supervision
room for the purpose of sleeping, one wide-awake
youth supervision staff member on duty for each A minimum of four (4) staff are scheduled for
☒ ☐ ☐
30 youth present in the facility; each shift. A review of daily schedules
revealed compliance with this regulation.
(C) at least two wide-awake youth supervision staff A6-Staffing-Youth Supervision
members on duty at all times, regardless of the
number of youth in residence, unless A review of daily schedules revealed
arrangements have been made for backup support ☒ ☐ ☐ compliance with this regulation.
services which allow for immediate response to
emergencies;
(D) at least one youth supervision staff member on A6-Staffing-Youth Supervision
duty who is the same gender as youth housed in
the facility; ☒ ☐ ☐ A review of daily schedules revealed
compliance with this regulation.
(E) in addition to the minimum staff to youth ratio A6-Staffing-Youth Supervision
required in (h)(3)(A)-(B), consideration shall be
given to the size, design, and location of the camp; It should be noted that the Challenge Camp
types of youth committed to the camp; and the youth are housed within the JTC facility with
☒ ☐ ☐
function of the camp in determining the level of the JH and SYTF youth.
supervision necessary to maintain the safety and
welfare of youth and staff;
(F) personnel with primary responsibility for other A6-Staffing-Youth Supervision
duties such as administration, supervision of
personnel, academic or trade instruction, clerical, Staffing personnel listed within this regulation
☒ ☐ ☐
farm, forestry, kitchen or maintenance shall not be are not considered youth supervision staff.
classified as youth supervision staff positions.
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1328 SAFETY CHECKS We reviewed the facility’s safety checks from
0B
January through March 2024. A review of
The facility administrator shall develop and implement
documentation revealed safety checks are
policy and procedures that provide for direct visual
being completed per regulation. It should be
observation of youth at a minimum of every 15 minutes,
noted that, at the JTC facility,y safety checks
at random or varied intervals during hours when youth
are completed every 10 minutes which is
are asleep or when youth are in their rooms, confined in
above and beyond the Title 15 requirements
holding cells or confined to their bed in a dormitory.
of every 15 minutes. The facility has also
Supervision is not replaced, but may be supplemented
implemented unannounced Supervisor safety
by, an audio/visual electronic surveillance system
☒ ☐ ☐ check rounds and Supervisor safety check
designed to detect overt, aggressive or assaultive
audits which occur daily and are documented
behavior and to summon aid in emergencies. All safety
in the facility’s Caseload Explorer (CE)
checks shall be documented with the actual time the
system.
check is completed.
We also reviewed live-time safety checks as
we toured the facility. All checks reviewed
were in compliance with this regulation.
1354.5 ROOM CONFINEMENT §G9–Confinement
1B
(a) The facility administrator shall develop and
Compliance with the regulation is based
implement written policies and procedures addressing
solely on the review of the facility’s policy and
the confinement of youth in their room that are
procedure manual, thus for this inspection
consistent with Welfare and Institutions Code Section
cycle, there has not been a Camp youth
208.3. The placement of a youth in room confinement
☒ ☐ ☐ placed in room confinement.
shall be accomplished in accordance with the following
guidelines:
Please see the El Dorado County JH’s
checklist for the facility practices of the
remaining room confinement regulations
listed below.
(1) Room confinement shall not be used before
other, 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
purposes of punishment, coercion, convenience, or
☐ ☐ ☒
retaliation by staff.
(3) Room confinement shall not be used to the extent
that it compromises the mental and physical health
☐ ☐ ☒
of the youth.
(b) A youth may be held up to four hours in room
confinement. After the youth has been held in room
confinement for a period of four hours, staff shall do one ☐ ☐ ☒
or more of the following:
(1) Return the youth to general population.
☐ ☐ ☒
(2) Consult with mental health or medical staff.
☐ ☐ ☒
(3) Develop an individualized plan that includes the
goals and objectives to be met in order to reintegrate
☐ ☐ ☒
the youth to general population.
(4) If room confinement must be extended beyond
four hours, staff shall do each of the following:
(A) Document the reasons for room confinement
and the basis for the extension, the date and time
☐ ☐ ☒
the youth was first placed in room confinement,
and when he or she is eventually released from
room confinement.
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(B) Develop an individualized plan that includes
the goals and objectives to be met in order to
☐ ☐ ☒
integrate the youth to general population.
(C) Obtain documented authorization by the
facility superintendent or his or her designee
☐ ☐ ☒
every four hours thereafter.
(5) This section is not intended to limit the use of
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
court holding facilities or adult facilities. ☐ ☐ ☒
(7) Nothing in this section shall be construed to
conflict with any law providing greater or additional
☐ ☐ ☒
protections to youth.
(8) This section does not apply during an
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
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.
1357 USE OF FORCE §G10–Use of Force
The facility administrator, in cooperation with the
Compliance with the regulation is based
responsible physician, shall develop and implement
solely on the review of the facility’s policy and
written policies and procedures for the use of force,
procedure manual, so far this inspection
which may include chemical agents. Force shall never
cycle, there has not been a Camp youth
be applied as punishment, discipline, retaliation or
☒ ☐ ☐ involved in a use-of-force incident.
treatment.
(a) At a minimum, each facility shall develop policies and
Please see the El Dorado County JH’s
procedures which:
checklist for the facility practices of the
remaining room confinement regulations
listed below.
(1) restricts the use of force to that which is deemed
reasonable and necessary, as defined in Section 1302
to ensure the safety and security of youth, staff, others ☐ ☐ ☒
and the facility.
(2) outline the force options available to staff including
both physical and non-physical options and define
☐ ☐ ☒
when those force options are appropriate.
(3) describe force options or techniques that are
expressly prohibited by the facility. ☐ ☐ ☒
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(4) describe the requirements of staff to report any
inappropriate use of force, and to take affirmative
☐ ☐ ☒
action to immediately stop it.
(5) define a standardized reporting format that
includes time period and procedure for documenting
and reporting the use of force, including reporting
requirements of management and line staff and
procedures for reviewing and tracking use of force
incidents by 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 for
investigating unreasonable use of force. ☐ ☐ ☒
(7) define the role, notification, and follow-up
procedures required after use of force incidents for
medical, mental health staff and parents or legal ☐ ☐ ☒
guardians.
(8) describe the limitations of use of force on pregnant
youth in accordance with Penal Code Section 6030(f)
☐ ☐ ☒
and Welfare and Institutions Code Section 222.
(b) Facilities that authorize chemical agents as a force §G10.1–Oleoresin Capsicum (OC)
option shall include policies and procedures that:
(1) identify who is approved to carry and/or utilize Compliance with the OC spray sections of
chemical agents in the facility and the type, size and this regulation is based solely on the review
the approved method of deployment for those of the facility’s policy and procedure manual,
chemical agents. thus for this inspection cycle, there has not
☐ ☐ ☒ been a Camp youth sprayed with OC.
Please see the El Dorado County JH’s
checklist for the facility practices of the
remaining chemical agent regulations listed
below.
(2) mandate that chemical agents only be used when
there is an imminent threat to the youth’s safety or the
safety of others and only when de-escalation efforts
☐ ☐ ☒
have been unsuccessful or are not reasonably
possible.
(3) outline the facility’s approved methods and
timelines for decontamination from chemical agents.
This shall include that youth who have 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
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 of
use of chemical agents, including the reasons for
which it was used, efforts to de-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.
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(c) Facilities shall develop policies and procedure which
require that agencies provide initial and regular training
in use of force and chemical agents when appropriate
that address: ☐ ☐ ☒
(1) known medical and behavioral health conditions
that would contraindicate certain types of force;
(2) acceptable chemical agents and the methods of
application. ☐ ☐ ☒
(3) signs or symptoms that should result in
immediate referral to medical or behavioral health. ☐ ☐ ☒
(4) instruction on the Constitutional Limitations of
Use of Force. ☐ ☐ ☒
(5) physical training force options that may require
the use of perishable skills. ☐ ☐ ☒
(6) timelines the facility uses to define regular
training. ☐ ☐ ☒
1361 GRIEVANCE PROCEDURE §G5–Grievances
The facility administrator shall develop and implement
We reviewed the grievance logs from the
written policies and procedures whereby any youth may
2024 JTC Camp. In all, we reviewed five (5)
appeal and have resolved grievances relating to any
youth grievance forms. A review of policy and
condition of confinement, including but not limited to
procedure, and the documentation provided
health care services, classification decisions, program
☒ ☐ ☐ revealed compliance with this regulation.
participation, telephone, mail or visiting procedures,
food, clothing, bedding, mistreatment, harassment or
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 §G5–Grievances
grievance, which includes provisions for the youth to
have free access to the form; A walkthrough of the facility revealed youth
☒ ☐ ☐
have free access to grievance forms which
are in the dayroom of each living unit.
(b) the youth shall have the option to confidentially file §G5–Grievances
the grievance or to deliver the form to any youth
supervision staff working in the facility; ☒ ☐ ☐ There’s a confidential lock box located within
each housing unit of the facility.
(c) resolution of the grievance at the lowest appropriate §G5–Grievances
staff level; ☒ ☐ ☐
(d) provision for a prompt review and initial response to §G5–Grievances
grievances within three (3) business days, grievances
that relate to health and safety issues must be All grievances reviewed had an initial
☒ ☐ ☐
addressed immediately; response completed prior to three business
days.
(1) The youth may elect to be present to explain §G5–Grievances
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 §G5–Grievances
the facility administrator to assist the youth. ☒ ☐ ☐
(e) provision for a written response to the grievance §G5–Grievances
which includes the reasons for the decisions; ☒ ☐ ☐
(f) a system which provides that any appeal of a §G5–Grievances
grievance shall be heard by a person not directly
involved in the circumstances which led to the ☒ ☐ ☐
grievance;
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(g) resolution of the grievance must occur within ten (10) §G5–Grievances
business days unless circumstances dictate a longer
time frame. The youth shall be notified of any delay; All grievances reviewed were completed and
☒ ☐ ☐
and, resolved prior to ten (10) business days of
submission.
(h) the policy shall provide multiple internal and external §G5–Grievances
methods to report sexual abuse and sexual harassment. ☒ ☐ ☐
Whether or not associated with a grievance, concerns Dept. Policy §IV 15 – Citizen Complaint
of parents, guardians, staff or other parties shall be
addressed and documented in accordance with written ☒ ☐ ☐
policies and procedures within a specified timeframe.
1371 PROGRAMS, RECREATION, AND §E4–Recreation, Programs, and Exercise
2B
EXERCISE.
A review of policy and procedures and daily
The facility administrator shall develop and implement
schedule revealed compliance with this
written policies and procedures for programs,
regulation. Documentation of youth
recreation, and exercise for all youth. The intent is to
programs, recreation, and exercise are
minimize the amount of time youth are in their rooms or
documented within the facility’s Caseload
their bed area. ☒ ☐ ☐
Explorer system. We reviewed the months of
January, February, and March 2023 from
JTC Camp which also revealed compliance
with this regulation. Each youth receives a
minimum of one hour of programming,
exercise, and recreation daily.
Juvenile facilities shall provide the opportunity for §E4–Recreation, Programs, and Exercise
programs, recreation, and exercise a minimum of three
hours a day during the week and five hours a day each
Saturday, Sunday or other non-school days, of which ☒ ☐ ☐
one hour shall be an outdoor activity, weather
permitting.
A youth’s participation in programs, recreation, and §E4–Recreation, Programs, and Exercise
exercise may be suspended only upon a written finding
by the administrator/manager or designee that a youth
☒ ☐ ☐
represents a threat to the safety and security of the
facility.
Such program, recreation, and exercise schedule shall §F10–Daily Schedule
be posted in the living units.
It should be noted that during the inspection
☒ ☐ ☐ walkthrough of the facility, the youths’ daily
schedule was observed to have been posted
within the living unit.
There will be a written annual review of the programs, The Program’s Annual Review was
recreation, and exercise by the responsible agency to completed by Assistant Deputy Chief
ensure content offered is current, consistent, and ☒ ☐ ☐ Probation Officer Beth Borovich on May 15,
relevant to the population. 2024.
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(a) Programs. All youth shall be provided with the §M3–Commitment Programs Chances,
opportunity for at least one hour of daily programming to Choices, Changes,
include, but not be limited to, trauma focused, cognitive,
evidence-based, best practice interventions that are §M10–Pre-Dispositional Youth
culturally relevant and linguistically appropriate, or pro-
social interventions and activities designed to reduce
recidivism. These programs should be based on the §E4–Recreation, Programs, and Exercise
youth’s individual needs as required by Sections 1355
and 1356. Such programs may be provided under the All youth at the Challenge Camp participate
direction of the Chief Probation Officer or the County in programming that focuses on trauma-
Office of Education and can be administered by county focused, cognitive, evidence-based, best
partners such as mental health agencies, community practice interventions that are culturally
based organizations, faith-based organizations or relevant and linguistically appropriate, or
Probation staff. prosocial interventions and activities
Programs may include but are not limited to: designed to reduce recidivism. During the
(1) Cognitive Behavior Interventions; inspection, BSCC was able to observe a
(2) Management of Stress and Trauma; Treatment Team meeting which is held every
☒ ☐ ☐
(3) Anger Management; Tuesday where the team discusses each
(4) Conflict Resolution; youth's participation in the facility programs
(5) Juvenile Justice System; and the youth’s goals while detained.
(6) Trauma-related interventions;
(7) Victim Awareness; It should be noted the Mental Health team
(8) Self-Improvement; provides a minimum of one (1) hour of
(9) Parenting Skills and support; programming per day seven (7) days a week.
(10) Tolerance and Diversity;
(11) Healing Informed Approaches; Each youth interviewed stated they always
(12) Interventions by Credible Messengers; receive a minimum of one hour per day of
(13) Gender Specific Programming; programs, recreation, and exercise.
(14) Art, creative writing, or self-expression;
(15) CPR and First Aid training;
(16) Restorative Justice or Civic Engagement;
(17) Career and leadership opportunities; and,
(18) Other topics suitable to the youth population.
(b) Recreation. All youth shall be provided the opportunity §E4–Recreation, Programs, and Exercise
for at least one hour of daily access to unscheduled
activities such as leisure reading, letter writing, and A review of documentation provided, and
☒ ☐ ☐
entertainment. Activities shall be supervised and include interviews of youth and staff revealed
orientation and may include coaching of youth. compliance with this regulation.
(c) Exercise. All youth shall be provided with the §E4–Recreation, Programs, and Exercise
opportunity for at least one hour of large muscle activity
each day. A review of documentation provided, and
☒ ☐ ☐ interviews of youth and staff revealed
compliance with this regulation.
The administrator/manager may suspend, for a period §E4–Recreation, Programs, and Exercise
not to exceed 24 hours, access to recreation and
programs. The administrator/manager shall document It should be noted that at no time during this
the reasons why suspension of recreation and programs ☒ ☐ ☐ inspection cycle, did the facility Administrator
occurs. suspend youth access to recreation or
programs.
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JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7082
FACILITY NAME: El Dorado Secure Youth Track Facility (SYTF) FACILITY TYPE: SYTF
PERSON(S) INTERVIEWED: Beth Borovich, Assistant Deputy Chief Probation Officer; Fernando Palomar, Deputy
Probation Officer Supervisor (DPOS); Jennifer Ungar, Deputy Probation Officer II (DPO II); Pedro Vega-Perez, Deputy
Probation Officer II; Richard Gallegos-Guevara, Deputy Probation Officer Supervisor
FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: May 16, 2024
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS
1321 STAFFING We reviewed a variety of documents
including safety check records, grievances,
Each juvenile facility shall:
disciplinary actions, and incident reports. Also
(a) have an adequate number of personnel sufficient to
reviewed January, February, and March 2024
carry out the overall facility operation and its
staffing schedules for the facility. A review of
programming, to provide for safety and security of youth
these documents, as well as the policy and
and staff, and meet established standards and
procedure manuals, revealed compliance
regulations;
with this regulation.
At the time of the inspection, the Juvenile
Treatment Center (JTC) staffing consisted of:
• 1 Deputy Chief Probation Officer
(DCPO);
• 1 Assistant Deputy Chief Probation
Officer (ADCPO);
• 4 Deputy Probation Officers
Supervisor (DPOS);
• 13 Deputy Probation Officer II (DPO
☒ ☐ ☐
II);
• 5 Deputy Probation Officer I (DPO I);
• 1 Extra-Help Deputy Probation
Officer I (EH DPO I);
• 7 Extra-Help Deputy Probation
Officer II (EH DPO II);
• 1 Probation Assistant
• 1 Vacant Probation Assistant
The facility is also currently recruiting Extra-
Help staff.
The facility walkthrough as well as interviews
with the staff revealed the facility has
adequate staffing to carry out the overall
facility operations.
1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15
regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this
worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations,
Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of
regulations.
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(b) ensure that no required services shall be denied A6-Staffing-Youth Supervision
because of insufficient numbers of staff on duty absent
☒ ☐ ☐
exigent circumstances;
(c) have a sufficient number of supervisory level staff to A Supervisor is identified on the daily shift
ensure adequate supervision of all staff members; ☒ ☐ ☐ rosters.
(d) have a clearly identified person on duty at all times A Supervisor is assigned to each shift. In the
who is responsible for operations and activities and has Supervisor’s absence, a Lead Officer is
completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ identified on the roster and assumes the
and PC 832 training; Supervisor’s role.
(e) have at least one staff member present on each living A6-Staffing-Youth Supervision
unit whenever there are youth in the living unit; ☒ ☐ ☐
(f) have sufficient food service personnel relative to the A6-Staffing-Food Service
number and security of living units, including staff
qualified and available to: plan menus meeting nutritional • 1 Correctional Food Services
requirements of youth; provide kitchen supervision; direct Supervisor
food preparation and servings; conduct related training ☒ ☐ ☐ • 2 Correctional Cooks
programs for culinary staff; and maintain necessary • 2 Extra-Help Correctional Cooks
records; or, a facility may serve food that meets nutritional
standards prepared by an outside source;
(g) have sufficient administrative, clerical, recreational, A6-Staffing-Administrative, Supervisory, and
medical, dental, mental health, building maintenance, Clerical
transportation, control room, facility security and other
support staff for the efficient management of the facility, ☒ ☐ ☐ • 1 Administrative Secretary
and to ensure that youth supervision staff shall not be
diverted from supervising youth; and,
(h) assign sufficient youth supervision staff to provide A6-Staffing-Youth Supervision
continuous wide awake supervision of youth, subject to
temporary variations in staff assignments to meet special Staffing ratios are maintained throughout the
☒ ☐ ☐
program needs. Staffing shall be in compliance with a facility for each housing unit.
minimum youth-staff ratio for the following facility types:
(1) Juvenile Halls Not Applicable.
(A) during the hours that youth are awake, one
wide-awake youth supervision staff member 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.
(2) Special Purpose Juvenile Halls Not Applicable.
(A) during hours that youth are awake, one wide-
awake youth supervision staff member on duty for ☐ ☐ ☒
each 10 youth in detention;
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(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 A6-Staffing
(A) during the hours that youth are awake, one
wide-awake youth supervision staff member on At the time of the Targeted Inspection, the
duty for each 15 youth in the camp population; facility did not have any SYTF youth.
☒ ☐ ☐ However, one (1) male SYTF was held at the
facility during this inspection cycle. A review
of documentation revealed staffing ratios are
met at all times.
(B) during the hours that youth are confined to their A6-Staffing-Youth Supervision
room for the purpose of sleeping, one wide-awake
youth supervision staff member on duty for each A minimum of four (4) staff are scheduled for
☒ ☐ ☐
30 youth present in the facility; each shift. A review of daily schedules
revealed compliance with this regulation.
(C) at least two wide-awake youth supervision staff A6-Staffing-Youth Supervision
members on duty at all times, regardless of the
number of youth in residence, unless A review of daily schedules revealed
arrangements have been made for backup support ☒ ☐ ☐ compliance with this regulation.
services which allow for immediate response to
emergencies;
(D) at least one youth supervision staff member on A6-Staffing-Youth Supervision
duty who is the same gender as youth housed in
the facility; ☒ ☐ ☐ A review of daily schedules revealed
compliance with this regulation.
(E) in addition to the minimum staff to youth ratio A6-Staffing-Youth Supervision
required in (h)(3)(A)-(B), consideration shall be
given to the size, design, and location of the camp; It should be noted the SYTF youth are
types of youth committed to the camp; and the housed within the JTC facility with the JH and
☒ ☐ ☐
function of the camp in determining the level of Camp youth.
supervision necessary to maintain the safety and
welfare of youth and staff;
(F) personnel with primary responsibility for other A6-Staffing-Youth Supervision
duties such as administration, supervision of
personnel, academic or trade instruction, clerical, Staffing personnel listed within this regulation
☒ ☐ ☐
farm, forestry, kitchen or maintenance shall not be are not considered youth supervision staff.
classified as youth supervision staff positions.
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1328 SAFETY CHECKS We reviewed the facility’s safety checks for
0B
January, February, and March 2024. A review
The facility administrator shall develop and implement
of documentation revealed safety checks are
policy and procedures that provide for direct visual
being completed per regulation. It should be
observation of youth at a minimum of every 15 minutes,
noted that facility safety checks are
at random or varied intervals during hours when youth
completed every 10 minutes which is above
are asleep or when youth are in their rooms, confined in
and beyond Title 15 requirements of every 15
holding cells or confined to their bed in a dormitory.
minutes. The facility has also implemented
Supervision is not replaced, but may be supplemented
unannounced Supervisor safety check
by, an audio/visual electronic surveillance system ☒ ☐ ☐
rounds and Supervisor safety check audits
designed to detect overt, aggressive or assaultive
which occur daily and are documented in the
behavior and to summon aid in emergencies. All safety
facility’s Caseload Explorer (CE) system.
checks shall be documented with the actual time the
check is completed.
We also reviewed live-time safety checks as
we toured the facility. All checks reviewed
were in compliance with this regulation.
1354.5 ROOM CONFINEMENT §G9–Confinement
1B
(a) The facility administrator shall develop and
Compliance with the regulation is based
implement written policies and procedures addressing
solely on the review of the facility’s policy and
the confinement of youth in their room that are
procedure manual, thus for this inspection
consistent with Welfare and Institutions Code Section
cycle, there has not been a SYTF youth
208.3. The placement of a youth in room confinement
☒ ☐ ☐ placed in room confinement.
shall be accomplished in accordance with the following
guidelines:
Please see the El Dorado County JH’s
checklist for the facility practices of the
remaining room confinement regulations
listed below.
(1) Room confinement shall not be used before
other, 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
purposes of punishment, coercion, convenience, or
☐ ☐ ☒
retaliation by staff.
(3) Room confinement shall not be used to the extent
that it compromises the mental and physical health
☐ ☐ ☒
of the youth.
(b) A youth may be held up to four hours in room
confinement. After the youth has been held in room
confinement for a period of four hours, staff shall do one ☐ ☐ ☒
or more of the following:
(1) Return the youth to general population.
☐ ☐ ☒
(2) Consult with mental health or medical staff.
☐ ☐ ☒
(3) Develop an individualized plan that includes the
goals and objectives to be met in order to reintegrate
☐ ☐ ☒
the youth to general population.
(4) If room confinement must be extended beyond
four hours, staff shall do each of the following:
(A) Document the reasons for room confinement
and the basis for the extension, the date and time
☐ ☐ ☒
the youth was first placed in room confinement,
and when he or she is eventually released from
room confinement.
(B) Develop an individualized plan that includes
the goals and objectives to be met in order to
☐ ☐ ☒
integrate the youth to general population.
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(C) Obtain documented authorization by the
facility superintendent or his or her designee
☐ ☐ ☒
every four hours thereafter.
(5) This section is not intended to limit the use of
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
court holding facilities or adult facilities. ☐ ☐ ☒
(7) Nothing in this section shall be construed to
conflict with any law providing greater or additional
☐ ☐ ☒
protections to youth.
(8) This section does not apply during an
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
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.
1357 USE OF FORCE §G10– Use of Force
The facility administrator, in cooperation with the
Compliance with the regulation is based
responsible physician, shall develop and implement
solely on the review of the facility’s policy and
written policies and procedures for the use of force,
procedure manual, thus for this inspection
which may include chemical agents. Force shall never
cycle, there has not been an SYTF youth
be applied as punishment, discipline, retaliation or
☒ ☐ ☐ involved in a use-of-force incident.
treatment.
(a) At a minimum, each facility shall develop policies and
Please see the El Dorado County JH’s
procedures which:
checklist for the facility practices of the
remaining room confinement regulations
listed below.
(1) restricts the use of force to that which is deemed
reasonable and necessary, as defined in Section 1302
to ensure the safety and security of youth, staff, others ☐ ☐ ☒
and the facility.
(2) outline the force options available to staff including
both physical and non-physical options and define
☐ ☐ ☒
when those force options are appropriate.
(3) describe force options or techniques that are
expressly prohibited by the facility. ☐ ☐ ☒
(4) describe the requirements of staff to report any
inappropriate use of force, and to take affirmative
☐ ☐ ☒
action to immediately stop it.
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(5) define a standardized reporting format that
includes time period and procedure for documenting
and reporting the use of force, including reporting
requirements of management and line staff and
procedures for reviewing and tracking use of force
incidents by 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 for
investigating unreasonable use of force. ☐ ☐ ☒
(7) define the role, notification, and follow-up
procedures required after use of force incidents for
medical, mental health staff and parents or legal ☐ ☐ ☒
guardians.
(8) describe the limitations of use of force on pregnant
youth in accordance with Penal Code Section 6030(f)
☐ ☐ ☒
and Welfare and Institutions Code Section 222.
(b) Facilities that authorize chemical agents as a force §G10.1–Oleoresin Capsicum (OC)
option shall include policies and procedures that:
(1) identify who is approved to carry and/or utilize Compliance with the OC spray sections of
chemical agents in the facility and the type, size and this regulation is based solely on the review
the approved method of deployment for those of the facility’s policy and procedure manual,
chemical agents. thus for this inspection cycle, there has not
☒ ☐ ☐ been an SYTF youth sprayed with OC.
Please see the El Dorado County JH’s
checklist for the facility practices of the
remaining chemical agent regulations listed
below.
(2) mandate that chemical agents only be used when
there is an imminent threat to the youth’s safety or the
safety of others and only when de-escalation efforts
☐ ☐ ☒
have been unsuccessful or are not reasonably
possible.
(3) outline the facility’s approved methods and
timelines for decontamination from chemical agents.
This shall include that youth who have 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
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 of
use of chemical agents, including the reasons for
which it was used, efforts to de-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.
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(c) Facilities shall develop policies and procedure which
require that agencies provide initial and regular training
in use of force and chemical agents when appropriate
that address: ☐ ☐ ☒
(1) known medical and behavioral health conditions
that would contraindicate certain types of force;
(2) acceptable chemical agents and the methods of
application. ☐ ☐ ☒
(3) signs or symptoms that should result in
immediate referral to medical or behavioral health. ☐ ☐ ☒
(4) instruction on the Constitutional Limitations of
Use of Force. ☐ ☐ ☒
(5) physical training force options that may require
the use of perishable skills. ☐ ☐ ☒
(6) timelines the facility uses to define regular
training. ☐ ☐ ☒
1361 GRIEVANCE PROCEDURE §G5–Grievances
The facility administrator shall develop and implement
We reviewed the grievance logs from 2024
written policies and procedures whereby any youth may
JTC SYTF. In all, we reviewed one (1) youth
appeal and have resolved grievances relating to any
grievance form. A review of policy and
condition of confinement, including but not limited to
procedure and a review of the documentation
health care services, classification decisions, program
☒ ☐ ☐ provided revealed compliance with this
participation, telephone, mail or visiting procedures,
regulation.
food, clothing, bedding, mistreatment, harassment or
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 §G5–Grievances
grievance, which includes provisions for the youth to
have free access to the form; A walkthrough of the facility revealed youth
☒ ☐ ☐
have free access to grievance forms in each
living unit's dayroom.
(b) the youth shall have the option to confidentially file §G5–Grievances
the grievance or to deliver the form to any youth
supervision staff working in the facility; ☒ ☐ ☐ A confidential lock box is located within each
housing unit of the facility.
(c) resolution of the grievance at the lowest appropriate §G5 – Grievances
staff level; ☒ ☐ ☐
(d) provision for a prompt review and initial response to §G5–Grievances
grievances within three (3) business days, grievances
that relate to health and safety issues must be All grievances reviewed had an initial
☒ ☐ ☐
addressed immediately; response completed before three business
days.
(1) The youth may elect to be present to explain §G5–Grievances
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 §G5–Grievances
the facility administrator to assist the youth. ☒ ☐ ☐
(e) provision for a written response to the grievance §G5–Grievances
which includes the reasons for the decisions; ☒ ☐ ☐
(f) a system which provides that any appeal of a §G5–Grievances
grievance shall be heard by a person not directly
involved in the circumstances which led to the ☒ ☐ ☐
grievance;
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(g) resolution of the grievance must occur within ten (10) §G5–Grievances
business days unless circumstances dictate a longer
time frame. The youth shall be notified of any delay; All grievances reviewed were completed and
☒ ☐ ☐
and, resolved before ten (10) business days of
submission.
(h) the policy shall provide multiple internal and external §G5–Grievances
methods to report sexual abuse and sexual harassment. ☒ ☐ ☐
Whether or not associated with a grievance, concerns Dept. Policy §IV 15–Citizen Complaint
of parents, guardians, staff or other parties shall be
addressed and documented in accordance with written ☒ ☐ ☐
policies and procedures within a specified timeframe.
1371 PROGRAMS, RECREATION, AND §E4–Recreation, Programs, and Exercise
2B
EXERCISE.
A review of policy and procedures and daily
The facility administrator shall develop and implement
schedule revealed compliance with this
written policies and procedures for programs,
regulation. Documentation of youth
recreation, and exercise for all youth. The intent is to
programs, recreation, and exercise are
minimize the amount of time youth are in their rooms or
documented within the facility’s Caseload
their bed area. ☒ ☐ ☐
Explorer system. We reviewed logs for
January, February, and March 2023 from
JTC Camp which also revealed compliance
with this regulation. Each youth receives a
minimum of one hour of programming,
exercise, and recreation daily.
Juvenile facilities shall provide the opportunity for §E4–Recreation, Programs, and Exercise
programs, recreation, and exercise a minimum of three
hours a day during the week and five hours a day each
Saturday, Sunday or other non-school days, of which ☒ ☐ ☐
one hour shall be an outdoor activity, weather
permitting.
A youth’s participation in programs, recreation, and §E4–Recreation, Programs, and Exercise
exercise may be suspended only upon a written finding
by the administrator/manager or designee that a youth
☒ ☐ ☐
represents a threat to the safety and security of the
facility.
Such program, recreation, and exercise schedule shall §F10–Daily Schedule
be posted in the living units.
It should be noted during the inspection
☒ ☐ ☐ walkthrough of the facility, the youths’ daily
schedule was observed to be posted within
the living unit.
There will be a written annual review of the programs, The Program’s Annual Review was
recreation, and exercise by the responsible agency to completed by Assistant Deputy Chief
ensure content offered is current, consistent, and ☒ ☐ ☐ Probation Officer Beth Borovich on May 15,
relevant to the population. 2024.
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(a) Programs. All youth shall be provided with the §M3–Commitment Programs Chances,
opportunity for at least one hour of daily programming to Choices, Changes,
include, but not be limited to, trauma focused, cognitive,
evidence-based, best practice interventions that are §M10–Pre-Dispositional Youth
culturally relevant and linguistically appropriate, or pro-
social interventions and activities designed to reduce
recidivism. These programs should be based on the §E4–Recreation, Programs, and Exercise
youth’s individual needs as required by Sections 1355
and 1356. Such programs may be provided under the All SYTF youth participate in programming
direction of the Chief Probation Officer or the County that focuses on trauma-focused, cognitive,
Office of Education and can be administered by county evidence-based, best practice interventions
partners such as mental health agencies, community that are culturally relevant and linguistically
based organizations, faith-based organizations or appropriate, or prosocial interventions and
Probation staff. activities designed to reduce recidivism.
Programs may include but are not limited to: During the inspection, BSCC was able to
(1) Cognitive Behavior Interventions; observe a Treatment Team meeting which is
(2) Management of Stress and Trauma; held every Tuesday where the team
☒ ☐ ☐
(3) Anger Management; discusses each youth's participation in the
(4) Conflict Resolution; facility programs and youth goals while
(5) Juvenile Justice System; detained.
(6) Trauma-related interventions;
(7) Victim Awareness; It should be noted the Mental Health team
(8) Self-Improvement; provides a minimum of one (1) hour of
(9) Parenting Skills and support; programming per day seven (7) days a week.
(10) Tolerance and Diversity;
(11) Healing Informed Approaches; Each youth interviewed stated they always
(12) Interventions by Credible Messengers; receive a minimum of one hour per day of
(13) Gender Specific Programming; programs, recreation, and exercise.
(14) Art, creative writing, or self-expression;
(15) CPR and First Aid training;
(16) Restorative Justice or Civic Engagement;
(17) Career and leadership opportunities; and,
(18) Other topics suitable to the youth population.
(b) Recreation. All youth shall be provided the opportunity §E4– Recreation, Programs, and Exercise
for at least one hour of daily access to unscheduled
activities such as leisure reading, letter writing, and A review of documentation provided, and
☒ ☐ ☐
entertainment. Activities shall be supervised and include interviews of youth and staff revealed
orientation and may include coaching of youth. compliance with this regulation.
(c) Exercise. All youth shall be provided with the §E4–Recreation, Programs, and Exercise
opportunity for at least one hour of large muscle activity
each day. A review of documentation provided, and
☒ ☐ ☐
interviews of youth and staff revealed
compliance with this regulation.
The administrator/manager may suspend, for a period §E4–Recreation, Programs, and Exercise
not to exceed 24 hours, access to recreation and
programs. The administrator/manager shall document It should be noted that at no time during this
the reasons why suspension of recreation and programs ☒ ☐ ☐ inspection cycle, did the facility Administrator
occurs. suspend youth access to recreation or
programs.
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