El Dorado Probation (2023-2024 inspection cycle)

January 15, 2024 Brian Richart, Chief of Probation El Dorado Probation Department 3974 Durock Road, Suite 205 Shingle Springs, CA 95682 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, EL DORADO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Richart: The 2023-2024 Comprehensive Inspection of the El Dorado County Probation Department has been completed. A pre-inspection briefing was held on Thursday, February 16, 2023, and the following facilities were inspected between Tuesday, May 23, 2023 and Friday, May 26, 2023: FACILITY NAME BSCC # FACILITY TYPE South Lake Tahoe Juvenile Treatment Center 7079 JH South Lake Tahoe Challenge Camp 7081 CAMP El Dorado Secure Youth Treatment Facility 7082 SYTF 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. 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. Brian Richart, Chief of Probation Page 2 Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified and no areas of noncompliance were noted. An Exit Briefing with your staff was held on Friday, May 26, 2023; 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, Superintendent, El Dorado County Probation *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7079+ El Dorado County Probation JH Camp SYTF LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7079 FACILITY NAME: South Lake Tahoe Juvenile Treatment Center (JTC) – FACILITY TYPE: JH Juvenile Hall (JH/Detention) PERSON(S) INTERVIEWED: Kaci Smith, Superintendent; Kyle Heller, Supervising Deputy Probation Officer (SDPO); Robert Kramer, SDPO; Kayla Diane Evans, Deputy Probation Officer I; Scot Van Houten, Deputy Probation Officer III; Robin Galdi, RN Wellpath; Riann Giovacchini, LCSW Mental Health Coordinator; Carey Buchanan, Director Alternative Programs El Dorado County of Education FIELD REPRESENTATIVE: Craigus Thompson DATE: May 26, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF All Local Inspection completed for this BUILDING AND GROUNDS inspection cycle. On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ Completed on 6/29/2022 by Ray Wieand, documented inspection and evaluation from the Building Inspector III. following: (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Completed on 11/17/2022 by Dan Brown, Fire clearance as required by Health and Safety Code Section ☒ ☐ ☐ Safety Inspector. 13146.1(a) and (b); (c) local health officer, inspection in accordance with Environmental completed on 10/11/2022. Health and Safety Code Section 101045; Med/MH completed on 12/15/2022. ☒ ☐ ☐ Nutritional completed on 6/17/2022. (d) county superintendent of schools on the adequacy of Completed on 6/13/2022 by Amy Jackson, educational services and facilities as required in Section ☒ ☐ ☐ Adult Education Counselor. 1370; (e) juvenile court as required by Section 209 of the Completed on 3/16/2023 by Judge Michael J. ☒ ☐ ☐ Welfare and Institutions Code; and, McLaughlin. (f) the Juvenile Justice Commission as required by Completed on 6/9/2022 by Margaret Huscher, Section 229 of the Welfare and Institutions Code or Commission Chair. ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 1 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Memo completed by CPO Brian Richart on 6/7/2022, stating all managers and staff are BSCC Note: Compliance with this section is determined appointed in accordance with applicable by receipt of the Chief Probation Officer’s certification provisions of law including minimum letter confirming that all elements of regulation are met. standards from BSCC, Penal Code 6035, psychological evaluation, medical and (a) Appointment ☒ ☐ ☐ physical exam, criminal records review, etc. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Chief Richart memo Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Chief Richart memo examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection Chief Richart memo and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Chief Richart memo employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- Chief Richart memo employees of the facility, who may be present at the facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 2 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING We reviewed a variety of documents including safety check records, grievances, disciplinary Each juvenile facility shall: actions, and incidents reports. Also reviewed (a) have an adequate number of personnel sufficient to January and February 2023 staffing carry out the overall facility operation and its schedules for the facility. Review of these programming, to provide for safety and security of youth documents, as well as the policy and and staff, and meet established standards and procedure manuals, revealed compliance with regulations; this regulation. At the time of the inspection, the Juvenile Treatment Center staffing consisted of 1 Superintendent; 3 Supervising Deputy Probation Officers; 1 Administrative Deputy ☒ ☐ ☐ Probation Officer; 18 Deputy Probation Officers I/II; and 2 Sr. Deputy Probation Officers. The facility currently has one vacancy for a SDPO and a DPO I/II. They also have two vacant Probation Assistant positions. The facility is also currently recruiting for 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. (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 Supervisor requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ food preparation and servings; conduct related training 2 Correctional Cooks programs for culinary staff; and maintain necessary 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 ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 3 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Juvenile Halls A6- Staffing (A) during the hours that youth are awake, one wide-awake youth supervision staff member on Juvenile Hall population at the time of the ☒ ☐ ☐ duty for each 10 youth in detention; inspection was 6 youths: 6 males, and 0 female. 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 Review of daily schedules revealed 30 youth in detention; 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 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. 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, ☒ ☐ ☐ Review of daily schedules revealed kitchen or maintenance shall not be classified as compliance with this regulation. 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; (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; 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 4 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1322 YOUTH SUPERVISION STAFF ORIENTATION §A4 – Training and Staff Development AND TRAINING The elements of this regulation are covered in (a) Prior to assuming any responsibilities each youth ☒ ☐ ☐ Chief Richart letter, dated 6/7/2022. supervision staff member shall be properly oriented to their duties, including: (1) youth supervision duties; (2) scope of decisions they shall make; ☒ ☐ ☐ §A4 – Training and Staff Development (3) the identity of their supervisor; ☒ ☐ ☐ §A4 – Training and Staff Development (4) the identity of persons who are responsible to §A4 – Training and Staff Development ☒ ☐ ☐ them; (5) persons to contact for decisions that are beyond §A4 – Training and Staff Development ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ §A4 – Training and Staff Development (b) Prior to assuming any responsibility for the §A4 – Training and Staff Development supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- It should be noted all new employees receive specific orientation, including: eighty (80) hours of training prior to assuming ☒ ☐ ☐ any responsibility for the supervision of youth. It should further be noted all JTC staff work with Detention, Challenge Camp, and SYTF youth throughout the facility. (1) individual and group supervision techniques; ☒ ☐ ☐ §A4 – Training and Staff Development (2) regulations and policies relating to discipline and §A4 – Training and Staff Development rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ §A4 – Training and Staff Development (4) suicide prevention and response to suicide §A4 – Training and Staff Development ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation §A4 – Training and Staff Development techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing §A4 – Training and Staff Development ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ §A4 – Training and Staff Development (8) routine security measures, including facility §A4 – Training and Staff Development ☒ ☐ ☐ perimeter and grounds; 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 5 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) crisis intervention and mental health referrals to §A4 – Training and Staff Development ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ §A4 – Training and Staff Development (11) fire/life safety training ☒ ☐ ☐ §A4 – Training and Staff Development (c) Prior to assuming sole supervision of youth, each §A4 – Training and Staff Development youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth §A4 – Training and Staff Development supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY §A6 – Staffing Whenever there is a youth in a juvenile facility, there shall §D1 – Fire Safety, Prevention, and Fire Drill be at least one wide awake person on duty at all times Procedure who meets the training standards established by the Board for general fire and life safety which relate §F4 – Youth Supervision, Security, and Officer specifically to the facility. Daily Assignments ☒ ☐ ☐ Review of documentation indicates that all youth supervisory staff receive site-specific life safety training during orientation. Also, all full-time employees receive fire and safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL §A4 – Training and Staff Development All facility administrators shall develop, publish, and County of El Dorado Juvenile Treatment implement a manual of written policies and procedures Center Policy, Procedures, and Operations that address, at a minimum, all regulations that are Manual was provided prior to the date of the applicable to the facility. Such a manual shall be made inspection. The manual was administratively available to all employees, reviewed by all employees, ☒ ☐ ☐ reviewed by Kyle Heller, Supervising Deputy and shall be administratively reviewed at a minimum Probation Officer on April 4, 2023. It should be every two years, and updated, as necessary. Those noted the policy and procedure manual is records relating to the standards and requirements set utilized for Detention, Challenge Camp, and forth in these regulations shall be accessible to the Board SYTF youth. on request. The manual shall include: (a) table of organization, including channels of Department Intranet Site, Table of Contents, ☒ ☐ ☐ communications and a description of job classifications; and Organization Chart. (b) responsibility of the probation department, purpose of §II – Facility Management Responsibilities programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or §A1 – Purposes and Objectives of Detention Probation Committee, probation staff, school personnel Facilities and other agencies that are involved in juvenile facility ☒ ☐ ☐ programs; §A5 – Relationships with Other Agencies §A13 – Purpose of Programs/Interventions/ Services (c) responsibilities of all employees; Dept. Policy §IV10 – Employee Conduct §A2 – Basic Philosophy ☒ ☐ ☐ §A14 – Chain of Command for Juvenile Detention Facility Staff (d) initial orientation and training program for employees; ☒ ☐ ☐ §A4 – Training and Staff Development 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 6 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) initial orientation, including safety and security issues §C3 – Volunteers, Vendors, Contract and anti-discrimination policies, for support staff, contract Personnel, and Non-Employees ☒ ☐ ☐ employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and §B1 – Documentation communication system to ensure: ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (1) efficient operation of the juvenile facility; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (2) legal and proper care of youth; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (3) maintenance of individual youth's records; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (4) supply of information to the juvenile court and ☒ ☐ ☐ those authorized by the court or by the law; and, §B6 – Release of Information and Confidentiality §B1 – Documentation (5) release of information regarding youth. ☒ ☐ ☐ §B6 – Release of Information and Confidentiality Dept. Policy §IV1 – Policy, Procedure and the Law (g) ethical responsibilities; ☒ ☐ ☐ Dept. Policy §IV10 – Employee Conduct §A4 – Training and Staff Development, §A13 – Purpose of Programs/Interventions/ Services, §B7 – Child Abuse Reporting, §L6 – Mental Health Crisis Services, §L7 – Suicide Prevention, §L8 – Suicide Attempt, §M3 – Commitment Programs Choices, (h) trauma-informed approaches; ☒ ☐ ☐ Chances, Changes §M3.1 – Choices Program, §M3.2 – Chances Program, §M3.3 – Changes Program, §M6 – Challenge Program, §M7 – Transition and Aftercare Planning and Implementation, §M10 – PreDispositional Youth §A13 – Purpose of Programs/Interventions/ Services, §M3 – Commitment Programs Choices, Chances, Changes, (i) culturally responsive approaches; ☒ ☐ ☐ §M3.1 – Choices Program, §M3.2 – Chances Program, §M3.3 – Changes Program, §M6 – Challenge Program, §M10 – PreDispositional Youth 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 7 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §G1 – Rights of Youth in Custody/Orientation, (j) gender responsive approaches; ☒ ☐ ☐ §G8 – Transgender and Intersex Youth, §H3 – Searches of Youth (k) a non-discrimination provision that provides that all §G1 – Rights of Youth in Custody/Orientation youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any §D6 – Emergency Equipment, chemical agents related security devices, and weapons and ammunition, where applicable; ☒ ☐ ☐ §G10.1 – Oleoresin Capsicum (OC) Spray, §G13 – Weapons Control (m) establishment of procedures for collection of Medi- §L10 – Medical Eligibility Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of §G8 – Transgender and Intersex Youth in sexual abuse, sexual assault and sexual harassment. Juvenile Detention Facilities, The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ §G21 – Sexual Abuse and Sexual retaliation for reporting such conduct, as well as a Harassment Prevention, Reporting, and provision for reporting such conduct by youth, staff or a Response third party. 1325 FIRE SAFETY PLAN §D1 – Fire Safety, Prevention, and Fire Drill Procedure, The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ §D3 – Pre-Fire Safety/Suppression Plan which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff §II – Facility Management Responsibilities, with two-year retention of the inspection record; §D1 – Fire Safety, Prevention, and Fire Drill Procedure We reviewed monthly and fire safety ☒ ☐ ☐ inspections for the inspection cycle. Review of documentation reveals compliance with this regulation. (c) fire prevention inspections as required by Health and §II – Facility Management Responsibilities, Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ §D1 – Fire Safety, Prevention, and Fire Drill Procedure (d) an evacuation plan; §D2 – Fire Safety, Natural Disasters, and ☒ ☐ ☐ Emergency Evacuation Plan 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 8 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; §D1 – Fire Safety, Natural Disasters, and Emergency Evacuation Plan ☒ ☐ ☐ We reviewed fire drills for the inspection cycle. Review of documentation reveals compliance with this regulation. (f) a written plan for the emergency housing of youth in §D8 – Mutual Aid and Emergency Housing ☒ ☐ ☐ the case of fire; and, (g) development of a fire suppression pre-plan in §D3 – Pre-Fire Safety/Suppression Plan cooperation with the local fire department. ☒ ☐ ☐ Fire Suppression Pre-plan was completed on 11/17/2022 in conjunction with the local fire department Safety Inspector Daniel Brown. 1326 SECURITY REVIEW Security Review for JTC completed by Superintendent Kaci Smith on 06/7/2022. Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES §D1 – Fire Safety, Prevention, and Fire Drill Procedure The facility administrator shall develop facility-specific policies and procedures for emergencies that shall ☒ ☐ ☐ §D2 – Fire Safety, Natural Disasters, and include, but not be limited to: Emergency Evacuation Plan Dept. Policy §IV33 – Safety, Uncooperative Clientele, and Threats, (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ §G6 – Transportation of Youth/Court Restraints, §G14 – Hostage Procedure Dept. Policy §IV23 – Officer-Involved Critical Incident Protocol, (b) civil disturbance, active shooter and terrorist ☒ ☐ ☐ Dept. Policy §IV33 – Safety, Uncooperative attack; Clientele, and Threats, §D7 – Active Shooter and Terrorist Attack §D2 – Fire Safety, Natural Disasters, and (c) fire and natural disasters; ☒ ☐ ☐ Emergency Evacuation Plan (d) periodic testing of emergency equipment; ☒ ☐ ☐ §D6 – Emergency Equipment §D2 – Fire Safety, Natural Disasters, and (e) emergency evacuation of the facility; and ☒ ☐ ☐ Emergency Evacuation Plan Facility Emergency Procedures were (f) a program to provide all youth supervision staff ☒ ☐ ☐ reviewed by staff at the April 19, 2023, All Staff with an annual review of emergency procedures. meeting. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 9 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS We reviewed the facility’s safety checks for the months of January, February, and March The facility administrator shall develop and implement 2023. Review of documentation revealed policy and procedures that provide for direct visual safety checks are being completed per observation of youth at a minimum of every 15 minutes, regulation. It should be noted at the JTC at random or varied intervals during hours when youth facility safety checks are completed every 10 are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ minutes which is above and beyond Title 15 requirements of every 15 minutes. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system We also reviewed live-time safety checks as designed to detect overt, aggressive or assaultive we toured the facility. All checks reviewed behavior and to summon aid in emergencies. All safety were in compliance with this regulation. checks shall be documented with the actual time the check is completed. 1329 SUICIDE PREVENTION PLAN §L7 – Suicide Prevention The facility administrator, in collaboration with the §L8 – Suicide Attempt healthcare and behavioral/mental health administrators, shall plan and implement written policies and During the inspection process, we reviewed procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ five (5) youth suicide prevention reports from The plan shall consider the needs of youth experiencing the JTC facility. Review of documentation past or current trauma. Suicide prevention responses provided and policy and procedure manuals shall be respectful and in the least invasive manner revealed compliance with this regulation. consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section §L7 – Suicide Prevention 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and §L7 – Suicide Prevention, Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at §H1 – Receiving and Processing Youth intake and as needed during detention. (2) All youth supervision staff who perform intake §H1 – Receiving and Processing Youth processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the §L7 – Suicide Prevention intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ Review of documentation as well as interview suicide risk assessment. with the facility Mental Health Coordinator revealed compliance with this regulation. (4) Precautionary protocols shall be developed to §L7 – Suicide Prevention ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for §L7 – Suicide Prevention ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk §L7 – Suicide Prevention ☒ ☐ ☐ for suicide. (e) Safety Interventions §L7 – Suicide Prevention (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ §L7 – Suicide Prevention (B) Treatment strategies including trauma- §L7 – Suicide Prevention ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff §L7 – Suicide Prevention how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 10 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication §L7 – Suicide Prevention (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 §L7 – Suicide Prevention 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 §A8 – Critical Incident Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected §A8 – Critical Incident Debriefing ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected §A8 – Critical Incident Debriefing ☒ ☐ ☐ youth. (h) Documentation §A8 – Critical Incident Debriefing (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the §L7 – Suicide Prevention 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. 1340 REPORTING OF LEGAL ACTIONS §II – Facility Management Responsibilities Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ No legal action reported this inspection cycle. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY §L9 – Death OF A YOUTH WHILE DETAINED No death and serious illness or injury of a (1) Death of a Youth. youth this inspection cycle. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with §L9 – Death the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 11 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The administrator of the facility shall provide to §L9 - Death the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth §L9 – Death from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. §L2 – Parental Notification of a Medical (a) The facility administrator, in cooperation with Emergency the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING §II – Facility Management Responsibilities Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) §II – Facility Management Responsibilities When the number of youth detained in a living unit of a JTC- 40 total juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ JH- 20 fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES §H1 – Receiving and Processing Youth, §H3 – Searches of Youth, The facility administrator shall develop and implement §H4 – Classification of Youth, written policies and procedures for admittance of youth §G21 – Sexual Abuse and Sexual that emphasize respectful and humane engagement Harassment Prevention, Reporting and with youth, and reflect that the admission process may Response be traumatic to youth who may have already ☒ ☐ ☐ experienced trauma. Policies shall be trauma-informed, We reviewed ten (10) youth admittance culturally relevant, and responsive to the language and packages from the juvenile hall. Review of literacy needs of youth. In addition to the requirements documentation provided and policy and of Sections 1324 and 1430 of these regulations: procedure manuals revealed compliance with this regulation. (a) the admittance process shall include: §H1 – Receiving and Processing Youth (1) Access to two free phone calls within one hour of ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; §H1 – Receiving and Processing Youth Offer of youth intake shower is documented in (2) Offer of a shower; ☒ ☐ ☐ an intake Special Incident Report (SIR). Review of documentation and interviews with youth and staff revealed compliance with this regulation. (3) Documented secure storage of personal §H1 – Receiving and Processing Youth ☒ ☐ ☐ belongings; 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 12 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §H1 – Receiving and Processing Youth Offering of food to youth upon intake is (4) Offer of food upon arrival; ☒ ☐ ☐ documented in an intake SIR. Review of documentation and interviews with youth and staff revealed compliance with this regulation. (5) Screening for physical and behavioral health §H1 – Receiving and Processing Youth and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental §H1 – Receiving and Processing Youth disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the §H1 – Receiving and Processing Youth Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, §G8 – Transgender and Intersex Youth in (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Juvenile Detention Facilities (b) juvenile hall administrators shall establish written EBP P&P §11 – Youth Risk and Needs criteria for detention that considers the least restrictive ☒ ☐ ☐ Assessment environment. (c) juvenile camps and post-dispositional programs in §E3 – Counseling and Casework Services, juvenile halls shall develop policies and procedures that §M3 – Commitment Programs Choices, advise the youth of the estimated length of stay, inform Chances, Changes, them of program guidelines and provide written ☒ ☐ ☐ §M3.1 – Choices Program, screening criteria for inclusion and exclusion from the §M3.2 – Chances Program, program. §M3.3 – Changes Program, §M6 – Challenge Program (d) juvenile halls shall develop policies and procedures §E3 – Counseling and Casework Services that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL EBP P&P §11 – Youth Risk and Needs ABUSE Assessment, The facility administrator shall develop and implement We reviewed ten (10) youth PREA/Behavioral written policies and procedures to reduce the risk of ☒ ☐ ☐ Screening and ten (10) MAYSI-2 youth sexual abuse by or upon youth. The policy shall require reports from JTC. Review of documentation facility staff to assess each youth within 72 hours of provided and policy and procedure manual admission based on the following information: revealed compliance with this regulation. EBP P&P §11 – Youth Risk and Needs Assessment, (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ §H1 – Receiving and Processing Youth (b) Gender nonconforming appearance or manner; or EBP P&P §11 – Youth Risk and Needs identification as lesbian, gay or bisexual, transgender, Assessment, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (c) Current charges and offense history; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (d) Age; ☒ ☐ ☐ §H1 – Receiving and Processing Youth 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 13 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS EBP P&P §11 – Youth Risk and Needs Assessment, (e) Level of emotional and cognitive development; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (f) Physical size and stature; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (g) Mental illness or mental disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (h) Intellectual or developmental disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (i) Physical disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ §H1 – Receiving and Processing Youth (k) Any other specific information about the individual EBP P&P §11 – Youth Risk and Needs youth that may indicate heightened needs for Assessment, ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. §H1 – Receiving and Processing Youth Staff shall ascertain this information through EBP P&P §11 – Youth Risk and Needs conversations with the youth during the admittance Assessment, process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing §H1 – Receiving and Processing Youth court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate §G21 – Sexual Abuse and Sexual controls on the dissemination of information within the Harassment Prevention, Reporting and facility relative to responses received pursuant to this Response ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES §H5 – Release of Youth The facility administrator shall develop and implement §M7 – Transition and Aftercare Planning and written policies and procedures for release of youth from Implementation custody which provide for: ☒ ☐ ☐ We reviewed ten (10) Youth Release Authorization Record forms from the juvenile hall. Review of documentation provided, and policy and procedure manual revealed compliance with this regulation. (a) verification of identity/release papers; ☒ ☐ ☐ §H5 – Release of Youth §H5 – Release of Youth We reviewed ten (10) Youth Property forms (b) return of personal clothing and valuables; ☒ ☐ ☐ from the juvenile hall. Review of documentation provided, and policy and procedure manual revealed compliance with this regulation. (c) notification to the youth's parents or guardian; ☒ ☐ ☐ §H5 – Release of Youth 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 14 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) notification to the facility health care provider in §H5 – Release of Youth accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ §H5 – Release of Youth (f) notification of facility mental health personnel. ☒ ☐ ☐ §H5 – Release of Youth The facility administrator shall develop and implement §M7 – Transition and Aftercare Planning and policies and procedures for post-disposition youth to Implementation coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement §H7 – Temporary Release of Youth written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION §H4 – Classification of Youth The facility administrator shall develop and implement The MAYSI-2 and PREA/Behavioral written policies and procedures on classification of youth Screening are used to determine youth for the purpose of determining housing placement in the ☒ ☐ ☐ classification. We reviewed ten (10) youth facility. classification packets. Review of Such procedures shall: documentation provided and policy and procedure manual revealed compliance with this regulation. (a) provide for the safety of the youth, other youth, §H4 – Classification of Youth facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of §H4 – Classification of Youth ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon §H4 – Classification of Youth admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Reviewed Weekly in Multi-Disciplinary Team provisions that consider the level of supervision and the ☒ ☐ ☐ Meetings. Documented in weekly MDT Notes. youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth §H4 – Classification of Youth from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, §H4 – Classification of Youth transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 15 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. §G8 – Transgender and Intersex Youth The facility administrator shall develop written policies We reviewed the Transgender/Intersex Youth and procedures ensuring respectful and equitable ☒ ☐ ☐ Preference form. Review of form provided, treatment of transgender and intersex youth. The and policy and procedure manuals revealed policies shall provide that: compliance with this regulation. (a) Facility staff shall respect every youth’s gender §G8 – Transgender and Intersex Youth identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present §G8 – Transgender and Intersex Youth themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that §G8 – Transgender and Intersex Youth best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender §G8 – Transgender and Intersex Youth and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and §G8 – Transgender and Intersex Youth necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any §G8 – Transgender and Intersex Youth youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION §G1 – Rights of Youth in Custody/Orientation The facility administrator shall develop and implement We reviewed ten (10) youth El Dorado County written policies and procedures to orient a youth prior to Juvenile Detention Facility Orientation forms placement in a living area. Both written and verbal from the juvenile hall. Review of information shall be provided and supplemented with documentation provided and policy and video orientation if feasible. Provision shall be made to ☒ ☐ ☐ procedure manual revealed compliance with provide accessible orientation information to all detained this regulation. youth including those with disabilities, limited literacy, or English language learners. Orientation shall include Each youth is provided a Youth Orientation information that addresses: Handbook during the booking process. The handbook is available in English and Spanish. (a) facility rules including contraband and searches and §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ disciplinary procedures; 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 16 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) facility’s system of positive behavior interventions §G1 – Rights of Youth in Custody/Orientation and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the §G1 – Rights of Youth in Custody/Orientation facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ §G1 – Rights of Youth in Custody/Orientation (e) the existence of the grievance procedure, the steps §G1 – Rights of Youth in Custody/Orientation that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ health care; (h) access to education, religious services, and §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ §G1 – Rights of Youth in Custody/Orientation (j) opportunity for personal hygiene and daily showers §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ §G1 – Rights of Youth in Custody/Orientation (o) emergencies including evacuation procedures; ☒ ☐ ☐ §G1 – Rights of Youth in Custody/Orientation (p) non-discrimination policy and the right to be free from §G1 – Rights of Youth in Custody/Orientation physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive §G1 – Rights of Youth in Custody/Orientation information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title §G1 – Rights of Youth in Custody/Orientation 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Access to Title 15 is available to youth upon request to staff. 1354 SEPARATION §G9.1 – Administrative Separation The facility administrator shall develop and implement During this inspection cycle, the juvenile hall written policies and procedures that address: has had one incident which resulted in two ☒ ☐ ☐ youth being placed on Administrative Separation. Documentation provided and review of policy and procedure revealed compliance with this regulation. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 17 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) separation of youth for reasons that include, but are §H4 – Classification of Youth, not be limited to, medical and mental health conditions, §G9 – Confinement, assaultive behavior, disciplinary consequences and ☒ ☐ ☐ §G9.1 – Administrative Separation, protective custody. §L3 – Medical and Dental Procedures, §L7 – Suicide Prevention (b) consideration of positive youth development and §H4 – Classification of Youth ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal §G9 – Confinement privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. §G9.1 – Administrative Separation (d) when the objective of the separation is discipline, §G9.1 – Administrative Separation ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the §G9 – Confinement separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review §G9 – Confinement, of separated youth to determine if separation remains ☒ ☐ ☐ §G9.1 – Administrative Separation, necessary. §H4 – Classification of Youth 1354.5 ROOM CONFINEMENT §G9 – Confinement (a) The facility administrator shall develop and We reviewed ten (10) Room Confinement implement written policies and procedures addressing incident reports. Review of documentation the confinement of youth in their room that are provided and review of policy and procedure consistent with Welfare and Institutions Code Section manual revealed compliance with this 208.3. The placement of a youth in room confinement regulation. shall be accomplished in accordance with the following ☒ ☐ ☐ guidelines: It should be noted that, of the ten room confinement reports reviewed, only one incident required a youth to be on room confinement over four hours. The incident was well documented with details of the youth behaviors justifying the extension of room confinement. (1) Room confinement shall not be used before §G9 - Confinement 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 §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: 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 18 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) Document the reasons for room confinement §G9 - 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 §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. 1355 INSTITUTIONAL ASSESSMENT AND PLAN §E2 – Assessment and Case Plan The facility administrator shall develop and implement Reviewed ten (10) youth Assessment written policies and procedures for assessment and ☒ ☐ ☐ Summary and Case plans from the JTC case planning. facility. Review of documentation provided revealed compliance with this regulation. (a) Assessment: §E2 – Assessment and Case Plan, The assessment is based on information collected during the admission process with periodic review, §E3 – Counseling and Casework Services, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of §M7 – Transition and Aftercare Planning substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: §E2 – Assessment and Case Plan (1) A case plan shall be developed for each youth ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 19 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) The institutional plan shall include, but not be §E2 – Assessment and Case Plan ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of §E2 – Assessment and Case Plan ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes §E2 – Assessment and Case Plan a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting §E2 – Assessment and Case Plan the objectives, including periodic review and discussion of the plan with the youth; It should be noted, the facility follows up with ☒ ☐ ☐ each youth every two weeks to ensure progress towards meeting youth goals and objectives. (4) a transition plan, the contents of which shall be §E2 – Assessment and Case Plan, subject to existing resources, shall be developed for ☒ ☐ ☐ post dispositional youth in accordance with Section §M7 – Transition and Aftercare Planning 1351; and, (5) in as much as possible and if appropriate, the §E2 – Assessment and Case Plan, plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ §M7 – Transition and Aftercare Planning and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES §E3 – Counseling and Casework Services The facility administrator shall develop and implement Reviewed ten (10) youth Counseling and written policies and procedures ensuring the availability ☒ ☐ ☐ Casework packets from JTC. Review of of appropriate counseling and casework services for all documentation provided revealed compliance youth. Policies and procedures shall ensure: with this regulation. (a) youth will receive assistance with needs or concerns §E3 – Counseling and Casework Services ☒ ☐ ☐ that may arise; (b) youth will receive assistance in requesting contact §E3 – Counseling and Casework Services with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources §E3 – Counseling and Casework Services ☒ ☐ ☐ to meet the youth’s needs. 1357 USE OF FORCE §G10 – Use of Force The facility administrator, in cooperation with the We reviewed ten (10) hands-on use of force responsible physician, shall develop and implement reports from the JTC facility. Review of policy written policies and procedures for the use of force, and procedure and documentation revealed which may include chemical agents. Force shall never ☒ ☐ ☐ compliance with this regulation. It should be be applied as punishment, discipline, retaliation or noted that each report reviewed contained treatment. staff efforts to de-escalate the incident and (a) At a minimum, each facility shall develop policies and command calls given to the youth prior to procedures which: 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. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 20 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 notification to parents, guardians. medical, and mental health are documented in 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 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 ☒ ☐ ☐ It should be noted notification to parents, staff and parents or legal guardians. medical, and mental health are documented in 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 §G10.1 – Oleoresin Capsicum ☒ ☐ ☐ that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of §G10.1 – Oleoresin Capsicum ☒ ☐ ☐ application. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 21 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1358 USE OF PHYSICAL RESTRAINTS §G11 – Use of Physical and Mechanical Restraint The facility administrator, in cooperation with the responsible physician and mental health director, shall Review of documentation provided, and policy develop and implement written policies and procedures ☒ ☐ ☐ and procedure manuals revealed compliance for the use of restraint devices. Restraint devices with this regulation. include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth §G11 – Use of Physical and Mechanical who present an immediate danger to themselves or Restraint others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or §G11 – Use of Physical and Mechanical discipline, or as a substitute for treatment. The use of Restraint restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of §G11 – Use of Physical and Mechanical handcuffs, shackles or other restraint devices when used Restraint to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval §G11 – Use of Physical and Mechanical of the facility manager or designee. The facility manager Restraint may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and §G11 – Use of Physical and Mechanical retention shall be secured as soon as possible, but no Restraint later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as §G11 – Use of Physical and Mechanical possible, but in no case longer than four hours from the Restraint ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted §G11 – Use of Physical and Mechanical to ensure that the restraints are properly employed, and Restraint to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 22 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS In addition to the requirements above, policies and §G11 – Use of Physical and Mechanical procedures shall address: Restraint ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate §G11 – Use of Physical and Mechanical ☒ ☐ ☐ certain restraint devices and/or techniques. Restraint (c) acceptable restraint devices. §G11 – Use of Physical and Mechanical ☒ ☐ ☐ Restraint (d) signs or symptoms which should result in immediate §G11 – Use of Physical and Mechanical ☒ ☐ ☐ medical/mental health referral. Restraint (e) availability of cardiopulmonary resuscitation §G11 – Use of Physical and Mechanical ☒ ☐ ☐ equipment. Restraint (f) protective housing of restrained youth. While in §G11 – Use of Physical and Mechanical restraint devices, all youth shall be housed alone or in a Restraint ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. §G11 – Use of Physical and Mechanical (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Restraint §G11 – Use of Physical and Mechanical (h) exercising of extremities. ☒ ☐ ☐ Restraint 1358.5 USE OF RESTRAINT DEVICES FOR §G11.1 – Use of Mechanical Restraints for MOVEMENT AND TRANSPORTATION Movement in the Facility WITHIN THE FACILITY. Review of documentation provided, and policy The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health ☒ ☐ ☐ and procedure manuals revealed compliance with this regulation. director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff §G11.1 – Use of Mechanical Restraints for approved to utilize restraint devices and the required ☒ ☐ ☐ Movement in the Facility training. (b) the circumstances leading to the application of §G11.1 – Use of Mechanical Restraints for ☒ ☐ ☐ restraints must be documented. Movement in the Facility (c) an individual assessment of the need to apply §G11.1 – Use of Mechanical Restraints for restraints for movement or transportation that includes Movement in the Facility consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, §G11.1 – Use of Mechanical Restraints for with a clearly defined expectation that restraint devices Movement in the Facility ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in §G11.1 – Use of Mechanical Restraints for accordance with Penal Code Section 6030(f) and Movement in the Facility Welfare and Institutions Code Section 222. ☒ ☐ ☐ §G20 – Pregnant Female Youth 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 23 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1359 SAFETY ROOM PROCEDURES Not Applicable – No Safety Room in the Facility. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ accomplished in accordance with the following: (1) safety room 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) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☐ ☐ ☒ youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room ☐ ☐ ☒ for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ (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. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☐ ☐ ☒ and the goals and objectives to be met in order to integrate the youth to general population. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 24 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1360 SEARCHES §G16 – Facility Searches, §G17 – Visitor Searches, The facility administrator shall develop and implement §H3 – Searches of Youth written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: ☒ ☐ ☐ We reviewed four (4) Search Authorization forms in which youth were strip searched. Facts for supporting each strip search were noted on the forms. Review of documentation provided and policy and procedure manuals revealed compliance with this regulation. (a) Searches shall be conducted to ensure the safety §G16 – Facility Searches, and security of the facility, public, visitors, youth, and ☒ ☐ ☐ §G17 – Visitor Searches, staff. §H3 – Searches of Youth (b) Searches shall be conducted in a manner that §H3 – Searches of Youth preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity §H3 – Searches of Youth ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be §H3 – Searches of Youth ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only §H3 – Searches of Youth be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall §H3 – Searches of Youth ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches §H3 – Searches of Youth are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE §G5 – Grievances The facility administrator shall develop and implement We reviewed the grievance logs from 2023 written policies and procedures whereby any youth may JTC. In all, we reviewed seventeen (17) youth appeal and have resolved grievances relating to any grievance forms. Review of policy and condition of confinement, including but not limited to procedure and review of 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; (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; (c) resolution of the grievance at the lowest appropriate §G5 - Grievances ☒ ☐ ☐ staff level; 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 25 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 Technical assistance was provided with addressed immediately; regards to ensuring youth grievance forms are ☒ ☐ ☐ being initially responded to within three (3) business days. However, the majority of the grievances were responded to within three 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; and, (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. 1362 REPORTING OF INCIDENTS §B5 – Special Incident Report A written report of all incidents which result in physical Review of documentation provided revealed harm, use of force, serious threat of physical harm, or compliance with this regulation. death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT §G10 – Use of Force DNA SPECIMENS, SAMPLES, IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force ☒ ☐ ☐ to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of §G10 – Use of Force reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 26 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) The use of reasonable force shall be preceded by §G10 – Use of Force efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written §G10 – Use of Force authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell §G10 – Use of Force extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM Review of the El Dorado County Office of Education Court School Staff Handbook and (a) School Programs Blue Ridge School Student Handbook The County Board of Education shall provide for the revealed compliance with the regulation. We administration and operation of juvenile court schools in also interviewed school staff, probation staff, conjunction with the Chief Probation Officer, or designee youth, and reviewed school daily schedules pursuant to applicable State laws. The school and facility which also revealed compliance with this administrators shall develop and implement written policy regulation. and procedures to ensure communication and coordination between educators and probation staff. It should be noted the Annual Education Culturally responsive and trauma-informed approaches review was completed on 6/13/2022 by Amy should be applied when providing instruction. Education Jackson, Adult Education Counselor. staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 27 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements El Dorado County Office of Education Court The facility school program shall comply with the State School Staff Handbook and Blue Ridge Education Code and County Board of Education policies, School Student Handbook all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education El Dorado County Office of Education Court program shall be free from discriminatory action. Staff School Staff Handbook and Blue Ridge shall refer to transgender, intersex and gender- ☒ ☐ ☐ School Student Handbook nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State El Dorado County Office of Education Court Education Code and include, but not be limited to, ☒ ☐ ☐ School Staff Handbook and Blue Ridge courses required for high school graduation. School Student Handbook (2) Information and preparation for the High School El Dorado County Office of Education Court Equivalency Test as approved by the California School Staff Handbook and Blue Ridge ☒ ☐ ☐ Department of Education shall be made available to School Student Handbook eligible youth. (3) Youth shall be informed of post-secondary El Dorado County Office of Education Court education and vocational opportunities. ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (4) Administration of the High School Equivalency El Dorado County Office of Education Court Tests as approved by the California Department of ☒ ☐ ☐ School Staff Handbook and Blue Ridge Education, shall be made available when possible. School Student Handbook (5) Supplemental instruction shall be afforded to youth El Dorado County Office of Education Court who do not demonstrate sufficient progress towards ☒ ☐ ☐ School Staff Handbook and Blue Ridge grade level standards. School Student Handbook (6) The minimum school day shall be consistent with El Dorado County Office of Education Court State Education Code Requirements for juvenile court School Staff Handbook and Blue Ridge schools. The facility administrator, in conjunction with School Student Handbook education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless El Dorado County Office of Education Court of classification, housing, security status, disciplinary School Staff Handbook and Blue Ridge or separation status, including room confinement, School Student Handbook except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline El Dorado County Office of Education Court (1) Positive behavior management will be School Staff Handbook and Blue Ridge implemented to reduce the need for disciplinary action School Student Handbook ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative El Dorado County Office of Education Court decisions made by probation staff that may affect the ☒ ☐ ☐ School Staff Handbook and Blue Ridge educational programming of students. School Student Handbook 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 28 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Except as otherwise provided by the State El Dorado County Office of Education Court Education Code, expulsion/suspension from school School Staff Handbook and Blue Ridge shall be imposed only when other means of correction School Student Handbook fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with El Dorado County Office of Education Court education staff will develop policies and procedures School Staff Handbook and Blue Ridge ☒ ☐ ☐ that address the rights of any student who has School Student Handbook continuing difficulty completing a school day. (d) Provisions for Special Populations El Dorado County Office of Education Court (1) State and federal laws and regulations shall be School Staff Handbook and Blue Ridge observed for all individuals with disabilities or School Student Handbook suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be El Dorado County Office of Education Court afforded an educational program that addresses their School Staff Handbook and Blue Ridge language needs pursuant to all applicable state and ☒ ☐ ☐ School Student Handbook federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission El Dorado County Office of Education Court (1) Youth shall be interviewed after admittance and a School Staff Handbook and Blue Ridge ☒ ☐ ☐ record maintained that documents a youth's School Student Handbook educational history, including but not limited to: (A) School progress/school history; El Dorado County Office of Education Court ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (B) Home Language Survey and the results of the El Dorado County Office of Education Court State Test used for English language proficiency; ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (C) Needs and services of special populations as El Dorado County Office of Education Court defined by the State Education Code, including but ☒ ☐ ☐ School Staff Handbook and Blue Ridge not limited to, students with special needs. School Student Handbook (D) Discipline problems. El Dorado County Office of Education Court ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (2) Youth will be immediately enrolled in school. El Dorado County Office of Education Court Educational staff shall conduct an assessment to School Staff Handbook and Blue Ridge determine the youth's general academic functioning ☒ ☐ ☐ School Student Handbook levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary El Dorado County Office of Education Court education plan shall be developed for each youth ☒ ☐ ☐ School Staff Handbook and Blue Ridge within five school days. School Student Handbook 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 29 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) Upon enrollment, education staff shall comply with El Dorado County Office of Education Court the State Education Code and request the youth's School Staff Handbook and Blue Ridge records from his/her prior school(s), including, but not School Student Handbook limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting El Dorado County Office of Education Court (1) The complete facility educational record of the School Staff Handbook and Blue Ridge youth shall be forwarded to the next educational ☒ ☐ ☐ School Student Handbook placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall El Dorado County Office of Education Court provide appropriate credit (full or partial) for course School Staff Handbook and Blue Ridge ☒ ☐ ☐ work completed while in juvenile court school in School Student Handbook accordance with the State Education Code. (g) Transition and Re-Entry Planning El Dorado County Office of Education Court (1) The Superintendent of Schools and the Chief School Staff Handbook and Blue Ridge Probation Officer or designee, shall develop policies School Student Handbook and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities El Dorado County Office of Education Court (1) The school and facility administrator should, School Staff Handbook and Blue Ridge whenever possible, collaborate with local post- School Student Handbook secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND §E4 – Recreation, Programs, and Exercise EXERCISE. 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 the facility 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. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 30 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Such program, recreation, and exercise schedule shall §F10 – Daily Schedule be posted in the living units. ☒ ☐ ☐ It should be noted during the inspection facility walkthrough, the youth daily schedule was observed posted within the living unit. There will be a written annual review of the programs, Programs Annual Review completed by recreation, and exercise by the responsible agency to Superintendent Kaci Smith on November 27, ☒ ☐ ☐ ensure content offered is current, consistent, and 2022. relevant to the population. (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 youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; §E4 – Recreation, Programs, and Exercise (2) Management of Stress and Trauma; (3) Anger Management; It should be noted the Mental Health team (4) Conflict Resolution; provides a minimum of one (1) hour of (5) Juvenile Justice System; programming per day, seven (7) days a week. (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (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 ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (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. 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 ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 31 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM §E10 – Religion The facility administrator shall provide access to religious Review of daily schedule revealed youth can services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ participate in alternative programming during the scheduled religious program time. allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ §E10 – Religion (b) availability of clergy; and, ☒ ☐ ☐ §E10 – Religion (c) availability of religious diets. ☒ ☐ ☐ §E10 – Religion 1373 WORK PROGRAM §E8 – Work Assignments and K1 Culinary Arts Program The facility administrator shall develop policies and procedures regarding the fair and consistent assignment Review Work Assignments and Culinary Arts of youth to work programs. Work assigned to a youth ☒ ☐ ☐ Program policy and procedures revealed shall be meaningful, constructive and related to compliance with this regulation. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING §E13 – Visiting The facility administrator shall develop and implement Review of policy and procedures and visitation written policies and procedures for visiting, that include logs revealed compliance with this regulation. provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family ☒ ☐ ☐ members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to §E13 - Visiting the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours §E13 - Visiting per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour §E13 - Visiting minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy ☒ ☐ ☐ and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an §E13 – Visiting alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Zoom visits are offered to youth but not as a replacement to in-person visits. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 32 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1375 CORRESPONDENCE §C10 – Correspondence – Mail The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviewed as well as review written policies and procedures for correspondence of policy and procedures revealed compliance which provide that: with this regulation. (a) there is no limitation on the volume of mail that youth §C10 – Correspondence – Mail ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ §C10 – Correspondence – Mail (c) youth may correspond confidentially with state and §C10 – Correspondence – Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described §C10 – Correspondence – Mail in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS §C11 – Youth Telephone Access The administrator of each juvenile facility shall develop ☒ ☐ ☐ Staff and youth interviewed as well as review and implement written policies and procedures to provide of policy and procedures revealed compliance youth with access to telephone communications. with this regulation. 1377 ACCESS TO LEGAL SERVICES §C10 – Correspondence – Mail, §C11 – Youth Telephone Access, The facility administrator shall develop written procedures §E13 – Visiting to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed §E13 – Visiting ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; §C11 – Youth Telephone Access, ☒ ☐ ☐ and, §E13 – Visiting (c) unlimited postage free, legal correspondence and §C10 – Correspondence – Mail ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE §G1 - Rights of Youth in Custody/Orientation The facility administrator shall develop and implement Review of policy and procedures and written policies and procedures for the discipline of youth documentation revealed compliance with this that shall promote acceptable behavior; including the use regulation. of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (b) daily shower, access to drinking fountain, toilet and §G1 - Rights of Youth in Custody/Orientation ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (d) contact with parent or attorney; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (e) exercise; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (f) medical services and counseling; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (g) religious services; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (h) clean and sanitary living conditions; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (i) the right to send and receive mail; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (j) education; and, ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (k) rehabilitative programming. ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 33 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall establish rules of conduct §G1 - Rights of Youth in Custody/Orientation and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, The facility administrator shall develop and implement §G4 – Disciplinary Due Process, written policies and procedures for the administration of §G23 – Challenge Program Guidelines discipline which shall include, but not be limited to: ☒ ☐ ☐ We reviewed all due process hearings from JTC for 2023. Review of policy and procedures and documentation revealed compliance with this regulation. (a) designation of personnel authorized to impose §G2 – Juvenile Detention Facility Guidelines, discipline for violation of rules; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (b) prohibiting discipline to be delegated to any youth; §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (c) definition of major and minor rule violations and their §G2 – Juvenile Detention Facility Guidelines, consequences, and due process requirements; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (d) trauma-informed approaches and positive behavior §G2 – Juvenile Detention Facility Guidelines, interventions; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (e) minor rule violations may be handled informally by §G2 – Juvenile Detention Facility Guidelines, counseling, advising the youth of expected conduct §G3 – Discipline, imposing a minor consequence. Discipline shall be ☒ ☐ ☐ §G4 – Disciplinary Due Process, accompanied by written documentation and a policy of §G23 – Challenge Program Guidelines review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall It should be noted we reviewed all due be documented and require the following: process hearings from JTC for 2023. Review ☒ ☐ ☐ of documentation revealed compliance with this regulation. §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, (1) written notice of violation prior to a hearing; ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (2) accommodations provided to youth with §G3 – Discipline, disabilities, limited literacy, and English language ☒ ☐ ☐ §G4 – Disciplinary Due Process, learners; §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (3) hearing by a person who is not a party to the §G3 – Discipline, ☒ ☐ ☐ incident; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (4) opportunity for the youth to be heard, present §G3 – Discipline, ☒ ☐ ☐ evidence and testimony; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 34 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §G2 – Juvenile Detention Facility Guidelines, (5) provision for youth to be assisted by staff in the §G3 – Discipline, ☒ ☐ ☐ hearing process; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, (6) provision for administrative review. ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (g) violations that result in a removal from camp or §G2 – Juvenile Detention Facility Guidelines, commitment program, but not a return to court, will §G3 – Discipline, ☒ ☐ ☐ follow the due process provisions in subsection (e) §G4 – Disciplinary Due Process, above. §G23 – Challenge Program Guidelines 1410 MANAGEMENT OF COMMUNICABLE WellPath Medical Procedures DISEASES. §L1 – Health Administrator The health administrator/responsible physician, in cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; ☒ ☐ ☐ §L1 – Health Administrator (b) Identification of relevant symptoms; ☒ ☐ ☐ §L1 – Health Administrator (c) Referral for medical evaluation; ☒ ☐ ☐ §L1 – Health Administrator (d) Treatment responsibilities during detention; ☒ ☐ ☐ §L1 – Health Administrator (e) Coordination with public and private community- §L1 – Health Administrator ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ §L1 – Health Administrator (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ §L1 – Health Administrator The policies and procedures shall be updated as §L1 – Health Administrator necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Walkthrough of the facility confirmed all (EXCERPT) housing units have a locked medical box. The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ It should also be noted the facility has Mental Health lock boxes within each living unit. establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE §J4 – Facility Issued Clothing The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily §J1 – Laundry Room Guidelines laundered, in good repair, and free of holes and tears. ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (b) The standard issue of climatically suitable clothing §J1 – Laundry Room Guidelines for youth shall consist of but not be limited to: ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing §J1 – Laundry Room Guidelines (1) Socks and serviceable footwear; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 35 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §J1 – Laundry Room Guidelines (2) Outer garments; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (3) New non-disposable underwear which shall §J1 – Laundry Room Guidelines remain with the youth throughout their stay, and; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (4) Undergarments, that are freshly laundered and §J1 – Laundry Room Guidelines free of stains, including tee shirts and bras. ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (c) Clothing is laundered at the temperature required by §J1 – Laundry Room Guidelines local ordinances for the commercial laundries and dried §J2 – Laundry Schedule ☒ ☐ ☐ completely in a mechanical dryer or other laundry §J4 – Facility Issued Clothing method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. §J1 – Laundry Room Guidelines ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing 1482 CLOTHING EXCHANGE Interviews with youth and staff confirmed youth receive their own underwear back at The facility administrator shall develop and implement exchange. written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ §F14 – Shower and Daily Hygiene §J1 – Laundry Room Guidelines frequent exchange, outer garments, except for footwear, §J2 – Laundry Schedule shall be exchanged at least once each week. Tee shirts, §J4 – Facility Issued Clothing bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S §J5 – Personal Property PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS §F15 – Personal Care Items There shall be written policies and site-specific procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ §F15 – Personal Care Items (b) Toothpaste; ☒ ☐ ☐ §F15 – Personal Care Items (c) Soap; ☒ ☐ ☐ §F15 – Personal Care Items (d) Comb; ☒ ☐ ☐ §F15 – Personal Care Items (e) Shaving implements; ☒ ☐ ☐ §F15 – Personal Care Items (f) Deodorant; ☒ ☐ ☐ §F15 – Personal Care Items (g) Lotion; ☒ ☐ ☐ §F15 – Personal Care Items (h) Shampoo; and, ☒ ☐ ☐ §F15 – Personal Care Items (i) Post-shower conditioning hair products. ☒ ☐ ☐ §F15 – Personal Care Items 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 36 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Youth shall not be required to share any personal care §F15 – Personal Care Items items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE §F14 – Shower and Daily Hygiene §F15 – Personal Care Items There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING §F14 – Shower and Daily Hygiene §F15 – Personal Care Items Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) §F16 – Haircut Procedure Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE §J3 – Bedding and Linen Issue Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which §J3 – Bedding and Linen Issue meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in §J3 – Bedding and Linen Issue ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ §J3 – Bedding and Linen Issue (d) One towel; and, ☒ ☐ ☐ §J3 – Bedding and Linen Issue (e) One blanket or more, up on request ☒ ☐ ☐ §J3 – Bedding and Linen Issue 1501 BEDDING LINEN EXCHANGE §J3 – Bedding and Linen Issue The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered §J3 – Bedding and Linen Issue ☒ ☐ ☐ once a month. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 37 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1510 FACILITY SANITATION, SAFETY AND §II – Facility Management Responsibilities MAINTENANCE §F1 – Morning Cleanup Schedule §F2 – Weekend Cleanup The facility administrator shall develop and implement §F5 – Shift Responsibilities – Day written policies and site-specific procedures for the §F6 – Shift Responsibilities – Graveyard maintenance of an acceptable level of cleanliness, §F13 – Graveyard Expectations – 2200-0600 repair and safety throughout the facility. The plan shall §K11 – Kitchen Staff Responsibilities provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 38 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☒ ☐ ☐ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☒ ☐ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☒ ☐ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7079 El Dorado Juvenile Treatment Center PRO 23-24 Page 39 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7081 FACILITY NAME: South Lake Tahoe Juvenile Treatment Center (JTC) – FACILITY TYPE: Camp Challenge Camp PERSON(S) INTERVIEWED: Kaci Smith, Superintendent; Kyle Heller, Supervising Deputy Probation Officer (SDPO); Robert Kramer, SDPO; Kayla Diane Evans, Deputy Probation Officer I; Scot Van Houten, Deputy Probation Officer III; Robin Galdi, RN Wellpath; Riann Giovacchini, LCSW Mental Health Coordinator; Carey Buchanan, Director Alternative Programs El Dorado County of Education FIELD REPRESENTATIVE: Craigus Thompson DATE: May 26, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF All Local Inspection completed for this BUILDING AND GROUNDS inspection cycle. On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ Completed on 6/29/2022 by Ray Wieand, documented inspection and evaluation from the Building Inspector III. following: (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Completed on 11/17/2022 by Dan Brown, Fire clearance as required by Health and Safety Code Section ☒ ☐ ☐ Safety Inspector. 13146.1(a) and (b); (c) local health officer, inspection in accordance with Environmental completed on 10/11/2022. Health and Safety Code Section 101045; Med/MH completed on 12/15/2022. ☒ ☐ ☐ Nutritional completed on 6/17/2022. (d) county superintendent of schools on the adequacy of Completed on 6/13/2022 by Amy Jackson, educational services and facilities as required in Section ☒ ☐ ☐ Adult Education Counselor 1370; (e) juvenile court as required by Section 209 of the Completed on 3/16/2023 by Judge Michael J. ☒ ☐ ☐ Welfare and Institutions Code; and, McLaughlin. (f) the Juvenile Justice Commission as required by Completed on 6/9/2022 by Margaret Huscher, Section 229 of the Welfare and Institutions Code or Commission Chair. ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7081 El Dorado Challenge Camp PRO 23-24 Page 1 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Memo completed by CPO Brian Richart on 6/7/2022, stating all managers and staff are BSCC Note: Compliance with this section is determined appointed in accordance with applicable by receipt of the Chief Probation Officer’s certification provisions of law including minimum letter confirming that all elements of regulation are met. standards from BSCC, Penal Code 6035, psychological evaluation, medical and (a) Appointment ☒ ☐ ☐ physical exam, criminal records review, etc. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Chief Richart memo Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Chief Richart memo examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection Chief Richart memo and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Chief Richart memo employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- Chief Richart memo employees of the facility, who may be present at the facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 7081 El Dorado Challenge Camp PRO 23-24 Page 2 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING We reviewed a variety of documents including safety check records, grievances, disciplinary Each juvenile facility shall: actions, and incident reports. Also reviewed (a) have an adequate number of personnel sufficient to January and February 2023 staffing carry out the overall facility operation and its schedules for the facility. Review of these programming, to provide for safety and security of youth documents, as well as the policy and and staff, and meet established standards and procedure manuals, revealed compliance with regulations; this regulation. At the time of the inspection, the Juvenile Treatment Center staffing consisted of 1 Superintendent; 3 Supervising Deputy Probation Officers; 1 Administrative Deputy ☒ ☐ ☐ Probation Officer; 18 Deputy Probation Officers I/II; and 2 Sr. Deputy Probation Officers. The facility currently has one vacancy for a SDPO and a DPO I/II. They also have two vacant Probation Assistant positions. The facility is also currently recruiting for 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. (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 Supervisor requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ food preparation and servings; conduct related training 2 Correctional Cooks programs for culinary staff; and maintain necessary 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, 7081 El Dorado Challenge Camp PRO 23-24 Page 3 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 ☒ ☐ ☐ program needs. Staffing shall be in compliance with a 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; (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; inspection was 3 youths: 3 males and 0 female. 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 Review of daily schedules revealed 30 youth present in the facility; compliance with this regulation. 7081 El Dorado Challenge Camp PRO 23-24 Page 4 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 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; 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; Review of daily schedules revealed types of youth committed to the camp; and the ☒ ☐ ☐ compliance with this regulation. 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 A6- Staffing- Youth Supervision duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ Review of daily schedules revealed farm, forestry, kitchen or maintenance shall not be compliance with this regulation. classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION §A4 – Training and Staff Development AND TRAINING The elements of this regulation are covered in (a) Prior to assuming any responsibilities each youth ☒ ☐ ☐ Chief Richart letter, dated 6/7/2022. supervision staff member shall be properly oriented to their duties, including: (1) youth supervision duties; (2) scope of decisions they shall make; ☒ ☐ ☐ §A4 – Training and Staff Development (3) the identity of their supervisor; ☒ ☐ ☐ §A4 – Training and Staff Development (4) the identity of persons who are responsible to §A4 – Training and Staff Development ☒ ☐ ☐ them; (5) persons to contact for decisions that are beyond §A4 – Training and Staff Development ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ §A4 – Training and Staff Development (b) Prior to assuming any responsibility for the §A4 – Training and Staff Development supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- It should be noted all new employees receive specific orientation, including: eighty (80) hours of training prior to assuming ☒ ☐ ☐ any responsibility for the supervision of youth. It should further be noted all JTC staff work with Detention, Challenge Camp, and SYTF youth throughout the facility. (1) individual and group supervision techniques; ☒ ☐ ☐ §A4 – Training and Staff Development (2) regulations and policies relating to discipline and §A4 – Training and Staff Development rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ §A4 – Training and Staff Development (4) suicide prevention and response to suicide §A4 – Training and Staff Development ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation §A4 – Training and Staff Development techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing §A4 – Training and Staff Development ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ §A4 – Training and Staff Development 7081 El Dorado Challenge Camp PRO 23-24 Page 5 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) routine security measures, including facility §A4 – Training and Staff Development ☒ ☐ ☐ perimeter and grounds; (9) crisis intervention and mental health referrals to §A4 – Training and Staff Development ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ §A4 – Training and Staff Development (11) fire/life safety training ☒ ☐ ☐ §A4 – Training and Staff Development (c) Prior to assuming sole supervision of youth, each §A4 – Training and Staff Development youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth §A4 – Training and Staff Development supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY §A6 – Staffing Whenever there is a youth in a juvenile facility, there shall §D1 – Fire Safety, Prevention, and Fire Drill be at least one wide awake person on duty at all times Procedure who meets the training standards established by the Board for general fire and life safety which relate §F4 – Youth Supervision, Security, and Officer specifically to the facility. Daily Assignments ☒ ☐ ☐ Review of documentation indicates that all youth supervisory staff receive site-specific life safety training during orientation. Also, all full-time employees receive fire and safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL §A4 – Training and Staff Development All facility administrators shall develop, publish, and County of El Dorado Juvenile Treatment implement a manual of written policies and procedures Center Policy, Procedures, and Operations that address, at a minimum, all regulations that are Manual was provided prior to the date of the applicable to the facility. Such a manual shall be made inspection. The manual was administratively available to all employees, reviewed by all employees, ☒ ☐ ☐ reviewed by Kyle Heller, Supervising Deputy and shall be administratively reviewed at a minimum Probation Officer on April 4, 2023. It should be every two years, and updated, as necessary. Those noted the policy and procedure manual is records relating to the standards and requirements set utilized for Detention, Challenge Camp, and forth in these regulations shall be accessible to the Board SYTF youth. on request. The manual shall include: (a) table of organization, including channels of Department Intranet Site, Table of Contents, ☒ ☐ ☐ communications and a description of job classifications; and Organization Chart. (b) responsibility of the probation department, purpose of §II – Facility Management Responsibilities programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or §A1 – Purposes and Objectives of Detention Probation Committee, probation staff, school personnel Facilities and other agencies that are involved in juvenile facility ☒ ☐ ☐ programs; §A5 – Relationships with Other Agencies §A13 – Purpose of Programs/Interventions/ Services (c) responsibilities of all employees; Dept. Policy §IV10 – Employee Conduct §A2 – Basic Philosophy ☒ ☐ ☐ §A14 – Chain of Command for Juvenile Detention Facility Staff (d) initial orientation and training program for employees; ☒ ☐ ☐ §A4 – Training and Staff Development 7081 El Dorado Challenge Camp PRO 23-24 Page 6 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) initial orientation, including safety and security issues §C3 – Volunteers, Vendors, Contract and anti-discrimination policies, for support staff, contract Personnel, and Non-Employees ☒ ☐ ☐ employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and §B1 – Documentation communication system to ensure: ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (1) efficient operation of the juvenile facility; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (2) legal and proper care of youth; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (3) maintenance of individual youth's records; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (4) supply of information to the juvenile court and ☒ ☐ ☐ those authorized by the court or by the law; and, §B6 – Release of Information and Confidentiality §B1 – Documentation (5) release of information regarding youth. ☒ ☐ ☐ §B6 – Release of Information and Confidentiality Dept. Policy §IV1 – Policy, Procedure and the Law (g) ethical responsibilities; ☒ ☐ ☐ Dept. Policy §IV10 – Employee Conduct §A4 – Training and Staff Development, §A13 – Purpose of Programs/Interventions/ Services, §B7 – Child Abuse Reporting, §L6 – Mental Health Crisis Services, §L7 – Suicide Prevention, §L8 – Suicide Attempt, §M3 – Commitment Programs Choices, (h) trauma-informed approaches; ☒ ☐ ☐ Chances, Changes §M3.1 – Choices Program, §M3.2 – Chances Program, §M3.3 – Changes Program, §M6 – Challenge Program, §M7 – Transition and Aftercare Planning and Implementation, §M10 – PreDispositional Youth §A13 – Purpose of Programs/Interventions/Services, §M3 – Commitment Programs Choices, Chances, Changes, (i) culturally responsive approaches; ☒ ☐ ☐ §M3.1 – Choices Program, §M3.2 – Chances Program, §M3.3 – Changes Program, §M6 – Challenge Program, §M10 – PreDispositional Youth 7081 El Dorado Challenge Camp PRO 23-24 Page 7 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §G1 – Rights of Youth in Custody/Orientation, (j) gender responsive approaches; ☒ ☐ ☐ §G8 – Transgender and Intersex Youth, §H3 – Searches of Youth (k) a non-discrimination provision that provides that all §G1 – Rights of Youth in Custody/Orientation youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any §D6 – Emergency Equipment, chemical agents related security devices, and weapons and ammunition, where applicable; ☒ ☐ ☐ §G10.1 – Oleoresin Capsicum (OC) Spray, §G13 – Weapons Control (m) establishment of procedures for collection of Medi- §L10 – Medical Eligibility Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of §G8 – Transgender and Intersex Youth in sexual abuse, sexual assault and sexual harassment. Juvenile Detention Facilities, The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ §G21 – Sexual Abuse and Sexual retaliation for reporting such conduct, as well as a Harassment Prevention, Reporting, and provision for reporting such conduct by youth, staff or a Response third party. 1325 FIRE SAFETY PLAN §D1 – Fire Safety, Prevention, and Fire Drill Procedure, The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ §D3 – Pre-Fire Safety/Suppression Plan which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff §II – Facility Management Responsibilities, with two-year retention of the inspection record; §D1 – Fire Safety, Prevention, and Fire Drill Procedure We reviewed monthly and fire safety ☒ ☐ ☐ inspections for the inspection cycle. Review of documentation reveals compliance with this regulation. (c) fire prevention inspections as required by Health and §II – Facility Management Responsibilities, Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ §D1 – Fire Safety, Prevention, and Fire Drill Procedure (d) an evacuation plan; §D2 – Fire Safety, Natural Disasters, and ☒ ☐ ☐ Emergency Evacuation Plan 7081 El Dorado Challenge Camp PRO 23-24 Page 8 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; §D1 – Fire Safety, Natural Disasters, and Emergency Evacuation Plan ☒ ☐ ☐ We reviewed fire drills for the inspection cycle. Review of documentation reveals compliance with this regulation. (f) a written plan for the emergency housing of youth in §D8 – Mutual Aid and Emergency Housing ☒ ☐ ☐ the case of fire; and, (g) development of a fire suppression pre-plan in §D3 – Pre-Fire Safety/Suppression Plan cooperation with the local fire department. ☒ ☐ ☐ Fire Suppression Pre-plan was completed on 11/17/2022 in conjunction with the local fire department Safety Inspector Daniel Brown. 1326 SECURITY REVIEW Security Review for JTC completed by Superintendent Kaci Smith on 06/7/2022. Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES §D1 – Fire Safety, Prevention, and Fire Drill Procedure The facility administrator shall develop facility-specific policies and procedures for emergencies that shall ☒ ☐ ☐ §D2 – Fire Safety, Natural Disasters, and include, but not be limited to: Emergency Evacuation Plan Dept. Policy §IV33 – Safety, Uncooperative Clientele, and Threats, (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ §G6 – Transportation of Youth/Court Restraints, §G14 – Hostage Procedure Dept. Policy §IV23 – Officer-Involved Critical Incident Protocol, (b) civil disturbance, active shooter and terrorist ☒ ☐ ☐ Dept. Policy §IV33 – Safety, Uncooperative attack; Clientele, and Threats, §D7 – Active Shooter and Terrorist Attack §D2 – Fire Safety, Natural Disasters, and (c) fire and natural disasters; ☒ ☐ ☐ Emergency Evacuation Plan (d) periodic testing of emergency equipment; ☒ ☐ ☐ §D6 – Emergency Equipment §D2 – Fire Safety, Natural Disasters, and (e) emergency evacuation of the facility; and ☒ ☐ ☐ Emergency Evacuation Plan Facility Emergency Procedures were (f) a program to provide all youth supervision staff ☒ ☐ ☐ reviewed by staff at the April 19, 2023, All Staff with an annual review of emergency procedures. meeting. 7081 El Dorado Challenge Camp PRO 23-24 Page 9 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS We reviewed the facility’s safety checks for the months of January, February, and March The facility administrator shall develop and implement 2023. Review of documentation revealed policy and procedures that provide for direct visual safety checks are being completed per observation of youth at a minimum of every 15 minutes, regulation. It should be noted at the JTC at random or varied intervals during hours when youth safety checks are completed every 10 are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ minutes which is above and beyond Title 15 requirements of every 15 minutes. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system We also reviewed live-time safety checks as designed to detect overt, aggressive or assaultive we toured the facility. All checks reviewed behavior and to summon aid in emergencies. All safety were in compliance with this regulation. checks shall be documented with the actual time the check is completed. 1329 SUICIDE PREVENTION PLAN §L7 – Suicide Prevention The facility administrator, in collaboration with the §L8 – Suicide Attempt healthcare and behavioral/mental health administrators, shall plan and implement written policies and At the time of the inspection zero (0) Camp procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ youth have been placed on any level on The plan shall consider the needs of youth experiencing suicide watch this inspection cycle. 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 §L7 – Suicide Prevention 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and §L7 – Suicide Prevention, Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at §H1 – Receiving and Processing Youth intake and as needed during detention. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the §L7 – Suicide Prevention intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ Review of documentation as well as interview suicide risk assessment. with the facility Mental Health Coordinator revealed compliance with this regulation. (4) Precautionary protocols shall be developed to §L7 – Suicide Prevention ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for §L7 – Suicide Prevention ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk §L7 – Suicide Prevention ☒ ☐ ☐ for suicide. (e) Safety Interventions §L7 – Suicide Prevention (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ §L7 – Suicide Prevention (B) Treatment strategies including trauma- §L7 – Suicide Prevention ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff §L7 – Suicide Prevention how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. 7081 El Dorado Challenge Camp PRO 23-24 Page 10 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication §L7 – Suicide Prevention (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 §L7 – Suicide Prevention 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 §A8 – Critical Incident Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected §A8 – Critical Incident Debriefing ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected §A8 – Critical Incident Debriefing ☒ ☐ ☐ youth. (h) Documentation §A8 – Critical Incident Debriefing (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the §L7 – Suicide Prevention 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. 1340 REPORTING OF LEGAL ACTIONS §II – Facility Management Responsibilities Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ No legal action reported this inspection cycle. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY §L9 – Death OF A YOUTH WHILE DETAINED No death and serious illness or injury of a (1) Death of a Youth. youth this inspection cycle. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with §L9 – Death the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. 7081 El Dorado Challenge Camp PRO 23-24 Page 11 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The administrator of the facility shall provide to §L9 - Death the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth §L9 – Death from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. §L2 – Parental Notification of a Medical (a) The facility administrator, in cooperation with Emergency the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING §II – Facility Management Responsibilities Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) §II – Facility Management Responsibilities When the number of youth detained in a living unit of a JTC- 40 total juvenile facility exceeds its rated capacity for more than fifteen (15) calendar days in a month, the facility ☒ ☐ ☐ JH- 20 administrator shall provide a crowding report to the Camp- 8 Board in a format provided by the Board. SYTF- 12 1350 ADMITTANCE PROCEDURES §H1 – Receiving and Processing Youth, §H3 – Searches of Youth, The facility administrator shall develop and implement §H4 – Classification of Youth, written policies and procedures for admittance of youth §G21 – Sexual Abuse and Sexual that emphasize respectful and humane engagement Harassment Prevention, Reporting and with youth, and reflect that the admission process may Response be traumatic to youth who may have already experienced trauma. Policies shall be trauma-informed, We reviewed five (5) youth admittance culturally relevant, and responsive to the language and ☒ ☐ ☐ packages from the Camp program. Review of literacy needs of youth. In addition to the requirements documentation provided and policy and of Sections 1324 and 1430 of these regulations: procedure manuals revealed compliance with this regulation. It should be noted youth that are assigned and transferred to the camp do not go through another admittance process. (a) the admittance process shall include: §H1 – Receiving and Processing Youth (1) Access to two free phone calls within one hour of ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; Not Applicable as Camp youth are transferred (2) Offer of a shower; ☐ ☐ ☒ from a detention bed to a camp bed. (3) Documented secure storage of personal §H1 – Receiving and Processing Youth ☒ ☐ ☐ belongings; 7081 El Dorado Challenge Camp PRO 23-24 Page 12 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Not Applicable as Camp youth are transferred (4) Offer of food upon arrival; ☐ ☐ ☒ from a detention bed to a camp bed. (5) Screening for physical and behavioral health §H1 – Receiving and Processing Youth and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental §H1 – Receiving and Processing Youth disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the §H1 – Receiving and Processing Youth Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, §G8 – Transgender and Intersex Youth in (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Juvenile Detention Facilities (b) juvenile hall administrators shall establish written EBP P&P §11 – Youth Risk and Needs criteria for detention that considers the least restrictive ☒ ☐ ☐ Assessment environment. (c) juvenile camps and post-dispositional programs in §E3 – Counseling and Casework Services, juvenile halls shall develop policies and procedures that §M3 – Commitment Programs Choices, advise the youth of the estimated length of stay, inform Chances, Changes, them of program guidelines and provide written §M3.1 – Choices Program, screening criteria for inclusion and exclusion from the §M3.2 – Chances Program, program. §M3.3 – Changes Program, ☒ ☐ ☐ §M6 – Challenge Program It should be noted youth assigned to the Camp program are advised of their length of stay and program guidelines during their initial meeting with the assigned institution Deputy Probation Officer (DPO). (d) juvenile halls shall develop policies and procedures §E3 – Counseling and Casework Services that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL EBP P&P §11 – Youth Risk and Needs ABUSE Assessment, The facility administrator shall develop and implement We reviewed ten (10) youth PREA/Behavioral written policies and procedures to reduce the risk of Screening and ten (10) MAYSI-2 youth sexual abuse by or upon youth. The policy shall require reports from JTC. Review of documentation facility staff to assess each youth within 72 hours of provided and policy and procedure manual admission based on the following information: ☒ ☐ ☐ revealed compliance with this regulation. It should be noted Camp youth screening for the risk of sexual abuse is completed upon admittance to the facility. There is not an additional assessment upon assignment to the camp program. EBP P&P §11 – Youth Risk and Needs Assessment, (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ §H1 – Receiving and Processing Youth (b) Gender nonconforming appearance or manner; or EBP P&P §11 – Youth Risk and Needs identification as lesbian, gay or bisexual, transgender, Assessment, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; §H1 – Receiving and Processing Youth 7081 El Dorado Challenge Camp PRO 23-24 Page 13 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS EBP P&P §11 – Youth Risk and Needs Assessment, (c) Current charges and offense history; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (d) Age; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (e) Level of emotional and cognitive development; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (f) Physical size and stature; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (g) Mental illness or mental disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (h) Intellectual or developmental disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (i) Physical disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ §H1 – Receiving and Processing Youth (k) Any other specific information about the individual EBP P&P §11 – Youth Risk and Needs youth that may indicate heightened needs for Assessment, ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. §H1 – Receiving and Processing Youth Staff shall ascertain this information through EBP P&P §11 – Youth Risk and Needs conversations with the youth during the admittance Assessment, process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing §H1 – Receiving and Processing Youth court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate §G21 – Sexual Abuse and Sexual controls on the dissemination of information within the Harassment Prevention, Reporting and facility relative to responses received pursuant to this Response ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES §H5 – Release of Youth The facility administrator shall develop and implement §M7 – Transition and Aftercare Planning and written policies and procedures for release of youth from Implementation custody which provide for: ☒ ☐ ☐ We reviewed five (5) Youth Release Authorization Record forms from the Camp. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. (a) verification of identity/release papers; ☒ ☐ ☐ §H5 – Release of Youth 7081 El Dorado Challenge Camp PRO 23-24 Page 14 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §H5 – Release of Youth We reviewed five (5) Youth Property forms (b) return of personal clothing and valuables; ☒ ☐ ☐ from the Camp program. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. (c) notification to the youth's parents or guardian; ☒ ☐ ☐ §H5 – Release of Youth (d) notification to the facility health care provider in §H5 – Release of Youth accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ §H5 – Release of Youth (f) notification of facility mental health personnel. ☒ ☐ ☐ §H5 – Release of Youth The facility administrator shall develop and implement §M7 – Transition and Aftercare Planning and policies and procedures for post-disposition youth to Implementation coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement §H7 – Temporary Release of Youth written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION §H4 – Classification of Youth The facility administrator shall develop and implement The MAYSI-2 and PREA/Behavioral written policies and procedures on classification of youth Screening are used to determine youth for the purpose of determining housing placement in the ☒ ☐ ☐ classification. We reviewed five (5) youth facility. classification packets from the Camp Such procedures shall: program. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. (a) provide for the safety of the youth, other youth, §H4 – Classification of Youth facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of §H4 – Classification of Youth ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon §H4 – Classification of Youth admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Reviewed Weekly in Multi-Disciplinary Team provisions that consider the level of supervision and the ☒ ☐ ☐ Meeting. Documented in weekly MDT Notes. youth's behavior while in custody; and, 7081 El Dorado Challenge Camp PRO 23-24 Page 15 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) provide that facility staff shall not separate youth §H4 – Classification of Youth from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, §H4 – Classification of Youth transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. §G8 – Transgender and Intersex Youth The facility administrator shall develop written policies We reviewed the Transgender/Intersex Youth and procedures ensuring respectful and equitable ☒ ☐ ☐ Preference form. Review of form provided and treatment of transgender and intersex youth. The policy and procedure manuals revealed policies shall provide that: compliance with this regulation. (a) Facility staff shall respect every youth’s gender §G8 – Transgender and Intersex Youth identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present §G8 – Transgender and Intersex Youth themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that §G8 – Transgender and Intersex Youth best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender §G8 – Transgender and Intersex Youth and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and §G8 – Transgender and Intersex Youth necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any §G8 – Transgender and Intersex Youth youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 7081 El Dorado Challenge Camp PRO 23-24 Page 16 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1353 ORIENTATION §G1 – Rights of Youth in Custody/Orientation The facility administrator shall develop and implement We reviewed ten (10) youth El Dorado County written policies and procedures to orient a youth prior to Juvenile Detention Facility Orientation forms. placement in a living area. Both written and verbal Review of documentation provided and policy information shall be provided and supplemented with and procedure manual revealed compliance video orientation if feasible. Provision shall be made to with this regulation. provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or ☒ ☐ ☐ Each youth is provided a Youth Orientation English language learners. Orientation shall include Handbook during the booking process. information that addresses: It should be noted a youth assigned to the camp program will have an orientation/ overview of the program with their assigned institution Deputy Probation Officer (DPO) during their initial meeting. (a) facility rules including contraband and searches and §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions §G1 – Rights of Youth in Custody/Orientation and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the §G1 – Rights of Youth in Custody/Orientation facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ §G1 – Rights of Youth in Custody/Orientation (e) the existence of the grievance procedure, the steps §G1 – Rights of Youth in Custody/Orientation that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ health care; (h) access to education, religious services, and ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ recreational activities; ☒ §G1 – Rights of Youth in Custody/Orientation (i) housing assignments; ☐ ☐ (j) opportunity for personal hygiene and daily showers ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ telephone use; (l) availability of reading materials, programming, and ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ chemical agents and room confinement; ☒ §G1 – Rights of Youth in Custody/Orientation (n) immigration legal services; ☐ ☐ ☒ §G1 – Rights of Youth in Custody/Orientation (o) emergencies including evacuation procedures; ☐ ☐ (p) non-discrimination policy and the right to be free from §G1 – Rights of Youth in Custody/Orientation ☒ physical, verbal or sexual abuse and harassment by ☐ ☐ other youth and staff; (q) availability of services and programs in a language ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ other than English if appropriate; 7081 El Dorado Challenge Camp PRO 23-24 Page 17 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (r) the process for requesting different housing, ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive §G1 – Rights of Youth in Custody/Orientation information regarding the youth’s stay in the facility that ☒ at a minimum includes answers to frequently asked ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title §G1 – Rights of Youth in Custody/Orientation 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Access to Title 15 is available to youth upon request to staff. 1354 SEPARATION §G9.1 – Administrative Separation The facility administrator shall develop and implement ☒ ☐ ☐ No Camp youth has been separated from written policies and procedures that address: normal programming this inspection cycle. (a) separation of youth for reasons that include, but are §H4 – Classification of Youth, not be limited to, medical and mental health conditions, §G9 – Confinement, assaultive behavior, disciplinary consequences and ☒ ☐ ☐ §G9.1 – Administrative Separation, protective custody. §L3 – Medical and Dental Procedures, §L7 – Suicide Prevention (b) consideration of positive youth development and §H4 – Classification of Youth ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal §G9 – Confinement privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. §G9.1 – Administrative Separation (d) when the objective of the separation is discipline, §G9.1 – Administrative Separation ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the §G9 – Confinement separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review §G9 – Confinement, of separated youth to determine if separation remains ☒ ☐ ☐ §G9.1 – Administrative Separation, necessary. §H4 – Classification of Youth 1354.5 ROOM CONFINEMENT §G9 – Confinement (a) The facility administrator shall develop and We reviewed two room confinement reports implement written policies and procedures addressing from the Camp program. Review of those the confinement of youth in their room that are ☒ ☐ ☐ reports and policy and procedure manual consistent with Welfare and Institutions Code Section revealed compliance with this regulation. 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: (1) Room confinement shall not be used before §G9 - Confinement 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 §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: 7081 El Dorado Challenge Camp PRO 23-24 Page 18 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 §G9 - 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 §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. 1355 INSTITUTIONAL ASSESSMENT AND PLAN §E2 – Assessment and Case Plan The facility administrator shall develop and implement Reviewed ten (10) youth Assessment written policies and procedures for assessment and ☒ ☐ ☐ Summary and Case plans from the JTC case planning. facility. Review of documentation provided revealed compliance with this regulation. 7081 El Dorado Challenge Camp PRO 23-24 Page 19 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: §E2 – Assessment and Case Plan, The assessment is based on information collected during the admission process with periodic review, §E3 – Counseling and Casework Services, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of §M7 – Transition and Aftercare Planning substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: §E2 – Assessment and Case Plan (1) A case plan shall be developed for each youth ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be §E2 – Assessment and Case Plan ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of §E2 – Assessment and Case Plan ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes §E2 – Assessment and Case Plan a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting §E2 – Assessment and Case Plan the objectives, including periodic review and discussion of the plan with the youth; It should be noted the facility follows up with ☒ ☐ ☐ each youth every two weeks to ensure progress towards meeting youth goals and objectives. (4) a transition plan, the contents of which shall be §E2 – Assessment and Case Plan, subject to existing resources, shall be developed for ☒ ☐ ☐ post dispositional youth in accordance with Section §M7 – Transition and Aftercare Planning 1351; and, (5) in as much as possible and if appropriate, the §E2 – Assessment and Case Plan, plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ §M7 – Transition and Aftercare Planning and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES §E3 – Counseling and Casework Services The facility administrator shall develop and implement Reviewed ten (10) youth Counseling and written policies and procedures ensuring the availability Casework packets from JTC. Review of of appropriate counseling and casework services for all documentation provided revealed compliance youth. Policies and procedures shall ensure: ☒ ☐ ☐ with this regulation. It should be noted youth assigned to the Camp program receive programming based on each youth’s specific needs. (a) youth will receive assistance with needs or concerns §E3 – Counseling and Casework Services ☒ ☐ ☐ that may arise; (b) youth will receive assistance in requesting contact §E3 – Counseling and Casework Services with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources §E3 – Counseling and Casework Services ☒ ☐ ☐ to meet the youth’s needs. 7081 El Dorado Challenge Camp PRO 23-24 Page 20 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE §G10 – Use of Force The facility administrator, in cooperation with the We reviewed ten (10) hands-on use of force responsible physician, shall develop and implement reports from the JTC facility. Review of policy written policies and procedures for the use of force, and procedure and documentation revealed which may include chemical agents. Force shall never ☒ ☐ ☐ compliance with this regulation. It should be be applied as punishment, discipline, retaliation or noted each report reviewed contained staff treatment. efforts to de-escalate the incident and (a) At a minimum, each facility shall develop policies and command calls given to the youth prior to procedures which: 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. (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 notification to parents, guardians. medical, and mental health are documented in 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 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. 7081 El Dorado Challenge Camp PRO 23-24 Page 21 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 ☒ ☐ ☐ It should be noted notification to parents, staff and parents or legal guardians. medical, and mental health are documented in 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 §G10.1 – Oleoresin Capsicum ☒ ☐ ☐ that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of §G10.1 – Oleoresin Capsicum ☒ ☐ ☐ application. (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. 1358 USE OF PHYSICAL RESTRAINTS §G11 – Use of Physical and Mechanical Restraint The facility administrator, in cooperation with the responsible physician and mental health director, shall Review of documentation provided, and policy develop and implement written policies and procedures ☒ ☐ ☐ and procedure manuals revealed compliance for the use of restraint devices. Restraint devices with this regulation. include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth §G11 – Use of Physical and Mechanical who present an immediate danger to themselves or Restraint others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or §G11 – Use of Physical and Mechanical discipline, or as a substitute for treatment. The use of Restraint restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7081 El Dorado Challenge Camp PRO 23-24 Page 22 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The provisions of this section do not apply to the use of §G11 – Use of Physical and Mechanical handcuffs, shackles or other restraint devices when used Restraint to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval §G11 – Use of Physical and Mechanical of the facility manager or designee. The facility manager Restraint may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and §G11 – Use of Physical and Mechanical retention shall be secured as soon as possible, but no Restraint later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as §G11 – Use of Physical and Mechanical possible, but in no case longer than four hours from the Restraint ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted §G11 – Use of Physical and Mechanical to ensure that the restraints are properly employed, and Restraint to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and §G11 – Use of Physical and Mechanical procedures shall address: Restraint ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate §G11 – Use of Physical and Mechanical ☒ ☐ ☐ certain restraint devices and/or techniques. Restraint (c) acceptable restraint devices. §G11 – Use of Physical and Mechanical ☒ ☐ ☐ Restraint (d) signs or symptoms which should result in immediate §G11 – Use of Physical and Mechanical ☒ ☐ ☐ medical/mental health referral. Restraint (e) availability of cardiopulmonary resuscitation §G11 – Use of Physical and Mechanical ☒ ☐ ☐ equipment. Restraint (f) protective housing of restrained youth. While in §G11 – Use of Physical and Mechanical restraint devices, all youth shall be housed alone or in a Restraint ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. §G11 – Use of Physical and Mechanical (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Restraint §G11 – Use of Physical and Mechanical (h) exercising of extremities. ☒ ☐ ☐ Restraint 7081 El Dorado Challenge Camp PRO 23-24 Page 23 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR §G11.1 – Use of Mechanical Restraints for MOVEMENT AND TRANSPORTATION Movement in the Facility WITHIN THE FACILITY. Review of documentation provided and policy The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health ☒ ☐ ☐ and procedure manuals revealed compliance with this regulation. director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff §G11.1 – Use of Mechanical Restraints for approved to utilize restraint devices and the required ☒ ☐ ☐ Movement in the Facility training. (b) the circumstances leading to the application of §G11.1 – Use of Mechanical Restraints for ☒ ☐ ☐ restraints must be documented. Movement in the Facility (c) an individual assessment of the need to apply §G11.1 – Use of Mechanical Restraints for restraints for movement or transportation that includes Movement in the Facility consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, §G11.1 – Use of Mechanical Restraints for with a clearly defined expectation that restraint devices Movement in the Facility ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in §G11.1 – Use of Mechanical Restraints for accordance with Penal Code Section 6030(f) and Movement in the Facility Welfare and Institutions Code Section 222. ☒ ☐ ☐ §G20 – Pregnant Female Youth 1359 SAFETY ROOM PROCEDURES Not Applicable – No Safety Room in the Facility. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, 7081 El Dorado Challenge Camp PRO 23-24 Page 24 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ accomplished in accordance with the following: (1) safety room 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) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☐ ☐ ☒ youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room ☐ ☐ ☒ for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ (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. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☐ ☐ ☒ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES §G16 – Facility Searches, §G17 – Visitor Searches, The facility administrator shall develop and implement §H3 – Searches of Youth written policies and procedures governing the search of ☒ ☐ ☐ youth, the facility, and visitors. Policies and procedures shall provide that: None of the Search Authorization forms reviewed involved a Camp youth. (a) Searches shall be conducted to ensure the safety §G16 – Facility Searches, and security of the facility, public, visitors, youth, and ☒ ☐ ☐ §G17 – Visitor Searches, staff. §H3 – Searches of Youth (b) Searches shall be conducted in a manner that §H3 – Searches of Youth preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity §H3 – Searches of Youth ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be §H3 – Searches of Youth ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only §H3 – Searches of Youth be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall §H3 – Searches of Youth ☒ ☐ ☐ comply with Section 1352.5. 7081 El Dorado Challenge Camp PRO 23-24 Page 25 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Cross-gender pat-down searches and strip searches §H3 – Searches of Youth are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE §G5 – Grievances The facility administrator shall develop and implement We reviewed the grievance logs from 2023 written policies and procedures whereby any youth may JTC. In all, we reviewed seventeen (17) youth appeal and have resolved grievances relating to any grievance forms. Review of policy and condition of confinement, including but not limited to procedure and review of 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; (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; (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 Technical assistance was provided with addressed immediately; regards to ensuring youth grievance forms are ☒ ☐ ☐ being initially responded to within three (3) business days. However, the majority of the grievances reviewed were responded to within the three 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; and, (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. 7081 El Dorado Challenge Camp PRO 23-24 Page 26 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1362 REPORTING OF INCIDENTS §B5 – Special Incident Report A written report of all incidents which result in physical Review of documentation provided revealed harm, use of force, serious threat of physical harm, or compliance with this regulation. death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT §G10 – Use of Force DNA SPECIMENS, SAMPLES, IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force ☒ ☐ ☐ to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of §G10 – Use of Force reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by §G10 – Use of Force efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written §G10 – Use of Force authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell §G10 – Use of Force extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7081 El Dorado Challenge Camp PRO 23-24 Page 27 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM Review of the El Dorado County Office of Education Court School Staff Handbook and (a) School Programs Blue Ridge School Student Handbook The County Board of Education shall provide for the revealed compliance with the regulation. We administration and operation of juvenile court schools in also interviewed school staff, probation staff, conjunction with the Chief Probation Officer, or designee youth, and reviewed school daily schedules pursuant to applicable State laws. The school and facility which also revealed compliance with this administrators shall develop and implement written policy regulation. and procedures to ensure communication and coordination between educators and probation staff. It should be noted the Annual Education Culturally responsive and trauma-informed approaches review was completed on 6/13/2022 by Amy should be applied when providing instruction. Education Jackson, Adult Education Counselor. staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements El Dorado County Office of Education Court The facility school program shall comply with the State School Staff Handbook and Blue Ridge Education Code and County Board of Education policies, School Student Handbook all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education El Dorado County Office of Education Court program shall be free from discriminatory action. Staff School Staff Handbook and Blue Ridge shall refer to transgender, intersex and gender- ☒ ☐ ☐ School Student Handbook nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State El Dorado County Office of Education Court Education Code and include, but not be limited to, ☒ ☐ ☐ School Staff Handbook and Blue Ridge courses required for high school graduation. School Student Handbook (2) Information and preparation for the High School El Dorado County Office of Education Court Equivalency Test as approved by the California School Staff Handbook and Blue Ridge ☒ ☐ ☐ Department of Education shall be made available to School Student Handbook eligible youth. (3) Youth shall be informed of post-secondary El Dorado County Office of Education Court education and vocational opportunities. ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (4) Administration of the High School Equivalency El Dorado County Office of Education Court Tests as approved by the California Department of ☒ ☐ ☐ School Staff Handbook and Blue Ridge Education, shall be made available when possible. School Student Handbook 7081 El Dorado Challenge Camp PRO 23-24 Page 28 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Supplemental instruction shall be afforded to youth El Dorado County Office of Education Court who do not demonstrate sufficient progress towards ☒ ☐ ☐ School Staff Handbook and Blue Ridge grade level standards. School Student Handbook (6) The minimum school day shall be consistent with El Dorado County Office of Education Court State Education Code Requirements for juvenile court School Staff Handbook and Blue Ridge schools. The facility administrator, in conjunction with School Student Handbook education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless El Dorado County Office of Education Court of classification, housing, security status, disciplinary School Staff Handbook and Blue Ridge or separation status, including room confinement, School Student Handbook except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline El Dorado County Office of Education Court (1) Positive behavior management will be School Staff Handbook and Blue Ridge implemented to reduce the need for disciplinary action School Student Handbook ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative El Dorado County Office of Education Court decisions made by probation staff that may affect the ☒ ☐ ☐ School Staff Handbook and Blue Ridge educational programming of students. School Student Handbook (3) Except as otherwise provided by the State El Dorado County Office of Education Court Education Code, expulsion/suspension from school School Staff Handbook and Blue Ridge shall be imposed only when other means of correction School Student Handbook fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with El Dorado County Office of Education Court education staff will develop policies and procedures School Staff Handbook and Blue Ridge ☒ ☐ ☐ that address the rights of any student who has School Student Handbook continuing difficulty completing a school day. (d) Provisions for Special Populations El Dorado County Office of Education Court (1) State and federal laws and regulations shall be School Staff Handbook and Blue Ridge observed for all individuals with disabilities or School Student Handbook suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be El Dorado County Office of Education Court afforded an educational program that addresses their School Staff Handbook and Blue Ridge language needs pursuant to all applicable state and ☒ ☐ ☐ School Student Handbook federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission El Dorado County Office of Education Court (1) Youth shall be interviewed after admittance and a School Staff Handbook and Blue Ridge ☒ ☐ ☐ record maintained that documents a youth's School Student Handbook educational history, including but not limited to: 7081 El Dorado Challenge Camp PRO 23-24 Page 29 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) School progress/school history; El Dorado County Office of Education Court ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (B) Home Language Survey and the results of the El Dorado County Office of Education Court State Test used for English language proficiency; ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (C) Needs and services of special populations as El Dorado County Office of Education Court defined by the State Education Code, including but ☒ ☐ ☐ School Staff Handbook and Blue Ridge not limited to, students with special needs. School Student Handbook (D) Discipline problems. El Dorado County Office of Education Court ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (2) Youth will be immediately enrolled in school. El Dorado County Office of Education Court Educational staff shall conduct an assessment to School Staff Handbook and Blue Ridge determine the youth's general academic functioning ☒ ☐ ☐ School Student Handbook levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary El Dorado County Office of Education Court education plan shall be developed for each youth ☒ ☐ ☐ School Staff Handbook and Blue Ridge within five school days. School Student Handbook (4) Upon enrollment, education staff shall comply with El Dorado County Office of Education Court the State Education Code and request the youth's School Staff Handbook and Blue Ridge records from his/her prior school(s), including, but not School Student Handbook limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting El Dorado County Office of Education Court (1) The complete facility educational record of the School Staff Handbook and Blue Ridge youth shall be forwarded to the next educational ☒ ☐ ☐ School Student Handbook placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall El Dorado County Office of Education Court provide appropriate credit (full or partial) for course School Staff Handbook and Blue Ridge ☒ ☐ ☐ work completed while in juvenile court school in School Student Handbook accordance with the State Education Code. (g) Transition and Re-Entry Planning El Dorado County Office of Education Court (1) The Superintendent of Schools and the Chief School Staff Handbook and Blue Ridge Probation Officer or designee, shall develop policies School Student Handbook and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities El Dorado County Office of Education Court (1) The school and facility administrator should, School Staff Handbook and Blue Ridge whenever possible, collaborate with local post- School Student Handbook secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7081 El Dorado Challenge Camp PRO 23-24 Page 30 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND §E4 – Recreation, Programs, and Exercise EXERCISE. 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 the facility 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 facility walkthrough, the youth daily schedule was observed posted within the living unit. There will be a written annual review of the programs, Programs Annual Review completed by recreation, and exercise by the responsible agency to Superintendent Kaci Smith on November 27, ☒ ☐ ☐ ensure content offered is current, consistent, and 2022. relevant to the population. (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 As previously stated, youth assigned to the recidivism. These programs should be based on the Camp program participate in programs based youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ on the youth’s specific needs. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7081 El Dorado Challenge Camp PRO 23-24 Page 31 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; §E4 – Recreation, Programs, and Exercise (2) Management of Stress and Trauma; (3) Anger Management; It should be noted the Mental Health team (4) Conflict Resolution; provides a minimum of one (1) hour of (5) Juvenile Justice System; programming per day seven (7) days a week. (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (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 ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (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. 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 ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM §E10 – Religion The facility administrator shall provide access to religious Review of daily schedule revealed youth can services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ participate in alternative programming during the scheduled religious program time. allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ §E10 – Religion (b) availability of clergy; and, ☒ ☐ ☐ §E10 – Religion (c) availability of religious diets. ☒ ☐ ☐ §E10 – Religion 1373 WORK PROGRAM §E8 – Work Assignments and K1 Culinary Arts Program The facility administrator shall develop policies and procedures regarding the fair and consistent assignment Review Work Assignments and Culinary Arts of youth to work programs. Work assigned to a youth ☒ ☐ ☐ Program policy and procedures revealed shall be meaningful, constructive and related to compliance with this regulation. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 7081 El Dorado Challenge Camp PRO 23-24 Page 32 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING §E13 – Visiting The facility administrator shall develop and implement Review of policy and procedures and visitation written policies and procedures for visiting, that include logs revealed compliance with this regulation. provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family ☒ ☐ ☐ members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to §E13 - Visiting the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours §E13 - Visiting per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour §E13 - Visiting minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy ☒ ☐ ☐ and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an §E13 – Visiting alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Zoom visits are offered to youth but not as a replacement to in-person visits. 1375 CORRESPONDENCE §C10 – Correspondence – Mail The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviewed as well as review written policies and procedures for correspondence of policy and procedures revealed compliance which provide that: with this regulation. (a) there is no limitation on the volume of mail that youth §C10 – Correspondence – Mail ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ §C10 – Correspondence – Mail (c) youth may correspond confidentially with state and §C10 – Correspondence – Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described §C10 – Correspondence – Mail in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS §C11 – Youth Telephone Access The administrator of each juvenile facility shall develop ☒ ☐ ☐ Staff and youth interviewed as well as review and implement written policies and procedures to provide of policy and procedures revealed compliance youth with access to telephone communications. with this regulation. 7081 El Dorado Challenge Camp PRO 23-24 Page 33 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1377 ACCESS TO LEGAL SERVICES §C10 – Correspondence – Mail, §C11 – Youth Telephone Access, The facility administrator shall develop written procedures §E13 – Visiting to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed §E13 – Visiting ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; §C11 – Youth Telephone Access, ☒ ☐ ☐ and, §E13 – Visiting (c) unlimited postage free, legal correspondence and §C10 – Correspondence – Mail ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE §G1 - Rights of Youth in Custody/Orientation The facility administrator shall develop and implement Review of policy and procedures and written policies and procedures for the discipline of youth documentation revealed compliance with this that shall promote acceptable behavior; including the use regulation. of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (b) daily shower, access to drinking fountain, toilet and §G1 - Rights of Youth in Custody/Orientation ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (d) contact with parent or attorney; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (e) exercise; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (f) medical services and counseling; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (g) religious services; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (h) clean and sanitary living conditions; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (i) the right to send and receive mail; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (j) education; and, ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (k) rehabilitative programming. ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation The facility administrator shall establish rules of conduct §G1 - Rights of Youth in Custody/Orientation and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, The facility administrator shall develop and implement §G4 – Disciplinary Due Process, written policies and procedures for the administration of §G23 – Challenge Program Guidelines discipline which shall include, but not be limited to: ☒ ☐ ☐ We reviewed all due process hearings from JTC for 2023. Review of policy and procedures and documentation revealed compliance with this regulation. (a) designation of personnel authorized to impose §G2 – Juvenile Detention Facility Guidelines, discipline for violation of rules; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines 7081 El Dorado Challenge Camp PRO 23-24 Page 34 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) prohibiting discipline to be delegated to any youth; §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (c) definition of major and minor rule violations and their §G2 – Juvenile Detention Facility Guidelines, consequences, and due process requirements; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (d) trauma-informed approaches and positive behavior §G2 – Juvenile Detention Facility Guidelines, interventions; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (e) minor rule violations may be handled informally by §G2 – Juvenile Detention Facility Guidelines, counseling, advising the youth of expected conduct §G3 – Discipline, imposing a minor consequence. Discipline shall be ☒ ☐ ☐ §G4 – Disciplinary Due Process, accompanied by written documentation and a policy of §G23 – Challenge Program Guidelines review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall It should be noted we reviewed all due be documented and require the following: process hearings from JTC for 2023. Review ☒ ☐ ☐ of documentation revealed compliance with this regulation. §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, (1) written notice of violation prior to a hearing; ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (2) accommodations provided to youth with §G3 – Discipline, disabilities, limited literacy, and English language ☒ ☐ ☐ §G4 – Disciplinary Due Process, learners; §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (3) hearing by a person who is not a party to the §G3 – Discipline, ☒ ☐ ☐ incident; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (4) opportunity for the youth to be heard, present §G3 – Discipline, ☒ ☐ ☐ evidence and testimony; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (5) provision for youth to be assisted by staff in the §G3 – Discipline, ☒ ☐ ☐ hearing process; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, (6) provision for administrative review. ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (g) violations that result in a removal from camp or §G2 – Juvenile Detention Facility Guidelines, commitment program, but not a return to court, will §G3 – Discipline, ☒ ☐ ☐ follow the due process provisions in subsection (e) §G4 – Disciplinary Due Process, above. §G23 – Challenge Program Guidelines 1410 MANAGEMENT OF COMMUNICABLE WellPath Medical Procedures DISEASES. §L1 – Health Administrator The health administrator/responsible physician, in cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: 7081 El Dorado Challenge Camp PRO 23-24 Page 35 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Intake health screening procedures; ☒ ☐ ☐ §L1 – Health Administrator (b) Identification of relevant symptoms; ☒ ☐ ☐ §L1 – Health Administrator (c) Referral for medical evaluation; ☒ ☐ ☐ §L1 – Health Administrator (d) Treatment responsibilities during detention; ☒ ☐ ☐ §L1 – Health Administrator (e) Coordination with public and private community- §L1 – Health Administrator ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ §L1 – Health Administrator (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ §L1 – Health Administrator The policies and procedures shall be updated as §L1 – Health Administrator necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Walkthrough of the facility confirmed all (EXCERPT) housing units has a locked medical box. The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ It should also be noted the facility has Mental Health lock boxes within each living unit. establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE §J4 – Facility Issued Clothing The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily §J1 – Laundry Room Guidelines laundered, in good repair, and free of holes and tears. ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (b) The standard issue of climatically suitable clothing §J1 – Laundry Room Guidelines for youth shall consist of but not be limited to: ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing §J1 – Laundry Room Guidelines (1) Socks and serviceable footwear; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing §J1 – Laundry Room Guidelines (2) Outer garments; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (3) New non-disposable underwear which shall §J1 – Laundry Room Guidelines remain with the youth throughout their stay, and; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (4) Undergarments, that are freshly laundered and §J1 – Laundry Room Guidelines free of stains, including tee shirts and bras. ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (c) Clothing is laundered at the temperature required by §J1 – Laundry Room Guidelines local ordinances for the commercial laundries and dried §J2 – Laundry Schedule ☒ ☐ ☐ completely in a mechanical dryer or other laundry §J4 – Facility Issued Clothing method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. §J1 – Laundry Room Guidelines ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing 7081 El Dorado Challenge Camp PRO 23-24 Page 36 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1482 CLOTHING EXCHANGE Interviews with youth and staff confirmed youth receive their own underwear back at The facility administrator shall develop and implement exchange. written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ §F14 – Shower and Daily Hygiene §J1 – Laundry Room Guidelines frequent exchange, outer garments, except for footwear, §J2 – Laundry Schedule shall be exchanged at least once each week. Tee shirts, §J4 – Facility Issued Clothing bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S §J5 – Personal Property PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS §F15 – Personal Care Items There shall be written policies and site-specific procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ §F15 – Personal Care Items (b) Toothpaste; ☒ ☐ ☐ §F15 – Personal Care Items (c) Soap; ☒ ☐ ☐ §F15 – Personal Care Items (d) Comb; ☒ ☐ ☐ §F15 – Personal Care Items (e) Shaving implements; ☒ ☐ ☐ §F15 – Personal Care Items (f) Deodorant; ☒ ☐ ☐ §F15 – Personal Care Items (g) Lotion; ☒ ☐ ☐ §F15 – Personal Care Items (h) Shampoo; and, ☒ ☐ ☐ §F15 – Personal Care Items (i) Post-shower conditioning hair products. ☒ ☐ ☐ §F15 – Personal Care Items Youth shall not be required to share any personal care §F15 – Personal Care Items items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE §F14 – Shower and Daily Hygiene §F15 – Personal Care Items There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 7081 El Dorado Challenge Camp PRO 23-24 Page 37 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1487 SHAVING §F14 – Shower and Daily Hygiene §F15 – Personal Care Items Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) §F16 – Haircut Procedure Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE §J3 – Bedding and Linen Issue Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which §J3 – Bedding and Linen Issue meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in §J3 – Bedding and Linen Issue ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ §J3 – Bedding and Linen Issue (d) One towel; and, ☒ ☐ ☐ §J3 – Bedding and Linen Issue (e) One blanket or more, up on request ☒ ☐ ☐ §J3 – Bedding and Linen Issue 1501 BEDDING LINEN EXCHANGE §J3 – Bedding and Linen Issue The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered §J3 – Bedding and Linen Issue ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND §II – Facility Management Responsibilities MAINTENANCE §F1 – Morning Cleanup Schedule §F2 – Weekend Cleanup The facility administrator shall develop and implement §F5 – Shift Responsibilities – Day written policies and site-specific procedures for the §F6 – Shift Responsibilities – Graveyard maintenance of an acceptable level of cleanliness, §F13 – Graveyard Expectations – 2200-0600 repair and safety throughout the facility. The plan shall §K11 – Kitchen Staff Responsibilities provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7081 El Dorado Challenge Camp PRO 23-24 Page 38 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☒ ☐ ☐ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☒ ☐ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☒ ☐ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7081 El Dorado Challenge Camp PRO 23-24 Page 39 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7082 FACILITY NAME: South Lake Tahoe Juvenile Treatment Center (JTC) – FACILITY TYPE: SYTF Secure Youth Track Facility (SYTF) PERSON(S) INTERVIEWED: Kaci Smith, Superintendent; Kyle Heller, Supervising Deputy Probation Officer (SDPO); Robert Kramer, SDPO; Kayla Diane Evans, Deputy Probation Officer I; Scot Van Houten, Deputy Probation Officer III; Robin Galdi, RN Wellpath; Riann Giovacchini, LCSW Mental Health Coordinator; Carey Buchanan, Director Alternative Programs El Dorado County of Education FIELD REPRESENTATIVE: Craigus Thompson DATE: May 26, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF All Local Inspection completed for this BUILDING AND GROUNDS inspection cycle. On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ Completed on 6/29/2022 by Ray Wieand, documented inspection and evaluation from the Building Inspector III. following: (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Completed on 11/17/2022 by Dan Brown, Fire clearance as required by Health and Safety Code Section ☒ ☐ ☐ Safety Inspector. 13146.1(a) and (b); (c) local health officer, inspection in accordance with Environmental completed on 10/11/2022 Health and Safety Code Section 101045; Med/MH completed on 12/15/2022 ☒ ☐ ☐ Nutritional completed on 6/17/2022. (d) county superintendent of schools on the adequacy of Completed on 6/13/2022 by Amy Jackson, educational services and facilities as required in Section ☒ ☐ ☐ Adult Education Counselor 1370; (e) juvenile court as required by Section 209 of the Completed on 3/16/2023 by Judge Michael J. ☒ ☐ ☐ Welfare and Institutions Code; and, McLaughlin. (f) the Juvenile Justice Commission as required by Completed on 6/9/2022 by Margaret Huscher, Section 229 of the Welfare and Institutions Code or Commission Chair. ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7082 El Dorado SYTF PRO 23-24 Page 1 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Memo completed by CPO Brian Richart on 6/7/2022, stating all managers and staff are BSCC Note: Compliance with this section is determined appointed in accordance with applicable by receipt of the Chief Probation Officer’s certification provisions of law including minimum letter confirming that all elements of regulation are met. standards from BSCC, Penal Code 6035, psychological evaluation, medical and (a) Appointment ☒ ☐ ☐ physical exam, criminal records review, etc. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Chief Richart memo Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Chief Richart memo examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection Chief Richart memo and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Chief Richart memo employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- Chief Richart memo employees of the facility, who may be present at the facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 7082 El Dorado SYTF PRO 23-24 Page 2 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING We reviewed a variety of documents including safety check records, grievances, disciplinary Each juvenile facility shall: actions, and incidents reports. Also reviewed (a) have an adequate number of personnel sufficient to January and February 2023 staffing carry out the overall facility operation and its schedules for the facility. Review of these programming, to provide for safety and security of youth documents, as well as the policy and and staff, and meet established standards and procedure manuals, revealed compliance with regulations; this regulation. At the time of the inspection, the Juvenile Treatment Center staffing consisted of 1 Superintendent; 3 Supervising Deputy Probation Officers; 1 Administrative Deputy ☒ ☐ ☐ Probation Officer; 18 Deputy Probation Officers I/II; and 2 Sr. Deputy Probation Officers. The facility currently has one vacancy for a SDPO and a DPO I/II. They also have two vacant Probation Assistant positions. The facility is also currently recruiting for 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. (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 Supervisor requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ food preparation and servings; conduct related training 2 Correctional Cooks programs for culinary staff; and maintain necessary 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, 7082 El Dorado SYTF PRO 23-24 Page 3 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 ☒ ☐ ☐ program needs. Staffing shall be in compliance with a 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; (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 The SYTF population at the time of the ☒ ☐ ☐ duty for each 15 youth in the camp population; inspection was 1 youth: 1 male and 0 female. 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 Review of daily schedules revealed 30 youth present in the facility; compliance with this regulation. 7082 El Dorado SYTF PRO 23-24 Page 4 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 ☒ ☐ ☐ arrangements have been made for backup support 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; 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; Review of daily schedules revealed types of youth committed to the camp; and the ☒ ☐ ☐ compliance with this regulation. 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 A6- Staffing- Youth Supervision duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ Review of daily schedules revealed farm, forestry, kitchen or maintenance shall not be compliance with this regulation. classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION §A4 – Training and Staff Development AND TRAINING The elements of this regulation are covered in (a) Prior to assuming any responsibilities each youth ☒ ☐ ☐ Chief Richart’s letter, dated 6/7/2022. supervision staff member shall be properly oriented to their duties, including: (1) youth supervision duties; (2) scope of decisions they shall make; ☒ ☐ ☐ §A4 – Training and Staff Development (3) the identity of their supervisor; ☒ ☐ ☐ §A4 – Training and Staff Development (4) the identity of persons who are responsible to §A4 – Training and Staff Development ☒ ☐ ☐ them; (5) persons to contact for decisions that are beyond §A4 – Training and Staff Development ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ §A4 – Training and Staff Development (b) Prior to assuming any responsibility for the §A4 – Training and Staff Development supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- It should be noted all new employees receive specific orientation, including: eighty (80) hours of training prior to assuming ☒ ☐ ☐ any responsibility for the supervision of youth. It should further be noted all JTC staff works with Detention, Challenge Camp, and SYTF youth throughout the facility. (1) individual and group supervision techniques; ☒ ☐ ☐ §A4 – Training and Staff Development (2) regulations and policies relating to discipline and §A4 – Training and Staff Development rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ §A4 – Training and Staff Development (4) suicide prevention and response to suicide §A4 – Training and Staff Development ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation §A4 – Training and Staff Development techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing §A4 – Training and Staff Development ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ §A4 – Training and Staff Development 7082 El Dorado SYTF PRO 23-24 Page 5 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) routine security measures, including facility §A4 – Training and Staff Development ☒ ☐ ☐ perimeter and grounds; (9) crisis intervention and mental health referrals to §A4 – Training and Staff Development ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ §A4 – Training and Staff Development (11) fire/life safety training ☒ ☐ ☐ §A4 – Training and Staff Development (c) Prior to assuming sole supervision of youth, each §A4 – Training and Staff Development youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth §A4 – Training and Staff Development supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY §A6 – Staffing Whenever there is a youth in a juvenile facility, there shall §D1 – Fire Safety, Prevention, and Fire Drill be at least one wide awake person on duty at all times Procedure who meets the training standards established by the Board for general fire and life safety which relate §F4 – Youth Supervision, Security, and Officer specifically to the facility. Daily Assignments ☒ ☐ ☐ Review of documentation indicates that all youth supervisory staff receive site-specific life safety training during orientation. Also, all full-time employees receive fire and safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL §A4 – Training and Staff Development All facility administrators shall develop, publish, and County of El Dorado Juvenile Treatment implement a manual of written policies and procedures Center Policy, Procedures, and Operations that address, at a minimum, all regulations that are Manual was provided prior to the date of the applicable to the facility. Such a manual shall be made inspection. The manual was administratively available to all employees, reviewed by all employees, ☒ ☐ ☐ reviewed by Kyle Heller, Supervising Deputy and shall be administratively reviewed at a minimum Probation Officer on April 4, 2023. It should be every two years, and updated, as necessary. Those noted the policy and procedure manual is records relating to the standards and requirements set utilized for Detention, Challenge Camp, and forth in these regulations shall be accessible to the Board SYTF youth. on request. The manual shall include: (a) table of organization, including channels of Department Intranet Site, Table of Contents, ☒ ☐ ☐ communications and a description of job classifications; and Organization Chart. (b) responsibility of the probation department, purpose of §II – Facility Management Responsibilities programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or §A1 – Purposes and Objectives of Detention Probation Committee, probation staff, school personnel Facilities and other agencies that are involved in juvenile facility ☒ ☐ ☐ programs; §A5 – Relationships with Other Agencies §A13 – Purpose of Programs/ Interventions/Services (c) responsibilities of all employees; Dept. Policy §IV10 – Employee Conduct §A2 – Basic Philosophy ☒ ☐ ☐ §A14 – Chain of Command for Juvenile Detention Facility Staff (d) initial orientation and training program for employees; ☒ ☐ ☐ §A4 – Training and Staff Development 7082 El Dorado SYTF PRO 23-24 Page 6 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) initial orientation, including safety and security issues §C3 – Volunteers, Vendors, Contract and anti-discrimination policies, for support staff, contract Personnel, and Non-Employees ☒ ☐ ☐ employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and §B1 – Documentation communication system to ensure: ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (1) efficient operation of the juvenile facility; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (2) legal and proper care of youth; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (3) maintenance of individual youth's records; ☒ ☐ ☐ §B6 – Release of Information and Confidentiality §B1 – Documentation (4) supply of information to the juvenile court and ☒ ☐ ☐ those authorized by the court or by the law; and, §B6 – Release of Information and Confidentiality §B1 – Documentation (5) release of information regarding youth. ☒ ☐ ☐ §B6 – Release of Information and Confidentiality Dept. Policy §IV1 – Policy, Procedure and the Law (g) ethical responsibilities; ☒ ☐ ☐ Dept. Policy §IV10 – Employee Conduct §A4 – Training and Staff Development, §A13 – Purpose of Programs/ Interventions/Services, §B7 – Child Abuse Reporting, §L6 – Mental Health Crisis Services, §L7 – Suicide Prevention, §L8 – Suicide Attempt, §M3 – Commitment Programs Choices, (h) trauma-informed approaches; ☒ ☐ ☐ Chances, Changes §M3.1 – Choices Program, §M3.2 – Chances Program, §M3.3 – Changes Program, §M6 – Challenge Program, §M7 – Transition and Aftercare Planning and Implementation, §M10 – PreDispositional Youth §A13 – Purpose of Programs/ Interventions/Services, §M3 – Commitment Programs Choices, Chances, Changes, (i) culturally responsive approaches; ☒ ☐ ☐ §M3.1 – Choices Program, §M3.2 – Chances Program, §M3.3 – Changes Program, §M6 – Challenge Program, §M10 – PreDispositional Youth 7082 El Dorado SYTF PRO 23-24 Page 7 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §G1 – Rights of Youth in Custody/Orientation, (j) gender responsive approaches; ☒ ☐ ☐ §G8 – Transgender and Intersex Youth, §H3 – Searches of Youth (k) a non-discrimination provision that provides that all §G1 – Rights of Youth in Custody/Orientation youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any §D6 – Emergency Equipment, chemical agents related security devices, and weapons and ammunition, where applicable; ☒ ☐ ☐ §G10.1 – Oleoresin Capsicum (OC) Spray, §G13 – Weapons Control (m) establishment of procedures for collection of Medi- §L10 – Medical Eligibility Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of §G8 – Transgender and Intersex Youth in sexual abuse, sexual assault and sexual harassment. Juvenile Detention Facilities, The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ §G21 – Sexual Abuse and Sexual retaliation for reporting such conduct, as well as a Harassment Prevention, Reporting, and provision for reporting such conduct by youth, staff or a Response third party. 1325 FIRE SAFETY PLAN §D1 – Fire Safety, Prevention, and Fire Drill Procedure, The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ §D3 – Pre-Fire Safety/Suppression Plan which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff §II – Facility Management Responsibilities, with two-year retention of the inspection record; §D1 – Fire Safety, Prevention, and Fire Drill Procedure We reviewed monthly and fire safety ☒ ☐ ☐ inspections for the inspection cycle. Review of documentation reveals compliance with this regulation. (c) fire prevention inspections as required by Health and §II – Facility Management Responsibilities, Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ §D1 – Fire Safety, Prevention, and Fire Drill Procedure (d) an evacuation plan; §D2 – Fire Safety, Natural Disasters, and ☒ ☐ ☐ Emergency Evacuation Plan 7082 El Dorado SYTF PRO 23-24 Page 8 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; §D1 – Fire Safety, Natural Disasters, and Emergency Evacuation Plan ☒ ☐ ☐ We reviewed fire drills for the inspection cycle. Review of documentation reveals compliance with this regulation. (f) a written plan for the emergency housing of youth in §D8 – Mutual Aid and Emergency Housing ☒ ☐ ☐ the case of fire; and, (g) development of a fire suppression pre-plan in §D3 – Pre-Fire Safety/Suppression Plan cooperation with the local fire department. ☒ ☐ ☐ Fire Suppression Pre-plan was completed on 11/17/2022 in conjunction with the local fire department Safety Inspector Daniel Brown. 1326 SECURITY REVIEW Security Review for JTC completed by Superintendent Kaci Smith on 06/7/2022. Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES §D1 – Fire Safety, Prevention, and Fire Drill Procedure The facility administrator shall develop facility-specific policies and procedures for emergencies that shall ☒ ☐ ☐ §D2 – Fire Safety, Natural Disasters, and include, but not be limited to: Emergency Evacuation Plan Dept. Policy §IV33 – Safety, Uncooperative Clientele, and Threats, (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ §G6 – Transportation of Youth/Court Restraints, §G14 – Hostage Procedure Dept. Policy §IV23 – Officer-Involved Critical Incident Protocol, (b) civil disturbance, active shooter and terrorist ☒ ☐ ☐ Dept. Policy §IV33 – Safety, Uncooperative attack; Clientele, and Threats, §D7 – Active Shooter and Terrorist Attack §D2 – Fire Safety, Natural Disasters, and (c) fire and natural disasters; ☒ ☐ ☐ Emergency Evacuation Plan (d) periodic testing of emergency equipment; ☒ ☐ ☐ §D6 – Emergency Equipment §D2 – Fire Safety, Natural Disasters, and (e) emergency evacuation of the facility; and ☒ ☐ ☐ Emergency Evacuation Plan Facility Emergency Procedures were (f) a program to provide all youth supervision staff ☒ ☐ ☐ reviewed by staff at the April 19, 2023 All Staff with an annual review of emergency procedures. meeting. 7082 El Dorado SYTF PRO 23-24 Page 9 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS We reviewed the facility’s safety checks for the months of January, February, and March The facility administrator shall develop and implement 2023. Review of documentation revealed policy and procedures that provide for direct visual safety checks are being completed per observation of youth at a minimum of every 15 minutes, regulation. It should be noted at the JTC at random or varied intervals during hours when youth facility safety checks are completed every 10 are asleep or when youth are in their rooms, confined in minutes which is above and beyond Title 15 holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ requirements of every 15 minutes. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system We also reviewed live-time safety checks as designed to detect overt, aggressive or assaultive we toured the facility. behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the All checks reviewed were in compliance with check is completed. this regulation. 1329 SUICIDE PREVENTION PLAN §L7 – Suicide Prevention The facility administrator, in collaboration with the §L8 – Suicide Attempt healthcare and behavioral/mental health administrators, shall plan and implement written policies and At the time of the inspection zero (0) SYTF procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ youth have been placed on any level on The plan shall consider the needs of youth experiencing suicide watch this inspection cycle. 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 §L7 – Suicide Prevention 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and §L7 – Suicide Prevention, Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at §H1 – Receiving and Processing Youth intake and as needed during detention. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the §L7 – Suicide Prevention 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 §L7 – Suicide Prevention ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for §L7 – Suicide Prevention ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk §L7 – Suicide Prevention ☒ ☐ ☐ for suicide. (e) Safety Interventions §L7 – Suicide Prevention (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ §L7 – Suicide Prevention (B) Treatment strategies including trauma- §L7 – Suicide Prevention ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff §L7 – Suicide Prevention how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. 7082 El Dorado SYTF PRO 23-24 Page 10 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication §L7 – Suicide Prevention (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 §L7 – Suicide Prevention 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 §A8 – Critical Incident Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected §A8 – Critical Incident Debriefing ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected §A8 – Critical Incident Debriefing ☒ ☐ ☐ youth. (h) Documentation §A8 – Critical Incident Debriefing (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the §L7 – Suicide Prevention 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. 1340 REPORTING OF LEGAL ACTIONS §II – Facility Management Responsibilities Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ No legal action reported this inspection cycle. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY §L9 – Death OF A YOUTH WHILE DETAINED No death and serious illness or injury of a (1) Death of a Youth. youth this inspection cycle. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with §L9 – Death the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. 7082 El Dorado SYTF PRO 23-24 Page 11 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The administrator of the facility shall provide to §L9 - Death the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth §L9 – Death from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. §L2 – Parental Notification of a Medical (a) The facility administrator, in cooperation with Emergency the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING §II – Facility Management Responsibilities Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) §II – Facility Management Responsibilities When the number of youth detained in a living unit of a JTC- 40 total juvenile facility exceeds its rated capacity for more than fifteen (15) calendar days in a month, the facility ☒ ☐ ☐ JH- 20 administrator shall provide a crowding report to the Camp- 8 Board in a format provided by the Board. SYTF- 12 1350 ADMITTANCE PROCEDURES §H1 – Receiving and Processing Youth, §H3 – Searches of Youth, The facility administrator shall develop and implement §H4 – Classification of Youth, written policies and procedures for admittance of youth §G21 – Sexual Abuse and Sexual that emphasize respectful and humane engagement Harassment Prevention, Reporting and with youth, and reflect that the admission process may Response be traumatic to youth who may have already ☒ ☐ ☐ experienced trauma. Policies shall be trauma-informed, We reviewed one (1) youth admittance culturally relevant, and responsive to the language and packages from the SYTF program. Review of literacy needs of youth. In addition to the requirements documentation provided and policy and of Sections 1324 and 1430 of these regulations: procedure manuals revealed compliance with this regulation. (a) the admittance process shall include: §H1 – Receiving and Processing Youth (1) Access to two free phone calls within one hour of ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; §H1 – Receiving and Processing Youth (2) Offer of a shower; ☒ ☐ ☐ Offer of youth intake shower is documented in an intake Special Incident Report (SIR). (3) Documented secure storage of personal §H1 – Receiving and Processing Youth ☒ ☐ ☐ belongings; 7082 El Dorado SYTF PRO 23-24 Page 12 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §H1 – Receiving and Processing Youth (4) Offer of food upon arrival; ☒ ☐ ☐ Offering of food to youth upon intake is documented in an intake SIR. (5) Screening for physical and behavioral health §H1 – Receiving and Processing Youth and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental §H1 – Receiving and Processing Youth disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the §H1 – Receiving and Processing Youth Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, §G8 – Transgender and Intersex Youth in (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Juvenile Detention Facilities (b) juvenile hall administrators shall establish written EBP P&P §11 – Youth Risk and Needs criteria for detention that considers the least restrictive ☒ ☐ ☐ Assessment environment. (c) juvenile camps and post-dispositional programs in §E3 – Counseling and Casework Services, juvenile halls shall develop policies and procedures that §M3 – Commitment Programs Choices, advise the youth of the estimated length of stay, inform Chances, Changes, them of program guidelines and provide written §M3.1 – Choices Program, screening criteria for inclusion and exclusion from the §M3.2 – Chances Program, program. §M3.3 – Changes Program, ☒ ☐ ☐ §M6 – Challenge Program Youth assigned to the SYTF program are advised of their length of stay and program guidelines during their initial meeting with the assigned institution Deputy Probation Officer (DPO). (d) juvenile halls shall develop policies and procedures §E3 – Counseling and Casework Services that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL EBP P&P §11 – Youth Risk and Needs ABUSE Assessment, The facility administrator shall develop and implement We reviewed one (1) youth PREA/Behavioral written policies and procedures to reduce the risk of Screening and ten (10) MAYSI-2 youth sexual abuse by or upon youth. The policy shall require reports from SYTF program. Review of facility staff to assess each youth within 72 hours of ☒ ☐ ☐ documentation provided, and policy and admission based on the following information: procedure manual revealed compliance with this regulation. SYTF youth screening for the risk of sexual abuse is completed upon admittance to the facility. EBP P&P §11 – Youth Risk and Needs Assessment, (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ §H1 – Receiving and Processing Youth (b) Gender nonconforming appearance or manner; or EBP P&P §11 – Youth Risk and Needs identification as lesbian, gay or bisexual, transgender, Assessment, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; §H1 – Receiving and Processing Youth 7082 El Dorado SYTF PRO 23-24 Page 13 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS EBP P&P §11 – Youth Risk and Needs Assessment, (c) Current charges and offense history; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (d) Age; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (e) Level of emotional and cognitive development; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (f) Physical size and stature; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (g) Mental illness or mental disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (h) Intellectual or developmental disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (i) Physical disabilities; ☒ ☐ ☐ §H1 – Receiving and Processing Youth EBP P&P §11 – Youth Risk and Needs Assessment, (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ §H1 – Receiving and Processing Youth (k) Any other specific information about the individual EBP P&P §11 – Youth Risk and Needs youth that may indicate heightened needs for Assessment, ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. §H1 – Receiving and Processing Youth Staff shall ascertain this information through EBP P&P §11 – Youth Risk and Needs conversations with the youth during the admittance Assessment, process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing §H1 – Receiving and Processing Youth court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate §G21 – Sexual Abuse and Sexual controls on the dissemination of information within the Harassment Prevention, Reporting and facility relative to responses received pursuant to this Response ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES §H5 – Release of Youth The facility administrator shall develop and implement §M7 – Transition and Aftercare Planning and written policies and procedures for release of youth from Implementation custody which provide for: ☒ ☐ ☐ No youth from the SYTF program has been released thus far this inspection cycle. Review of policy and procedure manual revealed compliance with this regulation. (a) verification of identity/release papers; ☒ ☐ ☐ §H5 – Release of Youth 7082 El Dorado SYTF PRO 23-24 Page 14 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §H5 – Release of Youth (b) return of personal clothing and valuables; ☒ ☐ ☐ Review of policy and procedure manual revealed compliance with this regulation. (c) notification to the youth's parents or guardian; ☒ ☐ ☐ §H5 – Release of Youth (d) notification to the facility health care provider in §H5 – Release of Youth accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ §H5 – Release of Youth (f) notification of facility mental health personnel. ☒ ☐ ☐ §H5 – Release of Youth The facility administrator shall develop and implement §M7 – Transition and Aftercare Planning and policies and procedures for post-disposition youth to Implementation coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement §H7 – Temporary Release of Youth written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION §H4 – Classification of Youth The facility administrator shall develop and implement The MAYSI-2 and PREA/Behavioral written policies and procedures on classification of youth Screening are used to determine youth for the purpose of determining housing placement in the ☒ ☐ ☐ classification. We reviewed one (1) youth facility. classification packet from the SYTF program. Such procedures shall: Review of documentation provided and policy and procedure manual revealed compliance with this regulation. (a) provide for the safety of the youth, other youth, §H4 – Classification of Youth facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of §H4 – Classification of Youth ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon §H4 – Classification of Youth admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Reviewed Weekly in Multi-Disciplinary Team provisions that consider the level of supervision and the ☒ ☐ ☐ Meeting. Documented in weekly MDT Notes. youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth §H4 – Classification of Youth from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. 7082 El Dorado SYTF PRO 23-24 Page 15 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) facility staff shall not consider lesbian, gay, bisexual, §H4 – Classification of Youth transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. §G8 – Transgender and Intersex Youth The facility administrator shall develop written policies We reviewed the Transgender/Intersex Youth and procedures ensuring respectful and equitable ☒ ☐ ☐ Preference form. Review of form provided and treatment of transgender and intersex youth. The policy and procedure manuals revealed policies shall provide that: compliance with this regulation. (a) Facility staff shall respect every youth’s gender §G8 – Transgender and Intersex Youth identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present §G8 – Transgender and Intersex Youth themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that §G8 – Transgender and Intersex Youth best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender §G8 – Transgender and Intersex Youth and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and §G8 – Transgender and Intersex Youth necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any §G8 – Transgender and Intersex Youth youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 7082 El Dorado SYTF PRO 23-24 Page 16 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1353 ORIENTATION §G1 – Rights of Youth in Custody/Orientation The facility administrator shall develop and implement We reviewed one (1) youth El Dorado County written policies and procedures to orient a youth prior to Juvenile Detention Facility Orientation form placement in a living area. Both written and verbal from the SYTF program. Review of information shall be provided and supplemented with documentation provided and policy and video orientation if feasible. Provision shall be made to procedure manual revealed compliance with provide accessible orientation information to all detained this regulation. youth including those with disabilities, limited literacy, or English language learners. Orientation shall include ☒ ☐ ☐ Each youth is provided a Youth Orientation information that addresses: Handbook during the booking process. Youth assigned to the SYTF program will have an orientation/overview of the program with their assigned institution Deputy Probation Officer (DPO) during their initial meeting. (a) facility rules including contraband and searches and §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions §G1 – Rights of Youth in Custody/Orientation and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the §G1 – Rights of Youth in Custody/Orientation facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ §G1 – Rights of Youth in Custody/Orientation (e) the existence of the grievance procedure, the steps §G1 – Rights of Youth in Custody/Orientation that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the §G1 – Rights of Youth in Custody/Orientation ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ health care; (h) access to education, religious services, and ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ recreational activities; ☒ §G1 – Rights of Youth in Custody/Orientation (i) housing assignments; ☐ ☐ (j) opportunity for personal hygiene and daily showers ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ telephone use; (l) availability of reading materials, programming, and ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ chemical agents and room confinement; ☒ §G1 – Rights of Youth in Custody/Orientation (n) immigration legal services; ☐ ☐ ☒ §G1 – Rights of Youth in Custody/Orientation (o) emergencies including evacuation procedures; ☐ ☐ (p) non-discrimination policy and the right to be free from §G1 – Rights of Youth in Custody/Orientation ☒ physical, verbal or sexual abuse and harassment by ☐ ☐ other youth and staff; 7082 El Dorado SYTF PRO 23-24 Page 17 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (q) availability of services and programs in a language ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, ☒ §G1 – Rights of Youth in Custody/Orientation ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive §G1 – Rights of Youth in Custody/Orientation information regarding the youth’s stay in the facility that ☒ at a minimum includes answers to frequently asked ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title §G1 – Rights of Youth in Custody/Orientation 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Access to Title 15 is available to youth upon request to staff. 1354 SEPARATION §G9.1 – Administrative Separation The facility administrator shall develop and implement No SYTF youth have been separated from the written policies and procedures that address: ☒ ☐ ☐ normal programming thus far this inspection cycle. (a) separation of youth for reasons that include, but are §H4 – Classification of Youth, not be limited to, medical and mental health conditions, §G9 – Confinement, assaultive behavior, disciplinary consequences and ☒ ☐ ☐ §G9.1 – Administrative Separation, protective custody. §L3 – Medical and Dental Procedures, §L7 – Suicide Prevention (b) consideration of positive youth development and §H4 – Classification of Youth ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal §G9 – Confinement privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. §G9.1 – Administrative Separation (d) when the objective of the separation is discipline, §G9.1 – Administrative Separation ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the §G9 – Confinement separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review §G9 – Confinement, of separated youth to determine if separation remains ☒ ☐ ☐ §G9.1 – Administrative Separation, necessary. §H4 – Classification of Youth 1354.5 ROOM CONFINEMENT §G9 – Confinement (a) The facility administrator shall develop and No SYTF youth has been placed on room implement written policies and procedures addressing confinement thus far this inspection cycle. the confinement of youth in their room that are ☒ ☐ ☐ Review of policy and procedure manual consistent with Welfare and Institutions Code Section revealed compliance with this regulation. 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: (1) Room confinement shall not be used before §G9 - Confinement 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 §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. 7082 El Dorado SYTF PRO 23-24 Page 18 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 §G9 - 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 §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. 1355 INSTITUTIONAL ASSESSMENT AND PLAN §E2 – Assessment and Case Plan The facility administrator shall develop and implement Reviewed one (1) youth Assessment written policies and procedures for assessment and ☒ ☐ ☐ Summary and Case plans from the SYTF case planning. program. Review of documentation provided revealed compliance with this regulation. 7082 El Dorado SYTF PRO 23-24 Page 19 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: §E2 – Assessment and Case Plan, The assessment is based on information collected during the admission process with periodic review, §E3 – Counseling and Casework Services, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of §M7 – Transition and Aftercare Planning substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: §E2 – Assessment and Case Plan (1) A case plan shall be developed for each youth ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be §E2 – Assessment and Case Plan ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of §E2 – Assessment and Case Plan ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes §E2 – Assessment and Case Plan a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting §E2 – Assessment and Case Plan the objectives, including periodic review and discussion of the plan with the youth; It should be noted the facility follows up with ☒ ☐ ☐ each youth every two weeks to ensure progress towards meeting youth goals and objectives. (4) a transition plan, the contents of which shall be §E2 – Assessment and Case Plan, subject to existing resources, shall be developed for ☒ ☐ ☐ post dispositional youth in accordance with Section §M7 – Transition and Aftercare Planning 1351; and, (5) in as much as possible and if appropriate, the §E2 – Assessment and Case Plan, plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ §M7 – Transition and Aftercare Planning and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES §E3 – Counseling and Casework Services The facility administrator shall develop and implement Reviewed one (1) youth Counseling and written policies and procedures ensuring the availability Casework packets from the SYTF program. of appropriate counseling and casework services for all Review of documentation provided revealed youth. Policies and procedures shall ensure: ☒ ☐ ☐ compliance with this regulation. It should be noted youth assigned to the SYTF program receives programming based on each youth’s specific needs. (a) youth will receive assistance with needs or concerns §E3 – Counseling and Casework Services ☒ ☐ ☐ that may arise; (b) youth will receive assistance in requesting contact §E3 – Counseling and Casework Services with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources §E3 – Counseling and Casework Services ☒ ☐ ☐ to meet the youth’s needs. 7082 El Dorado SYTF PRO 23-24 Page 20 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE §G10 – Use of Force The facility administrator, in cooperation with the No SYTF youth has been involved in a use of responsible physician, shall develop and implement force incident this inspection cycle. Review of written policies and procedures for the use of force, which may include chemical agents. Force shall never ☒ ☐ ☐ policy and procedure revealed compliance with this regulation. be applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies and procedures which: (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. (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 notification to parents, guardians. medical, and mental health are documented in 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 option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize OC spray has not been utilized thus far within ☒ ☐ ☐ chemical agents in the facility and the type, size and 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. 7082 El Dorado SYTF PRO 23-24 Page 21 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 Notification to parents, medical, and mental staff and parents or legal guardians. health are documented in 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 §G10.1 – Oleoresin Capsicum ☒ ☐ ☐ that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of §G10.1 – Oleoresin Capsicum ☒ ☐ ☐ application. (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. 1358 USE OF PHYSICAL RESTRAINTS §G11 – Use of Physical and Mechanical Restraint The facility administrator, in cooperation with the responsible physician and mental health director, shall Review of documentation provided and policy develop and implement written policies and procedures ☒ ☐ ☐ and procedure manuals revealed compliance for the use of restraint devices. Restraint devices with this regulation. include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth §G11 – Use of Physical and Mechanical who present an immediate danger to themselves or Restraint others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or §G11 – Use of Physical and Mechanical discipline, or as a substitute for treatment. The use of Restraint restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of §G11 – Use of Physical and Mechanical handcuffs, shackles or other restraint devices when used Restraint to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. 7082 El Dorado SYTF PRO 23-24 Page 22 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Youth shall be placed in restraints only with the approval §G11 – Use of Physical and Mechanical of the facility manager or designee. The facility manager Restraint may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and §G11 – Use of Physical and Mechanical retention shall be secured as soon as possible, but no Restraint later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as §G11 – Use of Physical and Mechanical possible, but in no case longer than four hours from the Restraint ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted §G11 – Use of Physical and Mechanical to ensure that the restraints are properly employed, and Restraint to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and §G11 – Use of Physical and Mechanical procedures shall address: Restraint ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate §G11 – Use of Physical and Mechanical ☒ ☐ ☐ certain restraint devices and/or techniques. Restraint (c) acceptable restraint devices. §G11 – Use of Physical and Mechanical ☒ ☐ ☐ Restraint (d) signs or symptoms which should result in immediate §G11 – Use of Physical and Mechanical ☒ ☐ ☐ medical/mental health referral. Restraint (e) availability of cardiopulmonary resuscitation §G11 – Use of Physical and Mechanical ☒ ☐ ☐ equipment. Restraint (f) protective housing of restrained youth. While in §G11 – Use of Physical and Mechanical restraint devices, all youth shall be housed alone or in a Restraint ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. §G11 – Use of Physical and Mechanical (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Restraint §G11 – Use of Physical and Mechanical (h) exercising of extremities. ☒ ☐ ☐ Restraint 1358.5 USE OF RESTRAINT DEVICES FOR §G11.1 – Use of Mechanical Restraints for MOVEMENT AND TRANSPORTATION Movement in the Facility WITHIN THE FACILITY. Review of documentation provided and policy The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health ☒ ☐ ☐ and procedure manuals revealed compliance with this regulation. director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff §G11.1 – Use of Mechanical Restraints for approved to utilize restraint devices and the required ☒ ☐ ☐ Movement in the Facility training. (b) the circumstances leading to the application of §G11.1 – Use of Mechanical Restraints for ☒ ☐ ☐ restraints must be documented. Movement in the Facility 7082 El Dorado SYTF PRO 23-24 Page 23 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) an individual assessment of the need to apply §G11.1 – Use of Mechanical Restraints for restraints for movement or transportation that includes Movement in the Facility consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, §G11.1 – Use of Mechanical Restraints for with a clearly defined expectation that restraint devices Movement in the Facility ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in §G11.1 – Use of Mechanical Restraints for accordance with Penal Code Section 6030(f) and Movement in the Facility Welfare and Institutions Code Section 222. ☒ ☐ ☐ §G20 – Pregnant Female Youth 1359 SAFETY ROOM PROCEDURES Not Applicable – No Safety Room in the Facility. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ accomplished in accordance with the following: (1) safety room 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) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☐ ☐ ☒ staff. 7082 El Dorado SYTF PRO 23-24 Page 24 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☐ ☐ ☒ youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room ☐ ☐ ☒ for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ (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. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☐ ☐ ☒ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES §G16 – Facility Searches, §G17 – Visitor Searches, The facility administrator shall develop and implement §H3 – Searches of Youth written policies and procedures governing the search of ☒ ☐ ☐ youth, the facility, and visitors. Policies and procedures None of the Search Authorization forms shall provide that: reviewed involved a SYTF youth. (a) Searches shall be conducted to ensure the safety §G16 – Facility Searches, and security of the facility, public, visitors, youth, and ☒ ☐ ☐ §G17 – Visitor Searches, staff. §H3 – Searches of Youth (b) Searches shall be conducted in a manner that §H3 – Searches of Youth preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity §H3 – Searches of Youth ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be §H3 – Searches of Youth ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only §H3 – Searches of Youth be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall §H3 – Searches of Youth ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches §H3 – Searches of Youth are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE §G5 – Grievances The facility administrator shall develop and implement No grievances submitted from a SYTF youth written policies and procedures whereby any youth may this inspection cycle. appeal and have resolved grievances relating to any condition of confinement, including but not limited to health care services, classification decisions, program ☒ ☐ ☐ 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: 7082 El Dorado SYTF PRO 23-24 Page 25 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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; (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; (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 addressed immediately; (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; and, (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. 1362 REPORTING OF INCIDENTS §B5 – Special Incident Report A written report of all incidents which result in physical Review of documentation provided revealed harm, use of force, serious threat of physical harm, or compliance with this regulation. death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT §G10 – Use of Force DNA SPECIMENS, SAMPLES, IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force ☒ ☐ ☐ to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of §G10 – Use of Force reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. 7082 El Dorado SYTF PRO 23-24 Page 26 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) The use of reasonable force shall be preceded by §G10 – Use of Force efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written §G10 – Use of Force authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell §G10 – Use of Force extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM Review of the El Dorado County Office of Education Court School Staff Handbook and (a) School Programs Blue Ridge School Student Handbook The County Board of Education shall provide for the revealed compliance with the regulation. We administration and operation of juvenile court schools in also interviewed school staff, probation staff, conjunction with the Chief Probation Officer, or designee and youth and reviewed school daily pursuant to applicable State laws. The school and facility schedules which also revealed compliance administrators shall develop and implement written policy with this regulation. and procedures to ensure communication and coordination between educators and probation staff. It should be noted the Annual Education Culturally responsive and trauma-informed approaches review was completed on 6/13/2022 by Amy should be applied when providing instruction. Education Jackson, Adult Education Counselor. staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. 7082 El Dorado SYTF PRO 23-24 Page 27 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements El Dorado County Office of Education Court The facility school program shall comply with the State School Staff Handbook and Blue Ridge Education Code and County Board of Education policies, School Student Handbook all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education El Dorado County Office of Education Court program shall be free from discriminatory action. Staff School Staff Handbook and Blue Ridge shall refer to transgender, intersex and gender- ☒ ☐ ☐ School Student Handbook nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State El Dorado County Office of Education Court Education Code and include, but not be limited to, ☒ ☐ ☐ School Staff Handbook and Blue Ridge courses required for high school graduation. School Student Handbook (2) Information and preparation for the High School El Dorado County Office of Education Court Equivalency Test as approved by the California School Staff Handbook and Blue Ridge ☒ ☐ ☐ Department of Education shall be made available to School Student Handbook eligible youth. (3) Youth shall be informed of post-secondary El Dorado County Office of Education Court education and vocational opportunities. School Staff Handbook and Blue Ridge School Student Handbook ☒ ☐ ☐ It should be noted the SYTF youth at the time of the inspection was enrolled in Lake Tahoe Community College (LTCC). In fact, the youth was two classes away from obtaining his AA degree. (4) Administration of the High School Equivalency El Dorado County Office of Education Court Tests as approved by the California Department of ☒ ☐ ☐ School Staff Handbook and Blue Ridge Education, shall be made available when possible. School Student Handbook (5) Supplemental instruction shall be afforded to youth El Dorado County Office of Education Court who do not demonstrate sufficient progress towards ☒ ☐ ☐ School Staff Handbook and Blue Ridge grade level standards. School Student Handbook (6) The minimum school day shall be consistent with El Dorado County Office of Education Court State Education Code Requirements for juvenile court School Staff Handbook and Blue Ridge schools. The facility administrator, in conjunction with School Student Handbook education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless El Dorado County Office of Education Court of classification, housing, security status, disciplinary School Staff Handbook and Blue Ridge or separation status, including room confinement, School Student Handbook except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). 7082 El Dorado SYTF PRO 23-24 Page 28 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) School Discipline El Dorado County Office of Education Court (1) Positive behavior management will be School Staff Handbook and Blue Ridge implemented to reduce the need for disciplinary action School Student Handbook ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative El Dorado County Office of Education Court decisions made by probation staff that may affect the ☒ ☐ ☐ School Staff Handbook and Blue Ridge educational programming of students. School Student Handbook (3) Except as otherwise provided by the State El Dorado County Office of Education Court Education Code, expulsion/suspension from school School Staff Handbook and Blue Ridge shall be imposed only when other means of correction School Student Handbook fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with El Dorado County Office of Education Court education staff will develop policies and procedures School Staff Handbook and Blue Ridge ☒ ☐ ☐ that address the rights of any student who has School Student Handbook continuing difficulty completing a school day. (d) Provisions for Special Populations El Dorado County Office of Education Court (1) State and federal laws and regulations shall be School Staff Handbook and Blue Ridge observed for all individuals with disabilities or School Student Handbook suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be El Dorado County Office of Education Court afforded an educational program that addresses their School Staff Handbook and Blue Ridge language needs pursuant to all applicable state and ☒ ☐ ☐ School Student Handbook federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission El Dorado County Office of Education Court (1) Youth shall be interviewed after admittance and a School Staff Handbook and Blue Ridge ☒ ☐ ☐ record maintained that documents a youth's School Student Handbook educational history, including but not limited to: (A) School progress/school history; El Dorado County Office of Education Court ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (B) Home Language Survey and the results of the El Dorado County Office of Education Court State Test used for English language proficiency; ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (C) Needs and services of special populations as El Dorado County Office of Education Court defined by the State Education Code, including but ☒ ☐ ☐ School Staff Handbook and Blue Ridge not limited to, students with special needs. School Student Handbook (D) Discipline problems. El Dorado County Office of Education Court ☒ ☐ ☐ School Staff Handbook and Blue Ridge School Student Handbook (2) Youth will be immediately enrolled in school. El Dorado County Office of Education Court Educational staff shall conduct an assessment to School Staff Handbook and Blue Ridge determine the youth's general academic functioning ☒ ☐ ☐ School Student Handbook levels to enable placement in core curriculum courses. 7082 El Dorado SYTF PRO 23-24 Page 29 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) After admission to the facility, a preliminary El Dorado County Office of Education Court education plan shall be developed for each youth ☒ ☐ ☐ School Staff Handbook and Blue Ridge within five school days. School Student Handbook (4) Upon enrollment, education staff shall comply with El Dorado County Office of Education Court the State Education Code and request the youth's School Staff Handbook and Blue Ridge records from his/her prior school(s), including, but not School Student Handbook limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting El Dorado County Office of Education Court (1) The complete facility educational record of the School Staff Handbook and Blue Ridge youth shall be forwarded to the next educational ☒ ☐ ☐ School Student Handbook placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall El Dorado County Office of Education Court provide appropriate credit (full or partial) for course School Staff Handbook and Blue Ridge ☒ ☐ ☐ work completed while in juvenile court school in School Student Handbook accordance with the State Education Code. (g) Transition and Re-Entry Planning El Dorado County Office of Education Court (1) The Superintendent of Schools and the Chief School Staff Handbook and Blue Ridge Probation Officer or designee, shall develop policies School Student Handbook and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities El Dorado County Office of Education Court (1) The school and facility administrator should, School Staff Handbook and Blue Ridge whenever possible, collaborate with local post- School Student Handbook secondary education providers to facilitate access to educational and vocational opportunities for youth that ☒ ☐ ☐ It should be noted the SYTF youth at the time considers the use of technology to implement these of the inspection was enrolled in Lake Tahoe programs. Community College (LTCC). In fact, the youth was two classes away from obtaining his AA degree. 1371 PROGRAMS, RECREATION, AND §E4 – Recreation, Programs, and Exercise EXERCISE. 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 the facility 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. 7082 El Dorado SYTF PRO 23-24 Page 30 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 facility walkthrough the youth daily schedule was observed posted within the living unit. There will be a written annual review of the programs, Programs Annual Review completed by recreation, and exercise by the responsible agency to Superintendent Kaci Smith on November 27, ☒ ☐ ☐ ensure content offered is current, consistent, and 2022. relevant to the population. (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 As previously stated, youth assigned to the recidivism. These programs should be based on the SYTF program participate in programs based youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ on the youth’s specific needs. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; §E4 – Recreation, Programs, and Exercise (2) Management of Stress and Trauma; (3) Anger Management; It should be noted the Mental Health team (4) Conflict Resolution; provides a minimum of one (1) hour of (5) Juvenile Justice System; programming per day, seven (7) days a week. (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (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 ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (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. 7082 El Dorado SYTF PRO 23-24 Page 31 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM §E10 – Religion The facility administrator shall provide access to religious Review of daily schedule revealed youth can services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ participate in alternative programming during the scheduled religious program time. allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ §E10 – Religion (b) availability of clergy; and, ☒ ☐ ☐ §E10 – Religion (c) availability of religious diets. ☒ ☐ ☐ §E10 – Religion 1373 WORK PROGRAM §E8 – Work Assignments and K1 Culinary Arts Program The facility administrator shall develop policies and procedures regarding the fair and consistent assignment Review Work Assignments and Culinary Arts of youth to work programs. Work assigned to a youth Program policy and procedures revealed shall be meaningful, constructive and related to ☒ ☐ ☐ compliance with this regulation. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a It should be noted at the time of the inspection disciplinary measure the SYTF youth was the only youth within the facility eligible to participate in the above two work programs. 1374 VISITING §E13 – Visiting The facility administrator shall develop and implement Review of policy and procedures and visitation written policies and procedures for visiting, that include logs revealed compliance with this regulation. provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family ☒ ☐ ☐ members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to §E13 - Visiting the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours §E13 - Visiting per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour §E13 - Visiting minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy ☒ ☐ ☐ and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. 7082 El Dorado SYTF PRO 23-24 Page 32 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility may provide access to technology as an §E13 – Visiting alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Zoom visits are offered to youth but not as a replacement to in-person visits. 1375 CORRESPONDENCE §C10 – Correspondence – Mail The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviewed as well as review written policies and procedures for correspondence of policy and procedures revealed compliance which provide that: with this regulation. (a) there is no limitation on the volume of mail that youth §C10 – Correspondence – Mail ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ §C10 – Correspondence – Mail (c) youth may correspond confidentially with state and §C10 – Correspondence – Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described §C10 – Correspondence – Mail in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS §C11 – Youth Telephone Access The administrator of each juvenile facility shall develop ☒ ☐ ☐ Staff and youth interviewed as well as review and implement written policies and procedures to provide of policy and procedures revealed compliance youth with access to telephone communications. with this regulation. 1377 ACCESS TO LEGAL SERVICES §C10 – Correspondence – Mail, §C11 – Youth Telephone Access, The facility administrator shall develop written procedures §E13 – Visiting to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed §E13 – Visiting ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; §C11 – Youth Telephone Access, ☒ ☐ ☐ and, §E13 – Visiting (c) unlimited postage free, legal correspondence and §C10 – Correspondence – Mail ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE §G1 - Rights of Youth in Custody/Orientation The facility administrator shall develop and implement Review of policy and procedures and written policies and procedures for the discipline of youth documentation revealed compliance with this that shall promote acceptable behavior; including the use regulation. of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (b) daily shower, access to drinking fountain, toilet and §G1 - Rights of Youth in Custody/Orientation ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (d) contact with parent or attorney; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (e) exercise; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (f) medical services and counseling; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (g) religious services; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation 7082 El Dorado SYTF PRO 23-24 Page 33 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) clean and sanitary living conditions; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (i) the right to send and receive mail; ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (j) education; and, ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation (k) rehabilitative programming. ☒ ☐ ☐ §G1 - Rights of Youth in Custody/Orientation The facility administrator shall establish rules of conduct §G1 - Rights of Youth in Custody/Orientation and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, The facility administrator shall develop and implement §G4 – Disciplinary Due Process, written policies and procedures for the administration of §G23 – Challenge Program Guidelines discipline which shall include, but not be limited to: We reviewed all due process hearings from ☒ ☐ ☐ JTC for 2023. Review of policy and procedures and documentation revealed compliance with this regulation. It should be noted the SYTF youth was not involved in an incident which required a due process hearing this inspection cycle. (a) designation of personnel authorized to impose §G2 – Juvenile Detention Facility Guidelines, discipline for violation of rules; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (b) prohibiting discipline to be delegated to any youth; §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (c) definition of major and minor rule violations and their §G2 – Juvenile Detention Facility Guidelines, consequences, and due process requirements; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (d) trauma-informed approaches and positive behavior §G2 – Juvenile Detention Facility Guidelines, interventions; §G3 – Discipline, ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (e) minor rule violations may be handled informally by §G2 – Juvenile Detention Facility Guidelines, counseling, advising the youth of expected conduct §G3 – Discipline, imposing a minor consequence. Discipline shall be ☒ ☐ ☐ §G4 – Disciplinary Due Process, accompanied by written documentation and a policy of §G23 – Challenge Program Guidelines review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall It should be noted we reviewed all due be documented and require the following: process hearings from JTC for 2023. Review ☒ ☐ ☐ of documentation revealed compliance with this regulation. §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, (1) written notice of violation prior to a hearing; ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (2) accommodations provided to youth with §G3 – Discipline, disabilities, limited literacy, and English language ☒ ☐ ☐ §G4 – Disciplinary Due Process, learners; §G23 – Challenge Program Guidelines 7082 El Dorado SYTF PRO 23-24 Page 34 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS §G2 – Juvenile Detention Facility Guidelines, (3) hearing by a person who is not a party to the §G3 – Discipline, ☒ ☐ ☐ incident; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (4) opportunity for the youth to be heard, present §G3 – Discipline, ☒ ☐ ☐ evidence and testimony; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, (5) provision for youth to be assisted by staff in the §G3 – Discipline, ☒ ☐ ☐ hearing process; §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines §G2 – Juvenile Detention Facility Guidelines, §G3 – Discipline, (6) provision for administrative review. ☒ ☐ ☐ §G4 – Disciplinary Due Process, §G23 – Challenge Program Guidelines (g) violations that result in a removal from camp or §G2 – Juvenile Detention Facility Guidelines, commitment program, but not a return to court, will §G3 – Discipline, ☒ ☐ ☐ follow the due process provisions in subsection (e) §G4 – Disciplinary Due Process, above. §G23 – Challenge Program Guidelines 1410 MANAGEMENT OF COMMUNICABLE WellPath Medical Procedures DISEASES. §L1 – Health Administrator The health administrator/responsible physician, in cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; ☒ ☐ ☐ §L1 – Health Administrator (b) Identification of relevant symptoms; ☒ ☐ ☐ §L1 – Health Administrator (c) Referral for medical evaluation; ☒ ☐ ☐ §L1 – Health Administrator (d) Treatment responsibilities during detention; ☒ ☐ ☐ §L1 – Health Administrator (e) Coordination with public and private community- §L1 – Health Administrator ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ §L1 – Health Administrator (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ §L1 – Health Administrator The policies and procedures shall be updated as §L1 – Health Administrator necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Walkthrough of the facility confirmed all (EXCERPT) housing units have a lock medical box. The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ It should also be noted the facility has Mental Health lock boxes within each living unit. establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE §J4 – Facility Issued Clothing The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: 7082 El Dorado SYTF PRO 23-24 Page 35 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Clothing is clean, reasonably fitted, durable, easily §J1 – Laundry Room Guidelines laundered, in good repair, and free of holes and tears. ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (b) The standard issue of climatically suitable clothing §J1 – Laundry Room Guidelines for youth shall consist of but not be limited to: ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing §J1 – Laundry Room Guidelines (1) Socks and serviceable footwear; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing §J1 – Laundry Room Guidelines (2) Outer garments; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (3) New non-disposable underwear which shall §J1 – Laundry Room Guidelines remain with the youth throughout their stay, and; ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (4) Undergarments, that are freshly laundered and §J1 – Laundry Room Guidelines free of stains, including tee shirts and bras. ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing (c) Clothing is laundered at the temperature required by §J1 – Laundry Room Guidelines local ordinances for the commercial laundries and dried §J2 – Laundry Schedule ☒ ☐ ☐ completely in a mechanical dryer or other laundry §J4 – Facility Issued Clothing method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. §J1 – Laundry Room Guidelines ☒ ☐ ☐ §J2 – Laundry Schedule §J4 – Facility Issued Clothing 1482 CLOTHING EXCHANGE Interviews with youth and staff confirmed youth receive their own underwear back at The facility administrator shall develop and implement exchange. written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ §F14 – Shower and Daily Hygiene §J1 – Laundry Room Guidelines frequent exchange, outer garments, except for footwear, §J2 – Laundry Schedule shall be exchanged at least once each week. Tee shirts, §J4 – Facility Issued Clothing bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S §J5 – Personal Property PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS §F15 – Personal Care Items There shall be written policies and site-specific procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ §F15 – Personal Care Items (b) Toothpaste; ☒ ☐ ☐ §F15 – Personal Care Items (c) Soap; ☒ ☐ ☐ §F15 – Personal Care Items (d) Comb; ☒ ☐ ☐ §F15 – Personal Care Items (e) Shaving implements; ☒ ☐ ☐ §F15 – Personal Care Items 7082 El Dorado SYTF PRO 23-24 Page 36 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Deodorant; ☒ ☐ ☐ §F15 – Personal Care Items (g) Lotion; ☒ ☐ ☐ §F15 – Personal Care Items (h) Shampoo; and, ☒ ☐ ☐ §F15 – Personal Care Items (i) Post-shower conditioning hair products. ☒ ☐ ☐ §F15 – Personal Care Items Youth shall not be required to share any personal care §F15 – Personal Care Items items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE §F14 – Shower and Daily Hygiene §F15 – Personal Care Items There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING §F14 – Shower and Daily Hygiene §F15 – Personal Care Items Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) §F16 – Haircut Procedure Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE §J3 – Bedding and Linen Issue Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which §J3 – Bedding and Linen Issue meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in §J3 – Bedding and Linen Issue ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ §J3 – Bedding and Linen Issue (d) One towel; and, ☒ ☐ ☐ §J3 – Bedding and Linen Issue (e) One blanket or more, up on request ☒ ☐ ☐ §J3 – Bedding and Linen Issue 7082 El Dorado SYTF PRO 23-24 Page 37 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1501 BEDDING LINEN EXCHANGE §J3 – Bedding and Linen Issue The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered §J3 – Bedding and Linen Issue ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND §II – Facility Management Responsibilities MAINTENANCE §F1 – Morning Cleanup Schedule §F2 – Weekend Cleanup The facility administrator shall develop and implement §F5 – Shift Responsibilities – Day written policies and site-specific procedures for the §F6 – Shift Responsibilities – Graveyard maintenance of an acceptable level of cleanliness, §F13 – Graveyard Expectations – 2200-0600 repair and safety throughout the facility. The plan shall §K11 – Kitchen Staff Responsibilities provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7082 El Dorado SYTF PRO 23-24 Page 38 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☒ ☐ ☐ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☒ ☐ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☒ ☐ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7082 El Dorado SYTF PRO 23-24 Page 39 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7079 7081 7082 FACILITY NAME: South Lake Tahoe Juvenile Treatment Center (JH) FACILITY TYPE: JH South Lake Tahoe Challenge Camp (Camp) Camp El Dorado Secure Youth Treatment Facility (SYTF) SYTF APPLICABLE REGULATIONS (Check All That Apply): 4/98: 2001: X 2003: OTHER: FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: May 25, 2023 2023-2024: No changes to Physical Plant Comments: Superintendent Kaci Smith reports no changes to the facility during the 2023-2024 inspection cycle thus far. TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) ☒ ☐ ☐ Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of minors ☒ ☐ ☐ pending admission to JH Provides access to a shower ☒ ☐ ☐ Provides a secure vault or storage space for minor's ☒ ☐ ☐ valuables Provides telephone access to minors ☒ ☐ ☐ Provides staff access to hot and cold running water ☒ ☐ ☐ Locked Holding Room (1.2) ☒ ☐ ☐ Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area ☒ ☐ ☐ Contains seating to accommodate all minors as ☒ ☐ ☐ specified in these regulations 98: Provides access to a toilet, washbasin and Holding rooms in the housing unit do not have drinking fountain as specified in these regulations a toilet, washbasin, and drinking fountain. 03: Be equipped with a toilet, washbasin and drinking ☒ ☐ ☐ Access will be provided. fountain unless a procedure is in effect to provide access Maximizes staff visual supervision ☒ ☐ ☐ 03: Outward swinging or lateral sliding door required ☒ ☐ ☐ Natural Light (1.3) Visual access to natural light is provided in locked ☒ ☐ ☐ sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7079 7081 7082 El Dorado Probation PHY 23-24 - 1 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Podular design. Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are located ☐ ☐ ☒ only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) JH living units do not exceed 30 minors and contain ☒ ☐ ☐ sleeping areas and plumbing fixtures, commensurate with the number of minors housed. Locked Sleeping Rooms (1.6) 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other ☒ ☐ ☐ access to these fixtures 03: Toilet, washbasin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) 98: Minimum of 63 square feet of floor area and a ☒ ☐ ☐ clear ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144 ☒ ☐ ☐ inches. 03: Outward swinging or lateral sliding door required ☒ ☐ ☐ Double Occupancy Sleeping Rooms (1.8) Minimum of 100 square feet floor area, a clear ceiling ☒ ☐ ☐ height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144 ☒ ☐ ☐ inches 03: Outward swinging or lateral sliding door required ☒ ☐ ☐ Dormitories (1.9) No dormitories. The remainder of the In JHs and camps, there is a minimum of 50 square worksheet pertaining to dormitories has been feet of floor area per minor, with a minimum dormitory ☐ ☐ ☒ deleted. size of 200 square feet and a minimum clear ceiling height of eight feet. 7079 7081 7082 El Dorado Probation PHY 23-24 - 2 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Dayrooms (1.10) ☒ ☐ ☐ JH dayrooms contain 35 square feet of floor area per minor. Dayrooms in camps and SPJHs contain 30 square ☐ ☐ ☒ feet of floor area per minor. All dayrooms provide access to toilets, wash basins, Dayroom has tables and seating for 24. drinking fountains and showers. ☒ ☐ ☐ Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet dedicated ☒ ☐ ☐ indoor-outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9000 square feet dedicated indoor- outdoor space. 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum ☐ ☐ ☒ dimension of 100 feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ☐ ☐ ☒ 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor- outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor-outdoor space is a paved or "like" surface. ☒ ☐ ☐ 01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped and ☒ ☐ ☐ of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single ☒ ☐ ☐ dimension less than 40 feet. Outdoor recreation area lighting allows for evening activities and provides security. ☒ ☐ ☐ Academic Classrooms (NA SPJH; 1.12) ☒ ☐ ☐ Classrooms are designed for a maximum of 20 minors. 7079 7081 7082 El Dorado Probation PHY 23-24 - 3 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for ☒ ☐ ☐ every juvenile in the facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square 2 classrooms each 26'6" x 28' = 742 square feet of floor space for the teacher's desk and work feet. One office 9'4" x 13'4" = 124 square feet. ☒ ☐ ☐ area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to emergencies. ☒ ☐ ☐ Safety Room (1.13) No safety room. Remainder of the checklist pertaining to safety rooms has been deleted. ☐ ☐ ☒ Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped medical ☒ ☐ ☐ examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations ☒ ☐ ☐ that is used for no other purpose; Privacy for minors; ☒ ☐ ☐ Lockable storage for medical supplies; ☒ ☐ ☐ Not less than 144 square feet floor space with no 13'4" x 18' (less toilet room 4' x 8'8") = 275 ☒ ☐ ☐ single dimension less than seven feet; square feet. Hot and cold running water; and, ☒ ☐ ☐ 01: Smooth, non-porous, washable surfaces. ☒ ☐ ☐ Pharmaceutical Storage (1.15) In medical exam room. There is lockable storage space for medical supplies ☒ ☐ ☐ and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) Dining in dayroom. There is a minimum of 15 square feet floor space and ☒ ☐ ☐ sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate visual ☒ ☐ ☐ barrier. Visiting Space (1.17) ☒ ☐ ☐ Visiting space is provided. 7079 7081 7082 El Dorado Probation PHY 23-24 - 4 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space ☒ ☐ ☐ per minor for institutional clothing, bedding, supplies and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of ☒ ☐ ☐ secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as fire extinguishers, self-contained breathing ☒ ☐ ☐ apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial closet ☒ ☐ ☐ containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping rooms; single ☒ ☐ ☐ and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to ☒ ☐ ☐ maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) 8' x 8'1" = 65 square feet. ☒ ☐ ☐ Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors There is a minimum of one suitably furnished ☒ ☐ ☐ interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. ☐ ☐ ☒ 7079 7081 7082 El Dorado Probation PHY 23-24 - 5 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Court Holding Room for Minors (1.26) There is no court holding in this facility. The remainder of the checklist pertaining to court ☐ ☐ ☒ holding has been deleted. Contains a minimum of 10 square feet of floor area per minor Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms. ☒ ☐ ☐ One toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Wash basins must provide hot and cold or tempered water and be available on living units in a ratio of 1:6 ☒ ☐ ☐ in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) Drinking fountains are accessible to minors and staff ☒ ☐ ☐ in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from flowing over the ☒ ☐ ☐ bubbler. Showers (2.4) Four showers in each dayroom. Showers provide tempered water and are available on ☒ ☐ ☐ living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. ☒ ☐ ☐ Beds (2.5) Beds are at least 30 inches wide and 76 long and are ☒ ☐ ☐ of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. ☒ ☐ ☐ Lighting (2.6) There is at least 20 foot-candles (216 1x) of illumination at desk level in locked sleeping rooms, ☒ ☐ ☐ single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good visibility and is conducive to sleep. ☒ ☐ ☐ 7079 7081 7082 El Dorado Probation PHY 23-24 - 6 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Padding (2.7) There are no padded safety rooms in this Padding in safety rooms covers the floor, door and facility. ☐ ☐ ☒ walls to a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper-resistant fire sprinkler as approved by the State Fire Marshal ☐ ☐ ☒ (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all padded ☐ ☐ ☒ surfaces; and, is without exposed seams. Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench seating is ☒ ☐ ☐ allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security ☒ ☐ ☐ perimeter of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device. ☒ ☐ ☐ Assess for New Construction/Remodel or Repair: Security Glazing (2.10) (Added in 2003) (Note to inspector: This will typically be assessed from specifications provided at plan review.) Security glazing complies with the minimum requirements of one of the following test standards: ☒ ☐ ☐ American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860-94d, Class C glass; or, H. P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met. ☒ ☐ ☐ (Note to inspector: See regulation for specific requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7079 7081 7082 El Dorado Probation PHY 23-24 - 7 - J456 PHY 98 01 03.dot (10/03) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: JH: 7079 Camp: 7081 SYTF: 7082 FACILITY: South Lake Tahoe Juvenile Treatment Center (JH) TYPE: JH RC: 20 South Lake Tahoe Challenge Camp (Camp) Camp 8 El Dorado Secure Youth Treatment Facility (SYTF) SYTF 12 Total RC: 40 FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: May 25, 2023 ROOMS EACH ROOM Each Room FIXTURES* Size (L x W x H) COMMENTS Unit Room Applicable # Total or Square/Cubic Designation Type Standards Rooms # RC RC Feet T U W F S Beds INTAKE 72 square feet (chase 5 sq. ft.). Two benches @ Holding 2001 2 0 (4) (8) 8'9" x 8'9" 1 1 1 1 4'8". Seating based on square footage. HOUSING Unit A Single 2001 6 1 1 6 8'2" x 12' 1 1 1 91 square feet. Double 2001 7 2 2 14 8'2" x 14' 1 1 1 107 square feet. Dayroom 2001 1 38'2" x 60'8" 1 1 1 4 (Less control room 239 sq. ft.) 65 sq. ft. One 8' bench each room. Seating Holding 2001 1 0 (4) (4) 8' x 8'1" 0 0 0 based on square footage. Access to toilet room provided. Unit B Single 2001 6 1 1 6 8'2" x 12' 1 1 1 91 square feet. Double 2001 7 2 2 14 8'2" x 14' 1 1 1 107 square feet. Dayroom 2001 1 38'2" x 60'8" 1 1 1 4 (Less control room 239 sq. ft.) Comments: Superintendent Kaci Smith reports no changes to the facility during the 2023-2024 inspection cycle thus far. Historical Notes: Note: Typical plumbing chase 3'9" x 3'11"/2 = 7 sq. ft. Note: At the time of the inspection juvenile hall youth were housed within unit A and Camp and SYTF youth were housed within Unit B. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7079 7081 7082 El Dorado Probation LASE 23-24 - 1 - J460 LAS JUV.dot (03/01)