Fresno County Probation (2023-2024 inspection cycle)

November 5, 2024 Kirk Haynes, Chief Probation Officer Fresno Probation Department 3333 E. American Avenue, Suite B Fresno, CA 93725 2023-2024 TARGETED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, FRESNO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Haynes: A Targeted Inspection of the Fresno County Probation Department has been completed. A pre-inspection briefing was held on Thursday, August 15, 2024, and the following facilities were inspected between Wednesday, October 2, 2024, and Thursday, October 3, 2024: FACILITY NAME BSCC # FACILITY TYPE Fresno Co. Juvenile Justice Campus Detention 7088 JH Juvenile Justice Campus Commitment Facility 7089 CAMP Fresno Secure Youth Treatment Facility 7095 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 Title 15, California Code of Regulations. INSPECTION RESULTS We identified the following item(s) of noncompliance with Title 15 Minimum Standards. Juvenile Justic Campus: Detention Title 15 Section, 1371 Programs: Programs are not being offered in line with Section (a) which requires all youth shall be provided with the opportunity for at least one hour of daily programming. In reviewing documentation, it is apparent the proposed schedule for programming was not occurring. Juvenile Justice Campus: Commitment Title 15 Section, 1371 Programs: Programs are not being offered in line with Section (a) which requires all youth shall be provided with the opportunity for at least one hour of daily programming. Kirk Haynes Chief Probation Officer Page 2 In reviewing documentation, it is apparent the proposed schedule for programming was not occurring. Refer to the attached Procedures Checklist for detailed information. CORRECTIVE ACTION PLAN (CAP) An Initial Inspection Report (IIR) outlining items of noncompliance was provided to your staff on October 4, 2024. Pursuant to Welfare and Institutions Code section 209(d), a CAP must be provided to the BSCC for approval no later than 60 days following the notice of noncompliance in the IIR, which is December 3, 2024. Failure to submit a CAP by December 3, 2024, will result in the facility being deemed unsuitable for the confinement of youth. Upon receipt and approval of your CAP, BSCC staff will follow up with further information regarding the implementation of the CAP and reinspection for compliance. Failure to correct the items of noncompliance within the approved timeframe following the CAP approval will result in the county’s appearance before the BSCC Board for a determination of suitability. * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 916-708-2062 if you have any questions. Sincerely, SHAY MOLENNOR Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Fresno County Juvenile Court* Chair, Juvenile Justice Commission, Fresno County* Chair, Board of Supervisors, Fresno County* County Administrator, Fresno County* David Ruiz, Deputy Chief (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7088+ Fresno County Probation JH CAMP SYTF Targeted LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7088 FACILITY NAME: Fresno Co. Juvenile Justice Campus: Detention FACILITY TYPE: JH PERSON(S) INTERVIEWED: David Ruiz-Deputy Chief, Bryan Crump- Assistant Deputy Chief, Kayatana Davis-Assistant Deputy Chief, Chris Maranian- Assistant Deputy Chief, J. Jasper-Supervising Juvenile Correctional Officer, C. Chang- Supervising Juvenile Correctional Officer, T. Tellez-Juvenile Correctional Officer II, Dulces Gonzalez-Wellpath Health Services Administrator, Rick Virk- WellPath Mental Health Coordinator, male youth ages 15 and 18 FIELD REPRESENTATIVE: Shay Molennor DATE: October 2-3, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Policy 202 Staffing Plan Policy 202.3 Staff Plan Requirements Each juvenile facility shall: Policy 202.3.1 (a) Responsibilities (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its Procedures 202 Staffing Plan programming, to provide for safety and security of youth and staff, and meet established standards and The agency staff for their JH, Camp, and regulations; SYTF, which are co-located on the same campus. The combined population was 104 on October 2, 2024. Population numbers: • 46 Detention • 35 Camp • 23 SYTF BSCC staff reviewed the current budgeted ☒ ☐ ☐ positions, vacancy report, leave of absence and modified duty report, and staffing assignments. In addition, BSCC staff reviewed the entire month's completed staffing schedule for March 2024. • 15 Supervising Probation Corrections Officer • 31 Senior Juvenile Corrections Officer (2 vacant) • 130 Probation Corrections Officer II (14 vacant) • 3 Probation Corrections Officer Extra Help The agency builds in Senior and Juvenile Corrections Officer flex positions on the a.m. and p.m. shifts to cover vacancies. The 1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 1 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS schedule is posted 21 days in advance. Directed overtime and voluntary shifts are utilized to cover vacancies. Deputy Probation Officers who have received facility-specific training provide additional support to the facility to maintain overall staffing patterns. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied Policy 202.3.1 (b) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 202.3.1 (c) ensure adequate supervision of all staff members; ☒ ☐ ☐ (d) have a clearly identified person on duty at all times Policy 202.3.1 (d) who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living Policy 202.3.1 (e) unit whenever there are youth in the living unit; ☒ ☐ ☐ (f) have sufficient food service personnel relative to the Policy 202.3.1 (f) and (g) number and security of living units, including staff qualified and available to: plan menus meeting nutritional Food services are provided by Trinity Services requirements of youth; provide kitchen supervision; direct Group. The facility has seven dietary aide staff food preparation and servings; conduct related training ☒ ☐ ☐ who receive the food and monitor programs for culinary staff; and maintain necessary temperatures. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, Policy 202.3.1 (h) medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the agency provides an appropriate and to ensure that youth supervision staff shall not be level of staff to operate booking, diverted from supervising youth; and, transportation, control, training, and targeted case management. WellPath provides medical coverage from 5:30 a.m. through 11:00 p.m. every day. Psychiatric services are provided one time per week, dental services are provided each Wednesday, and optometry services are provided two times a month. After-hours on- ☒ ☐ ☐ call services are provided by Zonova Telehealth Provider. WellPath provides mental health services from 8:00 a.m. through 11:00 p.m. every day. Services are provided by one Supervising clinician, three full-time clinicians, one part- time clinician, and three PRN, as-needed clinicians. Two substance abuse use disorder counselors also provide services to the youth. Contracts with the Internal Services Division for Janitorial and facility-related requests for plumbing, HVAC, and structural issues. 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 2 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) assign sufficient youth supervision staff to provide Policy 202.3.1 (i) 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 Policy 202.3.1 (i)(1)(a) (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 Policy 202.3.1 (i)(1)(b) 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 Policy 202.3.1 (i)(1)(c) 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 Policy 202.3.1 (i)(1)(d) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Policy 202.3.1 (i)(1)(e) duties such as administration, supervision of Policy 202.5 Separation of Duties personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. 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 The facility is not a Camp. (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; 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 3 of 13 A453 JUV Targeted PRO eff. 1/2024 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. 1328 SAFETY CHECKS Policy 505 Youth Safety Checks 0B Policy 505.3 (a-e) The facility administrator shall develop and implement policy and procedures that provide for direct visual Procedure 500 Youth Safety Check observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth Reviewed safety checks from February, May are asleep or when youth are in their rooms, confined in and June 2024. The facility utilizes the Safety holding cells or confined to their bed in a dormitory. Watch Program which is an electronic Supervision is not replaced, but may be supplemented database used in conjunction with a computer by, an audio/visual electronic surveillance system scan gun assigned to each officer who is designed to detect overt, aggressive or assaultive designated to complete safety checks. The behavior and to summon aid in emergencies. All safety safety check is electronically recorded at the checks shall be documented with the actual time the actual time completed. The Watch check is completed. Commander reviews safety checks daily and ensures quality control. Any discrepancies require an incident report. If the scan gun is not functioning paper checks will be utilized. Supervisors conduct random audits of these ☒ ☐ ☐ checks each shift. The majority of safety checks occurred between 14 to 15 minutes, though random checks occurred at intervals throughout the shifts. The process of reviewing the safety checks requires close scrutiny to calculate the time between checks. BSCC staff inquired if the Safety Watch Program could be modified to run reports to calculate times between checks for easier auditing or if alerts could be sent for late checks. Provided technical assistance to ensure safety checks were random and varied. The facility is in compliance with this regulation. 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 4 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Policy 706 Suicide Prevention and 1B Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Procedure 700 Suicide Prevention and shall plan and implement written policies and procedures Intervention Plan which delineate a Suicide Prevention Plan. The plan shall consider the needs of youth experiencing past or current trauma. Suicide prevention responses shall be Reviewed eight incident reports outlining respectful and in the least invasive manner consistent responses to youth displaying suicidal with the level of suicide risk. The plan shall include the behaviors. Medical and behavioral health following elements: promptly assess youth and direct precautionary protocols and safety interventions. ☒ ☐ ☐ The facility has received accreditation from the National Commission on Correctional Health Care by receiving 100 percent accuracy on responses to suicide protocols by WellPath Medical, WellPath Mental Health, and facility staff. The collaboration between the agencies is apparent based on the alignment of facility and WellPath policies. The Health Care Administrator indicated they routinely ensure WellPath and facility policies are reviewed and meet with the administration every month. The suicide responses are consistent with suicide risk and in the least invasive manner. (a) Suicide prevention training as required in Section Policy 706.4 (a) Suicide Prevention Plan 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. Suicide Prevention Training is provided to ☒ ☐ ☐ facility staff yearly by Wellpath in order to ensure ongoing accreditation with the National Commission on Correctional Health Care. (b) Screening, Identification Assessment and Policy 706.4 (b) (1) Precautionary Protocols Policy 706.5 Screening for Suicide Risk (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake Policy 706.4 (b) (2) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 706.4 (b) (3) 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 Policy 706.4 (b) (4) ensure the youth’s safety pending the Policy 706.6 Precautionary Protocols behavioral/mental health assessment. Policy 706.7 Precautionary Watch Sheets ☒ ☐ ☐ Protocols include room and clothing searches, removal of bedding, and use of a suicide blanket or suicide smock if behavior warrants. (c) Referral process to behavioral/mental health staff for Policy 706.4 (c) assessment and/or services. ☒ ☐ ☐ 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 5 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Procedures for monitoring of youth identified at risk Policy 706.4 (d) for suicide. Staggered/Unpredictable and Constant Watch are two protocols utilized by the agency to ☒ ☐ ☐ monitor youth at risk of suicide. The agency documents this information on the Precautionary Watch Sheet. (e) Safety Interventions Policy 706.4 (e) (1) (a) (1) Procedures to address intervention protocols for youth identified at risk for suicide which may Prims Portal booking information assists staff ☒ ☐ ☐ include, but are not limited to: in classifying youth for appropriate housing (A) Housing consideration based on suicide risk. (B) Treatment strategies including trauma- Policy 706.4 (e) (1) (b) informed approaches An Individualized Suicide Precautionary ☒ ☐ ☐ Treatment Plan (ISPTP) is completed for youth placed on precautionary watch. (2) Procedures to instruct youth supervision staff how Policy 706.4 (e) (2) to respond to youth who exhibit suicidal behaviors. Mental Health notifies unit staff of safety interventions. A precautionary watch sheet is initiated, and the information is documented in ☒ ☐ ☐ the youth’s chronological log and the living unit log. Each shift change the Watch Commander will send an email notification on all suicide statuses to ensure continuity of care. (f) Communication Policy 706.4 (f) (1) (1) The intake process shall include communication with the arresting officer and family guardians The agency’s intake and booking PRIMS regarding the youth’s past or present suicidal ☒ ☐ ☐ system requires documentation of the ideations, behaviors or attempts. communication in order to complete the booking process. (2) Procedures for clear and current information Policy 706.4 (f) (2) sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental Information about youth who are identified health staff. as at risk of suicide during the booking process is communicated to medical, mental health, ☒ ☐ ☐ and the housing unit. This information is documented in the youth’s chronological file. Information is shared about youth identified outside of booking utilizing the same methods. (g) Debriefing of Critical Incidents Related to Suicides or Policy 706.4 (g) (1) Attempts Policy 706.10 Debriefing of Critical Incidents (1) Process for administrative review of the Related to Suicide Watch or Attempts ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. Policy 706.4 (g) (2) ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Policy 706.4 (g) (3) ☒ ☐ ☐ 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 6 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Documentation Policy 706.4 (e) (1) (a) (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy 706.4 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1354.5 ROOM CONFINEMENT Policy 602 Room Confinement. 2B Policy 602.3 Separation from Other Youth (a) The facility administrator shall develop and implement written policies and procedures addressing Procedure 600 Room Confinement the confinement of youth in their room that are consistent with Welfare and Institutions Code Section Reviewed ten instances of room confinement 208.3. The placement of a youth in room confinement which consisted of documentation outlined in shall be accomplished in accordance with the following the Room Confinement Report, Incident guidelines: Report, and Safety Watch Log. Seven of the incidents involved fights and three involved a safety and security threat. Upon placement on ☒ ☐ ☐ room confinement staff are required to give goals and document in random intervals not to exceed fifteen minutes in order to reintegrate youth into the regular population. Youth may be required to participate in a conflict resolution or a counseling session. Provided agency with technical assistance to ensure documentation was consistently filled out and routinely audited for required documentation. The agency is in compliance with this regulation. (1) Room confinement shall not be used before Policy 602.3 (a) 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 Policy 602.3 (b) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 602.3 (c) that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room Policy 602.3.5 (a) Room 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. Policy 602.3.5 (a) (1) ☒ ☐ ☐ (2) Consult with mental health or medical staff. Policy 602.3.5 (a) (2) ☒ ☐ ☐ (3) Develop an individualized plan that includes the Policy 602.3.5 (a) (3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 7 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) If room confinement must be extended beyond Policy 602.3.5 (b) (1) four hours, staff shall do each of the following: (A) Document the reasons for room confinement No instances of room confinement reviewed and the basis for the extension, the date and time were extended beyond four hours. ☒ ☐ ☐ 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 Policy 602.3.5 (b) (2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 602.3.5 (b) (3) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy 602.3.5 (b) (3) (a) 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 Policy 602.3.5 (b) (3) (b) court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Policy 602.3.5 (b) (3) (c) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 602.3.5 (b) (3) (d) 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 Policy 602.3.5 (b) (3) (e) 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. 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 8 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Policy 507 Use of Force The facility administrator, in cooperation with the Procedure 511 Use of Force Procedure responsible physician, shall develop and implement written policies and procedures for the use of force, Reviewed six Use of Force Incident reports. which may include chemical agents. Force shall never The reports all involved youth engaging in be applied as punishment, discipline, retaliation or fights. The incident report template the agency treatment. utilizes assists staff in providing all the (a) At a minimum, each facility shall develop policies and required documentation as to the type of force procedures which: used, use of mechanical restraints, reason for use, chemical aftercare, parental notification, medical and mental health notification, and ☒ ☐ ☐ their follow-up response. The template will also track the use of room confinement. Provided technical assistance to update this template as the language used to indicate room confinement is outdated as it is titled Disciplinary Segregation. Reports also include a video review of the incident and a review by the administration. The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Policy 507.3 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 Policy 507.3.2 Alternative Tactics-De- both physical and non-physical options and define escalation when those force options are appropriate. ☒ ☐ ☐ Policy 507.3.8 Pain Compliance Techniques Policy 507.4 Use of Chemical Agents (3) describe force options or techniques that are Policy 507.3.9 Restrictions on the Use of a expressly prohibited by the facility. Carotid Hold Policy 507.3.10 Restrictions on the Use of a ☒ ☐ ☐ Choke Hold Policy 507.3.11 Positional Asphyxia (4) describe the requirements of staff to report any Policy 507.3.4 Duty to Intercede inappropriate use of force, and to take affirmative Policy 507.3.6 Duty to Report Excessive Use ☒ ☐ ☐ action to immediately stop it. of Force (5) define a standardized reporting format that Policy 507.6 Reporting the Use of Force includes time period and procedure for documenting Policy 507.9 Reporting Format, Review and and reporting the use of force, including reporting Procedures requirements of management and line staff and Policy 507.9.2 Trauma Mitigation procedures for reviewing and tracking use of force incidents by supervisory and or management staff, Post-incident a verbal debrief is conducted which include procedures for debriefing a particular with staff by the Watch Commander. In incident with staff and/or youth for the purposes of ☒ ☐ ☐ addition, the youth will be de-briefed by the training as well as mitigating the effects of trauma that Watch Commander or Senior. Recommended may have been experienced by staff and /or the youth that the agency consistently document these involved. de-briefs as part of their report process. In addition, recommended the facility outline this process of debriefing staff and youth in their procedures manual. (6) Include an administrative review and a system for Policy 507.9.1 Use of Force Review investigating unreasonable use of force. ☒ ☐ ☐ Committee (7) define the role, notification, and follow-up Policy 507.6.1 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ guardians. 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 9 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) describe the limitations of use of force on pregnant Policy 507.3.1 Use of Force Limitations 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 Policy 507.4 Use of Chemical Agents option shall include policies and procedures that: Policy 507.4.2 Deputy Chief Responsibilities (1) identify who is approved to carry and/or utilize ☒ ☐ chemical agents in the facility and the type, size and ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when Policy 507.4.1 Chemical Agent Limitations 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 Policy 507.4 Use of Chemical Agents timelines for decontamination from chemical agents. This shall include that youth who have been exposed The Incident Report template has prompts to to chemical agents shall not be left unattended until record the time chemical aftercare starts and that youth is fully decontaminated or is no longer ends. Provided technical assistance to suffering the effects of the chemical agent. the agency to also document the youth was ☒ ☐ ☐ not left alone and any statements made by the youth they are no longer suffering the effects of the chemical agent. Interviews with youth affirm they are not left alone during the decontamination process and they self-report when no longer suffering the effects. (4) define the role, notification, and follow-up Policy 507.6.1 Required Notifications procedures required after use of force incidents ☒ ☐ involving chemical agents for medical, mental health ☐ staff and parents or legal guardians. (5) provide for the documentation of each incident of Policy 507.6 Reporting the Use of Force use of chemical agents, including the reasons for Policy 507.9 Reporting Format, Review and which it was used, efforts to de-escalate prior to use, Procedures youth and staff involved, the date, time and location of use, decontamination procedures applied and Reports reviewed involving chemical agents ☒ ☐ identification of any injuries sustained as a result of ☐ indicate staff consistently announce yard such use. checks which are used to direct youth to assume a position on their stomach as a response to an emergency or incident that may result in the use of force. (c) Facilities shall develop policies and procedure which Policy 307 Chemical Agents Training require that agencies provide initial and regular training Policy 507.11 (h) Training in use of force and chemical agents when appropriate that address: ☒ ☐ ☐ (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy 507.11 (k) ☒ ☐ application. ☐ (3) signs or symptoms that should result in Policy 507.11 (l) immediate referral to medical or behavioral health. ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Policy 507.11 (h) Use of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy 507.11 (m) the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Policy 507.11.2 Training training. ☒ ☐ ☐ 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 10 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE Policy 605 Youth Grievances Policy 605.3 Access to the Grievance System The facility administrator shall develop and implement Policy 608.4 (c) Reporting Discrimination written policies and procedures whereby any youth may appeal and have resolved grievances relating to any Procedure 601 Youth Grievance condition of confinement, including but not limited to health care services, classification decisions, program Reviewed eleven formal grievances filed by participation, telephone, mail or visiting procedures, youth from January through September 2024. food, clothing, bedding, mistreatment, harassment or If a grievance involves staff issues video violations of the nondiscrimination policy. There shall be cameras will be reviewed. Grievances that are no time limit on filing grievances. Policies and handled at the lowest level utilizing the Minor’s procedures shall include provisions whereby the facility Informal Grievance Form are to be manager ensures: ☒ ☐ ☐ documented in the youth’s chronological file. The agency utilizes a formal tracking system for grievances that are not resolved at the lowest level. This process includes attaching the original grievance form to a separate form which is assigned a number and logged. Provided the agency with technical assistance to track all grievances, even if handled at the lowest level, to ensure consistency with policy and procedures. The agency is in compliance with this regulation. (a) a grievance form and instructions for registering a Policy 605.3 (a) grievance, which includes provisions for the youth to have free access to the form; All youth interviewed knew of the grievance ☒ ☐ ☐ process and the location of the forms in the housing unit. (b) the youth shall have the option to confidentially file Policy 605.3 (g) the grievance or to deliver the form to any youth supervision staff working in the facility; A locked grievance box was observed in each ☒ ☐ ☐ living unit. All youth interviewed knew the location of the box to confidentially file grievances. (c) resolution of the grievance at the lowest appropriate Policy 605.3 (b) staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Policy 605.3 (a) grievances within three (3) business days, grievances Policy 605.4.2 Timely Resolution of that relate to health and safety issues must be ☒ ☐ ☐ Grievances addressed immediately; (1) The youth may elect to be present to explain Policy 605.4.5 (a) State Requirements 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 Policy 605.4.5 (b) the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Policy 605.3 (d) which includes the reasons for the decisions; ☒ ☐ ☐ (f) a system which provides that any appeal of a Policy 605.4.3 Appeals to Grievance Findings 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) Policy 605.4.2 Timely Resolution of business days unless circumstances dictate a longer Grievances time frame. The youth shall be notified of any delay; ☒ ☐ ☐ and, 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 11 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) the policy shall provide multiple internal and external Policy 605.6 Additional Provisions for methods to report sexual abuse and sexual harassment. Grievances Related to Sexual Abuse ☒ ☐ ☐ Policy 605.6.1 Emergency Grievances Related to Sexual Abuse Whether or not associated with a grievance, concerns of Policy 605.4.5 (c) State Requirements parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND Policy 1002 Programs, Exercise and 3B EXERCISE. Recreation The facility administrator shall develop and implement Procedure 1002 Programs, Exercise and written policies and procedures for programs, ☒ ☐ ☐ Recreation recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each The agency has a Recreation Coordinator Saturday, Sunday or other non-school days, of which ☒ ☐ ☐ who oversees the programming and one hour shall be an outdoor activity, weather permitting. recreation schedule. A youth’s participation in programs, recreation, and Policy 1002.3 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 Policy 1002.3 be posted in the living units. ☒ ☐ ☐ There will be a written annual review of the programs, Policy 1002.3 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and A memorandum dated September 4, 2024, by ☒ ☐ ☐ relevant to the population. David Ruiz, Deputy Chief, addressed all elements of this regulation. (a) Programs. All youth shall be provided with the Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, The agency has one Juvenile Correctional evidence-based, best practice interventions that are Officer who is assigned Evidenced-Based culturally relevant and linguistically appropriate, or pro- Programming duties. This staff co-facilitates social interventions and activities designed to reduce Thinking for Change, CBI-SA. Choices, ART, recidivism. These programs should be based on the Girls Circle, I Decide, with partnering youth’s individual needs as required by Sections 1355 agencies. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County The agency has partnered with several Office of Education and can be administered by county community-based organizations, faith-based partners such as mental health agencies, community service providers, and the Fresno County based organizations, faith-based organizations or Office of Education (FCOE) to provide Probation staff. ☐ ☒ ☐ programming. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; • AA/NA (2) Management of Stress and Trauma; • Boys and Girls Club (3) Anger Management; • Choices (4) Conflict Resolution; • Focus Forward (5) Juvenile Justice System; • Girls Circle (6) Trauma-related interventions; • HOPE (7) Victim Awareness; • Performance-based Standards (8) Self-Improvement; • Substance Use Disorder (9) Parenting Skills and support; • Sierra Education and Research (10) Tolerance and Diversity; Institute (11) Healing Informed Approaches; • WellPath Health 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 12 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (12) Interventions by Credible Messengers; • Yoga (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; Reviewed Weekly Programs 2024, JJC (15) CPR and First Aid training; Activities 2024, and JJC Recreation Schedule (16) Restorative Justice or Civic Engagement; for September 9, 2024 through September 22, (17) Career and leadership opportunities; and, 2024. In cross referencing the September 9, (18) Other topics suitable to the youth population. 2024 through September 15, 2024 recreation schedule against units logs it was determined programming was not being provided to youth on a daily basis. Youth did not receive one hour of programming 22 times out of 35 opportunities during this time frame. In addition, interviews with youth indicated programming did not occur on a daily basis as indicated in the schedule. The facility is not in compliance with this regulation. (b) Recreation. All youth shall be provided the opportunity Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Interviews with youth affirm they receive an ☒ ☐ ☐ entertainment. Activities shall be supervised and include hour of recreation every day. orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. ☒ ☐ ☐ Interviews with youth affirm they receive an hour of large muscle activity each day. The administrator/manager may suspend, for a period not Policy 1002.7 Security and Supervision to exceed 24 hours, access to recreation and programs. The administrator/manager shall document the reasons ☒ ☐ ☐ why suspension of recreation and programs occurs. 7088 Fresno Juvenile Justice Campus Detention JH Targeted PRO 23-24 Page 13 of 13 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7089 FACILITY NAME: Juvenile Justice Campus Commitment Facility FACILITY TYPE: Camp PERSON(S) INTERVIEWED: David Ruiz-Deputy Chief, Bryan Crump- Assistant Deputy Chief, Kayatana Davis-Assistant Deputy Chief, Chris Maranian- Assistant Deputy Chief, J. Jasper-Supervising Juvenile Correctional Officer, C. Chang- Supervising Juvenile Correctional Officer, T. Tellez-Juvenile Correctional Officer II, Dulces Gonzalez-Wellpath Health Services Administrator, Rick Virk- WellPath Mental Health Coordinator, female youth age 20, male youth age 17 FIELD REPRESENTATIVE: Shay Molennor DATE: October 2-3, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Policy 202 Staffing Plan Policy 202.3 Staff Plan Requirements Each juvenile facility shall: Policy 202.3.1 (a) Responsibilities (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its Procedures 202 Staffing Plan programming, to provide for safety and security of youth and staff, and meet established standards and The agency staff for their JH, Camp, and regulations; SYTF, which are co-located on the same campus. The combined population was 104 on October 2, 2024. Population numbers: • 46 Detention • 35 Camp • 23 SYTF BSCC staff reviewed the current budgeted ☒ ☐ ☐ positions, vacancy report, leave of absence and modified duty report, and staffing assignments. In addition, BSCC staff reviewed the entire month's completed staffing schedule for March 2024. • 15 Supervising Probation Corrections Officer • 31 Senior Juvenile Corrections Officer (2 vacant) • 130 Probation Corrections Officer II (14 vacant) • 3 Probation Corrections Officer Extra Help The agency builds in Senior and Juvenile Corrections Officer flex positions on the a.m. and p.m. shifts to cover vacancies. The 1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 1 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS schedule is posted 21 days in advance. Directed overtime and voluntary shifts are utilized to cover vacancies. Deputy Probation Officers who have received facility-specific training provide additional support to the facility to maintain overall staffing patterns. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied Policy 202.3.1 (b) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 202.3.1 (c) ensure adequate supervision of all staff members; ☒ ☐ ☐ (d) have a clearly identified person on duty at all times Policy 202.3.1 (d) who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living Policy 202.3.1 (e) unit whenever there are youth in the living unit; ☒ ☐ ☐ (f) have sufficient food service personnel relative to the Policy 202.3.1 (f) and (g) number and security of living units, including staff qualified and available to: plan menus meeting nutritional Food services are provided by Trinity Services requirements of youth; provide kitchen supervision; direct Group. The facility has seven dietary aide staff food preparation and servings; conduct related training ☒ ☐ ☐ who receive the food and monitor programs for culinary staff; and maintain necessary temperatures. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, Policy 202.3.1 (h) medical, dental, mental health, building maintenance, transportation, control room, facility security and other support staff for the efficient management of the facility, ☒ ☐ ☐ and to ensure that youth supervision staff shall not be diverted from supervising youth; and, 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 2 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) assign sufficient youth supervision staff to provide Policy 202.3.1 (i) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special In addition to staff assigned to the housing program needs. Staffing shall be in compliance with a units, the agency provides an appropriate minimum youth-staff ratio for the following facility types: level of staff to operate booking, transportation, control, training, and targeted case management. WellPath provides medical coverage from 5:30 a.m. through 11:00 p.m. every day. Psychiatric services are provided one time per week, dental services are provided each Wednesday, and optometry services are provided two times a month. After-hours on- call services are provided by Zonova Tele- Health Provider. ☒ ☐ ☐ WellPath provides mental health services from 8:00 a.m. through 11:00 p.m. every day. Services are provided by one Supervising clinician, three full-time clinicians, one part- time clinician, and three PRN, as-needed clinicians. Two substance abuse use disorder counselors also provide services to the youth. A full-time clinician is dedicated to the New Horizons program. Contracts with the Internal Services Division for Janitorial and facility-related requests for plumbing, HVAC, and structural issues. (1) Juvenile Halls The facility is not a Juvenile Hall. (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 The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. awake youth supervision staff member on duty for ☐ ☐ ☒ each 10 youth in detention; 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 3 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 Policy 202.3.1 (i)(2)(a) (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 Policy 202.3.1 (i)(2)(b) room for the purpose of sleeping, one wide-awake ☒ ☐ youth supervision staff member on duty for each ☐ 30 youth present in the facility; (C) at least two wide-awake youth supervision staff Policy 202.3.1 (i)(2)(c) 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 Policy 202.3.1 (i)(2)(d) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio Policy 202.3.1 (i)(2)(e) 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 Policy 202.3.1 (i)(2)(f) duties such as administration, supervision of Policy 202.5 Separation of Duties personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 4 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Policy 505 Youth Safety Checks 0B Policy 505.3 (a-e) The facility administrator shall develop and implement policy and procedures that provide for direct visual Procedure 500 Youth Safety Check observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth Reviewed safety checks from February, May are asleep or when youth are in their rooms, confined in and June 2024. The facility utilizes the Safety holding cells or confined to their bed in a dormitory. Watch Program which is an electronic Supervision is not replaced, but may be supplemented database used in conjunction with a computer by, an audio/visual electronic surveillance system scan gun assigned to each officer who is designed to detect overt, aggressive or assaultive designated to complete safety checks. The behavior and to summon aid in emergencies. All safety safety check is electronically recorded at the checks shall be documented with the actual time the actual time completed. The Watch check is completed. Commander reviews safety checks daily and ensures quality control. Any discrepancies require an incident report. If the scan gun is not functioning paper checks will be utilized. Supervisors conduct random audits of these ☒ ☐ ☐ checks each shift. The majority of safety checks occurred between 14 to 15 minutes, though random checks occurred at intervals throughout the shifts. The process of reviewing the safety checks requires close scrutiny to calculate the time between checks. BSCC staff inquired if the Safety Watch Program could be modified to run reports to calculate times between checks for easier auditing or if alerts could be sent for late checks. Provided technical assistance to ensure safety checks were random and varied. The facility is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN Policy 706 Suicide Prevention and 1B Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Procedure 700 Suicide Prevention and shall plan and implement written policies and procedures Intervention Plan which delineate a Suicide Prevention Plan. The plan shall consider the needs of youth experiencing past or The facility did not have any youth placed on a current trauma. Suicide prevention responses shall be suicide risk status during this inspection cycle. respectful and in the least invasive manner consistent Compliance with this regulation is based on a with the level of suicide risk. The plan shall include the review of policy and procedure and interviews following elements: with the facility and Wellpath medical and mental staff. ☒ ☐ ☐ The facility has received accreditation from the National Commission on Correctional Health Care by receiving 100 percent accuracy on responses to suicide protocols by WellPath Medical, WellPath Mental Health, and facility staff. The collaboration between the agencies is apparent based on the alignment of facility and WellPath policies. The Health Care Administrator indicated they routinely ensure WellPath and facility policies are reviewed and meet with the administration on a monthly basis. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 5 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section Policy 706.4 (a) Suicide Prevention Plan 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. Suicide Prevention Training is provided to ☒ ☐ ☐ facility staff yearly by Wellpath in order to ensure ongoing accreditation with the National Commission on Correctional Health Care. (b) Screening, Identification Assessment and Policy 706.4 (b) (1) Precautionary Protocols Policy 706.5 Screening for Suicide Risk (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake Policy 706.4 (b) (2) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 706.4 (b) (3) 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 Policy 706.4 (b) (4) ensure the youth’s safety pending the Policy 706.6 Precautionary Protocols behavioral/mental health assessment. Policy 706.7 Precautionary Watch Sheets ☒ ☐ ☐ Protocols include room and clothing searches, removal of bedding, and use of a suicide blanket or suicide smock if behavior warrants. (c) Referral process to behavioral/mental health staff for Policy 706.4 (c) assessment and/or services. ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Policy 706.4 (d) for suicide. Staggered/Unpredictable and Constant Watch ☒ ☐ ☐ are two protocols utilized by the agency to monitor youth at risk of suicide. (e) Safety Interventions Policy 706.4 (e) (1) (a) (1) Procedures to address intervention protocols for youth identified at risk for suicide which may Prims Portal booking information assists staff ☒ ☐ ☐ include, but are not limited to: in classifying youth for appropriate housing (A) Housing consideration based on suicide risk. (B) Treatment strategies including trauma- Policy 706.4 (e) (1) (b) informed approaches An Individualized Suicide Precautionary ☒ ☐ ☐ Treatment Plan (ISPTP) is completed for youth placed on precautionary watch. (2) Procedures to instruct youth supervision staff how Policy 706.4 (e) (2) to respond to youth who exhibit suicidal behaviors. Mental Health notifies unit staff of safety interventions. A precautionary watch sheet is initiated, and the information is documented in ☒ ☐ ☐ the youth’s chronological log and the living unit log. Each shift change the Watch Commander will send an email notification on all suicide statuses to ensure continuity of care. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 6 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication Policy 706.4 (f) (1) (1) The intake process shall include communication with the arresting officer and family guardians The agency’s intake and booking PRIMS regarding the youth’s past or present suicidal ☒ ☐ ☐ system requires documentation of the ideations, behaviors or attempts. communication in order to complete the booking process. (2) Procedures for clear and current information Policy 706.4 (f) (2) sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental Information about youth who are identified health staff. as at risk of suicide during the booking process is communicated to medical, mental health, ☒ ☐ ☐ and the housing unit. This information is documented in the youth’s chronological file. Information is shared about youth identified outside of booking utilizing the same methods. (g) Debriefing of Critical Incidents Related to Suicides or Policy 706.4 (g) (1) Attempts Policy 706.10 Debriefing of Critical Incidents (1) Process for administrative review of the Related to Suicide Watch or Attempts ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. Policy 706.4 (g) (2) ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Policy 706.4 (g) (3) ☒ ☐ ☐ (h) Documentation Policy 706.4 (e) (1) (a) (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy 706.4 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1354.5 ROOM CONFINEMENT Policy 602 Room Confinement. 2B Policy 602.3 Separation from Other Youth (a) The facility administrator shall develop and implement written policies and procedures addressing Procedure 600 Room Confinement the confinement of youth in their room that are consistent with Welfare and Institutions Code Section Reviewed ten instances of room confinement 208.3. The placement of a youth in room confinement which consisted of documentation outlined in shall be accomplished in accordance with the following the Room Confinement Report Incident guidelines: Report and Safety Watch Log. Five of the incidents involved fights, one involved an assault on another youth and four involved a safety and security threat. Upon placement on ☒ ☐ ☐ room confinement staff are required to give goals and document in random intervals not to exceed fifteen minutes in order to reintegrate youth into the regular population. Youth may be required to participate in a conflict resolution or a counseling session. Provided agency with technical assistance to ensure documentation was consistently filled out and routinely audited for required documentation. The agency is in compliance with this regulation. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 7 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Room confinement shall not be used before Policy 602.3 (a) 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 Policy 602.3 (b) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 602.3 (c) that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room Policy 602.3.5 (a) Room 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. Policy 602.3.5 (a) (1) ☒ ☐ ☐ (2) Consult with mental health or medical staff. Policy 602.3.5 (a) (2) ☒ ☐ ☐ (3) Develop an individualized plan that includes the Policy 602.3.5 (a) (3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy 602.3.5 (b) (1) four hours, staff shall do each of the following: (A) Document the reasons for room confinement No instances of room confinement reviewed and the basis for the extension, the date and time were extended beyond four hours. ☒ ☐ ☐ 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 Policy 602.3.5 (b) (2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 602.3.5 (b) (3) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy 602.3.5 (b) (3) (a) 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 Policy 602.3.5 (b) (3) (b) court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Policy 602.3.5 (b) (3) (c) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 602.3.5 (b) (3) (d) 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. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 8 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is Policy 602.3.5 (b) (3) (e) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1357 USE OF FORCE Policy 507 Use of Force The facility administrator, in cooperation with the Procedure 511 Use of Force Procedure responsible physician, shall develop and implement written policies and procedures for the use of force, Reviewed ten Use of Force Incident reports. which may include chemical agents. Force shall never The reports all involved youth engaging in be applied as punishment, discipline, retaliation or fights. The incident report template the agency treatment. utilizes assists staff in providing all the (a) At a minimum, each facility shall develop policies and required documentation as to the type of force procedures which: used, use of mechanical restraints, reason for use, chemical aftercare, parental notification, medical and mental health notification, and ☒ ☐ ☐ their follow-up response. The template will also track the use of room confinement. Provided technical assistance to update this template as the language used to indicate room confinement is outdated as it is titled Disciplinary Segregation. Reports also include a video review of the incident and a review by the administration. The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Policy 507.3 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 Policy 507.3.2 Alternative Tactics-De- both physical and non-physical options and define escalation when those force options are appropriate. ☒ ☐ ☐ Policy 507.3.8 Pain Compliance Techniques Policy 507.4 Use of Chemical Agents (3) describe force options or techniques that are Policy 507.3.9 Restrictions on the Use of a expressly prohibited by the facility. Carotid Hold Policy 507.3.10 Restrictions on the Use of a ☒ ☐ ☐ Choke Hold Policy 507.3.11 Positional Asphyxia (4) describe the requirements of staff to report any Policy 507.3.4 Duty to Intercede inappropriate use of force, and to take affirmative Policy 507.3.6 Duty to Report Excessive Use ☒ ☐ ☐ action to immediately stop it. of Force 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 9 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that Policy 507.6 Reporting the Use of Force includes time period and procedure for documenting Policy 507.9 Reporting Format, Review and and reporting the use of force, including reporting Procedures requirements of management and line staff and Policy 507.9.2 Trauma Mitigation procedures for reviewing and tracking use of force incidents by supervisory and or management staff, Post-incident a verbal debrief is conducted which include procedures for debriefing a particular with staff by the Watch Commander. In incident with staff and/or youth for the purposes of ☒ ☐ ☐ addition, the youth will be de-briefed by the training as well as mitigating the effects of trauma that Watch Commander or Senior. may have been experienced by staff and /or the youth Recommended that the agency consistently involved. document these de-briefs as part of their report process. In addition, recommended the facility outline this process of debriefing staff and youth in their procedures manual. (6) Include an administrative review and a system for Policy 507.9.1 Use of Force Review investigating unreasonable use of force. ☒ ☐ ☐ Committee (7) define the role, notification, and follow-up Policy 507.6.1 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ guardians. (8) describe the limitations of use of force on pregnant Policy 507.3.1 Use of Force Limitations 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 Policy 507.4 Use of Chemical Agents option shall include policies and procedures that: Policy 507.4.2 Deputy Chief Responsibilities (1) identify who is approved to carry and/or utilize ☒ ☐ chemical agents in the facility and the type, size and ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when Policy 507.4.1 Chemical Agent Limitations 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 Policy 507.4 Use of Chemical Agents timelines for decontamination from chemical agents. This shall include that youth who have been exposed The Incident Report template has prompts to to chemical agents shall not be left unattended until record the time chemical aftercare starts and that youth is fully decontaminated or is no longer ends. Provided technical assistance to suffering the effects of the chemical agent. the agency to also document the youth was ☒ ☐ ☐ not left alone and any statements made by the youth that they are no longer suffering the effects of the chemical agent. Interviews with youth affirm they are not left alone during the decontamination process and they self-report when no longer suffering the effects. (4) define the role, notification, and follow-up Policy 507.6.1 Required Notifications procedures required after use of force incidents ☒ ☐ involving chemical agents for medical, mental health ☐ staff and parents or legal guardians. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 10 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) provide for the documentation of each incident of Policy 507.6 Reporting the Use of Force use of chemical agents, including the reasons for Policy 507.9 Reporting Format, Review and which it was used, efforts to de-escalate prior to use, Procedures youth and staff involved, the date, time and location of use, decontamination procedures applied and Reports reviewed involving chemical agents ☒ ☐ identification of any injuries sustained as a result of ☐ indicate staff consistently announce yard such use. checks which are used to direct youth to assume a position on their stomach as a response to an emergency or incident that may result in the use of force. (c) Facilities shall develop policies and procedure which Policy 307 Chemical Agents Training require that agencies provide initial and regular training Policy 507.11 (h) Training in use of force and chemical agents when appropriate that address: ☒ ☐ ☐ (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy 507.11 (k) ☒ ☐ application. ☐ (3) signs or symptoms that should result in Policy 507.11 (l) immediate referral to medical or behavioral health. ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Policy 507.11 (h) Use of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy 507.11 (m) the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Policy 507.11.2 Training training. ☒ ☐ ☐ 1361 GRIEVANCE PROCEDURE Policy 605 Youth Grievances Policy 605.3 Access to the Grievance System The facility administrator shall develop and implement Policy 608.4 (c) Reporting Discrimination written policies and procedures whereby any youth may appeal and have resolved grievances relating to any Procedure 601 Youth Grievance condition of confinement, including but not limited to health care services, classification decisions, program Reviewed eight formal grievances filed by participation, telephone, mail or visiting procedures, youth from January through September 2024. food, clothing, bedding, mistreatment, harassment or If a grievance involves staff issues video violations of the nondiscrimination policy. There shall be cameras will be reviewed. Grievances that are no time limit on filing grievances. Policies and handled at the lowest level utilizing the Minor’s procedures shall include provisions whereby the facility ☐ Informal Grievance Form are to be manager ensures: ☐ ☐ documented in the youth’s chronological file. The agency utilizes a formal tracking system for grievances that are not resolved at the lowest level. This process includes attaching the original grievance form to a separate form which is assigned a number and logged. Provided the agency with technical assistance to track all grievances, even if handled at the lowest level, to ensure consistency with policy and procedures. The agency is in compliance with this regulation. (a) a grievance form and instructions for registering a Policy 605.3 (a) grievance, which includes provisions for the youth to have free access to the form; All youth interviewed knew of the grievance ☒ ☐ ☐ process and the location of the forms in the housing unit. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 11 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) the youth shall have the option to confidentially file Policy 605.3 (g) the grievance or to deliver the form to any youth supervision staff working in the facility; A locked grievance box was observed in each ☒ ☐ ☐ living unit. All youth interviewed knew the location of the box to confidentially file grievances. (c) resolution of the grievance at the lowest appropriate Policy 605.3 (b) staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Policy 605.3 (a) grievances within three (3) business days, grievances Policy 605.4.2 Timely Resolution of that relate to health and safety issues must be ☒ ☐ ☐ Grievances addressed immediately; (1) The youth may elect to be present to explain Policy 605.4.5 (a) State Requirements 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 Policy 605.4.5 (b) the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Policy 605.3 (d) which includes the reasons for the decisions; ☒ ☐ ☐ (f) a system which provides that any appeal of a Policy 605.4.3 Appeals to Grievance Findings 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) Policy 605.4.2 Timely Resolution of business days unless circumstances dictate a longer Grievances time frame. The youth shall be notified of any delay; ☒ ☐ ☐ and, (h) the policy shall provide multiple internal and external Policy 605.6 Additional Provisions for methods to report sexual abuse and sexual harassment. Grievances Related to Sexual Abuse ☒ ☐ ☐ Policy 605.6.1 Emergency Grievances Related to Sexual Abuse Whether or not associated with a grievance, concerns of Policy 605.4.5 (c) State Requirements parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND Policy 1002 Programs, Exercise and 3B EXERCISE. Recreation The facility administrator shall develop and implement Procedure 1002 Programs, Exercise and written policies and procedures for programs, ☒ ☐ ☐ Recreation recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each The agency has a Recreation Coordinator Saturday, Sunday or other non-school days, of which ☒ ☐ ☐ who oversees the programming and one hour shall be an outdoor activity, weather permitting. recreation schedule. A youth’s participation in programs, recreation, and Policy 1002.3 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 Policy 1002.3 be posted in the living units. ☒ ☐ ☐ 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 12 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS There will be a written annual review of the programs, Policy 1002.3 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and A memorandum dated September 4, 2024, by ☒ ☐ ☐ relevant to the population. David Ruiz, Deputy Chief, addressed all elements of this regulation. (a) Programs. All youth shall be provided with the Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, The agency has one Juvenile Correctional evidence-based, best practice interventions that are Officer who is assigned Evidenced-Based culturally relevant and linguistically appropriate, or pro- Programming duties. This staff co-facilitates social interventions and activities designed to reduce Thinking for Change, CBI-SA. Choices, ART, recidivism. These programs should be based on the Girls Circle, I Decide, with partnering youth’s individual needs as required by Sections 1355 agencies. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County The agency has partnered with several Office of Education and can be administered by county community-based organizations, faith-based partners such as mental health agencies, community service providers, and the Fresno County based organizations, faith-based organizations or Office of Education (FCOE) to provide Probation staff. programming. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; • AA/NA (2) Management of Stress and Trauma; • Boys and Girls Club (3) Anger Management; • Counseling and Psychotherapy (4) Conflict Resolution; Center (5) Juvenile Justice System; • Choices (6) Trauma-related interventions; • Floyd Farrow Substance Abuse (7) Victim Awareness; Program (8) Self-Improvement; • Focus Forward (9) Parenting Skills and support; • Girls Circle (10) Tolerance and Diversity; • Girls Treatment Program (11) Healing Informed Approaches; • HOPE (12) Interventions by Credible Messengers; • New Horizons Program (13) Gender Specific Programming; ☐ ☒ ☐ • Center for Improving Youth Justice (14) Art, creative writing, or self-expression; • Sierra Education and Research (15) CPR and First Aid training; Institute (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, • 63 Day Pre-Adolescent Program (18) Other topics suitable to the youth population. • Substance Use Disorder • Thinking for Change by JCO • Transition/Re-entry Services • WellPath Health • Yoga Reviewed Weekly Programs 2024, JJC Activities 2024, and JJC Recreation Schedule for September 9, 2024, through September 22, 2024. In cross-referencing the September 9, 2024, through September 15, 2024 recreation schedule against unit logs, it was determined programming was not being provided to youth daily. Youth in male and female living units did not receive one hour of programming eight times out of 14 opportunities during this time frame. In addition, interviews with youth indicated programming did not occur daily as indicated in the schedule. One youth interviewed indicated programming only occurred on the weekdays and they did not have programs on the weekends. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 13 of 14 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The agency is not in compliance with this regulation. (b) Recreation. All youth shall be provided the opportunity Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Interviews with youth affirm they receive an ☒ ☐ ☐ entertainment. Activities shall be supervised and include hour of recreation every day. orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. ☒ ☐ ☐ Interviews with youth affirm they receive an hour of large muscle activity every day. The administrator/manager may suspend, for a period not Policy 1002.7 Security and Supervision to exceed 24 hours, access to recreation and programs. The administrator/manager shall document the reasons ☒ ☐ ☐ why suspension of recreation and programs occurs. 7089 Fresno Juvenile Justice Campus Commitment CAMP Targeted PRO 23-24 Page 14 of 14 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7095 FACILITY NAME: Fresno Secure Youth Treatment Facility FACILITY TYPE: JH PERSON(S) INTERVIEWED: David Ruiz-Deputy Chief, Bryan Crump- Assistant Deputy Chief, Kayatana Davis-Assistant Deputy Chief, Chris Maranian- Assistant Deputy Chief, J. Jasper-Supervising Juvenile Correctional Officer, C. Chang- Supervising Juvenile Correctional Officer, T. Tellez-Juvenile Correctional Officer II, Dulces Gonzalez-Wellpath Health Services Administrator, Rick Virk- WellPath Mental Health Coordinator, female youth age 20, 2 male youth age 21 FIELD REPRESENTATIVE: Shay Molennor DATE: October 2-3, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Policy 202 Staffing Plan Policy 202.3 Staff Plan Requirements Each juvenile facility shall: Policy 202.3.1 (a) Responsibilities (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its Procedures 202 Staffing Plan programming, to provide for safety and security of youth and staff, and meet established standards and The agency staff for their JH, Camp, and regulations; SYTF, which are co-located on the same campus. The combined population was 104 on October 2, 2024. Population numbers: • 46 Detention • 35 Camp • 23 SYTF BSCC staff reviewed the current budgeted ☒ ☐ ☐ positions, vacancy report, leave of absence and modified duty report, and staffing assignments. In addition, BSCC staff reviewed the entire month's completed staffing schedule for March 2024. • 15 Supervising Probation Corrections Officer • 31 Senior Juvenile Corrections Officer (2 vacant) • 130 Probation Corrections Officer II (14 vacant) • 3 Probation Corrections Officer Extra Help The agency builds in Senior and Juvenile Corrections Officer flex positions on the a.m. and p.m. shifts to cover vacancies. The 1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7095 Fresno SYTF Targeted PRO 23-24 Page 1 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS schedule is posted 21 days in advance. Directed overtime and voluntary shifts are utilized to cover vacancies. Deputy Probation Officers who have received facility-specific training provide additional support to the facility to maintain overall staffing patterns. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied Policy 202.3.1 (b) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 202.3.1 (c) ensure adequate supervision of all staff members; ☒ ☐ ☐ (d) have a clearly identified person on duty at all times Policy 202.3.1 (d) who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living Policy 202.3.1 (e) unit whenever there are youth in the living unit; ☒ ☐ ☐ (f) have sufficient food service personnel relative to the Policy 202.3.1 (f) and (g) number and security of living units, including staff qualified and available to: plan menus meeting nutritional Food services are provided by Trinity Services requirements of youth; provide kitchen supervision; direct Group. The facility has seven dietary aide staff food preparation and servings; conduct related training ☒ ☐ ☐ who receive the food and monitor programs for culinary staff; and maintain necessary temperatures. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, Policy 202.3.1 (h) medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the agency provides an appropriate and to ensure that youth supervision staff shall not be level of staff to operate booking, diverted from supervising youth; and, transportation, control, training, and targeted case management. WellPath provides medical coverage from 5:30 a.m. through 11:00 p.m. every day. Psychiatric services are provided one time per week, dental services are provided each Wednesday, and optometry services are provided two times a month. After-hours on- ☒ ☐ ☐ call services are provided by Zonova Telehealth Provider. WellPath provides mental health services from 8:00 a.m. through 11:00 p.m. every day. Services are provided by one Supervising clinician, three full-time clinicians, one part- time clinician, and three PRN, as-needed clinicians. Two substance abuse use disorder counselors also provide services to the youth. Contracts with the Internal Services Division for Janitorial and facility-related requests for plumbing, HVAC, and structural issues. 7095 Fresno SYTF Targeted PRO 23-24 Page 2 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) assign sufficient youth supervision staff to provide Policy 202.3.1 (i) 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 Policy 202.3.1 (i)(1)(a) (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 Policy 202.3.1 (i)(1)(b) 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 Policy 202.3.1 (i)(1)(c) 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 Policy 202.3.1 (i)(1)(d) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Policy 202.3.1 (i)(1)(e) duties such as administration, supervision of Policy 202.5 Separation of Duties personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. 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 The facility is not a Camp. (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; 7095 Fresno SYTF Targeted PRO 23-24 Page 3 of 13 A453 JUV Targeted PRO eff. 1/2024 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. 1328 SAFETY CHECKS Policy 505 Youth Safety Checks 0B Policy 505.3 (a-e) The facility administrator shall develop and implement policy and procedures that provide for direct visual Procedure 500 Youth Safety Check observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth Reviewed safety checks from February, May are asleep or when youth are in their rooms, confined in and June 2024. The facility utilizes the Safety holding cells or confined to their bed in a dormitory. Watch Program which is an electronic Supervision is not replaced, but may be supplemented database used in conjunction with a computer by, an audio/visual electronic surveillance system scan gun assigned to each officer who is designed to detect overt, aggressive or assaultive designated to complete safety checks. The behavior and to summon aid in emergencies. All safety safety check is electronically recorded at the checks shall be documented with the actual time the actual time completed. The Watch check is completed. Commander reviews safety checks daily and ensures quality control. Any discrepancies require an incident report. If the scan gun is not functioning paper checks will be utilized. Supervisors conduct random audits of these ☒ ☐ ☐ checks each shift. The majority of safety checks occurred between 14 to 15 minutes, though random checks occurred at intervals throughout the shifts. The process of reviewing the safety checks requires close scrutiny to calculate the time between checks. BSCC staff inquired if the Safety Watch Program could be modified to run reports to calculate times between checks for easier auditing or if alerts could be sent for late checks. Provided technical assistance to ensure safety checks were random and varied. The facility is in compliance with this regulation. 7095 Fresno SYTF Targeted PRO 23-24 Page 4 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Policy 706 Suicide Prevention and 1B Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Procedure 700 Suicide Prevention and shall plan and implement written policies and procedures Intervention Plan which delineate a Suicide Prevention Plan. The plan shall consider the needs of youth experiencing past or The facility did not have any youth placed on a current trauma. Suicide prevention responses shall be suicide risk status during this inspection cycle. respectful and in the least invasive manner consistent Compliance with this regulation is based on a with the level of suicide risk. The plan shall include the review of policy and procedure and interviews following elements: with the facility and Wellpath medical and mental staff. ☒ ☐ ☐ The facility has received accreditation from the National Commission on Correctional Health Care by receiving 100 percent accuracy on responses to suicide protocols by WellPath Medical, WellPath Mental Health, and facility staff. The collaboration between the agencies is apparent based on the alignment of facility and WellPath policies. The Health Care Administrator indicated they routinely ensure WellPath and facility policies are reviewed and meet with the administration every month. (a) Suicide prevention training as required in Section Policy 706.4 (a) Suicide Prevention Plan 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. Suicide Prevention Training is provided to ☒ ☐ ☐ facility staff yearly by Wellpath in order to ensure ongoing accreditation with the National Commission on Correctional Health Care. (b) Screening, Identification Assessment and Policy 706.4 (b) (1) Precautionary Protocols Policy 706.5 Screening for Suicide Risk (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake Policy 706.4 (b) (2) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 706.4 (b) (3) 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 Policy 706.4 (b) (4) ensure the youth’s safety pending the Policy 706.6 Precautionary Protocols behavioral/mental health assessment. Policy 706.7 Precautionary Watch Sheets ☒ ☐ ☐ Protocols include room and clothing searches, removal of bedding, and use of a suicide blanket or suicide smock if behavior warrants. (c) Referral process to behavioral/mental health staff for Policy 706.4 (c) assessment and/or services. ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Policy 706.4 (d) for suicide. Staggered/Unpredictable and Constant Watch ☒ ☐ ☐ are two protocols utilized by the agency to monitor youth at risk of suicide. 7095 Fresno SYTF Targeted PRO 23-24 Page 5 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Safety Interventions Policy 706.4 (e) (1) (a) (1) Procedures to address intervention protocols for youth identified at risk for suicide which may Prims Portal booking information assists staff ☒ ☐ ☐ include, but are not limited to: in classifying youth for appropriate housing (A) Housing consideration based on suicide risk. (B) Treatment strategies including trauma- Policy 706.4 (e) (1) (b) informed approaches An Individualized Suicide Precautionary ☒ ☐ ☐ Treatment Plan (ISPTP) is completed for youth placed on precautionary watch. (2) Procedures to instruct youth supervision staff how Policy 706.4 (e) (2) to respond to youth who exhibit suicidal behaviors. Mental Health notifies unit staff for safety interventions. A precautionary watch sheet is initiated and the information is documented in ☒ ☐ ☐ the youth’s chronological log and the living unit log. Each shift change the Watch Commander will send an email notification on all suicide statuses to ensure continuity of care. (f) Communication Policy 706.4 (f) (1) (1) The intake process shall include communication with the arresting officer and family guardians The agency’s intake and booking PRIMS regarding the youth’s past or present suicidal ☒ ☐ ☐ system requires documentation of the ideations, behaviors or attempts. communication in order to complete the booking process. (2) Procedures for clear and current information Policy 706.4 (f) (2) sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental Information about youth who are identified health staff. as at risk of suicide during the booking process is communicated to medical, mental health, ☒ ☐ ☐ and the housing unit. This information is documented in the youth’s chronological file. Information is shared about youth identified outside of booking utilizing the same methods. (g) Debriefing of Critical Incidents Related to Suicides or Policy 706.4 (g) (1) Attempts Policy 706.10 Debriefing of Critical Incidents (1) Process for administrative review of the Related to Suicide Watch or Attempts ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. Policy 706.4 (g) (2) ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Policy 706.4 (g) (3) ☒ ☐ ☐ (h) Documentation Policy 706.4 (e) (1) (a) (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy 706.4 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. 7095 Fresno SYTF Targeted PRO 23-24 Page 6 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Policy 602 Room Confinement. 2B Policy 602.3 Separation from Other Youth (a) The facility administrator shall develop and implement written policies and procedures addressing Procedure 600 Room Confinement the confinement of youth in their room that are consistent with Welfare and Institutions Code Section Reviewed four instances of room confinement 208.3. The placement of a youth in room confinement which consisted of documentation outlined in shall be accomplished in accordance with the following the Room Confinement Report Incident guidelines: Report and Safety Watch Log. Two of the incidents involved fights and two involved a safety and security threat. Upon placement on ☒ ☐ ☐ room confinement staff are required to give goals and document in random intervals not to exceed fifteen minutes in order to reintegrate youth into the regular population. Youth may be required to participate in a conflict resolution or a counseling session. Provided agency with technical assistance to ensure documentation was consistently filled out and routinely audited for required documentation. The agency is in compliance with this regulation. (1) Room confinement shall not be used before Policy 602.3 (a) 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 Policy 602.3 (b) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 602.3 (c) that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room Policy 602.3.5 (a) Room 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. Policy 602.3.5 (a) (1) ☒ ☐ ☐ (2) Consult with mental health or medical staff. Policy 602.3.5 (a) (2) ☒ ☐ ☐ (3) Develop an individualized plan that includes the Policy 602.3.5 (a) (3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy 602.3.5 (b) (1) four hours, staff shall do each of the following: (A) Document the reasons for room confinement No instances of room confinement reviewed and the basis for the extension, the date and time were extended beyond four hours. ☒ ☐ ☐ 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 Policy 602.3.5 (b) (2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 602.3.5 (b) (3) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy 602.3.5 (b) (3) (a) single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. 7095 Fresno SYTF Targeted PRO 23-24 Page 7 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (6) This section does not apply to youth or wards in Policy 602.3.5 (b) (3) (b) court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Policy 602.3.5 (b) (3) (c) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 602.3.5 (b) (3) (d) 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 Policy 602.3.5 (b) (3) (e) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1357 USE OF FORCE Policy 507 Use of Force The facility administrator, in cooperation with the Procedure 511 Use of Force Procedure responsible physician, shall develop and implement written policies and procedures for the use of force, Reviewed five Use of Force Incident reports. which may include chemical agents. Force shall never The reports involved youth engaging in fights, be applied as punishment, discipline, retaliation or assaulting other youth and safety and security treatment. threats. The incident report template the (a) At a minimum, each facility shall develop policies and agency utilizes assists staff in providing all the procedures which: required documentation as to type of force used, use of mechanical restraints, reason for use, chemical after care, parental notification, ☒ ☐ ☐ medical and mental health notification and their follow up response. The template also will also track use of room confinement. Provided technical assistance to update this template as the language used to indicate room confinement is outdated as it titled Disciplinary Segregation. Reports also include video review of the incident and review by administration. The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Policy 507.3 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 Policy 507.3.2 Alternative Tactics-De- both physical and non-physical options and define escalation when those force options are appropriate. ☒ ☐ ☐ Policy 507.3.8 Pain Compliance Techniques Policy 507.4 Use of Chemical Agents 7095 Fresno SYTF Targeted PRO 23-24 Page 8 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) describe force options or techniques that are Policy 507.3.9 Restrictions on the Use of a expressly prohibited by the facility. Carotid Hold Policy 507.3.10 Restrictions on the Use of a ☒ ☐ ☐ Choke Hold Policy 507.3.11 Positional Asphyxia (4) describe the requirements of staff to report any Policy 507.3.4 Duty to Intercede inappropriate use of force, and to take affirmative Policy 507.3.6 Duty to Report Excessive Use ☒ ☐ ☐ action to immediately stop it. of Force (5) define a standardized reporting format that Policy 507.6 Reporting the Use of Force includes time period and procedure for documenting Policy 507.9 Reporting Format, Review and and reporting the use of force, including reporting Procedures requirements of management and line staff and Policy 507.9.2 Trauma Mitigation procedures for reviewing and tracking use of force incidents by supervisory and or management staff, Post-incident a verbal debrief is conducted which include procedures for debriefing a particular with staff by the Watch Commander. In incident with staff and/or youth for the purposes of ☒ ☐ ☐ addition, the youth will be de-briefed by the training as well as mitigating the effects of trauma that Watch Commander or Senior. may have been experienced by staff and /or the youth Recommended that the agency consistently involved. document these de-briefs as part of their report process. In addition, recommended the facility outline this process of debriefing staff and youth in their procedures manual. (6) Include an administrative review and a system for Policy 507.9.1 Use of Force Review investigating unreasonable use of force. ☒ ☐ ☐ Committee (7) define the role, notification, and follow-up Policy 507.6.1 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ guardians. (8) describe the limitations of use of force on pregnant Policy 507.3.1 Use of Force Limitations 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 Policy 507.4 Use of Chemical Agents option shall include policies and procedures that: Policy 507.4.2 Deputy Chief Responsibilities (1) identify who is approved to carry and/or utilize ☒ ☐ chemical agents in the facility and the type, size and ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when Policy 507.4.1 Chemical Agent Limitations 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 Policy 507.4 Use of Chemical Agents timelines for decontamination from chemical agents. This shall include that youth who have been exposed The Incident Report template has prompts to to chemical agents shall not be left unattended until record the time chemical aftercare starts and that youth is fully decontaminated or is no longer ends. Provided technical assistance to suffering the effects of the chemical agent. the agency to also document the youth was ☒ ☐ ☐ not left alone and any statements made by the youth that they are no longer suffering the effects of the chemical agent. Interviews with youth affirm they are not left alone during the decontamination process and they self-report when no longer suffering the effects. (4) define the role, notification, and follow-up Policy 507.6.1 Required Notifications procedures required after use of force incidents ☒ ☐ involving chemical agents for medical, mental health ☐ staff and parents or legal guardians. 7095 Fresno SYTF Targeted PRO 23-24 Page 9 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) provide for the documentation of each incident of Policy 507.6 Reporting the Use of Force use of chemical agents, including the reasons for Policy 507.9 Reporting Format, Review and which it was used, efforts to de-escalate prior to use, Procedures youth and staff involved, the date, time and location of use, decontamination procedures applied and Reports reviewed involving chemical agents ☒ ☐ identification of any injuries sustained as a result of ☐ indicate staff consistently announce yard such use. checks which are used to direct youth to assume a position on their stomach as a response to an emergency or incident that may result in the use of force. (c) Facilities shall develop policies and procedure which Policy 307 Chemical Agents Training require that agencies provide initial and regular training Policy 507.11 (h) Training in use of force and chemical agents when appropriate that address: ☒ ☐ ☐ (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy 507.11 (k) ☒ ☐ application. ☐ (3) signs or symptoms that should result in Policy 507.11 (l) immediate referral to medical or behavioral health. ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Policy 507.11 (h) Use of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy 507.11 (m) the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Policy 507.11.2 Training training. ☒ ☐ ☐ 1361 GRIEVANCE PROCEDURE Policy 605 Youth Grievances Policy 605.3 Access to the Grievance System The facility administrator shall develop and implement Policy 608.4 (c) Reporting Discrimination written policies and procedures whereby any youth may appeal and have resolved grievances relating to any Procedure 601 Youth Grievance condition of confinement, including but not limited to health care services, classification decisions, program Reviewed four formal grievances filed by participation, telephone, mail or visiting procedures, youth from January through September 2024. food, clothing, bedding, mistreatment, harassment or If a grievance involves staff issues video violations of the nondiscrimination policy. There shall be cameras will be reviewed. Grievances that are no time limit on filing grievances. Policies and handled at the lowest level utilizing the Minor’s procedures shall include provisions whereby the facility Informal Grievance Form are to be manager ensures: ☒ ☐ ☐ documented in the youth’s chronological file. The agency utilizes a formal tracking system for grievances that are not resolved at the lowest level. This process includes attaching the original grievance form to a separate form which is assigned a number and logged. Provided the agency with technical assistance to track all grievances, even if handled at the lowest level, to ensure consistency with policy and procedures. The agency is in compliance with this regulation. (a) a grievance form and instructions for registering a Policy 605.3 (a) grievance, which includes provisions for the youth to have free access to the form; All youth interviewed knew of the grievance ☒ ☐ ☐ process and the location of the forms in the housing unit. 7095 Fresno SYTF Targeted PRO 23-24 Page 10 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) the youth shall have the option to confidentially file Policy 605.3 (g) the grievance or to deliver the form to any youth supervision staff working in the facility; A locked grievance box was observed in each ☒ ☐ ☐ living unit. All youth interviewed knew the location of the box to confidentially file grievances. (c) resolution of the grievance at the lowest appropriate Policy 605.3 (b) staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Policy 605.3 (a) grievances within three (3) business days, grievances Policy 605.4.2 Timely Resolution of that relate to health and safety issues must be ☒ ☐ ☐ Grievances addressed immediately; (1) The youth may elect to be present to explain Policy 605.4.5 (a) State Requirements 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 Policy 605.4.5 (b) the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Policy 605.3 (d) which includes the reasons for the decisions; ☒ ☐ ☐ (f) a system which provides that any appeal of a Policy 605.4.3 Appeals to Grievance Findings 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) Policy 605.4.2 Timely Resolution of business days unless circumstances dictate a longer Grievances time frame. The youth shall be notified of any delay; ☒ ☐ ☐ and, (h) the policy shall provide multiple internal and external Policy 605.6 Additional Provisions for methods to report sexual abuse and sexual harassment. Grievances Related to Sexual Abuse ☒ ☐ ☐ Policy 605.6.1 Emergency Grievances Related to Sexual Abuse Whether or not associated with a grievance, concerns of Policy 605.4.5 (c) State Requirements parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND Policy 1002 Programs, Exercise and 3B EXERCISE. Recreation The facility administrator shall develop and implement Procedure 1002 Programs, Exercise and written policies and procedures for programs, ☒ ☐ ☐ Recreation recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each The agency has a Recreation Coordinator Saturday, Sunday or other non-school days, of which ☒ ☐ ☐ who oversees the programming and one hour shall be an outdoor activity, weather permitting. recreation schedule. A youth’s participation in programs, recreation, and Policy 1002.3 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 Policy 1002.3 be posted in the living units. ☒ ☐ ☐ 7095 Fresno SYTF Targeted PRO 23-24 Page 11 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS There will be a written annual review of the programs, Policy 1002.3 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and A memorandum dated September 4, 2024, by ☒ ☐ ☐ relevant to the population. David Ruiz, Deputy Chief, addressed all elements of this regulation. (a) Programs. All youth shall be provided with the Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, The agency has one Juvenile Correctional evidence-based, best practice interventions that are Officer who is assigned Evidenced-Based culturally relevant and linguistically appropriate, or pro- Programming duties. This staff co-facilitates social interventions and activities designed to reduce Thinking for Change, CBI-SA. Choices, ART, recidivism. These programs should be based on the Girls Circle, I Decide, with partnering youth’s individual needs as required by Sections 1355 agencies. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County The agency has partnered with several Office of Education and can be administered by county community-based organizations, faith-based partners such as mental health agencies, community service providers, and the Fresno County based organizations, faith-based organizations or Office of Education (FCOE) to provide Probation staff. programming. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; • AA/NA (2) Management of Stress and Trauma; • Boys and Girls Club (3) Anger Management; • Choices (4) Conflict Resolution; • Focus Forward (5) Juvenile Justice System; • GEO Thinking for Change (6) Trauma-related interventions; • GEO-Anger Management (7) Victim Awareness; • GEO-Free Your Mind (8) Self-Improvement; ☒ ☐ ☐ • GEO-Aggression Replacement (9) Parenting Skills and support; Training (10) Tolerance and Diversity; • GEO-CBI- Substance Abuse (11) Healing Informed Approaches; Programming (12) Interventions by Credible Messengers; • GEO-RI Learning (13) Gender Specific Programming; • WellPath Health (14) Art, creative writing, or self-expression; • Yoga (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; Reviewed Weekly Programs 2024, JJC (17) Career and leadership opportunities; and, Activities 2024, and JJC Recreation Schedule (18) Other topics suitable to the youth population. for September 9, 2024, through September 22, 2024. In cross-referencing the September 9, 2024, through September 15, 2024, recreation schedule against unit logs, it was determined youth was being provided programming as scheduled. In addition, interviews with youth affirmed programming was occurring on a daily basis. The facility is in compliance with this regulation. (b) Recreation. All youth shall be provided the opportunity Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Interviews with youth affirm they receive an ☒ ☐ ☐ entertainment. Activities shall be supervised and include hour of recreation every day. orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. ☒ ☐ ☐ Interviews with youth affirm they receive an hour of large muscle activity every day. 7095 Fresno SYTF Targeted PRO 23-24 Page 12 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The administrator/manager may suspend, for a period not Policy 1002.7 Security and Supervision to exceed 24 hours, access to recreation and programs. The administrator/manager shall document the reasons ☒ ☐ ☐ why suspension of recreation and programs occurs. 7095 Fresno SYTF Targeted PRO 23-24 Page 13 of 13 A453 JUV Targeted PRO eff. 1/2024