Fresno Probation (2023-2024 inspection cycle)

December 29, 2023 Kirk Haynes, Chief Probation Officer Fresno County Probation Department 3333 E. American Avenue, Suite B Fresno, CA 93725 2023-2024 UNANNOUNCED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, FRESNO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Haynes: The 2023-2024 Unannounced Inspection of the Fresno County Probation Department has been completed. The following facilities were inspected on Wednesday, November 29, 2023: FACILITY NAME BSCC # FACILITY TYPE JJC-Detention 7088 JH JJC-Commitment 7089 CAMP 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 Titles 15, California Code of Regulations for Section 1328 Safety Checks, Section 1329 Suicide Prevention Plan, and Section 1361 Grievances. INSPECTION RESULTS The inspection consisted of a site visit, documentation review, and interviews with facility staff and youth. We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. An Exit Briefing with your staff was held on Wednesday, November 29, 2023; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 916-708-2062 if you have any questions. Kirk Haynes, Chief Probation Officer Page 2 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 Probation LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST 1, 2 BSCC Code: 7088 FACILITY NAME: Fresno County Juvenile Justice Campus-Detention FACILITY TYPE: JH PERSON(S) INTERVIEWED: Bryan Crump- Assistant Deputy Chief, Martin Sanchez- Assistant Deputy Chief, Kayatana Davis- Assistant Deputy Chief, C. Chang-Supervising Correctional Officer, N. Irfan-Juvenile Correctional Officer II, male youth age 16 FIELD REPRESENTATIVE: Shay Molennor DATE: November 29, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Policy 505 Youth Safety Checks The facility administrator shall develop and implement Policy 505.3 (a-e) policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours Procedure 500 Youth Safety Check when youth are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. Supervision is not replaced, but BSSC staff reviewed safety checks from may be supplemented by, an audio/visual electronic September, October, and November of surveillance system designed to detect overt, 2023. The facility utilizes Safety Watch aggressive or assaultive behavior and to summon aid Program which is an electronic database in emergencies. All safety checks shall be used in conjunction with a computer scan documented with the actual time the check is gun assigned to each officer who is completed. ☒ ☐ ☐ designated to complete safety checks. The safety check is electronically recorded at the actual time completed. Staff access the program at the staff counter computer before the start of each check and then note the location of youth not in the room prior to closing the program. The Watch Commander reviews safety checks daily and ensures quality control. Any discrepancies require a special incident report. If the scan gun is not functioning, paper checks will be utilized. Supervisors conduct random audits of these checks each shift. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedures Checklist and is only intended for the 2023 Unannounced Inspection of the Fresno County Juvenile Justice Campus. 7088 Fresno Juvenile Justice Campus JH Unannounced PRO 23-24 Page 1 of 7 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS BSCC observed safety checks tended to occur every 13, 14, or 15 minutes. In order maintain compliance, efforts need to be taken to ensure variation. In addition, not all late checks reviewed had a note indicating the reason why the safety checks were late. 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. BSCC staff provided technical assistance to ensure safety checks are random and varied and discrepancies are consistently documented as per their procedures. 1329 SUICIDE PREVENTION PLAN Policy 706 Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide Procedure 700 Suicide Prevention and Prevention Plan. The plan shall consider the needs Intervention Plan of youth experiencing past or current trauma. Suicide prevention responses shall be respectful and in the ☒ ☐ ☐ least invasive manner consistent with the level of BSCC staff reviewed two Juvenile Hall suicide risk. The plan shall include the following youth’s precautionary watch sheets, special elements: incident reports, and chronological reports made by probation, medical, and mental health for youth at risk for suicide. The agency is in compliance with this regulation. (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. 7088 Fresno Juvenile Justice Campus JH Unannounced PRO 23-24 Page 2 of 7 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Screening, Identification Assessment and Policy 706.4 (b) (1) Precautionary Protocols (1) All youth shall be screened for risk of suicide at intake and as needed during detention. Policy 706.5 Screening for Suicide Risk ☒ ☐ ☐ BSCC staff reviewed the Medical Receiving Triage Questionnaire, Booking Officer/ Detainee Questionnaire, and Receiving screening which are completed to screen and assess youth upon intake. (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 behavioral/mental health assessment. Policy 706.6 Precautionary Protocols ☒ ☐ ☐ 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 Policy 706.4 (c) ☒ ☐ ☐ for assessment and/or services. (d) Procedures for monitoring of youth identified at Policy 706.4 (d) risk 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) Procedures to address intervention protocols ☒ ☐ ☐ for youth identified at risk for suicide which may include, but are not limited to: 7088 Fresno Juvenile Justice Campus JH Unannounced PRO 23-24 Page 3 of 7 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) Housing consideration Policy 706.4 (e) (1) (a) ☒ ☐ ☐ PRIMS Portal booking information assists staff in classifying youth for appropriate housing 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 Policy 706.4 (e) (2) how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication Policy 706.4 (f) (1) (1) The intake process shall include communication with the arresting officer and family guardians regarding the youth’s past or present BSCC staff met with an assigned booking suicidal ideations, behaviors or attempts. officer and reviewed recent intakes through the PRIMS Portal. The booking process has ☒ ☐ ☐ 12 steps which are required to be completed. The booking steps incorporate suicide prevention procedures for required communication with law enforcement and parents. The agency is in compliance with this regulation. (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 health staff. Information about youth who are identified as at risk of suicide at the booking process is communicated to medical, mental health, ☒ ☐ ☐ and the housing unit. Acuity determines if a phone call or referral is made. 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 Policy 706.4 (g) (1) or Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during Policy 706.10 Debriefing of Critical Incidents and after the critical incident. Related to Suicide Watch or Attempts (2) Process for a debriefing event with affected Policy 706.4 (g) (2) ☒ ☐ ☐ staff. 7088 Fresno Juvenile Justice Campus JH Unannounced PRO 23-24 Page 4 of 7 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Process for a debriefing event with affected Policy 706.4 (g) (3) ☒ ☐ ☐ youth. (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 Policy 706.4 the 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. 1361 GRIEVANCE PROCEDURE Policy 605 Youth Grievances The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to Policy 605.3 Access to the Grievance any condition of confinement, including but not limited System to health care services, classification decisions, program participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, Policy 608.4 (c) Reporting Discrimination harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions Procedure 601 Youth Grievance whereby the facility manager ensures: BSCC staff reviewed three grievance forms filed by Juvenile Hall youth since August 2023. One was granted, one youth withdrew ☒ ☐ ☐ the grievance, and one is pending a resolution. If a grievance involves staff issues, video cameras will be reviewed. Grievances which are handled at the lowest level are returned to the youth. The agency utilizes a formal tracking system for grievances which 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. BSCC staff provided the agency with technical assistance to track all grievances and standardize a method of tracking any extensions of grievances outside of required time frames. The agency is in compliance with this regulation. 7088 Fresno Juvenile Justice Campus JH Unannounced PRO 23-24 Page 5 of 7 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) a grievance form and instructions for registering a Policy 605.3 (a) grievance, which includes provisions for the youth to have free access to the form; The youth interviewed had never filed a ☒ ☐ ☐ grievance but knew of the grievance process and the location of the grievance form in the housing unit. BSCC staff confirmed grievance forms were available 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; ☒ ☐ ☐ The youth interviewed knew the location of the box to confidentially file grievances. (c) resolution of the grievance at the lowest Policy 605.3 (b) ☒ ☐ ☐ appropriate staff level; (d) provision for a prompt review and initial response Policy 605.3 (a) to grievances within three (3) business days, grievances that relate to health and safety issues must be addressed immediately; ☒ ☐ ☐ Policy 605.4.2 Timely Resolution of Grievances (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 grievance shall be heard by a person not directly Findings ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten Policy 605.4.2 Timely Resolution of (10) business days unless circumstances dictate a Grievances ☒ ☐ ☐ longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and Policy 605.6 Additional Provisions for external methods to report sexual abuse and sexual Grievances Related to Sexual Abuse harassment. ☒ ☐ ☐ Policy 605.6.1 Emergency Grievances Related to Sexual Abuse 7088 Fresno Juvenile Justice Campus JH Unannounced PRO 23-24 Page 6 of 7 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Whether or not associated with a grievance, concerns Policy 605.4.5 (c) State Requirements of parents, guardians, staff or other parties shall be addressed and documented in accordance with ☒ ☐ ☐ written policies and procedures within a specified timeframe. 7088 Fresno Juvenile Justice Campus JH Unannounced PRO 23-24 Page 7 of 7 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST 1, 2 BSCC Code: 7089 FACILITY NAME: Fresno County Juvenile Justice Campus-Commitment FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Bryan Crump- Assistant Deputy Chief, Martin Sanchez- Assistant Deputy Chief, Kayatana Davis- Assistant Deputy Chief, C. Chang-Supervising Correctional Officer, N. Irfan-Juvenile Correctional Officer II, male youth age 18 FIELD REPRESENTATIVE: Shay Molennor DATE: November 29, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Policy 505 Youth Safety Checks 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 BSSC staff reviewed safety checks from when youth are asleep or when youth are in their September, October, and November of rooms, confined in holding cells or confined to their 2023. The facility utilizes Safety Watch bed in a dormitory. Supervision is not replaced, but Program which is an electronic database may be supplemented by, an audio/visual electronic used in conjunction with a computer scan surveillance system designed to detect overt, gun assigned to each officer who is aggressive or assaultive behavior and to summon aid designated to complete safety checks. The in emergencies. All safety checks shall be safety check is electronically recorded at the documented with the actual time the check is actual time completed. Staff access the completed. program at the staff counter computer before the start of each check and then note the location of youth not in the room prior to closing the program. The Watch ☒ ☐ ☐ Commander reviews safety checks daily and ensures quality control. Any discrepancies require a special incident report. If the scan gun is not functioning, paper checks will be utilized. Supervisors conduct random audits of these checks each shift. BSCC observed safety checks tended to occur every 13, 14, or 15 minutes. In order maintain compliance, efforts need to be taken to ensure variation. In addition, not all late checks reviewed had a note indicating the reason why the safety checks were late. 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 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedures Checklist and is only intended for the 2023 Unannounced Inspection of the Fresno County Juvenile Justice Campus (JJC) Commitment Facility. 7089 Fresno JJC Commitment Facility CAMP Unannounced PRO 23-24 Page 1 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS checks for easier auditing or if alerts could be sent for late checks. BSCC staff provided technical assistance to ensure safety checks are random and varied and discrepancies are consistently documented as per their procedures. 1329 SUICIDE PREVENTION PLAN Policy 706 Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written Procedure 700 Suicide Prevention and policies and procedures which delineate a Suicide Intervention Plan Prevention Plan. The plan shall consider the needs ☒ ☐ ☐ of youth experiencing past or current trauma. Suicide BSCC staff reviewed one Camp youth’s prevention responses shall be respectful and in the precautionary watch sheets, special incident least invasive manner consistent with the level of reports, and chronological reports made by suicide risk. The plan shall include the following probation, medical, and mental health. The elements: agency is in compliance with this regulation. (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. (b) Screening, Identification Assessment and Policy 706.4 (b) (1) Precautionary Protocols (1) All youth shall be screened for risk of suicide at Policy 706.5 Screening for Suicide Risk intake and as needed during detention. ☒ ☐ ☐ BSCC staff reviewed the Medical Receiving Triage Questionnaire, Booking Officer/ Detainee Questionnaire, and Receiving screening which are completed to screen and assess youth upon intake. (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 behavioral/mental health assessment. Policy 706.6 Precautionary Protocols 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. € Referral process to behavioral/mental health staff Policy 706.4 (c) ☒ ☐ ☐ for assessment and/or services. 7089 Fresno JJC Commitment Facility CAMP Unannounced PRO 23-24 Page 2 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot 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. (e) Safety Interventions Policy 706.4 (e) (1) Procedures to address intervention protocols ☒ ☐ ☐ for youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration Policy 706.4 (e) (1) (a) ☒ ☐ ☐ PRIMS Portal booking information assists staff in classifying youth for appropriate housing 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 Policy 706.4 (e) (2) how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication Policy 706.4 (f) (1) (1) The intake process shall include communication with the arresting officer and family BSCC staff met with an assigned booking guardians regarding the youth’s past or present officer and reviewed recent intakes through suicidal ideations, behaviors or attempts. the PRIMS Portal. The booking process has ☒ ☐ ☐ 12 steps which are required to be completed. These booking steps incorporate suicide prevention procedures for communication with law enforcement and parents. The agency is in compliance with this regulation. (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 at the booking process is communicated to medical, mental health, ☒ ☐ ☐ and the housing unit. Acuity determines if a phone call or referral is made. 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 Policy 706.4 (g) (1) or Attempts (1) Process for administrative review of the ☒ ☐ ☐ Policy 706.10 Debriefing of Critical Incidents circumstances and responses proceeding, during Related to Suicide Watch or Attempts and after the critical incident. (2) Process for a debriefing event with affected Policy 706.4 (g) (2) ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Policy 706.4 (g) (3) ☒ ☐ ☐ youth. 7089 Fresno JJC Commitment Facility CAMP Unannounced PRO 23-24 Page 3 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot 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 Policy 706.4 the 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. 1361 GRIEVANCE PROCEDURE Policy 605 Youth Grievances The facility administrator shall develop and implement Policy 605.3 Access to the Grievance written policies and procedures whereby any youth System may appeal and have resolved grievances relating to any condition of confinement, including but not limited Policy 608.4 (c) Reporting Discrimination to health care services, classification decisions, program participation, telephone, mail or visiting Procedure 601 Youth Grievance procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination BSCC staff reviewed three grievances filed policy. There shall be no time limit on filing grievances. by camp youth since August 2023. One was Policies and procedures shall include provisions granted, one was denied, and one is whereby the facility manager ensures: pending a resolution. If a grievance involves ☒ ☐ ☐ staff issues, video cameras will be reviewed. Grievances which are handled at the lowest level are returned to the youth. The agency utilizes a formal tracking system for grievances which 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. BSCC staff provided the agency with technical assistance to track all grievances and standardize a method of tracking any extensions of grievances outside of required time frames. 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; The youth interviewed had previously filed a grievance and indicated they were not ☒ ☐ ☐ satisfied with the outcome. The youth stated grievance forms are always available. BSCC staff confirmed grievance forms were available 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; The youth interviewed knew the location of the box to confidentially file grievances. (c) resolution of the grievance at the lowest Policy 605.3 (b) ☒ ☐ ☐ appropriate staff level; (d) provision for a prompt review and initial response Policy 605.3 (a) to grievances within three (3) business days, ☒ ☐ ☐ grievances that relate to health and safety issues Policy 605.4.2 Timely Resolution of must be addressed immediately; Grievances 7089 Fresno JJC Commitment Facility CAMP Unannounced PRO 23-24 Page 4 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 grievance shall be heard by a person not directly Findings involved in the circumstances which led to the ☒ ☐ ☐ grievance; (g) resolution of the grievance must occur within ten Policy 605.4.2 Timely Resolution of (10) business days unless circumstances dictate a Grievances ☒ ☐ ☐ longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and Policy 605.6 Additional Provisions for external methods to report sexual abuse and sexual Grievances Related to Sexual Abuse harassment. ☒ ☐ ☐ Policy 605.6.1 Emergency Grievances Related to Sexual Abuse Whether or not associated with a grievance, concerns Policy 605.4.5 (c) State Requirements of parents, guardians, staff or other parties shall be addressed and documented in accordance with ☒ ☐ ☐ written policies and procedures within a specified timeframe. 7089 Fresno JJC Commitment Facility CAMP Unannounced PRO 23-24 Page 5 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1,2 BSCC Code: 7095 FACILITY NAME: Fresno Secure Youth Treatment Facility FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Bryan Crump- Assistant Deputy Chief, Martin Sanchez- Assistant Deputy Chief, Kayatana Davis- Assistant Deputy Chief, C. Chang-Supervising Correctional Officer, N. Irfan-Juvenile Correctional Officer II, male youth age 20 FIELD REPRESENTATIVE: Shay Molennor DATE: November 29, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Policy 505 Youth Safety Checks 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 BSSC staff reviewed safety checks from when youth are asleep or when youth are in their September, October, and November of rooms, confined in holding cells or confined to their 2023. The facility utilizes Safety Watch bed in a dormitory. Supervision is not replaced, but Program which is an electronic database may be supplemented by, an audio/visual electronic used in conjunction with a computer scan surveillance system designed to detect overt, gun assigned to each officer who is aggressive or assaultive behavior and to summon aid designated to complete safety checks. The in emergencies. All safety checks shall be safety check is electronically recorded at the documented with the actual time the check is actual time completed. Staff access the completed. program at the staff counter computer before the start of each check and then note the location of youth not in the room prior to closing the program. The Watch ☒ ☐ ☐ Commander reviews safety checks daily and ensures quality control. Any discrepancies require a special incident report. If the scan gun is not functioning, paper checks will be utilized. Supervisors conduct random audits of these checks each shift. BSCC observed safety checks tended to occur every 13, 14, or 15 minutes. In order maintain compliance, efforts need to be taken to ensure variation. In addition, not all late checks reviewed had a note indicating the reason why the safety checks were late. 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 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedures Checklist and is only intended for the 2023 Unannounced Inspection of the Fresno County Secure Youth Treatment Facility. 7095 Fresno Secure Youth Treatment Facility Unannounced PRO 23-24 Page 1 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS checks for easier auditing or if alerts could be sent for late checks. BSCC staff provided technical assistance to ensure safety checks are random and varied and discrepancies are consistently documented as per their procedures. 1329 SUICIDE PREVENTION PLAN Policy 706 Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written Procedure 700 Suicide Prevention and policies and procedures which delineate a Suicide Prevention Plan. The plan shall consider the needs ☒ ☐ ☐ Intervention Plan of youth experiencing past or current trauma. Suicide The SYTF did not have any youth placed on prevention responses shall be respectful and in the precautionary watch since the last least invasive manner consistent with the level of inspection. suicide risk. The plan shall include the following elements: (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. (b) Screening, Identification Assessment and Policy 706.4 (b) (1) Precautionary Protocols (1) All youth shall be screened for risk of suicide at Policy 706.5 Screening for Suicide Risk intake and as needed during detention. BSCC staff reviewed the Medical Receiving ☒ ☐ ☐ Triage Questionnaire, Booking Officer /Detainee Questionnaire, and Receiving screening which are completed to screen and assess youth upon intake. (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 behavioral/mental health assessment. Policy 706.6 Precautionary Protocols 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 Policy 706.4 (c) ☒ ☐ ☐ for assessment and/or services. 7095 Fresno Secure Youth Treatment Facility Unannounced PRO 23-24 Page 2 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot 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. (e) Safety Interventions Policy 706.4 (e) (1) Procedures to address intervention protocols ☒ ☐ ☐ for youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration Policy 706.4 (e) (1) (a) ☒ ☐ ☐ PRIMS Portal booking information assists staff in classifying youth for appropriate housing 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 Policy 706.4 (e) (2) how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication Policy 706.4 (f) (1) (1) The intake process shall include communication with the arresting officer and family BSCC staff met with an assigned booking guardians regarding the youth’s past or present officer and reviewed recent intakes through suicidal ideations, behaviors or attempts. the PRIMS Portal. The booking process has ☒ ☐ ☐ 12 steps which are required to be completed. These booking steps incorporate suicide prevention procedures for communication with law enforcement and parents. The agency is in compliance with this regulation. (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 at the booking process is communicated to medical, mental health, ☒ ☐ ☐ and the housing unit. Acuity determines if a phone call or referral is made. 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 Policy 706.4 (g) (1) or Attempts (1) Process for administrative review of the Policy 706.10 Debriefing of Critical Incidents ☒ ☐ ☐ circumstances and responses proceeding, during Related to Suicide Watch or Attempts and after the critical incident. (2) Process for a debriefing event with affected Policy 706.4 (g) (2) ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Policy 706.4 (g) (3) ☒ ☐ ☐ youth. 7095 Fresno Secure Youth Treatment Facility Unannounced PRO 23-24 Page 3 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot 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 Policy 706.4 the 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. 1361 GRIEVANCE PROCEDURE Policy 605 Youth Grievances The facility administrator shall develop and implement Policy 605.3 Access to the Grievance written policies and procedures whereby any youth System may appeal and have resolved grievances relating to any condition of confinement, including but not limited Policy 608.4 (c) Reporting Discrimination to health care services, classification decisions, program participation, telephone, mail or visiting Procedure 601 Youth Grievance procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination BSCC staff reviewed one grievance from an policy. There shall be no time limit on filing grievances. SYTF youth filed since August 2023 which Policies and procedures shall include provisions was denied. If a grievance involves staff whereby the facility manager ensures: issues, video cameras will be reviewed. ☒ ☐ ☐ Grievances which are handled at the lowest level are returned to the youth. The agency utilizes a formal tracking system for grievances which 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. BSCC staff provided the agency with technical assistance to track all grievances and standardize a method of tracking any extensions of grievances outside of required time frames. 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; The youth interviewed discussed his familiarity with Title 15, the grievance ☒ ☐ ☐ process, and the location of the grievance form in the housing unit. BSCC staff confirmed grievance forms were available 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; ☒ ☐ ☐ The youth interviewed knew the location of the box to confidentially file grievances. (c) resolution of the grievance at the lowest Policy 605.3 (b) ☒ ☐ ☐ appropriate staff level; 7095 Fresno Secure Youth Treatment Facility Unannounced PRO 23-24 Page 4 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) provision for a prompt review and initial response Policy 605.3 (a) to grievances within three (3) business days, grievances that relate to health and safety issues Policy 605.4.2 Timely Resolution of must be addressed immediately; ☒ ☐ ☐ Grievances (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 grievance shall be heard by a person not directly Findings involved in the circumstances which led to the ☒ ☐ ☐ grievance; (g) resolution of the grievance must occur within ten Policy 605.4.2 Timely Resolution of (10) business days unless circumstances dictate a Grievances ☒ ☐ ☐ longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and Policy 605.6 Additional Provisions for external methods to report sexual abuse and sexual Grievances Related to Sexual Abuse harassment. ☒ ☐ ☐ Policy 605.6.1 Emergency Grievances Related to Sexual Abuse Whether or not associated with a grievance, concerns Policy 605.4.5 (c) State Requirements of parents, guardians, staff or other parties shall be addressed and documented in accordance with ☒ ☐ ☐ written policies and procedures within a specified timeframe. 7095 Fresno Secure Youth Treatment Facility Unannounced PRO 23-24 Page 5 of 5 A453 JUV PRO eff. 1/2019 (23-24).dot