7127 Imperial County Probation (2023-2024 inspection cycle)

January 3, 2024 Dan Prince, Chief of Probation Imperial County Probation Department 324 Applestill Road El Centro, CA, 92242 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, IMPERIAL COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Prince: The 2023-2024 Comprehensive Inspection of the Imperial County Probation Department has been completed. A pre-inspection briefing was held on Thursday, March 2, 2023, and the following facilities were inspected between Monday, December 4, 2023 and Thursday, December 7, 2023: FACILITY NAME BSCC # FACILITY TYPE Imperial County Juvenile Hall 7126 JH Imperial Secure Youth Treatment Facility 7127 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to inspection(s), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified the following item of noncompliance at the Juvenile Hall: Dan Prince Chief of Probation Page 2 Title 15 Section 1357, Use of Force (a)(7): At the time of the inspection, the youths’ parents were not being contacted following a use of force incident. We identified the following item of noncompliance at the Juvenile Hall and Secure Youth Treatment Facility: Title 15 Section 1433, Requests for Health Care Services: At the time of the inspection, there was no procedure/process for youth to confidentially submit a request for Behavioral Health Services. Refer to the attached Procedures Checklist for detailed information. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity and Title 24 compliance. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified, and no areas of noncompliance were noted. CORRECTIVE ACTION PLAN (CAP) An Exit Briefing with your staff was held on Thursday, December 7, 2023; BSCC staff presented an overview of the inspection and discussed technical assistance and best practice recommendations. BSCC staff reviewed and provided an Initial Inspection Report for noncompliance items found during the inspection on December 7, 2024. Pursuant to the requirements in Welfare and Institutions Code section 209 (d), you must submit an approved corrective action plan no later than February 5, 2024. * * * Please email me at craigus.thompson@bscc.ca.gov or call (916) 597-4610 if you have any questions. Sincerely, CRAIGUS THOMPSON SR. Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Imperial County Juvenile Court* Chair, Juvenile Justice Commission, Imperial County* Chair, Board of Supervisors, Imperial County* 7126 7127 Imperial County Probation JH SYTF LTR 23-24 Dan Prince Chief of Probation Page 3 County Administrator, Imperial County* Francisco Piedra, Facility Manager, Imperial County *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7126 7127 Imperial County Probation JH SYTF LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7126 FACILITY NAME: Imperial County Juvenile Hall (JH) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Francisco Piedra, Facility Manager; Veronica Ochoa, Shift Supervisor; Violeta Ambrocio, Registered Nurse with Naphcare; Bryant Gonzalez, Detention Officer; Eric Fimbres, Shift Supervisor; Geraldo Lara, School Teacher; Tommy Bowen, Detention Officer; Anna Welzen, Behavioral Health Manager; Lupita DeLaRosa, Behavior Health Program Supervisor FIELD REPRESENTATIVE: Craigus Thompson DATE: 12/07/2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF Please provide all current local inspections. BUILDING AND GROUNDS Completed on 12/11/2023. On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ documented inspection and evaluation from the following: (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Completed on 11/14/2023. clearance as required by Health and Safety Code Section ☒ ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with Medical/Mental Health 11/15/2023. Health and Safety Code Section 101045; ☒ ☐ ☐ Environmental Health 11/6/2023. Nutritional Health 12/5/2023. (d) county superintendent of schools on the adequacy of The Education review was completed on educational services and facilities as required in Section ☒ ☐ ☐ 12/20/2023 by Cynthia Trujillo of the Brawley 1370; School District. (e) juvenile court as required by Section 209 of the Completed on 12/20/2023. ☒ ☐ ☐ Welfare and Institutions Code; and, (f) the Juvenile Justice Commission as required by Completed on 12/20/2023. Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS Policy and Procedure Section 105 BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification The elements of this regulation are covered letter confirming that all elements of regulation are met. in Chief Dan Prince’s memo, dated 11/7/2023. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. 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. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 1 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Employee Qualifications Policy Section 105 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Policy Section 105 examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection Policy Section 105 and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Policy Section 105 employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- Policy Section 105 employees of the facility, who may be present at the facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING The Imperial County Juvenile Hall/SYTF staffing consists of: Each juvenile facility shall: (a) have an adequate number of personnel sufficient to 1 – Facility Manager carry out the overall facility operation and its 5 – Shift Supervisors programming, to provide for safety and security of youth 14 – Detention Officers and staff, and meet established standards and 6 – Extra Help Detention Officers regulations; 7 – Vacant Detention Officer positions ☒ ☐ ☐ We reviewed a variety of documents including safety check records, grievances, disciplinary actions, and incident reports. Also reviewed February, March, and April 2023 staffing schedules. A review of these documents, as well as the policy and procedure manuals, revealed compliance with this regulation. (b) ensure that no required services shall be denied Policy and Procedure Section 102 because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy Section 102 ensure adequate supervision of all staff members; ☒ ☐ ☐ A Supervisor is identified on the daily shift rosters. The facility has five (5) Supervising Detention Officers. (d) have a clearly identified person on duty at all times Policy Section 102 who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Course A Supervisor is assigned to each shift. In the ☒ ☐ ☐ and PC 832 training; Supervisor’s absence, a “Lead” officer is identified on the roster and assumes the Supervisor’s role. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 2 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) have at least one staff member present on each living Policy Section 102 unit whenever there are youth in the living unit; ☒ ☐ ☐ Per policy and procedure manual staff is always present in occupied housing units. (f) have sufficient food service personnel relative to the Policy Section 102 number and security of living units, including staff qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ food preparation and servings; conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, Policy Section 102 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, (h) assign sufficient youth supervision staff to provide Policy Section 102 continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ Daily schedules were reviewed to verify program needs. Staffing shall be in compliance with a compliance with this regulation. minimum youth-staff ratio for the following facility types: (1) Juvenile Halls The Juvenile Hall population at the time of (A) during the hours that youth are awake, one the inspection was nine (9) males and zero ☒ ☐ ☐ wide-awake youth supervision staff member on (0) females. Review of documentation duty for each 10 youth in detention; revealed staffing ratios are met at all times. (B) during the hours that youth are confined to their Policy Section 102 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 Section 102 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 Section 102 duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Policy Section 102 duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls Not Applicable. (A) during hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; 7126 Imperial Juvenile Hall JH PRO 23-24 Page 3 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Not Applicable. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☐ ☐ ☒ arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy and Procedure Section 105 AND TRAINING A policy-specific checklist is completed, and (a) Prior to assuming any responsibilities each youth staff sign off on all aspects of training as they supervision staff member shall be properly oriented to receive it, including extra help staff. their duties, including: ☒ ☐ ☐ (1) youth supervision duties; The elements of this regulation are also covered in Chief Dan Prince’s memo, dated 11/7/2023. (2) scope of decisions they shall make; ☒ ☐ ☐ Policy Section 105 (3) the identity of their supervisor; ☒ ☐ ☐ Policy Section 105 (4) the identity of persons who are responsible to Policy Section 105 ☒ ☐ ☐ them; 7126 Imperial Juvenile Hall JH PRO 23-24 Page 4 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) persons to contact for decisions that are beyond Policy Section 105 ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ Policy Section 105 (b) Prior to assuming any responsibility for the Policy Section 105 supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- All staff complete 40 hours of orientation ☒ ☐ ☐ specific orientation, including: training prior to assuming supervision of youth. This regulation was verified through a review of staff training files. (1) individual and group supervision techniques; ☒ ☐ ☐ Policy Section 105 (2) regulations and policies relating to discipline and Policy Section 105 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Policy Section 105 (4) suicide prevention and response to suicide Policy Section 105 ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation Policy Section 105 techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Policy Section 105 ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Policy Section 105 (8) routine security measures, including facility Policy Section 105 ☒ ☐ ☐ perimeter and grounds; (9) crisis intervention and mental health referrals to Policy Section 105 ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ Policy Section 105 (11) fire/life safety training ☒ ☐ ☐ Policy Section 105 (c) Prior to assuming sole supervision of youth, each Policy Section 105 youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ All full-time detention officers have attended Officer Core Course pursuant to Penal Code Section Corrections Officer Core training. 6035. (d) Prior to exercising the powers of a peace officer youth Policy Section 105 supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy and Procedure section 705.1 Whenever there is a youth in a juvenile facility, there shall Review of documentation indicates that all be at least one wide awake person on duty at all times ☒ ☐ ☐ youth supervisory staff receive site-specific who meets the training standards established by the life safety training during orientation. Also, all Board for general fire and life safety which relate full-time employees receive fire and safety specifically to the facility. training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL Policy and Procedure Sections 100, 101, 103, 107 and 112 All facility administrators shall develop, publish, and implement a manual of written policies and procedures The County of Imperial Juvenile Detention that address, at a minimum, all regulations that are Facility Policy, Procedures, and Operations applicable to the facility. Such a manual shall be made Manual was reviewed by BSCC. The manual available to all employees, reviewed by all employees, ☒ ☐ ☐ was administratively reviewed by Francisco and shall be administratively reviewed at a minimum Piedra, Facility Manager on 11/7/2023. every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Board on request. The manual shall include: (a) table of organization, including channels of Policy Section 101 ☒ ☐ ☐ communications and a description of job classifications; 7126 Imperial Juvenile Hall JH PRO 23-24 Page 5 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) responsibility of the probation department, purpose of Policy Section 100 programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or ☒ ☐ ☐ Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; ☒ ☐ ☐ Policy Section 103 (d) initial orientation and training program for employees; ☒ ☐ ☐ Policy Section 105 (e) initial orientation, including safety and security issues Policy Section 112 and anti-discrimination policies, for support staff, contract ☒ ☐ ☐ employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and Policy Section 107 ☒ ☐ ☐ communication system to ensure: (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Policy Section 107 (2) legal and proper care of youth; ☒ ☐ ☐ Policy Section 107 (3) maintenance of individual youth's records; ☒ ☐ ☐ Policy Section 107 (4) supply of information to the juvenile court and Policy Section 107 ☒ ☐ ☐ those authorized by the court or by the law; and, (5) release of information regarding youth. ☒ ☐ ☐ Policy Section 107 (g) ethical responsibilities; ☒ ☐ ☐ Policy Section 105 (h) trauma-informed approaches; ☒ ☐ ☐ Policy Section 105 (i) culturally responsive approaches; ☒ ☐ ☐ Policy Section 105 (j) gender responsive approaches; ☒ ☐ ☐ Policy Section 105 (k) a non-discrimination provision that provides that all Policy and Procedure cover page. youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy Section 305 chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy Section 201, 800 Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of Policy Section 202.2 sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy and Procedure Section 705.1 The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; 7126 Imperial Juvenile Hall JH PRO 23-24 Page 6 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) monthly fire and life safety inspections by facility staff Policy Section 705.1 with two-year retention of the inspection record; Review of Corrections Bureau-Safety ☒ ☐ ☐ Inspections (monthly fire and life safety inspections) revealed compliance with this regulation. (c) fire prevention inspections as required by Health and Policy Section 705.1 ☒ ☐ ☐ Safety Code Section 13146.1(a) and (b); (d) an evacuation plan; ☒ ☐ ☐ Policy Section 705.1 (e) documented fire drills not less than quarterly; Policy Section 705.1 ☒ ☐ ☐ Review of the Imperial County Juvenile Hall’s fire drill logs revealed compliance with this regulation. (f) a written plan for the emergency housing of youth in Policy Section 705.1 ☒ ☐ ☐ the case of fire; and, (g) development of a fire suppression pre-plan in Policy Section 705.1 ☒ ☐ ☐ cooperation with the local fire department. 1326 SECURITY REVIEW The annual security review was completed on 12/4/2023 by Facility Manager Francisco Each facility administrator shall develop policies and Piedra. procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES Policy and Procedure Sections 700-711 The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Policy Section 701 (b) civil disturbance, active shooter and terrorist Policy Section 711 ☒ ☐ ☐ attack; (c) fire and natural disasters; ☒ ☐ ☐ Policy Section 705, 703, 704 (d) periodic testing of emergency equipment; ☒ ☐ ☐ Policy 705.1 (e) emergency evacuation of the facility; and ☒ ☐ ☐ Policy Section 705 Review of documentation revealed every (f) a program to provide all youth supervision staff youth supervision staff reviewed and signed ☒ ☐ ☐ with an annual review of emergency procedures. off on the facility policy and procedures/Emergency Procedures. 1328 SAFETY CHECKS Policy and Procedure Section 300 The facility administrator shall develop and implement We reviewed the facility’s safety checks for policy and procedures that provide for direct visual the months of January, February, and March observation of youth at a minimum of every 15 minutes, 2023. Review of documentation revealed at random or varied intervals during hours when youth safety checks are being completed at are asleep or when youth are in their rooms, confined in random or varied intervals during the hours holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ youth are confined to their rooms. It should Supervision is not replaced, but may be supplemented be noted the facility completes and by, an audio/visual electronic surveillance system documents a random and varied safety designed to detect overt, aggressive or assaultive check for each youth individually. behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 7 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Policy and Procedure Section 707 The facility administrator, in collaboration with the No youth has been placed on any type of healthcare and behavioral/mental health administrators, suicide prevention plan thus far this shall plan and implement written policies and inspection cycle. Review of the policy and procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ procedure manual revealed compliance with The plan shall consider the needs of youth experiencing this regulation. past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Policy Section 707 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Policy Section 707 Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake Policy Section 707 processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy Section 707 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 Section 707 ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Policy Section 707 ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk Policy Section 707 ☒ ☐ ☐ for suicide. (e) Safety Interventions Policy Section 707 (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 Section 707 (B) Treatment strategies including trauma- Policy Section 707 ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff Policy Section 707 how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication Policy Section 707 (1) The intake process shall include communication with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information Policy Section 707 sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Policy Section 707 Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected Policy Section 707 ☒ ☐ ☐ staff. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 8 of 35 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 Section 707 ☒ ☐ ☐ youth. (h) Documentation Policy Section 707 (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy Section 707 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy and Procedure Section 109 Each facility shall submit to the Board a letter of No legal action was reported during this notification on each legal action, pertaining to conditions ☒ ☐ ☐ inspection cycle. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy and Procedure Section 708 OF A YOUTH WHILE DETAINED No in-custody deaths or serious illnesses (1) Death of a Youth. were reported during this inspection cycle. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with Policy Section 708 the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Policy Section 708 the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Policy Section 708 from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. Policy Section 708 (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 9 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1342 POPULATION ACCOUNTING Policy and Procedure Section 214 Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Policy and Procedure Section 210 When the number of youth detained in a living unit of a Rated Capacity for the Juvenile Hall is 52. juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy and Procedure Section 200 The facility administrator shall develop and implement We reviewed ten (10) youth admittance written policies and procedures for admittance of youth packages from the juvenile hall. Review of that emphasize respectful and humane engagement documentation provided, and policy and with youth, and reflect that the admission process may ☒ ☐ ☐ procedure manuals revealed compliance with be traumatic to youth who may have already this regulation. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Policy Section 200 (1) Access to two free phone calls within one hour of ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; Policy Section 200 (2) Offer of a shower; ☒ ☐ ☐ Youth are offered a shower during the booking process and it’s documented on the Intake Health Screening form. (3) Documented secure storage of personal Policy Section 200 ☒ ☐ ☐ belongings; Policy Section 200 (4) Offer of food upon arrival; ☒ ☐ ☐ Youth are offered food during the booking process and it’s documented on the Intake Health Screening form. (5) Screening for physical and behavioral health Policy Section 200 and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental Policy Section 200 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Policy Section 200, 201 Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Policy Section 200 (b) juvenile hall administrators shall establish written Policy Section 200 criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. The facility utilizes the DRAI at Intake. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 10 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) juvenile camps and post-dispositional programs in Not Applicable juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform ☐ ☐ ☒ them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures Policy Section 200 that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL Policy and Procedure Section 200.2 ABUSE We reviewed ten (10) Vulnerability The facility administrator shall develop and implement Assessment Instrument forms from the written policies and procedures to reduce the risk of ☒ ☐ ☐ juvenile hall. Review of the documentation sexual abuse by or upon youth. The policy shall require provided, and the policy and procedure facility staff to assess each youth within 72 hours of manual revealed compliance with this admission based on the following information: regulation. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Policy Section 200.2 (b) Gender nonconforming appearance or manner; or Policy Section 200.2 identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Policy Section 200.2 (d) Age; ☒ ☐ ☐ Policy Section 200.2 (e) Level of emotional and cognitive development; ☒ ☐ ☐ Policy Section 200.2 (f) Physical size and stature; ☒ ☐ ☐ Policy Section 200.2 (g) Mental illness or mental disabilities; ☒ ☐ ☐ Policy Section 200.2 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Policy Section 200.2 (i) Physical disabilities; ☒ ☐ ☐ Policy Section 200.2 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Policy Section 200.2 (k) Any other specific information about the individual Policy Section 200.2 youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Policy Section 200.2 conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy Section 200.2 controls on the dissemination of information within the facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Policy and Procedure Section 203 The facility administrator shall develop and implement We reviewed ten (10) youth release written policies and procedures for release of youth from packages from the juvenile hall. Review of custody which provide for: ☒ ☐ ☐ documentation provided, and policy and procedure manuals revealed compliance with this regulation. (a) verification of identity/release papers; ☒ ☐ ☐ Policy Section 203 (b) return of personal clothing and valuables; ☒ ☐ ☐ Policy Section 203 7126 Imperial Juvenile Hall JH PRO 23-24 Page 11 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Policy Section 203 (d) notification to the facility health care provider in Policy Section 203 accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Policy Section 203 (f) notification of facility mental health personnel. ☒ ☐ ☐ Policy Section 203 The facility administrator shall develop and implement Policy Section 203 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Policy Section 203 written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Policy and Procedure Section 400 The facility administrator shall develop and implement The facility intake staff uses the Detention written policies and procedures on classification of youth Risk Assessment Instrument (DRAI) and the for the purpose of determining housing placement in the MAYSI to assist in classification. We facility. ☒ ☐ ☐ reviewed ten (10) Classification packets from Such procedures shall: the juvenile hall. Review of the documentation provided, and the policy and procedure manual revealed compliance with this regulation. (a) provide for the safety of the youth, other youth, Policy Section 400 facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy Section 400 ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon Policy Section 400 admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Policy Section 400 provisions that consider the level of supervision and the ☒ ☐ ☐ youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Policy Section 400 from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy Section 400 transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 12 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 219 The facility administrator shall develop written policies Reviewed ten (10) classification packets and procedures ensuring respectful and equitable which also capture the youth gender treatment of transgender and intersex youth. The assigned and gender identity. Review of policies shall provide that: ☒ ☐ ☐ documentation revealed compliance with this regulation. It should be noted the facility created a form to document youth who identified gender as different than their assigned gender. (a) Facility staff shall respect every youth’s gender Policy Section 219 identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy Section 219 themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Policy Section 219 best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Policy Section 219 and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Policy Section 219 necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy Section 219 youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Policy 202 The facility administrator shall develop and implement We reviewed ten (10) youth orientation written policies and procedures to orient a youth prior to packages from the juvenile hall. Review of placement in a living area. Both written and verbal documentation provided, and policy and information shall be provided and supplemented with ☒ ☐ ☐ procedure manuals revealed compliance with video orientation if feasible. Provision shall be made to this regulation. provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or Each youth is provided a Youth Handbook English language learners. Orientation shall include during the booking process. information that addresses: 7126 Imperial Juvenile Hall JH PRO 23-24 Page 13 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) facility rules including contraband and searches and Policy 202 ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions Policy 202 and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Policy 202 facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Policy 202 (e) the existence of the grievance procedure, the steps Policy 202 that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the Policy 202 ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Policy 202 ☒ ☐ ☐ health care; (h) access to education, religious services, and Policy 202 ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Policy 202 (j) opportunity for personal hygiene and daily showers Policy 202 ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and Policy 202 ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Policy 202 ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Policy 202 ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ Policy 202 (o) emergencies including evacuation procedures; ☒ ☐ ☐ Policy 202 (p) non-discrimination policy and the right to be free from Policy 202 physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Policy 202 ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, Policy 202 ☒ ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive Youth Handbook information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Parents are notified of youth information ☒ ☐ ☐ questions and provides contact information for the during the intake process. Parents are also facility, medical, school and mental health; and, referred to the Probation County’s website for information. (t) a process by which youth may request access to Title Youth Handbook 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ A copy of Title 15 is located within each housing dorm. 1354 SEPARATION Policy and Procedure Section 401 The facility administrator shall develop and implement It should be noted no youth has been written policies and procedures that address: ☒ ☐ ☐ separated from the normal program thus far this inspection cycle. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 14 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) separation of youth for reasons that include, but are Policy Section 401 not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Policy Section 401 ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Policy Section 401 privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Policy Section 401 ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the Policy Section 401 separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy Section 401 of separated youth to determine if separation remains ☒ ☐ ☐ necessary. 1354.5 ROOM CONFINEMENT Policy and Procedure Section 402 (a) The facility administrator shall develop and We reviewed ten (10) youth room implement written policies and procedures addressing confinement reports from the juvenile hall. the confinement of youth in their room that are Review of the policy and procedure manual consistent with Welfare and Institutions Code Section ☒ ☐ ☐ and documentation provided revealed 208.3. The placement of a youth in room confinement compliance with this regulation. It should be shall be accomplished in accordance with the following noted the juvenile hall did not have a youth in guidelines: room confinement for over four hours this inspection cycle. (1) Room confinement shall not be used before Policy Section 402 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 Section 402 purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy Section 402 that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room Policy Section 402 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 Section 402 (2) Consult with mental health or medical staff. ☒ ☐ ☐ Policy Section 402 (3) Develop an individualized plan that includes the Policy Section 402 goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy Section 402 four hours, staff shall do each of the following: It should be noted the juvenile hall did not ☒ ☐ ☐ have a youth in room confinement for over four hours this inspection cycle. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 15 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) Document the reasons for room confinement Policy Section 402 and the basis for the extension, the date and time the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy Section 402 the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy Section 402 facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy Section 402 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 Section 402 ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Policy Section 402 conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy Section 402 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 Section 402 placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy and Procedure Section 201 The facility administrator shall develop and implement The facility utilizes the Positive Achievement written policies and procedures for assessment and Change Tool (PACT) from Assessments.com case planning. for its Risk Assessment Case Plan. ☒ ☐ ☐ Reviewed ten (10) youth assessments and case plans. Review of the documentation provided revealed compliance with this regulation. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 16 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: Policy Section 201 The assessment is based on information collected during the admission process with periodic review, All supervision staff are trained in which includes the youth's risk factors, needs and Motivational Interviewing including the setting ☒ ☐ ☐ strengths including, but not limited to, identification of of goals and progress on attaining substance abuse history, educational, vocational, established goals. counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Policy Section 201 (1) A case plan shall be developed for each youth ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be Policy Section 201 ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of Policy Section 201 ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes Policy Section 201 a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy Section 201 the objectives, including periodic review and discussion of the plan with the youth; ☒ ☐ ☐ It should be noted youth case plans are reviewed once a month with their assigned Detention Officer/Counselor. (4) a transition plan, the contents of which shall be Policy Section 201 subject to existing resources, shall be developed for ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Policy Section 201 plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Policy and Procedure Section 504 The facility administrator shall develop and implement We reviewed ten (10) youth weekly casework written policies and procedures ensuring the availability ☒ ☐ ☐ records. Review of the documentation of appropriate counseling and casework services for all provided revealed compliance with this youth. Policies and procedures shall ensure: regulation. (a) youth will receive assistance with needs or concerns Policy Section 504 ☒ ☐ ☐ that may arise; (b) youth will receive assistance in requesting contact Policy Section 504 with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources Policy Section 504 ☒ ☐ ☐ to meet the youth’s needs. 1357 USE OF FORCE Policy and Procedure Section 206 The facility administrator, in cooperation with the We reviewed eight (8) hands-on use of force responsible physician, shall develop and implement reports from the juvenile hall. Review of written policies and procedures for the use of force, policy and procedure documentation which may include chemical agents. Force shall never ☒ ☐ ☐ revealed compliance with this regulation. It be applied as punishment, discipline, retaliation or should be noted each report reviewed treatment. contained staff efforts to de-escalate the (a) At a minimum, each facility shall develop policies and incident and the use of force utilized were procedures which: escort holds and not control holds. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 17 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) restricts the use of force to that which is deemed Policy Section 206 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 Section 206 both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Policy Section 206 ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Policy Section 206 inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that Policy Section 206 includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Policy Section 206 ☒ ☐ ☐ investigating unreasonable use of force. (7) define the role, notification, and follow-up Policy Section 206 procedures required after use of force incidents for medical, mental health staff and parents or legal Review of use-of-force documentation ☐ ☒ ☐ guardians. revealed the juvenile hall was out of compliance with notification to parents following a use-of-force incident. (8) describe the limitations of use of force on pregnant Policy Section 206 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 Section 305 option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize We reviewed three (3) chemical agent use of chemical agents in the facility and the type, size and ☒ ☐ ☐ force reports from the facility. Review of the approved method of deployment for those policy and procedure documentation chemical agents. revealed compliance with this regulation. (2) mandate that chemical agents only be used when Policy Section 305 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 Section 305 timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Policy Section 206 procedures required after use of force incidents involving chemical agents for medical, mental health Review of use-of-by force documentation ☐ ☒ ☐ staff and parents or legal guardians. revealed the juvenile hall was out of compliance with notification to parents following a use of force incident. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 18 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) provide for the documentation of each incident of Policy Section 305 use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Policy Section 305 require that agencies provide initial and regular training ☒ ☐ ☐ in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health conditions Policy Section 305 ☒ ☐ ☐ that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy Section 305 ☒ ☐ ☐ application. (3) signs or symptoms that should result in Policy Section 305 ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Policy Section 305 ☒ ☐ ☐ Use of Force. (5) physical training force options that may require Policy Section 305 ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Policy Section 305 ☒ ☐ ☐ training. 1358 USE OF PHYSICAL RESTRAINTS Not Applicable The facility administrator, in cooperation with the The facility does not use restraints as defined responsible physician and mental health director, shall by this regulation. Youth in restraints for any develop and implement written policies and procedures ☐ ☐ ☒ reason other than transportation or for the use of restraint devices. Restraint devices movement are removed from the facility for include any devices which immobilize a youth's assessment by behavioral health. extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth Not Applicable. who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☐ ☐ ☒ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Not Applicable. discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☐ ☐ ☒ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Not Applicable. handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☐ ☐ ☒ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Not Applicable. of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a ☐ ☐ ☒ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 19 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A medical opinion on the safety of placement and Not Applicable. retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☐ ☐ ☒ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Not Applicable. possible, but in no case longer than four hours from the ☐ ☐ ☒ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Not Applicable. to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☐ ☐ ☒ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Not Applicable. procedures shall address: ☐ ☐ ☒ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate Not Applicable. ☐ ☐ ☒ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☐ ☐ ☒ Not Applicable. (d) signs or symptoms which should result in immediate Not Applicable. ☐ ☐ ☒ medical/mental health referral. (e) availability of cardiopulmonary resuscitation Not Applicable. ☐ ☐ ☒ equipment. (f) protective housing of restrained youth. While in Not Applicable. restraint devices, all youth shall be housed alone or in a ☐ ☐ ☒ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☐ ☐ ☒ Not Applicable. (h) exercising of extremities. ☐ ☐ ☒ Not Applicable. 1358.5 USE OF RESTRAINT DEVICES FOR Policy and Procedure Section 207 MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. Review of documentation provided, and policy and procedure manuals revealed The Facility Administrator, in cooperation with the compliance with this regulation. responsible physician and behavioral/mental health ☒ ☐ ☐ director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Policy Section 207 approved to utilize restraint devices and the required ☒ ☐ ☐ training. (b) the circumstances leading to the application of Policy Section 207 ☒ ☐ ☐ restraints must be documented. (c) an individual assessment of the need to apply Policy Section 207 restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Policy Section 207 with a clearly defined expectation that restraint devices ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 20 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the use of restraints on pregnant youth is limited in Policy Section 207 accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Not Applicable. (a) The facility administrator, and where applicable, in The facility does not utilize a safety room. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary Not Applicable. nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or Not Applicable. designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision Not Applicable. and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the Not Applicable. ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Not Applicable. where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for Not Applicable. placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be Not Applicable. ☐ ☐ ☒ accomplished in accordance with the following: (1) safety room shall not be used before other less Not Applicable. restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Not Applicable. punishment, coercion, convenience, or retaliation by ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it Not Applicable. compromises the mental and physical health of the ☐ ☐ ☒ youth. (c) A youth may be held up to four hours in the safety Not Applicable. room. After the youth has been held in the safety room ☐ ☐ ☒ for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ Not Applicable. (2) consult with mental health or medical staff, ☐ ☐ ☒ Not Applicable. (3) develop an individualized plan that includes the Not Applicable. goals and objectives to be met in order to reintegrate ☐ ☐ ☒ the youth to general population. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 21 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) If confinement in the safety room must be extended Not Applicable. beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☐ ☐ ☒ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Policy and Procedure Section 301 The facility administrator shall develop and implement We reviewed four (4) youth strip search written policies and procedures governing the search of authorization forms. Review of youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ documentation provided, and policy and shall provide that: procedure manuals revealed compliance with this regulation. (a) Searches shall be conducted to ensure the safety Policy section 301 and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. (b) Searches shall be conducted in a manner that Policy section 301 preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Policy section 301 ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be Policy section 301 ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only Policy section 301 be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Policy section 301 ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches Policy section 301 are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy and Procedure Section 308 The facility administrator shall develop and implement We reviewed all of the grievances submitted written policies and procedures whereby any youth may thus far this inspection cycle. Review of the appeal and have resolved grievances relating to any policy and procedure documentation condition of confinement, including but not limited to provided revealed compliance with this health care services, classification decisions, program ☒ ☐ ☐ regulation. participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy Section 308 grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (b) the youth shall have the option to confidentially file Policy Section 308 the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ The Shift Supervisor checks the confidential lock box prior to the end of each shift. (c) resolution of the grievance at the lowest appropriate Policy Section 308 ☒ ☐ ☐ staff level; 7126 Imperial Juvenile Hall JH PRO 23-24 Page 22 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) provision for a prompt review and initial response to Policy Section 308 grievances within three (3) business days, grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Policy Section 308 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 Section 308 ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy Section 308 ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a Policy Section 308 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 Section 308 business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external Policy Section 308 ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Whether or not associated with a grievance, concerns Policy Section 308 of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Policy and Procedure Section 308 A written report of all incidents which result in physical We reviewed ten (10) non-use of force harm, use of force, serious threat of physical harm, or Incident Reports. Review of the death of an employee, youth or other person(s) shall be ☒ ☐ ☐ documentation provided revealed compliance maintained. Such written record shall be prepared by the with this regulation. staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Policy and Procedure Section 309 DNA SPECIMENS, SAMPLES, IMPRESSIONS The facility staff do not use force to collect (a) Pursuant to Penal Code Section 298.1 authorized DNA. If ordered by the Court, the assigned law enforcement, custodial, or corrections personnel PO collects the sample. If the youth refuses, including peace officers, may employ reasonable force ☒ ☐ ☐ he/she is transported to the hospital for this to collect blood specimens, saliva samples, and thumb to be accomplished. or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of Policy Section 309 reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy Section 309 efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 23 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The force shall not be used without the prior written Policy Section 309 authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Policy Section 309 extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM Policy and Procedure Section 503 (a) School Programs The County Board of Education shall provide for the The Education Annual review was completed administration and operation of juvenile court schools in on 12/20/2023 by Cynthia Trujillo of the conjunction with the Chief Probation Officer, or designee Brawley School District. pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy and procedures to ensure communication and Review of policy and procedures, youth and coordination between educators and probation staff. staff interviews, and school daily schedules Culturally responsive and trauma-informed approaches revealed compliance with this regulation. We should be applied when providing instruction. Education also interviewed the schoolteacher Gerardo staff should collaborate with the facility administrator to Lara who informed us every Friday the use technology to facilitate learning and ensure safe Desert Museum program comes to the technology practices. The facility administrator shall ☒ ☐ ☐ juvenile hall and teaches the youth the request an annual review of each required element of the culture of the desert. program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Policy Section 503 The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Policy Section 503 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 24 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The course of study shall comply with the State Policy Section 503 Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Policy Section 503 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Policy Section 503 ☒ ☐ ☐ education and vocational opportunities. (4) Administration of the High School Equivalency Policy Section 503 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Policy Section 503 who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Policy Section 503 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Policy Section 503 of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Policy Section 503 (1) Positive behavior management will be implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Policy Section 503 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Policy Section 503 Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Policy Section 503 education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 25 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations Policy Section 503 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy Section 503 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy Section 503 (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ Policy Section 503 (B) Home Language Survey and the results of the Policy Section 503 ☒ ☐ ☐ State Test used for English language proficiency; (C) Needs and services of special populations as Policy Section 503 defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ Policy Section 503 (2) Youth will be immediately enrolled in school. Policy Section 503 Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy Section 503 education plan shall be developed for each youth ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with Policy Section 503 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Policy Section 503 (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Policy Section 503 provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy Section 503 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 26 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Post-Secondary Education Opportunities Policy Section 503 (1) The school and facility administrator should, whenever possible, collaborate with local post- secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy and Procedure Section 500 EXERCISE. We reviewed Juvenile Hall program logs for The facility administrator shall develop and implement the months of March, April, and November of written policies and procedures for programs, ☒ ☐ ☐ 2023. Review of the policy and procedure recreation, and exercise for all youth. The intent is to documentation provided revealed compliance minimize the amount of time youth are in their rooms or with this regulation. their bed area. Juvenile facilities shall provide the opportunity for Policy Section 500 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy Section 500 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 Section 500 ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, Policy Section 500 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ Annual review of programs completed by relevant to the population. Facility Manager Francisco Piedra on 11/7/2023. (a) Programs. All youth shall be provided with the Policy Section 500 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, Review of the juvenile hall program logs evidence-based, best practice interventions that are revealed youth are receiving a minimum of culturally relevant and linguistically appropriate, or pro- one hour of daily programming. social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7126 Imperial Juvenile Hall JH PRO 23-24 Page 27 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; Policy Section 500 (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Policy Section 500 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Review of the juvenile hall program logs ☒ ☐ ☐ entertainment. Activities shall be supervised and include revealed youth are receiving a minimum of orientation and may include coaching of youth. one hour per day of free recreation. (c) Exercise. All youth shall be provided with the Policy Section 500 opportunity for at least one hour of large muscle activity each day. Review of the juvenile hall program logs ☒ ☐ ☐ revealed youth are receiving a minimum of one hour per day of large muscle exercise. The administrator/manager may suspend, for a period Policy Section 500 not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy and Procedure Section 202 The facility administrator shall provide access to religious There are a variety of religious opportunities services and/or religious counseling at least once each available for all youth. Youth who elect not to week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ participate in religious services are offered allowed to participate in an activity outside of their room if alternative programs outside of their rooms. he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Policy Section 202 (b) availability of clergy; and, ☒ ☐ ☐ Policy Section 202 (c) availability of religious diets. ☒ ☐ ☐ Policy Section 202 1373 WORK PROGRAM Policy Section 211.1 The facility administrator shall develop policies and At this time the juvenile hall does not offer procedures regarding the fair and consistent assignment work programs. of youth to work programs. Work assigned to a youth ☒ ☐ ☐ shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 7126 Imperial Juvenile Hall JH PRO 23-24 Page 28 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING Policy and Procedure Section 501 The facility administrator shall develop and implement Reviewed the visitation log for this inspection written policies and procedures for visiting, that include cycle. Review of policy and procedures and provisions for special visits. Youth shall be allowed to visitation log revealed compliance with this receive visits by parents, guardians or persons standing regulation. in loco parentis, and children of youth. Other family ☒ ☐ ☐ members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to Policy Section 501 the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy Section 501 per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour Policy Section 501 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion In addition to the two hours of visiting each of the facility administrator or designee. Family therapy week, youth in custody for more than 30 days ☒ ☐ ☐ and professional visits shall be accommodated outside can get longer visits with parents and the the provisions of this regulation. Facilities may provide parents can bring in food for the youth. visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy Section 501 ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE Policy and Procedure Section 209 The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviewed as well as a written policies and procedures for correspondence review of policy and procedures revealed which provide that: compliance with this regulation. (a) there is no limitation on the volume of mail that youth Policy Section 209 ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy Section 209 (c) youth may correspond confidentially with state and Policy Section 209 federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy Section 209 in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy and Procedure Section 217 The administrator of each juvenile facility shall develop Staff and youth interviewed as well as a and implement written policies and procedures to provide ☒ ☐ ☐ review of policy and procedures revealed youth with access to telephone communications. compliance with this regulation. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 29 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1377 ACCESS TO LEGAL SERVICES Policy and Procedure Section 218 The facility administrator shall develop written procedures Staff and youth interviewed as well as a to ensure the right of youth to have access to the courts ☒ ☐ ☐ review of policy and procedures revealed and legal services. Such access shall include: compliance with this regulation. (a) access, upon request by the youth, to licensed Policy Section 218 ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; Policy Section 218 ☒ ☐ ☐ and, (c) unlimited postage free, legal correspondence and Policy Section 218 ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE Policy and Procedure Section 213 The facility administrator shall develop and implement Review of policy and procedures written policies and procedures for the discipline of youth documentation revealed compliance with this that shall promote acceptable behavior; including the use regulation. of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy Section 213 (b) daily shower, access to drinking fountain, toilet and Policy Section 213 ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Policy Section 213 (d) contact with parent or attorney; ☒ ☐ ☐ Policy Section 213 (e) exercise; ☒ ☐ ☐ Policy Section 213 (f) medical services and counseling; ☒ ☐ ☐ Policy Section 213 (g) religious services; ☒ ☐ ☐ Policy Section 213 (h) clean and sanitary living conditions; ☒ ☐ ☐ Policy Section 213 (i) the right to send and receive mail; ☒ ☐ ☐ Policy Section 213 (j) education; and, ☒ ☐ ☐ Policy Section 213 (k) rehabilitative programming. ☒ ☐ ☐ Policy Section 213 The facility administrator shall establish rules of conduct Policy Section 213 and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy and Procedure Section 213 The facility administrator shall develop and implement Review of policy and procedures written policies and procedures for the administration of ☒ ☐ ☐ documentation revealed compliance with this discipline which shall include, but not be limited to: regulation. (a) designation of personnel authorized to impose Policy Section 213 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy Section 213 (c) definition of major and minor rule violations and their Policy Section 213 ☒ ☐ ☐ consequences, and due process requirements; (d) trauma-informed approaches and positive behavior Policy Section 213 ☒ ☐ ☐ interventions; 7126 Imperial Juvenile Hall JH PRO 23-24 Page 30 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) minor rule violations may be handled informally by Policy Section 213 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall Policy Section 213 be documented and require the following: ☒ ☐ ☐ Reviewed five (5) Written Notice forms (Due process hearings). Review of documentation revealed compliance with this regulation. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Policy Section 213 (2) accommodations provided to youth with Policy Section 213 disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Policy Section 213 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy Section 213 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Policy Section 213 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Policy Section 213 (g) violations that result in a removal from camp or Policy Section 213 commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Policy Section 800 DISEASES. H. Medical Isolation The health administrator/responsible physician, in Review of the policy and procedure manual cooperation with the facility administrator and the local revealed compliance with this regulation. health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: Policy Section 800 (a) Intake health screening procedures; ☒ ☐ ☐ Policy Section 800 (b) Identification of relevant symptoms; ☒ ☐ ☐ Policy Section 800 (c) Referral for medical evaluation; ☒ ☐ ☐ Policy Section 800 (d) Treatment responsibilities during detention; ☒ ☐ ☐ (e) Coordination with public and private community- Policy Section 800 ☒ ☐ ☐ based resources for follow-up treatment; Policy Section 800 (f) Applicable reporting requirements; and, ☒ ☐ ☐ Policy Section 800 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ The policies and procedures shall be updated as Policy Section 800 necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 7126 Imperial Juvenile Hall JH PRO 23-24 Page 31 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 800 (EXCERPT) N. Mental Health Services The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☐ ☒ ☐ At the time of the inspection, the juvenile hall establish a daily routine for youth to convey requests for didn’t have a policy and procedure in place emergency and non-emergency medical, dental and for a youth to confidentially request behavioral/mental health care services. Behavioral Health services. 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 211 Housekeeping The youth’s personal clothing, undergarments and G. Clothing, Bedding, and Laundry Services footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has Review of the policy and procedure manual the primary responsibility to provide clothing and revealed compliance with this regulation. footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 211 ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. (b) The standard issue of climatically suitable clothing Policy Section 211 ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Policy Section 211 (2) Outer garments; ☒ ☐ ☐ Policy Section 211 (3) New non-disposable underwear which shall Policy Section 211 ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and Policy Section 211 ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by Policy Section 211 local ordinances for the commercial laundries and dried ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ 1482 CLOTHING EXCHANGE Policy Section 211 Housekeeping The facility administrator shall develop and implement G. Clothing, Bedding, and Laundry Services written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless Review of the policy and procedure manual work, climatic conditions, or illness necessitates more ☒ ☐ ☐ revealed compliance with this regulation. frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy Section 211 Housekeeping PERSONAL CLOTHING I. Control of Vermin in Youth Personal There shall be written policies and site-specific Clothing procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ Review of the policy and procedure manual of vermin and ecto-parasites in all youth’s personal revealed compliance with this regulation. clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 216 Personal Hygiene and Showers There shall be written policies and site-specific procedures developed and implemented by the facility D. Personal Hygiene and Showers administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary Review of the policy and procedure manual napkins, panty liners and tampons as requested. Each revealed compliance with this regulation. youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Policy Section 216 7126 Imperial Juvenile Hall JH PRO 23-24 Page 32 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Toothpaste; ☒ ☐ ☐ Policy Section 216 (c) Soap; ☒ ☐ ☐ Policy Section 216 (d) Comb; ☒ ☐ ☐ Policy Section 216 (e) Shaving implements; ☒ ☐ ☐ Policy Section 216 (f) Deodorant; ☒ ☐ ☐ Policy Section 216 (g) Lotion; ☒ ☐ ☐ Policy Section 216 (h) Shampoo; and, ☒ ☐ ☐ Policy Section 216 (i) Post-shower conditioning hair products. ☒ ☐ ☐ Policy Section 216 Youth shall not be required to share any personal care Policy Section 216 items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy Section 216 Personal Hygiene and Showers There shall be written policies and site specific procedures developed and implemented by the facility D. Personal Hygiene and Showers administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on Review of the policy and procedure manual assignment to a housing unit and on a daily basis revealed compliance with this regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy Section 216 Personal Hygiene and Showers Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of B. Hygiene-Related Tasks identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility Review of the policy and procedure manual administrator may suspend this requirement in relation revealed compliance with this regulation. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Policy Section 211 Housekeeping Hair care services shall be available in all juvenile J. Sanitation of Barber Equipment facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each Review of the policy and procedure manual haircut or procedure, by a method approved by the State revealed compliance with this regulation. Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 211 Housekeeping Clean laundered, suitable bedding and linens, in good H. Special Handling of Mattresses repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, Review of the policy and procedure manual but not be limited to: revealed compliance with this regulation. (a) One mattress or mattress-pillow combination which Policy Section 211 meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Policy Section 211 ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Policy Section 211 (d) One towel; and, ☒ ☐ ☐ Policy Section 211 (e) One blanket or more, up on request ☒ ☐ ☐ Policy Section 211 7126 Imperial Juvenile Hall JH PRO 23-24 Page 33 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1501 BEDDING LINEN EXCHANGE Policy Section 211 Housekeeping The facility administrator shall develop and implement H. Special Handling of Mattresses site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ Review of the policy and procedure manual issued to each youth housed. Washable items such as revealed compliance with this regulation. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Policy Section 211 ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND Policy Section 1000 MAINTENANCE Review of the policy and procedure manual The facility administrator shall develop and implement revealed compliance with this regulation. written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7126 Imperial Juvenile Hall JH PRO 23-24 Page 34 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☐ ☒ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ Dependent or neglected minors who are defined under ☒ Violatio Section 300 of the Welfare and Institutions Code (WIC) n are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☒ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violatio n Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☒ ☐ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☒ ☐ separated from minors. Violatio n Adult inmates from an adult facility (e.g. inmate workers ☐ ☒ ☐ or “Scared Straight” programs) are not allowed in the Violatio facility in a manner that allows contact with minors. n 7126 Imperial Juvenile Hall JH PRO 23-24 Page 35 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7127 FACILITY NAME: Imperial Secure Youth Treatment Facility (SYTF) (Project FACILITY TYPE: SYTF Phoenix) PERSON(S) INTERVIEWED: Francisco Piedra, Facility Manager; Veronica Ochoa, Shift Supervisor; Violeta Ambrocio, Registered Nurse with Naphcare; Bryant Gonzalez, Detention Officer; Eric Fimbres, Shift Supervisor; Geraldo Lara, School Teacher; Tommy Bowen, Detention Officer; Anna Welzen, Behavioral Health Manager; Lupita DeLaRosa, Behavior Health Program Supervisor FIELD REPRESENTATIVE: Craigus Thompson DATE: 12/07/2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF Please provide all current local inspections. BUILDING AND GROUNDS Completed on 12/11/2023. On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ documented inspection and evaluation from the following: (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Completed on 11/14/2023. clearance as required by Health and Safety Code Section ☒ ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with Medical/Mental Health 11/15/2023. Health and Safety Code Section 101045; ☒ ☐ ☐ Environmental Health 11/6/2023. Nutritional Health 12/5/2023. (d) county superintendent of schools on the adequacy of The Education review was completed on educational services and facilities as required in Section ☒ ☐ ☐ 12/20/2023 by Cynthia Trujillo of the Brawley 1370; School District. (e) juvenile court as required by Section 209 of the Completed on 12/20/2023. ☒ ☐ ☐ Welfare and Institutions Code; and, (f) the Juvenile Justice Commission as required by Completed on 12/20/2023. Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS Policy and Procedure Section 105 BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification The elements of this regulation are covered letter confirming that all elements of regulation are met. in Chief Dan Prince’s memo, dated 11/7/2023. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. 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. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 1 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Employee Qualifications Policy Section 105 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Policy Section 105 examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection Policy Section 105 and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Policy Section 105 employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- Policy Section 105 employees of the facility, who may be present at the facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING The Imperial County Juvenile Hall/SYTF staffing consists of: Each juvenile facility shall: (a) have an adequate number of personnel sufficient to 1 – Facility Manager carry out the overall facility operation and its 5 – Shift Supervisors programming, to provide for safety and security of youth 14 – Detention Officers and staff, and meet established standards and 6 – Extra Help Detention Officers regulations; 7 – Vacant Detention Officer positions ☒ ☐ ☐ We reviewed a variety of documents including safety check records, grievances, disciplinary actions, and incident reports. Also reviewed February, March, and April 2023 staffing schedules. Review of these documents, as well as the policy and procedure manuals, revealed compliance with this regulation. (b) ensure that no required services shall be denied Policy and Procedure Section 102 because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy Section 102 ensure adequate supervision of all staff members; ☒ ☐ ☐ A Supervisor is identified on the daily shift rosters. The facility has five (5) Supervising Detention Officers. (d) have a clearly identified person on duty at all times Policy Section 102 who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Course A Supervisor is assigned to each shift. In the ☒ ☐ ☐ and PC 832 training; Supervisor’s absence, a “Lead” officer is identified on the roster and assumes the Supervisor’s role. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 2 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) have at least one staff member present on each living Policy Section 102 unit whenever there are youth in the living unit; ☒ ☐ ☐ Per the policy and procedure manual staff is always present in occupied housing units. (f) have sufficient food service personnel relative to the Policy Section 102 number and security of living units, including staff qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ food preparation and servings; conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, Policy Section 102 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, (h) assign sufficient youth supervision staff to provide Policy Section 102 continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ Daily schedules were reviewed to verify program needs. Staffing shall be in compliance with a compliance with this regulation. minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Not Applicable. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls Not Applicable. (A) during hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 3 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in 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 Section 102 (A) during the hours that youth are awake, one wide-awake youth supervision staff member on The SYTF population at the time of the ☒ ☐ ☐ duty for each 15 youth in the camp population; inspection was five (5) males and zero (0) females. Review of documentation revealed staffing ratios are met at all times. (B) during the hours that youth are confined to their Policy Section 102 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 Section 102 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 Section 102 duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio Policy Section 102 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 Section 102 duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy and Procedure Section 105 AND TRAINING A policy specific checklist is completed, and (a) Prior to assuming any responsibilities each youth staff sign off on all aspects of training as they supervision staff member shall be properly oriented to receive it, including extra help staff. their duties, including: ☒ ☐ ☐ (1) youth supervision duties; The elements of this regulation are also covered in the Chief Dan Prince memo, dated 11/7/2023. (2) scope of decisions they shall make; ☒ ☐ ☐ Policy Section 105 (3) the identity of their supervisor; ☒ ☐ ☐ Policy Section 105 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 4 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) the identity of persons who are responsible to Policy Section 105 ☒ ☐ ☐ them; (5) persons to contact for decisions that are beyond Policy Section 105 ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ Policy Section 105 (b) Prior to assuming any responsibility for the Policy Section 105 supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- All staff complete 40 hours of orientation ☒ ☐ ☐ specific orientation, including: training prior to assuming supervision of youth. This was verified through a review of staff training files. (1) individual and group supervision techniques; ☒ ☐ ☐ Policy Section 105 (2) regulations and policies relating to discipline and Policy Section 105 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Policy Section 105 (4) suicide prevention and response to suicide Policy Section 105 ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation Policy Section 105 techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Policy Section 105 ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Policy Section 105 (8) routine security measures, including facility Policy Section 105 ☒ ☐ ☐ perimeter and grounds; (9) crisis intervention and mental health referrals to Policy Section 105 ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ Policy Section 105 (11) fire/life safety training ☒ ☐ ☐ Policy Section 105 (c) Prior to assuming sole supervision of youth, each Policy Section 105 youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ All full-time detention officers have attended Officer Core Course pursuant to Penal Code Section Corrections Officer Core training. 6035. (d) Prior to exercising the powers of a peace officer youth Policy Section 105 supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy and Procedure section 705.1 Whenever there is a youth in a juvenile facility, there shall Review of documentation indicates that all be at least one wide awake person on duty at all times ☒ ☐ ☐ youth supervisory staff receive site-specific who meets the training standards established by the life safety training during orientation. Also, all Board for general fire and life safety which relate full-time employees receive fire and safety specifically to the facility. training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL Policy and Procedure Sections 100, 101, 103, 107 and 112 All facility administrators shall develop, publish, and implement a manual of written policies and procedures The County of Imperial Juvenile Detention that address, at a minimum, all regulations that are Facility Policy, Procedures, and Operations applicable to the facility. Such a manual shall be made Manual was reviewed by BSCC. The manual available to all employees, reviewed by all employees, ☒ ☐ ☐ was administratively reviewed by Francisco and shall be administratively reviewed at a minimum Piedra, Facility Manager on 11/7/2023. every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Board on request. The manual shall include: 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 5 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) table of organization, including channels of Policy Section 101 ☒ ☐ ☐ communications and a description of job classifications; (b) responsibility of the probation department, purpose of Policy Section 100 programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or ☒ ☐ ☐ Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; ☒ ☐ ☐ Policy Section 103 (d) initial orientation and training program for employees; ☒ ☐ ☐ Policy Section 105 (e) initial orientation, including safety and security issues Policy Section 112 and anti-discrimination policies, for support staff, contract ☒ ☐ ☐ employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and Policy Section 107 ☒ ☐ ☐ communication system to ensure: (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Policy Section 107 (2) legal and proper care of youth; ☒ ☐ ☐ Policy Section 107 (3) maintenance of individual youth's records; ☒ ☐ ☐ Policy Section 107 (4) supply of information to the juvenile court and Policy Section 107 ☒ ☐ ☐ those authorized by the court or by the law; and, (5) release of information regarding youth. ☒ ☐ ☐ Policy Section 107 (g) ethical responsibilities; ☒ ☐ ☐ Policy Section 105 (h) trauma-informed approaches; ☒ ☐ ☐ Policy Section 105 (i) culturally responsive approaches; ☒ ☐ ☐ Policy Section 105 (j) gender responsive approaches; ☒ ☐ ☐ Policy Section 105 (k) a non-discrimination provision that provides that all Policy and Procedure cover page. youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy Section 305 chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy Section 201, 800 Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of Policy Section 202.2 sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy and Procedure Section 705.1 The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 6 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) monthly fire and life safety inspections by facility staff Policy Section 705.1 with two-year retention of the inspection record; Review of Corrections Bureau-Safety ☒ ☐ ☐ Inspections (monthly fire and life safety inspections) revealed compliance with this regulation. (c) fire prevention inspections as required by Health and Policy Section 705.1 ☒ ☐ ☐ Safety Code Section 13146.1(a) and (b); (d) an evacuation plan; ☒ ☐ ☐ Policy Section 705.1 (e) documented fire drills not less than quarterly; Policy Section 705.1 ☒ ☐ ☐ Review of Imperial County Juvenile Hall/SYTF fire drill logs revealed compliance with this regulation. (f) a written plan for the emergency housing of youth in Policy Section 705.1 ☒ ☐ ☐ the case of fire; and, (g) development of a fire suppression pre-plan in Policy Section 705.1 ☒ ☐ ☐ cooperation with the local fire department. 1326 SECURITY REVIEW The annual security review was completed on 12/4/2023 by Facility Manager Francisco Each facility administrator shall develop policies and Piedra. procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES Policy and Procedure Sections 700-711 The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Policy Section 701 (b) civil disturbance, active shooter and terrorist Policy Section 711 ☒ ☐ ☐ attack; (c) fire and natural disasters; ☒ ☐ ☐ Policy Section 705, 703, 704 (d) periodic testing of emergency equipment; ☒ ☐ ☐ Policy 705.1 (e) emergency evacuation of the facility; and ☒ ☐ ☐ Policy Section 705 Review of documentation revealed every (f) a program to provide all youth supervision staff youth supervision staff reviewed and signed ☒ ☐ ☐ with an annual review of emergency procedures. off on the facility policy and procedures/Emergency Procedures. 1328 SAFETY CHECKS Policy and Procedure Section 300 The facility administrator shall develop and implement We reviewed the facility’s safety checks for policy and procedures that provide for direct visual the months of January, February, and March observation of youth at a minimum of every 15 minutes, 2023. Review of documentation revealed at random or varied intervals during hours when youth safety checks are being completed at are asleep or when youth are in their rooms, confined in random or varied intervals during the hours holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ youth are confined to their rooms. It should Supervision is not replaced, but may be supplemented be noted the facility completes and by, an audio/visual electronic surveillance system documents a random and varied safety designed to detect overt, aggressive or assaultive check for each youth individually. behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 7 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Policy and Procedure Section 707 The facility administrator, in collaboration with the No youth has been placed on any type of healthcare and behavioral/mental health administrators, suicide prevention plan thus far this shall plan and implement written policies and inspection cycle. Review of the policy and procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ procedure manual revealed compliance with The plan shall consider the needs of youth experiencing this regulation. past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Policy Section 707 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Policy Section 707 Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake Policy Section 707 processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy Section 707 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 Section 707 ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Policy Section 707 ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk Policy Section 707 ☒ ☐ ☐ for suicide. (e) Safety Interventions Policy Section 707 (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 Section 707 (B) Treatment strategies including trauma- Policy Section 707 ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff Policy Section 707 how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication Policy Section 707 (1) The intake process shall include communication with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information Policy Section 707 sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Policy Section 707 Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected Policy Section 707 ☒ ☐ ☐ staff. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 8 of 35 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 Section 707 ☒ ☐ ☐ youth. (h) Documentation Policy Section 707 (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy Section 707 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy and Procedure Section 109 Each facility shall submit to the Board a letter of No legal action was reported during this notification on each legal action, pertaining to conditions ☒ ☐ ☐ inspection cycle. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy and Procedure Section 708 OF A YOUTH WHILE DETAINED No in-custody death or serious illness was (1) Death of a Youth. reported during this inspection cycle. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with Policy Section 708 the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Policy Section 708 the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Policy Section 708 from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. Policy Section 708 (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 9 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1342 POPULATION ACCOUNTING Policy and Procedure Section 214 Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Policy and Procedure Section 210 When the number of youth detained in a living unit of a The Rated Capacity for the SYTF is 20. juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy and Procedure Section 200 The facility administrator shall develop and implement We reviewed five (5) youth admittance written policies and procedures for admittance of youth packages from the SYTF. Review of that emphasize respectful and humane engagement documentation provided, and policy and with youth, and reflect that the admission process may ☒ ☐ ☐ procedure manuals revealed compliance with be traumatic to youth who may have already this regulation. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Policy Section 200 (1) Access to two free phone calls within one hour of ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; Policy Section 200 (2) Offer of a shower; ☒ ☐ ☐ Youth are offered a shower during the booking process and it’s documented on the Intake Health Screening form. (3) Documented secure storage of personal Policy Section 200 ☒ ☐ ☐ belongings; Policy Section 200 (4) Offer of food upon arrival; ☒ ☐ ☐ Youth are offered food during the booking process and it’s documented on the Intake Health Screening form. (5) Screening for physical and behavioral health Policy Section 200 and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental Policy Section 200 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Policy Section 200, 201 Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Policy Section 200 (b) juvenile hall administrators shall establish written Policy Section 200 criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. The facility utilizes the DRAI at Intake. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 10 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) juvenile camps and post-dispositional programs in Non-applicable. juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform ☐ ☐ ☒ them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures Policy Section 200 that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL Policy and Procedure Section 200.2 ABUSE We reviewed five (5) Vulnerability The facility administrator shall develop and implement Assessment Instrument forms from the written policies and procedures to reduce the risk of ☒ ☐ ☐ SYTF. Review of the documentation sexual abuse by or upon youth. The policy shall require provided, and the policy and procedure facility staff to assess each youth within 72 hours of manual revealed compliance with this admission based on the following information: regulation. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Policy Section 200.2 (b) Gender nonconforming appearance or manner; or Policy Section 200.2 identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Policy Section 200.2 (d) Age; ☒ ☐ ☐ Policy Section 200.2 (e) Level of emotional and cognitive development; ☒ ☐ ☐ Policy Section 200.2 (f) Physical size and stature; ☒ ☐ ☐ Policy Section 200.2 (g) Mental illness or mental disabilities; ☒ ☐ ☐ Policy Section 200.2 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Policy Section 200.2 (i) Physical disabilities; ☒ ☐ ☐ Policy Section 200.2 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Policy Section 200.2 (k) Any other specific information about the individual Policy Section 200.2 youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Policy Section 200.2 conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy Section 200.2 controls on the dissemination of information within the facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Policy and Procedure Section 203 The facility administrator shall develop and implement Thus far this inspection cycle a SYTF youth written policies and procedures for release of youth from ☒ ☐ ☐ has not been released. Review of the policy custody which provide for: and procedure manual revealed compliance with this regulation. (a) verification of identity/release papers; ☒ ☐ ☐ Policy Section 203 (b) return of personal clothing and valuables; ☒ ☐ ☐ Policy Section 203 (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Policy Section 203 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 11 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) notification to the facility health care provider in Policy Section 203 accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Policy Section 203 (f) notification of facility mental health personnel. ☒ ☐ ☐ Policy Section 203 The facility administrator shall develop and implement Policy Section 203 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Policy Section 203 written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Policy and Procedure Section 400 The facility administrator shall develop and implement The facility intake staff uses the Detention written policies and procedures on classification of youth Risk Assessment Instrument (DRAI) and the for the purpose of determining housing placement in the MAYSI to assist in classification. We facility. ☒ ☐ ☐ reviewed five (5) Classification packets from Such procedures shall: the facility. Review of the documentation provided, and the policy and procedure manual revealed compliance with this regulation. (a) provide for the safety of the youth, other youth, Policy Section 400 facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy Section 400 ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon Policy Section 400 admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Policy Section 400 provisions that consider the level of supervision and the ☒ ☐ ☐ youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Policy Section 400 from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy Section 400 transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 12 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 219 The facility administrator shall develop written policies Reviewed five (5) classification packets and procedures ensuring respectful and equitable which also capture the youth gender treatment of transgender and intersex youth. The assigned and gender identity. Review of policies shall provide that: ☒ ☐ ☐ documentation revealed compliance with this regulation. It should be noted the facility created a form to document youth who identified gender as different than their assigned gender. (a) Facility staff shall respect every youth’s gender Policy Section 219 identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy Section 219 themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Policy Section 219 best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Policy Section 219 and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Policy Section 219 necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy Section 219 youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Policy 202 The facility administrator shall develop and implement We reviewed five (5) youth orientation written policies and procedures to orient a youth prior to packages from the SYTF. Review of placement in a living area. Both written and verbal documentation provided, and policy and information shall be provided and supplemented with ☒ ☐ ☐ procedure manuals revealed compliance with video orientation if feasible. Provision shall be made to this regulation. provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or Each youth is provided a Youth Handbook English language learners. Orientation shall include during the booking process. information that addresses: 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 13 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) facility rules including contraband and searches and Policy 202 ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions Policy 202 and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Policy 202 facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Policy 202 (e) the existence of the grievance procedure, the steps Policy 202 that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the Policy 202 ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Policy 202 ☒ ☐ ☐ health care; (h) access to education, religious services, and Policy 202 ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Policy 202 (j) opportunity for personal hygiene and daily showers Policy 202 ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and Policy 202 ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Policy 202 ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Policy 202 ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ Policy 202 (o) emergencies including evacuation procedures; ☒ ☐ ☐ Policy 202 (p) non-discrimination policy and the right to be free from Policy 202 physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Policy 202 ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, Policy 202 ☒ ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive Youth Handbook information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Parents are notified of youth information ☒ ☐ ☐ questions and provides contact information for the during the intake process. Parents are also facility, medical, school and mental health; and, referred to the Probation County’s website for information. (t) a process by which youth may request access to Title Youth Handbook 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ A copy of Title 15 is located within each housing dorm. 1354 SEPARATION Policy and Procedure Section 401 The facility administrator shall develop and implement It should be noted no youth has been written policies and procedures that address: ☒ ☐ ☐ separated from the normal program thus far this inspection cycle. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 14 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) separation of youth for reasons that include, but are Policy Section 401 not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Policy Section 401 ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Policy Section 401 privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Policy Section 401 ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the Policy Section 401 separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy Section 401 of separated youth to determine if separation remains ☒ ☐ ☐ necessary. 1354.5 ROOM CONFINEMENT Policy and Procedure Section 402 (a) The facility administrator shall develop and No youth from the SYTF program has been implement written policies and procedures addressing placed in room confinement this inspection the confinement of youth in their room that are ☒ ☐ ☐ cycle. Review of the policy and procedure consistent with Welfare and Institutions Code Section manual revealed compliance with this 208.3. The placement of a youth in room confinement regulation. shall be accomplished in accordance with the following guidelines: (1) Room confinement shall not be used before Policy Section 402 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 Section 402 purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy Section 402 that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room Policy Section 402 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 Section 402 (2) Consult with mental health or medical staff. ☒ ☐ ☐ Policy Section 402 (3) Develop an individualized plan that includes the Policy Section 402 goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy Section 402 four hours, staff shall do each of the following: ☒ ☐ ☐ (A) Document the reasons for room confinement Policy Section 402 and the basis for the extension, the date and time the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy Section 402 the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 15 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) Obtain documented authorization by the Policy Section 402 facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy Section 402 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 Section 402 ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Policy Section 402 conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy Section 402 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 Section 402 placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy and Procedure Section 201 The facility administrator shall develop and implement The facility utilizes the Positive Achievement written policies and procedures for assessment and Change Tool (PACT) from Assessments.com case planning. for its Risk Assessment Case Plan. ☒ ☐ ☐ Reviewed five (5) youth assessments and case plans. Review of the documentation provided revealed compliance with this regulation. (a) Assessment: Policy Section 201 The assessment is based on information collected during the admission process with periodic review, All supervision staff are trained in which includes the youth's risk factors, needs and Motivational Interviewing including the setting ☒ ☐ ☐ strengths including, but not limited to, identification of of goals and progress on attaining substance abuse history, educational, vocational, established goals. counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Policy Section 201 (1) A case plan shall be developed for each youth ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be Policy Section 201 ☒ ☐ ☐ limited to, written documentation that provides: 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 16 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) objectives and time frame for the resolution of Policy Section 201 ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes Policy Section 201 a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy Section 201 the objectives, including periodic review and discussion of the plan with the youth; ☒ ☐ ☐ It should be noted youth case plans are reviewed once a month with their assigned Detention Officer/Counselor. (4) a transition plan, the contents of which shall be Policy Section 201 subject to existing resources, shall be developed for ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Policy Section 201 plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Policy and Procedure Section 504 The facility administrator shall develop and implement We reviewed five (5) youth weekly casework written policies and procedures ensuring the availability ☒ ☐ ☐ records. Review of the documentation of appropriate counseling and casework services for all provided revealed compliance with this youth. Policies and procedures shall ensure: regulation. (a) youth will receive assistance with needs or concerns Policy Section 504 ☒ ☐ ☐ that may arise; (b) youth will receive assistance in requesting contact Policy Section 504 with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources Policy Section 504 ☒ ☐ ☐ to meet the youth’s needs. 1357 USE OF FORCE Policy and Procedure Section 206 The facility administrator, in cooperation with the No SYTF youth have been involved in a use responsible physician, shall develop and implement of force incident this inspection cycle. written policies and procedures for the use of force, which may include chemical agents. Force shall never ☒ ☐ ☐ be applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies and procedures which: (1) restricts the use of force to that which is deemed Policy Section 206 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 Section 206 both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Policy Section 206 ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Policy Section 206 inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 17 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that Policy Section 206 includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Policy Section 206 ☒ ☐ ☐ investigating unreasonable use of force. (7) define the role, notification, and follow-up Policy Section 206 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 Section 206 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 Section 305 option shall include policies and procedures that: (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 Section 305 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 Section 305 timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Policy Section 206 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 Section 305 use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Policy Section 305 require that agencies provide initial and regular training ☒ ☐ ☐ in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health conditions Policy Section 305 ☒ ☐ ☐ that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy Section 305 ☒ ☐ ☐ application. (3) signs or symptoms that should result in Policy Section 305 ☒ ☐ ☐ immediate referral to medical or behavioral health. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 18 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) instruction on the Constitutional Limitations of Policy Section 305 ☒ ☐ ☐ Use of Force. (5) physical training force options that may require Policy Section 305 ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Policy Section 305 ☒ ☐ ☐ training. 1358 USE OF PHYSICAL RESTRAINTS Not Applicable. The facility administrator, in cooperation with the The facility does not use restraints as defined responsible physician and mental health director, shall by this regulation. Youth in restraints for any develop and implement written policies and procedures ☐ ☐ ☒ reason other than transportation or for the use of restraint devices. Restraint devices movement are removed from the facility for include any devices which immobilize a youth's assessment by behavioral health. extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth Not Applicable. who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☐ ☐ ☒ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Not Applicable. discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☐ ☐ ☒ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Not Applicable. handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☐ ☐ ☒ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Not Applicable. of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a ☐ ☐ ☒ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Not Applicable. retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☐ ☐ ☒ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Not Applicable. possible, but in no case longer than four hours from the ☐ ☐ ☒ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Not Applicable. to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☐ ☐ ☒ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 19 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS In addition to the requirements above, policies and Not Applicable. procedures shall address: ☐ ☐ ☒ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate Not Applicable. ☐ ☐ ☒ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☐ ☐ ☒ Not Applicable. (d) signs or symptoms which should result in immediate Not Applicable. ☐ ☐ ☒ medical/mental health referral. (e) availability of cardiopulmonary resuscitation Not Applicable. ☐ ☐ ☒ equipment. (f) protective housing of restrained youth. While in Not Applicable. restraint devices, all youth shall be housed alone or in a ☐ ☐ ☒ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☐ ☐ ☒ Not Applicable. (h) exercising of extremities. ☐ ☐ ☒ Not Applicable. 1358.5 USE OF RESTRAINT DEVICES FOR Policy and Procedure Section 207 MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. Review of documentation provided, and the policy and procedure manuals revealed The Facility Administrator, in cooperation with the compliance with this regulation. responsible physician and behavioral/mental health ☒ ☐ ☐ director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Policy Section 207 approved to utilize restraint devices and the required ☒ ☐ ☐ training. (b) the circumstances leading to the application of Policy Section 207 ☒ ☐ ☐ restraints must be documented. (c) an individual assessment of the need to apply Policy Section 207 restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Policy Section 207 with a clearly defined expectation that restraint devices ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Policy Section 207 accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Not Applicable. (a) The facility administrator, and where applicable, in The Facility does not utilize a safety room. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 20 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) include provisions for administration of necessary Not Applicable. nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or Not Applicable. designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision Not Applicable. and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the Not Applicable. ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Not Applicable. where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for Not Applicable. placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be Not Applicable. ☐ ☐ ☒ accomplished in accordance with the following: (1) safety room shall not be used before other less Not Applicable. restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Not Applicable. punishment, coercion, convenience, or retaliation by ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it Not Applicable. compromises the mental and physical health of the ☐ ☐ ☒ youth. (c) A youth may be held up to four hours in the safety Not Applicable. room. After the youth has been held in the safety room ☐ ☐ ☒ for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ Not Applicable. (2) consult with mental health or medical staff, ☐ ☐ ☒ Not Applicable. (3) develop an individualized plan that includes the Not Applicable. goals and objectives to be met in order to reintegrate ☐ ☐ ☒ the youth to general population. (d) If confinement in the safety room must be extended Not Applicable. beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☐ ☐ ☒ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Policy and Procedure Section 301 The facility administrator shall develop and implement We reviewed four (4) youth strip search written policies and procedures governing the search of authorization forms. Review of the youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ documentation provided, and the policy and shall provide that: procedure manuals revealed compliance with this regulation. (a) Searches shall be conducted to ensure the safety Policy section 301 and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 21 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Searches shall be conducted in a manner that Policy section 301 preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Policy section 301 ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be Policy section 301 ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only Policy section 301 be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Policy section 301 ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches Policy section 301 are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy and Procedure Section 308 The facility administrator shall develop and implement We reviewed all of the grievances submitted written policies and procedures whereby any youth may thus far this inspection cycle. Review of appeal and have resolved grievances relating to any policy and procedure and a review of the condition of confinement, including but not limited to documentation provided revealed compliance health care services, classification decisions, program ☒ ☐ ☐ with this regulation. participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy Section 308 grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (b) the youth shall have the option to confidentially file Policy Section 308 the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ The Shift Supervisor checks the confidential lock box prior to the end of each shift. (c) resolution of the grievance at the lowest appropriate Policy Section 308 ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to Policy Section 308 grievances within three (3) business days, grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Policy Section 308 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 Section 308 ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy Section 308 ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a Policy Section 308 grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 22 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) resolution of the grievance must occur within ten (10) Policy Section 308 business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external Policy Section 308 ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Whether or not associated with a grievance, concerns Policy Section 308 of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Policy and Procedure Section 308 A written report of all incidents which result in physical We reviewed ten (10) non-use of force harm, use of force, serious threat of physical harm, or Incident Reports. Review of documentation death of an employee, youth or other person(s) shall be ☒ ☐ ☐ provided revealed compliance with this maintained. Such written record shall be prepared by the regulation. staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Policy and Procedure Section 309 DNA SPECIMENS, SAMPLES, IMPRESSIONS The facility staff do not use force to collect (a) Pursuant to Penal Code Section 298.1 authorized DNA. If ordered by the Court, the assigned law enforcement, custodial, or corrections personnel PO collects the sample. If the youth refuses, including peace officers, may employ reasonable force ☒ ☐ ☐ he/she is transported to the hospital for this to collect blood specimens, saliva samples, and thumb to be accomplished. or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of Policy Section 309 reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy Section 309 efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Policy Section 309 authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Policy Section 309 extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 23 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM Policy and Procedure Section 503 (a) School Programs The County Board of Education shall provide for the The Education Annual review was completed administration and operation of juvenile court schools in on 12/20/2023 by Cynthia Trujillo of the conjunction with the Chief Probation Officer, or designee Brawley School District. pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy and procedures to ensure communication and Review of policy and procedures, youth and coordination between educators and probation staff. staff interviews, and school daily schedules Culturally responsive and trauma-informed approaches revealed compliance with this regulation. We should be applied when providing instruction. Education also interviewed the school teacher Gerardo staff should collaborate with the facility administrator to Lara who informed us every Friday the use technology to facilitate learning and ensure safe Desert Museum program comes to the technology practices. The facility administrator shall ☒ ☐ ☐ juvenile hall and teaches the youth the request an annual review of each required element of the culture of the desert. program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Policy Section 503 The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Policy Section 503 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Policy Section 503 Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Policy Section 503 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Policy Section 503 ☒ ☐ ☐ education and vocational opportunities. (4) Administration of the High School Equivalency Policy Section 503 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 24 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Supplemental instruction shall be afforded to youth Policy Section 503 who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Policy Section 503 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Policy Section 503 of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Policy Section 503 (1) Positive behavior management will be implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Policy Section 503 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Policy Section 503 Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Policy Section 503 education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Policy Section 503 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy Section 503 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy Section 503 (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 25 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) School progress/school history; ☒ ☐ ☐ Policy Section 503 (B) Home Language Survey and the results of the Policy Section 503 ☒ ☐ ☐ State Test used for English language proficiency; (C) Needs and services of special populations as Policy Section 503 defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ Policy Section 503 (2) Youth will be immediately enrolled in school. Policy Section 503 Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy Section 503 education plan shall be developed for each youth ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with Policy Section 503 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Policy Section 503 (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Policy Section 503 provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy Section 503 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities Policy Section 503 (1) The school and facility administrator should, whenever possible, collaborate with local post- At the time of the the inspection two (2) secondary education providers to facilitate access to ☒ ☐ ☐ SYTF youth were enrolled in Junior College educational and vocational opportunities for youth that and taking online classes. considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy and Procedure Section 500 EXERCISE. We reviewed the SYTF/Project Phoenix The facility administrator shall develop and implement program logs for the months of March, April, written policies and procedures for programs, ☒ ☐ ☐ and November of 2023. Review of the policy recreation, and exercise for all youth. The intent is to and procedure documentation provided minimize the amount of time youth are in their rooms or revealed compliance with this regulation. their bed area. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 26 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for Policy Section 500 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy Section 500 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 Section 500 ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, Policy Section 500 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ Annual review of programs completed by relevant to the population. Facility Manager Francisco Piedra on 11/7/2023. (a) Programs. All youth shall be provided with the Policy Section 500 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, Review of the SYTF program logs revealed evidence-based, best practice interventions that are youth are receiving a minimum of one hour of culturally relevant and linguistically appropriate, or pro- daily programming. social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; Policy Section 500 (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Policy Section 500 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Review of the SYTF program logs revealed ☒ ☐ ☐ entertainment. Activities shall be supervised and include youth are receiving a minimum of one hour orientation and may include coaching of youth. per day of free recreation. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 27 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Exercise. All youth shall be provided with the Policy Section 500 opportunity for at least one hour of large muscle activity each day. Review of the SYTF program logs revealed ☒ ☐ ☐ youth are receiving a minimum of one hour per day of large muscle exercise. The administrator/manager may suspend, for a period Policy Section 500 not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy and Procedure Section 202 The facility administrator shall provide access to religious There are a variety of religious opportunities services and/or religious counseling at least once each available for all youth. Youth who elect not to week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ participate in religious services are offered allowed to participate in an activity outside of their room if alternative programs outside of their rooms. he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Policy Section 202 (b) availability of clergy; and, ☒ ☐ ☐ Policy Section 202 (c) availability of religious diets. ☒ ☐ ☐ Policy Section 202 1373 WORK PROGRAM Policy Section 211.1 The facility administrator shall develop policies and Currently, the SYTF does not offer work procedures regarding the fair and consistent assignment programs. of youth to work programs. Work assigned to a youth ☒ ☐ ☐ shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING Policy and Procedure Section 501 The facility administrator shall develop and implement Reviewed the visitation log for this inspection written policies and procedures for visiting, that include cycle. Review of policy and procedures and provisions for special visits. Youth shall be allowed to visitation log revealed compliance with this receive visits by parents, guardians or persons standing regulation. in loco parentis, and children of youth. Other family ☒ ☐ ☐ members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to Policy Section 501 the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy Section 501 per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 28 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Provisions for special visits, in addition to the two-hour Policy Section 501 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion In addition to the two hours of visiting each of the facility administrator or designee. Family therapy week, youth in custody for more than 30 days ☒ ☐ ☐ and professional visits shall be accommodated outside can get longer visits with parents and the the provisions of this regulation. Facilities may provide parents can bring in food for the youth. visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy Section 501 ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE Policy and Procedure Section 209 The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviewed as well as a written policies and procedures for correspondence review of policy and procedures revealed which provide that: compliance with this regulation. (a) there is no limitation on the volume of mail that youth Policy Section 209 ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy Section 209 (c) youth may correspond confidentially with state and Policy Section 209 federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy Section 209 in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy and Procedure Section 217 The administrator of each juvenile facility shall develop Staff and youth interviewed as well as a and implement written policies and procedures to provide ☒ ☐ ☐ review of policy and procedures revealed youth with access to telephone communications. compliance with this regulation. 1377 ACCESS TO LEGAL SERVICES Policy and Procedure Section 218 The facility administrator shall develop written procedures Staff and youth interviewed as well as a to ensure the right of youth to have access to the courts ☒ ☐ ☐ review of policy and procedures revealed and legal services. Such access shall include: compliance with this regulation. (a) access, upon request by the youth, to licensed Policy Section 218 ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; Policy Section 218 ☒ ☐ ☐ and, (c) unlimited postage free, legal correspondence and Policy Section 218 ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE Policy and Procedure Section 213 The facility administrator shall develop and implement Review of the policy and procedures written policies and procedures for the discipline of youth documentation revealed compliance with this that shall promote acceptable behavior; including the use regulation. of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy Section 213 (b) daily shower, access to drinking fountain, toilet and Policy Section 213 ☒ ☐ ☐ personal hygiene items, and clean clothing; 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 29 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) full nutrition; ☒ ☐ ☐ Policy Section 213 (d) contact with parent or attorney; ☒ ☐ ☐ Policy Section 213 (e) exercise; ☒ ☐ ☐ Policy Section 213 (f) medical services and counseling; ☒ ☐ ☐ Policy Section 213 (g) religious services; ☒ ☐ ☐ Policy Section 213 (h) clean and sanitary living conditions; ☒ ☐ ☐ Policy Section 213 (i) the right to send and receive mail; ☒ ☐ ☐ Policy Section 213 (j) education; and, ☒ ☐ ☐ Policy Section 213 (k) rehabilitative programming. ☒ ☐ ☐ Policy Section 213 The facility administrator shall establish rules of conduct Policy Section 213 and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy and Procedure Section 213 The facility administrator shall develop and implement Review of the policy and procedures written policies and procedures for the administration of ☒ ☐ ☐ documentation revealed compliance with this discipline which shall include, but not be limited to: regulation. (a) designation of personnel authorized to impose Policy Section 213 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy Section 213 (c) definition of major and minor rule violations and their Policy Section 213 ☒ ☐ ☐ consequences, and due process requirements; (d) trauma-informed approaches and positive behavior Policy Section 213 ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Policy Section 213 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall Policy Section 213 be documented and require the following: ☒ ☐ ☐ No due process hearings have been conducted this inspection cycle for SYTF youth. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Policy Section 213 (2) accommodations provided to youth with Policy Section 213 disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Policy Section 213 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy Section 213 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Policy Section 213 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Policy Section 213 (g) violations that result in a removal from camp or Policy Section 213 commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 30 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1410 MANAGEMENT OF COMMUNICABLE Policy Section 800 DISEASES. H. Medical Isolation The health administrator/responsible physician, in Review of the policy and procedure manual cooperation with the facility administrator and the local revealed compliance with this regulation. health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: Policy Section 800 (a) Intake health screening procedures; ☒ ☐ ☐ Policy Section 800 (b) Identification of relevant symptoms; ☒ ☐ ☐ Policy Section 800 (c) Referral for medical evaluation; ☒ ☐ ☐ Policy Section 800 (d) Treatment responsibilities during detention; ☒ ☐ ☐ (e) Coordination with public and private community- Policy Section 800 ☒ ☐ ☐ based resources for follow-up treatment; Policy Section 800 (f) Applicable reporting requirements; and, ☒ ☐ ☐ Policy Section 800 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ The policies and procedures shall be updated as Policy Section 800 necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 800 (EXCERPT) N. Mental Health Services The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☐ ☒ ☐ At the time of the inspection, the SYTF establish a daily routine for youth to convey requests for program didn’t have a policy and procedure emergency and non-emergency medical, dental and in place for youth to confidentially request behavioral/mental health care services. Behavioral Health services. 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 211 Housekeeping The youth’s personal clothing, undergarments and G. Clothing, Bedding, and Laundry Services footwear may be substituted for the institutional clothing and footwear specified in this regulation. The facility has ☒ ☐ ☐ Review of the policy and procedure manual the primary responsibility to provide clothing and revealed compliance with this regulation. footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 211 ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. (b) The standard issue of climatically suitable clothing Policy Section 211 ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Policy Section 211 (2) Outer garments; ☒ ☐ ☐ Policy Section 211 (3) New non-disposable underwear which shall Policy Section 211 ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and Policy Section 211 ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by Policy Section 211 local ordinances for the commercial laundries and dried ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Policy Section 211 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 31 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1482 CLOTHING EXCHANGE Policy Section 211 Housekeeping The facility administrator shall develop and implement G. Clothing, Bedding, and Laundry Services written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless Review of the policy and procedure manual work, climatic conditions, or illness necessitates more ☒ ☐ ☐ revealed compliance with this regulation. frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy Section 211 Housekeeping PERSONAL CLOTHING I. Control of Vermin in Youth Personal There shall be written policies and site-specific Clothing procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ Review of the policy and procedure manual of vermin and ecto-parasites in all youth’s personal revealed compliance with this regulation. clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 216 Personal Hygiene and Showers There shall be written policies and site-specific procedures developed and implemented by the facility D. Personal Hygiene and Showers administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary Review of the policy and procedure manual napkins, panty liners and tampons as requested. Each revealed compliance with this regulation. youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Policy Section 216 (b) Toothpaste; ☒ ☐ ☐ Policy Section 216 (c) Soap; ☒ ☐ ☐ Policy Section 216 (d) Comb; ☒ ☐ ☐ Policy Section 216 (e) Shaving implements; ☒ ☐ ☐ Policy Section 216 (f) Deodorant; ☒ ☐ ☐ Policy Section 216 (g) Lotion; ☒ ☐ ☐ Policy Section 216 (h) Shampoo; and, ☒ ☐ ☐ Policy Section 216 (i) Post-shower conditioning hair products. ☒ ☐ ☐ Policy Section 216 Youth shall not be required to share any personal care Policy Section 216 items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy Section 216 Personal Hygiene and Showers There shall be written policies and site specific procedures developed and implemented by the facility D. Personal Hygiene and Showers administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on Review of the policy and procedure manual assignment to a housing unit and on a daily basis revealed compliance with this regulation. thereafter and given an opportunity to brush their teeth after each meal. 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 32 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1487 SHAVING Policy Section 216 Personal Hygiene and Showers Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of B. Hygiene-Related Tasks identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility Review of the policy and procedure manual administrator may suspend this requirement in relation revealed compliance with this regulation. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Policy Section 211 Housekeeping Hair care services shall be available in all juvenile J. Sanitation of Barber Equipment facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each ☒ ☐ ☐ Review of the policy and procedure manual haircut or procedure, by a method approved by the State revealed compliance with this regulation. Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 211 Housekeeping Clean laundered, suitable bedding and linens, in good H. Special Handling of Mattresses repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, ☒ ☐ ☐ Review of the policy and procedure manual but not be limited to: revealed compliance with this regulation. (a) One mattress or mattress-pillow combination which Policy Section 211 meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Policy Section 211 ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Policy Section 211 (d) One towel; and, ☒ ☐ ☐ Policy Section 211 (e) One blanket or more, up on request ☒ ☐ ☐ Policy Section 211 1501 BEDDING LINEN EXCHANGE Policy Section 211 Housekeeping The facility administrator shall develop and implement H. Special Handling of Mattresses site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ Review of the policy and procedure manual issued to each youth housed. Washable items such as revealed compliance with this regulation. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Policy Section 211 ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND Policy Section 1000 MAINTENANCE Review of the policy and procedure manual The facility administrator shall develop and implement revealed compliance with this regulation. written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 33 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☐ ☒ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ Dependent or neglected minors who are defined under ☒ Violatio Section 300 of the Welfare and Institutions Code (WIC) n are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☒ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violatio n Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☒ ☐ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☒ ☐ separated from minors. Violatio n Adult inmates from an adult facility (e.g. inmate workers ☐ ☒ ☐ or “Scared Straight” programs) are not allowed in the Violatio facility in a manner that allows contact with minors. n 7127 Imperial Secure Youth Treatment Facility SYTF PRO 23-24 Page 35 of 35 A453 JUV PRO eff. 1/2019 (23-24).dot STATE BOARD OF STATE & COMMUNITY CORRECTIONS JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION BSCC Code: 7126,7127 FACILITY: Imperial County Juvenile Hall (JH) and Imperial Secure Youth Treatment Facility (SYTF) TYPE: JH RC: 52 SYTF 20 FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: December 7, 2023 ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS or Designation Type Standards Rooms # RC RC Square/Cubic T U W F S Beds Feet Court Holding Pre-98 4 4 (16) 71 square feet 4 4 4 Closed July 2013. Holding Unit 1 2 2 1 4 At the time of the inspection Unit 1 was designated as the general population unit. Five (5) youths were assigned to Unit 1 on the day of the inspection walkthrough. 1 – 6 Single Pre-98 6 1 1 6 755 cubic Dry rooms. feet/74 square feet 7 -10 Single Pre-98 4 1 1 4 686 cubic 1 1 1 Wet rooms. feet/68 square feet 11 Single Pre-98 1 1 1 1 12.1’ X 6.2’ Observation room with a camera. Unit 2 2 2 1 4 At the time of the inspection Unit 2 was designated as the quarantine unit. Four (4) youths were assigned to Unit 2 on the day of the inspection walkthrough. 1 - 6 Single Pre-98 6 1 1 6 755 cubic Dry rooms. feet/74 square feet 7 - 10 Single Pre-98 4 1 4 4 686 cubic 1 1 1 Wet rooms. feet/68 square feet 11 Single Pre-98 1 1 1 1 12.1’ X 6.2’ Observation room with a camera. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7126 7127 Imperial County Probation JH SYTF LASE 23-24 1 ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS or Designation Type Standards Rooms # RC RC Square/Cubic T U W F S Beds Feet Unit 3 2 2 1 4 Unoccupied at the time of the inspection. 1 - 6 Single Pre-98 6 1 1 6 755 cubic Dry rooms. feet/74 square feet 7 – 10F Single Pre-98 4 1 1 4 686 cubic 1 1 1 Wet rooms. feet/68 square feet Note: The top bunk on all the beds has been removed to ensure single-room occupancy. Comments: ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS or Designatio Type Standards Room # RC RC Square/Cubic T U W F S n s Beds Feet Unit 4 2 3 2 4 At the time of the inspection Unit 4 was designated as the SYTF Project Phoenix Unit. Five (5) youths were assigned to Unit 4 on the day of the inspection walkthrough. 1 - 10 Double 1998 10 2 2 20 108 sq. ft. 1 1 1 Room 1 is equipped for handicapped youth. Dayroom 1998 1 700 sq. ft. Classroom 1998 1 1220 sq. ft. 1 1 1 Unit 5 2 3 2 4 Unoccupied at the time of the inspection for renovations. 1 - 10 Double 1998 10 2 2 20 108 sq. ft. Room 10 is equipped for handicapped youth. Dayroom 1998 1 700 sq. ft. Classroom 1998 1 1220 sq. ft. 1 1 1 s Notes: Dormitory 4 is designated as the SYTF Project Phoenix dorm. Dormitory 5 was unoccupied at the time of the inspection due to being renovated. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7126 7127 Imperial County Probation JH SYTF LASE 23-24 2 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State & Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7126 7127 FACILITY NAME: Imperial County Juvenile Hall (JH) and Imperial Secure Youth FACILITY TYPE: JH and SYTF Treatment Facility (SYTF) APPLICABLE REGULATIONS (Check All That 4/98: X 2001: 2003: OTHER: Pre-98 Apply): FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: December 7, 2023 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) Units 1, 2, and 3 were designed under Pre-98 ✓ standards. Units 4 and 5 were opened in 2000 and were designed using 4/98 Contains a weapons locker as specified in these standards. regulations Contains a secure room for the confinement of The arresting/transporting officer maintains minors pending admission to JH ✓ control of the minor in an open lobby setting. The reception/intake area was designed under the Pre-98 standards, Provides access to a shower Youth are taken to a housing unit for a ✓ shower immediately following booking and before being assigned to a room. Provides a secure vault or storage space for minor's ✓ valuables Provides telephone access to minors ✓ Provides staff access to hot and cold running water ✓ Locked Holding Room (1.2) The reception area was designed under Pre- ✓ 98 Standards. There are no locked holding rooms. Youths are booked at an open Contains a minimum of 15 square feet of floor area central desk area. per minor Provides no less than 45 square feet of floor area ✓ Contains seating to accommodate all minors as ✓ specified in these regulations 98: Provides access to a toilet, wash basin and drinking fountain as specified in these regulations 03: Be equipped with a toilet, wash basin and ✓ drinking fountain unless a procedure is in effect to provide access Maximizes staff visual supervision ✓ 03: Outward swinging or lateral sliding door required ✓ Natural Light (1.3) Visual access to natural light is provided in locked ✓ sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7126 7127 Imperial County Probation JH SYTF PHY 23-24 - 1 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are located ✓ only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) JH living units do not exceed 30 minors and contain ✓ sleeping areas and plumbing fixtures, commensurate with the number of minors housed. Locked Sleeping Rooms (1.6) Units 1, 2, and 3 are designed under Pre-98 Standards that did not require rooms to be equipped with toilets, washbasins, and 98: Have a toilet, wash basin and drinking fountain drinking fountains. Pre-98 Standards allowed unless a procedure is in effect to provide other access to these fixtures ✓ facilities to have “dry rooms” contingent upon a plan that provided minors with access to 03: Toilet, wash basin and drinking fountain required plumbing fixtures. Units 4 and 5 are designed in locked sleeping rooms under 4/98 Standards and each double occupancy cell has a toilet, washbasin, and drinking fountain. Single Occupancy Sleeping Rooms (1.7) Units 1, 2, and 3 currently are housing only one juvenile in each room. Units 4 and 5 have been closed for approximately five 98: Minimum of 63 square feet of floor area and a ✓ years. The classroom areas are still being clear ceiling height of eight feet used. 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144 ✓ inches. 03: Outward swinging or lateral sliding door required ✓ Double Occupancy Sleeping Rooms (1.8) Units 4 and 5 were designed under the 1998 standards that allow for double occupancy Minimum of 100 square feet floor area, a clear ceiling ✓ rooms. height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144 ✓ inches 03: Outward swinging or lateral sliding door required ✓ Dormitories (1.9) The facility has no dormitories. The text of ✓ this regulation is deleted from this checklist. Dayrooms (1.10) ✓ JH dayrooms contain 35 square feet of floor area per minor. 7126 7127 Imperial County Probation JH SYTF PHY 23-24 - 2 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Dayrooms in camps and SPJHs contain 30 square ✓ feet of floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers. ✓ Physical Activity and Recreation Spaces (NA Yard space was verified at the time plans SPJH; 1.11) were submitted for new construction in 1998. 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet dedicated ✓ indoor-outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9,000 square feet dedicated indoor-outdoor space. 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor-outdoor space, plus a field area. The field area contains a minimum of one acre with a ✓ minimum dimension of 100 feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ✓ 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor- outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor-outdoor space is a paved or "like" surface. ✓ 01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped and ✓ of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single ✓ dimension less than 40 feet. Outdoor recreation area lighting allows for evening activities and provides security. ✓ Academic Classrooms (NA SPJH; 1.12) ✓ Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility Two classrooms were added for Units 4 and 2001: Dedicated classroom space is available for ✓ 5. There is one additional classroom every juvenile in the facility. The primary purpose for designed under the Pre-98 Standards. the academic classroom is for education. Each classroom contains a minimum of 160 square feet of floor space for the teacher's desk and work ✓ area, and a minimum of 28 square feet floor space per minor. 7126 7127 Imperial County Probation JH SYTF PHY 23-24 - 3 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS There is a communication system in each classroom that allows for immediate response to emergencies. ✓ Safety Room (1.13) The facility does not have a safety room. The ✓ text of this regulation is deleted from this checklist. Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped medical ✓ examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations ✓ that is used for no other purpose; Privacy for minors; ✓ Lockable storage for medical supplies; ✓ Not less than 144 square feet floor space with no ✓ Designed under the Pre-98 Standards. single dimension less than seven feet; Hot and cold running water; and, ✓ 01: Smooth, non-porous, washable surfaces. Designed under the Pre-98 Standards. ✓ Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies ✓ and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) There is a minimum of 15 square feet floor space and ✓ sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate visual ✓ barrier. Visiting Space (1.17) ✓ Visiting space is provided. Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space per minor for institutional clothing, bedding, supplies ✓ and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of ✓ secure storage space for personal clothing and belongings. 7126 7127 Imperial County Probation JH SYTF PHY 23-24 - 4 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as fire extinguishers, self-contained breathing ✓ apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial ✓ closet containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) Audio monitoring is present in Units 4 and 5; Units 1, 2, and 3 are Pre-98 standards and do not require audio capabilities. There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping rooms; single ✓ and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to ✓ maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) ✓ Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors There is a minimum of one suitably furnished ✓ interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. ✓ Court Holding Room for Minors (1.26) ✓ Court holding area constructed Pre-98. Total of 71 square feet per room, per CYA audit. Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors ✓ Provides 40 square feet of floor area and a minimum ✓ clear ceiling height of eight feet Contains seating to accommodate all minors ✓ 14-foot bench. Contains a toilet, wash basin and drinking fountain as ✓ specified in these regulations Maximizes staffs' visual supervision of minors ✓ A probation officer is assigned to this site during court hours. 7126 7127 Imperial County Probation JH SYTF PHY 23-24 - 5 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms. ✓ One toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Wash basins must provide hot and cold or tempered water and be available on living units in a ratio of 1:6 ✓ in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) Drinking fountains are accessible to minors and staff ✓ in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from flowing over the ✓ bubbler. Showers (2.4) Showers provide tempered water and are available ✓ on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. ✓ Beds (2.5) Beds are at least 30 inches wide and 76 long and are ✓ of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. ✓ Lighting (2.6) There is at least 20 foot-candles (216 1x) of illumination at desk level in locked sleeping rooms, ✓ single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good visibility and is conducive to sleep. ✓ Padding (2.7) This facility does not have a safety room. ✓ The text of the regulation is removed from this checklist. 7126 7127 Imperial County Probation JH SYTF PHY 23-24 - 6 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench seating is ✓ allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security ✓ perimeter of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device. ✓ Assess for New Construction/Remodel or Repair: ✓ There has been no new construction. The remainder of the checklist has been deleted. 7126 7127 Imperial County Probation JH SYTF PHY 23-24 - 7 - J456 PHY 98 01 03.dot (8/05)