Kings Probation (2023-2024 inspection cycle)

May 24, 2023 Leonard Bakker II, Interim Chief Probation Officer Kings County Probation Department 1400 W. Lacey Boulevard Hanford, CA 93306 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, KINGS COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Interim Chief Bakker: The 2023-2024 Comprehensive Inspection of the Kings County Probation Department has been completed. A pre-inspection briefing was held on Tuesday, March 7, 2023, and the following facilities were inspected between Tuesday, April 25, 2023, and Thursday, April 27, 2023: FACILITY NAME BSCC # FACILITY TYPE Kings County Juvenile Center 7162 JH Juvenile Center Camp 7163 CAMP Secure Youth Treatment Facility 7164 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 the annual inspection, 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. Leonard Bakker II, Interim Chief Probation Officer Page 2 INSPECTION RESULTS We identified the following items of noncompliance with Title 15 Minimum Standards1 for all facilities: Title 15 Section, 1329 Suicide Prevention Plan: A review of documentation indicated all youth who were placed on Suicide Watch were secured in a holding room and had to wear a suicide smock for up to two days, regardless of acuity. Per the regulation, suicide prevention responses shall be respectful, and in the least invasive manner consistent with the level of suicide risk. Under Section (b)(4), precautionary protocols shall be developed to ensure youth safety. The policy established by the agency indicated Safety Checks would occur every five minutes. These checks were not occurring in line with established safety protocols. In addition, per the regulation, youth identified at risk of suicide shall not be denied the opportunity to participate in facility programs, services, and activities. Youth were separated from other non-suicidal youth in a holding room for up to two days, and not receiving regular programming, services, and privileges, without any supporting documentation or approval. Title 15 Section, 1354 Separation: Voluntary separation forms are not being consistently completed when youth separate in their sleeping rooms. Per the regulation, the facility administrator shall develop policies and procedures that address the separation of youth. These forms were developed by the agency to document the youth who chose to self-separate and were not confined to their room. When reviewing youth safety check logs, youth were consistently shown in their room outside normal institutional operations, and there was inconsistent supporting documentation indicating the reason for self-separation. Furthermore, youth placed on suicide watch were separated in a holding room for a mental health condition for up to two days. Under Section (c), separated youth shall not be denied the normal privileges at the facility, except when necessary to accomplish the objective of separation. All youth placed on suicide watch were denied these privileges as a standard practice and without supporting documentation. Title 15 Section, 1354.5 Room Confinement: Youth on suicide watch were being placed in a holding room for up to two days. Authorizations, case planning, and reviews were not being conducted in line with the requirements of WIC 208.3. Additionally, a review of documentation indicates youth are being confined in their rooms for constant misbehavior or for a cool down, which is not a sufficient justification for the use of room confinement. 1 BSCC reviews only those policy and procedures required by, and applicable to, Title 15, CCR. BSCC staff do not “approve” policies and procedures or assess them for constitutional or legal issues. Agencies should seek review through their legal advisor, risk manager, and other persons deemed appropriate for such evaluation. 7162+ Kings Probation JH CAMP SYTF LTR 23-24 Leonard Bakker II, Interim Chief Probation Officer Page 3 Title 15 Section, 1355 Institutional Assessment and Case Plan: The Institutional Case Plan was not being shared with facility staff. Per Section (b)(1), a case plan shall be developed for each youth being held for at least thirty days. Though agency policy indicates a case plan would be developed utilizing the results of the Positive Achievement Change Tool full assessment, the information was not accessible nor made available to facility staff to ensure that the plan is implemented. Title 15 Section, 1356 Counseling and Casework Services: Per the regulation, the facility shall implement written policies and procedures to ensure appropriate counseling and casework services. The policy indicates the youth will be seen by their assigned counselor on a weekly basis, and it will be documented. A review of the case management system indicates this is not being done. Title 15 Section, 1357 Use of Force: Documentation is inconsistent or missing for parent/legal guardian, medical, and mental health notifications, debriefing of youth and staff, de-escalation efforts, clear warning chemical agents will be used, and method of application. Other documentation indicates youth are being left alone in their room after being exposed to chemical agents. Sections (a)(5), (7) and (b) (2-5) outline the elements required which are missing in most use of force and use of force with chemical agents reports. Title 15 Section, 1371 Programs: Programs are not being offered in line with Section (a) which requires all youth to be provided with the opportunity for at least one hour of daily programming. In reviewing documentation, programming was not conducted or the activities which were documented to be programming were either recreational or exercise. 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, April 27, 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 (IIR) for noncompliance items found during the inspection at this time. On May 23, 2023, a site visit was conducted to review progress toward meeting compliance with regulations. As of the date of this letter, your agency corrected one area of noncompliance with Separation as it related to voluntary separation forms not being consistently completed. A review of documentation shows improvement in this area. Additional technical assistance was given to update the form to indicate the 7162+ Kings Probation JH CAMP SYTF LTR 23-24 Leonard Bakker II, Interim Chief Probation Officer Page 4 reason for the separation, time off separation, and staff review. In addition, your agency has taken substantial steps to address Section 1356 as it pertains to staff following procedures for counseling and casework services. Technical assistance was given to training staff on the Institutional Case Plan so facility staff could assist youth in meeting case plan goals through the counseling and casework services provided. Therefore, your agency will not need to provide a corrective action plan pertaining to these areas. On this same date, a meeting was held with Facility and Wellpath Medical and Behavioral Health Administrators as to Suicide Prevention policies and procedures. Though steps have been taken to assess youth for the level of risk and acuity, the policies have not been updated and aligned. In addition, room confinement and separation were discussed to ensure the steps taken by these agencies align with regulations to ensure compliance. These areas of regulations continue to need corrective action. A review of documentation provided to ascertain compliance with the Institutional Assessment and Case Plan, Use of Force, and Programs indicate these areas continue to need corrective action. Please provide a Corrective Action Plan (CAP) no later than June 26, 2023, informing us how you intend to correct the areas of noncompliance. The CAP shall outline how your agency plans to correct the issues of noncompliance. Upon receipt of your Corrective Action Plan, we will provide you with further instructions regarding the date your corrective action must be completed. You will have 90 days from the date of your CAP to implement your Corrective Action Plan. Failure to meet your commitment to resolving noncompliance issues outlined in the Corrective Action Plan could result in the Board making a determination of suitability at the next scheduled Board meeting. * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 708-2062 if you have any questions. Sincerely, SHAY MOLENNOR Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Kings County Juvenile Court* Chair, Juvenile Justice Commission, Kings County* Chair, Board of Supervisors, Kings County* County Administrator, Kings County* 7162+ Kings Probation JH CAMP SYTF LTR 23-24 Leonard Bakker II, Interim Chief Probation Officer Page 5 Marc Cerda, Deputy Chief (electronic copy) Stacie Sellai, Juvenile Corrections Manager (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7162+ Kings Probation JH CAMP SYTF LTR 23-24 JUVENILE HALL & CAMP PROCEDURES CHECKLIST1 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 4 for the complete list and text of regulations. Kings Juvenile Center Procedures Checklist BSCC #7162 JH & Camp PRO  Kings County Juvenile Center: 1450 Forum Drive, Hanford, CA, 93230 Inspection Date: 04/27/2023 Interviewed Marc Cerda, Deputy Chief Probation Ocer; Stacie Sellai, Juvenile Corrections Manger; Elizabeth Norris, Principal J C Montgomery School; Dr. Deanna Mercado, Wellpath Mental Health Director; Maria Cantu, Wellpath Health Services Administrator; J. Vidal, Juvenile Corrections Ocer IV; T. Empey, Juvenile Corrections Ocer IV; 2 male youth age 18, 2 female youth age 17 Inspection Completed by Field Representative Shay Molennor §1313 County Inspection and Evaluation of Building and Grounds  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)re authority having jurisdiction, including a re clearance as required by Health and Safety Code Section 13146.1(a) and (b);  (c)local health ocer, inspection in accordance with Health and Safety Code Section 101045;  (d)county superintendent of schools on the adequacy of educational services and facilities as required in Section 1370;  (e)juvenile court as required by Section 209 of the Welfare and Institutions Code; and,  (f)the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the Welfare and Institutions Code. Inspector Notes Chapter 4101, Section I Program Inspections Building: September 16, 2022 Fire: March 29, 2023 Environmental: August 31, 2022 (The three areas marked non-compliant in the inspection were noted to be corrected on September 2, 2022.) Medical/Mental Health: September 18, 2022 Nutritional: September 9, 2022 JJC: September 14, 2022 School: 2021: June 23, 2022 Juvenile Court: October 21, 2022 §1320 Appointment and Qualications  BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Ocer’s certication letter conrming that all elements of regulation are met. (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.  (b)Employee Qualications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job classication and duties in accordance with applicable civil service or merit system rules;  (b)(2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps);  (b)(3) adhere to the minimum standards for the selection and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and  (b)(4) conduct a criminal records review, on each new employee, and psychological examination in accordance with Section 1031 of the Government Code.  (c)Contract personnel, volunteers, and other non-employees of the facility, who may be present at the facility, shall have such clearance and qualications as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. Inspector Notes (a)and (b)(1-4): A memorandum dated March 30, 2023 by Acting Chief Probation Ocer Leonard Bakker addressed all the elements of this regulation. (c)Chapter 4100, Section IX §1321 Stang  Each juvenile facility shall: (a) have an adequate number of personnel sucient to carry out the overall facility operation and its programming, to provide for safety and security of youth and staff, and meet established standards and regulations;  (b)ensure that no required services shall be denied because of insucient numbers of staff on duty absent exigent circumstances;  (c)have a sucient number of supervisory level staff to ensure adequate supervision of all staff members;  (d)have a clearly identied person on duty at all times who is responsible for operations and activities and has completed the Juvenile Corrections Ocer Core Course and PC 832 training;  (e)have at least one staff member present on each living unit whenever there are youth in the living unit;  (f)have sucient food service personnel relative to the number and security of living units, including staff qualied 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 sucient administrative, clerical, recreational, medical, dental, mental health, building maintenance, transportation, control room, facility security and other support staff for the ecient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and,  (h)assign sucient youth supervision staff to provide continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special program needs. Stang shall be in compliance with a minimum youth-staff ratio for the following facility types:  (h)(1) Juvenile Halls (A) during the hours that youth are awake, one wide-awake youth supervision staff member on duty for each 10 youth in detention;  (h)(1)(B) during the hours that youth are conned to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth in detention;  (h)(1)(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,  (h)(1)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility.  (h)(1)(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 classied as youth supervision staff positions. N/A (h)(2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide-awake youth supervision staff member on duty for each 10 youth in detention; N/A (h)(2)(B) during the hours that youth are conned to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth in detention; N/A (h)(2)(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, N/A (h)(2)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility. N/A (h)(2)(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 classied as youth supervision staff positions. N/A (h)(3) Camps (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; N/A (h)(3)(B) during the hours that youth are conned 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; N/A (h)(3)(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; N/A (h)(3)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility; N/A (h)(3)(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; N/A (h)(3)(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 classied as youth supervision staff positions. Inspector Notes (a)and (b)(1-4): A memorandum dated March 30, 2023, by Acting Chief Probation Ocer Leonard Bakker addressed all the elements of this regulation. (c)Chapter 4100, Section IX Reviewed agency organizational chart, monthly shift schedule, weekly shift schedule and April 25, 2023 shift schedule. The agency has one Juvenile Corrections Ocer III vacancy and 15 Juvenile Corrections Ocer I/II vacancies. A review of documentation indicates stang ratios are met and the agency is in compliance with this regulation. Though compliant with this regulation, interviews with staff indicate stang could be improved as many staff are new and the agency has several vacancies. §1322 Youth Supervision Staff Orientation and Training  (a)Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to their duties, including: (1) youth supervision duties;  (a)(2) scope of decisions they shall make;  (a)(3) the identity of their supervisor;  (a)(4) the identity of persons who are responsible to them;  (a)(5) persons to contact for decisions that are beyond their responsibility; and  (a)(6) ethical responsibilities.  (b)Prior to assuming any responsibility for the supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility-specic orientation, including:  (b)(1) individual and group supervision techniques;  (b)(2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of this chapter;  (b)(3) basic health, sanitation and safety measures;  (b)(4) suicide prevention and response to suicide attempts  (b)(5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and physical restraints;  (b)(6) review of policies and procedures referencing trauma and trauma-informed approaches;  (b)(7) procedures to follow in the event of emergencies;  (b)(8) routine security measures, including facility perimeter and grounds;  (b)(9) crisis intervention and mental health referrals to mental health services;  (b)(10) documentation; and  (b)(11) re/life safety training  (c)Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections Ocer Core Course pursuant to Penal Code Section 6035.  (d)Prior to exercising the powers of a peace ocer youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal Code. Inspector Notes Chapter 4102, Section II Program Staff Orientation (a)(1) Section II-A, 2 and 9; (2) Section II-A, 2; (3) Section II-A, 1; (4) Section II-A, 2 and 3, (5) Section II-A, 1 and 2; (6) Section II-A, 12 (b)(1) Section III-A, 1; (2) Section III-A, 31; (3) Section III-A, 29; (4) Section III-A, 27; (5) Section III-A, 32; (6)Section III-A, 33; (7) Section III-A, 16-17; (8) Section III-A, 14; (9) Section III-A, 28; (10) Section III-A, 26 and 30; (11) Section III-A, 16 (c)Section I-A indicated in paragraph 2 (d)Section I-A, indicated in paragraph 3 The facility assigns a staff to train new hires and utilizes the Staff Orientation/Training Checklist to ensure competency. The agency is in compliance with this regulation. §1323 Fire and Life Safety  Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times who meets the training standards established by the Board for general re and life safety which relate specically to the facility. Inspector Notes Chapter 4118, Section I-A §1324 Policy and Procedures Manual  All facility administrators shall develop, publish, and implement a manual of written policies and procedures that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, and shall be administratively reviewed at a minimum 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 communications and a description of job classications;  (b)responsibility of the probation department, purpose of 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;  (d)initial orientation and training program for employees;  (e)initial orientation, including safety and security issues 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 communication system to ensure:  (f)(1) ecient operation of the juvenile facility;  (f)(2) legal and proper care of youth;  (f)(3) maintenance of individual youth's records;  (f)(4) supply of information to the juvenile court and those authorized by the court or by the law; and,  (f)(5) release of information regarding youth.  (g)ethical responsibilities;  (h)trauma-informed approaches;  (i)culturally responsive approaches;  (j)gender responsive approaches;  (k) a non-discrimination provision that provides that all 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 chemical agents related security devices, and weapons and ammunition, where applicable;  (m) establishment of procedures for collection of Medi-Cal eligibility information and enrollment of eligible youth; and,  (n) establishment of a policy that prohibits all forms of 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. Inspector Notes The Policy and Procedure Manual was last updated on July 15, 2021. The manual is available to staff electronically and in hard copy. Elements of this regulation are met in Chapters 4100, 4102, 4103, 4104, 4108, 4112, 4119, and 4130. Chapter 4102, Section III-B, 4 (a)Chapter 4100, Section I Organization and Structure (b)Chapter 4100, Section III Purposes and Responsibilities of the Juvenile Facility: Section IV Ancillary Juvenile Center Programs (c)Chapter 4103 Section XI Employee Responsibilities and 4112, Section II-A Staff Responsibilities on Supervision (d)Chapter 4102, Section II-A Program Staff Orientation (e)Chapter 4102, Section II-B Program Staff Orientation (f)Chapter 4100 Section V Institution Record Keeping, Statistics and Communication and/or Correspondence (f)(1) Chapter 4104, Section II; (2) Chapter 4104, Section II (3) Chapter 4104, Section II-D; (4) Chapter 4104, Section II-D,1; (5) Chapter 4104, Section II-D, 1-8 (g)Chapter 4103, Section III Employees' Ethical Responsibilities (h)Chapter 4103, Section XIV-F (i)Chapter 4103, Section XIV-F (j)Chapter 4103, Section XIV-F (f)Chapter 4103, Section XIV-E (k)Chapter 4119, Section IV-D, 10-b (l)Chapter 4108 Section VI-B, 6 Medi-Cal Application Transmittal Form (m)Chapter 4130 PREA Policy A thorough review of the facility's policy and procedure manual was conducted and the Juvenile Corrections Manager was provided with assistance and recommendations to enhance their policies to address consistency, clarity, and best practices. The agency is in compliance with this regulation. §1325 Fire Safety Plan  The facility administrator shall consult with the local re department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for re safety which shall include, but not be limited to: (a) a re prevention plan to be included as part of the manual of policy and procedures;  (b)monthly re and life safety inspections by facility staff with two-year retention of the inspection record;  (c)re prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b);  (d)an evacuation plan;  (e)documented re drills not less than quarterly;  (f)a written plan for the emergency housing of youth in the case of re; and,  (g)development of a re suppression pre-plan in cooperation with the local re department. Inspector Notes Elements of this regulation are met in Chapter 4118 Fire and Life Safety, and Chapter 4101 (a)Chapter 4118, Section III Fire Plan (b)Chapter 4101, Section I-F and Section 4118, Section II-A, 3 (c)Fire Inspection dated March 29, 2023 (d)Chapter 4118, Section III-A, 9 (e)Chapter 4101, Section VII Safety Drills and Chapter 4118, Section II-A, 5 (f)Chapter 4118, Section III-A, 9-b (g)Chapter 4118, Section II-A, 1 Reviewed re and life safety inspections from January 2022 through March of 2023. The inspections include an audit or testing of alarms, re extinguishers, AED and rst aid kits. The documentation reviewed arms the facility is in compliance with this regulation. §1326 Security Review  Each facility administrator shall develop policies and procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. Inspector Notes Chapter 4101, Section I-G A Security Review memo was completed by Stacie Sellai, Juvenile Corrections Manager, on October 3, 2022, indicating compliance with this regulation. §1327 Emergency Procedures  The facility administrator shall develop facility-specic policies and procedures for emergencies that shall include, but not be limited to:  (a)escape, disturbances, and the taking of hostages;  (b)civil disturbance, active shooter and terrorist attack;  (c)re and natural disasters;  (d)periodic testing of emergency equipment;  (e)emergency evacuation of the facility; and  (f)a program to provide all youth supervision staff with an annual review of emergency procedures. Inspector Notes An Emergency Procedures memo was completed by Stacie Sellai, Juvenile Corrections Manager, on October 10, 2022, indicating compliance with this regulation. Chapter 4117 Emergency Procedures (a)Section IV-E Escape; Section IV-J Hostage; Section IV--Paragraph 1 and C Disturbances (b)Section VI Civil Disturbances; Section VII Active Shooter and Terrorist Attack (c)Section IV-G Fire; Section IV-I Earthquake (d)Section II-C (e)Section V-C Evacuation of Site (f)Section I paragraph 1 (Throughout the year, the department will periodically train staff in emergency procedures.) §1328 Safety Checks  The facility administrator shall develop and implement policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth are asleep or when youth are in their rooms, conned in holding cells or conned to their bed in a dormitory. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. Inspector Notes Chapter 4112, Section II-H, 2 Reviewed safety checks from July and October of 2022 and January of 2023. The safety checks are handwritten for each unit in a log book and include general information of shift activities. The documentation reviewed arms the facility is in compliance with this regulation. Technical assistance was given recommending safety checks/log books are audited by supervisor on a daily basis. §1329 Suicide Prevention Plan  The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. The plan shall consider the needs of youth experiencing 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 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Ocer Core Course.  (b)Screening, Identication Assessment and Precautionary Protocols (1) All youth shall be screened for risk of suicide at intake and as needed during detention.  (b)(2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk of suicide.  (b)(3) All youth who have been identied during the intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a suicide risk assessment.  (b)(4) Precautionary protocols shall be developed to ensure the youth’s safety pending the behavioral/mental health assessment.  (c)Referral process to behavioral/mental health staff for assessment and/or services.  (d)Procedures for monitoring of youth identied at risk for suicide.  (e)Safety Interventions  (e)(1) Procedures to address intervention protocols for youth identied at risk for suicide which may include, but are not limited to:  (e)(1)(A) Housing consideration  (e)(1)(B) Treatment strategies including trauma-informed approaches  (e)(2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal behaviors.  (f)Communication (1) The intake process shall include communication with the arresting ocer and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts.  (f)(2) Procedures for clear and current information sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental health staff.  (g) Debrieng of Critical Incidents Related to Suicides or Attempts (1) Process for administrative review of the circumstances and responses proceeding, during and after the critical incident.  (g)(2) Process for a debrieng event with affected staff.  (g)(3) Process for a debrieng event with affected youth.  (h) Documentation (1) Documentation processes shall be developed to ensure compliance with this regulation  Youth identied at risk for suicide shall not be denied the opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. Inspector Notes Elements of this regulation are met in Chapter 4102 and Section 4109 Suicidal Behavior. (a)Chapter 4102, Section III-A, 27 (b)Chapter 4109, Section III Intake Classication and Response; (b)(2) Chapter 4109, Section II-H; (b)(3) Chapter 4109, Section III-B, 1 Watch Status; (b)(4) Chapter 4109, Section III-B, 2 (c)Chapter 4109, Section III-B (d)Chapter 4109, Section III-B, 2 (e)(1) Chapter 4109; (e)(1)(A) Chapter 4109, Section III-B, 2 and 6; (e)(1)(B) Chapter 4109, Section III-B, 5; (e)(2) Chapter 4109, Section II General Overview (f)(1) Chapter 4109, Section I-A, 3-k and 1; (f)(2) Chapter 4109, Section III-B, 1 (g)(1) Chapter 4109, Section III-I; (g)(2) Chapter 4109, Section IV-H; (g)(3) Chapter 4109, Section IV-H (h)(1)Chapter 4109, Section III-H Special Incident Report Chapter 4109, Section III-B, 5 A review of documentation indicated all youth who were placed on Suicide Watch were secured in a holding room and had to wear a suicide smock for up to two days regardless of acuity. Per the regulation suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. Under Section (b)(4), precautionary protocols shall be developed to ensure youth safety. The policy established by the agency indicated Safety Checks would occur every ve minutes. These checks were not occurring in-line with established safety protocols. In addition, per the regulation, youth identied at risk of suicide shall not be denied the opportunity to participate in facility programs, services, and activities. Youth were separated from other non-suicidal youth in a holding room for up to two days and not receiving regular programming, services and privileges without any supporting documentation or approval. The agency is not in compliance with these areas of the regulation. §1340 Reporting of Legal Actions  Each facility shall submit to the Board a letter of notication on each legal action, pertaining to conditions of connement, led against persons or legal entities responsible for juvenile facility operation. Inspector Notes Chapter 4100, Section VII Reporting of Legal Actions §1341 Death and Serious Illness or Injury of a Youth While Detained  (1)Death of a Youth. (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 notications 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 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 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 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. (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notication 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. Inspector Notes (1)(a) Chapter 4109 Section IV Death or Serious Illness of a Youth (b) Section IV-F; (c)Section IV-F, 6 (2)(a) Section IV §1342 Population Accounting  Each juvenile facility shall submit required population and prole 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. Inspector Notes Chapter 4104 Section II-A Records and Statistics and Chapter 4112, Section VII Population Levels and Overcrowding §1343 Juvenile Facility Capacity (Excerpt)  When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than fteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. Inspector Notes Chapter 4104 Section II-A Records and Statistics and Chapter 4112, Section VII-B, 1 Population Levels and Overcrowding §1350 Admittance Procedures  The facility administrator shall develop and implement written policies and procedures for admittance of youth that emphasize respectful and humane engagement with youth, and reect that the admission process may be traumatic to youth who may have already 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: (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of Welfare and Institution Code Section 627;  (a)(2) Offer of a shower;  (a)(3) Documented secure storage of personal belongings;  (a)(4) Offer of food upon arrival;  (a)(5) Screening for physical and behavioral health and safety issues, intellectual or developmental disabilities;  (a)(6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, and 1430 of these regulations;  (a)(7) Contact with Regional Center for the Developmentally Disabled for youth that are suspected of or identied as having a developmental disability, pursuant to Section 1413; and,  (a)(8) Procedures consistent with Section 1352.5.  (b)juvenile hall administrators shall establish written criteria for detention that considers the least restrictive environment.  (c)juvenile camps and post-dispositional programs in 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 that advise any committed youth of the estimated length of his/her stay. Inspector Notes Chapter 4108, Section IV New Admission Unit Processing (a)(1) Section IV-A, 1; (2) Section IV-A, 2; (3) Section IV-A, 3; (4) Section IV-A, 4; (5) Section IV-A, 5; (6) Section IV-A, 5; (7) Section IV-A, 7; (8) Section IV-A, 6 (b)Section IV-A, 8 (c)Section IV-A, 9 (d)Section IV-A, 9 Reviewed 10 admittance packets which included intake checklists, booking sheets, Victim Vulnerability Assessments, Threat Assessments, youth/gang classication forms, medical screenings, rules of conduct acknowledgments, and PREA notices. The documentation reviewed arms the facility is in compliance with this regulation. §1350.5 Screening for the Risk of Sexual Abuse  The facility administrator shall develop and implement written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of admission based on the following information:  (a)Prior sexual victimization or abusiveness;  (b)Gender nonconforming appearance or manner; or identication 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;  (d)Age;  (e)Level of emotional and cognitive development;  (f)Physical size and stature;  (g)Mental illness or mental disabilities;  (h)Intellectual or developmental disabilities;  (i)Physical disabilities;  (j)The youth’s perception of vulnerability; and,  (k)Any other specic information about the individual youth that may indicate heightened needs for supervision, additional safety precautions, or separation from certain other youth.  Staff shall ascertain this information through conversations with the youth during the admittance process, medical and behavioral health screenings; during classication assessments; and by reviewing court records, case les, facility behavioral records, and other relevant documentation from the youth’s les.  The facility administrator shall implement appropriate 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. Inspector Notes Chapter 4108, Section IV-A, 6 (a)Section IV-A, 6-a (b)Section IV-A, 6-b (c)Section IV-A, 6-a (d)Section IV-A, 6-a (e)Section IV-A, 6-c (f)Section IV-A, 6-c (g)Section IV-A, 6-d (h)Section IV-A, 6-d (i)Section IV-A, 6-e (j)Section IV-A, 6-e (k)Section IV-A, 6-e Chapter 4108, Section IV-A Chapter 4108, Section IV-11 Reviewed 10 admittance packets which included Victim Vulnerability Assessments and Threat Assessments which respond to the elements of this regulation. The documentation reviewed and policy and procedure arms the facility is in compliance. §1351 Release Procedures  The facility administrator shall develop and implement written policies and procedures for release of youth from custody which provide for:  (a)verication of identity/release papers;  (b)return of personal clothing and valuables;  (c)notication to the youth's parents or guardian;  (d)notication to the facility health care provider in accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; and,  (e)notication of school staff;  (f)notication of facility mental health personnel.  The facility administrator shall develop and implement 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. N/A The facility administrator shall develop and implement written policies and procedures for the furlough of youth from custody. Inspector Notes Elements of this regulation are met in Chapter 4108, Section VI Release Procedures, and Chapter 4132. (a)Chapter 4108, Section VI-B (b)Section VI-B, 9 Release of Property to Youth (c)Section VI-B, 5 (d)Section VI-B, 7 (e)Section VI-B, 5 (f)Section VI-B, 7 Chapter 4108 Section VI-B, 7-a Medical and Behavioral Health, Section VI-B, 12 and Chapter 4132, Section IV-B Re-entry Case Conferencing Reviewed 10 release packets which included documentation of required notications and release of property back to the youth. Provided technical assistance to notify Wellpath Behavioral Health directly instead of having them be notied by Wellpath Medical. The agency added the behavioral health team to their release notication email group. The documentation reviewed arms the facility is in compliance with this regulation. §1352 Classication  The facility administrator shall develop and implement written policies and procedures on classication of youth for the purpose of determining housing placement in the facility. Such procedures shall:  (a)provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the appropriate, least restrictive housing and program settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory;  (b)consider facility populations and physical design of the facility;  (c)provide that a youth shall be classied upon admittance to the facility; classication 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 classication reviews, including 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 from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identication, 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 specic request or in accordance with Title 15 regulations regarding separation.  (f)facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identication or status as an indicator of likelihood of being sexually abusive. Inspector Notes Chapter 4110 Classication (a)Section I-B, 1 and 2 (b)Section I-B, 1 and 2 (c)Section I-A, 1-15 (d)Paragraph 1 of Chapter 4110 (e)Paragraph 2 of Chapter 4110 (f)Paragraph 2 of Chapter 4110 Reviewed 10 admission packets which included assessments and screenings to assist the agency in classication decisions. The youth are also continuously classied during their stay in the facility. This information is updated in the case management system. The facility is in compliance with this regulation. §1352.5 Transgender and Intersex Youth  The facility administrator shall develop written policies and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that:  (a)Facility staff shall respect every youth’s gender 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 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 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 and intersex youth have access to medical and behavioral health providers qualied to provide care and treatment to transgender and intersex youth.  (e)Consistent with the facility’s reasonable and 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 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. Inspector Notes Elements of this regulation are met in Chapter 4108 and Chapter 4110. Chapter 4108, Section IV-A, 10 Admission Chapter 4110, Section II Transgender and Intersex Youth (a)Chapter 4108, Section IV-A, 10-a and Chapter 4110, Section II-A (b)Chapter 4108, Section IV-A, 10-b and Chapter 4110, Section II-B (c)Chapter 4108, Section IV-A, 10-c and Chapter 4110, Section II-C (d)Chapter 4108, Section IV-A, 10-d and Chapter 4110, Section II-D (e)Chapter 4110, Section II-E Chapter 4110, Section II-F Reviewed 10 admission packets which included the Threat Assessment Form and the Victim Vulnerability Assessment which addressed elements of this section. The facility is in compliance with this regulation. §1353 Orientation  The facility administrator shall develop and implement written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal information shall be provided and supplemented with video orientation if feasible. Provision shall be made to provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses:  (a)facility rules including contraband and searches and disciplinary procedures;  (b)facility’s system of positive behavior interventions 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 facility’s policy prohibiting sexual abuse and sexual harassment and how to report incidents or suspicions of sexual abuse or sexual harassment;  (d)identication of key staff and their roles;  (e)the existence of the grievance procedure, the steps 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 court process;  (g)access to routine and emergency health and mental health care;  (h)access to education, religious services, and recreational activities;  (i)housing assignments;  (j)opportunity for personal hygiene and daily showers including the availability of personal care items  (k)rules and access to correspondence, visits and telephone use;  (l)availability of reading materials, programming, and other activities;  (m)facility policies on the use of force, use of restraints, chemical agents and room connement;  (n)immigration legal services;  (o)emergencies including evacuation procedures;  (p)non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by other youth and staff;  (q)availability of services and programs in a language other than English if appropriate;  (r)the process for requesting different housing, education, programming and work assignments;  (s)a process for which parents/guardians receive information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked questions and provides contact information for the facility, medical, school and mental health; and,  (t)a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. Inspector Notes Chapter 4108, Section V Youth Orientation, Rights and Juvenile Facility Rules (a)through (t) addressed in Chapter 4108 Section V-A, 1-a through 1-t Review of documents indicate the youth are orientated to the facility during the admission process. The youth sign acknowledgement of orientation form and they are also provided a Youth Handbook to keep in their room. A Parent Handbook was also reviewed which is provided to parents/legal guardians with required information. Technical assistance was given to update the Youth Handbook and Parent Handbook to reect their new telephone use policy. In addition, it was advised the Parent Handbook be updated to include information about required notications. The agency is in compliance with the elements of this regulation. §1354 Separation  The facility administrator shall develop and implement written policies and procedures that address:  (a)separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and protective custody.  (b)consideration of positive youth development and trauma-informed care.  (c)separated youth shall not be denied normal privileges available at the facility, except when necessary to accomplish the objective of separation.  (d)when the objective of the separation is discipline, Title 15 Section 1390 shall apply.  (e)when separation results in room connement, the 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 of separated youth to determine if separation remains necessary. Inspector Notes Chapter 4121, Section X (a)Section X-A Medical, Section X-B Close Watch, Section X-C Self Separation, Section X-D Discipline Separation (b)Section X (c)Section X (d)Section X-D (e)Section VIII Room Connement (f)Section X-D, 1 and 2 A review of documents indicates voluntary separation forms are not being consistently completed when youth separate in their sleeping rooms. Per the regulation, the facility administrator shall develop policies and procedures that address the separation of youth. These forms were developed by the agency to document the youth chose to self-separate and were not being conned in their room. When reviewing youth safety check logs, youth were consistently shown in their room outside normal institutional operations and there was inconsistent supporting documentation indicating the reason was self- separation. Furthermore, youth placed on suicide watch were separated in a holding room for a mental health condition for up to two days. Under Section (c), separated youth shall not be denied the normal privileges at the facility, except when necessary to accomplish the objective of separation. All youth placed on suicide watch were denied these privileges as a standard practice and without supporting documentation. The agency is not in compliance with these elements of the regulation. §1354.5 Room Connement  (a)The facility administrator shall develop and implement written policies and procedures addressing the connement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room connement shall be accomplished in accordance with the following guidelines:  (a)(1) Room connement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff.  (a)(2) Room connement shall not be used for the purposes of punishment, coercion, convenience, or retaliation by staff.  (a)(3) Room connement shall not be used to the extent that it compromises the mental and physical health of the youth.  (b) A youth may be held up to four hours in room connement. After the youth has been held in room connement for a period of four hours, staff shall do one or more of the following:  (b)(1) Return the youth to general population.  (b)(2) Consult with mental health or medical staff.  (b)(3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate the youth to general population.  (b)(4) If room connement must be extended beyond four hours, staff shall do each of the following:  (b)(4)(A) Document the reasons for room connement and the basis for the extension, the date and time the youth was rst placed in room connement, and when he or she is eventually released from room connement.  (b)(4)(B) Develop an individualized plan that includes the goals and objectives to be met in order to integrate the youth to general population.  (b)(4)(C) Obtain documented authorization by the facility superintendent or his or her designee every four hours thereafter.  (b)(5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal sleeping hours.  (b)(6) This section does not apply to youth or wards in court holding facilities or adult facilities.  (b)(7) Nothing in this section shall be construed to conict with any law providing greater or additional protections to youth.  (b)(8) This section does not apply during an extraordinary emergency circumstance that requires a signicant 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. (b)(9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and  protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an inrmary 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 inrmary for illness. Inspector Notes Chapter 4121, Section VIII Room Connement (a)(1) through (3) Section VIII II-A through C Guidelines for Room Connement (b)(1) through (3) Section VIII III_A 1 through 3; (b)(4)(A) through (C) Section VIII III-B 1 through 4; (b)(5) Section VIII I-A, 3 and 4; (b)(6) through (b)(9) Section VIII I-A 2, 5, 6 Youth on suicide watch were being placed in holding room for up to two days. Authorizations, case planning and reviews were not being conducted in line with the requirements of WIC 208.3. Additionally, a review of documentation indicates youth are being conned in their rooms for constant misbehavior or for a cool down which is not a sucient justication for the use of room connement. The agency is not in compliance with these elements of the regulation. §1355 Insitutional Assessment and Plan  The facility administrator shall develop and implement written policies and procedures for assessment and case planning.  (a)Assessment: The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and strengths including, but not limited to, identication of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs.  (b)Institutional Case Plan: (1) A case plan shall be developed for each youth held for at least 30 days or more and created within 40 days of admission.  (b)(2) The institutional plan shall include, but not be limited to, written documentation that provides:  (b)(2)(A) objectives and time frame for the resolution of problems identied in the assessment;  (b)(2)(B) a plan for meeting the objectives that includes a description of program resources needed and individuals responsible for assuring that the plan is implemented;  (b)(3) periodic evaluation of progress towards meeting the objectives, including periodic review and discussion of the plan with the youth;  (b)(4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for post dispositional youth in accordance with Section 1351; and,  (b)(5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, and Regional Center for the Developmentally Disabled. Inspector Notes Section 4132 Institution Assessment, and Case Plan (a)Section II-A and C (b)(1) Section II-A; (b)(2) Section IV-A Initial Case Conferencing; (b)(2)(A) and (B) Section III-A; (b)(3) Section III-B; (b)(4) Section D; (b)(5) Section III-C and Section IV-B Re-entry Case Conferencing Review of documents indicates the Institutional Case Plan was not being shared with facility staff. Per Section (b)(1), a case plan shall be developed for each youth being held for at least thirty days. Though agency policy indicates a case plan would be developed utilizing the results of the PACT full assessment, the information was not accessible nor made available to facility staff to ensure that the plan is implemented. The agency is not in compliance with elements of this regulation. §1356 Counseling and Casework Services  The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure:  (a)youth will receive assistance with needs or concerns that may arise;  (b)youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, probation ocer, or other public ocial; and,  (c)youth will be provided access to available resources to meet the youth’s needs. Inspector Notes Chapter 4102, Section IV (a)Section IV-A, 2-a (b)Section IV-A, 2-a (c)Section IV-A, 2-b Per the regulation the facility shall implement written policies and procedures to ensure appropriate counseling and casework services. Policy indicates the youth will be seen by their assigned counselor on a weekly basis and it will be documented. A review of the case management system indicates this is not being done. §1357 Use of Force  The facility administrator, in cooperation with the responsible physician, shall develop and implement 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:  (a)(1) restricts the use of force to that which is deemed reasonable and necessary, as dened in Section 1302 to ensure the safety and security of youth, staff, others and the facility.  (a)(2) outline the force options available to staff including both physical and non-physical options and dene when those force options are appropriate.  (a)(3) describe force options or techniques that are expressly prohibited by the facility.  (a)(4) describe the requirements of staff to report any inappropriate use of force, and to take armative action to immediately stop it.  (a)(5) dene a standardized reporting format that includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, which include procedures for debrieng 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.  (a)(6) Include an administrative review and a system for investigating unreasonable use of force.  (a)(7) dene the role, notication, and follow-up procedures required after use of force incidents for medical, mental health staff and parents or legal guardians.  (a)(8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222.  (b) Facilities that authorize chemical agents as a force 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.  (b)(2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts have been unsuccessful or are not reasonably possible.  (b)(3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent.  (b)(4) dene the role, notication, and follow-up procedures required after use of force incidents involving chemical agents for medical, mental health staff and parents or legal guardians.  (b)(5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location of use, decontamination procedures applied and identication of any injuries sustained as a result of such use.  (c)Facilities shall develop policies and procedure which require that agencies provide initial and regular training in use of force and chemical agents when appropriate that address:  (c)(1) known medical and behavioral health conditions that would contraindicate certain types of force;  (c)(2) acceptable chemical agents and the methods of application.  (c)(3) signs or symptoms that should result in immediate referral to medical or behavioral health.  (c)(4) instruction on the Constitutional Limitations of Use of Force.  (c)(5) physical training force options that may require the use of perishable skills.  (c)(6) timelines the facility uses to dene regular training. Inspector Notes Elements of this section are met in Chapter 4119 Use of Force, and Chapter 4102. (a)(1) Section II-A; (a)(2) Section III-G, 1 through 7; (a)(3) Section III-H; (a)(4) Section II-C, 5-a; (a)(5) Section IV-E Documentation; (a)(6) Section VI;(a)(7) Section IV-F; (a)(8) Section II and Section IV-D, 7 (b)(1) Section IV-D; (b)(2) Section IV-D, 8 and 9; (b)(3) Section IV-D, 12-a through 12-g; (b)(4) Section IV-F I Medical and Mental Health and 2 Parents or Legal Guardians; (b)(5) Section IV-E, 1 (c)(1) Section II-C, 6; (C)(2) Section II-C, 6-d; (c)(3) Section II-C, 6-d; (c)(4) Section II-D, 6-e and Chapter 4102, Section III-A, 32; (c)(5) Section II-D, 6-e,1 and Chapter 4102 Section III-A, 32; (c)(6) Section II-D, 6-e Documentation is inconsistent or missing for parent/legal guardian, medical, and mental health notications, debrieng of youth and staff, de-escalation efforts, clear warning chemical agents will be used and method of application. Other documentation indicates youth are being left alone in their room after being exposed to chemical agents. Sections (a)(5),(7) and (b)(2-5) outline the elements required which are missing in most use of force and use of force with chemical agents reports. The agency is not in compliance with these elements of the regulation. §1358 Use of Physical Restraints  The facility administrator, in cooperation with the responsible physician and mental health director, shall develop and implement written policies and procedures for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory.  Physical restraints may be used only for those youth 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- inicted 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 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, oor or other xture, including a restraint chair, or through axing 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 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 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 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 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 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 procedures shall address:  (a)documentation of the circumstances leading to an application of restraints.  (b)known medical conditions that would contraindicate certain restraint devices and/or techniques.  (c)acceptable restraint devices.  (d)signs or symptoms which should result in immediate medical/mental health referral.  (e)availability of cardiopulmonary resuscitation equipment.  (f)protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a specied housing area for restrained youth which makes provision to protect the youth from abuse.  (g)provision for hydration and sanitation needs.  (h)exercising of extremities. Inspector Notes Chapter 4120 Use of Restraints Section I Introduction; Section I-B and Section I paragraph 3; Section VIII Restraint Devices for Movement or Transportation; Section I-C, Section IV-A Medical, Section III-A Mental Health; Section II-F (a)Section V Documentation (b)Section II-C (c)Section I-C (e)Section II-H (f)Section II-M (g)Section II-I and J (h)Section II-K The approved restraint devices pertaining to this regulation include handcuffs, leg restraints, waist chains and the Wrap. One incident involving use of restraints resulting in the use of The WRAP was reviewed as the facility rarely uses restraints as outlined in this regulation. Review of documentation and policy and procedure indicates the facility is in compliance with this regulation. §1358.5 Use of Restraint Devices for Movement and Transportation Within the Facility  The Facility Administrator, in cooperation with the 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)identication of acceptable restraint devices, staff approved to utilize restraint devices and the required training.  (b)the circumstances leading to the application of restraints must be documented.  (c)an individual assessment of the need to apply 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, with a clearly dened 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 accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. Inspector Notes Chapter 4120 Restraint Devices for Movement, and Transportation in the Facility (a)Section VIII-A, 1 (b)Section III-A,2 (c)Section VIII-A, 3 (d)Section VIII-A (e)Section VIII-A,4 A review documentation which included the Use of Force and Restraint form indicates youth were primarily placed in restraints for movement after an incident and the restraints were removed within two minutes. The only devices used for movement are handcuffs and leg restraints. The agency is in compliance with this regulation. §1359 Safety Room Procedures N/A (a)The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: N/A (a)(1) include provisions for administration of necessary nutrition and uids, access to a toilet, and suitable clothing to provide for privacy; N/A (a)(2) provide for approval of the facility manager, or designee, before a youth is placed into a safety room; N/A (a)(3) provide for continuous direct visual supervision and documentation of the youth's behavior and any staff interventions every 15 minutes, with actual time recorded; N/A (a)(4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; N/A (a)(5) provide for immediate medical assessment, where appropriate, or an assessment at the next daily sick call; and, N/A (a)(6) provide a process for documenting the reason for placement, including attempts to use less restrictive means of control, and decisions to continue and end placement. N/A (b)The placement of a youth in the safety room shall be accomplished in accordance with the following: N/A (b)(1) safety room shall not be used before other less restrictive options have been attempted and exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. N/A (b)(2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by staff. N/A (b)(3) safety room shall not be used to the extent that it compromises the mental and physical health of the youth. N/A (c)A youth may be held up to four hours in the safety room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of the following: N/A (c)(1) return the youth to general population. N/A (c)(2) consult with mental health or medical staff, N/A (c)(3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate the youth to general population. N/A (d)If connement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. Inspector Notes This facility does not have a Safety Room. §1360 Searches  The facility administrator shall develop and implement written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that:  (a)Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and staff.  (b)Searches shall be conducted in a manner that 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 searches shall comply with Penal Code Section 4030.  (d)Physical body cavity searches shall only be conducted by a medical professional.  (e)Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specic and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented.  (f)Searches of transgender and intersex youth shall comply with Section 1352.5.  (g)Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when conducted by a medical professional. Such searches must be justied and documented in writing. Inspector Notes Elements of this regulation are met in Chapter 4110 and a section Chapter 4111. (a)Chapter 4111, Section IV Types of Youth Searches, Section VII Room Searches, VIII Facility Searches, Section IX Visitor Searches (b)Chapter 4111, Section I-A (c)Chapter 4111, Section V-A, 2 Strip Searches and Section IV-D Physical Body Cavity Searches (d)Chapter 4111, Section IV-D Physical Body Cavity Searches (e)Chapter 4111, Section V-A, 2 Strip Searches (f)Chapter 4110, Section II-F (g)Chapter 4111, Section IV-B, 2 Post Admission Pat Search and Section V-C, 4 Strip Searches The facility has not conducted any strip searches since the last inspection cycle so no documentation of the Strip Search Authorization Checklist was available for review. Interviews with facility staff indicated a clear understanding of the strip search policy. The facility conducts random room and unit searches and daily perimeter searches. Review of policy and practices indicates compliance with this regulation. §1361 Grievance Procedure  The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to any condition of connement, including but not limited to health care services, classication decisions, program participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on ling grievances. Policies and procedures shall include provisions whereby the facility manager ensures:  (a)a grievance form and instructions for registering a grievance, which includes provisions for the youth to have free access to the form;  (b)the youth shall have the option to condentially le the grievance or to deliver the form to any youth supervision staff working in the facility;  (c)resolution of the grievance at the lowest appropriate staff level;  (d)provision for a prompt review and initial response to grievances within three (3) business days, grievances that relate to health and safety issues must be addressed immediately;  (d)(1) The youth may elect to be present to explain his/her version of the grievance to a person not directly involved in the circumstances which led to the grievance.  (d)(2) Provision for a staff representative approved by the facility administrator to assist the youth.  (e)provision for a written response to the grievance which includes the reasons for the decisions;  (f)a system which provides that any appeal of a 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) business days unless circumstances dictate a longer time frame. The youth shall be notied of any delay; and,  (h)the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment.  Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be addressed and documented in accordance with written policies and procedures within a specied timeframe. Inspector Notes Elements of this regulation are met in Chapter 4122 Youth Grievance Process, and 4130 PREA Policy. Chapter 4122, Section I-A Grievance Protocol, and Section IX Citizen's Complaint Procedure (a)Chapter 4122, Section I-A, 1 (b)Chapter 4122, Section I-B (c)Chapter 4122, Section I-A, 1-a (d)Chapter 4122, Section I-A, 1-a; (d)(1) Section I-A, 1-a; (d)(2) Section I-A (e)Chapter, 4122, Section I-A, 1-e (f)Chapter 4122, Section I-A, 1-a (g)Chapter 4122, Section I-A, 1-d (h)Chapter 4130 PREA Policy Section IX Citizen's Complaint Procedure Reviewed 55 grievances from July and October 2022 and January of 2023. The grievances mainly involved minor rule violations and loss of incentive privleges. All grievances were handled timely and most were resolved on the same day. Interviews conducted with youth indicated they were all aware of the grievance procedure and those who had led grievances felt they were validated and treated fairly. The documentation reviewed arm the facility is in compliance with this regulation. §1362 Reporting of Incidents  A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. Inspector Notes Chapter 4104, Section III-A and IV The Spillman system is used to document incidents by involved staff and witnesses and reviewed by facility administration. The documentation reviewed arms the facility is in compliance with this regulation. §1363 Use of Reasonable Force to Collect DNA Specimens, Samples, Impresssion  (a)Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace ocers, may employ reasonable force to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request.  (a)(1) For the purpose of this section, the “use of reasonable force” shall be dened 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.  (a)(2) The use of reasonable force shall be preceded by 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 authorization of the supervising ocer on duty. The authorization shall include information that reects the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused.  (b)(1) If the use of reasonable force includes a cell 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. Inspector Notes Chapter 4119, Section V (a)(1) Section V; (a)(2) Section V-A (b)Section V-B; (b)(1) Section V-C The agency does not use force to collect a DNA sample. If the youth refuses to voluntarily cooperate they are returned to court. §1370 Education Program  (a)School Programs The County Board of Education shall provide for the administration and operation of juvenile court schools in conjunction with the Chief Probation Ocer, or designee pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy and procedures to ensure communication and coordination between educators and probation staff. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deciencies, 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 qualied 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 deciency and to fully protect the educational interests of all youth in the facility.  (b)Required Elements 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 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender-nonconforming youth by their preferred name and gender.  (b)(1) The course of study shall comply with the State Education Code and include, but not be limited to, courses required for high school graduation.  (b)(2) Information and preparation for the High School Equivalency Test as approved by the California Department of Education shall be made available to eligible youth.  (b)(3) Youth shall be informed of post-secondary education and vocational opportunities.  (b)(4) Administration of the High School Equivalency Tests as approved by the California Department of Education, shall be made available when possible.  (b)(5) Supplemental instruction shall be afforded to youth who do not demonstrate sucient progress towards grade level standards.  (b)(6) The minimum school day shall be consistent with 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.  (b)(7) Education shall be provided to all youth regardless of classication, housing, security status, disciplinary or separation status, including room connement, 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 (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.  (c)(2) School staff shall be advised of administrative decisions made by probation staff that may affect the educational programming of students.  (c)(3) Except as otherwise provided by the State 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.  (c)(4) The facility administrator, in conjunction with education staff will develop policies and procedures that address the rights of any student who has continuing diculty completing a school day.  (d)Provisions for Special Populations (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 nd, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs.  (d)(2) Youth identied as English Learners (EL) shall be 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 (1) Youth shall be interviewed after admittance and a record  maintained that documents a youth's educational history, including but not limited to:  (e)(1)(A) School progress/school history;  (e)(1)(B) Home Language Survey and the results of the State Test used for English language prociency;  (e)(1)(C) Needs and services of special populations as dened by the State Education Code, including but not limited to, students with special needs.  (e)(1)(D) Discipline problems.  (e)(2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning levels to enable placement in core curriculum courses.  (e)(3) After admission to the facility, a preliminary education plan shall be developed for each youth within ve school days.  (e)(4) Upon enrollment, education staff shall comply with 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 modied as needed. Youth should be informed of the credits they need to graduate.  (f)Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational placement in accordance with the State Education Code.  (f)(2) The County Superintendent of Schools shall 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 (1) The Superintendent of Schools and the Chief Probation Ocer 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 (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. Inspector Notes Chapter 4115 Education Programs (a)Section I and I, I (b)Section I-A; (b)(1) Section I-A, 1-a; (b)(2) Section I-A, 1-b; (b)(3) Section I-A, 1-c; (b)(4) Section I-A, 1-d; (b)(5) Section I-A, 1-e; (b)(6) Section I-A, 1; (b)(7) Section I-A, 4 (c)(1) Section 1-A, 2; (c)(2) Section I-A, 2; (c)(3) Section I-A, 3; (c)(4) Section I-A, 1-f (d)(1) Section I-A, 4; (d)(2) Section I-A, 4 (e)(1) Section I-A, 5; (e)(1)(A) Section I-A, 5-a; (e)(1)(b) Section I-A, 5-b; (e)(1)(c) Section I-A, 5-c; (e)(1)(d) Section I-A, 5-d; (e)(2) Section I-A, 6; (e)(3) Section I-A, 7; (e)(4) Section I-A, 8 (f)(1) Section I-A, 9; (f)(2) Section I-A, 10 (g)(1) Section I-A, 11 (h)(1) Section I-A, 12, Section I-H The facility offers education through JC Montgomery/Kings County Oce of Education for non- graduates. The school also facilitates graduates to enroll in West Hills College and/or Berklee Online Music College. Additionally, students close to graduating may be concurrently enrolled in these college courses. The school has three full time teachers and an RSP teacher who solely focuses on special education students. Required courses are English, ne arts, math, history, PE, and English Language Development. Other graduation requirements are provided by Edgenuity. Students also have the option to enroll in Media Arts/CTE. These classes combine in person instruction by visiting teaching artists and Kings COE consultants and the lessons are supported by on-line project based curriculums. During the inspection classrooms and youth engaging in on-line education services were observed occurring during the school day. The facility is in compliance with this regulation. §1371 Programs, Recreation, and Exercise  The facility administrator shall develop and implement written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area.  Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three hours a day during the week and ve 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 exercise may be suspended only upon a written nding 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 be posted in the living units.  There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and relevant to the population.  (a)Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Ocer or the County Oce 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; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conict 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 Specic 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 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include orientation and may include coaching of youth.  (c)Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity each day.  The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document the reasons why suspension of recreation and programs occurs. Inspector Notes A memo outlining the programming offered was completed by Stacie Sellai, Juvenile Corrections Manager, on October 10, 2022, indicating compliance with this regulation. Chapter 4113 Recreation, Exercise, and Programming (a)Section II-C (b)Paragraph 1 of Chapter 4113 (c)Section II-A, 1 Programs are not being offered in line with Section (a) which requires all youth shall be provided with the opportunity for at least one hour of daily programming. In reviewing documentation, observation and interviews with youth and staff, programming was not conducted or the activities which were documented to be programming were either recreational or exercise. The agency is not in compliance with this area of regulation. §1372 Religious Program  The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for:  (a)opportunity for religious services and practices;  (b)availability of clergy; and,  (c)availability of religious diets. Inspector Notes Chapter 4125 Religious Services (a)Section I-A (b)Section I-G (c)Section E §1373 Work Program  The facility administrator shall develop policies and procedures regarding the fair and consistent assignment 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 Inspector Notes Section 4113, Section II-B Work Program §1374 Visiting  The facility administrator shall develop and implement written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to 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 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 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits.  The facility may provide access to technology as an alternative, but not as a replacement, to in-person visiting. Inspector Notes Chapter 4124 Visitation The facility offers visiting throughout the week. Observed visiting occur during the course of the inspection and reviewed documentation of reports written to advise parents/legal guardians of visiting changes. Interviews with youth indicate visiting occurs as scheduled and has not been canceled. The facility is in compliance with this regulation. §1375 Correspondence  The facility administrator shall develop and implement written policies and procedures for correspondence which provide that:  (a)there is no limitation on the volume of mail that youth may send or receive;  (b)youth may send two letters per week postage free;  (c)youth may correspond condentially with state and federal courts, any member of the State Bar or holder of public oce, 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 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. Inspector Notes Chapter 4126 Correspondence, and Mail (a)Section III-A (b)Section III-E (c)Section II-A (d)Section I-B, 1 and 2 §1376 Telephone Access  The administrator of each juvenile facility shall develop and implement written policies and procedures to provide youth with access to telephone communications. Inspector Notes Chapter 4127 Telephone Policy §1377 Access to Legal Services  The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include:  (a)access, upon request by the youth, to licensed attorneys and their authorized representatives;  (b)provision for condential consultation with attorneys; and,  (c)unlimited postage free, legal correspondence and cost-free telephone access as appropriate. Inspector Notes Chapter 4128 Legal Services, and Law Enforcement Access §1390 Discipline  The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use 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;  (b)daily shower, access to drinking fountain, toilet and personal hygiene items, and clean clothing;  (c)full nutrition;  (d)contact with parent or attorney;  (e)exercise;  (f)medical services and counseling;  (g)religious services;  (h)clean and sanitary living conditions;  (i)the right to send and receive mail;  (j)education; and,  (k)rehabilitative programming.  The facility administrator shall establish rules of conduct 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 armatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English prociency, or limited literacy. Inspector Notes Chapter 4121 Behavior Management, and Disciplinary Due Process (a)through (k), Section II, G Youth are given a Youth Handbook and sign acknowledgment of receipt upon admission into the facility. Provisions are made by staff If the youth are unable to read or understand the information. Review of policy and procedures indicates the facility is in compliance with this regulation. §1391 Discipline Process  The facility administrator shall develop and implement written policies and procedures for the administration of discipline which shall include, but not be limited to:  (a)designation of personnel authorized to impose discipline for violation of rules;  (b)prohibiting discipline to be delegated to any youth;  (c)denition of major and minor rule violations and their consequences, and due process requirements;  (d)trauma-informed approaches and positive behavior interventions;  (e)minor rule violations may be handled informally by 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 be documented and require the following:  (f)(1) written notice of violation prior to a hearing;  (f)(2) accommodations provided to youth with disabilities, limited literacy, and English language learners;  (f)(3) hearing by a person who is not a party to the incident;  (f)(4) opportunity for the youth to be heard, present evidence and testimony;  (f)(5) provision for youth to be assisted by staff in the hearing process;  (f)(6) provision for administrative review.  (g)violations that result in a removal from camp or commitment program, but not a return to court, will follow the due process provisions in subsection (e) above. Inspector Notes Chapter 4121 Behavior Management, and Disciplinary Due Process (a)Section V-C, 3 (b)Section V-C, 3 (c)Section VI and Section VII (d)Section IV and V (e)VI-A, 1-4 (f)(1) Section VII-C, 1-b, 2-a and b; (f)(2) Section VII-C, 3-c; (f)(3) Section V-A; (f)(4) Section VII-C, 3-d; (f) (5)Section VII-C, 3-b; (f)(6) Section VII-C, 5 (g)Section VII-C, 1-b Reviewed 10 disciplinary due process forms for major rule violations which armed the youth are receiving notice and the opportunity to have a hearing and appeal the sanction imposed. The documentation reviewed arms the facility is in compliance with this regulation. §1410 Management of Communicable Diseases  The health administrator/responsible physician, in cooperation with the facility administrator and the local health ocer, shall develop written policies and procedures to address the identication, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to:  (a)Intake health screening procedures;  (b)Identication of relevant symptoms;  (c)Referral for medical evaluation;  (d)Treatment responsibilities during detention;  (e)Coordination with public and private community-based resources for follow-up treatment;  (f)Applicable reporting requirements; and,  (g)Strategies for handling disease outbreaks.  The policies and procedures shall be updated as necessary to reect communicable disease priorities identied by the local health ocer and currently recommended public health interventions. Inspector Notes Chapter 4123 Section VIII-H and I §1433 Requests for Health Care Services (Excerpt)  The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. Inspector Notes Chapter 4123, Section I-A, 1-a Chapter 4123 IX-B Medical Care and Section X Sick Call §1480 Standard Facility Clothing Issue  The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing and footwear specied in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that:  (a)Clothing is clean, reasonably tted, durable, easily laundered, in good repair, and free of holes and tears.  (b)The standard issue of climatically suitable clothing for youth shall consist of but not be limited to:  (b)(1) Socks and serviceable footwear;  (b)(2) Outer garments;  (b)(3) New non-disposable underwear which shall remain with the youth throughout their stay, and;  (b)(4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras.  (c)Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry method approved by the local health ocer.  (d)Suitable clothing is issued to pregnant youth. Inspector Notes Chapter 4114 (a)Section I-A, 1 (b)(1-4) Section I-A 2-a, b, c, and d (c)Section III-D (d)Section I-A, 2-b §1482 Clothing Exchange  The facility administrator shall develop and implement written policies and site-specic procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more 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. Inspector Notes Chapter 4114, Section I-A, 3-5 §1484 Control of Vermin in Youth's Personal Clothing  There shall be written policies and site-specic procedures developed and implemented by the facility administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. Inspector Notes Chapter 4114, Section VI Vermin Control §1485 Issue of Personal Care Items  There shall be written policies and site-specic procedures developed and implemented by the facility administrator for the availability of personal hygiene items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items;  (a)Toothbrush;  (b)Toothpaste;  (c)Soap;  (d)Comb;  (e)Shaving implements;  (f)Deodorant;  (g)Lotion;  (h)Shampoo; and,  (i)Post-shower conditioning hair products.  Youth shall not be required to share any personal care 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. Inspector Notes Chapter 4114, Section V (a)through (i) Section V-A through G Chapter 4114, Section V-E Shaving and Section V Personal Care Items §1486 Personal Hygiene  There shall be written policies and site specic procedures developed and implemented by the facility administrator for showering/bathing and brushing of teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. Inspector Notes Section 4114, Section IV Personal Hygeine §1487 Shaving  Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identication in Court. All youth shall have equal opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. Inspector Notes Chapter 4114, Section V-E §1488 Hair Care Services (Excerpt)  Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. Inspector Notes Chapter 4114, Section IV-B Hair Care Services §1500 Standard Bedding and Linen Issue  Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, but not be limited to:  (a)One mattress or mattress-pillow combination which meets the requirements of Section 1502 of these regulations;  (b)One pillow and a pillow case unless provided for in (a) above;  (c)One mattress cover and a sheet or two sheets;  (d)One towel; and,  (e)One blanket or more, up on request Inspector Notes Chapter 4114, Section II Bedding §1501 Bedding Linen Exchange  The facility administrator shall develop and implement site specic written policies and procedures for the scheduled exchange of laundered bedding and linen issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week.  The covering blanket shall be cleaned or laundered once a month. Inspector Notes Chapter 4114, Section II Bedding §1510 Facility Sanitation, Safety and Maintenance  The facility administrator shall develop and implement written policies and site-specic 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). Inspector Notes Section 4114, Section VII Juvenile Probation and Camps Funding (JPCF) (Camps Only) N/A The programs/services identied 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 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. WIC 206 Separate Facilities for WIC 300 Minors N/A Dependent or neglected minors who are dened under Section 300 of the Welfare and Institutions Code (WIC) are held only in non-secure, separate and segregated facilities. Detention of Status Offenders (WIC 601) and Federal Minors N/A Status Offenders (WIC 601) are held in the facility. N/A Status Offenders (WIC 601) are kept separate from Juvenile Delinquents (WIC 602)? (WIC 207[d]). N/A Federal Minors (ICE Holds or ORR Contract) are held in the facility. N/A 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]) N/A 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.) N/A If adult inmates are held, they are appropriately separated from minors. N/A Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. JUVENILE HALL & CAMP PROCEDURES CHECKLIST1 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 4 for the complete list and text of regulations. Kings Juvenile Center Camp Procedures Checklist BSCC #7163 JH & Camp PRO  Juvenile Center Camp: 1450 Forum Drive, Hanford, CA, 93230 Inspection Date: 04/27/2023 Interviewed Marc Cerda, Deputy Chief Probation Ocer; Stacie Sellai, Juvenile Corrections Manger; Elizabeth Norris, Principal J C Montgomery School; Dr. Deanna Mercado, Wellpath Mental Health Director; Maria Cantu, Wellpath Health Services Administrator; J. Vidal, Juvenile Corrections Ocer IV; T. Empey, Juvenile Corrections Ocer IV; 2 male youth age 18, 2 female youth age 17 Inspection Completed by Field Representative Shay Molennor §1313 County Inspection and Evaluation of Building and Grounds  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)re authority having jurisdiction, including a re clearance as required by Health and Safety Code Section 13146.1(a) and (b);  (c)local health ocer, inspection in accordance with Health and Safety Code Section 101045;  (d)county superintendent of schools on the adequacy of educational services and facilities as required in Section 1370;  (e)juvenile court as required by Section 209 of the Welfare and Institutions Code; and,  (f)the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the Welfare and Institutions Code. Inspector Notes Chapter 4101, Section I Program Inspections Building: September 16, 2022 Fire: March 29, 2023 Environmental: August 31, 2022 (The three areas marked noncompliant in the inspection were noted to be corrected on September 2, 2022.) Medical/Mental Health: September 18, 2022 Nutritional: September 9, 2022 JJC: September 14, 2022 School: 2021: June 23, 2022 Juvenile Court: October 21, 2022 §1320 Appointment and Qualications  BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Ocer’s certication letter conrming that all elements of regulation are met. (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.  (b)Employee Qualications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job classication and duties in accordance with applicable civil service or merit system rules;  (b)(2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps);  (b)(3) adhere to the minimum standards for the selection and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and  (b)(4) conduct a criminal records review, on each new employee, and psychological examination in accordance with Section 1031 of the Government Code.  (c)Contract personnel, volunteers, and other non-employees of the facility, who may be present at the facility, shall have such clearance and qualications as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. Inspector Notes a)and (b)(1-4): A memorandum dated March 30, 2023 by Acting Chief Probation Ocer Leonard Bakker addressed all the elements of this regulation. (c)Chapter 4100, Section IX §1321 Stang  Each juvenile facility shall: (a) have an adequate number of personnel sucient to carry out the overall facility operation and its programming, to provide for safety and security of youth and staff, and meet established standards and regulations;  (b)ensure that no required services shall be denied because of insucient numbers of staff on duty absent exigent circumstances;  (c)have a sucient number of supervisory level staff to ensure adequate supervision of all staff members;  (d)have a clearly identied person on duty at all times who is responsible for operations and activities and has completed the Juvenile Corrections Ocer Core Course and PC 832 training;  (e)have at least one staff member present on each living unit whenever there are youth in the living unit;  (f)have sucient food service personnel relative to the number and security of living units, including staff qualied 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 sucient administrative, clerical, recreational, medical, dental, mental health, building maintenance, transportation, control room, facility security and other support staff for the ecient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and,  (h)assign sucient youth supervision staff to provide continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special program needs. Stang shall be in compliance with a minimum youth-staff ratio for the following facility types: N/A (h)(1) Juvenile Halls (A) during the hours that youth are awake, one wide-awake youth supervision staff member on duty for each 10 youth in detention; N/A (h)(1)(B) during the hours that youth are conned to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth in detention; N/A (h)(1)(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, N/A (h)(1)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility. N/A (h)(1)(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 classied as youth supervision staff positions. N/A (h)(2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide-awake youth supervision staff member on duty for each 10 youth in detention; N/A (h)(2)(B) during the hours that youth are conned to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth in detention; N/A (h)(2)(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, N/A (h)(2)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility. N/A (h)(2)(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 classied as youth supervision staff positions.  (h)(3) Camps (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;  (h)(3)(B) during the hours that youth are conned 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;  (h)(3)(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;  (h)(3)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility;  (h)(3)(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;  (h)(3)(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 classied as youth supervision staff positions. Inspector Notes (a)and (b)(1-4): A memorandum dated March 30, 2023 by Acting Chief Probation Ocer Leonard Bakker addressed all the elements of this regulation. (c)Chapter 4100, Section IX Reviewed agency organizational chart, monthly shift schedule, weekly shift schedule and April 25, 2023 shift schedule. The agency has one Juvenile Corrections Ocer III vacancy and 15 Juvenile Corrections Ocer I/II vacancies. A review of documentation indicates stang ratios are met and the agency is in compliance with this regulation. Though compliant with this regulation, interviews with staff indicate stang could be improved as many staff are new and the agency has several vacancies. §1322 Youth Supervision Staff Orientation and Training  (a)Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to their duties, including: (1) youth supervision duties;  (a)(2) scope of decisions they shall make;  (a)(3) the identity of their supervisor;  (a)(4) the identity of persons who are responsible to them;  (a)(5) persons to contact for decisions that are beyond their responsibility; and  (a)(6) ethical responsibilities.  (b)Prior to assuming any responsibility for the supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility-specic orientation, including:  (b)(1) individual and group supervision techniques;  (b)(2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of this chapter;  (b)(3) basic health, sanitation and safety measures;  (b)(4) suicide prevention and response to suicide attempts  (b)(5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and physical restraints;  (b)(6) review of policies and procedures referencing trauma and trauma-informed approaches;  (b)(7) procedures to follow in the event of emergencies;  (b)(8) routine security measures, including facility perimeter and grounds;  (b)(9) crisis intervention and mental health referrals to mental health services;  (b)(10) documentation; and  (b)(11) re/life safety training  (c)Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections Ocer Core Course pursuant to Penal Code Section 6035.  (d)Prior to exercising the powers of a peace ocer youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal Code. Inspector Notes Chapter 4102, Section II Program Staff Orientation (a)(1) Section II-A, 2 and 9; (2) Section II-A, 2; (3) Section II-A, 1; (4) Section II-A, 2 and 3, (5) Section II-A, 1 and 2; (6) Section II-A, 12 (b)(1) Section III-A, 1; (2) Section III-A, 31; (3) Section III-A, 29; (4) Section III-A, 27; (5) Section III-A, 32; (6)Section III-A, 33; (7) Section III-A, 16-17; (8) Section III-A, 14; (9) Section III-A, 28; (10) Section III-A, 26 and 30; (11) Section III-A, 16 (c)Section I-A, indicated in paragraph 2 (d)Section I-A, indicated in paragraph 3 The facility assigns a staff to train new hires and utilizes the Staff Orientation/Training Checklist to ensure competency. The agency is in compliance with this regulation. §1323 Fire and Life Safety  Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times who meets the training standards established by the Board for general re and life safety which relate specically to the facility. Inspector Notes Chapter 4118, Section I-A §1324 Policy and Procedures Manual  All facility administrators shall develop, publish, and implement a manual of written policies and procedures that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, and shall be administratively reviewed at a minimum 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 communications and a description of job classications;  (b)responsibility of the probation department, purpose of 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;  (d)initial orientation and training program for employees;  (e)initial orientation, including safety and security issues 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 communication system to ensure:  (f)(1) ecient operation of the juvenile facility;  (f)(2) legal and proper care of youth;  (f)(3) maintenance of individual youth's records;  (f)(4) supply of information to the juvenile court and those authorized by the court or by the law; and,  (f)(5) release of information regarding youth.  (g)ethical responsibilities;  (h)trauma-informed approaches;  (i) culturally responsive approaches;  (j) gender responsive approaches;  (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and bene ts, and provides that no person shall · be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identi cation, 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 classi · cation decisions based solely on any of the above mentioned categories;  (l) storage and maintenance requirements for any chemical agents related security devices, and weapons and ammunition, where applicable;  (m) establishment of procedures for collection of Medi-Cal eligibility information and enrollment of eligible youth; and,  (n)establishment of a policy that prohibits all forms of 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. Inspector Notes The Policy and Procedure Manual was last updated on July 15, 2021. The manual is available to staff electronically and in hard copy. Elements of this regulation are met in Chapters 4100, 4102, 4103, 4104, 4108, 4112, 4119, and 4130. Chapter 4102, Section III-B, 4 (a)Chapter 4100, Section I Organization and Structure (b)Chapter 4100, Section III Purposes and Responsibilities of the Juvenile Facility: Section IV Ancillary Juvenile Center Programs (c)Chapter 4103 Section XI Employee Responsibilities and 4112, Section II-A Staff Responsibilities on Supervision (d)Chapter 4102, Section II-A Program Staff Orientation (e)Chapter 4102, Section II-B Program Staff Orientation (f)Chapter 4100 Section V Institution Record Keeping, Statistics and Communication and/or Correspondence (f)(1) Chapter 4104, Section II; (2) Chapter 4104, Section II (3) Chapter 4104, Section II-D; (4) Chapter 4104, Section II-D,1; (5) Chapter 4104, Section II-D, 1-8 (g)Chapter 4103, Section III Employees' Ethical Responsibilities (h)Chapter 4103, Section XIV-F (i)Chapter 4103, Section XIV-F (j)Chapter 4103, Section XIV-F (f)Chapter 4103, Section XIV-E (k)Chapter 4119, Section IV-D, 10-b (l)Chapter 4108 Section VI-B, 6 Medi-Cal Application Transmittal Form (m)Chapter 4130 PREA Policy A thorough review of the facility's policy and procedure manual was conducted and the Juvenile Corrections Manager was provided with assistance and recommendations to enhance their policies to address consistency, clarity, and best practices. The agency is in compliance with this regulation. §1325 Fire Safety Plan  The facility administrator shall consult with the local re department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for re safety which shall include, but not be limited to: (a) a re prevention plan to be included as part of the manual of policy and procedures;  (b)monthly re and life safety inspections by facility staff with two-year retention of the inspection record;  (c)re prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b);  (d)an evacuation plan;  (e)documented re drills not less than quarterly;  (f)a written plan for the emergency housing of youth in the case of re; and,  (g)development of a re suppression pre-plan in cooperation with the local re department. Inspector Notes Elements of this regulation are met in Chapter 4118 Fire and Life Safety and Chapter 4101 (a)Chapter 4118, Section III Fire Plan (b)Chapter 4101, Section I-F and Section 4118, Section II-A, 3 (c)Fire Inspection dated March 29, 2023 (d)Chapter 4118, Section III-A, 9 (e)Chapter 4101, Section VII Safety Drills and Chapter 4118, Section II-A, 5 (f)Chapter 4118, Section III-A, 9-b (g)Chapter 4118, Section II-A, 1 Reviewed re and life safety inspections from January 2022 through March of 2023. The inspections include an audit or testing of alarms, re extinguishers, AED and rst aid kits. The documentation reviewed arms the facility is in compliance with this regulation. §1326 Security Review  Each facility administrator shall develop policies and procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. Inspector Notes Chapter 4101, Section I-G A Security Review memo was completed by Stacie Sellai, Juvenile Corrections Manager, on October 3, 2022, indicating compliance with this regulation. §1327 Emergency Procedures  The facility administrator shall develop facility-specic policies and procedures for emergencies that shall include, but not be limited to:  (a)escape, disturbances, and the taking of hostages;  (b)civil disturbance, active shooter and terrorist attack;  (c)re and natural disasters;  (d)periodic testing of emergency equipment;  (e)emergency evacuation of the facility; and  (f)a program to provide all youth supervision staff with an annual review of emergency procedures. Inspector Notes An Emergency Procedures memo was completed by Stacie Sellai, Juvenile Corrections Manager, on October 10, 2022, indicating compliance with this regulation. Chapter 4117 Emergency Procedures (a)Section IV-E Escape; Section IV-J Hostage; Section IV--Paragraph 1 and C Disturbances (b)Section VI Civil Disturbances; Section VII Active Shooter and Terrorist Attack (c)Section IV-G Fire; Section IV-I Earthquake (d)Section II-C (e)Section V-C Evacuation of Site (f)Section I paragraph 1 (Throughout the year, the department will periodically train staff in emergency procedures.) §1328 Safety Checks  The facility administrator shall develop and implement policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth are asleep or when youth are in their rooms, conned in holding cells or conned to their bed in a dormitory. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. Inspector Notes Chapter 4112, Section II-H, 2 Reviewed safety checks from July and October of 2022 and January of 2023. The safety checks are handwritten for each unit in a log book and include general information of shift activities. The documentation reviewed arms the facility is in compliance with this regulation. Technical assistance was given recommending safety checks/log books are audited by supervisor on a daily basis. §1329 Suicide Prevention Plan  The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. The plan shall consider the needs of youth experiencing 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 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Ocer Core Course.  (b)Screening, Identication Assessment and Precautionary Protocols (1) All youth shall be screened for risk of suicide at intake and as needed during detention.  (b)(2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk of suicide.  (b)(3) All youth who have been identied during the intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a suicide risk assessment.  (b)(4) Precautionary protocols shall be developed to ensure the youth’s safety pending the behavioral/mental health assessment.  (c)Referral process to behavioral/mental health staff for assessment and/or services.  (d)Procedures for monitoring of youth identied at risk for suicide.  (e)Safety Interventions  (e)(1) Procedures to address intervention protocols for youth identied at risk for suicide which may include, but are not limited to:  (e)(1)(A) Housing consideration  (e)(1)(B) Treatment strategies including trauma-informed approaches  (e)(2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal behaviors.  (f)Communication (1) The intake process shall include communication with the arresting ocer and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts.  (f)(2) Procedures for clear and current information sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental health staff.  (g) Debrieng of Critical Incidents Related to Suicides or Attempts (1) Process for administrative review of the circumstances and responses proceeding, during and after the critical incident.  (g)(2) Process for a debrieng event with affected staff.  (g)(3) Process for a debrieng event with affected youth.  (h) Documentation (1) Documentation processes shall be developed to ensure compliance with this regulation  Youth identied at risk for suicide shall not be denied the opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. Inspector Notes Elements of this regulation are met in Chapter 4102, and Section 4109 Suicidal Behavior. (a)Chapter 4102, Section III-A,27 (b)Chapter 4109, Section III Intake Classication and Response; (b)(2) Chapter 4109, Section II-H; (b)(3) Chapter 4109, Section III-B, 1 Watch Status; (b)(4) Chapter 4109, Section III-B, 2 (c)Chapter 4109, Section III-B (d)Chapter 4109, Section III-B, 2 (e)(1) Chapter 4109; (e)(1)(A) Chapter 4109, Section III-B, 2 and 6; (e)(1)(B) Chapter 4109, Section III-B, 5; (e)(2) Chapter 4109, Section II General Overview (f)(1) Chapter 4109, Section I-A, 3-k and 1; (f)(2) Chapter 4109, Section III-B, 1 (g)(1) Chapter 4109, Section III-I; (g)(2) Chapter 4109, Section IV-H; (g)(3) Chapter 4109, Section IV-H (h)(1)Chapter 4109, Section III-H Special Incident Report Chapter 4109, Section III-B, 5 A review of documentation indicated all youth who were placed on Suicide Watch were secured in a holding room and had to wear a suicide smock for up to two days regardless of acuity. Per the regulation suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. Under Section (b)(4), precautionary protocols shall be developed to ensure youth safety. The policy established by the agency indicated Safety Checks would occur every ve minutes. These checks were not occurring in-line with established safety protocols. In addition, per the regulation youth identied at risk of suicide shall not be denied the opportunity to participate in facility programs, services, and activities. Youth were separated from other non-suicidal youth in a holding room for up to two days and not receiving regular programming, services and privileges without any supporting documentation or approval. The agency is not in compliance with these areas of the regulation. §1340 Reporting of Legal Actions  Each facility shall submit to the Board a letter of notication on each legal action, pertaining to conditions of connement, led against persons or legal entities responsible for juvenile facility operation. Inspector Notes Chapter 4100, Section VII Reporting of Legal Actions §1341 Death and Serious Illness or Injury of a Youth While Detained  (1)Death of a Youth. (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 notications 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 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 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 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. (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notication 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. Inspector Notes (1)(a) Chapter 4109 Section IV Death or Serious Illness of a Youth (b) Section IV-F; (c)Section IV-F, 6 (2)(a) Section IV §1342 Population Accounting  Each juvenile facility shall submit required population and prole 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. Inspector Notes Chapter 4104 Section II-A Records and Statistics and Chapter 4112, Section VII Population Levels and Overcrowding §1343 Juvenile Facility Capacity (Excerpt)  When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than fteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. Inspector Notes Chapter 4104 Section II-A Records and Statistics and Chapter 4112, Section VII-B, 1 Population Levels and Overcrowding §1350 Admittance Procedures  The facility administrator shall develop and implement written policies and procedures for admittance of youth that emphasize respectful and humane engagement with youth, and reect that the admission process may be traumatic to youth who may have already 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: (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of Welfare and Institution Code Section 627;  (a)(2) Offer of a shower;  (a)(3) Documented secure storage of personal belongings;  (a)(4) Offer of food upon arrival;  (a)(5) Screening for physical and behavioral health and safety issues, intellectual or developmental disabilities;  (a)(6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, and 1430 of these regulations;  (a)(7) Contact with Regional Center for the Developmentally Disabled for youth that are suspected of or identied as having a developmental disability, pursuant to Section 1413; and,  (a)(8) Procedures consistent with Section 1352.5.  (b)juvenile hall administrators shall establish written criteria for detention that considers the least restrictive environment.  (c)juvenile camps and post-dispositional programs in 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 that advise any committed youth of the estimated length of his/her stay. Inspector Notes Chapter 4108, Section IV New Admission Unit Processing (a)(1) Section IV-A, 1; (2) Section IV-A, 2; (3) Section IV-A, 3; (4) Section IV-A, 4; (5) Section IV-A, 5; (6) Section IV-A, 5; (7) Section IV-A, 7; (8) Section IV-A, 6 (b)Section IV-A, 8 (c)Section IV-A, 9 (d)Section IV-A, 9 Reviewed 10 admittance packets which included intake checklists, booking sheets, Victim Vulnerability Assessments, Threat Assessments, youth/gang classication forms, medical screenings, rules of conduct acknowledgments, and PREA notices. The documentation reviewed arms the facility is in compliance with this regulation. §1350.5 Screening for the Risk of Sexual Abuse  The facility administrator shall develop and implement written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of admission based on the following information:  (a)Prior sexual victimization or abusiveness;  (b)Gender nonconforming appearance or manner; or identication 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;  (d)Age;  (e)Level of emotional and cognitive development;  (f)Physical size and stature;  (g)Mental illness or mental disabilities;  (h)Intellectual or developmental disabilities;  (i)Physical disabilities;  (j)The youth’s perception of vulnerability; and,  (k)Any other specic information about the individual youth that may indicate heightened needs for supervision, additional safety precautions, or separation from certain other youth.  Staff shall ascertain this information through conversations with the youth during the admittance process, medical and behavioral health screenings; during classication assessments; and by reviewing court records, case les, facility behavioral records, and other relevant documentation from the youth’s les.  The facility administrator shall implement appropriate 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. Inspector Notes Chapter 4108, Section IV-A, 6 (a)Section IV-A, 6-a (b)Section IV-A, 6-b (c)Section IV-A, 6-a (d)Section IV-A, 6-a (e)Section IV-A, 6-c (f)Section IV-A, 6-c (g)Section IV-A, 6-d (h)Section IV-A, 6-d (i)Section IV-A, 6-e (j)Section IV-A, 6-e (k)Section IV-A, 6-e Chapter 4108, Section IV-A Chapter 4108, Section IV-11 Reviewed 10 admittance packets which included Victim Vulnerability Assessments and Threat Assessments which respond to the elements of this regulation. The documentation reviewed and policy and procedure arms the facility is in compliance. §1351 Release Procedures  The facility administrator shall develop and implement written policies and procedures for release of youth from custody which provide for:  (a)verication of identity/release papers;  (b)return of personal clothing and valuables;  (c)notication to the youth's parents or guardian;  (d)notication to the facility health care provider in accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; and,  (e)notication of school staff;  (f)notication of facility mental health personnel.  The facility administrator shall develop and implement 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 written policies and procedures for the furlough of youth from custody. Inspector Notes Elements of this regulation are met in Chapter 4108, Section VI Release Procedures, and Chapter 4132 (a)Chapter 4108, Section VI-B (b)Section VI-B, 9 Release of Property to Youth (c)Section VI-B, 5 (d)Section VI-B, 7 (e)Section VI-B, 5 (f)Section VI-B, 7 Chapter 4108 Section VI-B, 7-a Medical and Behavioral Health, Section VI-B, 12 and, Chapter 4132, Section IV-B Re-entry Case Conferencing Reviewed 10 release packets which included documentation of required notications, transition and reentry and release of property back to the youth. Provided technical assistance to notify Wellpath Behavioral Health directly instead of having them be notied by Wellpath Medical. The agency added the behavioral health team to their release notication email group. The documentation reviewed arms the facility is in compliance with this regulation. §1352 Classication  The facility administrator shall develop and implement written policies and procedures on classication of youth for the purpose of determining housing placement in the facility. Such procedures shall:  (a)provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the appropriate, least restrictive housing and program settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory;  (b)consider facility populations and physical design of the facility;  (c)provide that a youth shall be classied upon admittance to the facility; classication 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 classication reviews, including 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 from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identication, 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 specic request or in accordance with Title 15 regulations regarding separation.  (f)facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identication or status as an indicator of likelihood of being sexually abusive. Inspector Notes Chapter 4110 Classication (a)Section I-B, 1 and 2 (b)Section I-B, 1 and 2 (c)Section I-A, 1-15 (d)Paragraph 1 of Chapter 4110 (e)Paragraph 2 of Chapter 4110 (f)Paragraph 2 of Chapter 4110 Reviewed 10 admission packets which included assessments and screenings to assist the agency in classication decisions. The youth are also continuously classied during their stay in the facility. This information is updated in the case management system. The facility is in compliance with this regulation. §1352.5 Transgender and Intersex Youth  The facility administrator shall develop written policies and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that:  (a)Facility staff shall respect every youth’s gender 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 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 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 and intersex youth have access to medical and behavioral health providers qualied to provide care and treatment to transgender and intersex youth.  (e)Consistent with the facility’s reasonable and 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 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. Inspector Notes Elements of this regulation are met in Chapter 4108 and, Chapter 4110. Chapter 4108, Section IV-A, 10 Admission Chapter 4110, Section II Transgender and Intersex Youth (a)Chapter 4108, Section IV-A, 10-a and, Chapter 4110, Section II-A (b)Chapter 4108, Section IV-A, 10-b and, Chapter 4110, Section II-B (c)Chapter 4108, Section IV-A, 10-c and, Chapter 4110, Section II-C (d)Chapter 4108, Section IV-A, 10-d and, Chapter 4110, Section II-D (e)Chapter 4110, Section II-E Chapter 4110, Section II-F Reviewed 10 admission packets which included the Threat Assessment Form and the Victim Vulnerability Assessment which addressed elements of this section. The facility is in compliance with this regulation. §1353 Orientation  The facility administrator shall develop and implement written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal information shall be provided and supplemented with video orientation if feasible. Provision shall be made to provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses:  (a)facility rules including contraband and searches and disciplinary procedures;  (b)facility’s system of positive behavior interventions 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 facility’s policy prohibiting sexual abuse and sexual harassment and how to report incidents or suspicions of sexual abuse or sexual harassment;  (d)identication of key staff and their roles;  (e)the existence of the grievance procedure, the steps 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 court process;  (g)access to routine and emergency health and mental health care;  (h)access to education, religious services, and recreational activities;  (i)housing assignments;  (j)opportunity for personal hygiene and daily showers including the availability of personal care items  (k)rules and access to correspondence, visits and telephone use;  (l)availability of reading materials, programming, and other activities;  (m)facility policies on the use of force, use of restraints, chemical agents and room connement;  (n)immigration legal services;  (o)emergencies including evacuation procedures;  (p)non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by other youth and staff;  (q)availability of services and programs in a language other than English if appropriate;  (r)the process for requesting different housing, education, programming and work assignments;  (s)a process for which parents/guardians receive information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked questions and provides contact information for the facility, medical, school and mental health; and,  (t)a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. Inspector Notes Chapter 4108, Section V Youth Orientation, Rights, and Juvenile Facility Rules (a)through (t) addressed in Chapter 4108 Section V-A, 1-a through 1-t Review of documents indicate the youth are orientated to the facility during the admission process. The youth sign acknowledgment of orientation form and they are also provided a Youth Handbook to keep in their room. A Parent Handbook was also reviewed which is provided to parents/legal guardians with required information. Technical assistance was given to update the Youth Handbook and Parent Handbook to reect their new telephone use policy. In addition, it was advised the Parent Handbook be updated to include information about required notications. The agency is in compliance with the elements of this regulation. §1354 Separation  The facility administrator shall develop and implement written policies and procedures that address:  (a)separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and protective custody.  (b)consideration of positive youth development and trauma-informed care.  (c)separated youth shall not be denied normal privileges available at the facility, except when necessary to accomplish the objective of separation.  (d)when the objective of the separation is discipline, Title 15 Section 1390 shall apply.  (e)when separation results in room connement, the 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 of separated youth to determine if separation remains necessary. Inspector Notes Chapter 4121, Section X (a)Section X-A Medical, Section X-B Close Watch, Section X-C Self Separation, Section X-D Discipline Separation (b)Section X (c)Section X (d)Section X-D (e)Section VIII Room Connement (f)Section X-D, 1 and 2 A review of documents indicates voluntary separation forms are not being consistently completed when youth separate in their sleeping rooms. Per the regulation, the facility administrator shall develop policies and procedures that address the separation of youth. These forms were developed by the agency to document the youth chose to self-separate and were not being conned in their room. When reviewing youth safety check logs, youth were consistently shown in their room outside normal institutional operations and there was inconsistent supporting documentation indicating the reason was self- separation. Furthermore, youth placed on suicide watch were separated in a holding room for a mental health condition for up to two days. Under Section (c), separated youth shall not be denied the normal privileges at the facility, except when necessary to accomplish the objective of separation. All youth placed on suicide watch were denied these privileges as a standard practice and without supporting documentation. The agency is not in compliance with these elements of the regulation. §1354.5 Room Connement  (a)The facility administrator shall develop and implement written policies and procedures addressing the connement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room connement shall be accomplished in accordance with the following guidelines:  (a)(1) Room connement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff.  (a)(2) Room connement shall not be used for the purposes of punishment, coercion, convenience, or retaliation by staff.  (a)(3) Room connement shall not be used to the extent that it compromises the mental and physical health of the youth.  (b) A youth may be held up to four hours in room connement. After the youth has been held in room connement for a period of four hours, staff shall do one or more of the following:  (b)(1) Return the youth to general population.  (b)(2) Consult with mental health or medical staff.  (b)(3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate the youth to general population.  (b)(4) If room connement must be extended beyond four hours, staff shall do each of the following:  (b)(4)(A) Document the reasons for room connement and the basis for the extension, the date and time the youth was rst placed in room connement, and when he or she is eventually released from room connement.  (b)(4)(B) Develop an individualized plan that includes the goals and objectives to be met in order to integrate the youth to general population.  (b)(4)(C) Obtain documented authorization by the facility superintendent or his or her designee every four hours thereafter.  (b)(5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal sleeping hours.  (b)(6) This section does not apply to youth or wards in court holding facilities or adult facilities.  (b)(7) Nothing in this section shall be construed to conict with any law providing greater or additional protections to youth.  (b)(8) This section does not apply during an extraordinary emergency circumstance that requires a signicant 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. (b)(9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and  protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an inrmary 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 inrmary for illness. Inspector Notes Chapter 4121, Section VIII Room Connement (a)(1) through (3) Section VIII II-A through C Guidelines for Room Connement (b)(1) through (3) Section VIII III-A 1 through 3; (b)(4)(A) through (C) Section VIII III-B 1 through 4; (b)(5) Section VIII I-A, 3 and 4; (b)(6) through (b)(9) Section VIII I-A 2, 5, 6 Youth on suicide watch were being placed in holding room for up to two days. Authorizations, case planning and reviews were not being conducted in line with the requirements of WIC 208.3. Additionally, a review of documentation indicates youth are being conned in their rooms for constant misbehavior or for a cool down which is not a sucient justication for the use of room connement. The agency is not in compliance with these elements of the regulation. §1355 Insitutional Assessment and Plan  The facility administrator shall develop and implement written policies and procedures for assessment and case planning.  (a)Assessment: The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and strengths including, but not limited to, identication of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs.  (b)Institutional Case Plan: (1) A case plan shall be developed for each youth held for at least 30 days or more and created within 40 days of admission.  (b)(2) The institutional plan shall include, but not be limited to, written documentation that provides:  (b)(2)(A) objectives and time frame for the resolution of problems identied in the assessment;  (b)(2)(B) a plan for meeting the objectives that includes a description of program resources needed and individuals responsible for assuring that the plan is implemented;  (b)(3) periodic evaluation of progress towards meeting the objectives, including periodic review and discussion of the plan with the youth;  (b)(4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for post dispositional youth in accordance with Section 1351; and,  (b)(5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, and Regional Center for the Developmentally Disabled. Inspector Notes Section 4132 Institution Assessment, and Case Plan (a)Section II-A and C (b)(1) Section II-A; (b)(2) Section IV-A Initial Case Conferencing; (b)(2)(A) and (B) Section III-A; (b)(3) Section III-B; (b)(4) Section D; (b)(5) Section III-C and Section IV-B Re-entry Case Conferencing Review of documents indicates the Institutional Case Plan was not being shared with facility staff. Per Section (b)(1), a case plan shall be developed for each youth being held for at least thirty days. Though agency policy indicates a case plan would be developed utilizing the results of the PACT full assessment, the information was not accessible nor made available to facility staff to ensure that the plan is implemented. The agency is not in compliance with elements of this regulation. §1356 Counseling and Casework Services  The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure:  (a)youth will receive assistance with needs or concerns that may arise;  (b)youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, probation ocer, or other public ocial; and,  (c)youth will be provided access to available resources to meet the youth’s needs. Inspector Notes Chapter 4102, Section IV (a)Section IV-A, 2-a (b)Section IV-A, 2-a (c)Section IV-A, 2-b Per the regulation the facility shall implement written policies and procedures to ensure appropriate counseling and casework services. Policy indicates the youth will be seen by their assigned counselor on a weekly basis and it will be documented. A review of the case management system indicates this is not being done. §1357 Use of Force  The facility administrator, in cooperation with the responsible physician, shall develop and implement 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:  (a)(1) restricts the use of force to that which is deemed reasonable and necessary, as dened in Section 1302 to ensure the safety and security of youth, staff, others and the facility.  (a)(2) outline the force options available to staff including both physical and non-physical options and dene when those force options are appropriate.  (a)(3) describe force options or techniques that are expressly prohibited by the facility.  (a)(4) describe the requirements of staff to report any inappropriate use of force, and to take armative action to immediately stop it.  (a)(5) dene a standardized reporting format that includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, which include procedures for debrieng 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.  (a)(6) Include an administrative review and a system for investigating unreasonable use of force.  (a)(7) dene the role, notication, and follow-up procedures required after use of force incidents for medical, mental health staff and parents or legal guardians.  (a)(8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222.  (b) Facilities that authorize chemical agents as a force 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.  (b)(2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts have been unsuccessful or are not reasonably possible.  (b)(3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent.  (b)(4) dene the role, notication, and follow-up procedures required after use of force incidents involving chemical agents for medical, mental health staff and parents or legal guardians.  (b)(5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location of use, decontamination procedures applied and identication of any injuries sustained as a result of such use.  (c)Facilities shall develop policies and procedure which require that agencies provide initial and regular training in use of force and chemical agents when appropriate that address:  (c)(1) known medical and behavioral health conditions that would contraindicate certain types of force;  (c)(2) acceptable chemical agents and the methods of application.  (c)(3) signs or symptoms that should result in immediate referral to medical or behavioral health.  (c)(4) instruction on the Constitutional Limitations of Use of Force.  (c)(5) physical training force options that may require the use of perishable skills.  (c)(6) timelines the facility uses to dene regular training. Inspector Notes Elements of this section are met in Chapter 4119 Use of Force, and Chapter 4102. (a)(1) Section II-A; (a)(2) Section III-G, 1 through 7; (a)(3) Section III-H; (a)(4) Section II-C, 5-a; (a)(5) Section IV-E Documentation; (a)(6) Section VI;(a)(7) Section IV-F; (a)(8) Section II and Section IV-D, 7 (b)(1) Section IV-D; (b)(2) Section IV-D, 8 and 9; (b)(3) Section IV-D, 12-a through 12-g; (b)(4) Section IV-F I Medical and, Mental Health and 2 Parents or Legal Guardians; (b)(5) Section IV-E, 1 (c)(1) Section II-C, 6; (C)(2) Section II-C, 6-d; (c)(3) Section II-C, 6-d; (c)(4) Section II-D, 6-e and Chapter 4102, Section III-A, 32; (c)(5) Section II-D, 6-e,1 and, Chapter 4102 Section III-A, 32; (c)(6) Section II-D, 6-e Documentation is inconsistent or missing for parent/legal guardian, medical, and mental health notications, debrieng of youth and staff, de-escalation efforts, clear warning chemical agents will be used and method of application. Other documentation indicates youth are being left alone in their room after being exposed to chemical agents. Sections (a)(5),(7) and (b)(2-5) outline the elements required which are missing in most use of force and use of force with chemical agents reports. The agency is not in compliance with these elements of the regulation. §1358 Use of Physical Restraints  The facility administrator, in cooperation with the responsible physician and mental health director, shall develop and implement written policies and procedures for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory.  Physical restraints may be used only for those youth 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- inicted 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 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, oor or other xture, including a restraint chair, or through axing 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 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 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 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 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 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 procedures shall address:  (a)documentation of the circumstances leading to an application of restraints.  (b)known medical conditions that would contraindicate certain restraint devices and/or techniques.  (c)acceptable restraint devices.  (d)signs or symptoms which should result in immediate medical/mental health referral.  (e)availability of cardiopulmonary resuscitation equipment.  (f)protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a specied housing area for restrained youth which makes provision to protect the youth from abuse.  (g)provision for hydration and sanitation needs.  (h)exercising of extremities. Inspector Notes Chapter 4120 Use of Restraints Section I Introduction; Section I-B and Section I paragraph 3; Section VIII Restraint Devices for Movement or Transportation; Section I-C, Section IV-A Medical, Section III-A Mental Health; Section II-F (a)Section V Documentation (b)Section II-C (c)Section I-C (e)Section II-H (f)Section II-M (g)Section II-I and J (h)Section II-K The approved restraint devices pertaining to this regulation include handcuffs, leg restraints, waist chains and the Wrap. One incident involving use of restraints resulting in the use of The WRAP was reviewed as the facility rarely uses restraints as outlined in this regulation. Review of documentation and policy and procedure indicates the facility is in compliance with this regulation. §1358.5 Use of Restraint Devices for Movement and Transportation Within the Facility  The Facility Administrator, in cooperation with the 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)identication of acceptable restraint devices, staff approved to utilize restraint devices and the required training.  (b)the circumstances leading to the application of restraints must be documented.  (c)an individual assessment of the need to apply 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, with a clearly dened 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 accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. Inspector Notes Chapter 4120 Restraint Devices for Movement, and Transportation in the Facility (a)Section VIII-A, 1 (b)Section III-A,2 (c)Section VIII-A, 3 (d)Section VIII-A (e)Section VIII-A,4 A review of documentation which included the Use of Force and Restraint form indicates youth were primarily placed in restraints for movement after an incident and the restraints were removed within two minutes. The only devices used for movement are handcuffs and leg restraints. The agency is in compliance with this regulation. §1359 Safety Room Procedures N/A (a)The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: N/A (a)(1) include provisions for administration of necessary nutrition and uids, access to a toilet, and suitable clothing to provide for privacy; N/A (a)(2) provide for approval of the facility manager, or designee, before a youth is placed into a safety room; N/A (a)(3) provide for continuous direct visual supervision and documentation of the youth's behavior and any staff interventions every 15 minutes, with actual time recorded; N/A (a)(4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; N/A (a)(5) provide for immediate medical assessment, where appropriate, or an assessment at the next daily sick call; and, N/A (a)(6) provide a process for documenting the reason for placement, including attempts to use less restrictive means of control, and decisions to continue and end placement. N/A (b)The placement of a youth in the safety room shall be accomplished in accordance with the following: N/A (b)(1) safety room shall not be used before other less restrictive options have been attempted and exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. N/A (b)(2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by staff. N/A (b)(3) safety room shall not be used to the extent that it compromises the mental and physical health of the youth. N/A (c)A youth may be held up to four hours in the safety room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of the following: N/A (c)(1) return the youth to general population. N/A (c)(2) consult with mental health or medical staff, N/A (c)(3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate the youth to general population. N/A (d)If connement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. Inspector Notes This facility does not have a Safety Room. §1360 Searches  The facility administrator shall develop and implement written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that:  (a)Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and staff.  (b)Searches shall be conducted in a manner that 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 searches shall comply with Penal Code Section 4030.  (d)Physical body cavity searches shall only be conducted by a medical professional.  (e)Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specic and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented.  (f)Searches of transgender and intersex youth shall comply with Section 1352.5.  (g)Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when conducted by a medical professional. Such searches must be justied and documented in writing. Inspector Notes Elements of this regulation are met in Chapter 4110, and section Chapter 4111. (a)Chapter 4111, Section IV Types of Youth Searches, Section VII Room Searches, VIII Facility Searches, Section IX Visitor Searches (b)Chapter 4111, Section I-A (c)Chapter 4111, Section V-A, 2 Strip Searches and Section IV-D Physical Body Cavity Searches (d)Chapter 4111, Section IV-D Physical Body Cavity Searches (e)Chapter 4111, Section V-A, 2 Strip Searches (f)Chapter 4110, Section II-F (g)Chapter 4111, Section IV-B, 2 Post Admission Pat Search and, Section V-C, 4 Strip Searches The facility has not conducted any strip searches since the last inspection cycle so no documentation of the Strip Search Authorization Checklist was available for review. Interviews with facility staff indicated a clear understanding of the strip search policy. The facility conducts random room and unit searches and daily perimeter searches. Review of policy and practices indicates compliance with this regulation. §1361 Grievance Procedure  The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to any condition of connement, including but not limited to health care services, classication decisions, program participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on ling grievances. Policies and procedures shall include provisions whereby the facility manager ensures:  (a)a grievance form and instructions for registering a grievance, which includes provisions for the youth to have free access to the form;  (b)the youth shall have the option to condentially le the grievance or to deliver the form to any youth supervision staff working in the facility;  (c)resolution of the grievance at the lowest appropriate staff level;  (d)provision for a prompt review and initial response to grievances within three (3) business days, grievances that relate to health and safety issues must be addressed immediately;  (d)(1) The youth may elect to be present to explain his/her version of the grievance to a person not directly involved in the circumstances which led to the grievance.  (d)(2) Provision for a staff representative approved by the facility administrator to assist the youth.  (e)provision for a written response to the grievance which includes the reasons for the decisions;  (f)a system which provides that any appeal of a 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) business days unless circumstances dictate a longer time frame. The youth shall be notied of any delay; and,  (h)the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment.  Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be addressed and documented in accordance with written policies and procedures within a specied timeframe. Inspector Notes Elements of this regulation are met in Chapter 4122 Youth Grievance Process, and 4130 PREA Policy. Chapter 4122, Section I-A Grievance Protocol, and Section IX Citizen's Complaint Procedure (a)Chapter 4122, Section I-A, 1 (b)Chapter 4122, Section I-B (c)Chapter 4122, Section I-A, 1-a (d)Chapter 4122, Section I-A, 1-a; (d)(1) Section I-A, 1-a; (d)(2) Section I-A (e)Chapter, 4122, Section I-A, 1-e (f)Chapter 4122, Section I-A, 1-a (g)Chapter 4122, Section I-A, 1-d (h)Chapter 4130 PREA Policy Section IX Citizen's Complaint Procedure Reviewed 55 grievances from July and October 2022 and January of 2023. The grievances mainly involved minor rule violations and loss of incentive privileges. All grievances were handled timely and most were resolved on the same day. Interviews conducted with youth indicated they were all aware of the grievance procedure and those who had led grievances felt they were validated and treated fairly. The documentation reviewed arms the facility is in compliance with this regulation. §1362 Reporting of Incidents  A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. Inspector Notes Chapter 4104, Section III-A and IV The Spillman system is used to document incidents by involved staff and witnesses and reviewed by facility administration. The documentation reviewed arms the facility is in compliance with this regulation. §1363 Use of Reasonable Force to Collect DNA Specimens, Samples, Impresssion  (a)Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace ocers, may employ reasonable force to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request.  (a)(1) For the purpose of this section, the “use of reasonable force” shall be dened 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.  (a)(2) The use of reasonable force shall be preceded by 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 authorization of the supervising ocer on duty. The authorization shall include information that reects the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused.  (b)(1) If the use of reasonable force includes a cell 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. Inspector Notes Chapter 4119, Section V (a)(1) Section V; (a)(2) Section V-A (b)Section V-B; (b)(1) Section V-C The agency does not use force to collect a DNA sample. If the youth refuses to voluntarily cooperate they are returned to court. §1370 Education Program  (a)School Programs The County Board of Education shall provide for the administration and operation of juvenile court schools in conjunction with the Chief Probation Ocer, or designee pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy and procedures to ensure communication and coordination between educators and probation staff. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deciencies, 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 qualied 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 deciency and to fully protect the educational interests of all youth in the facility.  (b)Required Elements 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 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender-nonconforming youth by their preferred name and gender.  (b)(1) The course of study shall comply with the State Education Code and include, but not be limited to, courses required for high school graduation.  (b)(2) Information and preparation for the High School Equivalency Test as approved by the California Department of Education shall be made available to eligible youth.  (b)(3) Youth shall be informed of post-secondary education and vocational opportunities.  (b)(4) Administration of the High School Equivalency Tests as approved by the California Department of Education, shall be made available when possible.  (b)(5) Supplemental instruction shall be afforded to youth who do not demonstrate sucient progress towards grade level standards.  (b)(6) The minimum school day shall be consistent with 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.  (b)(7) Education shall be provided to all youth regardless of classication, housing, security status, disciplinary or separation status, including room connement, 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 (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.  (c)(2) School staff shall be advised of administrative decisions made by probation staff that may affect the educational programming of students.  (c)(3) Except as otherwise provided by the State 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.  (c)(4) The facility administrator, in conjunction with education staff will develop policies and procedures that address the rights of any student who has continuing diculty completing a school day.  (d)Provisions for Special Populations (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 nd, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs.  (d)(2) Youth identied as English Learners (EL) shall be 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 (1) Youth shall be interviewed after admittance and a record  maintained that documents a youth's educational history, including but not limited to:  (e)(1)(A) School progress/school history;  (e)(1)(B) Home Language Survey and the results of the State Test used for English language prociency;  (e)(1)(C) Needs and services of special populations as dened by the State Education Code, including but not limited to, students with special needs.  (e)(1)(D) Discipline problems.  (e)(2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning levels to enable placement in core curriculum courses.  (e)(3) After admission to the facility, a preliminary education plan shall be developed for each youth within ve school days.  (e)(4) Upon enrollment, education staff shall comply with 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 modied as needed. Youth should be informed of the credits they need to graduate.  (f)Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational placement in accordance with the State Education Code.  (f)(2) The County Superintendent of Schools shall 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 (1) The Superintendent of Schools and the Chief Probation Ocer 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 (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. Inspector Notes Chapter 4115 Education Programs (a)Section I and I, I (b)Section I-A; (b)(1) Section I-A, 1-a; (b)(2) Section I-A, 1-b; (b)(3) Section I-A, 1-c; (b)(4) Section I-A, 1-d; (b)(5) Section I-A, 1-e; (b)(6) Section I-A, 1; (b)(7) Section I-A, 4 (c)(1) Section 1-A, 2; (c)(2) Section I-A, 2; (c)(3) Section I-A, 3; (c)(4) Section I-A, 1-f (d)(1) Section I-A, 4; (d)(2) Section I-A, 4 (e)(1) Section I-A, 5; (e)(1)(A) Section I-A, 5-a; (e)(1)(b) Section I-A, 5-b; (e)(1)(c) Section I-A, 5-c; (e)(1)(d) Section I-A, 5-d; (e)(2) Section I-A, 6; (e)(3) Section I-A, 7; (e)(4) Section I-A, 8 (f)(1) Section I-A, 9; (f)(2) Section I-A, 10 (g)(1) Section I-A, 11 (h)(1) Section I-A, 12, Section I-H The facility offers education through JC Montgomery/Kings County Oce of Education for non- graduates. The school also facilitates graduates to enroll in West Hills College and/or Berklee Online Music College. Additionally, students close to graduating may be concurrently enrolled in these college courses. The school has three full time teachers and an RSP teacher who solely focuses on special education students. Required courses are English, ne arts, math, history, PE, and English Language Development. Other graduation requirements are provided by Edgenuity. Students also have the option to enroll in Media Arts/CTE. These classes combine in person instruction by visiting teaching artists and Kings COE consultants and the lessons are supported by on-line project based curriculums. During the inspection classrooms and youth engaging in on-line education services were observed occurring during the school day. The facility is in compliance with this regulation. §1371 Programs, Recreation, and Exercise  The facility administrator shall develop and implement written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area.  Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three hours a day during the week and ve 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 exercise may be suspended only upon a written nding 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 be posted in the living units.  There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and relevant to the population.  (a)Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Ocer or the County Oce 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; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conict 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 Specic 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 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include orientation and may include coaching of youth.  (c)Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity each day.  The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document the reasons why suspension of recreation and programs occurs. Inspector Notes A memo outlining the programming offered was completed by Stacie Sellai, Juvenile Corrections Manager, on October 10, 2022, indicating compliance with this regulation. Chapter 4113 Recreation, Exercise, and Programming (a)Section II-C (b)Paragraph 1 of Chapter 4113 (c)Section II-A, 1 Programs are not being offered in line with Section (a) which requires all youth shall be provided with the opportunity for at least one hour of daily programming. In reviewing documentation, observation and interviews with youth and staff, programming was not conducted or the activities which were documented to be programming were either recreational or exercise. The agency is not in compliance with this area of regulation. §1372 Religious Program  The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for:  (a)opportunity for religious services and practices;  (b)availability of clergy; and,  (c)availability of religious diets. Inspector Notes Chapter 4125 Religious Services (a)Section I-A (b)Section I-G (c)Section E §1373 Work Program  The facility administrator shall develop policies and procedures regarding the fair and consistent assignment 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 Inspector Notes Section 4113, Section II-B Work Program §1374 Visiting  The facility administrator shall develop and implement written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to 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 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 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits.  The facility may provide access to technology as an alternative, but not as a replacement, to in-person visiting. Inspector Notes Chapter 4124 Visitation The facility offers visiting throughout the week. Observed visiting occur during the course of the inspection and reviewed documentation of reports written to advise parents/legal guardians of visiting changes. Interviews with youth indicate visiting occurs as scheduled and has not been canceled. The facility is in compliance with this regulation. §1375 Correspondence  The facility administrator shall develop and implement written policies and procedures for correspondence which provide that:  (a)there is no limitation on the volume of mail that youth may send or receive;  (b)youth may send two letters per week postage free;  (c)youth may correspond condentially with state and federal courts, any member of the State Bar or holder of public oce, 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 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. Inspector Notes Chapter 4126 Correspondence, and Mail (a)Section III-A (b)Section III-E (c)Section II-A (d)Section I-B, 1 and 2 §1376 Telephone Access  The administrator of each juvenile facility shall develop and implement written policies and procedures to provide youth with access to telephone communications. Inspector Notes Chapter 4127 Telephone Policy §1377 Access to Legal Services  The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include:  (a)access, upon request by the youth, to licensed attorneys and their authorized representatives;  (b)provision for condential consultation with attorneys; and,  (c)unlimited postage free, legal correspondence and cost-free telephone access as appropriate. Inspector Notes Chapter 4128 Legal Services, and Law Enforcement Access §1390 Discipline  The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use 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;  (b)daily shower, access to drinking fountain, toilet and personal hygiene items, and clean clothing;  (c)full nutrition;  (d)contact with parent or attorney;  (e)exercise;  (f)medical services and counseling;  (g)religious services;  (h)clean and sanitary living conditions;  (i)the right to send and receive mail;  (j)education; and,  (k)rehabilitative programming.  The facility administrator shall establish rules of conduct 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 armatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English prociency, or limited literacy. Inspector Notes Chapter 4121 Behavior Management, and Disciplinary Due Process (a)through (k), Section II, G Youth are given a Youth Handbook and sign acknowledgment of receipt upon admission into the facility. Provisions are made by staff if the youth are unable to read or understand the information. Review of policy and procedures indicates the facility is in compliance with this regulation. §1391 Discipline Process  The facility administrator shall develop and implement written policies and procedures for the administration of discipline which shall include, but not be limited to:  (a)designation of personnel authorized to impose discipline for violation of rules;  (b)prohibiting discipline to be delegated to any youth;  (c)denition of major and minor rule violations and their consequences, and due process requirements;  (d)trauma-informed approaches and positive behavior interventions;  (e)minor rule violations may be handled informally by 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 be documented and require the following:  (f)(1) written notice of violation prior to a hearing;  (f)(2) accommodations provided to youth with disabilities, limited literacy, and English language learners;  (f)(3) hearing by a person who is not a party to the incident;  (f)(4) opportunity for the youth to be heard, present evidence and testimony;  (f)(5) provision for youth to be assisted by staff in the hearing process;  (f)(6) provision for administrative review.  (g)violations that result in a removal from camp or commitment program, but not a return to court, will follow the due process provisions in subsection (e) above. Inspector Notes Chapter 4121 Behavior Management, and Disciplinary Due Process (a)Section V-C, 3 (b)Section V-C, 3 (c)Section VI and Section VII (d)Section IV and V (e)VI-A, 1-4 (f)(1) Section VII-C, 1-b, 2-a and b; (f)(2) Section VII-C, 3-c; (f)(3) Section V-A; (f)(4) Section VII-C, 3-d; (f) (5)Section VII-C, 3-b; (f)(6) Section VII-C, 5 (g)Section VII-C, 1-b Reviewed 10 disciplinary due process forms for major rule violations which armed the youth are receiving notice and the opportunity to have a hearing and appeal the sanction imposed. The documentation reviewed arms the facility is in compliance with this regulation. §1410 Management of Communicable Diseases  The health administrator/responsible physician, in cooperation with the facility administrator and the local health ocer, shall develop written policies and procedures to address the identication, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to:  (a)Intake health screening procedures;  (b)Identication of relevant symptoms;  (c)Referral for medical evaluation;  (d)Treatment responsibilities during detention;  (e)Coordination with public and private community-based resources for follow-up treatment;  (f)Applicable reporting requirements; and,  (g)Strategies for handling disease outbreaks.  The policies and procedures shall be updated as necessary to reect communicable disease priorities identied by the local health ocer and currently recommended public health interventions. Inspector Notes Chapter 4123 Section VIII-H, and I §1433 Requests for Health Care Services (Excerpt)  The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. Inspector Notes Chapter 4123, Section I-A, 1-a Chapter 4123 IX-B Medical Care and, Section X Sick Call §1480 Standard Facility Clothing Issue  The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing and footwear specied in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that:  (a)Clothing is clean, reasonably tted, durable, easily laundered, in good repair, and free of holes and tears.  (b)The standard issue of climatically suitable clothing for youth shall consist of but not be limited to:  (b)(1) Socks and serviceable footwear;  (b)(2) Outer garments;  (b)(3) New non-disposable underwear which shall remain with the youth throughout their stay, and;  (b)(4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras.  (c)Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry method approved by the local health ocer.  (d)Suitable clothing is issued to pregnant youth. Inspector Notes Chapter 4114 (a)Section I-A, 1 (b)(1-4) Section I-A 2-a, b, c, and, d (c)Section III-D (d)Section I-A, 2-b §1482 Clothing Exchange  The facility administrator shall develop and implement written policies and site-specic procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more 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. Inspector Notes Chapter 4114, Section I-A, 3-5 §1484 Control of Vermin in Youth's Personal Clothing  There shall be written policies and site-specic procedures developed and implemented by the facility administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. Inspector Notes Chapter 4114, Section VI Vermin Control §1485 Issue of Personal Care Items  There shall be written policies and site-specic procedures developed and implemented by the facility administrator for the availability of personal hygiene items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items;  (a)Toothbrush;  (b)Toothpaste;  (c)Soap;  (d)Comb;  (e)Shaving implements;  (f)Deodorant;  (g)Lotion;  (h)Shampoo; and,  (i)Post-shower conditioning hair products.  Youth shall not be required to share any personal care 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. Inspector Notes Chapter 4114, Section V (a)through (i) Section V-A through G Chapter 4114, Section V-E Shaving, and Section V Personal Care Items §1486 Personal Hygiene  There shall be written policies and site specic procedures developed and implemented by the facility administrator for showering/bathing and brushing of teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. Inspector Notes Section 4114, Section IV Personal Hygiene §1487 Shaving  Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identication in Court. All youth shall have equal opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. Inspector Notes Chapter 4114, Section V-E §1488 Hair Care Services (Excerpt)  Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. Inspector Notes Chapter 4114, Section IV-B Hair Care Services §1500 Standard Bedding and Linen Issue  Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, but not be limited to:  (a)One mattress or mattress-pillow combination which meets the requirements of Section 1502 of these regulations;  (b)One pillow and a pillow case unless provided for in (a) above;  (c)One mattress cover and a sheet or two sheets;  (d)One towel; and,  (e)One blanket or more, up on request Inspector Notes Chapter 4114, Section II Bedding §1501 Bedding Linen Exchange  The facility administrator shall develop and implement site specic written policies and procedures for the scheduled exchange of laundered bedding and linen issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week.  The covering blanket shall be cleaned or laundered once a month. Inspector Notes Chapter 4114, Section II Bedding §1510 Facility Sanitation, Safety and Maintenance  The facility administrator shall develop and implement written policies and site-specic 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). Inspector Notes Section 4114, Section VII Juvenile Probation and Camps Funding (JPCF) (Camps Only)  The programs/services identied 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 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. WIC 206 Separate Facilities for WIC 300 Minors N/A Dependent or neglected minors who are dened under Section 300 of the Welfare and Institutions Code (WIC) are held only in non-secure, separate and segregated facilities. Inspector Notes Detention of Status Offenders (WIC 601) and Federal Minors N/A Status Offenders (WIC 601) are held in the facility. N/A Status Offenders (WIC 601) are kept separate from Juvenile Delinquents (WIC 602)? (WIC 207[d]). N/A Federal Minors (ICE Holds or ORR Contract) are held in the facility. N/A 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]) N/A 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.) N/A If adult inmates are held, they are appropriately separated from minors. N/A Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. JUVENILE HALL & CAMP PROCEDURES CHECKLIST1 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 4 for the complete list and text of regulations. Kings SYTF Procedures Checklist BSCC #7164 JH & Camp PRO  Kings Secure Youth Treatment Facility: 1450 Forum Drive, Hanford, CA, 93230 Inspection Date: 04/27/2023 Interviewed Marc Cerda, Deputy Chief Probation Ocer; Stacie Sellai, Juvenile Corrections Manger; Elizabeth Norris, Principal J C Montgomery School; Dr. Deanna Mercado, Wellpath Mental Health Director; Maria Cantu, Wellpath Health Services Administrator; J. Vidal, Juvenile Corrections Ocer IV; T. Empey, Juvenile Corrections Ocer IV; 2 male youth age 18, 2 female youth age 17 Inspection Completed by Field Representative Shay Molennor §1313 County Inspection and Evaluation of Building and Grounds  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)re authority having jurisdiction, including a re clearance as required by Health and Safety Code Section 13146.1(a) and (b);  (c)local health ocer, inspection in accordance with Health and Safety Code Section 101045;  (d)county superintendent of schools on the adequacy of educational services and facilities as required in Section 1370;  (e)juvenile court as required by Section 209 of the Welfare and Institutions Code; and,  (f)the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the Welfare and Institutions Code. Inspector Notes Chapter 4101, Section I Program Inspections Building: September 16, 2022 Fire: March 29, 2023 Environmental: August 31, 2022 (The three areas marked noncompliant in the inspection were noted to be corrected on September 2, 2022.) Medical/Mental Health: September 18, 2022 Nutritional: September 9, 2022 JJC: September 14, 2022 School: 2021: June 23, 2022 Juvenile Court: October 21, 2022 §1320 Appointment and Qualications  BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Ocer’s certication letter conrming that all elements of regulation are met. (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.  (b)Employee Qualications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job classication and duties in accordance with applicable civil service or merit system rules;  (b)(2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps);  (b)(3) adhere to the minimum standards for the selection and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and  (b)(4) conduct a criminal records review, on each new employee, and psychological examination in accordance with Section 1031 of the Government Code.  (c)Contract personnel, volunteers, and other non-employees of the facility, who may be present at the facility, shall have such clearance and qualications as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. Inspector Notes (a)and (b)(1-4): A memorandum dated March 30, 2023, by Acting Chief Probation Ocer Leonard Bakker addressed all the elements of this regulation. (c)Chapter 4100, Section IX §1321 Stang  Each juvenile facility shall: (a) have an adequate number of personnel sucient to carry out the overall facility operation and its programming, to provide for safety and security of youth and staff, and meet established standards and regulations;  (b)ensure that no required services shall be denied because of insucient numbers of staff on duty absent exigent circumstances;  (c)have a sucient number of supervisory level staff to ensure adequate supervision of all staff members;  (d)have a clearly identied person on duty at all times who is responsible for operations and activities and has completed the Juvenile Corrections Ocer Core Course and PC 832 training;  (e)have at least one staff member present on each living unit whenever there are youth in the living unit;  (f)have sucient food service personnel relative to the number and security of living units, including staff qualied 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 sucient administrative, clerical, recreational, medical, dental, mental health, building maintenance, transportation, control room, facility security and other support staff for the ecient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and,  (h)assign sucient youth supervision staff to provide continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special program needs. Stang shall be in compliance with a minimum youth-staff ratio for the following facility types: N/A (h)(1) Juvenile Halls (A) during the hours that youth are awake, one wide-awake youth supervision staff member on duty for each 10 youth in detention; N/A (h)(1)(B) during the hours that youth are conned to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth in detention; N/A (h)(1)(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, N/A (h)(1)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility. N/A (h)(1)(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 classied as youth supervision staff positions. N/A (h)(2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide-awake youth supervision staff member on duty for each 10 youth in detention; N/A (h)(2)(B) during the hours that youth are conned to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth in detention; N/A (h)(2)(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, N/A (h)(2)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility. N/A (h)(2)(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 classied as youth supervision staff positions.  (h)(3) Camps (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;  (h)(3)(B) during the hours that youth are conned 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;  (h)(3)(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;  (h)(3)(D) at least one youth supervision staff member on duty who is the same gender as youth housed in the facility;  (h)(3)(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;  (h)(3)(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 classied as youth supervision staff positions. Inspector Notes (a)and (b)(1-4): A memorandum dated March 30, 2023, by Acting Chief Probation Ocer Leonard Bakker addressed all the elements of this regulation. (c)Chapter 4100, Section IX Reviewed agency organizational chart, monthly shift schedule, weekly shift schedule and April 25, 2023 shift schedule. The agency has one Juvenile Corrections Ocer III vacancy and 15 Juvenile Corrections Ocer I/II vacancies. A review of documentation indicates stang ratios are met and the agency is in compliance with this regulation. Though compliant with this regulation, interviews with staff indicate stang could be improved as many staff are new and the agency has several vacancies. §1322 Youth Supervision Staff Orientation and Training  (a)Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to their duties, including: (1) youth supervision duties;  (a)(2) scope of decisions they shall make;  (a)(3) the identity of their supervisor;  (a)(4) the identity of persons who are responsible to them;  (a)(5) persons to contact for decisions that are beyond their responsibility; and  (a)(6) ethical responsibilities.  (b)Prior to assuming any responsibility for the supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility-specic orientation, including:  (b)(1) individual and group supervision techniques;  (b)(2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of this chapter;  (b)(3) basic health, sanitation and safety measures;  (b)(4) suicide prevention and response to suicide attempts  (b)(5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and physical restraints;  (b)(6) review of policies and procedures referencing trauma and trauma-informed approaches;  (b)(7) procedures to follow in the event of emergencies;  (b)(8) routine security measures, including facility perimeter and grounds;  (b)(9) crisis intervention and mental health referrals to mental health services;  (b)(10) documentation; and  (b)(11) re/life safety training  (c)Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections Ocer Core Course pursuant to Penal Code Section 6035.  (d)Prior to exercising the powers of a peace ocer youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal Code. Inspector Notes Chapter 4102, Section II Program Staff Orientation (a)(1) Section II-A, 2 and 9; (2) Section II-A, 2; (3) Section II-A, 1; (4) Section II-A, 2 and 3, (5) Section II-A, 1 and 2; (6) Section II-A, 12 (b)(1) Section III-A, 1; (2) Section III-A, 31; (3) Section III-A, 29; (4) Section III-A, 27; (5) Section III-A, 32; (6)Section III-A, 33; (7) Section III-A, 16-17; (8) Section III-A, 14; (9) Section III-A, 28; (10) Section III-A, 26 and 30; (11) Section III-A, 16 (c)Section I-A indicated in paragraph 2 (d)Section I-A, indicated in paragraph 3 The facility assigns a staff to train new hires and utilizes the Staff Orientation/Training Checklist to ensure competency. The agency is in compliance with this regulation. §1323 Fire and Life Safety  Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times who meets the training standards established by the Board for general re and life safety which relate specically to the facility. Inspector Notes Chapter 4118, Section I-A §1324 Policy and Procedures Manual  All facility administrators shall develop, publish, and implement a manual of written policies and procedures that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, and shall be administratively reviewed at a minimum 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 communications and a description of job classications;  (b)responsibility of the probation department, purpose of 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;  (d)initial orientation and training program for employees;  (e)initial orientation, including safety and security issues 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 communication system to ensure:  (f)(1) ecient operation of the juvenile facility;  (f)(2) legal and proper care of youth;  (f)(3) maintenance of individual youth's records;  (f)(4) supply of information to the juvenile court and those authorized by the court or by the law; and,  (f)(5) release of information regarding youth.  (g)ethical responsibilities;  (h)trauma-informed approaches;  (i)culturally responsive approaches;  (j)gender responsive approaches;  (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and bene ts, and provides that no person shall · be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identi cation, · 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 classi cation decisions · based solely on any of the above mentioned categories;  (l) storage and maintenance requirements for any chemical agents related security devices, and weapons and ammunition, where applicable;  (m) establishment of procedures for collection of Medi-Cal eligibility information and enrollment of eligible youth; and,  (n) establishment of a policy that prohibits all forms of 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. Inspector Notes The Policy and Procedure Manual was last updated on July 15, 2021. The manual is available to staff electronically and in hard copy. Elements of this regulation are met in Chapters 4100, 4102, 4103, 4104, 4108, 4112, 4119 and, 4130. Chapter 4102, Section III-B, 4 (a)Chapter 4100, Section I Organization and Structure (b)Chapter 4100, Section III Purposes and Responsibilities of the Juvenile Facility: Section IV Ancillary Juvenile Center Programs (c)Chapter 4103 Section XI Employee Responsibilities and 4112, Section II-A Staff Responsibilities on Supervision (d)Chapter 4102, Section II-A Program Staff Orientation (e)Chapter 4102, Section II-B Program Staff Orientation (f)Chapter 4100 Section V Institution Record Keeping, Statistics and Communication and/or Correspondence (f)(1) Chapter 4104, Section II; (2) Chapter 4104, Section II (3) Chapter 4104, Section II-D; (4) Chapter 4104, Section II-D,1; (5) Chapter 4104, Section II-D, 1-8 (g)Chapter 4103, Section III Employees' Ethical Responsibilities (h)Chapter 4103, Section XIV-F (i)Chapter 4103, Section XIV-F (j)Chapter 4103, Section XIV-F (f)Chapter 4103, Section XIV-E (k)Chapter 4119, Section IV-D, 10-b (l)Chapter 4108 Section VI-B, 6 Medi-Cal Application Transmittal Form (m)Chapter 4130 PREA Policy A thorough review of the facility's policy and procedure manual was conducted and the Juvenile Corrections Manager was provided with assistance and recommendations to enhance their policies to address consistency, clarity, and best practices. The agency is in compliance with this regulation. §1325 Fire Safety Plan  The facility administrator shall consult with the local re department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for re safety which shall include, but not be limited to: (a) a re prevention plan to be included as part of the manual of policy and procedures;  (b)monthly re and life safety inspections by facility staff with two-year retention of the inspection record;  (c)re prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b);  (d)an evacuation plan;  (e)documented re drills not less than quarterly;  (f)a written plan for the emergency housing of youth in the case of re; and,  (g)development of a re suppression pre-plan in cooperation with the local re department. Inspector Notes Elements of this regulation are met in Chapter 4118 Fire and, Life Safety, and Chapter 4101 (a)Chapter 4118, Section III Fire Plan (b)Chapter 4101, Section I-F and Section 4118, Section II-A, 3 (c)Fire Inspection dated March 29, 2023 (d)Chapter 4118, Section III-A, 9 (e)Chapter 4101, Section VII Safety Drills and Chapter 4118, Section II-A, 5 (f)Chapter 4118, Section III-A, 9-b (g)Chapter 4118, Section II-A, 1 Reviewed re and life safety inspections from January 2022 through March of 2023. The inspections include an audit or testing of alarms, re extinguishers, AED and rst aid kits. The documentation reviewed arms the facility is in compliance with this regulation. §1326 Security Review  Each facility administrator shall develop policies and procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. Inspector Notes Chapter 4101, Section I-G A Security Review memo was completed by Stacie Sellai, Juvenile Corrections Manager, on October 3, 2022, indicating compliance with this regulation. §1327 Emergency Procedures  The facility administrator shall develop facility-specic policies and procedures for emergencies that shall include, but not be limited to:  (a)escape, disturbances, and the taking of hostages;  (b)civil disturbance, active shooter and terrorist attack;  (c)re and natural disasters;  (d)periodic testing of emergency equipment;  (e)emergency evacuation of the facility; and  (f)a program to provide all youth supervision staff with an annual review of emergency procedures. Inspector Notes An Emergency Procedures memo was completed by Stacie Sellai, Juvenile Corrections Manager, on October 10, 2022, indicating compliance with this regulation. Chapter 4117 Emergency Procedures (a)Section IV-E Escape; Section IV-J Hostage; Section IV--Paragraph 1 and, C Disturbances (b)Section VI Civil Disturbances; Section VII Active Shooter and, Terrorist Attack (c)Section IV-G Fire; Section IV-I Earthquake (d)Section II-C (e)Section V-C Evacuation of Site (f)Section I paragraph 1 (Throughout the year, the department will periodically train staff in emergency procedures.) §1328 Safety Checks  The facility administrator shall develop and implement policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth are asleep or when youth are in their rooms, conned in holding cells or conned to their bed in a dormitory. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. Inspector Notes Chapter 4112, Section II-H, 2 Reviewed safety checks from July and October of 2022 and January of 2023. The safety checks are handwritten for each unit in a log book and include general information of shift activities. The documentation reviewed arms the facility is in compliance with this regulation. Technical assistance was given recommending safety checks/log books are audited by the supervisor on a daily basis. §1329 Suicide Prevention Plan  The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. The plan shall consider the needs of youth experiencing 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 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Ocer Core Course.  (b)Screening, Identication Assessment and Precautionary Protocols (1) All youth shall be screened for risk of suicide at intake and as needed during detention.  (b)(2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk of suicide.  (b)(3) All youth who have been identied during the intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a suicide risk assessment.  (b)(4) Precautionary protocols shall be developed to ensure the youth’s safety pending the behavioral/mental health assessment.  (c)Referral process to behavioral/mental health staff for assessment and/or services.  (d)Procedures for monitoring of youth identied at risk for suicide.  (e)Safety Interventions  (e)(1) Procedures to address intervention protocols for youth identied at risk for suicide which may include, but are not limited to:  (e)(1)(A) Housing consideration  (e)(1)(B) Treatment strategies including trauma-informed approaches  (e)(2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal behaviors.  (f)Communication (1) The intake process shall include communication with the arresting ocer and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts.  (f)(2) Procedures for clear and current information sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental health staff.  (g) Debrieng of Critical Incidents Related to Suicides or Attempts (1) Process for administrative review of the circumstances and responses proceeding, during and after the critical incident.  (g)(2) Process for a debrieng event with affected staff.  (g)(3) Process for a debrieng event with affected youth.  (h) Documentation (1) Documentation processes shall be developed to ensure compliance with this regulation  Youth identied at risk for suicide shall not be denied the opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. Inspector Notes Elements of this regulation are met in Chapter 4102, and Section 4109 Suicidal Behavior. (a)Chapter 4102, Section III-A,27 (b)Chapter 4109, Section III Intake Classication and Response; (b)(2) Chapter 4109, Section II-H; (b)(3) Chapter 4109, Section III-B, 1 Watch Status; (b)(4) Chapter 4109, Section III-B, 2 (c)Chapter 4109, Section III-B (d)Chapter 4109, Section III-B, 2 (e)(1) Chapter 4109; (e)(1)(A) Chapter 4109, Section III-B, 2 and 6; (e)(1)(B) Chapter 4109, Section III-B, 5; (e)(2) Chapter 4109, Section II General Overview (f)(1) Chapter 4109, Section I-A, 3-k and 1; (f)(2) Chapter 4109, Section III-B, 1 (g)(1) Chapter 4109, Section III-I; (g)(2) Chapter 4109, Section IV-H; (g)(3) Chapter 4109, Section IV-H (h)(1)Chapter 4109, Section III-H Special Incident Report Chapter 4109, Section III-B, 5 A review of documentation indicated all youth who were placed on Suicide Watch were secured in a holding room and had to wear a suicide smock for up to two days regardless of acuity. Per the regulation suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. Under Section (b)(4), precautionary protocols shall be developed to ensure youth safety. The policy established by the agency indicated Safety Checks would occur every ve minutes. These checks were not occurring in-line with established safety protocols. In addition, per the regulation youth identied at risk of suicide shall not be denied the opportunity to participate in facility programs, services, and activities. Youth were separated from other non-suicidal youth in a holding room for up to two days and not receiving regular programming, services and privileges without any supporting documentation or approval. The agency is not in compliance with these areas of the regulation. §1340 Reporting of Legal Actions  Each facility shall submit to the Board a letter of notication on each legal action, pertaining to conditions of connement, led against persons or legal entities responsible for juvenile facility operation. Inspector Notes Chapter 4100, Section VII Reporting of Legal Actions §1341 Death and Serious Illness or Injury of a Youth While Detained  (1)Death of a Youth. (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 notications 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 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 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 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. (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notication 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. Inspector Notes (1)(a) Chapter 4109 Section IV Death or Serious Illness of a Youth (b) Section IV-F; (c)Section IV-F, 6 (2)(a) Section IV §1342 Population Accounting  Each juvenile facility shall submit required population and prole 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. Inspector Notes Chapter 4104 Section II-A Records and Statistics and, Chapter 4112, Section VII Population Levels and, Overcrowding §1343 Juvenile Facility Capacity (Excerpt)  When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than fteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. Inspector Notes Chapter 4104 Section II-A Records and Statistics and, Chapter 4112, Section VII-B, 1 Population Levels and, Overcrowding §1350 Admittance Procedures  The facility administrator shall develop and implement written policies and procedures for admittance of youth that emphasize respectful and humane engagement with youth, and reect that the admission process may be traumatic to youth who may have already 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: (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of Welfare and Institution Code Section 627;  (a)(2) Offer of a shower;  (a)(3) Documented secure storage of personal belongings;  (a)(4) Offer of food upon arrival;  (a)(5) Screening for physical and behavioral health and safety issues, intellectual or developmental disabilities;  (a)(6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, and 1430 of these regulations;  (a)(7) Contact with Regional Center for the Developmentally Disabled for youth that are suspected of or identied as having a developmental disability, pursuant to Section 1413; and,  (a)(8) Procedures consistent with Section 1352.5.  (b)juvenile hall administrators shall establish written criteria for detention that considers the least restrictive environment.  (c)juvenile camps and post-dispositional programs in 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 that advise any committed youth of the estimated length of his/her stay. Inspector Notes Chapter 4108, Section IV New Admission Unit Processing (a)(1) Section IV-A, 1; (2) Section IV-A, 2; (3) Section IV-A, 3; (4) Section IV-A, 4; (5) Section IV-A, 5; (6) Section IV-A, 5; (7) Section IV-A, 7; (8) Section IV-A, 6 (b)Section IV-A, 8 (c)Section IV-A, 9 (d)Section IV-A, 9 Reviewed 10 admittance packets which included intake checklists, booking sheets, Victim Vulnerability Assessments, Threat Assessments, youth/gang classication forms, medical screenings, rules of conduct acknowledgments, and PREA notices. The documentation reviewed arms the facility is in compliance with this regulation. §1350.5 Screening for the Risk of Sexual Abuse  The facility administrator shall develop and implement written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of admission based on the following information:  (a)Prior sexual victimization or abusiveness;  (b)Gender nonconforming appearance or manner; or identication 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;  (d)Age;  (e)Level of emotional and cognitive development;  (f)Physical size and stature;  (g)Mental illness or mental disabilities;  (h)Intellectual or developmental disabilities;  (i)Physical disabilities;  (j)The youth’s perception of vulnerability; and,  (k)Any other specic information about the individual youth that may indicate heightened needs for supervision, additional safety precautions, or separation from certain other youth.  Staff shall ascertain this information through conversations with the youth during the admittance process, medical and behavioral health screenings; during classication assessments; and by reviewing court records, case les, facility behavioral records, and other relevant documentation from the youth’s les.  The facility administrator shall implement appropriate 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. Inspector Notes Chapter 4108, Section IV-A, 6 (a)Section IV-A, 6-a (b)Section IV-A, 6-b (c)Section IV-A, 6-a (d)Section IV-A, 6-a (e)Section IV-A, 6-c (f)Section IV-A, 6-c (g)Section IV-A, 6-d (h)Section IV-A, 6-d (i)Section IV-A, 6-e (j)Section IV-A, 6-e (k)Section IV-A, 6-e Chapter 4108, Section IV-A Chapter 4108, Section IV-11 Reviewed 10 admittance packets which included Victim Vulnerability Assessments and Threat Assessments which respond to the elements of this regulation. The documentation reviewed and policy and procedure arms the facility is in compliance. §1351 Release Procedures  The facility administrator shall develop and implement written policies and procedures for release of youth from custody which provide for:  (a)verication of identity/release papers;  (b)return of personal clothing and valuables;  (c)notication to the youth's parents or guardian;  (d)notication to the facility health care provider in accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; and,  (e)notication of school staff;  (f)notication of facility mental health personnel.  The facility administrator shall develop and implement 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 written policies and procedures for the furlough of youth from custody. Inspector Notes Elements of this regulation are met in Chapter 4108, Section VI Release Procedures and, Chapter 4132. (a)Chapter 4108, Section VI-B (b)Section VI-B, 9 Release of Property to Youth (c)Section VI-B, 5 (d)Section VI-B, 7 (e)Section VI-B, 5 (f)Section VI-B, 7 Chapter 4108 Section VI-B, 7-a Medical and, Behavioral Health, Section VI-B, 12 and Chapter 4132, Section IV-B Re-entry Case Conferencing Reviewed 10 release packets which included documentation of required notications, transition and reentry and release of property back to the youth. Provided technical assistance to notify Wellpath Behavioral Health directly instead of having them be notied by Wellpath Medical. The agency added the behavioral health team to their release notication email group. The documentation reviewed arms the facility is in compliance with this regulation. §1352 Classication  The facility administrator shall develop and implement written policies and procedures on classication of youth for the purpose of determining housing placement in the facility. Such procedures shall:  (a)provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the appropriate, least restrictive housing and program settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory;  (b)consider facility populations and physical design of the facility;  (c)provide that a youth shall be classied upon admittance to the facility; classication 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 classication reviews, including 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 from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identication, 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 specic request or in accordance with Title 15 regulations regarding separation.  (f)facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identication or status as an indicator of likelihood of being sexually abusive. Inspector Notes Chapter 4110 Classication (a)Section I-B, 1 and 2 (b)Section I-B, 1 and 2 (c)Section I-A, 1-15 (d)Paragraph 1 of Chapter 4110 (e)Paragraph 2 of Chapter 4110 (f)Paragraph 2 of Chapter 4110 Reviewed 10 admission packets which included assessments and screenings to assist the agency in classication decisions. The youth are also continuously classied during their stay in the facility. This information is updated in the case management system. The facility is in compliance with this regulation. §1352.5 Transgender and Intersex Youth  The facility administrator shall develop written policies and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that:  (a)Facility staff shall respect every youth’s gender 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 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 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 and intersex youth have access to medical and behavioral health providers qualied to provide care and treatment to transgender and intersex youth.  (e)Consistent with the facility’s reasonable and 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 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. Inspector Notes Elements of this regulation are met in Chapter 4108 and Chapter 4110. Chapter 4108, Section IV-A, 10 Admission Chapter 4110, Section II Transgender and, Intersex Youth (a)Chapter 4108, Section IV-A, 10-a and, Chapter 4110, Section II-A (b)Chapter 4108, Section IV-A, 10-b and, Chapter 4110, Section II-B (c)Chapter 4108, Section IV-A, 10-c and, Chapter 4110, Section II-C (d)Chapter 4108, Section IV-A, 10-d and, Chapter 4110, Section II-D (e)Chapter 4110, Section II-E Chapter 4110, Section II-F Reviewed 10 admission packets which included the Threat Assessment Form and the Victim Vulnerability Assessment which addressed elements of this section. The facility is in compliance with this regulation. §1353 Orientation  The facility administrator shall develop and implement written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal information shall be provided and supplemented with video orientation if feasible. Provision shall be made to provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses:  (a)facility rules including contraband and searches and disciplinary procedures;  (b)facility’s system of positive behavior interventions 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 facility’s policy prohibiting sexual abuse and sexual harassment and how to report incidents or suspicions of sexual abuse or sexual harassment;  (d)identication of key staff and their roles;  (e)the existence of the grievance procedure, the steps 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 court process;  (g)access to routine and emergency health and mental health care;  (h)access to education, religious services, and recreational activities;  (i)housing assignments;  (j)opportunity for personal hygiene and daily showers including the availability of personal care items  (k)rules and access to correspondence, visits and telephone use;  (l)availability of reading materials, programming, and other activities;  (m)facility policies on the use of force, use of restraints, chemical agents and room connement;  (n)immigration legal services;  (o)emergencies including evacuation procedures;  (p)non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by other youth and staff;  (q)availability of services and programs in a language other than English if appropriate;  (r)the process for requesting different housing, education, programming and work assignments;  (s)a process for which parents/guardians receive information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked questions and provides contact information for the facility, medical, school and mental health; and,  (t)a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. Inspector Notes Chapter 4108, Section V Youth Orientation, Rights and, Juvenile Facility Rules (a)through (t) addressed in Chapter 4108 Section V-A, 1-a through 1-t Review of documents indicate the youth are orientated to the facility during the admission process. The youth sign acknowledgment of orientation form and they are also provided a Youth Handbook to keep in their room. A Parent Handbook was also reviewed which is provided to parents/legal guardians with required information. Technical assistance was given to update the Youth Handbook and Parent Handbook to reect their new telephone use policy. In addition, it was advised the Parent Handbook be updated to include information about required notications. The agency is in compliance with the elements of this regulation. §1354 Separation  The facility administrator shall develop and implement written policies and procedures that address:  (a)separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and protective custody.  (b)consideration of positive youth development and trauma-informed care.  (c)separated youth shall not be denied normal privileges available at the facility, except when necessary to accomplish the objective of separation.  (d)when the objective of the separation is discipline, Title 15 Section 1390 shall apply.  (e)when separation results in room connement, the 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 of separated youth to determine if separation remains necessary. Inspector Notes Chapter 4121, Section X (a)Section X-A Medical, Section X-B Close Watch, Section X-C Self Separation, Section X-D Discipline Separation (b)Section X (c)Section X (d)Section X-D (e)Section VIII Room Connement (f)Section X-D, 1 and 2 A review of documents indicates voluntary separation forms are not being consistently completed when youth separate in their sleeping rooms. Per the regulation, the facility administrator shall develop policies and procedures that address the separation of youth. These forms were developed by the agency to document the youth chose to self-separate and were not being conned in their room. When reviewing youth safety check logs, youth were consistently shown in their room outside normal institutional operations and there was inconsistent supporting documentation indicating the reason was self- separation. Furthermore, youth placed on suicide watch were separated in a holding room for a mental health condition for up to two days. Under Section (c), separated youth shall not be denied the normal privileges at the facility, except when necessary to accomplish the objective of separation. All youth placed on suicide watch were denied these privileges as a standard practice and without supporting documentation. The agency is not in compliance with these elements of the regulation. §1354.5 Room Connement  (a)The facility administrator shall develop and implement written policies and procedures addressing the connement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room connement shall be accomplished in accordance with the following guidelines:  (a)(1) Room connement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff.  (a)(2) Room connement shall not be used for the purposes of punishment, coercion, convenience, or retaliation by staff.  (a)(3) Room connement shall not be used to the extent that it compromises the mental and physical health of the youth.  (b) A youth may be held up to four hours in room connement. After the youth has been held in room connement for a period of four hours, staff shall do one or more of the following:  (b)(1) Return the youth to general population.  (b)(2) Consult with mental health or medical staff.  (b)(3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate the youth to general population.  (b)(4) If room connement must be extended beyond four hours, staff shall do each of the following:  (b)(4)(A) Document the reasons for room connement and the basis for the extension, the date and time the youth was rst placed in room connement, and when he or she is eventually released from room connement.  (b)(4)(B) Develop an individualized plan that includes the goals and objectives to be met in order to integrate the youth to general population.  (b)(4)(C) Obtain documented authorization by the facility superintendent or his or her designee every four hours thereafter.  (b)(5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal sleeping hours.  (b)(6) This section does not apply to youth or wards in court holding facilities or adult facilities.  (b)(7) Nothing in this section shall be construed to conict with any law providing greater or additional protections to youth.  (b)(8) This section does not apply during an extraordinary emergency circumstance that requires a signicant 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. (b)(9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and  protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an inrmary 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 inrmary for illness. Inspector Notes Chapter 4121, Section VIII Room Connement (a)(1) through (3) Section VIII II-A through C Guidelines for Room Connement (b)(1) through (3) Section VIII III_A 1 through 3; (b)(4)(A) through (C) Section VIII III-B 1 through 4; (b)(5) Section VIII I-A, 3 and 4; (b)(6) through (b)(9) Section VIII I-A 2, 5, 6 Youth on suicide watch were being placed in holding room for up to two days. Authorizations, case planning and reviews were not being conducted in line with the requirements of WIC 208.3. Additionally, a review of documentation indicates youth are being conned in their rooms for constant misbehavior or for a cool down which is not a sucient justication for the use of room connement. The agency is not in compliance with these elements of the regulation. §1355 Insitutional Assessment and Plan  The facility administrator shall develop and implement written policies and procedures for assessment and case planning.  (a)Assessment: The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and strengths including, but not limited to, identication of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs.  (b)Institutional Case Plan: (1) A case plan shall be developed for each youth held for at least 30 days or more and created within 40 days of admission. Reported on May 26, 2023 by -- --  (b)(2) The institutional plan shall include, but not be limited to, written documentation that provides:  (b)(2)(A) objectives and time frame for the resolution of problems identied in the assessment;  (b)(2)(B) a plan for meeting the objectives that includes a description of program resources needed and individuals responsible for assuring that the plan is implemented;  (b)(3) periodic evaluation of progress towards meeting the objectives, including periodic review and discussion of the plan with the youth;  (b)(4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for post dispositional youth in accordance with Section 1351; and,  (b)(5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, and Regional Center for the Developmentally Disabled. Inspector Notes Section 4132 Institution Assessment and, Case Plan (a)Section II-A and C (b)(1) Section II-A; (b)(2) Section IV-A Initial Case3 Conferencing; (b)(2)(A) and (B) Section III-A; (b)(3) Section III-B; (b)(4) Section D; (b)(5) Section III-C and Section IV-B Re-entry Case Conferencing Review of documents indicates the Institutional Case Plan was not being shared with facility staff. Per Section (b)(1), a case plan shall be developed for each youth being held for at least thirty days. Though agency policy indicates a case plan would be developed utilizing the results of the PACT full assessment, the information was not accessible nor made available to facility staff to ensure that the plan is implemented. The agency is not in compliance with elements of this regulation. §1356 Counseling and Casework Services  The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure:  (a)youth will receive assistance with needs or concerns that may arise;  (b)youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, probation ocer, or other public ocial; and,  (c)youth will be provided access to available resources to meet the youth’s needs. Inspector Notes Chapter 4102, Section IV (a)Section IV-A, 2-a (b)Section IV-A, 2-a (c)Section IV-A, 2-b Per the regulation, the facility shall implement written policies and procedures to ensure appropriate counseling and casework services. Policy indicates the youth will be seen by their assigned counselor on a weekly basis and it will be documented. A review of the case management system indicates this is not being done. §1357 Use of Force  The facility administrator, in cooperation with the responsible physician, shall develop and implement 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:  (a)(1) restricts the use of force to that which is deemed reasonable and necessary, as dened in Section 1302 to ensure the safety and security of youth, staff, others and the facility.  (a)(2) outline the force options available to staff including both physical and non-physical options and dene when those force options are appropriate.  (a)(3) describe force options or techniques that are expressly prohibited by the facility.  (a)(4) describe the requirements of staff to report any inappropriate use of force, and to take armative action to immediately stop it.  (a)(5) dene a standardized reporting format that includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, which include procedures for debrieng 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.  (a)(6) Include an administrative review and a system for investigating unreasonable use of force.  (a)(7) dene the role, notication, and follow-up procedures required after use of force incidents for medical, mental health staff and parents or legal guardians.  (a)(8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222.  (b) Facilities that authorize chemical agents as a force 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.  (b)(2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts have been unsuccessful or are not reasonably possible.  (b)(3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent.  (b)(4) dene the role, notication, and follow-up procedures required after use of force incidents involving chemical agents for medical, mental health staff and parents or legal guardians.  (b)(5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location of use, decontamination procedures applied and identication of any injuries sustained as a result of such use.  (c)Facilities shall develop policies and procedure which require that agencies provide initial and regular training in use of force and chemical agents when appropriate that address:  (c)(1) known medical and behavioral health conditions that would contraindicate certain types of force;  (c)(2) acceptable chemical agents and the methods of application.  (c)(3) signs or symptoms that should result in immediate referral to medical or behavioral health.  (c)(4) instruction on the Constitutional Limitations of Use of Force.  (c)(5) physical training force options that may require the use of perishable skills.  (c)(6) timelines the facility uses to dene regular training. Inspector Notes Elements of this section are met in Chapter 4119 Use of Force and, Chapter 4102. (a)(1) Section II-A; (a)(2) Section III-G, 1 through 7; (a)(3) Section III-H; (a)(4) Section II-C, 5-a; (a)(5) Section IV-E Documentation; (a)(6) Section VI;(a)(7) Section IV-F; (a)(8) Section II and Section IV-D, 7 (b)(1) Section IV-D; (b)(2) Section IV-D, 8 and 9; (b)(3) Section IV-D, 12-a through 12-g; (b)(4) Section IV-F I Medical and Mental Health and 2 Parents or Legal Guardians; (b)(5) Section IV-E, 1 (c)(1) Section II-C, 6; (C)(2) Section II-C, 6-d; (c)(3) Section II-C, 6-d; (c)(4) Section II-D, 6-e and Chapter 4102, Section III-A, 32; (c)(5) Section II-D, 6-e,1 and Chapter 4102 Section III-A, 32; (c)(6) Section II-D, 6-e Documentation is inconsistent or missing for parent/legal guardian, medical, and mental health notications, debrieng of youth and staff, de-escalation efforts, clear warning chemical agents will be used and method of application. Other documentation indicates youth are being left alone in their room after being exposed to chemical agents. Sections (a)(5),(7) and (b)(2-5) outline the elements required which are missing in most use of force and use of force with chemical agents reports. The agency is not in compliance with these elements of the regulation. §1358 Use of Physical Restraints  The facility administrator, in cooperation with the responsible physician and mental health director, shall develop and implement written policies and procedures for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory.  Physical restraints may be used only for those youth 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- inicted 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 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, oor or other xture, including a restraint chair, or through axing 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 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 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 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 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 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 procedures shall address:  (a)documentation of the circumstances leading to an application of restraints.  (b)known medical conditions that would contraindicate certain restraint devices and/or techniques.  (c)acceptable restraint devices.  (d)signs or symptoms which should result in immediate medical/mental health referral.  (e)availability of cardiopulmonary resuscitation equipment.  (f)protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a specied housing area for restrained youth which makes provision to protect the youth from abuse.  (g)provision for hydration and sanitation needs.  (h)exercising of extremities. Inspector Notes Chapter 4120 Use of Restraints Section I Introduction; Section I-B and Section I paragraph 3; Section VIII Restraint Devices for Movement or Transportation; Section I-C, Section IV-A Medical, Section III-A Mental Health; Section II-F (a)Section V Documentation (b)Section II-C (c)Section I-C (e)Section II-H (f)Section II-M (g)Section II-I and J (h)Section II-K The approved restraint devices pertaining to this regulation include handcuffs, leg restraints, waist chains and the Wrap. One incident involving use of restraints resulting in the use of The WRAP was reviewed as the facility rarely uses restraints as outlined in this regulation. Review of documentation and policy and procedure indicates the facility is in compliance with this regulation. §1358.5 Use of Restraint Devices for Movement and Transportation Within the Facility  The Facility Administrator, in cooperation with the 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)identication of acceptable restraint devices, staff approved to utilize restraint devices and the required training.  (b)the circumstances leading to the application of restraints must be documented.  (c)an individual assessment of the need to apply 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, with a clearly dened 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 accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. Inspector Notes Chapter 4120 Restraint Devices for Movement and, Transportation in the Facility (a)Section VIII-A, 1 (b)Section III-A,2 (c)Section VIII-A, 3 (d)Section VIII-A (e)Section VIII-A,4 A review of documentation which included the Use of Force and Restraint form indicates youth were primarily placed in restraints for movement after an incident and the restraints were removed within two minutes. The only devices used for movement are handcuffs and leg restraints. The agency is in compliance with this regulation. §1359 Safety Room Procedures N/A (a)The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: N/A (a)(1) include provisions for administration of necessary nutrition and uids, access to a toilet, and suitable clothing to provide for privacy; N/A (a)(2) provide for approval of the facility manager, or designee, before a youth is placed into a safety room; N/A (a)(3) provide for continuous direct visual supervision and documentation of the youth's behavior and any staff interventions every 15 minutes, with actual time recorded; N/A (a)(4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; N/A (a)(5) provide for immediate medical assessment, where appropriate, or an assessment at the next daily sick call; and, N/A (a)(6) provide a process for documenting the reason for placement, including attempts to use less restrictive means of control, and decisions to continue and end placement. N/A (b)The placement of a youth in the safety room shall be accomplished in accordance with the following: N/A (b)(1) safety room shall not be used before other less restrictive options have been attempted and exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. N/A (b)(2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by staff. N/A (b)(3) safety room shall not be used to the extent that it compromises the mental and physical health of the youth. N/A (c)A youth may be held up to four hours in the safety room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of the following: N/A (c)(1) return the youth to general population. N/A (c)(2) consult with mental health or medical staff, N/A (c)(3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate the youth to general population. N/A (d)If connement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. Inspector Notes This facility does not have a Safety Room. §1360 Searches  The facility administrator shall develop and implement written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that:  (a)Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and staff.  (b)Searches shall be conducted in a manner that 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 searches shall comply with Penal Code Section 4030.  (d)Physical body cavity searches shall only be conducted by a medical professional.  (e)Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specic and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented.  (f)Searches of transgender and intersex youth shall comply with Section 1352.5.  (g)Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when conducted by a medical professional. Such searches must be justied and documented in writing. Inspector Notes Elements of this regulation are met in Chapter 4110 and Section Chapter 4111. (a)Chapter 4111, Section IV Types of Youth Searches, Section VII Room Searches, VIII Facility Searches, Section IX Visitor Searches (b)Chapter 4111, Section I-A (c)Chapter 4111, Section V-A, 2 Strip Searches and Section IV-D Physical Body Cavity Searches (d)Chapter 4111, Section IV-D Physical Body Cavity Searches (e)Chapter 4111, Section V-A, 2 Strip Searches (f)Chapter 4110, Section II-F (g)Chapter 4111, Section IV-B, 2 Post Admission Pat Search and Section V-C, 4 Strip Searches The facility has not conducted any strip searches since the last inspection cycle so no documentation of the Strip Search Authorization Checklist was available for review. Interviews with facility staff indicated a clear understanding of the strip search policy. The facility conducts random room and unit searches and daily perimeter searches. Review of policy and practices indicates compliance with this regulation. §1361 Grievance Procedure  The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to any condition of connement, including but not limited to health care services, classication decisions, program participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on ling grievances. Policies and procedures shall include provisions whereby the facility manager ensures:  (a)a grievance form and instructions for registering a grievance, which includes provisions for the youth to have free access to the form;  (b)the youth shall have the option to condentially le the grievance or to deliver the form to any youth supervision staff working in the facility;  (c)resolution of the grievance at the lowest appropriate staff level;  (d)provision for a prompt review and initial response to grievances within three (3) business days, grievances that relate to health and safety issues must be addressed immediately;  (d)(1) The youth may elect to be present to explain his/her version of the grievance to a person not directly involved in the circumstances which led to the grievance.  (d)(2) Provision for a staff representative approved by the facility administrator to assist the youth.  (e)provision for a written response to the grievance which includes the reasons for the decisions;  (f)a system which provides that any appeal of a 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) business days unless circumstances dictate a longer time frame. The youth shall be notied of any delay; and,  (h)the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment.  Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be addressed and documented in accordance with written policies and procedures within a specied timeframe. Inspector Notes Elements of this regulation are met in Chapter 4122 Youth Grievance Process and 4130 PREA Policy. Chapter 4122, Section I-A Grievance Protocol and Section IX Citizen's Complaint Procedure (a)Chapter 4122, Section I-A, 1 (b)Chapter 4122, Section I-B (c)Chapter 4122, Section I-A, 1-a (d)Chapter 4122, Section I-A, 1-a; (d)(1) Section I-A, 1-a; (d)(2) Section I-A (e)Chapter, 4122, Section I-A, 1-e (f)Chapter 4122, Section I-A, 1-a (g)Chapter 4122, Section I-A, 1-d (h)Chapter 4130 PREA Policy Section IX Citizen's Complaint Procedure Reviewed 55 grievances from July and October 2022 and January of 2023. The grievances mainly involved minor rule violations and loss of incentive privileges. All grievances were handled timely and most were resolved on the same day. Interviews conducted with youth indicated they were all aware of the grievance procedure and those who had led grievances felt they were validated and treated fairly. The documentation reviewed arm the facility is in compliance with this regulation. §1362 Reporting of Incidents  A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. Inspector Notes Chapter 4104, Section III-A and IV The Spillman system is used to document incidents by involved staff and witnesses and reviewed by facility administration. The documentation reviewed arms the facility is in compliance with this regulation. §1363 Use of Reasonable Force to Collect DNA Specimens, Samples, Impresssion  (a)Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace ocers, may employ reasonable force to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request.  (a)(1) For the purpose of this section, the “use of reasonable force” shall be dened 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.  (a)(2) The use of reasonable force shall be preceded by 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 authorization of the supervising ocer on duty. The authorization shall include information that reects the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused.  (b)(1) If the use of reasonable force includes a cell 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. Inspector Notes Chapter 4119, Section V (a)(1) Section V; (a)(2) Section V-A (b)Section V-B; (b)(1) Section V-C The agency does not use force to collect a DNA sample. If the youth refuses to voluntarily cooperate they are returned to court. §1370 Education Program  (a)School Programs The County Board of Education shall provide for the administration and operation of juvenile court schools in conjunction with the Chief Probation Ocer, or designee pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy and procedures to ensure communication and coordination between educators and probation staff. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deciencies, 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 qualied 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 deciency and to fully protect the educational interests of all youth in the facility.  (b)Required Elements 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 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender-nonconforming youth by their preferred name and gender.  (b)(1) The course of study shall comply with the State Education Code and include, but not be limited to, courses required for high school graduation.  (b)(2) Information and preparation for the High School Equivalency Test as approved by the California Department of Education shall be made available to eligible youth.  (b)(3) Youth shall be informed of post-secondary education and vocational opportunities.  (b)(4) Administration of the High School Equivalency Tests as approved by the California Department of Education, shall be made available when possible.  (b)(5) Supplemental instruction shall be afforded to youth who do not demonstrate sucient progress towards grade level standards.  (b)(6) The minimum school day shall be consistent with 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.  (b)(7) Education shall be provided to all youth regardless of classication, housing, security status, disciplinary or separation status, including room connement, 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 (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.  (c)(2) School staff shall be advised of administrative decisions made by probation staff that may affect the educational programming of students.  (c)(3) Except as otherwise provided by the State 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.  (c)(4) The facility administrator, in conjunction with education staff will develop policies and procedures that address the rights of any student who has continuing diculty completing a school day.  (d)Provisions for Special Populations (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 nd, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs.  (d)(2) Youth identied as English Learners (EL) shall be 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 (1) Youth shall be interviewed after admittance and a record  maintained that documents a youth's educational history, including but not limited to:  (e)(1)(A) School progress/school history;  (e)(1)(B) Home Language Survey and the results of the State Test used for English language prociency;  (e)(1)(C) Needs and services of special populations as dened by the State Education Code, including but not limited to, students with special needs.  (e)(1)(D) Discipline problems.  (e)(2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning levels to enable placement in core curriculum courses.  (e)(3) After admission to the facility, a preliminary education plan shall be developed for each youth within ve school days.  (e)(4) Upon enrollment, education staff shall comply with 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 modied as needed. Youth should be informed of the credits they need to graduate.  (f)Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational placement in accordance with the State Education Code.  (f)(2) The County Superintendent of Schools shall 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 (1) The Superintendent of Schools and the Chief Probation Ocer 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 (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. Inspector Notes Chapter 4115 Education Programs (a)Section I and I, I (b)Section I-A; (b)(1) Section I-A, 1-a; (b)(2) Section I-A, 1-b; (b)(3) Section I-A, 1-c; (b)(4) Section I-A, 1-d; (b)(5) Section I-A, 1-e; (b)(6) Section I-A, 1; (b)(7) Section I-A, 4 (c)(1) Section 1-A, 2; (c)(2) Section I-A, 2; (c)(3) Section I-A, 3; (c)(4) Section I-A, 1-f (d)(1) Section I-A, 4; (d)(2) Section I-A, 4 (e)(1) Section I-A, 5; (e)(1)(A) Section I-A, 5-a; (e)(1)(b) Section I-A, 5-b; (e)(1)(c) Section I-A, 5-c; (e)(1)(d) Section I-A, 5-d; (e)(2) Section I-A, 6; (e)(3) Section I-A, 7; (e)(4) Section I-A, 8 (f)(1) Section I-A, 9; (f)(2) Section I-A, 10 (g)(1) Section I-A, 11 (h)(1) Section I-A, 12, Section I-H The facility offers education through JC Montgomery/Kings County Oce of Education for non- graduates. The school also facilitates graduates to enroll in West Hills College and/or Berklee Online Music College. Additionally, students close to graduating may be concurrently enrolled in these college courses. The school has three full time teachers and an RSP teacher who solely focuses on special education students. Required courses are English, ne arts, math, history, PE, and English Language Development. Other graduation requirements are provided by Edgenuity. Students also have the option to enroll in Media Arts/CTE. These classes combine in person instruction by visiting teaching artists and Kings COE consultants and the lessons are supported by on-line project based curriculums. During the inspection classrooms and youth engaging in on-line education services were observed occurring during the school day. The facility is in compliance with this regulation. §1371 Programs, Recreation, and Exercise  The facility administrator shall develop and implement written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area.  Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three hours a day during the week and ve 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 exercise may be suspended only upon a written nding 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 be posted in the living units.  There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and relevant to the population.  (a)Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Ocer or the County Oce 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; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conict 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 Specic 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 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include orientation and may include coaching of youth.  (c)Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity each day.  The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document the reasons why suspension of recreation and programs occurs. Inspector Notes A memo outlining the programming offered was completed by Stacie Sellai, Juvenile Corrections Manager, on October 10, 2022, indicating compliance with this regulation. Chapter 4113 Recreation, Exercise, and Programming (a)Section II-C (b)Paragraph 1 of Chapter 4113 (c)Section II-A, 1 Programs are not being offered in line with Section (a) which requires all youth shall be provided with the opportunity for at least one hour of daily programming. In reviewing documentation, observation and interviews with youth and staff, programming was not conducted or the activities which were documented to be programming were either recreational or exercise. The agency is not in compliance with this area of regulation. §1372 Religious Program  The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for:  (a)opportunity for religious services and practices;  (b)availability of clergy; and,  (c)availability of religious diets. Inspector Notes Chapter 4125 Religious Services (a)Section I-A (b)Section I-G (c)Section E §1373 Work Program  The facility administrator shall develop policies and procedures regarding the fair and consistent assignment 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 Inspector Notes Section 4113, Section II-B Work Program §1374 Visiting  The facility administrator shall develop and implement written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to 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 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 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits.  The facility may provide access to technology as an alternative, but not as a replacement, to in-person visiting. Inspector Notes Chapter 4124 Visitation The facility offers visiting throughout the week. Observed visiting occur during the course of the inspection and reviewed documentation of reports written to advise parents/legal guardians of visiting changes. Interviews with youth indicate visiting occurs as scheduled and has not been cancelled. The facility is in compliance with this regulation. §1375 Correspondence  The facility administrator shall develop and implement written policies and procedures for correspondence which provide that:  (a)there is no limitation on the volume of mail that youth may send or receive;  (b)youth may send two letters per week postage free;  (c)youth may correspond condentially with state and federal courts, any member of the State Bar or holder of public oce, 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 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. Inspector Notes Chapter 4126 Correspondence and Mail (a)Section III-A (b)Section III-E (c)Section II-A (d)Section I-B, 1 and 2 §1376 Telephone Access  The administrator of each juvenile facility shall develop and implement written policies and procedures to provide youth with access to telephone communications. Inspector Notes Chapter 4127 Telephone Policy §1377 Access to Legal Services  The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include:  (a)access, upon request by the youth, to licensed attorneys and their authorized representatives;  (b)provision for condential consultation with attorneys; and,  (c)unlimited postage free, legal correspondence and cost-free telephone access as appropriate. Inspector Notes Chapter 4128 Legal Services and Law Enforcement Access §1390 Discipline  The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use 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;  (b)daily shower, access to drinking fountain, toilet and personal hygiene items, and clean clothing;  (c)full nutrition;  (d)contact with parent or attorney;  (e)exercise;  (f)medical services and counseling;  (g)religious services;  (h)clean and sanitary living conditions;  (i)the right to send and receive mail;  (j)education; and,  (k)rehabilitative programming.  The facility administrator shall establish rules of conduct 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 armatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English prociency, or limited literacy. Inspector Notes Chapter 4121 Behavior Management and Disciplinary Due Process (a)through (k), Section II, G Youth are given a Youth Handbook and sign acknowledgement of receipt upon admission into the facility. Provisions are made by staff If the youth are unable to read or understand the information. Review of policy and procedures indicate the facility is in compliance with this regulation. §1391 Discipline Process  The facility administrator shall develop and implement written policies and procedures for the administration of discipline which shall include, but not be limited to:  (a)designation of personnel authorized to impose discipline for violation of rules;  (b)prohibiting discipline to be delegated to any youth;  (c)denition of major and minor rule violations and their consequences, and due process requirements;  (d)trauma-informed approaches and positive behavior interventions;  (e)minor rule violations may be handled informally by 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 be documented and require the following:  (f)(1) written notice of violation prior to a hearing;  (f)(2) accommodations provided to youth with disabilities, limited literacy, and English language learners;  (f)(3) hearing by a person who is not a party to the incident;  (f)(4) opportunity for the youth to be heard, present evidence and testimony;  (f)(5) provision for youth to be assisted by staff in the hearing process;  (f)(6) provision for administrative review.  (g)violations that result in a removal from camp or commitment program, but not a return to court, will follow the due process provisions in subsection (e) above. Inspector Notes Chapter 4121 Behavior Management and Disciplinary Due Process (a)Section V-C, 3 (b)Section V-C, 3 (c)Section VI and Section VII (d)Section IV and V (e)VI-A, 1-4 (f)(1) Section VII-C, 1-b, 2-a and b; (f)(2) Section VII-C, 3-c; (f)(3) Section V-A; (f)(4) Section VII-C, 3-d; (f) (5)Section VII-C, 3-b; (f)(6) Section VII-C, 5 (g)Section VII-C, 1-b Reviewed 10 disciplinary due process forms for major rule violations which armed the youth are receiving notice and the opportunity to have a hearing and appeal the sanction imposed. The documentation reviewed arms the facility is in compliance with this regulation. §1410 Management of Communicable Diseases  The health administrator/responsible physician, in cooperation with the facility administrator and the local health ocer, shall develop written policies and procedures to address the identication, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to:  (a)Intake health screening procedures;  (b)Identication of relevant symptoms;  (c)Referral for medical evaluation;  (d)Treatment responsibilities during detention;  (e)Coordination with public and private community-based resources for follow-up treatment;  (f)Applicable reporting requirements; and,  (g)Strategies for handling disease outbreaks.  The policies and procedures shall be updated as necessary to reect communicable disease priorities identied by the local health ocer and currently recommended public health interventions. Inspector Notes Chapter 4123 Section VIII-H and I §1433 Requests for Health Care Services (Excerpt)  The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. Inspector Notes Chapter 4123, Section I-A, 1-a Chapter 4123 IX-B Medical Care and Section X Sick Call §1480 Standard Facility Clothing Issue  The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing and footwear specied in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that:  (a)Clothing is clean, reasonably tted, durable, easily laundered, in good repair, and free of holes and tears.  (b)The standard issue of climatically suitable clothing for youth shall consist of but not be limited to:  (b)(1) Socks and serviceable footwear;  (b)(2) Outer garments;  (b)(3) New non-disposable underwear which shall remain with the youth throughout their stay, and;  (b)(4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras.  (c)Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry method approved by the local health ocer.  (d)Suitable clothing is issued to pregnant youth. Inspector Notes Chapter 4114 (a)Section I-A, 1 (b)(1-4) Section I-A 2-a, b, c, and d (c)Section III-D (d)Section I-A, 2-b §1482 Clothing Exchange  The facility administrator shall develop and implement written policies and site-specic procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more 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. Inspector Notes Chapter 4114, Section I-A, 3-5 §1484 Control of Vermin in Youth's Personal Clothing  There shall be written policies and site-specic procedures developed and implemented by the facility administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. Inspector Notes Chapter 4114, Section VI Vermin Control §1485 Issue of Personal Care Items  There shall be written policies and site-specic procedures developed and implemented by the facility administrator for the availability of personal hygiene items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items;  (a)Toothbrush;  (b)Toothpaste;  (c)Soap;  (d)Comb;  (e)Shaving implements;  (f)Deodorant;  (g)Lotion;  (h)Shampoo; and,  (i)Post-shower conditioning hair products.  Youth shall not be required to share any personal care 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. Inspector Notes Chapter 4114, Section V (a)through (i) Section V-A through G Chapter 4114, Section V-E Shaving and Section V Personal Care Items §1486 Personal Hygiene  There shall be written policies and site specic procedures developed and implemented by the facility administrator for showering/bathing and brushing of teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. Inspector Notes Section 4114, Section IV Personal Hygiene §1487 Shaving  Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identication in Court. All youth shall have equal opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. Inspector Notes Chapter 4114, Section V-E §1488 Hair Care Services (Excerpt)  Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. Inspector Notes Chapter 4114, Section IV-B Hair Care Services. §1500 Standard Bedding and Linen Issue  Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, but not be limited to:  (a)One mattress or mattress-pillow combination which meets the requirements of Section 1502 of these regulations;  (b)One pillow and a pillow case unless provided for in (a) above;  (c)One mattress cover and a sheet or two sheets;  (d)One towel; and,  (e)One blanket or more, up on request Inspector Notes Chapter 4114, Section II Bedding §1501 Bedding Linen Exchange  The facility administrator shall develop and implement site specic written policies and procedures for the scheduled exchange of laundered bedding and linen issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week.  The covering blanket shall be cleaned or laundered once a month. Inspector Notes Chapter 4114, Section II Bedding §1510 Facility Sanitation, Safety and Maintenance  The facility administrator shall develop and implement written policies and site-specic 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). Inspector Notes Section 4114, Section VII Juvenile Probation and Camps Funding (JPCF) (Camps Only) N/A The programs/services identied 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 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. WIC 206 Separate Facilities for WIC 300 Minors  Dependent or neglected minors who are dened under Section 300 of the Welfare and Institutions Code (WIC) are held only in non-secure, separate and segregated facilities. Detention of Status Offenders (WIC 601) and Federal Minors N/A Status Offenders (WIC 601) are held in the facility. N/A Status Offenders (WIC 601) are kept separate from Juvenile Delinquents (WIC 602)? (WIC 207[d]). N/A Federal Minors (ICE Holds or ORR Contract) are held in the facility. N/A 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]) N/A 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.) N/A If adult inmates are held, they are appropriately separated from minors. N/A Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7162, 7163 & 7164 FACILITY: Kings County Juvenile Center, Juvenile Center Camp and TYPE: JH, Camp RC: 65 (JH 42) Kings Secure Youth Treatment Facility and SYTF (Camp 16) (SYTF 7) FIELD REPRESENTATIVE: Shay Molennor DATE: April 27, 2023 ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S 100 Unit- Double Pre-97 11 2 2 22 100 Sq. Feet 1 1 1 Max Single 2 2 1 2 92 Sq. Feet 1 1 1 Dayroom 1266 Sq. Ft 4 NOTE: All rooms except 101 and 105 have two beds. Grandfathered under CYA. RC increased in 1999 from 20 to 24 when shower added, and dayroom/classroom expanded. All double and single room are wet rooms. 200 Unit- Double Pre-97 9 2 2 18 100 Sq. Ft. Co-ed SYTF Double Pre-97 7 2 1 7 Dayroom 5 5 5 NOTE: All rooms have 2 beds. Rated up to 24. Grandfathered under CYA. Two small dayrooms between Max Unit and 200 Unit. All rooms are dry rooms. SYTF youth are housed in this unit. 300 Unit- Double Pre-97 6 2 2 12 100 Sq. Feet Camp- Male Double Pre-97 4 2 1 4 88 Sq. Ft Dayroom 3 3 3 3 NOTE: All rooms have 2 beds. Rated up to 16. Grandfathered under CYA. Small dayroom between 200 and 300 Unit to accommodate Camp-Academy youth. Control Rm 1 1998 1 1 (1) (1) 89.79 Sq Ft X X X Rm 2-4 1998 3 1 (1) (3) 89.79 Sq. Ft X X X NOTE: Room 4 used to house youth for mental health acute observation as recommended by medical or behavioral health staff. *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. 7162+ Kings Probation JH CAMP SYTF LASE 23-24 - 1 - J460 LAS JUV-05.dot (rev.12/2022) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018 BSCC Code: 7162, 7163 & 7164 FACILITY NAME: Kings County Juvenile Center, Juvenile Center Camp and Kings FACILITY TYPE: JH, Camp & Secure Youth Facility SYTF 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That X X Apply): FIELD REPRESENTATIVE: Shay Molennor DATE: April 27, 2023 TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.1 Reception/intake admission. In each juvenile hall, space used for the reception of youth pending admission to juvenile hall shall have the following space and equipment: 1. Weapons lockers as specified in Section 1230.2.9; X There is a weapons locker in the Sallyport. 2. A secure room for the confinement of youth pending admission to juvenile hall as specified in Section 1230.1.2; In each juvenile hall, camp and ranch, space used X for the reception of youth pending admission to these facilities shall have the following space and equipment: 3. Access to a shower; X 4. A secure vault or storage space for youth, valuables; X 5. Telephone accessible to youth; and X 6. Access to hot and cold running water for staff use. X 1230.1.2 Locked holding room. A locked holding room shall: 1. Contain a minimum of 15 square feet of floor area There are four locked holding rooms in the X per youth; booking area. 2. Provide no less than 45 square feet of floor space X and have a clear ceiling height of 8 feet or more; 3. Contain seating to accommodate all youth as X specified in Section 1230.2.8; 4. Be equipped with a toilet, wash basin, mirror and drinking fountain unless as specified in Section 1230.2, unless a procedure is in effect to give the X youth access to a toilet, wash basin and drinking fountain; 5. Maximize visual supervision of youth by staff; and X 6. Have an outward swinging or lateral sliding door. X 7162+ Kings Probation JH CAMP SYTF PHY 23-24 - 1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.3 Natural light. Outer-facing exterior windows where youth’s privacy is not at risk shall be provided in locked sleeping rooms, single occupancy sleeping rooms, double occupancy X sleeping rooms, dormitories and dayrooms. Natural light may be provided by, but is not limited to, skylights or windows in dayrooms, windows in adjacent exterior exercise areas, and in sleeping rooms and/or dormitories. 1230.1.4 Corridors X Corridors in living areas shall be at least eight feet wide. 1230.1.5 Living unit. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy X sleeping rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention or X other action if needed. In juvenile halls, the number of youth housed in a living unit shall not exceed 30. 1230.1.6 Locked sleeping rooms. Locked sleeping rooms shall be equipped with an X individual or combination toilet, wash basin, mirror and drinking fountain. Doors to locked sleeping rooms shall swing outward or X slide laterally. 1230.1.7 Single occupancy sleeping rooms. Single occupancy sleeping rooms shall provide the X following: 1. A minimum of 70 square feet of floor area; 2. A minimum ceiling height of eight feet; and, X 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a X minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. X 1230.1.8 Double occupancy sleeping rooms. Double occupancy sleeping rooms shall provide the X following: 1. A minimum of 100 square feet of floor area; 2. A minimum clear ceiling height of 8 feet and a X minimum width of 7 feet; and, 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a X minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. X 7162+ Kings Probation JH CAMP SYTF PHY 23-24 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.9 Dormitories Dormitories shall provide the following: 1. A minimum of 50 square feet of floor area per X youth with the minimum size of a dormitory being 200 square feet of floor area and a minimum 8- foot clear ceiling height; 2. Designed for no fewer than four youth; X 3. Dormitories in juvenile halls shall be designed for X no more than 30 youth; 4. Camps shall conform to Items 1 and 2. X 1230.1.10 Dayrooms Dayrooms shall contain 35 square feet of floor area per X youth, contain tables and seating to accommodate the maximum numbers of youth allowed access at a given time. Access must be provided to toilets, wash basins, drinking fountains and showers as specified in Section X 1230.2. 1230.1.11 Physical activity and recreation areas. Indoor/outdoor physical activity and recreation areas shall be designed as follows: 1. Minimum indoor outdoor recreation space for X facility capacity: 40 or less is 9,000 square feet; 41-274 is 225 square feet per youth up to 61,650 square feet; 275 or more is 61,650 square feet, plus 145 square feet for each youth beyond 274 [up to a maximum of 87,120 square feet] 1.1 At least one quarter of the dedicated indoor/outdoor space shall be a paved or like X surface. 1.2 The required recreation area shall contain no X single dimension less than 40 feet. 2. A portion of the dedicated space for physical activity and recreation shall be out-of-doors and be sufficient size and equipped in such a manner to allow X compliance with Title 15, Section 1371, which requires at least one hour per day of outdoor activity for each detained youth. 3. Lighting of outdoor recreation areas shall be provided to allow for evening activities and to provide X security. 4. Access must be provided to a toilet, wash basin X and drinking fountain as specified in Section 1230.2. 1230.1.12 Academic classrooms. There are two classrooms for youth in units 200 and 300, however, the Max Unit youth There shall be a dedicated classroom space for every X (Unit 100) attend classes in the dayroom. This juvenile in every facility. was allowed when approved by CYA standards pre-1998. The primary purpose for the academic classroom shall X be for education. 7162+ Kings Probation JH CAMP SYTF PHY 23-24 - 3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Each academic classroom shall contain a minimum of 160 square feet of floor space for the teacher’s desk X and work area and a minimum of 28 square feet of floor space per minor. A communication system shall be provided in each classroom to allow for immediate response to X emergencies. The classroom shall be designed for a maximum of 20 X minors. There shall be space available in every juvenile facility that may be used for specialized, one-on-one or small X group educational purposes. 1230.1.13 Safety room. There is no safety room at the facility. A safety room shall: X 1. Contain a minimum of 48 square feet of floor area and a minimum clear ceiling height of 8 feet; 2. Be limited to one youth; X 3. Be padded as specified in Section 1230.2.7; X 4. Provide one or more vertical view panels constructed of security glazing. These view panels shall be no more than 4 inches wide nor less than 24 X inches long, which shall provide a view of the entire room; 5. Provide an audio monitoring system as specified X in Section 1230.1.22; 6. Contain a flushing ring toilet, capable of accepting solid waste, mounted flush with the floor, the controls X for which must be located outside of the room; 7. Be equipped with a variable intensity, security- type lighting fixture with controls located outside the X room; 8. Any wall or ceiling-mounted devices must be designed to prohibit access to the youth occupant; X and, 9. Provide a food pass with lockable shutter, no more than 4 inches high, and located between 26 inches X and 32 inches as measured from the bottom of the food pass to the floor. 1230.1.14 Medical examination room. X There must be a minimum of one suitably equipped medical examination room in every juvenile facility. Medical examination rooms shall provide the following: 1. Space for carrying out routine medical X examinations and emergency care and used for no other purpose; 2. Privacy for youth; X 3. Lockable storage space for medical supplies; X 4. Not less than 144 square feet of floor space with X no single dimension less than 7 feet; 5. Hot and cold running water; X 6. Smooth, nonporous, washable surface; X 7. A medical exam table; and, X 7162+ Kings Probation JH CAMP SYTF PHY 23-24 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 8. Adequate lighting. X 1230.1.15 Pharmaceutical storage. Provide lockable storage space for medical supplies X and pharmaceutical preparations as specified by Title 15, Section 1438. 1230.1.16 Dining areas. Dining areas in juvenile facilities shall contain a X minimum of 15 square feet of floor space and sufficient tables and seating for each person being fed. Persons being fed include youth, staff and visitors. X Dining areas shall not contain toilets or showers in the X same room without appropriate visual barrier. 1230.1.17 Visiting space. Space shall be provided in all juvenile facilities for in- X person visiting which shall be unobstructed by barriers such as, but not limited to, security glazing for mesh. 1230.1.18 Institutional storage. One or more storage rooms shall be provided to X accommodate a minimum of 80 cubic feet of storage space per minor. Items to be stored shall be institutional clothing, X bedding, supplies and activity equipment. 1230.1.19 Personal storage. Each youth in a juvenile facility shall be provided with X a minimum of 9 cubic feet of secure storage space for personal clothing and belongings. 1230.1.20 Safety equipment storage. In all juvenile facilities, a secure area shall be provided X for the storage of safety equipment, such as fire extinguishers, self-contained breathing apparatus, wire and bar cutters, emergency lights, etc. 1230.1.21 Janitorial closet. In all juvenile facilities, at least one securely lockable X janitorial closet, containing a mop sink and sufficient area for the storage of cleaning implements, must be provided within a security area of the facility. 1230.1.22 Audio monitoring system. In safety rooms, locked holding rooms, locked sleeping rooms, single and double occupancy rooms X and dormitories, there must be an audio monitoring system capable of actuation by the minor that alerts personnel. 7162+ Kings Probation JH CAMP SYTF PHY 23-24 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.23 Emergency power. There shall be a source of emergency power in all juvenile facilities capable of providing minimal lighting X in all living units, activities areas, corridors, stairs and central control points, and to maintain fire and life safety, security, communications and alarm systems (Title 24, Part 2, Chapter 27). Such an emergency power source shall conform to the requirements specified in Title, 24, Part 3, Article 700, X California Electrical Code, California Code of Regulations. 1230.1.24 Confidential interview room. X Confidential interview rooms shall contain a minimum of 60 square feet of floor area. In juvenile halls there shall be a minimum of one X suitably furnished interview room for each 30 youth. In camps there shall be a minimum of one suitably X furnished interview room for each facility. This interview room shall provide for confidential X consultations with youth. 1230.1.25 Special-purpose juvenile halls. This is not a Special Purpose Juvenile Hall. Special-purpose juvenile halls shall conform to all X minimum standards for juvenile facilities contained in this section with the following exceptions: 1. Physical activity and recreation areas as specified X in Section 1230.1.11; 2. Academic classrooms as specified in Section X 1230.1.12; 3. Medical examination room as specified in Section X 1230.1.14; and, 4. Dining areas as specified in Section 1230.1.16. X 1230.1.26 Court holding room for youth. This facility does not have a court holding room. A court holding room shall: X 1. Contain a minimum of 10 square feet of floor area per youth; 2. Be limited to no more than 16 youth; X 3. Provide no less than 40 square feet of floor area X and have a ceiling height of 8 feet or more; 4. Contain seating to accommodate all youth as X specified in Section 1230.2.8; 5. Contain a toilet, wash basin and drinking fountain X as specified in Section 1230.2; 6. Maximize visual supervision of youth by staff; and, X 7. A mirror of material appropriate to the level of security shall be provided as specified in Section X 1230.2.11. 1230.1.27 Programs and activity areas. All juvenile facilities shall include adequate space for X specific programs in addition to recreation and exercise areas. 7162+ Kings Probation JH CAMP SYTF PHY 23-24 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.1 Toilets/urinals. All toilet areas shall provide privacy for the youth and X help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Toilets must be available in a ratio to youth as follows: X 1. Juvenile halls 1:6; 2. Camps 1:10; and X 3. Locked holding rooms 1:8: X One toilet and one urinal may be substituted for every X 15 males. 1230.2.2 Wash basins. In living units, wash basins must be available in a ratio X to youth as follows: 1. Juvenile halls 1:6; 2. Camps 1:10; and X 3. Locked holding rooms 1:8: X Wash basis must be provided with hot and cold or X tempered water. 1230.2.3 Drinking fountains. In living areas and indoor and outdoor recreation X areas, drinking fountains must be accessible to youth and to staff. 1. The drinking fountain bubbler shall be on an angle which prevents waste water from flowing over the X drinking bubbler; and, 2. The water flow shall be actuated by a mechanical X means. 1230.2.4 Showers. Shower areas shall provide privacy for the youth and X help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Showers shall be available to all youth on a ratio of at least one shower or bathtub to every six youth. X Showers shall be provided with tempered water. 1230.2.5 Beds. X Beds shall be at least 30 inches wide and 76 inches long and be of the solid bottom type. Beds shall be at least 12 inches off the floor and X spaced no less than 36 inches apart Bunk beds must have no less than 33 inches vertically X between the solid bottoms. In secure facilities, the bunks shall be securely X anchored and flushed against the floor and/or wall. 1230.2.6 Lighting. Lighting in locked sleeping rooms, single occupancy X rooms, double occupancy rooms, dormitories, day rooms and activity areas shall provide not less than 20 foot candles of illumination at desk level. 7162+ Kings Probation JH CAMP SYTF PHY 23-24 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Night lighting is required in these areas to provide for good visibility for supervision and be conducive to X sleep. 1230.2.7 Padding. There is no safety cell at this facility. Padding in safety rooms, padding shall cover the X entire floor, door, walls and everything on walls to a clear height of eight feet. Benches or platforms are not to be placed on the floor X of this room. All padded rooms must be equipped with a tamper resistant fire sprinkler as approved by the State Fire X Marshal. All padding must be: X 1. Approved for use by the State Fire Marshal; 2. Nonporous to facilitate cleaning; X 3. At least 112 inch thick; X 4. Of a unitary or laminated construction to prevent its destruction by teeth, hand tearing or small metal X objects; 5. Firmly bonded to all padded surfaces to prevent X tearing or ripping; and, 6. Without any exposed seams susceptible to tearing X or ripping. 1230.2.8 Seating. X Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is X seating for one person. 1230.2.9 Weapons lockers. Weapons lockers are required in all secure juvenile X facilities and shall be located outside the secure area of the facility. Weapons lockers shall be equipped with individual X compartments, each with an individual locking device. 1230.2.10 Security glazing. Security glazing shall comply with the minimum requirements of one of the following test standards: American Society for Testing and Materials, ASTM F X 1233-98, Class III glass, or; California Department of Corrections, CDC 860-94d, Class C glass or; H.P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. 1230.2.11 Mirrors. A mirror of a material appropriate to the level of X security must be provided near each wash basin specified in these regulations. 7162+ Kings Probation JH CAMP SYTF PHY 23-24 - 8 - J456 PHY 98 01 03 09 14 18 dot