Kings Probation (2023-2024 inspection cycle)

July 16, 2024 Leonard Bakker II, Chief Probation Officer Kings County Probation Department 1400 W. Lacey Boulevard Hanford, CA 93230 2023-2024 TARGETED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, KINGS COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Bakker: A Targeted Inspection of the Kings County Probation Department has been completed. A pre-inspection briefing was held on Wednesday, March 27, 2024, and the following facilities were inspected between Tuesday, June 18, 2024, and Tuesday, June 25, 2024: 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 Title 15, California Code of Regulations. INSPECTION RESULTS We identified the following item(s) of noncompliance with Title 15 Minimum Standards. • Section 1321 Staffing Adequate staff was not available on the graveyard shift. At least one staff member must be present on the living unit when youth are present as required by 1321(e). Staff would leave the youth alone in their assigned unit to complete safety checks on youth housed in the holding rooms in Control and to assist with bookings. • Section 1329 Suicide Prevention Plan The facility policies and procedures were not in alignment with the procedures implemented by WellPath Medical and Mental Health for the supervision of youth on suicide watch. Facility policy and procedures require monitoring of youth with a staggered watch not to exceed ten minutes while youth were placed on 15-minute staggered watch by WellPath. Moreover, several youth on suicide watch were placed in a holding room and not afforded the same programming as other youth not on suicide watch based upon WellPath directives to facility staff. In addition, Leonard Bakker II Chief Probation Officer Page 2 the agency was not communicating with law enforcement and parents/guardians during the intake process as to past or present suicidal ideations, behaviors, or attempts as required by 1329(f)(1). Refer to the attached Procedures Checklist for detailed information. CORRECTIVE ACTION PLAN (CAP) An Initial Inspection Report (IIR) outlining items of noncompliance was provided to your staff on June 26, 2024. Pursuant to Welfare and Institutions Code section 209(d), a CAP must be provided to the BSCC for approval no later than 60 days following the notice of noncompliance in the IIR, which is August 25, 2024. Failure to submit a CAP by August 25, 2024, will result in the facility being deemed unsuitable for the confinement of youth. Upon receipt and approval of your CAP, BSCC staff will follow up with further information regarding the implementation of the corrective action plan and reinspection for compliance. Failure to correct the items of noncompliance within the approved timeframe following CAP approval will result in the county’s appearance before the BSCC Board for a determination of suitability. * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 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* Wendi Dibble, Division Manager/Interim Director (electronic copy) Stacie Sellai, Juvenile Services Manager (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7162+ Kings Probation JH Camp SYTF Targeted LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7162 FACILITY NAME: Kings County Juvenile Center FACILITY TYPE: JH PERSON(S) INTERVIEWED: Wendi Dibble-Probation Division Manager/Interim Director, Stacie Sellai-Juvenile Services Manager, C. Vega-Juvenile Services Officer II, I. Mendoza-Juvenile Services Officer II, C. Bates-Deputy Probation Officer, D. Gonzalez-Deputy Probation Officer, Ignacio Perez-Kings County Job Training Office, Maria Cantu-WellPath Health Services Administrator, Dr. Deanna Mercado WellPath Mental Health Director, male youth ages 16 and 17 FIELD REPRESENTATIVE: Shay Molennor DATE: June 18-20 and 25th, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Chapter 4112, Section I(E) Supervision of Youth Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staffs for their JH, Camp, and carry out the overall facility operation and its SYTF, which are on the same campus. The programming, to provide for safety and security of youth combined population was 14 on the last day of and staff, and meet established standards and the inspection. regulations; Population numbers: • JH - 9 • Camp - 1 • SYTF - 4 Reviewed facility organization chart, 23-24 budgeted positions, April through December 2023 and January through June 2024 staffing schedules, and March 2024 staffing assignments. The agency has the following ☐ ☒ ☐ filled positions: • 1 Deputy Chief • 1 Juvenile Services Manager • 4 Supervising Juvenile Services Officer • 7 Senior Juvenile Services Officer • 23 Juvenile Services Officer • 2 JSO Extra Help • 2 Support staff Currently, 11 of the filled positions are out on leave status or on light duty and unable to work with youth. In addition, the agency has one Supervising, one Senior, 19 Juvenile Services Officers, and three support clerk vacancies. Deputy Probation Officers with facility-specific training are eligible to work overtime to help provide coverage. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 1 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Though staffing levels are critically low, a review of documentation and interviews with youth and staff substantiate that required services and operations on the morning or afternoon shifts are being completed. Due to limited staffing levels on the graveyard shift, youth were being left alone in the unit while the assigned staff would leave to assist with bookings and safety checks of youth sleeping in the holding room at Control. As such, the agency is noncompliant with this regulation. (b) ensure that no required services shall be denied Chapter 4112, Section I(F) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Chapter 4112, Section I(A) ensure adequate supervision of all staff members; The agency currently has eight of their 11 supervisory staff out on various types of leave status. In the absence of a supervisor, a ☒ ☐ ☐ juvenile services officer will be designated as a lead officer. Though compliant, this lack of experienced supervisory oversight has an impact on the quality of documentation and adherence to procedures. (d) have a clearly identified person on duty at all times Chapter 4112, Section I(A) who is responsible for operations and activities and has ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Chapter 4112, Section I(B)(1) unit whenever there are youth in the living unit; Due to the limited number of staff on the graveyard shift, a staff member would leave their assigned unit to assist with bookings and safety checks of youth sleeping in the holding ☐ ☒ ☐ rooms at Control. An officer from the adjacent unit would cover the safety checks while the officer was assisting with these other duties. Ultimately, no staff would be on the living unit while they were attending to these other duties. (f) have sufficient food service personnel relative to the Chapter 4112, Section I(C) number and security of living units, including staff qualified and available to: plan menus meeting nutritional Kings County Jail provides food services to the requirements of youth; provide kitchen supervision; direct facility. Meals are prepared at the jail and ☒ ☐ ☐ food preparation and servings; conduct related training transported to the facility and served to youth programs for culinary staff; and maintain necessary by jail staff. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7162 Kings Juvenile Center Targeted PRO 23-24 Page 2 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, Chapter 4112, Section I(C-D) medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the agency provides an adequate level and to ensure that youth supervision staff shall not be of staff to operate booking, transportation, diverted from supervising youth; and, laundry, janitorial, groundskeeping, and clerical services to maintain compliance. ☒ ☐ ☐ WellPath provides medical coverage 7 days a week from 6:00 a.m. to 6:30 p.m. After hours on-call services are provided. WellPath provides forty hours of mental health coverage Monday through Friday. After hours and weekend on-call services are available. (h) assign sufficient youth supervision staff to provide Chapter 4112, Section I(E) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Chapter 4112, Section II(G)(1) (A) during the hours that youth are awake, one ☒ ☐ ☐ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their Chapter 4112, Section II(G)(2) room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Chapter 4112, Section I(G)(3) members on duty at all times, regardless of the number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on Chapter 4112, Section II(G)(3) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Chapter 4112, Section I(C) duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, 7162 Kings Juvenile Center Targeted PRO 23-24 Page 3 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps The facility is not a Camp. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☐ ☐ ☒ arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1328 SAFETY CHECKS Chapter 4112, Section II(H)(2-4) The facility administrator shall develop and implement The agency records their safety checks in a policy and procedures that provide for direct visual notebook which also records movement and observation of youth at a minimum of every 15 minutes, activities occurring in the unit. Reviewed logs at random or varied intervals during hours when youth encompassing dates in October and are asleep or when youth are in their rooms, confined in December 2023 and February 2024. The holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ safety checks are conducted at random and Supervision is not replaced, but may be supplemented varied intervals. As the entries are by, an audio/visual electronic surveillance system handwritten, BSCC staff provided a designed to detect overt, aggressive or assaultive recommendation to the agency to ensure behavior and to summon aid in emergencies. All safety supervisors are auditing regularly and holding checks shall be documented with the actual time the staff to a standard of legible entries. The facility check is completed. is in compliance with this regulation. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 4 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Chapter 4109 Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, The facility policies and procedures are not in shall plan and implement written policies and alignment with the procedures implemented procedures which delineate a Suicide Prevention Plan. by WellPath Medical and Mental Health for The plan shall consider the needs of youth experiencing the supervision of youth on suicide watch. past or current trauma. Suicide prevention responses Facility policy and procedures require shall be respectful and in the least invasive manner monitoring of youth with a staggered watch consistent with the level of suicide risk. The plan shall not to exceed ten minutes while youth are include the following elements: placed on 15-minute staggered watch by WellPath. In addition, several youth on suicide watch were placed in a holding room and not afforded the same programming as other youth not on suicide watch based upon WellPath directives. In some cases, ☐ ☒ ☐ monitoring forms provided to staff would indicate the youth was to have regular programming but the same form would require youth to be held in the holding room. Furthermore, several of the reports reviewed indicated facility and WellPath staff were inconsistent with following established policy and procedures. Another area of concern is the ongoing supervision of youth once removed from the holding room. Regardless of acuity, youth are removed from safety watches by mental health without any instructions for follow-up monitoring by facility staff. Precautionary continuity of care monitoring of youth by facility staff are non- existent. (a) Suicide prevention training as required in Section Suicide Prevention Training 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. ☒ ☐ ☐ Facility staff were provided Suicide Prevention Training in September 2023 to review the agency’s updated policy and procedures. (b) Screening, Identification Assessment and Screenings, Identification, Assessment and Precautionary Protocols Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake (a) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the (b) intake screening process to be at risk of suicide shall ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to (d) ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Referral Process to Behavioral/Mental Health ☒ ☐ ☐ assessment and/or services. Staff for Assessment and Services (d) Procedures for monitoring of youth identified at risk Procedures for Monitoring Youth Identified at for suicide. ☒ ☐ ☐ Risk of Suicide 7162 Kings Juvenile Center Targeted PRO 23-24 Page 5 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Safety Interventions Procedures for Monitoring Youth Identified at (1) Procedures to address intervention protocols for Risk of Suicide youth identified at risk for suicide which may ☒ ☐ ☐ include, but are not limited to: (A) Housing consideration (B) Treatment strategies including trauma- Safety Interventions ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff how Safety Interventions ☒ ☐ ☐ to respond to youth who exhibit suicidal behaviors. (f) Communication Screenings, Identification, Assessment and (1) The intake process shall include communication Precautionary Protocols (c) with the arresting officer and family guardians regarding the youth’s past or present suicidal In a review of intake forms, the agency was not ideations, behaviors or attempts. documenting the communication with law ☐ ☒ ☐ enforcement and parents/guardians about the youth’s past or present suicidal ideation, behaviors, or attempts. The section of the form to record this information was either left blank or not fully completed. (2) Procedures for clear and current information Communication sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Critical Incident Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Critical Incident Debriefing (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ Critical Incident Debriefing (h) Documentation Documentation (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Referral Process to Behavioral/Mental Health opportunity to participate in facility programs, services Staff for Assessment and Services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1354 SEPARATION Chapter 4121, Section X Separation The facility administrator shall develop and implement Reviewed 15 instances in which the youth written policies and procedures that address: chose to self-separate. These were documented on a voluntary self-separation form, which the youth are required to sign. In addition, the facility documents the separation ☒ ☐ ☐ in the safety check log and in the unit log. The majority were for wanting to sleep in, in lieu of breakfast or early morning large muscle exercise. The agency is in compliance with this regulation. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 6 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) separation of youth for reasons that include, but are Chapter 4121, Section X( A-D) not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and Reviewed four observation logs of medical protective custody. separations, three of which involved youth under the influence and one for illness. ☒ ☐ ☐ One mental health separation reviewed did not involve a youth being placed on room confinement. This youth was placed under direct visual supervision in the visiting room until cleared by mental health. (b) consideration of positive youth development and Chapter 4121, Section X ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal privileges Chapter 4121, Section X available at the facility, except when necessary to ☒ ☐ ☐ accomplish the objective of separation. (d) when the objective of the separation is discipline, Chapter 4121, Section X(D) ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the Section VIII Room Confinement separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review of Section X(D)(1-2) separated youth to determine if separation remains necessary. ☒ ☐ ☐ Facility administration is cognizant of the requirement to ensure a daily review of separation. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 7 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Chapter 4121, Section VIII Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing Reviewed four instances of room confinement the confinement of youth in their room that are consistent which consisted of documentation outlined in with Welfare and Institutions Code Section 208.3. The the special incident report and observation log. placement of a youth in room confinement shall be One incident involved a fight, one involved accomplished in accordance with the following assaultive behavior, and two involved a safety guidelines: and security threat. All were reintegrated in less than four hours. Reviewed seven instances in which youth were placed in the holding room for suicidal statements or behavior. In all instances, the youth were reintegrated in less than four hours, though four involved being held overnight for during sleeping hours. Interviewed two youth, one of which had been ☒ ☐ ☐ on room confinement for causing a safety and security issue. He indicated he was able to come out when he felt he was ready. The other youth interviewed reported youth are placed on room confinement only for instances involving fighting or acting unsafe. Provided agency with technical assistance to ensure documentation is consistently filled out and routinely audited for required documentation. In addition, discussed with agency separating the safety check from the observation log and formalizing a process of ensuring the youth are ready for reintegration through conflict resolution and tools to address their thinking. The agency is in compliance with this regulation. (1) Room confinement shall not be used before other, Chapter 4121, Section VIII(II)(A) Guidelines less restrictive, options have been attempted and for Room Confinement exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. Observation logs of youth placed in the holding room for suicidal statements or behavior were ☒ ☐ ☐ reviewed. Discussed with facility and WellPath medical and mental health administration that if lesser restrictive options are available, these are to be utilized in lieu of room confinement as this is required to be in compliance with Section 1329. (2) Room confinement shall not be used for the Chapter 4121, Section VIII(II)(B) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Chapter 4121, Section VIII(II)(C) that it compromises the mental and physical health of ☒ ☐ ☐ the youth. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 8 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) A youth may be held up to four hours in room Chapter 4121, Section VIII(III) Use of Room confinement. After the youth has been held in room Confinement ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Chapter 4121, Section VIII(III)(A)(1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Chapter 4121, Section VIII(III)(A)(2) (3) Develop an individualized plan that includes the Chapter 4121, Section VIII(III)(A)(3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Chapter 4121, Section VIII(III)(B)(3) four hours, staff shall do each of the following: (A) Document the reasons for room confinement None of the room confinements lasted longer and the basis for the extension, the date and time ☒ ☐ ☐ than four hours. the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Chapter 4121, Section VIII(III)(B)(4) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Chapter 4121, Section VIII(III)(B)(2) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Chapter 4121, Section VIII(I)(A)(3-4) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in Chapter 4121, Section VIII(I)(A)(2) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Chapter 4121, Section VIII Room conflict with any law providing greater or additional ☒ ☐ ☐ Confinement protections to youth. (8) This section does not apply during an Chapter 4121, Section VIII(I)(A)(6) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Chapter 4121, Section VIII(I)(A)(5) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 9 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN Chapter 4132 Institution Assessment and Case Plan The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: Chapter 4132, Section II(A),(C) The assessment is based on information collected during the admission process with periodic review, which The agency utilizes the Positive Achievement includes the youth's risk factors, needs and strengths Change Tool (PACT) for assessment and including, but not limited to, identification of substance development of the institution case plan which abuse history, educational, vocational, counseling, is completed by the agency’s assigned behavioral health, consideration of known history of Transitional Probation Officer. A full trauma, and family strengths and needs. ☒ ☐ ☐ assessment utilizing the PACT will determine the youth’s criminogenic needs and risk factors to develop the case plan. A copy of the case plan is placed in the youth’s institutional file. The agency is in compliance with this regulation. (b) Institutional Case Plan: Chapter 4132, Section II(A) (1) A case plan shall be developed for each youth held for at least 30 days or more and created within ☒ ☐ ☐ Documentation reviewed affirms all youth who 40 days of admission. have been in the facility for over thirty days have had an initial case plan completed. (2) The institutional plan shall include, but not be Chapter 4132, Section IV(A) Initial Case limited to, written documentation that provides: Conferencing ☒ ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; (B) a plan for meeting the objectives that includes Chapter 4132, Section III(B) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Chapter 4132, Section III(B) the objectives, including periodic review and discussion of the plan with the youth; Facility policy requires a periodic review every 90 days. All the PACT case plans reviewed were reassessed within six months and not within 90 days. This policy conflicts with the overall agency policy which requires a ☒ ☐ ☐ reassessment using the PACT every six months. Discussed with facility administration regarding developing a procedure for the youth’s assigned counselor to document a review of the youth’s progress toward meeting goals and objectives every 90 days after the completion of the initial full PACT assessment and reassessment. (4) a transition plan, the contents of which shall be Chapter 4132, Section III(D) subject to existing resources, shall be developed for post dispositional youth in accordance with Section A pre-release case conference is held before ☒ ☐ ☐ 1351; and, a youth’s release. The Transitional Probation Officer will finalize the case plan for re-entry into the community. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 10 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) in as much as possible and if appropriate, the Chapter 4132, Section III(C) plan, including the transition plan, shall be developed Chapter 4132 Section IV Re-entry and Case with input from the family, supportive adults, youth, ☒ ☐ ☐ Planning and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Chapter 4102, Section IV(A)(2)(a) The facility administrator shall develop and implement Reviewed 15 electronic entries in the agency’s written policies and procedures ensuring the availability case management system which document of appropriate counseling and casework services for all staff assisting youth with their concerns or youth. Policies and procedures shall ensure: issues within the facility. Facility policy requires (a) youth will receive assistance with needs or concerns staff to meet with assigned youth weekly and that may arise; document. Provided agency with technical ☒ ☐ ☐ assistance to align their policy with periodic reviews outlined in their initial assessment and case plan which would have the assigned counselor supporting the youth’s progress toward meeting goals and objectives without the demand of weekly documentation. The agency is in compliance with this regulation. (b) youth will receive assistance in requesting contact Chapter 4102, Section IV(A)(2)(a) with parents, other supportive adults, attorney, clergy, probation officer, or other public official; and, ☒ ☐ ☐ Request to Speak forms are located in the housing unit dayroom for youth to utilize for whom they want to contact. (c) youth will be provided access to available resources Chapter 4102, Section IV(A)(2)(b) ☒ ☐ ☐ to meet the youth’s needs. 1357 USE OF FORCE Chapter 4119 Use of Force Chapter 4119, Section II(C)(4) The facility administrator, in cooperation with the responsible physician, shall develop and implement Reviewed 11 Use of Force incidents which written policies and procedures for the use of force, consisted of documentation contained in which may include chemical agents. Force shall never incident reports and Use of Force reporting be applied as punishment, discipline, retaliation or ☒ ☐ ☐ forms. The incidents involved youth engaging treatment. in fights, assaults on other youth, and (a) At a minimum, each facility shall develop policies and aggressive/threatening behavior. procedures which: The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Chapter 4119, Section II(A) reasonable and necessary, as defined in Section 1302 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Chapter 4119, Section III(G)(1-7) both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Chapter 4119, Section III(H) ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Chapter 4119, Section II(C)(5)(a) inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 11 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that Chapter 4119, Section IV(E) Documentation includes time period and procedure for documenting and reporting the use of force, including reporting The agency has provided their staff with requirements of management and line staff and additional written procedures to assist staff in procedures for reviewing and tracking use of force documenting components of this regulation. incidents by supervisory and or management staff, ☒ ☐ ☐ Special incident reports reviewed have which include procedures for debriefing a particular improved since the last comprehensive incident with staff and/or youth for the purposes of inspection. training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Chapter 4119, Section IV(G) Administrative ☒ ☐ ☐ investigating unreasonable use of force. Review (7) define the role, notification, and follow-up Chapter 4119, Section IV(F)(1) Medical and procedures required after use of force incidents for Mental Health Notification medical, mental health staff and parents or legal Chapter 4119, Section IV(F)(4) Parent or Legal guardians. Guardian Notification The documentation reviewed supports compliance with required notifications. ☒ ☐ ☐ Medical staff are notified and respond to the living unit to provide clearance or direct follow- up care. If mental health staff are onsite, they are contacted, if not a mental health referral is completed. Parent/guardians are contacted by telephone. This information is noted on the Use of Force form and incident report. (8) describe the limitations of use of force on pregnant Chapter 4119, Section II(C)(7) youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ Chapter 4119, Section III(I) and Welfare and Institutions Code Section 222. Chapter 4119, Section IV(D)(7) (b) Facilities that authorize chemical agents as a force Chapter 4119, Section IV(D)(8-9) option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize ☒ ☐ ☐ chemical agents in the facility and the type, size and the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when Chapter 4119, Section IV(D)(1) there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts Five of the 11 Use of Force reports reviewed have been unsuccessful or are not reasonably involved the use of chemical agents. Staff possible. documented warnings and attempts to de- escalate. ☒ ☐ ☐ Interview with youth who have been involved in Use of Force Incidents or witnessed Use of Force incidents involving chemical agents indicates staff give directions to stop and announce “Cover”, which is used to direct youth to assume a position on their stomach as a response to an emergency or incident which may result in use of force. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 12 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) outline the facility’s approved methods and Chapter 4119, Section IV(D)(12)(a-g) timelines for decontamination from chemical agents. This shall include that youth who have been exposed The agency has recently begun providing to chemical agents shall not be left unattended until irritant wipes in addition to showering as part that youth is fully decontaminated or is no longer ☒ ☐ ☐ of the decontamination process. A youth who suffering the effects of the chemical agent. had been involved in an incident involving chemical agents reported he was taken directly to the shower and remained until he was ready to come out. (4) define the role, notification, and follow-up Section 4119, Section IV(F)(1) Medical and procedures required after use of force incidents Mental Health Notification involving chemical agents for medical, mental health Chapter 4119, Section IV(F)(4) Parents or staff and parents or legal guardians. Guardian Notification The documentation reviewed supports compliance with required notifications. ☒ ☐ ☐ Medical staff are notified and respond to the living unit to provide clearance or direct follow- up care. If mental health staff are onsite, they are contacted, if not a mental health referral is completed. Parent/guardians are contacted by telephone. This information is noted on the Use of Force form and incident report. (5) provide for the documentation of each incident of Chapter 4119, Section IV(E)(1) use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Chapter 4119, Section II(C)(6) Training require that agencies provide initial and regular training Chapter 4119, Section II(C)(6)(d) in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Chapter 4119, Section IV(D)(10-11) ☒ ☐ ☐ application. (3) signs or symptoms that should result in immediate Chapter 4119, Section II(C)(6)(d) ☒ ☐ ☐ referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Use Chapter 4119, Section II(C)(6)(e) ☒ ☐ ☐ of Force. (5) physical training force options that may require Chapter 4119, Section II(C)(6) ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Chapter 4119, Section II(C)(6)(e) ☒ ☐ ☐ training. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 13 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE Chapter 4122, Youth Grievance Procedure Chapter 4122, Section I(A) Grievance Protocol The facility administrator shall develop and implement written policies and procedures whereby any youth may Reviewed 33 grievances from October and appeal and have resolved grievances relating to any December 2023 and February 2024. In condition of confinement, including but not limited to addition, reviewed the 2023 and 2024 health care services, classification decisions, program grievance log. Twenty involved discipline for participation, telephone, mail or visiting procedures, minor rule violations. Other grievances food, clothing, bedding, mistreatment, harassment or ☒ ☐ ☐ pertained to visiting, telephone, housing, and violations of the nondiscrimination policy. There shall be staff issues. Provided technical assistance to no time limit on filing grievances. Policies and separately track the grievances between the procedures shall include provisions whereby the facility three facilities and routinely audit the manager ensures: grievance tracking log. The agency is in compliance with this regulation. (a) a grievance form and instructions for registering a Chapter 4122, Section I(A)(1) grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; BSCC staff observed grievance forms accessible to the youth in the living unit. (b) the youth shall have the option to confidentially file Chapter 4122, Section I(B) the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ Youth interviewed were aware of the grievance procedure, had free access to the forms, and were able to file confidentially. (c) resolution of the grievance at the lowest appropriate Chapter 4122, Section I(A)(1)(a) ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to Chapter 4122, Section I(A)(a) grievances within three (3) business days, grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Chapter 4122, Section I(A)(1)(a) his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Chapter 4122, Section I(A) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Chapter 4122, Section I(A)(1)(e) ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a Chapter 4122, Section I(A)(1)(d) 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) Chapter 4122, Section I(A)(1)(d) business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, All grievances reviewed were resolved within the required timeframe. (h) the policy shall provide multiple internal and external Chapter 4130, Zero Tolerance of Sexual ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Abuse, Assault and Harassment Whether or not associated with a grievance, concerns of Chapter 4121, Section IX Citizen’s Complaint parents, guardians, staff or other parties shall be Procedure ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 14 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 4113 Recreation, Exercise and Programming Activities The facility administrator shall develop and implement written policies and procedures for programs, recreation, Reviewed 2023 and 2024 daily programming and exercise for all youth. The intent is to minimize the ☒ ☐ ☐ tracking forms, monthly programming amount of time youth are in their rooms or their bed area. schedules, and unit logs. The documentation reviewed affirms compliance with this regulation. Juvenile facilities shall provide the opportunity for Chapter 4113, paragraph 1 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Chapter 4113, paragraph 1 exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Chapter 4113, paragraph 1 be posted in the living units. ☒ ☐ ☐ Facility program schedule is posted in the living units. There will be a written annual review of the programs, Chapter 4113, Section I(D) recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and A memorandum dated October 10, 2023, by relevant to the population. Stacie Sellai, Juvenile Services Manager, ☒ ☐ ☐ outlined programming available to youth. Provided technical assistance to clarify recreation and exercise opportunities available to the youth. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 15 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the Chapter 4113, Section II(C)(1)(a-n) opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, A Juvenile Services Officer is dedicated to evidence-based, best practice interventions that are providing programming. A Deputy Probation culturally relevant and linguistically appropriate, or pro- Officer works in collaboration part-time to social interventions and activities designed to reduce ensure all youth receive one hour of daily recidivism. These programs should be based on the programming. The two staff facilitate Forward youth’s individual needs as required by Sections 1355 Thinking, Moral Reconation, a welding and 1356. Such programs may be provided under the simulator, and daily structured programming direction of the Chief Probation Officer or the County as outlined in this regulation. It is noted the Office of Education and can be administered by county agency conducted a youth survey in June partners such as mental health agencies, community 2024. The youth had multiple positive based organizations, faith-based organizations or comments in support of the staff dedicated to Probation staff. providing programming and topics offered. Programs may include but are not limited to: Interviews with youth substantiate (1) Cognitive Behavior Interventions; programming is offered on a daily basis. (2) Management of Stress and Trauma; (3) Anger Management; Kings County Office of Education provides (4) Conflict Resolution; career technical education, EdCorps, Urbanist (5) Juvenile Justice System; Collective, Fresno Skate Skateboard Salvage, (6) Trauma-related interventions; ☒ ☐ ☐ The Beat Within, and Tachi Tribe. Fresno State (7) Victim Awareness; University provides the Prison Education (8) Self-Improvement; Project. In addition, Kings County Job Training (9) Parenting Skills and support; Office provides career readiness and (10) Tolerance and Diversity; vocational training. (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; WellPath Mental Health provides group (13) Gender Specific Programming; services to selected youth. (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; The dedicated programming staff consistently (16) Restorative Justice or Civic Engagement; document services provided to ensure (17) Career and leadership opportunities; and, compliance with this regulation. Provided (18) Other topics suitable to the youth population. technical assistance to ensure, in their absence, staff who lead programming consistently document with the same diligence. In addition, recommended to agency to track services provided by collaborative partners. The agency is in compliance with this regulation. (b) Recreation. All youth shall be provided the opportunity Chapter 4113, paragraph 1 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Recreational activities include video, board entertainment. Activities shall be supervised and include and card games, television, telephone, library, ☒ ☐ ☐ orientation and may include coaching of youth. letter writing, journaling, corn hole, and gardening. Interviews with youth indicate they have the opportunity to choose their recreational activity. (c) Exercise. All youth shall be provided with the Chapter 4113, Section II(A)(1) opportunity for at least one hour of large muscle activity ☒ ☐ ☐ each day. Interviews with youth indicate they receive daily large muscle activity. The administrator/manager may suspend, for a period not Chapter 4113, paragraph 1 to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7162 Kings Juvenile Center Targeted PRO 23-24 Page 16 of 16 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7163 FACILITY NAME: Kings County Juvenile Center Camp FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Wendi Dibble-Probation Division Manager/Interim Director, Stacie Sellai-Juvenile Services Manager, C. Vega-Juvenile Services Officer II, I. Mendoza-Juvenile Services Officer II, C. Bates-Deputy Probation Officer, D. Gonzalez-Deputy Probation Officer, Ignacio Perez-Kings County Job Training Office, Maria Cantu-WellPath Health Services Administrator, Dr. Deanna Mercado WellPath Mental Health Director, male youth age 15 FIELD REPRESENTATIVE: Shay Molennor DATE: June 18-20 and 25th, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Chapter 4112, Section I(E) Supervision of Youth Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staffs for their JH, Camp, and carry out the overall facility operation and its SYTF, which are on the same campus. The programming, to provide for safety and security of youth combined population was 14 on the last day of and staff, and meet established standards and the inspection. regulations; Population numbers: • JH - 9 • Camp - 1 • SYTF - 4 Reviewed facility organization chart, 23/24 budgeted positions, April through December 2023 and January through June 2024 staffing schedules, and March 2024 staffing assignments. The agency has the following ☐ ☒ ☐ filled positions: • 1 Deputy Chief • 1 Juvenile Services Manager • 4 Supervising Juvenile Services Officer • 7 Senior Juvenile Services Officer • 23 Juvenile Services Officer • 2 JSO Extra Help • 2 Support staff Currently, 11 of the filled positions are out on leave status or on light duty and unable to work with youth. In addition, the agency has one Supervising, one Senior, 19 Juvenile Services Officers, and three support clerk vacancies. Deputy Probation Officers with facility-specific training are eligible to work overtime to help provide coverage. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7163 Kings Camp Targeted 2024 Page 1 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Though staffing levels are critically low, a review of documentation and interviews with youth and staff substantiate that required services and operations on the morning or afternoon shifts are being completed. Due to limited staffing levels on the graveyard shift, youth were being left alone in the unit while the assigned staff would leave to assist with bookings and safety checks of youth sleeping in the holding room at Control. As such, the agency is noncompliant with this regulation. (b) ensure that no required services shall be denied Chapter 4112, Section I(F) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Chapter 4112, Section I(A) ensure adequate supervision of all staff members; The agency currently has eight of their 11 supervisory staff out on various types of leave status. In the absence of a supervisor, a ☒ ☐ ☐ juvenile services officer will be designated as a lead officer. Though compliant, this lack of experienced supervisory oversight has an impact on the quality of documentation and adherence to procedures. (d) have a clearly identified person on duty at all times Chapter 4112, Section I(A) who is responsible for operations and activities and has ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Chapter 4112, Section I(B)(1) unit whenever there are youth in the living unit; Due to the limited number of staff on the graveyard shift, a staff member would leave their assigned unit to assist with bookings and safety checks of youth sleeping in the holding ☐ ☒ ☐ rooms at Control. An officer from the adjacent unit would cover the safety checks while the officer was assisting with these other duties. Ultimately, no staff would be on the living unit while they were attending to these other duties. (f) have sufficient food service personnel relative to the Chapter 4112, Section I(C) number and security of living units, including staff qualified and available to: plan menus meeting nutritional Kings County Jail provides food services to the requirements of youth; provide kitchen supervision; direct facility. Meals are prepared at the jail and ☒ ☐ ☐ food preparation and servings; conduct related training transported to the facility and served to youth programs for culinary staff; and maintain necessary by jail staff. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7163 Kings Camp Targeted 2024 Page 2 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, Chapter 4112, Section I(C-D) medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the agency provides an adequate level and to ensure that youth supervision staff shall not be of staff to operate booking, transportation, diverted from supervising youth; and, laundry, janitorial, groundskeeping, and clerical services to maintain compliance. Kings County Public Works provides ☒ ☐ ☐ maintenance services. WellPath provides medical coverage 7 days a week from 6:00 a.m. to 6:30 p.m. After hours on-call services are provided. WellPath provides forty hours of mental health coverage Monday through Friday. After hours and weekend on-call services are available. (h) assign sufficient youth supervision staff to provide Chapter 4112, Section I(E) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls The facility is not a Juvenile Hall. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; 7163 Kings Camp Targeted 2024 Page 3 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Chapter 4112, Section II(G)(1) (A) during the hours that youth are awake, one ☒ ☐ ☐ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their Chapter 4112, Section II(G)(2) room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff Chapter 4112, Section I(G)(3) members on duty at all times, regardless of the number of youth in residence, unless ☒ ☐ ☐ arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on Chapter 4112, Section II(G)(3) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio Chapter 4112, Section I(G) required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☒ ☐ ☐ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other Chapter 4112, Section I(C) duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 7163 Kings Camp Targeted 2024 Page 4 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Chapter 4112, Section II(H)(2-4) The facility administrator shall develop and implement The agency records their safety checks in a policy and procedures that provide for direct visual notebook which also records movement and observation of youth at a minimum of every 15 minutes, activities occurring in the unit. Reviewed logs at random or varied intervals during hours when youth encompassing dates in October and are asleep or when youth are in their rooms, confined in December 2023 and February 2024. The holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ safety checks are conducted at random and Supervision is not replaced, but may be supplemented varied intervals. As the entries are by, an audio/visual electronic surveillance system handwritten, BSCC staff provided a designed to detect overt, aggressive or assaultive recommendation to the agency to ensure behavior and to summon aid in emergencies. All safety supervisors are auditing regularly and holding checks shall be documented with the actual time the staff to a standard of legible entries. The facility check is completed. is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN Chapter 4109 Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, The facility policies and procedures are not in shall plan and implement written policies and alignment with the procedures implemented procedures which delineate a Suicide Prevention Plan. by WellPath Medical and Mental Health for The plan shall consider the needs of youth experiencing the supervision of youth on suicide watch. past or current trauma. Suicide prevention responses Facility policy and procedures require shall be respectful and in the least invasive manner monitoring of youth with a staggered watch consistent with the level of suicide risk. The plan shall not to exceed ten minutes while youth are include the following elements: placed on 15-minute staggered watch by WellPath. In addition, several youth on suicide watch were placed in a holding room and not afforded the same programming as other youth not on suicide watch based upon WellPath directives. In some cases, ☐ ☒ ☐ monitoring forms provided to staff would indicate the youth was to have regular programming but the same form would require youth to be held in the holding room. Furthermore, several of the reports reviewed indicated facility and WellPath staff were inconsistent with following established policy and procedures. Another area of concern is the ongoing supervision of youth once removed from the holding room. Regardless of acuity, youth are removed from safety watches by mental health without any instructions for follow up monitoring by facility staff. Precautionary continuity of care monitoring of youth by facility staff are non- existent. (a) Suicide prevention training as required in Section Suicide Prevention Training 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. ☒ ☐ ☐ Facility staff were provided Suicide Prevention Training in September 2023 to review the agency’s updated policy and procedures. (b) Screening, Identification Assessment and Screenings, Identification, Assessment and Precautionary Protocols Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake (a) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. 7163 Kings Camp Targeted 2024 Page 5 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) All youth who have been identified during the (b) intake screening process to be at risk of suicide shall ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to (d) ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Referral Process to Behavioral/Mental Health ☒ ☐ ☐ assessment and/or services. Staff for Assessment and Services (d) Procedures for monitoring of youth identified at risk Procedures for Monitoring Youth Identified at for suicide. ☒ ☐ ☐ Risk of Suicide (e) Safety Interventions Procedures for Monitoring Youth Identified at (1) Procedures to address intervention protocols for Risk of Suicide youth identified at risk for suicide which may ☒ ☐ ☐ include, but are not limited to: (A) Housing consideration (B) Treatment strategies including trauma- Safety Interventions ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff how Safety Interventions ☒ ☐ ☐ to respond to youth who exhibit suicidal behaviors. (f) Communication Screenings, Identification, Assessment and (1) The intake process shall include communication Precautionary Protocols (c) with the arresting officer and family guardians regarding the youth’s past or present suicidal ☐ ☐ ☒ This section of the regulation is not applicable ideations, behaviors or attempts. to this facility as the intake communication is to be completed by the Juvenile Hall at the initial booking. (2) Procedures for clear and current information Communication sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Critical Incident Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Critical Incident Debriefing (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ Critical Incident Debriefing (h) Documentation Documentation (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Referral Process to Behavioral/Mental Health opportunity to participate in facility programs, services Staff for Assessment and 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. 7163 Kings Camp Targeted 2024 Page 6 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION Chapter 4121, Section X Separation The facility administrator shall develop and implement Reviewed 15 instances in which the youth written policies and procedures that address: chose to self-separate. These were documented on a voluntary self-separation form, which the youth are required to sign. In addition, the facility documents the separation ☒ ☐ ☐ in the safety check log and in the unit log. The majority were for wanting to sleep in, in lieu of breakfast or early morning large muscle exercise. The agency is in compliance with this regulation. (a) separation of youth for reasons that include, but are Chapter 4121, Section X( A-D) not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Chapter 4121, Section X ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal privileges Chapter 4121, Section X available at the facility, except when necessary to ☒ ☐ ☐ accomplish the objective of separation. (d) when the objective of the separation is discipline, Chapter 4121, Section X(D) ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the Section VIII Room Confinement separation shall occur in accordance with Welfare and Institutions Code Section 208.3 and Section 1354.5 of Observation logs of youth placed in the holding these regulations. room for a mental health separation due to suicidal statements or behavior were ☒ ☐ ☐ reviewed. Discussed with facility and WellPath medical and mental health administration that if lesser restrictive options are available, these are to be utilized in lieu of a separation which result in room confinement as this is required to be in compliance with Section 1329. (f) policies and procedures shall ensure a daily review of Section X(D)(1-2) separated youth to determine if separation remains necessary. ☒ ☐ ☐ Facility administration is cognizant of the requirement to ensure a daily review of separation. 7163 Kings Camp Targeted 2024 Page 7 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Chapter 4121, Section VIII Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing Reviewed 11 instances of room confinement the confinement of youth in their room that are consistent which consisted of documentation outlined in with Welfare and Institutions Code Section 208.3. The the special incident report and observation log. placement of a youth in room confinement shall be Youth were placed on room confinement for accomplished in accordance with the following fighting, assaults on youth and staff, or guidelines: creating a safety and security issue. All but one was reintegrated in less than four hours. Reviewed six instances in which youth were placed in the holding room for suicidal statements or behavior. In four instances, the youth were reintegrated in less than four hours, though all involved being held overnight during sleeping hours. ☒ ☐ ☐ Interviewed one youth who had been placed on room confinement for a fight. He indicated he was able to come out after thirty minutes. Provided agency with technical assistance to ensure documentation is consistently filled out and routinely audited for required documentation. In addition, discussed with agency regarding separating the safety check from the observation log and formalizing a process of ensuring the youth are ready for reintegration through conflict resolution and tools to address their thinking. The agency is in compliance with this regulation. (1) Room confinement shall not be used before other, Chapter 4121, Section VIII(II)(A) Guidelines less restrictive, options have been attempted and for Room Confinement ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Chapter 4121, Section VIII(II)(B) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Chapter 4121, Section VIII(II)(C) that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room Chapter 4121, Section VIII(III) Use of Room confinement. After the youth has been held in room Confinement ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Chapter 4121, Section VIII(III)(A)(1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Chapter 4121, Section VIII(III)(A)(2) (3) Develop an individualized plan that includes the Chapter 4121, Section VIII(III)(A)(3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. 7163 Kings Camp Targeted 2024 Page 8 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) If room confinement must be extended beyond Chapter 4121, Section VIII(III)(B)(3) four hours, staff shall do each of the following: (A) Document the reasons for room confinement Three of the room confinements lasted longer and the basis for the extension, the date and time ☒ ☐ ☐ than four hours. Medical and mental health the youth was first placed in room confinement, were consulted in all instances for and when he or she is eventually released from reintegration. room confinement. (B) Develop an individualized plan that includes Chapter 4121, Section VIII(III)(B)(4) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Chapter 4121, Section VIII(III)(B)(2) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Chapter 4121, Section VIII(I)(A)(3-4) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in Chapter 4121, Section VIII(I)(A)(2) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Chapter 4121, Section VIII Room conflict with any law providing greater or additional ☒ ☐ ☐ Confinement protections to youth. (8) This section does not apply during an Chapter 4121, Section VIII(I)(A)(6) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Chapter 4121, Section VIII(I)(A)(5) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Chapter 4132 Institution Assessment and Case Plan The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. 7163 Kings Camp Targeted 2024 Page 9 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: Chapter 4132, Section II(A),(C) The assessment is based on information collected during the admission process with periodic review, which The agency utilizes the Positive Achievement includes the youth's risk factors, needs and strengths Change Tool (PACT) for assessment and including, but not limited to, identification of substance development of the institution case plan which abuse history, educational, vocational, counseling, is completed by the agency’s assigned behavioral health, consideration of known history of Transitional Probation Officer. A full trauma, and family strengths and needs. ☒ ☐ ☐ assessment utilizing the PACT will determine the youth’s criminogenic needs and risk factors to develop the case plan. A copy of the case plan is placed in the youth’s institutional file. The agency is in compliance with this regulation. (b) Institutional Case Plan: Chapter 4132, Section II(A) (1) A case plan shall be developed for each youth held for at least 30 days or more and created within ☒ ☐ ☐ Documentation reviewed affirms all youth who 40 days of admission. have been in the facility for over thirty days have had an initial case plan completed. (2) The institutional plan shall include, but not be Chapter 4132, Section IV(A) Initial Case limited to, written documentation that provides: Conferencing ☒ ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; (B) a plan for meeting the objectives that includes Chapter 4132, Section III(B) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Chapter 4132, Section III(B) the objectives, including periodic review and discussion of the plan with the youth; Facility policy requires a periodic review every 90 days. All the PACT case plans reviewed were reassessed within six months and not within 90 days. This policy conflicts with the overall agency policy which requires a ☒ ☐ ☐ reassessment using the PACT every six months. Discussed with facility administration regarding developing a procedure for the youth’s assigned counselor to document a review of the youth’s progress toward meeting goals and objectives every 90 days after the completion of the initial full PACT assessment and reassessment. (4) a transition plan, the contents of which shall be Chapter 4132, Section III(D) subject to existing resources, shall be developed for post dispositional youth in accordance with Section A pre-release case conference is held before ☒ ☐ ☐ 1351; and, a youth’s release. The Transitional Probation Officer will finalize the case plan for re-entry into the community. (5) in as much as possible and if appropriate, the Chapter 4132, Section III(C) plan, including the transition plan, shall be developed Chapter 4132 Section IV Re-entry and Case with input from the family, supportive adults, youth, ☒ ☐ ☐ Planning and Regional Center for the Developmentally Disabled. 7163 Kings Camp Targeted 2024 Page 10 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1356 COUNSELING AND CASEWORK SERVICES Chapter 4102, Section IV(A)(2)(a) The facility administrator shall develop and implement Reviewed 15 electronic entries in the agency’s written policies and procedures ensuring the availability case management system which document of appropriate counseling and casework services for all staff assisting youth with their concerns or youth. Policies and procedures shall ensure: issues within the facility. Facility policy requires (a) youth will receive assistance with needs or concerns staff to meet with assigned youth weekly and that may arise; document. Provided agency with technical ☒ ☐ ☐ assistance to align their policy with periodic reviews outlined in their initial assessment and case plan which would have the assigned counselor supporting the youth’s progress toward meeting goals and objectives without the demand of weekly documentation. The agency is in compliance with this regulation. (b) youth will receive assistance in requesting contact Chapter 4102, Section IV(A)(2)(a) with parents, other supportive adults, attorney, clergy, probation officer, or other public official; and, ☒ ☐ ☐ Request to Speak forms are located in the housing unit dayroom for youth to utilize for whom they want to contact. (c) youth will be provided access to available resources Chapter 4102, Section IV(A)(2)(b) ☒ ☐ ☐ to meet the youth’s needs. 1357 USE OF FORCE Chapter 4119 Use of Force Chapter 4119, Section II(C)(4) The facility administrator, in cooperation with the responsible physician, shall develop and implement Reviewed 12 Use of Force incidents which written policies and procedures for the use of force, consisted of documentation contained in which may include chemical agents. Force shall never incident reports and Use of Force reporting be applied as punishment, discipline, retaliation or ☒ ☐ ☐ forms. The incidents involved youth engaging treatment. in fights, assaults on other youth and staff, and (a) At a minimum, each facility shall develop policies and aggressive or threatening behavior. procedures which: The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Chapter 4119, Section II(A) reasonable and necessary, as defined in Section 1302 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Chapter 4119, Section III(G)(1-7) both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Chapter 4119, Section III(H) ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Chapter 4119, Section II(C)(5)(a) inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7163 Kings Camp Targeted 2024 Page 11 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that Chapter 4119, Section IV(E) Documentation includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and The agency has provided their staff with procedures for reviewing and tracking use of force additional written procedures to assist staff in incidents by supervisory and or management staff, ☒ ☐ ☐ documenting components of this regulation. which include procedures for debriefing a particular Special incident reports reviewed have incident with staff and/or youth for the purposes of improved since the last comprehensive training as well as mitigating the effects of trauma that inspection. may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Chapter 4119, Section IV(G) Administrative ☒ ☐ ☐ investigating unreasonable use of force. Review (7) define the role, notification, and follow-up Chapter 4119, Section IV(F)(1) Medical and procedures required after use of force incidents for Mental Health Notification medical, mental health staff and parents or legal Chapter 4119, Section IV(F)(4) Parent or Legal guardians. Guardian Notification The documentation reviewed supports compliance with required notifications. ☒ ☐ ☐ Medical staff are notified and respond to the living unit to provide clearance or direct follow- up care. If mental health staff are onsite, they are contacted, if not a mental health referral is completed. Parent/guardians are contacted by telephone. This information is noted on the Use of Force form and incident report. (8) describe the limitations of use of force on pregnant Chapter 4119, Section II(C)(7) youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ Chapter 4119, Section III(I) and Welfare and Institutions Code Section 222. Chapter 4119, Section IV(D)(7) (b) Facilities that authorize chemical agents as a force Chapter 4119, Section IV(D)(8-9) option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize ☒ ☐ ☐ chemical agents in the facility and the type, size and the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when Chapter 4119, Section IV(D)(1) there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts Three of the twelve Use of Force reports have been unsuccessful or are not reasonably reviewed involved the use of chemical agents. possible. Staff documented warnings and attempts to ☒ ☐ ☐ de-escalate. Interview with a youth who had been involved in fights which resulted in use of force indicated staff would announce Cover or OC prior to using chemical agents. (3) outline the facility’s approved methods and Chapter 4119, Section IV(D)(12)(a-g) timelines for decontamination from chemical agents. This shall include that youth who have been exposed The agency has recently begun providing to chemical agents shall not be left unattended until irritant wipes in addition to showering as part that youth is fully decontaminated or is no longer ☒ ☐ ☐ of the decontamination process. A youth who suffering the effects of the chemical agent. had been involved in incidents involving chemical agents reported he was always taken to the shower and staff stayed with him until he was done. 7163 Kings Camp Targeted 2024 Page 12 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) define the role, notification, and follow-up Section 4119, Section IV(F)(1) Medical and procedures required after use of force incidents Mental Health Notification involving chemical agents for medical, mental health Chapter 4119, Section IV(F)(4) Parents or staff and parents or legal guardians. Guardian Notification The documentation reviewed supports compliance with required notifications. ☒ ☐ ☐ Medical staff are notified and respond to the living unit to provide clearance or direct follow- up care. If mental health staff are onsite, they are contacted, if not a mental health referral is completed. Parent/guardians are contacted by telephone. This information is noted on the Use of Force form and incident report. (5) provide for the documentation of each incident of Chapter 4119, Section IV(E)(1) use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Chapter 4119, Section II(C)(6) Training require that agencies provide initial and regular training Chapter 4119, Section II(C)(6)(d) in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Chapter 4119, Section IV(D)(10-11) ☒ ☐ ☐ application. (3) signs or symptoms that should result in immediate Chapter 4119, Section II(C)(6)(d) ☒ ☐ ☐ referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Use Chapter 4119, Section II(C)(6)(e) ☒ ☐ ☐ of Force. (5) physical training force options that may require Chapter 4119, Section II(C)(6) ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Chapter 4119, Section II(C)(6)(e) ☒ ☐ ☐ training. 7163 Kings Camp Targeted 2024 Page 13 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE Chapter 4122, Youth Grievance Procedure Chapter 4122, Section I(A) Grievance Protocol The facility administrator shall develop and implement written policies and procedures whereby any youth may Reviewed 33 grievances from October and appeal and have resolved grievances relating to any December 2023 and February 2024. In condition of confinement, including but not limited to addition, reviewed the 2023 and 2024 health care services, classification decisions, program grievance log. Twenty involved discipline for participation, telephone, mail or visiting procedures, minor rule violations. Other grievances food, clothing, bedding, mistreatment, harassment or pertained to visiting, telephone, housing, and violations of the nondiscrimination policy. There shall be staff issues. Provided technical assistance to no time limit on filing grievances. Policies and ☒ ☐ ☐ separately track the grievances between the procedures shall include provisions whereby the facility three facilities and routinely audit the manager ensures: grievance tracking log. The agency is in compliance with this regulation. (a) a grievance form and instructions for registering a Chapter 4122, Section I(A)(1) grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; BSCC staff observed grievance forms accessible to the youth in the living unit. (b) the youth shall have the option to confidentially file Chapter 4122, Section I(B) the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ Youth interviewed were aware of the grievance procedure, had free access to the forms, and were able to file confidentially. (c) resolution of the grievance at the lowest appropriate Chapter 4122, Section I(A)(1)(a) ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to Chapter 4122, Section I(A)(a) grievances within three (3) business days, grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Chapter 4122, Section I(A)(1)(a) his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Chapter 4122, Section I(A) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Chapter 4122, Section I(A)(1)(e) ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a Chapter 4122, Section I(A)(1)(d) 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) Chapter 4122, Section I(A)(1)(d) business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, All grievances reviewed were resolved within the required timeframe. (h) the policy shall provide multiple internal and external Chapter 4130, Zero Tolerance of Sexual ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Abuse, Assault and Harassment 7163 Kings Camp Targeted 2024 Page 14 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Whether or not associated with a grievance, concerns of Chapter 4121, Section IX Citizen’s Complaint parents, guardians, staff or other parties shall be Procedure ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 4113 Recreation, Exercise and Programming Activities The facility administrator shall develop and implement written policies and procedures for programs, recreation, Reviewed 2023 and 2024 daily programming and exercise for all youth. The intent is to minimize the ☒ ☐ ☐ tracking forms, monthly programming amount of time youth are in their rooms or their bed area. schedules, and unit logs. The documentation reviewed affirms compliance with this regulation. Juvenile facilities shall provide the opportunity for Chapter 4113, paragraph 1 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Chapter 4113, paragraph 1 exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Chapter 4113, paragraph 1 be posted in the living units. ☒ ☐ ☐ Facility program schedule is posted in the living units. There will be a written annual review of the programs, Chapter 4113, Section I(D) recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and A memorandum dated October 10, 2023, by relevant to the population. Stacie Sellai, Juvenile Services Manager ☒ ☐ ☐ outlined programming available to youth. Provided technical assistance to clarify recreation and exercise opportunities available to the youth. 7163 Kings Camp Targeted 2024 Page 15 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the Chapter 4113, Section II(C)(1)(a-n) opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, A Juvenile Services Officer is dedicated to evidence-based, best practice interventions that are providing programming. A Deputy Probation culturally relevant and linguistically appropriate, or pro- Officer works in collaboration part-time to social interventions and activities designed to reduce ensure all youth receive one hour of daily recidivism. These programs should be based on the programming. The two staff facilitate Forward youth’s individual needs as required by Sections 1355 Thinking, Moral Reconation, a welding and 1356. Such programs may be provided under the simulator, and daily structured programming direction of the Chief Probation Officer or the County as outlined in this regulation. It is noted the Office of Education and can be administered by county agency conducted a youth survey in June partners such as mental health agencies, community 2024. The youth had multiple positive based organizations, faith-based organizations or comments in support of the staff dedicated to Probation staff. providing programming and topics offered. Programs may include but are not limited to: Interviews with youth substantiate (1) Cognitive Behavior Interventions; programming is offered on a daily basis. (2) Management of Stress and Trauma; (3) Anger Management; Kings County Office of Education provides (4) Conflict Resolution; career technical education, EdCorps, Urbanist (5) Juvenile Justice System; Collective, Fresno Skate Skateboard Salvage, (6) Trauma-related interventions; ☒ ☐ ☐ The Beat Within, and Tachi Tribe. Fresno State (7) Victim Awareness; University provides the Prison Education (8) Self-Improvement; Project. In addition, Kings County Job Training (9) Parenting Skills and support; Office provides career readiness and (10) Tolerance and Diversity; vocational training. (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; WellPath Mental Health provides group (13) Gender Specific Programming; services to selected youth. (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; The dedicated programming staff consistently (16) Restorative Justice or Civic Engagement; document services provided to ensure (17) Career and leadership opportunities; and, compliance with this regulation. Provided (18) Other topics suitable to the youth population. technical assistance to ensure in their absence staff who lead programming consistently document with the same diligence. In addition, recommended to agency to track services provided by collaborative partners. The agency is in compliance with this regulation. (b) Recreation. All youth shall be provided the opportunity Chapter 4113, paragraph 1 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Recreational activities include video, board entertainment. Activities shall be supervised and include and card games, television, telephone, library, ☒ ☐ ☐ orientation and may include coaching of youth. letter writing, journaling, corn hole, and gardening. Interviews with youth indicate they have the opportunity to choose their recreational activity. (c) Exercise. All youth shall be provided with the Chapter 4113, Section II(A)(1) opportunity for at least one hour of large muscle activity ☒ ☐ ☐ each day. Interviews with youth indicate they receive daily large muscle activity. The administrator/manager may suspend, for a period not Chapter 4113, paragraph 1 to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7163 Kings Camp Targeted 2024 Page 16 of 16 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7164 FACILITY NAME: Kings County Secure Youth Treatment Facility FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Wendi Dibble-Probation Division Manager/Interim Director, Stacie Sellai-Juvenile Services Manager, C. Vega-Juvenile Services Officer II, I. Mendoza-Juvenile Services Officer II, C. Bates-Deputy Probation Officer, D. Gonzalez-Deputy Probation Officer, Ignacio Perez-Kings County Job Training Office, Maria Cantu-WellPath Health Services Administrator, Dr. Deanna Mercado WellPath Mental Health Director, male youth ages 18 and 22 FIELD REPRESENTATIVE: Shay Molennor DATE: June 18-20 and 25th, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Chapter 4112, Section I(E) Supervision of Youth Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staffs for their JH, Camp, and carry out the overall facility operation and its SYTF, which are on the same campus. The programming, to provide for safety and security of youth combined population was 14 on the last day of and staff, and meet established standards and the inspection. regulations; Population numbers: • JH - 9 • Camp - 1 • SYTF - 4 Reviewed facility organization chart, 23/24 budgeted positions, April through December 2023 and January through June 2024 staffing schedules, and March 2024 staffing assignments. The agency has the following ☐ ☒ ☐ filled positions: • 1 Deputy Chief • 1 Juvenile Services Manager • 4 Supervising Juvenile Services Officer • 7 Senior Juvenile Services Officer • 23 Juvenile Services Officer • 2 JSO Extra Help • 2 Support staff Currently, 11 of the filled positions are out on leave status or on light duty and unable to work with youth. In addition, the agency has one Supervising, one Senior, 19 Juvenile Services Officers, and three support clerk vacancies. Deputy Probation Officers with facility-specific training are eligible to work overtime to help provide coverage. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7164 Kings SYTF Targeted PRO 23-24 Page 1 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Though staffing levels are critically low, a review of documentation and interviews with youth and staff substantiate that required services and operations on the morning or afternoon shifts are being completed. Due to limited staffing levels on the graveyard shift, youth were being left alone in the unit while the assigned staff would leave to assist with bookings and safety checks of youth sleeping in the holding room at Control. As such, the agency is noncompliant with this regulation. (b) ensure that no required services shall be denied Chapter 4112, Section I(F) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Chapter 4112, Section I(A) ensure adequate supervision of all staff members; The agency currently has eight of their 11 supervisory staff out on various types of leave status. In the absence of a supervisor, a ☒ ☐ ☐ juvenile services officer will be designated as a lead officer. Though compliant, this lack of experienced supervisory oversight has an impact on the quality of documentation and adherence to procedures. (d) have a clearly identified person on duty at all times Chapter 4112, Section I(A) who is responsible for operations and activities and has ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Chapter 4112, Section I(B)(1) unit whenever there are youth in the living unit; Due to the limited number of staff on the graveyard shift, a staff member would leave their assigned unit to assist with bookings and safety checks of youth sleeping in the holding ☐ ☒ ☐ rooms at Control. An officer from the adjacent unit would cover the safety checks while the officer was assisting with these other duties. Ultimately, no staff would be on the living unit while they were attending to these other duties. (f) have sufficient food service personnel relative to the Chapter 4112, Section I(C) number and security of living units, including staff qualified and available to: plan menus meeting nutritional Kings County Jail provides food services to the requirements of youth; provide kitchen supervision; direct facility. Meals are prepared at the jail and ☒ ☐ ☐ food preparation and servings; conduct related training transported to the facility and served to youth programs for culinary staff; and maintain necessary by jail staff. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7164 Kings SYTF Targeted PRO 23-24 Page 2 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, Chapter 4112, Section I(C-D) medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the agency provides an adequate level and to ensure that youth supervision staff shall not be of staff to operate booking, transportation, diverted from supervising youth; and, laundry, janitorial, groundskeeping, and clerical services to maintain compliance. Kings County Public Works provides ☒ ☐ ☐ maintenance services. WellPath provides medical coverage 7 days a week from 6:00 a.m. to 6:30 p.m. After hours on-call services are provided. WellPath provides forty hours of mental health coverage Monday through Friday. After hours and weekend on-call services are available. (h) assign sufficient youth supervision staff to provide Chapter 4112, Section I(E) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Chapter 4112, Section II(G)(1) (A) during the hours that youth are awake, one ☒ ☐ ☐ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their Chapter 4112, Section II(G)(2) room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Chapter 4112, Section I(G)(3) members on duty at all times, regardless of the number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on Chapter 4112, Section II(G)(3) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Chapter 4112, Section I(C) duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; 7164 Kings SYTF Targeted PRO 23-24 Page 3 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps The facility is not a Camp. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☐ ☐ ☒ arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 7164 Kings SYTF Targeted PRO 23-24 Page 4 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Chapter 4112, Section II(H)(2-4) The facility administrator shall develop and implement The agency records their safety checks in a policy and procedures that provide for direct visual notebook which also records movement and observation of youth at a minimum of every 15 minutes, activities occurring in the unit. Reviewed logs at random or varied intervals during hours when youth encompassing dates in October and are asleep or when youth are in their rooms, confined in December 2023 and February 2024. The holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ safety checks are conducted at random and Supervision is not replaced, but may be supplemented varied intervals. As the entries are by, an audio/visual electronic surveillance system handwritten, BSCC staff provided a designed to detect overt, aggressive or assaultive recommendation to the agency to ensure behavior and to summon aid in emergencies. All safety supervisors are auditing regularly and holding checks shall be documented with the actual time the staff to a standard of legible entries. The facility check is completed. is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN Chapter 4109 Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, The facility policies and procedures are not in shall plan and implement written policies and alignment with the procedures implemented procedures which delineate a Suicide Prevention Plan. by WellPath Medical and Mental Health for The plan shall consider the needs of youth experiencing the supervision of youth on suicide watch. past or current trauma. Suicide prevention responses Facility policy and procedures require shall be respectful and in the least invasive manner monitoring of youth with a staggered watch consistent with the level of suicide risk. The plan shall not to exceed ten minutes while youth are include the following elements: placed on 15-minute staggered watch by WellPath. In addition, several youth on suicide watch were placed in a holding room and not afforded the same programming as other youth not on suicide watch based upon WellPath directives. In some cases, ☐ ☒ ☐ monitoring forms provided to staff would indicate the youth was to have regular programming but the same form would require youth to be held in the holding room. Furthermore, several of the reports reviewed indicated facility and WellPath staff were inconsistent with following established policy and procedures. Another area of concern is the ongoing supervision of youth once removed from the holding room. Regardless of acuity, youth are removed from safety watches by mental health without any instructions for follow-up monitoring by facility staff. Precautionary continuity of care monitoring of youth by facility staff are non- existent. (a) Suicide prevention training as required in Section Suicide Prevention Training 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. ☒ ☐ ☐ Facility staff were provided Suicide Prevention Training in September 2023 to review the agency’s updated policy and procedures. (b) Screening, Identification Assessment and Screenings, Identification, Assessment and Precautionary Protocols Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake (a) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. 7164 Kings SYTF Targeted PRO 23-24 Page 5 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) All youth who have been identified during the (b) intake screening process to be at risk of suicide shall ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to (d) ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Referral Process to Behavioral/Mental Health ☒ ☐ ☐ assessment and/or services. Staff for Assessment and Services (d) Procedures for monitoring of youth identified at risk Procedures for Monitoring Youth Identified at for suicide. ☒ ☐ ☐ Risk of Suicide (e) Safety Interventions Procedures for Monitoring Youth Identified at (1) Procedures to address intervention protocols for Risk of Suicide youth identified at risk for suicide which may ☒ ☐ ☐ include, but are not limited to: (A) Housing consideration (B) Treatment strategies including trauma- Safety Interventions ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff how Safety Interventions ☒ ☐ ☐ to respond to youth who exhibit suicidal behaviors. (f) Communication Screenings, Identification, Assessment and (1) The intake process shall include communication Precautionary Protocols (c) with the arresting officer and family guardians regarding the youth’s past or present suicidal ☐ ☐ ☒ This section of the regulation is not applicable ideations, behaviors or attempts. to this facility as the intake communication is to be completed by the Juvenile Hall at the initial booking. (2) Procedures for clear and current information Communication sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Critical Incident Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Critical Incident Debriefing (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ Critical Incident Debriefing (h) Documentation Documentation (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Referral Process to Behavioral/Mental Health opportunity to participate in facility programs, services Staff for Assessment and 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. 7164 Kings SYTF Targeted PRO 23-24 Page 6 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION Chapter 4121, Section X Separation The facility administrator shall develop and implement Reviewed 15 instances in which the youth written policies and procedures that address: chose to self-separate. These were documented on a voluntary self-separation form, which the youth are required to sign. In addition, the facility documents the separation ☒ ☐ ☐ in the safety check log and in the unit log. The majority were for wanting to sleep in, in lieu of breakfast or early morning large muscle exercise. The agency is in compliance with this regulation. (a) separation of youth for reasons that include, but are Chapter 4121, Section X( A-D) not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Chapter 4121, Section X ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal privileges Chapter 4121, Section X available at the facility, except when necessary to ☒ ☐ ☐ accomplish the objective of separation. (d) when the objective of the separation is discipline, Chapter 4121, Section X(D) ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the Section VIII Room Confinement separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review of Section X(D)(1-2) separated youth to determine if separation remains necessary. ☒ ☐ ☐ Facility administration is cognizant of the requirement to ensure a daily review of separation. 7164 Kings SYTF Targeted PRO 23-24 Page 7 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Chapter 4121, Section VIII Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing Reviewed four instances of room confinement the confinement of youth in their room that are consistent which consisted of documentation outlined in with Welfare and Institutions Code Section 208.3. The the special incident report and observation log. placement of a youth in room confinement shall be One incident involved a fight, one involved accomplished in accordance with the following assault on staff, and two involved a safety and guidelines: security threat. All but one was reintegrated in less than four hours. Reviewed one incident in which a youth was placed in the holding room for suicide watch. He was seen by mental health and returned to regular programming after nineteen minutes. Interviewed two youth, one of which had been ☒ ☐ ☐ on room confinement. He indicated he was for four hours. The other youth interviewed reported youth are placed on room confinement for a couple of hours for fights or acting aggressively. Provided agency with technical assistance to ensure documentation is consistently filled out and routinely audited for required documentation. In addition, discussed with agency regarding separating the safety check from the observation log and formalizing a process of ensuring the youth are ready for reintegration through conflict resolution and tools to address their thinking. The agency is in compliance with this regulation. (1) Room confinement shall not be used before other, Chapter 4121, Section VIII(II)(A) Guidelines less restrictive, options have been attempted and for Room Confinement exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. Observation logs of youth placed in the holding room for suicidal statements or behavior were ☒ ☐ ☐ reviewed. Discussed with facility and WellPath medical and mental health administration that if lesser restrictive options are available, these are to be utilized in lieu of room confinement as this is required to be in compliance with Section 1329. (2) Room confinement shall not be used for the Chapter 4121, Section VIII(II)(B) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Chapter 4121, Section VIII(II)(C) that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room Chapter 4121, Section VIII(III) Use of Room confinement. After the youth has been held in room Confinement ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Chapter 4121, Section VIII(III)(A)(1) 7164 Kings SYTF Targeted PRO 23-24 Page 8 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Consult with mental health or medical staff. ☒ ☐ ☐ Chapter 4121, Section VIII(III)(A)(2) (3) Develop an individualized plan that includes the Chapter 4121, Section VIII(III)(A)(3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Chapter 4121, Section VIII(III)(B)(3) four hours, staff shall do each of the following: (A) Document the reasons for room confinement One of the room confinements lasted longer and the basis for the extension, the date and time ☒ ☐ ☐ than four hours. The youth was removed at the youth was first placed in room confinement, four hours and seventeen minutes. and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Chapter 4121, Section VIII(III)(B)(4) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Chapter 4121, Section VIII(III)(B)(2) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Chapter 4121, Section VIII(I)(A)(3-4) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in Chapter 4121, Section VIII(I)(A)(2) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Chapter 4121, Section VIII Room conflict with any law providing greater or additional ☒ ☐ ☐ Confinement protections to youth. (8) This section does not apply during an Chapter 4121, Section VIII(I)(A)(6) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Chapter 4121, Section VIII(I)(A)(5) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Chapter 4132 Institution Assessment and Case Plan The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. 7164 Kings SYTF Targeted PRO 23-24 Page 9 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: Chapter 4132, Section II(A),(C) The assessment is based on information collected during the admission process with periodic review, which The agency utilizes the Positive Achievement includes the youth's risk factors, needs and strengths Change Tool (PACT) for assessment and including, but not limited to, identification of substance development of the institution case plan which abuse history, educational, vocational, counseling, is completed by the agency’s assigned behavioral health, consideration of known history of Transitional Probation Officer. A full trauma, and family strengths and needs. ☒ ☐ ☐ assessment utilizing the PACT will determine the youth’s criminogenic needs and risk factors to develop the case plan. A copy of the case plan is placed in the youth’s institutional file. The agency is in compliance with this regulation. (b) Institutional Case Plan: Chapter 4132, Section II(A) (1) A case plan shall be developed for each youth held for at least 30 days or more and created within ☒ ☐ ☐ Documentation reviewed affirms all youth who 40 days of admission. have been in the facility for over thirty days have had an initial case plan completed. (2) The institutional plan shall include, but not be Chapter 4132, Section IV(A) Initial Case limited to, written documentation that provides: Conferencing ☒ ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; (B) a plan for meeting the objectives that includes Chapter 4132, Section III(B) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Chapter 4132, Section III(B) the objectives, including periodic review and discussion of the plan with the youth; Facility policy requires a periodic review every 90 days. All the PACT case plans reviewed were reassessed within six months and not within 90 days. This policy conflicts with the overall agency policy which requires a ☒ ☐ ☐ reassessment using the PACT every six months. Discussed with facility administration developing a procedure for the youth’s assigned counselor to document a review of the youth’s progress toward meeting goals and objectives every 90 days after the completion of the initial full PACT assessment and reassessment. (4) a transition plan, the contents of which shall be Chapter 4132, Section III(D) subject to existing resources, shall be developed for post dispositional youth in accordance with Section A pre-release case conference is held before ☒ ☐ ☐ 1351; and, a youth’s release. The Transitional Probation Officer will finalize the case plan for re-entry into the community. (5) in as much as possible and if appropriate, the Chapter 4132, Section III(C) plan, including the transition plan, shall be developed Chapter 4132 Section IV Re-entry and Case with input from the family, supportive adults, youth, ☒ ☐ ☐ Planning and Regional Center for the Developmentally Disabled. 7164 Kings SYTF Targeted PRO 23-24 Page 10 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1356 COUNSELING AND CASEWORK SERVICES Chapter 4102, Section IV(A)(2)(a) The facility administrator shall develop and implement Reviewed 15 electronic entries in the agency’s written policies and procedures ensuring the availability case management system which document of appropriate counseling and casework services for all staff assisting youth with their concerns or youth. Policies and procedures shall ensure: issues within the facility. Facility policy requires (a) youth will receive assistance with needs or concerns staff to meet with assigned youth weekly and that may arise; document. Provided agency with technical ☒ ☐ ☐ assistance to align their policy with periodic reviews outlined in their initial assessment and case plan which would have the assigned counselor supporting the youth’s progress toward meeting goals and objectives without the demand of weekly documentation. The agency is in compliance with this regulation. (b) youth will receive assistance in requesting contact Chapter 4102, Section IV(A)(2)(a) with parents, other supportive adults, attorney, clergy, probation officer, or other public official; and, ☒ ☐ ☐ Request to Speak forms are located in the housing unit dayroom for youth to utilize for whom they want to contact. (c) youth will be provided access to available resources Chapter 4102, Section IV(A)(2)(b) ☒ ☐ ☐ to meet the youth’s needs. 1357 USE OF FORCE Chapter 4119 Use of Force Chapter 4119, Section II(C)(4) The facility administrator, in cooperation with the responsible physician, shall develop and implement Reviewed three Use of Force incidents which written policies and procedures for the use of force, consisted of documentation contained in which may include chemical agents. Force shall never ☒ ☐ ☐ incident reports and Use of Force reporting be applied as punishment, discipline, retaliation or forms. The incidents involved youth engaging treatment. in fights or assaulting another youth. (a) At a minimum, each facility shall develop policies and procedures which: The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Chapter 4119, Section II(A) reasonable and necessary, as defined in Section 1302 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Chapter 4119, Section III(G)(1-7) both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Chapter 4119, Section III(H) ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Chapter 4119, Section II(C)(5)(a) inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7164 Kings SYTF Targeted PRO 23-24 Page 11 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that Chapter 4119, Section IV(E) Documentation includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and The agency has provided their staff with procedures for reviewing and tracking use of force additional written procedures to assist staff in incidents by supervisory and or management staff, ☒ ☐ ☐ documenting components of this regulation. which include procedures for debriefing a particular Special incident reports reviewed have incident with staff and/or youth for the purposes of improved since the last comprehensive training as well as mitigating the effects of trauma that inspection. may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Chapter 4119, Section IV(G) Administrative ☒ ☐ ☐ investigating unreasonable use of force. Review (7) define the role, notification, and follow-up Chapter 4119, Section IV(F)(1) Medical and procedures required after use of force incidents for Mental Health Notification medical, mental health staff and parents or legal Chapter 4119, Section IV(F)(4) Parent or Legal guardians. Guardian Notification The documentation reviewed supports compliance with required notifications. ☒ ☐ ☐ Medical staff are notified and respond to the living unit to provide clearance or direct follow- up care. If mental health staff are onsite, they are contacted, if not a mental health referral is completed. Parent/guardians are contacted by telephone. This information is noted on the Use of Force form and incident report. (8) describe the limitations of use of force on pregnant Chapter 4119, Section II(C)(7) youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ Chapter 4119, Section III(I) and Welfare and Institutions Code Section 222. Chapter 4119, Section IV(D)(7) (b) Facilities that authorize chemical agents as a force Chapter 4119, Section IV(D)(8-9) option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize ☒ ☐ ☐ chemical agents in the facility and the type, size and the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when Chapter 4119, Section IV(D)(1) there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts All three of the Use of Force reports reviewed have been unsuccessful or are not reasonably involved the use of chemical agents. Staff possible. documented warnings and attempts to de- escalate. ☒ ☐ ☐ Interview with youth who have been involved in Use of Force Incidents or witnessed Use of Force incidents involving chemical agents indicate staff attempt to de-escalate the situation. One indicated staff will try to talk to the youth or call in a lead officer. Another indicted they are told to Cover and staff will say OC if they are going to use chemical agents. 7164 Kings SYTF Targeted PRO 23-24 Page 12 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) outline the facility’s approved methods and Chapter 4119, Section IV(D)(12)(a-g) timelines for decontamination from chemical agents. This shall include that youth who have been exposed The agency has recently begun providing to chemical agents shall not be left unattended until irritant wipes in addition to showering as part that youth is fully decontaminated or is no longer ☒ ☐ ☐ of the decontamination process. A youth who suffering the effects of the chemical agent. had been involved in an incident involving chemical agents reported he was given a shower and remained in the shower until he was done decontaminating. (4) define the role, notification, and follow-up Section 4119, Section IV(F)(1) Medical and procedures required after use of force incidents Mental Health Notification involving chemical agents for medical, mental health Chapter 4119, Section IV(F)(4) Parents or staff and parents or legal guardians. Guardian Notification The documentation reviewed supports compliance with required notifications. ☒ ☐ ☐ Medical staff are notified and respond to the living unit to provide clearance or direct follow- up care. If mental health staff are onsite, they are contacted, if not a mental health referral is completed. Parent/guardians are contacted by telephone. This information is noted on the Use of Force form and incident report. (5) provide for the documentation of each incident of Chapter 4119, Section IV(E)(1) use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Chapter 4119, Section II(C)(6) Training require that agencies provide initial and regular training Chapter 4119, Section II(C)(6)(d) in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Chapter 4119, Section IV(D)(10-11) ☒ ☐ ☐ application. (3) signs or symptoms that should result in immediate Chapter 4119, Section II(C)(6)(d) ☒ ☐ ☐ referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Use Chapter 4119, Section II(C)(6)(e) ☒ ☐ ☐ of Force. (5) physical training force options that may require Chapter 4119, Section II(C)(6) ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Chapter 4119, Section II(C)(6)(e) ☒ ☐ ☐ training. 7164 Kings SYTF Targeted PRO 23-24 Page 13 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE Chapter 4122, Youth Grievance Procedure Chapter 4122, Section I(A) Grievance Protocol The facility administrator shall develop and implement written policies and procedures whereby any youth may Reviewed 33 grievances from October and appeal and have resolved grievances relating to any December 2023 and February 2024. In condition of confinement, including but not limited to addition, reviewed the 2023 and 2024 health care services, classification decisions, program grievance log. Twenty involved discipline for participation, telephone, mail or visiting procedures, minor rule violations. Other grievances food, clothing, bedding, mistreatment, harassment or ☒ ☐ ☐ pertained to visiting, telephone, housing, and violations of the nondiscrimination policy. There shall be staff issues. Provided technical assistance to no time limit on filing grievances. Policies and separately track the grievances between the procedures shall include provisions whereby the facility three facilities and routinely audit the manager ensures: grievance tracking log. The agency is in compliance with this regulation. (a) a grievance form and instructions for registering a Chapter 4122, Section I(A)(1) grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; BSCC staff observed grievance forms accessible to the youth in the living unit. (b) the youth shall have the option to confidentially file Chapter 4122, Section I(B) the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ Youth interviewed were aware of the grievance procedure, had free access to the forms, and were able to file confidentially. (c) resolution of the grievance at the lowest appropriate Chapter 4122, Section I(A)(1)(a) ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to Chapter 4122, Section I(A)(a) grievances within three (3) business days, grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Chapter 4122, Section I(A)(1)(a) his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Chapter 4122, Section I(A) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Chapter 4122, Section I(A)(1)(e) ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a Chapter 4122, Section I(A)(1)(d) 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) Chapter 4122, Section I(A)(1)(d) business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, All grievances reviewed were resolved within the required timeframe. (h) the policy shall provide multiple internal and external Chapter 4130, Zero Tolerance of Sexual ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Abuse, Assault and Harassment Whether or not associated with a grievance, concerns of Chapter 4121, Section IX Citizen’s Complaint parents, guardians, staff or other parties shall be Procedure ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 7164 Kings SYTF Targeted PRO 23-24 Page 14 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 4113 Recreation, Exercise and Programming Activities The facility administrator shall develop and implement written policies and procedures for programs, recreation, Reviewed 2023 and 2024 daily programming and exercise for all youth. The intent is to minimize the ☒ ☐ ☐ tracking forms, monthly programming amount of time youth are in their rooms or their bed area. schedules, and unit logs. The documentation reviewed affirms compliance with this regulation. Juvenile facilities shall provide the opportunity for Chapter 4113, paragraph 1 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Chapter 4113, paragraph 1 exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Chapter 4113, paragraph 1 be posted in the living units. ☒ ☐ ☐ Facility program schedule is posted in the living units. There will be a written annual review of the programs, Chapter 4113, Section I(D) recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and A memorandum dated October 10, 2023, by relevant to the population. Stacie Sellai, Juvenile Services Manager ☒ ☐ ☐ outlined programming available to youth. Provided technical assistance to clarify recreation and exercise opportunities available to the youth. 7164 Kings SYTF Targeted PRO 23-24 Page 15 of 16 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the Chapter 4113, Section II(C)(1)(a-n) opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, A Juvenile Services Officer is dedicated to evidence-based, best practice interventions that are providing programming. A Deputy Probation culturally relevant and linguistically appropriate, or pro- Officer works in collaboration part-time to social interventions and activities designed to reduce ensure all youth receive one hour of daily recidivism. These programs should be based on the programming. The two staff facilitate Forward youth’s individual needs as required by Sections 1355 Thinking, Moral Reconation, a welding and 1356. Such programs may be provided under the simulator, and daily structured programming direction of the Chief Probation Officer or the County as outlined in this regulation. It is noted the Office of Education and can be administered by county agency conducted a youth survey in June partners such as mental health agencies, community 2024. The youth had multiple positive based organizations, faith-based organizations or comments in support of the staff dedicated to Probation staff. providing programming and topics offered. Programs may include but are not limited to: Interviews with youth substantiate (1) Cognitive Behavior Interventions; programming is offered on a daily basis. (2) Management of Stress and Trauma; (3) Anger Management; Kings County Office of Education provides (4) Conflict Resolution; career technical education, EdCorps, Urbanist (5) Juvenile Justice System; Collective, Fresno Skate Skateboard Salvage, (6) Trauma-related interventions; ☒ ☐ ☐ The Beat Within, and Tachi Tribe. Fresno State (7) Victim Awareness; University provides the Prison Education (8) Self-Improvement; Project. In addition, Kings County Job Training (9) Parenting Skills and support; Office provides career readiness and (10) Tolerance and Diversity; vocational training. (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; WellPath Mental Health provides group (13) Gender Specific Programming; services to selected youth. (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; The dedicated programming staff consistently (16) Restorative Justice or Civic Engagement; document services provided to ensure (17) Career and leadership opportunities; and, compliance with this regulation. Provided (18) Other topics suitable to the youth population. technical assistance to ensure in their absence staff who lead programming consistently document with the same diligence. In addition, recommended to agency to track services provided by collaborative partners. The agency is in compliance with this regulation. (b) Recreation. All youth shall be provided the opportunity Chapter 4113, paragraph 1 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Recreational activities include video, board entertainment. Activities shall be supervised and include and card games, television, telephone, library, ☒ ☐ ☐ orientation and may include coaching of youth. letter writing, journaling, corn hole, and gardening. Interviews with youth indicate they have the opportunity to choose their recreational activity. (c) Exercise. All youth shall be provided with the Chapter 4113, Section II(A)(1) opportunity for at least one hour of large muscle activity ☒ ☐ ☐ each day. Interviews with youth indicate they receive daily large muscle activity. The administrator/manager may suspend, for a period not Chapter 4113, paragraph 1 to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7164 Kings SYTF Targeted PRO 23-24 Page 16 of 16 A453 JUV Targeted PRO eff. 1/2024