Kings Probation Unnannounced Insp Rpt (2023-2024 inspection cycle)

November 15, 2023 Leonard Bakker II, Chief Probation Officer Kings County Probation Department 1400 W. Lacey Boulevard Hanford, CA 93230 2023-2024 UNANNOUNCED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, KINGS COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Bakker: The 2023-2024 Unannounced Inspection of the Kings County Probation Department has been completed. The following facilities were inspected on Friday, October 6, 2023: FACILITY NAME BSCC # FACILITY TYPE Kings County Juvenile Center 7162 JH Juvenile Center Camp 7163 CAMP Secure Youth Treatment Facility 7164 SYTF This inspection was 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 for Section 1329 Suicide Prevention Plan, Section 1354 Separation, Section 1354.5 Room Confinement, and Section 1371 Programs, Recreation and Exercise. INSPECTION RESULTS The inspection consisted of a site visit, documentation review and interviews with administration, facility staff, collaborative partners, and youth. We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. An Exit Briefing with your staff was held on Friday, October 6, 2023; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 708-2062 if you have any questions. Sincerely, Leonard Bakker II, Chief Probation Officer Page 2 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* Marc Cerda, Deputy Chief (electronic copy) Stacie Sellai, Juvenile Corrections Manager (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7162+ Kings Probation JH Camp SYTF Unannounced LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1, 2 BSCC Code: 7162 FACILITY NAME: Kings County Juvenile Center FACILITY TYPE: JH PERSON(S) INTERVIEWED: Stacie Sellai-Juvenile Corrections Manger, Alan Aguilar-Well Path Nurse, J Vidal-Juvenile Corrections Officer IV, N. Corona-Juvenile Corrections Officer, E. Alcoser-Juvenile Corrections Officer, R. Navarro-Juvenile Corrections Officer, M. Madrigal-Juvenile Corrections Officer, C. Bates-Probation Aide, Stephanie Bueller-Kings Behavioral Health, Ignacio Perez-Job Training Organization, 2 male youth FIELD REPRESENTATIVE: Shay Molennor DATE: October 6, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Policy 4109 (new) Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and Discussed with facility staff the Suicide procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ Prevention Training completed in September The plan shall consider the needs of youth experiencing 2023. Staff indicated the training covered the past or current trauma. Suicide prevention responses new policy and responses to suicidal youth. All shall be respectful and in the least invasive manner staff interviewed were able to articulate consistent with the level of suicide risk. The plan shall suicide prevention responses were to be include the following elements: respectful and least invasive. (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. (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. Facility administration indicated all youth who ☒ ☐ ☐ have been identified at risk for suicide will be immediately referred to Wellpath and precautionary protocols will be consistent with the level of risk. (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 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedures Checklist and is only intended for the 2023 Unannounced Inspection of the Kings County Juvenile Center. 7162 Kings Juvenile Center Unannounced PRO 23-24 Page 1 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot (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: Staff were able to articulate the protocols which have been put into place to ensure youth identified at risk are to be treated with dignity and responses are to be based upon ☒ ☐ ☐ acuity. Staff indicated safety interventions will be outlined by Wellpath medical and mental health staff. Interviewed Wellpath medical staff on their understanding of the new policy and intervention protocols. (A) Housing consideration Procedures for Monitoring Youth Identified at Risk of Suicide ☒ ☐ ☐ (B) Treatment strategies including trauma- Safety Interventions ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff Safety Interventions how 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 Reviewed screening instruments from ideations, behaviors or attempts. September 22, 2023 to October 6, 2023 in ☒ ☐ ☐ which law enforcement and family guardians are questioned regarding the youth’s past or present suicidal ideation, behavior, or attempts. The agency is in compliance with this regulation. (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 Critical Incident Debriefing ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Critical Incident Debriefing ☒ ☐ ☐ youth. (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 Staff interviewed were able to articulate youth ☒ ☐ ☐ youth or security of the facility. Any deprivation of identified as a suicide risk are not to be denied programs, services or activities for youth at risk of services and activities unless deemed suicide shall be documented and approved by the necessary and approved. Facility facility manager. administration indicated if youth are denied 7162 Kings Juvenile Center Unannounced PRO 23-24 Page 2 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot these services, the deprivation will be documented. 1354 SEPARATION Chapter 4121, Section X The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures that address: (a) separation of youth for reasons that include, but are Section X-A Medical not be limited to, medical and mental health conditions, Section X-B Close Watch ☒ ☐ ☐ assaultive behavior, disciplinary consequences and Section X-C Self Separation X-D Discipline protective custody. (b) consideration of positive youth development and Section X ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Section X privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 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 Section X-D, 1 and 2 of separated youth to determine if separation remains necessary. ☒ ☐ ☐ Facility administration indicated any youth who is separated will be reviewed daily and this information will be documented. 1354.5 ROOM CONFINEMENT Chapter 4121, Section VIII Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing There were no recent instances of room the confinement of youth in their room that are confinement to review. Staff were interviewed consistent with Welfare and Institutions Code Section about the use of room confinement and the 208.3. The placement of a youth in room confinement requirement for placement on room shall be accomplished in accordance with the following confinement. Staff indicated they are aware guidelines: ☒ ☐ ☐ youth can only be placed on room confinement after lesser restrictive options have been made. Staff were able to articulate youth at risk for suicide were not to be confined to the holding room as a matter of practice and responses were to be based on precautionary protocols and safety interventions. The agency is in compliance with this regulation. (1) Room confinement shall not be used before Section VIII (II-A) Guidelines for Room other, less restrictive, options have been attempted Confinement and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Section VIII (II-B) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent 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 Section VIII (III) Use of Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Section VIII (III-A, 1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Section VIII (III-A, 2) 7162 Kings Juvenile Center Unannounced PRO 23-24 Page 3 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot (3) Develop an individualized plan that includes the 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 Section VIII (III-B) ☒ ☐ ☐ four hours, staff shall do each of the following: (A) Document the reasons for room confinement Section VIII (III-B, 3) and the basis for the extension, the date and time the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 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 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 Section VIII (I-A, 3 and 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 Section VIII (I+A, 2) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Section VIII (III) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 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 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. 1371 PROGRAMS, RECREATION, AND Chapter 4113 Recreation, Program and EXERCISE. Exercise The facility administrator shall develop and implement written policies and procedures for programs, ☒ ☐ ☐ recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for 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. 7162 Kings Juvenile Center Unannounced PRO 23-24 Page 4 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot 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. There will be a written annual review of the programs, Section I-D recreation, and exercise by the responsible agency to ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. (a) Programs. All youth shall be provided with the Section II-C, 1 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, Met with facility staff and collaborative staff evidence-based, best practice interventions that are who provided programming to youth. culturally relevant and linguistically appropriate, or pro- Reviewed documentation which consisted of social interventions and activities designed to reduce current program schedule, projected program recidivism. These programs should be based on the schedules, unit logs, and tracking youth’s individual needs as required by Sections 1355 documentation. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Observed programming being conducted by Office of Education and can be administered by county probation staff. Youth were engaged and ☒ ☐ ☐ partners such as mental health agencies, community actively participating. based organizations, faith-based organizations or Probation staff. Interviewed two youth specifically about Programs may include but are not limited to: programming being offered in the facility. The youth indicated programming is being offered on a daily basis by facility staff and collaborative partners. The youth were able to articulate the topics involved, such as anger management, goal setting, coping mechanisms, and healthy relationships. The agency is in compliance with this regulation. (1) Cognitive Behavior Interventions; Section II-C, I a-n (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Chapter 4113 paragraph 1 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the Section II-A, 1 opportunity for at least one hour of large muscle activity ☒ ☐ ☐ each day. The administrator/manager may suspend, for a period Chapter 4113 paragraph 1 ☒ ☐ ☐ not to exceed 24 hours, access to recreation and 7162 Kings Juvenile Center Unannounced PRO 23-24 Page 5 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot programs. The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7162 Kings Juvenile Center Unannounced PRO 23-24 Page 6 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1, 2 BSCC Code: 7163 FACILITY NAME: Kings Juvenile Center Camp FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Stacie Sellai-Juvenile Corrections Manger, Alan Aguilar-Well Path Nurse, J Vidal-Juvenile Corrections Officer IV, N. Corona-Juvenile Corrections Officer, E. Alcoser-Juvenile Corrections Officer, R. Navarro-Juvenile Corrections Officer, M. Madrigal-Juvenile Corrections Officer, C. Bates-Probation Aide, Stephanie Bueller-Kings Behavioral Health, Ignacio Perez-Job Training Organization, 2 male youth FIELD REPRESENTATIVE: Shay Molennor DATE: October 6, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Policy 4109 (new) Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Discussed with facility staff the Suicide shall plan and implement written policies and Prevention Training completed in September procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ 2023. Staff indicated the training covered the The plan shall consider the needs of youth experiencing new policy and responses to suicidal youth. All past or current trauma. Suicide prevention responses staff interviewed were able to articulate shall be respectful and in the least invasive manner suicide prevention responses were to be consistent with the level of suicide risk. The plan shall respectful and least invasive. include the following elements: (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. (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. Facility administration indicated all youth who ☒ ☐ ☐ have been identified at risk for suicide will be immediately referred to Wellpath and precautionary protocols will be consistent with the level of risk. (c) Referral process to behavioral/mental health staff for Referral Process to Behavioral/Mental Health ☒ ☐ ☐ assessment and/or services. Staff for Assessment and Services 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedures Checklist and is only intended for the 2023 Unannounced Inspection of the Kings County Juvenile Center Camp. 7163 Kings Juvenile Center Camp Unannounced PRO 23-24 Page 1 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Procedures for monitoring of youth identified at risk 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: Staff were able to articulate the protocols which have been put into place to ensure youth identified at risk are to be treated with dignity and responses are to be based upon ☒ ☐ ☐ acuity. Staff indicated safety interventions will be outlined by Wellpath medical and mental health staff. Interviewed Wellpath medical staff on their understanding of the new policy and intervention protocols. (A) Housing consideration Procedures for Monitoring Youth Identified at ☒ ☐ ☐ Risk of Suicide (B) Treatment strategies including trauma- Safety Interventions ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff Safety Interventions how 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 Reviewed screening instruments from ideations, behaviors or attempts. September 22, 2023 to October 6, 2023 in ☒ ☐ ☐ which law enforcement and family guardians are questioned regarding the youth’s past or present suicidal ideation, behavior, or attempts. The agency is in compliance with this regulation. (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 Critical Incident Debriefing ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Critical Incident Debriefing ☒ ☐ ☐ youth. 7163 Kings Juvenile Center Camp Unannounced PRO 23-24 Page 2 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 Staff interviewed were able to articulate youth youth or security of the facility. Any deprivation of identified as a suicide risk are not to be denied ☒ ☐ ☐ programs, services or activities for youth at risk of services and activities unless deemed suicide shall be documented and approved by the necessary and approved. Facility facility manager. administration indicated if youth are denied these services, the deprivation will be documented. 1354 SEPARATION Chapter 4121, Section X The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures that address: (a) separation of youth for reasons that include, but are Section X-A Medical not be limited to, medical and mental health conditions, Section X-B Close Watch ☒ ☐ ☐ assaultive behavior, disciplinary consequences and Section X-C Self Separation X-D Discipline protective custody. (b) consideration of positive youth development and Section X ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Section X privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 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 Section X-D, 1 and 2 of separated youth to determine if separation remains necessary. ☒ ☐ ☐ Facility administration indicated any youth who is separated will be reviewed daily and this information will be documented. 1354.5 ROOM CONFINEMENT Chapter 4121, Section VIII Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing There were no recent instances of room the confinement of youth in their room that are confinement to review. Staff were interviewed consistent with Welfare and Institutions Code Section about the use of room confinement and 208.3. The placement of a youth in room confinement requirement for placement on room shall be accomplished in accordance with the following confinement. Staff indicated they are aware guidelines: ☒ ☐ ☐ youth can only be placed on room confinement after lesser restrictive options have been made. Staff were able to articulate youth at risk for suicide were not to be confined to the holding room as a matter of practice and responses were to be based on precautionary protocols and safety interventions. The agency is in compliance with this regulation. (1) Room confinement shall not be used before Section VIII (II-A) Guidelines for Room other, less restrictive, options have been attempted Confinement and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. 7163 Kings Juvenile Center Camp Unannounced PRO 23-24 Page 3 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Room confinement shall not be used for the Section VIII (II-B) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent 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 Section VIII (III) Use of Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Section VIII (III-A, 1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Section VIII (III-A, 2) (3) Develop an individualized plan that includes the 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 Section VIII (III-B) ☒ ☐ ☐ four hours, staff shall do each of the following: (A) Document the reasons for room confinement Section VIII (III-B, 3) and the basis for the extension, the date and time the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 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 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 Section VIII (I-A, 3 and 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 Section VIII (I-A, 2) court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Section VIII (III) conflict with any law providing greater or additional protections to youth. ☒ ☐ ☐ (8) This section does not apply during an 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. 7163 Kings Juvenile Center Camp Unannounced PRO 23-24 Page 4 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is 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. 1371 PROGRAMS, RECREATION, AND Chapter 4113 Recreation, Program and EXERCISE. Exercise The facility administrator shall develop and implement written policies and procedures for programs, ☒ ☐ ☐ recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for 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. There will be a written annual review of the programs, Section I-D recreation, and exercise by the responsible agency to ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. (a) Programs. All youth shall be provided with the Section II-C, 1 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, Met with facility staff and collaborative staff evidence-based, best practice interventions that are who provided programming to youth. culturally relevant and linguistically appropriate, or pro- Reviewed documentation which consisted of social interventions and activities designed to reduce current program schedule, projected program recidivism. These programs should be based on the schedules, unit logs, and tracking youth’s individual needs as required by Sections 1355 documentation. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Observed programming being conducted by Office of Education and can be administered by county probation staff. Youth were engaged and ☒ ☐ ☐ partners such as mental health agencies, community actively participating. based organizations, faith-based organizations or Probation staff. Interviewed two youth specifically about Programs may include but are not limited to: programming being offered in the facility. The youth indicated programming is being offered on a daily basis by facility staff and collaborative partners. The youth were able to articulate the topics involved, such as anger management, goal setting, coping mechanisms, and healthy relationships. The agency is in compliance with this regulation. 7163 Kings Juvenile Center Camp Unannounced PRO 23-24 Page 5 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; Section II-C, I a-n (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Chapter 4113 paragraph 1 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the Section II-A, 1 opportunity for at least one hour of large muscle activity ☒ ☐ ☐ each day. The administrator/manager may suspend, for a period Chapter 4113 paragraph 1 not 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 Juvenile Center Camp Unannounced PRO 23-24 Page 6 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1, 2 BSCC Code: 7164 FACILITY NAME: Kings Secure Youth Treatment Facility FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Stacie Sellai-Juvenile Corrections Manger, Alan Aguilar-Well Path Nurse, J Vidal-Juvenile Corrections Officer IV, N. Corona-Juvenile Corrections Officer, E. Alcoser-Juvenile Corrections Officer, R. Navarro-Juvenile Corrections Officer, M. Madrigal-Juvenile Corrections Officer, C. Bates-Probation Aide, Stephanie Bueller-Kings Behavioral Health, Ignacio Perez-Job Training Organization, 2 male youth FIELD REPRESENTATIVE: Shay Molennor DATE: October 6, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Policy 4109 (new) Suicide Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Discussed with facility staff the Suicide shall plan and implement written policies and Prevention Training completed in September procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ 2023. Staff indicated the training covered the The plan shall consider the needs of youth experiencing new policy and responses to suicidal youth. All past or current trauma. Suicide prevention responses staff interviewed were able to articulate shall be respectful and in the least invasive manner suicide prevention responses were to be consistent with the level of suicide risk. The plan shall respectful and least invasive. include the following elements: (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. (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. Facility administration indicated all youth who ☒ ☐ ☐ have been identified at risk for suicide will be immediately referred to Wellpath and precautionary protocols will be consistent with the level of risk. (c) Referral process to behavioral/mental health staff for Referral Process to Behavioral/Mental Health ☒ ☐ ☐ assessment and/or services. Staff for Assessment and Services 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 This is a modified version of the Procedures Checklist and is only intended for the 2023 Unannounced Inspection of the Kings County Secure Youth Treatment Facility. 7164 Kings SYTF Unannounced PRO 23-24 Page 1 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Procedures for monitoring of youth identified at risk 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: Staff were able to articulate the protocols which have been put into place to ensure youth identified at risk are to be treated with dignity and responses are to be based upon ☒ ☐ ☐ acuity. Staff indicated safety interventions will be outlined by Wellpath medical and mental health staff. Interviewed Wellpath medical staff on their understanding of the new policy and intervention protocols. (A) Housing consideration Procedures for Monitoring Youth Identified at ☒ ☐ ☐ Risk of Suicide (B) Treatment strategies including trauma- Safety Interventions ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff Safety Interventions how 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 Reviewed screening instruments from ideations, behaviors or attempts. September 22, 2023 to October 6, 2023 in ☒ ☐ ☐ which law enforcement and family guardians are questioned regarding the youth’s past or present suicidal ideation, behavior, or attempts. The agency is in compliance with this regulation. (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 Critical Incident Debriefing ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Critical Incident Debriefing ☒ ☐ ☐ youth. 7164 Kings SYTF Unannounced PRO 23-24 Page 2 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 Staff interviewed were able to articulate youth youth or security of the facility. Any deprivation of identified as a suicide risk are not to be denied ☒ ☐ ☐ programs, services or activities for youth at risk of services and activities unless deemed suicide shall be documented and approved by the necessary and approved. Facility facility manager. administration indicated if youth are denied these services, the deprivation will be documented. 1354 SEPARATION Chapter 4121, Section X The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures that address: (a) separation of youth for reasons that include, but are Section X-A Medical not be limited to, medical and mental health conditions, Section X-B Close Watch ☒ ☐ ☐ assaultive behavior, disciplinary consequences and Section X-C Self Separation X-D Discipline protective custody. (b) consideration of positive youth development and Section X ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Section X privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 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 Section X-D, 1 and 2 of separated youth to determine if separation remains necessary. ☒ ☐ ☐ Facility administration indicated any youth who is separated will be reviewed daily and this information will be documented. 1354.5 ROOM CONFINEMENT Chapter 4121, Section VIII Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing There were no recent instances of room the confinement of youth in their room that are confinement to review. Staff were interviewed consistent with Welfare and Institutions Code Section about the use of room confinement and 208.3. The placement of a youth in room confinement requirement for placement on room shall be accomplished in accordance with the following confinement. Staff indicated they are aware guidelines: ☒ ☐ ☐ youth can only be placed on room confinement after lesser restrictive options have been made. Staff were able to articulate youth at risk for suicide were not to be confined to the holding room as a matter of practice and responses were to be based on precautionary protocols and safety interventions. The agency is in compliance with this regulation. (1) Room confinement shall not be used before Section VIII (II-A) Guidelines for Room other, less restrictive, options have been attempted Confinement and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. 7164 Kings SYTF Unannounced PRO 23-24 Page 3 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Room confinement shall not be used for the Section VIII (II-B) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent 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 Section VIII (III) Use of Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Section VIII (III-A, 1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Section VIII (III-A, 2) (3) Develop an individualized plan that includes the 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 Section VIII (III-B) ☒ ☐ ☐ four hours, staff shall do each of the following: (A) Document the reasons for room confinement Section VIII (III-B, 3) and the basis for the extension, the date and time the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 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 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 Section VIII (I-A, 3 and 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 Section VIII (I-A, 2) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Section VIII (III) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 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 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. 7164 Kings SYTF Unannounced PRO 23-24 Page 4 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND Chapter 4113 Recreation, Program and EXERCISE. Exercise The facility administrator shall develop and implement written policies and procedures for programs, ☒ ☐ ☐ recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for 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. There will be a written annual review of the programs, Section I-D recreation, and exercise by the responsible agency to ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. (a) Programs. All youth shall be provided with the Section II-C, 1 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, Met with facility staff and collaborative staff evidence-based, best practice interventions that are who provided programming to youth. culturally relevant and linguistically appropriate, or pro- Reviewed documentation which consisted of social interventions and activities designed to reduce current program schedule, projected program recidivism. These programs should be based on the schedules, unit logs, and tracking youth’s individual needs as required by Sections 1355 documentation. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Observed programming being conducted by Office of Education and can be administered by county probation staff. Youth were engaged and ☒ ☐ ☐ partners such as mental health agencies, community actively participating. based organizations, faith-based organizations or Probation staff. Interviewed two youth specifically about Programs may include but are not limited to: programming being offered in the facility. The youth indicated programming is being offered on a daily basis by facility staff and collaborative partners. The youth were able to articulate the topics involved, such as anger management, goal setting, coping mechanisms, and healthy relationships. The agency is in compliance with this regulation. 7164 Kings SYTF Unannounced PRO 23-24 Page 5 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; Section II-C, I a-n (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Chapter 4113 paragraph 1 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the Section II-A, 1 opportunity for at least one hour of large muscle activity ☒ ☐ ☐ each day. The administrator/manager may suspend, for a period Chapter 4113 paragraph 1 not 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 Unannounced PRO 23-24 Page 6 of 6 A453 JUV PRO eff. 1/2019 (23-24).dot