Los Angeles Probation Inspection Rpt (2020-2022 inspection cycle)

Initial Inspection Report 2020-2022 Biennial Inspection Cycle Date of Exit Briefing: 1/13/2023 Inspection Type: Biennial County: Los Angeles Facility Name(s): Central Juvenile Hall BSCC #(s): 7198 BSCC Type: Juvenile Hall Facility Representatives: John Baima, Valerie Van Kirk, Edie Thompson BSCC Field Representative: Lisa Southwell Corrective Action Plan Required? YES DATE CAP DUE TO BSCC: 3/14/2023 Current Items of Noncompliance Title 15. Section Description § 1313. County Inspection and Evaluation of 2022 County Building Inspection Building and Grounds. Report not received. § 1313. County Inspection and Evaluation of 2022: Fire Clearance Building and Grounds. No current fire clearance provided. 2022 Juvenile Court Inspection § 1313. County Inspection and Evaluation of Building and Grounds. The 2022 Juvenile Court inspection was not completed as required but is now scheduled to be completed before mid- February 2023. This section requires that the facility: • have an adequate number of personnel sufficient to carry out the overall facility operation and its programming, to provide for safety and security of youth and staff and meet established standards and regulations. § 1321. Staffing. • ensure that no required services shall be denied because of insufficient numbers of staff on duty absent exigent circumstances. Facility non-compliant in the above areas; several regulations have been found to be impacted by lack of staffing. This information is detailed on the Procedures checklist. This section requires: (e) initial orientation, including safety and security § 1324. Policy and Procedures Manual. issues and anti-discrimination policies, for support staff, contract employees, school, mental/behavioral LAC Central Juvenile Hall Page 2 Title 15. Section Description health and medical staff, program providers and volunteers. Non-sworn partner staff are required to complete an initial orientation and to complete a review of the Building Emergency Plan prior to entry. This has not occurred and is pending approval. Suggested that both Juvenile Halls develop and implement a consistent process and practice for collection of documentation of initial orientation. § 1327. Emergency Procedures. This section requires: (f) a program to provide all youth supervision staff with an annual review of emergency procedures. Annual Emergency Procedure Reviews were completed for 2020 and 2021; there was no review for 2022. The Building Emergency Plan (BEP) was incomplete and pending fire department approval. Facility administration has received a completed BEP from the fire department and is actively working to resolve this issue. § 1328. Safety Checks. This section requires: The facility administrator shall develop and implement policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. Checks are not being documented according to regulation and policy. Checks are not random and varied. The video review does not corroborate the written documentation. § 1354.5. Room Confinement. Room confinement means: “The placement of a youth in a locked room with minimal or no contact with persons other than correctional facility staff and attorneys. Room confinement does not include confinement of a LAC Central Juvenile Hall Page 2 Title 15. Section Description youth in a locked single person room for brief periods as may be necessary for required institutional operations.” It was noted through documentation review that in some units, youth were placed in their rooms for periods beyond what is allowable for transitions i.e. shift change, were placed in rooms for early bed contrary to policy directives and some were found to be in their room after incidents confirmed through either regular safety checks or were noted through self-separation checks. Some of these checks were not confirmed by the youth as required by policy. These practices seem to occur sporadically throughout the documentation viewed and do not appear to be widespread throughout the full facility. Several of the youth interviewed confirmed the above actions, but noted that although incidents still occur, they reported the facilities continue to do better than from what has occurred in the past. Youth stated any long-term room confinement is the result of lack of staff. At inspection we also noted concern with the practice of “hybrid units” for housing of COVID positive and COVID negative youth together as this practice results in room confinement. Medical guidance has been updated and this issue has been addressed. § 1357. Use of Force. The policy effective date is May 2, 2022 and the issue date of Directive 1477 is 06/22/2022. “Detention and Residential Treatment Services Bureaus Manuals – Physical Intervention Policy (Sections DSB-1000 / RTSB-1700)”. Directive/policy was implemented; however, there was no formalized training for staff prior to the implementation date nor was there a plan beyond instructing staff to review the new policy. (This is now in the process of being rectified) Previous to this policy, there has also been no full, ongoing use of force training completed that includes all the typical subject matter areas of use of force. In previous years, it was noted that staff received training in Block week. Staff have not received hands on OC or DETAC or use of restraints etc. No tactical training i.e. how do you control the scene, how do you properly decontaminate etc. We have noted both on video and in incident reports a lack of control over incidents. Lastly, the reports do not contain the information necessary to document the proof of practice. LAC Central Juvenile Hall Page 2 Title 15. Section Description Areas of Concern: • Lack of Training • Poor Report Writing • Lack of Consistent IR Documentation • Parent Contact • Decontamination • FIRST Team § 1358.5. Use of Restraint Devices for This section requires: Movement and Transportation Within the Facility. An individual assessment of the need to apply restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. Handcuffs are not used as practice to control an incident or the youth; however, there is policy in place, and they are occasionally used. When they are used, their use is not being documented consistently in accordance with regulation and policy. § 1360. Searches. This section requires: By policy, room searches are required daily, unit area searches are required daily, and two thorough contraband searches are required weekly. Room and facility searches were found not to be completed as required. Strip search documentation initially found to be documented incorrectly. Technical Assistance provided. This was addressed and corrected. § 1370. Education Program. This section requires: (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational LAC Central Juvenile Hall Page 2 Title 15. Section Description instruction, both excused and unexcused, shall be documented. When youth do not attend school in the classroom for example due to quarantine of the unit or other circumstances that prevent youth from being present in the classroom, they are provided with packets in lieu of in- person instruction. Packets do not meet the instructional minimums. § 1371. Programs, Recreation, and Exercise. This section requires: Juvenile facilities shall provide the opportunity for 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. Youth do not consistently get an hour outdoors each day. There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and relevant to the population. There were no individual reviews provided by any of the Community Based Organizations identified by the Superintendents or from DMH. No program information that facility staff provide were noted in this review. Programs Rehabilitational programming is not consistently offered/provided daily for one hour in each unit. Exercise Exercise is not consistently offered/provided daily for one hour in each unit. § 1374. Visiting. This section requires: The facility administrator shall develop and implement written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, such as LAC Central Juvenile Hall Page 2 Title 15. Section Description grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. Proof of practice for virtual calls and additional calls not provided for times when facility/specific units are under quarantine or visiting does not occur. Children of youth not able to visit for regular visits consistently facility wide. § 1390. Discipline. This section requires: The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: Facility lacks suitable age-appropriate incentives for positive behavior. Discipline process is ineffective. Without such a program, there is no incentive for youth to maintain good behavior. This issue effects 1391 as well. Staff should be retrained on the completion of due process forms. Title 24. Section Description Several windows have been broken and have not yet been replaced. Plywood has been used to cover these spaces. 1230.2.10 Security glazing The plywood is covered in graffiti. Windows should be replaced within a reasonable timeframe. Each room shall have a view panel with a minimum of 144 square inches. The purpose of this window is to be able to provide adequate supervision of youth while in their rooms. Many of the windows are damaged from etching, 1230.1.7 Single occupancy sleeping rooms however, many are covered in lotion, grease, toothpaste, etc. that is placed on the window by the youth to provide privacy. We viewed several windows that were fully covered which impedes an officer’s ability to properly supervise. LAC Central Juvenile Hall Page 2 Night lighting is required in sleeping rooms, dayrooms, and activity areas to provide good visibility for supervision and 1230.2.6 Lighting be conducive to sleep. It was viewed that youth cover their lights to make their rooms dark which is a fire hazard and contrary to Title 24. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy sleeping rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention, or other 1230.1.5 Living unit. action. Staff often were viewed to be in the office behind a closed and locked door mostly when youth are all in their rooms. There must always be one (1) staff present in the unit when a youth is present, in their room or not. Youth do not have a means in which to call for assistance other than knocking and as such, this cannot always be heard from in the office. 1230.1.11 Physical activity and recreation areas Lighting of outdoor recreation areas shall be provided to allow for evening activities and to provide security. Outdoor lighting is not conducive to youth conducting outdoor exercise after dark. Technical Assistance Provided All units should have furniture for the youth to sit on, consistent activities for the youth to participate in and an abundance of programming and recreational activities. Further communication should occur between partner agencies regarding the barriers to conducting mandated outdoor recreation, especially during the wintertime when there are 2 hours of daylight after school. The facility physical plant is in need of upkeep that is outside of the MSB function. There are multiple youth who are graduates who could be trained in basic paint and could assist in prepping and sanding and painting areas that need to be addressed to cover years of use and graffiti. Youth could utilize this skill upon release if done right. All youth commented on the quality of food and the portions. See additional comments in Procedure Checklist. Additional Information Initial Inspection Report 2020-2022 Biennial Inspection Cycle Date of Exit Briefing: 1/13/2023 Inspection Type: Biennial County: Los Angeles Facility Name(s): Barry J. Nidorf BSCC #(s): 7204 BSCC Type: Juvenile Hall Facility Representatives: Janice Jones, Reuben Montes, Valerie Van Kirk, Lizete Barboza BSCC Field Representative: Lisa Southwell Corrective Action Plan Required? YES DATE CAP DUE TO BSCC: 3/14/2023 Current Items of Noncompliance Title 15. Section Description § 1313. County Inspection and Evaluation of 2022 Fire Inspection Building and Grounds. Clearance not received. 2022 Juvenile Court Inspection § 1313. County Inspection and Evaluation of The 2022 Juvenile Court inspection was not completed as Building and Grounds. required but was scheduled and completed January 25, 2023. This section requires that facilities: • have an adequate number of personnel sufficient to carry out the overall facility operation and its programming, to provide for safety and security of youth and staff and meet established standards and regulations. § 1321. Staffing. • ensure that no required services shall be denied because of insufficient numbers of staff on duty absent exigent circumstances. Facility non-compliant in the above areas. Several regulations have been found to be impacted by lack of staffing. This information will be detailed on the Procedures checklist. § 1322. Youth Supervision Staff Orientation This section requires: (7) procedures to follow in the event of and Training. emergencies. LAC Barry J. Nidorf Juvenile Hall Page 2 Title 15. Section Description As part of the training program, the Juvenile Hall Building Emergency Plan is provided for officer review and sign off; however, the current Emergency Plan has not been signed off by the Fire Department. Attempts have been made, but the plan approval is still pending approval at this time. Facility managers working to resolve the issue. This section requires: (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract employees, school, mental/behavioral health and medical staff, program providers and volunteers. § 1324. Policy and Procedures Manual. Non-sworn partner staff are required to complete an initial orientation and to complete a review of the Building Emergency Plan prior to entry. This has not occurred and is pending approval. Suggested that both Juvenile Halls develop and implement a consistent process and practice for collection of documented initial orientation. This section requires: fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); - See 1313 (g)development of a fire suppression pre-plan in § 1325. Fire Safety Plan. cooperation with the local fire department. No proof of practice provided for this section. Evidence of proof began in September; however, facility is still working to resolve this issue. This section requires: (f) a program to provide all youth supervision staff with an annual review of emergency procedures. Annual Emergency Procedure Reviews were completed for 2020 and 2021; there was no review for 2022. § 1327. Emergency Procedures. Annual Emergency Procedure Reviews were completed for 2020 and 2021. The review was not completed in 2022 as the Building Emergency Plan (BEP) is incomplete and pending fire department approval. Facility administration is actively working on this issue. LAC Barry J. Nidorf Juvenile Hall Page 2 Title 15. Section Description § 1328. Safety Checks. This section requires: The facility administrator shall develop and implement policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. Checks are not being documented according to regulation and policy. Checks are not random and varied. The video review does not corroborate the written documentation. § 1354.5. Room Confinement. Room confinement means: “The placement of a youth in a locked room with minimal or no contact with persons other than correctional facility staff and attorneys. Room confinement does not include confinement of a youth in a locked single person room for brief periods as may be necessary for required institutional operations” It was noted through documentation review that in some units, youth were placed in their rooms for periods beyond what is allowable for transitions i.e. shift change, were placed in rooms for early bed contrary to policy directives and some were found to be in their room after incidents confirmed through either regular safety checks or were noted through self-separation checks. Some of these checks were not confirmed by the youth as required by policy. These practices were viewed to occur sporadically throughout the documentation viewed and did not appear to be widespread throughout the full facility. Several of the youth interviewed confirmed the above actions, but noted that although incidents still occur, they reported the facilities continue to do better than from what has occurred in the past. Youth stated any LAC Barry J. Nidorf Juvenile Hall Page 2 Title 15. Section Description long-term room confinement is the result of lack of staff. At inspection we also noted concern with the practice of “hybrid units” for housing of COVID positive and COVID negative youth together as this practice results in room confinement. Medical guidance has been updated and this issue has been addressed. § 1357. Use of Force. The policy effective date is May 2, 2022 and the issue date Directive 1477 is 06/22/2022. “Detention and Residential Treatment Services Bureaus Manuals – Physical Intervention Policy (Sections DSB-1000 / RTSB-1700)”. Directive/policy was implemented however, there was no formalized training for staff prior to the implementation date nor was there a plan beyond instructing staff to review the new policy. (This is now in the process of being rectified) Previous to this policy, there has also been no full, ongoing use of force training completed that includes all the typical subject matter areas of use of force. In previous years, it was noted that staff received training in Block week. Staff have not received hands on OC or DETAC or use of restraints etc. No tactical training i.e., how do you control the scene, how do you properly decontaminate etc. We have noted both on video and in incident reports a lack of control over incidents. Lastly, the reports do not contain the information necessary to document the proof of practice. Areas of Concern: • Lack of Training • Poor Report Writing • Lack of Consistent IR Documentation • Decontamination • FIRST Team § 1360. Searches. This section requires: By policy, room searches are required daily, unit area searches are required daily, and two thorough contraband searches are required weekly. Room and facility searches were found not to be completed as required. § 1370. Education Program. This section requires: (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile LAC Barry J. Nidorf Juvenile Hall Page 2 Title 15. Section Description court schools. The facility administrator, in conjunction with education staff, must ensure that operational procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. When youth do not attend school in the classroom for example due to quarantine of the unit or other circumstances that prevent youth from being present in the classroom, they are provided with packets in lieu of in- person instruction. Packets do not meet the instructional minimums. § 1371. Programs, Recreation, and Exercise. This section requires: Juvenile facilities shall provide the opportunity for 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. Youth do not consistently get an hour outdoors each day. Exercise Exercise is not consistently offered/provided daily for one hour in each unit. § 1390. Discipline. This section requires: The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: Facility lacks suitable age-appropriate incentives for positive behavior. Discipline process is ineffective. Without such a program, there is no incentive for youth to maintain good behavior. This issue effects 1391 as well. Staff should be retrained on the completion of due process forms. LAC Barry J. Nidorf Juvenile Hall Page 2 Title 24. Section Description Several windows have been broken and have not yet been replaced. Plywood has been used to cover these spaces. 1230.2.10 Security glazing The plywood is covered in graffiti. Windows should be replaced within a reasonable timeframe. Each room shall have a view panel with a minimum of 144 square inches. The purpose of this window is to be able to provide adequate supervision of youth while in their rooms. Many of the windows are damaged from etching, 1230.1.7 Single occupancy sleeping rooms however, many are covered in lotion, grease, toothpaste, etc. that is placed on the window by the youth to provide privacy. We viewed several windows that were fully covered which impedes an officer’s ability to properly supervise. Night lighting is required in sleeping rooms, dayrooms and activity areas to provide good visibility for supervision and 1230.2.6 Lighting be conducive to sleep. It was viewed that youth cover their lights to make their rooms dark which is a fire hazard and contrary to Title 24. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy sleeping rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate 1230.1.5 Living unit. intervention or other action. Staff often were viewed to be in the office behind a closed and locked door mostly when youth are all in their rooms. There must always be 1 staff present in the unit when a youth is present, in their room or not. Youth do not have a means in which to call for assistance other than knocking and as such, this can not always be heard from in the office. Lighting of outdoor recreation areas shall be provided to allow for evening activities and to provide security. 1230.1.11 Physical activity and recreation areas Outdoor lighting is not conducive to youth conducting outdoor exercise after dark. LAC Barry J. Nidorf Juvenile Hall Page 2 Technical Assistance Provided All units should have furniture for the youth to sit on, consistent activities for the youth to participate in and an abundance of programming and recreational activities. Further communication should occur between partner agencies regarding the barriers to conducting mandated outdoor recreation, especially during the wintertime when there are 2 hours of daylight after school. The facility physical plant is in need of upkeep that is outside of the MSB function. There are multiple youth who are graduates who could be trained in basic paint and could assist in prepping and sanding and painting areas that need to be addressed to cover years of use and graffiti. Youth could utilize this skill upon release if done right. All youth commented on the quality of food and the portions. See additional comments in Procedure Checklist. Additional Information Initial Inspection Report 2020-2022 Biennial Inspection Cycle Date of Exit Briefing: 5/2/2022 Inspection Type: Biennial County: Los Angeles County Facility Name(s): Camp Afflerbaugh BSCC #(s):7207 BSCC Type: Camp Facility Representatives: Mr. Pineda, Ms. Mendez, Mr. Hernandez BSCC Field Representative: Lisa Southwell Corrective Action Plan Required? NO DATE CAP DUE TO BSCC: NA Current Items of Noncompliance NONE Congratulations to your team Camp Afflerbaugh. You all have done a fantastic job. Additional Information Follow Up Expected: 1313: Local Inspections: Follow up needed. Contact has been initiated with assistance by BSCC just waiting to hear back (Out of the control of Probation) 1326 and Title 24: Suggest you do a full Camp Review pursuant to 1326 Security Review and Title 24. Different Build and Different type of kid. . Initial Inspection Report 2020-2022 Biennial Inspection Cycle Date of Exit Briefing: 4/25/2022 Inspection Type: Biennial County: Los Angeles Facility Name(s): Camp Kilpatrick BSCC #(s): 7232 BSCC Type: Camp Facility Representatives: Mr. Pineda, Ms. Beigh, Mr. Steen, Ms. Heath BSCC Field Representative: Lisa Southwell Corrective Action Plan Required? YES DATE CAP DUE TO BSCC: 5/25/2022 Current Items of Noncompliance Title 15. Section Description 1372 Religious Programming: Agency has been suspended for Religious Services due to COVID 19 and service providers have been prohibited from coming into the facility during periods of high COVID outbreak. Facilities were to provide access with online, videos etc. during the suspension of regulations. This has not occurred consistently as required and no documentation was provided. It was noted that a facility staff member has provided 1372: Religious Programming individual and group religious programming and continues to do so currently when providers do not show up. Unfortunately, this has not been documented and the facility was unable to provide adequate proof of practice. The facility will document all programs provided, all other efforts made to provide religious programming to youth and/or any participation in religious services weekly either in person or virtually going forward. We believe this issue will be resolved and corrected within 30 days and will not be noted as non-compliant in the final report. Los Angeles County Camp Kilpatrick Initial Inspection Report Page 2 Technical Assistance Provided 1328 Safety Checks: Safety checks are required to be direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals. It was noted that the checks were not completed in a random and varied manner. Checks are generally completed within 15,14, 13 or 12 min. This is somewhat random but not varied. An example of random and varied would be checks completed at 15, 9, 4,12, 6, 10 minutes etc. We understand that the facility is an open setting cottage environment where staff have the youth under direct observation, however a safety check must be documented that is specific to ensuring the safety and well being of the youth through an active effort to view them for this purpose. A bureau wide correction memo had been initiated and additional checks were provided for review prior to the completion of the inspection. These checks showed a remarkable improvement. The Facility will continue to address this issue with direct QA from facility managers with full resolution within the next 30 days. If the facility continues to be compliant, this section will be marked as compliant. If not, the facility will be marked as non-compliant on the final report. Additional Information 1313 Local Inspections: Follow up needed for some local inspections. Contact has been initiated, just waiting to hear back. This is not due to lack of follow up by probation. Initial Inspection Report 2020-2022 Biennial Inspection Cycle Date of Exit Briefing: 4/18/2022 Inspection Type: Biennial County: Los Angeles County Facility Name(s): Camp Dorothy Kirby Center BSCC #(s): 7234 BSCC Type: Camp Facility Representatives: Mr. Pineda, Mr. Banuelos, Ms. Carrington, BSCC Field Representative: Lisa Southwell Corrective Action Plan Required? YES DATE CAP DUE TO BSCC: 5/18/2022 Current Items of Noncompliance Title 15. Section Description (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the youth's behavior while in custody; Periodic classification reviews are to occur with § 1352. Classification. weekly case notes, however, documentation is lacking. Follow up and training occurred to discuss and review on 4/14/22. Facility will continue to address with direct QA from facility managers with full resolution anticipated withing the next 30 days. (b)(3): Periodic Review. Periodic evaluation of progress towards meeting the objectives, including periodic review and discussion of the plan with the § 1355. Institutional Assessment and Plan. youth; Periodic reviews were not completed consistent with regulation requirements and documentation was lacking. Reviews were also not completed with youth. The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be allowed to participate in an activity outside of their room if he/she elects not to § 1372. Religious Program. participate in religious programs. Facility has been suspended for religious services since the beginning of the pandemic due to COVID 19. Religious volunteers have been prohibited from coming into the facility to provide religious Los Angeles County Dorothy Kirby Center Initial Inspection Report Page 2 Title 15. Section Description programming to youth, therefore, facility staff were to provide youth with the opportunity for access to services through online, videos etc. This has not occurred consistently as youth are said to not wish to participate virtually, facility does not have additional resources ie an additional TVs so other youth can continue with and alternative program etc. Chaplains provided written scripts for the bureau but there is no documentation to show that these were used either. This has since been addressed. As COVID numbers have gone down, the facility has opened back up, and allowed the religious volunteers to slowly return to the facility and provide services in small numbers although COVID remains a fluid concern for public health in the facility, church occurs outside. Documentation has been provided for the past 2 months of the providers coming in. The Bureau has reimplemented the required QA to headquarters to ensure that all religious programming occurs as required, in quarantine and out. It is anticipated that this area of non-compliance will be resolved and will not be a continued area of noncompliance for the final report as providers are back in the facility and administration is already working on the correction. § 1374. Visiting. Documentation of weekly telephone calls and virtual calls was lacking in some cottages. Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger § 1487. Shaving. to themselves or others Youth report not receiving access to razors daily. Technical Assistance provided notifying facility managers that youth must have the option to shave daily. This was changed while were on site. We will follow up prior to the final report to ensure this Los Angeles County Dorothy Kirby Center Initial Inspection Report Page 2 Title 15. Section Description continues . Title 24. Section Description Choose an item. See below. Facility Pre-98 Los Angeles County Dorothy Kirby Center Initial Inspection Report Page 2 Technical Assistance Provided 1321 Staffing: Staffing is compliant by ratio; however, we suggest you evaluate how you utilize your additional supportive ancillary staff(TAC) are used in the facility. Minimum staffing stated per documentation provided is noted to be 20 with 2 per cottage with a youth to staff ratio set at 1 to 5. This affords the opportunity to potentially provide additional resources to support cottage staff when able ie on the PM shifts. DKC is a program rich, therapeutic facility with a very different physical plant than most other detention facilities. Additional staffing resources present in the units would enhance the programming and provide for a safer and more secure facility. 1328 Safety Checks: Safety checks are required to be direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals. It was noted that the checks were not consistently completed in a random and varied manner. Checks are generally completed within 15,14, 13 or 12 min. This is somewhat random but not varied. An example of random and varied would be checks completed at 15, 9, 4,12, 6, 10 minutes etc. The intent of the regulation is for the youth to not anticipate when they will be checked on. This has been discussed previously. Each youth spoken to noted they are checked every 15 minutes or about every 15 minutes. A bureau wide correction memo was initiated while on site. Additional checks were provided for review while on site and showed significant improvement Facility will continue to address with direct QA from facility managers. Additional documentation will be reviewed prior to the final report to ensure the correction is maintained and this will be a regulation that will be reviewed going forward during unannounced visits 1354.5 Room Confinement: Facility has done a good job with addressing the room confinement compliance from last cycle. Room confinements provided for review were found to be necessary, but the documentation needs to be improved at this stage. QA must be completed timely and effectively to ensure continued success. We suggest additional training to set expectations for oversight documentation review at the supervisor level to catch and correct areas of noncompliance. Documentation is key. Supervisors must ensure that documentation is consistent throughout and not contradictory. 1357 Debriefs: Debriefs are being completed as required. Documents must be clear they are completed with staff and or youth, not merely completed as part of the SCM packet. Conversations held with facility Supervisor and OD to ensure this is the case to clarify the process. 1391 Sanctions and Appeals: Staff are completing the S/A form consistently however when a youth chooses to refuse to sign staff do not consistently require that all areas of the form be completed. A youth refusing to sign does not negate the remainder of the form. **All areas of TA will be reviewed again prior to final report. Los Angeles County Dorothy Kirby Center Initial Inspection Report Page 2 Additional Information Follow Up Expected: 1313: Local Inspections: Follow up needed. Contact has been initiated with assistance by BSCC just waiting to hear back (Out of the control of Probation) 1354 Separation: Corrective Action documentation pending for SSP’s. Corrective Action initiated prior to my review. Regulation was compliant. Agency was not following own policy and procedure regarding SSP and weekly documentation. Review prior to 30 day. DPO Leon completed the follow up training while we were onsite and provided proof of training documentation. Any new SSP will be provided prior to the finalization of the report. 1371 Programming: Form Correction Title 24: Your build is pre-98. You have several ligature points in the youth bathroom ie showers and sinks, exposed plumbing etc. You also have ligature issues with the beds. Staff should be very cognizant of this as this is a mental health facility. We would suggest that you immediately remove the handles and locks from your toilet stalls, especially the 7 foot tall stalls. They create not only ligature points but the opportunity for the youth to lock themselves in a locked space. The short stalls with the locks also create ligature issues but also where staff have to reach over and expose their upper body, head and face to possible violence to unlock the door to get the youth out. The doors should be heavy enough to close them for privacy. Suggest considering replace two or three rooms beds with ligature resistant Norex or like kind beds to place youth who need it. . Initial Inspection Report 2020-2022 Biennial Inspection Cycle Date of Exit Briefing: 5/2/2022 Inspection Type: Biennial County: Los Angeles County Facility Name(s): Camp Paige BSCC #(s): 7255 BSCC Type: Camp Facility Representatives: Mr. Pineda, Mr. Villar, Ms. Bryant, Ms. Rodriguez BSCC Field Representative: Lisa Southwell Corrective Action Plan Required? YES DATE CAP DUE TO BSCC: 6/2/2022 Current Items of Noncompliance Title 15. Section Description (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the youth's behavior while in custody; § 1352. Classification. Periodic classification reviews are to occur with weekly case notes, however, documentation is lacking. Facility will continue to address with direct QA from facility managers with full resolution anticipated within the next 30 days. (b)(3): Periodic Review. Periodic evaluation of progress towards meeting the objectives, including periodic review and discussion of the plan with the youth; § 1355. Institutional Assessment and Plan. Periodic reviews were not completed consistent with regulation requirements and documentation was lacking. Reviews were also not always completed with youth. The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be allowed to participate in an activity outside of their room if he/she elects not to § 1372. Religious Program. participate in religious programs. Facility has been suspended for religious services since the beginning of the pandemic due to COVID 19. Religious volunteers have been prohibited from coming into the facility to provide religious Los Angeles County Paige Initial Inspection Report Page 2 Title 15. Section Description programming to youth, therefore, facility staff were to provide youth with the opportunity for access to services through online, videos etc. This has not occurred consistently as youth are said to not wish to participate virtually, facility does not have additional resources ie an additional TVs so other youth can continue with and alternative program etc. Chaplains provided written scripts for the bureau but there is no documentation to show that these were used either. This has since been addressed. As COVID numbers have gone down, the facility has opened back up, and allowed the religious volunteers to slowly return to the facility and provide services in small numbers although COVID remains a fluid concern for public health in the facility, church occurs outside. Documentation has been provided for the past 2 months of the providers coming in. The Bureau has reimplemented the required QA to headquarters to ensure that all religious programming occurs as required, in quarantine and out. It is anticipated that this area of non-compliance will be resolved and will not be a continued area of noncompliance for the final report as providers are back in the facility and administration is already working on the correction. § 1374. Visiting. Documentation of weekly telephone calls and virtual calls for all youth in the facility. Title 24. Section Description Choose an item. See below. Facility Pre-98 Los Angeles County Paige Initial Inspection Report Page 2 Technical Assistance Provided 1328 Safety Checks: Safety checks are required to be direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals. It was noted that the checks were not consistently completed in a random and varied manner. Checks are generally completed within 15,14, 13 or 12 min. This is somewhat random but not varied. An example of random and varied would be checks completed at 15, 9, 4,12, 6, 10 minutes etc. The intent of the regulation is for the youth to not anticipate when they will be checked on. This has been discussed previously. Each youth spoken to noted they are checked every 15 minutes or about every 15 minutes. A bureau wide correction memo was initiated while on site. Additional checks were provided for review while on site and showed significant improvement Facility will continue to address with direct QA from facility managers. Additional documentation will be reviewed prior to the final report to ensure the correction is maintained and this will be a regulation that will be reviewed going forward during unannounced visits 1357 Debriefs: Debriefs are being completed as required. Documents must be clear they are completed with staff and or youth, not merely completed as part of the SCM packet. Conversations held with facility Supervisor and OD to ensure this is the case to clarify the process. 1391 Sanctions and Appeals: Staff are completing the S/A form consistently however when a youth chooses to refuse to sign staff do not consistently require that all areas of the form be completed. A youth refusing to sign does not negate the remainder of the form. **All areas of TA will be reviewed again prior to final report. Additional Information Follow Up Expected: 1313: Local Inspections: Follow up needed. Contact has been initiated with assistance by BSCC just waiting to hear back (Out of the control of Probation) 1326 and Title 24: Suggest you do a full Camp Review pursuant to 1326 Security Review and Title 24. Different Build and Different type of kid. 1355.Grievances. JIGS System Grievance submitted within the cycle that was not addressed for months. It was anonymous. This occurred last cycle and occurred this cycle at other camps as well. I will be looking more into this as I am aware you all are working on the implementation of a new system. This occurred at Paige, and at least another camp; this is an issue and will be addressed further. . Los Angeles County Paige Initial Inspection Report Page 2 Initial Inspection Report 2020-2022 Biennial Inspection Cycle Date of Exit Briefing: 4/25/2022 Inspection Type: Biennial County: Los Angeles Facility Name(s): Camp Rockey BSCC #(s): 7261 BSCC Type: Camp Facility Representatives: Mr. Pineda, Ms. Lavarreda, Mr. Torres, Ms. Orozco BSCC Field Representative: Lisa Southwell Corrective Action Plan Required? YES DATE CAP DUE TO BSCC: 5/25/2022 Current Items of Noncompliance Title 15. Section Description Facility did not provide proof of practice for periodic classification reviews. Youth residing in the dorm meet with their assigned DPO Weekly. This information was not included in their weekly meeting notes despite the requirement for it to be. Youth in § 1352. Classification. the HOPE Center should have weekly reclassification meetings. This documentation was not provided either. Technical assistance provided to facility staff regarding corrective action to address this. This issue could be addressed immediately. It was noted there were no extensions or weekly reclassification on long term separations. Youth that were classified on a separation but were being held § 1354. Separation. in room confinement, there was not room confinement documentation completed. Youth on SSP not getting outdoor exercise or programs. We found room confinement documentation was not specific to policy requirements, documentation not completed for youth in the HOPE Center on a SSP classification. Youth’s classification was being § 1354.5. Room Confinement. downgraded from room confinement to a SSP or sleeper instead of returning to dorm. In many cases this may be ok, but in the circumstances, it occurred, didn’t appear to be consistent with the situation. § 1355. Institutional Assessment and Plan. Periodic reviews were not completed as required. Prompt review not provided for JIGS grievance lost in § 1361. Grievance Procedure. system, immediate response not provided for safety Los Angeles County Camp Rockey Initial Inspection Report Page 2 Title 15. Section Description issues/allegations etc. Responses must include reasons why.. unfounded, or similar words not enough. Will talk to staff or refer to principal to talk to teacher isn’t a resolution. Also, staff involved need retraining. (JIGS system will be discussed with Administrators) 1372 Religious Programming: Agency has been suspended for Religious Services due to COVID 19 and service providers have been prohibited from coming into the facility during periods of high COVID outbreak. Facilities were to provide access with online, videos etc. during the suspension of § 1372. Religious Program. regulations. This has not occurred consistently as required and no documentation was provided. We believe this issue can be resolved and corrected within 30 days and will not be noted as non-compliant in the final report. 1374 Visiting: Agency has been suspended for visiting due to COVID 19 and visitors have been prohibited from coming into the facility during periods of high COVID outbreak. Youth were to be provided with additional calls and virtual calls to ensure communication with family members. Documentation was not provided of consistent calls made. Facility staff are looking for § 1374. Visiting. additional documentation to provide. If provided this will be addressed and this section revised. Technical assistance provided to ensure that documentation is occurring currently to address this section prior to the final report. We will continue to review documentation as it is provided to us. Title 24. Section Description Individual door windows scratched with some we are unable to see through them. Facility Director directed to not use the rooms we were unable to see through. 1230.1.6 Locked sleeping rooms. MSB staff in the building for our review. They will be working on the building and changing the glass. We will follow up to ensure that this occurs. Los Angeles County Camp Rockey Initial Inspection Report Page 2 Technical Assistance Provided 1328 Safety Checks: Safety checks are required to be direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals. It was noted that the checks were not completed in a random and varied manner. Checks are generally completed within 15,14, 13 or 12 min. This is somewhat random but not varied. An example of random and varied would be checks completed at 15, 9, 4,12, 6, 10 minutes etc. We understand that the facility is an open setting environment where staff have the youth under direct observation, however safety checks must be documented that are specific to ensure the safety and wellbeing of the youth through active and specific efforts to view them for this purpose. A bureau wide correction memo had been initiated and additional checks were provided for review. These checks showed improvement. Facility staff will continue to address this issue with direct QA from facility managers with full resolution within the next 30 days. If the facility continues to show improvement and compliance, this section will be marked as compliant. If not, the facility will be marked as non-compliant on the final report. This area will be an area we continue to review overall in the future in all facilities. Additional Information 1313 Local Inspections: Follow up needed for some local inspections. Contact has been initiated, just waiting to hear back. Cleanliness: Dorm restroom bathroom dirty and toilet stalls full of graffiti. HOPE Center- very dirty and gross Initial Inspection Report 2020-2022 Biennial Inspection Cycle Date of Exit Briefing: 4/18/2022 Inspection Type: Biennial County: Los Angeles Facility Name(s): Camp Scott BSCC #(s): 7267 BSCC Type: Camp Facility Representatives: Mr. Pineda, Mr. Banuelos, Ms. Doyle, BSCC Field Representative: Lisa Southwell Corrective Action Plan Required? YES DATE CAP DUE TO BSCC: 5/18/2022 **Note: Camp Scott is co-located on site with Camp DKC occupying 1 dorm. Current Items of Noncompliance Title 15. Section Description (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the youth's behavior while in custody. Periodic classification reviews are to occur with § 1352. Classification. weekly case notes;however, documentation is lacking. Follow up and training occurred to discuss and review on 4/14/22. Facility will continue to address with direct QA from facility managers with full resolution withing the next 30 days. (b)(3): Periodic Review. Periodic evaluation of progress towards meeting the objectives, including periodic review and discussion of the plan with the § 1355. Institutional Assessment and Plan. youth. Periodic reviews were not completed consistent with regulation requirements and documentation was lacking. Reviews were also not completed with youth. The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be allowed to participate in an activity § 1372. Religious Program. outside of their room if he/she elects not to participate in religious programs. Facility has been suspended for religious services since the beginning of the pandemic due to COVID Los Angeles County Camp Scott Initial Inspection Report Page 2 Title 15. Section Description 19. Religious volunteers have been prohibited from coming into the facility to provide religious programming to youth, therefore, facility staff were to provide youth with the opportunity for access to services through online, videos etc. This has not occurred consistently as youth are said to not wish to participate virtually, facility does not have additional resources ie an additional TVs so other youth can continue with and alternative program etc. Chaplains provided written scripts for the bureau but there is no documentation to show that these were used either. This has since been addressed. As COVID numbers have gone down, the facility has opened back up, and allowed the religious volunteers to slowly return to the facility and provide services in small numbers although COVID remains a fluid concern for public health in the facility, church occurs outside. Documentation has been provided for the past 2 months of the providers coming in. The Bureau has reimplemented the required QA to headquarters to ensure that all religious programming occurs as required, in quarantine and out. It is anticipated that this area of non-compliance will be resolved and will not be a continued area of noncompliance for the final report as providers are back in the facility and administration is already working on the correction. Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger § 1487. Shaving. to themselves or others Youth report not receiving access to razors daily. Technical Assistance provided notifying facility supervisor that youth must have the option to shave daily. She immediately addressed this with staff and corrected the issue. We will follow up prior to the final Los Angeles County Camp Scott Initial Inspection Report Page 2 Title 15. Section Description report to ensure youth are receiving the required access. Title 24. Section Description Choose an item. See below. Facility Pre-98 Technical Assistance Provided 1321 Staffing: Staffing is compliant by ratio; and appears to be staffed appropriately with 4 staff most shifts for the week viewed. Suggest reviewing for a swap with other female staff at showers when male staff are on duty for PREA purposes. 1328 Safety Checks: Safety checks are required to be direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals. It was noted that the checks were not consistently completed in a random and varied manner. Checks are generally completed within 15,14, 13 or 12 min. This is somewhat random but not varied. An example of random and varied would be checks completed at 15, 9, 4,12, 6, 10 minutes etc. The intent of the regulation is for the youth to not anticipate when they will be checked on. This has been discussed previously. Each youth spoken to noted they are checked every 15 minutes or about every 15 minutes. A bureau wide correction memo was initiated while on site. Additional checks were provided for review while on site and showed significant improvement Facility will continue to address with direct QA from facility managers. Additional documentation will be reviewed prior to the final report to ensure the correction is maintained and this will be a regulation that will be reviewed going forward during unannounced visits **All areas of TA will be reviewed again prior to final report. Los Angeles County Camp Scott Initial Inspection Report Page 2 Additional Information 1313 Local Inspections: Local Inspections: Follow up needed. Contact has been initiated with assistance by BSCC just waiting to hear back (Out of the control of Probation) Title 24: Your build is pre-98. You have several ligature points in the youth bathroom ie showers and sinks, exposed plumbing etc. You also have ligature issues with the beds. Staff should be very cognizant of this as this is a mental health facility. We would suggest that you immediately remove the handles and locks from your toilet stalls. They are ligature points but safety and security issues and the opportunity for the youth to lock themselves in a locked space where staff have to reach over and expose their upper body, head and face to possible violence to unlock the door to get the youth out. The doors should be heavy enough to close them for privacy. Suggest considering replace two or three rooms beds with ligature resistant Norex or like kind beds to place youth who need it. March 16, 2023 Karen Fletcher, Interim Chief Probation Officer Los Angeles County Probation Department 9150 E. Imperial Hwy. Downey, CA 90242 RE: 2020-2022 BIENNIAL INSPECTION PURSUANT TO WELFARE AND INSTITUTIONS CODE SECTION 209 AND 885 Dear Chief Fletcher: This letter is to advise you that the 2020-2022 biennial inspection of the Los Angeles County Probation Department’s Juvenile Detention Facilities has been completed. This includes Barry J. Nidorf Juvenile Hall (BJN), Central Juvenile Hall (CJH), and all RTSB Facilities, including Campus Kilpatrick, Dorothy Kirby Center, Camp Scott, Camp Rockey, Camp Afflerbaugh, and Camp Paige. All of your facility administrators, managers, BSCC coordinators, supervisors, line staff, and facility partners were a pleasure to work with during the inspection process. All were positive and helpful, and we appreciate all the hard work and time spent preparing for, organizing, and making themselves available during the onsite visits. The complete Board of State and Community Corrections (BSCC) inspection report is enclosed and consists of the following: This transmittal letter; a Title 15 Procedures Checklist, outlining applicable minimum standards for juvenile detention facilities; a Physical Plant Evaluation, outlining applicable Title 24 minimum standards; and the Living Area Space Evaluation (LASE), summarizing the physical plant configuration and outlining the rated capacity for each facility. Please refer to the Title 15 Procedures checklist for a summary of all relevant minimum standards, indicators of compliance or noncompliance, and information that was used to determine compliance. MANDATORY LOCAL INSPECTIONS In addition to the biennial inspection, Title 15, section 1313 and its authorizing statute also require local inspections conducted by the following local authorities: • county building inspector or person designated by the Board of Supervisors • fire authority having jurisdiction • local health officer • County Superintendent of Schools • Juvenile Court • Juvenile Justice Commission Karen Fletcher Interim Chief Probation Officer Page 2 The results of those inspections are considered a part of this report. The dates of the local inspections may be found in the accompanying Procedures Checklist. Scope of the Inspection The inspection consisted of a review of the Los Angeles County Probation Department’s Policy and Procedure Manual1 and verification that the manual is compliant with Regulation 1324, Policy and Procedures Manual. After the review of the manual, we reviewed documentation to ensure that practice and policies are consistent with Title 15. Examples of documentation include incident reports, admission, classification and release documentation, room confinement, separation documents, grievances, screenings, and assessments. A site visit was conducted to review operations, view the physical plant, view video and other relevant documentation, and conduct interviews with administration, facility staff, youth, and collaborative partners. During the inspection, we evaluated consistency between policy and practices to confirm operational compliance. BSCC INSPECTION RESULTS Title 15, CCR Minimum Standards Upon final review of all documentation received, the specific areas of noncompliance remain below. All areas of noncompliance corrected while onsite or since the out-brief have been reflected in this report. Please refer to each facility’s Procedures Checklist for detailed information. 1313(A) 1313(B) 1313(E) 1321(a) 1321(b) 1325(f) 1327(f) 1328 1354.5(a) BJN X X X X X X X X CJH X X X X X X RTSB 1354.5(b)2 1357(a) 1357(a)6 1357(a)7 1357(b)3 1357(b)5 1357(c) 1357(c)1 1357(c)2 BJN X X X X X X CJH X X X X X X X X X RTSB 1357(c)3 1357(c)4 1357(c)5 1357(c)6 1358 1358.5(c) 1360(a) 1370(b)6 1371 BJN X X X X X X X CJH X X X X X X X X X RTSB 1371 1371(a) 1371(c) 1374 1374 1390 BJN X X X CJH X X X X X X RTSB 1 BSCC reviews only those policies and procedures required by, and applicable to, Title 15, CCR. BSCC staff do not “approve” policies and procedures or assess them for constitutional or legal issues. Agencies should seek review through their legal advisor, risk manager, and other persons deemed appropriate for such evaluation. 7198+ Los Angeles Probation JH Camp LTR 20-22 Karen Fletcher Interim Chief Probation Officer Page 3 Title 24, CCR Minimum Standards The following Title 24 areas are noncompliant. Central Juvenile Hall Barry J. Nidorf Juvenile Hall 1230.2.10 Security Glazing 1230.2.10 Security Glazing 1230.1.7 Single Occupancy Sleeping Rooms 1230.1.7 Single Occupancy Sleeping Rooms 1230.2.6 Lighting 1230.2.6 Lighting 1230.1.5 Living Unit 1230.1.5 Living Unit 1230.1.11 Physical Activity and Recreation Areas 1230.1.11 Physical Activity and Recreation Areas Corrective Action Required A Corrective Action Plan (CAP) was required by March 14, 2023, informing the Board how the agency intends to correct the areas of noncompliance. The CAP was received on March 14, 2023, and is being reviewed by BSCC Staff. Correspondence related to the CAP will be under separate cover. Title 24, CCR Physical Plant There were changes made to the physical plants and your rated capacity for some facilities. Your Living Area Space Evaluations have been updated and your facility-rated capacities have been adjusted, including your Secure Youth Track Facilities. Please see the attached documents for the specifics of these changes. The current rated capacity for each facility is as follows: Living Area Space - Rated Capacity BJN CJH CBA CJP CGR DKC CJS CVK SYTF SYTF SYTF @BJN @CVK @DKC 20/22 Rated 337 403 105 116 125 80 15 96 184 24 5 Cycle Capacity 523* CJH *with double bunks Please see individual Physical Plant Evaluations for more information. Training According to the most recent Standards and Training for Corrections audit, Los Angeles County Probation Department is in compliance with all relevant regulations and mandates with mitigating circumstances for both the 2020-2021 and the 2021-2022 training year. 7198+ Los Angeles Probation JH Camp LTR 20-22 Karen Fletcher Interim Chief Probation Officer Page 4 Juvenile Justice and Delinquency Prevention Act (JJDPA) Compliance Monitoring We reviewed all facilities operated by Los Angeles County Probation and found no violations of the JJDPA. Please refer to the Title 15 Procedures checklist for detailed information. --- This concludes the 2020-2022 biennial inspection report. I am available to assist as needed and happy to provide technical assistance when requested. I look forward to continuing to work together and am happy to make myself available to respond to any questions you may have. Please do not hesitate to email me at lisa.southwell@bscc.ca.gov or call (916) 838-9132. Sincerely, Lisa Southwell Field Representative Facilities Standards and Operations Division Enclosures cc: Presiding Judge, Juvenile Court, Los Angeles County* Chair, Juvenile Justice Commission, Los Angeles County* Chair, Board of Supervisors, Los Angeles County* County Administrator, Los Angeles County* *Copies of the full inspection are available online at www.bscc.ca.gov. 7198+ Los Angeles Probation JH Camp LTR 20-22 JUVENILE HALLS, SPECIAL- PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7198 FACILITY NAME: FACILITY TYPE: Central Juvenile Hall (CJH) Juvenile Hall PERSON(S) INTERVIEWED: John Baima, Sr. Director; Edie Thompson BSCC Coordinator, Karen Streich and Juan Aguirre, DMH, David Oh, JCHS, Principal Scott Bastian, Facility Directors, and Supervisors, 4-line staff, and 4 female youth ages 13, 15, 16, and 17 and several male youth, from each unit. FIELD REPRESENTATIVE: DATE: Lisa Southwell November 21-22, 2022, and December 12- 16, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by Section 203: County Inspections of Buildings the Board of Supervisors to approve building safety; and Grounds 2021 The building inspection was completed by Tenneson D’Sena on August 11, 2021. Exit signs were found to be nonfunctioning in the chapel, in administration, in Unit C, and in Unit S. There were some exposed wires which needed correction and electrical cover plates were needed in the kitchen. No proof ☒ ☐ ☐ of corrections was provided. 2022 An email was received from the inspector noting the inspection occurred on August 11, 2022, with no issues found and all areas of previous concern being remedied. The report was requested multiple times and was not received at the time of the initial inspection report. Since that time, we have received the report and it was noted there were no issues. This area has been corrected. 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. 7198 Los Angeles Central JH PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 (B) Fire authority having jurisdiction, including a fire Section 203: County Inspections of Buildings clearance as required by Health and Safety Code and Grounds Section 13146.1 (a) and (b); The facility was inspected by the Schools Churches and Institutions Unit of the Los Angeles Fire Department (LAFD) on May 19, 2020, and fire clearance was granted. 2022: No current fire clearance provided. This section is non-compliant. In 2021, the facility received notification from Inspector Alejandro Medina noting “to approve the regulation 4 fire protection systems at your facilities. In response to the Corona Virus (Covid-19), you will be working to get all these fire protection systems in order. You will be the responsible party for getting these systems compliant. LAFD reserves the right to visit your facility to validate compliance and ensure a continued safe environment.” ☒ ☐ ☐ Additional documentation was provided on January 27, 2022, from Captain Samuel Galvan, Los Angeles Fire Department, which notes negligent violations for fire alarms, emergency power generators, stored electrical energy systems, elevators, and sprinkler systems. A follow-up phone conversation was held during the inspection with the LA County fire inspector and this inspector to inquire about any additional updates. The fire inspector noted obtaining the clearance has been problematic as the clearance is tied to the courthouse. Probation has been working to get the clearance, but it is still outstanding. He stated the facility is on fire watch and they continue to work towards obtaining their clearance. 2022: No current fire clearance was provided at the time of inspection; however, on March 3, 2023, we were provided with fire clearance documentation from Inspector Medina. This area has been corrected. 7198 Los Angeles Central JH PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 (C) Local health officer, inspection in accordance with Section 203: County Inspections of Buildings Health and Safety Code Section 101045; and Grounds 2021 Medical Mental Health: Completed March 12, 16-17, 2021 by Tia Mao, PHN. Areas of concern was reinspected in November 2021 and were noted to be corrected with the exception of one area that would be reviewed at the next inspection per the inspecting body. Nutrition: Completed March 16-17, 2021, by David Kornoff, EHS III. Areas of concern were reinspected in May 2021 and were noted to be corrected. Environmental Health: Completed March 16-17, 2021, by David Kornoff, EHS III. Areas of concern were reinspected in May 2021. There were items of noncompliance; these items were corrected in 2022 inspection. ☒ ☐ ☐ 2022 Medical: Completed January 27, 2022, February 22, and March 8-9, 2022, by Tia Mao, PHN. No deficiencies were found. Nutrition: Completed June 29, 2022, by Yi- Jen Wendy Chen REHS. Areas of concern were reinspected in August 2022 and found not to be corrected. Areas were reinspected in January 2023, prior to the finalization of this report and the areas were found to be corrected. Environmental Health: Completed March 23, 2022, by Nicolas Martinez, Chief EHS; Antonio Valera, EHS III and Susan Xue, EHS III. Areas of concern were reinspected in June 2022 and were corrected. 7198 Los Angeles Central JH PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 (D) County superintendent of schools on the adequacy Section 203: County Inspections of Buildings of educational services and facilities as required in and Grounds Section 1370; Education for the facility is provided by Los Angeles County Office of Education 2021 On December 21, 2021, the facility was inspected by Jonathan Raymond, Special Education Director and Scott Turner, SELPA Director, Charter Oak Unified School District ☒ ☐ ☐ found the school program to meet regulatory expectations. See Section 1370 for specific comments made. 2022 On November 22nd, 2022, the facility was inspected by Maribel Martinez, Ed.D. Lynwood USD, Jose Jauregui, Coordinator of Student Services, Lynwood USD and Flavio Gallarzo, Coordinator of Student Services, Lynwood USD. (E) Juvenile court as required by Section 209 of the Section 203: County Inspections of Buildings Welfare and Institutions Code and Grounds 2021 Commissioner Robert Totten inspected CJH on December 9, 2021. The facility was found to be in full compliance and operated and maintained as a suitable place for the confinement of minors. 2022 The 2022 inspection occurred on February ☒ ☐ ☐ 12, 2023, by Judge Miguel Espinosa. The report is pending. It is important to note the misunderstanding that occurred this year. The process for inspections was clarified with the new Judicial Officers in that the expectation is that an inspection occurs annually each calendar year. It was previously believed and communicated to them that the inspection should occur at the beginning of the new year for the past year. This was clarified and will be corrected moving forward. 7198 Los Angeles Central JH PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 (F) Juvenile Justice Commission as required by Section Section 203: County Inspections of Buildings 229 of the Welfare and Institutions Code or Probation and Grounds Commission as required by Section 240 of the Welfare and Institutions Code. The Probation Oversight Commission conducts annual inspections of the facility. ☒ ☐ ☐ 2021 The facility was inspected in October 2021. 2022 The facility was inspected on October 14, 2022. Reports can be found at http://file.lacounty.gov/SDSInter/bos/supdoc s/POC21-0136.pdf 1320 APPOINTMENT AND QUALIFICATIONS Appointment and qualification certification BSCC Note: Compliance with this section is letters, dated December 20, 2021, and determined by receipt of the Chief Probation Officer’s January 26, 2022, were received from Chief certification letter confirming that all elements of Probation Officer Adolfo Gonzales, certifying all staff appointments are pursuant to the regulation are met. applicable laws and that all staff present at (a) Appointment ☒ ☐ ☐ the facility meet all required qualifications. In each juvenile facility there shall be a superintendent, All non-employees also receive appropriate director or facility manager in charge of its program and clearances prior to entering. employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test ☒ ☐ ☐ and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection ☒ ☐ ☐ and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the facility, shall have such clearance and qualifications ☒ ☐ ☐ as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 7198 Los Angeles Central JH PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 1321 STAFFING Staffing documents were requested and received for the weeks of September 22-30, Each juvenile facility shall: 2023, and October 10-17, 2023. Detention Services Bureau Daily Information Sheet (AM, PM, LN shift breakdowns), Shift Staffing Schedules and Constant Supervision of Minors (One of One Levels). These documents provide a plethora of information. Comments are based on documentation reviewed and conversations held with staff and youth. 7198 Los Angeles Central JH PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 a) have an adequate number of personnel sufficient to Section 206: Staffing Requirement and Ratios carry out the overall facility operation and its We noted there is an excessive number of programming, to provide for safety and security of staff callouts, staff no-shows, and staff youth and staff, and meet established standards and otherwise not reporting for work per shift. regulations; We noted an excessive number of staff who have resigned or left their positions with difficulty backfilling either due to the County hiring freeze or the inability to recruit and retain an adequate candidate sampling to meet the demand. Staff who come to work, report they are held over regularly and forced to work back-to- back shifts, sometimes up to or beyond 24 hours. Central Juvenile Hall (CJH) routinely has several units open, generally 15 or 16. CJH is also the hub for services such as all major medical procedures for all Camp youth or youth from Barry J. Nidorf Juvenile Hall. Youth are transported daily for services. This impacts staffing at admission, holding, and medical. There are several units that house youth in a small group model due to their mental health needs. Certain units also require more staff ☐ ☒ ☐ due to the physical plant needs or the unit tone. We noted some unit functions require more staffing than others, and extra staff were not assigned or were not available to safely operate the units and the facility, to ensure that full operations can be accomplished and to ensure both the officer’s and youth’s safety. On paper, it appears there is enough staff, but when these staff are not counted in the overall calculation as they are assigned to a non-unit child supervision assignment, these numbers are not true reflections of child supervision. Those staff left in the unit may or may not be meeting the agency’s self-imposed ratio or operating in a safe manner for the physical plant or for the safe operation of the facility. Interviews with both youth and staff noted that both are concerned for their ongoing safety. There have been multiple incidents where both youth and staff have been assaulted. Required functions of the facility are routinely canceled due to staffing such as outdoor exercise or activity, programming, and visitation to name a few. Schooling has also been impacted. Back-up staff are assigned to units for proper supervision but are often pulled. Regular staff who were interviewed 7198 Los Angeles Central JH PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 noted they are tired but don’t want to leave their peers or the kids alone, so they continue to report. The toll is obvious. Deployed field staff have been utilized in both an ordered and voluntary status to fill staffing vacancies in the facility. We noted there to be so many deployed, that consistency is an issue. Technical assistance was provided to both facilities to potentially identify or assign deployed staff to regular units so a relationship could be formed with the youth or that the unit program could be learned for repetition purposes. Overall, we found that all functions of the facility have been impacted by the lack of staffing. We have offered technical assistance in this area however, without adequate resources, the facility continues to staff the units and the facility in the same manner, continuing to operate in the same manner which creates an unsafe environment for both the staff and the youth. This section is non-compliant. b) ensure that no required services shall be denied Section 206: Staffing Requirement and Ratios because of insufficient numbers of staff on duty Staffing has been a consistent concern over absent exigent circumstances; the course of the cycle despite the agency’s efforts to utilize deployed field staff, mandatory holdovers, and overtime including overtime with additional stipend pay to fill the gaps in the staffing profiles for all shifts. Youth are noted to be in their rooms later and later than when the day should be starting as extra staff is being called in to report. Additionally, shift change times should be clarified as to when it is required that staff be at their post ready to start work and to get the ☐ ☒ ☐ youth started for the shift. As staff is not at their post at their start time, this impacts other regulatory noncompliance. There have been instances noted due to exigent circumstances and an unsafe staffing level where youth have been held in their rooms for long periods of time or were unable to be brought out due to an unsafe number of staff reporting for work. The agency administration is working on hiring additional staff. Technical assistance has been provided; however, without proper staffing, it will be very difficult for the facility to address all regulatory requirements. 7198 Los Angeles Central JH PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 c) have a sufficient number of supervisory level staff to 206: Staffing Requirement and Ratios ensure adequate supervision of all staff members; Central Juvenile Hall has a full complement of supervisory staff. Technical assistance has been provided and it is noted that supervisors should be in their units as much as possible ☒ ☐ ☐ to supervise and monitor staff and their unit and to provide an extra hand. We have also suggested that when staffing is short, appropriate supervisory staff should be considered to be pulled and placed on the line with the exception of the duty supervisor and duty director. d) have a clearly identified person on duty at all times Section 206: Staffing Requirement and Ratios who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core ☒ ☐ ☐ The Officer of the Day (OD) is responsible for the operations of the facility. Facility staff is Course and PC 832 training; responsible for the unit activities of the youth. e) have at least one staff member present on each Section 206: Staffing Requirement and Ratios living unit whenever there are youth in the living unit; There is always a staff present where youth ☒ ☐ ☐ are present. TA provided that we did note that sometimes staff goes to the office and there is no staff in the dayroom or in the hallway when youth are present or in their rooms. f) have sufficient food service personnel relative to the Section 206: Staffing Requirement and Ratios number and security of living units, including staff Youth eat all meals in the living units. Meals qualified and available to: plan menus meeting are prepared by a third-party contractor and nutritional requirements of youth; provide kitchen delivered to and heated in the facility kitchen. supervision; direct food preparation and servings; conduct related training programs for culinary staff; ☒ ☐ ☐ The food is then delivered to the units on meal carts that are temperature-controlled. All and maintain necessary records; or, a facility may meals are served to the youth in the unit. serve food that meets nutritional standards prepared Cooks do not supervise youth for any reason. by an outside source; There is no culinary program or work program that occurs in the kitchen. g) have sufficient administrative, clerical, recreational, Section 206: Staffing Requirement and Ratios medical, dental, mental health, building The facility has staff identified for the maintenance, transportation, control room, facility individual areas as outlined in the regulation. security and other support for the efficient The intent and purpose is for other facility staff management of the facility, and to ensure that youth who are tasked with youth supervision to not supervision staff shall not be diverted from be diverted from their task. supervising youth; and, ☒ ☐ ☐ Juvenile Court Health Services provides medical services to the youth in Central Juvenile Hall. There is 1 Nurse Manager, 1 Supervising Clinical Nurse, 12 RN’s, 3 LVN’s 2 ITC’s, 2 Dentists, 4 Physicians, and 1 Optometrist. The medical clinic operates 24 hours a day, 7 days a week. Medical staff are responsible for all youth health issues. 7198 Los Angeles Central JH PRO 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 h) assign sufficient youth supervision staff to provide Section 206: Staffing Requirement and Ratios continuous wide-awake supervision of youth, subject Staff are assigned 24 hours a day through 3 to temporary variations in staff assignments to meet ☒ ☐ ☐ shifts: AM Shift: 6:00AM- 2:00 PM, PM Shift: special program needs. Staffing shall be in 2:00 PM -10:00PM and 10:00 PM to 6:00 AM. compliance with a minimum youth-staff ratio for the Staff are required to always remain awake. following facility types: (1) Juvenile Halls (minimum youth-staff ratio) Section 206: Staffing Requirement and Ratios (A) during the hours that youth are awake, one wide- ☒ ☐ ☐ Ratio met awake youth supervision staff member on duty for each 10 youth in detention: (B) during the hours that youth are confined to their Section 206: Staffing Requirement and Ratios room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ Ratio met youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Section 206: Staffing Requirement and Ratios members on duty at all times, regardless of the Staff are always wide awake; they are not to number of youth in detention, unless an ☒ ☐ ☐ be asleep. 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 Section 206: Staffing Requirement and Ratios who is the same gender as youth housed in the ☒ ☐ ☐ There are always male and female staff on facility. duty. (E) personnel with primary responsibility for other duties Section 206: Staffing Requirement and Ratios such as administration, supervision of personnel, ☒ ☐ ☐ Only youth supervision staff provide academic or trade instruction, clerical, kitchen or supervision of the youth. maintenance shall not be classified as youth supervision staff positions. (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, farm, forestry, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF Section 205: Youth Supervision Staff ORIENTATION AND TRAINING Orientation and Training (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented Each new staff is assigned to a facility- to their duties, including: specific, 40-hour training module that includes ☒ ☐ ☐ sections 1-6. The last 5 officers’ training documents were provided for review. All were signed off. See note below. (1) youth supervision duties; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (2) scope of decisions they shall make; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (3) the identity of their supervisor; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (4) the identity of persons who are responsible to Section 205: Youth Supervision Staff ☒ ☐ ☐ them; Orientation and Training (5) persons to contact for decisions that are beyond Section 205: Youth Supervision Staff ☒ ☐ ☐ their responsibility; and Orientation and Training (6) ethical responsibilities. Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training 7198 Los Angeles Central JH PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 (b) Prior to assuming any responsibility for the Section 205: Youth Supervision Staff supervision of youth, each youth supervision staff Orientation and Training ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility-specific orientation, including: (1) individual and group supervision techniques; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (2) regulations and policies relating to discipline and Section 205: Youth Supervision Staff rights of youth pursuant to law and the provisions ☒ ☐ ☐ Orientation and Training of this chapter; (3) basic health, sanitation and safety measures; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (4) suicide prevention and response to suicide Section 205: Youth Supervision Staff attempts Orientation and Training Suicide prevention was not initially found to be signed off and was noted as non-compliant. ☒ ☐ ☐ After further review, it was noted the trainers did not feel qualified to sign off on this section. Additional documentation was provided of a suicide training roster; it was found that staff were in fact trained in suicide prevention. (5) policies regarding use of force, de-escalation Section 205: Youth Supervision Staff techniques, chemical agents, mechanical and ☒ ☐ ☐ Orientation and Training physical restraints; (6) review of policies and procedures referencing Section 205: Youth Supervision Staff ☒ ☐ ☐ trauma and trauma-informed approaches; Orientation and Training (7) procedures to follow in the event of Section 205: Youth Supervision Staff emergencies; Orientation and Training As part of the training program, the Juvenile Hall Building Emergency Plan is provided for officer review and signed off; however, the current Emergency Plan had not been signed off by the Fire Department. Attempts were ☒ ☐ ☐ made prior to the inspection period but the plan was still pending approval. As of the date of this report, we were able to contact the fire inspector and found the document has been signed and all officers completed their sign-offs as part of this section. This issue has been corrected and is no longer noted as non-compliant. (8) routine security measures, including facility Section 205: Youth Supervision Staff ☒ ☐ ☐ perimeter and grounds; Orientation and Training (9) crisis intervention and mental health referrals to Section 205: Youth Supervision Staff ☒ ☐ ☐ mental health services; Orientation and Training (10) documentation; and Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training 7198 Los Angeles Central JH PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 (11) fire/life safety training Section 205: Youth Supervision Staff Orientation and Training As part of the training program, the Juvenile Hall Building Emergency Plan is provided for officer review and sign-off; however, the current Emergency Plan had not been signed off by the Fire Department and therefore, has ☒ ☐ ☐ not been approved for review. Attempts had been made, but the plan approval was still pending approval. This section is now compliant as it was corrected prior to the completion of this report. Contact was made with the fire inspector who confirmed the document is completed. (c) Prior to assuming sole supervision of youth, each Section 205: Youth Supervision Staff youth supervision staff member shall successfully Orientation and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal All LA County Institutional Staff complete Code Section 6035. CORE before reporting to an institution. (d) Prior to exercising the powers of a peace officer Section 205: Youth Supervision Staff youth supervision staff shall successfully complete Orientation and Training training pursuant to Section 830 et seq. of the Penal ☒ ☐ ☐ Code. All LA County Institutional Staff complete 832 before reporting to an institution. 1323 FIRE AND LIFE SAFETY Section 206: Staffing Requirement and Ratios Whenever there is a youth in a juvenile facility, there shall All staff always remain awake. All staff were be at least one wide awake person on duty at all times ☒ ☐ ☐ again trained in Fire and Life Safety in August, who meets the training standards established by the September, October, and November 2020. Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL Policy Last reviewed: March 2022 All facility administrators shall develop, publish, and Policy Last Updated: March 2022 implement a manual of written policies and procedures that address, at a minimum, all regulations that are The policy manual is provided to all staff on applicable to the facility. Such a manual shall be made PROBNET for review. Staff are notified of the available to all employees, reviewed by all employees, new policy sections to review by email. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those ☒ ☐ ☐ Room Confinement Memo: April 15, 2022 records relating to the standards and requirements set forth in these regulations shall be accessible to the Board Directive 1477: Detention and Residential on request. Treatment Services Bureaus Manual- The manual shall include: Physical Intervention Policy (Section DSB- 1000/RTSB-1700) Issued 06/22/2022. This policy was implemented but not trained. This is addressed under Section 1357. 7198 Los Angeles Central JH PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 (a) table of organization, including channels of Section 201: Administrative Structure and communications and a description of job Chain of Command classifications; Section 202: Administrative Structure and Responsibilities Section 208: Duty Statement – Supervising Detention Services Officer ☒ ☐ ☐ Section 209: Duty Statement – Senior Detention Services Officer Section 210: Duty Statement: Detention Services Officer Section 211: Group Supervisor Nights Section 212: Organizational Chart (b) responsibility of the probation department, purpose Section 103: Role of the Juvenile Halls of programs, relationship to the juvenile court, the Section 1801: Ancillary Programs Juvenile Justice/Delinquency Prevention ☒ ☐ ☐ Commission or Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Section 202: Administrative Structure and Responsibilities Section 208: Duty Statement – Supervising Detention Services Officer Section 209: Duty Statement – Senior ☒ ☐ ☐ Detention Services Officer Section 210: Duty Statement: Detention Services Officer Section 211: Group Supervisor Nights Section 212: Organizational Chart (d) initial orientation and training program for Section 205: Youth Supervision Staff employees; Orientation and Training ☒ ☐ ☐ See Section 1322 for Sworn Staff 7198 Los Angeles Central JH PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 (e) initial orientation, including safety and security issues Section 2400: Non-Sworn Personnel and and anti-discrimination policies, for support staff, Partner Agencies Handbook contract employees, school, mental/behavioral Non-sworn partner staff are required to health and medical staff, program providers and complete an initial orientation and to complete volunteers; a review of the Building Emergency Plan prior to entry into the facility. The documentation provided and reviewed included proof of signoffs from various partner agencies but did not include the Building Emergency Plan as it had not yet been signed. Technical assistance was provided to ensure ☒ ☐ ☐ all appropriate sign off documents from all agencies. Los Angeles County Office of Education, Juvenile Court Health Services, Los Angeles County Department of Mental Health, Management Services Bureau and Community Based Organizations and Religious Providers. We also suggested that both Juvenile Halls, Central and Barry J. Nidorf, develop and implement a consistent process and practice for collection for clarity. Prior to the finalization of the report, the Building Emergency Plan and all outstanding signoffs were completed and submitted. This section was corrected. (f) maintenance of record-keeping, statistics and Section 1900: Reports and Records (Group to communication system to ensure: include): Section 1902: Probation Case Management System (PCMS) ☒ ☐ ☐ Section 1903: Daily Reports Section 1904: Behavior Record Section 1905: Charting Section 1909: Detention Observation Report Form (1) efficient operation of the juvenile facility; Section 1900: Reports and Records (Group to ☒ ☐ ☐ include all the above) (2) legal and proper care of youth; Section 1900: Reports and Records (Group to ☒ ☐ ☐ include all the above) (3) maintenance of individual youth's records; Section 1900: Reports and Records (Group to ☒ ☐ ☐ include all the above) (4) supply of information to the juvenile court and Section 1900: Reports and Records (Group to ☒ ☐ ☐ those authorized by the court or by the law; and, include all the above) (5) release of information regarding youth. Section 1900: Reports and Records (Group to ☒ ☐ ☐ include all the above) (g) ethical responsibilities; ☒ ☐ ☐ Section 2349: Employee Honesty (h) trauma-informed approaches; ☒ ☐ ☐ Section 207: General Staff Responsibilities (i) culturally responsive approaches; ☒ ☐ ☐ Section 207: General Staff Responsibilities (j) gender responsive approaches; Section 632: Promoting Dignity for Female ☒ ☐ ☐ Youth 7198 Los Angeles Central JH PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 (k) a non-discrimination provision that provides that all Section 402: Non-Discrimination youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group ☒ ☐ ☐ identification, ancestry, national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Directive 1477 chemical agents related security devices, and Section 1006: OC Spray weapons and ammunition, where applicable; Section D. OC Spray Issuance and ☒ ☐ ☐ Accountability Security of OC Spray Canisters: Maintenance of Canisters: (m) establishment of procedures for collection of Medi- Section 1716: Medi-Cal Administrative Cal eligibility information and enrollment of eligible ☒ ☐ ☐ Activities youth; and, (n) establishment of a policy that prohibits all forms of Section 1500: Prison Rape Elimination Act sexual abuse, sexual assault and sexual (PREA) harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety which shall include, but not be limited to: a) a fire prevention plan to be included as part of the Section 911: Fire Prevention and ☒ ☐ ☐ manual of policy and procedures; Suppression b) monthly fire and life safety inspections by facility Section 911: Fire Prevention and staff with two- year retention of the inspection Suppression record; Provided proof of inspections required for July 1-December 31, 2020, 2021, and 2022. Noted that in most cases, it appears that the inspections are not completed until the ☒ ☐ ☐ following month for the month prior. Technical assistance provided for review of this practice. It is understood that due to the size of the report that it may take a little extra time for the report to be completed; however, the report should be completed in the current month in which it is due. c) fire prevention inspections as required by Health Section 912: Fire Safety and Safety Code Section 13146.1(a) and (b); Agency does not have a current fire clearance ☐ ☐ ☒ and will remain noncompliant until a clearance is obtained. Noncompliance captured in Section 1313. 7198 Los Angeles Central JH PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 d) an evacuation plan; Section 920: Emergency Evacuation and County of Los Angeles Building Emergency Plan of County Buildings ☒ ☐ ☐ Each unit has an assigned evacuation location on the facility grounds. Evacuation maps were noted to be posted in the units. e) documented fire drills not less than quarterly; Section 911: Fire Prevention and Suppression Fire Drills for 2021 and 2022 have been completed as required by regulation. The facility building emergency plan requires drills ☒ ☐ ☐ to be completed on each shift and with partner agencies. Facility managers were reminded regarding completing drills at various times on different shifts to ensure all staff are trained accordingly how to handle an emergency. This will be re-reviewed in the new year to confirm compliance. f) a written plan for the emergency housing of youth in Section 921: Operation FLEE and County of the case of fire; and, Los Angeles Building Emergency Plan of County Buildings If the facility were to evacuate, they would normally evacuate to Barry J. Nidorf Juvenile Hall. The facility has the rated capacity ☐ ☒ ☐ available to hold the youth but, due to the myriad of construction projects, may not have available space necessary. Technical assistance provided to develop a plan as soon as possible for emergency planning for a full evacuation. At this time, until a plan is fully developed, the facility is noncompliant in this area. g) development of a fire suppression pre-plan In Section 911: Fire Prevention and cooperation with the local fire department. Suppression At inspection, the fire suppression pre-plan ☒ ☐ ☐ was not complete. After inspection but before finalizing the report, the pre-plan was signed off by the fire department in January 2023 and the issue corrected. 7198 Los Angeles Central JH PRO 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 1326 SECURITY REVIEW Section 516: Security Procedures Each facility administrator shall develop policies and A Security Review was completed for 2021 on procedures to annually review, evaluate, and document May 13, 2021. The review was completed but security of the facility. The review and evaluation shall did not have all the required elements. All include internal and external security, including, but not management and responsible people are no limited to, key control, equipment, and staff training. longer present or responsible for the facility operations. The security review was completed for 2022 ☒ ☐ ☐ in February and again in May 2022. Technical assistance was provided and discussed that these reviews should be thorough and technical and include full reviews to look for security breaches and concerns and must include all areas of the regulation requirements. We will be following up with the facility in the next few months to provide onsite TA for their security review. 1327 EMERGENCY PROCEDURES Section 900: Emergency Procedures The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; Section 906: Escapes (Code Green) Section 908: Major Disturbances (Code Red) ☒ ☐ ☐ Section 916: Hostages (b) civil disturbance, active shooter and terrorist attack; Section 907: Outside Intruder (Code Yellow) Section 917: Active Shooter ☒ ☐ ☐ Section 918: Terrorist Attack Section 919: Civil Disturbance (c) fire and natural disasters; Section 911: Fire Prevention and Suppression ☒ ☐ ☐ Section 913: Power Failure Section 915: Earthquakes (d) periodic testing of emergency equipment; Section 910: Testing of Emergency ☒ ☐ ☐ Equipment (e) emergency evacuation of the facility; and ☒ ☐ ☐ Section 920: Emergency Evacuation (f) a program to provide all youth supervision staff with Section 920: Emergency Evacuation an annual review of emergency procedures. At inspection, the annual review was not completed due to the Building Emergency Plan not being completed. The plan has now been signed off and all staff have completed ☒ ☐ ☐ their review and sign offs throughout the month of January 2023. This section has been corrected. 7198 Los Angeles Central JH PRO 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 1328 SAFETY CHECKS Section 209: Duty Statement-Senior Detention Services Officer The facility administrator shall develop and implement Section 210: Duty Statement-Detention policy and procedures that provide for direct visual Services Officer observation of youth at a minimum of every 15 minutes, Section 211: Group Supervisor Nights at random or varied intervals during hours when youth Section 630: Safety Checks are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. We requested and reviewed random blocks of Supervision is not replaced, but may be supplemented dates and times of documented safety checks by, an audio/visual electronic surveillance system for Central Juvenile Hall. We selected 1 designed to detect overt, aggressive or assaultive random day, all shifts, for a camera review. behavior and to summon aid in emergencies. All safety We found safety checks are not being checks shall be documented with the actual time the documented according to regulations and check is completed. policy. Checks are not random and varied. The video review did not corroborate the written documentation. We noted that staff is not consistently documenting late checks as discrepancies for supervisor review and, when they do, they are not consistently being reviewed or followed up on by the supervisors. While there is an expectation to conduct quality assurance (QA), it is unknown what that is and directors and supervisors have not been trained to do so. We found a wide variety of safety check outcomes, from staff conducting perfect safety checks being completed as we viewed video with staff stopping to look in each ☐ ☒ ☐ window to ensure the safety of the youth, completed at random and varied times and documented correctly, to checks that were documented despite a check not even being completed, documented in advance or the youth potentially not being viewed in the room due to the inability to adequately see him. Most of these discrepancies were on the late-night shifts although there were some instances during awake hours as well. We noted in some cases large blocks of time missing. It is believed that this is a documentation issue but without reviewing every single check facility-wide, we are unable to determine if checks were actually made. It was also difficult to determine for the purposes of QA when youth were in their rooms for Self-Separation to ensure room checks were being conducted on these youth as required. Technical assistance is suggested for this area as well as the utilization of a randomization timer to assist staff in the provision of random and varied safety checks. Safety checks are the basic function and role in supervision and safety. This section is non-compliant. In December 2022, the facility began to prepare for the implementation of an 7198 Los Angeles Central JH PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 electronic safety check tracking tool. The tool tracks each check electronically and reports this information in real-time to supervisory staff. The Pilot and training began with full implementation planned for the coming weeks. The goal is that this system will solve the problem of safety checks in the facility. TA has been provided to ensure a strong process of QA and review of downloads. 1329 SUICIDE PREVENTION PLAN Section 1601: Suicide Prevention- The facility administrator, in collaboration with the Introduction healthcare and behavioral/mental health administrators, shall plan and implement written policies We spoke to Juan Aguirre, Manager, LMFT and procedures which delineate a Suicide Prevention with the Department of Mental Health (DMH). Plan. Mr. Aguirre stated there is a good, collaborative relationship between DMH and The plan shall consider the needs of youth experiencing Probation. We discussed the current status past or current trauma. and operation of the mental health program as well as future plans and the vision Mr. Suicide prevention responses shall be respectful and in Aguirre has for the facility in the future. the least invasive manner consistent with the level of suicide risk. There are approximately 60-plus mental health staff. 35 clinical staff, 6 supervisors, 4 The plan shall include the following elements: clericals, 4 clinical psychologists, and various other supporting staff. Staff provides services between 7:30 AM- 10:00 PM, 7 days a week. After hours, there are always doctors on call to address any issue or problem that may arise. On any given weekday, AM shift, there are generally about 10 clinicians available in the facility. Evenings, there are 6-7 in the facility. ☒ ☐ ☐ On weekends, there are generally at least 4 mental health staff on duty. Most youth are assigned to a clinician by unit. There is an on-duty clinician assigned 7 days a week to respond. Each youth is assigned a clinician unless they decline. The youth is offered therapy based on their individual case plans. They may have group therapy, family phone therapy and/or psychiatric services, and medication management. Probation, mental health, and medical work together in MDT’s and case conferences and collateral work to meet the needs of the youth to ensure the youth’s safety. If a youth is placed on a level by a DMH staff, the youth must be cleared by a DMH staff. Youth we spoke to spoke highly of their therapists and noted that it was relatively easy to reach them or to be seen. All individual regulatory requirements have been met. 7198 Los Angeles Central JH PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 (a) Suicide prevention training as required in Section 1604: Training Section 1322, Youth Supervision Staff Orientation, and Training and the Juvenile All staff are trained in suicide prevention Corrections Officer Core Course. ☒ ☐ ☐ training at CORE and upon arrival to their facility for facility specific training. Additionally, staff receive a 4-hour refresher training during block week. (b) Screening, Identification Assessment and Section 1606: Identification and Referral of At- Precautionary Protocols Risk Youth (1) All youth shall be screened for risk of 1608: Intervention to Prevent Self-Harming or suicide at intake and as needed during Suicidal Behavior detention. Intake admission documents were provided ☒ ☐ ☐ and reviewed. All included a mental health screening at intake by probation. Every youth is screened at intake for risk of suicide. Youth are asked about the history of hospitalization, mental health treatment, medication, if suicide has been considered, and current emotional status. (2) All youth supervision staff who perform Section 1604: Training intake processes shall be trained in screening youth for risk of suicide. All youth supervision staff are trained in screening processes for the risk of suicide. ☒ ☐ ☐ This is a part of the initial and ongoing training that staff receive at CORE, upon arrival at the facility, and during refresher training at block week. (3) All youth who have been identified during Section 1606: Identification and Referral of At- the intake screening process to be at risk of Risk Youth suicide shall be referred to behavioral/mental health staff for a suicide 17 youth Special Incident Reports (SIR’s) risk assessment. were initiated for intake processes and appropriate referrals. All youth reviewed were identified as being at-risk for suicide either through previous behaviors or current ideation. All were referred to mental health, ☒ ☐ ☐ placed on a level 3, and on either a small group or a one-on-one direct supervision until seen by behavioral health staff. Youth are also screened by medical during their admission process and again no later than 72 hours by mental health who conduct the full MAYSI on each youth. Youth are triaged based on risk level. 7198 Los Angeles Central JH PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 (4) Precautionary protocols shall be developed Section 1606: Identification and Referral of At- to ensure the youth’s safety pending the Risk Youth behavioral/mental health assessment. Any youth who is found to be at-risk is placed on a Level II or a Level III and supervised accordingly. These levels can be either a probation level or a mental health-initiated level. If a youth is placed on a mental health level, he or she must be removed by mental ☒ ☐ ☐ health staff. We noted while reviewing documentation that in some circumstances, youth were placed on a lower-level watch based on the lack of staff or a “critical staffing level”. While this was not an ongoing, consistent issue, this did occur. When this occurs, this is noncompliant. This noncompliance is captured under staffing noncompliance. (c) Referral process to behavioral/mental health Section 1607: Interagency Communication staff for assessment and/or services. Regarding Self-Harming Youth Officers submit mental health referrals to ☒ ☐ ☐ DMH for services. Referrals are submitted for all major actions. Issues are triaged for care by action and if the youth is assigned to a clinician. (d) Procedures for monitoring of youth identified at Section 1405: Level 2 Enhanced Supervision risk for suicide. Requirements Section 1406: Level 3 Enhanced Supervision Requirements ☒ ☐ ☐ Youth are placed on levels dependent on their level of risk. Procedures are specific to the level. (e) Safety Interventions Section 1601: Suicide Prevention- (1) Procedures to address intervention Introduction protocols for youth identified at risk for ☒ ☐ ☐ Section 1608: Intervention to Prevent Self- suicide which may include, but are not Harming or Suicidal Behavior limited to: A. Housing consideration Section 1403: Procedure Section 1601: Suicide Prevention- Introduction ☒ ☐ ☐ Youth are generally housed in their regular housing unit if placed on any level or could be housed in the HOPE Center, if necessary, on a SSP. (currently, CJH does not have a HOPE Center) B. Treatment strategies including Section 1600: Suicide Prevention trauma-informed approaches Section 1608: Intervention to Prevent Self- Harming or Suicidal Behavior ☒ ☐ ☐ Youth are seen based on mental health’s treatment guidelines. 7198 Los Angeles Central JH PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 (2) Procedures to instruct youth supervision Section 1601: Introduction staff how to respond to youth who exhibit Section 1608: Intervention to Prevent Self- suicidal behaviors. Harming or Suicidal Behavior Section 1403: Procedure ☒ ☐ ☐ Mental Health staff provides unit staff with instruction through verbal and also with written communication in the form of the Mental Health Recording Form. This form provides all information for staff, including the recommendations to keep youth safe. (f) Communication Section 1607: Interagency Communication (1) The intake process shall include Regarding Self-Harming Youth communication with the arresting officer and family guardians regarding the youth’s ☒ ☐ ☐ The documentation reviewed was compliant. past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current Section 1607: Interagency Communication information sharing about youth at risk for Regarding Self-Harming Youth suicide with youth supervision, healthcare, ☒ ☐ ☐ and behavioral/mental health staff. Any issues that arise as a result of communication with arresting officers or staff are shared with mental health staff. (g) Debriefing of Critical Incidents Related to Section 1913: Critical Incident Review Suicides or Attempts Process (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, No documentation was provided. No incidents during and after the critical incident. to report per facility staff. (2) Process for a debriefing event with affected Section 1913: Critical Incident Review staff. ☒ ☐ ☐ Process (3) Process for a debriefing event with affected Section 1913: Critical Incident Review youth. ☒ ☐ ☐ Process (h) Documentation Section 1912: Preliminary and Follow Up (1) Documentation processes shall be Incident Notification Procedures ☒ ☐ ☐ developed to ensure compliance with this Section 1913: Critical Incident Review (CIR) regulation Process Youth identified at risk for suicide shall not be denied Section 1606: Identification and Referral of At- the opportunity to participate in facility programs, Risk Youth services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety ☒ ☐ ☐ We did not note any situations where youth on of the youth or security of the facility. Any deprivation Level 3 were denied programming other youth of programs, services or activities for youth at risk of were taking part in. Youth choose what they suicide shall be documented and approved by the participate in. facility manager. 1340 REPORTING OF LEGAL ACTIONS Section 202: Administrative Structure and Responsibilities Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions Request made to Executive Management. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 7198 Los Angeles Central JH PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 1341 DEATH AND SERIOUS ILLNESS OR INJURY There have been no deaths in the facility. OF A YOUTH WHILE DETAINED Sections b, c and d are marked as yes, for (1) Death of a Youth. compliance with policy. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and procedures in the event of the death of a youth ☒ ☐ ☐ while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, In cooperation with the Section 2002: Deaths facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. ☒ ☐ ☐ The review team shall include the facility administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Section 2002: Deaths Board a copy of the report submitted to the Attorney General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Section 2002: Deaths the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Section 922: Serious Illness or Injury of a (a) The facility administrator, In cooperation with the Youth While Detained health administrator, shall develop written policies Section 1912: Preliminary and Follow Incident and procedures for the notification to necessary Notification Procedures parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis Section 1900: Parent/Guardian/Caregiver and the youth’s attorney of record in the case of a Notification and Court/Attorney Notification serious illness or injury of a youth. ☒ ☐ ☐ Section 1909: Detention Observation Report Form Serious incidents are defined in policy but are in no means an exhaustive list. Facility PINS provided for review. Notifications completed as required. 1342 POPULATION ACCOUNTING Section 202: Administrative Structure and Responsibilities. Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 All population reports have been provided as working days after the end of each reporting period, in required. a format to be provided by the Board. 7198 Los Angeles Central JH PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 1343 JUVENILE FACILITY CAPACITY Section 202: Administrative Structure and Responsibilities. When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ The facility has not exceeded its rated fifteen (15) calendar days in a month, the facility capacity this cycle. administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Section 403: Procedures for Newly Admitted The facility administrator shall develop and implement Youth written policies and procedures for admittance of youth that emphasize respectful and humane engagement 40 individual admission CJH packets were with youth, and reflect that the admission process may ☒ ☐ ☐ randomly selected and reviewed for the be traumatic to youth who may have already timeline provided. All individual regulatory experienced trauma. Policies shall be trauma-informed, requirements have been met. culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Section 403: Procedures for Newly Admitted (1) Access to two free phone calls within one hour Youth of admittance in accordance with the provisions ☒ ☐ ☐ of Welfare and Institution Code Section 627; Samples of case notes were provided documenting phone calls made to the youth’s parents upon entry into the facility. (2) Offer of a shower; Section 403: Procedures for Newly Admitted Youth ☒ ☐ ☐ All youth interviewed confirmed being offered a shower upon entry. (3) Documented secure storage of personal Section 403: Procedures for Newly Admitted belongings; Youth Property is inventoried and stored securely. ☒ ☐ ☐ Random property receipts were viewed. Some are documented more thoroughly than others. TA provided to ensure that all items are documented, specifically valuable items. (4) Offer of food upon arrival; Section 403: Procedures for Newly Admitted Youth ☒ ☐ ☐ All youth interviewed confirmed being offered something to eat upon arrival. (5) Screening for physical and behavioral health Section 403: Procedures for Newly Admitted and safety issues, intellectual or developmental Youth disabilities; Section 404: Special Needs screening Procedures Section 405: Accommodation Procedures for Heating Impaired Youth Section 414: Identification, referral, ☒ ☐ ☐ collaborative Care, Habilitative Treatment, Management, and discharge of Youth’s with or suspected of Having a Developmental Disability Admitted to Juvenile Hall Screenings for medical and mental health are completed by Probation staff, by medical staff, and by mental health staff. 7198 Los Angeles Central JH PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 (6) Screening for physical and developmental Section 403: Procedures for Newly Admitted disabilities in accordance with Sections 1329, Youth 1418, and 1430 of these regulations; Section 404: Special Needs screening Procedures Section 405: Accommodation Procedures for Heating Impaired Youth Section 414: Identification, referral, collaborative Care, Habilitative Treatment, ☒ ☐ ☐ Management and discharge of Youth’s with or suspected of Having a Developmental Disability Admitted to Juvenile Hall Screenings are completed by Probation staff, by medical staff, and by mental health staff. Every youth is screened for Regional Center upon entry. Each packet reviewed contained a screening form. (7) Contact with Regional Center for the Section 414: Identification, Referral, Developmentally Disabled for youth that are Collaborative Care, Habilitative Treatment, suspected of or identified as having a Management and Discharge of youths with or developmental disability, pursuant to Section Suspected of Having a Developmental 1418; and, Disability Admitted to Juvenile Hall ☒ ☐ ☐ Central Juvenile Hall has several units that house youth with developmental disabilities or mental health issues. Youth are identified and classified into the various specialty units where additional services can be provided to meet the youth’s individual needs. (8) Procedures consistent with Section 1352.5. Section 403: Procedures for Newly Admitted Youth Section 631: Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning and ☒ ☐ ☐ Intersex (LGBTQI) Youth Intake At the time of inspection, there were no transgender youth in custody to interview. (b) juvenile hall administrators shall establish written Section 407: Los Angeles County Detention criteria for detention that considers the least Screening (LADS) Assessment Tool restrictive environment. ☒ ☐ ☐ The facility uses both the Krisberg Scale and the Los Angeles County Screening Tool to ensure only youth who require detention remain detained. (c) juvenile camps and post-dispositional programs in Section 421: Estimated Length of Stay juvenile halls shall develop policies and procedures that advise the youth of the estimated Per BSCC Coordinators, there are no post- ☐ ☐ ☒ length of stay, inform them of program guidelines dispositional programs at Central JH. and provide written screening criteria for inclusion and exclusion from the program. 7198 Los Angeles Central JH PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 (d) juvenile halls shall develop policies and Section 421: Estimated Length of Stay procedures that advise any committed youth of the estimated length of his/her stay. Per BSCC Coordinators, Central Juvenile Hall youth generally are committed to a Camp facility, to placement, or are released home. ☐ ☐ ☒ If committed to one of these programs, youth would be notified by either their Probation Officer or by the Camp Assessment Unit. The Placement Unit will provide this information to the youth. 1350.5. SCREENING FOR THE RISK OF SEXUAL 1509: Screening for Risk of Sexual ABUSE Victimization and Abusiveness. The facility administrator shall develop and implement Admission packets were reviewed for those written policies and procedures to reduce the risk of youth who remained detained and were sexual abuse by or upon youth. The policy shall require screened for risk of sexual abuse. These facility staff to assess each youth within 72 hours of ☒ ☐ ☐ screenings are completed as part of the admission based on the following information: admission process and are documented in PEMRS - the facility medical/mental health electronic system. All screenings were completed as required. (a) Prior sexual victimization or abusiveness; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (b) Gender nonconforming appearance or manner; Section 1509: Screening for Risk of Sexual or identification as lesbian, gay or bisexual, Victimization and Abusiveness. transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (d) Age; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (e) Level of emotional and cognitive development; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (f) Physical size and stature; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (g) Mental illness or mental disabilities; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (h) Intellectual or developmental disabilities; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (i) Physical disabilities; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (j) The youth’s perception of vulnerability; and, Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (k) Any other specific information about the Section 1509: Screening for Risk of Sexual individual youth that may indicate heightened Victimization and Abusiveness. ☒ ☐ ☐ needs for supervision, additional safety precautions, or separation from certain other youth. 7198 Los Angeles Central JH PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 Staff shall ascertain this information through Section 1509: Screening for Risk of Sexual conversations with the youth during the admittance Victimization and Abusiveness. process, medical and behavioral health screenings; Documentation noted information gathered during classification assessments; and by reviewing court records, case files, facility behavioral records, and ☒ ☐ ☐ based on PCMS. TA provided to ensure to document thoroughly all areas reviewed and other relevant documentation from the youth’s files. to include conversations with the youth and any other person as well as any review of other documentation outside of PCMS. The facility administrator shall implement appropriate Section 1509: Screening for Risk of Sexual controls on the dissemination of information within the Victimization and Abusiveness. facility relative to responses received pursuant to this ☒ ☐ ☐ The screening tool is completed within assessment in order to ensure that sensitive information PEMRS which requires an additional level of is not exploited to the youth’s detriment by staff or other security. youth. 1351 RELEASE PROCEDURES 25 release documents were reviewed for regulatory compliance. The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for release of youth from custody which provide for: (a) verification of identity/release papers; Section 309: Release Procedures ☒ ☐ ☐ Parents were notified and signed the release documents. (b) return of personal clothing and valuables; ☒ ☐ ☐ (c) notification to the youth's parents or guardian; Section 309: Release Procedures ☒ ☐ ☐ Parents are notified by the probation officer, the court, and the facility. (d) notification to the facility health care provider in Section 309: Release Procedures accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; Nursing staff are specifically identified and and, noted as a notification on the release form. (e) notification of school staff; Section 309: Release Procedures School staff were not found to be listed in any notification. School staff are notified telephonically of all releases. Depending on the time the youth spent in custody, the school prepares information i.e., transcripts with credits, grades etc. and forwards it on to the youth’s home school. Proof of this practice ☒ ☐ ☐ was provided to us and we reviewed several transcripts of released youth. Discussions were held of the need to formalize the telephonic process to have documentation of that phone call either through a case note or an email etc. for proof of practice reasons. This was immediately rectified. 7198 Los Angeles Central JH PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 (f) notification of facility mental health personnel. Section 309: Release Procedures Mental health staff were not found to be listed in the notification. Mental health staff are notified telephonically if they are not present during the youth’s release. Medical sees all youth and the youth will see Mental health if ☒ ☐ ☐ they are present in the facility. If they are not, Mental Health release or referral documents are completed and sent to the parent. Youth receive any medication through the clinic staff. Documentation of this process was provided but this too was not a formalized notification with proof of practice. This was immediately addressed. The facility administrator shall develop and implement Section 309: Release Procedures policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry There are no post dispositional programs at ☒ ☐ ☐ services including, but not limited to, medical and Central Juvenile Hall. behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Section 309: Release Procedures written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION The facility administrator shall develop and implement written policies and procedures on classification of ☒ ☐ ☐ youth for the purpose of determining housing placement in the facility. Such procedures shall: (a) provide for the safety of the youth, other youth, Section 412: Classification and Assignment of facility staff, and the public by placing youth in the Youth appropriate, least restrictive housing and program settings. Housing assignments shall consider the ☒ ☐ ☐ All rooms in Central Juvenile Hall are utilized as single room. Each youth is classified upon need for single, double or dormitory assignment or entry. Each classification form was found to location within the dormitory; be completed in its entirety. (b) consider facility populations and physical design of Section 412: Classification and Assignment of the facility; Youth ☒ ☐ ☐ Any overrides must be approved by the OD. We did not view many overrides. (c) provide that a youth shall be classified upon Section 412: Classification and Assignment of admittance to the facility; classification factors shall Youth include, but not be limited to: age, maturity, New intakes are currently classified to the sophistication, emotional stability, program needs, Medical Housing due to the COVID testing legal status, public safety considerations, protocols. Once a youth tests negative, they medical/mental health considerations, gender and ☒ ☐ ☐ are reclassified and moved to their actual gender identity of the youth; appropriate living unit within the facility. Youth are moved as soon as their test results are available. The facility has significantly reduced their testing result time in the last 6 months. 7198 Los Angeles Central JH PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 (d) provide for periodic classification reviews, including Section 412: Classification and Assignment of provisions that consider the level of supervision and Youth the youth's behavior while in custody; and, Periodic classifications are completed during the periodic review of the case plan. Staff are trained to ask weekly during the periodic ☒ ☐ ☐ review if the youth is experiencing any problems or concerns and to update the classification as appropriate. They are also trained to update any classification changes if it has not already been done. All documents reviewed were found to be compliant. (e) provide that facility staff shall not separate youth Section 412: Classification and Assignment of from the general population or assign youth to a Youth single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Section 412: Classification and Assignment of transgender, questioning or intersex identification or Youth ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Section 631: Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning and The facility administrator shall develop written policies Intersex (LGBTQI) Youth and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that: Facility administration reported there have been transgender youth held in the facility during the inspection cycle; however, there ☒ ☐ ☐ were none currently in detention to discuss compliance with regulation or treatment while in custody. All individual regulatory requirements have been met. There were no grievances noted regarding treatment of transgender youth. (a) Facility staff shall respect every youth’s gender Section 631: Supervision of Lesbian, Gay, identity, and shall refer to the youth by the youth’s Bisexual, Transgender, Questioning and preferred name and gender pronoun, regardless of Intersex (LGBTQI) Youth the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐ use of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. 7198 Los Angeles Central JH PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 (b) Facility staff shall permit youth to dress and present Section 631: Supervision of Lesbian, Gay, themselves in a manner consistent with their Bisexual, Transgender, Questioning and gender identity, and shall provide youth with the ☒ ☐ ☐ Intersex (LGBTQI) Youth institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room Section 631: Supervision of Lesbian, Gay, that best meets their individual needs, and Bisexual, Transgender, Questioning and promotes their safety and well-being. Staff may not Intersex (LGBTQI) Youth automatically house youth according to their external anatomy, and shall document the reasons ☒ ☐ ☐ for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that Section 631: Supervision of Lesbian, Gay, transgender and intersex youth have access to Bisexual, Transgender, Questioning and medical and behavioral health providers qualified to ☒ ☐ ☐ Intersex (LGBTQI) Youth provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Section 631: Supervision of Lesbian, Gay, necessary security considerations and physical Bisexual, Transgender, Questioning and plant, facility staff shall make every effort to ensure ☒ ☐ ☐ Intersex (LGBTQI) Youth the safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Section 631: Supervision of Lesbian, Gay, youth for the purpose of determining the youth’s Bisexual, Transgender, Questioning and anatomical sex. Whenever feasible, the facility shall Intersex (LGBTQI) Youth respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. Youth are asked at admission for their ☒ ☐ ☐ preference of the gender of the staff member to conduct their searches. Admission documentation noted this information was asked of all youth at admission. Youth are not searched to determine anatomical sex. 7198 Los Angeles Central JH PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 1353 ORIENTATION Section 416: Orientation Process for Detained Youth The facility administrator shall develop and implement written policies and procedures to orient a youth prior to 40 individual admission CJH packets were placement in a living area. Both written and verbal randomly selected and reviewed for the information shall be provided and supplemented with timeline provided. Youth are provided with a video orientation if feasible. Provision shall be made to primary, initial orientation when in the provide accessible orientation information to all admission process that addresses all detained youth including those with disabilities, limited orientation areas required by regulation and a literacy, or English language learners. Orientation shall secondary, more thorough orientation as part include information that addresses: of the actual admission/facility orientation process once in either Mental Health Unit or Boys Receiving or Unit C. All individual regulatory requirements have been met. ☒ ☐ ☐ Youth interviewed stated they were oriented twice: once upon entry and again with a longer process where they signed several documents. Some youth noted that they were given the option of a new orientation if they were a returnee, suggesting that youth are given the option if they want an orientation or not. TA provided and a discussion held that all youth should be orientated to be sure all you have a full understanding of the facility expectations. There are several bilingual staff who are able to conduct orientation and the agency has access to a language interpreter service if necessary. (a) facility rules including contraband and searches Section 416: Orientation Process for Detained ☒ ☐ ☐ and disciplinary procedures; Youth (b) facility’s system of positive behavior interventions Section 416: Orientation Process for Detained and supports, including behavior expectations, Youth incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Section 416: Orientation Process for Detained facility’s policy prohibiting sexual abuse and sexual Youth ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Section 416: Orientation Process for Detained ☒ ☐ ☐ Youth (e) the existence of the grievance procedure, the steps Section 416: Orientation Process for Detained that must be taken to use it, the youth’s right to be Youth free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue; (f) access to legal services and information on the Section 416: Orientation Process for Detained court process; ☒ ☐ ☐ Youth 7198 Los Angeles Central JH PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 (g) access to routine and emergency health and mental Section 416: Orientation Process for Detained health care; ☒ ☐ ☐ Youth (h) access to education, religious services, and Section 416: Orientation Process for Detained recreational activities; ☒ ☐ ☐ Youth (i) housing assignments; Section 416: Orientation Process for Detained ☒ ☐ ☐ Youth (j) opportunity for personal hygiene and daily showers Section 416: Orientation Process for Detained including the availability of personal care items ☒ ☐ ☐ Youth (k) rules and access to correspondence, visits and Section 416: Orientation Process for Detained telephone use; ☒ ☐ ☐ Youth (l) availability of reading materials, programming, and Section 416: Orientation Process for Detained other activities; ☒ ☐ ☐ Youth (m) facility policies on the use of force, use of restraints, Section 416: Orientation Process for Detained chemical agents and room confinement; ☒ ☐ ☐ Youth (n) immigration legal services; Section 416: Orientation Process for Detained ☒ ☐ ☐ Youth (o) emergencies including evacuation procedures; Section 416: Orientation Process for Detained ☒ ☐ ☐ Youth (p) non-discrimination policy and the right to be free Section 416: Orientation Process for Detained from physical, verbal or sexual abuse and ☒ ☐ ☐ Youth harassment by other youth and staff; (q) availability of services and programs in a language Section 416: Orientation Process for Detained other than English if appropriate; ☒ ☐ ☐ Youth (r) the process for requesting different housing, Section 416: Orientation Process for Detained education, programming and work assignments; ☒ ☐ ☐ Youth (s) a process for which parents/guardians receive Section 416: Orientation Process for Detained information regarding the youth’s stay in the facility Youth that at a minimum includes answers to frequently ☒ ☐ ☐ There is a parent handbook that is specific to asked questions and provides contact information DSB and one for RTSB for youth to review. for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Section 416: Orientation Process for Detained Title 15 Minimum Standards for Juvenile Facilities. Youth ☒ ☐ ☐ 1354 SEPARATION The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures that address: 7198 Los Angeles Central JH PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 (a) separation of youth for reasons that include, but are Section 1301: Separation not be limited to, medical and mental health Room Confinement Memo: April 15, 2022 conditions, assaultive behavior, disciplinary consequences and protective custody. The types of separation that occur in the facility are as follows: • Room Confinement • Cool Down • Specialized Supervision Plan (SSP) • Self-Separation All separations except for self-separation were to occur in the HOPE Center. CJH no longer has a HOPE Center. All separations now occur in the units. In April 2022, the Bureau changed policy noting that separations no longer were required to occur in the HOPE Center, that separations could occur in the youth’s living unit with proper notification and documentation. ☒ ☐ ☐ Youth may self-separate from the group and remain in his or her room. When this occurs, the youth signs off his/her separation on the safety hall check sheet. It was noted that in some cases, youth did not sign the document and subsequent occurrences were not always signed off by the youth either. Policy Addendum Memo dated June 8, 2022, specific to policy direction for Self- Separation. Youth are to sign off on safety check sheet their request for Self- Separation. The inconsistencies found were brought to the attention of managers. Technical assistance provided for Self- Separation and, to ensure compliance moving forward, we will review through targeted inspection to ensure this issue has been addressed and does not drift into noncompliance. (b) consideration of positive youth development and Section 1301: Separation ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Section 1301: Separation privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Section 1301: Separation ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the Section 1301: Separation separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. 7198 Los Angeles Central JH PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 (f) policies and procedures shall ensure a daily review Section 1306: HOPE Center Daily Audit of separated youth to determine if separation Report remains necessary. Until the HOPE Center is reopened, this audit is no longer applicable. SSP’s are not occurring without the use of the HOPE Center. If a youth is in room confinement and ☐ ☐ ☒ paperwork is completed, the youth are being reviewed every two hours to determine if the separation is still appropriate. Self-Separation youth are documented on the safety hall check sheets and are reviewed 3 times a day by supervisors. BSCC coordinator is aware of this issue. 7198 Los Angeles Central JH PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 1354.5 ROOM CONFINEMENT Section 1303: Room Confinement Section 608: Transition Periods (a) The facility administrator shall develop and Room Confinement Memo: April 15, 2022 implement written policies and procedures addressing the confinement of youth in their room We requested and reviewed room that are consistent with Welfare and Institutions confinement documentation for incidents that Code Section 208.3. The placement of a youth in occurred from September 22-30, 2022, and room confinement shall be accomplished in October 10-17, 2022. For these dates and accordance with the following guidelines: times, we were provided with 7 incident packets for the September dates and 6 incident packets for the October dates. All room confinement occurred in the youth’s unit. These packets, other than not completing the Behavior Chain Analysis requirement (see below), met agency policy and procedure requirements. Safety check documentation was problematic for some youth as noted in the safety check section. Technical assistance has been provided and will continue to be provided to enhance documentation. See below. Room confinement per policy has historically been required to occur in the HOPE Center. As policy was revised, directive memos were ☐ ☒ ☐ clear in that all procedures previously required were to continue unchanged. We found tracking notifications were not being made as required as CJH did not reopen the HOPE Center upon return from BJNJH. This issue was brought to the attention of the compliance team for review and consideration. This issue has been brought to the attention of the BSCC Compliance team for review; this issue must be resolved as soon as possible to address these issues. Policy will need to be addressed as soon as possible and can be addressed through this section. It was noted through the review of other inspection documentation that in some units, youth were placed in rooms for early bed contrary to policy directives and some were found to be in their room after incidents confirmed through either regular safety checks or were noted through self- separation checks. There were few instances in which youth were in their rooms for periods beyond what is allowable for transitions i.e., shift change. These practices seem to occur sporadically throughout the documentation viewed and do not appear to be widespread throughout the full facility but is still room confinement. Technical 7198 Los Angeles Central JH PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 Assistance has been provided in that, throughout the PM and weekend shift, supervisory staff should be in the facility providing a heavy presence and inquiring about the status of youth who are in their rooms and ensuring that all regulatory and policy functions are adhered to. We also noted some self-separation incidents were not thoroughly and consistently documented by the youth as required by policy. Several of the youth interviewed confirmed the above actions, but noted that although incidents still occur, they reported the facilities continue to do better than from what has occurred in the past. Youth stated any long-term room confinement is the result of lack of staff. For instance, when oncoming relief staff are late, youth spend more time in their rooms. We noted, through video review and while onsite, many oncoming staff to be routinely late to their posts resulting in the on-duty unit staff not being relieved timely. Youth are kept in their rooms while staff wait to be relieved, until staff are called in or they make it to the unit. There were also circumstances that occurred where the facility suffered significant staffing events which kept youth in their room longer as well as exigent circumstances that resulted in youth remaining in their rooms due to lack of staff reporting to work. When this occurred, video review noted that some units tried to get the youth out a few at a time to use the phone at the minimum. Prior to inspection, we also expressed concern to both administration and to the medical team regarding the practice of “hybrid units” for housing of COVID positive and COVID negative youth together as this practice would result in room confinement for those youth who were not COVID positive and would be without a Medical Order for Isolation. Medical guidance has since been updated and this issue has been addressed and corrected. Lastly, the agency transition policy requires that incident reports must include times in which youth were secured and brought out to resume programming and we found this not to occur as a consistent practice. 7198 Los Angeles Central JH PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 (1) Room confinement shall not be used before Section 1303: Room Confinement other, less restrictive, options have been attempted and exhausted, unless attempting ☒ ☐ ☐ those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Section 1303: Room Confinement ☒ ☐ ☐ purposes of punishment, coercion, convenience, or retaliation by staff. (3) Room confinement shall not be used to the Section 1303: Room Confinement extent that it compromises the mental and ☒ ☐ ☐ physical health of the youth. (b) A youth may be held up to four hours in room Section 1303: Room Confinement confinement. After the youth has been held in room confinement for a period of four hours, staff shall do While regulation allows for youth to be held for one or more of the following: 4 hours, agency policy requires immediate ☒ ☐ ☐ action. Per documentation provided, received, and reviewed, no youth were held in their room longer than 4 hours. (1) Return the youth to general population. Section 1303: Room Confinement ☒ ☐ ☐ Youth are required to be reassessed every 2 hours for return to the general population. If youth can safety be returned, they are. (2) Consult with mental health or medical staff. Section 1303: Room Confinement Per policy, all youth placed in room confinement are to be referred to mental health for a behavior chain analysis within 30 minutes. If a clinician is not available, it is to be completed when time permits. This did not occur in October and all samples in September were from the same incident in which youth were all seen by a mental health clinician. In April 2022, a Detention Services Bureau memo was initiated authorizing all youth to be ☐ ☒ ☐ placed in room confinement in the units and that staff must follow the room confinement procedures outlined in DSB Policy 1303 and all documentation remains the same. Communication was had with DMH regarding the Behavior Chain Analysis. It was noted that the youth refused to cooperate in most of the samples in September 2022, but that they only received 1 call for service in October 2022. This is inconsistent with the number of OC’s. This section is noncompliant. (3) Develop an individualized plan that includes the Section 1303: Room Confinement goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. 7198 Los Angeles Central JH PRO 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 (4) If room confinement must be extended beyond Section 1303: Room Confinement four hours, staff shall do each of the following: No incidents reviewed were beyond 4 hours. ☒ ☐ ☐ Policy requires the same actions, i.e., reassessment every two hours as well as regulatory requirements to be completed. (A) Document the reasons for room Section 1303: Room Confinement confinement 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 Section 1303: Room Confinement includes the goals and objectives to be met ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the Section 1303: Room Confinement facility superintendent or his or her ☒ ☐ ☐ designee every four hours thereafter. (5) This section is not intended to limit the use of Section 1303: Room Confinement 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 Section 1303: Room Confinement ☒ ☐ ☐ in court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Section 1303: Room Confinement conflict with any law providing greater or ☒ ☐ ☐ additional protections to youth. (8) This section does not apply during an Section 1303: Room Confinement 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 1303: Room Confinement 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 The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. 7198 Los Angeles Central JH PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 (a) Assessment: Section 413: Institutional Assessment, Case The assessment is based on information collected Plan and Periodic Review during the admission process with periodic review, An assessment was completed for each youth which includes the youth's risk factors, needs and ☒ ☐ ☐ as part of the facility entry admission strengths including, but not limited to, identification procedure. of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Section 413: Institutional Assessment, Case (1) A case plan shall be developed for each youth Plan and Periodic Review held for at least 30 days or more and created ☒ ☐ ☐ within 40 days of admission. Case plans were found to be completed within the regulatory timeline. (2) The institutional plan shall include, but not be ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution Section 413: Institutional Assessment, Case of problems identified in the assessment; Plan and Periodic Review ☒ ☐ ☐ Objectives are tied to the regulatory requirements and timelines are noted by various means i.e., weekly, monthly, or daily. (B) a plan for meeting the objectives that Section 413: Institutional Assessment, Case includes a description of program resources Plan and Periodic Review needed and individuals responsible for assuring that the plan is implemented; Unit Staff are responsible for ensuring that the case plan includes appropriate objectives. Individual staff may also be tasked if there is ☒ ☐ ☐ a relationship built with a certain staff member or a particular staff member is working directly with a youth on a goal such as an educational or vocational goal. The objectives are noted in menu format. There is also a section that provides the opportunity for additional information to be documented. (3) periodic evaluation of progress towards meeting Section 413: Institutional Assessment, Case the objectives, including periodic review and Plan and Periodic Review discussion of the plan with the youth; ☒ ☐ ☐ Periodic review was found to be compliant. Staff were found to meet face-to-face with youth and document the contact. (4) a transition plan, the contents of which shall be Section 413: Institutional Assessment, Case subject to existing resources, shall be Plan and Periodic Review developed for post dispositional youth in ☒ ☐ ☐ accordance with Section 1351; and, No post dispositional youth. (5) in as much as possible and if appropriate, the Section 413: Institutional Assessment, Case plan, including the transition plan, shall be Plan and Periodic Review ☒ ☐ ☐ developed with input from the family, supportive adults, youth, and Regional Center for the No post dispositional youth. Developmentally Disabled. 7198 Los Angeles Central JH PRO 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 1356 COUNSELING AND CASEWORK SERVICES Section 207: General Staff responsibilities The facility administrator shall develop and implement The basic expectation of staff duties is as written policies and procedures ensuring the availability noted. With limited staff resources, staff of appropriate counseling and casework services for all report it is difficult to go beyond limited youth. Policies and procedures shall ensure: expectations. Proof of practice included documentation of ☒ ☐ ☐ case planning, professional phone call documentation, and other documentation. Staff meet basic, limited expectations and minimal regulation compliance but, with proper staffing, should be doing so much more. Youth interviewed stated that, as time permits, staff do assist them as they can. (a) youth will receive assistance with needs or ☒ ☐ ☐ Section 207: General Staff responsibilities concerns that may arise; (b) youth will receive assistance in requesting contact Section 207: General Staff responsibilities ☒ ☐ ☐ with parents, other supportive adults, attorney, clergy, probation officer, or other public official; and, (c) youth will be provided access to available Section 207: General Staff responsibilities resources to meet the youth’s needs. ☒ ☐ ☐ 1357 USE OF FORCE Directive 1477: Detention and Residential Treatment Services Bureaus Manual- The facility administrator, In cooperation with the Physical Intervention Policy (Section DSB- responsible physician, shall develop and implement 1000/RTSB-1700) Issued 06/22/2022. written policies and procedures for the use of force, which may include chemical agents. Force shall never At inspection, it was noted the policy had been be applied as punishment, discipline, retaliation or released and was implemented in June 2022, treatment. but staff were not formally trained. We have since been informed the staff have almost (a) At a minimum, each facility shall develop policies completed training. ☐ ☒ ☐ and procedures which: The agency remains unable to meet certain areas of regulatory requirements and we found areas in which the agency failed to meet their own policy despite technical assistance being provided by both BSCC and Department of Justice (DOJ) in how to address the issues. (1) restricts the use of force to that which is deemed Section 1003: Objectively Reasonable reasonable and necessary, as defined in Section ☒ ☐ ☐ Determination 1302 to ensure the safety and security of youth, staff, others and the facility. 7198 Los Angeles Central JH PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 (2) outline the force options available to staff Section 1004: Prevention and De-Escalation including both physical and non-physical options and Section 1005: Physical Interventions and define when those force options are appropriate. • De-escalation Options per policy include: • Request for Compliance with Instructions • Discussion/Counseling • Mental Health Assistance • Switching Officer (Tapping Out) • Secluding the Situation/Youth ☒ ☐ ☐ • Request Supervisor assistance • Behavior chart Consultation • Other officer/volunteers • Temporary Halt to Program Activity • Separation of Youth • Resource Teams Force Options per policy include: • Physical Control Holds. • Take-downs. • Restraint Devices. • Oleoresin Capsicum (OC) Spray. 7198 Los Angeles Central JH PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 (3) describe force options or techniques that are Section 1005(G): Physical Interventions- expressly prohibited by the facility. Inappropriate/Prohibited uses of Force and Conduct Officers are required to view the alert log to be aware of any youth with medical or mental health issues. The following are prohibited by the facility policy: • "Carotid," "arm-bar," chokehold, or any other deliberate chokehold restraint utilized to or having the impact of restricting the airway or blood flow. • Applying pressure to and/or torquing of the head and neck. • Deliberate strikes or kicks to the head, torso, or other body parts (except in situations of self- defense). • Deliberately or recklessly striking a youth’s head, limbs, torso, or other body parts against a hard, fixed object (e.g., roadway, driveway, floor, wall, etc.). • "Hog-tying" procedure wherein restraints are applied to both the hands and feet, which are then ☒ ☐ ☐ drawn together and secured behind the back. • Any form of excessive physical intervention, deliberate physical injury, or physical intervention used as coercion, punishment, retaliation, discipline, or treatment. • Any other force used maliciously, sadistically, and/or for the purpose of causing harm. • Failure to immediately decontaminate a youth exposed to OC spray when the incident is controlled. • Leaving youth in an enclosed structure where OC spray has been used, and the location has not been decontaminated. • Use of OC spray on youth in mechanical or soft restraints. • Officer actions leading to the use of force such as taunting, verbally insulting, or challenging a youth. • The use of force (UOF) as a response to a youth who is solely expressing suicidal ideations. • The use of prone and supine restraints on pregnant youth. • Officer actions that serve to encourage, instigate, or permit youth 7198 Los Angeles Central JH PRO 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 to engage in physical fights or assaults. (4) describe the requirements of staff to report any Section 1005(G): Physical Interventions- inappropriate use of force, and to take ☒ ☐ ☐ Inappropriate/Prohibited uses of Force and affirmative action to immediately stop it. Conduct (5) define a standardized reporting format that Section 1005(K): Physical Interventions: includes time period and procedure for Mandatory Reporting Requirements documenting and reporting the use of force, Section 1008: Post-Incident Physical including reporting requirements of Intervention-Post Incident Review Process- management and line staff and procedures for Debriefing for involved youth and Staff and reviewing and tracking use of force incidents by Witnesses supervisory and or management staff, which Section 1009: Quality Assurance: Debrief include procedures for debriefing a particular (Debriefs for all incidents now) incident with staff and/or youth for the purposes of training as well as mitigating the effects of Debriefs are required for all use of force incidents per the agency policy. Per trauma that may have been experienced by staff regulation, the purpose of the debrief is for and /or the youth involved. training as well as to mitigate the effects of trauma that may have been experienced by ☒ ☐ ☐ staff and/or the youth. It is a reflection period for addressing training issues or areas and to address any potential trauma that may have occurred by youth or staff. While the debriefs are being completed, they are not completed with efficacy as intended. Training issues or training needs are not being addressed as the lack of staffing is the main concern of staff. While this does not make this section noncompliant, it is noted that the lack of adequate staffing impacts the ability of supervisors to have an effective debrief regarding incidents as they occur. (6) Include an administrative review and a system Section 1009(A) Quality Assurance - Use of for investigating unreasonable use of force. Force Administrative Review Each UOF is to be reviewed at the facility level and again through the Force Intervention ☐ ☒ ☐ Response Support Team (FIRST). This is an independent review entity that reviews all Use of Force incidents. This is not occurring. No documentation provided. 7198 Los Angeles Central JH PRO 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 (7) define the role, notification, and follow-up Section 1008(C): Post-Incident Physical procedures required after use of force incidents Intervention-Medical Assessment of Youth for medical, mental health staff and parents or Section 1008(D): Post-Incident Physical legal guardians. Intervention-Mental Health Involvement and Assessment of Youth Section 1010: Notifications: Parent/Guardian/ ☐ ☒ ☐ Caregiver Notification Parents of youth are to be notified if any use of force has occurred. There is to be a 3x effort. This is not being documented in incident reports when a parent is not able to be contacted. Just that the attempt was made, and they were unable to be reached. (8) describe the limitations of use of force on Section 1003: Objectively Reasonable pregnant youth in accordance with Penal Code ☒ ☐ ☐ Determinations-Pregnant and Post-Partum Section 6030(f) and Welfare and Institutions Recovery Youth Code Section 222. (b) Facilities that authorize chemical agents as a force ☒ ☐ ☐ option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize Section 1006(C): Oleoresin Capsicum (O.C.) chemical agents in the facility and the type, size Spray-OC Spray Interventions and the approved method of deployment for ☒ ☐ ☐ Section 1006(D): Oleoresin Capsicum (O.C.) those chemical agents. Spray-Issuance and Accountability (2) mandate that chemical agents only be used Section 1006(A): OC Spray-Training when there is an imminent threat to the youth’s ☒ ☐ ☐ safety or the safety of others and only when de- escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and Section 1006(E): OC Spray timelines for decontamination from chemical agents. This shall include that youth who have ☐ ☒ ☐ been exposed to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Section 1006: OC Spray-Medical procedures required after use of force incidents Assessment” and “Mental Health involving chemical agents for medical, mental Consultation Request” health staff and parents or legal guardians. ☐ ☐ ☒ Section 1010 Notifications: Parent/Guardian/ Caregiver Notifications See above. 7198 Los Angeles Central JH PRO 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 (5) provide for the documentation of each incident Section 1006: OC Spray Section H. of use of chemical agents, including the Mandatory Reporting Requirements reasons for which it was used, efforts to de- Decontamination documentation is lacking. escalate prior to use, youth and staff involved, the date, time and location of use, Reports document that youth are being decontamination procedures applied and decontaminated but do not consistently identification of any injuries sustained as a include full documentation of the details of result of such use. what is required by policy. I.e., it is unknown how youth are decontaminating or that youth ☐ ☒ ☐ are not self-decontaminating as it is not documented in the incident report. We often noted youth who were noted in the report narrative to be on a “Level 3: Direct Visual Supervision status” only to note on their safety check log they were in their rooms being supervised with regular safety checks. Documentation should be clarified in these circumstances. (c) Facilities shall develop policies and procedure Section 1002: Training Requirements which require that agencies provide initial and ☐ ☒ ☐ Staff are to receive initial training and annual regular training in use of force and chemical agents refresher training. This has not occurred. when appropriate that address: (1) known medical and behavioral health Section 1002: Training Requirements ☐ ☒ ☐ conditions that would contraindicate certain Regular training has not occurred. types of force; (2) acceptable chemical agents and the methods Section 1006: OC Spray Section A. Training ☐ ☒ ☐ of application. Regular training has not occurred. (3) signs or symptoms that should result in Section 1002: Training Requirements ☐ ☒ ☐ immediate referral to medical or behavioral Regular training has not occurred. health. (4) instruction on the Constitutional Limitations of Section 1002: Training Requirements ☐ ☒ ☐ Use of Force. Regular training has not occurred. (5) physical training force options that may require Section 1002: Training Requirements ☐ ☒ ☐ the use of perishable skills. Regular training has not occurred. (6) timelines the facility uses to define regular Section 1002: Training Requirements ☐ ☒ ☐ training. Regular training has not occurred. 7198 Los Angeles Central JH PRO 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 1358 USE OF PHYSICAL RESTRAINTS Directive 1477: Detention and Residential Treatment Services Bureaus Manual- The facility administrator, In cooperation with the Physical Intervention Policy (Section DSB- responsible physician and mental health director, shall 1000/RTSB-1700) Issued 06/22/2022. develop and implement written policies and procedures Section 1001: Introduction – Physical for the use of restraint devices. Restraint devices Interventions include any devices which immobilize a youth's Section 1007: Restraints extremities and/or prevent the youth from being ambulatory. Section marked NC due to no staff training and implementation of policy. Agency policy now applies to the use of restraints for all purposes and no longer only for those that are mental health related or to control a youth who is destructive in nature. The use of restraints, for the purpose of this ☐ ☒ ☐ section, are a force option and are to be treated as such. Policy defines hard mechanical restraints as handcuffs, leg irons, waist-chains, plastic flex- cuffs and soft mechanical restraints as padded leather wrist and ankle restraints and safety helmets. Technical assistance provided regarding ensuring the appropriate training is provided for all use of restraints. At the time of inspection, documentation provided was only provided for those youth who were having a mental health crisis. That documentation was consistent with regulatory requirements. All use of restraints were not reviewed for this section under the new policy. Physical restraints may be used only for those youth Section 1007: Restraints who present an immediate danger to themselves or Several incidents were provided for review. others, who exhibit behavior which results in the Documentation reviewed was consistent with destruction of property, or reveals the intent to cause regulatory requirements. We did not receive self-inflicted physical harm. Physical restraints should ☒ ☐ ☐ all use of restraint documentation as noted in the comment above. be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Section 1007(C): Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7198 Los Angeles Central JH PRO 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 The provisions of this section do not apply to the use of Section 1007: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☐ ☐ ☒ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Section 1007(D): Restraints of the facility manager or designee. The facility manager Per new policy, the application of physical may delegate authority to place a youth in restraints to a restraints is authorized when a youth physician. Reasons for continued retention in restraints presents an immediate danger to shall be reviewed and documented at a minimum of themselves or others, exhibits behavior every hour. which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. Youth shall be placed in ☒ ☐ ☐ restraints only when all de-escalation techniques and less intrusive physical interventions have been exhausted. The use of restraints for mental health crisis or destruction of property must be authorized by the facility manager or designee. In the incidents reviewed, either the supervisor was onsite in the unit or was contacted as required. A medical opinion on the safety of placement and Section 1007(E): Restraints retention shall be secured as soon as possible, but no ☒ ☐ ☐ All youth were seen by medical personnel later than two hours from the time of placement. The immediately. youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Section 1007(F): Restraints possible, but in no case longer than four hours from the ☒ ☐ ☐ All youth were seen by mental health time of placement, to assess the need for mental health personnel. treatment. Continuous direct visual supervision shall be conducted Section 1007(D): Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff All youth were under constant, direct visual interventions shall be documented at least every 15 observation. Each incident had a complete minutes, with actual time of the documentation recorded. log filled out for each youth. In addition to the requirements above, policies and procedures shall address: (a) documentation of the circumstances leading to an Section 1007: Restraints ☒ ☐ ☐ application of restraints. Section D. Application of Physical Restraints (b) known medical conditions that would contraindicate Section 1007(D): Restraints certain restraint devices and/or techniques. ☒ ☐ ☐ Application of Physical Restraints (c) acceptable restraint devices. Section 1007(D): Restraints ☒ ☐ ☐ Application of Physical Restraints (d) signs or symptoms which should result in Section 1007(D): Restraints immediate medical/mental health referral. ☒ ☐ ☐ Application of Physical Restraints 7198 Los Angeles Central JH PRO 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 (e) availability of cardiopulmonary resuscitation Section 1007(D): Restraints equipment. ☒ ☐ ☐ Application of Physical Restraints (f) protective housing of restrained youth. While in Section 1007(C): Restraints restraint devices, all youth shall be housed alone or Application of Physical Restraints in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Section 1007(D): Restraints ☒ ☐ ☐ Application of Physical Restraints (h) exercising of extremities. Section 1007(D): Restraints ☒ ☐ ☐ Application of Physical Restraints 1358.5 USE OF RESTRAINT DEVICES FOR Section 809: The Use of Mechanical MOVEMENT AND TRANSPORTATION WITHIN THE Restraints for Movement and Transport FACILITY. Within the Facility The Facility Administrator, In cooperation with the ☒ ☐ ☐ Youth interviewed noted they are not responsible physician and behavioral/mental health generally handcuffed during incidents. This director, shall develop and implement written policies was verified in the videos reviewed. and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Section 809: The Use of Mechanical approved to utilize restraint devices and the Restraints for Movement and Transport required training. Within the Facility ☒ ☐ ☐ Any sworn staff is authorized to use mechanical restraints. Mechanical restraints refer to any device that immobilizes an individual’s extremities. (b) the circumstances leading to the application of Section 809: The Use of Mechanical restraints must be documented. Restraints for Movement and Transport Within the Facility ☒ ☐ ☐ The circumstances leading to the use of restraints in the incidents where restraints were used were documented. There were only a few. In most cases, restraints are not used. 7198 Los Angeles Central JH PRO 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 (c) an individual assessment of the need to apply Section 809: The Use of Mechanical restraints for movement or transportation that Restraints for Movement and Transport includes consideration of less restrictive Within the Facility alternatives, consideration of a youth’s known We noted handcuffs are only rarely used and medical or mental health conditions, trauma are not used as practice to control youth or informed approaches, and a process for incidents. There is policy in place and documentation and supervisor review and regulatory requirements should restraints be approval. ☐ ☒ ☐ utilized. We found in our documentation review there were some instances of the use of mechanical restraints for movement that were not documented correctly and in compliance with regulatory requirements and agency policy. This section is noncompliant. (d) consideration of safety and security of the facility, Section 809: The Use of Mechanical with a clearly defined expectation that restraint Restraints for Movement and Transport devices shall not be used for the purposes of ☒ ☐ ☐ Within the Facility discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Section 809: The Use of Mechanical accordance with Penal Code Section6030(f) and Restraints for Movement and Transport Welfare and Institutions Code Section 222. Within the Facility ☒ ☐ ☐ There were no pregnant females involved in any of the incidents reviewed. There are currently no females housed in the facility. 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, In cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 1360 SEARCHES Section 700: Searches The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: 7198 Los Angeles Central JH PRO 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 (a) Searches shall be conducted to ensure the safety Section 701: Introduction and security of the facility, public, visitors, youth, Regulation requires the facility administrator and staff. to develop and implement policy and procedure. By policy, room searches are required daily, unit area searches are required daily, and two thorough contraband searches are required weekly. This has not occurred and is noncompliant. All persons, including staff and visitors to the ☐ ☒ ☐ facility that enter the facility, are screened through the security Kiosk Xray to ensure weapons or other items are not brought into the facility and visitors are limited to items they can bring in on visitation day. Documentation was provided of unit searches and canine searches for the facility and canine search for visitation. It was noted the quantity of unit/facility searches were not met as required. (b) Searches shall be conducted in a manner that Section 701: Introduction preserves the privacy and dignity of the person ☒ ☐ ☐ being searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Section Policy Sections: searches shall comply with Penal Code Section 701: Introduction 4030. 709: Completing a Strip Search Authorization Form 711: Admissions Procedures - Strip Search and/or Visual Body Cavity Search ☒ ☐ ☐ Documentation initially provided was found to be noncompliant; however, after some technical assistance and training, it was found the issue was addressed and corrected. Additional documents requested and all admission searches were completed correctly. (d) Physical body cavity searches shall only be Policy Sections: conducted by a medical professional. 702: Types of Searches and Definitions 711: Admissions Procedures - Strip Search ☒ ☐ ☐ and/or Visual Body Cavity Search There have been no physical body cavity searches conducted this cycle. 7198 Los Angeles Central JH PRO 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 (e) Any youth held after a detention hearing shall only Section 703: Searches of Youth Housed in be strip searched with prior approval of a supervisor Juvenile Facilities - General Information when there is reasonable suspicion based on Documentation initially provided for review specific and articulable facts to believe that youth is was found to be noncompliant; however, after concealing contraband. The reasonable suspicion ☒ ☐ ☐ some technical assistance and training, it was shall be documented. found the issue was addressed and corrected. Additional documents requested and all admission searches were completed correctly. (f) Searches of transgender and intersex youth shall Section 706: Transgender Youth Searches comply with Section 1352.5. ☒ ☐ ☐ All youth are asked at intake which gender staff is preferred to conduct their searches. (g) Cross-gender pat-down searches and strip Section 705: Cross Gender Searches searches are prohibited except in exigent ☒ ☐ ☐ Cross gender pat down searches and strip circumstances or when conducted by a medical searches are prohibited by policy. professional. Such searches must be justified and documented in writing. 7198 Los Angeles Central JH PRO 20-22 - 51 - J453 JUV PRO-Eff. 01-01-2019 1361 GRIEVANCE PROCEDURE Section 1715: Youth Grievance Procedures The facility administrator shall develop and implement The regulation requires the agency to develop written policies and procedures whereby any youth may policy and procedures whereby a youth may appeal and have resolved grievances relating to any appeal and have resolved grievances relating condition of confinement, including but not limited to to conditions of confinement. The purpose of health care services, classification decisions, program this process is to provide an opportunity and participation, telephone, mail or visiting procedures, a mechanism for youth to resolve issues at food, clothing, bedding, mistreatment, harassment or the lowest level. violations of the nondiscrimination policy. There shall be The agency grievance form provides the no time limit on filing grievances. Policies and opportunity for youth to document their procedures shall include provisions whereby the facility grievance and what they want to happen. The manager ensures: hearing officers then, after meeting with the youth, either “grant” or “deny” the youth’s grievance. This is followed by an appeals process should the youth wish to appeal the first level officers’ response. We find that many times, the first level officers ☒ ☐ ☐ address and focus their response on what the youth “wants to happen” as opposed to seeking resolution for the grieved issue. The form itself and format of the grievance must be changed to address this issue. This has been discussed, scheduled for review several times but never fully processed or implemented. In discussion once again regarding this issue, we have been notified the Bureau is in the final stages of implementation of a new grievance process - GMS. (The process will not include the language of granted and denied). We are very excited to check in in a few months to see how the new process works to improve the grievance process. 114 grievances provided and randomly reviewed from August 2022-October 2022. (a) a grievance form and instructions for registering a Section 1715: Youth Grievance Procedures grievance, which includes provisions for the youth ☒ ☐ ☐ Grievances were found to be available to to have free access to the form; youth in all units. (b) the youth shall have the option to confidentially file Section 1715: Youth Grievance Procedures the grievance or to deliver the form to any youth Each unit has a locked box for confidential supervision staff working in the facility; ☒ ☐ ☐ grievances. We noted that most youth place their grievances in the locked box for pick up. Youth are also aware they can file confidential grievances through the JIGS system. 7198 Los Angeles Central JH PRO 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 (c) resolution of the grievance at the lowest appropriate Section 1715: Youth Grievance Procedures staff level; When interviewed, youth who have written a grievance stated they can give their grievance to any staff at any level for review and response, but it was noted that most youth almost always place the grievance in the confidential box. It is picked up by the grievance officer, usually on the next shift or ☒ ☐ ☐ the next day, logged in, and the grievance goes through the process which includes the grievance officer coming to talk to them and then, if needed, a supervisor coming to resolve their issue. When youth were asked if they were comfortable with this process, they stated they were. Youth are also aware they can file a grievance in the JIGS- electronic system. (d) provision for a prompt review and initial response to Section 1715: Youth Grievance Procedures grievances within three (3) business days, Most grievances were found to be timely. grievances that relate to health and safety issues Those that were not tended to be those that must be addressed immediately; involved a work order or some other process outside the control of the unit/facility. Most ☒ ☐ ☐ health and safety grievances were addressed on the same day. Technical assistance again provided to ensure that youth are periodically reminded that any health or safety grievance should be given to staff for immediate resolution and not placed in the box. (1) The youth may elect to be present to explain Section 1715: Youth Grievance Procedures his/her version of the grievance to a person not ☒ ☐ ☐ All youth except for one participated in their directly involved in the circumstances which led own grievance. to the grievance. (2) Provision for a staff representative approved by Section 1715: Youth Grievance Procedures the facility administrator to assist the youth. ☒ ☐ ☐ No representatives were noted in any grievances reviewed. There were no requests for assistance. 7198 Los Angeles Central JH PRO 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 (e) provision for a written response to the grievance Section 1715: Youth Grievance Procedures which includes the reasons for the decisions; In general, we found the response documentation of grievances to be minimally compliant. We found some grievances with more than one issue noted yet all issues did not have full responses to each item. We noted there were some that lacked reasonable responses and some that did not address the issue at all or were not forwarded on to the appropriate partner. Overall, these issues are concerning but the amount of these problematic grievances noted in comparison to the amount viewed overall did not rise to a level ☒ ☐ ☐ of non-responsive or of overall noncompliance at this time. There have been a large number of new supervisors in the facility who need more guidance and specific training from their directors regarding proper response for grievances. This should be a priority. Technical Assistance provided. This issue will be addressed and reviewed with all grievances reviewed in a targeted inspection in the next 90 days. We will be looking for marked improvement in the handling and documentation of grievances in this area. (f) a system which provides that any appeal of a Section 1715: Youth Grievance Procedures grievance shall be heard by a person not directly ☒ ☐ ☐ Appeals are heard by facility Directors. involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten Section 1715: Youth Grievance Procedures (10) business days unless circumstances dictate a ☒ ☐ ☐ Grievances were completed timely. longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and Section 1715: Youth Grievance Procedures external methods to report sexual abuse and sexual • Grievance procedure harassment. • Directly to staff, contractors, ☒ ☐ ☐ volunteers, or visitors. • Mental Health referral • Medical referral. • Contacting the ombudsman. Whether or not associated with a grievance, concerns Section 1715: Youth Grievance Procedures of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ Any issue should be resolved with a Director or the Superintendent onsite at the time of policies and procedures within a specified timeframe. incident. 7198 Los Angeles Central JH PRO 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 1362 REPORTING OF INCIDENTS Policy sections as noted below regarding reports: A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or 1022: Safe Crisis Management – death of an employee, youth or other person(s) shall be Physical Intervention Reports maintained. Such written record shall be prepared by the 1907: Special Incident Report Form staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and ☒ ☐ ☐ 1909: Detention Observation Report authorized by the facility manager or designee. (DOR) Form 1912: Preliminary and Follow Up Incident Notification Procedures Various reports were provided for review. Reports were written and submitted in a timely manner. 1363 USE OF REASONABLE FORCE TO COLLECT Section 308: Juvenile Collection of DNA DNA SPECIMENS, SAMPLES, IMPRESSIONS Samples (a) Pursuant to Penal Code Section 298.1 authorized Since 2011, the Juvenile Halls have been law enforcement, custodial, or corrections responsible for the collection of DNA samples personnel including peace officers, may employ for both detained and non-detained youth. reasonable force to collect blood specimens, saliva There are trained officers who collect DNA samples, and thumb or palm print impressions from individuals who are required to provide such ☒ ☐ ☐ samples in the facility. DNA is collected by senior Detention Services Officers. There samples, specimens or impressions pursuant to has not been any use of force in any collection Penal Code Section 296 and who refuse following of DNA this cycle. written or oral request. Per facility policy, force will not be used to collect DNA. If a youth refuses, this information is provided to the court for further review and action. (1) For the purpose of this section, the “use of Section 308: Juvenile Collection of DNA reasonable force” shall be defined as the force that Samples an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Section 308: Juvenile Collection of DNA efforts to secure voluntary compliance. Efforts to Samples secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Section 308: Juvenile Collection of DNA authorization of the supervising officer on duty. The Samples authorization shall include information that reflects ☒ ☐ ☐ the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. 7198 Los Angeles Central JH PRO 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 (1) If the use of reasonable force includes a cell Section 308: Juvenile Collection of DNA extraction, the extraction shall be videotaped. Samples Video shall be directed at the cell extraction event. The videotape shall be retained by the ☒ ☐ ☐ agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7198 Los Angeles Central JH PRO 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 1370 EDUCATION PROGRAM The education program is provided by Los Angeles County Office of Education. Title 15 (a) School Programs requires the Superintendent of Schools to conduct a review of the Education program in The County Board of Education shall provide for the conjunction with a qualified outside agency or administration and operation of juvenile court individual. The Board of State and Community schools in conjunction with the Chief Probation Corrections Field Representative does not Officer, or designee pursuant to applicable State inspect the education program for compliance laws. The school and facility administrators shall with Title 15. develop and implement written policy and procedures to ensure communication and The Principal at Central Juvenile Hall (CJH) is coordination between educators and probation staff. Scott Bastien. We were unable to meet with Culturally responsive and trauma-informed Principal Bastien while onsite but were able to approaches should be applied when providing meet on a TEAMS call after our visit. There is instruction. Education staff should collaborate with also an Assistant Principal at the CJH School the facility administrator to use technology to who we were unable to meet. facilitate learning and ensure safe technology practices. The facility administrator shall request an Central Juvenile Hall School has 19 core annual review of each required element of the teachers, 6 counselors, 2 Educational program by the Superintendent of Schools, and a Behavior Technicians, 12 Paraeducators, 2 report or review checklist on compliance, School Psychologists, 1 Program Specialist deficiencies, and corrective action needed to and 2 clerks. School operates year-round, achieve compliance with this section. Such a review, Monday - Friday observing all regular when conducted, cannot be delegated to the holidays. principal or any other staff of any juvenile court Youth attend in two blocks. Block one from school site. The Superintendent of Schools shall 8:30AM to 11:50 AM and Block two from 1:20 conduct this review in conjunction with a qualified PM to 3:00PM. We discussed the challenges outside agency or individual. Upon receipt of the of COVID, safety in the classrooms, and review, the facility administrator or designee shall ☒ ☐ ☐ virtual learning. review each item with the Superintendent of Schools and shall take whatever corrective action is In our interviews with young people, they all necessary to address each deficiency and to fully stated they like school and like attending. protect the educational interests of all youth in the Most stated that they have been held from facility. school in the unit due to COVID or others because of staffing. Youth noted that when this occurs, packets are provided to them but they are not provided with any teachers. They noted that the packet work only takes a few hours, and they don’t receive anything else. This was discussed with Principal Bastien in that youth are not receiving virtual learning as in what is being indicated. Packets are not an appropriate learning method in that Title 15 per the Ed. Code requires instructional minutes from teaching staff. The 2022 education program of the Central Juvenile Hall was evaluated by Maribel Martinez, Jose Jauregui and Flavio Gallarzo from Lynwood Unified School District. This reviewed occurred on November 22, 2022. The education program at CJH was found to meet and comply with all regulatory requirements. The following italicized narrative is specific to the comments made by the inspecting body. 7198 Los Angeles Central JH PRO 20-22 - 57 - J453 JUV PRO-Eff. 01-01-2019 All operations are in conjunction with the CPO/Designee pursuant to state laws. Policies and procedures are available for stakeholders. PBIS framework and Road to Success Academy is being used to continue to support students in a culturally responsive manner and become trauma informed. Collaboration between education staff and facility administrators takes place regularly to ensure technology practices is aligned with daily goals. Annual review conducted November 22, 2022. The review was conducted by Lynwood Unified School District representatives. The Superintendent of Schools/Designee has agreed to review each item after the visit is conducted. (b) Required Elements BP 6011 Instruction BP 6011 Instruction, BP 0460 Philosophy, The facility school program shall comply with the Goals, Objectives and Comprehensive Plans State Education Code and County Board of BP 005 Philosophy, Goals, Objectives and Education policies, all applicable federal education Comprehensive Plans Item 3,4,5 statutes and regulations and provide for an annual evaluation of the educational program offerings. As The facility has complied with the State ED stated in the 2009 California Standards for the Code and County Board of Ed policies. ☒ ☐ ☐ Teaching Profession, teachers shall establish and Teachers demonstrated the teaching practices during the visit. maintain learning environments that are physically, Differentiated instruction appeared apparent emotionally, and intellectually safe. Youth shall be during the visit. provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education BP 5145.3 Students program shall be free from discriminatory action. ☒ ☐ ☐ Staff shall refer to transgender, intersex and gender- nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State BP 005 Philosophy, Goals, Objectives and Education Code and include, but not be limited to, Comprehensive Plans Item 3,4,5 ☒ ☐ ☐ courses required for high school graduation. Evident by student work. (2) Information and preparation for the High School AR-6146.2 Equivalency Test as approved by the California ☒ ☐ ☐ Evident during interview. Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education AR-6143 Instruction Item 9 (Grades 7-12) and vocational opportunities. ☒ ☐ ☐ Evident during interview. (4) Administration of the High School Equivalency Tests AR6146-2 Instruction Ed Code 51420 as approved by the California Department of ☒ ☐ ☐ Evident during visit and interview. Education, shall be made available when possible. 7198 Los Angeles Central JH PRO 20-22 - 58 - J453 JUV PRO-Eff. 01-01-2019 (5) Supplemental instruction shall be afforded to youth AR-6179 Instruction BPP 5149 who do not demonstrate sufficient progress towards ☒ ☐ ☐ Supplemental and small group instruction grade level standards. was being conducted during the visit. (6) The minimum school day shall be consistent with BP 6112 Instruction State Education Code Requirements for juvenile Evident during visit. court schools. The facility administrator, in conjunction with education staff, must ensure that operational procedures do not interfere with the time afforded for the minimum instructional day. BSCC Note: Absences, time out of class or educational It was noted when youth do not attend school instruction, both excused and unexcused, shall be in the classroom, for example due to documented. quarantine of the unit or other circumstances ☐ ☒ ☐ that prevent youth from being present in the classroom, they are provided with packets in lieu of in-person or virtual instruction. Packets do not meet the instructional minimums. Technical assistance has been provided in this area previously. This issue has been discussed with both the school and probation in the past. (7) Education shall be provided to all youth regardless of BP 6112 Instruction Partially address classification, housing, security status, disciplinary or requirement. AR 5131 separation status, including room confinement, Evident during site visit and interview with the except when providing education poses an ☒ ☐ ☐ principal. immediate threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented PBIS Framework was visible during the visit to reduce the need for disciplinary action in the ☒ ☐ ☐ and interview with staff. school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative BP 5021 Students CF 6020 decisions made by probation staff that may affect the educational programming of students. ☒ ☐ ☐ School staff and probation staff collaborate daily to discuss the student’s educational programming. (3) Except as otherwise provided by the State Education BP 5144.1 Students; 5144.2 - Suspension Code, expulsion/suspension from school shall be and Expulsion/Due Process (Students with imposed only when other means of correction fails to Disabilities) bring about proper conduct. School staff shall follow Safeguards are put in place to ensure the appropriate due process safeguards as set forth ☒ ☐ ☐ students are disciplined appropriately in the State Education Code including the rights of following Ed Code. students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. 7198 Los Angeles Central JH PRO 20-22 - 59 - J453 JUV PRO-Eff. 01-01-2019 (4) The facility administrator, in conjunction with BP 5144 education staff will develop policies and procedures ☒ ☐ ☐ Evident by interview with school personnel. that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and Comprehensive Plans (1) State and federal laws and regulations shall be observed for all individuals with disabilities or State and Federal laws and regulations ☒ ☐ ☐ suspected disabilities. This includes but is not limited are being observed for all students with to child find, assessment, continuum of alternative disabilities as noted during the interview placements, manifestation determination reviews, with the principal. and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be BP 6174 Instruction afforded an educational program that addresses ☒ ☐ ☐ their language needs pursuant to all applicable state EL students are being supported through and federal laws and regulations governing Road to Success Academy to ensure state programs for EL students. and federal compliance is being met. (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers Requirement (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's Interview takes place immediately after the educational history, including but not limited to: student is admitted as noted during the interview with school personnel. (A) School progress/school history; BP 6162.5 Instruction ☒ ☐ ☐ Evident through the interview with school personnel. (B) Home Language Survey and the results of the State AR 6174 Instruction Test used for English language proficiency; ☒ ☐ ☐ Evident through the interview with school personnel. (C) Needs and services of special populations as defined BP 6162.5 Instruction by the State Education Code, including but not ☒ ☐ ☐ limited to, students with special needs. Evident through the interview with school personnel. (D) Discipline problems. BP 5131 Students ☒ ☐ ☐ Evident through the interview with school personnel. (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to ☒ ☐ ☐ determine the youth's general academic functioning Youth is immediately enrolled in school levels to enable placement in core curriculum following the admittance to the facility. courses. (3) After admission to the facility, a preliminary education BP 6162.5 Instruction plan shall be developed for each youth within five ☒ ☐ ☐ school days. Evident through the interview with school personnel. 7198 Los Angeles Central JH PRO 20-22 - 60 - J453 JUV PRO-Eff. 01-01-2019 (4) Upon enrollment, education staff shall comply with the AR 5125 Students State Education Code and request the youth's records from his/her prior school(s), including, but Evident through the interview with school not limited to, transcripts, Individual Education personnel. Program (IEP), 504 Plan, state language ☒ ☐ ☐ assessment scores, immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth Evident through the interview with school ☒ ☐ ☐ shall be forwarded to the next educational placement personnel. Processes and procedures in accordance with the State Education Code. exist to ensure student records follow the student to their next educational placement. (2) The County Superintendent of Schools shall provide BP 5121 Students appropriate credit (full or partial) for course work completed while in juvenile court school in Students receive daily partial credit for ☒ ☐ ☐ accordance with the State Education Code. everyday they are in school and complete work as noted in the interview with school personnel. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief Policies and procedures are in place support Probation Officer or designee, shall develop policies students in transition as noted during the and procedures to meet the transition needs of ☒ ☐ ☐ interview with school personnel. youth, including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student Use of Technology (1) The school and facility administrator should, whenever possible, collaborate with local post- ☒ ☐ ☐ Dual enrollment with ELAC and Mission secondary education providers to facilitate access to College will be available for interested educational and vocational opportunities for youth students. that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Section 622: Programs EXERCISE. Section 623: Recreation and Exercise The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. 7198 Los Angeles Central JH PRO 20-22 - 61 - J453 JUV PRO-Eff. 01-01-2019 Juvenile facilities shall provide the opportunity for Section 622: Programs programs, recreation, and exercise a minimum of three Section 623: Recreation and Exercise hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which Two weeks of programming sheets were one hour shall be an outdoor activity, weather reviewed to determine if the opportunity for permitting. programs, recreation, and exercise were provided to the youth. We reviewed limited, random video footage to determine if ☐ ☒ ☐ programs, exercise, and recreation were being conducted as required. Documentation provided demonstrates that these activities are provided, however, they are not always provided as required by regulation. Additionally, youth are not receiving their hour outdoors daily. See below for specific by activity. A youth’s participation in programs, recreation, and Section 622: Programs exercise may be suspended only upon a written finding Section 623: Recreation and Exercise 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 Section 622: Programs be posted in the living units. Section 623: Recreation and Exercise ☒ ☐ ☐ The program, recreation, and exercise schedules were posted in the living units. There will be a written annual review of the programs, Section 622: Programs recreation, and exercise by the responsible agency to Section 623: Recreation and Exercise ensure content offered is current, consistent, and relevant to the population. At inspection, annual reviews were provided by the facility Superintendent for all programs, recreation, and exercise activities that occur/occurred in the facility in 2021 and 2022. There were no individual reviews provided by any of the Community Based ☐ ☒ ☐ Organizations identified by the Superintendents or from DMH. No program information that facility staff provided were noted in this review. This section was found noncompliant. Since the inspection and during 2023, facility staff have been able to get 3 letters from CBO’s. We will continue to work with the agency during the CAP to ensure a full review is completed. 7198 Los Angeles Central JH PRO 20-22 - 62 - J453 JUV PRO-Eff. 01-01-2019 (a) Programs. All youth shall be provided with the Section 622: Programs opportunity for at least one hour of daily Section 623: Recreation and Exercise programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice Program topics and worksheets are identified interventions that are culturally relevant and and designated by the Behavior Management linguistically appropriate, or pro-social interventions Program (BMP) unit. These resources are and activities designed to reduce recidivism. These provided to the unit staff who are responsible programs should be based on the youth’s individual for providing programs in the unit to the youth. needs as required by Sections 1355 and 1356. Such programs may be provided under the direction of the We found through our review that programs Chief Probation Officer or the County Office of are not being provided daily in all units, they Education and can be administered by county are not occurring for a full hour despite being partners such as mental health agencies, community documented as such, that youth may be based organizations, faith-based organizations or provided with programming resources, i.e. a Probation staff. work sheet is handed out to them, but the staff are not engaging the youth in the process or Programs may include but are not limited to: program. ☐ ☒ ☐ There was evidence of outside programs (CBO’s) and DMH providing programming, but these programs were limited and did not occur often across the facility. It was noted that program resources are limited. BMP staff do not provide staffing resources to conduct any daily programming in the units. Unit staff are responsible to determine the curriculum for the program to be offered. Unit staff have not been formally trained to facilitate programs and the unit dayrooms in some units are very small to accommodate multiple activities at any given time. Supervision is also an issue in some cases due to lack of staff if not all youth choose to participate in the given program. This section is noncompliant. 7198 Los Angeles Central JH PRO 20-22 - 63 - J453 JUV PRO-Eff. 01-01-2019 (1) Cognitive Behavior Interventions; Section 622: Programs (2) Management of Stress and Trauma; Section 623: Recreation and Exercise (3) Anger Management; (4) Conflict Resolution; Per the Superintendent’s review of Facility (5) Juvenile Justice System; Programs, the following are the programs that (6) Trauma-related interventions; are provided to the youth at Central Juvenile (7) Victim Awareness; Hall. As noted previously, the annual reviews (8) Self-Improvement; were not all provided by the individual (9) Parenting Skills and support; program providers. Programs provided by (10) Tolerance and Diversity; facility staff have not been included. (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; Department of Mental Health (14) Art, creative writing, or self-expression; Seeking Safety (15) CPR and First Aid training; DST (16) Restorative Justice or Civic Engagement; Meditation Seeking Safety Life Skills (17) Career and leadership opportunities; and, CST (18) Other topics suitable to the youth population. Substance Abuse Psych Ed Coping Skills Community Based Organizations Affiliates and Offenders Recovery Program Alcoholics Anonymous Inside Out Writers Jail Guitar Doors Homeboy Arts Academy Unusual Suspects Give A Beat (*) Growth and Wellness Innovation Program Keeping It Sober and Sensual Book Club Saving Innocence Project Unusual Suspect Anti-Recidivism Coalition ADVOT 7198 Los Angeles Central JH PRO 20-22 - 64 - J453 JUV PRO-Eff. 01-01-2019 (b) Recreation. All youth shall be provided the Section 623: Recreation and Exercise opportunity for at least one hour of daily access to unscheduled activities such as leisure reading, letter Youth spend most of their non-school hours writing, and entertainment. Activities shall be in recreation and well exceed the hour that is supervised and include orientation and may include required. We noted units are not consistent coaching of youth. as to what is provided between buildings or between units. Some units have game stations, some have access to Netflix and other streaming options as staff are bringing them in and using their own cell phone Wi-Fi so the youth have access to fun activities and tasks that will occupy their attention. All youth in the facility should have the same access to age-appropriate recreational activities. Youth should not have to depend on staff to bring their personal gaming system or use their hotspot to provide recreational activities. We noted that if a TV, radio, or speaker is broken, it takes a very long time to replace it. There should be replacement items available and replaced in a reasonable timeframe. If something is a risk, but is something that could get broken ☒ ☐ ☐ in an institutional setting such as a TV, then efforts should be made to mitigate the risk i.e., encasing it or framing it in so that it cannot be broken, not to just not replace it for long periods of time. An accounting of recreational activities available to the youth was made and provided to the facility superintendent for review and action as appropriate. We noted while reviewing documentation, in some units, documentation did not include the youth’s choice of activity. We noted through our onsite visits, youth simultaneously have access to several activities all the while being on the phone and playing cards or dominoes. They choose what they participate in. There is no cable, Wi-Fi, or other means for youth to access the television, the internet for television shows, or streaming of age- appropriate content or programs. This has been addressed in technical assistance several times. We will continue to provide technical assistance in this area. 7198 Los Angeles Central JH PRO 20-22 - 65 - J453 JUV PRO-Eff. 01-01-2019 (c) Exercise. All youth shall be provided with the Section 623: Recreation and Exercise opportunity for at least one hour of large muscle activity each day. Per the Superintendent’s review of Facility exercise, the following are the activities that are provided to the youth at Central Juvenile Hall: Football Catch Soccer Basketball HORSE Jump Rope Power Walk Handball Workout Station Kickball Youth are assigned to a specific exercise activity at a specific time due to the scheduling of the space. The facility does not have individual recreation spaces to keep the ☐ ☒ ☐ various populations separate. This presents security concerns as youth will run from one area to the next to assault other youth from rival gangs. As the time changed in the end of October, it is more difficult to get each unit out to exercise during the week. Video review revealed youth are not going outside as required daily and stay inside to participate in indoor recreation or sometimes none at all. We also found that youth who do get outside do not always receive the full hour and return early. We are unaware of the reason why this occurs as it is not documented. We have discussed alternative means to complete exercise requirements. Staffing issues further impact and deteriorate the issue. This section is noncompliant. The administrator/manager may suspend, for a period Section 622: Programs not to exceed 24 hours, access to recreation and Section 623: Recreation and Exercise ☒ ☐ ☐ programs. The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Section 1803: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7198 Los Angeles Central JH PRO 20-22 - 66 - J453 JUV PRO-Eff. 01-01-2019 (a) opportunity for religious services and practices; Section 1803: Religious Services Religious services are held on Sunday. Both protestant and catholic services have been offered. The facility has a chapel onsite. The facility has been in COVID related quarantines/isolations off and on during the cycle. ☒ ☐ ☐ On 09/25/2022, there were 12 youth in attendance, and on 10/16/2022, there were a total of 28 youth that attended church services. The facility had previously been asked to develop a process to track religious services, visiting, and any other areas that may be impacted by COVID to ensure youth are still getting needs met. This is in progress. (b) availability of clergy; and, Section 1803: Religious Services Members of the clergy come to the facility to ☒ ☐ ☐ provide services and bible studies. Youth may also ask for individual clergy to be placed on the visitation list. (c) availability of religious diets. Section 1803: Religious Services ☒ ☐ ☐ Youth may ask for a special diet based on religious preference. Youth complete a special request form. 1373 WORK PROGRAM Section 505: Housekeeping The facility administrator shall develop policies and procedures regarding the fair and consistent assignment Work programs have been significantly of youth to work programs. Work assigned to a youth ☒ ☐ ☐ impacted by COVID-19. As the programs shall be meaningful, constructive and related to come back, the facility will inform the youth. In vocational training or increasing a youth's sense of the meantime, youth are only responsible for responsibility. Work programs shall not be imposed as a maintaining their units and their rooms. disciplinary measure. 7198 Los Angeles Central JH PRO 20-22 - 67 - J453 JUV PRO-Eff. 01-01-2019 1374 VISITING Section 304: Visiting The facility administrator shall develop and implement Documentation was requested and provided written policies and procedures for visiting, that include from September and October 2022. We provisions for special visits. Youth shall be allowed to found visits were cancelled on September 24 receive visits by parents, guardians or persons standing and 25, 2022 due to critical staffing. We did in loco parentis, and children of youth. Other family not find that virtual calls or extra calls were members, such as grandparents and siblings, and provided to all youth as an alternative. Visits supportive adults, may be allowed to visit with the were held as required in October 2022. We approval of the facility administrator or designee, and in found that virtual calls and extra calls were conjunction with the youth’s case plan or in the best lacking across all units throughout the facility. ☐ ☒ ☐ interest of the youth. Many youth who are located in CJH have children of their own. CJH does not have a regular program for baby visiting that is consistent and ongoing. Very few baby visits have been accommodated. This is noncompliant. We suggest you share the opportunity at orientation along with the requirements so youth can get working on the proper documentation to visit with their children. All visits shall occur at reasonable times, subject only to Section 304: Visiting the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, ☒ ☐ ☐ whether the visitor’s criminal history represents a risk to the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. 7198 Los Angeles Central JH PRO 20-22 - 68 - J453 JUV PRO-Eff. 01-01-2019 Opportunity for visitation shall be a minimum of two hours Section 304: Visiting per week. Visits may be supervised, but conversations During the cycle, it was noted that the facility shall not be monitored unless there is a security or safety canceled visitation due to either quarantine need. status or a lack of staff to properly monitor the visits and to supervise youth and parents both in the units and at visitation. If visiting is cancelled or otherwise does not occur, all youth should be provided with virtual calls or phone calls. This issue has been discussed previously. Noncompliance is based on this issue. Cancelling visitation due to lack of staffing is addressed in staffing. Logs were provided for review and proof of practice. Technical assistance provided to ☐ ☒ ☐ enhance phone logs. We did not find any documentation of virtual calls offered; county line calls were limited as were the dayroom/hallway phone calls. Virtual calls must be made available to youth. We suggest more phones be installed to increase call opportunities for youth and to address the high level of work orders for phone maintenance. Technical assistance has been provided to facility managers regarding parent/visitor check in. Parents/visitors should be provided with a full 2 hours for active visiting. The facility should begin processing visitors early enough to ensure a full 2-hour visit is offered. Provisions for special visits, in addition to the two-hour Section 304: Visiting minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family ☒ ☐ ☐ therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Section 304: Visiting alternative, but not as a replacement, to in-person Section 306: Virtual Communication visiting. ☒ ☐ ☐ Facility does not offer regular technology- based visitation. 1375 CORRESPONDENCE Section 511: Mail The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for correspondence Youth interviewed noted they have access to which provide that: letter writing materials daily. 7198 Los Angeles Central JH PRO 20-22 - 69 - J453 JUV PRO-Eff. 01-01-2019 (a) there is no limitation on the volume of mail that youth Section 511: Mail may send or receive; There is no limitation on the amount of mail a ☒ ☐ ☐ youth may send out or receive. Youth are provided the opportunity to write letters every day during recreational periods. Youth can ask for supplies as needed. (b) youth may send two letters per week postage free; Section 511: Mail ☒ ☐ ☐ All letters are sent postage paid. (c) youth may correspond confidentially with state and Section 511: Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Section 511: Mail in (c), may be read by staff only when there is ☒ ☐ ☐ reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Section 512: Use of Telephone Per policy, youth are provided with 1 call The administrator of each juvenile facility shall develop weekly on the County phone. They generally and implement written policies and procedures to provide have access to dayroom telephones daily. youth with access to telephone communications. Calls are currently free. Telephones appear ☒ ☐ ☐ to be in need of replacement and perhaps a review to determine if more could be installed. Current phones are often out of order or are not functioning properly per grievances reviewed and other conversations with youth. This is an issue that must be addressed. 1377 ACCESS TO LEGAL SERVICES Section 513: Access to legal Services Documentation reviewed noted several days The facility administrator shall develop written ☒ ☐ ☐ of phone logs of youth making professional procedures to ensure the right of youth to have access to calls. All individual regulatory requirements the courts and legal services. Such access shall include: have been met. (a) access, upon request by the youth, to licensed Section 513: Access to legal Services attorneys and their authorized representatives; ☒ ☐ ☐ Attorneys can visit their youth at any time. (b) provision for confidential consultation with Section 513: Access to legal Services attorneys; and, ☒ ☐ ☐ Attorney visits currently occur in the chapel until the construction is concluded in Boys Receiving. (c) unlimited postage free, legal correspondence and Section 513: Access to legal Services ☒ ☐ ☐ cost-free telephone access as appropriate. All mail is postage free. 7198 Los Angeles Central JH PRO 20-22 - 70 - J453 JUV PRO-Eff. 01-01-2019 1390 DISCIPLINE Section 1103: Discipline Guidelines Section 1104: Corporal Punishment The facility administrator shall develop and implement written policies and procedures for the discipline of youth The facility lacks suitable age-appropriate that shall promote acceptable behavior; including the use incentives and support to achieve positive of positive behavior interventions and supports. behavior. There is no incentive for youth to Discipline shall be imposed at the least restrictive level maintain good behavior. The current which promotes the desired behavior and shall not discipline process is ineffective as noted ☐ ☒ ☐ include corporal punishment, group punishment, though a review of the point system, incentive physical or psychological degradation. Deprivation of the options, and lack of a meaningful process and following is not permitted: the incentive/sanction due process method. Due process is being offered and documentation is being completed but the process lacks viability and youth don’t pursue anything further. (a) bed and bedding; ☒ ☐ ☐ Section 1103: Discipline Guidelines (b) daily shower, access to drinking fountain, toilet and Section 1103: Discipline Guidelines ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Section 1103: Discipline Guidelines (d) contact with parent or attorney; ☒ ☐ ☐ Section 1103: Discipline Guidelines (e) exercise; Section 1103: Discipline Guidelines ☒ ☐ ☐ (f) medical services and counseling; Section 1103: Discipline Guidelines ☒ ☐ ☐ (g) religious services; Section 1103: Discipline Guidelines ☒ ☐ ☐ (h) clean and sanitary living conditions; Section 1103: Discipline Guidelines ☒ ☐ ☐ (i) the right to send and receive mail; Section 1103: Discipline Guidelines ☒ ☐ ☐ (j) education; and, Section 1103: Discipline Guidelines ☒ ☐ ☐ (k) rehabilitative programming. ☒ ☐ ☐ Section 1103: Discipline Guidelines The facility administrator shall establish rules of conduct Section 1103: Discipline Guidelines and disciplinary penalties to guide the conduct of youth. Section 1106: Rules and Regulations Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Section 1106: Rules and Regulations Section 1107: Due Process The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for the administration of discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose Section 1106: Rules and Regulations ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; Section 1106: Rules and Regulations ☒ ☐ ☐ (c) definition of major and minor rule violations and Section 1106: Rules and Regulations their consequences, and due process ☒ ☐ ☐ requirements; Section 1107: Due Process 7198 Los Angeles Central JH PRO 20-22 - 71 - J453 JUV PRO-Eff. 01-01-2019 (d) trauma-informed approaches and positive behavior Section 1106: Rules and Regulations ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Section 1107: Due Process counseling, advising the youth of expected conduct Section 1108: Minor Rule Violations imposing a minor consequence. Discipline shall be accompanied by written documentation and a ☒ ☐ ☐ If a youth chooses to appeal a minor policy of review and appeal to a supervisor; and, discipline, this is generally addressed through the grievance process. We saw no grievances for this purpose. (f) major rule violations and the discipline process Section 1107: Due Process ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; Section 1107: Due Process Sanctions and appeals are completed for all youth. We found youth refuse to complete all areas of the due process form and all waived ☒ ☐ ☐ their right to their hearings. Overall, officers are completing the forms as required and all had a second officer signature as a witness. Once the behavior management program is addressed in Section 1390, all officers should be retrained in these forms. (2) accommodations provided to youth with Section 1107: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Section 1107: Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Sanction 1107: Due Process ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Sanction 1107: Due Process ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Sanction 1107: Due Process (g) violations that result in a removal from camp or CJH does not have a camp or a commitment commitment program, but not a return to court, will program. ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Sanction 1805: Communicable Diseases DISEASES. The health administrator/responsible physician, in Reviewed Probation policy and medical cooperation with the facility administrator and the local guidance to ensure Management of health officer, shall develop written policies and ☒ ☐ ☐ Communicable Disease policy is current and procedures to address the identification, treatment, addresses all required areas required by control and follow-up management of communicable section 1410, specifically COVID-19. diseases. The policies and procedures shall address, but not be limited to: Compliance based on policy and guidance reviewed from medical provider JCHS. (a) Intake health screening procedures; ☒ ☐ ☐ Sanction 1805: Communicable Diseases (b) Identification of relevant symptoms; ☒ ☐ ☐ Sanction 1805: Communicable Diseases (c) Referral for medical evaluation; ☒ ☐ ☐ Sanction 1805: Communicable Diseases (d) Treatment responsibilities during detention; Sanction 1805: Communicable Diseases ☒ ☐ ☐ (e) Coordination with public and private community- Sanction 1805: Communicable Diseases ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Sanction 1805: Communicable Diseases 7198 Los Angeles Central JH PRO 20-22 - 72 - J453 JUV PRO-Eff. 01-01-2019 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Sanction 1805: Communicable Diseases The policies and procedures shall be updated as Sanction 1805: Communicable Diseases necessary to reflect communicable disease priorities identified by the local health officer and currently JCHS has been open to communications ☒ ☐ ☐ recommended public health interventions. regarding language that is contradictory to regulatory language and solving this issue to avoid noncompliance. 1433 REQUESTS FOR HEALTH CARE SERVICES Sanction 1702: Access to Care/Request for (EXCERPT) Services The health administrator, in cooperation with the facility Youth interviewed regarding health care administrator, shall develop policy and procedures to services stated they submit a request for establish a daily routine for youth to convey requests for service, or they tell staff what they need. Staff emergency and non-emergency medical, dental and will take them to medical if the issue is of an behavioral/mental health care services. ☒ ☐ ☐ emergent nature. Medical operates 24/7. Mental health will also see youth within a reasonable amount of time. Any afterhours needs are addressed by an on-call staff member. All the youth interviewed felt the timelines in which they are seen is appropriate. 1480 STANDARD FACILTY CLOTHING ISSUE The facility provides all clothing and shoes for The youth’s personal clothing, undergarments and the youth. footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Sanction 403: Procedures for Newly Admitted laundered, in good repair, and free of holes and Youth tears. ☒ ☐ ☐ Clothes appear to be clean, well-fitting, and free from rips and holes. (b) The standard issue of climatically suitable clothing Sanction 403: Procedures for Newly Admitted for youth shall consist of but not be limited to: Youth Youth are provided with basic needs for weather. Technical assistance has been provided with regard to also providing sweatpants, sweatshirts, beanies and coats when appropriate, shorts for exercise or summer wear, and pajamas or something to sleep in. ☒ ☐ ☐ When items of clothing are passed out, they should go to all youth consistently. It was discussed, it is the responsibility of unit staff to ensure that all youth have the same items of clothing as appropriate. Youth were viewed on video to be in the dayroom, generally during showers, after hours etc. who were walking around in boxer shorts to the restroom. This is inappropriate. Youth should be provided with proper sleeping attire. 7198 Los Angeles Central JH PRO 20-22 - 73 - J453 JUV PRO-Eff. 01-01-2019 (1) Socks and serviceable footwear; Sanction 403: Procedures for Newly Admitted ☒ ☐ ☐ Youth (2) Outer garments; Sanction 403: Procedures for Newly Admitted ☒ ☐ ☐ Youth (3) New non-disposable underwear which shall Sanction 403: Procedures for Newly Admitted remain with the youth throughout their stay, Youth and; Youth are given brand new underwear upon entry. Youth interviewed said they were provided with new underwear upon admission; however, some reported that at some point in their stay, they are not sure anymore if the underwear they receive are theirs. Staff were asked why the youth do not have their own underwear. They stated they are to have them but sometimes, the laundry sends all laundry back in the cart and not in the bags. Youth are then given new underwear again, but the issue will periodically occur. This is problematic and discussed with administrators for resolution. ☒ ☐ ☐ Female youth have the option of new cotton underwear or a cotton disposable. They are provided with whichever they choose. The disposable underwear are generally for girls as requested but it was noted that some girls prefer the disposable to the regular underwear provided. This inspector asked to see the disposable underwear and they are of heavy cotton like material and very similar to regular underwear. Some girls said they are more comfortable, and they prefer to have the disposable daily. Facility is working on ensuring that laundry bags are issued and returned as they should be. We will continue to review and monitor this in future visits. It is necessary to develop and implement a policy to be sure youth have their own underwear every day. (4) Undergarments, that are freshly laundered and Sanction 403: Procedures for Newly Admitted free of stains, including tee shirts and bras. ☒ ☐ ☐ Youth (c) Clothing is laundered at the temperature required Sanction 403: Procedures for Newly Admitted by local ordinances for the commercial laundries Youth and dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. Clothing is laundered in facility commercial laundry. 7198 Los Angeles Central JH PRO 20-22 - 74 - J453 JUV PRO-Eff. 01-01-2019 (d) Suitable clothing is issued to pregnant youth. Sanction 403: Procedures for Newly Admitted Youth ☒ ☐ ☐ Pregnant youth receive clothing that fits but there is no special maternity clothing. 1482 CLOTHING EXCHANGE Sanction 505: Housekeeping The facility administrator shall develop and implement All youth we spoke to reported that clothing is written policies and site-specific procedures for the exchanged on a schedule. Underclothes and cleaning and scheduled exchange of clothing. Unless T-shirts are exchanged daily and pants work, climatic conditions, or illness necessitates more ☒ ☐ ☐ several times a week. frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Youth were asked, if they requested to Tee shirts, bras, and underwear shall be exchanged exchange items, could their clothing be daily; youth shall receive their own underwear back at exchanged early and all noted they could, exchange. they just ask staff. 1484 CONTROL OF VERMIN IN YOUTH’S Sanction 505: Housekeeping PERSONAL CLOTHING Youth clothing is placed in individual bags There shall be written policies and site-specific upon entry. Clothing can be washed if there procedures developed and implemented by the facility ☒ ☐ ☐ is any concern. administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Sanction 508: Housekeeping: Personal Hygiene Supplies There shall be written policies and site-specific procedures developed and implemented by the facility Policy is in process of being addressed to fix administrator for the availability of personal hygiene the inconsistency with Section 510 regarding items. Each female youth shall be provided with ☒ ☐ ☐ the use of electric razors. sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be Youth are provided with all necessary provided with the following personal care items; personal care items for shower time. Females have their choice of tampons or sanitary pads for personal care. (a) Toothbrush; Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (b) Toothpaste; Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (c) Soap; Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (d) Comb; Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (e) Shaving implements; Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (f) Deodorant; Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (g) Lotion; Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (h) Shampoo; and, Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (i) Post-shower conditioning hair products. Sanction 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies 7198 Los Angeles Central JH PRO 20-22 - 75 - J453 JUV PRO-Eff. 01-01-2019 Youth shall not be required to share any personal care Sanction 508: Housekeeping: Personal items listed in items (a) through (d). Liquid soap Hygiene Supplies provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Sanction 621: Showers Sanction 629: Personal Hygiene and Unit There shall be written policies and site specific Housekeeping procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Youth who were interviewed said they are teeth. Youth shall be permitted to shower/bathe up on given an opportunity to wash up and brush assignment to a housing unit and on a daily basis their teeth every morning, brush their teeth thereafter and given an opportunity to brush their teeth after every meal, and shower daily. after each meal. 1487 SHAVING Sanction 510: Shaving and Haircut Procedures Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of Youth are to be provided with the opportunity identification in Court. All youth shall have equal to shave daily. There are signs posted that opportunity to shave face and body hair. The facility youth who wish to shave should sign up to administrator may suspend this requirement in relation do so. In talking with youth, it was noted to youth who are considered to be a danger to through these conversations, there is no true themselves or others. consistency in this process as it stands. It was noted that some units do and others do not on a consistent basis. It was also noted the lack of regular or extra staff for supervision is also impacting this process as written. While there is a policy in place, the policy and practice is not clear which leads to confusion. Youth were observed to have clean shaven ☒ ☐ ☐ faces in all the units throughout the time spent visiting the facilities over the course of the time spent in Los Angeles, therefore, it is apparent that shaving does occur, but consistency is certainly an issue. This regulation is found to be minimally compliant at this time. TA provided and discussed that documentation must be clarified to ensure youth have the opportunity daily and this opportunity is documented for proof of practice. This issue will continue to be reviewed regularly in the coming months to ensure a thorough accounting of the process. Monthly reporting document implemented for the facility to report to the inspector by the 5th of the month to show proof of practice of shaving. 7198 Los Angeles Central JH PRO 20-22 - 76 - J453 JUV PRO-Eff. 01-01-2019 1488 HAIR CARE SERVICES (Excerpt) Sanction 510: Shaving and Haircut Procedures Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Regulation and policy require access to Equipment shall be cleaned and disinfected after each monthly haircuts, but policy does not provide haircut or procedure, by a method approved by the the procedure in which this should occur. State Board of Barbering and Cosmetology. More direction is needed for staff to ensure an opportunity is provided with adequate proof of practice. While it is clear that haircuts occurred in some units, it is not clear that haircuts were offered in all units and this was confirmed via interviews with youth, especially the female youth, who noted there is only a barber available. ☒ ☐ ☐ TA provided to immediately implement proof of practice to document monthly access facility wide as well as to provide QA monthly to ensure that all youth who want a haircut receive one. This section is minimally compliant at this time and this issue will continue to be reviewed regularly in the coming months to ensure haircuts occur as required. Monthly reporting document implemented for the facility to report to the inspector by the 5th of the month to show proof of practice of haircuts. 1500 STANDARD BEDDING AND LINEN ISSUE Sanction 505: Housekeeping Clean laundered, suitable bedding and linens, in good While doing Title 24 inspections, suitable repair, shall be provided for each youth entering a living bedding was reviewed. It was noted that area who is expected to remain overnight, shall include, several mattresses do not have covers nor do but not be limited to: youth have pillows. It was noted that this was due to contraband issues. This was addressed with facility staff and it was being ☒ ☐ ☐ referred for review. We have been notified that mattresses and pillows have been ordered to ensure that all youth have an appropriate mattress and pillow. We will follow up on this issue in April 2023 to ensure that all mattresses have come in and have been distributed. (a) One mattress or mattress-pillow combination which Sanction 505: Housekeeping meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Sanction 505: Housekeeping ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; Sanction 505: Housekeeping ☒ ☐ ☐ (d) One towel; and, Sanction 505: Housekeeping ☒ ☐ ☐ (e) One blanket or more, up on request Sanction 505: Housekeeping ☒ ☐ ☐ 7198 Los Angeles Central JH PRO 20-22 - 77 - J453 JUV PRO-Eff. 01-01-2019 1501 BEDDING LINEN EXCHANGE Sanction 505: Housekeeping The facility administrator shall develop and implement All linens are laundered as required. site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered 505: Housekeeping once a month. ☒ ☐ ☐ Blankets may be exchanged more frequently and as needed. 1510 FACILITY SANITATION, SAFETY AND Sanction 505: Housekeeping MAINTENANCE Sanction 506: Housekeeping: Basic Cleaning Procedures for All Areas The facility administrator shall develop and implement Sanction 507: Housekeeping: Maintenance written policies and site-specific procedures for the Procedures maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall The facility is maintained by a contracted provide for a regular schedule of housekeeping tasks, cleaning crew that is onsite cleaning daily. equipment, including restraint devices, and physical They maintain COVID cleaning protocols and plant maintenance and inspections to identify and general cleaning. correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall ☒ ☐ ☐ General cleaning is conducted daily by unit be done in accordance to the product label and Safety staff and the youth. Youth clean their own Data Sheet which may include the use of Personal individual rooms, their restroom, and Protection Equipment (PPE). dayroom. It was noted that in some units, cameras are routinely greased or otherwise covered by the youth with a substance that impedes camera view. TA provided that cameras should be checked by staff multiple times a shift to ensure the cameras have not been compromised. 7198 Los Angeles Central JH PRO 20-22 - 78 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☐ ☒ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☐ ☐ ☒ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐Vio ☒ ☐ Section 300 of the Welfare and Institutions Code (WIC) lation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐Vio ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). lation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐Vio ☐ ☒ separated from minors. lation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐Vio ☐ ☒ facility in a manner that allows contact with minors. lation 7198 Los Angeles Central JH PRO 20-22 - 79 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7198 FACILITY NAME: Central Juvenile Hall FACILITY TYPE: JH APPLICABLE REGULATIONS (Check All That 4/98: 2001: X 2003: OTHER: pre-98 Apply): FIELD REPRESENTATIVE: Lisa Southwell DATE: November 21-22, 2022, and December 12-16, 2022 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1)  Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of  minors pending admission to JH Provides access to a shower  Provides a secure vault or storage space for minor's  valuables Provides telephone access to minors  Provides staff access to hot and cold running water  Locked Holding Room (1.2)  Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area  Contains seating to accommodate all minors as  specified in these regulations 98: Provides access to a toilet, washbasin and drinking fountain as specified in these regulations 03: Be equipped with a toilet, washbasin and drinking  fountain unless a procedure is in effect to provide access Maximizes staff visual supervision  03: Outward swinging or lateral sliding door required  Natural Light (1.3) Visual access to natural light is provided in locked  sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7198 Los Angeles Central Juvenile Hall 20-22 PHY -1 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are located  only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy sleeping rooms, JH living units do not exceed 30 minors and contain dormitories, dayroom space, toilet, sleeping areas and plumbing fixtures, commensurate washbasins, drinking fountains, and with the number of minors housed. showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention, or other action.  Staff often were seen to be in the office behind a closed and locked door mostly when youth are all in their rooms. There must always be one (1) staff present in the unit when a youth is present, in their room or not. Youth do not have a means by which to call for assistance other than knocking and as such, this cannot always be heard in the office. Locked Sleeping Rooms (1.6) 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other  access to these fixtures 03: Toilet, washbasin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) Pre-98 construction contains single- occupancy rooms. 98: Minimum of 63 square feet of floor area and a  clear ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security Each room shall have a view panel with a glazing and is a maximum of 144 square inches. minimum of 144 square inches. The purpose 01: View panel size changed to a minimum of 144 of this window is to be able to provide inches. adequate supervision of youth while in their rooms. Many of the windows are damaged  from etching; however, many are covered in lotion, grease, toothpaste, etc. that is placed on the window by the youth to provide privacy. We viewed several windows that were fully covered which impedes an officer’s ability to properly supervise. 03: Outward swinging or lateral sliding door required  7198 Los Angeles Central Juvenile Hall 20-22 PHY - 2 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Double Occupancy Sleeping Rooms (1.8) Newer construction (Units A, B, C, D, P, Q, R, S) is in compliance with 2001 regulations. The remainder of the facility was constructed Minimum of 100 square feet floor area, a clear ceiling  prior to 1998 and through prior agreement height of eight feet, and a minimum width of seven with CYA is recognized as being in feet compliance. 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144  inches 03: Outward swinging or lateral sliding door required  Dormitories (1.9) There are dormitories in the modular units. In JHs and camps, there is a minimum of 50 square feet of floor area per minor, with a minimum dormitory  size of 200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for no  fewer than four minors. 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps).  03: This subsection deleted, eliminating the 15 minor limitation. (See below.) 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more than  30 minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) Newer construction (Units A, B, C, D, P, Q, R, S) is in compliance with 2001 regulations. The remainder of the facility was constructed JH dayrooms contain 35 square feet of floor area per  prior to 1998 and through agreements with minor. CYA was allowed to operate as if in compliance. Dayrooms in camps and SPJHs contain 30 square  feet of floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers.  Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet dedicated  indoor-outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9000 square feet dedicated indoor-outdoor space. 7198 Los Angeles Central Juvenile Hall 20-22 PHY - 3 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor-outdoor space, plus a field area. The field area contains a minimum of one acre with a  minimum dimension of 100 feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet.  01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor- outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor-outdoor space is a paved or "like" surface.  01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped and of a sufficient size to comply with Title 15, § 1371.  01: The required recreation area has no single dimension less than 40 feet.  Outdoor recreation area lighting allows for evening Outdoor lighting is not conducive to youth  activities and provides security. conducting outdoor exercise after dark. Academic Classrooms (NA SPJH; 1.12)  Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for  every juvenile in the facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square feet of floor space for the teacher's desk and work  area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to emergencies.  Safety Room (1.13) This facility does not contain safety rooms.  Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Limited to one minor  7198 Los Angeles Central Juvenile Hall 20-22 PHY - 4 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Padded as specified in these regulations  There are one or more vertical view panels constructed of security glazing. Panels provide a  view of the entire room and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these  regulations Access to a toilet, wash basin and drinking fountain is  provided. 03: Be equipped with a variable intensity security- type lighting fixture, with controls outside the  room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access.  Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped medical  examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations  that is used for no other purpose; Privacy for minors;  Lockable storage for medical supplies;  Not less than 144 square feet floor space with no  single dimension less than seven feet; Hot and cold running water; and,  01: Smooth, non-porous, washable surfaces.  Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies  and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) There is a minimum of 15 square feet floor space and  sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate visual  barrier. Visiting Space (1.17)  Visiting space is provided. 7198 Los Angeles Central Juvenile Hall 20-22 PHY - 5 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space per minor for institutional clothing, bedding, supplies  and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of secure storage space for personal clothing and belongings.  Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as fire extinguishers, self-contained breathing  apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial  closet containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping rooms; single  and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to  maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). 7198 Los Angeles Central Juvenile Hall 20-22 PHY - 6 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Confidential Interview Room (1.24)  Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors There is a minimum of one suitably furnished  interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp.  Court Holding Room for Minors (1.26)  Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors  Provides 40 square feet of floor area and a minimum  clear ceiling height of eight feet Contains seating to accommodate all minors  Contains a toilet, wash basin and drinking fountain as  specified in these regulations Maximizes staffs' visual supervision of minors  Toilets/Urinals (2.1) Newer construction (Units A, B, C, D, P, Q, R, S) is in compliance with 2001 regulations. The remainder of the facility was constructed Toilets are available on living units in a ratio of 1:6 in prior to 1998 and through agreements with JH; 1:10 in camps; and, 1:8 in locked holding rooms.  CYA was allowed to operate as if in One toilet and one urinal may be substituted for every compliance. 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Newer construction (Units A, B, C, D, P, Q, R, S) is in compliance with 2001 regulations. The remainder of the facility was constructed Wash basins must provide hot and cold or tempered water and be available on living units in a ratio of 1:6  prior to 1998 and through agreements with CYA was allowed to operate as if in in JH; 1:10 in camps; and, 1:8 in locked sleeping compliance. rooms. Drinking Fountains (2.3) Drinking fountains are accessible to minors and staff  in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from flowing over the  bubbler. Showers (2.4) Newer construction (Units A, B, C, D, P, Q, R, S) is in compliance with 2001 regulations. The remainder of the facility was constructed Showers provide tempered water and are available  prior to 1998 and through agreements with on living units at a ratio of at least one shower or CYA was allowed to operate as if in bathtub to every six minors. compliance. 7198 Los Angeles Central Juvenile Hall 20-22 PHY - 7 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Shower areas provide for inmate privacy without mitigating staff's ability to supervise.  Beds (2.5) Beds are at least 30 inches wide and 76 long and are  of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart.  Lighting (2.6) There is at least 20 foot-candles (216 1x) of illumination at desk level in locked sleeping rooms,  single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good Night lighting is required in sleeping rooms, visibility and is conducive to sleep. dayrooms, and activity areas to provide good visibility for supervision and be  conducive to sleep. It was viewed that youth cover their lights to make their rooms dark which is a fire hazard and contrary to Title 24. Padding (2.7) This facility does not contain safety rooms. Padding in safety rooms covers the floor, door and  walls to a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper-resistant fire sprinkler as approved by the State Fire Marshal  (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all padded  surfaces; and, is without exposed seams. Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench seating is  allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security  perimeter of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device.  Assess for New Construction/Remodel or Repair:  7198 Los Angeles Central Juvenile Hall 20-22 PHY - 8 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Security Glazing (2.10) (Added in 2003) Several windows have been broken and (Note to inspector: This will typically be assessed have not yet been replaced. Plywood has from specifications provided at plan review.) been used to cover these spaces. The plywood is covered in graffiti. Windows should be replaced within a reasonable Security glazing complies with the minimum timeframe. requirements of one of the following test standards:  American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860-94d, Class C glass; or, H. P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met.  (Note to inspector: See regulation for specific requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7198 Los Angeles Central Juvenile Hall 20-22 PHY - 9 - J456 PHY 98 01 03.dot (10/03) BOARD OF STATE AND COMMUNITY CORRECTIONS - BIENNIAL INSPECTION JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION BSCC Code: 7198 FACILITY: TYPE: RC: Central Juvenile Hall Juvenile Hall 523 Self-Cap: 403- See below FIELD REPRESENTATIVE: Lisa Southwell DATE: November 21-22, 2022, and December 12-16, 2022 ROOMS EACH ROOM EACH DIMENSION FIXTURES* Unit Room Applicable # ROOM Total COMMENTS S Designation Type Standards Rms # RC RC (L x W x H) T U W F S Beds Boys Receiving Single Pre 98 9 1 1 9 1 1 1 All wet rooms. Space used for Maysi/Interview and Staff Dorm Pre 98 1 4 4 0 0 0 0 Office. Decrease by 4. Bathroom Pre 98 1 2 3 2 3 Medical Observation Unit (Non-Rated Space) Single Pre 98 11 1 1 (11) 1 1 1 All wet rooms. Two single rooms share one bathroom. Single Pre 98 2 1 1 (0) 1 1 1 Current use for storage. Decrease by 2 Dorm Pre 98 1 5 5 (5) Bathroom Pre 98 1 2 1 1 3 Boys Care Unit Single Pre 98 12 1 1 12 1 1 1 All wet rooms. Bathroom Pre 98 1 3 2 2 4 Girls Care Unit Single Pre 98 11 1 1 11 1 1 1 All wet rooms. Two single rooms that shared one bathroom Single Pre 98 1 1 1 1 1 1 1 is now 1 room due to only one bed. Decrease by 1. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7198 Los Angeles Central Juvenile Hall LASE 20-22 -1 - ROOMS EACH ROOM EACH DIMENSION FIXTURES* Unit Room Applicable # ROOM Total COMMENTS S Designation Type Standards Rms # RC RC (L x W x H) T U W F S Beds Bathroom Pre 98 1 2 1 2 3 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7198 Los Angeles Central Juvenile Hall LASE 20-22 - 2 - ROOMS EACH ROOM EACH DIMENSION FIXTURES* Unit Room Applicable # ROOM Total COMMENTS S Designation Type Standards Rms # RC RC (L x W x H) T U W F S Beds Unit A First Floor Double 2001 15 2 2/1 30/15 103 sf each 1 1 1 All wet rooms. 75 x 46.5 = Dayroom 2001 1 1 1 2 5 3,487 sf Classroo 30.5 x 26 = 2001 3 2 classrooms serve units A & B. ms 793 sf Unit B First Floor Double 2001 15 2 2/1 30/15 103 sf each 1 1 1 All wet rooms. 75 x 46.5 = Dayroom 2001 1 1 1 2 5 3,487 sf Unit C Second Floor Double 2001 15 2 2/1 30/15 103 sf each 1 1 1 All wet rooms. 75 x 46.5 = Dayroom 2001 1 1 1 2 5 3,487 sf Classroo 30.5 x 26 = 2001 3 2 classrooms serve units C and D. ms 793 sf Unit D Second Floor Double 2001 15 2 2/1 30/15 103 sf each 1 1 1 All wet rooms. 75 x 46.5 = Dayroom 2001 1 1 1 2 5 3,487 sf Unit E First Floor 80 square Single Pre 98 20 1 1 20 Dry rooms. feet. Dayroom Pre 98 1 4 2 4 1 4 Unit F First Floor 80 square Single Pre 98 20 1 1 20 Dry rooms. feet. Dayroom Pre 98 1 4 2 4 1 4 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7198 Los Angeles Central Juvenile Hall LASE 20-22 - 3 - ROOMS EACH ROOM EACH DIMENSION FIXTURES* Unit Room Applicable # ROOM Total COMMENTS S Designation Type Standards Rms # RC RC (L x W x H) T U W F S Beds Unit G Second Floor 80 square Single Pre 98 20 1 1 20 Dry rooms. feet. Dayroom Pre 98 1 4 2 4 1 4 Unit H Second Floor 80 square Single Pre 98 20 1 1 20 Dry rooms. feet. Dayroom Pre 98 1 4 2 4 1 4 Unit J Single Pre 98 16 1 1 16 1 1 1 All wet rooms. Two additional showers (handicap and Cold) Dayroom Pre 98 1 2 2 1 4 in adjacent room connected to bathroom Unit K First Floor 80 square Single Pre 98 20 1 1 20 Dry rooms. feet. Dayroom Pre 98 4 2 4 1 4 Unit L First Floor 80 square Single Pre 98 20 1 1 20 Dry rooms. feet. Dayroom Pre 98 1 4 2 4 1 4 Unit M Second Floor 80 square Single Pre 98 20 1 1 20 Dry rooms. feet. Dayroom Pre 98 1 4 2 4 1 4 Unit N Second Floor 80 square Single Pre 98 20 1 1 20 Dry rooms. feet. Two additional showers (handicap and Cold) Dayroom Pre 98 1 4 2 4 1 4 in adjacent room connected to bathroom *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7198 Los Angeles Central Juvenile Hall LASE 20-22 - 4 - ROOMS EACH ROOM EACH DIMENSION FIXTURES* Unit Room Applicable # ROOM Total COMMENTS S Designation Type Standards Rms # RC RC (L x W x H) T U W F S Beds Unit O All wet rooms. One room converted to an Single Pre 98 14 1 1 14 1 1 1 office. Decrease by 1 Dayroom Pre-98 1 2 2 1 2 Unit P First Floor Double 2001 15 2 2/1 30/15 103 sf each 1 1 1 All wet rooms. 75 x 46.5 = Dayroom 2001 1 1 1 2 5 3,487 sf Classroo 30.5 x 26 = 2001 3 These classrooms serve units P and Q. ms 793 sf Unit Q First Floor Double 2001 15 2 2 30/15 103 sf each 1 1 1 All wet rooms 75 x 46.5 = Dayroom 2001 1 1 1 2 5 3,487 sf Unit R Second Floor 103 sq Ft Double 2001 15 2 2/1 30/15 1 1 1 All wet rooms. each 75 x 46.5 = Dayroom 2001 1 1 2 1 5 3,487 sf Classroo 30.5 x 26 = 2001 3 These classrooms serve units R and S. ms 793 sf Unit S Second Floor Double 2001 15 2 2/1 30/15 103 sf each 1 1 1 All wet rooms 75 x 46.5 = Dayroom 2001 1 1 1 2 5 3,487 sf Unit W1 Single Pre 98 19 1 1 19 All wet rooms Dayroom Pre 98 1 4 2 4 1 4 Unit W2 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7198 Los Angeles Central Juvenile Hall LASE 20-22 - 5 - ROOMS EACH ROOM EACH DIMENSION FIXTURES* Unit Room Applicable # ROOM Total COMMENTS S Designation Type Standards Rms # RC RC (L x W x H) T U W F S Beds Single Pre 98 20 1 1 20 All wet rooms Dayroom Pre 98 1 4 2 4 1 4 Unit X Single Pre 98 10 1 1 10 1 1 1 All wet rooms Unit Y Single Pre 98 6 1 1 6 1 1 1 All wet rooms Dorm Pre 98 1 5 5 5 1 Bathroom Pre 98 1 2 3 3 Movement Control Boys 20’ x 17.5 x 4 metal benches 6.75 feet, 7.25 feet, 5 feet Pre 98 1 (14) Holding 8’ and 5.6 feet long Girls 9.5’ x 11.8” x Pre 98 1 (5) 1 metal bench, 8 feet long. Holding 8” Historical: 2008/10 Inspection: • Previous LASE (Medical Observation Unit) showed one double room and 13 single rooms. This was corrected to show two single rooms sharing one bathroom and 11 single rooms. • Previous Girls Care Unit LASE showed one double room and 9 single rooms. This was corrected to show two single rooms sharing one bathroom and 8 single rooms. Verify number of showers at next inspection. • Note: Previous LASE showed facility RC as 627. With adjustments to the RC of Girls Receiving, Girls Care and Unit V, RC revised to 623 in 2008/10. 2010/2012 Inspection: • The holding areas were added to the 2010/12 LASE. • Unit R-One fountain noted and added 2012/14 inspection. • Unit S- Fountain total increased by one 2010/12 inspection. • Unit A: 2nd fountain noted and added to LASE 2010/12. • Unit B: 2nd fountain noted and added to LASE 2010/12. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7198 Los Angeles Central Juvenile Hall LASE 20-22 - 6 - ROOMS EACH ROOM EACH DIMENSION FIXTURES* Unit Room Applicable # ROOM Total COMMENTS S Designation Type Standards Rms # RC RC (L x W x H) T U W F S Beds • 10a1: The toilet was removed from one of the 20 single sleeping rooms and it is now in use as an office. For the 2010/12 inspection RC was reduced to 19. 2012/14 Inspection: • Unit B: 2nd fountain noted and added to LASE 2010/12. • Unit C: 2nd fountain noted and added to LASE 2010/12. • Unit D: 2nd fountain noted and added to LASE 2012/14. One fountain inoperative 2012/14 inspection. • Medical Observation Units were closed for security enhancements. • Units 10 A and 10 B, also referred to as Unit W 1&2, were vacant and beds were being removed. • 9/3/13: Notification received of conversion of Medical Observation Units (MOU), also called Units X and Y, to Girls Receiving and Girls Special Handling Unit. Previously nonrated space, this adds 16 beds to the Rated Capacity. However, by also converting the area previously housing Girls Receiving and Girls Special Handling Unit (Rated Capacity 18) to a Medical Observation Unit, there is a net loss to the Rated Capacity, as medical observation is nonrated space. The resultant Rated Capacity of 620 shows a net loss of 2 beds. • Medical Observation Unit (MOU) designation was formalized in communications with Bureau Chief Harada 9/3/13. In previous years, it served as Girls Receiving and Girls Special Handling Unit. • Medical Observation Unit Number of fountains reduced by one 2012/14. • Dorm converted to mental health space in Boys Care Unit. 2nd fountain noted and added in Girls Care Unit 2014/2016 Inspection: • Unit O: Fountain total increased by one 2014/2016 inspection. • Unit P: Fountain total increased by one 2014/2016 inspection. • Unit Q: Fountain total increased by one 2014/2016 inspection. • Boys Receiving: Decrease by 4- See notes above • Medical Observation Unit: Decrease by 4- Non-rated space. See notes above • Girls CARE Unit: Correction of 1 additional bed. See Notes above • Girls CARE Unit: Decrease by 1 See notes above • Unit O: Decrease by 1 See Notes above • Units T and V: Removed from LASE. County does not plan to ever use that space again as rated beds. Decrease by 39 • Unit X and Y Removed from LASE. County does not plan to ever use this area as rated space in future. Decrease by 16 • Unit Alpha- Decrease by 4 See Notes 2016/2018: No Change to RC. Discussed pending changes. Will complete full review upon completion. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7198 Los Angeles Central Juvenile Hall LASE 20-22 - 7 - ROOMS EACH ROOM EACH DIMENSION FIXTURES* Unit Room Applicable # ROOM Total COMMENTS S Designation Type Standards Rms # RC RC (L x W x H) T U W F S Beds 2018/2020: Virtual. No changes due to offsite inspection. 2020/2022: RC is 523 with all beds in use (double rooms in use in ABCD, PQRS) When used as single rooms, Self-Cap is 403. NR beds 16 MOU. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7198 Los Angeles Central Juvenile Hall LASE 20-22 - 8 - JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7204 FACILITY NAME: FACILITY TYPE: Barry J. Nidorf Juvenile Hall Juvenile Hall PERSON(S) INTERVIEWED: Janice Jones, Sr. Director; Lizet Barboza, BSCC Coordinator, Karen Streich and Rae Tinnagan, DMH, David Oh, JCHS, Reuben Carranza Principal; 4-line staff and 6 youth, ages 17, 18.5,18,16,16,15 from Hill units and several youth from each Compound Unit. FIELD REPRESENTATIVE: DATE: Lisa Southwell November 8-18, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by Section 203: County Inspections of the Board of Supervisors to approve building safety; Buildings and Grounds 2020 The building inspection was completed by Tenneson D’Sena on December 15, 2020. The inspecting body noted all areas of concern were reinspected and found to be corrected. 2021 The building inspection was completed by ☒ ☐ ☐ Tenneson D’Sena on September 21, 2021. No issues of concern were noted. There were no areas of concern. 2022 The building inspection was completed by Tenneson D’Sena on August 24, 2022. There were three areas of concern found. These areas have been corrected and the inspecting body has provided clearance. 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. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) Fire authority having jurisdiction, including a fire Section 203: County Inspections of clearance as required by Health and Safety Code Buildings and Grounds Section 13146.1 (a) and (b); The fire inspection was completed by Inspector Brian Whalen, Valley Public Safety Unit Fire Clearance was granted on 5/28/2020. ☐ ☒ ☐ Fire Inspection not completed for 2021 due to COVID. Fire inspection completed on 07/26/2022 by Brian Whalen. The facility did not pass inspection and corrections are required. The facility is currently on Fire Watch status per administration and is keeping the appropriate logs. (C) Local health officer, inspection in accordance with Section 203: County Inspections of Health and Safety Code Section 101045; Buildings and Grounds 2021 Medical Mental Health: Completed March 12, 24-25, 2021 by Tia Mao, PHN. Areas of concern were reinspected in November 2021 and were noted to be corrected except for one area that would be reviewed at the next inspection per the inspecting body. Nutrition: Completed March 24-25, 2021, by David Kornoff, EHS III. Areas of concern were reinspected in May 2021 and were noted to be corrected. Environmental Health: Completed March 24-25, 2021, by David Kornoff, EHS III. ☒ ☐ ☐ Areas of concern were reinspected in May 2021 and were noted to be corrected except for larger items scheduled for renovation. 2022 Medical Mental Health: Completed January 27, February 22, and March 15-16, 2022, by Tia Mao, PHN Nutrition: Completed March 16, 2022, by Nicolas Martinez, Chief EHS, and Antonio Valera EHSIII. No areas of noncompliance were found. Environmental Health: Completed March 16, 2022, by Nicolas Martinez, Chief EHS, and Antonio Valera EHSIII. All areas noted as noncompliant were corrected on June 6, 2022, and noted as such. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) County superintendent of schools on the adequacy Section 203: County Inspections of of educational services and facilities as required in Buildings and Grounds Section 1370; Education for the facility is provided by the Los Angeles County Office of Education 2021 On December 20, 2021, the facility was inspected by Dr. Andrea Kittelson, ☒ ☐ ☐ Principal. LAUSD found the school program to meet regulatory expectations. 2022 Completed December 9, 2022, by Jason Deaville, Director of Student Services, Palmdale School District. The school was found to be compliant. See Section 1370 for specific comments made by Jason Deaville. (E) Juvenile court as required by Section 209 of the Section 203: County Inspections of Welfare and Institutions Code Buildings and Grounds 2021 The facility was inspected by the Honorable Akemi Arakaki on December 1, 2021. The facility was deemed to be operated and maintained as a suitable place for the confinement of minors. ☐ ☒ ☐ Judge Arakaki found the facility to be suitable to house youth. 2022 The inspection was not completed as required. An inspection was completed on 1/25/23 for the 2023/2024 inspection cycle. The report is pending. (F) Juvenile Justice Commission as required by Section Section 203: County Inspections of 229 of the Welfare and Institutions Code or Probation Buildings and Grounds Commission as required by Section 240 of the Welfare and Institutions Code. The Probation Oversight Commission conducts annual inspections of the facility. 2021 The facility was inspected in September ☒ ☐ ☐ 2021. 2022 The facility was inspected on October 11, 2022. Reports can be found at http://file.lacounty.gov/SDSInter/bos/supdo cs/POC21-0136.pdf 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Appointment and qualification certification BSCC Note: Compliance with this section is letters, dated December 20, 2021, and determined by receipt of the Chief Probation Officer’s January 26, 2022, were received from certification letter confirming that all elements of Chief Probation Officer Adolfo Gonzales certifying all appointments of staff are regulation are met. pursuant to the applicable laws and that all (a) Appointment ☒ ☐ ☐ staff present at the facility meet all required In each juvenile facility there shall be a superintendent, qualifications. All non-employees also director or facility manager in charge of its program and receive appropriate clearances prior to entering. employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test ☒ ☐ ☐ and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection ☒ ☐ ☐ and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the facility, shall have such clearance and qualifications ☒ ☐ ☐ as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING Staffing documents were requested and received for the weeks of September 22-30, Each juvenile facility shall: 2023, and October 10-17, 2023. Staffing breakdowns, Population, As Needed and Overtime Report, Shift Staffing Schedules. We noted the facility worksheet data noted 10 vacancies in the supervisor rank and approximately 200 vacancies at the line level. While there are two areas in this section of the regulation that are directly impacted, lack of staffing impacts the ability of the facility to deliver services and impacts the quality of the services that are delivered. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 a) have an adequate number of personnel sufficient to Section 206: Staffing Requirement and carry out the overall facility operation and its Ratios programming, to provide for safety and security of We noted there is an excessive number of youth and staff, and meet established standards and staff callouts, staff no-shows, and staff regulations; otherwise not reporting for work per shift. We noted an excessive number of staff who have resigned or left their positions with difficulty backfilling either due to the County hiring freeze or the inability to recruit and retain an adequate candidate sampling to meet the demand. Staff who come to work report they are held over regularly and forced to work back-to- back shifts, sometimes, up to or beyond 24 hours. We noted the physical plant of the facility, and the unit functions require more staffing than are being assigned or are available to safely operate the units and the facility, to ensure that full operations can be accomplished and to ensure both the officer’s and youth’s safety. On paper, it appears there is enough staff, but when these staff are not counted in the overall calculation as they are assigned to a one- ☐ ☒ ☐ on-one youth, school security or to a modified program assignment and have no supervision expectation, these numbers are not true reflections of child supervision. Those staff left in the unit may not be meeting the ratio or operating at the required ratio or in a safe manner for the physical plant or for the safe operation of the facility. Interviews with both youth and staff noted that both are concerned for their ongoing safety. There have been multiple incidents where both youth and staff have been assaulted. Required functions of the facility are routinely canceled due to staffing shortages such as outdoor exercise or activity, programming, etc.to name a few. School has also been impacted. Back up staff are assigned and often pulled leaving units short. Regular staff who were interviewed noted they are tired but don’t want to leave their peers or the kids alone, so they continue to report. The toll is obvious. Deployed field staff have been utilized to fill staffing vacancies on an ordered status however, as there are so many, there is no consistency with the deployed staff to identify or assign them to regular units so a 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS relationship could be formed with the youth or that the unit program could be learned for repetition purposes. There are often 1 or 2 regular staff in a building with the rest being all deployed staff. Deployed staff are now only being deployed Monday - Friday. Overall, we found that all functions of the facility have been impacted by the lack of staffing. We have offered technical assistance in this area however, without adequate resources, the facility continues to staff the unit and the facility in the same manner, continuing to operate in the same manner which creates an unsafe environment for both the staff and the youth. This section is non-compliant. b) ensure that no required services shall be denied Section 206: Staffing Requirement and because of insufficient numbers of staff on duty Ratios absent exigent circumstances; This has been a consistent concern over the course of the cycle despite the agency’s efforts to utilize deployed field staff, mandatory holdovers, and overtime, including overtime with additional stipend pay to fill the gaps in the staffing profiles for all shifts. ☐ ☒ ☐ There are documented instances of activities/ services that have been delayed, postponed, or canceled due to the lack of adequate staffing or insufficient staffing. There have been occasions where youth have been held in their rooms for long periods of time or were unable to be brought out due to an inadequate and unsafe number of staff reporting for work. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS c) have a sufficient number of supervisory level staff to Section 206: Staffing Requirement and ensure adequate supervision of all staff members; Ratios The facility was, at the time of inspection, short of supervisors, but has since received some positions. There are now an adequate number of supervisors to adequately supervise staff and youth. Technical ☒ ☐ ☐ assistance has been provided to the facility management to utilize supervisors as needed and appropriate when staffing is low and on the line as needed. We also suggest that supervisors be required to remain in their units for a specific percentage of their shift per day to ensure they are there to support their staff and their youth. d) have a clearly identified person on duty at all times Section 206: Staffing Requirement and who is responsible for operations and activities and Ratios has completed the Juvenile Corrections Officer Core The OD is responsible for the operations of Course and PC 832 training; the facility. Facility staff is responsible for the ☒ ☐ ☐ unit activities of the youth. There is also a duty Director either onsite or on-call but on duty and the facility superintendent maintains overall responsibility for the facility. e) have at least one staff member present on each Section 206: Staffing Requirement and living unit whenever there are youth in the living unit; Ratios There is always a staff present where youth ☒ ☐ ☐ are present. TA provided that we did note that sometimes staff goes to the office and there is no staff in the dayroom or in the hallway when youth are present or in their rooms. This is addressed under Title 24. f) have sufficient food service personnel relative to the Section 206: Staffing Requirement and number and security of living units, including staff Ratios qualified and available to: plan menus meeting Cooks do not supervise youth. All meals are nutritional requirements of youth; provide kitchen ☒ ☐ ☐ prepared by contract and are warmed onsite supervision; direct food preparation and servings; and transported to each unit on a heated conduct related training programs for culinary staff; cart. Youth eat in the dayroom of their units. and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; g) have sufficient administrative, clerical, recreational, Section 206: Staffing Requirement and medical, dental, mental health, building Ratios maintenance, transportation, control room, facility ☒ ☐ ☐ The facility employs staff for these individual security and other support for the efficient functions so as not to take away youth management of the facility, and to ensure that youth supervision. supervision staff shall not be diverted from supervising youth; and, 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS h) assign sufficient youth supervision staff to provide Section 206: Staffing Requirement and continuous wide-awake supervision of youth, subject Ratios to temporary variations in staff assignments to meet Staff is assigned 24 hours a day through 3 special program needs. Staffing shall be in ☒ ☐ ☐ shifts: AM Shift: 6:00 AM- 2:00 PM, PM Shift: compliance with a minimum youth-staff ratio for the 2:00 PM to 10:00 PM, and 10:00 PM to 6:00 following facility types: AM. Staff are required to always remain awake. (1) Juvenile Halls (minimum youth-staff ratio) Section 206: Staffing Requirement and (A) during the hours that youth are awake, one wide- Ratios ☒ ☐ ☐ awake youth supervision staff member on duty for each 10 youth in detention: The ratio has been met. (B) during the hours that youth are confined to their Section 206: Staffing Requirement and room for the purpose of sleeping, one wide-awake Ratios ☒ ☐ ☐ youth supervision staff member on duty for each The ratio has been met. 30 youth in detention; (C) at least two wide-awake youth supervision staff Section 206: Staffing Requirement and members on duty at all times, regardless of the Ratios number of youth in detention, unless an ☒ ☐ ☐ Staff are always wide awake; they are not to arrangement has been made for backup support be asleep. services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty Section 206: Staffing Requirement and who is the same gender as youth housed in the Ratios facility. ☒ ☐ ☐ There are always male and female staff on duty. (E) personnel with primary responsibility for other duties Section 206: Staffing Requirement and such as administration, supervision of personnel, Ratios academic or trade instruction, clerical, kitchen or ☒ ☐ ☐ Only youth supervision staff provide maintenance shall not be classified as youth supervision of the youth. supervision staff positions. (2) Special Purpose Juvenile Halls (minimum The facility is not a Special Purpose Juvenile youth-staff ratio) Hall. The following are all marked as NA. ☐ ☐ ☒ (A) during hours that youth are awake, one wide-awake youth supervision staff member is 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. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (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. 1322 YOUTH SUPERVISION STAFF Section 205: Youth Supervision Staff ORIENTATION AND TRAINING Orientation and Training (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented Each new staff upon reporting to the facility to their duties, including: is assigned to a training officer who assists the new officer in their orientation and training. A New Youth Supervision Handbook is ☒ ☐ ☐ provided as part of the officer’s signoffs. The last 5 officers’ training documents were provided for review. All were signed off appropriately. Proof of practice for training was also provided for camp staff who were reassigned back to the facility. (1) youth supervision duties; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (2) scope of decisions they shall make; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (3) the identity of their supervisor; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (4) the identity of persons who are responsible to Section 205: Youth Supervision Staff ☒ ☐ ☐ them; Orientation and Training (5) persons to contact for decisions that are beyond Section 205: Youth Supervision Staff ☒ ☐ ☐ their responsibility; and Orientation and Training (6) ethical responsibilities. Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (b) Prior to assuming any responsibility for the Section 205: Youth Supervision Staff supervision of youth, each youth supervision staff Orientation and Training ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility-specific orientation, including: (1) individual and group supervision techniques; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation Section and Training (2) regulations and policies relating to discipline and Section 205: Youth Supervision Staff rights of youth pursuant to law and the provisions ☒ ☐ ☐ Orientation and Training of this chapter; (3) basic health, sanitation and safety measures; Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (4) suicide prevention and response to suicide Section 205: Youth Supervision Staff ☒ ☐ ☐ attempts Orientation and Training (5) policies regarding use of force, de-escalation Section 205: Youth Supervision Staff techniques, chemical agents, mechanical and ☒ ☐ ☐ Orientation and Training physical restraints; (6) review of policies and procedures referencing Section 205: Youth Supervision Staff ☒ ☐ ☐ trauma and trauma-informed approaches; Orientation and Training 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) procedures to follow in the event of Section 205: Youth Supervision Staff emergencies; Orientation and Training All staff training documents noted emergency procedures were addressed and signed off, however; as part of the facility training program, the Juvenile Hall Building Emergency Plan (BEP) is provided for officer review and sign-off. The current Emergency Plan which acts as the facility Fire Suppression Pre Plan had not been signed off by the Fire Department. Efforts had been made by the agency to work with the local fire agency to get this document signed. As of the date of inspection, the document had not yet been approved by the fire department. ☒ ☐ ☐ In February 2023, phone conversations were held between this inspector and Fire Inspector Whelan found extenuating circumstances for the document not being signed despite Probation’s efforts. On February 9, 2023, a phone call was received from Fire Inspector Whelan. The Fire Suppression Pre Plan has been completed and the Building Emergency Plan was signed by the facility manager. Technical assistance was provided and discussed to address consistency between CJH and BJNJH. This area has been corrected. (8) routine security measures, including facility Section 205: Youth Supervision Staff ☒ ☐ ☐ perimeter and grounds; Orientation and Training (9) crisis intervention and mental health referrals to Section 205: Youth Supervision Staff ☒ ☐ ☐ mental health services; Orientation Section and Training (10) documentation; and Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (11) fire/life safety training Section 205: Youth Supervision Staff Orientation and Training All staff training documents for this section noted fire/life safety training were addressed and signed off although the BEP had not yet ☒ ☐ ☐ been signed (See above). As of February 9, 2023, the Fire Suppression Pre Plan has been approved. This section has been corrected. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Prior to assuming sole supervision of youth, each Section 205: Youth Supervision Staff youth supervision staff member shall successfully Orientation and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal All LA County Institutional Staff complete Code Section 6035. CORE before reporting to an institution. (d) Prior to exercising the powers of a peace officer Section 205: Youth Supervision Staff youth supervision staff shall successfully complete Orientation and Training training pursuant to Section 830 et seq. of the Penal ☒ ☐ ☐ Code. All LA County Institutional Staff complete 832 before reporting to an institution. 1323 FIRE AND LIFE SAFETY Section 206: Staffing Requirement and Ratios Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times ☒ ☐ ☐ All staff is required to always remain awake. who meets the training standards established by the Staff have been trained in Fire and Life Board for general fire and life safety which relate Safety in CORE prior to reporting to their specifically to the facility. individual assignment. 1324 POLICY AND PROCEDURES MANUAL Policy Last reviewed: March 2022 All facility administrators shall develop, publish, and Policy Last Updated: March 2022 implement a manual of written policies and procedures that address, at a minimum, all regulations that are The policy manual is provided to all staff on applicable to the facility. Such a manual shall be made PROBNET for review. Staff are notified of available to all employees, reviewed by all employees, the new policy sections to review by email. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those ☒ ☐ ☐ Room Confinement Memo: April 15, 2022 records relating to the standards and requirements set forth in these regulations shall be accessible to the Board Directive 1477: Detention and Residential on request. Treatment Services Bureaus Manual- The manual shall include: Physical Intervention Policy (Section DSB- 1000/RTSB-1700) Issued 06/22/2022. This policy was implemented but not trained. This is addressed under Section 1357. (a) table of organization, including channels of Section 201: Administrative Structure and communications and a description of job Chain of Command classifications; Section 202: Administrative Structure and Responsibilities Section 208: Duty Statement – Supervising Section Detention Services Officer ☒ ☐ ☐ Section 209: Duty Statement – Senior Detention Services Officer Section 210: Duty Statement: Detention Services Officer Section 211: Group Supervisor Nights Section 212: Organizational Chart (b) responsibility of the probation department, purpose Section 103: Role of the Juvenile Halls of programs, relationship to the juvenile court, the Section 1801: Ancillary Programs Juvenile Justice/Delinquency Prevention ☒ ☐ ☐ Commission or Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) responsibilities of all employees; Section 202: Administrative Structure and Responsibilities Section 208: Duty Statement – Supervising Detention Services Officer Section 209: Duty Statement – Senior ☒ ☐ ☐ Detention Services Officer Section 210: Duty Statement: Detention Services Officer Section 211: Group Supervisor Nights Section 212: Organizational Chart (d) initial orientation and training program for Section 205: Youth Supervision Staff employees; Orientation and Training ☒ ☐ ☐ See Section 1322 for Sworn Staff (e) initial orientation, including safety and security issues Section 2400: Non-Sworn Personnel and and anti-discrimination policies, for support staff, Partner Agencies Handbook contract employees, school, mental/behavioral All non-sworn facility staff is required to health and medical staff, program providers and review and sign the “Non-Sworn Personnel volunteers; and Partner Agencies Orientation Handbook”. This booklet consists of 13 pages of information including, safety and security, anti-discrimination policies, expected conduct, confidentiality expectations, emergency procedures, and the referral/response process for medical requests, mental health referrals, and handling grievances. Signatures are kept current and are maintained in the Office of ☒ ☐ ☐ the Superintendent. These documents were provided for our review. As part of the orientation, the facility Building Emergency Plan (BEP) is also reviewed as part of the agency’s practice. Non-sworn partner staff completed the required orientation without the required Building Emergency Plan due to the agency’s difficulty obtaining a signature from the Fire Department as required and as noted in previous sections. The BEP has now been signed off by the facility manager and has been reissued to all facility staff. (f) maintenance of record-keeping, statistics and Section 1900: Reports and Records (Group communication system to ensure: to include): 1902: Probation Case Management System (PCMS) ☒ ☐ ☐ Section 1903: Daily Reports Section 1904: Behavior Record Section 1905: Charting Section 1909: Detention Observation Report Form 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) efficient operation of the juvenile facility; Section 1900: Reports and Records (Group ☒ ☐ ☐ to include all the above) (2) legal and proper care of youth; Section 1900: Reports and Records (Group ☒ ☐ ☐ to include all the above) (3) maintenance of individual youth's records; Section 1900: Reports and Records (Group ☒ ☐ ☐ to include all the above) (4) supply of information to the juvenile court and Section 1900: Reports and Records (Group ☒ ☐ ☐ those authorized by the court or by the law; and, to include all the above) (5) release of information regarding youth. Section 1900: Reports and Records (Group ☒ ☐ ☐ to include all the above) (g) ethical responsibilities; ☒ ☐ ☐ Section 2349: Employee Honesty (h) trauma-informed approaches; ☒ ☐ ☐ Section 207: General Staff Responsibilities (i) culturally responsive approaches; ☒ ☐ ☐ Section 207: General Staff Responsibilities (j) gender responsive approaches; Section 632: Promoting Dignity for Female ☒ ☐ ☐ Youth (k) a non-discrimination provision that provides that all Section 402: Non-Discrimination youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group ☒ ☐ ☐ identification, ancestry, national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Directive 1477 chemical agents related security devices, and Section 1006: OC Spray; Section D. OC weapons and ammunition, where applicable; ☒ ☐ ☐ Spray Issuance and Accountability Security of OC Spray Canisters: Maintenance of Canisters: (m) establishment of procedures for collection of Medi- Section 1716: Medi-Cal Administrative Cal eligibility information and enrollment of eligible ☒ ☐ ☐ Activities youth; and, (n) establishment of a policy that prohibits all forms of Section 1500: Prison Rape Elimination Act sexual abuse, sexual assault and sexual (PREA) harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the ☒ ☐ ☐ State Fire Marshal, in developing a plan for fire safety which shall include, but not be limited to: a) a fire prevention plan to be included as part of the Section 911: Fire Prevention and ☒ ☐ ☐ manual of policy and procedures; Suppression 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) monthly fire and life safety inspections by facility Section 911: Fire Prevention and staff with two- year retention of the inspection Suppression record; Provided proof of inspections required for ☒ ☐ ☐ July 1-December 31, 2020, 2021, and 2022. Noted that in some cases, it appears that some comments were duplicates from months prior. Technical assistance was provided to MSB Supervisor for review. c) fire prevention inspections as required by Health Section 912: Fire Safety and Safety Code Section 13146.1(a) and (b); Noncompliance is captured above in ☐ ☐ ☒ Section 1313. The agency does not have a current fire clearance and will remain non- compliant until clearance is obtained. d) an evacuation plan; Section 920: Emergency Evacuation and County of Los Angeles Building Emergency Plan of County Buildings ☒ ☐ ☐ Each unit has an assigned evacuation location on the facility grounds where they are to evacuate if necessary. We noted that evacuation maps were posted in the units as we walked the units. e) documented fire drills not less than quarterly; Section 911: Fire Prevention and Suppression Fire Drills for 2021 and 2022 have been completed as required by regulation. The facility building emergency plan requires drills to be completed on each shift. This did not occur in all cases in all quarterly drills. The facility coordinator is addressing the lack of a consistent recording document to ensure that all entities (partners) and shifts are included in all drills. This will be re- reviewed in the new year to confirm ☒ ☐ ☐ compliance. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) a written plan for the emergency housing of youth in Section 921: Operation FLEE and County of the case of fire; and, Los Angeles Building Emergency Plan of County Buildings If the facility were to evacuate, they would normally evacuate to Central Juvenile Hall. The facility has the rated capacity available ☐ ☒ ☐ to hold the youth but, due to the myriad of construction projects, may not have the available space necessary. Technical assistance was provided to develop a plan as soon as possible for emergency planning for a full evacuation. At this time until a plan is fully developed, the facility is noncompliant in this area. g) development of a fire suppression pre-plan In Section 911: Fire Prevention and cooperation with the local fire department. Suppression At inspection, there was no fire suppression pre-plan provided for this section. The agency made attempts to resolve the issue and provided evidence of proof beginning in ☒ ☐ ☐ September 2022. Extenuating circumstances existed. On February 9, 2023, a phone call was received from Fire Inspector Whelan who completed the sign-off. This issue has been corrected. 1326 SECURITY REVIEW Section 516: Security Procedures Each facility administrator shall develop policies and Security reviews were completed for 2021 procedures to annually review, evaluate, and document and 2022. security of the facility. The review and evaluation shall include internal and external security, including, but not Security review was completed for 2021 on limited to, key control, equipment, and staff training. May 13, 2021. The review was completed but did not have all the required elements. All management and responsible persons ☒ ☐ ☐ are no longer present or responsible for the facility operations. The security review was completed for 2022 on June 27, 2022. The review contained all required elements as the format and documentation was revised by the new administration and contained all areas required by regulation. 1327 EMERGENCY PROCEDURES Section 900: Emergency Procedures The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; Section 906: Escapes (Code Green) Section 908: Major Disturbances (Code ☒ ☐ ☐ Red) Section 916: Hostages 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) civil disturbance, active shooter and terrorist attack; Section 907: Outside Intruder (Code Yellow) Section 917: Active Shooter ☒ ☐ ☐ Section 918: Terrorist Attack Section 919: Civil Disturbance (c) fire and natural disasters; Section 911: Fire Prevention and Suppression ☒ ☐ ☐ Section 913: Power Failure Section 915: Earthquakes (d) periodic testing of emergency equipment; Section 910: Testing of Emergency ☒ ☐ ☐ Equipment (e) emergency evacuation of the facility; and ☒ ☐ ☐ Section 920: Emergency Evacuation (f) a program to provide all youth supervision staff with Section 920: Emergency Evacuation an annual review of emergency procedures. Annual Emergency Procedure Reviews were completed for 2020 and 2021. The review was not completed in 2022 as the Building Emergency Plan was incomplete and pending fire department approval. Facility administrative staff had been actively working on this issue with the Fire Department and provided ☐ ☒ ☐ documentation of their efforts. The Fire Agency approved the Fire Suppression Pre Plan on February 9, 2023, and are working on the BEP. Facility administrative staff are actively working to have all staff review emergency procedures but have not yet completed all sign offs. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 1328 SAFETY CHECKS Section 209: Duty Statement-Senior Detention Services Officer The facility administrator shall develop and implement policy and procedures that provide for direct visual Section 210: Duty Statement-Detention observation of youth at a minimum of every 15 minutes, Services Officer at random or varied intervals during hours when youth Section 211: Group Supervisor Nights are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. Section 630: Safety Checks Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system We requested and reviewed random blocks designed to detect overt, aggressive or assaultive of dates and times of safety checks for Barry behavior and to summon aid in emergencies. All safety J. Nidorf Juvenile Hall. We selected 1 checks shall be documented with the actual time the random day: all shifts for camera review for check is completed. those units with cameras. In our review of paper logs for all units, we found most of the checks to comply with regulatory requirements as they are documented within the 15-minute allowance with only very few lates overall. We noted improvement in the random and variedness of the checks from the last cycle; however, there still needs to be improvement made as most of the checks were in the upper range of the timeline. We provided technical assistance regarding a randomization silent timer that may help in correcting this issue. While reviewing checks in units with ☐ ☒ ☐ cameras, we found some checks are not being documented on paper logs according to regulations and policy. The video review did not corroborate the written documentation. We found instances of checks being documented on the paper logs when in fact they had not been done. This occurred on all shifts. Some were noted to be staff documenting 6:00 AM, 2:00 PM, and 10:00 PM in the same manner as has been the past practice of “signing in” and some have been documented as completed but not done. We have viewed staff sitting in the office, personal belongings in hand, waiting to be relieved rather than conducting safety checks. Others were noted to be as a result of the check sheets not being posted as required and ready for the next shift. When the next shift comes in, they do not complete the check, but catch up on the log when putting up the sheets. Some were noted to be completed but not logged at the time of completion, but had they been, they would have been compliant. Lastly, there are those that were logged and not completed. This information was brought to the attention of the institution administrators for follow-up. The facility is noncompliant in this section. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS In December 2022, the facility began to prepare for the implementation of an electronic safety check tracking tool. The tool tracks each check electronically and reports this information in real-time to supervisory staff. The Pilot and training began with full implementation planned for the coming weeks. It is the intent that this system will solve the problem of safety checks in the facility. TA has been provided to ensure a strong process of QA and review of downloads. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1329 SUICIDE PREVENTION PLAN Section 1601: Suicide Prevention - The facility administrator, in collaboration with the Introduction healthcare and behavioral/mental health administrators, shall plan and implement written policies We spoke to Rae Tinnagon, Acting Program and procedures which delineate a Suicide Prevention Manager, LMFT with DMH, who noted a Plan. good relationship between Probation and Department of Mental Health Staff. There The plan shall consider the needs of youth experiencing are currently 36 staff, 18 clinical staff, 4 past or current trauma. supervisors, 8 psych techs, 6 clericals, and 2 clinical psychologists. Staff provides Suicide prevention responses shall be respectful and in services between 7:30 AM-7:00 PM, 7 days the least invasive manner consistent with the level of a week. After hours, there is always a doctor suicide risk. on call to address any issue that may arise. The plan shall include the following elements: Youth are coming in with a great deal of trauma and abuse, and many have spent a lot of time on and in the streets. Many have undiagnosed mental health issues, and others are diagnosed but are not regularly taking their medications. Each youth is assigned a clinician unless they decline. The youth is offered therapy based on their individual case plans. They may have group therapy, family phone ☒ ☐ ☐ therapy and/or psychiatric services, and medication management. Probation, mental health, and medical work together in MDTs and case conferences and collateral work to meet the needs of the youth to ensure the safety of the youth. If a youth is placed on a level by a DMH staff, the youth must be cleared by a DMH staff. 14 individual document packets were provided for review from the time period requested. These packets included various items of documentation dependent on the circumstances including Incident Reports, Mental Health Recording Forms, Enhanced Supervision Observation Forms, Alert Logs, and Safety Check Logs. It was noted that the process of protecting the youth in crisis is intensive and comprehensive. The youth we spoke to spoke highly of their therapists. All individual regulatory requirements have been met. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Suicide prevention training as required in Section 1604: Training Section 1322, Youth Supervision Staff Orientation, and Training and the Juvenile All staff are trained in suicide prevention Corrections Officer Core Course. ☒ ☐ ☐ training at CORE and upon arrival to their facility for facility-specific training. Additionally, staff receives a 4-hour refresher training during block week. (b) Screening, Identification Assessment and Section 1606: Identification and Referral of Precautionary Protocols At-Risk Youth (1) All youth shall be screened for risk of Section 1608: Intervention to Prevent Self- suicide at intake and as needed during Harming or Suicidal Behavior detention. 30 Intake admission documents were provided and reviewed. All included a ☒ ☐ ☐ mental health screening at intake by probation. Every youth coming into the facility is screened for risk of suicide by probation, by medical, and by mental health staff. Youth’s current emotional status is also considered throughout their intake. (2) All youth supervision staff who perform Section 1604: Training intake processes shall be trained in screening youth for risk of suicide. All youth supervision staff are trained in screening processes for the risk of suicide. ☒ ☐ ☐ This is a part of the initial and ongoing training that staff receives at CORE, upon arrival to the facility, and during refresher training at block week. (3) All youth who have been identified during Section 1606: Identification and Referral of the intake screening process to be at risk of At-Risk Youth suicide shall be referred to behavioral/mental health staff for a suicide Youth are also screened by medical during ☒ ☐ ☐ risk assessment. their admission process and again no later than 72 hours by mental health who conduct the full MAYSI on each youth. Youth are triaged based on risk level. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed Section 1606: Identification and Referral of to ensure the youth’s safety pending the At-Risk Youth behavioral/mental health assessment. Any youth who is found to be at risk is placed on a Level II or a Level III and supervised accordingly. These levels can be either a probation level or a mental health-initiated level. If a youth is placed on a mental health level, he or she must be removed by mental health staff. We noted that for any youth who is on a level III, blankets and sheets are routinely suggested for removal despite the youth having no history of self-harm involving the use of blankets, sheets, or any other items of clothing etc. We also noted in inconsistent use of this recommendation in some cases as some mental health staff make the recommendation and some do not, sometimes within the same day or day to ☒ ☐ ☐ day. Youth on Level 3 are on a constant visual. We noted that Probation does not execute the recommendation as, while they have suicide gowns, they did not have suicide blankets. Technical assistance was provided and discussed these items as a necessity. Follow-up information noted facility managers have ordered and now have suicide blankets for use for youth who need them. We reached out to the DMH Director who will clarify the policy with her staff to ensure consistency. We also noted that in some cases, youth are recommended to not have eating utensils. This same issue exists with consistency and follow-through. Facility administrators are looking into this recommendation as well as this does not appear to be a concern or a recommendation at the other juvenile facility. (c) Referral process to behavioral/mental health Section 1607: Interagency Communication staff for assessment and/or services. Regarding Self-Harming Youth ☒ ☐ ☐ Officers submit mental health referrals to DMH for services. Issues are triaged for care. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Procedures for monitoring of youth identified at Section 1405: Level 2 Enhanced risk for suicide. Supervision Requirements Section 1406: Level 3 Enhanced Supervision Requirements ☒ ☐ ☐ Youth are placed on levels dependent on their level of risk. Procedures are specific to the level. (e) Safety Interventions Section 1601: Suicide Prevention- (1) Procedures to address intervention Introduction protocols for youth identified at risk for ☒ ☐ ☐ Section 1608: Intervention to Prevent Self- suicide which may include, but are not Harming or Suicidal Behavior limited to: A. Housing consideration Section 1403: Procedure Section 1601: Suicide Prevention- Introduction ☒ ☐ ☐ Youth are housed in their regular housing unit on level or in a HOPE Center, if necessary, or as a SSP. B. Treatment strategies including Section 1600: Suicide Prevention trauma-informed approaches Section 1608: Intervention to Prevent Self- Harming or Suicidal Behavior ☒ ☐ ☐ Mental Health staff determine how often the youth are seen based on need. (2) Procedures to instruct youth supervision Section 1601: Introduction staff how to respond to youth who exhibit Section 1608: Intervention to Prevent Self- suicidal behaviors. Harming or Suicidal Behavior Section 1403: Procedure ☒ ☐ ☐ Mental Health provides unit staff with instruction through verbal and written communication in the form of the Mental Health Recording Form. This form provides all information for staff, including the recommendations to keep youth safe. (f) Communication Section 1607: Interagency Communication (1) The intake process shall include Regarding Self-Harming Youth communication with the arresting officer and family guardians regarding the youth’s ☒ ☐ ☐ The documentation reviewed was past or present suicidal ideations, behaviors compliant. or attempts. (2) Procedures for clear and current Section 1607: Interagency Communication information sharing about youth at risk for Regarding Self-Harming Youth suicide with youth supervision, healthcare, and behavioral/mental health staff. Any issues that arise as a result of ☒ ☐ ☐ communication with arresting officers or staff are shared with mental health staff. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Debriefing of Critical Incidents Related to Section 1913: Critical Incident Review Suicides or Attempts Process (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, Critical incident reviews are conducted as during and after the critical incident. required and appropriate. (2) Process for a debriefing event with affected Section 1913: Critical Incident Review staff. ☒ ☐ ☐ Process (3) Process for a debriefing event with affected Section 1913: Critical Incident Review youth. ☒ ☐ ☐ Process (h) Documentation Section 1912: Preliminary and Follow Up (1) Documentation processes shall be Incident Notification Procedures developed to ensure compliance with this ☒ ☐ ☐ 1913: Critical Incident Review (CIR) regulation Process Youth identified at risk for suicide shall not be denied Section 1606: Identification and Referral of the opportunity to participate in facility programs, At-Risk Youth services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety ☒ ☐ ☐ We did not note any situations where youth of the youth or security of the facility. Any deprivation on Level 3 were denied programming other of programs, services or activities for youth at risk of youth were taking part in. Youth choose suicide shall be documented and approved by the what they participate in. facility manager. 1340 REPORTING OF LEGAL ACTIONS Section 202: Administrative Structure and Responsibilities Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions Request made to Executive Management. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Section 2001: Special Situations OF A YOUTH WHILE DETAINED Introduction (1) Death of a Youth. Section 2002: Deaths (a) The facility administrator, In cooperation with the health administrator and the behavioral/mental There have been no deaths in the facility. health director, shall develop written policies and Sections b, c, and d are marked as yes, for procedures in the event of the death of a youth ☒ ☐ ☐ compliance with the policy. while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, In cooperation with the Section 2002: Deaths facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. ☒ ☐ ☐ The review team shall include the facility administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) The administrator of the facility shall provide to the Section 2002: Deaths Board a copy of the report submitted to the Attorney General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Section 2002: Deaths the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Section 922: Serious Illness or Injury of a (a) The facility administrator, In cooperation with the Youth While Detained health administrator, shall develop written policies Section 1912: Preliminary and Follow and procedures for the notification to necessary Incident Notification Procedures parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis Section 1900: Parent/Guardian/Caregiver and the youth’s attorney of record in the case of a Notification and Court/Attorney Notification serious illness or injury of a youth. ☒ ☐ ☐ Section 1909: Detention Observation Report Form 8 incidents reviewed. Notifications were provided as required. Serious incidents are defined in policy but are in no means an exhaustive list. 1342 POPULATION ACCOUNTING Section 202: Administrative Structure and Responsibilities. Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 All population reports have been provided working days after the end of each reporting period, in as required. a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY Section 202: Administrative Structure and Responsibilities. When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ The facility has not exceeded its rated fifteen (15) calendar days in a month, the facility capacity this cycle. administrator shall provide a crowding report to the Board in a format provided by the Board. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350 ADMITTANCE PROCEDURES Section 403: Procedures for Newly Admitted The facility administrator shall develop and implement Youth written policies and procedures for admittance of youth that emphasize respectful and humane engagement 31 individual admission JH packets were with youth and reflect that the admission process may provided and reviewed for the timeline be traumatic to youth who may have already requested. All individual regulatory experienced trauma. Policies shall be trauma-informed, requirements have been met. culturally relevant, and responsive to the language and 4 individual packets for SYTF packets were literacy needs of youth. In addition to the requirements provided and reviewed for the same of Sections 1324 and 1430 of these regulations: timeline. These packets included additional ☒ ☐ ☐ information regarding the rules and expectations of Units R, S, and Campus Kilpatrick. All other rules etc. apply for Barry J. Nidorf (BJN). There have been no changes that require an additional admission process. Technical assistance provided and discussed to ensure procedures are in place for the SYTF program that are consistent with RTSB procedures. (a) the admittance process shall include: Section 403: Procedures for Newly Admitted (1) Access to two free phone calls within one hour Youth of admittance in accordance with the provisions of Welfare and Institution Code Section 627; ☒ ☐ ☐ Youth received their phone calls upon entry as required. These calls are documented. Youth interviewed confirmed receiving phone calls upon entry. (2) Offer of a shower; Section 403: Procedures for Newly Admitted Youth ☒ ☐ ☐ Showers are documented on admission documents. Youth interviewed confirmed being offered a shower upon entry. (3) Documented secure storage of personal Section 403: Procedures for Newly Admitted belongings; Youth ☒ ☐ ☐ The property is inventoried and stored securely. Random property receipts were viewed and were found to be complete. (4) Offer of food upon arrival; Section 403: Procedures for Newly Admitted Youth ☒ ☐ ☐ Youth interviewed confirmed being offered something to eat upon entry. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Screening for physical and behavioral health Section 403: Procedures for Newly Admitted and safety issues, intellectual or developmental Youth disabilities; Section 404: Special Needs screening Procedures Section 405: Accommodation Procedures for Heating Impaired Youth Section 414: Identification, Referral, ☒ ☐ ☐ Collaborative Care, Habilitative Treatment, Management and Discharge of Youths with or Suspected of Having a Developmental Disability Admitted to Juvenile Hall Screenings are completed by Probation staff, by medical staff, and by mental health staff. All are documented in the youth’s files. (6) Screening for physical and developmental Section 403: Procedures for Newly Admitted disabilities in accordance with Sections 1329, Youth 1418, and 1430 of these regulations; Section 404: Special Needs screening Procedures Section 405: Accommodation Procedures for Heating Impaired Youth Section 414: Identification, Referral, ☒ ☐ ☐ Collaborative Care, Habilitative Treatment, Management and Discharge of Youths with or Suspected of Having a Developmental Disability Admitted to Juvenile Hall Screenings are completed by Probation staff, by medical staff, and by mental health staff. All are documented in the youth’s files. (7) Contact with Regional Center for the Section 414: Identification, Referral, Developmentally Disabled for youth that are Collaborative Care, Habilitative Treatment, suspected of or identified as having a Management and Discharge of Youths with developmental disability, pursuant to Section or Suspected of Having a Developmental 1418; and, Disability Admitted to Juvenile Hall In addition to the regulatory requirements, ☒ ☐ ☐ as noted, the agency will identify those youth who require a higher level of care in specialized units at Central Juvenile Hall. If a youth is a confirmed Regional Center client, contact is made with the case manager, and he is transferred as soon as possible to Central Juvenile Hall. (8) Procedures consistent with Section 1352.5. Section 403: Procedures for Newly Admitted Youth Section 631: Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning and ☒ ☐ ☐ Intersex (LGBTQI) Youth Intake At the time of inspection, there were no transgender youth in custody to interview. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) juvenile hall administrators shall establish written Section 407: Los Angeles County Detention criteria for detention that considers the least Screening (LADS) Assessment Tool restrictive environment. ☒ ☐ ☐ The facility uses both the Krisberg Scale and the Los Angeles County Screening Tool (LADS) to ensure only youth who require detention remain detained. (c) juvenile camps and post-dispositional programs in Section 421: Estimated Length of Stay juvenile halls shall develop policies and procedures that advise the youth of the estimated 4 SYTF Admission packets were reviewed length of stay, inform them of program guidelines and included program estimated length of ☒ ☐ ☐ and provide written screening criteria for inclusion time documentation. Youth are also and exclusion from the program. provided with written screening criteria that explain the rules and expectations for inclusion for RS and CVK. (d) juvenile halls shall develop policies and Section 421: Estimated Length of Stay procedures that advise any committed youth of the estimated length of his/her stay. ☐ ☐ ☒ BJN does not house any other committed youth that requires an estimated length of stay notification. 1350.5. SCREENING FOR THE RISK OF SEXUAL Section 1509: Screening for Risk of Sexual ABUSE Victimization and Abusiveness. The facility administrator shall develop and implement Admission packets were reviewed for those written policies and procedures to reduce the risk of youth who remained detained and were sexual abuse by or upon youth. The policy shall require screened for risk of sexual abuse. 31 facility staff to assess each youth within 72 hours of ☒ ☐ ☐ screenings were provided and reviewed to admission based on the following information: ensure compliance with regulatory expectations. All screenings were completed as required. All individual regulatory requirements have been met. (a) Prior sexual victimization or abusiveness; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (b) Gender nonconforming appearance or manner; Section 1509: Screening for Risk of Sexual or identification as lesbian, gay or bisexual, Victimization and Abusiveness. transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (d) Age; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (e) Level of emotional and cognitive development; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (f) Physical size and stature; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (g) Mental illness or mental disabilities; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (h) Intellectual or developmental disabilities; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) Physical disabilities; Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (j) The youth’s perception of vulnerability; and, Section 1509: Screening for Risk of Sexual ☒ ☐ ☐ Victimization and Abusiveness. (k) Any other specific information about the Section 1509: Screening for Risk of Sexual individual youth that may indicate heightened Victimization and Abusiveness. ☒ ☐ ☐ needs for supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Section 1509: Screening for Risk of Sexual conversations with the youth during the admittance Victimization and Abusiveness. process, medical and behavioral health screenings; Documentation noted information gathered during classification assessments; and by reviewing ☒ ☐ ☐ based on various sources. TA provided to court records, case files, facility behavioral records, and ensure to document thoroughly all areas other relevant documentation from the youth’s files. reviewed and to include conversations with the youth and any other person. The facility administrator shall implement appropriate Section 1509: Screening for Risk of Sexual controls on the dissemination of information within the Victimization and Abusiveness. facility relative to responses received pursuant to this Documentation of the screening occurs in assessment in order to ensure that sensitive information ☒ ☐ ☐ PEMERS. The staff has access to the is not exploited to the youth’s detriment by staff or other overall score but not to specific answers. youth. Only those staff authorized to PEMERS have access to the sensitive information. 1351 RELEASE PROCEDURES Section 309: Release Procedures The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for release of youth 10 release documents were reviewed for from custody which provide for: regulatory compliance. (a) verification of identity/release papers; Section 309: Release Procedures ☒ ☐ ☐ The documentation reviewed noted parents were notified and signed the release documents for their youth. (b) return of personal clothing and valuables; Section 309: Release Procedures Youth and parents sign for the youth’s property. Property room staff only work till 6 PM Monday-Friday and are off on weekends. Management has indicated that with advance notice, arrangements can be made ☒ ☐ ☐ to pick up any property after hours. Technical assistance was provided suggesting parents should not have to come back another day to pick up the youth’s property if property room staff are not present. Suggested an additional process be implemented to address this in which probation staff can sign off on the property. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) notification to the youth's parents or guardian; Section 309: Release Procedures The Probation Officer generally will notify ☒ ☐ ☐ the parent of a pending release. Parents are also notified by the facility staff or by the court (judge) when the youth is at court and being released from court. (d) notification to the facility health care provider in Section 309: Release Procedures accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; ☒ ☐ ☐ The nursing staff is listed as a notification on and, the release form. Medical discharge documents were found in all packets. (e) notification of school staff; Section 309: Release Procedures School staff was not found to be listed in the notification documentation provided but it is clear to this inspector that LACOE is aware of the released youth. The youth had their grades prepared and sent to the school of origin and proof of practice was provided for review. For youth who spent long periods in detention, full transcripts were provided. While not technically a formal notification, ☒ ☐ ☐ notification was made as documentation of the release documents has been provided. Technical assistance is provided to implement a formal notification that is trackable for proof of notification purposes and proof of practice. Upon receiving this information, facility coordinators immediately made this change and implemented this procedure. (f) notification of facility mental health personnel. Section 309: Release Procedures Mental health staff were not found to be listed in the notification documentation provided but it is clear to this inspector that mental health staff are aware of the release due to documentation provided of mental health discharge documents that were provided along with the release of ☒ ☐ ☐ information documents for review. Technical assistance was provided to implement a formal notification that is trackable for notification purposes and proof of practice. Upon receiving this information, facility coordinators immediately made this change and implemented this procedure. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement Section 309: Release Procedures policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry The facility is in the beginning stages of this services including, but not limited to, medical and process. behavioral health, education, probation supervision and ☒ ☐ ☐ community-based services. Post release plans were provided for review. SYTF youth receive the SYTF/TRI- Academy Release, Family Reunification and Community Reintegration Instructions upon release. The facility administrator shall develop and implement Section 310: Youth Furloughs written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Section 412: Classification and Assignment of Youth The facility administrator shall develop and implement written policies and procedures on classification of ☒ ☐ ☐ youth for the purpose of determining housing placement in the facility. Such procedures shall: (a) provide for the safety of the youth, other youth, Section 412: Classification and Assignment facility staff, and the public by placing youth in the of Youth appropriate, least restrictive housing and program All rooms in Barry J. Nidorf are utilized as settings. Housing assignments shall consider the single cell rooms. This cycle, the space need for single, double or dormitory assignment or including the rooms behind the offices in the location within the dormitory; ☒ ☐ ☐ compound units began to be utilized for youth who needed separation and are utilized as a 3rd unit with all same staffing, programming, and activities. Each youth is to be classified upon entry and be periodically reclassified as needed. (b) consider facility populations and physical design of Section 412: Classification and Assignment the facility; of Youth ☒ ☐ ☐ (c) provide that a youth shall be classified upon Section 412: Classification and Assignment admittance to the facility; classification factors shall of Youth include, but not be limited to: age, maturity, Upon entry and after the admission process sophistication, emotional stability, program needs, is complete, youth are classified to the legal status, public safety considerations, ☒ ☐ ☐ Medical Observation Unit due to the COVID medical/mental health considerations, gender and testing protocols. Once their test is clear gender identity of the youth; (negative), they are reclassified to their actual appropriate living unit and moved for housing. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, including Section 412: Classification and Assignment provisions that consider the level of supervision and of Youth the youth's behavior while in custody; and, Periodic classifications are completed during the periodic review of the case plan. Staff are trained to ask weekly during the ☒ ☐ ☐ periodic review if the youth is experiencing any problems or concerns and to update the classification as appropriate. They are also trained to update any classification changes if it has not already been done. All documents reviewed were found to be compliant. (e) provide that facility staff shall not separate youth Section 412: Classification and Assignment from the general population or assign youth to a of Youth single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Section 412: Classification and Assignment transgender, questioning or intersex identification or of Youth ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Section 631: Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning and The facility administrator shall develop written policies Intersex (LGBTQI) Youth and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The All individual regulatory requirements were policies shall provide that: met. There were no grievances noted regarding the treatment of transgender youth. ☒ ☐ ☐ At the time of inspection, there was no transgender youth in detention. Prior to inspection and while onsite previously (and during the cycle), this inspector had the opportunity to interview a youth to ensure that all policies were being adhered to with respect to regulatory requirements. She indicated, at that time, that they were. She has since been released. (a) Facility staff shall respect every youth’s gender Section 631: Supervision of Lesbian, Gay, identity and shall refer to the youth by the youth’s Bisexual, Transgender, Questioning and preferred name and gender pronoun, regardless of Intersex (LGBTQI) Youth the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐ use of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee and shall document any decision made on this basis. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Facility staff shall permit youth to dress and present Section 631: Supervision of Lesbian, Gay, themselves in a manner consistent with their Bisexual, Transgender, Questioning and gender identity and shall provide youth with the ☒ ☐ ☐ Intersex (LGBTQI) Youth institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room Section 631: Supervision of Lesbian, Gay, that best meets their individual needs and promotes Bisexual, Transgender, Questioning and their safety and well-being. Staff may not Intersex (LGBTQI) Youth automatically house youth according to their external anatomy and shall document the reasons ☒ ☐ ☐ for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that Section 631: Supervision of Lesbian, Gay, transgender and intersex youth have access to Bisexual, Transgender, Questioning and medical and behavioral health providers qualified to ☒ ☐ ☐ Intersex (LGBTQI) Youth provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Section 631: Supervision of Lesbian, Gay, necessary security considerations and physical Bisexual, Transgender, Questioning and plant, facility staff shall make every effort to ensure ☒ ☐ ☐ Intersex (LGBTQI) Youth the safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower or dressing or undressing. Facility staff shall not conduct physical searches of any Section 631: Supervision of Lesbian, Gay, youth for the purpose of determining the youth’s Bisexual, Transgender, Questioning and anatomical sex. Whenever feasible, the facility shall Intersex (LGBTQI) Youth respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. Youth are asked at admission for their ☒ ☐ ☐ preference of the gender of the staff member to conduct their searches. Admission documentation noted this information was asked of all youth at admission. Youth are not searched to determine anatomical sex. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1353 ORIENTATION Section 416: Orientation Process for Detained Youth The facility administrator shall develop and implement written policies and procedures to orient a youth prior to 31 admission document packets were placement in a living area. Both written and verbal provided and reviewed. Youth are provided information shall be provided and supplemented with with a primary, initial orientation upon entry video orientation if feasible. Provision shall be made to and a secondary, more thorough orientation provide accessible orientation information to all as part of the actual admission/facility full detained youth including those with disabilities, limited orientation process once in either MOU or literacy, or English language learners. Orientation shall Units L/M. There is no current video used. include information that addresses: All individual regulatory requirements have ☒ ☐ ☐ been met. The youth interviewed stated they were orientated upon entry with the items identified in this section. They further stated they had a secondary, more in-depth interview in which they were further orientated after they were in a regular living unit. There are several bilingual staff who are able to conduct orientation and the agency has access to a language interpreter service if necessary. (a) facility rules including contraband and searches Section 416: Orientation Process for and disciplinary procedures; Detained Youth ☒ ☐ ☐ (b) facility’s system of positive behavior interventions Section 416: Orientation Process for and supports, including behavior expectations, Detained Youth incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Section 416: Orientation Process for facility’s policy prohibiting sexual abuse and sexual Detained Youth ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Section 416: Orientation Process for ☒ ☐ ☐ Detained Youth (e) the existence of the grievance procedure, the steps Section 416: Orientation Process for that must be taken to use it, the youth’s right to be Detained Youth free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue; (f) access to legal services and information on the Section 416: Orientation Process for court process; ☒ ☐ ☐ Detained Youth (g) access to routine and emergency health and mental Section 416: Orientation Process for health care; ☒ ☐ ☐ Detained Youth (h) access to education, religious services, and Section 416: Orientation Process for recreational activities; ☒ ☐ ☐ Detained Youth 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) housing assignments; Section 416: Orientation Process for ☒ ☐ ☐ Detained Youth (j) opportunity for personal hygiene and daily showers Section 416: Orientation Process for including the availability of personal care items ☒ ☐ ☐ Detained Youth (k) rules and access to correspondence, visits and Section 416: Orientation Process for telephone use; ☒ ☐ ☐ Detained Youth (l) availability of reading materials, programming, and Section 416: Orientation Process for other activities; ☒ ☐ ☐ Detained Youth (m) facility policies on the use of force, use of restraints, Section 416: Orientation Process for chemical agents and room confinement; ☒ ☐ ☐ Detained Youth (n) immigration legal services; Section 416: Orientation Process for ☒ ☐ ☐ Detained Youth (o) emergencies including evacuation procedures; Section 416: Orientation Process for ☒ ☐ ☐ Detained Youth (p) non-discrimination policy and the right to be free Section 416: Orientation Process for from physical, verbal or sexual abuse and ☒ ☐ ☐ Detained Youth harassment by other youth and staff; (q) availability of services and programs in a language Section 416: Orientation Process for other than English if appropriate; ☒ ☐ ☐ Detained Youth (r) the process for requesting different housing, Section 416: Orientation Process for education, programming and work assignments; ☒ ☐ ☐ Detained Youth (s) a process for which parents/guardians receive Section 416: Orientation Process for information regarding the youth’s stay in the facility Detained Youth that at a minimum includes answers to frequently ☒ ☐ ☐ There is a parent handbook that is specific asked questions and provides contact information to DSB and also one for RTSB. for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Section 416: Orientation Process for Title 15 Minimum Standards for Juvenile Facilities. Detained Youth ☒ ☐ ☐ 1354 SEPARATION The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures that address: 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) separation of youth for reasons that include, but are Section 1301: Separation not be limited to, medical and mental health Room Confinement Memo: April 15, 2022 conditions, assaultive behavior, disciplinary consequences and protective custody. The types of separation that occur in the facility are as follows:  Room Confinement  Cool Down  Specialized Supervision Plan (SSP)  Self-Separation Documentation received from August, September, and October 2022 for Separation. 8 Youth were placed on Specialized Supervision Plans (SSP) during this time due to their charges as they were either pending SYTF dispositions or fitness hearings. These youth were placed on protective custody status by either the courts or by Probation to ensure their safety which in turn placed them on a SSP. 2 other youth were placed on SSP for assaultive behavior. All youth resided in the HOPE Center. All documentation of their full program was consistent with their separation, appropriate and compliant. ☒ ☐ ☐ Youth may elect to self-separate from the group. When this occurs, the youth signs off his separation on the safety hall check sheet and may spend time in his room. It was noted that in some cases, subsequent occurrences were not always signed off by the youth. Policy Addendum Memo dated June 8, 2022 stated youth are to sign off on the safety check sheet their request for Self-Separation. We found some inconsistencies and brought this to the attention of managers for correction. Technical assistance provided for Self-Separation and to ensure compliance moving forward, we will review through targeted inspection to ensure this issue has been addressed and does not drift into non-compliance. In April 2022, the Bureau changed policy noting that Room Confinement no longer was required to occur in the HOPE Center and could occur in the youth’s living unit with proper notification and documentation. (See Room Confinement) (b) consideration of positive youth development and Section 1301: Separation ☒ ☐ ☐ trauma-informed care. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) separated youth shall not be denied normal Section 1301: Separation privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Section 1301: Separation ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the Section 1301: Separation separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Section 1301: Separation of separated youth to determine if separation ☒ ☐ ☐ remains necessary. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 1354.5 ROOM CONFINEMENT Section 1303: Room Confinement Section 608: Transition Periods (a) The facility administrator shall develop and Room Confinement Memo: April 15, 2022 implement written policies and procedures addressing the confinement of youth in their room We requested and reviewed room that are consistent with Welfare and Institutions confinement documentation for incidents Code Section 208.3. The placement of a youth in that occurred from September 22-30, 2022, room confinement shall be accomplished in and October 10-17, 2022. accordance with the following guidelines: For these dates and times, we were provided with 7 incident packets for the September dates and 11 incident packets for the October dates. All room confinement occurred in the youth’s housing unit. (In April 2022, a Detention Services Bureau memo was initiated authorizing room confinements to be conducted in the living unit and not in the HOPE Center). Most documentation was completed except for the mental health behavior chain analysis which notes the youths’ emotions and feelings at the time of incident. It was noted a behavior health referral was made but that documentation was not completed, although it was available. Youth were generally seen the same day or ☐ ☒ ☐ the next by a mental health counselor. Technical assistance has been provided and will continue to be provided to enhance documentation but overall, the facility did well with the documentation they provided. It was noted through the review of other inspection documentation however, that in some units, youth were in their rooms for periods beyond what is allowable for transitions i.e. shift change, were placed in rooms for early bed contrary to policy directives, and some were found to be in their room after incidents confirmed through either regular safety checks or were noted through self-separation checks. Some self-separation incidents were not thoroughly and consistently documented by the youth as required by policy. These practices seem to occur sporadically throughout the documentation viewed and do not appear to be widespread throughout the full facility. Technical assistance has been provided in that supervisory staff should be in the facility, throughout the PM and weekend shifts, providing a heavy presence and inquiring about the status of youth who are in their rooms. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Several of the youth interviewed confirmed the above actions, but noted that although incidents still occur, they reported the facilities continue to do better than from what has occurred in the past. Youth stated any long-term room confinement is the result of lack of staff. We noted, through video review and while onsite, many oncoming staff to be routinely late to their posts resulting in the on-duty unit staff not being relieved timely. Youth are kept in their rooms while staff wait to be relieved, until staff are called in or they make it to the unit. Prior to inspection, we also expressed concern to both administration and to the medical team regarding the practice of “hybrid units” for housing of COVID positive and COVID negative youth together as this practice would result in room confinement for those youth who were not COVID positive and would be without a Medical Order for Isolation. Medical guidance has since been updated and this issue has been addressed and corrected. Lastly, the agency transition policy requires that incident reports must include times in which youth were secured and brought out to resume programming and we found this not to occur as a consistent practice. (1) Room confinement shall not be used before Section 1303: Room Confinement other, less restrictive, options have been attempted and exhausted, unless attempting ☒ ☐ ☐ those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Section 1303: Room Confinement ☒ ☐ ☐ purposes of punishment, coercion, convenience, or retaliation by staff. (3) Room confinement shall not be used to the Section 1303: Room Confinement extent that it compromises the mental and ☒ ☐ ☐ physical health of the youth. (b) A youth may be held up to four hours in room Section 1303: Room Confinement confinement. After the youth has been held in room confinement for a period of four hours, staff shall do While regulation allows for youth to be held one or more of the following: for 4 hours, agency policy requires immediate action. ☒ ☐ ☐ Per documentation provided, received, and reviewed, no youth were held in their room longer than 4 hours. Most were released at the first assessment. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Return the youth to general population. Section 1303: Room Confinement ☒ ☐ ☐ Youth are required to be reassessed every 2 hours for return to the general population. If youth can safety be returned, they are. (2) Consult with mental health or medical staff. Section 1303: Room Confinement Per bureau policy, youth placed in room confinement are to be referred to mental health for a behavior chain analysis within 30 minutes. If a clinician is not available, it is ☒ ☐ ☐ to be completed when time permits. This did not occur for any of the incidents, but we noted that BCA samples were attached in all packets. Behavior health referrals were submitted for all youth as well. This issue was addressed with behavioral health also. This issue will be reviewed going forward. (3) Develop an individualized plan that includes the Section 1303: Room Confinement goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. (4) If room confinement must be extended beyond Section 1303: Room Confinement four hours, staff shall do each of the following: No incidents reviewed were beyond 4 hours. ☒ ☐ ☐ The policy requires the same actions, i.e. reassessment every two hours as well as regulatory requirements to be completed. (A) Document the reasons for room Section 1303: Room Confinement confinement 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 Section 1303: Room Confinement includes the goals and objectives to be met ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the Section 1303: Room Confinement facility superintendent or his or her ☒ ☐ ☐ designee every four hours thereafter. (5) This section is not intended to limit the use of Section 1303: Room Confinement 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 Section 1303: Room Confinement ☒ ☐ ☐ in court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Section 1303: Room Confinement conflict with any law providing greater or ☒ ☐ ☐ additional protections to youth. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) This section does not apply during an Section 1303: Room Confinement 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 1303: Room Confinement 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 Documentation for both detention youth and for the Secure Youth Treatment youth The facility administrator shall develop and implement ☒ ☐ ☐ Facility’s Institutional Assessment and Plan written policies and procedures for assessment and were provided for our review. case planning. (a) Assessment: Section 413: Institutional Assessment, Case The assessment is based on information collected Plan and Periodic Review during the admission process with periodic review, For detention youth, an assessment was which includes the youth's risk factors, needs and completed for each youth as part of the strengths including, but not limited to, identification facility entry admission procedure. 29 of substance abuse history, educational, assessments were provided for our review. vocational, counseling, behavioral health, ☒ ☐ ☐ consideration of known history of trauma, and Each completed as required by regulation family strengths and needs. and by policy. SYTF youth complete an MDT meeting upon arrival into the program. This process is the basis for the youth’s programs. (b) Institutional Case Plan: Section 413: Institutional Assessment, Case (1) A case plan shall be developed for each youth Plan and Periodic Review held for at least 30 days or more and created within 40 days of admission. The case plan is generally completed within ☒ ☐ ☐ about the first week to 10 days for the juvenile hall youth. Case plans are documented quicker for the SYTF youth as their cases are tied to court deadlines, per staff. (2) The institutional plan shall include, but not be ☒ ☐ ☐ limited to, written documentation that provides: 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) objectives and time frame for the resolution Section 413: Institutional Assessment, Case of problems identified in the assessment; Plan and Periodic Review ☒ ☐ ☐ Objectives are tied to the regulatory requirements and timelines are noted by various means i.e., weekly, monthly, or daily. (B) a plan for meeting the objectives that Section 413: Institutional Assessment, Case includes a description of program resources Plan and Periodic Review needed and individuals responsible for assuring that the plan is implemented; ☒ ☐ ☐ Staff share responsibility to work with youth to ensure good outcomes. There are menu options and free fill sections for staff to complete the document. (3) periodic evaluation of progress towards meeting Section 413: Institutional Assessment, Case the objectives, including periodic review and Plan and Periodic Review discussion of the plan with the youth; ☒ ☐ ☐ Documentation reviewed noted face-to-face meetings with the youth and staff were documenting the youth’s progress. Periodic reviews were found to be compliant. (4) a transition plan, the contents of which shall be Section 413: Institutional Assessment, Case subject to existing resources, shall be Plan and Periodic Review developed for post dispositional youth in accordance with Section 1351; and, SYTF youth receive “Transition Instructions”. These instructions include all regulatory requirements. They provide the ☒ ☐ ☐ youth with directions as to what to do upon release, where to report, where to go for counseling, resources in the community, contacts for Probation, mentors, etc. This document, as well as the youth’s court order, are reviewed with the youth and his/her parent prior to their release. (5) in as much as possible and if appropriate, the Section 413: Institutional Assessment, Case plan, including the transition plan, shall be Plan and Periodic Review developed with input from the family, supportive ☒ ☐ ☐ adults, youth, and Regional Center for the The parent or other supportive adults as Developmentally Disabled. appropriate are involved in the youth’s case and the youth’s MDT process. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1356 COUNSELING AND CASEWORK SERVICES Section 207: General Staff responsibilities The facility administrator shall develop and implement Basic expectations of staff duties are as written policies and procedures ensuring the availability noted. With limited staff resources, it is of appropriate counseling and casework services for all difficult to go beyond limited expectations. youth. Policies and procedures shall ensure: Proof of practice included documentation of case planning, professional phone call documentation. and other documentation. ☒ ☐ ☐ Staff meet basic, limited expectations and minimal regulation compliance but, with proper staffing, should be doing so much more. Youth interviewed stated that staff assist them in making contact with social workers, attorneys, and PO’s. (a) youth will receive assistance with needs or Section 207: General Staff responsibilities concerns that may arise; ☒ ☐ ☐ (b) youth will receive assistance in requesting contact Section 207: General Staff responsibilities with parents, other supportive adults, attorney, ☒ ☐ ☐ clergy, probation officer, or other public official; and, (c) youth will be provided access to available Section 207: General Staff responsibilities resources to meet the youth’s needs. ☒ ☐ ☐ 1357 USE OF FORCE Directive 1477: Detention and Residential Treatment Services Bureaus Manual- The facility administrator, In cooperation with the Physical Intervention Policy (Section DSB- responsible physician, shall develop and implement 1000/RTSB-1700) Issued 06/22/2022. written policies and procedures for the use of force, which may include chemical agents. Force shall never At inspection, it was noted the policy had be applied as punishment, discipline, retaliation or been released and was implemented in treatment. June 2022 but staff were not formally trained. We have since been informed the (a) At a minimum, each facility shall develop policies ☐ ☒ ☐ staff have been trained on the policy. and procedures which: The agency remains unable to meet certain areas of regulatory requirements and we found areas in which the agency failed to meet their own policy despite technical assistance being provided by both BSCC and DOJ in how to address the issues. (1) restricts the use of force to that which is deemed Section 1003: Objectively Reasonable reasonable and necessary, as defined in Section Determination ☒ ☐ ☐ 1302 to ensure the safety and security of youth, staff, others and the facility. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) outline the force options available to staff Section 1004: Prevention and De- including both physical and non-physical options Escalation and Section 1005: Physical and define when those force options are Interventions appropriate.  De-escalation Options per policy include:  Request for Compliance with Instructions  Discussion/Counseling  Mental Health Assistance  Switching Officer (Tapping Out)  Secluding the Situation/Youth ☒ ☐ ☐  Request Supervisor assistance  Behavior Chart Consultation  Other officer/volunteers  Temporary Halt to Program Activity  Separation of Youth  Resource Teams Force Options per policy include:  Physical Control Holds.  Take-downs.  Restraint Devices.  Oleoresin Capsicum (OC) Spray. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 (3) describe force options or techniques that are Section 1005(G): Physical Interventions- expressly prohibited by the facility. Inappropriate/Prohibited Uses of Force and Conduct The following are prohibited by the facility policy:  "Carotid," "arm-bar," chokehold, or any other deliberate chokehold restraint utilized to or having the impact of restricting the airway or blood flow.  Applying pressure to and/or torquing of the head and neck.  Deliberate strikes or kicks to the head, torso, or other body parts (except in situations of self- defense).  Deliberately or recklessly striking a youth’s head, limbs, torso, or other body parts against a hard, fixed object (e.g., roadway, driveway, floor, wall, etc.).  "Hog-tying" procedure wherein restraints are applied to both the hands and feet, which are then drawn together and secured behind the back.  Any form of excessive physical ☒ ☐ ☐ intervention, deliberate physical injury, or physical intervention used as coercion, punishment, retaliation, discipline, or treatment.  Any other force used maliciously, sadistically, and/or for the purpose of causing harm.  Failure to immediately decontaminate a youth exposed to OC spray when the incident is controlled.  Leaving youth in an enclosed structure where OC spray has been used, and the location has not been decontaminated.  Use of OC spray on youth in mechanical or soft restraints.  Officer actions leading to the use of force such as taunting, verbally insulting, or challenging a youth.  The use of force as a response to a youth who is solely expressing suicidal ideations.  The use of prone and supine restraints on pregnant youth.  Officer actions that serve to encourage, instigate, or permit youth to engage in physical fights or assaults. Additionally, officers are required to view the 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS alert log to be aware of any youth with medical or mental health issues. (4) describe the requirements of staff to report any Section 1005(G): Physical Interventions- inappropriate use of force, and to take ☒ ☐ ☐ Inappropriate/Prohibited uses of Force and affirmative action to immediately stop it. Conduct (5) define a standardized reporting format that Section 1005(K): Physical Interventions: includes time period and procedure for Mandatory Reporting Requirements documenting and reporting the use of force, Section 1008: Post-Incident Physical including reporting requirements of Intervention-Post Incident Review Process- management and line staff and procedures for Debriefing for involved youth and Staff and reviewing and tracking use of force incidents by Witnesses supervisory and or management staff, which include procedures for debriefing a particular Section 1009: Quality Assurance: Debrief incident with staff and/or youth for the purposes (Debriefs for all incidents now) of training as well as mitigating the effects of trauma that may have been experienced by staff Debriefs are required for all use-of-force and /or the youth involved. incidents per the agency policy. Per regulation, the purpose of the debrief is for training as well as to mitigate the effects of trauma that may have been experienced by ☒ ☐ ☐ staff and/or the youth. It is a reflection period for addressing training issues or areas and to address any potential trauma that may have occurred by youth or staff. While the debriefs are being completed, they are not completed with efficacy as intended. Training issues or training needs are not being addressed as the lack of staffing is the main concern of staff. While this does not make this section noncompliant, it is noted that the lack of adequate staffing impacts the ability of supervisors to have an effective debrief regarding incidents as they occur. (6) Include an administrative review and a system Section 1009(A) Quality Assurance -Use of for investigating unreasonable use of force. Force Administrative Review Each UOF is to be reviewed at the facility level and again through the Force ☐ ☒ ☐ Intervention Response Support Team (FIRST). This is an independent review entity that reviews all Use of Force incidents. This is not occurring. No documentation provided. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) define the role, notification, and follow-up Section 1008(C): Post-Incident Physical procedures required after use of force incidents Intervention-Medical Assessment of Youth for medical, mental health staff and parents or Section 1008(D): Post-Incident Physical legal guardians. Intervention-mental Health involvement and Assessment of Youth ☒ ☐ ☐ Section 1010: Notifications: Parent/ Guardian/Caregiver Notification Medical staff and parents were notified and a mental health referral was submitted for all youth. (8) describe the limitations of use of force on Section 1003: Objectively Reasonable pregnant youth in accordance with Penal Code ☒ ☐ ☐ Determinations-Pregnant and Post-Partum Section 6030(f) and Welfare and Institutions Recovery Youth Code Section 222. (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize Section 1006(C): Oleoresin Capsicum chemical agents in the facility and the type, size (O.C.) Spray-OC Spray Interventions and the approved method of deployment for ☒ ☐ ☐ Section 1006(D): Oleoresin Capsicum those chemical agents. (O.C.) Spray-Issuance and Accountability (2) mandate that chemical agents only be used Section 1006(A): OC Spray-Training when there is an imminent threat to the youth’s ☒ ☐ ☐ safety or the safety of others and only when de- escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and Section 1006(E): OC Spray timelines for decontamination from chemical agents. This shall include that youth who have ☒ ☐ ☐ been exposed to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Section 1006: OC Spray-Medical procedures required after use of force incidents Assessment” and “Mental Health involving chemical agents for medical, mental Consultation Request” health staff and parents or legal guardians. ☐ ☐ ☒ Section 1010 Notifications: Parent/ Guardian/Caregiver Notifications See above. Notification is required for any use of force. Noted above. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) provide for the documentation of each incident Section 1006: OC Spray Section H. of use of chemical agents, including the Mandatory Reporting Requirements reasons for which it was used, efforts to de- Decontamination documentation was escalate prior to use, youth and staff involved, lacking. the date, time and location of use, ☐ ☒ ☐ decontamination procedures applied and Reports document that youth are being identification of any injuries sustained as a decontaminated and provide information result of such use. regarding the process, including the constant visual, but lack some required details required by policy. (c) Facilities shall develop policies and procedure Section 1002: Training Requirements which require that agencies provide initial and ☐ ☒ ☐ Staff are to receive initial training and annual regular training in use of force and chemical agents refresher training. This has not occurred. when appropriate that address: (1) known medical and behavioral health Section 1002: Training Requirements ☐ ☒ ☐ conditions that would contraindicate certain Regular training has not occurred. types of force; (2) acceptable chemical agents and the methods Section 1006: OC Spray Section A. Training ☐ ☒ ☐ of application. Regular training has not occurred. (3) signs or symptoms that should result in Section 1002: Training Requirements ☐ ☒ ☐ immediate referral to medical or behavioral Regular training has not occurred. health. (4) instruction on the Constitutional Limitations of Section 1002: Training Requirements ☐ ☒ ☐ Use of Force. Regular training has not occurred. (5) physical training force options that may require Section 1002: Training Requirements ☐ ☒ ☐ the use of perishable skills. Regular training has not occurred. (6) timelines the facility uses to define regular Section 1002: Training Requirements ☐ ☒ ☐ training. Regular training has not occurred. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358 USE OF PHYSICAL RESTRAINTS Directive 1477: Detention and Residential Treatment Services Bureaus Manual- The facility administrator, In cooperation with the Physical Intervention Policy (Section DSB- responsible physician and mental health director, shall 1000/RTSB-1700) Issued 06/22/2022. develop and implement written policies and procedures Section 1001: Introduction – Physical for the use of restraint devices. Restraint devices Interventions include any devices which immobilize a youth's Section 1007: Restraints extremities and/or prevent the youth from being ambulatory. Section marked noncompliant due to no staff training and implementation of policy. Agency policy now applies to the use of ☐ ☒ ☐ restraints for all purposes and no longer only for those that are mental health related or to control a youth who is destructive in nature. The use of restraints, for the purpose of this section, are a force option and are to be treated as such. Policy defines hard mechanical restraints as handcuffs, leg irons, waist-chains, plastic flex-cuffs and soft mechanical restraints as padded leather wrist and ankle restraints and safety helmets. Technical assistance provided regarding ensuring the appropriate training is provided for all use of restraints. Physical restraints may be used only for those youth Section 1007: Restraints who present an immediate danger to themselves or At the time of inspection, documentation others, who exhibit behavior which results in the provided was only for 2 incidents in which destruction of property, or reveals the intent to cause the youth were having a mental health self-inflicted physical harm. Physical restraints should crisis and the restraint log was utilized. Both incidents were youth who were be utilized only when it appears less restrictive exhibiting self-harm behavior coupled with alternatives would be ineffective in controlling the behavior issues resulting in use of force and youth’s behavior. use of restraints. ☒ ☐ ☐ That documentation was consistent with previous policy requirements. The documentation meets current regulatory requirements. New policy requires additional information. This information was not included in reports received. (As staff were not yet trained) All use of restraints were not reviewed for this section under the new policy. In no case shall restraints be used as punishment or Section 1007(C): Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The provisions of this section do not apply to the use of Section 1007: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☐ ☐ ☒ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Section 1007(D): Restraints of the facility manager or designee. The facility manager Per the new policy, the application of may delegate authority to place a youth in restraints to a physical restraints is authorized when a physician. Reasons for continued retention in restraints youth presents an immediate danger to shall be reviewed and documented at a minimum of themselves or others, exhibits behavior every hour. that results in the destruction of property, or reveals the intent to cause self-inflicted ☒ ☐ ☐ physical harm. Youth shall be placed in restraints only when all de-escalation techniques and less intrusive physical interventions have been exhausted. Per policy, the use of restraints for a mental health crises or destruction of property must be authorized by the facility manager or designee. A medical opinion on the safety of placement and Section 1007(E): Restraints retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ Per the documentation reviewed, youth were seen by medical personnel youth shall be medically cleared for continued retention immediately. at least every three hours thereafter. A mental health consultation shall be secured as soon as Section 1007(F): Restraints possible, but in no case longer than four hours from the ☒ ☐ ☐ Per documentation reviewed, youth were time of placement, to assess the need for mental health seen by mental health personnel. treatment. Continuous direct visual supervision shall be conducted Section 1007(D): Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff All youth were under constant, direct visual interventions shall be documented at least every 15 observation. Each incident had a complete minutes, with actual time of the documentation recorded. log filled out for each youth. In addition to the requirements above, policies and procedures shall address: (a) documentation of the circumstances leading to an Section 1007(D): Restraints application of restraints. ☒ ☐ ☐ Application of Physical Restraints (b) known medical conditions that would contraindicate Section 1007(D): Restraints certain restraint devices and/or techniques. ☒ ☐ ☐ Application of Physical Restraints (c) acceptable restraint devices. Section 1007(D): Restraints ☒ ☐ ☐ Application of Physical Restraints (d) signs or symptoms which should result in Section 1007(D): Restraints immediate medical/mental health referral. ☒ ☐ ☐ Application of Physical Restraints 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) availability of cardiopulmonary resuscitation Section 1007(D): Restraints equipment. ☒ ☐ ☐ Application of Physical Restraints (f) protective housing of restrained youth. While in Section 1007(C): Restraints restraint devices, all youth shall be housed alone or Application of Physical Restraints in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Section 1007(D): Restraints ☒ ☐ ☐ Application of Physical Restraints (h) exercising of extremities. Section 1007(D): Restraints ☒ ☐ ☐ Application of Physical Restraints 1358.5 USE OF RESTRAINT DEVICES FOR Section 809: The Use of Mechanical MOVEMENT AND TRANSPORTATION WITHIN THE Restraints for Movement and Transport FACILITY. Within the Facility The Facility Administrator, In cooperation with the ☒ ☐ ☐ It was noted, through videos viewed, youth responsible physician and behavioral/mental health are not generally handcuffed during director, shall develop and implement written policies incidents, when moved to their room or to and procedures for the use of restraint devices when another location. Youth interviewed the purpose is for movement or transportation within the confirmed this observation. facility that shall include the following: (a) identification of acceptable restraint devices, staff Section 809: The Use of Mechanical approved to utilize restraint devices and the ☒ ☐ ☐ Restraints for Movement and Transport required training. Within the Facility (b) the circumstances leading to the application of Section 809: The Use of Mechanical restraints must be documented. Restraints for Movement and Transport Within the Facility ☒ ☐ ☐ The circumstances leading to the use of restraints in the incidents where restraints were used were documented. There were only a few. In most cases, restraints are not used. (c) an individual assessment of the need to apply Section 809: The Use of Mechanical restraints for movement or transportation that Restraints for Movement and Transport includes consideration of less restrictive Within the Facility alternatives, consideration of a youth’s known ☒ ☐ ☐ In the few incidents where restraints were medical or mental health conditions, trauma used, an assessment occurred and was informed approaches, and a process for documented in the incident report. documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Section 809: The Use of Mechanical with a clearly defined expectation that restraint ☒ ☐ ☐ Restraints for Movement and Transport devices shall not be used for the purposes of Within the Facility discipline or retaliation. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) the use of restraints on pregnant youth is limited in Section 809: The Use of Mechanical accordance with Penal Code Section6030(f) and Restraints for Movement and Transport Welfare and Institutions Code Section 222. Within the Facility ☒ ☐ ☐ There were no pregnant females involved in any of the incidents reviewed. There are currently no females housed at BJN. 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. Text of regulation deleted. (a) The facility administrator, and where applicable, In cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 1360 SEARCHES Section 700: Searches The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: (a) Searches shall be conducted to ensure the safety Section 701: Introduction and security of the facility, public, visitors, youth, All persons/visitors to the facility that enter and staff. the facility are screened through the security Kiosk X-ray. Documentation was provided noting canine searches and searches conducted by facility ☐ ☒ ☐ staff, but the documentation did not contain the requirements set by agency policy. Agency policy requires daily room searches, daily common area searches, and two thorough, facility wide, including perimeter and school, contraband searches a week. This section is noncompliant. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person ☒ ☐ ☐ being searched, and shall not be conducted for harassment or as a form of discipline or punishment. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Strip searches and visual or physical body cavity Policy Sections: searches shall comply with Penal Code Section 701: Introduction 4030. 709: Completing a Strip Search Authorization Form 711: Admissions Procedures - Strip Search ☒ ☐ ☐ and/or Visual Body Cavity Search All strip searches have been completed in compliance with PC 4030. Technical assistance was provided regarding documentation to enhance compliance. (d) Physical body cavity searches shall only be Policy Sections: conducted by a medical professional. 702: Types of Searches and Definitions 711: Admissions Procedures - Strip Search ☒ ☐ ☐ and/or Visual Body Cavity Search There have been no physical body cavity searches. (e) Any youth held after a detention hearing shall only Section 703: Searches of Youth Housed in be strip searched with prior approval of a supervisor Juvenile Facilities - General Information when there is reasonable suspicion based on Documentation received and reviewed specific and articulable facts to believe that youth is ☒ ☐ ☐ specific to strip searches. Documentation concealing contraband. The reasonable suspicion was completed as required, reasonable shall be documented. suspicion was documented, and prior supervisor approvals were obtained. (f) Searches of transgender and intersex youth shall Section 706: Transgender Youth Searches comply with Section 1352.5. ☒ ☐ ☐ All youth are asked at intake which gender staff is preferred to conduct their searches. (g) Cross-gender pat-down searches and strip Section 705: Cross Gender Searches searches are prohibited except in exigent ☒ ☐ ☐ Cross gender pat down searches and strip circumstances or when conducted by a medical searches are prohibited. professional. Such searches must be justified and documented in writing. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1361 GRIEVANCE PROCEDURE Policy Section 1715: Youth Grievance Procedures The facility administrator shall develop and implement written policies and procedures whereby any youth may The regulation requires the agency to appeal and have resolved grievances relating to any develop policy and procedures whereby a condition of confinement, including but not limited to youth may appeal and have resolved health care services, classification decisions, program grievances relating to conditions of participation, telephone, mail or visiting procedures, confinement. The purpose of this process is food, clothing, bedding, mistreatment, harassment or to provide an opportunity and a mechanism violations of the nondiscrimination policy. There shall be for youth to resolve issues at the lowest no time limit on filing grievances. Policies and level. procedures shall include provisions whereby the facility The agency grievance form provides the manager ensures: opportunity for youth to document their grievance and what they want to happen. The hearing officers then, after meeting with the youth, either “grant” or “deny” the youth’s grievance. This is followed by an appeals process should the youth wish to appeal the first-level officers’ response. ☒ ☐ ☐ We find that many times, the first-level officers address and focus their response on what the youth “wants to happen” as opposed to seeking a resolution for the grieved issue. The form itself and format of the grievance must be changed to address this issue. This has been discussed and scheduled for review several times but never fully processed or implemented. In discussing this issue once again, we have been notified the Bureau is in the final stages of implementation of a new grievance process- GMS (The process will not include the language of granted and denied). We are very excited to check in in a few months to see how the new process is working to improve the grievance process. 151 grievances were provided and randomly reviewed from August 2022- October 2022. (a) a grievance form and instructions for registering a Policy Section 1715: Youth Grievance grievance, which includes provisions for the youth Procedures to have free access to the form; Grievance forms were found to be available ☒ ☐ ☐ to youth in all units. Youth interviewed were asked if they always had access and they stated they did. A few stated that if they run out, they just ask staff, and they are refilled. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) the youth shall have the option to confidentially file Policy Section 1715: Youth Grievance the grievance or to deliver the form to any youth Procedures supervision staff working in the facility; Each unit has a locked box for confidential ☒ ☐ ☐ grievances. We noted that most youth place their grievances in the locked box for pick up. Youth are also aware they can file confidential grievances through the JIGS system. (c) resolution of the grievance at the lowest appropriate Policy Section 1715: Youth Grievance staff level; Procedures When interviewed, youth were specifically asked if they have written grievances, all youth stated they can provide their grievance to any staff at any level. When asked what they personally do with their grievance, all but one stated they put the grievance in the box for pick up. Youth know the process, that it is picked up by the grievance officer, usually on the next shift or ☒ ☐ ☐ the next day depending on time, logged in, and the grievance goes through the process which includes the grievance officer coming to talk to them and then, if needed, a supervisor coming to resolve their issue. All stated they like that process. When asked if they were writing a grievance on a specific staff if they could give the grievance to that staff for a response, they stated they could, but most would prefer to place it in the box. Youth are also aware they can file a grievance in the JIGS - electronic system. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provision for a prompt review and initial response to Policy Section 1715: Youth Grievance grievances within three (3) business days, Procedures grievances that relate to health and safety issues Many grievances were found to be out of must be addressed immediately; date on the grievance itself; however, when reviewing all of the documentation associated with the grievance i.e. all the emails etc., it was noted that work on the grievance had occurred and communication had occurred with the youth but was not documented on the grievance document form, it was documented in the emails, documentation and other information attached. This was addressed with the supervisory staff who immediately addressed the issue. Additional ☒ ☐ ☐ documentation was reviewed at the end of December 2022. One staff has needed additional guidance and direction. The compliance unit Director has addressed this issue. Many of these grievances were those that needed resolution outside of Probation either through a work order, through a partner agency, etc. Most health and safety grievances were addressed same day. Technical assistance again provided to ensure that youth are periodically reminded that any health or safety grievance should be given to staff for immediate resolution and not placed in the box. (1) The youth may elect to be present to explain Policy Section 1715: Youth Grievance his/her version of the grievance to a person not Procedures ☒ ☐ ☐ directly involved in the circumstances which led All youth participated in their own grievance. to the grievance. (2) Provision for a staff representative approved by Policy Section 1715: Youth Grievance the facility administrator to assist the youth. Procedures ☒ ☐ ☐ No representatives were noted in any grievances reviewed. There were no requests for assistance. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provision for a written response to the grievance Policy Section 1715: Youth Grievance which includes the reasons for the decisions; Procedures In general, we found the response documentation of grievances to be minimally compliant. We found some grievances with more than one issue noted yet all issues did not have full responses to each item. We noted there were some that lacked full responses or responses that were specific to the issue grieved. We noted that many were forwarded on but were late in being returned ☒ ☐ ☐ and addressed. Overall, these issues are concerning but the amount of these problematic grievances noted in comparison to the amount viewed overall did not rise to a level of non-responsive or overall noncompliance at this time. Technical assistance was provided. This issue will be addressed and reviewed with all grievances reviewed in a targeted inspection in the next 90 days. We will be looking for marked improvement in the handling and documentation of grievances in this area. (f) a system which provides that any appeal of a Policy Section 1715: Youth Grievance grievance shall be heard by a person not directly Procedures ☒ ☐ ☐ involved in the circumstances which led to the Appeals are heard by facility Directors. grievance; (g) resolution of the grievance must occur within ten Policy Section 1715: Youth Grievance (10) business days unless circumstances dictate a Procedures longer time frame. The youth shall be notified of Grievances were completed timely but any delay; and, especially when the issue necessitated a ☒ ☐ ☐ work order, the timeline was not noted on the grievance but was in the accompanying documentation. We will continue to review this as part of the technical assistance and targeted inspection. (h) the policy shall provide multiple internal and Policy Section 1715: Youth Grievance external methods to report sexual abuse and sexual Procedures harassment.  Grievance procedure ☒ ☐ ☐  Directly to staff, contractors, volunteers, or visitors.  Mental Health referral  Medical referral.  Contacting the ombudsman. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Whether or not associated with a grievance, concerns Policy Section 1715: Youth Grievance of parents, guardians, staff or other parties shall be Procedures addressed and documented in accordance with written ☒ ☐ ☐ Any issue should be resolved with a Director policies and procedures within a specified timeframe. or the Superintendent onsite at the time of the incident. 1362 REPORTING OF INCIDENTS Policy sections as noted below regarding reports: A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or 1022: Safe Crisis Management – death of an employee, youth or other person(s) shall be Physical Intervention Reports maintained. Such written record shall be prepared by the 1907: Special Incident Report Form staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and ☒ ☐ ☐ 1909: Detention Observation Report authorized by the facility manager or designee. (DOR) Form 1912: Preliminary and Follow-Up Incident Notification Procedures Various reports were provided for review. Reports were written and submitted timely. 1363 USE OF REASONABLE FORCE TO COLLECT Section 308: Juvenile Collection of DNA DNA SPECIMENS, SAMPLES, IMPRESSIONS Samples (a) Pursuant to Penal Code Section 298.1 authorized Since 2011, the Juvenile Halls have been law enforcement, custodial, or corrections responsible for the Collection of DNA personnel including peace officers, may employ Samples for both detained and non- reasonable force to collect blood specimens, saliva detained youth. Per Policy, force is not to be samples, and thumb or palm print impressions from used to collect DNA. If a youth refuses to individuals who are required to provide such comply with collection efforts, the samples, specimens or impressions pursuant to information and the youth is referred to the ☒ ☐ ☐ Penal Code Section 296 and who refuse following court for review and action. written or oral request. At BJN, there are two trained officers who collect DNA samples in the facility. There has not been any use of force in any collection of DNA this cycle. Technical Assistance was provided to review the need for additional staff to collect DNA. (1) For the purpose of this section, the “use of Section 308: Juvenile Collection of DNA reasonable force” shall be defined as the force that Samples an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Section 308: Juvenile Collection of DNA efforts to secure voluntary compliance. Efforts to Samples secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) The force shall not be used without the prior written Section 308: Juvenile Collection of DNA authorization of the supervising officer on duty. The Samples authorization shall include information that reflects ☒ ☐ ☐ the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Section 308: Juvenile Collection of DNA extraction, the extraction shall be videotaped. Samples Video shall be directed at the cell extraction event. The videotape shall be retained by the ☒ ☐ ☐ agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 58 - J453 JUV PRO-Eff. 01-01-2019 1370 EDUCATION PROGRAM The education program is provided by Los Angeles County Office of Education. Title (a) School Programs 15 requires the Superintendent of Schools to conduct a review of the Education The County Board of Education shall provide for the program in conjunction with a qualified administration and operation of juvenile court outside agency or individual. The Board of schools in conjunction with the Chief Probation State and Community Corrections Field Officer, or designee pursuant to applicable State Representative does not inspect the laws. The school and facility administrators shall education program for compliance with Title develop and implement written policy and 15. procedures to ensure communication and coordination between educators and probation staff. The Principal at the Barry J. Nidorf Juvenile Culturally responsive and trauma-informed Hall (BJNJH) is Rueben Carranza. We met approaches should be applied when providing with Principal Carranza while onsite. instruction. Education staff should collaborate with the facility administrator to use technology to The BJNJH school has 17 core teachers facilitate learning and ensure safe technology and paraprofessionals. There are teachers practices. The facility administrator shall request an with ESL specialties, math specialties, and annual review of each required element of the language and reading specialties. There program by the Superintendent of Schools, and a are 7 Special Education teachers, 4 school report or review checklist on compliance, psychologists, 1 behavior specialist, 1 deficiencies, and corrective action needed to wellness counselor, and 1 transition achieve compliance with this section. Such a review, counselor. when conducted, cannot be delegated to the Youth attend in two blocks. Block one from principal or any other staff of any juvenile court 8:30AM to 11:50 AM and Block two from school site. The Superintendent of Schools shall 1:20 PM to 3:00PM. We discussed the conduct this review in conjunction with a qualified challenges of COVID, safety in the outside agency or individual. Upon receipt of the review, the facility administrator or designee shall ☒ ☐ ☐ classrooms, and virtual learning. We discussed that packets are not an review each item with the Superintendent of Schools appropriate learning method in that Title and shall take whatever corrective action is 15, per the Ed. Code requires instructional necessary to address each deficiency and to fully minutes from teaching staff. A tour was protect the educational interests of all youth in the provided of the school complex. Youth facility. were not present as it was a minimum day; however, teachers were present working on lesson plans and were happy to show materials. Discussions were held with youth as well regarding their education experiences. Several youths spoke highly of their education when in class but all shared concerns of low tolerance and being kicked out of class or suspended. We also noted entire groups being returned to units. Additional information has been requested from Mr. Carranza to discuss this issue and to bring this issue to his attention for further review and resolution. We will continue to address and follow this issue. 2022 Education annual review was completed by Jason Deaville, Director of Student Services. His specific comments have been transposed into the sections below and are in italics. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 59 - J453 JUV PRO-Eff. 01-01-2019 Barry J. Nidorf School is staffed by professional educators who are committed to serve the neediest population of students. The curriculum is designed to build the students into informed citizens with the social emotional skills to navigate our complex society. The school has designed and utilizes an evaluation and assessment system that seek to support and strengthen student. Assessments are built to be responsive to students diverse learning styles and needs. Barry J. Nidorf seeks to develop students to be citizens of the 21st century by exposing them to the technology and tools to navigate a computerized world. Students build on those skills daily and the use of technology is infused into the curriculum. **See below for education annual review information. The information from has been documented in italics direct from the Title 15 document received from Jason Deaville.  Administration and the Chief Probation Officer work together to operate the school.  Collaborative meetings take place be-weekly, and they are interagency.  The school utilizes Road to Success (RTSA) curriculum with social emotional components.  designed for the students in mind. Site also conducts implicit bias training annually.  Instructional tech support and a site technician support the school and the network has a state-of-  the-art filtering system on their network.  Completed annually by someone outside of LACOE and probation.  Completed annually by someone outside of LACOE and probation.  As has been the past practice, this report will be reviewed, monitored, and implemented by the Superintendent of Schools or their designee. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements BP 6011 Instruction, BP 0460 Philosophy, Goals, Objectives, and Comprehensive The facility school program shall comply with the Plans State Education Code and County Board of BP 005 Philosophy, Goals, Objectives and Education policies, all applicable federal education Comprehensive Plans Item 3,4,5 statutes and regulations and provide for an annual evaluation of the educational program offerings. As The school complies with all Ed. Code and stated in the 2009 California Standards for the Teaching Profession, teachers shall establish and ☒ ☐ ☐ County policies. maintain learning environments that are physically, All classrooms are well decorated and print emotionally, and intellectually safe. Youth shall be rich. The teachers appear to be in good provided a rigorous, quality educational program that spirits and their classrooms show evidence responds to the different learning styles and abilities of rigor. of students and prepares them for high school graduation, career entry, and post-secondary RTSA is fully implemented in the education. classrooms and supported by the site leadership. All youth shall be treated equally, and the education BP 5145.3 Students program shall be free from discriminatory action. ☒ ☐ ☐ Staff shall refer to transgender, intersex and gender- nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State BP 005 Philosophy, Goals, Objectives and Education Code and include, but not be limited to, Comprehensive Plans Item 3,4,5 courses required for high school graduation. ☒ ☐ ☐ All courses are standards based and designed to move students toward graduation. The school is WASC accredited. (2) Information and preparation for the High School AR-6146.2 Equivalency Test as approved by the California Department of Education shall be made available to ☒ ☐ ☐ HISET is utilized by counselors as an option for students where graduation is eligible youth. impractical due to time constraints. (3) Youth shall be informed of post-secondary education AR-6143 Instruction Item 9 (Grades 7-12) and vocational opportunities. ☒ ☐ ☐ The site offers dual enrollment in high school and college. Students who graduation are offered college classes. Program also includes OSHA safety training and a building skills program. (4) Administration of the High School Equivalency Tests AR6146-2 Instruction Ed Code 51420 as approved by the California Department of ☒ ☐ ☐ Offered as needed. Test is administered Education, shall be made available when possible. on site. (5) Supplemental instruction shall be afforded to youth AR-6179 Instruction BPP 5149 who do not demonstrate sufficient progress towards grade level standards. ☒ ☐ ☐ Read 180, Math 180, Imagine Math, Achieve 3000 and system 44 are used as supplemental support to youth who need additional help. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) The minimum school day shall be consistent with BP 6112 Instruction State Education Code Requirements for juvenile All shorted days are help consistent with court schools. The facility administrator, in Education Code Requirements. A typical conjunction with education staff, must ensure that day includes 300 minutes of instruction and operational procedures do not interfere with the time 240 minutes on a shortened day. afforded for the minimum instructional day. Absences, time out of class or educational BSCC Note: instruction, both excused and unexcused, shall be documented. It was noted when youth do not attend school in the classroom, for example due to ☐ ☒ ☐ quarantine of the unit or other circumstances that prevent youth from being present in the classroom, they are provided with packets in lieu of in-person or virtual instruction. Packets do not meet the instructional minimums. Technical assistance has been provided in this area previously. This issue has been discussed with both the school and probation in the past. (7) Education shall be provided to all youth regardless of BP 6112 Instruction Partially address classification, housing, security status, disciplinary or requirement. AR 5131 separation status, including room confinement, except when providing education poses an ☒ ☐ ☐ immediate threat to the safety of self or others. When students are secluded, they still Education includes, but is not limited to, related receive instruction from a certificated staff. services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented to reduce the need for disciplinary action in the ☒ ☐ ☐ The site implements a full PBIS program school setting and be integrated into the facility's and utilizes Wellness counselors (social overall behavioral management plan and security emotional counselors). system. (2) School staff shall be advised of administrative BP 5021 Students CF 6020 decisions made by probation staff that may affect the Probation has a liaison that regularly educational programming of students. escorts students and communications on a daily basis. ☒ ☐ ☐ The site also maintains movement sheets and conducts bi-weekly reconciliation meetings. (3) Except as otherwise provided by the State Education BP 5144.1 Students; 5144.2 - Suspension Code, expulsion/suspension from school shall be and Expulsion/Due Process (Students imposed only when other means of correction fails to with Disabilities) bring about proper conduct. School staff shall follow Suspensions are used only as a last resort the appropriate due process safeguards as set forth ☒ ☐ ☐ and when other means of correction have in the State Education Code including the rights of failed. students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) The facility administrator, in conjunction with BP 5144 education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ Conducted bi-weekly as reconciliation continuing difficulty completing a school day. meetings. (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and Comprehensive Plans (1) State and federal laws and regulations shall be observed for all individuals with disabilities or SPED compliance is important and ☒ ☐ ☐ suspected disabilities. This includes but is not limited monitored utilizing the SPED Ex to child find, assessment, continuum of alternative program. placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be BP 6174 Instruction afforded an educational program that addresses ☒ ☐ ☐ their language needs pursuant to all applicable state Rosetta Stone, English 3D, and dedicated and federal laws and regulations governing teacher with 2 para educators meet the programs for EL students. needs of the EL population at BJN. (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers Requirement (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's ☒ ☐ ☐ Enrollment clerk interviews students upon educational history, including but not limited to: entry and creates records for the student’s school progress, home language, SPED needs, and discipline problems. (A) School progress/school history; BP 6162.5 Instruction BJN provides progress reports to students ☒ ☐ ☐ monthly. Counselors and SpEd Team keeps track of student progress toward both graduation and IEP goals. (B) Home Language Survey and the results of the State AR 6174 Instruction Test used for English language proficiency; The enrollment staff logs into CAL PADS ☒ ☐ ☐ and communicates with the District of Residence to ensure proper enrollment and course of study. (C) Needs and services of special populations as defined BP 6162.5 Instruction by the State Education Code, including but not limited to, students with special needs. The counselors and Sp.Ed Team peruse the IEPs from the District of Residence, ☒ ☐ ☐ hold 30-day IEPs, within 30 days, Admin Placements as necessary. The ed team of Teachers (Including RSP and SDC), Paraeducator, School Psych, Teachers on Special Assignment follow the students’ IEPs. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 63 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) Discipline problems. BP 5131 Students The school at BJN implements PBIS and documents discipline incidents in AERIES ☒ ☐ ☐ and shares the info with Probation and other sister agencies daily. The transition counselors also communicate with the Districts of Residence to ensure smooth transition back into traditional education in cases of previous expulsion. (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to ☒ ☐ ☐ determine the youth's general academic functioning STAR 360 is administered within 3 days of levels to enable placement in core curriculum entry and also every 60 days to determine courses. functioning levels for placement. (3) After admission to the facility, a preliminary education BP 6162.5 Instruction plan shall be developed for each youth within five school days. ☒ ☐ ☐ The youth and counselor develop an Individual Learning Plan (ILP) upon entry to the facility. (4) Upon enrollment, education staff shall comply with the AR 5125 Students State Education Code and request the youth's records from his/her prior school(s), including, but The enrollment clerk handles the requests not limited to, transcripts, Individual Education of student records which are made through Program (IEP), 504 Plan, state language the student File Center in Downey ☒ ☐ ☐ assessment scores, immunization records, exit headquarters. LACOE will request local grades, and partial credits. Upon receipt of the school districts for records for the File transcripts, the youth's educational plan shall be Center. reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth ☒ ☐ ☐ shall be forwarded to the next educational placement This process is handled centrally by in accordance with the State Education Code. LACOE in the Student File Center. (2) The County Superintendent of Schools shall provide BP 5121 Students appropriate credit (full or partial) for course work completed while in juvenile court school in All educational programs are WASC ☒ ☐ ☐ accordance with the State Education Code. accredited, and students receive transferable credits (partial or whole course credit). (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief Transition counselors handle transitioning Probation Officer or designee, shall develop policies students back to the community either in a and procedures to meet the transition needs of ☒ ☐ ☐ local school of residence or a Community youth, including the development of an education Day School run by a school district or transition plan, in accordance with the State LACOE. Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 64 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student Use of Technology (1) The school and facility administrator should, whenever possible, collaborate with local post- The school works tirelessly to offer secondary education providers to facilitate access to students opportunities to extend their ☒ ☐ ☐ educational and vocational opportunities for youth education by attending Mission College that considers the use of technology to implement online, East Los Angeles College these programs. (online), and West Los Angeles College (online). In addition to this, the school offers certification to OSHA safety courses. 1371 PROGRAMS, RECREATION, AND Section 622: Programs EXERCISE. Section 623: Recreation and Exercise The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for Section 622: Programs programs, recreation, and exercise a minimum of three Section 623: Recreation and Exercise hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which The documentation provided at the one hour shall be an outdoor activity, weather inspection noted programs, exercise and permitting. recreational activities are occurring in the facility. These activities, however, were not always documented in a manner that is consistent or that demonstrates the activity is compliant or is conducted in compliance with the regulatory requirements as it is often times illegible. The facility is a large facility, and this is not a widespread issue, but it does occur and needs attention. Requested additional documentation be provided to ensure the issue has been addressed. ☐ ☒ ☐ Technical assistance was provided to management to discuss consistency and clarify the specific areas needing attention and improvement in the future for compliance. Additional documentation was received. Youth receive recreation, programs, and exercise but not consistently per regulatory requirements. They are not going outside daily. It was noted that, with the time change, it is difficult to get all youth outside before dark and the facility is not conducive with the open space to exercise after dark. When daylight is not an issue, the physical plant provides safety and security issues according to staff. This section is noncompliant. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 65 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A youth’s participation in programs, recreation, and Section 622: Programs exercise may be suspended only upon a written finding Section 623: Recreation and Exercise ☒ ☐ ☐ 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 Section 622: Programs be posted in the living units. Section 623: Recreation and Exercise ☒ ☐ ☐ The program, recreation and exercise schedules were posted in the living units. Some were posted very high up on the wall and out of the view of the youth. There will be a written annual review of the programs, Section 622: Programs recreation, and exercise by the responsible agency to Section 623: Recreation and Exercise ensure content offered is current, consistent, and relevant to the population. The facility manager provided an annual ☒ ☐ ☐ review for all programs, recreation and exercise activities that occur in the facility. Annual review was provided by external providers. (a) Programs. All youth shall be provided with the Section 622: Programs opportunity for at least one hour of daily Section 623: Recreation and Exercise programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice Facility administrators have hired staffing interventions that are culturally relevant and specifically to provide programs to the linguistically appropriate, or pro-social interventions youth. The Behavior Management Unit is and activities designed to reduce recidivism. These responsible for determining the programs for programs should be based on the youth’s individual both the programming staff and the unit staff needs as required by Sections 1355 and 1356. Such when program staff are unavailable. programs may be provided under the direction of the Technical assistance provided regarding Chief Probation Officer or the County Office of program efficacy and ensuring programs Education and can be administered by county are specific to the youth’s needs. partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: ☒ ☐ ☐ (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; (3) Anger Management; (4) 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. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 66 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Recreation. All youth shall be provided the Section 623: Recreation and Exercise opportunity for at least one hour of daily access to unscheduled activities such as leisure reading, letter Youth spend most of their non-school writing, and entertainment. Activities shall be hours in recreation and well exceed the supervised and include orientation and may include hour that is required. We noted units are coaching of youth. not consistent as to what is provided between buildings or between units. Some units have game stations, some have access to Netflix and other streaming options as staff are bringing them in and using their own cell phone Wi-Fi so the youth have access to fun activities and tasks that will occupy their attention. All youth in the facility should have the same access to age-appropriate recreational activities. Youth should not have to depend on staff to bring their personal gaming system or use their hotspot to provide recreational activities. We noted that if a TV, radio, or speaker is broken, it takes a very long time to replace it. There should be replacement items available and broken items should be replaced in a reasonable timeframe. If something is a risk, but is something that ☒ ☐ ☐ could get broken in an institutional setting such as a TV, then efforts should be made to mitigate the risk i.e., encasing it or framing it in so that it cannot be broken, not to just not replace it for long periods of time. An accounting of recreational activities available to the youth was made and provided to the facility superintendent for review and action as appropriate. We noted while reviewing documentation, in some units, documentation did not include that youth’s choice of activity. We noted through our onsite visits, youth simultaneously have access to several activities all the while being on the phone and playing cards or dominoes. They choose what they participate in. There is no cable, Wi-Fi, or other means for youth to access the television, the internet for television shows or streaming of age- appropriate content or programs. This has been addressed in technical assistance several times. We will continue to provide technical assistance in this area. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 67 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Exercise. All youth shall be provided with the Section 623: Recreation and Exercise opportunity for at least one hour of large muscle activity each day. Per the facility superintendent, the youth play basketball, soccer, handball, football, kickball, and volleyball. They also can work out on the stationary workout apparatus and go to the gym. The pool is available in the summertime. All units are provided a specific time and location that must be adhered to. Movement and control notify the unit when to come and go. We noted that in many cases youth are shifted from outdoor exercise to indoor exercise, or they do not participate at all. This happens regularly. Youth are required to have 1 hour of daily exercise. Most of the youth interviewed asked for assistance in getting movement and control to get them ☐ ☒ ☐ out and on time. Youth from the compound reported that, during outdoor exercise, they are sometimes told to come in early by movement and control. (For various reasons). They reported they have in the past refused to come in as told as they know they are to receive an hour. Unit staff have supported their “peaceful protest” and they came in on time. Hill units utilize the open space for recreation. This creates a safety and security issue on occasion as the youth will run from one area to the other to engage in fights. Lack of staffing greatly impacts getting all youth outdoors for exercise. This has been addressed in staffing. The administrator/manager may suspend, for a period Section 622: Programs not to exceed 24 hours, access to recreation and Section 623: Recreation and Exercise ☒ ☐ ☐ programs. The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Section 1803: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 68 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) opportunity for religious services and practices; Section 1803: Religious Services Religious services are held every Sunday in ☒ ☐ ☐ the chapel. Attendance proof of practice provided for religious services from August- October 2022. Both protestant and catholic services have been offered. (b) availability of clergy; and, Section 1803: Religious Services Members of the clergy come to the facility to ☒ ☐ ☐ provide services and bible studies. Youth may also ask for individual clergy to be placed on their regular visitation list or to come in as requested. (c) availability of religious diets. Section 1803: Religious Services Religious diets are available for those youth ☒ ☐ ☐ who ask for them. Youth fill out a request form and submit it to a supervisor for review and submission. 1373 WORK PROGRAM Section 505: Housekeeping The facility administrator shall develop policies and Due to COVID, work programs have been procedures regarding the fair and consistent assignment significantly impacted. Youth are of youth to work programs. Work assigned to a youth responsible for maintaining their units and shall be meaningful, constructive and related to their room. vocational training or increasing a youth's sense of The documentation provided of two responsibility. Work programs shall not be imposed as a programs that, when able and if eligible, disciplinary measure. youth are eligible for:  The Los Angeles County Youth at Work Program through the LA county America’s Job Center of California. Youth:  Receive 120 hours of personal enrichment training and paid ☒ ☐ ☐ experience.  Earn $15.00 an hour  Work within the facility  Transition to employment outside the facility  RISE program. Participants may receive training and services and ultimately transition to permanent positions in the community. A facility staff member is assigned as the Liaison to the program. As the community COVID numbers decrease, the program will begin to open up. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 69 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1374 VISITING Section 304: Visiting The facility administrator shall develop and implement Documentation was provided from written policies and procedures for visiting, that include September and October 2022. Visits are provisions for special visits. Youth shall be allowed to held on Saturdays and Sundays from 12:30 receive visits by parents, guardians or persons standing to 4:30 PM for regular visitation. Parents can in loco parentis, and children of youth. Other family request an alternative weeknight hour members, such as grandparents and siblings, and visiting block if they cannot make the supportive adults, may be allowed to visit with the weekend visits or if they arrive late. Special approval of the facility administrator or designee, and in visits are accommodated from 1:30-2:30 conjunction with the youth’s case plan or in the best and 2:30-3:30. interest of the youth. We noted that visitation had been canceled due to quarantines and had been canceled due to staffing. When this happens, youth are provided with virtual visits via Facetime or Duo and provided with additional phone calls. Additionally, staff are assigned weekly to ensure youth receive virtual calls home as part of the regular program. ☒ ☐ ☐ In May 2022, the facility implemented a regular Baby Visiting session. Youth with children may see their child weekly as required by regulation. Documentation provided noted regular visits between youth and their children. Youth interact with their child, play with toys and visit with them. Babies are brought to the facility by an approved adult. Youth we interviewed confirmed all of the above information. We noted the facility Baby Bonding program is occurring but is not well known or that youth do not meet the criteria as they do not have proof of parentage. We suggest the program information and requirements are shared in orientation for those youth that have children so that their children can visit sooner. All visits shall occur at reasonable times, subject only to Section 304: Visiting the limitations necessary to maintain order and security. Visits occur on weekends and during the Visitation shall not be denied solely based on the visitor’s week. There have been no denials for any criminal history. The staff shall determine in each case, reason other than contraband. whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of Technical assistance was provided about visitation or limitation on visitations shall be ensuring parents are ready for visitation to communicated to the youth, person denied and facility begin at the start time of 12:30 PM. administrator. Processing of visitors should begin with enough time to ensure a timely start. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 70 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Opportunity for visitation shall be a minimum of two hours Section 304: Visiting per week. Visits may be supervised, but conversations When visitation is cancelled due to lack of shall not be monitored unless there is a security or safety staff to properly monitor visits and supervise need. young people; this is non-compliant in staffing. ☒ ☐ ☐ During COVID-19, visitation was canceled when the facility or a particular unit or the youth was on isolation or quarantine. In this instances, youth receive virtual calls and telephone calls. The facility had a suspension of regulation and documentation was provided of these calls. Provisions for special visits, in addition to the two-hour Section 304: Visiting minimum and/or outside of the regular visiting hours, The facility is offering the parents alternative shall be accommodated as necessary and within the hours if needed as well as making discretion of the facility administrator or designee. Family ☒ ☐ ☐ arrangements for special visits as therapy and professional visits shall be accommodated appropriate. outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Section 304: Visiting alternative, but not as a replacement, to in-person Section 306: Virtual Communication visiting. Youth are offered Facetime or DUO calls weekly. If on quarantine or isolation due to ☒ ☐ ☐ COVID, youth are provided with additional virtual calls and telephone calls. Logs were provided for review and proof of practice. Technical assistance was provided suggesting opportunity to enhance the form used to document the calls. 1375 CORRESPONDENCE Section 511: Mail The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for correspondence Youth interviewed stated they can write which provide that: letters daily. (a) there is no limitation on the volume of mail that youth Section 511: Mail may send or receive; There is no limitation on the amount of mail ☒ ☐ ☐ a youth may send out or receive. Youth may send and receive as many letters as they want to. (b) youth may send two letters per week postage free; Section 511: Mail ☒ ☐ ☐ All letters are sent postage paid. (c) youth may correspond confidentially with state and Section 511: Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 71 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) incoming and outgoing mail, other than that described Section 511: Mail in (c), may be read by staff only when there is ☒ ☐ ☐ reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Section 512: Use of Telephone Youth are provided with access to the The administrator of each juvenile facility shall develop dayroom telephones daily. Calls are and implement written policies and procedures to provide youth with access to telephone communications. ☒ ☐ ☐ currently free. Youth are also provided with a free phone call on the county phone at least once a week per policy, but documented logs noted this occurs more often. Virtual calls are also provided. 1377 ACCESS TO LEGAL SERVICES Section 513: Access to legal Services Youth interviewed all reported they can call The facility administrator shall develop written ☒ ☐ ☐ their attorneys, probation officers, and social procedures to ensure the right of youth to have access to workers as needed. the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed Section 513: Access to legal Services attorneys and their authorized representatives; ☒ ☐ ☐ Attorneys can visit their youth at any time. (b) provision for confidential consultation with Section 513: Access to legal Services attorneys; and, Attorneys can utilize private interview space ☒ ☐ ☐ in the visiting center for their interviews. There is also a visiting space area behind the compound where attorneys can meet with youth. (c) unlimited postage free, legal correspondence and Section 513: Access to legal Services cost-free telephone access as appropriate. ☒ ☐ ☐ All mail is postage free. Youth can write unlimited letters to their attorney and make unlimited calls at no cost. 1390 DISCIPLINE Section 1103: Discipline Guidelines Section 1104: Corporal Punishment The facility administrator shall develop and implement written policies and procedures for the discipline of youth The facility lacks suitable age-appropriate that shall promote acceptable behavior; including the use incentives and support to achieve positive of positive behavior interventions and supports. behavior. There is no incentive for youth to Discipline shall be imposed at the least restrictive level maintain good behavior. The current which promotes the desired behavior and shall not discipline process is ineffective as noted include corporal punishment, group punishment, ☐ ☒ ☐ though a review of the point system, physical or psychological degradation. Deprivation of the incentive options, and lack of a meaningful following is not permitted: process and the incentive/sanction due process method. Due process is being offered as required in 1391 and documentation is being completed but the process lacks viability and youth don’t pursue anything further. (a) bed and bedding; ☒ ☐ ☐ Section 1103: Discipline Guidelines (b) daily shower, access to drinking fountain, toilet and Section 1103: Discipline Guidelines ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Section 1103: Discipline Guidelines (d) contact with parent or attorney; ☒ ☐ ☐ Section 1103: Discipline Guidelines 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 72 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) exercise; ☒ ☐ ☐ Section 1103: Discipline Guidelines (f) medical services and counseling; ☒ ☐ ☐ Section 1103: Discipline Guidelines (g) religious services; ☒ ☐ ☐ Section 1103: Discipline Guidelines (h) clean and sanitary living conditions; ☒ ☐ ☐ Section 1103: Discipline Guidelines (i) the right to send and receive mail; ☒ ☐ ☐ Section 1103: Discipline Guidelines (j) education; and, ☒ ☐ ☐ Section 1103: Discipline Guidelines (k) rehabilitative programming. ☒ ☐ ☐ Section 1103: Discipline Guidelines The facility administrator shall establish rules of conduct Section 1103: Discipline Guidelines and disciplinary penalties to guide the conduct of youth. Section 1106: Rules and Regulations Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Section 1106: Rules and Regulations Section 1107: Due Process The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for the administration of discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose Section 1106: Rules and Regulations ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; Section 1106: Rules and Regulations ☒ ☐ ☐ (c) definition of major and minor rule violations and Section 1106: Rules and Regulations their consequences, and due process ☒ ☐ ☐ requirements; Section 1107: Due Process (d) trauma-informed approaches and positive behavior Section 1106: Rules and Regulations ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Section 1107: Due Process counseling, advising the youth of expected conduct Section 1108: Minor Rule Violations imposing a minor consequence. Discipline shall be accompanied by written documentation and a ☒ ☐ ☐ If a youth chooses to appeal a minor policy of review and appeal to a supervisor; and, discipline, this is generally addressed through the grievance process. We saw no grievances for this purpose. (f) major rule violations and the discipline process Section 1107: Due Process ☒ ☐ ☐ shall be documented and require the following: 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 73 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) written notice of violation prior to a hearing; Section 1107: Due Process Every incident that necessitated sanctions and appeals forms had one. Facility staff are very good at completing the form. Every youth refused to cooperate with the process, nor did they wish to have a hearing. Officers are completing the forms as ☒ ☐ ☐ required and a witness’s secondary signature was noted; however, the process needs review and update to a process that is meaningful. Once the behavior management program is addressed in Section 1390, all officers should be retrained in these forms to ensure correct implementation. (2) accommodations provided to youth with Section 1107: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Section 1107: Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Sanction 1107: Due Process ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Sanction 1107: Due Process ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Sanction 1107: Due Process (g) violations that result in a removal from camp or BJN does not have a camp or a commitment commitment program, but not a return to court, will program. ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Section 1805: Communicable Diseases DISEASES. Reviewed Probation policy and medical The health administrator/responsible physician, in guidance to ensure Management of cooperation with the facility administrator and the local Communicable Disease policy is current ☒ ☐ ☐ health officer, shall develop written policies and and addresses all required areas required procedures to address the identification, treatment, by section 1410, specifically COVID-19. control and follow-up management of communicable diseases. The policies and procedures shall address, Compliance based on policy and guidance but not be limited to: reviewed from medical provider JCHS. (a) Intake health screening procedures; ☒ ☐ ☐ Section 1805: Communicable Diseases (b) Identification of relevant symptoms; ☒ ☐ ☐ Section 1805: Communicable Diseases (c) Referral for medical evaluation; ☒ ☐ ☐ Section 1805: Communicable Diseases (d) Treatment responsibilities during detention; ☒ ☐ ☐ Section 1805: Communicable Diseases (e) Coordination with public and private community- Section 1805: Communicable Diseases ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Section 1805: Communicable Diseases (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Section 1805: Communicable Diseases 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 74 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The policies and procedures shall be updated as Section 1805: Communicable Diseases necessary to reflect communicable disease priorities identified by the local health officer and currently JCHS has been open to communications ☒ ☐ ☐ recommended public health interventions. regarding language that is contradictory to regulatory language and solving this issue to avoid noncompliance. 1433 REQUESTS FOR HEALTH CARE SERVICES Section 1702: Access to Care/Request for (EXCERPT) Services The health administrator, in cooperation with the facility Youth interviewed regarding health care administrator, shall develop policy and procedures to services stated they submit a request for establish a daily routine for youth to convey requests for service, or they tell staff what they need. emergency and non-emergency medical, dental and Staff will call the medical clinic and take behavioral/mental health care services. them to medical if the issue is of an emergent nature. Medical operates 24/7. ☒ ☐ ☐ Mental health will also see youth within a reasonable amount of time. Any after-hours needs are addressed by an on-call staff member. All youth interviewed felt the timelines in which they are seen is appropriate. Compound youth were viewed being walked across the facility without restraints. 1480 STANDARD FACILTY CLOTHING ISSUE The facility provides all clothing and shoes for the youth. The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Section 403: Procedures for Newly Admitted laundered, in good repair, and free of holes and Youth tears. ☒ ☐ ☐ Clothes appear to be clean, well-fitting, and free from rips and holes. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 75 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) The standard issue of climatically suitable clothing Section 403: Procedures for Newly Admitted for youth shall consist of but not be limited to: Youth Youth are provided with basic needs for the weather. Technical assistance has been provided about also providing sweatpants, sweatshirts, beanies, and coats when appropriate, shorts for exercise or summer wear, and pajamas or something to sleep in. We noted there are some youth who have items and some who don’t. All youth should ☒ ☐ ☐ have the same items of clothing. It was discussed that it is the responsibility of unit staff to ensure that all youth have the same items of clothing as appropriate. Youth were viewed on video to be in the dayroom, generally during showers, after hours, etc. who were walking around in boxer shorts to the restroom. This is inappropriate. Youth should be provided with proper sleeping attire and should not be walking around in boxer shorts. (1) Socks and serviceable footwear; Section 403: Procedures for Newly Admitted ☒ ☐ ☐ Youth (2) Outer garments; Section 403: Procedures for Newly Admitted ☒ ☐ ☐ Youth (3) New non-disposable underwear which shall Section 403: Procedures for Newly Admitted remain with the youth throughout their stay, Youth and; Youth are given brand-new underwear upon entry. The youth interviewed noted they are provided with new underwear at entry but are unsure if they get the same ones back from the laundry as there are sometimes issues or problems with the laundry bags ☒ ☐ ☐ opening. Facility administrators are working on ensuring that laundry bags are issued and returned as they should be. They are also looking at alternatives to replace the current bag. We will continue to review and monitor through future visits. It is necessary to develop and implement a laundry policy for the laundry personnel to be sure youth have their own underwear every day. (4) Undergarments, that are freshly laundered and Section 403: Procedures for Newly Admitted free of stains, including tee shirts and bras. ☒ ☐ ☐ Youth 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 76 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Clothing is laundered at the temperature required Section 403: Procedures for Newly Admitted by local ordinances for the commercial laundries Youth and dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. Clothing is laundered in facility commercial laundry. (d) Suitable clothing is issued to pregnant youth. Section 403: Procedures for Newly Admitted Youth ☐ ☐ ☒ There are no female youth at Barry J. Nidorf. 1482 CLOTHING EXCHANGE Section 505: Housekeeping The facility administrator shall develop and implement All youth interviewed noted that clean written policies and site-specific procedures for the clothing is exchanged daily. Items that are cleaning and scheduled exchange of clothing. Unless not on the list can still be exchanged upon work, climatic conditions, or illness necessitates more ☒ ☐ ☐ request. frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Section 505: Housekeeping PERSONAL CLOTHING Youth clothing is placed in individual bags There shall be written policies and site-specific upon entry. Clothing can be washed if there procedures developed and implemented by the facility is any concern. ☒ ☐ ☐ administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Section 508: Housekeeping: Personal Hygiene Supplies There shall be written policies and site-specific procedures developed and implemented by the facility Policy is in process of being addressed to fix administrator for the availability of personal hygiene ☒ ☐ ☐ the inconsistency with Section 510 items. Each female youth shall be provided with regarding the use of electric razors. sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be Youth are provided with all necessary items provided with the following personal care items; for personal care. (a) Toothbrush; Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (b) Toothpaste; Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (c) Soap; Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (d) Comb; Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (e) Shaving implements; Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (f) Deodorant; Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (g) Lotion; Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies (h) Shampoo; and, Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 77 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) Post-shower conditioning hair products. Section 508: Housekeeping: Personal ☒ ☐ ☐ Hygiene Supplies Youth shall not be required to share any personal care Section 508: Housekeeping: Personal items listed in items (a) through (d). Liquid soap Hygiene Supplies provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Section 621: Showers Section 629: Personal Hygiene and Unit There shall be written policies and site specific Housekeeping procedures developed and implemented by the facility administrator for showering/bathing and brushing of Youth interviewed stated they can brush teeth. Youth shall be permitted to shower/bathe up on their teeth after every meal, they can wash assignment to a housing unit and on a daily basis up and brush their teeth in the morning when thereafter and given an opportunity to brush their teeth they wake up, and shower daily. after each meal. TA was provided in that policy/memo directs youth to not be placed in their rooms prior to ☒ ☐ ☐ 8:00 p.m. for the purposes of shower preparation. Staff are to schedule shower times based on the dynamics of the unit, such as the population, number of showers, number of “keep-aways” or for those youth who take psych medications. etc. Showers can begin earlier than 8:00 p.m. only if this results in youth coming back out for additional programming afterward but not for the purpose of going to bed earlier. Bedtime shall be no earlier than 9:00 p.m. This issue has been addressed in room confinement. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 78 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1487 SHAVING Section 510: Shaving and Haircut Procedures Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of Youth are to be provided with the identification in Court. All youth shall have equal opportunity to shave daily. There is a opportunity to shave face and body hair. The facility process in place wherein youth may sign administrator may suspend this requirement in relation up to shave the next day. This is said to be to youth who are considered to be a danger to done for planning purposes. themselves or others. In talking with youth, it was noted through conversations with them, that there is no true consistency in this process as some units do and others do not on a consistent basis. While there is a policy in place, the policy and practice are not clear which ☒ ☐ ☐ leads to confusion. Youth were observed to have clean-shaven faces in all the units throughout the time spent visiting the facilities. TA provided and discussed that documentation must be clarified to ensure it is clear that youth have the opportunity daily. Proof of practice is necessary. This issue will continue to be reviewed regularly in the coming months. A monthly reporting document was implemented for the facility to report to the inspector by the 5th of the month to show proof of the practice of shaving 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 79 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1488 HAIR CARE SERVICES (Excerpt) Section 510: Shaving and Haircut Procedures Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Regulation and policy require access to Equipment shall be cleaned and disinfected after each monthly haircuts, yet the policy does not haircut or procedure, by a method approved by the provide the procedure in which this should State Board of Barbering and Cosmetology. occur. This appears to cause confusion with staff which was confirmed through youth interviews as they stated haircuts do not consistently occur as required. The documentation provided and viewed noted a significant catch-up of haircuts occurred facility-wide to correct the inability to provide haircuts in the past. ☒ ☐ ☐ TA was provided to immediately implement proof of practice to document monthly access facility-wide as well as to provide QA monthly to ensure that all youth who want a haircut. receive policy one. This section is minimally compliant at this time and this issue will continue to be reviewed regularly in the coming months to ensure haircuts occur as required. Monthly reporting document implemented for the facility to report to the inspector by the 5th of the month to show proof of practice of haircuts. 1500 STANDARD BEDDING AND LINEN ISSUE Section 505: Housekeeping Clean laundered, suitable bedding and linens, in good While doing Title 24 inspections, suitable repair, shall be provided for each youth entering a living bedding was reviewed. It was noted that area who is expected to remain overnight, shall include, several mattresses do not have covers nor but not be limited to: do youth have pillows. It was noted that this was due to contraband issues. This was addressed with facility staff and it was being ☒ ☐ ☐ referred for review. We have been notified that mattresses and pillows have been ordered to ensure that all youth have an appropriate mattress and pillow. We will follow up on this issue in April 2023 to ensure that all mattresses have come in and have been distributed. (a) One mattress or mattress-pillow combination which Section 505: Housekeeping meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Section 505: Housekeeping ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; Section 505: Housekeeping ☒ ☐ ☐ (d) One towel; and, Section 505: Housekeeping ☒ ☐ ☐ 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 80 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) One blanket or more, up on request Section 505: Housekeeping ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Section 505: Housekeeping The facility administrator shall develop and implement All linens are laundered as required. site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Section 505: Housekeeping once a month. ☒ ☐ ☐ Blankets are to be exchanged at a minimum of once a week. If a youth ask for a replacement, he is provided one. 1510 FACILITY SANITATION, SAFETY AND Section 505: Housekeeping MAINTENANCE Section 506: Housekeeping: Basic Cleaning Procedures for All Areas The facility administrator shall develop and implement Section 507: Housekeeping: Maintenance written policies and site-specific procedures for the Procedures maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall Facility is cleaned daily by a contracted provide for a regular schedule of housekeeping tasks, cleaning crew that is onsite providing ☒ ☐ ☐ equipment, including restraint devices, and physical general cleaning of the buildings daily and plant maintenance and inspections to identify and maintaining COVID cleaning. correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall Unit cleaning is also conducted daily by unit be done in accordance to the product label and Safety staff and the youth. Youth clean their rooms Data Sheet which may include the use of Personal and youth keep up overall cleanliness of the Protection Equipment (PPE). unit including restroom. 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 81 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☐ ☒ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☐ ☐ ☒ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐Vio ☒ ☐ Section 300 of the Welfare and Institutions Code (WIC) lation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐Vio ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). lation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐Vio ☐ ☒ separated from minors. lation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐Vio ☐ ☒ facility in a manner that allows contact with minors. lation 7204 Los Angeles Barry J. Nidorf JH PRO 20-22 - 82 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7204 FACILITY NAME: Barry J. Nidorf Juvenile Hall FACILITY TYPE: JH APPLICABLE REGULATIONS (Check All That 4/98: X 2001: 2003: OTHER: pre-98 Apply): FIELD REPRESENTATIVE: Lisa Southwell DATE: November 8-18, 2022 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1)  Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of  minors pending admission to JH Provides access to a shower  Provides a secure vault or storage space for minor's  valuables Provides telephone access to minors  Provides staff access to hot and cold running water  Locked Holding Room (1.2)  Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area  Contains seating to accommodate all minors as  specified in these regulations 98: Provides access to a toilet, washbasin and drinking fountain as specified in these regulations 03: Be equipped with a toilet, washbasin and drinking  fountain unless a procedure is in effect to provide access Maximizes staff visual supervision  03: Outward swinging or lateral sliding door required  Natural Light (1.3) Visual access to natural light is provided in locked  sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 1 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are located  only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy sleeping rooms, JH living units do not exceed 30 minors and contain dormitories, dayroom space, toilet, sleeping areas and plumbing fixtures, commensurate washbasins, drinking fountains, and with the number of minors housed. showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention, or other action.  Staff often were seen to be in the office behind a closed and locked door, mostly when youth are all in their rooms. There must always be one (1) staff present in the unit when a youth is present, in their room or not. Youth do not have a means by which to call for assistance other than knocking and as such, this cannot always be heard in the office. Locked Sleeping Rooms (1.6) 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other  access to these fixtures 03: Toilet, washbasin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) Pre-98 construction contains single- occupancy rooms. 98: Minimum of 63 square feet of floor area and a  clear ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security Each room shall have a view panel with a glazing and is a maximum of 144 square inches. minimum of 144 square inches. The purpose 01: View panel size changed to a minimum of 144 of this window is to be able to provide inches. adequate supervision of youth while in their rooms. Many of the windows are damaged  from etching; however, many are covered in lotion, grease, toothpaste, etc. that is placed on the window by the youth to provide privacy. We viewed several windows that were fully covered which impedes an officer’s ability to properly supervise. 03: Outward swinging or lateral sliding door required  7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 2 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Double Occupancy Sleeping Rooms (1.8) Through prior agreement with CYA, these rooms are recognized as being in Minimum of 100 square feet floor area, a clear ceiling  compliance. height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144  inches 03: Outward swinging or lateral sliding door required  Dormitories (1.9) There are no dormitories in this facility. In JHs and camps, there is a minimum of 50 square feet of floor area per minor, with a minimum dormitory  size of 200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for no  fewer than four minors. 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps).  03: This subsection deleted, eliminating the 15 minor limitation. (See below.) 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more than  30 minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) Through prior agreement with CYA, these rooms are recognized as being in  compliance. JH dayrooms contain 35 square feet of floor area per minor. Dayrooms in camps and SPJHs contain 30 square  feet of floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers.  Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet dedicated  indoor-outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9000 square feet dedicated indoor-outdoor space. 7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 3 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor-outdoor space, plus a field area. The field area contains a minimum of one acre with a  minimum dimension of 100 feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet.  01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor- outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor-outdoor space is a paved or "like" surface.  01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped and  of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single  dimension less than 40 feet. Outdoor recreation area lighting allows for evening Outdoor lighting is not conducive to youth activities and provides security.  conducting outdoor exercise after dark. Academic Classrooms (NA SPJH; 1.12)  Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for  every juvenile in the facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square feet of floor space for the teacher's desk and work  area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to emergencies.  Safety Room (1.13) This facility does not contain safety rooms.  Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Limited to one minor  Padded as specified in these regulations  7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 4 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS There are one or more vertical view panels constructed of security glazing. Panels provide a  view of the entire room and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these  regulations Access to a toilet, wash basin and drinking fountain is  provided. 03: Be equipped with a variable intensity security- type lighting fixture, with controls outside the  room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access.  Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped medical  examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations  that is used for no other purpose; Privacy for minors;  Lockable storage for medical supplies;  Not less than 144 square feet floor space with no  single dimension less than seven feet; Hot and cold running water; and,  01: Smooth, non-porous, washable surfaces.  Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies  and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) There is a minimum of 15 square feet floor space and  sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate visual  barrier. Visiting Space (1.17)  Visiting space is provided. 7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 5 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space per minor for institutional clothing, bedding, supplies  and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of  secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as fire extinguishers, self-contained breathing  apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial  closet containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping rooms; single  and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to  maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24)  Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors There is a minimum of one suitably furnished  interview room for each 30 minors in JHs. 7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 6 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS There is a minimum of one suitably furnished interview room in each camp.  Court Holding Room for Minors (1.26)  Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors  Provides 40 square feet of floor area and a minimum  clear ceiling height of eight feet Contains seating to accommodate all minors  Contains a toilet, wash basin and drinking fountain as  specified in these regulations Maximizes staffs' visual supervision of minors  Toilets/Urinals (2.1) Through agreements with CYA, portions of the facility constructed prior to 1998 were allowed to operate as if in compliance. Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms.  One toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Through agreements with CYA, portions of the facility constructed prior to 1998 were allowed to operate as if in compliance. Wash basins must provide hot and cold or tempered water and be available on living units in a ratio of 1:6  in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) Drinking fountains are accessible to minors and staff  in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from flowing over the  bubbler. Showers (2.4) Through agreements with CYA, portions of the facility constructed prior to 1998 were Showers provide tempered water and are available  allowed to operate as if in compliance. on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise.  Beds (2.5) Beds are at least 30 inches wide and 76 long and are  of a pan-bottom type or constructed of concrete. 7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 7 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Beds are at least 12 inches of the floor and spaced no less than 36 inches apart.  Lighting (2.6) There is at least 20 foot-candles (216 1x) of illumination at desk level in locked sleeping rooms,  single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good Night lighting is required in sleeping rooms, visibility and is conducive to sleep. dayrooms, and activity areas to provide good visibility for supervision and be  conducive to sleep. It was viewed that youth cover their lights to make their rooms dark which is a fire hazard and contrary to Title 24. Padding (2.7) This facility does not contain safety rooms. Padding in safety rooms covers the floor, door and  walls to a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper-resistant fire sprinkler as approved by the State Fire Marshal  (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all padded  surfaces; and, is without exposed seams. Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench seating is  allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security  perimeter of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device.  Assess for New Construction/Remodel or Repair:  Security Glazing (2.10) (Added in 2003) Several windows have been broken and (Note to inspector: This will typically be assessed have not yet been replaced. Plywood has from specifications provided at plan review.) been used to cover these spaces. The plywood is covered in graffiti. Windows should be replaced within a reasonable Security glazing complies with the minimum timeframe. requirements of one of the following test standards:  American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860-94d, Class C glass; or, H. P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. 7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 8 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met.  (Note to inspector: See regulation for specific requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7204 Los Angeles Barry J. Nidorf JH PHY 20-22 - 9 - J456 PHY 98 01 03.dot (10/03) BOARD OF STATE AND COMMUNITY CORRECTIONS - BIENNIAL INSPECTION JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION BSCC Code: 7204 FACILITY: Barry J. Nidorf Juvenile Hall TYPE: Juvenile Hall RC: 337 FIELD REPRESENTATIVE: Lisa Southwell DATE: November 8-18, 2022 ALL DIMENSIONS BASED ON CYA DATA UNLESS OTHERWISE DESIGNATED. ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet Holding Girls Two benches, each 6’ ¾” long. H Pre-1998 1 _ (8) (8) 156 square feet 1 1 2 2 Holding Add 1 Handicap Shower- total of 2 Boys Two benches, each 6’ ¾” long. H Pre-1998 1 _ (8) (8) 156 square feet 1 1 2 2 Holding Add 1 Handicap Shower- total of 2 Unit A Single Pre-1998 18 1 1 18 88 square feet Dry rooms. 18 Beds Restroom Pre-1998 1 3 2 5 4 Dayroom Pre-1998 993 square feet 1 Unit B Single Pre-1998 18 1 1 18 88 square feet Dry rooms. 18 beds Restroom Pre-1998 1 3 2 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit C Single Pre-1998 19 1 1 19 88 square feet Dry rooms.19 beds Restroom Pre-1998 1 3 2 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit D Single Pre-1998 17 1 1 17 88 square feet Dry rooms. 17 beds Restroom Pre-1998 1 3 2 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit E Single Pre-1998 18 1 1 18 88 square feet Dry rooms. 18 beds 7204 Los Angeles Barry J. Nidorf JH LASE 20-22 - 1 - ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet Restroom Pre-1998 1 5 0 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit F Single Pre-1998 18 1 1 18 88 square feet Dry rooms.18 beds Restroom Pre-1998 1 5 0 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit G Single Pre-1998 18 1 1 18 88 square feet Dry rooms. 16 beds Restroom Pre-1998 1 5 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit H Single Pre-1998 17 1 1 17 88 square feet Dry rooms.17 beds Restroom Pre-1998 1 5 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit I-MHU Infirmary Pre-1998 11 1 1 (11) 88 square feet 1 1 1 Wet rooms. 11 beds nonrated space Dayroom Pre-1998 2 Total = 408 Sq ft 1 1 2 1 Unit J Single Pre-1998 18 1 1 18 88 square feet Dry rooms 18 beds Restroom Pre-1998 1 3 2 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit K Single Pre-1998 17 1 1 17 88 square feet Dry rooms. 17 beds Restroom Pre-1998 1 3 2 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit L Single Pre-1998 16 1 1 16 88 square feet Dry rooms. 16 beds Restroom Pre-1998 1 3 2 5 4 Dayroom Pre-1998 1 993 square feet 1 7204 Los Angeles Barry J. Nidorf JH LASE 20-22 - 2 - ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet Unit M Single Pre-1998 17 1 1 17 88 square feet Dry rooms 17 beds Restroom Pre-1998 1 3 2 5 4 Dayroom Pre-1998 1 993 square feet 1 Unit P Single Pre-1998 24 1 1 24 73 square feet Wet rooms. 24 beds Restroom Pre-1998 1 Dayroom Pre-1998 1 Unit Q Single Pre-1998 10 1 1 10 73 square feet 1 1 1 Wet rooms 10 beds Restroom Pre-1998 1 1 1 2 Dayroom Pre-1998 1 253 square feet Unit W-1 Single 1998 20 1 1 20 102 square feet All dry rooms Restroom 1998 1 5 5 5 2592 square Dayroom 1998 1 1 feet Unit W- 2 Single 1998 20 1 1 20 102 square feet All dry rooms Restroom 1998 1 5 5 5 2592 square Dayroom 1998 1 1 feet Unit W-3: Single 1998 4 1 1 4 79 square feet 1 1 1 Rooms W3-PA, W3-PB, W3-PE, W3-PF Unit Y-2 Single 1998 20 1 1 20 102 square feet All dry rooms 7204 Los Angeles Barry J. Nidorf JH LASE 20-22 - 3 - ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet Restroom 1998 1 5 5 5 2592 square Dayroom 1998 1 1 feet Unit Y-3 Detention Single 1998 4 1 1 4 79 square feet 1 1 1 Rooms Y3-PA, Y3-PB, Y3-PE, Y3-PF Unit Z-2 Detention Single 1998 20 1 1 20 102 square feet Restroom 1998 1 5 5 5 2592 square Dayroom 1998 1 1 feet Unit Z3 Detention Single 1998 4 1 1 4 79 square feet 1 1 1 Rooms Z3-PA, Z3-PB, Z3-PE, Z3-PF . 2008/2010 The “Compound” (units W, X, Y and Z) were designed and constructed as a camp program with 20 double occupancy rooms each. These units subsequently became part of the juvenile hall requiring that the capacity of each unit not exceed 30 minors. Prior to the 2008/10 inspection cycle, the County removed one of the beds from some of the double occupancy rooms. As a result, during the 2008/10 inspection cycle, the capacity of these units (based on number of beds) was reevaluated. Unit W-2: RC of this unit was reevaluated. Because the capacity of each unit cannot exceed 30 minors, the RC of the single rooms was reduced to 6 and the RC of the double rooms was reduced to 24. Unit Y-2: RC of this unit was reevaluated. Because the capacity of each unit cannot exceed 30 minors, the RC of the single rooms was reduced to 6 and the RC of the double rooms was reduced to 24. Unit Z-1: RC of this unit was reevaluated. Because the capacity of each unit cannot exceed 30 minors, the RC of the single rooms was reduced to 8. Unit Z-2: Because the capacity of each unit cannot exceed 30 minors, the RC of the double rooms was reduced to 22. 2010/12: Unit S: Two empty rooms/beds removed 2012/2014 Unit B: One sleeping room converted to a mental health office 7204 Los Angeles Barry J. Nidorf JH LASE 20-22 - 4 - ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet Unit D: One sleeping room converted to a mental health office. Unit E: One sleeping room converted to a mental health office. Unit F: One sleeping room converted to an office Unit G: One sleeping room converted to a mental health office. Unit H: One sleeping room converted into office Unit K: One sleeping room converted to a mental health office. Unit L: Three sleeping rooms converted to mental health offices and one unusable due to earthquake damage. Unit M: Rooms 1 & 2 red tagged; used as storage. Boys SHU: One mental health office. Unit N: One mental health office. Unit S: # of rooms increased by one. Unit T: Two mental health offices. Unit V: One mental health office. Unit W-1: Holding rooms not used. Unit W-2: Holding rooms not used. Unit X-1: Holding rooms not used. Unit X-2: Holding rooms not used. Unit Y-1: Holding rooms not used. Unit Y-2: Holding rooms not used. Unit Z-1: Holding rooms not used. Unit Z-2: Holding rooms not used. During the 2012/14 Inspection, the following units were unoccupied: Unit A, Unit B, Unit C, Unit D, Unit E, Unit F, Units Z-1 and Z-2. Girls SHU: Note: During the 2008/10 inspection cycle, the RC of this unit was changed from 9 to 10 to reflect Youth Authority documentation. 2012/14 inspection cycle, this building, though still named “Girls SHU” is used for other purposes. 2014/2016 Unit A: Dry rooms. 18 Rooms, 1 Storage- Decrease by 2 Unit B: Dry rooms. 18 rooms 1 Storage 1 Office Unit C: Dry rooms.19 Rooms 1 Storage Decrease by 1 Unit D: Dry rooms. 17 beds, 1 Office, 1 MH Office Decrease by 1 Unit E: Dry rooms. 19 rooms, 2 Offices 7204 Los Angeles Barry J. Nidorf JH LASE 20-22 - 5 - ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet Increase Toilets by 2, decrease urinal by 2 Unit F: Dry rooms.18 rooms, storage Increase Toilets by 2, decrease urinal by 2 Unit G: Dry rooms. 16 beds, Storage Decrease by 3 Unit H: Dry rooms. 17 beds 1 office Decrease by 1 Unit K: Dry rooms. 17 rooms, 1 MH office and 1 storage Decrease by 1 Unit L: Dry rooms. 16 rooms, 1 storage and 3 mental health offices. Unit M: Dry rooms 17 rooms, 2 storage areas Boys SHU: Wet rooms. 25 rooms, 1 Mental Health Office Decrease 1 Unit N: 17 beds, storage Decrease by 2 Unit O: 19 beds, Mental Health Office Unit R: 17 beds, 3 Storage Decrease by 2 Unit S: 19 beds, 1 MH office Increase 1 Unit T: 18 beds, 2 MH Offices, 1 Storage Unit V: 19 beds, 1 MH Office 2016/2018: No Change to RC. Discussed pending changes. Will complete full review upon completion. **2018-2020 Inspection Cycle Notes: Inspection completed virtually. No changes to the LASE per administration. Provided for information only** ** 2020-2022 05/22: All back rooms rated and approved for sleeping for separation and with proper approvals. Compound HOPE Center was established in W-2. Holding rooms rated to sleeping rooms in all compound units. Rooms for Separation as needed. Currently based on classification as extensions of Unit P HOPE Center. 3 units are to be operated as a full unit with all same programming etc. 2/23: RC updated. Separated SYTF. Separated SYTF. O, R, S, T, V, X1, X2, X3, Y1, Y3, Z1 7204 Los Angeles Barry J. Nidorf JH LASE 20-22 - 6 - JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7207 FACILITY NAME: FACILITY TYPE: Camp Clinton Afflerbaugh Camp PERSON(S) INTERVIEWED: Bertha Mendez, Facility Director; Clinton Rossi, Facility Assistant Director; Officer Hernandez, BSCC Coordinator; 3 Deputy Probation Officers; Michelle Muto, LCSW and 3 youth, two age 17, one age 18. FIELD REPRESENTATIVE: DATE: Lisa Southwell April 28-30, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by Policy Section 2002: Types of Inspections the Board of Supervisors to approve building safety; and Evaluations 2020 The building inspection was completed by Tennyson D’sena on December 16, 2020. Corrections required. No proof of correction was received. ☒ ☐ ☐ 2021 The building inspection was completed by Tennyson D’sena on August 10, 2021. The trailer is still in progress. Permit still not received as of August 30, 2022. We will continue to monitor this issue. 2022 The inspection for 2022 has not yet been scheduled. (B) Fire authority having jurisdiction, including a fire Policy Section 2002: Types of Inspections clearance as required by Health and Safety Code and Evaluations ☒ ☐ ☐ Section 13146.1 (a) and (b); The fire inspections were completed on 08/05/2021. Fire clearance was granted. 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. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with Policy Section 2002: Types of Inspections Health and Safety Code Section 101045; and Evaluations 2020 Medical Mental Health: January 14,16, and 19, 2020 Corrections were required that were not corrected until November 2021. Nutrition: January 14, 2020 Corrections were required as some substitutions were not documented. This was not a repeat concern from the following year. Environmental Health: January 14, 2020 No Corrections are required. 2021 Medical Mental Health: February 23 and March 12, 2021. Corrections were required. At reinspection in November 2021, it was ☒ ☐ ☐ found that all corrections were made as required. Environmental Health: February 23, 2021 Corrections were required. All areas were corrected by the re-inspection. Nutrition: February 23, 2021 Corrections were required for medical diets. All areas were corrected by the re-inspection. 2022 Medical Mental Health: February 15, 2022 Only the Medical Mental Health inspection has been completed. The inspector has stated there were no areas of noncompliance noted this year for medical/mental health. Environmental health and nutritional health have not yet been completed due to staffing in public health. At the time of inspection, these two inspections were still pending. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) County superintendent of schools on the adequacy Policy Section 2002: Types of Inspections of educational services and facilities as required in and Evaluations Section 1370; Education for Camp Afflerbaugh is provided by the Los Angeles County Office of Education. 2020 On December 15, 2020, Telka Walser, Director III, Stanislaus County Office of Education reviewed the facility education program. ☒ ☐ ☐ 2021 On December 21, 2021, Bruce Peterson, Executive Director, the San Diego County Office of Education reviewed the facility education program. All areas were found to be compliant. See Section 1370 for specific commentary from the 2021 report. 2022 The inspection for 2022 has not yet been scheduled. (E) Juvenile court as required by Section 209 of the Policy Section 2002: Types of Inspections Welfare and Institutions Code and Evaluations ☐ ☐ ☒ Juvenile Court inspections are not required for the Camps. (F) Juvenile Justice Commission as required by Section Policy Section 2002: Types of Inspections 229 of the Welfare and Institutions Code or Probation and Evaluations Commission as required by Section 240 of the Welfare and Institutions Code. The Probation Oversight Commission conducts annual inspections of the facility. 2020 The facility was inspected by Commissioner Gardner. ☒ ☐ ☐ 2021 The facility was inspected on 11/16/2021 by Commissioners Canales and Leys. 2022 The inspection for 2022 has been scheduled for Friday, August 5, 2022. All facility reports may be found at: https://poc.lacounty.gov/reports 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Letters dated December 20, 2021, and BSCC Note: Compliance with this section is January 26, 2022, were received from Chief determined by receipt of the Chief Probation Officer’s Probation Officer Gonzales certifying all certification letter confirming that all elements of appointments of staff are pursuant to the applicable laws and that all staff present at regulation are met. the facility meet all required qualifications (a) Appointment ☒ ☐ ☐ and clearances including non-employees. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test ☒ ☐ ☐ and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection ☒ ☐ ☐ and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- Per facility administrators, all contract employees of the facility, who may be present at the personnel, volunteers, and other non- facility, shall have such clearance and qualifications employees participate in background checks as may be required by law, and their presence at the as required by the Probation Department. facility shall be subject to the approval and control of the facility manager. ☒ ☐ ☐ Education staff is currently monitored by the County Office of Education; however, the Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access to the facility. 1321 STAFFING Each juvenile facility shall: 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS a) have an adequate number of personnel sufficient to Policy Section 206: Staffing carry out the overall facility operation and its Documentation reviewed for this section programming, to provide for safety and security of included the facility staff schedule for two youth and staff, and meet established standards and nonconsecutive weeks, the camp master regulations; schedule, a sworn staff breakdown, and all facility non-sworn staff rosters reviewed. The facility was staffed appropriately for the number of youth housed. Random dates were selected throughout the cycle and staffing was viewed to ensure adequate personnel was present. Of all the documentation reviewed, we did not find any circumstances that would indicate that the facility was routinely non-compliant in staffing ☒ ☐ ☐ in this section. Technical assistance was provided to facility managers who were encouraged to review scenarios with supervisors and ensure they have a plan for staffing under certain circumstances that may occur throughout the course of running a 24-hour facility. We have found across the board, Residential Treatment Services Bureau facilities tend to rely on the neighboring facility as their backup plan, should additional staff be needed when that facility may not have staff to lend. It is necessary to always ensure adequate staff and be prepared for emergent situations as well. b) ensure that no required services shall be denied Policy Section 206: Staffing because of insufficient numbers of staff on duty ☒ ☐ ☐ absent exigent circumstances; c) have a sufficient number of supervisory level staff to Policy Section 206: Staffing ensure adequate supervision of all staff members; The facility has 6 assigned supervisors. Supervisors are assigned to cover all shifts ☒ ☐ ☐ and are present and always awake. The supervisor is responsible for the operations of the camp and the supervision of the staff members. d) have a clearly identified person on duty at all times Policy Section 206: Staffing who is responsible for operations and activities and The on-duty supervisor is responsible for the has completed the Juvenile Corrections Officer Core Course and PC 832 training; ☒ ☐ ☐ operations of the facility. Facility staff is responsible for the activities of the youth. The facility manager is responsible for oversight of the full operation of the camp. e) have at least one staff member present on each Policy Section 206: Staffing living unit whenever there are youth in the living unit; ☒ ☐ ☐ There is always a staff present in the dorm. Youth are not left alone. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) have sufficient food service personnel relative to the Policy Section 206: Staffing number and security of living units, including staff qualified and available to: plan menus meeting All youth eat their meals in the facility dining nutritional requirements of youth; provide kitchen hall unless there are reasons to remain in the supervision; direct food preparation and servings; ☒ ☐ ☐ dorm. conduct related training programs for culinary staff; The dining hall is staffed by facility cooks who and maintain necessary records; or, a facility may plan and prepare all meals. Cooks do not serve food that meets nutritional standards prepared provide supervision of youth. by an outside source; 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 g) have sufficient administrative, clerical, recreational, Policy Section 206: Staffing medical, dental, mental health, building Non-sworn staff do not supervise youth. maintenance, transportation, control room, facility Transportation and control staff are also not security and other support staff for the efficient generally assigned as part of the assigned management of the facility, and to ensure that youth supervision staff. supervision staff shall not be diverted from supervising youth; and, Medical staff (JCHS) are onsite daily between 6:00 AM and 8:00 PM. Nurses provide general care, medication management, and emergency response. All other medical treatment occurs by appointment at Central Juvenile Hall. Youth have access to Dental Clinics and various other specialty care. Mental Health Staff are present in the facility from 8:00 AM and 8:30 PM, 7 days a week. There are also clinical supervisors on shift as well. Youth are assigned a clinician and those youth who may be struggling may be assigned to two clinicians on two shifts for more coverage. Family therapy is offered to those youth who would benefit from this service. Youth may also be assigned to individual counseling, psychiatric services, crisis intervention, aftercare planning, multi- ☒ ☐ ☐ disciplinary team collaboration, and transitional housing assistance. These services are dependent on each youth’s individual needs and individual case plans. Youth are placed in DBT and in substance abuse treatment as needed. While clinicians are onsite for groups, youth may see their therapist upon request, otherwise, each youth who is assigned a specific therapist/clinician has a set meeting date and time. There is always a clinical officer of the day who is assigned a radio who monitors radio traffic and responds accordingly and as needed. While onsite, I was invited to and attended the camp peer group. This group is group planned, monitored, and led with only the assistance and supervision of the facility leadership and mental health. The group dynamic was phenomenal. The youth come together, discuss issues in camp, issues with staff, and issues with peers, and work together with the skills learned to manage these issues. Ms. Mendez, Mr. Rossi, and Ms. Muto were present to provide support, but the youth do all the work including 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS managing the group. The youth utilize all the skills learned for problem-solving in a positive, proactive manner while learning a new tool. It was a pleasure watching the youth lead and facilitate their own group. We discussed this group after, and it was noted that it would be great to see this group replicated in the other camps and ultimately in DSB. Both JCHS and BH staff noted a positive rapport with Probation and a strong collaboration. This collaboration was apparent during our time in the facility. h) assign sufficient youth supervision staff to provide Policy Section 206: Staffing continuous wide-awake supervision of youth, subject Compliant 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) Camps (minimum youth -staff ratio) Policy Section 206: Staffing (A) during the hours that youth are awake, one wide- ☒ ☐ ☐ The facility meets ratio requirements. 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 Policy Section 206: Staffing for the purpose of sleeping, one wide-awake youth ☒ ☐ ☐ The facility meets ratio requirements. supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff Policy Section 206: Staffing members on duty at all times, regardless of the ☒ ☐ ☐ Compliant 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 Policy Section 206: Staffing who is the same gender as youth housed in the ☒ ☐ ☐ Compliant facility; (E) in addition to the minimum staff to youth ratio Policy Section 206: Staffing required in (h)(3)(A)-(B), consideration shall be given Staffing ratios are said to be adjusted to the size, design, and location of the camp; types accordingly, depending on the individual of youth committed to the camp; and the function of ☒ ☐ ☐ camp requirements and needs. Issues and the camp in determining the level of supervision concerns are documented in facility logs. necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties Policy Section 206: Staffing 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. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1322 YOUTH SUPERVISION STAFF Policy Section 2104: Professional ORIENTATION AND TRAINING Development and Training (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented A training officer is assigned to each officer to their duties, including: when reporting to the facility. The training officer is assigned to assist with the facility- specific training. ☒ ☐ ☐ Reviewed training packets for the last 5 staff to be assigned to Camp Afflerbaugh on 1/8/21, 2/1/21, 9/3/21, 9/4/21, and 1/2/22. All training packets were signed off by both the staff member and the training officer. (1) youth supervision duties; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) scope of decisions they shall make; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (3) the identity of their supervisor; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) the identity of persons who are responsible to Policy Section 2104: Professional them; ☒ ☐ ☐ Development and Training (5) persons to contact for decisions that are beyond Policy Section 2104: Professional their responsibility; and ☒ ☐ ☐ Development and Training (6) ethical responsibilities. Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (b) Prior to assuming any responsibility for the Policy Section 2104: Professional supervision of youth, each youth supervision staff Development and Training member shall receive a minimum of 40 hours of facility-specific orientation, including: Staff is trained through review of facility- ☒ ☐ ☐ specific operations, Title 15 specific regulation/policy, and shadow work. Documentation was provided of the most recent incoming staff. All documentation was documented thoroughly. (1) individual and group supervision techniques; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) regulations and policies relating to discipline and Policy Section 2104: Professional rights of youth pursuant to law and the provisions ☒ ☐ ☐ Development and Training of this chapter; (3) basic health, sanitation and safety measures; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) suicide prevention and response to suicide Policy Section 2104: Professional ☒ ☐ ☐ attempts Development and Training (5) policies regarding use of force, de-escalation Policy Section 2104: Professional techniques, chemical agents, mechanical and ☒ ☐ ☐ Development and Training physical restraints; 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) review of policies and procedures referencing Policy Section 2104: Professional ☒ ☐ ☐ trauma and trauma-informed approaches; Development and Training (7) procedures to follow in the event of Policy Section 2104: Professional ☒ ☐ ☐ emergencies; Development and Training (8) routine security measures, including facility Policy Section 2104: Professional ☒ ☐ ☐ perimeter and grounds; Development and Training (9) crisis intervention and mental health referrals to Policy Section 2104: Professional ☒ ☐ ☐ mental health services; Development and Training (10) documentation; and Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (11) fire/life safety training Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (c) Prior to assuming sole supervision of youth, each Policy Section 2104: Professional youth supervision staff member shall successfully Development and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer Policy Section 2104: Professional youth supervision staff shall successfully complete Development and Training ☒ ☐ ☐ training pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy Section 2104: Professional Development and Training Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times ☒ ☐ ☐ who meets the training standards established by the All staff remain awake while on duty. Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL The RTSB camp operations manual has All facility administrators shall develop, publish, and been provided for review. We have reviewed implement a manual of written policies and procedures the agency Policy and Procedure as that address, at a minimum, all regulations that are provided to us, specific to regulations, and applicable to the facility. Such a manual shall be made have confirmed the policies and procedure available to all employees, reviewed by all employees, exist as cited. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those Last reviewed and updated: March 2022 records relating to the standards and requirements set forth in these regulations shall be accessible to the Board Staff accesses the policy manual via the local on request. ☒ ☐ ☐ intranet known as “Prob. Net”. The facility The manual shall include: also maintains hard-copy versions that are available for use. Staff complete sign offs as new policy is released. This is a new requirement in Policy Section 1324. Director Mendez provided a memo certifying that all active staff had completed a review of the policy manual. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) table of organization, including channels of The manual has a table of contents. The communications and a description of job agency’s channel of communication follows classifications; chain of command. Policy Sections are as follows: • 101: Vision, Mission, and Core Values • 102: Role of the Camp System ☒ ☐ ☐ • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff • 207: Organizational Chart (b) responsibility of the probation department, purpose Policy Sections are as follows: of programs, relationship to the juvenile court, the • 101: Vision, Mission, and Core Juvenile Justice/Delinquency Prevention Values Commission or Probation Committee, probation • 102: Role of Camp System staff, school personnel and other agencies that are ☒ ☐ ☐ • 908: Medical Services involved in juvenile facility programs; • 910: Mental Health Services • 911: Educational Services • 1005: CBO’s • 1006: Volunteers (c) responsibilities of all employees; Policy Sections are as follows: • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management ☒ ☐ ☐ • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff (d) initial orientation and training program for Policy Section 2104: Professional employees; Development and Training ☒ ☐ ☐ See Section 1322 (e) initial orientation, including safety and security issues Policy Section 2200: Non-Sworn Personnel and anti-discrimination policies, for support staff, and Partner Agencies Handbook contract employees, school, mental/behavioral health and medical staff, program providers and ☒ ☐ ☐ volunteers; Facility provided documentation of initial signoffs and updates from non-sworn staff since last inspection. (f) maintenance of record-keeping, statistics and Policy Sections 701: Case Planning and communication system to ensure: ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (1) efficient operation of the juvenile facility; Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (2) legal and proper care of youth; Policy Section 701: Case Planning and ☒ ☐ ☐ Procedures Introduction 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) maintenance of individual youth's records; Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (4) supply of information to the juvenile court and Policy Sections 701: Case Planning and those authorized by the court or by the law; and, ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (5) release of information regarding youth. Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (g) ethical responsibilities; ☒ ☐ ☐ Policy Section 2130: Employee Honesty (h) trauma-informed approaches; Policy Section 518: Trauma Informed ☒ ☐ ☐ Approaches (i) culturally responsive approaches; Policy Section 519: Culturally Responsive ☒ ☐ ☐ Approaches (j) gender responsive approaches; Policy Section 517: Promoting Dignity for ☒ ☐ ☐ Female Youth Housed in RTSB (k) a non-discrimination provision that provides that all Policy Section 2110: Non-Discrimination youth within the facility shall have fair and equal Policy access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group ☒ ☐ ☐ identification, ancestry, national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy Section 1922: Weapons and chemical agents related security devices, and ☒ ☐ ☐ Ammunition weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy Section 706: Case Plan Activities Cal eligibility information and enrollment of eligible youth; and, The Camp casework PO makes the ☒ ☐ ☐ necessary referrals as part of the transition planning and upon release from camp which include Medi-Cal, if appropriate. (n) establishment of a policy that prohibits all forms of Policy Section 1600: Prison Rape sexual abuse, sexual assault and sexual Elimination Act harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ All staff is trained per bureau consultant staff. conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy Section 1910: Fire Prevention and The facility administrator shall consult with the local fire Suppression department having jurisdiction over the facility, or with the ☒ ☐ ☐ State Fire Marshal, in developing a plan for fire safety The facility has a specific building emergency which shall include, but not be limited to: plan that includes all emergency preparedness including fire suppression. a) a fire prevention plan to be included as part of the Policy Section 1910: Fire Prevention and manual of policy and procedures; ☒ ☐ ☐ Suppression 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) monthly fire and life safety inspections by facility Policy Section 1910: Fire Prevention and staff with two- year retention of the inspection Suppression record; All monthly fire and life safety inspections have been completed as required. The documentation was legible and well- organized. ☒ ☐ ☐ All inspections were completed timely and at the beginning of the month. This is specific to Camp Paige and Camp Afflerbaugh’s MSB supervisor. We appreciate his extra efforts at always going the extra mile in his duties. c) fire prevention inspections as required by Health Policy Section 1910: Fire Prevention and and Safety Code Section 13146.1(a) and (b); Suppression ☒ ☐ ☐ See 1322 Above d) an evacuation plan; Policy Section 1910: Fire Prevention and Suppression ☒ ☐ ☐ The evacuation plan is provided as part of the building emergency plan and was noted to be posted in the dorm. e) documented fire drills not less than quarterly; Policy Section 1910: Fire Prevention and Suppression Fire Drills exceeded regulatory expectations and were completed every other month. Facility reports provided a summary of the drill including partner participation. ☒ ☐ ☐ Technical assistance is provided to ensure that all shifts are a part of the quarterly drill going forward. The suggestion will be made to the Bureau that a consistent form be required that addresses all expectations of regulation and of policy/procedure be included to ensure that the necessary information is captured. f) a written plan for the emergency housing of youth in Residential Treatment Services Bureau the case of fire; and, (RTSB) Manual-1917: Emergency Evacuation ☒ ☐ ☐ Emergency housing will occur at one of the camps or a juvenile hall dependent on the location of the fire and a safe route of travel. g) development of a fire suppression pre-plan In Residential Treatment Services Bureau cooperation with the local fire department. (RTSB) Manual-1910: Fire Prevention and Suppression ☒ ☐ ☐ In 2020, this plan was completed with Scott Gibbs, and in 2021 and 2022, with Captain Eric Arrellano from Fire Station 102. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1326 SECURITY REVIEW Security Reviews were completed for 2020, 2021, and 2022 by Director Mendez. These Each facility administrator shall develop policies and reports were completed on April 1, 2020, procedures to annually review, evaluate, and document ☒ ☐ ☐ March 1, 2021, and February 15, 2022. security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES The facility Policy Section 1902: Emergency Drills and administrator shall develop facility-specific policies and as follows: ☒ ☐ ☐ procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; Policy Sections: 1907: Escapes ☒ ☐ ☐ 1909: Major Disturbances 1914: Hostages (b) civil disturbance, active shooter and terrorist attack; Policy Sections: 1908: Outside Intruder 1915: Active Shooter ☒ ☐ ☐ 1916: Terrorist Attack 1918: Major Emergency including Civil Disturbance (c) fire and natural disasters; Policy Sections: 1910: Fire Prevention and Suppression ☒ ☐ ☐ 1913: Earthquake (d) periodic testing of emergency equipment; Policy Sections: 1921: Testing of Equipment Los Angeles County Internal Services ☒ ☐ ☐ Department (ISD) conducts monthly and “as-needed” testing in coordination with MSB. (e) emergency evacuation of the facility; and Policy Sections: ☒ ☐ ☐ 1917: Emergency Evacuation (f) a program to provide all youth supervision staff with Policy Sections: an annual review of emergency procedures. 1903: Staff Roles and Responsibilities All active staff have completed their emergency procedure review. The camp ☒ ☐ ☐ has a dedicated Emergency Facility Coordinator who works with the facility management team to ensure that all staff are trained and review the policy and procedures annually. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy Sections: 1313: Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual Reviewed February 2-15, 2022, and observation of youth at a minimum of every 15 minutes, February 16-23, 2022. at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in We found that safety checks were not holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ random and varied as they should be. Supervision is not replaced, but may be supplemented Technical assistance was provided, and a by, an audio/visual electronic surveillance system discussion was held regarding safety designed to detect overt, aggressive or assaultive checks in a dorm setting. Additional checks behavior and to summon aid in emergencies. All safety were reviewed, while onsite and in the checks shall be documented with the actual time the weeks that followed, and it was noted that check is completed. the issue improved and was corrected. This will be an area that is closely reviewed in the next cycle for compliance. 1329 SUICIDE PREVENTION PLAN Policy Section 1201: Suicide Prevention Plan The facility administrator, in collaboration with the healthcare and behavioral/mental health The Suicide Prevention Plan was developed administrators, shall plan and implement written policies in collaboration with the Department of and procedures which delineate a Suicide Prevention Mental Health (DMH), Juvenile Court Health Plan. Services (JCHS), and the Los Angeles ☒ ☐ ☐ County Office of Education (LACOE). The plan shall consider the needs of youth experiencing past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Policy Section 1203: Suicide Prevention Section 1322, Youth Supervision Staff Policy for Juvenile Facilities and Policy Orientation, and Training and the Juvenile Section 2104: Professional Development Corrections Officer Core Course. ☒ ☐ ☐ and Training All staff are trained in suicide prevention. (b) Screening, Identification Assessment and Policy Section 1203: Suicide Prevention Precautionary Protocols Policy for Juvenile Facilities (1) All youth shall be screened for risk of suicide at intake and as needed during ☒ ☐ ☐ detention. All youth are screened at intake and are always being monitored regarding their mental health status. (2) All youth supervision staff who perform Policy Section 1203: Suicide Prevention ☒ ☐ ☐ intake processes shall be trained in Policy for Juvenile Facilities screening youth for risk of suicide. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) All youth who have been identified during Policy Section 1203: Suicide Prevention the intake screening process to be at risk of Policy for Juvenile Facilities suicide shall be referred to behavioral/mental health staff for a suicide At intake, youth are orientated by Probation risk assessment. then are seen by DMH staff directly following their intake. If found to be suicidal, youth can be moved from the facility to a ☒ ☐ ☐ facility with a HOPE Center for a higher level of supervision status or to whatever facility meets the youth’s needs, including back to a JH if necessary. A memo was received from Director Mendez, noting there were no youth on any Enhanced Level II or III in the camp from July 2020 to February 2022. (4) Precautionary protocols shall be developed Policy 1203: Suicide Prevention Policy for to ensure the youth’s safety pending the Juvenile Facilities behavioral/mental health assessment. ☒ ☐ ☐ Youth would be placed on Level and a special watch status until cleared by mental health or moved. (c) Referral process to behavioral/mental health Policy 1203: Suicide Prevention Policy for staff for assessment and/or services. Juvenile Facilities Every youth is referred to behavioral health ☒ ☐ ☐ for services. This is a routine practice. Youth are triaged and seen as appropriate by staff. All youth prior to transfer to the camp have been cleared by behavioral health at the Juvenile Hall to be moved. (d) Procedures for monitoring of youth identified at Policy Section 1202: Enhanced Specialized risk for suicide. Supervision: Enhanced Supervision Requirements, Level 3 Enhanced Supervision Requirements and Policy Section 1203: Suicide Prevention Policy for Juvenile Facilities If necessary, youth are placed on Enhanced Specialized Supervision with intensive staff supervision to keep them safe. Youth may be ☒ ☐ ☐ a level I, II, or III. Camp Afflerbaugh’s alert log was provided for our review. The log noted youth from July 2021 through March 2022. The alert log provided information for all youth who were on specialized supervision required medication or were assigned to a specific therapist. 17 youth required special interventions in the 9-month period but did not rise to the care and supervision required for a Level III. All youth were kept in camp. (e) Safety Interventions 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Procedures to address intervention Policy Section 1202: Enhanced and protocols for youth identified at risk for Specialized Supervision Requirements of suicide which may include, but are not ☒ ☐ ☐ Youth in Juvenile Facilities limited to: A. Housing consideration Policy Section 1202: Enhanced and Specialized Supervision Requirements of Youth in Juvenile Facilities If a youth is in need of specialized housing, a Specialized Supervision Plan (SSP) is ☒ ☐ ☐ initiated. Youth may remain in their current camp or may be transferred to the HOPE Center at Camp Rockey if appropriate. SSP’s that are housed at Camp Rockey are reviewed at Camp Rockey. B. Treatment strategies including Policy Section 1203: Suicide Prevention trauma-informed approaches Policy for Juvenile Facilities Youth requiring an ongoing specialized ☒ ☐ ☐ response to self-harm behavior are referred for a Multi-Disciplinary Team (MDT) meeting. MDTs are done on an as needed or by emergency if necessary. All facility partners are included and provide input. (2) Procedures to instruct youth supervision Policy Section 1202: Enhanced and staff how to respond to youth who exhibit Specialized Supervision Requirements of suicidal behaviors. Youth in Juvenile Facilities and Policy ☒ ☐ ☐ Section 1203: Suicide Prevention Policy for Juvenile Facilities (f) Communication Policy Section 1203: Suicide Prevention (1) The intake process shall include Policy for Juvenile Facilities communication with the arresting officer and family guardians regarding the youth’s Facility intake officers contact the youth’s past or present suicidal ideations, behaviors parents and ask questions regarding their or attempts. child’s mental health history. Documentation is completed with the parent/guardian seeking information ☒ ☐ ☐ regarding the youth’s history of any suicidal behavior. This information is shared with the facility’s mental health staff as well. The transportation officer is also asked if the youth did well or made any particular comments. All documentation reviewed was consistent and included in this communication. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Procedures for clear and current Policy Section 1203: Suicide Prevention information sharing about youth at risk for Policy for Juvenile Facilities (Policy) Request suicide with youth supervision, healthcare, for Mental Health Consultation and behavioral/mental health staff. In each instance when Probation, JCHS, or LACOE become aware of a youth’s desire to harm himself or herself, they shall initiate appropriate supervision practices to keep ☒ ☐ ☐ the youth safe and communicate this information via a Request for Mental Health Consultation form to DMH. If any the partner agencies become aware of any youth who may wish to harm themselves, they would provide one-on-one supervision and contact facility staff for direction and response. (g) Debriefing of Critical Incidents Related to Policy Section 1203: Suicide Prevention Suicides or Attempts Policy for Juvenile Facilities (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention staff. Policy for Juvenile Facilities ☒ ☐ ☐ The Department has a policy for a Critical Stress Briefing. (3) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention youth. Policy for Juvenile Facilities ☒ ☐ ☐ The Department has a detailed policy for a Critical Stress Briefing. (h) Documentation Policy Section 1203: Suicide Prevention (1) Documentation processes shall be Policy for Juvenile Facilities developed to ensure compliance with this regulation Staff completes Enhanced Supervision ☒ ☐ ☐ forms each shift for any youth on a level. Any other issue or incident out of the ordinary is documented in an incident report. Youth identified at risk for suicide shall not be denied Policy Section 1202: Enhanced and the opportunity to participate in facility programs, Specialized Supervision Requirements for services and activities which are available to other non- Youths in Juvenile Facilities suicidal youth, unless deemed necessary for the safety ☒ ☐ ☐ of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy Section 203: Duty Statements, RTSB Management Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ of confinement, filed against persons or legal entities There are no known current pending legal responsible for juvenile facility operation. actions filed against the facility or the facility administrators. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy Section 1919: Deaths at Camp OF A YOUTH WHILE DETAINED Facilities (1) Death of a Youth. (a) The facility administrator, In cooperation with the The policy was developed in cooperation with Juvenile Court Health Services (JCHS) health administrator and the behavioral/mental and Department of Mental Health (DMH). health director, shall develop written policies and procedures in the event of the death of a youth ☒ ☐ ☐ while detained, which include notifications to No incidents to report for Camp Afflerbaugh. necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, In cooperation with the Policy Section 1919: Deaths at Camp facility administrator, shall develop written policies Facilities and procedures to assure there is a medical and operational review of every in-custody death of a youth. ☒ ☐ ☐ The review team shall include the facility administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Policy Section 1919: Deaths at Camp Board a copy of the report submitted to the Attorney Facilities General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board Compliant by the policy. No incidents. within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy Section 1919: Deaths at Camp the administrator, the Board may within 30 calendar Facilities days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy Section 1920: Serious Illness or Injury (a) The facility administrator, In cooperation with the of a Youth While Detained health administrator, shall develop written policies and procedures for the notification to necessary In December 2021, there was a critical incident in which a youth had a medical parties, which may include the Juvenile Court, the emergency/Code Blue Serious Injury. parent, guardian or person standing in loco parentis ☒ ☐ ☐ Based on the documentation reviewed, and the youth’s attorney of record in the case of a appropriate care was provided, the youth serious illness or injury of a youth. was transported to the emergency room for care, and all notifications were made according to policy (To the youth’s parent, attorney and to court.). 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1342 POPULATION ACCOUNTING Policy Section 203: Duty Statements, RTSB Management Each juvenile facility shall submit required population and profile survey reports to the Board within 10 The camp director is responsible to ensure working days after the end of each reporting period, in population information is provided to the a format to be provided by the Board. ☒ ☐ ☐ BSCC quarterly. Population Reports have been provided as required and entered in to the JDPS database timely. The facility provided documentation of their daily population for the week prior to inspection. The population the day of inspection was 19. 1343 JUVENILE FACILITY CAPACITY Policy Section 203: Duty Statements, RTSB Management When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility The facility has not exceeded the rated administrator shall provide a crowding report to the capacity this cycle. Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy Section 502: Orientation Process and The facility administrator shall develop and implement Handbook written policies and procedures for admittance of youth that emphasize respectful and humane engagement Admission documentation from December with youth, and reflect that the admission process may 21, 2021, through March 7, 2022, was be traumatic to youth who may have already provided for review. Camp Afflerbaugh, like experienced trauma. Policies shall be trauma-informed, ☒ ☐ ☐ the other camps, has had minimal culturally relevant, and responsive to the language and admissions. 1 admission in December literacy needs of youth. In addition to the requirements 2021, 5 in February 2022, and 1 in March of Sections 1324 and 1430 of these regulations: 2022. All admissions were provided for review. All documentation was completed as required and the facility had 100 percent compliance in all areas of this regulation. (a) the admittance process shall include: Policy Section 502: Orientation Process and (1) Access to two free phone calls within one hour Handbook ☒ ☐ ☐ of admittance in accordance with the provisions of Welfare and Institution Code Section 627; Compliant (2) Offer of a shower; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Compliant (3) Documented secure storage of personal Policy Section 502: Orientation Process and belongings; Handbook Youth do not bring their personal belongings ☒ ☐ ☐ from the JH with them to the camps. Parents are notified at release/upon arrival at the camp that their child’s belongings are available for pick up at the Juvenile Hall they came from. Offer of food upon arrival; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Compliant 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Screening for physical and behavioral health Policy Section 402: Assessment and and safety issues, intellectual or developmental Classification ☒ ☐ ☐ disabilities; Compliant (5) Screening for physical and developmental Policy Section 402: Assessment and disabilities in accordance with Sections 1329, Classification ☒ ☐ ☐ 1418, and 1430 of these regulations; Compliant Contact with Regional Center for the Developmentally Policy Section 502: Orientation Process and Disabled for youth that are suspected of or identified Handbook as having a developmental disability, pursuant to Section 1418; and, N/A ☒ ☐ ☐ Camp Assessment Unit is responsible to ensure proper classification for all youth assigned to the camps. Youth who are suspected of being developmentally disabled are screened out prior to the camp commitment. Procedures consistent with Section 1352.5. Policy Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex Youth in an ☒ ☐ ☐ Institutional Setting juvenile hall administrators shall establish written N/A criteria for detention that considers the least restrictive ☐ ☐ ☒ environment. (b) juvenile camps and post-dispositional programs in Policy Section 502: Orientation Process and juvenile halls shall develop policies and Handbook procedures that advise the youth of the estimated ☒ ☐ ☐ length of stay, inform them of program guidelines and provide written screening criteria for inclusion Each file contained a Projected Release and exclusion from the program. Date document. This section is compliant. (c) juvenile halls shall develop policies and N/A procedures that advise any committed youth of the ☐ ☐ ☒ estimated length of his/her stay. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy Section 402: Assessment and ABUSE Classification and 503: Screening for the The facility administrator shall develop and implement Risk of Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require Seven admissions were reviewed, and all facility staff to assess each youth within 72 hours of contained the required screenings that were admission based on the following information: completed in a timely manner. These screenings begin prior to camp entry with the initial documentation review completed by the Camp Assessment Unit and are completed again upon the youth’s entry to the camp by the camp orientation officer. The assessment is completed on a paper ☒ ☐ ☐ form and then later inputted into PEMERS system. We found a few discrepancies in the paper assessments; however, the final document had all areas addressed and corrected and were found to be compliant with regulation. All screenings were timely, completed as required, and were compliant with regulations. The assessment tool is maintained in an electronic database with limited access by staff. It is password protected and only certain staff have access. (a) Prior sexual victimization or abusiveness; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (b) Gender nonconforming appearance or manner; Policy Section 402: Assessment and or identification as lesbian, gay or bisexual, Classification and 503: Screening for the transgender, queer or intersex, and whether the Risk of Sexual Abuse ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (d) Age Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (e) Level of emotional and cognitive development; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (f) Physical size and stature; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (g) Mental illness or mental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Intellectual or developmental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (i) Physical disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (j) The youth’s perception of vulnerability; and, Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (k) Any other specific information about the Policy Section 402: Assessment and individual youth that may indicate heightened Classification and 503: Screening for the needs for supervision, additional safety ☒ ☐ ☐ Risk of Sexual Abuse precautions, or separation from certain other youth. Staff shall ascertain this information through Policy Section 503: Screening for the Risk conversations with the youth during the admittance of Sexual Abuse process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy Section 503: Screening for the Risk controls on the dissemination of information within the of Sexual Abuse facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1351 RELEASE PROCEDURES Policy Section 809: Release Procedures The facility administrator shall develop and implement Facility documentation was reviewed. There written policies and procedures for release of youth was one release in December 2021, three in from custody which provide for: February 2022, three in March 2022, and two in April 2022. It was determined that all releases were conducted in compliance with regulatory standards. Camp Afflerbaugh had included a release checklist which ensured additional oversight and QA. We noted facility partners (medical, mental health, and education) are aware of all pending releases through the Transitional MDT process which is held with Probation prior to the youth’s release. Partners may ☒ ☐ ☐ also be informed through other means and communications. We found that in some cases, this could be weeks in advance all the way through to the day of release, but only the Nurse is aware on the day of departure as the youth is checked out through medical for medical and medication purposes. We noted LACOE provided transcripts, Behavioral Health provided notifications of pending appointments etc. We provided technical assistance and suggested that a consistent process be put into place for all facilities that will provide an active notification to all parties at the time of release to enhance communication for all. (a) verification of identity/release papers; Policy Section 809: Release Procedures ☒ ☐ ☐ Parents or guardians picking up their child must show identification for entry. (b) return of personal clothing and valuables; ☒ ☐ ☐ Policy Section 809: Release Procedures (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Policy Section 809: Release Procedures (d) notification to the facility health care provider in Policy Section 809: Release Procedures accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Policy Section 809: Release Procedures (f) notification of facility mental health personnel. ☒ ☐ ☐ Policy Section 809: Release Procedures The facility administrator shall develop and implement Policy Section 809: Release Procedures policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry See 1355 ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Policy Section 1802: Private Appointments written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. RTSB does not offer nor allow furloughs. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1352 CLASSIFICATION Policy Section 402: Assessment and Classification Policy The facility administrator shall develop and implement written policies and procedures on classification of Seven assessments and classifications were youth for the purpose of determining housing placement provided for review. All initial classifications in the facility. ☒ ☐ ☐ were completed in compliance with regulatory requirements. Such procedures shall: Ten files with case notes were provided for review to show proof of practice for the classification reviews. (a) provide for the safety of the youth, other youth, Policy Section 402: Assessment and facility staff, and the public by placing youth in the Classification Policy appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy Section 402: Assessment and ☒ ☐ ☐ the facility; Classification Policy (c) provide that a youth shall be classified upon Policy Section 402: Assessment and admittance to the facility; classification factors shall Classification Policy include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ legal status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Policy Section 402: Assessment and provisions that consider the level of supervision and Classification Policy the youth's behavior while in custody; and, Periodic classifications are to be reviewed during weekly caseload meetings between the camp DPO and the youth. Camp Supervisors complete audits to ensure these are being completed. It was found prior to inspection that the DPO’s were not consistently documenting the reviews in the way they were required to do so. Onsite training and oversight were initiated by the ☒ ☐ ☐ BSCC coordinator. Ongoing, periodic review of classification was not occurring as it should. Additionally, while communications were likely occurring face-to-face in practice, they were not being documented as such. Additional, more recent documentation was requested for review to determine if the facility had corrected the issue. These issues were found to be corrected. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provide that facility staff shall not separate youth Policy Section 402: Assessment and from the general population or assign youth to a Classification Policy single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy Section 402: Assessment and transgender, questioning or intersex identification or Classification Policy ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, Transgender, The facility administrator shall develop written policies Questioning and Intersex Youth in an and procedures ensuring respectful and equitable Institutional Setting treatment of transgender and intersex youth. The ☒ ☐ ☐ policies shall provide that: There were no transgender youth at Camp Afflerbaugh at the time of inspection. There have been no transgender youth since the inspection either. (a) Facility staff shall respect every youth’s gender Policy Section 403: Juvenile Supervision of identity, and shall refer to the youth by the youth’s Lesbian, Gay, Bisexual, Transgender, preferred name and gender pronoun, regardless of Questioning and Intersex Youth in an the youth’s legal name. Facilities may prohibit the Institutional Setting ☒ ☐ ☐ use of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy Section 403: Juvenile Supervision of themselves in a manner consistent with their Lesbian, Gay, Bisexual, Transgender, gender identity, and shall provide youth with the ☒ ☐ ☐ Questioning and Intersex Youth in an institution’s clothing and undergarments consistent Institutional Setting with their gender identity. (c) Facility staff shall house youth in the unit or room Policy Section 403: Juvenile Supervision of that best meets their individual needs, and Lesbian, Gay, Bisexual, Transgender, promotes their safety and well-being. Staff may not Questioning and Intersex Youth in an automatically house youth according to their Institutional Setting external anatomy, and shall document the reasons for any decision to house youth in a unit that does Youth are referred to the MDT process and, ☒ ☐ ☐ not match their gender identity. In making a housing if necessary, the Senior Director will decision, staff shall consider the youth’s become involved. Technical assistance was preferences, as well as any recommendations from provided, and this regulatory expectation the youth’s health or behavioral health provider. discussed and reviewed. There have been no incidents where this has occurred this cycle. (d) Facility administrators shall ensure that Policy Section 403: Juvenile Supervision of transgender and intersex youth have access to Lesbian, Gay, Bisexual, Transgender, medical and behavioral health providers qualified to ☒ ☐ ☐ Questioning and Intersex Youth in an provide care and treatment to transgender and Institutional Setting intersex youth. Medical policies 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Consistent with the facility’s reasonable and Policy Section 403: Juvenile Supervision of necessary security considerations and physical Lesbian, Gay, Bisexual, Transgender, plant, facility staff shall make every effort to ensure Questioning and Intersex Youth in an ☒ ☐ ☐ the safety and privacy of transgender and intersex Institutional Setting youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy Section 403: Juvenile Supervision of youth for the purpose of determining the youth’s Lesbian, Gay, Bisexual, Transgender, anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ Questioning and Intersex Youth in an respect the youth’s preference regarding the gender of Institutional Setting the staff member who conducts any search of the youth. 1353 ORIENTATION Policy Section 502: Orientation Process The facility administrator shall develop and implement Handbook written policies and procedures to orient a youth prior to All youth are oriented upon arrival to the placement in a living area. Both written and verbal camp. Seven orientation packets were information shall be provided and supplemented with reviewed, and all were completed timely ☒ ☐ ☐ video orientation if feasible. Provision shall be made to and consistent with regulatory provide accessible orientation information to all requirements. detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches Policy Section 502: Orientation Process ☒ ☐ ☐ and disciplinary procedures; Handbook (b) facility’s system of positive behavior interventions Policy Section 502: Orientation Process and supports, including behavior expectations, Handbook incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Policy Section 502: Orientation Process facility’s policy prohibiting sexual abuse and sexual Handbook ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (e) the existence of the grievance procedure, the steps Policy Section 502: Orientation Process that must be taken to use it, the youth’s right to be Handbook free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue; (f) access to legal services and information on the Policy Section 502: Orientation Process court process; ☒ ☐ ☐ Handbook (g) access to routine and emergency health and mental Policy Section 502: Orientation Process health care; ☒ ☐ ☐ Handbook (h) access to education, religious services, and Policy Section 502: Orientation Process recreational activities; ☒ ☐ ☐ Handbook (i) housing assignments; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (j) opportunity for personal hygiene and daily showers Policy Section 502: Orientation Process including the availability of personal care items ☒ ☐ ☐ Handbook 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) rules and access to correspondence, visits and Policy Section 502: Orientation Process ☒ ☐ ☐ telephone use; Handbook (l) availability of reading materials, programming, and Policy Section 502: Orientation Process ☒ ☐ ☐ other activities; Handbook (m) facility policies on the use of force, use of restraints, Policy Section 502: Orientation Process chemical agents and room confinement; ☒ ☐ ☐ Handbook (n) immigration legal services; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (o) emergencies including evacuation procedures; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (p) non-discrimination policy and the right to be free Policy Section 502: Orientation Process from physical, verbal or sexual abuse and ☒ ☐ ☐ Handbook harassment by other youth and staff; (q) availability of services and programs in a language Policy Section 502: Orientation Process ☒ ☐ ☐ other than English if appropriate; Handbook (r) the process for requesting different housing, Policy Section 502: Orientation Process ☒ ☐ ☐ education, programming and work assignments; Handbook (s) a process for which parents/guardians receive Policy Section 502: Orientation Process information regarding the youth’s stay in the facility Handbook that at a minimum includes answers to frequently asked questions and provides contact information ☒ ☐ ☐ The officer who provides the phone calls for the facility, medical, school and mental health; home answers any questions a parent may and, have. There is also a parent handbook that is sent to the youth. (t) a process by which youth may request access to Policy Section 502: Orientation Process Title 15 Minimum Standards for Juvenile Facilities. Handbook Copies of Title 15 are kept in the dorm for youth upon request. ☒ ☐ ☐ 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy Sections: The facility administrator shall develop and implement 514: Separation written policies and procedures that address: 515: Room Confinement 1400: The Healing Opportunities and Positive Engagement (HOPE) Center If a youth needs to be separated while at Camp Afflerbaugh, youth are first encouraged to talk to staff and to talk about their issues so that staff can assist them in solving the problem or matter. The camp is not a large facility and youth who cannot be maintained safely can’t be maintained in the camp. Facility managers believe that in many cases, youth sometimes just need time away and out of the dorm. The youth will go and sit in the office with the senior or supervisor and talk or just sit quietly for a while in the camp office. Youth are encouraged to ask for help to manage their issues as needed. Per facility managers, this is a life skill and it is highly encouraged at Camp Afflerbaugh. If the youth cannot be safely maintained in ☒ ☐ ☐ the camp, they are moved to Camp Rocky’s HOPE Center. Youth are then placed in either cool down status, room confinement, or on a Specialized Supervision Plan. All documentation of Camp Rockey’s HOPE Center falls under that facility and does not impact Camp Afflerbaugh. Ms. Mendez provided a memo certifying that no youth chose to self-separate at any time between July 2020 and January 2022. There were no room confinement or self- separations to review. In January and February 2022, the Camp was temporarily moved to the Barry J. Nidorf Juvenile Hall, due to high winds damaging the camp. While in BJNJH, some youth requested to be placed in self-separation. These documents were provided and were found to be compliant. Any youth that was sent to the HOPE Center while at BJNJH had the paperwork completed that remained at BJNJH. This documentation would be inspected under that facility for 1354 and 1354.5. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) separation of youth for reasons that include, but are Policy Sections 514: Separation and Policy not be limited to, medical and mental health Section 1400: The Healing Opportunities ☒ ☐ ☐ conditions, assaultive behavior, disciplinary and Positive Engagement (HOPE) Center consequences and protective custody. (b) consideration of positive youth development and Policy Sections 514: Separation and Policy trauma-informed care. ☒ ☐ ☐ Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center (c) separated youth shall not be denied normal Policy Sections 514: Separation and Policy privileges available at the facility, except when Section 1400: The Healing Opportunities necessary to accomplish the objective of and Positive Engagement (HOPE) Center separation. N/A ☐ ☐ ☒ Youth who spend some time away from the dorm are offered all regular programming as it occurs. Overall, this section does not apply as youth who need true separation are transported to Camp Rockey. (d) when the objective of the separation is discipline, Policy Sections 514: Separation and Policy Title 15 Section 1390 shall apply. Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center ☐ ☐ ☒ NA to this section as true separation does not apply to Camp Afflerbaugh. (e) when separation results in room confinement, the Policy Sections 514: Separation and Policy separation shall occur in accordance with Welfare Section 1400: The Healing Opportunities and Institutions Code Section 208.3 and and Positive Engagement (HOPE) Center ☐ ☐ ☒ Section1354.5 of these regulations. NA as room confinement does not apply to Camp Afflerbaugh. (f) policies and procedures shall ensure a daily review 514: Separation of separated youth to determine if separation remains necessary. NA as separation in this manner does not occur at Camp Afflerbaugh. If a youth has ☐ ☐ ☒ been transferred to Camp Rockey for separation purposes, this review will occur and be monitored and reviewed under Camp Rockey documentation. 1354.5 ROOM CONFINEMENT Policy Section 515: Room Confinement and The facility administrator shall develop and implement Section and Policy Section 1400: The written policies and procedures addressing the Healing Opportunities and Positive confinement of youth in their room that are consistent Engagement (HOPE) Center with Welfare and Institutions Code Section 208.3. The placement of a youth in room confinement shall be Room Confinement does not apply to Camp accomplished in accordance with the following Afflerbaugh. Any youth that needs to be held guidelines: in room confinement will be transported to Camp Rocky and documentation will be inspected under that camp. All sections are marked as N/A. (1) Room confinement shall not be used before Policy Section 515: Room Confinement and other, less restrictive, options have been Section and Policy Section 1400: The attempted and exhausted, unless attempting ☐ ☐ ☒ Healing Opportunities and Positive those options poses a threat to the safety or Engagement (HOPE) Center security of any youth or staff. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Room confinement shall not be used for the Policy Section 515: Room Confinement purposes of punishment, coercion, ☐ ☐ ☒ convenience, or retaliation by staff. (3) Room confinement shall not be used to the Policy Section 515: Room Confinement extent that it compromises the mental and ☐ ☐ ☒ physical health of the youth. (a) A youth may be held up to four hours in room Policy Section 1400: The Healing confinement. After the youth has been held in room Opportunities and Positive Engagement ☐ ☐ ☒ confinement for a period of four hours, staff shall do (HOPE) Center one or more of the following: (1) Return the youth to general population. Policy Section 1400: The Healing Opportunities and Positive Engagement ☐ ☐ ☒ (HOPE) Center (2) Consult with mental health or medical staff. Policy Section 1400: The Healing Opportunities and Positive Engagement ☐ ☐ ☒ (HOPE) Center (3) Develop an individualized plan that includes the Policy Section 1400: The Healing goals and objectives to be met in order to Opportunities and Positive Engagement ☐ ☐ ☒ reintegrate the youth to general population. (HOPE) Center (4) If room confinement must be extended beyond Policy Section 1400: The Healing four hours, staff shall do each of the following: ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center (A) Document the reasons for room Policy Section 1400: The Healing confinement and the basis for the Opportunities and Positive Engagement extension, the date and time the youth was (HOPE) Center ☐ ☐ ☒ first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that Policy Section 1400: The Healing includes the goals and objectives to be met Opportunities and Positive Engagement ☐ ☐ ☒ in order to integrate the youth to general (HOPE) Center population. (C) Obtain documented authorization by the Policy Section 1400: The Healing facility superintendent or his or her ☐ ☐ ☒ Opportunities and Positive Engagement designee every four hours thereafter. (HOPE) Center (5) This section is not intended to limit the use of Policy Section 515: Room Confinement single-person rooms or cells for the housing of and Policy Section 1400: The Healing youth in juvenile facilities and does not apply to ☐ ☐ ☒ Opportunities and Positive Engagement normal sleeping hours. (HOPE) Center (6) This section does not apply to youth or wards Policy Section 515: Room Confinement in court holding facilities or adult facilities. and Policy Section 1400: The Healing ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center (7) Nothing in this section shall be construed to Policy Section 515: Room Confinement conflict with any law providing greater or and Policy Section 1400: The Healing additional protections to youth. ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) This section does not apply during an Policy Section 515: Room Confinement and extraordinary emergency circumstance that Policy Section 1400: The Healing requires a significant departure from normal Opportunities and Positive Engagement institutional operations, including a natural (HOPE) Center disaster or facility-wide threat that poses an ☐ ☐ ☒ imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy Section 515: Room Confinement and placed in a locked cell or sleeping room to treat Policy Section 1400: The Healing and protect against the spread of a Opportunities and Positive Engagement communicable disease for the shortest amount (HOPE) Center 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 The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: Policy Section 402: Assessment and The assessment is based on information collected Classification and Policy Section 703: The during the admission process with periodic review, MDT Process which includes the youth's risk factors, needs and strengths including, but not limited to, identification The assessment process begins at of substance abuse history, educational, commitment. The Camp Assessment unit vocational, counseling, behavioral health, begins the assessment process (22 pt consideration of known history of trauma, and assessment) and the process continues ☒ ☐ ☐ family strengths and needs. when the youth reach the camp and through the youth’s involvement in the MDT process. All files reviewed had completed assessments from CAU and MDT meetings completed at the camp. Initial MDT’s are to be scheduled within 10 days. (b) Institutional Case Plan: Policy Section 703: The MDT Process (1) A case plan shall be developed for each youth held for at least 30 days or more and created Case plans are completed at the first MDT ☒ ☐ ☐ within 40 days of admission. which is held in the first two weeks. All documentation reviewed had case plans that were timely. (2) The institutional plan shall include, but not be Policy Section 705: Ongoing Case ☒ ☐ ☐ limited to, written documentation that provides: Management Activities 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) objectives and time frame for the resolution Policy Section 705: Ongoing Case of problems identified in the assessment; Management Activities ☒ ☐ ☐ LA County has a very detailed Case plan process with objectives and timeframes and identified programs and objectives. (B) a plan for meeting the objectives that Policy Section 705: Ongoing Case includes a description of program resources Management Activities ☒ ☐ ☐ needed and individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy Section 705: Ongoing Case the objectives, including periodic review and Management Activities discussion of the plan with the youth; ☒ ☐ ☐ Reviewed six extensive case notes from random files from January and February 2022 and found that documentation is being completed as required. (4) a transition plan, the contents of which shall be Policy Section 706: Case Plan Activities- subject to existing resources, shall be Pre- Release ☒ ☐ ☐ developed for post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Policy Section 705: Ongoing Case plan, including the transition plan, shall be Management Activities developed with input from the family, supportive ☒ ☐ ☐ adults, youth, and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Policy Section 705: Ongoing Case The facility administrator shall develop and implement Management Activities written policies and procedures ensuring the availability of appropriate counseling and casework services for all DPO’s in the camp are assigned to each youth. Policies and procedures shall ensure: youth to address their needs. All officers are to work with the youth and assist them as ☒ ☐ ☐ needed. The facility Director and Assistant Director spend much time counseling and working with the youth. Both managers have been in the facility on weekends and evenings when we have been present talking with kids. (a) youth will receive assistance with needs or Policy Section 705: Ongoing Case concerns that may arise; ☒ ☐ ☐ Management Activities (b) youth will receive assistance in requesting contact Policy Section 705: Ongoing Case with parents, other supportive adults, attorney, ☒ ☐ ☐ Management Activities clergy, probation officer, or other public official; and, (c) youth will be provided access to available Policy Section 705: Ongoing Case resources to meet the youth’s needs. ☒ ☐ ☐ Management Activities 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1357 USE OF FORCE Policy Section 1701: Physical intervention Policy for Juvenile Facilities and the The facility administrator, In cooperation with the Transportation Section responsible physician, shall develop and implement written policies and procedures for the use of force, Camp Afflerbaugh provided 9 incidents for which may include chemical agents. Force shall never ☒ ☐ ☐ our review between December 2021 and be applied as punishment, discipline, retaliation or March 2022. treatment. We found all incidents appeared to be (a) At a minimum, each facility shall develop policies necessary and appropriate based on the and procedures which: documentation reviewed to ensure the safety of the youth and staff in the facility. (1) restricts the use of force to that which is deemed Policy Section 1704: Safe Crisis reasonable and necessary, as defined in Section Management and Physical Intervention 1302 to ensure the safety and security of youth, ☒ ☐ ☐ Procedures staff, others and the facility. Compliant (2) outline the force options available to staff Policy Section 1704: Safe Crisis including both physical and non-physical options Management and Physical Intervention and define when those force options are ☒ ☐ ☐ Procedures appropriate. (3) describe force options or techniques that are Policy Section 1704: Safe Crisis expressly prohibited by the facility. ☒ ☐ ☐ Management and Physical Intervention Procedures (4) describe the requirements of staff to report any Policy Section 1704: Safe Crisis inappropriate use of force, and to take ☒ ☐ ☐ Management and Physical Intervention affirmative action to immediately stop it. Procedures (5) define a standardized reporting format that Policy Section 1704: Safe Crisis includes time period and procedure for Management and Physical Intervention documenting and reporting the use of force, Procedures including reporting requirements of management and line staff and procedures for Debriefs were completed on all incidents reviewing and tracking use of force incidents by that required them. Reports are written ☒ ☐ ☐ supervisory and or management staff, which before the end of the shift or, with include procedures for debriefing a particular permission, the next shift based on the time incident with staff and/or youth for the purposes of the incident and the time of day. of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system Policy Section 1706: Safe Crisis for investigating unreasonable use of force. Management Physical Intervention Reports The policy notes this process to occur “as ☒ ☐ ☐ soon as practical.” Technical Assistance provided that a specific timeline should be identified and proper accountability for those not completing the reviews when required. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) define the role, notification, and follow-up Policy Section 1704: Safe Crisis procedures required after use of force incidents Management and Physical Intervention for medical, mental health staff and parents or Procedures legal guardians. ☒ ☐ ☐ In all cases, medical, mental health, and parents were notified as required. Parents of youth that went out for medical treatment were notified of this information as well as when they returned. (8) describe the limitations of use of force on Policy Section 1704: Safe Crisis pregnant youth in accordance with Penal Code Management and Physical Intervention ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Procedures Code Section 222. (b) Facilities that authorize chemical agents as a force OC spray is not used in the camps. All ☐ ☐ ☒ option shall include policies and procedures that: remaining sections are marked as NA (1) identify who is approved to carry and/or utilize NA 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 NA when there is an imminent threat to the youth’s safety or the safety of others and only when de- ☐ ☐ ☒ escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and NA timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be ☐ ☐ ☒ left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up NA procedures required after use of force incidents ☐ ☐ ☒ involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident NA of use of chemical agents, including the reasons for which it was used, efforts to de- escalate prior to use, youth and staff involved, ☐ ☐ ☒ the date, time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure Policy Section 1702: Training which require that agencies provide initial and ☒ ☐ ☐ regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health Policy Section 1702: Training conditions that would contraindicate certain ☒ ☐ ☐ types of force; (2) acceptable chemical agents and the methods Policy Section N/A ☒ ☐ ☐ of application. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) signs or symptoms that should result in Policy Section 1702: Training ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of ☒ ☐ ☐ Policy Section 1702: Training Use of Force. (5) physical training force options that may require ☒ ☐ ☐ Policy Section 1702: Training the use of perishable skills. (6) timelines the facility uses to define regular Policy Section 1702: Training training. All staff are CORE trained prior to beginning work in a facility. Annual training is completed as part of STC requirements and block week. ☒ ☐ ☐ We will be working with the facility to provide proof of practice for each individual training session that is related to this area and the proper documentation to identify who has gone and who has not. 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1705: Restraints The facility administrator, In cooperation with the The policy was developed in cooperation with Juvenile Court Health Services (JCHS) responsible physician and mental health director, shall and the Department of Mental Health develop and implement written policies and procedures (DMH). for the use of restraint devices. Restraint devices include any devices which immobilize a youth's Documentation is requested for the use of any restraint for the purpose of this section. extremities and/or prevent the youth from being There were two incidents provided. One ambulatory. incident was documented accurately, the other had issues with documentation in that mental health was not notified nor was the actions of the youth documented every 15 ☒ ☐ ☐ minutes. Technical assistance was provided and discussion regarding this particular incident and it was noted that this youth was involved in a fight and the issue was not a true use of restraint for this section. Further discussion was held regarding the need to ensure that staff and supervisors completely understand when these requirements apply. The BSCC coordinator will be working with supervisors on this issue. We will continue to closely monitor this section in our unannounced visits. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Physical restraints may be used only for those youth Policy Section 1705: Restraints who present an immediate danger to themselves or Both incidents involved restraints as youth others, who exhibit behavior which results in the exhibited a danger to themselves. destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy Section 1705: Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy Section 1705: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy Section 1705: Restraints of the facility manager or designee. The facility manager Continued retention is reviewed by the may delegate authority to place a youth in restraints to a ☒ ☐ ☐ supervisor every 15 minutes. physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy Section 1705: Restraints retention shall be secured as soon as possible, but no ☒ ☐ ☐ Medical staff sees the youth within 30 later than two hours from the time of placement. The minutes. youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Policy Section 1705: Restraints possible, but in no case longer than four hours from the ☒ ☐ ☐ Referrals are completed and follow-ups are time of placement, to assess the need for mental health completed. treatment. Continuous direct visual supervision shall be conducted Policy Section 1705: Restraints to ensure that the restraints are properly employed, and The youth involved were not restrained long to ensure the safety and well-being of the youth. ☒ ☐ ☐ enough to require documentation. Youth Observations of the youth's behavior and any staff were under constant visual supervision. interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy Section 1705: Restraints procedures shall address: (a) documentation of the circumstances leading to an Policy Section 1705: Restraints ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate Policy Section 1705: Restraints ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☒ ☐ ☐ Policy Section 1705: Restraints (d) signs or symptoms which should result in Policy Section 1705: Restraints ☒ ☐ ☐ immediate medical/mental health referral. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) availability of cardiopulmonary resuscitation Policy Section 1705: Restraints ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Policy Section 1705: Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☒ ☐ ☐ Youth were held separately and were protected. which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Policy Section 1705: Restraints (h) exercising of extremities. ☒ ☐ ☐ Policy Section 1705: Restraints 1358.5 USE OF RESTRAINT DEVICES FOR Policy Section 1709: The Use of Mechanical MOVEMENT AND TRANSPORTATION WITHIN THE Restraints for Movement and Transport FACILITY. Within the Facility The Facility Administrator, In cooperation with the ☒ ☐ ☐ The policy was developed in cooperation responsible physician and behavioral/mental health with Juvenile Court Health Services (JCHS) director, shall develop and implement written policies and the Department of Mental Health and procedures for the use of restraint devices when (DMH). the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Policy Section 1709: The Use of Mechanical approved to utilize restraint devices and the ☒ ☐ ☐ Restraints for Movement and Transport required training. Within the Facility (b) the circumstances leading to the application of Policy Section 1709: The Use of Mechanical restraints must be documented. ☒ ☐ ☐ Restraints for Movement and Transport Within the Facility (c) an individual assessment of the need to apply Policy Section 1709: The Use of Mechanical restraints for movement or transportation that Restraints for Movement and Transport includes consideration of less restrictive Within the Facility alternatives, consideration of a youth’s known Of the incidents reviewed, most were medical or mental health conditions, trauma informed approaches, and a process for ☒ ☐ ☐ documented appropriately. The few that were not, were accompanied with a notice of documentation and supervisor review and supervisor conference. These appear to be approval. training issues that were appropriately handled by the supervisor at the time of the report. (d) consideration of safety and security of the facility, Policy Section 1709: The Use of Mechanical with a clearly defined expectation that restraint ☒ ☐ ☐ Restraints for Movement and Transport devices shall not be used for the purposes of Within the Facility discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Policy Section 1709: The Use of Mechanical accordance with Penal Code Section6030(f) and ☒ ☐ ☐ Restraints for Movement and Transport Welfare and Institutions Code Section 222. Within the Facility 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. The remaining sections are marked as NA. (a) The facility administrator, and where applicable, In cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of N/A necessary nutrition and fluids, access to a ☐ ☐ ☒ toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or N/A ☐ ☐ ☒ designee, before a youth is placed into a safety room; (3) provide for continuous direct visual supervision N/A and documentation of the youth's behavior and ☐ ☐ ☒ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ N/A facility manager, or designee, every four hours; (5) provide for immediate medical assessment, N/A ☐ ☐ ☒ where appropriate, or an assessment at the next daily sick call; and, (6) provide a process for documenting the reason N/A for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ N/A accomplished in accordance with the following: (1) safety room shall not be used before other less N/A restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes N/A ☐ ☐ ☒ of punishment, coercion, convenience, or retaliation by staff. (3) safety room shall not be used to the extent that N/A ☐ ☐ ☒ it compromises the mental and physical health of the youth. (c) A youth may be held up to four hours in the safety N/A room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ N/A 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) consult with mental health or medical staff, ☐ ☐ ☒ N/A (3) develop an individualized plan that includes the N/A ☐ ☐ ☒ goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended N/A beyond four hours, staff shall develop an individualized plan that includes the requirements ☐ ☐ ☒ of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Policy Section 1316: Searches in Detention Facilities and Section 1317: Body Searches The facility administrator shall develop and implement (Pat-Down, Strip, and Body Cavity written policies and procedures governing the search of Searches) youth, the facility, and visitors. Policies and procedures shall provide that: Documentation of one full month of daily dorm and wing searches were provided for review. Four K9 searches were conducted, as well as a daily full-facility searches document. Staff quarters are also randomly searched. ☒ ☐ ☐ Youth are searched with electronic wands, pat down searches, and may be strip searched if necessary but only with prior approval of the supervisor. It was noted that per the documentation reviewed, it appears not much contraband is found in the camp. It was however noted that while youth were temporarily housed at BJNJH, there was quite a lot of contraband found. The camp does have issues periodically with outside contraband being introduced into the facility. (a) Searches shall be conducted to ensure the safety Policy Section 1316: Searches in Detention ☒ ☐ ☐ and security of the facility, public, visitors, youth, Facilities and staff. (b) Searches shall be conducted in a manner that Policy Section 1316: Searches in Detention preserves the privacy and dignity of the person Facilities ☒ ☐ ☐ being searched, and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Policy Section 1317: Body Searches (Pat - searches shall comply with Penal Code Section ☒ ☐ ☐ Down, Strip, and Body Cavity Searches) 4030. (d) Physical body cavity searches shall only be Policy Section 1317: Body Searches (Pat - ☒ ☐ ☐ conducted by a medical professional. Down, Strip, and Body Cavity Searches) 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Any youth held after a detention hearing shall only Policy Section 1317: Body Searches (Pat - be strip searched with prior approval of a supervisor Down, Strip, and Body Cavity Searches) when there is reasonable suspicion based on ☒ ☐ ☐ specific and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Policy Section 1317: Body Searches (Pat - comply with Section 1352.5. Down, Strip, and Body Cavity Searches) and Section 403: Juvenile Supervision of ☒ ☐ ☐ Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex Youth in an Institutional Setting (g) Cross-gender pat-down searches and strip Policy Section 1317: Body Searches (Pat- searches are prohibited except in exigent Down, Strip, and Body Cavity Searches) ☒ ☐ ☐ circumstances or when conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy Section 508: Grievance Procedures The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to any condition of confinement, including but not limited to health care services, classification decisions, program ☒ ☐ ☐ participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy Section 508: Grievance Procedures grievance, which includes provisions for the youth to have free access to the form;( policy says easily ☒ ☐ ☐ Youth have access through paper copy in accessible} the dorm and in school through the JIGS system. (b) the youth shall have the option to confidentially file Policy Section 508: Grievance Procedures the grievance or to deliver the form to any youth ☒ ☐ ☐ supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate Policy Section 508: Grievance Procedures staff level; ☒ ☐ ☐ Youth interviewed stated they could turn in their grievance to any staff member including the staff person they grieved. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provision for a prompt review and initial response to Policy Section 508: Grievance Procedures grievances within three (3) business days, grievances that relate to health and safety issues Three grievances from November 2021, must be addressed immediately; one grievance from January 2022, and one from February 2022 were provided for review. ☒ ☐ ☐ Of the three, one grievance was not picked up/responded to in a timely manner. Additional information was provided, and it was found they were completed within regulation expectations. (1) The youth may elect to be present to explain Policy Section 508: Grievance Procedures his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy Section 508: Grievance Procedures ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy Section 508: Grievance Procedures which includes the reasons for the decisions; ☒ ☐ ☐ Grievances had responses provided for youth, providing why their grievances were resolved or not. (f) a system which provides that any appeal of a Policy Section 508: Grievance Procedures 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 Policy Section 508: Grievance Procedures (10) business days unless circumstances dictate a ☒ ☐ ☐ longer time frame. The youth shall be notified of All grievances were resolved within the 10- any delay; and, day requirement. (h) the policy shall provide multiple internal and Policy Section 508: Grievance Procedures external methods to report sexual abuse and sexual ☒ ☐ ☐ harassment. Youth can report to any staff, to any facility partner, or the ombudsman. Whether or not associated with a grievance, concerns Policy Section 504: Ombudsman and of parents, guardians, staff or other parties shall be Section 508: Grievance Procedures addressed and documented in accordance with written policies and procedures within a specified timeframe. If a parent has a concern, they are encouraged to address the issue at the time of issue with the facility supervisor. Ms. Mendez and Mr. Rossi also attempt to ☒ ☐ ☐ address all issues at the facility level if able to do so to ensure parents have a quick resolution from the administrators. If the issue cannot be resolved, a complaint can be filed formally with the Department, through a formal complaint process. Technical assistance was provided for consistency across the bureau. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1362 REPORTING OF INCIDENTS Policy Section 1119: Reducing Youth on A written report of all incidents which result in physical Youth on Violence and Section 1919: harm, use of force, serious threat of physical harm, or Deaths at Camp Facilities death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the Several incident reports from January and staff and submitted to the facility manager by the end of February 2022 were provided for review. All the shift, unless additional time is necessary and were completed in a timely manner. authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Policy Sections 306: Live Scan and DNA DNA SPECIMENS, SAMPLES, IMPRESSIONS Collection and 1122: Juvenile Collection of (a) Pursuant to Penal Code Section 298.1 authorized DNA Samples law enforcement, custodial, or corrections personnel including peace officers, may employ The Camp Assessment Unit is responsible reasonable force to collect blood specimens, saliva ☐ ☐ ☒ to determine if youth need DNA collection. samples, and thumb or palm print impressions from Detention Services Bureau (DSB) individuals who are required to provide such personnel are responsible for conducting samples, specimens or impressions pursuant to fingerprint collection through the Live-Scan Penal Code Section 296 and who refuse following process and for DNA collection. This is not written or oral request. done in the camps. (1) For the purpose of this section, the “use of Policy Sections 306: Live Scan and DNA reasonable force” shall be defined as the force that Collection and 1122: Juvenile Collection of an objective, trained and competent correctional DNA Samples ☐ ☐ ☒ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy Sections 306: Live Scan and DNA efforts to secure voluntary compliance. Efforts to Collection and 1122: Juvenile Collection of secure voluntary compliance shall be documented DNA Samples ☐ ☐ ☒ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Policy Sections 306: Live Scan and DNA authorization of the supervising officer on duty. The Collection and 1122: Juvenile Collection of authorization shall include information that reflects DNA Samples ☐ ☐ ☒ the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Policy Sections 306: Live Scan and DNA extraction, the extraction shall be videotaped. Collection and 1122: Juvenile Collection of Video shall be directed at the cell extraction DNA Samples event. The videotape shall be retained by the ☐ ☐ ☒ agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM The educational program is provided by the Los Angeles County Office of Education. (a) School Programs Policy has not changed since the last cycle. The camp school is a shared site with Camp The County Board of Education shall provide for the Paige. There are 12 teachers, 6 administration and operation of juvenile court paraeducators, counselors, school schools in conjunction with the Chief Probation psychologist, and various subject experts Officer, or designee pursuant to applicable State including literacy and resource teachers that laws. The school and facility administrators shall are shared between the two sites. develop and implement written policy and procedures to ensure communication and There was an acting principal at the time of coordination between educators and probation staff. the inspection; however, we were unable to Culturally responsive and trauma-informed contact him at that time. All youth interviewed spoke highly of their approaches should be applied when providing educational experiences. They spoke highly instruction. Education staff should collaborate with of their teachers and their experiences. A the facility administrator to use technology to few of the youth had stated that they were facilitate learning and ensure safe technology graduates and did not attend class with their practices. The facility administrator shall request an peers. annual review of each required element of the program by the Superintendent of Schools, and a The following information noted in each report or review checklist on compliance, individual section is taken directly from the deficiencies, and corrective action needed to subject matter experts’ report. Any achieve compliance with this section. Such a review, questions should be referred to Bruce ☒ ☐ ☐ when conducted, cannot be delegated to the Peterson, San Diego County Office of principal or any other staff of any juvenile court Education (858-571-7274) school site. The Superintendent of Schools shall Administration and operations of the conduct this review in conjunction with a qualified Juvenile Court School in camp facilities outside agency or individual. Upon receipt of the (Afflerbaugh/Paige) are in conjunction with review, the facility administrator or designee shall the Chief Probation Officer/designee. review each item with the Superintendent of Schools and shall take whatever corrective action is Monthly meetings are scheduled (inter- necessary to address each deficiency and to fully agency) with probation, DMH etc. protect the educational interests of all youth in the facility. Evidence of trauma informed training (Living Above the Hype). Cultural Competency & Engagement training. Students have access to technology and Wi-Fi. All educational programs are evaluated each year to ensure policies and procedures are met. This review was completed by a delegate from outside the LEA, San Diego County Office of Education. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements BP 6011 Instruction BP 6011 Instruction, BP 0460 Philosophy, The facility school program shall comply with the Goals, Objectives, and Comprehensive State Education Code and County Board of Plans Education policies, all applicable federal education BP 005 Philosophy, Goals, Objectives and statutes and regulations and provide for an annual Comprehensive Plans Item 3,4,5 evaluation of the educational program offerings. As stated in the 2009 California Standards for the The school facility is evaluated annually to ☒ ☐ ☐ Teaching Profession, teachers shall establish and ensure State Education Code and County Board policies are met. maintain learning environments that are physically, The CSTPs are built into all teacher emotionally, and intellectually safe. Youth shall be evaluations. provided a rigorous, quality educational program that responds to the different learning styles and abilities Curriculum is in alignment with the of students and prepares them for high school California State Standards. Educational graduation, career entry, and post-secondary programs include differentiated instruction education. and reading/math interventions. All youth shall be treated equally, and the education BP 5145.3 Students program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ The school facility is evaluated annually to nonconforming youth by their preferred name and ensure Statute Education Code and County Board policies are met. gender. (1) The course of study shall comply with the State BP 005 Philosophy, Goals, Objectives and Education Code and include, but not be limited to, Comprehensive Plans courses required for high school graduation. ☒ ☐ ☐ Item 3,4,5 The course of study is in compliance with state education code. (2) Information and preparation for the High School AR-6146.2 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to The HiSet is given on site. eligible youth. (3) Youth shall be informed of post-secondary education AR-6143 Instruction Item 9 (Grades 7-12) and vocational opportunities. A counselor or Transition counselor meets with students to inform them of post- secondary options. Vocational educational ☒ ☐ ☐ options include onsite OSHA certifications and Graphic Communications. Concurrent college enrollment is provided as an option to qualifying students. Mission College/ East LA College(Online)/Glendale College direct instruction. (4) Administration of the High School Equivalency Tests AR6146-2 Instruction Ed Code 51420 as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. HiSet assessment is administered at Site by certified school counselor. (5) Supplemental instruction shall be afforded to youth AR-6179 Instruction BPP 5149 who do not demonstrate sufficient progress towards grade level standards. An initial assessment is completed and an ☒ ☐ ☐ analysis transcript history to determine course/programing. Targeted intervention courses/Credit Recovery(APEX)/, Read/Math 180 are part of supplemental instruction provided to students. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) The minimum school day shall be consistent with BP 6112 Instruction State Education Code Requirements for juvenile court schools. The facility administrator, in Minimum day schedule and required conjunction with education staff, must ensure that minutes are listed on Master Schedule. ☒ ☐ ☐ operational procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless of BP 6112 Instruction Partially Address. classification, housing, security status, disciplinary or requirement; AR 5131 separation status, including room confinement, except when providing education poses an Educational programming is provided to all immediate threat to the safety of self or others. ☒ ☐ ☐ youth assigned to the probation camp regardless of classification or security Education includes, but is not limited to, related status. Individualized needs are assessed, services as provided in a youth’s Section 504 Plan or and appropriate services are provided as Individualized Education Program (IEP). directed by the individualized Education Plan(IEP) or 504 plans. (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented The Positive Behavior Interventions and to reduce the need for disciplinary action in the ☒ ☐ ☐ Supports (PBIS) has been implemented at school setting and be integrated into the facility's both Afflerbaugh/Paige camp facilities overall behavioral management plan and security system. (2) School staff shall be advised of administrative BP 5021 Students CF 6020 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. Ongoing communications (Email as evidence) (3) Except as otherwise provided by the State Education BP 5144.1 Students; 5144.2 - Suspension Code, expulsion/suspension from school shall be and Expulsion/Due Process (Students with imposed only when other means of correction fails to Disabilities) bring about proper conduct. School staff shall follow A policy is in place for re-structuring as an the appropriate due process safeguards as set forth ☒ ☐ ☐ intervention or other means of correction. in the State Education Code including the rights of MBC1, MBC2 etc. listed, Multi-Behavioral students with special needs. School staff shall Correction. Process documented within the document the other means of correction used prior Assertive Discipline policy to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with BP 5144 education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ Conferences are held with probation to continuing difficulty completing a school day. discuss the individual needs of students who are having difficulty completing the school day. (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and Comprehensive Plans (1) State and federal laws and regulations shall be observed for all individuals with disabilities or All State and Federal laws for students with ☒ ☐ ☐ suspected disabilities. This includes but is not limited disabilities are being followed. to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Youth identified as English Learners (EL) shall be BP 6174 Instruction afforded an educational program that addresses ☒ ☐ ☐ their language needs pursuant to all applicable state ELA/ELD program listed in the master and federal laws and regulations governing schedule. ELPAC testing is completed by programs for EL students. ELD teacher and ELD assistant. (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers Requirement (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's The school clerk conducts the initial educational history, including but not limited to: enrollment of the student upon arrival of the first school day. (A) School progress/school history; ☒ ☐ ☐ BP 6162.5 Instruction (B) Home Language Survey and the results of the State AR 6174 Instruction Test used for English language proficiency; ☒ ☐ ☐ The Home Language Survey is given at the juvenile halls and scanned into the Aeries system for the receiving camp school. (C) Needs and services of special populations as defined BP 6162.5 Instruction by the State Education Code, including but not ☒ ☐ ☐ limited to, students with special needs. School Psychologists, RSP teachers and 1 SDC teacher are on site and collaborate on IEP goals and services. (D) Discipline problems. ☒ ☐ ☐ BP 5131 Students MDT teams review student progress. (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to ☒ ☐ ☐ determine the youth's general academic functioning Students who enroll in the camp are levels to enable placement in core curriculum enrolled in the school the following day. courses. (3) After admission to the facility, a preliminary education BP 6162.5 Instruction plan shall be developed for each youth within five ☒ ☐ ☐ school days. School counselor reviews credit history with students upon arrival. (4) Upon enrollment, education staff shall comply with the AR 5125 Students State Education Code and request the youth's records from his/her prior school(s), including, but Student records are requested at the time of not limited to, transcripts, Individual Education enrollment. Counselors are on site and Program (IEP), 504 Plan, state language review transcripts with students shortly after ☒ ☐ ☐ assessment scores, immunization records, exit enrollment. grades, and partial credits. Upon receipt of the The probation Camp Movement Status transcripts, the youth's educational plan shall be (intake packet) is also reviewed by the reviewed with the youth and modified as needed. counselor to determine special education Youth should be informed of the credits they need to status. graduate. (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth All records are forwarded to the students shall be forwarded to the next educational placement receiving school or program by the ☒ ☐ ☐ in accordance with the State Education Code. transition counselor. The completed transition packet is given hard copy to student upon the last day of attendance. Probation staff is given an electronic copy or hard copy on day of student release. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) The County Superintendent of Schools shall provide BP 5121 Students appropriate credit (full or partial) for course work completed while in juvenile court school in All students receive full or partial credits accordance with the State Education Code. ☒ ☐ ☐ depending on the length of stay at the school. 5 credits per subject are given every 80 school days. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief The school transition counselor conducts Probation Officer or designee, shall develop policies the multidisciplinary team (MDT) 60 days and procedures to meet the transition needs of ☒ ☐ ☐ prior to leaving the probation camp. youth, including the development of an education Transition meetings may be modified based transition plan, in accordance with the State on student behavior management plan. As Education Code and in alignment with Title 15, needed MDT’s will be scheduled when Minimum Standards for Juvenile Facilities, Section students program needs to be modified. 1355. (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student Use of Technology (1) The school and facility administrator should, whenever possible, collaborate with local post- Mission College/ East LA College (Online)/ ☒ ☐ ☐ secondary education providers to facilitate access to Glendale College direct instruction educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy Section 1306: Programs, Recreation EXERCISE. and Exercise The facility administrator shall develop and implement written policies and procedures for programs, ☒ ☐ ☐ Programs sheets reviewed from February, recreation, and exercise for all youth. The intent is to March, and April 2022. Documentation minimize the amount of time youth are in their rooms or reviewed indicates that youth are receiving their bed area. their Title 15 required activities. Juvenile facilities shall provide the opportunity for Policy Section 1306: Programs, Recreation programs, recreation, and exercise a minimum of three and Exercise hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy Section 1306: Programs, Recreation exercise may be suspended only upon a written finding and Exercise by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the No suspensions were noted. facility. Such program, recreation, and exercise schedule shall Policy Section 1306: Programs, Recreation be posted in the living units. and Exercise ☒ ☐ ☐ Program calendars are posted in the dorm. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS There will be a written annual review of the programs, Policy Section 1306: Programs, Recreation recreation, and exercise by the responsible agency to and Exercise ensure content offered is current, consistent, and relevant to the population. With COVID-19, it has been difficult to maintain consistency with outside agencies providing programs at the camp. Facility managers have done a great job working ☒ ☐ ☐ with community-based agencies to get as many programs to come into the facility as possible. Reviews were provided by community- based agencies, from the Department of Mental Health, LACOE, and Probation. (a) Programs. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily and Exercise programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice Programs were documented as required. interventions that are culturally relevant and There is inconsistency in the time linguistically appropriate, or pro-social interventions documented and the time posted. Staff and activities designed to reduce recidivism. These should ensure that the time is consistently programs should be based on the youth’s individual documented. It appears that, while ☒ ☐ ☐ needs as required by Sections 1355 and 1356. Such documented incorrectly, it is still clear that programs may be provided under the direction of the the programs did occur for an hour. The Chief Probation Officer or the County Office of youth interviewed stated they receive Education and can be administered by county programs daily. partners such as mental health agencies, community based organizations, faith-based organizations or December 1, 2021: Probation Review Probation staff. Programs, DMH Programs, LACOE, Programs may include but are not limited to: Probation, Exercise, Recreation. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; December 12, 2021, and April 22, 2022: (3) Anger Management; Department of Mental Health: (4) Conflict Resolution; Individual and Family Treatment (5) Juvenile Justice System; De-escalation/Crisis Intervention Services (6) Trauma-related interventions; Psychiatric Services (7) Victim Awareness; Dialectical Behavioral Therapy(DBT) (8) Self-Improvement; Substance Abuse Groups (9) Parenting Skills and support; Seeking Safety (10) Tolerance and Diversity; Aftercare Planning (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; April 18, 2022: LACOE letter from Interim (14) Art, creative writing, or self-expression; Principal regarding the Mission of Angeles (15) CPR and First Aid training; Forest Principal Administrative Unit (16) Restorative Justice or Civic Engagement; (AFPAU) (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. **Individual letters Provided from: Arts for Healing Justice Armory Arts BHAC Photojournalism and Music Production Dance for Healing Project Education Services Gang Reduction and Youth Development The Advot Project Urban Strategies Project (b) Recreation. All youth shall be provided the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily access to and Exercise unscheduled activities such as leisure reading, letter The documentation provided and reviewed. writing, and entertainment. Activities shall be Compliance noted. supervised and include orientation and may include coaching of youth. ☒ ☐ ☐ See above. The youth interviewed stated they receive recreation daily. (c) Exercise. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of large muscle and Exercise activity each day. The documentation provided and reviewed. Compliance noted. ☒ ☐ ☐ See above. The youth interviewed stated they receive exercise daily. The administrator/manager may suspend, for a period Policy Section 1306: Programs, Recreation not to exceed 24 hours, access to recreation and and Exercise ☒ ☐ ☐ programs. The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1372 RELIGIOUS PROGRAM Policy Section 1004: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least When services are provided, there is an once each week. Attendance shall be voluntary. A youth alternative program offered. ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy Section 1004: Religious Services The facility has been under suspension of 1372, due to COVID-19. Due to closures and in the interest of public health, services have been suspended. Mitigations have been initiated that when in-person services are unable to occur, service should occur virtually. Religious volunteers have also come into the facilities when COVID spread has been low, but when spread is high, they ☒ ☐ ☐ have not, which again places the responsibility back on the facility to ensure religious services occur virtually. The documentation provided for review included sign-in sheets with youth signatures for religious services held, emails between facility staff of program offered but no youth participating, and copies of log books where services were held either with volunteers or via video. This section found to be compliant. (b) availability of clergy; and, Policy Section 1004: Religious Services ☒ ☐ ☐ Clergy is available as requested. Youth may ask for their respective pastors/clergy to visit. (c) availability of religious diets. Policy Section 1004: Religious Services ☒ ☐ ☐ Religious diets are available upon request. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy Section 1003: Work Crews The facility administrator shall develop policies and Youth are eligible to work on KP, Laundry, procedures regarding the fair and consistent assignment and on-camp work crews if their behavior is of youth to work programs. Work assigned to a youth good and they are on a high stage. Youth shall be meaningful, constructive and related to also have access to two work programs vocational training or increasing a youth's sense of onsite at each camp. Youth apply to and responsibility. Work programs shall not be imposed as a qualify for the programs as follows: disciplinary measure. American Job Center of California - AJCC: This program is a 120-hour program offering 120 hours of work experience, 20 of which ☒ ☐ ☐ are paid hours. Assignments are on the grounds of the camp. 13 youth participated in the 2021-2022 cycle. Transitional Partnership Program - TPP through LACOE offers 90-100 hours. 13 youth participated in the 2020-2021 cycle and 16 youth have participated in the 2021- 2022 cycle. Youth are paid and earn money they take home with them upon release. 1374 VISITING Policy Section 902: Visiting Procedures, The facility administrator shall develop and implement Section 903: Saturday and Sunday Visiting written policies and procedures for visiting, that include and Section 904: Special Visits provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing Visiting has been suspended due to COVID- in loco parentis, and children of youth. Other family 19. Since recently opening up, parents members, such as grandparents and siblings, and receive a scheduled 1-hour onsite visit in supportive adults, may be allowed to visit with the order to allow for all visitors to appropriately approval of the facility administrator or designee, and in socially distance youth and their parents conjunction with the youth’s case plan or in the best away from one another to keep the interest of the youth. likelihood and spread of COVID-19 low. This hour is supplemented with virtual calls and telephone calls. It has been noted that ☒ ☐ ☐ the facility had documentation of quite a few virtual calls. Regulation remains suspended due to County Health Orders. Visiting logs note that parents and grandparents primarily visit with their youth. There are two youth with children of their own. The facility works with the family to bring the children of the youth to the facility for visits. TA provided that the bureau needs to develop a consistent document to track visits in and out of COVID-19. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS All visits shall occur at reasonable times, subject only to Policy Section 902: Visiting Procedures the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s Any person who has been requested for criminal history. The staff shall determine in each case, visitation will be reviewed through the MDT whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ process. the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy Section 902 Visiting Procedures and per week. Visits may be supervised, but conversations Section 903: Saturday and Sunday Visiting ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour Policy Section 904: Special Visits minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the Facility managers grant special visits as discretion of the facility administrator or designee. Family able. ☒ ☐ ☐ therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy Section 902: Visiting Procedures alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. Virtual calls are being conducted for additional contact. 1375 CORRESPONDENCE Policy Section 510: Mail The facility administrator shall develop and implement written policies and procedures for correspondence ☒ ☐ ☐ Per youth interviewed, letter writing which provide that: materials are readily available and are provided upon request. (a) there is no limitation on the volume of mail that youth Policy Section 510: Mail ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; Policy Section 510: Mail ☒ ☐ ☐ (c) youth may correspond confidentially with state and Policy Section 510: Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy Section 510: Mail in (c), may be read by staff only when there is ☒ ☐ ☐ reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1376 TELEPHONE ACCESS Policy Section 509: Telephone Calls The administrator of each juvenile facility shall develop Youth receive a minimum of one telephone and implement written policies and procedures to provide call a week from their assigned camp case youth with access to telephone communications. work PO. Youth can request additional phone calls provided by camp supervisor. Youth also are provided with phone calls with mental health counselors when consistent with their mental health treatment plan. Some youth report to receiving ☒ ☐ ☐ additional calls from their PO. Technical assistance was provided and suggested that the youth should have more than 1 phone call to parents a week. Youth and parents need regular contact especially when getting closer to going home. Some youth do not have equal access to the telephone. All youth should have equal opportunity. 1377 ACCESS TO LEGAL SERVICES Policy Section 520: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed Policy Section 520: Access to Legal attorneys and their authorized representatives; Services ☒ ☐ ☐ Although rare, attorneys can visit or contact their clients at any time. (b) provision for confidential consultation with Policy Section 520: Access to Legal attorneys; and, Services ☒ ☐ ☐ There are multiple locations that can be used for attorney interviews. (c) unlimited postage free, legal correspondence and Policy Section 520: Access to Legal ☒ ☐ ☐ cost-free telephone access as appropriate. Services 1390 DISCIPLINE Policy Section 601: Discipline and Policy The facility administrator shall develop and implement Section 604: Continuum of Correction written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use The camp utilizes a behavior management of positive behavior interventions and supports. program that incentivizes youth to do well. ☒ ☐ ☐ Discipline shall be imposed at the least restrictive level Each youth reads and signs the RTSB BMP which promotes the desired behavior and shall not program upon entry. include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy Section 601: Discipline (b) daily shower, access to drinking fountain, toilet and Policy Section 601: Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Policy Section 601: Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Policy Section 601: Discipline (e) exercise; ☒ ☐ ☐ Policy Section 601: Discipline (f) medical services and counseling; ☒ ☐ ☐ Policy Section 601: Discipline 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) religious services; ☒ ☐ ☐ Policy Section 601: Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Policy Section 601: Discipline (i) the right to send and receive mail; ☒ ☐ ☐ Policy Section 601: Discipline (j) education; and, ☒ ☐ ☐ Policy Section 601: Discipline (k) rehabilitative programming. ☒ ☐ ☐ Policy Section 601: Discipline The facility administrator shall establish rules of conduct Policy Section 604: Continuum of and disciplinary penalties to guide the conduct of youth. Correction Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy Section 604: Continuum of The facility administrator shall develop and implement Correction and Policy Section 606: Due written policies and procedures for the administration of Process discipline which shall include, but not be limited to: Facility utilizes sanctions as well as due ☒ ☐ ☐ process hearings for minor and major rule violations. Overall, documentation was completed within regulation. Facility policy notes that facility director reviews all formal hearings. This did not occur. This will be addressed and reviewed in future visits. (a) designation of personnel authorized to impose Policy Section 606: Due Process discipline for violation of rules; ☒ ☐ ☐ Only sworn staff are authorized to discipline youth. (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy Section 606: Due Process (c) definition of major and minor rule violations and Policy Section 604: Continuum of their consequences, and due process ☒ ☐ ☐ Correction requirements; (d) trauma-informed approaches and positive behavior Policy Section 602: Facility Rules ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Policy Section 604: Continuum of counseling, advising the youth of expected conduct Correction imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process Policy Section 606: Due Process shall be documented and require the following: ☒ ☐ ☐ Documentation of Due Process forms was completed correctly with very few errors. (1) written notice of violation prior to a hearing; Policy Section 606: Due Process ☒ ☐ ☐ (2) accommodations provided to youth with Policy Section 606: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy Section 606: Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy Section 606: Due Process ☒ ☐ ☐ evidence and testimony; 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) provision for youth to be assisted by staff in the Policy Section 606: Due Process ☒ ☐ ☐ hearing process; (6) provision for administrative review. Policy Section 606: Due Process ☒ ☐ ☐ (g) violations that result in a removal from camp or Policy Section 606: Due Process commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Policy Section 909: Communicable Diseases DISEASES. Reviewed Probation policy and medical The health administrator/responsible physician, in guidance to ensure Management of cooperation with the facility administrator and the local Communicable Disease policy is current and health officer, shall develop written policies and addresses all required areas required by ☒ ☐ ☐ procedures to address the identification, treatment, Section 1410, specifically COVID-19. control and follow-up management of communicable diseases. The policies and procedures shall address, Compliance based on policy and guidance but not be limited to: reviewed from medical provider JCHS. Conversations with youth also noted same procedures. (a) Intake health screening procedures; ☒ ☐ ☐ Policy Section 909: Communicable Diseases (b) Identification of relevant symptoms; ☒ ☐ ☐ Policy Section 909: Communicable Diseases (c) Referral for medical evaluation; ☒ ☐ ☐ Policy Section 909: Communicable Diseases (d) Treatment responsibilities during detention; ☒ ☐ ☐ Policy Section 909: Communicable Diseases (e) Coordination with public and private community- Policy Section 909: Communicable Diseases ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Policy Section 909: Communicable Diseases (g) Strategies for handling disease outbreaks. Policy Section 909: Communicable Diseases ☒ ☐ ☐ The policies and procedures shall be updated as Policy Section 909: Communicable Diseases necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 505: Access to Care/Request (EXCERPT) for Services The health administrator, in cooperation with the facility The youth we spoke to are aware of the administrator, shall develop policy and procedures to ☒ ☐ ☐ process to seek medical, mental, and dental establish a daily routine for youth to convey requests for health care by using requests for care. Youth emergency and non-emergency medical, dental and also know to seek assistance from staff when behavioral/mental health care services. the issue cannot wait or is of an emergent nature. 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 1305: Clothing and Bedding Exchange The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 1305: Clothing and Bedding laundered, in good repair, and free of holes and Exchange tears. ☒ ☐ ☐ All youth interviewed and viewed, while onsite, were well groomed and outfitted. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) The standard issue of climatically suitable clothing Policy Section 1305: Clothing and Bedding for youth shall consist of but not be limited to: Exchange ☒ ☐ ☐ Youth stated they had what they needed and only had to ask when they needed something else. (1) Socks and serviceable footwear; Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ All youth have both flip flops and athletic footwear. (2) Outer garments; Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ Exchange (3) New non-disposable underwear which shall Policy Section 1305: Clothing and Bedding remain with the youth throughout their stay, Exchange and; ☒ ☐ ☐ Youth are provided with new underwear upon arrival. (4) Undergarments, that are freshly laundered and Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ free of stains, including tee shirts and bras. Exchange (c) Clothing is laundered at the temperature required Policy Section 1305: Clothing and Bedding by local ordinances for the commercial laundries Exchange ☒ ☐ ☐ and dried completely in a mechanical dryer or other laundry method approved by the local health officer (d) Suitable clothing is issued to pregnant youth. Policy Section 1305: Clothing and Bedding Exchange ☐ ☐ ☒ There are no females in the camp. This section is marked as NA. 1482 CLOTHING EXCHANGE Policy Section 1305: Clothing and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the Underclothes are exchanged daily and outer cleaning and scheduled exchange of clothing. Unless clothes are exchanged weekly. The youth work, climatic conditions, or illness necessitates more ☒ ☐ ☐ stated that if their clothes need to be frequent exchange, outer garments, except for exchanged earlier for any reason, they are. footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy Section 410: Change of Clothing and PERSONAL CLOTHING Continued Search There shall be written policies and site-specific procedures developed and implemented by the facility ☒ ☐ ☐ administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 1304: Personal Hygiene, Shaving, and Haircuts There shall be written policies and site-specific procedures developed and implemented by the facility Youth we spoke with stated they had all the administrator for the availability of personal hygiene ☒ ☐ ☐ necessary and required items. Some items items. Each female youth shall be provided with may be brought in by youth’s parents at later sanitary napkins, panty liners and tampons as times in their programs based on their requested. Each youth to be held over 24 hours shall be behavior and level. provided with the following personal care items; (a) Toothbrush; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (b) Toothpaste; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (c) Soap; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (d) Comb; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (e) Shaving implements; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (f) Deodorant; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (g) Lotion; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (h) Shampoo; and, Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (i) Post-shower conditioning hair products. Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts Youth shall not be required to share any personal care Policy Section 1304: Personal Hygiene, items listed in items (a) through (d). Liquid soap Shaving, and Haircuts provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged All personal care items except for the razor safety razors, electric razors, and other shaving are provided to the youth directly. instruments capable of breaking the skin, when shared ☒ ☐ ☐ among youth, shall be disinfected between individual Razors are provided to the youth as uses by the method prescribed by the State Board of requested during the appropriate time. Barbering and Cosmetology in Sections 979 and 980, Once a youth reaches eligibility for Chapter 9, Title 16, California Code of Regulations. “personals”, parents can bring them their own hygiene products. 1486 PERSONAL HYGIENE Policy Section 1304: Personal Hygiene, Shaving, and Haircuts and Section 502: There shall be written policies and site specific Orientation Process and Handbook procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Showers are daily. Youth can brush their teeth. Youth shall be permitted to shower/bathe up on teeth after each meal. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1487 SHAVING Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of Youth reported they shave daily. They just let identification in Court. All youth shall have equal ☒ ☐ ☐ staff know during shower time. opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. No documentation was provided. Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the The youth interviewed noted they receive ☒ ☐ ☐ State Board of Barbering and Cosmetology. haircuts but sometimes it takes a long time to get them done. There is no formal tracking for this. Technical Assistance is provided to track when the request is made and when a haircut is provided. This will be addressed in the next inspection cycle. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 411: Bedding Issuance Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Policy Section 411: Bedding Issuance meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations: (b) One pillow and a pillow case unless provided for in Policy Section 411: Bedding Issuance ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; Policy Section 411: Bedding Issuance ☒ ☐ ☐ (d) One towel; and, Policy Section 411: Bedding Issuance ☒ ☐ ☐ (e) One blanket or more, up on request Policy Section 411: Bedding Issuance ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Policy Section 1305: Clothing and Bedding Exchanges The facility administrator shall develop and implement site specific written policies and procedures for the Youth are provided all linens and bedding scheduled exchange of laundered bedding and linen ☒ ☐ ☐ upon arrival into the dorm. Youth interviewed issued to each youth housed. Washable items such as noted they have the ability to request and sheets, mattress covers, pillow cases and towels shall receive additional blankets, upon request. be exchanged for clean replacement at least once each Sheets are exchanged weekly or sooner if week. need be. Towels are exchanged daily. The covering blanket shall be cleaned or laundered Policy Section 1305: Clothing and Bedding once a month. Exchanges ☒ ☐ ☐ Blankets are exchanged every two weeks or as needed. 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1510 FACILITY SANITATION, SAFETY AND Policy Sections 1322: Housekeeping, 1323: MAINTENANCE Housekeeping: Basic Cleaning Procedures for All Areas, 1324: Housekeeping: The facility administrator shall develop and implement Maintenance Procedures and 1707: Metal written policies and site-specific procedures for the Handcuff Sanitizing Procedure maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall Youth maintain the cleanliness of the dorm provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ and their individual wings. equipment, including restraint devices, and physical plant maintenance and inspections to identify and Facility housekeeping ensures overall correct unsanitary or unsafe conditions or work cleanliness and sanitizing of common practices in a timely manner. The use of chemicals shall spaces. be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 60 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☒ ☐ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐Vio ☒ ☐ Section 300 of the Welfare and Institutions Code (WIC) lation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐Vio ☒ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). lation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐Vio ☐ ☒ separated from minors. lation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐Vio ☐ ☒ facility in a manner that allows contact with minors. lation 7207 Los Angeles Camp Afflerbaugh PRO 20-22 - 61 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: Pre-1998* BSCC Code: 7207 FACILITY NAME: FACILITY TYPE: Camp Clinton Afflerbaugh Camp CONSTRUCTION/REMODEL DATE(S): 1960 IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: FIELD REPRESENTATIVE: DATE: Lisa Southwell April 28-30, 2022 TITLE 24 SECTION YES NO N/A COMMENTS RECEPTION AREA (JH) This applies only to Juvenile Halls.  Holding Rooms: Contain 15 square feet per minor; Have sufficient seating to accommodate the rated  capacity based on floor space; Provide access to water closets and wash basins  at a ratio of a 1:8; and Provide access to drinking fountain.  Provide access to telephone.  Provide access to private room(s) for interviews.  MEDICAL EXAM SPACE (JH & CAMP) Space or room(s) afford privacy, are equipped to carry  out routine examinations and emergency care and have sufficient locked storage space for medical supplies. LIVING UNITS (JH AND SPJH)  Living units are designed to accommodate no more than 30 minors and contain: Showers at a ratio of 1:6;  Washbasins at a ratio of 1:6;  Water closets at a ratio of 1:6 or water closet and  one urinal for every 15 boys; and, Access to a drinking fountain by minors and staff.  Doors of each sleeping room have a view panel (maximum of 144 square inches of shatter-proof glass  or plastic materials) that allows the visual supervision of all parts of the room. Hallways in the detention living units are at least eight feet wide. If rooms are located on only one side, or if  room doors are staggered, hallways are at least six feet wide. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7207 Los Angeles Camp Afflerbaugh PHY 20-22 - 1 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS SINGLE ROOMS (JH, SPJH & CAMP) Contain a minimum of 500 cubic feet of air space and  63 cubic feet of floor space. DOUBLE ROOMS (JH, SPJH & CAMP)  Contain a minimum of 800 cubic feet of airspace and 100 square feet of floor space. DORMITORY SLEEPING AREAS (JH & CAMP)  Contain a minimum of 400 cubic feet of airspace and 50 square feet of floor space per minor. LOCKED SLEEPING ROOMS (JH, SPJH & CAMP) Contain an individual or combination drinking fountain,  wash basin and toilet, unless a communication system or procedure is in effect to give minor immediate access to these fixtures. PLUMBING FIXTURES (CAMP) The following plumbing fixtures are adjacent to each  sleeping area: Shower or bathtub at a ratio of 1:6; Washbasins at a ratio of 1:10;  Access to toilets at a ratio of 1:10 or toilet and one  urinal for every 15 boys; and, Access to a drinking fountain.  BEDS AND MATTRESSES (JH, SPJH & CAMP) Beds and mattresses are:  A least 30 inches wide and 76 inches long; Spaced at least 36 inches apart and at least 12  inches off the floor; and, Mattresses are made of a fire-retardant material.  INTERVIEW ROOMS (JH, SPJH & CAMP)  There is one interview room for each detention unit in juvenile halls and special purpose juvenile halls. There is a private room suitably equipped for  conferences and interviews in each camp. LIGHTING (JH, SPJH & CAMP) There are at least 50-foot candles of illumination at  desk level and, at night, there is a maximum illumination of two foot candles at bed level in individual and multiple occupancy rooms. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7207 Los Angeles Camp Afflerbaugh PHY 20-22 - 2 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS ACADEMIC CLASSROOM (JH & CAMP) Camps Afflerbaugh and Paige share the academic classrooms. Each classroom contains a minimum of 160 square feet with a teacher's desk and work area, and a  minimum of 28 square feet per student. Classrooms should be designed for no more than 15 students. 98: Designed for no more than 20 students DINING SPACE (JH & CAMP)  There is a minimum of 15 square feet of space for each person being fed at any given time. PHYSICAL ACTIVITY SPACE (JH & CAMP) (See 2001 regulations for revised calculations.) There is indoor space consisting of at least 30 square  feet of clear space for each minor, which may be included in a day room, a recreational building, or a multipurpose space (gymnasium). There is outdoor and/or multipurpose (gymnasium) space consisting of:  No less than the equivalent of 90' X 100' outdoor and /or multipurpose space (gymnasium) for a facility with a capacity of 40 or less. No less than the equivalent of 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40, and a juvenile hall with a capacity between 41 to 100 minors. No less than the equivalent of two 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40 and a juvenile hall with a capacity in excess of 101 minors. Lighting is adequate for security and evening  recreational activities in camps. STORAGE SPACE (JH, SPJH & CAMP)  Each minor is provided 9 cubic feet of secure storage space for personal clothing and belongings. Camps shall have adequate space (12 square feet of floor area is recommended) for bulk and activity  storage equipment. MULTIPURPOSE SPACE OR ROOM (SPJH) This applies only to Special Purpose Juvenile Halls. There is a multipurpose space or room that provides space for reception, dining, recreation, exercise and/or  education. This room contains a minimum of: 30 square feet of clear floor space per minor in the  room; 10 feet by 20 feet floor dimensions; and,  1600 cubic feet of air space with a minimum  ceiling height of eight feet. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7207 Los Angeles Camp Afflerbaugh PHY 20-22 - 3 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS SPECIAL PURPOSE JH EXEMPTIONS SPJHs are exempt from the following Pre-1998 Title 15 regulations:  Section 4272(b) Medical exam rooms Section 4272(m) Academic classrooms Section 4272(n) Dining space Section 4272(o) Physical activities space *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7207 Los Angeles Camp Afflerbaugh PHY 20-22 - 4 - J455 PHY Pre-98.dot (03/01) JUVENILE HALLS, SPECIAL-PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: 7207 FACILITY: TYPE: RC: Camp Clinton Afflerbaugh Camp 105 FIELD REPRESENTATIVE: DATE: Lisa Southwell April 28-30, 2022 ROOMS EACH ROOM Each Room FIXTURES* Unit Room Applicable # Total Size (L x W x H) or COMMENTS # RC T U W F S Designation Type Standards Rooms RC Square/Cubic Feet Beds Dormitory Dorm Pre-98 1 70 105 105 160’ x 39’ = 6,058 2 Workstation –13’ x 14’ Dayroom Pre-98 19’ x 40’ = 760 Restroom Pre-98 1 9 12 24 17 Historical Notes: Camps Afflerbaugh and Paige share academic classrooms. 2011: The original construction included a double occupancy room. That space was adjacent to the Nurse’s office and has been converted to additional medical space. There is no intention to return it to its original purpose. It has been removed from the LASE. 2013: One of the toilets was inoperable on the date of the inspection. 2014-2016 Inspection Cycle Notes: RC stands at 105 however the facility has removed beds to provide programming space, mental health staff offices, etc. Changes have occurred in a way beds can be re-installed in a matter of a few days. 2016-2018 Inspection Cycle Notes: RC is 105 however only 61 beds were present. The dorm is set up in groups- Alpha, Bravo, Charlie, and Delta 2018-2020 Inspection Cycle Notes: Inspection completed virtually. No changes to the LASE per administration. Provided for information only. 2020-2022: Rated capacity remains at 105. The total number of beds in the facility at this time are 70. The dorm is broken into 4 wings with beds. Alpha: 17 Bravo: 18 Charlie: 17 and Delta 18 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7207 Los Angeles Camp Afflerbaugh LASE 20-22 - 1 - J460 LAS JUV-05.dot (8/05) JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7232 FACILITY NAME: FACILITY TYPE: Campus Kilpatrick JH PERSON(S) INTERVIEWED: Katheryn Beigh, Director, Alvin Steen, DPO2, Brandi Heath, DPO2, Bridgit Whitaker, LACOE, Milton Island, LCSW DMH, Lara Coraf, Nursing Supervisor 2 staff, 3 youth ages, 18,16 and 17. FIELD REPRESENTATIVE: DATE: Lisa Southwell April 18-20, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated Policy Section 2002: Types of Inspections by the Board of Supervisors to approve building and Evaluations safety; 2020 The building inspection was completed by Tennyson D’sena on December 10, 2020. All areas needing correction were corrected. ☒ ☐ ☐ 2021 The building inspection was completed by Tennyson D’sena on August 17, 2021. No new deficiencies. 2022 The inspection for 2022 has not yet been scheduled. (B) Fire authority having jurisdiction, including a fire Policy Section 2002: Types of Inspections clearance as required by Health and Safety Code and Evaluations ☒ ☐ ☐ Section 13146.1 (a) and (b); The fire inspections were completed on 10/21/2021. Fire clearance was granted. 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. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with Policy Section 2002: Types of Inspections Health and Safety Code Section 101045; and Evaluations 2020 Medical Mental Health: January 16 and 29, August 27, 2020 Corrections were required. Nutrition: August 27, 2020 No corrections were required. Environmental Health: August 27, 2020 Corrections were required. Some corrections were made, and some were not. 2021 ☒ ☐ ☐ Medical Mental Health: February 25 and March 12, 2021. Environmental Health: February 21, 2021 Corrections were required in both MMH and Environmental Health. Corrections from the previous year were made as well as all corrections from the current year. Nutrition: February 25, 2021 Corrections were necessary and were made. 2022 Only the medical mental health inspection has been completed. The inspector has stated there were no areas of noncompliance noted this year. Environmental health and nutritional health have not yet been completed due to staffing in public health. (D) County superintendent of schools on the adequacy Policy Section 2002: Types of Inspections of educational services and facilities as required in and Evaluations Section 1370; Education for the Kilpatrick Campus is provided by Los Angeles County Office of Education. 2020 On December 16, 2020, the facility was ☒ ☐ ☐ inspected by Joanne Finney, Principal. 2021 On December 17 and 21, 2021, the facility was inspected by Diem Johnson, Principal. 2022 The inspection for 2022 has not yet been scheduled. (E) Juvenile court as required by Section 209 of the Policy Section 2002: Types of Inspections Welfare and Institutions Code and Evaluations ☐ ☐ ☒ Juvenile Court inspections are not required for the Camps. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (F) Juvenile Justice Commission as required by Policy Section 2002: Types of Inspections Section 229 of the Welfare and Institutions Code or and Evaluations Probation Commission as required by Section 240 of the Welfare and Institutions Code. The Probation Oversight Commission conducts annual inspections of the facility. 2020 The facility was not inspected in 2020 due to COVID and due to the Probation Commission being shifted to the Probation Oversight Commission. ☒ ☐ ☐ 2021 The facility was inspected on 10/26/21 by Commissioners Rob Saltzman, Dolores Canales, and Erica Reynosa. 2022 At the time of inspection, the 2022 inspection had been scheduled but not yet completed. All facility reports may be found at: https://poc.lacounty.gov/reports 1320 APPOINTMENT AND QUALIFICATIONS Letters dated December 20, 2021, and BSCC Note: Compliance with this section is January 26, 2022 were received from Chief determined by receipt of the Chief Probation Officer’s Probation Officer Gonzales certifying all certification letter confirming that all elements of appointments of staff are pursuant to the applicable laws and that all staff present at regulation are met. the facility meet all required qualifications (a) Appointment ☒ ☐ ☐ and clearances including non-employees. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their ☒ ☐ ☐ job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test ☒ ☐ ☐ and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection ☒ ☐ ☐ and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Per facility administrators, all contract facility, shall have such clearance and qualifications personnel, volunteers, and other non- as may be required by law, and their presence at employees participate in background checks as required by the Probation Department. the facility shall be subject to the approval and control of the facility manager. ☒ ☐ ☐ Education staff are currently monitored by the County Office of Education; however, the Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access into the facility. 1321 STAFFING Each juvenile facility shall: a) have an adequate number of personnel sufficient to Policy Section 206: Staffing carry out the overall facility operation and its The Agency’s Organization Chart, Vacancy programming, to provide for safety and security of Report, Leave Management Report, Master youth and staff, and meet established standards Staff Schedule, and Daily Schedules from and regulations; August 2021 and February 2022 were reviewed. Each cottage was staffed appropriately for the number of youth ☒ ☐ ☐ housed. We noted, in 2021, the camp held more youth, and by 2022, the camp was down to about 13 youth in preparation for receiving a new population. Random dates were selected throughout the cycle and staffing was viewed to ensure adequate personnel were present. We found adequate staff to be present at all levels. b) ensure that no required services shall be denied Policy Section 206: Staffing because of insufficient numbers of staff on duty ☒ ☐ ☐ absent exigent circumstances; c) have a sufficient number of supervisory level staff to Policy Section 206: Staffing ensure adequate supervision of all staff members; The facility has an on-duty supervisor who is ☒ ☐ ☐ responsible for the shift on each shift. Additionally, other supervisors are on duty as well. d) have a clearly identified person on duty at all times Policy Section 206: Staffing who is responsible for operations and activities and The on-duty supervisor is responsible for the has completed the Juvenile Corrections Officer ☒ ☐ ☐ operations of the facility. Facility staff are Core Course and PC 832 training; responsible for the activities of the youth in the cottages and throughout the day. e) have at least one staff member present on each Policy Section 206: Staffing living unit whenever there are youth in the living unit; There is always a staff member present in ☒ ☐ ☐ the cottage, in the commons, or wherever a youth might be. Youth are never left alone in the facility. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) have sufficient food service personnel relative to the Policy Section 206: Staffing number and security of living units, including staff qualified and available to: plan menus meeting The facility has a full dining hall, known as nutritional requirements of youth; provide kitchen the commons. All youth eat their meals in the supervision; direct food preparation and servings; commons unless they refuse. Mealtimes are conduct related training programs for culinary staff; staggered to ensure safety and security and maintain necessary records; or, a facility may especially when the population is higher. ☒ ☐ ☐ serve food that meets nutritional standards The facility cooks, plans, and prepares all prepared by an outside source; food for the camp. The facility had a culinary program at one time but, due to Covid, it was removed temporarily. There are plans to bring it back. The dining hall is staffed by facility cooks. g) have sufficient administrative, clerical, recreational, Policy Section 206: Staffing medical, dental, mental health, building Medical services are provided onsite by maintenance, transportation, control room, facility Juvenile Correctional Health Care Services. security and other support staff for the efficient There are 3 RNs and a Supervising Nurse. management of the facility, and to ensure that youth Medical is on-site, 7 days a week between supervision staff shall not be diverted from 6:30 AM - 10:00 PM. Services provided supervising youth; and, include medication management and administration, vaccine administration, health assessments, health education, and discharge planning and training. Both Probation and Medical staff report a great, ☒ ☐ ☐ collaborative working relationship. Mental Health staff provides services Sunday to Wednesday onsite. There are 5 clinicians that work directly with the youth, working to increase their coping skills, and teaching them new tools to prepare them for release. We noted several individual sessions noted as well as groups and family therapy. Mental Health staff and probation work very well together and rely heavily on the consultation work conducted together for the benefit of the youth. h) assign sufficient youth supervision staff to provide Policy Section 206: Staffing 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) Camps (minimum youth -staff ratio) Policy Section 206: Staffing (A) during the hours that youth are awake, one wide- ☒ ☐ ☐ Compliant 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 Policy Section 206: Staffing room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ Compliant youth supervision staff member on duty for each 30 youth present in the facility; 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) at least two wide-awake youth supervision staff Policy Section 206: Staffing members on duty at all times, regardless of the ☒ ☐ ☐ There is always awake staff in the facility. 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 Policy Section 206: Staffing who is the same gender as youth housed in the ☒ ☐ ☐ There is always a same-gendered staff in the facility; facility. (E) in addition to the minimum staff to youth ratio Policy Section 206: Staffing required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☒ ☐ ☐ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other Policy Section 206: Staffing duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF Policy Section 2104: Professional ORIENTATION AND TRAINING Development and Training (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented Each new staff, upon reporting to the facility, to their duties, including: is assigned to a training officer who assists the new officer in their orientation and ☒ ☐ ☐ training. Reviewed the training packets for the last 2 officers who began work at Campus Kilpatrick on 2/11/2022 and 10/21/22. Their training documents were complete and signed off by both the new staff member and the training officer. (1) youth supervision duties; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) scope of decisions they shall make; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (3) the identity of their supervisor; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) the identity of persons who are responsible to Policy Section 2104: Professional ☒ ☐ ☐ them; Development and Training (5) persons to contact for decisions that are Policy Section 2104: Professional ☒ ☐ ☐ beyond their responsibility; and Development and Training (6) ethical responsibilities. Policy Section 2104: Professional ☒ ☐ ☐ Development and Training 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Prior to assuming any responsibility for the Policy Section 2104: Professional supervision of youth, each youth supervision staff Development and Training member shall receive a minimum of 40 hours of facility-specific orientation, including: Each staff is trained through a review of facility-specific operations. All areas required by Title 15, specific regulation/policy, and, ☒ ☐ ☐ lastly, shadow work in the cottage with other staff members for a hands-on experience. Signoffs were provided from the last staff assigned to Campus Kilpatrick for our review. (1) individual and group supervision techniques; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) regulations and policies relating to discipline Policy Section 2104: Professional and rights of youth pursuant to law and the ☒ ☐ ☐ Development and Training provisions of this chapter; (3) basic health, sanitation and safety measures; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) suicide prevention and response to suicide Policy Section 2104: Professional ☒ ☐ ☐ attempts Development and Training (5) policies regarding use of force, de-escalation Policy Section 2104: Professional techniques, chemical agents, mechanical and ☒ ☐ ☐ Development and Training physical restraints; (6) review of policies and procedures referencing Policy Section 2104: Professional ☒ ☐ ☐ trauma and trauma-informed approaches; Development and Training (7) procedures to follow in the event of Policy Section 2104: Professional ☒ ☐ ☐ emergencies; Development and Training (8) routine security measures, including facility Policy Section 2104: Professional ☒ ☐ ☐ perimeter and grounds; Development and Training (9) crisis intervention and mental health referrals to Policy Section 2104: Professional ☒ ☐ ☐ mental health services; Development and Training (10) documentation; and Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (11) fire/life safety training Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (c) Prior to assuming sole supervision of youth, each Policy Section 2104: Professional youth supervision staff member shall successfully Development and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer Policy Section 2104: Professional youth supervision staff shall successfully complete Development and Training ☒ ☐ ☐ training pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy Section 2104: Professional Development and Training Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all ☒ ☐ ☐ times who meets the training standards established by All staff are trained in fire and life safety. Any the Board for general fire and life safety which relate staff who is on duty is required to be awake. specifically to the facility. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1324 POLICY AND PROCEDURES MANUAL The RTSB camp operations manual has All facility administrators shall develop, publish, and been provided for review. We have reviewed implement a manual of written policies and procedures the agency’s Policy and Procedure as that address, at a minimum, all regulations that are provided to us specific to regulations and applicable to the facility. Such a manual shall be made have confirmed the policies and procedures available to all employees, reviewed by all employees, exist as cited. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those The policy was last reviewed and updated in ☒ ☐ ☐ records relating to the standards and requirements set March 2022 forth in these regulations shall be accessible to the Board on request. Staff accesses the policy manual via the The manual shall include: local intranet known as “Prob. Net”. There are also hard copies in the facility. Staff complete sign-offs as new policy is released. This is a new requirement in Policy Section 1324. (a) table of organization, including channels of The manual has a table of contents. The communications and a description of job agency’s channel of communication follows classifications; the chain of command. Policy Sections are as follows: • 101: Vision, Mission, and Core Values • 102: Role of the Camp System ☒ ☐ ☐ • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff • 207: Organizational Chart (b) responsibility of the probation department, purpose Policy Sections are as follows: of programs, relationship to the juvenile court, the • 101: Vision, Mission, and Core Juvenile Justice/Delinquency Prevention Values Commission or Probation Committee, probation • 102: Role of Camp System staff, school personnel and other agencies that are ☒ ☐ ☐ • 908: Medical Services involved in juvenile facility programs; • 910: Mental Health Services • 911: Educational Services • 1005: CBO’s • 1006: Volunteers (c) responsibilities of all employees; Policy Sections are as follows: • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management ☒ ☐ ☐ • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff (d) initial orientation and training program for Policy Section 2104: Professional employees; Development and Training ☒ ☐ ☐ See Section 1322 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) initial orientation, including safety and security Policy Section 2200: Non-Sworn Personnel issues and anti-discrimination policies, for support and Partner Agencies Handbook staff, contract employees, school, mental/behavioral ☒ ☐ ☐ health and medical staff, program providers and The facility provided updated signoffs for volunteers; non-sworn staff since the last inspection. (f) maintenance of record-keeping, statistics and Policy Sections 701: Case Planning and communication system to ensure: ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (1) efficient operation of the juvenile facility; Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (2) legal and proper care of youth; Policy Section 701: Case Planning and ☒ ☐ ☐ Procedures Introduction (3) maintenance of individual youth's records; Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (4) supply of information to the juvenile court and Policy Sections 701: Case Planning and those authorized by the court or by the law; ☒ ☐ ☐ Procedures Introduction and Section 702: and, General Duties and Responsibilities (5) release of information regarding youth. Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (g) ethical responsibilities; ☒ ☐ ☐ Policy Section 2130: Employee Honesty (h) trauma-informed approaches; Policy Section 518: Trauma Informed ☒ ☐ ☐ Approaches (i) culturally responsive approaches; Policy Section 519: Culturally Responsive ☒ ☐ ☐ Approaches (j) gender responsive approaches; Policy Section 517: Promoting Dignity for ☒ ☐ ☐ Female Youth Housed in RTSB (k) a non-discrimination provision that provides that all Policy Section 2110: Non-Discrimination youth within the facility shall have fair and equal Policy access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, national ☒ ☐ ☐ origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy Section 1922: Weapons and chemical agents related security devices, and ☒ ☐ ☐ Ammunition weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy Section 706: Case Plan Activities Cal eligibility information and enrollment of eligible youth; and, ☒ ☐ ☐ The Camp PO’s make the necessary referrals upon release from camp which include Medi-Cal, if appropriate. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (n) establishment of a policy that prohibits all forms of Policy Section 1600: Prison Rape sexual abuse, sexual assault and sexual Elimination Act harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ All staff are currently trained per bureau conduct and any retaliation for reporting such consultant staff. conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy Section 1910: Fire Prevention and The facility administrator shall consult with the local fire Suppression department having jurisdiction over the facility, or with ☒ ☐ ☐ the State Fire Marshal, in developing a plan for fire The facility has a specific building safety which shall include, but not be limited to: emergency plan that includes all emergency preparedness including fire suppression. a) a fire prevention plan to be included as part of the Policy Section 1910: Fire Prevention and manual of policy and procedures; ☒ ☐ ☐ Suppression b) monthly fire and life safety inspections by facility Policy Section 1910: Fire Prevention and staff with two- year retention of the inspection Suppression record; All monthly fire and life safety inspections have been completed as required. Technical Assistance provided that reports should be completed within the month they ☒ ☐ ☐ are due. Most were completed within the first few days of the next month. There is no reason to wait until the following month to complete the inspection form when the same form will be used the next month. This documentation doesn’t change the outcome nor the results of the report. Moving forward, they will complete the form in the month it is due. c) fire prevention inspections as required by Health Policy Section 1910: Fire Prevention and and Safety Code Section 13146.1(a) and (b); Suppression ☒ ☐ ☐ See 1322 above. d) an evacuation plan; Policy Section 1910: Fire Prevention and Suppression ☒ ☐ ☐ The evacuation plan is provided as part of the building emergency plan. Facility maps were noted to be posted around the facility. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS e) documented fire drills not less than quarterly; Policy Section 1910: Fire Prevention and Suppression Fire Drills have been completed as required. Drills are inclusive of the full facility with partner agencies involved in the drill. Drills were noted to occur at various times ☒ ☐ ☐ throughout the day and night including a drill on the late-night, which included the staff to ensure knowledge of procedures but not the youth evacuating. This is excellent planning on the part of staff and managers. Emergencies don’t only occur on the day shift. f) a written plan for the emergency housing of youth in Residential Treatment Services Bureau the case of fire; and, (RTSB) Manual-1917: Emergency Evacuation ☒ ☐ ☐ Emergency housing will occur at one of the camps or juvenile halls dependent on location of the fire and a safe route of travel. g) development of a fire suppression pre-plan In The Building Emergency Plan was cooperation with the local fire department. completed in both 2021 and 2022 by ☒ ☐ ☐ Director Beigh with Los Angeles County Fire Department Inspector McCormick. 1326 SECURITY REVIEW Security Reviews were completed for 2020, 2021, and 2022. Each facility administrator shall develop policies and procedures to annually review, evaluate, and document March 16, 2020 security of the facility. The review and evaluation shall May 12, 2021 include internal and external security, including, but not February 7, 2022 limited to, key control, equipment, and staff training. ☒ ☐ ☐ Technical assistance provided regarding security reviews to include narrative to include specific areas identified. While training and key control is regularly monitored, it must also be noted on the annual security review. 1327 EMERGENCY PROCEDURES Policy Section 1902: Emergency Drills The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; Policy Sections: 1907: Escapes ☒ ☐ ☐ 1909: Major Disturbances 1914: Hostages (b) civil disturbance, active shooter and terrorist Policy Sections: attack; 1908: Outside Intruder 1915: Active Shooter ☒ ☐ ☐ 1916: Terrorist Attack 1918: Major Emergency including Civil Disturbance 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) fire and natural disasters; Policy Sections: 1910: Fire Prevention and Suppression ☒ ☐ ☐ 1913: Earthquake (d) periodic testing of emergency equipment; Policy Sections: 1921: Testing of Equipment ☒ ☐ ☐ Los Angeles County Internal Services Department (ISD) conducts monthly and “as-needed” testing in coordination with MSB. (e) emergency evacuation of the facility; and Policy Sections: ☒ ☐ ☐ 1917: Emergency Evacuation (f) a program to provide all youth supervision staff Policy Sections: with an annual review of emergency procedures. 1903: Staff Roles and Responsibilities ☒ ☐ ☐ All active staff completed the annual emergency procedure review in December 2021 and March 2022. 1328 SAFETY CHECKS Policy Sections: 1313: Safety Checks The facility administrator shall develop and implement Safety checks from February 9-14, 2022, policy and procedures that provide for direct visual and February 15-23, 2022, were provided for observation of youth at a minimum of every 15 our review. We found that safety checks minutes, at random or varied intervals during hours were not as random and varied as they when youth are asleep or when youth are in their should be but were within the 15-minute rooms, confined in holding cells or confined to their timeline. bed in a dormitory. Supervision is not replaced, but ☒ ☐ ☐ may be supplemented by, an audio/visual electronic A bureau-wide correction memo was surveillance system designed to detect overt, initiated to all camps and technical aggressive or assaultive behavior and to summon aid assistance provided regarding safety checks in emergencies. All safety checks shall be documented in the dorm setting. Additional checks were with the actual time the check is completed. requested while onsite and from the weeks following and the issue was corrected. These checks showed a remarkable improvement. 1329 SUICIDE PREVENTION PLAN Policy Section 1201: Suicide Prevention Plan The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written The Suicide Prevention Plan was developed policies and procedures which delineate a Suicide in collaboration with the Department of Prevention Plan. Mental Health (DMH), Juvenile Court Health Services (JCHS), and the Los Angeles The plan shall consider the needs of youth ☒ ☐ ☐ County Office of Education (LACOE). experiencing past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Suicide prevention training as required in Policy Section 1203: Suicide Prevention Section 1322, Youth Supervision Staff Policy for Juvenile Facilities and Policy Orientation, and Training and the Juvenile ☒ ☐ ☐ Section 2104: Professional Development Corrections Officer Core Course. and Training (b) Screening, Identification Assessment and Policy Section 1203: Suicide Prevention Precautionary Protocols Policy for Juvenile Facilities (1) All youth shall be screened for risk of ☒ ☐ ☐ suicide at intake and as needed during All youth entering the facility are screened detention. for suicide risk upon intake. (2) All youth supervision staff who perform Policy Section 1203: Suicide intake processes shall be trained in Prevention Policy for Juvenile Facilities screening youth for risk of suicide. ☒ ☐ ☐ Documentation of specific training held for intake officers provided. One staff who was trained was also trained as a trainer to teach others. (3) All youth who have been identified during Policy Section 1203: Suicide Prevention the intake screening process to be at risk Policy for Juvenile Facilities of suicide shall be referred to behavioral/mental health staff for a suicide At intake, youth are orientated by Probation risk assessment. and then are seen by DMH staff directly ☒ ☐ ☐ following for their intake. If found to be suicidal, the youth can be moved from the facility to a facility with a HOPE Center for a higher level of supervision status or to whatever meets the youth’s needs. Campus Kilpatrick does not have a HOPE Center. (4) Precautionary protocols shall be Policy Section 1203: Suicide Prevention developed to ensure the youth’s safety Policy for Juvenile Facilities pending the behavioral/mental health assessment. ☒ ☐ ☐ Youth are placed on Level and a special watch status until cleared by mental health. Youth may stay at their home camp or may be transferred pending assessment. (c) Referral process to behavioral/mental health Policy Section 1203: Suicide Prevention staff for assessment and/or services. Policy for Juvenile Facilities ☒ ☐ ☐ Youth are referred either directly or by referral for service. Youth are also seen as a matter of practice. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Procedures for monitoring of youth identified Policy Section 1202: Enhanced Specialized at risk for suicide. Supervision: Enhanced Supervision Requirements, Level 3 Enhanced Supervision Requirements and Policy Section 1203: Suicide Prevention Policy for Juvenile Facilities Youth are placed on Enhanced Specialized ☒ ☐ ☐ Supervision with intensive staff supervision to keep them safe. Campus Kilpatrick alert log was provided for our review for September 2021, October 2021, and January 2022. The alert log is provided for all youth who are on specialized supervision, require medication, or are assigned to a specific therapist. (e) Safety Interventions Policy Section 1202: Enhanced and (1) Procedures to address intervention Specialized Supervision Requirements of protocols for youth identified at risk for ☒ ☐ ☐ Youth in Juvenile Facilities suicide which may include, but are not limited to: A. Housing consideration Policy Section 1202: Enhanced and Specialized Supervision Requirements of Youth in Juvenile Facilities Dependent on the facility, youth may remain ☒ ☐ ☐ in their current camp or may be transferred to a HOPE Center. The Specialized Supervision Plan provides direction to staff on housing considerations for youth. B. Treatment strategies including Policy Section 1203: Suicide Prevention trauma-informed approaches Policy for Juvenile Facilities Any youth, who requires additional care, is provided with additional services that are ☒ ☐ ☐ identified through an emergency or as- needed Multi-Disciplinary Team (MDT) meeting. The team will make decisions together as to what is in the best interest of the youth. (2) Procedures to instruct youth supervision Policy Section 1202: Enhanced and staff how to respond to youth who exhibit Specialized Supervision Requirements of suicidal behaviors. Youth in Juvenile Facilities and Policy ☒ ☐ ☐ Section 1203: Suicide Prevention Policy for Juvenile Facilities to 1200-48, Suicide Attempt Procedures 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Communication Policy Section 1203: Suicide Prevention (1) The intake process shall include Policy for Juvenile Facilities communication with the arresting officer and family guardians regarding the youth’s Staff responsible for the admission of the past or present suicidal ideations, youth speak with the transportation office to behaviors or attempts. ensure the youth’s safety and to also contact the youth’s parents and ask ☒ ☐ ☐ questions regarding their child’s mental health history. Documentation is completed regarding both conversations with the parent/guardian seeking information regarding the youth’s history of any suicidal behavior. (2) Procedures for clear and current Policy Section 1203: Suicide information sharing about youth at risk for Prevention Policy for Juvenile Facilities suicide with youth supervision, healthcare, (Policy) Request for Mental Health and behavioral/mental health staff. Consultation. If Probation, JCHS, or LACOE become ☒ ☐ ☐ aware of a youth’s desire to harm himself, they initiate appropriate supervision practices to keep the youth safe and communicate this information via a Request for Mental Health Consultation form to DMH. (g) Debriefing of Critical Incidents Related to Policy Section 1203: Suicide Prevention Suicides or Attempts Policy for Juvenile Facilities (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with Policy Section 1203: Suicide Prevention affected staff. Policy for Juvenile Facilities ☒ ☐ ☐ Critical Stress Briefing (3) Process for a debriefing event with Policy Section 1203: Suicide Prevention affected youth. Policy for Juvenile Facilities ☒ ☐ ☐ Critical Stress Briefing (h) Documentation Policy Section 1203: Suicide Prevention (1) Documentation processes shall be Policy for Juvenile Facilities developed to ensure compliance with this ☒ ☐ ☐ regulation A formal report is provided to the Bureau Chief regarding the incident. Youth identified at risk for suicide shall not be denied Policy Section 1202: Enhanced and the opportunity to participate in facility programs, Specialized Supervision Requirements for services and activities which are available to other Youths in Juvenile Facilities 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. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1340 REPORTING OF LEGAL ACTIONS Policy Section 203: Duty Statements, RTSB Each facility shall submit to the Board a letter of Management notification on each legal action, pertaining to conditions ☒ ☐ ☐ of confinement, filed against persons or legal entities Notification of legal action will be sent responsible for juvenile facility operation. directly to the Board to the attention of Chair Linda Penner. 1341 DEATH AND SERIOUS ILLNESS OR Policy Section 1919: Deaths at Camp INJURY OF A YOUTH WHILE DETAINED Facilities (1) Death of a Youth. (a) The facility administrator, in cooperation with the The policy was developed in cooperation health administrator and the behavioral/mental with Juvenile Court Health Services (JCHS) health director, shall develop written policies and and Department of Mental Health (DMH). procedures in the event of the death of a youth ☒ ☐ ☐ while detained, which include notifications to No incidents provided to review. No necessary parties, which may include the Juvenile incidents to report. Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, In cooperation with the Policy Section 1919: Deaths at Camp facility administrator, shall develop written policies Facilities and procedures to assure there is a medical and operational review of every in-custody death of a youth. ☒ ☐ ☐ The review team shall include the facility administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Policy Section 1919: Deaths at Camp Board a copy of the report submitted to the Facilities Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Policy Section 1919: Deaths at Camp from the administrator, the Board may within 30 Facilities calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy Section 1920: Serious Illness or (a) The facility administrator, In cooperation with the Injury of a Youth While Detained health administrator, shall develop written policies and procedures for the notification to necessary No incidents provided to review. No ☒ ☐ ☐ parties, which may include the Juvenile Court, the incidents to report. parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1342 POPULATION ACCOUNTING Policy Section 203: Duty Statements, RTSB Each juvenile facility shall submit required population Management and profile survey reports to the Board within 10 working days after the end of each reporting period, in Population Reports have been provided a format to be provided by the Board. ☒ ☐ ☐ quarterly and have been entered into the JDPS timely. The camp director is responsible to ensure this information is provided to the BSCC. 1343 JUVENILE FACILITY CAPACITY Policy Section 203: Duty Statements, RTSB When the number of youth detained in a living unit of a Management juvenile facility exceeds its rated capacity for more Pg. 200-3, Camp Director Paragraph 1 ☒ ☐ ☐ than fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the The facility has not exceeded the rated Board in a format provided by the Board. capacity this cycle. 1350 ADMITTANCE PROCEDURES Policy Section 502: Orientation Process The facility administrator shall develop and implement and Handbook written policies and procedures for admittance of youth that emphasize respectful and humane engagement The facility had 1 admission in January with youth, and reflect that the admission process may 2022, 3 admissions in February 2022, and 5 be traumatic to youth who may have already ☒ ☐ ☐ in February 2022. experienced trauma. Policies shall be trauma- informed, culturally relevant, and responsive to the After reviewing the documentation provided, language and literacy needs of youth. In addition to the the facility had 100 percent compliance in requirements of Sections 1324 and 1430 of these all areas of this regulation. regulations: (a) the admittance process shall include: Policy Section 502: Orientation Process and (1) Access to two free phone calls within one hour Handbook of admittance in accordance with the ☒ ☐ ☐ provisions of Welfare and Institution Code Compliant Section 627; (2) Offer of a shower; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Compliant (3) Documented secure storage of personal Policy Section 502: Orientation Process and belongings; Handbook Youth do not bring their personal ☒ ☐ ☐ belongings with them to the camps. Parents are notified at release that their belongings are available for pick up at the Juvenile Hall. Offer of food upon arrival; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Compliant (4) Screening for physical and behavioral health Policy Section 402: Assessment and and safety issues, intellectual or Classification developmental disabilities; Compliant ☒ ☐ ☐ Medical and mental health screen and clear all youth prior to transfer to the camp from the JH. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Screening for physical and developmental Policy Section 402: Assessment and disabilities in accordance with Sections 1329, Classification 1418, and 1430 of these regulations; Youth are screened for medical issues and ☒ ☐ ☐ for developmental issues at every entrance into the facility. Compliant Contact with Regional Center for the Developmentally Policy Section 502: Orientation Process and Disabled for youth that are suspected of or identified Handbook as having a developmental disability, pursuant to Section 1418; and, N/A ☒ ☐ ☐ Youth who are suspected of being developmentally disabled are screened out prior to the camp commitment. The Regional Center would be contacted at that time. Procedures consistent with Section 1352.5. Policy Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex Youth in an ☒ ☐ ☐ Institutional Setting juvenile hall administrators shall establish written N/A criteria for detention that considers the least restrictive ☐ ☐ ☒ environment. (b) juvenile camps and post-dispositional programs in Policy Section 502: Orientation Process and juvenile halls shall develop policies and Handbook procedures that advise the youth of the estimated ☒ ☐ ☐ length of stay, inform them of program guidelines All admission packets had Notification of and provide written screening criteria for inclusion Release documents completed. and exclusion from the program. (c) juvenile halls shall develop policies and N/A procedures that advise any committed youth of ☐ ☐ ☒ the estimated length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy Section 402: Assessment and ABUSE Classification and 503: Screening for the The facility administrator shall develop and implement Risk of Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall 9 admissions were reviewed which include ☒ ☐ ☐ require facility staff to assess each youth within 72 the victim vulnerability/abusiveness hours of admission based on the following information: assessments for each youth. All were completed as required, were timely, and were compliant with regulations. (a) Prior sexual victimization or abusiveness; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Gender nonconforming appearance or Policy Section 402: Assessment and manner; or identification as lesbian, gay or Classification and 503: Screening for the bisexual, transgender, queer or intersex, and Risk of Sexual Abuse ☒ ☐ ☐ whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (d) Age Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (e) Level of emotional and cognitive development; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (f) Physical size and stature; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (g) Mental illness or mental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (h) Intellectual or developmental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (i) Physical disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (j) The youth’s perception of vulnerability; and, Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (k) Any other specific information about the Policy Section 402: Assessment and individual youth that may indicate heightened Classification and 503: Screening for the needs for supervision, additional safety ☒ ☐ ☐ Risk of Sexual Abuse precautions, or separation from certain other youth. Staff shall ascertain this information through Policy Section 503: Screening for the Risk conversations with the youth during the admittance of Sexual Abuse process, medical and behavioral health screenings; during classification assessments; and by reviewing ☒ ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall implement appropriate Policy Section 503: Screening for the Risk controls on the dissemination of information within the of Sexual Abuse facility relative to responses received pursuant to this assessment in order to ensure that sensitive The assessment is started in the Camp information is not exploited to the youth’s detriment by Assessment Unit and is completed when ☒ ☐ ☐ staff or other youth. the youth is transferred to the camp. The assessment tool is maintained in an electronic database with limited access by staff. It is password-protected, and only certain staff have access. 1351 RELEASE PROCEDURES Policy Section 809: Release Procedures The facility administrator shall develop and implement written policies and procedures for release of youth The facility had 6 releases in January 2022 from custody which provide for: and 7 in February 2022. Documentation was reviewed and it was determined that all releases were conducted in compliance with regulatory standards. Facility partners (medical, mental health, and education) were aware of the release date in advance through the MDT process and were again notified on the day of the actual release. All ☒ ☐ ☐ youth are cleared through the medical and mental health offices before leaving the facility. Technical assistance provided that, at the end of every day, an email could be provided to the facility team of all releases, to ensure that all staff within the various disciplines are aware, not just those that happen to be present or on duty at the exact time of the release. (a) verification of identity/release papers; Policy Section 809: Release Procedures ☒ ☐ ☐ (b) return of personal clothing and valuables; Policy Section 809: Release Procedures All youth’s personal property remains at the ☒ ☐ ☐ JH for pick up by the parent. They arrive to camp with only their letters and personal belongings from the unit. Parents bring clothing for their children to go home in. (c) notification to the youth's parents or guardian; Policy Section 809: Release Procedures ☒ ☐ ☐ (d) notification to the facility health care provider in Policy Section 809: Release Procedures accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; All release packets noted the date and time and, of the notice. (e) notification of school staff; Policy Section 809: Release Procedures ☒ ☐ ☐ Transcripts were provided for all youth. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) notification of facility mental health personnel. Policy Section 809: Release Procedures All release packets noted the date and time ☒ ☐ ☐ of the notice to medical. If a youth needs to see mental health, they see them at this same time. The facility administrator shall develop and implement Policy Section 809: Release Procedures policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and See 1355. behavioral health, education, probation supervision All releases were consistent with this section. and community-based services. The facility administrator shall develop and implement Policy Section 1802: Private Appointments written policies and procedures for the furlough of ☒ ☐ ☐ youth from custody. RTSB does not offer furloughs. 1352 CLASSIFICATION Policy Section 402: Assessment and The facility administrator shall develop and implement Classification Policy written policies and procedures on classification of 9 assessment and classification documents ☒ ☐ ☐ youth for the purpose of determining housing were provided for review. placement in the facility. Such procedures shall: (a) provide for the safety of the youth, other youth, Policy Section 402: Assessment and facility staff, and the public by placing youth in the Classification Policy appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy Section 402: Assessment and the facility; ☒ ☐ ☐ Classification Policy (c) provide that a youth shall be classified upon Policy Section 402: Assessment and admittance to the facility; classification factors Classification Policy shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ Youth are assigned to cottages. Youth are legal status, public safety considerations, assigned to a cottage with classification medical/mental health considerations, gender and factors in mind as well as where the best fit gender identity of the youth; for them would be. (d) provide for periodic classification reviews, Policy Section 402: Assessment and including provisions that consider the level of Classification Policy supervision and the youth's behavior while in custody; and, At inspection, we found that the periodic classifications are to be completed during weekly caseload meetings between the DPO and the youth and are to be ☒ ☐ ☐ documented accordingly. We did not find any documentation of this. Technical assistance was provided regarding proper documentation. Additional documentation was requested, provided, and reviewed. This issue was immediately addressed by staff and managers and has been corrected. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provide that facility staff shall not separate youth Policy Section 402: Assessment and from the general population or assign youth to a Classification Policy single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender ☒ ☐ ☐ identity, gender expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, Policy Section 402: Assessment and bisexual, transgender, questioning or intersex Classification Policy ☒ ☐ ☐ identification or status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 403: Juvenile Supervision of The facility administrator shall develop written policies Lesbian, Gay, Bisexual, Transgender, and procedures ensuring respectful and equitable Questioning and Intersex Youth in an treatment of transgender and intersex youth. The ☒ ☐ ☐ Institutional Setting policies shall provide that: There was no transgender youth in the facility at the time of inspection to interview. (a) Facility staff shall respect every youth’s gender Policy Section 403: Juvenile Supervision of identity, and shall refer to the youth by the youth’s Lesbian, Gay, Bisexual, Transgender, preferred name and gender pronoun, regardless of Questioning and Intersex Youth in an the youth’s legal name. Facilities may prohibit the Institutional Setting use of gang or slang names or names that ☒ ☐ ☐ otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and Policy Section 403: Juvenile Supervision of present themselves in a manner consistent with Lesbian, Gay, Bisexual, Transgender, their gender identity, and shall provide youth with ☒ ☐ ☐ Questioning and Intersex Youth in an the institution’s clothing and undergarments Institutional Setting consistent with their gender identity. (c) Facility staff shall house youth in the unit or room Policy Section 403: Juvenile Supervision of that best meets their individual needs, and Lesbian, Gay, Bisexual, Transgender, promotes their safety and well-being. Staff may not Questioning and Intersex Youth in an automatically house youth according to their Institutional Setting external anatomy, and shall document the reasons for any decision to house youth in a unit that does ☒ ☐ ☐ not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that Policy Section 403: Juvenile Supervision of transgender and intersex youth have access to Lesbian, Gay, Bisexual, Transgender, medical and behavioral health providers qualified ☒ ☐ ☐ Questioning and Intersex Youth in an to provide care and treatment to transgender and Institutional Setting intersex youth. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Consistent with the facility’s reasonable and Policy Section 403: Juvenile Supervision of necessary security considerations and physical Lesbian, Gay, Bisexual, Transgender, plant, facility staff shall make every effort to ensure Questioning and Intersex Youth in an ☒ ☐ ☐ the safety and privacy of transgender and intersex Institutional Setting youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy Section 403: Juvenile Supervision of youth for the purpose of determining the youth’s Lesbian, Gay, Bisexual, Transgender, anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ Questioning and Intersex Youth in an respect the youth’s preference regarding the gender of Institutional Setting the staff member who conducts any search of the youth. 1353 ORIENTATION Policy Section 502: Orientation Process The facility administrator shall develop and implement Handbook written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal All youth are oriented upon entry. 9 information shall be provided and supplemented with orientation documents were reviewed, and ☒ ☐ ☐ video orientation if feasible. Provision shall be made to all were completed timely and consistent provide accessible orientation information to all with regulatory requirements. detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches Policy Section 502: Orientation Process ☒ ☐ ☐ and disciplinary procedures; Handbook (b) facility’s system of positive behavior interventions Policy Section 502: Orientation Process and supports, including behavior expectations, Handbook incentives that youth will receive for complying with facility rules, and consequences that may ☒ ☐ ☐ Youth receive information regarding result when youth violate the rules of the facility; Behavior Management and the Al Jones Store/ incentives at orientation for review as well. (c) age appropriate information that explains the Policy Section 502: Orientation Process facility’s policy prohibiting sexual abuse and sexual Handbook ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (e) the existence of the grievance procedure, the Policy Section 502: Orientation Process steps that must be taken to use it, the youth’s right Handbook to be free of retaliation for reporting a grievance, ☒ ☐ ☐ and the name of the person or position designated to resolve the issue (f) access to legal services and information on the Policy Section 502: Orientation Process ☒ ☐ ☐ court process; Handbook (g) access to routine and emergency health and Policy Section 502: Orientation Process ☒ ☐ ☐ mental health care; Handbook (h) access to education, religious services, and Policy Section 502: Orientation Process ☒ ☐ ☐ recreational activities; Handbook (i) housing assignments; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (j) opportunity for personal hygiene and daily Policy Section 502: Orientation Process showers including the availability of personal care ☒ ☐ ☐ Handbook items 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) rules and access to correspondence, visits and Policy Section 502: Orientation Process ☒ ☐ ☐ telephone use; Handbook (l) availability of reading materials, programming, and Policy Section 502: Orientation Process ☒ ☐ ☐ other activities; Handbook (m) facility policies on the use of force, use of Policy Section 502: Orientation Process and restraints, chemical agents and room confinement; ☒ ☐ ☐ Handbook (n) immigration legal services; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (o) emergencies including evacuation procedures; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (p) non-discrimination policy and the right to be free Policy Section 502: Orientation Process from physical, verbal or sexual abuse and ☒ ☐ ☐ Handbook harassment by other youth and staff; (q) availability of services and programs in a language Policy Section 502: Orientation Process ☒ ☐ ☐ other than English if appropriate; Handbook (r) the process for requesting different housing, Policy Section 502: Orientation Process ☒ ☐ ☐ education, programming and work assignments; Handbook (s) a process for which parents/guardians receive Policy Section 502: Orientation Process information regarding the youth’s stay in the facility Handbook that at a minimum includes answers to frequently asked questions and provides contact information ☒ ☐ ☐ The officer who provides the phone calls for the facility, medical, school and mental health; home answers any questions a parent may and, have. There is also a parent handbook that is sent to the youth. (t) a process by which youth may request access to Policy Section 502: Orientation Process Title 15 Minimum Standards for Juvenile Facilities. Handbook ☒ ☐ ☐ A copy of Title 15 is kept in the youth’s library in the cottages or staff have a copy upon request. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy Sections: The facility administrator shall develop and implement 514: Separation written policies and procedures that address: 515: Room Confinement 1400: The Healing Opportunities and Positive Engagement (HOPE) Center Campus Kilpatrick does not have a HOPE Center but if a youth needs to be separated, he can be taken for time away to another cottage (Mindfulness Center) or to the commons for de-escalation and counseling. Youth have also been moved to the Mindfulness Center on a Specialized Supervision Plan, placed on a one-on-one as an alternative to a camp removal as necessary and as approved. This option ☒ ☐ ☐ has worked well for the staff and the youth. Documentation was provided of a new youth intake who was a first-time, high-risk camp commit who was exhibiting a very high level of anxiety regarding being detained. This youth was separated from the general population, an SSP was completed, and he was housed in a cottage without other youth until he could be acclimated to the program, to the youth, and to the camp. The probation staff, and medical and mental health staff did a fine job in transitioning him into the general population. The youth was overall successful in his commitment. (a) separation of youth for reasons that include, but Policy Sections 514: Separation and Policy are not be limited to, medical and mental health Section 1400: The Healing Opportunities ☒ ☐ ☐ conditions, assaultive behavior, disciplinary and Positive Engagement (HOPE) Center consequences and protective custody. (b) consideration of positive youth development and Policy Sections 514: Separation and Policy trauma-informed care. ☒ ☐ ☐ Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center (c) separated youth shall not be denied normal Policy Sections 514: Separation and Policy privileges available at the facility, except when Section 1400: The Healing Opportunities necessary to accomplish the objective of and Positive Engagement (HOPE) Center ☒ ☐ ☐ separation. Documentation was provided showing youth participated in all Title 15 activities. (d) when the objective of the separation is discipline, Policy Sections 514: Separation and Policy Title 15 Section 1390 shall apply. ☒ ☐ ☐ Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center (e) when separation results in room confinement, the Policy Sections 514: Separation and Policy separation shall occur in accordance with Welfare Section 1400: The Healing Opportunities ☒ ☐ ☐ and Institutions Code Section 208.3 and and Positive Engagement (HOPE) Center Section1354.5 of these regulations. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) policies and procedures shall ensure a daily review 514: Separation of separated youth to determine if separation ☒ ☐ ☐ remains necessary. 1354.5 ROOM CONFINEMENT Policy Section 515: Room Confinement and The facility administrator shall develop and implement Section and Policy Section 1400: The written policies and procedures addressing the Healing Opportunities and Positive confinement of youth in their room that are consistent Engagement (HOPE) Center with Welfare and Institutions Code Section 208.3. The ☐ ☐ ☒ placement of a youth in room confinement shall be Room confinement does not apply at accomplished in accordance with the following Campus Kilpatrick. All remaining sections guidelines: marked as NA. Policy cited for compliance purposes. (1) Room confinement shall not be used before Policy Section 515: Room Confinement and other, less restrictive, options have been Policy Section 1400: The Healing attempted and exhausted, unless attempting ☐ ☐ ☒ Opportunities and Positive Engagement those options poses a threat to the safety or (HOPE) Center security of any youth or staff. (2) Room confinement shall not be used for the Policy Section 515: Room Confinement and purposes of punishment, coercion, Policy Section 1400: The Healing ☐ ☐ ☒ convenience, or retaliation by staff. Opportunities and Positive Engagement (HOPE) Center (3) Room confinement shall not be used to the Policy Section 515: Room Confinement and extent that it compromises the mental and Policy Section 1400: The Healing ☐ ☐ ☒ physical health of the youth. Opportunities and Positive Engagement (HOPE) Center (a) A youth may be held up to four hours in room Policy Section 1400: The Healing confinement. After the youth has been held in Opportunities and Positive Engagement ☐ ☐ ☒ room confinement for a period of four hours, staff (HOPE) Center shall do one or more of the following: (1) Return the youth to general population. Policy Section 1400: The Healing ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center (2) Consult with mental health or medical staff. Policy Section 1400: The Healing ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center (3) Develop an individualized plan that includes Policy Section 1400: The Healing the goals and objectives to be met in order to ☐ ☐ ☒ Opportunities and Positive Engagement reintegrate the youth to general population. (HOPE) Center (4) If room confinement must be extended beyond Policy Section 1400: The Healing four hours, staff shall do each of the following: Opportunities and Positive Engagement ☐ ☐ ☒ (HOPE) Center (A) Document the reasons for room Policy Section 1400: The Healing confinement and the basis for the Opportunities and Positive Engagement extension, the date and time the youth (HOPE) Center ☐ ☐ ☒ was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that Policy Section 1400: The Healing includes the goals and objectives to be Opportunities and Positive Engagement ☐ ☐ ☒ met in order to integrate the youth to (HOPE) Center general population. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Obtain documented authorization by the Policy Section 1400: The Healing facility superintendent or his or her Opportunities and Positive Engagement ☐ ☐ ☒ designee every four hours thereafter. (HOPE) Center (5) This section is not intended to limit the use of Policy Section 515: Room Confinement and single-person rooms or cells for the housing of Policy Section 1400: The Healing youth in juvenile facilities and does not apply ☐ ☐ ☒ Opportunities and Positive Engagement to normal sleeping hours. (HOPE) Center (6) This section does not apply to youth or wards Policy Section 515: Room Confinement and in court holding facilities or adult facilities. Policy Section 1400: The Healing ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center (7) Nothing in this section shall be construed to Policy Section 515: Room Confinement and conflict with any law providing greater or Policy Section 1400: The Healing additional protections to youth. ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center (8) This section does not apply during an Policy Section 515: Room Confinement and extraordinary emergency circumstance that Policy Section 1400: The Healing requires a significant departure from normal Opportunities and Positive Engagement institutional operations, including a natural (HOPE) Center disaster or facility-wide threat that poses an ☐ ☐ ☒ imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy Section 515: Room Confinement and placed in a locked cell or sleeping room to Policy Section 1400: The Healing treat and protect against the spread of a Opportunities and Positive Engagement communicable disease for the shortest (HOPE) Center amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary ☐ ☐ ☒ for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy Section 402: Assessment and The facility administrator shall develop and implement Classification and Policy Section 703: The ☒ ☐ ☐ written policies and procedures for assessment and MDT Process case planning. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Assessment: Policy Section 402: Assessment and The assessment is based on information collected Classification and Policy Section 703: The during the admission process with periodic review, MDT Process which includes the youth's risk factors, needs and strengths including, but not limited to, identification Assessments begin when the youth is of substance abuse history, educational, ordered to the camp by the court. The vocational, counseling, behavioral health, Camp Assessment Unit (CAU) team begin consideration of known history of trauma, and to assess the youth as to which camp is family strengths and needs. most appropriate and, on the factors, required in regulation. ☒ ☐ ☐ Camp staff continue this assessment upon the youth’s arrival and add any additional information to the assessment for the case plan. 7 assessment and plans were provided for our review. All contained the 22-point assessment from the CAU unit and the MDT documentation. (b) Institutional Case Plan: Policy Section 703: The MDT Process (1) A case plan shall be developed for each youth ☒ ☐ ☐ held for at least 30 days or more and created MDTs were conducted in a timely manner. within 40 days of admission. (2) The institutional plan shall include, but not be Policy Section 705: Ongoing Case limited to, written documentation that provides: ☒ ☐ ☐ Management Activities (A) objectives and time frame for the Policy Section 705: Ongoing Case resolution of problems identified in the Management Activities assessment; ☒ ☐ ☐ Youth’s MDTs were found to be very detailed and identify the programs youth are to attend. (B) a plan for meeting the objectives that Policy Section 705: Ongoing Case includes a description of program Management Activities resources needed and individuals ☒ ☐ ☐ responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards Policy Section 705: Ongoing Case meeting the objectives, including periodic Management Activities review and discussion of the plan with the ☒ ☐ ☐ youth; We reviewed case notes on all 7 files received for review. All were thoroughly documented. (4) a transition plan, the contents of which shall be Policy Section 706: Case Plan Activities- subject to existing resources, shall be Pre- Release developed for post dispositional youth in accordance with Section 1351; and, ☒ ☐ ☐ Seven very detailed transition MDT case plans were provided noting what the youth had completed while in camp and clear instructions for the youth upon release. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) in as much as possible and if appropriate, the Policy Section 705: Ongoing Case plan, including the transition plan, shall be Management Activities developed with input from the family, supportive adults, youth, and Regional Center Parents and other supportive adults are ☒ ☐ ☐ for the Developmentally Disabled. invited to attend and participate in the MDT Process. Attendance can occur virtually by a conference call for those who can’t make the drive. 1356 COUNSELING AND CASEWORK SERVICES Policy Section 705: Ongoing Case The facility administrator shall develop and implement Management Activities written policies and procedures ensuring the availability of appropriate counseling and casework The youth interviewed talked about the services for all youth. Policies and procedures shall relationships built with staff at Campus ensure: Kilpatrick. All youth we spoke with shared ☒ ☐ ☐ positive remarks about the staff the things they do to assist them in getting through their programs. All stated that staff will help them with what they needed. One youth stated, “they encourage us”, “they support us”, and “they talk to us”. (a) youth will receive assistance with needs or Policy Section 705: Ongoing Case concerns that may arise; Management Activities ☒ ☐ ☐ Staff will assist the youth as needed. The youth confirmed this information. (b) youth will receive assistance in requesting contact Policy Section 705: Ongoing Case with parents, other supportive adults, attorney, Management Activities clergy, probation officer, or other public official; ☒ ☐ ☐ Youth have access to phones. It was noted and, in our interviews that youth don’t need help in this area. (c) youth will be provided access to available Policy Section 705: Ongoing Case resources to meet the youth’s needs. ☒ ☐ ☐ Management Activities 1357 USE OF FORCE Policy Section 1701: Physical intervention The facility administrator, In cooperation with the Policy for Juvenile Facilities and the responsible physician, shall develop and implement Transportation Section written policies and procedures for the use of force, which may include chemical agents. Force shall never 7 incidents of use of force were reviewed ☒ ☐ ☐ be applied as punishment, discipline, retaliation or from December 2021 - February 2022. All treatment. use of force appeared to be necessary and (a) At a minimum, each facility shall develop policies appropriate, based on the documentation and procedures which: reviewed, to ensure the safety of the youth and staff in the facility. (1) restricts the use of force to that which is Policy Section 1704: Safe Crisis deemed reasonable and necessary, as defined Management and Physical Intervention in Section 1302 to ensure the safety and ☒ ☐ ☐ Procedures security of youth, staff, others and the facility. Compliant (2) outline the force options available to staff Policy Section 1704: Safe Crisis including both physical and non-physical Management and Physical Intervention ☒ ☐ ☐ options and define when those force options Procedures are appropriate. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) describe force options or techniques that are Policy Section 1704: Safe Crisis expressly prohibited by the facility. ☒ ☐ ☐ Management and Physical Intervention Procedures (4) describe the requirements of staff to report any Policy Section 1704: Safe Crisis inappropriate use of force, and to take ☒ ☐ ☐ Management and Physical Intervention affirmative action to immediately stop it. Procedures (5) define a standardized reporting format that Policy Section 1704: Safe Crisis includes time period and procedure for Management and Physical Intervention documenting and reporting the use of force, Procedures including reporting requirements of management and line staff and procedures for Debriefs were completed for those incidents reviewing and tracking use of force incidents by that required them. Technical assistance is supervisory and or management staff, which provided to ensure it is documented in the ☒ ☐ ☐ include procedures for debriefing a particular narrative of the supervisor report. incident with staff and/or youth for the purposes of training as well as mitigating the effects of All reports are required to be completed by trauma that may have been experienced by the end of the shift in the agency case staff and /or the youth involved. management system. Reports viewed appeared to be submitted in a timely manner. (6) Include an administrative review and a system Policy Section 1706: Safe Crisis for investigating unreasonable use of force. Management Physical Intervention Reports The policy notes this process to occur “as ☒ ☐ ☐ soon as practical”. Technical assistance provided that a specific timeline should be identified and proper accountability for those not completing the reviews when required. (7) define the role, notification, and follow-up Policy Section 1704: Safe Crisis procedures required after use of force incidents Management and Physical Intervention ☒ ☐ ☐ for medical, mental health staff and parents or Procedures legal guardians. (8) describe the limitations of use of force on Policy Section 1704: Safe Crisis pregnant youth in accordance with Penal Code Management and Physical Intervention ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Procedures Code Section 222. (b) Facilities that authorize chemical agents as a force Policy Section 1704: Safe Crisis option shall include policies and procedures that: Management and Physical Intervention Procedures ☐ ☐ ☒ OC spray is not used in the camps. All subsequent boxes are marked N/A. (1) identify who is approved to carry and/or utilize N/A 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 N/A when there is an imminent threat to the youth’s safety or the safety of others and only when de- ☐ ☐ ☒ escalation efforts have been unsuccessful or are not reasonably possible. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) outline the facility’s approved methods and N/A timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be ☐ ☐ ☒ left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up N/A procedures required after use of force incidents ☐ ☐ ☒ involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident N/A of use of chemical agents, including the reasons for which it was used, efforts to de- escalate prior to use, youth and staff involved, ☐ ☐ ☒ the date, time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure Policy Section 1702: Training which require that agencies provide initial and ☒ ☐ ☐ regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health Policy Section 1702: Training conditions that would contraindicate certain ☒ ☐ ☐ types of force; (2) acceptable chemical agents and the methods Policy Section N/A ☒ ☐ ☐ of application. (3) signs or symptoms that should result in Policy Section 1702: Training ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of ☒ ☐ ☐ Policy Section 1702: Training Use of Force. (5) physical training force options that may require ☒ ☐ ☐ Policy Section 1702: Training the use of perishable skills. (6) timelines the facility uses to define regular Policy Section 1702: Training training. The policy requires initial training and annual training. The agency has noted on many occasions that all staff is trained in these areas in Block Week and in other trainings throughout the year. ☒ ☐ ☐ We will be working with the facility to provide proof of practice for each individual training session that is related to this area and the proper documentation to identify who has gone and who has not. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1705: Restraints The facility administrator, In cooperation with the The policy was developed in cooperation with Juvenile Court Health Services (JCHS) responsible physician and mental health director, shall and the Department of Mental Health develop and implement written policies and ☒ ☐ ☐ (DMH). procedures for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth Policy Section 1705: Restraints who present an immediate danger to themselves or One use of physical restraint incident others, who exhibit behavior which results in the provided for review. This incident was due to destruction of property, or reveals the intent to cause ☒ ☐ ☐ the youth being in restraints for 22 minutes self-inflicted physical harm. Physical restraints should specific to agency policy. A Mechanical restraint log was completed for this incident. be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy Section 1705: Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy Section 1705: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation ☒ ☐ ☐ within the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the Policy Section 1705: Restraints approval of the facility manager or designee. The facility Continued retention was reviewed by the manager may delegate authority to place a youth in ☒ ☐ ☐ supervisor at 15 minutes. restraints to a physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy Section 1705: Restraints retention shall be secured as soon as possible, but no ☒ ☐ ☐ Medical staff see the youth 13 minutes after later than two hours from the time of placement. The handcuffs were applied. youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon Policy Section 1705: Restraints as possible, but in no case longer than four hours from ☒ ☐ ☐ Referrals are completed and follow-ups are the time of placement, to assess the need for mental completed. health treatment. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Continuous direct visual supervision shall be conducted Policy Section 1705: Restraints to ensure that the restraints are properly employed, and Proper documentation was completed. to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy Section 1705: Restraints procedures shall address: (a) documentation of the circumstances leading to an Policy Section 1705: Restraints ☒ ☐ ☐ application of restraints. (b) known medical conditions that would Policy Section 1705: Restraints contraindicate certain restraint devices and/or ☒ ☐ ☐ techniques. (c) acceptable restraint devices. ☒ ☐ ☐ Policy Section 1705: Restraints (d) signs or symptoms which should result in Policy Section 1705: Restraints ☒ ☐ ☐ immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation Policy Section 1705: Restraints ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Policy Section 1705: Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Policy Section 1705: Restraints (h) exercising of extremities. ☒ ☐ ☐ Policy Section 1705: Restraints 1358.5 USE OF RESTRAINT DEVICES FOR Policy Section 1709: The Use of Mechanical MOVEMENT AND TRANSPORTATION WITHIN THE Restraints for Movement and Transport FACILITY. Within the Facility The Facility Administrator, In cooperation with the responsible physician and behavioral/mental health The policy was developed in cooperation director, shall develop and implement written policies with Juvenile Court Health Services (JCHS) ☒ ☐ ☐ and procedures for the use of restraint devices when and Department of Mental Health (DMH). the purpose is for movement or transportation within the facility that shall include the following: Staff at Campus Kilpatrick rarely use handcuffs. Of all the Use of Force incidents reviewed, only one involved the use of handcuffs. (a) identification of acceptable restraint devices, staff Policy Section 1709: The Use of Mechanical approved to utilize restraint devices and the ☒ ☐ ☐ Restraints for Movement and Transport required training. Within the Facility (b) the circumstances leading to the application of Policy Section 1709: The Use of Mechanical restraints must be documented. ☒ ☐ ☐ Restraints for Movement and Transport Within the Facility 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) an individual assessment of the need to apply Policy Section 1709: The Use of Mechanical restraints for movement or transportation that Restraints for Movement and Transport includes consideration of less restrictive Within the Facility alternatives, consideration of a youth’s known ☒ ☐ ☐ medical or mental health conditions, trauma The assessment was completed for the use informed approaches, and a process for of restraints reviewed. documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Policy Section 1709: The Use of Mechanical with a clearly defined expectation that restraint Restraints for Movement and Transport ☒ ☐ ☐ devices shall not be used for the purposes of Within the Facility discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Policy Section 1709: The Use of Mechanical accordance with Penal Code Section6030(f) and ☒ ☐ ☐ Restraints for Movement and Transport Welfare and Institutions Code Section 222. Within the Facility 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, In The remaining sections are marked as N/A. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth ☐ ☐ ☒ who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of N/A necessary nutrition and fluids, access to a ☐ ☐ ☒ toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or N/A ☐ ☐ ☒ designee, before a youth is placed into a safety room; (3) provide for continuous direct visual N/A supervision and documentation of the youth's ☐ ☐ ☒ behavior and any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by N/A ☐ ☐ ☒ the facility manager, or designee, every four hours; (5) provide for immediate medical assessment, N/A ☐ ☐ ☒ where appropriate, or an assessment at the next daily sick call; and, (6) provide a process for documenting the reason N/A for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ N/A accomplished in accordance with the following: 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) safety room shall not be used before other less N/A restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes N/A ☐ ☐ ☒ of punishment, coercion, convenience, or retaliation by staff. (3) safety room shall not be used to the extent that N/A ☐ ☐ ☒ it compromises the mental and physical health of the youth. (c) A youth may be held up to four hours in the safety N/A room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ N/A (2) consult with mental health or medical staff, ☐ ☐ ☒ N/A (3) develop an individualized plan that includes N/A ☐ ☐ ☒ the goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended N/A beyond four hours, staff shall develop an individualized plan that includes the requirements ☐ ☐ ☒ of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Policy Section 1316: Searches in Detention The facility administrator shall develop and implement Facilities and 1317: Body Searches (Pat- written policies and procedures governing the search of Down, Strip, and Body Cavity Searches) youth, the facility, and visitors. Policies and procedures shall provide that: Daily cottage and facility searches are conducted. Youth are randomly wand searched by cottage staff. CVK school has ☒ ☐ ☐ a metal detector that youth clear prior to entering the school classroom. All youth are searched with a wand before and after school by the facility response team daily and classrooms are searched after school each day. K9s are brought in as needed to search cottages and facility grounds. (a) Searches shall be conducted to ensure the safety Policy Section 1316: Searches in Detention and security of the facility, public, visitors, youth, ☒ ☐ ☐ Facilities and staff. (b) Searches shall be conducted in a manner that 1 Policy Section 316: Searches in Detention preserves the privacy and dignity of the person Facilities being searched, and shall not be conducted for ☒ ☐ ☐ harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Policy Section 1317: Body Searches (Pat- searches shall comply with Penal Code Section ☒ ☐ ☐ Down, Strip, and Body Cavity Searches) 4030. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Physical body cavity searches shall only be Policy Section 1317: Body Searches (Pat- conducted by a medical professional. ☒ ☐ ☐ Down, Strip, and Body Cavity Searches) (e) Any youth held after a detention hearing shall only Policy Section 1317: Body Searches (Pat- be strip searched with prior approval of a Down, Strip, and Body Cavity Searches) supervisor when there is reasonable suspicion ☒ ☐ ☐ based on specific and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Policy Section 1303: Juvenile Supervision comply with Section 1352.5. of Lesbian, Gay, Bisexual, Transgender, ☒ ☐ ☐ Questioning and Intersex Youth in an Institutional Setting (g) Cross-gender pat-down searches and strip Policy Section 1317: Body Searches (Pat- searches are prohibited except in exigent Down, Strip, and Body Cavity Searches) circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy Section 508: Grievance Procedures The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to 4 grievances in December 2021, 2 in any condition of confinement, including but not limited January 2022 and 1 in February 2022. All to health care services, classification decisions, were addressed in a timely manner. ☒ ☐ ☐ program participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy Section 508: Grievance Procedures grievance, which includes provisions for the youth to have free access to the form; ☒ ☐ ☐ Grievances were viewed to be in the holders next to the boxes. Youth have access. (b) the youth shall have the option to confidentially file Policy Section 508: Grievance Procedures the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ Youth can submit a grievance through either a paper copy in the confidential box or through the JIGS system. (c) resolution of the grievance at the lowest Policy Section 508: Grievance Procedures appropriate staff level; ☒ ☐ ☐ Youth interviewed stated they could turn in their grievance to any staff member, including the staff person they grieved. (d) provision for a prompt review and initial response Policy Section 508: Grievance Procedures to grievances within three (3) business days, grievances that relate to health and safety issues ☒ ☐ ☐ We found most of the grievances to be must be addressed immediately; addressed either the same day or within 2 days of writing. (1) The youth may elect to be present to explain Policy Section 508: Grievance Procedures his/her version of the grievance to a person ☒ ☐ ☐ not directly involved in the circumstances which led to the grievance. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Provision for a staff representative approved Policy Section 508: Grievance Procedures ☒ ☐ ☐ by the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy Section 508: Grievance Procedures ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a Policy Section 508: Grievance Procedures 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 Policy Section 508: Grievance Procedures (10) business days unless circumstances dictate a All grievances were completed timely. ☒ ☐ ☐ longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and Policy Section 508: Grievance Procedures external methods to report sexual abuse and ☒ ☐ ☐ sexual harassment. Youth can report to any staff, to any facility partner, or to the ombudsman. Whether or not associated with a grievance, concerns Policy Section 508: Grievance Procedures of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ Parents may contact the facility managers policies and procedures within a specified timeframe. for any complaints. There is also a formal complaint process that may be utilized. 1362 REPORTING OF INCIDENTS Policy Sections 1119: Reducing Youth on A written report of all incidents which result in physical Youth on Violence and 919: Deaths at harm, use of force, serious threat of physical harm, or Camp Facilities death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by All incident reports provided were the staff and submitted to the facility manager by the completed in a timely manner and include end of the shift, unless additional time is necessary and the appropriate accompanying authorized by the facility manager or designee. documentation. 1363 USE OF REASONABLE FORCE TO Policy Sections 306: Live Scan and DNA COLLECT DNA SPECIMENS, SAMPLES, Collection and 1122: Juvenile Collection of IMPRESSIONS DNA Samples (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections The Camp Assessment Unit is responsible personnel including peace officers, may employ to determine if youth need DNA collection. reasonable force to collect blood specimens, ☒ ☐ ☐ Detention Services Bureau (DSB) personnel saliva samples, and thumb or palm print are responsible for conducting fingerprint impressions from individuals who are required to collection through the Live-Scan process provide such samples, specimens or impressions and for DNA collection. This is not done in pursuant to Penal Code Section 296 and who the camps. refuse following written or oral request. The section marked yes for policy. (1) For the purpose of this section, the “use of Policy Sections 306: Live Scan and DNA reasonable force” shall be defined as the force that Collection and 1122: Juvenile Collection of an objective, trained and competent correctional DNA Samples ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded Policy Sections 306: Live Scan and DNA by efforts to secure voluntary compliance. Efforts to Collection and 1122: Juvenile Collection of secure voluntary compliance shall be documented DNA Samples ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) The force shall not be used without the prior written Policy Sections 306: Live Scan and DNA authorization of the supervising officer on duty. Collection and 1122: Juvenile Collection of The authorization shall include information that DNA Samples ☒ ☐ ☐ reflects the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Policy Sections 306: Live Scan and DNA extraction, the extraction shall be videotaped. Collection and 1122: Juvenile Collection of Video shall be directed at the cell extraction DNA Samples event. The videotape shall be retained by the ☒ ☐ ☐ agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM The Education Program is provided through a collaboration between Los Angeles (a) School Programs County Probation and Los Angeles County Office of Education: Juvenile Courts and The County Board of Education shall provide for the Community Schools. Policy has not administration and operation of juvenile court changed since the last cycle. schools in conjunction with the Chief Probation Officer, or designee pursuant to applicable State Youth attend school from 8:15AM to 3:15 laws. The school and facility administrators shall PM daily. The educational team is led by develop and implement written policy and Bridget Whitaker, School Principal. Her procedures to ensure communication and team consists of: coordination between educators and probation staff. 4 General Ed. Teachers, 1 SDC Teacher Culturally responsive and trauma-informed 1 Literacy Teacher, 1 RSP Teacher, approaches should be applied when providing 1 Teacher on Special Assignment. instruction. Education staff should collaborate with 2 Paraeducators the facility administrator to use technology to 1 Psychologist facilitate learning and ensure safe technology 3 Counselors practices. The facility administrator shall request an 1 Secretary annual review of each required element of the program by the Superintendent of Schools, and a Both believe there is a great collaboration report or review checklist on compliance, between the two agencies and deficiencies, and corrective action needed to communication is open and ongoing achieve compliance with this section. Such a regarding day-to-day information, review, when conducted, cannot be delegated to releasees, and any other information that the principal or any other staff of any juvenile court needs to be communicated. school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the ☒ ☐ ☐ The education program was last inspected on December 17 and 21, 2021 by Diem review, the facility administrator or designee shall Johnson, Principal, Valley View Community review each item with the Superintendent of Elementary. The following captures Schools and shall take whatever corrective action is information from the educational report. necessary to address each deficiency and to fully protect the educational interests of all youth in the Bi-weekly interagency meetings are held facility. among LACOE, Probation, and Department of Mental Health (DMH). All school staff are trained in NCI trauma- informed curriculum, implicit bias, and culturally responsive classrooms. Ongoing professional development has been provided since the start of the new school year. With changes in staff, about 50% of staff are trained in the LA Model, which includes trauma informed care, Dialectical Behavioral Therapy (DBT), and small group management. Kilpatrick employs a Behavioral Manager/Counselor to address the behavioral, social-emotional needs, and overall wellness of students during the school day. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements BP 6011 Instruction The facility school program shall comply with the BP 6011 Instruction, BP 0460 Philosophy, State Education Code and County Board of Goals, Objectives, and Comprehensive Education policies, all applicable federal education Plans statutes and regulations and provide for an annual BP 005 Philosophy, Goals, Objectives and evaluation of the educational program offerings. As Comprehensive Plans Item 3,4,5 stated in the 2009 California Standards for the Teaching Profession, teachers shall establish and Kilpatrick provides every student with maintain learning environments that are physically, access to technology (devices and internet) emotionally, and intellectually safe. Youth shall be in the classrooms and cottages. Teachers provided a rigorous, quality educational program and staff use Impervo to manage student that responds to the different learning styles and devices and well-being online. abilities of students and prepares them for high school graduation, career entry, and post- Teachers and students utilize a variety of secondary education. platforms and web-based program to support the core educational program. Additionally, when students are required to quarantine, students have access to synchronous and asynchronous instruction that equals 300 instructional minutes daily. ☒ ☐ ☐ All educational programs are evaluated to ensure compliance with Ed. Code and LACOE Board Policies. The District Office conducts RTSA monitoring visits quarterly and site administers complete classroom walk-throughs using DigiCoach. Standards-based instruction and the application of PBIS/NCI trauma informed curriculum promotes a positive learning environment for all students. Teachers and staff at Kilpatrick understand the importance of creating dynamic learning environments to attend to the different learning styles and abilities of all students. Upon enrollment, students meet with Academic Counselors to develop an Individualized Learning Plan (ILP) which outlines academic, behavioral, and post- secondary goals. All youth shall be treated equally, and the education BP 5145.3 Students program shall be free from discriminatory action. Staff shall refer to transgender, intersex and ☒ ☐ ☐ gender-nonconforming youth by their preferred name and gender. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) The course of study shall comply with the State BP 005 Philosophy, Goals, Objectives and Education Code and include, but not be limited to, Comprehensive Plans Item 3,4,5 courses required for high school graduation. All courses comply with Ed Code and gear toward high school graduation. Additionally, intervention and supports are provided to ☒ ☐ ☐ students who are not meeting grade-level standards. Supplemental programs, such as Achieve 3000 and Imagine Math, are embedded into students’ respective classes. Dual enrollment into college courses is not offered at the time of this visit. (2) Information and preparation for the High School AR-6146.2 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to HiSet prep courses are available to eligible youth. qualifying students and taught by certificated teachers after school. (3) Youth shall be informed of post-secondary education AR-6143 Instruction Item 9 (Grades 7-12) and vocational opportunities. Students meet with Transition Counselors throughout their enrollment at Kilpatrick to ☒ ☐ ☐ work on their post-secondary goals as part of their ILPs. Students with IEPs receive additional support from both Transition Counselors and Special Education/ Resource Specialist Teachers in developing their IEP Transition Plan. (4) Administration of the High School Equivalency Tests AR6146-2 Instruction Ed Code 51420 as approved by the California Department of Education, shall be made available when possible. HiSet prep courses are available to ☒ ☐ ☐ qualifying students and taught by certificated teachers after school. Administration of the HiSet is available in collaboration with Probation. (5) Supplemental instruction shall be afforded to youth AR-6179 Instruction BPP 5149 who do not demonstrate sufficient progress towards grade level standards. Intervention and supports are provided to student who are not meeting grade-level standards. Supplemental programs, such as Achieve 3000 and Imagine Math, are embedded into ☒ ☐ ☐ students’ respective classes. Kilpatrick employs a Literacy Specialist Teacher and Teacher on Special Assignment to address and support the academic needs of students who fall into this category. Additionally, Student Planning Teams (SPT) are held to develop a plan of intervention and supports specific to the student’s areas of growth that’s monitored and revisited every 30 days. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) The minimum school day shall be consistent with BP 6112 Instruction State Education Code Requirements for juvenile court schools. The facility administrator, in 300 instructional minutes are provided in- conjunction with education staff, must ensure that person daily. Students who must quarantine ☒ ☐ ☐ are provided a combination of synchronous operational procedures do not interfere with the and asynchronous instruction that totals 300 time afforded for the minimum instructional day. minutes daily. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless BP 6112 Instruction Partially Address. of classification, housing, security status, requirement; AR 5131 disciplinary or separation status, including room confinement, except when providing education All students are enrolled into school upon camp entry. Student are provided with in- poses an immediate threat to the safety of self or others. Education includes, but is not limited to, ☒ ☐ ☐ person instruction daily. When quarantine is required, students are provided with a related services as provided in a youth’s Section combination of synchronous and 504 Plan or Individualized Education Program asynchronous instruction daily. Students will (IEP). IEPs or 504 Plans are provided with related services and accommodations. (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented Kilpatrick uses Schoolwide Positive to reduce the need for disciplinary action in the Behavior Intervention Supports (SWPBIS) school setting and be integrated into the facility's in addition to NCI trauma informed ☒ ☐ ☐ overall behavioral management plan and security curriculum and BDT. Kilpatrick employs a system. Behavioral Manager/Counselor to address the behavioral, social-emotional needs, and overall wellness of students during the school day to reduce school discipline. (2) School staff shall be advised of administrative BP 5021 Students CF 6020 decisions made by probation staff that may affect the educational programming of students. Bi-weekly interagency meetings are held ☒ ☐ ☐ among LACOE, Probation, and Department of Mental Health (DMH). School administration provides staff updates during weekly meeting. (3) Except as otherwise provided by the State BP 5144.1 Students; 5144.2 - Suspension Education Code, expulsion/suspension from school and Expulsion/Due Process (Students with shall be imposed only when other means of Disabilities) correction fails to bring about proper conduct. Kilpatrick employs a Behavioral Manager/ School staff shall follow the appropriate due Counselor to address the behavioral, social- process safeguards as set forth in the State emotional needs, and overall wellness of Education Code including the rights of students with special needs. School staff shall document the ☒ ☐ ☐ students during the school day to reduce school discipline. For students with IEP, other means of correction used prior to imposing behavior support plans are developed, and expulsion/ suspension if an expulsion/suspension is manifestation determination meetings are ultimately imposed. held when needed. All interventions and disciplinary actions are documented in Aeries and in LACOE’s Educational Passport System (EPS). 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) The facility administrator, in conjunction with BP 5144 education staff will develop policies and procedures that address the rights of any student who has Meetings are held with school community ☒ ☐ ☐ continuing difficulty completing a school day. members, including Probation and DMH, to identify challenges and develop a system of supports to ensure student success during the school day. (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and Comprehensive Plans (1) State and federal laws and regulations shall be observed for all individuals with disabilities or The Kilpatrick administration and Special suspected disabilities. This includes but is not Education team has an obligation to Child limited to child find, assessment, continuum of Find. Students who have a suspected alternative placements, manifestation determination disability will initially participate in the SPT reviews, and implementation of Section 504 Plans process along with other school community and Individualized Education Programs. members to identify interventions, supports, ☒ ☐ ☐ and/or accommodations/modifications. Assessments are be considered when students are not making progress or presenting qualities that are consistent with a disability. Student with IEP or 504 Plans are placed appropriately and receive related services and accommodations. The Special Education team ensure timelines are met for IEPs. (2) Youth identified as English Learners (EL) shall be BP 6174 Instruction afforded an educational program that addresses their language needs pursuant to all applicable English Learners are provided with state and federal laws and regulations governing integrated and designated ELD. All EL programs for EL students. students are given the summative ELPAC annually. Newcomers are given the initial ELPAC. Opportunities for reclassification are based on ELPAC, state/local testing, ☒ ☐ ☐ grades, and parent/teacher input. Students who are RFEP’d are monitored to ensure they continue to meet grade level standards. EL students with IEPs have linguistically appropriate goals. Accommodations, if applicable, on ELPAC are noted in their IEPs. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers Requirement (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's Students meet with academic counselors educational history, including but not limited to: upon enrollment to review educational records, which includes transcripts, IEPs (if applicable) enrollment history, attendance, home language survey, state/local ☒ ☐ ☐ assessments, and disciplinary records. Academic counselors’ access CALPADS and request records from all previous schools and documents are uploaded unto EPS. Special Education teachers and school psychologist also meet with students who have IEPs. (A) School progress/school history; ☒ ☐ ☐ BP 6162.5 Instruction (B) Home Language Survey and the results of the State AR 6174 Instruction ☒ ☐ ☐ Test used for English language proficiency; (C) Needs and services of special populations as BP 6162.5 Instruction ☒ ☐ ☐ defined by the State Education Code, including but not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ BP 5131 Students . (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to determine the youth's general academic functioning Students are enrolled in school within 1-2 ☒ ☐ ☐ levels to enable placement in core curriculum days of entry into facility. Within the first courses. week of enrollment, students take the STAR Reading and Math Assessments to determine skills and master of content. (3) After admission to the facility, a preliminary BP 6162.5 Instruction education plan shall be developed for each youth within five school days. Upon enrollment, students meet with ☒ ☐ ☐ Academic Counselors to develop an Individualized Learning Plan (ILP) which outlines academic, behavioral, and post- secondary goals. (4) Upon enrollment, education staff shall comply with AR 5125 Students the State Education Code and request the youth's records from his/her prior school(s), including, but Academic counselors’ access CALPADS not limited to, transcripts, Individual Education and request records from all previous Program (IEP), 504 Plan, state language schools and documents are uploaded unto ☒ ☐ ☐ assessment scores, immunization records, exit EPS. IEPs are reviewed to determine grades, and partial credits. Upon receipt of the appropriate placement and assign case transcripts, the youth's educational plan shall be managers for related services. reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth Prior to release, students and families are shall be forwarded to the next educational given Exit Packets, which includes the placement in accordance with the State Education Transition Plan, unofficial transcripts, ☒ ☐ ☐ Code. progress reports, IEP/504 (if applicable), and AB 216 (if applicable). A copy of the Exit packet is also given to Probation and uploaded to EPS, which is accessible to all school districts within LA County and Aftercare Probation Officers. (2) The County Superintendent of Schools shall provide BP 5121 Students appropriate credit (full or partial) for course work completed while in juvenile court school in ☒ ☐ ☐ Students receive full or partial credit for accordance with the State Education Code. work completed. Students earn .06 credits in each class daily. Every 16 days enrolled with a passing grade in class equal 1 credit. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief Counselors contact school districts when Probation Officer or designee, shall develop policies students are preparing to transition back and procedures to meet the transition needs of into the community. Appointments and youth, including the development of an education ☒ ☐ ☐ school referrals are made to ensure a transition plan, in accordance with the State smooth transition for students. Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section Counselors contact and follow-up after 3 1355. days from student release in additional to 30, 60, and 90 days. (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student Use of Technology (1) The school and facility administrator should, whenever possible, collaborate with local post- Transition counselors collaborate with ☒ ☐ ☐ secondary education providers to facilitate access Probation and partnering agencies to to educational and vocational opportunities for provide post-secondary opportunities such youth that considers the use of technology to as college programs and TPP. Counselors implement these programs. also assist graduating students with their FAFSA applications. 1371 PROGRAMS, RECREATION, AND Policy Section 1306: Programs, Recreation EXERCISE. and Exercise The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for Policy Section 1306: Programs, Recreation programs, recreation, and exercise a minimum of three and Exercise hours a day during the week and five hours a day each Programs sheets were provided for the Saturday, Sunday or other non-school days, of which month of February 2022. These sheets one hour shall be an outdoor activity, weather ☒ ☐ ☐ provide an at-a-glance documentation of permitting. activities that occur in the facility. We noted through viewing this document that youth are getting their minimally required activities. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A youth’s participation in programs, recreation, and Policy Section 1306: Programs, Recreation exercise may be suspended only upon a written and Exercise finding by the administrator/manager or designee that ☒ ☐ ☐ a youth represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Policy Section 1306: Programs, Recreation be posted in the living units. and Exercise ☒ ☐ ☐ BMP calendars were posted in the cottages. There will be a written annual review of the programs, Policy Section 1306: Programs, Recreation recreation, and exercise by the responsible agency to and Exercise ensure content offered is current, consistent, and relevant to the population. Annual Reviews were completed by Probation in both 2021 and 2022. Campus Kilpatrick Mental Health staff completed a ☒ ☐ ☐ review of their programs April 14, 2022, and several CBO’s completed letters as well. There were some missing reviews due to inconsistent programming due to COVID- 19. The facility has been noticed that, next year, all reviews will be expected. (a) Programs. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily and Exercise programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best Documentation provided and reviewed. practice interventions that are culturally relevant Compliance noted. and linguistically appropriate, or pro-social It appears that some staff are only interventions and activities designed to reduce documenting what is required or what is on recidivism. These programs should be based on the calendar and do not document all that the youth’s individual needs as required by Sections youth are participating in. 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Officer or Technical assistance provided that, while the County Office of Education and can be minimums are being met, all activities administered by county partners such as mental should be documented to provide a true health agencies, community based organizations, reflection of what is going on in the facility. faith-based organizations or Probation staff. Programs may include but are not limited to: Technical assistance also provided for (1) Cognitive Behavior Interventions; ☒ ☐ ☐ youth separated, to implement additional (2) Management of Stress and Trauma; programs beyond mentoring. While one-on- (3) Anger Management; one mentoring with staff is great, additional (4) Conflict Resolution; programs should be implemented especially (5) Juvenile Justice System; if a youth is going to be on a SSP status for (6) Trauma-related interventions; a longer period of time. It is understood that (7) Victim Awareness; mentoring is used in many cases as the (8) Self-Improvement; programming category, but then the topic (9) Parenting Skills and support; should be identified in the documentation. (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. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Recreation. All youth shall be provided the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily access to and Exercise unscheduled activities such as leisure reading, ☒ ☐ ☐ letter writing, and entertainment. Activities shall be The documentation was provided and supervised and include orientation and may include reviewed. Compliance noted. Youth spend coaching of youth. much of their time in recreational activities. (c) Exercise. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of large muscle and Exercise activity each day. ☒ ☐ ☐ The documentation was provided and reviewed. Youth are receiving their exercise outdoors. The administrator/manager may suspend, for a period Policy Section 1306: Programs, Recreation not to exceed 24 hours, access to recreation and and Exercise programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy Section 1004: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least Services occur on Sunday. It was noted that once each week. Attendance shall be voluntary. A very few youth attend Church. Religious youth shall be allowed to participate in an activity Services have been provided by either outside of their room if he/she elects not to participate outside volunteers or, during the pandemic in religious programs. or when outside providers have been Religious programs shall provide for: unable to facilitate services, by facility staff. ☒ ☐ ☐ The documentation reviewed is not consistent with this practice and the facility has not kept good records in this area. When interviewed and asked, youth who have been in the facility for some time, confirmed this to be the case. Additional documentation requested and reviewed, and this issue has been addressed. (a) opportunity for religious services and practices; ☒ ☐ ☐ Policy Section 1004: Religious Services (b) availability of clergy; and, Policy Section 1004: Religious Services ☒ ☐ ☐ Youth have the option to request for their specific pastor to be placed on their visiting list. (c) availability of religious diets. Policy Section 1004: Religious Services If a youth wants a religious diet, they are to ☒ ☐ ☐ complete a special request for service. The request will be reviewed by medical to ensure it will be okay for the youth and then assigned as appropriate. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy Section 1003: Work Crews The facility administrator shall develop policies and procedures regarding the fair and consistent Youth currently have access to work onsite assignment of youth to work programs. Work assigned at each camp. Youth apply to and qualify for to a youth shall be meaningful, constructive and related the program. to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a Youth Bridges (CYBP) is a program through disciplinary measure. ☒ ☐ ☐ LA County Human Resources. This program is a 120-hour paid program offering 120 hours of work experience. Assignments are on the grounds of the camp. Youth are paid and earn money they take home with them upon release. 1374 VISITING Policy Section 902: Visiting Procedures, The facility administrator shall develop and implement Section 903: Saturday and Sunday Visiting, written policies and procedures for visiting, that include and Section 904: Special Visits provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing Regular visits occur with parents, in loco parentis, and children of youth. Other family ☒ ☐ ☐ guardians, and other family members members, such as grandparents and siblings, and including the children of youth. Youth can supportive adults, may be allowed to visit with the make requests at any time for appropriate, approval of the facility administrator or designee, and in other supportive adults and family members conjunction with the youth’s case plan or in the best to receive special visits. interest of the youth. All visits shall occur at reasonable times, subject only to Policy Section 902: Visiting Procedures the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the Youth may request for supportive adults visitor’s criminal history. The staff shall determine in besides parents and guardians. Requests each case, whether the visitor’s criminal history ☒ ☐ ☐ are reviewed as part of the MDT process. represents a risk to the safety of youth or staff in the Any denial is communicated to the youth facility. Any denial of visitation or limitation on visitations who made the request, the person who has shall be communicated to the youth, person denied and been denied, and the facility manager. facility administrator. Opportunity for visitation shall be a minimum of two Policy Section 902 Visiting Procedures and hours per week. Visits may be supervised, but Section 903: Saturday and Sunday Visiting conversations shall not be monitored unless there is a security or safety need. Visiting has been suspended due to COVID-19. Since recently opening up, parents receive a scheduled 1-hour onsite visit in order to appropriately socially distance youth and their parents away from one another to keep the likelihood and ☒ ☐ ☐ spread of COVID-19 low. This hour is supplemented with virtual calls and regular telephone calls beyond what is normally provided. Regulation remains suspended due to County Health Orders. Technical assistance was provided to the facility to ensure that calls are logged more consistently and clearly. We have discussed the implementation of a tracking process to ensure compliance in quarantine and in normal business mode. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Provisions for special visits, in addition to the two-hour Policy Section 904: Special Visits minimum and/or outside of the regular visiting hours, Special visits are approved in advance by shall be accommodated as necessary and within the the supervisor and/or director. Children of discretion of the facility administrator or designee. the youth may be allowed to come in during Family therapy and professional visits shall be accommodated outside the provisions of this regulation. ☒ ☐ ☐ alternate hours for special visits instead of during regular visiting times. There were Facilities may provide visitation opportunities outside of two youth with children at the time of normal visiting hours to accommodate special visits. inspection and it was noted that the facility will allow the children in after all clearances have been made. The facility may provide access to technology as an Policy Section 902: Visiting Procedures alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Virtual calls are being utilized to enhance communication and are used when youth are in quarantine or visiting is cancelled. 1375 CORRESPONDENCE Policy Section 510: Mail The facility administrator shall develop and implement written policies and procedures for correspondence ☒ ☐ ☐ Letter writing materials are openly provided which provide that: and youth can write, send, and receive letters freely. (a) there is no limitation on the volume of mail that youth Policy Section 510: Mail ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; Policy Section 510: Mail ☒ ☐ ☐ (c) youth may correspond confidentially with state and Policy Section 510: Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, ☒ ☐ ☐ authorized facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that Policy Section 510: Mail described in (c), may be read by staff only when there is reasonable cause to believe facility safety ☒ ☐ ☐ and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy Section 509: Telephone Calls The administrator of each juvenile facility shall develop Youth receive a minimum of one telephone and implement written policies and procedures to call a week from their assigned camp case provide youth with access to telephone work PO. Youth can request phone calls as communications. needed and they are provided by camp ☒ ☐ ☐ supervisor. Youth also are provided with phone calls with mental health counselors when consistent with their mental health treatment plan. Youth receive virtual calls and extra calls for visits when visitation is cancelled due to quarantine. 1377 ACCESS TO LEGAL SERVICES Policy Section 520: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) access, upon request by the youth, to licensed Policy Section 520: Access to Legal attorneys and their authorized representatives; Services ☒ ☐ ☐ Youth may visit with their attorneys at any time in person if they visit or by phone. (b) provision for confidential consultation with Policy Section 520: Access to Legal attorneys; and, Services ☒ ☐ ☐ Campus Kilpatrick has multiple areas for confidential consultation. (c) unlimited postage free, legal correspondence and Policy Section 520: Access to Legal cost-free telephone access as appropriate. Services ☒ ☐ ☐ All letters are postage paid. 1390 DISCIPLINE Policy Section 601: Discipline and Policy The facility administrator shall develop and implement Section 604: Continuum of Correction written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use of positive behavior interventions and supports. ☒ ☐ ☐ Discipline shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy Section 601: Discipline (b) daily shower, access to drinking fountain, toilet Policy Section 601: Discipline ☒ ☐ ☐ and personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Policy Section 601: Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Policy Section 601: Discipline (e) exercise; ☒ ☐ ☐ Policy Section 601: Discipline (f) medical services and counseling; ☒ ☐ ☐ Policy Section 601: Discipline (g) religious services; ☒ ☐ ☐ Policy Section 601: Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Policy Section 601: Discipline (i) the right to send and receive mail; ☒ ☐ ☐ Policy Section 601: Discipline (j) education; and, ☒ ☐ ☐ Policy Section 601: Discipline (k) rehabilitative programming. ☒ ☐ ☐ Policy Section 601: Discipline The facility administrator shall establish rules of conduct Policy Section 604: Continuum of and disciplinary penalties to guide the conduct of youth. Correction Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy Section 604: Continuum of The facility administrator shall develop and implement Correction and Policy Section 606: Due ☒ ☐ ☐ written policies and procedures for the administration Process of discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose Policy Section 606: Due Process discipline for violation of rules; ☒ ☐ ☐ Only sworn staff are authorized to impose discipline on youth. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy Section 606: Due Process (c) definition of major and minor rule violations and Policy Section 604: Continuum of Correction their consequences, and due process ☒ ☐ ☐ requirements; (d) trauma-informed approaches and positive Policy Section 602: Facility Rules ☒ ☐ ☐ behavior interventions; (e) minor rule violations may be handled informally by Policy Section 604: Continuum of counseling, advising the youth of expected Correction conduct imposing a minor consequence. Discipline shall be accompanied by written documentation 6 sanction forms were provided for our ☒ ☐ ☐ and a policy of review and appeal to a supervisor; review from December 2021 and February and, 2022. These documents provide a means for the youth to think their behavior through and learn from the experience. (f) major rule violations and the discipline process Policy Section 606: Due Process shall be documented and require the following: All youth with major rule violations in January 2022 and February 2022 had a Sanctions and Appeals document in their ☒ ☐ ☐ packet. Only 2 youth did not receive a form; however, they were returned to the Juvenile Hall and were returned to Court. All areas were completed and documented well. Technical assistance and reminder to staff regarding youth refusals to sign. (1) written notice of violation prior to a hearing; Policy Section 606: Due Process ☒ ☐ ☐ (2) accommodations provided to youth with Policy Section 606: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy Section 606: Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy Section 606: Due Process ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in Policy Section 606: Due Process ☒ ☐ ☐ the hearing process; (6) provision for administrative review. Policy Section 606: Due Process ☒ ☐ ☐ (g) violations that result in a removal from camp or Policy Section 606: Due Process commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) The documentation reviewed noted all youth above. received due process as required. 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1410 MANAGEMENT OF COMMUNICABLE Policy Section 909: Communicable DISEASES. Diseases The health administrator/responsible physician, in Compliance is based on policy and cooperation with the facility administrator and the local guidance from JCHS. Policy and medical health officer, shall develop written policies and guidance were reviewed to ensure the procedures to address the identification, treatment, Management of Communicable Disease ☒ ☐ ☐ control and follow-up management of communicable policy is current and addresses all required diseases. The policies and procedures shall address, areas required by section 1410 specifically, but not be limited to: COVID-19. Interviews of youth and staff indicated the facility is following the protocols set for health and safety. (a) Intake health screening procedures; Policy Section 909: Communicable Diseases ☒ ☐ ☐ All youth are cleared for the camp program by medical staff prior to transfer. (b) Identification of relevant symptoms; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (c) Referral for medical evaluation; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (d) Treatment responsibilities during detention; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (e) Coordination with public and private community- Policy Section 909: Communicable ☒ ☐ ☐ based resources for follow-up treatment; Diseases (f) Applicable reporting requirements; and, Policy Section 909: Communicable ☒ ☐ ☐ Diseases (g) Strategies for handling disease outbreaks. Policy Section 909: Communicable ☒ ☐ ☐ Diseases The policies and procedures shall be updated as Policy Section 909: Communicable necessary to reflect communicable disease priorities Diseases ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 505: Access to Care/Request (EXCERPT) for Services The health administrator, in cooperation with the All youth we interviewed were familiar with facility administrator, shall develop policy and ☒ ☐ ☐ the process to seek these services, both for procedures to establish a daily routine for youth to emergencies and non-emergency. convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 1305: Clothing and Bedding Exchange The youth’s personal clothing, undergarments and footwear may be substituted for the institutional ☒ ☐ ☐ clothing and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 1305: Clothing and Bedding laundered, in good repair, and free of holes and Exchange tears. All youth interviewed and viewed, while ☒ ☐ ☐ onsite, were well groomed and outfitted. It was noted their clothes fit, there were no holes, and the clothes were clean and, in many cases, appeared new. (b) The standard issue of climatically suitable clothing Policy Section 1305: Clothing and Bedding for youth shall consist of but not be limited to: Exchange ☒ ☐ ☐ The youth interviewed stated they had everything they needed. If they didn’t, they just needed to ask. (1) Socks and serviceable footwear; Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ All youth viewed had athletic footwear in good shape. The youth we interviewed confirmed they also had flip-flops. (2) Outer garments; Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ Exchange (3) New non-disposable underwear which shall Policy Section 1305: Clothing and Bedding remain with the youth throughout their stay, Exchange ☒ ☐ ☐ and; Youth receive new underwear upon arrival. (4) Undergarments, that are freshly laundered Policy Section 1305: Clothing and Bedding and free of stains, including tee shirts and ☒ ☐ ☐ Exchange bras. (c) Clothing is laundered at the temperature required Policy Section 1305: Clothing and Bedding by local ordinances for the commercial laundries Exchange and dried completely in a mechanical dryer or ☒ ☐ ☐ other laundry method approved by the local health Youth can do their own laundry. There is a officer. washer and a dryer in the dorm. (d) Suitable clothing is issued to pregnant youth. Policy Section 1305: Clothing and Bedding Exchange The camp is an all-male camp. ☒ ☐ ☐ 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1482 CLOTHING EXCHANGE Policy Section 1305: Clothing and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the Youth can exchange clothes as needed. cleaning and scheduled exchange of clothing. Unless Youth have access to a washer and dryer. work, climatic conditions, or illness necessitates more frequent exchange, outer garments, except for ☒ ☐ ☐ footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy Section 410: Change of Clothing and PERSONAL CLOTHING Continued Search There shall be written policies and site-specific procedures developed and implemented by the facility ☒ ☐ ☐ administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 1304: Personal Hygiene, Shaving, and Haircuts There shall be written policies and site-specific procedures developed and implemented by the facility Youth are either given the item or have administrator for the availability of personal hygiene ☒ ☐ ☐ access at showers. Razors are given when items. Each female youth shall be provided with youth shave. Additionally, as youth move up sanitary napkins, panty liners and tampons as in the BMP program, they can receive requested. Each youth to be held over 24 hours shall personals from home. be provided with the following personal care items; (a) Toothbrush; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (b) Toothpaste; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (c) Soap; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (d) Comb; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (e) Shaving implements; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (f) Deodorant; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (g) Lotion; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (h) Shampoo; and, Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (i) Post-shower conditioning hair products. Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Youth shall not be required to share any personal care Policy Section 1304: Personal Hygiene, items listed in items (a) through (d). Liquid soap Shaving, and Haircuts provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged The youth noted they have access to all safety razors, electric razors, and other shaving personal care items. ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy Section 1304: Personal Hygiene, Shaving, and Haircuts and Section 502: There shall be written policies and site specific Orientation Process and Handbook procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ The youth confirmed they shower daily and teeth. Youth shall be permitted to shower/bathe up on can brush their teeth after meals. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of Youth reported they can shave upon request. identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services ☒ ☐ ☐ The youth interviewed stated they have had monthly. Equipment shall be cleaned and disinfected access to haircuts when requested. after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 411: Bedding Issuance Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a ☒ ☐ ☐ living area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination Policy Section 411: Bedding Issuance which meets the requirements of Section 1502 of ☒ ☐ ☐ these regulations: (b) One pillow and a pillow case unless provided for in Policy Section 411: Bedding Issuance ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; Policy Section 411: Bedding Issuance ☒ ☐ ☐ (d) One towel; and, Policy Section 411: Bedding Issuance ☒ ☐ ☐ (e) One blanket or more, up on request Policy Section 411: Bedding Issuance ☒ ☐ ☐ 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1501 BEDDING LINEN EXCHANGE Policy Section 1305: Clothing and Bedding Exchanges The facility administrator shall develop and implement site specific written policies and procedures for the Youth are provided all linens and bedding scheduled exchange of laundered bedding and linen ☒ ☐ ☐ upon entry. They are responsible for washing issued to each youth housed. Washable items such as their own sheets and blankets in the sheets, mattress covers, pillow cases and towels shall cottages. The youth interviewed noted they be exchanged for clean replacement at least once have open access to the laundry and receive each week. additional blankets upon request. The covering blanket shall be cleaned or laundered Policy Section 1305: Clothing and Bedding once a month. ☒ ☐ ☐ Exchanges Pg. 1300-4, Paragraph 2, sentence 2 1510 FACILITY SANITATION, SAFETY AND Policy Sections 1322: Housekeeping, 1323: MAINTENANCE Housekeeping: Basic Cleaning Procedures for All Areas, 1324: Housekeeping: The facility administrator shall develop and implement Maintenance Procedures and 1707: Metal written policies and site-specific procedures for the Handcuff Sanitizing Procedure maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall Youth ensure that the cottages are clean, provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ and the youth ensure their rooms are clean. equipment, including restraint devices, and physical Facility housekeeping ensures overall plant maintenance and inspections to identify and cleanliness and sanitizing of common spaces correct unsanitary or unsafe conditions or work including the individual cottages. MSB practices in a timely manner. The use of chemicals ensures work orders are addressed and shall be done in accordance to the product label and items that need to be fixed are fixed timely. Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☒ ☐ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐Vio ☐ ☒ Section 300 of the Welfare and Institutions Code (WIC) lation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐Vio ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). lation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐Vio ☐ ☒ separated from minors. lation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐Vio ☐ ☒ facility in a manner that allows contact with minors. lation 7232 Los Angeles Campus Kilpatrick PRO 20-22 - 57 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009, 2014 BSCC Code: 7232 FACILITY NAME: Campus Kilpatrick FACILITY TYPE: Juvenile Camp 4/98: 2001: 2003: 2009: 2014 APPLICABLE REGULATIONS (Check All That XX Apply): FIELD REPRESENTATIVE: Lisa Southwell DATE: April 18-20, 2022 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) 1230.1.1 Not Required for Camp Facilities X Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of X minors pending admission to JH Provides access to a shower X Provides a secure vault or storage space for minor's X valuables Provides telephone access to minors X Provides staff access to hot and cold running water X Locked Holding Room (1.2) 1230.1.2 Not Required for Camp Facilities There are no locked holding rooms in the X Contains a minimum of 15 square feet of floor area facility. per minor Provides no less than 45 square feet of floor area X Contains seating to accommodate all minors as X specified in these regulations 98: Provides access to a toilet, wash basin and drinking fountain as specified in these regulations 03: Be equipped with a toilet, wash basin and X drinking fountain unless a procedure is in effect to provide access Maximizes staff visual supervision X 03: Outward swinging or lateral sliding door required X Natural Light (1.3) The facility provides excellent natural light in both the living and non-living areas. Visual access to natural light is provided in locked X sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. Corridors (1.4) There are no corridors in the living area. Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are located X only on one side, corridors may be at least six feet wide. 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 1 - TITLE 24 SECTION YES NO N/A COMMENTS Living Unit (JH; 1.5) 1230.1.5 Not Required for Camp Facilities JH living units do not exceed 30 minors and contain sleeping areas and plumbing fixtures, commensurate with the number of minors housed. X 12: living unit shall not be divided in a way that hinders direct access, supervision or immediate intervention or other action if needed. Locked Sleeping Rooms (1.6) There are no locked sleeping rooms in the facility. 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other X access to these fixtures 03: Toilet, wash basin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) There are no single occupancy sleeping rooms in the facility. 98: Minimum of 63 square feet of floor area and a X clear ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144 X inches. 03: Outward swinging or lateral sliding door required X Double Occupancy Sleeping Rooms (1.8) There are no double occupancy rooms in the facility. Minimum of 100 square feet floor area, a clear ceiling X height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144 X inches 03: Outward swinging or lateral sliding door required X Dormitories (1.9) The space exceeds the requirement. In JHs and camps, there is a minimum of 50 square X feet of floor area per minor, with a minimum dormitory size of 200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for no Each sleeping area is for 12 youth: 6 on each X fewer than four minors. side. 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps). 03: This subsection deleted, eliminating the 15-minor X limitation. (See below.) 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 2 - TITLE 24 SECTION YES NO N/A COMMENTS 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more than X 30 minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) X JH dayrooms contain 35 square feet of floor area per minor. 98: Dayrooms in camps and SPJHs contain 30 square feet of floor area per minor. X 09: Camps and SPJHs were removed). All dayrooms provide access to toilets, wash basins, drinking fountains and showers. X Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet dedicated X indoor-outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9,000 square feet dedicated indoor-outdoor space. 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor-outdoor space, plus a field area. The field area contains a minimum of one acre with a X minimum dimension of 100 feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a The facility has ample space for the youth to minimum of 18,000 square feet dedicated indoor- participate in exercise and other recreational outdoor space, plus a field area. The field area activities. There are outdoor basketball courts, contains a minimum of one acre with a minimum a volleyball court, a circuit workout area, a dimension of 100 feet. pool, an indoor, full-sized gymnasium, X 01: Facilities with a capacity of 275 or more minors baseball field and each cottage has an exterior have 61,650 square feet dedicated indoor- outdoor area with a basketball hoop for small outdoor space, plus 145 square feet for each groups or single activity with staff. minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor-outdoor space is a paved or "like" surface. X 01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation space is out-of-doors and is equipped and X of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single X dimension less than 40 feet. Outdoor recreation area lighting allows for evening activities and provides security. X 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 3 - TITLE 24 SECTION YES NO N/A COMMENTS Academic Classrooms (NA SPJH; 1.12) **County has been noticed as to classroom limitations on the number of students as noted X Classrooms are designed for a maximum of 20 below. minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for X every juvenile in the facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square feet of floor space for the teacher's desk and work X area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to emergencies. X Safety Room (1.13) 1230.1.13 Not Required for Camp Facilities X Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Limited to one minor X Padded as specified in these regulations X There are one or more vertical view panels constructed of security glazing. Panels provide a X view of the entire room and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these X regulations Access to a toilet, wash basin and drinking fountain is X provided. 03: Be equipped with a variable intensity security- type lighting fixture, with controls outside the X room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access. X Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped medical X examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations X that is used for no other purpose; Privacy for minors; X Lockable storage for medical supplies; X Not less than 144 square feet floor space with no X single dimension less than seven feet; Hot and cold running water; and, X 01: Smooth, non-porous, washable surfaces. X 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 4 - TITLE 24 SECTION YES NO N/A COMMENTS Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies X and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) Youth will be fed in shifts in the dining commons as per the Operational Plan. There is a minimum of 15 square feet floor space and X sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate visual X barrier. Visiting Space (1.17) Youth will visit in the commons as per the Operational Plan. X Visiting space is provided. Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space per minor for institutional clothing, bedding, supplies X and activity equipment, in one or more storage rooms. Personal Storage (1.19) Youth have lockers in the laundry room to store their personal items. Each minor has a minimum of nine cubic feet of X secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as fire extinguishers, self-contained breathing X apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial X closet containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) No locked sleeping areas. There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping rooms; single and double occupancy sleeping rooms and X dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. 09:JH and locked sleeping rooms and single occupancy rooms of secure camps were removed 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 5 - TITLE 24 SECTION YES NO N/A COMMENTS Emergency Power (1.23) Generator provides 3 days of load shed capacity power. There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to X maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) X Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors There is a minimum of one suitably furnished X interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. X Court Holding Room for Minors (1.26) 1230.1.26 Not Required for Camp Facilities X Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors X Provides 40 square feet of floor area and a minimum X clear ceiling height of eight feet Contains seating to accommodate all minors X Contains a toilet, wash basin and drinking fountain as X specified in these regulations Maximizes staffs' visual supervision of minors X Programs and Activity Area (1.27) Camp and ranch facilities shall include adequate X space for specific programs in addition to recreation and exercise area. Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms. X One toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Wash basins must provide hot and cold or tempered water and be available on living units in a ratio of 1:6 X in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 6 - TITLE 24 SECTION YES NO N/A COMMENTS Drinking Fountains (2.3) Drinking fountains are accessible to minors and staff X in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from flowing over the X bubbler. Showers (2.4) Showers provide tempered water and are available X on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. X Beds (2.5) Beds are at least 30 inches wide and 76 long and are of a pan-bottom type or constructed of concrete. X 12: pan bottom was deleted 12: Solid bottom was added Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. X 12: Bunk beds must be 33 inches vertically between the bottom 12: In secure facilities, bunks shall be securely anchored and flushed against floor and/or wall. X Lighting (2.6) There is at least 20 foot-candles (216 1x) of X illumination at desk level in locked sleeping rooms, single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good visibility and is conducive to sleep. X Padding (2.7) 1230.2.7 Not Required for Camp Facilities Padding in safety rooms covers the floor, door and X walls to a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper-resistant fire sprinkler as approved by the State Fire Marshal X (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all padded X surfaces; and, is without exposed seams. 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 7 - TITLE 24 SECTION YES NO N/A COMMENTS Seating (2.8) Seating is designed for the level of security. When X bench seating is used, 18 inches of bench seating is allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security X perimeter of the facility. (Personnel do not bring any weapon into the security area.) 12: deleted perimeter and added area Lockers are equipped with individual compartments, each with their own locking device. X Assess for New Construction/Remodel or Repair: X Security Glazing (2.10) (Added in 2003) (Note to inspector: This will typically be assessed from specifications provided at plan review.) Security glazing complies with the minimum requirements of one of the following test standards: X American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860-94d, Class C glass; or, H. P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c) 6 are met. (Note to inspector: See regulation for specific X requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) ** Educational Facilities Classroom 20’ x 25’10” Classroom can hold up to 102 517 Sq. Feet 12 youth Classroom 20’ x 25’10” Classroom can hold up to 103 517 Sq. Feet 12 youth Classroom 20’ x 25’10” Classroom can hold up to 104 517 Sq. Feet 12 youth Classroom 17’10” x 25’ Classroom can hold up to 119 446 Sq. Feet 10 youth Classroom 19’9” x 24’10” Classroom can hold up to 120 490 Sq. Feet 12 youth Classroom 19’6” x 24’11” Classroom can hold up to 121 486 Sq. Feet 12 youth Classroom 19’6” x 24’11” Classroom can hold up to 122 486 Sq. Feet 12 youth Classroom 19’6” x 24’11” Classroom can hold up to 123 486 Sq. Feet 12 youth 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 8 - Classroom 17’ x 16’6” Classroom can hold up to 105 281 Sq. Feet 4 youth Classroom 17’ x 16’9” Classroom can hold up to 106 285 Sq. Feet 4 youth Culinary 30 x 50 Classroom can hold up to estimated** 20 youth 1500Sq. Feet Shop 49’ x 22’3” Classroom can hold up to 1090 Sq. Feet 20 youth Library 32’ X 25”10” If used as a classroom, 827 Sq. Feet can hold up to 20 youth 7232 Los Angeles Campus Kilpatrick PHY 20-22 - 9 - JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State & Community Corrections Inspection BSCC Code: 7232 FACILITY: TYPE: RC: Campus Kilpatrick Camp 96 FIELD REPRESENTATIVE: DATE Lisa Southwell April 18-20, 2022 ROOMS EACH ROOM COMMENTS Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S Living Units Cottage 1 (RC 24) SYTF (Removed from Campus Kilpatrick LASE) Cottage 2 (RC 24) A-Side 1 Dorm N/A 6 6 6 15’7’’x 20’10’’ 2 1 3 1 3 325 Sq. Feet A-Side 2 Dorm N/A 6 6 6 17’7’’ x 19’ “” “” “” “” “” 334 Sq. Feet B-Side 1 Dorm N/A 6 6 6 17’8’’ x 20’ 2 1 3 1 3 353Sq. Feet B-Side 2 Dorm N/A 6 6 6 15’6” x 20’10” “” “” “” “” “” 323 Sq. Feet Dayroom -- 19’9’’ x 25’10” - - - - - A 510 Sq. Feet -- 19’9’’ x 25’10” - - - - - Dayroom 510 Sq. Feet B Quad 575 Sq. Feet Cottage 3 (RC 24) *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7232 Los Angeles Campus Kilpatrick LASE 20-22 - 1 - A360 LAS Adult-05.dot (8/05) ROOMS EACH ROOM COMMENTS Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S A-Side 1 Dorm N/A 6 6 6 15’7’’x 20’10’’ 2 1 3 1 3 325 Sq. Feet A-Side 2 Dorm N/A 6 6 6 17’7’’ x 19’ “” “” “” “” “” 334 Sq. Feet B-Side 1 Dorm N/A 6 6 6 17’8’’ x 20’ 2 1 3 1 3 353Sq. Feet B-Side 2 Dorm N/A 6 6 6 15’6” x 20’10” “” “” “” “” “” 323 Sq. Feet Dayroom -- 19’9’’ x 25’10” - - - - - A 510 Sq. Feet -- 19’9’’ x 25’10” - - - - - Dayroom 510 Sq. Feet B Quad 575 Sq. Feet Cottage 4 (RC 24) A-Side 1 Dorm N/A 6 6 6 15’7’’x 20’10’’ 2 1 3 1 3 325 Sq. Feet A-Side 2 Dorm N/A 6 6 6 17’7’’ x 19’ “” “” “” “” “” 334 Sq. Feet B-Side 1 Dorm N/A 6 6 6 17’8’’ x 20’ 2 1 3 1 3 353Sq. Feet B-Side 2 Dorm N/A 6 6 6 15’6” x 20’10” “” “” “” “” “” 323 Sq. Feet Dayroom -- 19’9’’ x 25’10” - - - - - A 510 Sq. Feet -- 19’9’’ x 25’10” - - - - - Dayroom 510 Sq. Feet B *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7232 Los Angeles Campus Kilpatrick LASE 20-22 - 2 - A360 LAS Adult-05.dot (8/05) ROOMS EACH ROOM COMMENTS Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S Quad 575 Sq. Feet Cottage 5 (RC 24) A-Side 1 Dorm N/A 6 6 6 15’7’’x 20’10’’ 2 1 3 1 3 325 Sq. Feet A-Side 2 Dorm N/A 6 6 6 17’7’’ x 19’ “” “” “” “” “” 334 Sq. Feet B-Side 1 Dorm N/A 6 6 6 17’8’’ x 20’ 2 1 3 1 3 353Sq. Feet B-Side 2 Dorm N/A 6 6 6 15’6” x 20’10” “” “” “” “” “” 323 Sq. Feet Dayroom -- 19’9’’ x 25’10” - - - - - A 510 Sq. Feet -- 19’9’’ x 25’10” - - - - - Dayroom 510 Sq. Feet B Quad 575 Sq. Feet Opening LASE: Completed May 31, 2017- Letter sent June 27, 2017 2016-2018: No Change to RC-120 **2018-2020 Inspection Cycle Notes: Inspection completed virtually. No changes to the LASE per administration. Provided for information only** 2020-2022: Camp is currently rated for 96 Camp and 24 SYTF. No camp youth are present. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7232 Los Angeles Campus Kilpatrick LASE 20-22 - 3 - A360 LAS Adult-05.dot (8/05) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7234 FACILITY NAME: FACILITY TYPE: Dorothy Kirby Center (DKC) Camp PERSON(S) INTERVIEWED: Cesar Mayorquin, Director, Victor Banuelos, Director, Donna Baker, LACOE, JCHS Department of Mental Health, 3 staff, 3 male youth, ages 17, 17 16. FIELD REPRESENTATIVE: DATE: Lisa Southwell April 11-14, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by Policy Section 2002: Types of Inspections the Board of Supervisors to approve building safety; and Evaluations 2020 The building inspection was completed by Tennyson D’sena on December 1, 2020. It was noted that a functioning fire alarm pull station was needed in the nurse’s area. The pull station has been disabled. This issue was identified as needing correction but did not cause the facility to be non-suitable for housing. ☒ ☐ ☐ 2021 The building inspection was completed by Tennyson D’sena on August 4, 2021. Mr. D’Sena noted the “South School is fenced off and under construction. Demolition of the interior is taking place”. It is unclear what is noncompliant regarding this comment. It was noted that the facility is suitable for housing. 2022 The inspection for 2022 has not yet been scheduled. 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. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) Fire authority having jurisdiction, including a fire Policy Section 2002: Types of Inspections clearance as required by Health and Safety Code and Evaluations Section 13146.1 (a) and (b); ☒ ☐ ☐ The fire inspections were completed on 1/28/2020 and 04/13/2021. It was noted on both reports that “Reasonable Fire Safe Conditions Exist at This Time” (C) Local health officer, inspection in accordance with Policy Section 2002: Types of Inspections Health and Safety Code Section 101045; and Evaluations 2020 Medical Mental Health: January 16 and 29, 2020 and February 18, 2020 Corrected Nutrition: February 18, 2020 Corrections were required of Section 1460 Frequency of Serving and were later found to be corrected. Environmental Health: February 18, 2020, No corrections necessary. ☒ ☐ ☐ 2021 Medical Mental Health: Nutrition: March 3, 2021, there were several items that were found to be noncompliant but were later corrected on re- inspection on April 15, 2021. Environmental Health: March 3, 2021, there were several items that were found to be noncompliant but were later corrected on re-inspection on April 15, 2021. 2022 The inspection for 2022 had not yet been scheduled as of the inspection date. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) County superintendent of schools on the adequacy Policy Section 2002: Types of Inspections of educational services and facilities as required in and Evaluations Section 1370; Education for the Dorothy Kirby Center is provided by Los Angeles County Office of Education. 2020 On December 15, 2020, the facility was inspected by Rebecca Vichiquis, Director III, Student Programs, Court and Community Schools, Contra Costa County Office of Education found the school program to meet regulatory expectations. ☒ ☐ ☐ The inspection was conducted virtually due to COVID-19. 2021 On December 21, 2021, the facility was inspected by Scott Turner, Ed.D. Executive Director- ESGV. SELPA and Jonathan Raymond, Special Education Director Charter Dale USD found the school program to meet regulatory expectations. 2022 The inspection for 2022 has not yet been scheduled. (E) Juvenile court as required by Section 209 of the Policy Section 2002: Types of Inspections Welfare and Institutions Code and Evaluations ☐ ☐ ☒ Juvenile Court inspections are not required for the Camps. (F) Juvenile Justice Commission as required by Section Policy Section 2002: Types of Inspections 229 of the Welfare and Institutions Code or Probation and Evaluations Commission as required by Section 240 of the Welfare and Institutions Code. The Probation Oversight Commission conducts annual inspections of the facility. The facility was not inspected in 2020 due to COVID and due to the expectations being shifted to the Probation Oversight Commission ☒ ☐ ☐ 2021 The facility was inspected on 10/29/21 by Commissioners Esche Jackson and Erica Reynosa. 2022 The inspection is scheduled for June 2, 2022. All facility reports may be found at: https://poc.lacounty.gov/reports 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Letters dated December 20, 2021, and BSCC Note: Compliance with this section is January 26, 2022, were received from Chief determined by receipt of the Chief Probation Officer’s Probation Officer Gonzales certifying all certification letter confirming that all elements of appointments of staff are pursuant to the applicable laws and that all staff present at regulation are met. the facility meet all required qualifications (a) Appointment ☒ ☐ ☐ and clearances including non-employees. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test ☒ ☐ ☐ and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection ☒ ☐ ☐ and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- Per facility administrators, all contract employees of the facility, who may be present at the personnel, volunteers, and other non- facility, shall have such clearance and qualifications employees participate in background checks as may be required by law, and their presence at the as required by the Probation Department. Education staff is currently monitored by the facility shall be subject to the approval and control of ☒ ☐ ☐ County Office of Education; however, the the facility manager. Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access into the facility. 1321 STAFFING Each juvenile facility shall: 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS a) have an adequate number of personnel sufficient to Policy Section 206: Staffing carry out the overall facility operation and its The Agency’s Organization Chart, Vacancy programming, to provide for safety and security of Report, Leave Management Report, the youth and staff, and meet established standards and Master Staff Schedules for August 2021, regulations; and Daily Schedules for the week of 08/07/2021 as well as the week prior to the inspection were reviewed. Each unit was staffed appropriately for the number of youth ☒ ☐ ☐ housed. Random dates were selected throughout the cycle and staffing was viewed to ensure adequate personnel were present. There are 8 cottages for DKC. Youth population remained around 40 for the camp with generally about 20-29 staff present on the AM shifts, 17-28 on the PM, and 16-21 on the late night. b) ensure that no required services shall be denied Policy Section 206: Staffing because of insufficient numbers of staff on duty There was no evidence of any activity being absent exigent circumstances; ☒ ☐ ☐ denied due to insufficient staffing. c) have a sufficient number of supervisory level staff to Policy Section 206: Staffing ensure adequate supervision of all staff members; There is an “on-duty supervisor” assigned at all hours. There are additional supervisors assigned who are present and working but ☒ ☐ ☐ are not in charge. Their offices are in various locations throughout the camp. Technical assistance was provided and discussed that supervisors should be spending a significant percentage of their time in their units to support and assist staff. d) have a clearly identified person on duty at all times Policy Section 206: Staffing who is responsible for operations and activities and The facility has a duty supervisor who acts has completed the Juvenile Corrections Officer Core with supervisory powers on each shift. The Course and PC 832 training; ☒ ☐ ☐ director manages the oversight of the day- to-day operations of the full facility. The Director is responsible for both DKC and Camp Scott. e) have at least one staff member present on each Policy Section 206: Staffing living unit whenever there are youth in the living unit; There is always a staff present in the unit or where a youth is present. Youth are not left ☒ ☐ ☐ alone at anytime, anywhere on the campus. DKC is a facility that houses mostly youth with open mental health cases or needs. Adequate supervision is provided. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) have sufficient food service personnel relative to the Policy Section 206: Staffing number and security of living units, including staff qualified and available to: plan menus meeting Youth dine in their cottages in their own nutritional requirements of youth; provide kitchen dining rooms for meals. Cooks do not supervision; direct food preparation and servings; ☒ ☐ ☐ supervise youth. Youth do not assist in conduct related training programs for culinary staff; making meals currently. and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; g) have sufficient administrative, clerical, recreational, Policy Section 206: Staffing medical, dental, mental health, building The Department of Mental Health is fully maintenance, transportation, control room, facility staffed with 22 staff assigned to support security and other support staff for the efficient DKC and Camp Scott. There are clinicians, management of the facility, and to ensure that youth psychiatric social workers, psychologists, a supervision staff shall not be diverted from psychiatrist, supervisors, and administrative supervising youth; and, staff assigned to support the needs of both populations. Hours of operation are between 8:00 AM and 8:30 PM Sunday to Saturday including Holidays. Psychiatric Services are available Monday - Friday. There is an on- call psychiatrist available after hours 7 days a week. Services provided include screening and assessments, crisis management, Dialectical Behavior Training (DBT) groups, substance abuse programs, individual and group counseling, family counseling, and transition planning. DPO II’s are known as Treatment and Counseling support staff and are also assigned to youth to support DMH and ☒ ☐ ☐ Probation staff to assist youth with their mental health needs and issues. Medical Staff assigned support both DKC and Camp Scott. Juvenile Court Health Services consist of 6 Nurses and a Supervisor. Staff are onsite from 6:30 AM 10:00 PM. Medical staff perform health assessments, administer medications as prescribed, administer vaccines, conduct COVID testing, and provide health education. All managers we spoke with noted to have a positive, collaborative relationship with Probation. For the most part, notifications of new intakes and releases are timely but all, including Probation, felt that communication could always be improved. We noted the campus as a whole to be very busy with all the activities and functions that are supported by the treatment team. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS h) assign sufficient youth supervision staff to provide Policy Section 206: Staffing 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) Camps (minimum youth -staff ratio) Policy Section 206: Staffing (A) during the hours that youth are awake, one wide- awake youth supervision staff member on duty for ☒ ☐ ☐ The policy requires a 1 to 8 ratio during awake hours. The ratio is always each 15 youth in the camp population; maintained. (B) during the hours that youth are confined to their room Policy Section 206: Staffing for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth ☒ ☐ ☐ The policy requires a 1 to 16 ratio during sleeping hours. The ratio is always present in the facility; maintained. (C) at least two wide-awake youth supervision staff Policy Section 206: Staffing members on duty at all times, regardless of the ☒ ☐ ☐ There is always at least 2 staff on duty at all number of youth in residence, unless arrangements times. have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty Policy Section 206: Staffing who is the same gender as youth housed in the There is always a male and a female staff facility; ☒ ☐ ☐ member on duty. (E) in addition to the minimum staff to youth ratio Policy Section 206: Staffing required in (h)(3)(A)-(B), consideration shall be given There are 10 units and a medical area within to the size, design, and location of the camp; types the camp. 2 of the 10 units are identified as of youth committed to the camp; and the function of ☒ ☐ ☐ different camps, however, DKC provides the camp in determining the level of supervision support to the Camp Scott program. The necessary to maintain the safety and welfare of SYTF program does not have any youth youth and staff; assigned. (F) personnel with primary responsibility for other duties Policy Section 206: Staffing such as administration, supervision of personnel, Only youth supervision staff maintain academic or trade instruction, clerical, farm, forestry, ☒ ☐ ☐ supervision of youth. kitchen or maintenance shall not be classified as youth supervision staff positions. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1322 YOUTH SUPERVISION STAFF Policy Section 2104: Professional ORIENTATION AND TRAINING Development and Training (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented Each new staff upon reporting to the facility to their duties, including: is assigned to a training officer who assists the new officer in their orientation and training. Packets were provided for the following dates for new hires who participated in the initial orientation as provided by regulation. ☒ ☐ ☐ The following were reviewed to ensure all documentation was present and it was. 8/8/21 9/30/21 10/2/21 10/9/21 1/2/2022 (1) youth supervision duties; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) scope of decisions they shall make; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (3) the identity of their supervisor; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) the identity of persons who are responsible to Policy Section 2104: Professional them; ☒ ☐ ☐ Development and Training (5) persons to contact for decisions that are beyond Policy Section 2104: Professional their responsibility; and ☒ ☐ ☐ Development and Training (6) ethical responsibilities. Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (b) Prior to assuming any responsibility for the Policy Section 2104: Professional supervision of youth, each youth supervision staff Development and Training member shall receive a minimum of 40 hours of facility-specific orientation, including: Staff are trained through review of facility- ☒ ☐ ☐ specific operations, Title 15 specific regulation/policy and shadow work. Documentation was provided of the 5 most recent incoming staff. All documentation was documented thoroughly. (1) individual and group supervision techniques; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) regulations and policies relating to discipline and Policy Section 2104: Professional rights of youth pursuant to law and the provisions ☒ ☐ ☐ Development and Training of this chapter; 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) basic health, sanitation and safety measures; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) suicide prevention and response to suicide Policy Section 2104: Professional attempts ☒ ☐ ☐ Development and Training (5) policies regarding use of force, de-escalation Policy Section 2104: Professional techniques, chemical agents, mechanical and ☒ ☐ ☐ Development and Training physical restraints; (6) review of policies and procedures referencing Policy Section 2104: Professional trauma and trauma-informed approaches; ☒ ☐ ☐ Development and Training (7) procedures to follow in the event of Policy Section 2104: Professional emergencies; ☒ ☐ ☐ Development and Training (8) routine security measures, including facility Policy Section 2104: Professional perimeter and grounds; ☒ ☐ ☐ Development and Training (9) crisis intervention and mental health referrals to Policy Section 2104: Professional mental health services; ☒ ☐ ☐ Development and Training (10) documentation; and Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (11) fire/life safety training Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (c) Prior to assuming sole supervision of youth, each Policy Section 2104: Professional youth supervision staff member shall successfully Development and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer Policy Section 2104: Professional youth supervision staff shall successfully complete Development and Training ☒ ☐ ☐ training pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy Section 2104: Professional Whenever there is a youth in a juvenile facility, there shall Development and Training be at least one wide awake person on duty at all times ☒ ☐ ☐ who meets the training standards established by the All staff are to always be awake. Board for general fire and life safety which relate specifically to the facility. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1324 POLICY AND PROCEDURES MANUAL The RTSB camp operations manual has All facility administrators shall develop, publish, and been provided for review. We have implement a manual of written policies and procedures reviewed the agency’s Policy and that address, at a minimum, all regulations that are Procedure as provided to us, specific to applicable to the facility. Such a manual shall be made regulations and have confirmed the policies available to all employees, reviewed by all employees, and procedure exist as cited. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those ☒ ☐ ☐ Last reviewed and updated: March 2022 records relating to the standards and requirements set forth in these regulations shall be accessible to the Board Staff accesses the policy manual via the on request. local intranet known as “Prob. Net”. There The manual shall include: are also hard copies in the facility. Staff complete signoffs as the new policies are released. This is a new requirement in Policy Section 1324. (a) table of organization, including channels of The manual has a table of contents. The communications and a description of job agency’s channel of communication follows classifications; a chain of command. Policy Sections are as follows: • 101: Vision, Mission, and Core Values • 102: Role of the Camp System ☒ ☐ ☐ • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff • 207: Organizational Chart (b) responsibility of the probation department, purpose Policy Sections are as follows: of programs, relationship to the juvenile court, the • 101: Vision, Mission, and Core Juvenile Justice/Delinquency Prevention Values Commission or Probation Committee, probation • 102: Role of Camp System staff, school personnel and other agencies that are ☒ ☐ ☐ • 908: Medical Services involved in juvenile facility programs; • 910: Mental Health Services • 911: Educational Services • 1005: CBO’s • 1006: Volunteers (c) responsibilities of all employees; Policy Sections are as follows: • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management ☒ ☐ ☐ • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff (d) initial orientation and training program for Policy Section 2104: Professional employees; Development and Training ☒ ☐ ☐ See Section 1322 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) initial orientation, including safety and security issues Policy Section 2200: Non-Sworn Personnel and anti-discrimination policies, for support staff, and Partner Agencies Handbook contract employees, school, mental/behavioral ☒ ☐ ☐ health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and Policy Sections 701: Case Planning and communication system to ensure: ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (1) efficient operation of the juvenile facility; Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (2) legal and proper care of youth; Policy Section 701: Case Planning and ☒ ☐ ☐ Procedures Introduction (3) maintenance of individual youth's records; Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (4) supply of information to the juvenile court and Policy Sections 701: Case Planning and those authorized by the court or by the law; and, ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (5) release of information regarding youth. Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (g) ethical responsibilities; ☒ ☐ ☐ Policy Section 2130: Employee Honesty (h) trauma-informed approaches; Policy Section 518: Trauma Informed ☒ ☐ ☐ Approaches (i) culturally responsive approaches; Policy Section 519: Culturally Responsive ☒ ☐ ☐ Approaches (j) gender responsive approaches; Policy Section 517: Promoting Dignity for ☒ ☐ ☐ Female Youth Housed in RTSB (k) a non-discrimination provision that provides that all Policy Section 2110: Non-Discrimination youth within the facility shall have fair and equal Policy access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group ☒ ☐ ☐ identification, ancestry, national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy Section 1922: Weapons and chemical agents related security devices, and ☒ ☐ ☐ Ammunition weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy Section 706: Case Plan Activities Cal eligibility information and enrollment of eligible youth; and, ☒ ☐ ☐ The Camp PO makes the necessary referrals upon release from camp which includes Medi-Cal if appropriate. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (n) establishment of a policy that prohibits all forms of Policy Section 1600: Prison Rape sexual abuse, sexual assault and sexual Elimination Act harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ All staff is currently trained per bureau conduct and any retaliation for reporting such consultant staff. conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy Section 1910: Fire Prevention and The facility administrator shall consult with the local fire Suppression department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ The facility has a specific building which shall include, but not be limited to: emergency plan that includes all emergency preparedness including fire suppression. a) a fire prevention plan to be included as part of the Policy Section 1910: Fire Prevention and manual of policy and procedures; ☒ ☐ ☐ Suppression b) monthly fire and life safety inspections by facility Policy Section 1910: Fire Prevention and staff with two- year retention of the inspection Suppression record; ☒ ☐ ☐ All monthly fire and life safety inspections have been completed as required. These are completed by the MSB supervisor each month. c) fire prevention inspections as required by Health Policy Section 1910: Fire Prevention and and Safety Code Section 13146.1(a) and (b); Suppression ☒ ☐ ☐ See 1322 above. d) an evacuation plan; Policy Section 1910: Fire Prevention and Suppression ☒ ☐ ☐ Evacuation maps are posted in locations around the facility. The evacuation plan is provided as part of the building emergency plan. e) documented fire drills not less than quarterly; Policy Section 1910: Fire Prevention and Suppression Fire Drills have been completed as required except for the 4th quarter drill in 2020. Corrective action was initiated, and all drills were subsequently completed as required. Drills are inclusive of the full facility and occur at various times throughout the day. ☒ ☐ ☐ Technical assistance provided in that drills should also occur on the PM shift and on the LN shifts. Staff do not have to take youth out for full evacuation for safety reasons but should be able to verbalize to managers the procedure to ensure proof of knowledge with policy and procedure to ensure the safety of the youth and the facility. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) a written plan for the emergency housing of youth in Residential Treatment Services Bureau the case of fire; and, (RTSB) Manual-1917: Emergency Evacuation ☒ ☐ ☐ Emergency housing will occur at one of the camps or juvenile halls dependent on location of the fire and a safe route of travel. g) development of a fire suppression pre-plan In The Building Emergency Plan was cooperation with the local fire department. completed by Director Varela with Los ☒ ☐ ☐ Angeles County Fire Department Inspector Doke on 12/31/2020 and on 12/28/2021. 1326 SECURITY REVIEW Security Reviews were completed for 2020, Each facility administrator shall develop policies and 2021, and 2022. procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall March 27, 2020 include internal and external security, including, but not May 31, 2021 limited to, key control, equipment, and staff training. February 28, 2022 1327 EMERGENCY PROCEDURES The facility Policy Section 1902: Emergency Drills administrator shall develop facility-specific policies and procedures for emergencies that shall include, but not be ☒ ☐ ☐ limited to: (a) escape, disturbances, and the taking of hostages; Policy Sections: 1907: Escapes ☒ ☐ ☐ 1909: Major Disturbances 1914: Hostages (b) civil disturbance, active shooter and terrorist attack; Policy Sections: 1908: Outside Intruder 1915: Active Shooter ☒ ☐ ☐ 1916: Terrorist Attack 1918: Major Emergency including Civil Disturbance (c) fire and natural disasters; Policy Sections: 1910: Fire Prevention and Suppression ☒ ☐ ☐ 1913: Earthquake (d) periodic testing of emergency equipment; Policy Sections: 1921: Testing of Equipment ☒ ☐ ☐ Los Angeles County Internal Services Department (ISD) conducts monthly and “as-needed” testing in coordination with MSB. (e) emergency evacuation of the facility; and Policy Sections: ☒ ☐ ☐ 1917: Emergency Evacuation (f) a program to provide all youth supervision staff with Policy Sections: an annual review of emergency procedures. 1903: Staff Roles and Responsibilities ☒ ☐ ☐ Active staff completed the annual emergency procedure review in January 2021 and March 2022. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy Sections: 1313: Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual Reviewed random blocks of dates and observation of youth at a minimum of every 15 minutes, times of safety checks for 2/9/22 - 2/23/22. at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in Safety checks are required to be a direct holding cells or confined to their bed in a dormitory. visual observation of youth at a minimum of Supervision is not replaced, but may be supplemented every 15 minutes, at random or varied by, an audio/visual electronic surveillance system intervals. It was noted that the checks are designed to detect overt, aggressive or assaultive not regularly completed in a random and behavior and to summon aid in emergencies. All safety varied manner. The intent of the regulation checks shall be documented with the actual time the is for the youth to not anticipate when they check is completed. will be checked on. The pattern noted would ☒ ☐ ☐ give notice to the youth that they would have maximum time between each check. Each youth spoken to noted they are checked on every 15 minutes. A bureau- wide correction memo was initiated while onsite. Additional checks were provided for review, and we found that the facility corrected the issue. We requested additional documentation after providing technical assistance. The facility will continue to address with direct QA over the course of the next few weeks. We will ensure to review very closely in the next inspection cycle. 1329 SUICIDE PREVENTION PLAN Policy Section 1201: Suicide Prevention The facility administrator, in collaboration with the Plan healthcare and behavioral/mental health administrators, shall plan and implement written policies The Suicide Prevention Plan was and procedures which delineate a Suicide Prevention developed in collaboration with the Plan. Department of Mental Health (DMH), Juvenile Court Health Services (JCHS), The plan shall consider the needs of youth experiencing ☒ ☐ ☐ and the Los Angeles County Office of past or current trauma. Education (LACOE). Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Policy Section 1203: Suicide Prevention Section 1322, Youth Supervision Staff Policy for Juvenile Facilities and Policy Orientation, and Training and the Juvenile Section 2104: Professional Development Corrections Officer Core Course. ☒ ☐ ☐ and Training All staff are trained at CORE and in Orientation for Suicide Prevention. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Policy Section 1203: Suicide Prevention Precautionary Protocols Policy for Juvenile Facilities (1) All youth shall be screened for risk of suicide at intake and as needed during All youth are screened for mental health detention. ☒ ☐ ☐ and suicide risk at intake and throughout the time they are in the facility. Any issues that arise are immediately referred to mental health. (2) All youth supervision staff who perform Policy Section 1203: Suicide Prevention intake processes shall be trained in Policy for Juvenile Facilities screening youth for risk of suicide. ☒ ☐ ☐ There is always a staff member on duty who has been trained in screening youth. 9 staff total have been trained for intake purposes. (3) All youth who have been identified during Policy Section 1203: Suicide Prevention the intake screening process to be at risk of Policy for Juvenile Facilities suicide shall be referred to behavioral/mental health staff for a suicide At intake, youth are orientated by Probation risk assessment. and then are seen by DMH staff directly ☒ ☐ ☐ following their DMH intake. If found to be suicidal, the youth can be moved to the HOPE Center for a higher level of supervision status or may even remain in the cottage, whichever is more conducive to meeting the youth’s needs. (4) Precautionary protocols shall be developed Policy Section 1203: Suicide Prevention to ensure the youth’s safety pending the ☒ Policy for Juvenile Facilities behavioral/mental health assessment. ☐ ☐ Youth are placed on Level and a special watch status until cleared by mental health (c) Referral process to behavioral/mental health Policy Section 1203: Suicide Prevention staff for assessment and/or services. Policy for Juvenile Facilities ☒ ☐ ☐ Youth are referred either directly or by referral form for service. Youth are also seen as a part of the intake process. (d) Procedures for monitoring of youth identified at Policy Section 1202: Enhanced Specialized risk for suicide. Supervision: Enhanced Supervision Requirements, Level 3 Enhanced Supervision Requirements and Policy Section 1203: Suicide Prevention Policy for Juvenile Facilities ☒ ☐ ☐ Youth are placed on Enhanced Specialized Supervision with intensive staff supervision to keep them safe. If a youth is placed on a level by mental health, only mental health staff may remove them. (e) Safety Interventions Policy Section 1202: Enhanced and (1) Procedures to address intervention ☒ Specialized Supervision Requirements of protocols for youth identified at risk for ☐ ☐ Youth in Juvenile Facilities suicide which may include, but are not limited to: 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A. Housing consideration Policy Section 1202: Enhanced and Specialized Supervision Requirements of Youth in Juvenile Facilities ☒ ☐ ☐ Youth may remain in their cottage or may be transferred to the HOPE Center. B. Treatment strategies including Policy Section 1203: Suicide Prevention trauma-informed approaches Policy for Juvenile Facilities ☒ ☐ ☐ Youths requiring ongoing specialized, response to self-harm is referred for a Multi- Disciplinary Team (MDT) meeting. (2) Procedures to instruct youth supervision Policy Section 1202: Enhanced and staff how to respond to youth who exhibit Specialized Supervision Requirements of suicidal behaviors. ☒ ☐ ☐ Youth in Juvenile Facilities and Policy Section 1203: Suicide Prevention Policy for Juvenile Facilities (f) Communication Policy Section 1203: Suicide Prevention (1) The intake process shall include Policy for Juvenile Facilities communication with the arresting officer and family guardians regarding the youth’s ☒ ☐ ☐ Facility intake officers contact the youth’s past or present suicidal ideations, behaviors parents and ask questions regarding their or attempts. child’s mental health history. (2) Procedures for clear and current Policy Section 1203: Suicide Prevention information sharing about youth at risk for Policy for Juvenile Facilities (Policy) suicide with youth supervision, healthcare, Request for Mental Health Consultation: and behavioral/mental health staff. An alert log is completed daily with information regarding any youth at risk. All staff is required to review the log when coming on shift. ☒ ☐ ☐ In each instance when Probation, JCHS, or LACOE become aware of a youth’s desire to harm himself or herself, they initiate appropriate supervision practices to keep the youth safe and communicate this information to the duty supervisor and to DMH for follow-up. (g) Debriefing of Critical Incidents Related to Policy Section 1203: Suicide Prevention Suicides or Attempts Policy for Juvenile Facilities (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention staff. Policy for Juvenile Facilities ☒ ☐ ☐ Critical Stress Briefings are completed and submitted to executive management. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention youth. Policy for Juvenile Facilities ☒ ☐ ☐ Critical Stress Briefings are completed and submitted to executive management. There was one incident provided. (h) Documentation Policy Section 1203: Suicide Prevention (1) Documentation processes shall be Policy for Juvenile Facilities developed to ensure compliance with this regulation Staff completes Enhanced Supervision forms each shift for any youth on a level. ☒ ☐ ☐ Any other issue or incident out of the ordinary is documented in an incident report. Youth identified at risk for suicide shall not be denied Policy Section 1202: Enhanced and the opportunity to participate in facility programs, Specialized Supervision Requirements for services and activities which are available to other non- Youths in Juvenile Facilities suicidal youth, unless deemed necessary for the safety ☒ ☐ ☐ of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy Section 203: Duty Statements, Each facility shall submit to the Board a letter of RTSB Management notification on each legal action, pertaining to conditions ☒ ☐ ☐ of confinement, filed against persons or legal entities Notification of legal action will be sent responsible for juvenile facility operation. directly to the Board to the attention of Chair Linda Penner. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy Section 1919: Deaths at Camp OF A YOUTH WHILE DETAINED Facilities (1) Death of a Youth. (a) The facility administrator, In cooperation with the The policy was developed in cooperation health administrator and the behavioral/mental with Juvenile Court Health Services (JCHS) health director, shall develop written policies and and Department of Mental Health (DMH). procedures in the event of the death of a youth ☒ ☐ ☐ while detained, which include notifications to No incidents to report. necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, In cooperation with the Policy Section 1919: Deaths at Camp facility administrator, shall develop written policies Facilities and procedures to assure there is a medical and operational review of every in-custody death of a youth. ☒ ☐ ☐ The review team shall include the facility administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) The administrator of the facility shall provide to the Policy Section 1919: Deaths at Camp Board a copy of the report submitted to the Attorney Facilities General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board This section is marked compliant for policy. within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy Section 1919: Deaths at Camp the administrator, the Board may within 30 calendar Facilities days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy Section 1920: Serious Illness or Injury (a) The facility administrator, In cooperation with the of a Youth While Detained health administrator, shall develop written policies and procedures for the notification to necessary The policy was developed in cooperation parties, which may include the Juvenile Court, the with Juvenile Court Health Services (JCHS). parent, guardian or person standing in loco parentis ☒ ☐ ☐ and the youth’s attorney of record in the case of a There was one serious injury requiring serious illness or injury of a youth. notification. A PIN is required as is a critical incident review. Both were completed and a supplemental report to the court was provided to notify the court and the attorney. 1342 POPULATION ACCOUNTING Policy Section 203: Duty Statements, Each juvenile facility shall submit required population RTSB Management and profile survey reports to the Board within 10 working days after the end of each reporting period, in ☒ ☐ ☐ The camp director is responsible for a format to be provided by the Board. providing this information to the BSCC. Population Reports are provided quarterly and entered JDPS timely. 1343 JUVENILE FACILITY CAPACITY Policy Section 203: Duty Statements, When the number of youth detained in a living unit of a RTSB Management juvenile facility exceeds its rated capacity for more than fifteen (15) calendar days in a month, the facility ☒ ☐ ☐ The camp director is responsible for administrator shall provide a crowding report to the providing this information to the BSCC. The Board in a format provided by the Board. facility has not exceeded the rated capacity this cycle. 1350 ADMITTANCE PROCEDURES Policy Section 502: Orientation Process The facility administrator shall develop and implement and Handbook written policies and procedures for admittance of youth that emphasize respectful and humane engagement The facility had 11 admissions in February with youth, and reflect that the admission process may 2022, 0 in January 2022, and 6 in ☒ ☐ ☐ be traumatic to youth who may have already December 2021. After reviewing the experienced trauma. Policies shall be trauma-informed, documentation provided, the facility had culturally relevant, and responsive to the language and 100 percent compliance in all areas of this literacy needs of youth. In addition to the requirements regulation. of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Policy Section 502: Orientation Process (1) Access to two free phone calls within one hour and Handbook ☒ ☐ ☐ of admittance in accordance with the provisions of Welfare and Institution Code Section 627; Compliant (2) Offer of a shower; Policy Section 502: Orientation Process ☒ ☐ ☐ and Handbook 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Documented secure storage of personal Policy Section 502: Orientation Process belongings; and Handbook Youth do not bring their personal ☒ ☐ ☐ belongings with them to the camps. Parents are notified at release that their belongings are available for pick up at the Juvenile Hall. Offer of food upon arrival; Policy Section 502: Orientation Process ☒ ☐ ☐ and Handbook (4) Screening for physical and behavioral health Policy Section 402: Assessment and and safety issues, intellectual or developmental Classification disabilities; ☒ ☐ ☐ Compliant. All youth have been cleared by medical before coming to the camp and are again cleared through medical upon entry. (5) Screening for physical and developmental Policy Section 402: Assessment and disabilities in accordance with Sections 1329, Classification ☒ ☐ ☐ 1418, and 1430 of these regulations; Contact with Regional Center for the Developmentally Policy Section 502: Orientation Process Disabled for youth that are suspected of or identified and Handbook as having a developmental disability, pursuant to Section 1418; and, N/A ☒ ☐ ☐ Youth who are suspected of being developmentally disabled are screened out prior to the camp commitment. Procedures consistent with Section 1352.5. Policy Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex Youth in an ☒ ☐ ☐ Institutional Setting juvenile hall administrators shall establish written N/A criteria for detention that considers the least restrictive ☐ ☐ ☒ environment. (b) juvenile camps and post-dispositional programs in Policy Section 502: Orientation Process juvenile halls shall develop policies and and Handbook procedures that advise the youth of the estimated ☒ ☐ ☐ length of stay, inform them of program guidelines Compliant and provide written screening criteria for inclusion and exclusion from the program. (c) juvenile halls shall develop policies and N/A procedures that advise any committed youth of the ☐ ☐ ☒ estimated length of his/her stay. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy Section 402: Assessment and ABUSE Classification and 503: Screening for the The facility administrator shall develop and implement Risk of Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require 11 admissions were reviewed which facility staff to assess each youth within 72 hours of included victim vulnerability/abusiveness admission based on the following information: assessments. Screenings begin prior to ☒ ☐ ☐ camp entry with documentation review and are completed upon the youth’s entry to the camp. All were completed as required and were compliant with regulations. The assessment tool is maintained in an electronic database with limited access by staff. It is password-protected, and only certain staff have access. (a) Prior sexual victimization or abusiveness; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (b) Gender nonconforming appearance or manner; Policy Section 402: Assessment and or identification as lesbian, gay or bisexual, Classification and 503: Screening for the transgender, queer or intersex, and whether the Risk of Sexual Abuse ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Policy Section 402: Assessment and ☒ ☐ ☐ Classification and 503: Screening for the Risk of Sexual Abuse (d) Age Policy Section 402: Assessment and ☒ ☐ ☐ Classification and 503: Screening for the Risk of Sexual Abuse (e) Level of emotional and cognitive development; Policy Section 402: Assessment and ☒ ☐ ☐ Classification and 503: Screening for the Risk of Sexual Abuse (f) Physical size and stature; Policy Section 402: Assessment and ☒ ☐ ☐ Classification and 503: Screening for the Risk of Sexual Abuse (g) Mental illness or mental disabilities; Policy Section 402: Assessment and ☒ ☐ ☐ Classification and 503: Screening for the Risk of Sexual Abuse (h) Intellectual or developmental disabilities; Policy Section 402: Assessment and ☒ ☐ ☐ Classification and 503: Screening for the Risk of Sexual Abuse (i) Physical disabilities; Policy Section 402: Assessment and ☒ ☐ ☐ Classification and 503: Screening for the Risk of Sexual Abuse (j) The youth’s perception of vulnerability; and, Policy Section 402: Assessment and ☒ ☐ ☐ Classification and 503: Screening for the Risk of Sexual Abuse (k) Any other specific information about the Policy Section 402: Assessment and individual youth that may indicate heightened Classification and 503: Screening for the needs for supervision, additional safety ☒ ☐ ☐ Risk of Sexual Abuse precautions, or separation from certain other youth. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Staff shall ascertain this information through Policy Section 503: Screening for the Risk conversations with the youth during the admittance of Sexual Abuse process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy Section 503: Screening for the Risk controls on the dissemination of information within the of Sexual Abuse facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Policy Section 809: Release Procedures The facility administrator shall develop and implement written policies and procedures for release of youth The facility had 6 releases in January 2022 from custody which provide for: and 7 in February 2022. Documentation was reviewed and it was determined that all releases were conducted in compliance with regulatory standards. Facility partners (medical, mental health, and education) are aware of the release date in advance. ☒ ☐ ☐ Youth are cleared through the medical and mental health offices before leaving the facility. Technical assistance provided that, at the end of every day, an email could be provided to the facility team of all releases, to ensure that all staff within the various disciplines are aware, not just those that happen to be present or on duty at the exact time of the release. (a) verification of identity/release papers; Policy Section 809: Release Procedures ☒ ☐ ☐ (b) return of personal clothing and valuables; Policy Section 809: Release Procedures ☒ ☐ ☐ (c) notification to the youth's parents or guardian; Policy Section 809: Release Procedures ☒ ☐ ☐ (d) notification to the facility health care provider in Policy Section 809: Release Procedures accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; The medical provider is notified in advance ☒ ☐ ☐ and, of all releases through participation in the MDT process. All youth are exited through medical for release. (e) notification of school staff; Policy Section 809: Release Procedures LACOE is notified in advance of all releases ☒ ☐ ☐ through participation in the MDT process. All packets had the youth’s transcripts available. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) notification of facility mental health personnel. Policy Section 809: Release Procedures Mental Health is also notified in advance of all releases through participation in the ☒ ☐ ☐ MDT process. As youth are exited through medical for release, if Mental Health have a need to see the youth, they do so at that time. The facility administrator shall develop and implement Policy Section 809: Release Procedures policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and See 1355 behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Policy Section 1802: Private Appointments written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. RTSB does not offer furloughs. 1352 CLASSIFICATION Policy Section 402: Assessment and The facility administrator shall develop and implement Classification Policy written policies and procedures on classification of ☒ ☐ ☐ youth for the purpose of determining housing placement in the facility. Such procedures shall: (a) provide for the safety of the youth, other youth, Policy Section 402: Assessment and facility staff, and the public by placing youth in the Classification Policy appropriate, least restrictive housing and program settings. Housing assignments shall consider the Each cottage houses youth of different ☒ ☐ ☐ need for single, double or dormitory assignment or ages, criminal sophistication, and mental location within the dormitory; health needs. Several other areas of classification are considered when making classification decisions. (b) consider facility populations and physical design of Policy Section 402: Assessment and ☒ ☐ ☐ the facility; Classification Policy (c) provide that a youth shall be classified upon Policy Section 402: Assessment and admittance to the facility; classification factors shall Classification Policy include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ 11 assessment and classification legal status, public safety considerations, documents were provided for review. All medical/mental health considerations, gender and were completed in compliance gender identity of the youth; (d) provide for periodic classification reviews, including Policy Section 402: Assessment and provisions that consider the level of supervision and Classification Policy the youth's behavior while in custody; and, Periodic classifications are to be completed during weekly caseload meetings between the DPO and the youth and are to be documented accordingly. We did not find ☒ ☐ ☐ any documentation of this. It was noted that staff had recently been trained on periodic reviews as it was noted in a QA review, they were not occurring. Additional documentation was provided, and the issue was addressed. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provide that facility staff shall not separate youth Policy Section 402: Assessment and from the general population or assign youth to a Classification Policy single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy Section 402: Assessment and transgender, questioning or intersex identification or Classification Policy ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 403: Juvenile Supervision of The facility administrator shall develop written policies Lesbian, Gay, Bisexual, Transgender, and procedures ensuring respectful and equitable Questioning and Intersex Youth in an treatment of transgender and intersex youth. The Institutional Setting ☒ ☐ ☐ policies shall provide that: We were unable to speak with the youth we had hoped to talk with. Other youth were selected. (a) Facility staff shall respect every youth’s gender Policy Section 403: Juvenile Supervision of identity, and shall refer to the youth by the youth’s Lesbian, Gay, Bisexual, Transgender, preferred name and gender pronoun, regardless of Questioning and Intersex Youth in an the youth’s legal name. Facilities may prohibit the Institutional Setting use of gang or slang names or names that ☒ ☐ ☐ otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy Section 403: Juvenile Supervision of themselves in a manner consistent with their Lesbian, Gay, Bisexual, Transgender, gender identity, and shall provide youth with the ☒ ☐ ☐ Questioning and Intersex Youth in an institution’s clothing and undergarments consistent Institutional Setting with their gender identity. (c) Facility staff shall house youth in the unit or room Policy Section 403: Juvenile Supervision of that best meets their individual needs, and Lesbian, Gay, Bisexual, Transgender, promotes their safety and well-being. Staff may not Questioning and Intersex Youth in an automatically house youth according to their Institutional Setting external anatomy, and shall document the reasons for any decision to house youth in a unit that does ☒ ☐ ☐ not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that Policy Section 403: Juvenile Supervision of transgender and intersex youth have access to Lesbian, Gay, Bisexual, Transgender, medical and behavioral health providers qualified to ☒ ☐ ☐ Questioning and Intersex Youth in an provide care and treatment to transgender and Institutional Setting intersex youth 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Consistent with the facility’s reasonable and Policy Section 403: Juvenile Supervision of necessary security considerations and physical Lesbian, Gay, Bisexual, Transgender, plant, facility staff shall make every effort to ensure Questioning and Intersex Youth in an ☒ ☐ ☐ the safety and privacy of transgender and intersex Institutional Setting youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy Section 403: Juvenile Supervision of youth for the purpose of determining the youth’s Lesbian, Gay, Bisexual, Transgender, anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ Questioning and Intersex Youth in an respect the youth’s preference regarding the gender of Institutional Setting the staff member who conducts any search of the youth. 1353 ORIENTATION Policy Section 502: Orientation Process The facility administrator shall develop and implement Handbook written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal All youth are oriented upon entry. 11 information shall be provided and supplemented with orientation packets with miscellaneous ☒ ☐ ☐ video orientation if feasible. Provision shall be made to documents were reviewed and all were provide accessible orientation information to all completed as required. Orientations were detained youth including those with disabilities, limited conducted in compliance with the literacy, or English language learners. Orientation shall regulation. include information that addresses: (a) facility rules including contraband and searches Policy Section 502: Orientation Process ☒ ☐ ☐ and disciplinary procedures; Handbook (b) facility’s system of positive behavior interventions Policy Section 502: Orientation Process and supports, including behavior expectations, Handbook incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age-appropriate information that explains the Policy Section 502: Orientation Process facility’s policy prohibiting sexual abuse and sexual Handbook ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (e) the existence of the grievance procedure, the steps Policy Section 502: Orientation Process that must be taken to use it, the youth’s right to be Handbook free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue (f) access to legal services and information on the Policy Section 502: Orientation Process ☒ ☐ ☐ court process; Handbook (g) access to routine and emergency health and mental Policy Section 502: Orientation Process ☒ ☐ ☐ health care; Handbook (h) access to education, religious services, and Policy Section 502: Orientation Process ☒ ☐ ☐ recreational activities; Handbook (i) housing assignments; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (j) opportunity for personal hygiene and daily showers Policy Section 502: Orientation Process ☒ ☐ ☐ including the availability of personal care items Handbook (k) rules and access to correspondence, visits and Policy Section 502: Orientation Process ☒ ☐ ☐ telephone use; Handbook (l) availability of reading materials, programming, and Policy Section 502: Orientation Process ☒ ☐ ☐ other activities; Handbook 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (m) facility policies on the use of force, use of restraints, Policy Section 502: Orientation Process chemical agents and room confinement; ☒ ☐ ☐ and Handbook (n) immigration legal services; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (o) emergencies including evacuation procedures; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (p) non-discrimination policy and the right to be free Policy Section 502: Orientation Process from physical, verbal or sexual abuse and ☒ ☐ ☐ Handbook harassment by other youth and staff; (q) availability of services and programs in a language Policy Section 502: Orientation Process ☒ ☐ ☐ other than English if appropriate; Handbook (r) the process for requesting different housing, Policy Section 502: Orientation Process ☒ ☐ ☐ education, programming and work assignments; Handbook (s) a process for which parents/guardians receive Policy Section 502: Orientation Process information regarding the youth’s stay in the facility Handbook that at a minimum includes answers to frequently ☒ ☐ ☐ asked questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Policy Section 502: Orientation Process ☒ ☐ ☐ Title 15 Minimum Standards for Juvenile Facilities. Handbook 1354 SEPARATION Policy Sections: The facility administrator shall develop and implement 514: Separation written policies and procedures that address: 515: Room Confinement 1400: The Healing Opportunities and Positive Engagement (HOPE) Center Two detailed documents were provided of long-term Specialized Supervision Plans for 2 youth (one male and one female). Documentation was specific as to why the youth were held in the HOPE Centers. ☒ ☐ ☐ While the facility was compliant with the technical aspects of the regulation, the facility did not follow their own policies. This was identified in an audit prior to the inspection. A corrective action plan was provided, identifying staff to oversee the quality of the weekly reclassifications. Also discussed were the originating SSP’s. DPO Leon completed the follow-update training while we were onsite and provided documentation. Documentation will be reviewed into the next cycle. (a) separation of youth for reasons that include, but are Policy Sections 514: Separation and Policy not be limited to, medical and mental health Section 1400: The Healing Opportunities ☒ ☐ ☐ conditions, assaultive behavior, disciplinary and Positive Engagement (HOPE) Center consequences and protective custody. (b) consideration of positive youth development and Policy Sections 514: Separation and Policy trauma-informed care. ☒ ☐ ☐ Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) separated youth shall not be denied normal Policy Sections 514: Separation and Policy privileges available at the facility, except when Section 1400: The Healing Opportunities ☒ ☐ ☐ necessary to accomplish the objective of and Positive Engagement (HOPE) Center separation. (d) when the objective of the separation is discipline, Policy Sections 514: Separation and Policy Title 15 Section 1390 shall apply. ☒ ☐ ☐ Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center (e) when separation results in room confinement, the Policy Sections 514: Separation and Policy separation shall occur in accordance with Welfare Section 1400: The Healing Opportunities ☒ ☐ ☐ and Institutions Code Section 208.3 and and Positive Engagement (HOPE) Center Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy Section 514: Separation of separated youth to determine if separation ☒ ☐ ☐ remains necessary. Youth on a separated status are monitored daily for depression and or suicide risk. 1354.5 ROOM CONFINEMENT Policy Section 515: Room Confinement and (a) The facility administrator shall develop and Section and Policy Section 1400: The implement written policies and procedures Healing Opportunities and Positive addressing the confinement of youth in their room Engagement (HOPE) Center that are consistent with Welfare and Institutions ☒ ☐ ☐ Code Section 208.3. The placement of a youth in All uses of room confinement were for less room confinement shall be accomplished in than 4 hours and most for very short accordance with the following guidelines: timelines before the youth was returned to their cottage. (1) Room confinement shall not be used before Policy Section 515: Room Confinement and other, less restrictive, options have been Section 1400: The Healing Opportunities attempted and exhausted, unless attempting and Positive Engagement (HOPE) Center those options poses a threat to the safety or security of any youth or staff. 9 Room confinement packets were provided from February and March 2022. All uses of room confinement appear to be appropriate placements as documented. ☒ ☐ ☐ An Instructional Memo was provided for our review in which the facility director provided a corrective action training notice to all supervisors specifying expectations and ensuring documentation is correct. The issues that were addressed were specific to times documented in the report. The memo specified the expectation that the duty supervisor is responsible to ensure all reports are accurate at submission. (2) Room confinement shall not be used for the Policy Section 515: Room Confinement and purposes of punishment, coercion, ☒ ☐ ☐ Section 1400: The Healing Opportunities convenience, or retaliation by staff. and Positive Engagement (HOPE) Center (3) Room confinement shall not be used to the Policy Section 515: Room Confinement and extent that it compromises the mental and Section 1400: The Healing Opportunities physical health of the youth. and Positive Engagement (HOPE) Center ☒ ☐ ☐ Youth were not held beyond 4 hours. Most placements were for short periods of time due to youth exhibiting unsafe behavior in the unit, potentially endangering others. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) A youth may be held up to four hours in room Policy Section 1400: The Healing confinement. After the youth has been held in room Opportunities and Positive Engagement ☒ ☐ ☐ confinement for a period of four hours, staff shall do (HOPE) Center one or more of the following: (1) Return the youth to general population. Policy Section 1400: The Healing ☒ ☐ ☐ Opportunities and Positive Engagement (HOPE) Center (2) Consult with mental health or medical staff. Policy Section 1400: The Healing ☒ ☐ ☐ Opportunities and Positive Engagement (HOPE) Center (3) Develop an individualized plan that includes the Policy Section 1400: The Healing goals and objectives to be met in order to Opportunities and Positive Engagement reintegrate the youth to general population. (HOPE) Center ☒ ☐ ☐ All youth are referred to mental health for services. Mental health staff attempt to complete a Behavior Chain Analysis with each youth that is placed on room confinement. (4) If room confinement must be extended beyond Policy Section 1400: The Healing four hours, staff shall do each of the following: Opportunities and Positive Engagement (HOPE) Center ☒ ☐ ☐ No room confinements extended beyond 4 hours. The following is compliant with policy. (A) Document the reasons for room Policy Section 1400: The Healing confinement and the basis for the Opportunities and Positive Engagement extension, the date and time the youth was (HOPE) Center ☒ ☐ ☐ first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that Policy Section 1400: The Healing includes the goals and objectives to be met Opportunities and Positive Engagement in order to integrate the youth to general ☒ ☐ ☐ (HOPE) Center population. (C) Obtain documented authorization by the Policy Section 1400: The Healing facility superintendent or his or her ☒ ☐ ☐ Opportunities and Positive Engagement designee every four hours thereafter. (HOPE) Center (5) This section is not intended to limit the use of Policy Section 515: Room Confinement and single-person rooms or cells for the housing of Section 1400: The Healing Opportunities ☒ ☐ ☐ youth in juvenile facilities and does not apply to and Positive Engagement (HOPE) Center normal sleeping hours. (6) This section does not apply to youth or wards Policy Section 515: Room Confinement and in court holding facilities or adult facilities. Section 1400: The Healing Opportunities ☒ ☐ ☐ and Positive Engagement (HOPE) Center (7) Nothing in this section shall be construed to Policy Section 515: Room Confinement and conflict with any law providing greater or Section 1400: The Healing Opportunities additional protections to youth. ☒ ☐ ☐ and Positive Engagement (HOPE) Center 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) This section does not apply during an Policy Section 515: Room Confinement and extraordinary emergency circumstance that Section 1400: The Healing Opportunities requires a significant departure from normal and Positive Engagement (HOPE) Center institutional operations, including a natural disaster or facility-wide threat that poses an ☒ ☐ ☐ imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy Section 515: Room Confinement and placed in a locked cell or sleeping room to treat Section 1400: The Healing Opportunities and protect against the spread of a and Positive Engagement (HOPE) Center communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not ☒ ☐ ☐ required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy Section 402: Assessment and Pending Classification and Section 703: The MDT The facility administrator shall develop and implement Process written policies and procedures for assessment and ☒ ☐ ☐ case planning. All packets included the Camp Assessment Unit’s initial assessment, the MDT information, the RTSB MDT Case plan summary, and all case notes. (a) Assessment: Policy Section 402: Assessment and The assessment is based on information collected Classification and Section 703: The MDT during the admission process with periodic review, Process which includes the youth's risk factors, needs and strengths including, but not limited to, identification The assessment process begins with CAU of substance abuse history, educational, completing the initial assessment and the vocational, counseling, behavioral health, ☒ ☐ ☐ onsite staff completing the intake consideration of known history of trauma, and assessment onsite process. All information family strengths and needs. is then used in preparation for developing the youth’s case plan. All areas required in the assessment are noted in the 22 pt assessment completed by CAU and included in the initial MDT process. (b) Institutional Case Plan: Policy Section 703: The MDT Process (1) A case plan shall be developed for each youth held for at least 30 days or more and created The case plan is developed and discussed within 40 days of admission. ☒ ☐ ☐ with all partners at the MDT. The MDT is scheduled generally within 2 weeks from the youth’s arrival in camp. All MDTs were found to be timely. (2) The institutional plan shall include, but not be Policy Section 705: Ongoing Case limited to, written documentation that provides: ☒ ☐ ☐ Management Activities 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) objectives and time frame for the resolution Policy Section 705: Ongoing Case of problems identified in the assessment; Management Activities ☒ ☐ ☐ MDT and MDT Case Plan Summary outline these areas. (B) a plan for meeting the objectives that Policy Section 705: Ongoing Case includes a description of program resources Management Activities needed and individuals responsible for ☒ ☐ ☐ assuring that the plan is implemented; MDT and MDT Case Plan Summary outline these areas. (3) periodic evaluation of progress towards meeting Policy Section 705: Ongoing Case the objectives, including periodic review and Management Activities discussion of the plan with the youth; Several periodic reviews were missing documentation of the discussion of the plan with the youth, and a few were late. ☒ ☐ ☐ A work instruction was also provided for our review documenting the corrective action efforts. Additional documentation was reviewed, and staff were provided a training tool to utilize in all charting encounters. The issue was addressed and corrected. (4) a transition plan, the contents of which shall be Policy Section 706: Case Plan Activities- subject to existing resources, shall be Pre- Release developed for post dispositional youth in accordance with Section 1351; and, ☒ ☐ ☐ Transitional MDTs were provided for our review. They are thorough and provide great direction for the youth moving forward. (5) in as much as possible and if appropriate, the Policy Section 705: Ongoing Case plan, including the transition plan, shall be Management Activities developed with input from the family, supportive ☒ ☐ ☐ adults, youth, and Regional Center for the Parents are invited to participate in all MDT Developmentally Disabled. meetings. 1356 COUNSELING AND CASEWORK SERVICES Policy Section 705: Ongoing Case The facility administrator shall develop and implement Management Activities written policies and procedures ensuring the availability of appropriate counseling and casework services for all Youth have access to both Department of youth. Policies and procedures shall ensure: ☒ ☐ ☐ Mental Health staff, Probation Officers for Mental Health support, and Probation Officers for supervision. Youth are surrounded with support to meet their individual needs. (a) youth will receive assistance with needs or Policy Section 705: Ongoing Case ☒ ☐ ☐ concerns that may arise; Management Activities (b) youth will receive assistance in requesting contact Policy Section 705: Ongoing Case with parents, other supportive adults, attorney, ☒ ☐ ☐ Management Activities clergy, probation officer, or other public official; and, (c) youth will be provided access to available Policy Section 705: Ongoing Case ☒ ☐ ☐ resources to meet the youth’s needs. Management Activities 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1357 USE OF FORCE Policy Section 1701: Physical intervention The facility administrator, In cooperation with the Policy for Juvenile Facilities and the responsible physician, shall develop and implement Transportation Section written policies and procedures for the use of force, which may include chemical agents. Force shall never ☒ ☐ ☐ 18 incidents of use of force were reviewed. be applied as punishment, discipline, retaliation or All uses of force appeared to be necessary treatment. and appropriate, based on the (a) At a minimum, each facility shall develop policies documentation reviewed, to ensure the and procedures which: safety of the youth and staff in the facility. (1) restricts the use of force to that which is deemed Policy Section 1704: Safe Crisis reasonable and necessary, as defined in Section Management and Physical Intervention 1302 to ensure the safety and security of youth, ☒ ☐ ☐ Procedures staff, others and the facility. Compliant (2) outline the force options available to staff Policy Section 1704: Safe Crisis including both physical and non-physical options Management and Physical Intervention and define when those force options are Procedures appropriate. ☒ ☐ ☐ Policy Section 1700-14, Physical Intervention Determination Strategies Policy Section 1700-18, Authorized Levels of Physical Intervention (3) describe force options or techniques that are Policy Section 1704: Safe Crisis expressly prohibited by the facility. ☒ ☐ ☐ Management and Physical Intervention Procedures (4) describe the requirements of staff to report any Policy Section 1704: Safe Crisis inappropriate use of force, and to take ☒ ☐ ☐ Management and Physical Intervention affirmative action to immediately stop it. Procedures (5) define a standardized reporting format that Policy Section 1704: Safe Crisis includes time period and procedure for Management and Physical Intervention documenting and reporting the use of force, Procedures including reporting requirements of management and line staff and procedures for Reports are written before the end of the reviewing and tracking use of force incidents by shift or, with permission, the next shift. All supervisory and or management staff, which are documented in the case management include procedures for debriefing a particular system for tracking purposes. All reports incident with staff and/or youth for the purposes ☒ ☐ ☐ were found to be completed and all were of training as well as mitigating the effects of found to have a debrief that required one. It trauma that may have been experienced by staff was noted and technical assistance and /or the youth involved. provided that the debriefs did not appear to be written with staff but appeared to be written as a report. Facility staff stated that the debrief is completed with staff and or youth and documented after but will make the appropriate correction. (6) Include an administrative review and a system Policy Section 1706: Safe Crisis ☒ ☐ ☐ for investigating unreasonable use of force. Management Physical Intervention Reports (7) define the role, notification, and follow-up Policy Section 1704: Safe Crisis procedures required after use of force incidents Management and Physical Intervention for medical, mental health staff and parents or Procedures ☒ ☐ ☐ legal guardians. Medical, mental health, and parents were notified as required. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) describe the limitations of use of force on Policy Section 1704: Safe Crisis pregnant youth in accordance with Penal Code Management and Physical Intervention ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Procedures Code Section 222. (b) Facilities that authorize chemical agents as a force Policy Section 1704: Safe Crisis option shall include policies and procedures that: Management and Physical Intervention Procedures ☐ ☐ ☒ OC spray is not used in the camps. The following areas related to OC are marked as N/A. (1) identify who is approved to carry and/or utilize N/A 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 N/A when there is an imminent threat to the youth’s safety or the safety of others and only when de- ☐ ☐ ☒ escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and N/A timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be ☐ ☐ ☒ left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up N/A procedures required after use of force incidents ☐ ☐ ☒ involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident N/A of use of chemical agents, including the reasons for which it was used, efforts to de- escalate prior to use, youth and staff involved, ☐ ☐ ☒ the date, time and location of use, decontamination procedures applied, and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure Policy Section 1702: Training which require that agencies provide initial and ☒ ☐ ☐ regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health Policy Section 1702: Training conditions that would contraindicate certain ☒ ☐ ☐ types of force; (2) acceptable chemical agents and the methods Policy Section N/A ☒ ☐ ☐ of application. (3) signs or symptoms that should result in Policy Section 1702: Training immediate referral to medical or behavioral ☒ ☐ ☐ health. (4) instruction on the Constitutional Limitations of ☒ ☐ ☐ Policy Section 1702: Training Use of Force. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) physical training force options that may require Policy Section 1702: Training ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Policy Section 1702: Training training. Policy requires initial training and annual training. The agency has noted on many occasions that all staff are trained in these areas in Block Week and in other trainings throughout the year. ☒ ☐ ☐ We will be working with the facility to provide a more detailed proof of practice for each individual training session that is related to this area and the proper documentation to identify who has gone and who has not. 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1705: Restraints The facility administrator, In cooperation with the The policy was developed in cooperation responsible physician and mental health director, shall with Juvenile Court Health Services (JCHS) develop and implement written policies and procedures and Department of Mental Health (DMH). for the use of restraint devices. Restraint devices include any devices which immobilize a youth's ☒ ☐ ☐ Restraint logs were provided for the extremities and/or prevent the youth from being majority of 2021. There have been two ambulatory. incidents of the Use of Restraints provided: one in August 2021 and one in December 2021. Youth were restrained for very short time periods. All areas of regulation were completed as required. Physical restraints may be used only for those youth Policy Section 1705: Restraints who present an immediate danger to themselves or Both incidents involved restraints as youth others, who exhibit behavior which results in the exhibited a danger to themselves. destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy Section 1705: Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy Section 1705: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Youth shall be placed in restraints only with the approval Policy Section 1705: Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a Continued retention is reviewed by the ☒ ☐ ☐ physician. Reasons for continued retention in restraints supervisor every 15 minutes. shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy Section 1705: Restraints retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ Medical staff see the youth within 30 youth shall be medically cleared for continued retention minutes. at least every three hours thereafter. A mental health consultation shall be secured as soon as Policy Section 1705: Restraints possible, but in no case longer than four hours from the ☒ ☐ ☐ time of placement, to assess the need for mental health Referrals are completed and follow-ups are treatment. completed. Continuous direct visual supervision shall be conducted Policy Section 1705: Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. The youth involved were not restrained long ☒ ☐ ☐ Observations of the youth's behavior and any staff enough to require documentation. Youth interventions shall be documented at least every 15 were under constant visual supervision. minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy Section 1705: Restraints procedures shall address: (a) documentation of the circumstances leading to an Policy Section 1705: Restraints ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate Policy Section 1705: Restraints ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☒ ☐ ☐ Policy Section 1705: Restraints (d) signs or symptoms which should result in Policy Section 1705: Restraints ☒ ☐ ☐ immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation Policy Section 1705: Restraints ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Policy Section 1705: Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Policy Section 1705: Restraints (h) exercising of extremities. ☒ ☐ ☐ Policy Section 1705: Restraints 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR Policy Section 1709: The Use of MOVEMENT AND TRANSPORTATION WITHIN THE Mechanical Restraints for Movement and FACILITY. Transport Within the Facility The Facility Administrator, In cooperation with the responsible physician and behavioral/mental health The policy was developed in cooperation director, shall develop and implement written policies with Juvenile Court Health Services (JCHS) and procedures for the use of restraint devices when and Department of Mental Health (DMH). ☒ ☐ ☐ the purpose is for movement or transportation within the facility that shall include the following: Staff at DKC rarely apply restraints unless necessary. Of the 18 incidents reviewed, only 7 utilized restraints for movement and transport. This section was found to be compliant. (a) identification of acceptable restraint devices, staff Policy Section 1709: The Use of approved to utilize restraint devices and the ☒ ☐ ☐ Mechanical Restraints for Movement and required training. Transport Within the Facility (b) the circumstances leading to the application of Policy Section 1709: The Use of restraints must be documented. ☒ ☐ ☐ Mechanical Restraints for Movement and Transport Within the Facility (c) an individual assessment of the need to apply Policy Section 1709: The Use of restraints for movement or transportation that Mechanical Restraints for Movement and includes consideration of less restrictive Transport Within the Facility alternatives, consideration of a youth’s known medical or mental health conditions, trauma Technical assistance was provided to informed approaches, and a process for ☒ ☐ ☐ assist facility trainers in this area to ensure documentation and supervisor review and the assessment is clearly and consistently approval. documented. It was noted, documentation could be a bit clearer in the future and technical assistance was provided addressing this area. (d) consideration of safety and security of the facility, Policy Section 1709: The Use of with a clearly defined expectation that restraint Mechanical Restraints for Movement and ☒ ☐ ☐ devices shall not be used for the purposes of Transport Within the Facility discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Policy Section 1709: The Use of accordance with Penal Code Section6030(f) and ☒ ☐ ☐ Mechanical Restraints for Movement and Welfare and Institutions Code Section 222. Transport Within the Facility 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. The remainder of this section is marked as N/A. (a) The facility administrator, and where applicable, In cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) include provisions for administration of N/A necessary nutrition and fluids, access to a ☐ ☐ ☒ toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or N/A ☐ ☐ ☒ designee, before a youth is placed into a safety room; (3) provide for continuous direct visual supervision N/A and documentation of the youth's behavior and ☐ ☐ ☒ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ N/A facility manager, or designee, every four hours; (5) provide for immediate medical assessment, N/A ☐ ☐ ☒ where appropriate, or an assessment at the next daily sick call; and, (6) provide a process for documenting the reason N/A for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ N/A accomplished in accordance with the following: (1) safety room shall not be used before other less N/A restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes N/A ☐ ☐ ☒ of punishment, coercion, convenience, or retaliation by staff. (3) safety room shall not be used to the extent that N/A ☐ ☐ ☒ it compromises the mental and physical health of the youth. (c) A youth may be held up to four hours in the safety N/A room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ N/A (2) consult with mental health or medical staff, ☐ ☐ ☒ N/A (3) develop an individualized plan that includes the N/A ☐ ☐ ☒ goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended N/A beyond four hours, staff shall develop an individualized plan that includes the requirements ☐ ☐ ☒ of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1360 SEARCHES Policy Section 1316: Searches in Detention The facility administrator shall develop and implement Facilities and Section 1317: Body Searches written policies and procedures governing the search of (Pat-Down, Strip, and Body Cavity youth, the facility, and visitors. Policies and procedures Searches) shall provide that: Proof of practice for staff searches of all ☒ ☐ ☐ cottages and K9 searches for the month of February 2022 were provided for review. Cottage searches occurred daily and K9 searches occurred multiple times throughout the month. (a) Searches shall be conducted to ensure the safety Policy Section 1316: Searches in and security of the facility, public, visitors, youth, ☒ ☐ ☐ Detention Facilities and staff. (b) Searches shall be conducted in a manner that Policy Section 1316: Searches in preserves the privacy and dignity of the person Detention Facilities being searched, and shall not be conducted for harassment or as a form of discipline or ☒ ☐ ☐ Youth are searched either by pat-down or punishment. with an electronic wand. Youth may be strip-searched but only under certain circumstances. (c) Strip searches and visual or physical body cavity Policy Section 1317: Body Searches (Pat- searches shall comply with Penal Code Section Down, Strip, and Body Cavity Searches) ☒ ☐ ☐ 4030. No strip searches provided this cycle. (d) Physical body cavity searches shall only be Policy Section 1317: Body Searches (Pat- conducted by a medical professional. ☒ ☐ ☐ Down, Strip, and Body Cavity Searches) (e) Any youth held after a detention hearing shall only Policy Section 1317: Body Searches (Pat- be strip searched with prior approval of a supervisor Down, Strip, and Body Cavity Searches) when there is reasonable suspicion based on ☒ ☐ ☐ specific and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Policy Section 1303: Juvenile Supervision comply with Section 1352.5. of Lesbian, Gay, Bisexual, Transgender, ☒ ☐ ☐ Questioning and Intersex Youth in an Institutional Setting (g) Cross-gender pat-down searches and strip Policy Section 1317: Body Searches (Pat- searches are prohibited except in exigent Down, Strip, and Body Cavity Searches) circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1361 GRIEVANCE PROCEDURE Policy Section 508: Grievance Procedures The facility administrator shall develop and implement written policies and procedures whereby any youth may 14 grievances were submitted for January appeal and have resolved grievances relating to any 2022 and 10 for February 2022. condition of confinement, including but not limited to health care services, classification decisions, program Grievances were found to be addressed participation, telephone, mail or visiting procedures, timely and appropriate. It was noted a few food, clothing, bedding, mistreatment, harassment or ☒ ☐ ☐ of the grievances may have been resolved violations of the nondiscrimination policy. There shall be more efficiently and potentially without the no time limit on filing grievances. Policies and need for the grievance had managers had procedures shall include provisions whereby the facility access to the warehouse. For example, manager ensures: youth who need shoes, underwear, or laundry soap. Technical assistance provided to implement a process in which supervisors have access to supplies. (a) a grievance form and instructions for registering a Policy Section 508: Grievance Procedures grievance, which includes provisions for the youth to have free access to the form; ☒ ☐ ☐ Grievances may be obtained from the services document rack located on the wall in each cottage. (b) the youth shall have the option to confidentially file Policy Section 508: Grievance Procedures the grievance or to deliver the form to any youth supervision staff working in the facility; Youth may place their grievances in the ☒ ☐ ☐ confidential box or file the grievance through the JIGS system, which is through the LACOE school computer. (c) resolution of the grievance at the lowest appropriate Policy Section 508: Grievance Procedures staff level; When interviewed, the youth stated they ☒ ☐ ☐ can turn in their grievance to any staff member in the facility or place it in the box for pick up. (d) provision for a prompt review and initial response to Policy Section 508: Grievance Procedures grievances within three (3) business days, ☒ ☐ ☐ grievances that relate to health and safety issues Grievances were found to be timely. must be addressed immediately; (1) The youth may elect to be present to explain Policy Section 508: Grievance Procedures his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy Section 508: Grievance Procedures the facility administrator to assist the youth. ☒ ☐ ☐ No grievances were found to utilize staff assistance. (e) provision for a written response to the grievance Policy Section 508: Grievance Procedures which includes the reasons for the decisions; ☒ ☐ ☐ Grievances were handled well. (f) a system which provides that any appeal of a Policy Section 508: Grievance Procedures grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) resolution of the grievance must occur within ten Policy Section 508: Grievance Procedures (10) business days unless circumstances dictate a ☒ ☐ ☐ longer time frame. The youth shall be notified of Grievances were resolved within the any delay; and, required guidelines. (h) the policy shall provide multiple internal and Policy Section 508: Grievance Procedures external methods to report sexual abuse and sexual ☒ ☐ ☐ harassment. Whether or not associated with a grievance, concerns Policy Section 508: Grievance Procedures of parents, guardians, staff or other parties shall be addressed and documented in accordance with written Parents are encouraged to address any policies and procedures within a specified timeframe. ☒ ☐ ☐ issue with facility managers and the director. If a concern or grievance rises above that, they may file a formal complaint through the formal complaint process. 1362 REPORTING OF INCIDENTS Policy Section 1119: Reducing Youth on A written report of all incidents which result in physical Youth on Violence and Section 1919: harm, use of force, serious threat of physical harm, or Deaths at Camp Facilities death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Policy Sections 306: Live Scan and DNA DNA SPECIMENS, SAMPLES, IMPRESSIONS Collection and 1122: Juvenile Collection of (a) Pursuant to Penal Code Section 298.1 authorized DNA Samples law enforcement, custodial, or corrections personnel including peace officers, may employ The Camp Assessment Unit is responsible reasonable force to collect blood specimens, saliva ☐ ☐ ☒ to determine if youth need DNA collection. samples, and thumb or palm print impressions from Detention Services Bureau (DSB) individuals who are required to provide such personnel are responsible for conducting samples, specimens or impressions pursuant to fingerprint collection through the Live-Scan Penal Code Section 296 and who refuse following process and for DNA collection. This is not written or oral request. done in the camps. (1) For the purpose of this section, the “use of Policy Sections 306: Live Scan and DNA reasonable force” shall be defined as the force that Collection and 1122: Juvenile Collection of an objective, trained and competent correctional DNA Samples ☐ ☐ ☒ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy Sections 306: Live Scan and DNA efforts to secure voluntary compliance. Efforts to Collection and 1122: Juvenile Collection of secure voluntary compliance shall be documented DNA Samples ☐ ☐ ☒ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Policy Sections 306: Live Scan and DNA authorization of the supervising officer on duty. The Collection and 1122: Juvenile Collection of authorization shall include information that reflects DNA Samples ☐ ☐ ☒ the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) If the use of reasonable force includes a cell Policy Sections 306: Live Scan and DNA extraction, the extraction shall be videotaped. Collection and 1122: Juvenile Collection of Video shall be directed at the cell extraction DNA Samples event. The videotape shall be retained by the ☐ ☐ ☒ agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM The Education Program is provided through a collaboration between Los Angeles (a) School Programs County Probation and Los Angeles County Office of Education: Juvenile Courts and The County Board of Education shall provide for the Community Schools. Policy has not administration and operation of juvenile court changed since the last cycle. Michael schools in conjunction with the Chief Probation Massa, Principal, and Donna Baker, Officer, or designee pursuant to applicable State Assistant Principal, were interviewed both laws. The school and facility administrators shall for the Education evaluation and by the develop and implement written policy and BSCC inspector. The school has 6 procedures to ensure communication and classroom teachers, 3 of which are special coordination between educators and probation staff. education. 1 academic counselor, 1 Culturally responsive and trauma-informed transition counselor, 1, resource teacher, 1 approaches should be applied when providing reading specialist, 8 paraprofessionals and instruction. Education staff should collaborate with behavior counselor. The school provides the facility administrator to use technology to daily instruction, after school tutoring, and facilitate learning and ensure safe technology enrichment activities. The relationship is practices. The facility administrator shall request an said to be "harmonious” between LACOE annual review of each required element of the and probation but always with room to program by the Superintendent of Schools, and a improve communication and collaboration report or review checklist on compliance, for the better of the youth. deficiencies, and corrective action needed to achieve compliance with this section. Such a review, The education program was evaluated for when conducted, cannot be delegated to the regulation purposes by Scott Turner, ED. D principal or any other staff of any juvenile court ☒ ☐ ☐ Executive Director ESGV SELPA and school site. The Superintendent of Schools shall Jonathan Raymond, Special Education conduct this review in conjunction with a qualified Director, Charter Dale USD. outside agency or individual. Upon receipt of the review, the facility administrator or designee shall The following details the information review each item with the Superintendent of Schools provided by the evaluation team who found and shall take whatever corrective action is the facility to be compliant. Any questions necessary to address each deficiency and to fully should be referred to Mr. Turner at (626) protect the educational interests of all youth in the 966-1679 or Mr. Raymond at (626)966- facility. 8331.  Interagency meeting bi-weekly  Ongoing communication and collaboration on requirements for education program  Positive Behavioral Interventions & Supports (PBIS) and Dialectical Behavior Therapy (DBT)  One: one services, computer courts for cottages and classroom  Annual facility reports  Conducted by outside agency cde, probation, etc.  Evaluations are completed by non- LACOE employee. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements BP 6011 Instruction BP 6011 Instruction, BP 0460 Philosophy, The facility school program shall comply with the Goals, Objectives, and Comprehensive State Education Code and County Board of Plans Education policies, all applicable federal education BP 005 Philosophy, Goals, Objectives and statutes and regulations and provide for an annual Comprehensive Plans Item 3,4,5 evaluation of the educational program offerings. As stated in the 2009 California Standards for the The review is completed annually. ☒ ☐ ☐ Teaching Profession, teachers shall establish and Teachers maintain a safe and conducive maintain learning environments that are physically, environment. emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that Evidence of a rigorous program responds to the different learning styles and abilities individualized to star student reading / math. of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education BP 5145.3 Students program shall be free from discriminatory action. ☒ ☐ ☐ Staff shall refer to transgender, intersex and gender- nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State BP 005 Philosophy, Goals, Objectives and Education Code and include, but not be limited to, Comprehensive Plans ☒ ☐ ☐ courses required for high school graduation. Students work towards diploma requirements. (2) Information and preparation for the High School AR-6146.2 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to Students participate in hiset via computer. eligible youth. (3) Youth shall be informed of post-secondary education AR-6143 Instruction Item 9 (Grades 7-12) and vocational opportunities. ☒ ☐ ☐ Transition counselor workability. (4) Administration of the High School Equivalency Tests AR6146-2 Instruction Ed Code 51420 as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. Students continue in program after testing. (5) Supplemental instruction shall be afforded to youth AR-6179 Instruction BPP 5149 who do not demonstrate sufficient progress towards ☒ ☐ ☐ Read 180/Math 180 grade level standards. (6) The minimum school day shall be consistent with BP 6112 Instruction State Education Code Requirements for juvenile court schools. The facility administrator, in 300 minutes per school day/240 minutes for conjunction with education staff, must ensure that minimum days ☒ ☐ ☐ operational procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) Education shall be provided to all youth regardless of BP 6112 Instruction Partially Address. classification, housing, security status, disciplinary or requirement; AR 5131 separation status, including room confinement, except when providing education poses an ☒ ☐ ☐ All students participate unless they have immediate threat to the safety of self or others. graduated, HOPE Center for students with Education includes, but is not limited to, related mental health needs. services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented PBIS program and counselor to reduce the need for disciplinary action in the ☒ ☐ ☐ school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative BP 5021 Students CF 6020 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. Collaboration with probation staff to address safety and security. (3) Except as otherwise provided by the State Education BP 5144.1 Students; 5144.2 - Suspension Code, expulsion/suspension from school shall be and Expulsion/Due Process (Students with imposed only when other means of correction fails to Disabilities) bring about proper conduct. School staff shall follow Suspensions primarily for assaults. the appropriate due process safeguards as set forth ☒ ☐ ☐ Discipline addressed through PBIS. in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with BP 5144 education staff will develop policies and procedures ☒ ☐ ☐ Differentiation of instruction and supports that address the rights of any student who has used for supports and tutoring continuing difficulty completing a school day. (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and Comprehensive Plans (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Child Find ongoing- records request, ☒ ☐ ☐ suspected disabilities. This includes but is not limited contacts with educational rights holders. to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be BP 6174 Instruction afforded an educational program that addresses their language needs pursuant to all applicable state ☒ ☐ ☐ English language services provided as and federal laws and regulations governing primary service. All staff aware of English programs for EL students. language status. (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers Requirement (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's Enrollment packets, baseline screenings educational history, including but not limited to: and transcripts 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) School progress/school history; BP 6162.5 Instruction ☒ ☐ ☐ Transcripts (B) Home Language Survey and the results of the State AR 6174 Instruction Test used for English language proficiency; ☒ ☐ ☐ Part of enrollment. (C) Needs and services of special populations as defined BP 6162.5 Instruction by the State Education Code, including but not ☒ ☐ ☐ limited to, students with special needs. Continuum of programs, self-contained as option. (D) Discipline problems. BP 5131 Students ☒ ☐ ☐ Review of discipline history. (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ EPIC system- sis intakes and collection of levels to enable placement in core curriculum baselines via star courses. (3) After admission to the facility, a preliminary education BP 6162.5 Instruction plan shall be developed for each youth within five ☒ ☐ ☐ school days. RTSA framework APEX credit deferment (4) Upon enrollment, education staff shall comply with the AR 5125 Students State Education Code and request the youth's records from his/her prior school(s), including, but IEP’s and 504’s collected with transcripts not limited to, transcripts, Individual Education and CALPADS reviewed. Program (IEP), 504 Plan, state language ☒ ☐ ☐ assessment scores, immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth ☒ ☐ ☐ All records forwarded with the change of shall be forwarded to the next educational placement placement. in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide BP 5121 Students appropriate credit (full or partial) for course work ☒ ☐ ☐ completed while in juvenile court school in Students earn appropriate credits. accordance with the State Education Code. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief Transition counselor, a PIX transition Probation Officer or designee, shall develop policies workability, OSHA and procedures to meet the transition needs of ☒ ☐ ☐ youth, including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student Use of Technology (1) The school and facility administrator should, whenever possible, collaborate with local post- ☒ ☐ ☐ Job certifications, housing allowances, secondary education providers to facilitate access to transition counselor and FAFSA assistance. educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy Section 1306: Programs, Recreation EXERCISE. and Exercise The facility administrator shall develop and implement written policies and procedures for programs, The Dorothy Kirby Center/Camp Scott recreation, and exercise for all youth. The intent is to offers a wide range of programs, recreation, ☒ ☐ ☐ minimize the amount of time youth are in their rooms or and exercise to the youth of the two their bed area. facilities. These activities are provided by Probation, LACOE, the Department of Mental Health, and Community Based Organizations. Juvenile facilities shall provide the opportunity for Policy Section 1306: Programs, Recreation programs, recreation, and exercise a minimum of three and Exercise hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy Section 1306: Programs, Recreation exercise may be suspended only upon a written finding and Exercise by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the No suspensions were found to have facility. occurred. Such program, recreation, and exercise schedule shall Policy Section 1306: Programs, Recreation be posted in the living units. and Exercise ☒ ☐ ☐ The facility schedule was posted in the cottages as required. There will be a written annual review of the programs, Policy Section 1306: Programs, Recreation recreation, and exercise by the responsible agency to and Exercise ensure content offered is current, consistent, and relevant to the population. Program reviews were received from Director Mayorquin regarding all programs, exercise, and recreation in the facility. ☒ ☐ ☐ Program reviews were received from the Volunteers of America, Unusual Suspects, Jail Guitar Doors, Eagles Chaplains, Drumming for Life, and the Department of Mental Health. DMH provided an annual review of their programs 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Programs. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily and Exercise programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice Programming logs were provided and interventions that are culturally relevant and reviewed for the month of February 2022. linguistically appropriate, or pro-social interventions The facility was found to be compliant in this and activities designed to reduce recidivism. These area. programs should be based on the youth’s individual needs as required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community-based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions. (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 Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily access to and Exercise unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be ☒ ☐ ☐ Programming logs were provided and supervised and include orientation and may include reviewed for the month of February 2022. coaching of youth. The facility was found to be compliant in this area. (c) Exercise. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of large muscle and Exercise activity each day. ☒ ☐ ☐ Programming logs were provided and reviewed for the month of February 2022. The facility was found to be compliant in this area. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The administrator/manager may suspend, for a period Policy Section 1306: Programs, Recreation not to exceed 24 hours, access to recreation and and Exercise programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy Section 1004: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy Section 1004: Religious Services The facility did not have proper documentation of the opportunity for services during COVID. It was noted that religious providers would send religious materials for individuals who wanted to read and participate in religious activity, but no documentation of any online, or any other opportunity for, religious service as noted in suspensions was provided. Facility staff and youth both indicated that services were occasionally offered by TV or ☒ ☐ ☐ video, but the cottages only have one TV. Reading materials was primarily what was provided. Technical assistance was provided and discussed this issue. All youth must have the ability to access to religious services. A different alternative program should occur so that the TV isn’t being utilized. This was addressed while onsite and a follow-up request for information was completed. The facility corrected the issue and has been notified to identify a process for documentation in and out of COVID. (b) availability of clergy; and, Policy Section 1004: Religious Services If a youth is a different religion, DKC/ Camp ☒ ☐ ☐ Scott staff will make efforts to find clergy to meet that need. Youth may also have their own clergy from their own church placed on their visiting list by request. (c) availability of religious diets. Policy Section 1004: Religious Services ☒ ☐ ☐ The youth interviewed stated they can ask for a religious diet by completing a request form. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy Section 1003: Work Crews The facility administrator shall develop policies and procedures regarding the fair and consistent assignment Youth currently have access to two work of youth to work programs. Work assigned to a youth programs onsite at the Dorothy Kirby shall be meaningful, constructive and related to Center/Camp Scott once they qualify vocational training or increasing a youth's sense of through both Probation and LACOE. Youth responsibility. Work programs shall not be imposed as a apply to and may be accepted as follows: disciplinary measure. American Job Center of California - AJCC: This program is a 120-hour program ☒ ☐ ☐ offering 120 hours of work experience, 20 of which are paid hours. Assignments are on the grounds of the camp. Transitional Partnership Program - TPP through LACOE offers 90-100 hours. All money youth earn goes into an account and they take it home when they are released. 1374 VISITING Policy Section 902: Visiting Procedures, The facility administrator shall develop and implement Section 903: Saturday and Sunday Visiting written policies and procedures for visiting, that include and Section 904: Special Visits provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing Visiting has been suspended due to in loco parentis, and children of youth. Other family COVID-19. Since recently opening up, members, such as grandparents and siblings, and parents receive 1 hour of onsite visit per supportive adults, may be allowed to visit with the Public Health Orders to ensure Social approval of the facility administrator or designee, and in Distancing. This is supplemented with conjunction with the youth’s case plan or in the best virtual calls and telephone calls. Regulation interest of the youth. remains suspended due to County Health Orders. When visits do occur, they occur outside with parents, guardians, and other family members socially distanced from the youth. ☒ ☐ ☐ Youth with children receive visits with their children. Documentation of visits in and out of COVID were difficult to ascertain. This was discussed with the administrative team. If visiting is canceled due to COVID, youth should be provided with extra time on the telephone and virtual calls. This information was not always clear. This was addressed with the administration also. Technical assistance was provided, and it was noted that this area will be addressed immediately. New documentation was requested and reviewed and was corrected and consistent with regulations. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS All visits shall occur at reasonable times, subject only to Policy Section 902: Visiting Procedures the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy Section 902 Visiting Procedures and per week. Visits may be supervised, but conversations Section 903: Saturday and Sunday Visiting ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour Policy Section 904: Special Visits minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family ☒ ☐ ☐ therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy Section 902: Visiting Procedures alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy Section 510: Mail The facility administrator shall develop and implement written policies and procedures for correspondence ☒ ☐ ☐ Letter-writing materials are openly which provide that: provided, and youth can write, send, and receive letters freely. (a) there is no limitation on the volume of mail that youth Policy Section 510: Mail may send or receive; ☒ ☐ ☐ Per the youth interviewed, there is no limit to the amount of mail they may send out or receive. (b) youth may send two letters per week postage free; Policy Section 510: Mail ☒ ☐ ☐ All letters are postage paid. There is no limit. (c) youth may correspond confidentially with state and Policy Section 510: Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy Section 510: Mail in (c), may be read by staff only when there is ☒ ☐ ☐ reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1376 TELEPHONE ACCESS Policy Section 509: Telephone Calls The administrator of each juvenile facility shall develop Per policy, all youth are provided with one and implement written policies and procedures to provide call weekly to parents or guardians. youth with access to telephone communications. Additional phone calls are authorized for missed visits. Youth also may earn additional phone calls through good ☒ ☐ ☐ behavior. All youth interviewed stated they have several opportunities a week to speak with their family. They noted they would like additional time and the opportunity to speak to other close family members besides their parents, such as aunts, uncles, grandparents, siblings, etc. 1377 ACCESS TO LEGAL SERVICES Policy Section 520: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed Policy Section 520: Access to Legal attorneys and their authorized representatives; Services ☒ ☐ ☐ Attorneys can visit or contact their clients at any time. (b) provision for confidential consultation with Policy Section 520: Access to Legal attorneys; and, Services ☒ ☐ ☐ There are multiple locations that can be used for attorney interviews. (c) unlimited postage free, legal correspondence and Policy Section 520: Access to Legal ☒ ☐ ☐ cost-free telephone access as appropriate. Services 1390 DISCIPLINE Policy Section 601: Discipline and Policy The facility administrator shall develop and implement Section 604: Continuum of Correction written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use The camp utilizes a behavior management of positive behavior interventions and supports. program that incentivizes youth to do well. ☒ ☐ ☐ Discipline shall be imposed at the least restrictive level Each youth reads and signs the RTSB BMP which promotes the desired behavior and shall not program upon entry. include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy Section 601: Discipline (b) daily shower, access to drinking fountain, toilet and Policy Section 601: Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Policy Section 601: Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Policy Section 601: Discipline (e) exercise; ☒ ☐ ☐ Policy Section 601: Discipline (f) medical services and counseling; ☒ ☐ ☐ Policy Section 601: Discipline (g) religious services; ☒ ☐ ☐ Policy Section 601: Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Policy Section 601: Discipline (i) the right to send and receive mail; ☒ ☐ ☐ Policy Section 601: Discipline (j) education; and, ☒ ☐ ☐ Policy Section 601: Discipline 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) rehabilitative programming. ☒ ☐ ☐ Policy Section 601: Discipline The facility administrator shall establish rules of conduct Policy Section 604: Continuum of and disciplinary penalties to guide the conduct of youth. Correction Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy Section 604: Continuum of The facility administrator shall develop and implement Correction and Policy Section 606: Due ☒ ☐ ☐ written policies and procedures for the administration of Process discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose Policy Section 606: Due Process discipline for violation of rules; ☒ ☐ ☐ Only sworn staff are authorized to discipline youth. (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy Section 606: Due Process (c) definition of major and minor rule violations and Policy Section 604: Continuum of their consequences, and due process ☒ ☐ ☐ Correction requirements; (d) trauma-informed approaches and positive behavior Policy Section 602: Facility Rules ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Policy Section 604: Continuum of counseling, advising the youth of expected conduct Correction imposing a minor consequence. Discipline shall be accompanied by written documentation and a Facility staff uses restructuring tools with policy of review and appeal to a supervisor; and, youth to encourage them to make the ☒ ☐ ☐ proper choices. These prompts or small conversations are not formalized but we have seen this occur on multiple occasions. These efforts to de-escalate a youth have been effective when we viewed them being used. (f) major rule violations and the discipline process Policy Section 606: Due Process shall be documented and require the following: Youth who have committed a major violation have a Sanctions and Appeals ☒ ☐ ☐ document completed. These documents are a matter of practice for any use of force or other PIR that occurs. All forms reviewed were found to be completed properly. It was noted that no youth has asked for a hearing. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Policy Section 606: Due Process (2) accommodations provided to youth with Policy Section 606: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy Section 606: Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy Section 606: Due Process ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Policy Section 606: Due Process ☒ ☐ ☐ hearing process; 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) provision for administrative review. ☒ ☐ ☐ Policy Section 606: Due Process (g) violations that result in a removal from camp or Policy Section 606: Due Process commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Policy Section 909: Communicable DISEASES. Diseases The health administrator/responsible physician, in Reviewed Probation policy and medical cooperation with the facility administrator and the local guidance to ensure Management of health officer, shall develop written policies and ☒ ☐ ☐ Communicable Disease policy is current procedures to address the identification, treatment, and addresses all required areas required control and follow-up management of communicable by section 1410, specifically COVID-19. diseases. The policies and procedures shall address, but not be limited to: Compliance based on policy and guidance reviewed from medical provider JCHS. (a) Intake health screening procedures; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (b) Identification of relevant symptoms; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (c) Referral for medical evaluation; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (d) Treatment responsibilities during detention; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (e) Coordination with public and private community- Policy Section 909: Communicable based resources for follow-up treatment; ☒ ☐ ☐ Diseases (f) Applicable reporting requirements; and, Policy Section 909: Communicable ☒ ☐ ☐ Diseases (g) Strategies for handling disease outbreaks. Policy Section 909: Communicable ☒ ☐ ☐ Diseases The policies and procedures shall be updated as Policy Section 909: Communicable necessary to reflect communicable disease priorities Diseases ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 505: Access to Care/ (EXCERPT) Request for Services The health administrator, in cooperation with the facility Youth interviewed understood how to make administrator, shall develop policy and procedures to ☒ ☐ ☐ requests for care. If the issue is an establish a daily routine for youth to convey requests for emergency, they know to ask staff for emergency and non-emergency medical, dental and immediate assistance. This is addressed in behavioral/mental health care services. orientation with the youth before going to the living units. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 1305: Clothing and Bedding Exchange The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ Youth interviewed were well dressed and and footwear specified in this regulation. The facility has well groomed. Their clothing was noted to the primary responsibility to provide clothing and be clean, well-fitting with no holes, rips, or footwear. Clothing provisions shall ensure that: tears. (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 1305: Clothing and Bedding laundered, in good repair, and free of holes and ☒ ☐ ☐ Exchange tears. (b) The standard issue of climatically suitable clothing Policy Section 1305: Clothing and Bedding for youth shall consist of but not be limited to: ☒ ☐ ☐ Exchange (1) Socks and serviceable footwear; Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ Exchange (2) Outer garments; Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ Exchange (3) New non-disposable underwear which shall Policy Section 1305: Clothing and Bedding remain with the youth throughout their stay, ☒ ☐ ☐ Exchange and; (4) Undergarments, that are freshly laundered and Policy Section 1305: Clothing and Bedding free of stains, including tee shirts and bras. ☒ ☐ ☐ Exchange (c) Clothing is laundered at the temperature required Policy Section 1305: Clothing and Bedding by local ordinances for the commercial laundries Exchange ☒ ☐ ☐ and dried completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ Exchange 1482 CLOTHING EXCHANGE Policy Section 1305: Clothing and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the Youth exchange clothing according to cleaning and scheduled exchange of clothing. Unless schedule; however, if they need an item of work, climatic conditions, or illness necessitates more ☒ ☐ ☐ clothing, they are provided it. frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy Section 410: Change of Clothing and PERSONAL CLOTHING Continued Search There shall be written policies and site-specific No personal property is brought to the procedures developed and implemented by the facility camp. All personal property is picked up by ☒ ☐ ☐ administrator to control the contamination and/or the youths’ parents at the Juvenile Hall. spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 1304: Personal Hygiene, Shaving, and Haircuts There shall be written policies and site-specific procedures developed and implemented by the facility All youth stated they have access to all administrator for the availability of personal hygiene ☒ ☐ ☐ required items, with the exception of razors items. Each female youth shall be provided with which are provided at shaving. sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (b) Toothpaste; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (c) Soap; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (d) Comb; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (e) Shaving implements; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (f) Deodorant; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (g) Lotion; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (h) Shampoo; and, Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (i) Post-shower conditioning hair products. Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts Youth shall not be required to share any personal care Policy Section 1304: Personal Hygiene, items listed in items (a) through (d). Liquid soap Shaving, and Haircuts provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy Section 502: Orientation Process and Handbook and Policy Section 1304: There shall be written policies and site specific Personal Hygiene, Shaving, and Haircuts procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Youth shower daily and can brush their teeth. Youth shall be permitted to shower/bathe up on teeth after every meal. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1487 SHAVING Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of No documentation was provided for this identification in Court. All youth shall have equal section. The youth interviewed reported not opportunity to shave face and body hair. The facility ☒ ☐ ☐ receiving access to razors daily. Technical administrator may suspend this requirement in relation Assistance was provided notifying facility to youth who are considered to be a danger to managers that youth must have the option themselves or others. to shave daily. This was changed while we were onsite. Follow-up occurred and this issue was improved and corrected. 1488 HAIR CARE SERVICES (Excerpt) Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Youth interviewed stated they can receive Equipment shall be cleaned and disinfected after each haircuts and there were no complaints. haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 411: Bedding Issuance Clean laundered, suitable bedding and linens, in good All youth have all items required. ☒ ☐ ☐ repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Policy Section 411: Bedding Issuance meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations: (b) One pillow and a pillowcase unless provided for in Policy Section 411: Bedding Issuance ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Policy Section 411: Bedding Issuance (d) One towel; and, ☒ ☐ ☐ Policy Section 411: Bedding Issuance (e) One blanket or more, up on request ☒ ☐ ☐ Policy Section 411: Bedding Issuance 1501 BEDDING LINEN EXCHANGE Policy Section 1305: Clothing and Bedding Exchanges The facility administrator shall develop and implement site specific written policies and procedures for the Youth all stated they exchange sheets and scheduled exchange of laundered bedding and linen ☒ ☐ ☐ blankets every weekend. issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Policy Section 1305: Clothing and Bedding once a month. ☒ ☐ ☐ Exchanges 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1510 FACILITY SANITATION, SAFETY AND Policy Section 1322: Housekeeping, Section MAINTENANCE 1323: Housekeeping: Basic Cleaning Procedures for All Areas and Section 1324: The facility administrator shall develop and implement Housekeeping: Maintenance Procedures written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, Youth ensure that the cottages are clean, repair and safety throughout the facility. The plan shall and the youth ensure their rooms are clean. provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ Facility housekeeping ensure overall equipment, including restraint devices, and physical cleanliness and sanitizing of common plant maintenance and inspections to identify and spaces including the individual cottage correct unsanitary or unsafe conditions or work shared spaces. MSB ensures work orders practices in a timely manner. The use of chemicals shall are addressed and items that need to be be done in accordance to the product label and Safety fixed are. Data Sheet which may include the use of Personal Protection Equipment (PPE). 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON-REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☒ ☐ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐Vio ☒ ☐ Section 300 of the Welfare and Institutions Code (WIC) lation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐Vio ☒ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). lation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐Vio ☒ ☐ separated from minors. lation Adult inmates from an adult facility (e.g., inmate workers or “Scared Straight” programs) are not allowed ☐Vio ☒ ☐ in the facility in a manner that allows contact with lation minors. 7234 Los Angeles Dorothy Kirby Center Camp PRO 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: Pre-1998* BSCC Code: 7234 FACILITY NAME: FACILITY TYPE: Dorothy Kirby Center Camp CONSTRUCTION/REMODEL DATE(S): 1960 IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: FIELD REPRESENTATIVE: DATE: Lisa Southwell April 11-14, 2022 TITLE 24 SECTION YES NO N/A COMMENTS RECEPTION AREA (JH) Applies only to Juvenile Halls.  Holding Rooms: Contain 15 square feet per minor; Have sufficient seating to accommodate the rated  capacity based on floor space; Provide access to water closets and wash basins  at a ratio of a 1:8; and Provide access to drinking fountain.  Provide access to telephone.  Provide access to private room(s) for interviews.  MEDICAL EXAM SPACE (JH & CAMP) Space or room(s) afford privacy, are equipped to carry  out routine examinations and emergency care and have sufficient locked storage space for medical supplies. LIVING UNITS (JH AND SPJH) Applies only to Juvenile Halls and Special Purpose Juvenile Halls.  Living units are designed to accommodate no more than 30 minors and contain: Showers at a ratio of 1:6;  Washbasins at a ratio of 1:6;  Water closets at a ratio of 1:6 or water closet and  one urinal for every 15 boys; and, Access to a drinking fountain by minors and staff.  Doors of each sleeping room have a view panel (maximum of 144 square inches of shatter-proof glass  or plastic materials) that allows the visual supervision of all parts of the room. Hallways in the detention living units are at least eight feet wide. If rooms are located on only one side, or if  room doors are staggered, hallways are at least six feet wide. SINGLE ROOMS (JH, SPJH & CAMP) Contain a minimum of 500 cubic feet of air space and  63 cubic feet of floor space. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7234 Los Angeles Dorothy Kirby Center Camp PHY 20-22 - 1 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS DOUBLE ROOMS (JH, SPJH & CAMP)  Contain a minimum of 800 cubic feet of airspace and 100 square feet of floor space. DORMITORY SLEEPING AREAS (JH & CAMP)  Contain a minimum of 400 cubic feet of airspace and 50 square feet of floor space per minor. LOCKED SLEEPING ROOMS (JH, SPJH & CAMP) There are 3 locked sleeping rooms located in the Intensive Care Unit (ICU). Contain an individual or combination drinking fountain,  wash basin and toilet, unless a communication system or procedure is in effect to give minor immediate access to these fixtures. PLUMBING FIXTURES (CAMP) The following plumbing fixtures are adjacent to each  sleeping area: Shower or bathtub at a ratio of 1:6; Washbasins at a ratio of 1:10;  Access to toilets at a ratio of 1:10 or toilet and one  urinal for every 15 boys; and, Access to a drinking fountain.  BEDS AND MATTRESSES (JH, SPJH & CAMP) Beds and mattresses are:  A least 30 inches wide and 76 inches long; Spaced at least 36 inches apart and at least 12  inches off the floor; and, Mattresses are made of a fire retardant material.  INTERVIEW ROOMS (JH, SPJH & CAMP)  There is one interview room for each detention unit in juvenile halls and special purpose juvenile halls. There is a private room suitably equipped for  conferences and interviews in each camp. LIGHTING (JH, SPJH & CAMP) There are at least 50 foot candles of illumination at  desk level and, at night, there is a maximum illumination of two foot candles at bed level in individual and multiple occupancy rooms. ACADEMIC CLASSROOM (JH & CAMP) Each classroom contains a minimum of 160 square feet with a teacher's desk and work area, and a  minimum of 28 square feet per student. Classrooms should be designed for no more than 15 students. 98: Designed for no more than 20 students DINING SPACE (JH & CAMP)  There is a minimum of 15 square feet of space for each person being fed at any given time. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7234 Los Angeles Dorothy Kirby Center Camp PHY 20-22 - 2 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS PHYSICAL ACTIVITY SPACE (JH & CAMP) (See 2001 regulations for revised calculations.) There is indoor space consisting of at least 30 square  feet of clear space for each minor, which may be included in a day room, a recreational building, or a multipurpose space (gymnasium). There is outdoor and/or multipurpose (gymnasium) space consisting of:  No less than the equivalent of 90' X 100' outdoor and /or multipurpose space (gymnasium) for a facility with a capacity of 40 or less. No less than the equivalent of 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40, and a juvenile hall with a capacity between 41 to 100 minors. No less than the equivalent of two 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40 and a juvenile hall with a capacity in excess of 101 minors. Lighting is adequate for security and evening  recreational activities in camps. STORAGE SPACE (JH, SPJH & CAMP)  Each minor is provided 9 cubic feet of secure storage space for personal clothing and belongings. Camps shall have adequate space (12 square feet of floor area is recommended) for bulk and activity  storage equipment. MULTIPURPOSE SPACE OR ROOM (SPJH) Applies only to Special Purpose Juvenile Halls. There is a multipurpose space or room that provides space for reception, dining, recreation, exercise and/or  education. This room contains a minimum of: 30 square feet of clear floor space per minor in the  room; 10 feet by 20 feet floor dimensions; and,  1600 cubic feet of air space with a minimum  ceiling height of eight feet. SPECIAL PURPOSE JH EXEMPTIONS SPJHs are exempt from the following Pre-1998 Title 15 regulations: Section 4272(b) Medical exam rooms  Section 4272(m) Academic classrooms Section 4272(n) Dining space Section 4272(o) Physical activities space *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7234 Los Angeles Dorothy Kirby Center Camp PHY 20-22 - 3 - J455 PHY Pre-98.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: 7234 FACILITY: TYPE: RC: Dorothy Kirby Center Camp 80 FIELD REPRESENTATIVE: DATE: Lisa Southwell April 11-14, 2022 ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # # RC Total or T U W F S COMMENTS Designation Type Standards Rooms Beds RC Square/Cubic Feet Amber Pre-98 Dayroom 1 = 642 1 Restroom 1 2 3 3 Single 10 1 1 10 7’5” x 11’7” = 87 Emerald Pre-98 Dayroom 1 = 642 1 Restroom 2 3 3 Single 10 1 1 10 7’5” X 11’7” = 87 Garnet Pre-98 Dayroom 1 = 642 1 Restroom 1 2 3 3 . Single 10 1 1 10 7’5” x 11’7” = 87 Turquoise Pre-98 Dayroom 1 = 642 1 Restroom 1 2 3 3 Single 10 1 1 10 7’5” x 11’7” = 87 Amethyst Pre-98 Dayroom 1 = 642 1 Restroom 2 3 3 Single 10 1 1 10 7’7” x 11’7” = 88 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7234\ Los Angeles\ Dorothy Kirby Center\ Camp\ LASE\ 20-22 - 1 - J460 LAS JUV-05.dot (8/05) ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # # RC Total or T U W F S COMMENTS Designation Type Standards Rooms Beds RC Square/Cubic Feet Topaz Pre-98 Dayroom 1 = 642 1 Restroom 2 3 3 Single 10 1 1 10 7’5” x 11’7” = 87 Sapphire Pre-98 Dayroom 1 1 1 10 = 642 1 Restroom 1 2 2 Single 10 7’5” x 11’7” = 87 ICU Pre-98 Single 9’9-3/4” x 11- Dry rooms. There were no permanent beds 3 0 0 0 1/2” =89 in these rooms. Restroom 1 1 1 1 Diamond Pre-98 Single 1 24’ x 42’ = 1,008 1 1 Restroom 1 2 2 Single 10 1 1 10 9’7” x 7’6” = 72 HISTORICAL NOTES: Site includes 6 classrooms. Each unit has an attached patio. 2010-12: Changes made to the LASE during the 2011 inspection: Sapphire: Fixtures removed to allow installation of ADA compliant toilet (1 where there had been 2), showers (2 where there had been 3) and washbasins (2 where there had been 3). ICU: It was noted that there was only one shower where previously 2 were listed. Diamond: Fixtures removed to allow installation of ADA compliant toilet (1 where there had been 2) and washbasins (2 where there had been 3). 2012-14: Aqua, Amethyst and Topaz were vacant on the day of the inspection. 2014-2016 Inspection Cycle Notes: RC stands at 100 however the facility has removed beds to provide for programing space, mental health staff offices etc. Changes have occurred in a way beds can be re installed in a matter of a few days. 2016-2018 Inspection Cycle Notes: No change to RC 2016 2018 Inspection Cycle Notes: *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7234\ Los Angeles\ Dorothy Kirby Center\ Camp\ LASE\ 20-22 - 2 - J460 LAS JUV-05.dot (8/05) ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # # RC Total or T U W F S COMMENTS Designation Type Standards Rooms Beds RC Square/Cubic Feet 2018-2020 Inspection Cycle Notes: Inspection completed virtually. Updated RC to include the loss of 20 beds account for 20 beds for Camp Scott. Provided for information only** 2020-2022: Title 24: Your build is pre-98. You have several ligature points in the youth bathroom i.e. showers and sinks, exposed plumbing etc. You also have ligature issues with the beds. Staff should be very cognizant of this as this is a mental health facility. We would suggest that you immediately remove the handles and locks from your toilet stalls, especially the 7-foot-tall stalls. They create not only ligature points but the opportunity for the youth to lock themselves in a locked space. The short stalls with the locks also create ligature issues but also where staff have to reach over and expose their upper body, head, and face to possible violence to unlock the door to get the youth out. The doors should be heavy enough to close them for privacy. Suggestion to consider replacing two or three rooms’ beds with ligature resistant Norex or like kind beds to place youth who need it. Changes: Aqua. 5 to SYTF 5 to Scott Jade 10 to Scott *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7234\ Los Angeles\ Dorothy Kirby Center\ Camp\ LASE\ 20-22 - 3 - J460 LAS JUV-05.dot (8/05) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7255 FACILITY NAME: FACILITY TYPE: Camp Joseph Paige Camp Paige PERSON(S) INTERVIEWED: Jose Villar, Facility Director, Sheila Bryant, Facility Assistant Director: Officer Rodriquez, BSCC Coordinator, 3 Deputy Probation Officer, Michelle Muto, LCSW, JCHS and 3 youth. FIELD REPRESENTATIVE: Lisa Southwell DATE: April 25-27, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by Policy Section 2002: Types of Inspections and the Board of Supervisors to approve building safety; Evaluations 2020 The building inspection was completed by Tennyson D’sena on December 16, 2020. All areas needing correction were corrected. ☒ ☐ ☐ 2021 The building inspection was completed by Tennyson D’sena on August 10, 2021. No new deficiencies were noted. 2022 The inspection for 2022 has not yet been scheduled. (B) Fire authority having jurisdiction, including a fire Policy Section 2002: Types of Inspections and clearance as required by Health and Safety Code Evaluations ☒ ☐ ☐ Section 13146.1 (a) and (b); The fire inspections were completed on 08/05/2021. Fire clearance was granted. 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. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with Policy Section 2002: Types of Inspections and Health and Safety Code Section 101045; Evaluations 2020 Medical Mental Health: January 16, 21, and 29 2020 Corrections were required that were not corrected until November 2021. Nutrition: August 27, 2020 No corrections were required. Environmental Health: January 21, 2020 No corrections are required. 2021 Medical Mental Health: February 19 and ☒ ☐ ☐ March 12, 2021. Corrections were required. At re-inspection in November 2021, it was found that all corrections were made as required. Environmental Health: February 18, 2021 No corrections were necessary. Nutrition: February 18, 2021 No corrections were necessary. 2022 Medical Mental Health: Only the Medical Mental Health inspection has been completed. The inspector has stated there were no areas of noncompliance noted this year. Environmental health and nutritional health have not yet been completed due to staffing in public health at the time of inspection. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) County superintendent of schools on the adequacy Policy Section 2002: Types of Inspections and of educational services and facilities as required in Evaluations Section 1370; Education for the Camp Paige is provided by the Los Angeles County Office of Education. 2020 On December 15, 2020, Telka Walser, Director III, Stanislaus County Office of Education reviewed the facility education program. All areas were found to be in compliance. ☒ ☐ ☐ 2021 On December 21, 2021, Bruce Peterson, Executive Director of, the San Diego County Office of Education reviewed the facility education program. All areas were found to be in compliance. See Section 1370 for specific commentary from the 2021 report. 2022 The inspection for 2022 has not yet been scheduled. (E) Juvenile court as required by Section 209 of the Policy Section 2002: Types of Inspections and Welfare and Institutions Code Evaluations ☐ ☐ ☒ Juvenile Court inspections are not required for the Camps. (F) Juvenile Justice Commission as required by Section Policy Section 2002: Types of Inspections and 229 of the Welfare and Institutions Code or Probation Evaluations Commission as required by Section 240 of the Welfare and Institutions Code. The Probation Oversight Commission conducts annual inspections of the facility. 2020 The facility was not inspected in 2020 due to COVID and due to the Probation Commission being shifted to the Probation Oversight Commission. ☒ ☐ ☐ 2021 The facility was inspected on 11/16/2021 by Commissioners Meredith, Nong, Ochoa- Garcia, and Director Reynosa. 2022 The inspection for 2022 has been scheduled for August 5, 2022. All facility reports may be found at: https://poc.lacounty.gov/reports 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Letters dated December 20, 2021, and BSCC Note: Compliance with this section is January 26, 2022, were received from Chief determined by receipt of the Chief Probation Officer’s Probation Officer Gonzales certifying all staff certification letter confirming that all elements of appointments are pursuant to the applicable laws and that all staff present at the facility regulation are met. meet all required qualifications and (a) Appointment ☒ ☐ ☐ clearances, including non-employees. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test ☒ ☐ ☐ and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection ☒ ☐ ☐ and training requirements adopted by the Board pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- Per facility administrators, all contract employees of the facility, who may be present at the personnel, volunteers, and other non- facility, shall have such clearance and qualifications employees participate in background checks as as may be required by law, and their presence at the required by the Probation Department. facility shall be subject to the approval and control of the facility manager. ☒ ☐ ☐ Education staff is currently monitored by the County Office of Education; however, the Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access into the facility. 1321 STAFFING Each juvenile facility shall: 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS a) have an adequate number of personnel sufficient to Policy Section 206: Staffing carry out the overall facility operation and its Three nonconsecutive weeks of the Camp programming, to provide for safety and security of Paige facility staff schedule were reviewed youth and staff, and meet established standards and including the camp master schedule, a full regulations; staffing breakdown, and all facility non-sworn staff rosters were reviewed for non-sworn personnel. The facility was staffed appropriately for the number of youths housed. Random dates were selected throughout the cycle and staffing was viewed to ensure adequate personnel were present. Of all the documentation reviewed, we did not find any circumstances that would indicate that ☒ ☐ ☐ the facility was routinely non-compliant in staffing in this section. We found, for the days reviewed, the facility was adequately staffed. Technical assistance was provided to facility managers who were encouraged to review scenarios with supervisors and ensure they have a plan for staffing under certain circumstances that may occur throughout the course of running a 24-hour facility. We have found, across the board, RTSB facilities tend to rely on the neighboring facility as the backup plan should additional staff be needed when that facility may not have staff to lend. It is necessary to always ensure adequate staff and be prepared for emergent situations as well. b) ensure that no required services shall be denied Policy Section 206: Staffing because of insufficient numbers of staff on duty ☒ ☐ ☐ There is always a staff present in the dorm. absent exigent circumstances; Youth are not left alone. c) have a sufficient number of supervisory level staff to Policy Section 206: Staffing ensure adequate supervision of all staff members; The facility has 8 assigned supervisors, 2 of ☒ ☐ ☐ which were vacant at the time of the inspection. Supervisors are assigned to cover all shifts and are present and always awake. The two vacancies are in the process of being filled. d) have a clearly identified person on duty at all times Policy Section 206: Staffing who is responsible for operations and activities and We found the facility director maintains much has completed the Juvenile Corrections Officer Core control over the day-to-day operations of the Course and PC 832 training; ☒ ☐ ☐ facility. The duty supervisor is present and manages dorm and administrative issues at the direction of the facility director. Facility staff is responsible for the activities of the youth. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS e) have at least one staff member present on each Policy Section 206: Staffing living unit whenever there are youth in the living unit; ☒ ☐ ☐ There is always a staff present in the dorm or where a youth is present. Youth are not left alone. f) have sufficient food service personnel relative to the Policy Section 206: Staffing number and security of living units, including staff qualified and available to: plan menus meeting The facility has a full dining hall. All youth eat nutritional requirements of youth; provide kitchen their meals in the dining hall unless they refuse supervision; direct food preparation and servings; ☒ ☐ ☐ to leave the dorm. The dining hall is staffed by conduct related training programs for culinary staff; facility cooks who plan and prepare all meals. and maintain necessary records; or, a facility may Cooks do not supervise youth. serve food that meets nutritional standards prepared by an outside source; 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy Section 206: Staffing medical, dental, mental health, building Only sworn, child supervision staff supervise maintenance, transportation, control room, facility youth. security and other support staff for the efficient management of the facility, and to ensure that youth Medical staff (JCHS) are onsite daily between supervision staff shall not be diverted from 7:00 AM and 8:00 PM. Nurses provide general supervising youth; and, care, medication management, and emergency response. All other medical treatment occurs by appointment at Central Juvenile Hall. Youth have access to Dental Clinics and various other specialty care. Mental Health Staff is available between 8:00 AM and 8:30 PM, 7 days a week. There are also clinical supervisors on shift as well. Youth are assigned a clinician and those youth who may be struggling may be assigned to two clinicians on two shifts for more coverage. Family therapy is offered to those youth who would benefit from this service. Youth may also be assigned to individual counseling, psychiatric services, crisis intervention, aftercare planning, multi- disciplinary team collaboration, and ☒ ☐ ☐ transitional housing assistance. These services are dependent on each youth’s individual needs. There is always a clinical officer of the day who is assigned a radio who monitors radio traffic and responds accordingly and as needed. As- needed MDTs will be initiated for youth who need them to engage the multi-disciplinary team. Youth are placed in DBT and in substance abuse treatment as needed. While clinicians are onsite for groups, youth may see their therapist upon request, otherwise, each youth who is assigned a specific therapist/clinician has a set meeting date and time. A large component of the mental health program is transition planning. MH is instrumental in this process, working with all partners to develop a detailed plan. Collaboration has been key in working towards the best interest of the youth, not only in their transition but in their full camp program. h) assign sufficient youth supervision staff to provide Policy Section 206: Staffing 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: 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Camps (minimum youth -staff ratio) Policy Section 206: Staffing (A) during the hours that youth are awake, one wide- ☒ ☐ ☐ Compliant 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 Policy Section 206: Staffing for the purpose of sleeping, one wide-awake youth ☒ ☐ ☐ Compliant supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff Policy Section 206: Staffing members on duty at all times, regardless of the number of youth in residence, unless arrangements ☒ ☐ ☐ Compliant have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty Policy Section 206: Staffing who is the same gender as youth housed in the ☒ ☐ ☐ facility; Compliant (E) in addition to the minimum staff to youth ratio Policy Section 206: Staffing 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 Policy Section 206: Staffing such as administration, supervision of personnel, academic or trade instruction, clerical, farm, forestry, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF Policy Section 2104: Professional ORIENTATION AND TRAINING Development and Training (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented A training officer is assigned to each officer to their duties, including: when reporting to the facility. The training officer is assigned to assist with the facility- specific training. ☒ ☐ ☐ Reviewed the training packets for the last 6 officers who were assigned to and began work at Camp Paige. Officers began on 1/14/2021, 08/19/2021, 09/18/2021, 09/28/2021, 09/30/2021, and on 12/19/2021. All training packets were signed off by the staff member and the training officer. (1) youth supervision duties; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) scope of decisions they shall make; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (3) the identity of their supervisor; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) the identity of persons who are responsible to Policy Section 2104: Professional them; ☒ ☐ ☐ Development and Training (5) persons to contact for decisions that are beyond Policy Section 2104: Professional their responsibility; and ☒ ☐ ☐ Development and Training (6) ethical responsibilities. Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (b) Prior to assuming any responsibility for the Policy Section 2104: Professional supervision of youth, each youth supervision staff Development and Training member shall receive a minimum of 40 hours of facility-specific orientation, including: Staff is trained through review of facility- ☒ ☐ ☐ specific operations, Title 15 specific regulation/policy, and shadow work. Documentation was provided of the most recent incoming staff. All documentation was documented thoroughly. (1) individual and group supervision techniques; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) regulations and policies relating to discipline and Policy Section 2104: Professional rights of youth pursuant to law and the provisions ☒ ☐ ☐ Development and Training of this chapter; (3) basic health, sanitation and safety measures; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) suicide prevention and response to suicide Policy Section 2104: Professional attempts ☒ ☐ ☐ Development and Training (5) policies regarding use of force, de-escalation Policy Section 2104: Professional techniques, chemical agents, mechanical and ☒ ☐ ☐ Development and Training physical restraints; (6) review of policies and procedures referencing Policy Section 2104: Professional trauma and trauma-informed approaches; ☒ ☐ ☐ Development and Training (7) procedures to follow in the event of Policy Section 2104: Professional emergencies; ☒ ☐ ☐ Development and Training (8) routine security measures, including facility Policy Section 2104: Professional perimeter and grounds; ☒ ☐ ☐ Development and Training (9) crisis intervention and mental health referrals to Policy Section 2104: Professional mental health services; ☒ ☐ ☐ Development and Training (10) documentation; and Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (11) fire/life safety training Policy Section 2104: Professional ☒ ☐ ☐ Development and Training 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Prior to assuming sole supervision of youth, each Policy Section 2104: Professional youth supervision staff member shall successfully Development and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer Policy Section 2104: Professional youth supervision staff shall successfully complete Development and Training ☒ ☐ ☐ training pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy Section 2104: Professional Whenever there is a youth in a juvenile facility, there shall Development and Training be at least one wide awake person on duty at all times ☒ ☐ ☐ who meets the training standards established by the All staff is to always be awake while on duty. Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL The RTSB camp operations manual has been All facility administrators shall develop, publish, and provided for review. We have reviewed the implement a manual of written policies and procedures agency’s Policy and Procedure as provided, that address, at a minimum, all regulations that are specific to regulations and have confirmed the applicable to the facility. Such a manual shall be made policies and procedure exist as cited. available to all employees, reviewed by all employees, and shall be administratively reviewed at a minimum Staff accesses the manual online via the every two years, and updated, as necessary. Those ☒ ☐ ☐ agency intranet. There is also a hard copy in records relating to the standards and requirements set the facility. Staff complete sign-offs as the new forth in these regulations shall be accessible to the Board policy is released. This is a new requirement in on request. Policy Section 1324. Documentation of staff The manual shall include: sign off dates was provided for our review. The policy manual was last reviewed and updated in March 2022. (a) table of organization, including channels of The manual has a table of contents. The communications and a description of job agency’s channel of communication follows the classifications; chain of command. Policy Sections are as follows: • 101: Vision, Mission, and Core Values • 102: Role of the Camp System ☒ ☐ ☐ • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff • 207: Organizational Chart (b) responsibility of the probation department, purpose Policy Sections are as follows: of programs, relationship to the juvenile court, the  101: Vision, Mission, and Core Values Juvenile Justice/Delinquency Prevention Commission or Probation Committee, probation  102: Role of Camp System staff, school personnel and other agencies that are  908: Medical Services ☒ ☐ ☐ involved in juvenile facility programs;  910: Mental Health Services  911: Educational Services  1005: CBO’s  1006: Volunteers 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) responsibilities of all employees; Policy Sections are as follows: • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB ☒ ☐ ☐ Management • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff (d) initial orientation and training program for Policy Section 2104: Professional employees; Development and Training ☒ ☐ ☐ See Section 1322 (e) initial orientation, including safety and security issues Policy Section 2200: Non-Sworn Personnel and anti-discrimination policies, for support staff, and Partner Agencies Handbook contract employees, school, mental/behavioral ☒ ☐ ☐ health and medical staff, program providers and The facility provided documentation of initial volunteers; signoffs and updates from non-sworn staff since the last inspection. (f) maintenance of record-keeping, statistics and Policy Sections 701: Case Planning and communication system to ensure: ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (1) efficient operation of the juvenile facility; Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (2) legal and proper care of youth; Policy Section 701: Case Planning and ☒ ☐ ☐ Procedures Introduction (3) maintenance of individual youth's records; Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (4) supply of information to the juvenile court and Policy Sections 701: Case Planning and those authorized by the court or by the law; and, ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (5) release of information regarding youth. Policy Sections 701: Case Planning and ☒ ☐ ☐ Procedures Introduction and Section 702: General Duties and Responsibilities (g) ethical responsibilities; ☒ ☐ ☐ Policy Section 2130: Employee Honesty (h) trauma-informed approaches; Policy Section 518: Trauma Informed ☒ ☐ ☐ Approaches (i) culturally responsive approaches; Policy Section 519: Culturally Responsive ☒ ☐ ☐ Approaches (j) gender responsive approaches; Policy Section 517: Promoting Dignity for ☒ ☐ ☐ Female Youth Housed in RTSB (k) a non-discrimination provision that provides that all Policy Section 2110: Non-Discrimination youth within the facility shall have fair and equal Policy access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group ☒ ☐ ☐ identification, ancestry, national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (l) storage and maintenance requirements for any Policy Section 1922: Weapons and chemical agents related security devices, and ☒ ☐ ☐ Ammunition weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy Section 706: Case Plan Activities Cal eligibility information and enrollment of eligible youth; and, ☒ ☐ ☐ The Camp casework PO makes the necessary referrals upon release from camp which include a referral to Medi-Cal if appropriate. (n) establishment of a policy that prohibits all forms of Policy Section 1600: Prison Rape Elimination sexual abuse, sexual assault and sexual Act harassment. The policy shall include an approach to preventing, detecting and responding to such ☒ ☐ ☐ All staff are currently trained per bureau conduct and any retaliation for reporting such consultant staff. conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy Section 1910: Fire Prevention and The facility administrator shall consult with the local fire Suppression department having jurisdiction over the facility, or with the ☒ ☐ ☐ State Fire Marshal, in developing a plan for fire safety The facility has a specific building emergency which shall include, but not be limited to: plan that includes all emergency preparedness including fire suppression. a) a fire prevention plan to be included as part of the Policy Section 1910: Fire Prevention and ☒ ☐ ☐ manual of policy and procedures; Suppression b) monthly fire and life safety inspections by facility Policy Section 1910: Fire Prevention and staff with two- year retention of the inspection Suppression record; All monthly fire and life safety inspections have been completed as required. All reports were completed as required and ☒ ☐ ☐ provided for our review. The documentation was legible well-organized. All inspections were completed timely and in the beginning of the month. This is specific to Camp Paige and Camp Afflerbaugh’ s MSB supervisor. We appreciate his extra efforts at always going the extra mile in his duties. c) fire prevention inspections as required by Health Policy Section 1910: Fire Prevention and and Safety Code Section 13146.1(a) and (b); Suppression ☒ ☐ ☐ See 1322 above. d) an evacuation plan; Policy Section 1910: Fire Prevention and Suppression ☒ ☐ ☐ The evacuation plan is provided as part of the building emergency plan. Evacuation maps are posted in the dorm. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS e) documented fire drills not less than quarterly; Policy Section 1910: Fire Prevention and Suppression Fire Drills have been completed as required. Facility provided the summary sheet for fire drills. It is unknown if the full facility, i.e. staff, youth and partners, participate in the drills. It was also noted that not all shifts participate in the drills. ☒ ☐ ☐ Technical assistance provided to ensure that all shifts are a part of the quarterly drill going forward. Facility used several different forms to document their drills. Suggestion to the Bureau that a consistent form be required that addresses all areas of policy/procedure, be included to ensure that all partners are identified, and all youth and that all shifts were covered. f) a written plan for the emergency housing of youth in Residential Treatment Services Bureau the case of fire; and, (RTSB) Manual-1917: Emergency Evacuation ☒ ☐ ☐ Emergency housing will occur at one of the camps or a juvenile hall dependent on location of the fire and a safe route of travel. g) development of a fire suppression pre-plan In No record was provided for 2021, but the cooperation with the local fire department. Building Emergency Plan was completed for ☒ ☐ ☐ 2022 by Director Villar with Los Angeles County Fire Department Captain Eric Arellano-Station 102. 1326 SECURITY REVIEW Security Reviews were completed for 2020, 2021, and 2022 by the previous director for Each facility administrator shall develop policies and Camp Rockey. These reports were completed procedures to annually review, evaluate, and document on May 6, 2020, Feb 12, 2021, and January 20, security of the facility. The review and evaluation shall 2022. include internal and external security, including, but not limited to, key control, equipment, and staff training. ☒ ☐ ☐ These reviews were specific only to construction or projects upgrades and not to the security of the facility. While technically noncompliant, the new facility administrator addressed this and, along with the onsite MSB Camp Services Manager Clausell, completed a thorough Security Review of the Camp facility. 1327 EMERGENCY PROCEDURES The facility Policy Section 1902: Emergency Drills administrator shall develop facility-specific policies and ☒ ☐ ☐ procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; Policy Sections: 1907: Escapes ☒ ☐ ☐ 1909: Major Disturbances 1914: Hostages 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) civil disturbance, active shooter and terrorist attack; Policy Sections: 1908: Outside Intruder 1915: Active Shooter ☒ ☐ ☐ 1916: Terrorist Attack 1918: Major Emergency including Civil Disturbance (c) fire and natural disasters; Policy Sections: ☒ ☐ ☐ 1910: Fire Prevention and Suppression 1913: Earthquake (d) periodic testing of emergency equipment; Policy Sections: 1921: Testing of Equipment ☒ ☐ ☐ Los Angeles County Internal Services Department (ISD) conducts monthly and “as- needed” testing in coordination with MSB. (e) emergency evacuation of the facility; and Policy Sections: ☒ ☐ ☐ 1917: Emergency Evacuation (f) a program to provide all youth supervision staff with Policy Sections: an annual review of emergency procedures. 1903: Staff Roles and Responsibilities ☒ ☐ ☐ All active staff completed their emergency procedure review in February and March 2022. 1328 SAFETY CHECKS Policy Sections: 1313: Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual Reviewed February 2-15, 2022, and February observation of youth at a minimum of every 15 minutes, 16-23, 2022. We found that safety checks at random or varied intervals during hours when youth were not random and varied as they should be. are asleep or when youth are in their rooms, confined in Technical assistance was provided, and a holding cells or confined to their bed in a dormitory. discussion held regarding safety checks in a Supervision is not replaced, but may be supplemented dorm setting. The bureau issued a training ☒ ☐ ☐ by, an audio/visual electronic surveillance system bulletin regarding random and varied safety designed to detect overt, aggressive or assaultive checks. Additional checks were reviewed, behavior and to summon aid in emergencies. All safety while onsite and in the weeks that followed, checks shall be documented with the actual time the and it was noted that the issue was improved check is completed. but that continued improvement will need to occur to ensure compliance. This will be an area that is closely reviewed in the next cycle for compliance. 1329 SUICIDE PREVENTION PLAN Policy Section 1201: Suicide Prevention Plan The facility administrator, in collaboration with the healthcare and behavioral/mental health The Suicide Prevention Plan was developed in administrators, shall plan and implement written policies collaboration with the Department of Mental and procedures which delineate a Suicide Prevention Health (DMH), Juvenile Court Health Services Plan. (JCHS), and the Los Angeles County Office of Education (LACOE). The plan shall consider the needs of youth experiencing ☒ ☐ ☐ past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Suicide prevention training as required in Policy Section 1203: Suicide Prevention Policy Section 1322, Youth Supervision Staff for Juvenile Facilities and Policy Section 2104: Orientation, and Training and the Juvenile ☒ ☐ ☐ Professional Development and Training Corrections Officer Core Course. All staff is trained in suicide prevention. (b) Screening, Identification Assessment and Policy Section 1203: Suicide Prevention Policy Precautionary Protocols for Juvenile Facilities (1) All youth shall be screened for risk of suicide at intake and as needed during ☒ ☐ ☐ Youth are screened upon intake and are detention. always being monitored by staff regarding their mental health status. (2) All youth supervision staff who perform Policy Section 1203: Suicide Prevention Policy intake processes shall be trained in for Juvenile Facilities ☒ ☐ ☐ screening youth for risk of suicide. All staff have been trained. (3) All youth who have been identified during Policy Section 1203: Suicide Prevention Policy the intake screening process to be at risk of for Juvenile Facilities suicide shall be referred to behavioral/mental health staff for a suicide At intake, youth are orientated by Probation risk assessment. and then are seen by DMH staff directly ☒ ☐ ☐ following for their intake. If found to be suicidal, the youth can be moved from the facility to a facility with a HOPE Center for a higher level of supervision status or to whatever meets the youth’s needs. (4) Precautionary protocols shall be developed Policy Section 1203: Suicide Prevention Policy to ensure the youth’s safety pending the for Juvenile Facilities behavioral/mental health assessment. ☒ ☐ ☐ Youth are placed on Level and a special watch status until cleared by mental health. Documentation is consistent to this. (c) Referral process to behavioral/mental health Policy Section 1203: Suicide Prevention Policy staff for assessment and/or services. for Juvenile Facilities Youth are referred either directly or by referral for service. Youth are also seen as a matter of practice. ☒ ☐ ☐ The facility provided documentation of a youth who was placed on a Level 3 by facility behavior health staff. He remained in the camp on a one-on-one supervision plan. The youth successfully transferred back to a Level 1. (d) Procedures for monitoring of youth identified at Policy Section 1202: Enhanced Specialized risk for suicide. Supervision: Enhanced Supervision Requirements, Level 3 Enhanced Supervision Requirements and Policy Section 1203: Suicide Prevention Policy for Juvenile ☒ ☐ ☐ Facilities Youth are placed on the facility alert log as appropriate. See the above comment. This youth was placed on Level 3 and noted in the Alert Log. (e) Safety Interventions 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Procedures to address intervention Policy Section 1202: Enhanced and protocols for youth identified at risk for Specialized Supervision Requirements of ☒ ☐ ☐ suicide which may include, but are not Youth in Juvenile Facilities limited to: A. Housing consideration Policy Section 1202: Enhanced and Specialized Supervision Requirements of Youth in Juvenile Facilities Dependent on the facility, youth may remain in their current camp or may be transferred to the ☒ ☐ ☐ HOPE Center at Camp Rockey. In one incident, the youth remained at the camp. The Specialized Supervision Plan provides direction to staff on housing considerations for youth. SSP’s only occur at Camp Rockey or at the camps with a HOPE Center. B. Treatment strategies including Policy Section 1203: Suicide Prevention Policy trauma-informed approaches for Juvenile Facilities ☒ ☐ ☐ Youth requiring ongoing specialized response to self-harm is referred for an emergency Multi- Disciplinary Team (MDT) meeting to determine the next steps. (2) Procedures to instruct youth supervision Policy Section 1202: Enhanced and staff how to respond to youth who exhibit Specialized Supervision Requirements of suicidal behaviors. Youth in Juvenile Facilities and Policy Section ☒ ☐ ☐ 1203: Suicide Prevention Policy for Juvenile Facilities to 1200-48, Suicide Attempt Procedures (f) Communication Policy Section 1203: Suicide Prevention Policy (1) The intake process shall include for Juvenile Facilities communication with the arresting officer and family guardians regarding the youth’s Facility intake officers contact the youth’s past or present suicidal ideations, behaviors parents and ask questions regarding their or attempts. child’s mental health history. ☒ ☐ ☐ Documentation is completed with the parent/guardian seeking information regarding the youth’s history of any suicidal behavior. Communication is also had with the transporting staff. All documentation reviewed was consistent and included in this communication. (2) Procedures for clear and current Policy Section 1203: Suicide Prevention Policy information sharing about youth at risk for for Juvenile Facilities (Policy) Request for suicide with youth supervision, healthcare, Mental Health Consultation. and behavioral/mental health staff. ☒ ☐ ☐ If any partner agency becomes aware of any youth who may wish to harm themselves, they would provide one-on-one supervision and contact the facility staff. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Debriefing of Critical Incidents Related to Policy Section 1203: Suicide Prevention Policy Suicides or Attempts for Juvenile Facilities (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention Policy staff. for Juvenile Facilities ☒ ☐ ☐ Critical Stress Briefing (3) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention Policy youth. for Juvenile Facilities ☒ ☐ ☐ Critical Stress Briefing (h) Documentation Policy Section 1203: Suicide Prevention Policy (1) Documentation processes shall be for Juvenile Facilities developed to ensure compliance with this ☒ ☐ ☐ regulation A formal report is provided to the Bureau Chief regarding the incident. Youth identified at risk for suicide shall not be denied Policy Section 1202: Enhanced and the opportunity to participate in facility programs, Specialized Supervision Requirements for services and activities which are available to other non- Youths in Juvenile Facilities suicidal youth, unless deemed necessary for the safety ☒ ☐ ☐ of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy Section 203: Duty Statements, RTSB Each facility shall submit to the Board a letter of Management notification on each legal action, pertaining to conditions ☒ ☐ ☐ of confinement, filed against persons or legal entities Notification of legal action will be sent directly responsible for juvenile facility operation. to the Board to the attention of Chair Linda Penner. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy Section 1919: Deaths at Camp Facilities OF A YOUTH WHILE DETAINED (1) Death of a Youth. The policy was developed in cooperation with (a) The facility administrator, In cooperation with the Juvenile Court Health Services (JCHS) and health administrator and the behavioral/mental Department of Mental Health (DMH). health director, shall develop written policies and procedures in the event of the death of a youth ☒ ☐ ☐ A memo was received from Director Villar while detained, which include notifications to noting there were no incidents pursuant to this necessary parties, which may include the Juvenile section. Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. No incidents to report. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) The health administrator, In cooperation with the Policy Section 1919: Deaths at Camp Facilities facility administrator, shall develop written policies and procedures to assure there is a medical and Marked compliant due to policy. No incidents operational review of every in-custody death of a to report. youth. ☒ ☐ ☐ The review team shall include the facility administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Policy Section 1919: Deaths at Camp Facilities Board a copy of the report submitted to the Attorney General under Government Code Section 12525. A ☒ ☐ ☐ Marked compliant due to policy. No incidents copy of the report shall be submitted to the Board to report. within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy Section 1919: Deaths at Camp Facilities the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, Marked compliant due to policy. No incidents lockup or court holding facility pursuant to the ☒ ☐ ☐ to report. provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy Section 1920: Serious Illness or Injury (a) The facility administrator, In cooperation with the of a Youth While Detained health administrator, shall develop written policies and procedures for the notification to necessary Memo was provided by the facility director ☒ ☐ ☐ parties, which may include the Juvenile Court, the stating there were no serious illnesses or parent, guardian or person standing in loco parentis injuries within the cycle. and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy Section 203: Duty Statements, RTSB Each juvenile facility shall submit required population Management and profile survey reports to the Board within 10 working days after the end of each reporting period, in The camp director is responsible to ensure this a format to be provided by the Board. information is provided to the BSCC. Population Reports have been provided ☒ ☐ ☐ quarterly and entered into the Juvenile Detention Profile Survey timely. The facility provided documentation of their daily population sheet for the week prior to the inspection. The population the day of the inspection was 23. 1343 JUVENILE FACILITY CAPACITY Policy Section 203: Duty Statements, RTSB When the number of youth detained in a living unit of a Management juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility The facility has not exceeded the rated administrator shall provide a crowding report to the capacity this cycle. Board in a format provided by the Board. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350 ADMITTANCE PROCEDURES Policy Section 502: Orientation Process and The facility administrator shall develop and implement Handbook written policies and procedures for admittance of youth that emphasize respectful and humane engagement The facility has had minimal admissions in the with youth, and reflect that the admission process may past 3 months. Admissions from December be traumatic to youth who may have already ☒ ☐ ☐ through March 2022 were reviewed. 2 experienced trauma. Policies shall be trauma-informed, admissions in December 2021, 2 in February culturally relevant, and responsive to the language and 2022 and 1 in March 2022 were provided. All literacy needs of youth. In addition to the requirements documentation was completed, and the facility of Sections 1324 and 1430 of these regulations: had 100 percent compliance in all areas of this regulation. (a) the admittance process shall include: Policy Section 502: Orientation Process and (1) Access to two free phone calls within one hour Handbook of admittance in accordance with the provisions ☒ ☐ ☐ of Welfare and Institution Code Section 627; The youth interviewed noted they were able to make their calls home to their parents to let them know of their transfer. (2) Offer of a shower; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Youth are offered to shower upon arrival. Compliant (3) Documented secure storage of personal Policy Section 502: Orientation Process and belongings; Handbook ☒ ☐ ☐ Youth do not bring their personal belongings with them to the camps. Parents are notified at release that their belongings are available for pick up at the Juvenile Hall. Offer of food upon arrival; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Youth stated they were offered a snack when they arrived at the camp. All had said they had breakfast prior to arrival. (4) Screening for physical and behavioral health Policy Section 402: Assessment and and safety issues, intellectual or developmental Classification disabilities; ☒ ☐ ☐ All youth are screened and cleared prior to transfer. Youth are again screened upon entry as part of the admission process. (5) Screening for physical and developmental Policy Section 402: Assessment and disabilities in accordance with Sections 1329, Classification ☒ ☐ ☐ 1418, and 1430 of these regulations; Same as above. Contact with Regional Center for the Developmentally Policy Section 502: Orientation Process and Disabled for youth that are suspected of or identified Handbook as having a developmental disability, pursuant to Section 1418; and, N/A ☒ ☐ ☐ Youth who are suspected of being developmentally disabled are screened out prior to the camp commitment. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Procedures consistent with Section 1352.5. Policy Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex Youth in an ☒ ☐ ☐ Institutional Setting juvenile hall administrators shall establish written N/A criteria for detention that considers the least restrictive ☐ ☐ ☒ environment. (b) juvenile camps and post-dispositional programs in Policy Section 502: Orientation Process and juvenile halls shall develop policies and Handbook procedures that advise the youth of the estimated ☒ ☐ ☐ length of stay, inform them of program guidelines All admission packets reviewed had a and provide written screening criteria for inclusion completed Notification of Release and exclusion from the program. documented. (c) juvenile halls shall develop policies and N/A procedures that advise any committed youth of the ☐ ☐ ☒ estimated length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy Section 402: Assessment and ABUSE Classification and 503: Screening for the Risk The facility administrator shall develop and implement of Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require 5 admissions were reviewed which included facility staff to assess each youth within 72 hours of the screening for victim vulnerability/ admission based on the following information: abusiveness assessments. These screenings begin prior to camp entry with a documentation review completed at the Camp Assessment Unit (CAU) and are completed again upon the youth’s entry to the camp by the camp ☒ ☐ ☐ orientation officer. All screenings were timely, completed as required, and were compliant with regulations. The assessment tool is maintained in an electronic database with limited access by staff. It is password-protected, and only certain staff have access. Youth interviewed noted they all completed this assessment during their admission process. (a) Prior sexual victimization or abusiveness; Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse (b) Gender nonconforming appearance or manner; Policy Section 402: Assessment and or identification as lesbian, gay or bisexual, Classification and 503: Screening for the Risk transgender, queer or intersex, and whether the of Sexual Abuse ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Age Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse (e) Level of emotional and cognitive development; Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse (f) Physical size and stature; Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse (g) Mental illness or mental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse (h) Intellectual or developmental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse (i) Physical disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse (j) The youth’s perception of vulnerability; and, Policy Section 402: Assessment and Classification and 503: Screening for the Risk ☒ ☐ ☐ of Sexual Abuse (k) Any other specific information about the Policy Section 402: Assessment and individual youth that may indicate heightened Classification and 503: Screening for the Risk needs for supervision, additional safety ☒ ☐ ☐ of Sexual Abuse precautions, or separation from certain other youth. Staff shall ascertain this information through Policy Section 503: Screening for the Risk of conversations with the youth during the admittance Sexual Abuse process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy Section 503: Screening for the Risk of controls on the dissemination of information within the Sexual Abuse facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1351 RELEASE PROCEDURES Policy Section 809: Release Procedures The facility administrator shall develop and implement written policies and procedures for release of youth The facility had 1 release in January 2022 and from custody which provide for: 2 in February 2022. Documentation was reviewed and it was determined that all releases were conducted in compliance with regulatory standards. Camp Paige had included a release checklist which ensured additional oversight and QA. Facility partners (medical, mental health, and education) are aware of all pending releases through the Transitional MDT process and updates but are not made physically aware of the release until the day of unless the youth being released takes medication and/or through other facility communication. ☒ ☐ ☐ We were provided additional documentation showing facility partners are notified of the release as Camp Paige implemented a process in March for each partner to be actively involved in the release of the youth. The youth must be signed out of the facility by a representative of each agency to ensure they have their medications, all mental health referrals, and their current transcripts. This process was implemented by the BSCC coordinator to improve communication and ensure regulatory compliance. This is a great example of enhancing a process for the betterment of the youth and for the ease of staff. Great job in looking to improve the process. (a) verification of identity/release papers; ☒ ☐ ☐ Policy Section 809: Release Procedures (b) return of personal clothing and valuables; ☒ ☐ ☐ Policy Section 809: Release Procedures (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Policy Section 809: Release Procedures (d) notification to the facility health care provider in Policy Section 809: Release Procedures accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; Policy Section 809: Release Procedures Notification is made at the MDT meeting with an additional day of release notice being ☒ ☐ ☐ made. Proof of practice documentation provided that youth are receiving their transcripts and a copy is being sent to their home school. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) notification of facility mental health personnel. Policy Section 809: Release Procedures Notification is made for behavioral health at the MDT meeting with the additional day of release notice being made. ☒ ☐ ☐ Proof of practice documentation provided that youth are receiving documentation from Mental Health as part of their release process if appropriate. The facility administrator shall develop and implement Policy Section 809: Release Procedures policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and See 1355 behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Policy Section 1802: Private Appointments written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. RTSB does not offer furloughs. 1352 CLASSIFICATION Policy Section 809: Release Procedures and The facility administrator shall develop and implement Section 402: Assessment and Classification written policies and procedures on classification of Policy youth for the purpose of determining housing placement ☒ ☐ ☐ in the facility. 5 assessments and classifications were Such procedures shall: provided for review. All initial classifications were completed in compliance with regulatory requirements. (a) provide for the safety of the youth, other youth, Policy Section 402: Assessment and facility staff, and the public by placing youth in the Classification Policy appropriate, least restrictive housing and program settings. Housing assignments shall consider the ☒ ☐ ☐ Youth are prescreened and sent to the need for single, double or dormitory assignment or appropriate camp by the CAU. Once at camp, location within the dormitory; all youth are assigned to a dorm side which would be their personal best fit in the dorm. (b) consider facility populations and physical design of Policy Section 402: Assessment and the facility; Classification Policy ☒ ☐ ☐ (c) provide that a youth shall be classified upon Policy Section 402: Assessment and admittance to the facility; classification factors shall Classification Policy include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ legal status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, including Policy Section 402: Assessment and provisions that consider the level of supervision and Classification Policy the youth's behavior while in custody; and, Periodic classifications are to be completed during weekly caseload meetings between the camp DPO and the youth and are to be ☒ ☐ ☐ documented accordingly. We did not find any documentation of this in the case notes. Technical assistance was provided regarding proper documentation. Additional documentation was requested and reviewed. This issue has since been corrected. (e) provide that facility staff shall not separate youth Policy Section 402: Assessment and from the general population or assign youth to a Classification Policy single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy Section 402: Assessment and transgender, questioning or intersex identification or Classification Policy ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 403: Juvenile Supervision of The facility administrator shall develop written policies Lesbian, Gay, Bisexual, Transgender, and procedures ensuring respectful and equitable Questioning and Intersex Youth in an treatment of transgender and intersex youth. The Institutional Setting policies shall provide that: ☒ ☐ ☐ There was no transgender youth at Camp Paige at the time of inspection. Camp staff updated the Initial Intake Screening/Referral Questionnaire document to include Gender Preference documentation for searching. (a) Facility staff shall respect every youth’s gender Policy Section 403: Juvenile Supervision of identity, and shall refer to the youth by the youth’s Lesbian, Gay, Bisexual, Transgender, preferred name and gender pronoun, regardless of Questioning and Intersex Youth in an the youth’s legal name. Facilities may prohibit the Institutional Setting use of gang or slang names or names that ☒ ☐ ☐ otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy Section 403: Juvenile Supervision of themselves in a manner consistent with their Lesbian, Gay, Bisexual, Transgender, gender identity, and shall provide youth with the ☒ ☐ ☐ Questioning and Intersex Youth in an institution’s clothing and undergarments consistent Institutional Setting with their gender identity. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Facility staff shall house youth in the unit or room Policy Section 403: Juvenile Supervision of that best meets their individual needs, and Lesbian, Gay, Bisexual, Transgender, promotes their safety and well-being. Staff may not Questioning and Intersex Youth in an automatically house youth according to their Institutional Setting external anatomy, and shall document the reasons for any decision to house youth in a unit that does ☒ ☐ ☐ Final housing determination for a transgender not match their gender identity. In making a housing or intersex youth shall be made by the decision, staff shall consider the youth’s Superintendent/Regional Director or designee preferences, as well as any recommendations from with guidance from behavioral health; the youth’s health or behavioral health provider. however, the dorm is an open setting. This has not yet been an issue. (d) Facility administrators shall ensure that Policy Section 403: Juvenile Supervision of transgender and intersex youth have access to Lesbian, Gay, Bisexual, Transgender, medical and behavioral health providers qualified to ☒ ☐ ☐ Questioning and Intersex Youth in an provide care and treatment to transgender and Institutional Setting intersex youth. Medical policies (e) Consistent with the facility’s reasonable and Policy Section 403: Juvenile Supervision of necessary security considerations and physical Lesbian, Gay, Bisexual, Transgender, plant, facility staff shall make every effort to ensure Questioning and Intersex Youth in an the safety and privacy of transgender and intersex Institutional Setting youth when the youth are using the bathroom or ☐ ☐ ☒ shower, or dressing or undressing. At the time of inspection, the camp has not had a transgender youth assigned. The restrooms at the camp are open. This will be addressed as youth are ordered to the camp. Facility staff shall not conduct physical searches of any Policy Section 403: Juvenile Supervision of youth for the purpose of determining the youth’s Lesbian, Gay, Bisexual, Transgender, anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ Questioning and Intersex Youth in an respect the youth’s preference regarding the gender of Institutional Setting the staff member who conducts any search of the youth. 1353 ORIENTATION Policy Section 502: Orientation Process The facility administrator shall develop and implement Handbook written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal All youth are oriented upon entry. Five information shall be provided and supplemented with orientation documents were reviewed, and all ☒ ☐ ☐ video orientation if feasible. Provision shall be made to were completed timely and consistent with provide accessible orientation information to all regulatory requirements. detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches Policy Section 502: Orientation Process ☒ ☐ ☐ and disciplinary procedures; Handbook (b) facility’s system of positive behavior interventions Policy Section 502: Orientation Process and supports, including behavior expectations, Handbook incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result Youth receive a copy of the Behavior when youth violate the rules of the facility; Management Handbook/Al Jones Program at orientation for review as well. (c) age appropriate information that explains the Policy Section 502: Orientation Process facility’s policy prohibiting sexual abuse and sexual Handbook ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) the existence of the grievance procedure, the steps Policy Section 502: Orientation Process that must be taken to use it, the youth’s right to be Handbook free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue (f) access to legal services and information on the Policy Section 502: Orientation Process ☒ ☐ ☐ court process; Handbook (g) access to routine and emergency health and mental Policy Section 502: Orientation Process ☒ ☐ ☐ health care; Handbook (h) access to education, religious services, and Policy Section 502: Orientation Process ☒ ☐ ☐ recreational activities; Handbook (i) housing assignments; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (j) opportunity for personal hygiene and daily showers Policy Section 502: Orientation Process ☒ ☐ ☐ including the availability of personal care items Handbook (k) rules and access to correspondence, visits and Policy Section 502: Orientation Process ☒ ☐ ☐ telephone use; Handbook (l) availability of reading materials, programming, and Policy Section 502: Orientation Process ☒ ☐ ☐ other activities; Handbook (m) facility policies on the use of force, use of restraints, Policy Section 502: Orientation Process chemical agents and room confinement; ☒ ☐ ☐ Handbook (n) immigration legal services; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (o) emergencies including evacuation procedures; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (p) non-discrimination policy and the right to be free Policy Section 502: Orientation Process from physical, verbal or sexual abuse and ☒ ☐ ☐ Handbook harassment by other youth and staff; (q) availability of services and programs in a language Policy Section 502: Orientation Process ☒ ☐ ☐ other than English if appropriate; Handbook (r) the process for requesting different housing, Policy Section 502: Orientation Process ☒ ☐ ☐ education, programming and work assignments; Handbook (s) a process for which parents/guardians receive Policy Section 502: Orientation Process information regarding the youth’s stay in the facility Handbook that at a minimum includes answers to frequently ☒ ☐ ☐ asked questions and provides contact information The intake officer shares all information and for the facility, medical, school and mental health; contacts for the facility. There is also a parent and, booklet that is provided to the parent. (t) a process by which youth may request access to Policy Section 502: Orientation Process ☒ ☐ ☐ Title 15 Minimum Standards for Juvenile Facilities. Handbook 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy Sections: The facility administrator shall develop and implement 514: Separation written policies and procedures that address: 515: Room Confinement 1400: The Healing Opportunities and Positive Engagement (HOPE) Center If a youth needs to be separated from the group while at Camp Paige, they spend some time in the office with the Supervisor or Director or with the administrative staff to cool off or for counseling. If they cannot be safely maintained in the camp, they are moved to Camp Rockey’s HOPE Center. Youth are then placed in either a cool down status, room confinement if needed, or on a Specialized ☒ ☐ ☐ Supervision Plan. All documentation of Camp Rockey’s HOPE Center falls under that facility and does not impact Camp Paige. If a youth chooses to self-separate from the group, a self-separation form is completed. In January and February 2022, the Camp was moved to the Barry J. Nidorf Juvenile Hall, due to high winds damaging the camp. While in BJNJH, some youth requested to be placed in self-separation. These documents were provided and were found to be compliant. Any youth that was sent to the HOPE Center while at BJNJH would be inspected under that facility for 1354 and 1354.5. (a) separation of youth for reasons that include, but are Policy Sections 514: Separation and Policy not be limited to, medical and mental health Section 1400: The Healing Opportunities and ☒ ☐ ☐ conditions, assaultive behavior, disciplinary Positive Engagement (HOPE) Center consequences and protective custody. (b) consideration of positive youth development and Policy Sections 514: Separation and Policy trauma-informed care. ☒ ☐ ☐ Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center (c) separated youth shall not be denied normal Policy Sections 514: Separation and Policy privileges available at the facility, except when Section 1400: The Healing Opportunities and necessary to accomplish the objective of Positive Engagement (HOPE) Center separation. Youth who spend time away from the dorm for separation purposes in the office are offered and encouraged to participate in all regular programming as it occurs as scheduled and as ☒ ☐ ☐ safety allows. Youth are encouraged to rejoin the group and to address their issues in the camp. Youth who need a more long-term separation are transported to the HOPE Center at Camp Rockey. Youth are transitioned into the regular program as soon as possible. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) when the objective of the separation is discipline, Policy Sections 514: Separation and Policy Title 15 Section 1390 shall apply. ☐ ☐ ☒ Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center (e) when separation results in room confinement, the Policy Sections 514: Separation and Policy separation shall occur in accordance with Welfare Section 1400: The Healing Opportunities and and Institutions Code Section 208.3 and ☐ ☐ ☒ Positive Engagement (HOPE) Center Section1354.5 of these regulations. This does not apply to Camp Paige. (f) policies and procedures shall ensure a daily review Policy Section 514: Separation of separated youth to determine if separation ☐ ☐ ☒ remains necessary. Does not apply to Camp Paige. 1354.5 ROOM CONFINEMENT Policy Section 515: Room Confinement and The facility administrator shall develop and implement Section and Policy Section 1400: The Healing written policies and procedures addressing the Opportunities and Positive Engagement confinement of youth in their room that are consistent (HOPE) Center with Welfare and Institutions Code Section 208.3. The placement of a youth in room confinement shall be Room Confinement does not apply to Camp accomplished in accordance with the following Paige. All room confinements occur at Camp guidelines: Rockey in the HOPE Center. (1) Room confinement shall not be used before Policy Section 515: Room Confinement and other, less restrictive, options have been Section attempted and exhausted, unless attempting those options poses a threat to the safety or ☐ ☐ ☒ Policy Section 1400: The Healing security of any youth or staff. Opportunities and Positive Engagement (HOPE) Center (2) Room confinement shall not be used for the Policy Section 515: Room Confinement purposes of punishment, coercion, Policy Section 1400: The Healing ☐ ☐ ☒ convenience, or retaliation by staff. Opportunities and Positive Engagement (HOPE) Center (3) Room confinement shall not be used to the Policy Section 515: Room Confinement extent that it compromises the mental and physical health of the youth. ☐ ☐ ☒ Policy Section 1400: The Healing Opportunities and Positive Engagement (HOPE) Center (a) A youth may be held up to four hours in room Policy Section 1400: The Healing confinement. After the youth has been held in room Opportunities and Positive Engagement ☐ ☐ ☒ confinement for a period of four hours, staff shall do (HOPE) Center one or more of the following: (1) Return the youth to general population. Policy Section 1400: The Healing Opportunities and Positive Engagement ☐ ☐ ☒ (HOPE) Center (2) Consult with mental health or medical staff. Policy Section 1400: The Healing Opportunities and Positive Engagement ☐ ☐ ☒ (HOPE) Center (3) Develop an individualized plan that includes the Policy Section 1400: The Healing goals and objectives to be met in order to Opportunities and Positive Engagement ☐ ☐ ☒ reintegrate the youth to general population. (HOPE) Center (4) If room confinement must be extended beyond Policy Section 1400: The Healing four hours, staff shall do each of the following: ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) Document the reasons for room Policy Section 1400: The Healing confinement and the basis for the Opportunities and Positive Engagement extension, the date and time the youth was (HOPE) Center ☐ ☐ ☒ first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that Policy Section 1400: The Healing includes the goals and objectives to be met Opportunities and Positive Engagement ☐ ☐ ☒ in order to integrate the youth to general (HOPE) Center population. (C) Obtain documented authorization by the Policy Section 1400: The Healing facility superintendent or his or her Opportunities and Positive Engagement ☐ ☐ ☒ designee every four hours thereafter. (HOPE) Center (5) This section is not intended to limit the use of Policy Section 515: Room Confinement single-person rooms or cells for the housing of Policy Section 1400: The Healing youth in juvenile facilities and does not apply to ☐ ☐ ☒ Opportunities and Positive Engagement normal sleeping hours. (HOPE) Center (6) This section does not apply to youth or wards Policy Section 515: Room Confinement in court holding facilities or adult facilities. Policy Section 1400: The Healing ☐ ☐ ☒ Opportunities and Positive Engagement (HOPE) Center (7) Nothing in this section shall be construed to Policy Section 515: Room Confinement conflict with any law providing greater or Policy Section 1400: The Healing ☐ ☐ ☒ additional protections to youth. Opportunities and Positive Engagement (HOPE) Center (8) This section does not apply during an Policy Section 515: Room Confinement Policy extraordinary emergency circumstance that Section 1400: The Healing Opportunities and requires a significant departure from normal Positive Engagement (HOPE) Center institutional operations, including a natural disaster or facility-wide threat that poses an ☐ ☐ ☒ imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy Section 515: Room Confinement Policy placed in a locked cell or sleeping room to treat Section 1400: The Healing Opportunities and and protect against the spread of a Positive Engagement (HOPE) Center 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. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy Section 402: Assessment and The facility administrator shall develop and implement Classification written policies and procedures for assessment and ☒ ☐ ☐ Policy Section 703: The MDT Process case planning. (a) Assessment: Policy Section 402: Assessment and The assessment is based on information collected Classification during the admission process with periodic review, Policy Section 703: The MDT Process which includes the youth's risk factors, needs and strengths including, but not limited to, identification Assessment begins after the youth has been of substance abuse history, educational, ordered to a camp setting but before they are vocational, counseling, behavioral health, transferred. The CAU conducts the first consideration of known history of trauma, and assessment of the youth. Any additional family strengths and needs. information found is addressed in the case ☒ ☐ ☐ planning process. All packets included the Camp Assessment Unit’s initial assessment. Youth are again assessed as part of the intake procedures of the camp and any additional information is documented by camp staff. All areas required in the assessment are noted in the initial MDT process. (b) Institutional Case Plan: Policy Section 703: The MDT Process (1) A case plan shall be developed for each youth held for at least 30 days or more and created All case plans were completed as part of the within 40 days of admission. collaborative MDT process. The team is comprised of Probation, Behavior Health, Education, and Healthcare providers. Additional representatives can always be ☒ ☐ ☐ added. The youth’s case plan is developed at the MDT meeting which occurs within 2 weeks of admission. This meeting may take a little longer or be a little less, but we found it to occur within 40 days. We reviewed documentation for 6 initial plans and 6 transitional plans. (2) The institutional plan shall include, but not be Policy Section 705: Ongoing Case limited to, written documentation that provides: ☒ ☐ ☐ Management Activities (A) objectives and time frame for the resolution Policy Section 705: Ongoing Case of problems identified in the assessment; Management Activities ☒ ☐ ☐ Documentation provided. (B) a plan for meeting the objectives that Policy Section 705: Ongoing Case includes a description of program resources Management Activities ☒ ☐ ☐ needed and individuals responsible for assuring that the plan is implemented; Documentation provided. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) periodic evaluation of progress towards meeting Policy Section 705: Ongoing Case the objectives, including periodic review and Management Activities discussion of the plan with the youth; Reviewed extensive case notes from 6 random files from January and February 2022 and found that facility staff were not meeting the requirements of documentation in that it did not appear youth were not being met face-to-face. Work instruction had previously been provided and staff retrained on the proper charting of ☒ ☐ ☐ cases to ensure proper documentation. It was noted that more QA needed to occur for periodic classification and to ensure meetings with youth face-to-face. This issue was addressed while present onsite next door at Camp Afflerbaugh. Additional documentation was provided, and staff did a much better job of documentation, and supervisors of providing QA to ensure all required elements were present. Simple corrections were made, documentation was improved, and the issue was corrected. (4) a transition plan, the contents of which shall be Policy Section 706: Case Plan Activities- Pre- subject to existing resources, shall be Release developed for post dispositional youth in accordance with Section 1351; and, ☒ ☐ ☐ All youth in the facility are RTSB youth and have camp orders. The camp staff does a good job of working with the youth. Transition plans were found to be complete as required. (5) in as much as possible and if appropriate, the Policy Section 705: Ongoing Case plan, including the transition plan, shall be Management Activities developed with input from the family, supportive ☒ ☐ ☐ adults, youth, and Regional Center for the Family members are included and invited to Developmentally Disabled. the MDT meetings. 1356 COUNSELING AND CASEWORK SERVICES Policy Section 705: Ongoing Case The facility administrator shall develop and implement Management Activities written policies and procedures ensuring the availability ☒ ☐ ☐ of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: (a) youth will receive assistance with needs or Policy Section 705: Ongoing Case concerns that may arise; Management Activities The staff works with youth on any issue they may have while in the camp setting. Staff assist youth in meeting all areas of their MDT and also any issue that may arise over the ☒ ☐ ☐ course of their commitment. The youth interviewed stated that staff does help them when they ask for assistance. One youth shared how staff assisted him in looking at colleges with great sports programs. He wanted to play football, used to play prior to his detention, and was encouraged to do so again by staff. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) youth will receive assistance in requesting contact Policy Section 705: Ongoing Case with parents, other supportive adults, attorney, Management Activities clergy, probation officer, or other public official; and, ☒ ☐ ☐ Youth are allowed to contact parents, supportive adults, attorneys, POs etc. (c) youth will be provided access to available Policy Section 705: Ongoing Case resources to meet the youth’s needs. ☒ ☐ ☐ Management Activities 1357 USE OF FORCE Policy Section 1701: Physical intervention The facility administrator, In cooperation with the Policy for Juvenile Facilities and the responsible physician, shall develop and implement Transportation Section written policies and procedures for the use of force, which may include chemical agents. Force shall never Camp Paige had only 2 uses of force in be applied as punishment, discipline, retaliation or January and 0 incidents in February. The treatment. facility pulled additional reports from ☒ ☐ ☐ (a) At a minimum, each facility shall develop policies December 2021 for a total of four incidents for and procedures which: review. We found all uses of force to be necessary and appropriate based on the documentation reviewed to ensure the safety of the youth and staff in the facility. (1) restricts the use of force to that which is deemed Policy Section 1704: Safe Crisis Management reasonable and necessary, as defined in Section and Physical Intervention Procedures ☒ ☐ ☐ 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff Policy Section 1704: Safe Crisis Management including both physical and non-physical options and Physical Intervention Procedures and define when those force options are Policy Section 1700-14, Physical Intervention appropriate. Determination Strategies ☒ ☐ ☐ Policy Section 1700-18, Authorized Levels of Physical Intervention (3) describe force options or techniques that are Policy Section 1704: Safe Crisis Management ☒ ☐ ☐ expressly prohibited by the facility. and Physical Intervention Procedures (4) describe the requirements of staff to report any Policy Section 1704: Safe Crisis Management inappropriate use of force, and to take ☒ ☐ ☐ and Physical Intervention Procedures affirmative action to immediately stop it. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) define a standardized reporting format that Policy Section 1704: Safe Crisis Management includes time period and procedure for and Physical Intervention Procedures documenting and reporting the use of force, including reporting requirements of Reports are written before the end of the shift management and line staff and procedures for or, with permission, the next shift based on the reviewing and tracking use of force incidents by time of the incident and the time of day. supervisory and or management staff, which include procedures for debriefing a particular All reports are required to be completed in the incident with staff and/or youth for the purposes agency case management system. All reports of training as well as mitigating the effects of were found to be completed and all were found trauma that may have been experienced by staff to have a debrief that required one. and /or the youth involved. ☒ ☐ ☐ In speaking with staff and supervisors, it was found that debriefs are not always consistently completed with staff. It was noted and technical assistance provided that the debriefs did not appear to be written with staff but appeared to be written as a report. Facility staff and the supervisor stated when interviewed, that the debrief is completed with staff and or youth and documented after but will make the appropriate correction or update to the documentation. (6) Include an administrative review and a system Policy Section 1706: Safe Crisis Management for investigating unreasonable use of force. Physical Intervention Reports The policy notes this process to occur “as soon ☒ ☐ ☐ as practical.” Technical assistance provided that a specific timeline should be identified and proper accountability for those not completing the reviews when required. (7) define the role, notification, and follow-up Policy Section 1704: Safe Crisis Management procedures required after use of force incidents and Physical Intervention Procedures for medical, mental health staff and parents or Policy Section 1700-23 Mental Health legal guardians. Involvement and Assessment of Youth; Policy ☒ ☐ ☐ Section 1700-25, Notifications Medical, mental health, and parents were notified as required. We suggest the facility look at documentation consistency. (8) describe the limitations of use of force on Policy Section 1704: Safe Crisis Management pregnant youth in accordance with Penal Code and Physical Intervention Procedures ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force Policy Section 1704: Safe Crisis Management option shall include policies and procedures that: and Physical Intervention Procedures ☐ ☐ ☒ OC spray is not used in the camps. N/A 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) identify who is approved to carry and/or utilize N/A 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 N/A when there is an imminent threat to the youth’s ☐ ☐ ☒ safety or the safety of others and only when de- escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and N/A timelines for decontamination from chemical agents. This shall include that youth who have ☐ ☐ ☒ been exposed to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up N/A procedures required after use of force incidents ☐ ☐ ☒ involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident N/A of use of chemical agents, including the reasons for which it was used, efforts to de- escalate prior to use, youth and staff involved, ☐ ☐ ☒ the date, time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure Policy Section 1702: Training which require that agencies provide initial and ☒ ☐ ☐ regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health Policy Section 1702: Training ☒ ☐ ☐ conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods ☒ ☐ ☐ Policy Section N/A of application. (3) signs or symptoms that should result in Policy Section 1702: Training ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of ☒ ☐ ☐ Policy Section 1702: Training Use of Force. (5) physical training force options that may require ☒ ☐ ☐ Policy Section 1702: Training the use of perishable skills. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) timelines the facility uses to define regular Policy Section 1702: Training training. The policy requires initial training and annual training. The agency has noted on many occasions that all staff is trained in these areas in Block Week and in other training throughout the year. ☒ ☐ ☐ We will be working with the facility to provide proof of practice for each individual training session that is related to this area and the proper documentation to identify who has gone and who has not. 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1705: Restraints The facility administrator, In cooperation with the The policy was developed in cooperation with responsible physician and mental health director, shall Juvenile Court Health Services (JCHS) and develop and implement written policies and procedures the Department of Mental Health (DMH). for the use of restraint devices. Restraint devices ☒ ☐ ☐ include any devices which immobilize a youth's There has been no use of restraints for the extremities and/or prevent the youth from being purpose of this section this cycle. The facility ambulatory. director provided a memo noting this information. Physical restraints may be used only for those youth Policy Section 1705: Restraints who present an immediate danger to themselves or The agency does have an appropriate policy others, who exhibit behavior which results in the and procedure in the event a physical restraint destruction of property, or reveals the intent to cause ☒ ☐ ☐ is utilized. self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive The remainder of the sections is marked N/A alternatives would be ineffective in controlling the as there have been no incidents in this cycle. youth’s behavior. In no case shall restraints be used as punishment or Policy Section 1705: Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or None this cycle. other fixture, including a restraint chair, or through ☐ ☐ ☒ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy Section 1705: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within None this cycle. ☐ ☐ ☒ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy Section 1705: Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a None this cycle. ☐ ☐ ☒ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A medical opinion on the safety of placement and Policy Section 1705: Restraints retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☐ ☐ ☒ None this cycle. youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Policy Section 1705: Restraints possible, but in no case longer than four hours from the ☐ ☐ ☒ time of placement, to assess the need for mental health None this cycle. treatment. Continuous direct visual supervision shall be conducted Policy Section 1705: Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. None this cycle. ☐ ☐ ☒ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy Section 1705: Restraints ☐ ☐ ☒ procedures shall address: (a) documentation of the circumstances leading to an Policy Section 1705: Restraints ☐ ☐ ☒ application of restraints. (b) known medical conditions that would contraindicate Policy Section 1705: Restraints ☐ ☐ ☒ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☐ ☐ ☒ Policy Section 1705: Restraints (d) signs or symptoms which should result in Policy Section 1705: Restraints ☐ ☐ ☒ immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation Policy Section 1705: Restraints ☐ ☐ ☒ equipment. (f) protective housing of restrained youth. While in Policy Section 1705: Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☐ ☐ ☒ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☐ ☐ ☒ Policy Section 1705: Restraints (h) exercising of extremities. ☐ ☐ ☒ Policy Section 1705: Restraints 1358.5 USE OF RESTRAINT DEVICES FOR Policy Section 1709: The Use of Mechanical MOVEMENT AND TRANSPORTATION WITHIN THE Restraints for Movement and Transport Within FACILITY. the Facility The Facility Administrator, In cooperation with the responsible physician and behavioral/mental health The policy was developed in cooperation with director, shall develop and implement written policies Juvenile Court Health Services (JCHS) and and procedures for the use of restraint devices when ☒ ☐ ☐ the Department of Mental Health (DMH). the purpose is for movement or transportation within the facility that shall include the following: Restraints were used in half of the incidents viewed. Reports noted regulatory requirements. This section was found to be compliant. (a) identification of acceptable restraint devices, staff Policy Section 1709: The Use of Mechanical approved to utilize restraint devices and the ☒ ☐ ☐ Restraints for Movement and Transport Within required training. the Facility (b) the circumstances leading to the application of Policy Section 1709: The Use of Mechanical ☒ ☐ ☐ restraints must be documented. Restraints for Movement and Transport Within the Facility 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) an individual assessment of the need to apply Policy Section 1709: The Use of Mechanical restraints for movement or transportation that Restraints for Movement and Transport Within includes consideration of less restrictive the Facility alternatives, consideration of a youth’s known ☒ ☐ ☐ medical or mental health conditions, trauma Reports reviewed had documentation of informed approaches, and a process for assessments. documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Policy Section 1709: The Use of Mechanical with a clearly defined expectation that restraint Restraints for Movement and Transport Within ☒ ☐ ☐ devices shall not be used for the purposes of the Facility discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Policy Section 1709: The Use of Mechanical accordance with Penal Code Section6030(f) and ☒ ☐ ☐ Restraints for Movement and Transport Within Welfare and Institutions Code Section 222. the Facility 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, In cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 1360 SEARCHES Policy Section 1316: Searches in Detention (1) The facility administrator shall develop and Facilities and Section 1317: Body Searches implement written policies and procedures (Pat-Down, Strip, and Body Cavity Searches) governing the search of youth, the facility, and visitors. Policies and procedures shall provide Documentation of daily dorm and wing that: searches provided for February and March 2022. There were two K9 searches in January ☒ ☐ ☐ and one in February 2022. Youth are searched with electronic wands, pat- down searches, and may be strip searched, if necessary and with prior approval of the supervisor. It was noted that not much contraband is found in the camp. (2) Searches shall be conducted to ensure the Policy Section 1316: Searches in Detention safety and security of the facility, public, ☒ ☐ ☐ Facilities visitors, youth, and staff. (3) Searches shall be conducted in a manner that Policy Section 1316: Searches in Detention preserves the privacy and dignity of the person Facilities being searched, and shall not be conducted for ☒ ☐ ☐ harassment or as a form of discipline or punishment. (4) Strip searches and visual or physical body Policy Section 1317: Body Searches (Pat- cavity searches shall comply with Penal Code ☒ ☐ ☐ Down, Strip, and Body Cavity Searches) Section 4030. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Physical body cavity searches shall only be Policy Section 1317: Body Searches (Pat- ☒ ☐ ☐ conducted by a medical professional. Down, Strip, and Body Cavity Searches) (6) Any youth held after a detention hearing shall Policy Section 1317: Body Searches (Pat- only be strip searched with prior approval of a Down, Strip, and Body Cavity Searches) supervisor when there is reasonable suspicion based on specific and articulable facts to ☒ ☐ ☐ believe that youth is concealing contraband. The reasonable suspicion shall be documented. Searches of transgender and intersex youth shall Policy Section 1317: Body Searches (Pat- comply with Section 1352.5. Down, Strip, and Body Cavity Searches) and Section 403: Juvenile Supervision of Lesbian, ☒ ☐ ☐ Gay, Bisexual, Transgender, Questioning and Intersex Youth in an Institutional Setting (1) Cross-gender pat-down searches and strip Policy Section 1317: Body Searches (Pat- searches are prohibited except in exigent Down, Strip, and Body Cavity Searches) ☒ ☐ ☐ circumstances or when conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy Section 508: Grievance Procedures. (2) The facility administrator shall develop and implement written policies and procedures There were a total of 53 grievances over the whereby any youth may appeal and have course of the cycle. Several grievances in resolved grievances relating to any condition of September 2020 were late in providing confinement, including but not limited to health responses to youth. This issue was care services, classification decisions, program ☒ ☐ ☐ addressed and has been corrected. A general participation, telephone, mail or visiting review of all other grievances noted a timely procedures, food, clothing, bedding, response. mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (3) a grievance form and instructions for registering Policy Section 508: Grievance Procedures a grievance, which includes provisions for the youth to have free access to the form;( policy Youth have access to the facility grievance says easily accessible} system through a paper copy in the dorm and throughout various other locations in the facility where the form is provided. Youth may ☒ ☐ ☐ also access the grievance process through school through the JIGS system. Youth can use the JIGS system anytime during school hours and submit a grievance confidentially. The paper copies may be utilized at all other times. the youth shall have the option to confidentially file the Policy Section 508: Grievance Procedures grievance or to deliver the form to any youth ☒ ☐ ☐ supervision staff working in the facility; 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) resolution of the grievance at the lowest Policy Section 508: Grievance Procedures appropriate staff level; ☒ ☐ ☐ Youth interviewed stated they could turn in their grievance to any staff member including the staff person they grieved. (2) provision for a prompt review and initial Policy Section 508: Grievance Procedures response to grievances within three (3) business days, grievances that relate to health Five grievances between December 2021 and and safety issues must be addressed February 2022 were provided for review. immediately; These include 1 grievance from December 2021, 1 from January 2022, and 3 from February 2022. ☒ ☐ ☐ The grievance log was also provided for our review. We found most of the grievances were addressed in a timely manner as required by regulations. One youth interviewed stated he had written a grievance in the past and he felt that it was handled appropriately and timely. The grievances reviewed were responded to in a timely manner. (3) The youth may elect to be present to explain Policy Section 508: Grievance Procedures his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. Provision for a staff representative approved by the Policy Section 508: Grievance Procedures ☒ ☐ ☐ facility administrator to assist the youth. provision for a written response to the grievance which Policy Section 508: Grievance Procedures includes the reasons for the decisions; Grievance responses were detailed and provided information for youth to understand why their grievances were resolved or not. ☒ ☐ ☐ Technical assistance provided noting youth should not be denied phone access due to behavior unless it is a safety and security issue. If it is a safety and security issue, this should be documented. (a) a system which provides that any appeal of a Policy Section 508: Grievance Procedures grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the Supervisors and Directors hear the appeals. grievance; (b) resolution of the grievance must occur within ten Policy Section 508: Grievance Procedures (10) business days unless circumstances dictate a ☒ ☐ ☐ longer time frame. The youth shall be notified of any delay; and, (c) the policy shall provide multiple internal and Policy Section 508: Grievance Procedures external methods to report sexual abuse and sexual harassment. Youth may submit a grievance, may call the ☒ ☐ ☐ ombudsman, tell staff, their PO, etc. They may also notify any staff member, sworn or non- sworn. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Whether or not associated with a grievance, Policy Section 504: Ombudsman and Policy concerns of parents, guardians, staff or other Section 508: Grievance Procedures parties shall be addressed and documented in ☒ ☐ ☐ accordance with written policies and procedures Parents may contact the facility or Probation within a specified timeframe. Headquarters to file a complaint. 1362 REPORTING OF INCIDENTS Policy Section 1119: Reducing Youth on Youth (e) A written report of all incidents which result in on Violence and Section Policy Section 1919: physical harm, use of force, serious threat of physical Deaths at Camp Facilities harm, or death of an employee, youth or other person(s) shall be maintained. Such written record ☒ ☐ ☐ 7 incidents were provided for review. All were shall be prepared by the staff and submitted to the completed in a timely manner. facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Policy Sections 306: Live Scan and DNA DNA SPECIMENS, SAMPLES, IMPRESSIONS Collection and 1122: Juvenile Collection of (f) (a) Pursuant to Penal Code Section 298.1 DNA Samples authorized law enforcement, custodial, or corrections personnel including peace officers, may The Camp Assessment Unit is responsible to employ reasonable force to collect blood determine if youth need DNA collection. specimens, saliva samples, and thumb or palm print ☒ ☐ ☐ Detention Services Bureau (DSB) personnel impressions from individuals who are required to are responsible for conducting fingerprint provide such samples, specimens or impressions collection through the Live-Scan process and pursuant to Penal Code Section 296 and who for DNA collection. This is not done in the refuse following written or oral request. camps. Sections marked as compliant due to policy. (g) (1) For the purpose of this section, the “use of Policy Sections 306: Live Scan and DNA reasonable force” shall be defined as the force that Collection and 1122: Juvenile Collection of an objective, trained and competent correctional DNA Samples ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy Sections 306: Live Scan and DNA efforts to secure voluntary compliance. Efforts to secure Collection and 1122: Juvenile Collection of voluntary compliance shall be documented and include DNA Samples ☒ ☐ ☐ an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (a) (b) The force shall not be used without the prior Policy Sections 306: Live Scan and DNA written authorization of the supervising officer on Collection and 1122: Juvenile Collection of duty. The authorization shall include information DNA Samples ☒ ☐ ☐ that reflects the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (b) (1) If the use of reasonable force includes a cell Policy Sections 306: Live Scan and DNA extraction, the extraction shall be videotaped. Video Collection and 1122: Juvenile Collection of shall be directed at the cell extraction event. The DNA Samples videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 1370 EDUCATION PROGRAM The Education Program is provided through a collaboration between Los Angeles County (a) School Programs Probation and Los Angeles County Office of Education: Juvenile Courts and Community (c) The County Board of Education shall provide for the Schools. Policy has not changed since the last administration and operation of juvenile court cycle. There was an acting principal at the time schools in conjunction with the Chief Probation of the inspection; however, we were unable to Officer, or designee pursuant to applicable State contact him at that time. laws. The school and facility administrators shall develop and implement written policy and The education program was evaluated by procedures to ensure communication and Bruce Petersen, Executive Director San Diego coordination between educators and probation staff. County Office of Education. The following Culturally responsive and trauma-informed details the information provided by Mr. approaches should be applied when providing Petersen who found the facility to be instruction. Education staff should collaborate with compliant. Any questions should be referred to the facility administrator to use technology to Bruce Peterson, San Diego County Office of facilitate learning and ensure safe technology Education (858-571-7274) practices. The facility administrator shall request an annual review of each required element of the Administration and operations of the Juvenile program by the Superintendent of Schools, and a Court School in camp facilities (Afflerbaugh/ report or review checklist on compliance, Paige) are in conjunction with the Chief deficiencies, and corrective action needed to Probation Officer/designee. All policy areas for achieve compliance with this section. Such a review, this section are either noted in the LACOE when conducted, cannot be delegated to the Board Policy or are in the RTSB Policy. principal or any other staff of any juvenile court school site. The Superintendent of Schools shall Monthly meetings are scheduled (inter- conduct this review in conjunction with a qualified agency) with probation, DMH etc. outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools ☒ ☐ ☐ Evidence of trauma informed training (Living Above the Hype). Cultural Competency & and shall take whatever corrective action is Engagement training. necessary to address each deficiency and to fully protect the educational interests of all youth in the Students have access to technology and Wi- facility. Fi. All educational programs are evaluated each year to ensure policies and procedures are met. This review was completed by a delegate from outside the LEA. San Diego County Office of Education Summary of Educational Evaluation: The LACOE staff has maintained relevant and rigorous educational services through the 2021 school year under circumstances related to COVID-19. All supports were maintained onsite when teachers pivoted from in-class teaching to distance learning. There is strong support from Probation in regard to education and supervision during school hours. The Evaluation and Assessment: Evaluation and assessments are built on a high degree of trust in students, teachers, and school leaders. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The improvement function of evaluation and assessments are strongly emphasized. Evaluation and assessment are responsive to diverse learning needs. There is a strong commitment to evidence- based policy and practice in student assessment. Student Assessment of Evaluation: Assessments are designed to improve the learning process. Assessments are grounded in teacher professionalism and supported by professional development. Teachers’ assessment practice is based on a range of diverse learning tools. High quality assessments are well established in secondary education. Teacher Appraisal Teaching standards are well established, and teachers' registration processes are in place. Teacher appraisal processes are commonplace in schools with a suitable focus on teacher development. Teachers are trusted professionals with a high degree of autonomy and are open to professional feedback. The principle of associating good performance to career progression is in place. System Evaluation There is a common accountability framework for the state sector. Clear education objectives and strategies at the national level are monitored over time. There is commitment to using evaluation results and building policy on research evidence. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements BP 6011 Instruction BP 6011 Instruction, BP 0460 Philosophy, (d) The facility school program shall comply with the Goals, Objectives, and Comprehensive Plans State Education Code and County Board of BP 005 Philosophy, Goals, Objectives and Education policies, all applicable federal education Comprehensive Plans Item 3,4,5 statutes and regulations and provide for an annual evaluation of the educational program offerings. As The school facility is evaluated annually to stated in the 2009 California Standards for the ensure State Education Code and County Teaching Profession, teachers shall establish and ☒ ☐ ☐ Board policies are met. maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. (1) All youth shall be treated equally, and the BP 5145.3 Students education program shall be free from The CSTPs are built into all teacher discriminatory action. Staff shall refer to evaluations. transgender, intersex and gender- nonconforming youth by their preferred name ☒ ☐ ☐ Curriculum is in alignment with the California and gender. State Standards. Educational programs include differentiated instruction and reading/ math interventions. (2) (1) The course of study shall comply with the BP 005 Philosophy, Goals, Objectives and State Education Code and include, but not be Comprehensive Plans Item 3,4,5 limited to, courses required for high school ☒ ☐ ☐ graduation. The course of study is in compliance with state education code. (e) (2) Information and preparation for the High School AR-6146.2 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to HiSet is given onsite by certified counselor. eligible youth. (f) (3) Youth shall be informed of post-secondary AR-6143 Instruction Item 9 (Grades 7-12) education and vocational opportunities. Counselor or Transition counselor meets with students to inform them of post-secondary options. Vocational educational options provided on site include OSHA certifications ☒ ☐ ☐ and Graphic Communications. Concurrent college enrollment is provided as an option to qualifying students. Mission College/ East LA College (Online)/ Glendale College direct instruction (g) (4) Administration of the High School Equivalency AR6146-2 Instruction Ed Code 51420 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. HiSet assessment is given onsite. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) (5) Supplemental instruction shall be afforded to AR-6179 Instruction BPP 5149 youth who do not demonstrate sufficient progress towards grade level standards. An initial assessment is completed and an analysis transcript history to determine ☒ ☐ ☐ course/programing. Targeted intervention courses/Credit Recovery (APEX)/, Read/Math 180 are part of supplemental instruction provided to students. (6) The minimum school day shall be consistent with BP 6112 Instruction State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with Minimum day schedule and required minutes education staff, must ensure that operational procedures are listed on Master Schedule ☒ ☐ ☐ do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless of BP 6112 Instruction Partially Address. classification, housing, security status, disciplinary or requirement; AR 5131 separation status, including room confinement, except when providing education poses an immediate threat to Educational programing is provided to all youth the safety of self or others. Education includes, but is not ☒ ☐ ☐ assigned to the probation camp regardless of limited to, related services as provided in a youth’s classification or security status. Individualized Section 504 Plan or Individualized Education Program needs are assessed, and appropriate services (IEP). are provided as directed by the individualized Education Plan (IEP) or 504 plans. (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented to reduce the need for disciplinary action in the The Positive Behavior Interventions and ☒ ☐ ☐ school setting and be integrated into the facility's Supports (PBIS) has been implemented at overall behavioral management plan and security both Afflerbaugh/Paige camp facilities system. (2) School staff shall be advised of administrative BP 5021 Students CF 6020 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. Ongoing communications (Email as evidence). (3) Except as otherwise provided by the State BP 5144.1 Students; 5144.2 - Suspension and Education Code, expulsion/suspension from school Expulsion/Due Process (Students with shall be imposed only when other means of Disabilities) correction fails to bring about proper conduct. A policy is in place for re-structuring as an School staff shall follow the appropriate due process intervention or other means of correction. safeguards as set forth in the State Education Code ☒ ☐ ☐ including the rights of students with special needs. MBC-1, MBC-2 etc. listed, Multi-Behavioral School staff shall document the other means of Correction. Process documented within the correction used prior to imposing expulsion/ Assertive Discipline policy. suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with BP 5144 education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ Conferences are held with probation to discuss continuing difficulty completing a school day. the individual needs of students who are having difficulty completing the school day. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and Comprehensive Plans (1) State and federal laws and regulations shall be observed for all individuals with All State and Federal laws for students with disabilities or suspected disabilities. This disabilities are being followed. includes but is not limited to child find, ☒ ☐ ☐ assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) BP 6174 Instruction shall be afforded an educational program that addresses their language needs pursuant to all ELA/ELD program listed in the master ☒ ☐ ☐ schedule. ELPAC testing is completed by applicable state and federal laws and ELD teacher and ELD assistant. regulations governing programs for EL students. (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers Requirement (1) Youth shall be interviewed after admittance ☒ ☐ ☐ and a record maintained that documents a The school clerk conducts the initial enrollment youth's educational history, including but not of the student upon arrival of the first school limited to: day. (A) School progress/school history; ☒ ☐ ☐ BP 6162.5 Instruction (B) Home Language Survey and the results of the AR 6174 Instruction State Test used for English language ☒ ☐ ☐ The Home Language Survey is given at the proficiency; juvenile halls and scanned into the Aeries system for the receiving camp school. (C) Needs and services of special populations as BP 6162.5 Instruction defined by the State Education Code, including but not limited to, students with special needs. ☒ ☐ ☐ School Psychologists, RSP teachers, and 1 SDC teacher are onsite and collaborate on IEP goals and services. (D) Discipline problems. BP 5131 Students ☒ ☐ ☐ MDT teams review student progress. (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to determine the youth's general academic ☒ ☐ ☐ Students who enroll in the camp are enrolled in the school the following day. functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary BP 6162.5 Instruction education plan shall be developed for each ☒ ☐ ☐ youth within five school days. School counselor reviews credit history with students upon arrival. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Upon enrollment, education staff shall comply AR 5125 Students with the State Education Code and request the youth's records from his/her prior school(s), Student records are requested at the time of enrollment. Counselors are onsite and review including, but not limited to, transcripts, transcripts with students shortly after Individual Education Program (IEP), 504 Plan, enrollment. The probation Camp Movement state language assessment scores, ☒ ☐ ☐ Status (intake packet) is also reviewed by the immunization records, exit grades, and partial counselor to determine special education credits. Upon receipt of the transcripts, the status. youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the All records are forwarded to the student’s youth shall be forwarded to the next educational receiving school or program by the transition placement in accordance with the State ☒ ☐ ☐ counselor. The completed transition packet is Education Code. given as a hard copy to the student upon the last day of attendance. Probation staff is given an electronic copy or hard copy on the day of the student’s release. (2) The County Superintendent of Schools shall BP 5121 Students provide appropriate credit (full or partial) for course work completed while in juvenile court All students receive full or partial credits ☒ ☐ ☐ depending on the length of stay at the school. school in accordance with the State Education 5 credits per subject are given every 80 school Code. days. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief The school transition counselor conducts the Probation Officer or designee, shall develop multi-disciplinary team (MDT) 60 days prior to policies and procedures to meet the transition leaving the probation camp. Transition needs of youth, including the development of an ☒ ☐ ☐ meetings may be modified based on student behavior management plan. As needed, MDT’s education transition plan, in accordance with will be scheduled when student’s program the State Education Code and in alignment with needs to be modified. Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student Use of Technology (1) The school and facility administrator should, whenever possible, collaborate with local post- Mission College/ East LA College (Online)/ secondary education providers to facilitate ☒ ☐ ☐ Glendale College direct instruction access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1371 PROGRAMS, RECREATION, AND Policy Section 1306: Programs, Recreation EXERCISE. and Exercise The facility administrator shall develop and implement written policies and procedures for programs, Program sheets were provided for the month of recreation, and exercise for all youth. The intent is February 2022. Many sheets were found to be to minimize the amount of time youth are in their documented well. We noted some rooms or their bed area. ☒ ☐ ☐ discrepancies and we found there were some days which were signed off by a supervisor. We encourage the facility to require this practice of QA as the sheets reviewed by the supervisor were found to be documented more thoroughly. All youth interviewed stated they receive programming, recreation, and exercise daily. Juvenile facilities shall provide the opportunity for Policy Section 1306: Programs, Recreation programs, recreation, and exercise a minimum of and Exercise. three hours a day during the week and five hours a ☒ ☐ ☐ day each Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy Section 1306: Programs, Recreation exercise may be suspended only upon a written and Exercise finding by the administrator/manager or designee that a youth represents a threat to the safety and ☒ ☐ ☐ All youth participate in the facility programs. security of the facility. We were not aware of any youth who actively and regularly self-separates or non- participates in activities. Such program, recreation, and exercise schedule shall Policy Section 1306: Programs, Recreation be posted in the living units. and Exercise ☒ ☐ ☐ Program calendars were posted in the dorm. There will be a written annual review of the programs, Policy Section 1306: Programs, Recreation recreation, and exercise by the responsible agency to and Exercise ensure content offered is current, consistent, and relevant to the population. The documentation provided included letters noting the annual review. These were received from The Chaplains Eagles, Catholic Services, ☒ ☐ ☐ Homeboy Art Academy, Creative Acts, Gang Reduction, Youth Development, LA County Arts and Culture. Any additional written reviews and documents have been provided. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 (a) Programs. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily and Exercise programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice Programs were documented as required and interventions that are culturally relevant and are generally listed as Life Skills with some linguistically appropriate, or pro-social interventions sort of identifier as to what it is. There is and activities designed to reduce recidivism. These inconsistency in the time documented and the programs should be based on the youth’s individual time posted. Staff should ensure that the time needs as required by Sections 1355 and 1356. Such is consistently documented. A half-hour programs may be provided under the direction of the program should be posted at .5, not .3. It Chief Probation Officer or the County Office of appears that, while documented incorrectly, it Education and can be administered by county is still clear that the programs did occur for an partners such as mental health agencies, community hour. based organizations, faith-based organizations or Probation staff. The following notes the various programs that Programs may include but are not limited to: are provided in the facility. June 23, 2021: Department of Mental Health:  Individual and Family Treatment  De-escalation/Crisis Intervention Services  Psychiatric Services  Dialectical Behavioral Therapy (DBT)  Substance Abuse Groups  Seeking Safety December 27, 2021: Education  College Courses  American Job Centers of America (AJCC Work Program) ☒ ☐ ☐  Personal Enrichment Training (PET)  Transitional Partnership Program  Voter Registration  OSHA  Career Zone  Resilience and Intergroup Solidarity Education  Gang Reduction and Youth Development-GYRD **  The ADVOT Project** **Individual letters Provided from: Arts for Healing Justice 2022 January 10, 2022: Probation Review Programs, DMH Programs, LACOE, Probation, Exercise, Recreation. January 14, 2022: Department of Mental Health:  Individual and Family Treatment  De-escalation/Crisis Intervention Services  Psychiatric Services  Dialectical Behavioral Therapy (DBT)  Substance Abuse Groups  Aftercare Planning  Individual letters from: 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS  Arts for Healing Justice  The ADVOT Project Gang Reduction and Youth Development- GYRD (1) Cognitive Behavior Interventions; BP 6162.5 Instruction (2) Management of Stress and Trauma; (3) Anger Management; School Psychologists, RSP teachers, and 1 (4) Conflict Resolution; SDC teacher are onsite and collaborate on IEP (5) Juvenile Justice System; goals and services. (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 Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily access to and Exercise unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised The documentation logs were provided and and include orientation and may include coaching of ☒ ☐ ☐ reviewed. Compliance noted. youth. All youth interviewed stated they receive recreation daily. (c) Exercise. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of large muscle and Exercise activity each day. The documentation provided and reviewed. Compliance noted. ☒ ☐ ☐ All youth interviewed stated they receive the opportunity to exercise daily. While onsite, youth were playing softball often, but basketball and volleyball are played often too. The administrator/manager may suspend, for a period Policy Section 1306: Programs, Recreation not to exceed 24 hours, access to recreation and and Exercise programs. The administrator/manager shall ☒ ☐ ☐ document the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy Section 1004: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least When services are provided, there is an once each week. Attendance shall be voluntary. A youth alternative program offered. ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS opportunity for religious services and practices; Policy Section 1004: Religious Services At the inspection, we found the facility has been under suspension of 1372, due to COVID-19. Due to closures and in the interest of public health, services have been suspended. Mitigations have been initiated that when in-person services are unable to occur, service should occur virtually. Religious volunteers have also come into the facilities when the COVID spread has been low, but when the spread is high, they have not, which again places the responsibility back on the facility to ensure religious services occur virtually. The documentation provided for review included the following dates in 2022. The ☒ ☐ ☐ following dates religious services were offered: 1/2, 2/20, 2/27, 3/6, 3/13, 3/27, 3/20. The facility has not provided consistent documentation that youth have been provided the opportunity for religious services weekly either onsite or virtually due to the pandemic. The facility is noncompliant in this area at this time. Technical assistance was provided to ensure the facility understood requirements and documentation expectations during times of quarantine and out. We were provided with documentation of church services for the entire month of May 2022. This issue has been corrected. We will continue to review for and follow this issue to ensure compliance moving forward. availability of clergy; and, Policy Section 1004: Religious Services ☒ ☐ ☐ Clergy is available onsite when able to come into the facility and by phone at any time. availability of religious diets. Policy Section 1004: Religious Services ☒ ☐ ☐ Religious diets are available upon request. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy Section 1003: Work Crews The facility administrator shall develop policies and procedures regarding the fair and consistent Youth who are in stages 3 and 4 are eligible to assignment of youth to work programs. Work work. Youth are eligible to work on KP, assigned to a youth shall be meaningful, constructive Laundry, and on camp work crews. Youth also and related to vocational training or increasing a have access to two work programs onsite at youth's sense of responsibility. Work programs shall each camp. Youth apply to and qualify for the not be imposed as a disciplinary measure. programs as follows: American Job Center of California - AJCC: ☒ ☐ ☐ This program is a 120-hour program offering 120 hours of work experience, 20 of which are paid hours. Assignments are on the grounds of the camp. Transitional Partnership Program - TPP through LACOE offers 90-100 hours. Youth are paid and earn money they take home with them upon release. 1374 VISITING Policy Section 902: Visiting Procedures, The facility administrator shall develop and implement Section 903: Saturday and Sunday Visiting written policies and procedures for visiting, that include and Section 904: Special Visits provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing Visiting has been suspended due to COVID- in loco parentis, and children of youth. Other family 19. Since recently opening up, parents receive members, such as grandparents and siblings, and a scheduled 1-hour onsite visit in order to supportive adults, may be allowed to visit with the appropriately socially distance youth and their approval of the facility administrator or designee, and in parents away from one another to keep the conjunction with the youth’s case plan or in the best likelihood and spread of COVID-19 low. This interest of the youth. hour is supplemented with virtual calls and ☒ ☐ ☐ telephone calls. It has been noted that the facility had documentation of quite a few virtual calls for this section. Regulation remains suspended due to County Health Orders. We asked the facility to document more thoroughly their calls, and this has been addressed and corrected. Visiting logs note that parents and grandparents primarily visit with their youth. Currently there are no youth with children of their own. All visits shall occur at reasonable times, subject only to Policy Section 902: Visiting Procedures the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s Any person who has been requested for criminal history. The staff shall determine in each case, visitation will be reviewed through the MDT whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ process. Any denial is communicated to the the safety of youth or staff in the facility. Any denial of youth who made the request, the person who visitation or limitation on visitations shall be has been denied, and the facility manager. communicated to the youth, person denied and facility administrator. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Opportunity for visitation shall be a minimum of two hours Policy Section 902 Visiting Procedures and per week. Visits may be supervised, but conversations Section 903: Saturday and Sunday Visiting ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour Policy Section 904: Special Visits minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family ☒ ☐ ☐ therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy Section 902: Visiting Procedures alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy Section 510: Mail The facility administrator shall develop and implement written policies and procedures for correspondence  Letter-writing materials are readily which provide that: available and are provided to youth. ☒ ☐ ☐ Youth can write, send, and receive letters freely. Youth generally read and write letters at the end of every day as an activity before bed. (a) there is no limitation on the volume of mail that youth Policy Section 510: Mail may send or receive;  ☒ ☐ ☐ (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy Section 510: Mail (c) youth may correspond confidentially with state and Policy Section 510: Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy Section 510: Mail in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1376 TELEPHONE ACCESS Policy Section 509: Telephone Calls The administrator of each juvenile facility shall develop Youth receive a minimum of one telephone call and implement written policies and procedures to a week from their assigned camp case work provide youth with access to telephone PO. Youth can request phone calls as needed communications. and they are provided by the camp supervisor. Youth also are provided with phone calls with ☒ ☐ ☐ mental health counselors when consistent with their mental health treatment plan. Technical assistance was provided and suggested that youth should have more than 1 phone call to parents a week. Youth and parents need regular contact, especially when getting closer to going home. Additional follow-up noted additional calls are being made. 1377 ACCESS TO LEGAL SERVICES Policy Section 520: Access to Legal Services (a) The facility administrator shall develop written ☒ ☐ ☐ procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: (b) access, upon request by the youth, to licensed Policy Section 520: Access to Legal Services attorneys and their authorized representatives; ☒ ☐ ☐ Attorneys can visit or contact their clients at any time. (c) provision for confidential consultation with Policy Section 520: Access to Legal Services attorneys; and, ☒ ☐ ☐ There are multiple locations that can be used for attorney interviews. unlimited postage free, legal correspondence and cost- Policy Section 520: Access to Legal Services ☒ ☐ ☐ free telephone access as appropriate. 1390 DISCIPLINE Policy Section 601: Discipline and Policy The facility administrator shall develop and implement Section 604: Continuum of Correction written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use The camp utilizes a behavior management of positive behavior interventions and supports. program that incentivizes youth to do well. ☒ ☐ ☐ Discipline shall be imposed at the least restrictive level Each youth reads and signs the RTSB BMP which promotes the desired behavior and shall not program upon entry. include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: bed and bedding; Policy Section 601: Discipline ☒ ☐ ☐ daily shower, access to drinking fountain, toilet and Policy Section 601: Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; full nutrition; ☒ ☐ ☐ Policy Section 601: Discipline contact with parent or attorney; ☒ ☐ ☐ Policy Section 601: Discipline exercise; ☒ ☐ ☐ Policy Section 601: Discipline medical services and counseling; ☒ ☐ ☐ Policy Section 601: Discipline religious services; ☒ ☐ ☐ Policy Section 601: Discipline 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS clean and sanitary living conditions; ☒ ☐ ☐ Policy Section 601: Discipline the right to send and receive mail; ☒ ☐ ☐ Policy Section 601: Discipline education; and, ☒ ☐ ☐ Policy Section 601: Discipline (k) rehabilitative programming. ☒ ☐ ☐ Policy Section 601: Discipline (a) The facility administrator shall establish rules of Policy Section 604: Continuum of Correction conduct and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and affirmatively, and be made ☒ ☐ ☐ available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy Section 604: Continuum of Correction (b) The facility administrator shall develop and and Policy Section 606: Due Process implement written policies and procedures for the ☒ ☐ ☐ administration of discipline which shall include, but not be limited to: (c) designation of personnel authorized to impose Policy Section 606: Due Process discipline for violation of rules; ☒ ☐ ☐ Only sworn staff are authorized to impose discipline for youth. prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy Section 606: Due Process (a) definition of major and minor rule violations and Policy Section 604: Continuum of Correction their consequences, and due process ☒ ☐ ☐ requirements; (b) trauma-informed approaches and positive behavior Policy Section 602: Facility Rules ☒ ☐ ☐ interventions; (c) minor rule violations may be handled informally by Policy Section 604: Continuum of Correction counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ The facility staff provided a sanction form for accompanied by written documentation and a our review. Youth completed a thinking report. policy of review and appeal to a supervisor; and, (d) major rule violations and the discipline process Policy Section 606: Due Process shall be documented and require the following: Four incidents provided with due process ☒ ☐ ☐ documentation for seven youth. All but one was completed correctly. Technical assistance provided regarding when youth refuse, the full form should still be completed. (e) written notice of violation prior to a hearing; Policy Section 606: Due Process ☒ ☐ ☐ (f) accommodations provided to youth with disabilities, Policy Section 606: Due Process limited literacy, and English language learners; ☒ ☐ ☐ (g) hearing by a person who is not a party to the Policy Section 606: Due Process ☒ ☐ ☐ incident; (h) opportunity for the youth to be heard, present Policy Section 606: Due Process ☒ ☐ ☐ evidence and testimony; (i) provision for youth to be assisted by staff in the Policy Section 606: Due Process ☒ ☐ ☐ hearing process; (j) provision for administrative review. Policy Section 606: Due Process ☒ ☐ ☐ 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS violations that result in a removal from camp or Policy Section 606: Due Process commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Policy Section 909: Communicable Diseases DISEASES. Reviewed Probation policy and medical The health administrator/responsible physician, in guidance to ensure Management of cooperation with the facility administrator and the local Communicable Disease policy is current and ☒ ☐ ☐ health officer, shall develop written policies and addresses all required areas required by procedures to address the identification, treatment, section 1410, specifically COVID-19. control and follow-up management of communicable diseases. The policies and procedures shall address, Compliance based on policy and guidance but not be limited to: reviewed from medical provider JCHS. Intake health screening procedures; Policy Section 909: Communicable Diseases ☒ ☐ ☐ Youth are cleared for camp by medical staff prior to transfer. (a) Identification of relevant symptoms; ☒ ☐ ☐ Policy Section 909: Communicable Diseases (b) Referral for medical evaluation; ☒ ☐ ☐ Policy Section 909: Communicable Diseases (c) Treatment responsibilities during detention; ☒ ☐ ☐ Policy Section 909: Communicable Diseases (d) Coordination with public and private community- Policy Section 909: Communicable Diseases ☒ ☐ ☐ based resources for follow-up treatment; (e) Applicable reporting requirements; and, ☒ ☐ ☐ Policy Section 909: Communicable Diseases (f) Strategies for handling disease outbreaks. ☒ ☐ ☐ Policy Section 909: Communicable Diseases (1) The policies and procedures shall be updated Policy Section 909: Communicable Diseases as necessary to reflect communicable disease priorities identified by the local health officer ☒ ☐ ☐ and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 505: Access to Care/Request (EXCERPT) for Services (2) The health administrator, in cooperation with All youth interviewed were aware of the the facility administrator, shall develop policy ☒ ☐ ☐ process to seek medical, mental, and dental and procedures to establish a daily routine for health care, through the use of requests for youth to convey requests for emergency and care. Youth also know to seek assistance from non-emergency medical, dental and staff when the issue cannot wait or is of an behavioral/mental health care services. emergent nature. 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 1305: Clothing and Bedding Exchange (3) The youth’s personal clothing, undergarments and footwear may be substituted for the All youth interviewed and viewed, while onsite, ☒ ☐ ☐ institutional clothing and footwear specified in were well groomed and outfitted. It was noted this regulation. The facility has the primary their clothes fit, there were no holes, and the responsibility to provide clothing and footwear. clothes were clean and, in many cases, Clothing provisions shall ensure that: appeared new. (4) Clothing is clean, reasonably fitted, durable, Policy Section 1305: Clothing and Bedding easily laundered, in good repair, and free of ☒ ☐ ☐ Exchange holes and tears. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) The standard issue of climatically suitable clothing Policy Section 1305: Clothing and Bedding for youth shall consist of but not be limited to: Exchange (5) Youth interviewed stated they had the items ☒ ☐ ☐ they needed and the few missing items, they stated they had not asked for. They stated they would be provided with what they needed if they asked. (6) Socks and serviceable footwear; Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ All youth have both flip flops and athletic footwear. (1) Outer garments; Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ (g) Exchange New non-disposable underwear which shall remain with Policy Section 1305: Clothing and Bedding the youth throughout their stay, and; Exchange ☒ ☐ ☐ Youth receive new underwear upon arrival. (a) Undergarments, that are freshly laundered and free Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ of stains, including tee shirts and bras. Exchange (b) Clothing is laundered at the temperature required Policy Section 1305: Clothing and Bedding by local ordinances for the commercial laundries Exchange and dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer Laundry is completed in commercial laundry machines. (c) Suitable clothing is issued to pregnant youth. Policy Section 1305: Clothing and Bedding Exchange ☐ ☐ ☒ The camp is an all-male camp. 1482 CLOTHING EXCHANGE Policy Section 1305: Clothing and Bedding Exchange (d) The facility administrator shall develop and implement written policies and site-specific Underclothes ae exchanged daily and outer procedures for the cleaning and scheduled clothes exchanged weekly. Youth stated that if exchange of clothing. Unless work, climatic their clothes need to be exchanged earlier for ☒ ☐ ☐ conditions, or illness necessitates more frequent any reason, they are. exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy Section 410: Change of Clothing and PERSONAL CLOTHING Continued Search (e) There shall be written policies and site-specific Youth generally do not bring their personal procedures developed and implemented by the clothing to the camp with them. All property is ☒ ☐ ☐ facility administrator to control the contamination picked up from the JH. If something is brought and/or spread of vermin and ecto-parasites in all and if clothing is suspected of being youth’s personal clothing. Infested clothing shall be contaminated, the items are separated and cleaned or stored in a closed container so as to placed in a plastic bag. eradicate or stop the spread of the vermin. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 1304: Personal Hygiene, Shaving, and Haircuts (f) There shall be written policies and site-specific procedures developed and implemented by the Youth noted they have, or have access to, all facility administrator for the availability of personal items in list. All personal care items, except ☒ ☐ ☐ hygiene items. Each female youth shall be provided for the razor, are provided to the youth with sanitary napkins, panty liners and tampons as directly. requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (g) Toothbrush; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts Toothpaste; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts Soap; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts Comb; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (b) Shaving implements; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts Deodorant; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (2) Lotion; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts Shampoo; and, Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (3) Post-shower conditioning hair products. Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (4) Youth shall not be required to share any Policy Section 1304: Personal Hygiene, personal care items listed in items (a) through Shaving, and Haircuts (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share Razors are provided to the youth as requested. disposable razors. Double edged safety razors, Once a youth reaches eligibility for electric razors, and other shaving instruments “personals”, parents can bring them their own ☒ ☐ ☐ capable of breaking the skin, when shared hygiene products. among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy Section 1304: Personal Hygiene, Shaving, and Haircuts and Section 502: (c) There shall be written policies and site specific Orientation Process and Handbook procedures developed and implemented by the facility administrator for showering/bathing and ☒ ☐ ☐ Showers are daily. Youth can brush their teeth brushing of teeth. Youth shall be permitted to after each meal. shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1487 SHAVING Policy Section 1304: Personal Hygiene, Shaving, and Haircuts (d) Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of Youth reported they have the option and identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave daily. opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Youth interviewed noted they are able to Equipment shall be cleaned and disinfected after each receive haircuts but that it takes a long time to haircut or procedure, by a method approved by the get them done. The facility did not provide any State Board of Barbering and Cosmetology. ☒ ☐ ☐ formal documentation and noted that youth just ask and are placed on a barber list. Youth in general looked good overall. Technical assistance provided to create a process to formally track when a request is made and when haircut is provided. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 411: Bedding Issuance Clean laundered, suitable bedding and linens, in good All items are provided to youth as required. ☒ ☐ ☐ repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, but not be limited to: One mattress or mattress-pillow combination which Policy Section 411: Bedding Issuance meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations: (a) One pillow and a pillow case unless provided for in Policy Section 411: Bedding Issuance ☒ ☐ ☐ (a) above; (b) One mattress cover and a sheet or two sheets; Policy Section 411: Bedding Issuance ☒ ☐ ☐ (c) One towel; and, Policy Section 411: Bedding Issuance ☒ ☐ ☐ (d) One blanket or more, up on request Policy Section 411: Bedding Issuance ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Policy Section 1305: Clothing and Bedding Exchanges (e) The facility administrator shall develop and implement site specific written policies and Youth are provided all linens and bedding procedures for the scheduled exchange of ☒ ☐ ☐ upon arrival into the dorm. Youth interviewed laundered bedding and linen issued to each youth noted they have the ability to request and housed. Washable items such as sheets, mattress receive additional blankets upon request. covers, pillow cases and towels shall be exchanged Sheets are exchanged weekly or sooner if for clean replacement at least once each week. need be. Towels are exchanged daily. (f) The covering blanket shall be cleaned or laundered Policy Section 1305: Clothing and Bedding once a month. Exchanges ☒ ☐ ☐ Blankets are exchanged every two weeks or as needed. 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1510 FACILITY SANITATION, SAFETY AND Policy Sections 1322: Housekeeping, 1323: MAINTENANCE Housekeeping: Basic Cleaning Procedures for All Areas, 1324: Housekeeping: Maintenance (g) The facility administrator shall develop and Procedures and 1707: Metal Handcuff implement written policies and site-specific Sanitizing Procedure procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout Youth maintain the cleanliness of the dorm and the facility. The plan shall provide for a regular their individual wings. ☒ ☐ ☐ schedule of housekeeping tasks, equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 59 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON-REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☒ ☐ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐Vio ☒ ☐ Section 300 of the Welfare and Institutions Code (WIC) lation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐Vio ☒ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). lation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☒ ☐ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐Vio ☐ ☒ separated from minors. lation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐Vio ☒ ☐ facility in a manner that allows contact with minors. lation 7255 Los Angeles Camp Joseph Paige PRO 20-22 - 60 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: Pre-1998* BSCC Code: 7255 FACILITY NAME: FACILITY TYPE: Camp Joseph Paige Camp CONSTRUCTION/REMODEL DATE(S): 1960 IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: FIELD REPRESENTATIVE: DATE Lisa Southwell April 25-27, 2022 TITLE 24 SECTION YES NO N/A COMMENTS RECEPTION AREA (JH) This applies only to Juvenile Halls.  Holding Rooms: Contain 15 square feet per minor; Have sufficient seating to accommodate the rated  capacity based on floor space; Provide access to water closets and wash basins  at a ratio of a 1:8; and Provide access to drinking fountain.  Provide access to telephone.  Provide access to private room(s) for interviews.  MEDICAL EXAM SPACE (JH & CAMP) Space or room(s) afford privacy, are equipped to carry out routine examinations and emergency care and  have sufficient locked storage space for medical supplies. LIVING UNITS (JH AND SPJH) This applies only to Juvenile Halls and Special Purpose Juvenile Halls.  Living units are designed to accommodate no more than 30 minors and contain: Showers at a ratio of 1:6;  Washbasins at a ratio of 1:6;  Water closets at a ratio of 1:6 or water closet and  one urinal for every 15 boys; and, Access to a drinking fountain by minors and staff.  Doors of each sleeping room have a view panel (maximum of 144 square inches of shatter-proof glass  or plastic materials) that allows the visual supervision of all parts of the room. Hallways in the detention living units are at least eight feet wide. If rooms are located on only one side, or if  room doors are staggered, hallways are at least six feet wide. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7255 Los Angeles Camp Joseph Paige PHY 20-22 - 1 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS SINGLE ROOMS (JH, SPJH & CAMP) Contain a minimum of 500 cubic feet of air space and  63 cubic feet of floor space. DOUBLE ROOMS (JH, SPJH & CAMP) Contain a minimum of 800 cubic feet of airspace and  100 square feet of floor space. DORMITORY SLEEPING AREAS (JH & CAMP) Contain a minimum of 400 cubic feet of airspace and  50 square feet of floor space per minor. LOCKED SLEEPING ROOMS (JH, SPJH & CAMP) Contain an individual or combination drinking fountain, wash basin and toilet, unless a communication system  or procedure is in effect to give minor immediate access to these fixtures. PLUMBING FIXTURES (CAMP) The following plumbing fixtures are adjacent to each  sleeping area: Shower or bathtub at a ratio of 1:6; Washbasins at a ratio of 1:10;  Access to toilets at a ratio of 1:10 or toilet and one  urinal for every 15 boys; and, Access to a drinking fountain.  BEDS AND MATTRESSES (JH, SPJH & CAMP) Beds and mattresses are:  A least 30 inches wide and 76 inches long; Spaced at least 36 inches apart and at least 12  inches off the floor; and, Mattresses are made of a fire-retardant material.  INTERVIEW ROOMS (JH, SPJH & CAMP)  There is one interview room for each detention unit in juvenile halls and special purpose juvenile halls. There is a private room suitably equipped for conferences and interviews in each camp.  *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7255 Los Angeles Camp Joseph Paige PHY 20-22 - 2 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS LIGHTING (JH, SPJH & CAMP) There are at least 50-foot candles of illumination at desk level and, at night, there is a maximum  illumination of two foot candles at bed level in individual and multiple occupancy rooms. ACADEMIC CLASSROOM (JH & CAMP) Educational classrooms are shared with minors from Camp Afflerbaugh. Each classroom contains a minimum of 160 square feet with a teacher's desk and work area, and a  minimum of 28 square feet per student. Classrooms should be designed for no more than 15 students. 98: Designed for no more than 20 students DINING SPACE (JH & CAMP) There is a minimum of 15 square feet of space for  each person being fed at any given time. PHYSICAL ACTIVITY SPACE (JH & CAMP) (See 2001 regulations for revised calculations.) There is indoor space consisting of at least 30 square  feet of clear space for each minor, which may be included in a day room, a recreational building, or a multipurpose space (gymnasium). There is outdoor and/or multipurpose (gymnasium) space consisting of:  No less than the equivalent of 90' X 100' outdoor and /or multipurpose space (gymnasium) for a facility with a capacity of 40 or less. No less than the equivalent of 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40, and a juvenile hall with a capacity between 41 to 100 minors. No less than the equivalent of two 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40 and a juvenile hall with a capacity in excess of 101 minors. Lighting is adequate for security and evening recreational activities in camps.  STORAGE SPACE (JH, SPJH & CAMP)  Each minor is provided 9 cubic feet of secure storage space for personal clothing and belongings. Camps shall have adequate space (12 square feet of floor area is recommended) for bulk and activity  storage equipment. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7255 Los Angeles Camp Joseph Paige PHY 20-22 - 3 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS MULTIPURPOSE SPACE OR ROOM (SPJH) There is a multipurpose space or room that provides space for reception, dining, recreation, exercise and/or  education. This room contains a minimum of: 30 square feet of clear floor space per minor in the  room; 10 feet by 20 feet floor dimensions; and,  1600 cubic feet of air space with a minimum ceiling height of eight feet.  SPECIAL PURPOSE JH EXEMPTIONS SPJHs are exempt from the following Pre-1998 Title 15 regulations:  Section 4272(b) Medical exam rooms Section 4272(m) Academic classrooms Section 4272(n) Dining space Section 4272(o) Physical activities space *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7255 Los Angeles Camp Joseph Paige PHY 20-22 - 4 - J455 PHY Pre-98.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION BOARD OF STATE AND COMMUNITY CORRECTIONS INSPECTION BSCC Code: 7255 FACILITY: TYPE: RC: Camp Joseph Paige Camp 116 FIELD REPRESENTATIVE: DATE: Lisa Southwell April 25-27, 2022 ALL DIMENSIONS BASED ON CYA DATA UNLESS OTHERWISE DESIGNATED. ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS or Designation Type Standards Rooms # RC RC Square/Cubic Feet T U W F S Beds Dormitory Dorm Pre-98 1 65 116 116 160’ x 39’ = 6,058 2 Dayroom Pre-98 1 40’ x 19’ = 760 Restroom Pre-98 1 9 12 24 17 Historical Notes Camp Paige and Camp Afflerbaugh share the same school area. 2011: At the time of the 2010-12 inspection, minors from Camp Paige were housed at neighboring Camp Afflerbaugh due to a fire that occurred in the laundry room. The laundry room area was under re-construction at the time of our visit. 2013: Two of the toilets were inoperable at the time of the inspection. 2014-2016 Inspection Cycle Notes: RC stands at 116 however the facility has removed beds to provide for programming space, mental health staff offices etc. Changes have occurred in a way beds can be re-installed in a matter of a few days. 2016-2018 Inspection Cycle Notes: No Change to RC 2018-2020: **2018-2020 Inspection Cycle Notes: Inspection completed virtually. No changes to the LASE per administration. Provided for information only** 2020-2022: The camp has been historically rated 116 total. The total number of beds in the facility at this time are 65. The dorm is broken into 4 wings with beds. Alpha: 17 Bravo: 16 Charlie: 16 and Delta 16 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7255 Los Angeles Camp Joseph Paige LASE 20-22 - 1 - J460 LAS JUV-05.dot(8\05) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7261 FACILITY NAME: FACILITY TYPE: Camp Glenn Rockey Camp PERSON(S) INTERVIEWED: Exinia Lavarreda, Director, Patrice Orozco, BSCC Coordinator, Heidi Vettr, DMH, Gilbert Guyton, LACOE 2 line staff, 2 youth, 16, 17. FIELD REPRESENTATIVE: DATE: Lisa Southwell April 21-23, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by Policy Section 2002: Types of Inspections the Board of Supervisors to approve building safety; and Evaluations 2020 The building inspection was completed by Tennyson D’sena on December 16, 2020. All areas needing correction were corrected. 2021 ☒ ☐ ☐ The building inspection was completed by Tennyson D’sena on August 25, 2021 Mr. D’Sena noted the Gym was under construction with all required permits issued. 2022 The inspection for 2022 has yet to be scheduled. (B) Fire authority having jurisdiction, including a fire Policy Section 2002: Types of Inspections clearance as required by Health and Safety Code and Evaluations Section 13146.1 (a) and (b); ☒ ☐ ☐ The fire inspections were completed on 04/06/2021. Fire clearance was granted. 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. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with Policy Section 2002: Types of Inspections Health and Safety Code Section 101045; and Evaluations 2020 Medical Mental Health: January 16 and 29, August 27, 2020 Corrections were required. Nutrition: August 27, 2020 No corrections were required. Environmental Health: August 27, 2020 Corrections were required. Some corrections were made, and some not. 2021 Medical Mental Health: March 10 and 12, 2021. Corrections were required. At re- inspection in November 2021, it was found that all corrections were made as required. ☒ ☐ ☐ Environmental Health: January 28, 2021 Corrections were required and some were not. Since that time, onsite maintenance corrected the issues and public health signed off the correction. Nutrition: January 28, 2021 No corrections were necessary. 2022 Medical Mental Health: Only the Medical Mental Health inspection has been completed. The inspector has stated there were no areas of noncompliance noted this year. Environmental health and nutritional health have not yet been completed due to staffing in public health at the time of inspection. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) County superintendent of schools on the adequacy Policy Section 2002: Types of Inspections of educational services and facilities as required in and Evaluations Section 1370; Education for the Camp Rockey is provided by Los Angeles County Office of Education. 2020 On December 15, 2020, the facility education program was reviewed by Telka Walser, Director III, Stanislaus County Office of Education. ☒ ☐ ☐ 2021 On December 21, 2021, the facility education program was reviewed by Bruce Peterson, Executive Director, San Diego County Office of Education. All areas were found to be compliant. See Section 1355 for specific commentary from the 2021 report. 2022 The inspection for 2022 has not yet been scheduled. (E) Juvenile court as required by Section 209 of the Policy Section 2002: Types of Inspections Welfare and Institutions Code and Evaluations ☐ ☐ ☒ Juvenile Court inspections are not required for the Camps. (F) Juvenile Justice Commission as required by Section Policy Section 2002: Types of Inspections 229 of the Welfare and Institutions Code or Probation and Evaluations Commission as required by Section 240 of the Welfare and Institutions Code. Annual inspections are conducted by the Probation Oversight Commission. 2020 The facility was not inspected in 2020 due to COVID and due to the Probation Commission being shifted to the Probation Oversight Commission. ☒ ☐ ☐ 2021 The facility was inspected on 11/02/21 by Commissioners, Dolores Canales, Sean Garcia, and Erica Reynosa. 2022 The inspection for 2022 has been scheduled for July 12, 2022. All facility reports may be found at: https://poc.lacounty.gov/reports 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Letters dated December 20, 2021, and BSCC Note: Compliance with this section is January 26, 2022, were received from Chief determined by receipt of the Chief Probation Officer’s Probation Officer Gonzales certifying all certification letter confirming that all elements of appointments of staff are pursuant to the applicable laws and that all staff present at regulation are met. the facility meet all required qualifications (a) Appointment and clearances including non-employees. ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses ☒ ☐ ☐ of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- Per facility administrators, all contract employees of the facility, who may be present at the personnel, volunteers, and other non- facility, shall have such clearance and qualifications employees participate in background checks as may be required by law, and their presence at the as required by the Probation Department. Education staff are currently monitored by the facility shall be subject to the approval and control of ☒ ☐ ☐ County Office of Education; however, the the facility manager. Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access into the facility. 1321 STAFFING Each juvenile facility shall: 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS a) have an adequate number of personnel sufficient to Policy Section 206: Staffing carry out the overall facility operation and its programming, to provide for safety and security of The Agency’s Organization Chart, Vacancy youth and staff, and meet established standards and Report, Leave Management Report, Master regulations; Staff Schedule, and Daily Schedules for the week of April 7-14, 2022, were reviewed. The ☒ ☐ ☐ dorm was staffed appropriately for the number of youth housed. Random dates were selected throughout the cycle and staffing was viewed to ensure adequate personnel was present. The facility had 2 line staff vacancies in February 2022. b) ensure that no required services shall be denied Policy Section 206: Staffing because of insufficient numbers of staff on duty ☒ ☐ ☐ absent exigent circumstances; c) have a sufficient number of supervisory level staff to Policy Section 206: Staffing ensure adequate supervision of all staff members; The facility has 8 assigned supervisors. Supervisors are assigned to cover all shifts ☒ ☐ ☐ and are present and always awake. The supervisor is responsible for the operations of the camp and the supervision of the staff members. d) have a clearly identified person on duty at all times Policy Section 206: Staffing who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core The on-duty supervisor is responsible for the ☒ ☐ ☐ Course and PC 832 training; operations of the facility. Facility staff are responsible for the activities of the youth. e) have at least one staff member present on each Policy Section 206: Staffing living unit whenever there are youth in the living unit; There is always a staff present in the unit or where a youth is present with the appropriate ☒ ☐ ☐ skill level, and job experience, and who meets the youth’s language needs. Youth are not left alone. f) have sufficient food service personnel relative to the Policy Section 206: Staffing number and security of living units, including staff qualified and available to: plan menus meeting The facility has a full dining hall. All youth eat nutritional requirements of youth; provide kitchen their meals in the dining hall unless they supervision; direct food preparation and servings; refuse to leave the dorm. If they are assigned ☒ ☐ ☐ conduct related training programs for culinary staff; to the HOPE Center, they dine in the HOPE and maintain necessary records; or, a facility may Center. The dining hall is staffed by facility serve food that meets nutritional standards prepared cooks who plan and prepare all meals. by an outside source; Cooks do not supervise youth. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 g) have sufficient administrative, clerical, recreational, Policy Section 206: Staffing medical, dental, mental health, building Non-sworn staff do not supervise youth. maintenance, transportation, control room, facility Transportation and control staff are also not security and other support staff for the efficient generally assigned as part of the assigned management of the facility, and to ensure that youth supervision staff. supervision staff shall not be diverted from supervising youth; and, The Department of Mental Health provides staffing from 8:00 AM to 8:30 PM, 7 days a week. 7 clinicians, 1 substance abuse counselor, 1 supervisor, 2 psychiatrists, 2 clerical staff, and 1 supervisor are assigned to support the youth of Camp Rockey and the Camp Rockey HOPE Center. Mental health staff provides crisis intervention, medication management, telehealth services, group and individual substance abuse, and treatment services. Clinicians will also conduct family counseling. Youth may see their therapist upon request, otherwise, each youth who is assigned a specific therapist/clinician has a set meeting date and time. Youth may also be assigned to individual counseling, psychiatric services, crisis intervention, aftercare planning, multi- ☒ ☐ ☐ disciplinary team collaboration, and transitional housing assistance. These services are dependent on each youth’s individual needs and individual case plan as determined by their MDT. Youth are placed in DBT and in substance abuse treatment as needed, also as determined by their MDT. There is always a clinical officer of the day who is assigned a radio who monitors radio traffic and responds accordingly and as needed. The relationship between probation and mental health is a positive one, known to be collaborative between the two agencies. Communication is said to be good but there is always room for improvement. JCHS provides all medical services to the facility. There are 5 nurses assigned to the facility. The hours are from 6:30 AM to 10:00 PM daily. Medical staff perform health assessments, administer medication, submit referrals to the doctor and psychiatrist, and provide health and discharge education. The relationship between the 2 agencies is said to 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS be collaborative but that communication needs to be improved h) assign sufficient youth supervision staff to provide Policy Section 206: Staffing 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) Camps (minimum youth -staff ratio) Policy Section 206: Staffing (A) during the hours that youth are awake, one wide- awake youth supervision staff member on duty for ☒ ☐ ☐ The facility meets ratio requirements. each 15 youth in the camp population; (B) during the hours that youth are confined to their room Policy Section 206: Staffing for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth ☒ ☐ ☐ The facility meets ratio requirements. present in the facility; (C) at least two wide-awake youth supervision staff Policy Section 206: Staffing members on duty at all times, regardless of the number of youth in residence, unless arrangements Compliant ☒ ☐ ☐ have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty Policy Section 206: Staffing who is the same gender as youth housed in the ☒ ☐ ☐ facility; Compliant (E) in addition to the minimum staff to youth ratio Policy Section 206: Staffing required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types Staffing ratios are said to be adjusted of youth committed to the camp; and the function of accordingly, depending on the individual ☒ ☐ ☐ the camp in determining the level of supervision camp requirements and needs. Issues and necessary to maintain the safety and welfare of concerns are documented in facility logs. youth and staff; (F) personnel with primary responsibility for other duties Policy Section 206: Staffing such as administration, supervision of personnel, academic or trade instruction, clerical, farm, forestry, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF Policy Section 2104: Professional ORIENTATION AND TRAINING Development and Training (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented A training officer is assigned to each officer to their duties, including: when reporting to the facility. The training officer is assigned to assist with the facility specific training. ☒ ☐ ☐ Reviewed the training packets for the last 4 officers who began work at Camp Rockey on 01/03/2021, 2 on 09/30/2021, and 10/01/2021. All training packets were signed off by both the staff member and the training officer. (1) youth supervision duties; Policy Section 2104: Professional Development and Training ☒ ☐ ☐ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) scope of decisions they shall make; Policy Section 2104: Professional Development and Training ☒ ☐ ☐ (3) the identity of their supervisor; Policy Section 2104: Professional Development and Training ☒ ☐ ☐ (4) the identity of persons who are responsible to Policy Section 2104: Professional them; Development and Training ☒ ☐ ☐ (5) persons to contact for decisions that are beyond Policy Section 2104: Professional their responsibility; and Development and Training ☒ ☐ ☐ (6) ethical responsibilities. Policy Section 2104: Professional Development and Training ☒ ☐ ☐ (b) Prior to assuming any responsibility for the Policy Section 2104: Professional supervision of youth, each youth supervision staff Development and Training member shall receive a minimum of 40 hours of facility-specific orientation, including: Documentation was provided of the most recent incoming staff. 4 training packets were reviewed to ensure all required training ☒ ☐ ☐ occurred. All documentation was documented thoroughly. Staff are trained through review of facility specific operations, Title 15 specific regulation/policy, and shadow work. (1) individual and group supervision techniques; Policy Section 2104: Professional Development and Training ☒ ☐ ☐ (2) regulations and policies relating to discipline and Policy Section 2104: Professional rights of youth pursuant to law and the provisions Development and Training ☒ ☐ ☐ of this chapter; (3) basic health, sanitation and safety measures; Policy Section 2104: Professional Development and Training ☒ ☐ ☐ (4) suicide prevention and response to suicide Policy Section 2104: Professional attempts Development and Training ☒ ☐ ☐ (5) policies regarding use of force, de-escalation Policy Section 2104: Professional techniques, chemical agents, mechanical and Development and Training ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Policy Section 2104: Professional trauma and trauma-informed approaches; Development and Training ☒ ☐ ☐ (7) procedures to follow in the event of Policy Section 2104: Professional emergencies; Development and Training ☒ ☐ ☐ (8) routine security measures, including facility Policy Section 2104: Professional perimeter and grounds; Development and Training ☒ ☐ ☐ (9) crisis intervention and mental health referrals to Policy Section 2104: Professional mental health services; Development and Training ☒ ☐ ☐ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (10) documentation; and Policy Section 2104: Professional Development and Training ☒ ☐ ☐ (11) fire/life safety training Policy Section 2104: Professional Development and Training ☒ ☐ ☐ (c) Prior to assuming sole supervision of youth, each Policy Section 2104: Professional youth supervision staff member shall successfully Development and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer Policy Section 2104: Professional youth supervision staff shall successfully complete Development and Training training pursuant to Section 830 et seq. of the Penal ☒ ☐ ☐ Code. 1323 FIRE AND LIFE SAFETY Policy Section 2104: Professional Whenever there is a youth in a juvenile facility, there shall Development and Training be at least one wide awake person on duty at all times who meets the training standards established by the All staff remain awake on duty. Board for general fire and life safety which relate ☒ ☐ ☐ specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL The RTSB camp operations manual has All facility administrators shall develop, publish, and been provided for review. We have reviewed implement a manual of written policies and procedures the agency’s Policy and Procedure as that address, at a minimum, all regulations that are provided to us specific to regulations and applicable to the facility. Such a manual shall be made have confirmed the policies and procedure available to all employees, reviewed by all employees, exist as cited. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those Staff access the policy manual via the local records relating to the standards and requirements set ☒ ☐ ☐ intranet known as “Prob. Net”. Hard copy forth in these regulations shall be accessible to the Board manuals are also available in the camp. Staff on request. complete sign offs as new policy is released. The manual shall include: This is a new requirement in Policy Section 1324. The manual was last reviewed and updated in March 2022. (a) table of organization, including channels of The manual has a table of contents. The communications and a description of job agency’s channel of communication follows classifications; chain of command. Policy Sections are as follows: • 101: Vision, Mission, and Core Values • 102: Role of the Camp System • 202: RTSB Administrative Structure ☒ ☐ ☐ • 203: Duty Statements, RTSB Management • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff • 207: Organizational Chart 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) responsibility of the probation department, purpose Policy Sections are as follows: of programs, relationship to the juvenile court, the • 101: Vision, Mission, and Core Juvenile Justice/Delinquency Prevention Values Commission or Probation Committee, probation • 102: Role of Camp System staff, school personnel and other agencies that are • 908: Medical Services ☒ ☐ ☐ involved in juvenile facility programs; • 910: Mental Health Services • 911: Educational Services • 1005: CBO’s • 1006: Volunteers (c) responsibilities of all employees; Policy Sections are as follows: • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management • 204: Duty Statements, Deputized ☒ ☐ ☐ Staff • 205: Duty Statements, Camp Support Staff (d) initial orientation and training program for Policy Section 2104: Professional employees; Development and Training ☒ ☐ ☐ See Section 1322. (e) initial orientation, including safety and security issues Policy Section 2200: Non-Sworn Personnel and anti-discrimination policies, for support staff, and Partner Agencies Handbook contract employees, school, mental/behavioral health and medical staff, program providers and Facility provided documentation of initial volunteers; signoffs from non-sworn staff and updates since last inspection. ☒ ☐ ☐ Facility also provided documentation showing even visitors doing work around the facility, i.e., vendors such as tree trimming, and construction are provided with the orientation. (f) maintenance of record-keeping, statistics and Policy Sections 701: Case Planning and communication system to ensure: Procedures Introduction and Section 702: ☒ ☐ ☐ General Duties and Responsibilities (1) efficient operation of the juvenile facility; Policy Sections 701: Case Planning and Procedures Introduction and Section 702: ☒ ☐ ☐ General Duties and Responsibilities (2) legal and proper care of youth; Policy Section 701: Case Planning and ☒ ☐ ☐ Procedures Introduction (3) maintenance of individual youth's records; Policy Sections 701: Case Planning and Procedures Introduction and Section 702: ☒ ☐ ☐ General Duties and Responsibilities (4) supply of information to the juvenile court and Policy Sections 701: Case Planning and those authorized by the court or by the law; and, Procedures Introduction and Section 702: ☒ ☐ ☐ General Duties and Responsibilities (5) release of information regarding youth. Policy Sections 701: Case Planning and Procedures Introduction and Section 702: ☒ ☐ ☐ General Duties and Responsibilities (g) ethical responsibilities; Policy Section 2130: Employee Honesty ☒ ☐ ☐ (h) trauma-informed approaches; Policy Section 518: Trauma Informed ☒ ☐ ☐ Approaches 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) culturally responsive approaches; Policy Section 519: Culturally Responsive ☒ ☐ ☐ Approaches (j) gender responsive approaches; Policy Section 517: Promoting Dignity for ☒ ☐ ☐ Female Youth Housed in RTSB (k) a non-discrimination provision that provides that all Policy Section 2110: Non-Discrimination youth within the facility shall have fair and equal Policy access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, national origin, immigration ☒ ☐ ☐ status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy Section 1922: Weapons and chemical agents related security devices, and Ammunition weapons and ammunition, where applicable; ☒ ☐ ☐ No OC at the camp (m) establishment of procedures for collection of Medi- Policy Section 706: Case Plan Activities Cal eligibility information and enrollment of eligible youth; and, The Camp PO makes the necessary ☒ ☐ ☐ referrals upon release from camp, which includes Medi-Cal if appropriate. (n) establishment of a policy that prohibits all forms of Policy Section 1600: Prison Rape sexual abuse, sexual assault and sexual Elimination Act harassment. The policy shall include an approach to preventing, detecting and responding to such All staff is currently trained per bureau ☒ ☐ ☐ conduct and any retaliation for reporting such consultant staff. conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy Section 1910: Fire Prevention and The facility administrator shall consult with the local fire Suppression department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ The facility has a specific building which shall include, but not be limited to: emergency plan that includes all emergency preparedness including fire suppression. a) a fire prevention plan to be included as part of the Policy Section 1910: Fire Prevention and manual of policy and procedures; Suppression ☒ ☐ ☐ b) monthly fire and life safety inspections by facility Policy Section 1910: Fire Prevention and staff with two- year retention of the inspection Suppression record; All monthly fire and life safety inspections have been completed as required. Reports should be completed within the ☒ ☐ ☐ month. Inspection reports were completed within the first few days of the next month. Technical assistance was provided and discussed that there is no reason to wait until the following month. Reports should be completed in the month they are due. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS c) fire prevention inspections as required by Health Policy Section 1910: Fire Prevention and and Safety Code Section 13146.1(a) and (b); Suppression ☒ ☐ ☐ See 1322 above. d) an evacuation plan; Policy Section 1910: Fire Prevention and Suppression ☒ ☐ ☐ The evacuation plan is provided as part of the building emergency plan. Evacuation maps were posted as required. e) documented fire drills not less than quarterly; Policy Section 1910: Fire Prevention and Suppression Fire Drills have been completed as required. The facility used several different forms to document its drills. Technical assistance was provided and noted to the facility, they should identify which form they will use and be consistent. The drill should also ensure that ☒ ☐ ☐ all partners are identified and participate, that all youth were accounted for, and that all shifts were covered, including the late-night shift. A mock drill on the late-night shift, to ensure all staff is aware of the procedures for evacuation in the event of an actual fire or another emergency that would cause the facility to evacuate, should be included. f) a written plan for the emergency housing of youth in Residential Treatment Services Bureau the case of fire; and, (RTSB) Manual-1917: Emergency Evacuation ☒ ☐ ☐ Emergency housing will occur at one of the camps or juvenile halls dependent on the location of the fire and a safe route of travel. g) development of a fire suppression pre-plan In The Building Emergency Plan was cooperation with the local fire department. completed in both 2021 and 2022 by Director ☒ ☐ ☐ Watkins with Los Angeles County Fire Department Captain Singleton-Station 86. 1326 SECURITY REVIEW Security Reviews were completed for 2020, 2021, and 2022 by the previous Director of Each facility administrator shall develop policies and Camp Rockey. These reports were procedures to annually review, evaluate, and document completed on May 6, 2020, Feb 12, 2021, and security of the facility. The review and evaluation shall January 20, 2022. These reviews were include internal and external security, including, but not specific only to constructions or projects limited to, key control, equipment, and staff training. ☒ ☐ ☐ upgrades and not to the security of the facility. While technically noncompliant, the new facility administrator addressed this and along with the onsite MSB completed a thorough Security Review of the Camp facility. 1327 EMERGENCY PROCEDURES Policy Section 1902 Emergency Drills The facility administrator shall develop facility-specific policies and procedures for emergencies that shall ☒ ☐ ☐ include, but not be limited to: 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) escape, disturbances, and the taking of hostages; Policy Sections: 1907: Escapes ☒ ☐ ☐ 1909: Major Disturbances 1914: Hostages (b) civil disturbance, active shooter and terrorist attack; Policy Sections: 1908: Outside Intruder 1915: Active Shooter 1916: Terrorist Attack ☒ ☐ ☐ 1918: Major Emergency including Civil Disturbance (c) fire and natural disasters; Policy Sections: 1910: Fire Prevention and Suppression ☒ ☐ ☐ 1913: Earthquake (d) periodic testing of emergency equipment; Policy Sections: 1921: Testing of Equipment ☒ ☐ ☐ Los Angeles County Internal Services Department (ISD) conducts monthly and “as- needed” testing in coordination with MSB. (e) emergency evacuation of the facility; and Policy Sections: 1917: Emergency Evacuation ☒ ☐ ☐ (f) a program to provide all youth supervision staff with Policy Sections: an annual review of emergency procedures. 1903: Staff Roles and Responsibilities Active staff completed the annual ☒ ☐ ☐ emergency procedure review in: April 2021 June 2021 December 2022 1328 SAFETY CHECKS Policy Sections: 1313: Safety Checks The facility administrator shall develop and implement Reviewed random blocks of checks between policy and procedures that provide for direct visual February 2-23, 2022, for Camp Rockey. We observation of youth at a minimum of every 15 minutes, noted that safety checks were not random at random or varied intervals during hours when youth and varied as they should be and were are asleep or when youth are in their rooms, confined in consistently completed at the higher end of holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ the 15-minute maximum timeline. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system This was addressed with the facility designed to detect overt, aggressive or assaultive supervisor and technical assistance was behavior and to summon aid in emergencies. All safety provided, noting the issue. A bureau-wide checks shall be documented with the actual time the correction memo was initiated, and check is completed. additional documentation was reviewed. The issue has been corrected. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1329 SUICIDE PREVENTION PLAN Policy Section 1201: Suicide Prevention The facility administrator, in collaboration with the Plan healthcare and behavioral/mental health administrators, shall plan and implement written policies The Suicide Prevention Plan was developed and procedures which delineate a Suicide Prevention in collaboration with the Department of Plan. Mental Health (DMH), Juvenile Court Health Services (JCHS), and the Los Angeles The plan shall consider the needs of youth experiencing ☒ ☐ ☐ County Office of Education (LACOE). past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Policy Section 1203: Suicide Prevention Section 1322, Youth Supervision Staff Policy for Juvenile Facilities and Policy Orientation, and Training and the Juvenile Section 2104: Professional Development Corrections Officer Core Course. and Training ☒ ☐ ☐ Staff are trained in both CORE and also at orientation in suicide prevention. (b) Screening, Identification Assessment and Policy Section 1203: Suicide Prevention Precautionary Protocols Policy for Juvenile Facilities (1) All youth shall be screened for risk of suicide at intake and as needed during All youth upon arriving at the camp are detention. screened for risk of suicide or other mental ☒ ☐ ☐ health issues. Youth are also viewed and monitored throughout the time they are in the facility for any behaviors of concern. Any issues that come up are immediately referred to mental health for triage. (2) All youth supervision staff who perform Policy Section 1203: Suicide Prevention intake processes shall be trained in Policy for Juvenile Facilities screening youth for risk of suicide. ☒ ☐ ☐ A memo from the camp director was received, noting 6 staff who are specifically trained in suicide prevention screening. (3) All youth who have been identified during Policy Section 1203: Suicide Prevention the intake screening process to be at risk of Policy for Juvenile Facilities suicide shall be referred to behavioral/mental health staff for a suicide At intake, youth are orientated by Probation risk assessment. then are seen by DMH staff directly following ☒ ☐ ☐ for their intake. If found to be suicidal, youth can be moved from the facility to a facility with a HOPE Center for a higher level of supervision status or to whatever meets the youth’s needs. (4) Precautionary protocols shall be developed Policy Section 1203: Suicide Prevention to ensure the youth’s safety pending the Policy for Juvenile Facilities behavioral/mental health assessment. Youth are placed on Level and a special ☒ ☐ ☐ watch status until cleared by mental health, if there is any concern of a suicide or other mental health risk. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Referral process to behavioral/mental health Policy Section 1203: Suicide Prevention staff for assessment and/or services. Policy for Juvenile Facilities ☒ ☐ ☐ Youth are referred either directly or by referral for service. Youth are also seen as a matter of practice. (d) Procedures for monitoring of youth identified at Policy Section 1202: Enhanced Specialized risk for suicide. Supervision: Enhanced Supervision Requirements, Level 3 Enhanced Supervision Requirements and Policy Section 1203: Suicide Prevention Policy for Juvenile Facilities ☒ ☐ ☐ Youth are placed on Enhanced Specialized Supervision with intensive staff supervision to keep them safe. Director Watkins provided a memo noting there were no youth placed on a level this cycle. (e) Safety Interventions Policy Section 1202: Enhanced and (1) Procedures to address intervention Specialized Supervision Requirements of protocols for youth identified at risk for Youth in Juvenile Facilities ☒ ☐ ☐ suicide which may include, but are not limited to: A. Housing consideration Policy Section 1202: Enhanced and Specialized Supervision Requirements of Youth in Juvenile Facilities Dependent on the facility, youth may remain in their current camp or may be transferred ☒ ☐ ☐ to a HOPE Center. The Specialized Supervision Plan provides direction to staff on housing considerations for youth. B. Treatment strategies including Policy Section 1203: Suicide Prevention trauma-informed approaches Policy for Juvenile Facilities ☒ ☐ ☐ Youths requiring ongoing specialized response to self-harm are referred for a Multi-Disciplinary Team (MDT) meeting. (2) Procedures to instruct youth supervision Policy Section 1202: Enhanced and staff how to respond to youth who exhibit Specialized Supervision Requirements of suicidal behaviors. ☒ ☐ ☐ Youth in Juvenile Facilities and Policy Section 1203: Suicide Prevention (f) Communication Policy Section 1203: Suicide Prevention (1) The intake process shall include Policy for Juvenile Facilities communication with the arresting officer and family guardians regarding the youth’s Facility intake officers contact the youth’s ☒ ☐ ☐ past or present suicidal ideations, behaviors parents and ask questions regarding their or attempts. child’s mental health history. This information is documented in their file. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Procedures for clear and current Policy Section 1203: Suicide Prevention information sharing about youth at risk for Policy for Juvenile Facilities suicide with youth supervision, healthcare, and behavioral/mental health staff. An alert log is completed daily with information regarding any youth at risk. All staff is required to review the log when coming on shift. ☒ ☐ ☐ If any of the partner agencies become aware of any youth who may wish to harm themselves, they would provide one-on-one supervision and contact the facility supervisor or a staff member for assistance. (g) Debriefing of Critical Incidents Related to Policy Section 1203: Suicide Prevention Suicides or Attempts Policy for Juvenile Facilities (1) Process for administrative review of the circumstances and responses proceeding, ☒ ☐ ☐ If necessary, a critical stress briefing would during and after the critical incident. be completed. There were none for this cycle. (2) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention staff. Policy for Juvenile Facilities ☒ ☐ ☐ (3) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention youth. Policy for Juvenile Facilities ☒ ☐ ☐ (h) Documentation Policy Section 1203: Suicide Prevention (1) Documentation processes shall be Policy for Juvenile Facilities developed to ensure compliance with this regulation Incident reports are prepared regarding ☒ ☐ ☐ incidents that occur. If a youth were to be on a level in the camp, staff would document his behavior and status by shift on an Enhanced Supervision form. Youth identified at risk for suicide shall not be denied Policy Section 1202: Enhanced and the opportunity to participate in facility programs, Specialized Supervision Requirements for services and activities which are available to other non- Youths in Juvenile Facilities suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation ☐ ☐ ☒ No youth were separated for this purpose. of programs, services or activities for youth at risk of Staff and supervisors are aware of this suicide shall be documented and approved by the requirement should a youth be placed on a facility manager. level and be separated. 1340 REPORTING OF LEGAL ACTIONS Policy Section 203: Duty Statements, RTSB Each facility shall submit to the Board a letter of Management notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities ☒ ☐ ☐ Any notification of legal action will be sent responsible for juvenile facility operation. directly to the Board to the attention of Chair Linda Penner. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy Section 1919: Deaths at Camp OF A YOUTH WHILE DETAINED Facilities (1) Death of a Youth. (a) The facility administrator, In cooperation with the The policy was developed in cooperation health administrator and the behavioral/mental with Juvenile Court Health Services (JCHS) health director, shall develop written policies and and Department of Mental Health (DMH). procedures in the event of the death of a youth ☒ ☐ ☐ while detained, which include notifications to A memo was received from Director Watkins necessary parties, which may include the Juvenile noting there were no incidents pursuant to Court, the parent, guardian or person standing in this section. loco parentis and the youth’s attorney of record. No incidents to report. (b) The health administrator, In cooperation with the Policy Section 1919: Deaths at Camp facility administrator, shall develop written policies Facilities and procedures to assure there is a medical and operational review of every in-custody death of a youth. ☒ ☐ ☐ The review team shall include the facility administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Policy Section 1919: Deaths at Camp Board a copy of the report submitted to the Attorney Facilities General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy Section 1919: Deaths at Camp the administrator, the Board may within 30 calendar Facilities days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy Section 1920: Serious Illness or Injury (a) The facility administrator, In cooperation with the of a Youth While Detained health administrator, shall develop written policies and procedures for the notification to necessary No incidents to report. parties, which may include the Juvenile Court, the ☒ ☐ ☐ parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy Section 203: Duty Statements, RTSB Each juvenile facility shall submit required population Management and profile survey reports to the Board within 10 working days after the end of each reporting period, in The camp director is responsible to ensure ☒ ☐ ☐ a format to be provided by the Board. this information is provided to the BSCC. Population Reports have been provided quarterly and entered into the JDPS timely. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1343 JUVENILE FACILITY CAPACITY Policy Section 203: Duty Statements, RTSB When the number of youth detained in a living unit of a Management juvenile facility exceeds its rated capacity for more than fifteen (15) calendar days in a month, the facility ☒ ☐ ☐ The facility has not exceeded the rated administrator shall provide a crowding report to the capacity this cycle. Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy Section 502: Orientation Process and The facility administrator shall develop and implement Handbook written policies and procedures for admittance of youth that emphasize respectful and humane engagement The facility had 1 admission in January 2022, with youth, and reflect that the admission process may 7 admissions in February 2022. After be traumatic to youth who may have already ☒ ☐ ☐ reviewing their documentation provided, the experienced trauma. Policies shall be trauma-informed, facility had 100 percent compliance in all culturally relevant, and responsive to the language and areas of this regulation. literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Policy Section 502: Orientation Process and (1) Access to two free phone calls within one hour Handbook of admittance in accordance with the provisions ☒ ☐ ☐ of Welfare and Institution Code Section 627; Compliant (2) Offer of a shower; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Compliant (3) Documented secure storage of personal Policy Section 502: Orientation Process and belongings; Handbook Youth do not bring their personal belongings ☒ ☐ ☐ with them to the camps. Parents are notified at release that their belongings are available for pick up at the Juvenile Hall. Offer of food upon arrival; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Compliant (4) Screening for physical and behavioral health Policy Section 402: Assessment and and safety issues, intellectual or developmental Classification disabilities; ☒ ☐ ☐ Compliant (5) Screening for physical and developmental Policy Section 402: Assessment and disabilities in accordance with Sections 1329, Classification 1418, and 1430 of these regulations; ☒ ☐ ☐ Compliant Contact with Regional Center for the Developmentally Policy Section 502: Orientation Process and Disabled for youth that are suspected of or identified Handbook as having a developmental disability, pursuant to Section 1418; and, N/A ☒ ☐ ☐ Youth who are suspected of being developmentally disabled are screened out prior to the camp commitment. Procedures consistent with Section 1352.5. Policy Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, Transgender, ☒ ☐ ☐ Questioning and Intersex Youth in an Institutional Setting 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS juvenile hall administrators shall establish written N/A criteria for detention that considers the least restrictive ☐ ☐ ☒ environment. (b) juvenile camps and post-dispositional programs in Policy Section 502: Orientation Process and juvenile halls shall develop policies and Handbook procedures that advise the youth of the estimated length of stay, inform them of program guidelines ☒ ☐ ☐ Compliant and provide written screening criteria for inclusion and exclusion from the program. (c) juvenile halls shall develop policies and N/A procedures that advise any committed youth of the ☐ ☐ ☒ estimated length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy Section 402: Assessment and ABUSE Classification and 503: Screening for the The facility administrator shall develop and implement Risk of Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require 8 admissions were reviewed which included facility staff to assess each youth within 72 hours of victim vulnerability/ abusiveness admission based on the following information: assessments. Screenings begin prior to camp entry with documentation review at ☒ ☐ ☐ camp assessment unit and are completed again upon the youth’s entry to the camp. All were completed as required and were compliant with regulations. The assessment tool is maintained in an electronic database with limited access by staff. It is password- protected, and only certain staff have access. (a) Prior sexual victimization or abusiveness; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (b) Gender nonconforming appearance or manner; Policy Section 402: Assessment and or identification as lesbian, gay or bisexual, Classification and 503: Screening for the transgender, queer or intersex, and whether the Risk of Sexual Abuse youth may, therefore, be vulnerable to sexual ☒ ☐ ☐ abuse; (c) Current charges and offense history; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (d) Age Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (e) Level of emotional and cognitive development; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (f) Physical size and stature; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (g) Mental illness or mental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (h) Intellectual or developmental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) Physical disabilities; Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (j) The youth’s perception of vulnerability; and, Policy Section 402: Assessment and Classification and 503: Screening for the ☒ ☐ ☐ Risk of Sexual Abuse (k) Any other specific information about the Policy Section 402: Assessment and individual youth that may indicate heightened Classification and 503: Screening for the needs for supervision, additional safety Risk of Sexual Abuse ☒ ☐ ☐ precautions, or separation from certain other youth. Staff shall ascertain this information through Policy Section 503: Screening for the Risk of conversations with the youth during the admittance Sexual Abuse process, medical and behavioral health screenings; during classification assessments; and by reviewing ☒ ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy Section 503: Screening for the Risk of controls on the dissemination of information within the Sexual Abuse facility relative to responses received pursuant to this assessment in order to ensure that sensitive information ☒ ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Policy Section 809: Release Procedures The facility administrator shall develop and implement written policies and procedures for release of youth The facility had 1 release in January 2022, 1 from custody which provide for: in February 2022, and 2 in March 2022. Documentation was reviewed and it was determined that all releases were conducted in compliance with regulatory standards. Facility partners (medical, mental health, and education) are aware of the release date in advance as all partners participate in the ☒ ☐ ☐ MDT. Youth are cleared through the medical and mental health offices before leaving the facility. Technical assistance provided that, at the end of every day, an email could be provided to the facility team of all releases, to ensure that all staff within the various disciplines are aware, not just those that happen to be present or on duty at the exact time of the release. (a) verification of identity/release papers; Policy Section 809: Release Procedures ☒ ☐ ☐ All documentation was completed in the release files. (b) return of personal clothing and valuables; Policy Section 809: Release Procedures Youth do not have their own personals at the ☒ ☐ ☐ camp. Parents will bring clothing for their children to be released into. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) notification to the youth's parents or guardian; Policy Section 809: Release Procedures Parents are notified of release by Probation, ☒ ☐ ☐ the court, and the attorney. Parents must provide a valid ID to release their child. (d) notification to the facility health care provider in Policy Section 809: Release Procedures accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; ☒ ☐ ☐ and, (e) notification of school staff; Policy Section 809: Release Procedures ☒ ☐ ☐ (f) notification of facility mental health personnel. Policy Section 809: Release Procedures ☒ ☐ ☐ The facility administrator shall develop and implement Policy Section 809: Release Procedures policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry services including, but not limited to, medical and ☒ ☐ ☐ See 1355. behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Policy Section 1802: Private Appointments written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. RTSB does not offer furloughs. 1352 CLASSIFICATION Policy Section 402: Assessment and The facility administrator shall develop and implement Classification Policy written policies and procedures on classification of youth for the purpose of determining housing placement 8 assessment and classification documents in the facility. were provided for review. All were completed Such procedures shall: in compliance with regulatory requirements. Each file reviewed had an initial classification document completed. Periodic reviews were lacking. Periodic classifications are to be completed during ☒ ☐ ☐ weekly caseload meetings between the DPO and the youth and are to be documented accordingly. We did not find any documentation of this. This issue was addressed in technical assistance. A bureau-wide training update was completed, additional documentation was reviewed, and this issue was resolved and corrected. (a) provide for the safety of the youth, other youth, Policy Section 402: Assessment and facility staff, and the public by placing youth in the Classification Policy appropriate, least restrictive housing and program settings. Housing assignments shall consider the ☒ ☐ ☐ need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy Section 402: Assessment and the facility; Classification Policy ☒ ☐ ☐ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) provide that a youth shall be classified upon Policy Section 402: Assessment and admittance to the facility; classification factors shall Classification Policy include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ legal status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Policy Section 402: Assessment and provisions that consider the level of supervision and Classification Policy ☒ ☐ ☐ the youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Policy Section 402: Assessment and from the general population or assign youth to a Classification Policy single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender ☒ ☐ ☐ expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy Section 402: Assessment and transgender, questioning or intersex identification or Classification Policy status as an indicator of likelihood of being sexually ☒ ☐ ☐ abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 403: Juvenile Supervision of The facility administrator shall develop written policies Lesbian, Gay, Bisexual, Transgender, and procedures ensuring respectful and equitable Questioning and Intersex Youth in an treatment of transgender and intersex youth. The Institutional Setting ☒ ☐ ☐ policies shall provide that: There were no transgender youth in the facility at the time of inspection to speak with. (a) Facility staff shall respect every youth’s gender Policy Section 403: Juvenile Supervision of identity, and shall refer to the youth by the youth’s Lesbian, Gay, Bisexual, Transgender, preferred name and gender pronoun, regardless of Questioning and Intersex Youth in an the youth’s legal name. Facilities may prohibit the Institutional Setting use of gang or slang names or names that ☒ ☐ ☐ otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy Section 403: Juvenile Supervision of themselves in a manner consistent with their Lesbian, Gay, Bisexual, Transgender, gender identity, and shall provide youth with the Questioning and Intersex Youth in an ☒ ☐ ☐ institution’s clothing and undergarments consistent Institutional Setting with their gender identity. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Facility staff shall house youth in the unit or room Policy Section 403: Juvenile Supervision of that best meets their individual needs, and Lesbian, Gay, Bisexual, Transgender, promotes their safety and well-being. Staff may not Questioning and Intersex Youth in an automatically house youth according to their Institutional Setting external anatomy, and shall document the reasons for any decision to house youth in a unit that does ☒ ☐ ☐ not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that Policy Section 403: Juvenile Supervision of transgender and intersex youth have access to Lesbian, Gay, Bisexual, Transgender, medical and behavioral health providers qualified to Questioning and Intersex Youth in an ☒ ☐ ☐ provide care and treatment to transgender and Institutional Setting intersex youth. Medical policies (e) Consistent with the facility’s reasonable and Policy Section 403: Juvenile Supervision of necessary security considerations and physical Lesbian, Gay, Bisexual, Transgender, plant, facility staff shall make every effort to ensure Questioning and Intersex Youth in an the safety and privacy of transgender and intersex Institutional Setting ☒ ☐ ☐ youth when the youth are using the bathroom or shower, or dressing or undressing. Policy says option not really an option Facility staff shall not conduct physical searches of any Policy Section 403: Juvenile Supervision of youth for the purpose of determining the youth’s Lesbian, Gay, Bisexual, Transgender, anatomical sex. Whenever feasible, the facility shall Questioning and Intersex Youth in an ☒ ☐ ☐ respect the youth’s preference regarding the gender of Institutional Setting the staff member who conducts any search of the youth. 1353 ORIENTATION Policy Section 502: Orientation Process The facility administrator shall develop and implement Handbook written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal All youth are oriented upon entry. 9 information shall be provided and supplemented with orientation documents were reviewed, and video orientation if feasible. Provision shall be made to ☒ ☐ ☐ all were completed timely and consistent provide accessible orientation information to all with regulatory requirements. detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches Policy Section 502: Orientation Process and disciplinary procedures; ☒ ☐ ☐ Handbook (b) facility’s system of positive behavior interventions Policy Section 502: Orientation Process and supports, including behavior expectations, Handbook incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Policy Section 502: Orientation Process facility’s policy prohibiting sexual abuse and sexual Handbook harassment and how to report incidents or ☒ ☐ ☐ suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (e) the existence of the grievance procedure, the steps Policy Section 502: Orientation Process that must be taken to use it, the youth’s right to be Handbook free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) access to legal services and information on the Policy Section 502: Orientation Process court process; ☒ ☐ ☐ Handbook (g) access to routine and emergency health and mental Policy Section 502: Orientation Process health care; ☒ ☐ ☐ Handbook (h) access to education, religious services, and Policy Section 502: Orientation Process recreational activities; ☒ ☐ ☐ Handbook (i) housing assignments; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (j) opportunity for personal hygiene and daily showers Policy Section 502: Orientation Process including the availability of personal care items ☒ ☐ ☐ Handbook (k) rules and access to correspondence, visits and Policy Section 502: Orientation Process telephone use; ☒ ☐ ☐ Handbook (l) availability of reading materials, programming, and Policy Section 502: Orientation Process other activities; ☒ ☐ ☐ Handbook (m) facility policies on the use of force, use of restraints, Policy Section 502: Orientation Process chemical agents and room confinement; Handbook ☒ ☐ ☐ (n) immigration legal services; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (o) emergencies including evacuation procedures; Policy Section 502: Orientation Process ☒ ☐ ☐ Handbook (p) non-discrimination policy and the right to be free Policy Section 502: Orientation Process from physical, verbal or sexual abuse and Handbook ☒ ☐ ☐ harassment by other youth and staff; (q) availability of services and programs in a language Policy Section 502: Orientation Process other than English if appropriate; ☒ ☐ ☐ Handbook (r) the process for requesting different housing, Policy Section 502: Orientation Process education, programming and work assignments; ☒ ☐ ☐ Handbook (s) a process for which parents/guardians receive Policy Section 502: Orientation Process information regarding the youth’s stay in the facility Handbook that at a minimum includes answers to frequently asked questions and provides contact information The officer who provides the phone calls ☒ ☐ ☐ for the facility, medical, school and mental health; home answers any questions a parent may and, have. There is also a parent handbook that is sent to the youth. (t) a process by which youth may request access to Policy Section 502: Orientation Process Title 15 Minimum Standards for Juvenile Facilities. Handbook ☒ ☐ ☐ Copies of Title 15 are kept in the dorm for youth upon request. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy Sections: The facility administrator shall develop and implement 514: Separation written policies and procedures that address: 515: Room Confinement 1400: The Healing Opportunities and Positive Engagement (HOPE) Center There has been corrective action put into place to address the areas as noted below. New administration/leadership was initiated at about the same time as the inspection occurred, they have since conducted an internal audit of the HOPE Center and have provided detailed training and instructional direction to both staff and supervisors including making staffing changes to ensure compliance. ☒ ☐ ☐ We have continued to request documentation for review remotely and have provided regular technical assistance and review. We have made 2 unannounced visits, one in November 2022 and one in January 2023. We found that the issues initially identified specific to SSP’s to be addressed and corrected. Technical assistance was provided to the bureau regarding all Camps including Afflerbaugh and Paige, only separating youth on SSP at the Camp Rockey HOPE Center, when necessary, after exhausting their own local efforts. (a) separation of youth for reasons that include, but are Policy Sections 514: Separation and Policy not be limited to, medical and mental health Section 1400: The Healing Opportunities conditions, assaultive behavior, disciplinary and Positive Engagement (HOPE) Center consequences and protective custody. 7 separations were reviewed, 3 of which were long-term separations that would have ☒ ☐ ☐ required either an extension and/or weekly reclassifications. We did not find proper documentation for this. Additional documentation was reviewed, and we found new leadership has corrected this issue. (b) consideration of positive youth development and Policy Sections 514: Separation and Policy trauma-informed care. Section 1400: The Healing Opportunities ☒ ☐ ☐ and Positive Engagement (HOPE) Center 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) separated youth shall not be denied normal Policy Sections 514: Separation and Policy privileges available at the facility, except when Section 1400: The Healing Opportunities necessary to accomplish the objective of and Positive Engagement (HOPE) Center separation. Documentation was provided showing youth routinely participated in recreational activities, but it was noted that exercise and programming were not provided consistently as required by regulation to separated youth in the HOPE Center. It was noted that exercise was often held indoors and that ☒ ☐ ☐ youth complete calisthenic-like exercises. It was also noted that while rehabilitative programming is noted on the programming log, it was rarely noted in the pass-down log nor were the youth interviewed able to speak much about the rehabilitative programming offered there. This issue was addressed by the new leadership. While onsite for unannounced visits, youth were viewed to be outside for exercise and were found to be participating in rehabilitative programming. (d) when the objective of the separation is discipline, Policy Sections 514: Separation and Policy Title 15 Section 1390 shall apply. Section 1400: The Healing Opportunities ☒ ☐ ☐ and Positive Engagement (HOPE) Center (e) when separation results in room confinement, the Policy Sections 514: Separation and Policy separation shall occur in accordance with Welfare Section 1400: The Healing Opportunities and Institutions Code Section 208.3 and and Positive Engagement (HOPE) Center Section1354.5 of these regulations. ☒ ☐ ☐ We noted some youth on a SSP status were placed on Room Confinement with no RC documentation. See Room Confinement Regulation. (f) policies and procedures shall ensure a daily review Policy Section 514: Separation of separated youth to determine if separation remains necessary. ☒ ☐ ☐ Youth on a separated status are monitored daily for depression and or suicide risk. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 1354.5 ROOM CONFINEMENT Policy Section 515: Room Confinement and Section and Policy Section 1400: The The facility administrator shall develop and implement Healing Opportunities and Positive written policies and procedures addressing the Engagement (HOPE) Center confinement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The Documentation from December 2021 and placement of a youth in room confinement shall be February 2022 was provided for review of accomplished in accordance with the following incidents of room confinement. We found guidelines: some practices and documentation in some areas to be inconsistent with agency policy, which could be interpreted as a discipline. We also found instances where youth were placed in rooms for cooldowns and the door was closed or we are unable to determine where the youth were held. While some confusion or reason is likely due to construction in the HOPE Center at the time, it is the responsibility of facility managers to ensure the HOPE Center can both accommodate all youth being received there and have the staff necessary to supervise them appropriately. While the cooldowns and room confinements appear to have been necessary for safety and security, they were not effectuated in a manner that was consistent with policy or with regulation. Documentation was also inconsistent. Since the inspection, there has been much corrective action put into place to address the areas as noted above. As noted previously, the new administration/ leadership was initiated at about the same time as the inspection occurred and have since conducted an internal audit of the HOPE Center and have provided ongoing, detailed training and instructional direction to both staff and supervisors, including making staffing changes to ensure compliance. We have continued to request documentation for review remotely and have provided regular technical assistance and review. There have been no room confinements since November 2022, only cooldowns. We have made 2 unannounced visits, one in November 2022 and one in January 2023, and have interviewed youth placed in cooldowns. We have continued to contact the facility monthly to inquire as to if youth are being placed in their rooms for cooldowns and they all reported they have 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS not. The facility has been instructed to provide any room confinement documentation within 10 days. We believe, with new leadership and the quality assurance being conducted at the camp level, this issue has been corrected. We will continue to monitor in the coming cycle. Camp Rockey will be inspected in the next 6 months for the 2023-2024 Cycle. (1) Room confinement shall not be used before Policy Section 515: Room Confinement and other, less restrictive, options have been Section and Policy Section 1400: The attempted and exhausted, unless attempting Healing Opportunities and Positive ☒ ☐ ☐ those options poses a threat to the safety or Engagement (HOPE) Center security of any youth or staff. (2) Room confinement shall not be used for the Policy Section 515: Room Confinement purposes of punishment, coercion, ☒ ☐ ☐ convenience, or retaliation by staff. (3) Room confinement shall not be used to the Policy Section 515: Room Confinement extent that it compromises the mental and ☒ ☐ ☐ physical health of the youth. (a) A youth may be held up to four hours in room Policy Section 1400: The Healing confinement. After the youth has been held in room Opportunities and Positive Engagement confinement for a period of four hours, staff shall do ☒ ☐ ☐ (HOPE) Center one or more of the following: (1) Return the youth to general population. Policy Section 1400: The Healing Opportunities and Positive Engagement ☒ ☐ ☐ (HOPE) Center (2) Consult with mental health or medical staff. Policy Section 1400: The Healing Opportunities and Positive Engagement ☒ ☐ ☐ (HOPE) Center (3) Develop an individualized plan that includes the Policy Section 1400: The Healing goals and objectives to be met in order to Opportunities and Positive Engagement reintegrate the youth to general population. ☒ ☐ ☐ (HOPE) Center (4) If room confinement must be extended beyond Policy Section 1400: The Healing four hours, staff shall do each of the following: Opportunities and Positive Engagement ☒ ☐ ☐ (HOPE) Center (A) Document the reasons for room Policy Section 1400: The Healing confinement and the basis for the Opportunities and Positive Engagement extension, the date and time the youth was (HOPE) Center first placed in room confinement, and when ☒ ☐ ☐ he or she is eventually released from room confinement. (B) Develop an individualized plan that Policy Section 1400: The Healing includes the goals and objectives to be met Opportunities and Positive Engagement in order to integrate the youth to general ☒ ☐ ☐ (HOPE) Center population. (C) Obtain documented authorization by the Policy Section 1400: The Healing facility superintendent or his or her Opportunities and Positive Engagement ☒ ☐ ☐ designee every four hours thereafter. (HOPE) Center 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) This section is not intended to limit the use of Policy Section 515: Room Confinement and single-person rooms or cells for the housing of Policy Section 1400: The Healing youth in juvenile facilities and does not apply to Opportunities and Positive Engagement ☒ ☐ ☐ normal sleeping hours. (HOPE) Center (6) This section does not apply to youth or wards Policy Section 515: Room Confinement and in court holding facilities or adult facilities. Policy Section 1400: The Healing Opportunities and Positive Engagement ☒ ☐ ☐ (HOPE) Center (7) Nothing in this section shall be construed to Policy Section 515: Room Confinement and conflict with any law providing greater or Policy Section 1400: The Healing additional protections to youth. Opportunities and Positive Engagement ☒ ☐ ☐ (HOPE) Center (8) This section does not apply during an Policy Section 515: Room Confinement and extraordinary emergency circumstance that Policy Section 1400: The Healing requires a significant departure from normal Opportunities and Positive Engagement institutional operations, including a natural (HOPE) Center disaster or facility-wide threat that poses an imminent and substantial risk of harm to ☒ ☐ ☐ multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy Section 515: Room Confinement and placed in a locked cell or sleeping room to treat Policy Section 1400: The Healing and protect against the spread of a Opportunities and Positive Engagement communicable disease for the shortest amount (HOPE) Center of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an illness. ☒ ☐ ☐ Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy Section 402: Assessment and Pending Classification and Policy Section 703: The The facility administrator shall develop and implement MDT Process written policies and procedures for assessment and case planning. The assessment process begins at commitment. The Camp Assessment unit begins the assessment process (22 pt assessment) and the process continues ☒ ☐ ☐ when the youth reach the camp and through the youth’s involvement in the MDT process. All files reviewed had completed assessments from CAU and MDT meetings completed at the camp. Initial MDT’s are to be scheduled within 10 days. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Assessment: Policy Section 703: The MDT Process The assessment is based on information collected during the admission process with periodic review, Case plans are completed at the first MDT which includes the youth's risk factors, needs and which is held in the first two weeks. All strengths including, but not limited to, identification documentation reviewed had case plans that ☒ ☐ ☐ of substance abuse history, educational, were timely. vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Policy Section 705: Ongoing Case (1) A case plan shall be developed for each youth Management Activities held for at least 30 days or more and created ☒ ☐ ☐ within 40 days of admission. (2) The institutional plan shall include, but not be Policy Section 705: Ongoing Case limited to, written documentation that provides: Management Activities LA County has a very detailed case plan ☒ ☐ ☐ process with objectives and timeframes and identified programs and objectives. All documentation provided from January and February 2022. (A) objectives and time frame for the resolution Policy Section 705: Ongoing Case of problems identified in the assessment; ☒ ☐ ☐ Management Activities (B) a plan for meeting the objectives that Policy Section 705: Ongoing Case includes a description of program resources Management Activities needed and individuals responsible for assuring that the plan is implemented; Reviewed six extensive case notes from ☒ ☐ ☐ random files from January and February 2022 and found that documentation is being completed as required. (3) periodic evaluation of progress towards meeting Policy Section 706: Case Plan Activities- the objectives, including periodic review and Pre- Release discussion of the plan with the youth; Technical assistance was provided ☒ ☐ ☐ regarding case charting of periodic review. Requested additional documentation and found them to be compliant and the issue corrected. (4) a transition plan, the contents of which shall be Policy Section 705: Ongoing Case subject to existing resources, shall be Management Activities developed for post dispositional youth in ☒ ☐ ☐ accordance with Section 1351; and, Transition plans were found to be consistent with all regulatory requirements. (5) in as much as possible and if appropriate, the Policy Section 402: Assessment and plan, including the transition plan, shall be Classification and Policy Section 703: The developed with input from the family, supportive MDT Process adults, youth, and Regional Center for the ☒ ☐ ☐ Developmentally Disabled. The youth’s family is invited to participate in the youth’s MDT’s with the other partners. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1356 COUNSELING AND CASEWORK SERVICES Policy Section 705: Ongoing Case The facility administrator shall develop and implement Management Activities written policies and procedures ensuring the availability of appropriate counseling and casework services for all DPO’s in the camp are assigned to each ☒ ☐ ☐ youth. Policies and procedures shall ensure: youth to mentor and to assist them in their day-to-day needs. Officers are to assist them as needed and requested. (a) youth will receive assistance with needs or Policy Section 705: Ongoing Case concerns that may arise; ☒ ☐ ☐ Management Activities (b) youth will receive assistance in requesting contact Policy Section 705: Ongoing Case with parents, other supportive adults, attorney, Management Activities ☒ ☐ ☐ clergy, probation officer, or other public official; and, (c) youth will be provided access to available Policy Section 705: Ongoing Case resources to meet the youth’s needs. ☒ ☐ ☐ Management Activities 1357 USE OF FORCE Policy Section 1701: Physical intervention The facility administrator, In cooperation with the Policy for Juvenile Facilities and the responsible physician, shall develop and implement Transportation Section written policies and procedures for the use of force, which may include chemical agents. Force shall never Camp Rockey provided 23 incidents from be applied as punishment, discipline, retaliation or February and March 2022 for our review. 15 treatment. random incidents were selected for review. (a) At a minimum, each facility shall develop policies and procedures which: We found all incidents appeared to be necessary and appropriate, based on the ☒ ☐ ☐ documentation reviewed, to ensure the safety of the youth and staff in the facility. It was also noted there were a few incidents in which there were regulatory areas that were not addressed. These training issues were addressed by the Facility Director with a Corrective Action Notice to the staff member involved. (1) restricts the use of force to that which is deemed Policy Section 1704: Safe Crisis reasonable and necessary, as defined in Section Management and Physical Intervention 1302 to ensure the safety and security of youth, Procedures ☒ ☐ ☐ staff, others and the facility. Policy compliant. (2) outline the force options available to staff Policy Section 1704: Safe Crisis including both physical and non-physical options Management and Physical Intervention and define when those force options are Procedures ☒ ☐ ☐ appropriate. Policy compliant. (3) describe force options or techniques that are Policy Section 1704: Safe Crisis expressly prohibited by the facility. Management and Physical Intervention Procedures ☒ ☐ ☐ Policy compliant. (4) describe the requirements of staff to report any Policy Section 1704: Safe Crisis inappropriate use of force, and to take Management and Physical Intervention affirmative action to immediately stop it. Procedures ☒ ☐ ☐ Policy compliant. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) define a standardized reporting format that Policy Section 1704: Safe Crisis includes time period and procedure for Management and Physical Intervention documenting and reporting the use of force, Procedures including reporting requirements of management and line staff and procedures for Of incidents reviewed, debriefs were reviewing and tracking use of force incidents by completed on incidents that required them. supervisory and or management staff, which ☒ ☐ ☐ Incidents appeared to be written in a timely include procedures for debriefing a particular manner. incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system Policy Section 1706: Safe Crisis for investigating unreasonable use of force. Management Physical Intervention Reports The policy notes this process to occur “as ☒ ☐ ☐ soon as practical.” Technical assistance provided that a specific timeline should be identified and proper accountability for those not completing the reviews when required. (7) define the role, notification, and follow-up Policy Section 1704: Safe Crisis procedures required after use of force incidents Management and Physical Intervention for medical, mental health staff and parents or Procedures legal guardians. All appropriate follow-ups were made. 3 attempts are made to contact parents to ☒ ☐ ☐ notify them of the incident. Staff will leave a message, if necessary, on the 3rd attempt. Medical and mental health were contacted and provided care as appropriate. One youth, whose incident was reviewed, was sent out for emergency care. (8) describe the limitations of use of force on Policy Section 1704: Safe Crisis pregnant youth in accordance with Penal Code Management and Physical Intervention Section 6030(f) and Welfare and Institutions ☒ ☐ ☐ Procedures Code Section 222. (b) Facilities that authorize chemical agents as a force OC spray is not used in the camps. All option shall include policies and procedures that: ☐ ☐ ☒ remaining sections are marked as N/A (1) identify who is approved to carry and/or utilize N/A 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 N/A when there is an imminent threat to the youth’s safety or the safety of others and only when de- ☐ ☐ ☒ escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and N/A timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be ☐ ☐ ☒ left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) define the role, notification, and follow-up N/A procedures required after use of force incidents involving chemical agents for medical, mental ☐ ☐ ☒ health staff and parents or legal guardians. (5) provide for the documentation of each incident N/A of use of chemical agents, including the reasons for which it was used, efforts to de- escalate prior to use, youth and staff involved, the date, time and location of use, ☐ ☐ ☒ decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure Policy Section 1702: Training which require that agencies provide initial and regular training in use of force and chemical agents ☒ ☐ ☐ when appropriate that address: (1) known medical and behavioral health Policy Section 1702: Training conditions that would contraindicate certain ☒ ☐ ☐ types of force; (2) acceptable chemical agents and the methods Policy Section N/A of application. ☒ ☐ ☐ (3) signs or symptoms that should result in Policy Section 1702: Training immediate referral to medical or behavioral ☒ ☐ ☐ health. (4) instruction on the Constitutional Limitations of Policy Section 1702: Training Use of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy Section 1702: Training the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Policy Section 1702: Training training. All staff are CORE trained prior to beginning work in a facility. Annual training is completed as part of STC requirements and block week. ☒ ☐ ☐ We will be working with the facility to provide proof of practice for each individual training session that is related to this area and the proper documentation to identify who has gone and who has not. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1705: Restraints The facility administrator, In cooperation with the The policy was developed in cooperation responsible physician and mental health director, shall with Juvenile Court Health Services (JCHS) develop and implement written policies and procedures and the Department of Mental Health (DMH). for the use of restraint devices. Restraint devices include any devices which immobilize a youth's Restraint logs were provided from the year extremities and/or prevent the youth from being prior to the inspection. During this time, there ambulatory. have been 2 incidents that have involved the ☒ ☐ ☐ Use of Restraints pursuant to this section, one in September 2021 and one in February 2022. Both occurred due to the youth acting out and breaking glass, creating a safety issue for themselves, other youth, and staff near them. The youth was restrained for a very short time period and moved to the HOPE Center. All areas of regulation were completed as required. Physical restraints may be used only for those youth Policy Section 1705: Restraints who present an immediate danger to themselves or Both incidents involved restraints as the others, who exhibit behavior which results in the youth exhibited a danger to themselves. destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy Section 1705: Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing of hands and feet together behind the back ☒ ☐ ☐ (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy Section 1705: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed ☒ ☐ ☐ by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy Section 1705: Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a Continued retention is reviewed by the physician. Reasons for continued retention in restraints ☒ ☐ ☐ supervisor every 15 minutes. shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy Section 1705: Restraints retention shall be secured as soon as possible, but no later than two hours from the time of placement. The Medical staff saw the youth within 30 ☒ ☐ ☐ youth shall be medically cleared for continued retention minutes. at least every three hours thereafter. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A mental health consultation shall be secured as soon as Policy Section 1705: Restraints possible, but in no case longer than four hours from the time of placement, to assess the need for mental health ☒ ☐ ☐ Referrals were completed and follow-ups treatment. were completed. Continuous direct visual supervision shall be conducted Policy Section 1705: Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. Restraint logs were completed for the youth Observations of the youth's behavior and any staff ☒ ☐ ☐ involved. Youth was under constant visual interventions shall be documented at least every 15 supervision. minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy Section 1705: Restraints procedures shall address: (a) documentation of the circumstances leading to an Policy Section 1705: Restraints application of restraints. ☒ ☐ ☐ (b) known medical conditions that would contraindicate Policy Section 1705: Restraints certain restraint devices and/or techniques. ☒ ☐ ☐ (c) acceptable restraint devices. Policy Section 1705: Restraints ☒ ☐ ☐ (d) signs or symptoms which should result in Policy Section 1705: Restraints immediate medical/mental health referral. ☒ ☐ ☐ (e) availability of cardiopulmonary resuscitation Policy Section 1705: Restraints equipment. ☒ ☐ ☐ (f) protective housing of restrained youth. While in Policy Section 1705: Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy Section 1705: Restraints ☒ ☐ ☐ (h) exercising of extremities. Policy Section 1705: Restraints ☒ ☐ ☐ 1358.5 USE OF RESTRAINT DEVICES FOR Policy Section 1709: The Use of Mechanical MOVEMENT AND TRANSPORTATION WITHIN THE Restraints for Movement and Transport FACILITY. Within the Facility The Facility Administrator, In cooperation with the responsible physician and behavioral/mental health The policy was developed in cooperation ☒ ☐ ☐ director, shall develop and implement written policies with Juvenile Court Health Services (JCHS) and procedures for the use of restraint devices when and the Department of Mental Health (DMH). the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Policy Section 1709: The Use of Mechanical approved to utilize restraint devices and the Restraints for Movement and Transport ☒ ☐ ☐ required training. Within the Facility (b) the circumstances leading to the application of Policy Section 1709: The Use of Mechanical restraints must be documented. Restraints for Movement and Transport ☒ ☐ ☐ Within the Facility (c) an individual assessment of the need to apply Policy Section 1709: The Use of Mechanical restraints for movement or transportation that Restraints for Movement and Transport includes consideration of less restrictive Within the Facility alternatives, consideration of a youth’s known medical or mental health conditions, trauma ☒ ☐ ☐ Handcuffs are not routinely utilized in the informed approaches, and a process for camps. When they are, staff complete and documentation and supervisor review and document their assessment as required. approval. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) consideration of safety and security of the facility, Policy Section 1709: The Use of Mechanical with a clearly defined expectation that restraint Restraints for Movement and Transport devices shall not be used for the purposes of ☒ ☐ ☐ Within the Facility discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Policy Section 1709: The Use of Mechanical accordance with Penal Code Section6030(f) and Restraints for Movement and Transport ☒ ☐ ☐ Welfare and Institutions Code Section 222. Within the Facility 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, In Text of the regulation deleted. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate danger to themselves or ☐ ☐ ☒ others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 1360 SEARCHES Policy Section 1316: Searches in Detention The facility administrator shall develop and implement Facilities and Section 1317: Body Searches written policies and procedures governing the search of (Pat-Down, Strip, and Body Cavity youth, the facility, and visitors. Policies and procedures Searches) shall provide that: Documentation of daily dorm and wing searches provided for February 21, 2022 - March 31, 2022. Documentation of K9 searches provided, dating back to July 2020. ☒ ☐ ☐ Technical assistance was provided regarding ensuring that all stages are noted, if vacant, to include this information. Youth are searched with electronic wands, pat-down searches, and maybe strip- searched if necessary and with prior approval of the supervisor. (a) Searches shall be conducted to ensure the safety Policy Section 1316: Searches in Detention and security of the facility, public, visitors, youth, Facilities ☒ ☐ ☐ and staff. (b) Searches shall be conducted in a manner that Policy Section 1316: Searches in Detention preserves the privacy and dignity of the person Facilities being searched, and shall not be conducted for ☒ ☐ ☐ harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Policy Section 1317: Body Searches (Pat- searches shall comply with Penal Code Section Down, Strip, and Body Cavity Searches) ☒ ☐ ☐ 4030. (d) Physical body cavity searches shall only be Policy Section 1317: Body Searches (Pat- conducted by a medical professional. ☒ ☐ ☐ Down, Strip, and Body Cavity Searches) 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Any youth held after a detention hearing shall only Policy Section 1317: Body Searches (Pat- be strip searched with prior approval of a supervisor Down, Strip, and Body Cavity Searches) when there is reasonable suspicion based on specific and articulable facts to believe that youth is ☒ ☐ ☐ concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Policy Section 1317: Body Searches (Pat- comply with Section 1352.5. Down, Strip, and Body Cavity Searches) and Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, Transgender, ☒ ☐ ☐ Questioning and Intersex Youth in an Institutional Setting (g) Cross-gender pat-down searches and strip Policy Section 1317: Body Searches (Pat- searches are prohibited except in exigent Down, Strip, and Body Cavity Searches) circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 1361 GRIEVANCE PROCEDURE Policy Section 508: Grievance Procedures The facility administrator shall develop and implement written policies and procedures whereby any youth may 3 grievances from December 2021, 1 appeal and have resolved grievances relating to any grievance from January 2022, 1 from condition of confinement, including but not limited to February 2022, and 5 grievances from health care services, classification decisions, program March 2022 were provided for review. participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or In all cases, the grievances were addressed violations of the nondiscrimination policy. There shall be with an initial response provided within the 3 no time limit on filing grievances. Policies and days required by regulation and final procedures shall include provisions whereby the facility resolution within 10 business days except for manager ensures: 1, which was submitted in the electronic JIGS system. This grievance was submitted January 14, 2022, but was not received by staff for resolution until 2/08/2022 due to a technical issue with the JIGS system. This has been an ongoing issue with this electronic system that has been brought to the attention of the agency previously. There were several other grievances, not submitted via the JIGS system, which were related to the safety of youth and these were not addressed immediately as required by regulation. There were several grievances that appeared to have necessitated additional investigation based on the allegations identified in the narrative. Some of the ☒ ☐ ☐ grievances were anonymous or written regarding other youth. Each of these grievances were appropriately forwarded to the facility director for further review and action. In many of the issues, the director at that time found the grievance to be unfounded and closed them with or without further action. These issues have been brought to the attention of the new administration for review and the last 3 for additional review as it appeared they had not been reviewed by a manager. It has been confirmed those grievances have been addressed by a manager. Upon arrival, refresher training was provided to the grievance officers and supervisors to address this section to address and correct this area to ensure proper documentation going forward. We are confident with these changes being implemented; all corrections will occur. We will continue to monitor this area. Past practice and missing grievances from the JIGS system have continued to be a 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS concern and the agency will be implementing a new electronic system in the coming months. Technical assistance was provided to the grievance team to manually check the JIGS system daily to ensure no missing documents. Since the inspection, the facility has corrected the issue through oversight and retraining of staff and are now compliant. We are confident in the process and in the proper handling of grievances by the leadership team assigned. (a) a grievance form and instructions for registering a Policy Section 508: Grievance Procedures grievance, which includes provisions for the youth to have free access to the form; Youth have access through a paper copy in ☒ ☐ ☐ the dorm and in school through the JIGS system. (b) the youth shall have the option to confidentially file Policy Section 508: Grievance Procedures the grievance or to deliver the form to any youth ☒ ☐ ☐ supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate Policy Section 508: Grievance Procedures staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Policy Section 508: Grievance Procedures grievances within three (3) business days, grievances that relate to health and safety issues Youth in some cases did not put dates on must be addressed immediately; their grievances but, once received, we ☒ ☐ ☐ noted the timelines moved quickly other than the grievance received from the JIGS system. (1) The youth may elect to be present to explain Policy Section 508: Grievance Procedures his/her version of the grievance to a person not directly involved in the circumstances which led ☒ ☐ ☐ to the grievance. (2) Provision for a staff representative approved by Policy Section 508: Grievance Procedures the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Policy Section 508: Grievance Procedures which includes the reasons for the decisions; Documentation was not consistently provided once the grievance was referred beyond the supervisor, i.e. talking to staff, the reasoning for decision making, etc. ☒ ☐ ☐ Follow-up with the youth should occur after the supervisor talks to staff, or a principal, or the kitchen, etc. All of the original issue(s) of grievance must be addressed with the youth. This was covered in the refresher training with staff. (f) a system which provides that any appeal of a Policy Section 508: Grievance Procedures grievance shall be heard by a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance; 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) resolution of the grievance must occur within ten Policy Section 508: Grievance Procedures (10) business days unless circumstances dictate a longer time frame. The youth shall be notified of ☒ ☐ ☐ any delay; and, (h) the policy shall provide multiple internal and Policy Section 508: Grievance Procedures external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Youth can report to any staff, to any facility partner, or the ombudsman. Whether or not associated with a grievance, concerns Policy Section 504: Ombudsman and of parents, guardians, staff or other parties shall be Section 508: Grievance Procedures addressed and documented in accordance with written policies and procedures within a specified timeframe. If a parent has a concern, they are encouraged to address the issue at the time of issue with the facility supervisor. If the ☒ ☐ ☐ issue cannot be resolved, a complaint can be filed formally with the department, through a formal complaint process. Technical assistance was provided to encourage consistency in this area across the bureau. 1362 REPORTING OF INCIDENTS Policy Section 1119: Reducing Youth on A written report of all incidents which result in physical Youth on Violence and Section 1919: Deaths harm, use of force, serious threat of physical harm, or at Camp Facilities death of an employee, youth or other person(s) shall be maintained. Such written record shall be prepared by the ☒ ☐ ☐ 7 incidents were provided for review. All were staff and submitted to the facility manager by the end of completed in a timely manner. the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Policy Sections 306: Live Scan and DNA DNA SPECIMENS, SAMPLES, IMPRESSIONS Collection and 1122: Juvenile Collection of (a) Pursuant to Penal Code Section 298.1 authorized DNA Samples law enforcement, custodial, or corrections personnel including peace officers, may employ The Camp Assessment Unit is responsible to reasonable force to collect blood specimens, saliva determine if youth need DNA collection. ☐ ☐ ☒ samples, and thumb or palm print impressions from Detention Services Bureau (DSB) personnel individuals who are required to provide such are responsible for conducting fingerprint samples, specimens or impressions pursuant to collection through the Live-Scan process Penal Code Section 296 and who refuse following and for DNA collection. This is not done in written or oral request. the camps. (1) For the purpose of this section, the “use of Policy Sections 306: Live Scan and DNA reasonable force” shall be defined as the force that Collection and 1122: Juvenile Collection of an objective, trained and competent correctional DNA Samples employee, faced with similar facts and ☐ ☐ ☒ circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy Sections 306: Live Scan and DNA efforts to secure voluntary compliance. Efforts to Collection and 1122: Juvenile Collection of secure voluntary compliance shall be documented DNA Samples and include an advisement of the legal obligation to ☐ ☐ ☒ provide the requisite specimen, sample or impression and the consequences of refusal. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) The force shall not be used without the prior written Policy Sections 306: Live Scan and DNA authorization of the supervising officer on duty. The Collection and 1122: Juvenile Collection of authorization shall include information that reflects DNA Samples the fact that the offender was asked to provide the ☐ ☐ ☒ requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Policy Sections 306: Live Scan and DNA extraction, the extraction shall be videotaped. Collection and 1122: Juvenile Collection of Video shall be directed at the cell extraction DNA Samples event. The videotape shall be retained by the agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. ☐ ☐ ☒ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM The educational program is provided by the Los Angeles County Office of Education. The (a) School Programs interim principal is Gilbert Guyton. The policy has not changed since the last cycle. There The County Board of Education shall provide for the are 6 teachers, 3 paraeducators, 2 administration and operation of juvenile court counselors, the school psychologist, schools in conjunction with the Chief Probation behavior manager, and school clerk. Officer, or designee pursuant to applicable State laws. The school and facility administrators shall The youth we spoke to stated they enjoyed develop and implement written policy and school and enjoyed their classwork. They procedures to ensure communication and believe they are receiving a good education. coordination between educators and probation staff. There were a few graduates in the group Culturally responsive and trauma-informed discussion. Graduates noted they would like to have more opportunities. approaches should be applied when providing instruction. Education staff should collaborate with The following information noted in each the facility administrator to use technology to individual section is taken directly from the facilitate learning and ensure safe technology subject matter experts’ report. Any questions practices. The facility administrator shall request an should be referred to Bruce Peterson, San annual review of each required element of the Diego County Office of Education (858-571- program by the Superintendent of Schools, and a 7274) report or review checklist on compliance, ☒ ☐ ☐ deficiencies, and corrective action needed to • Administration and operations of the achieve compliance with this section. Such a review, Juvenile Court School in the camp when conducted, cannot be delegated to the facilities (Rockey) are in conjunction principal or any other staff of any juvenile court with the Chief Probation school site. The Superintendent of Schools shall Officer/designee. conduct this review in conjunction with a qualified • Weekly meetings are scheduled outside agency or individual. Upon receipt of the (inter-agency) with probation, DMH etc. review, the facility administrator or designee shall • Evidence of trauma-informed review each item with the Superintendent of Schools training (Living Above the Hype). and shall take whatever corrective action is Cultural Competency & necessary to address each deficiency and to fully Engagement training. protect the educational interests of all youth in the • Students have access to technology facility. and Wi-Fi. • All educational programs are evaluated each year to ensure policies and procedures are met. • This review was completed by a delegate from outside the LEA, San Diego County Office of Education. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements BP 6011 Instruction The facility school program shall comply with the BP 6011 Instruction, BP 0460 Philosophy, State Education Code and County Board of Goals, Objectives, and Comprehensive Education policies, all applicable federal education Plans statutes and regulations and provide for an annual BP 005 Philosophy, Goals, Objectives and evaluation of the educational program offerings. As Comprehensive Plans Item 3,4,5 stated in the 2009 California Standards for the Teaching Profession, teachers shall establish and The school facility is evaluated annually to maintain learning environments that are physically, ensure State Education Code and County emotionally, and intellectually safe. Youth shall be ☒ ☐ ☐ Board policies are met. provided a rigorous, quality educational program that responds to the different learning styles and abilities The CSTPs are built into all teacher of students and prepares them for high school evaluations. graduation, career entry, and post-secondary education. Curriculum is in alignment with the California State Standards. Educational programs include differentiated instruction and reading/math interventions. All youth shall be treated equally, and the education BP 5145.3 Students program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- The school facility is evaluated annually to ☒ ☐ ☐ nonconforming youth by their preferred name and ensure Statute Education Code and County gender. Board policies are met. (1) The course of study shall comply with the State BP 005 Philosophy, Goals, Objectives and Education Code and include, but not be limited to, Comprehensive Plans Item 3,4,5 courses required for high school graduation. ☒ ☐ ☐ The course of study is in compliance with state education code. (2) Information and preparation for the High School AR-6146.2 Equivalency Test as approved by the California Department of Education shall be made available to ☒ ☐ ☐ The HiSet is given onsite. eligible youth. (3) Youth shall be informed of post-secondary education AR-6143 Instruction Item 9 (Grades 7-12) and vocational opportunities. A counselor or Transition counselor meets with students to inform them of post- secondary options. Vocational educational options provided on-site include OSHA ☒ ☐ ☐ certifications and Graphic Communications. Concurrent college enrollment is provided as an option to qualifying students. Mission College/ East LA College(Online)/Glendale College direct instruction. (4) Administration of the High School Equivalency Tests AR6146-2 Instruction Ed Code 51420 as approved by the California Department of Education, shall be made available when possible. ☒ ☐ ☐ HiSet assessment is administered at Site by certified school counselor. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Supplemental instruction shall be afforded to youth AR-6179 Instruction BPP 5149 who do not demonstrate sufficient progress towards grade level standards. An initial assessment is completed and an analysis transcript history to determine ☒ ☐ ☐ course/programing. Targeted intervention courses/Credit Recovery (APEX), Read/Math 180 are part of supplemental instruction provided to students. (6) The minimum school day shall be consistent with BP 6112 Instruction State Education Code Requirements for juvenile court schools. The facility administrator, in Minimum day schedule and required minutes conjunction with education staff, must ensure that are listed on Master Schedule. operational procedures do not interfere with the time ☒ ☐ ☐ afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless of BP 6112 Instruction Partially Address classification, housing, security status, disciplinary or requirement; AR 5131 separation status, including room confinement, except when providing education poses an Educational programming is provided to all immediate threat to the safety of self or others. youth assigned to the probation camp Education includes, but is not limited to, related ☒ ☐ ☐ regardless of classification or security status. services as provided in a youth’s Section 504 Plan or Individualized needs are assessed, and Individualized Education Program (IEP). appropriate services are provided as directed by the individualized Education Plan (IEP) or 504 plans. (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented The Positive Behavior Interventions and to reduce the need for disciplinary action in the ☒ ☐ ☐ Supports (PBIS) has been implemented at school setting and be integrated into the facility's Camp Rockey. overall behavioral management plan and security system. (2) School staff shall be advised of administrative BP 5021 Students CF 6020 decisions made by probation staff that may affect the educational programming of students. ☒ ☐ ☐ Ongoing communications (Email as evidence). (3) Except as otherwise provided by the State Education BP 5144.1 Students; 5144.2 - Suspension Code, expulsion/suspension from school shall be and Expulsion/Due Process (Students with imposed only when other means of correction fails to Disabilities) bring about proper conduct. School staff shall follow A policy is in place for re-structuring as an the appropriate due process safeguards as set forth ☒ ☐ ☐ intervention or other means of correction. in the State Education Code including the rights of MBC-1, MBC-2, etc. listed, Multi-Behavioral students with special needs. School staff shall Correction. Process documented within the document the other means of correction used prior Assertive Discipline policy to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with BP 5144 education staff will develop policies and procedures that address the rights of any student who has Conferences are held with probation to continuing difficulty completing a school day. ☒ ☐ ☐ discuss the individual needs of students who are having difficulty completing the school day. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and Comprehensive Plans (1) State and federal laws and regulations shall be observed for all individuals with disabilities or All State and Federal laws for students with suspected disabilities. This includes but is not limited ☒ ☐ ☐ disabilities are being followed. to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be BP 6174 Instruction afforded an educational program that addresses their language needs pursuant to all applicable state ELA/ELD program listed in the master ☒ ☐ ☐ and federal laws and regulations governing schedule. ELPAC testing is completed by programs for EL students. ELD teacher and ELD assistant. (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers Requirement (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's ☒ ☐ ☐ The school clerk conducts the initial educational history, including but not limited to: enrollment of the student upon arrival of the first school day. (A) School progress/school history; BP 6162.5 Instruction ☒ ☐ ☐ (B) Home Language Survey and the results of the State AR 6174 Instruction Test used for English language proficiency; The Home Language Survey is given at the ☒ ☐ ☐ juvenile halls and scanned into the Aeries system for the receiving camp school. (C) Needs and services of special populations as defined BP 6162.5 Instruction by the State Education Code, including but not limited to, students with special needs. School Psychologists, RSP teachers, and 1 ☒ ☐ ☐ SDC teacher are onsite and collaborate on IEP goals and services. (D) Discipline problems. BP 5131 Students ☒ ☐ ☐ MDT teams review student progress. (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Students who enroll in the camp are enrolled levels to enable placement in core curriculum in the school the following day. courses. (3) After admission to the facility, a preliminary education BP 6162.5 Instruction plan shall be developed for each youth within five school days. ☒ ☐ ☐ School counselor reviews credit history with students upon arrival. (4) Upon enrollment, education staff shall comply with the AR 5125 Students State Education Code and request the youth's records from his/her prior school(s), including, but Student records are requested at the time of not limited to, transcripts, Individual Education enrollment. Counselors are onsite and Program (IEP), 504 Plan, state language review transcripts with students shortly after assessment scores, immunization records, exit enrollment. ☒ ☐ ☐ grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be The probation Camp Movement Status reviewed with the youth and modified as needed. (intake packet) is also reviewed by the Youth should be informed of the credits they need to counselor to determine special education graduate. status. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth All records are forwarded to the student’s shall be forwarded to the next educational placement receiving school or program by the transition in accordance with the State Education Code. counselor. The completed transition packet ☒ ☐ ☐ is given as a hard copy to the student upon the last day of attendance. Probation staff is given an electronic copy or hard copy on day of the student’s release. (2) The County Superintendent of Schools shall provide BP 5121 Students appropriate credit (full or partial) for course work completed while in juvenile court school in All students receive full or partial credits accordance with the State Education Code. ☒ ☐ ☐ depending on the length of stay at the school. 5 credits per subject are given every 80 school days. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief The school transition counselor conducts the Probation Officer or designee, shall develop policies multidisciplinary team (MDT) 60 days prior to and procedures to meet the transition needs of leaving the probation camp. Transition youth, including the development of an education ☒ ☐ ☐ meetings may be modified based on student transition plan, in accordance with the State behavior management plan. As needed Education Code and in alignment with Title 15, MDT’s will be scheduled when students Minimum Standards for Juvenile Facilities, Section program needs to be modified. 1355. (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student Use of Technology (1) The school and facility administrator should, whenever possible, collaborate with local post- Mission College/ East LA College (Online)/ secondary education providers to facilitate access to ☒ ☐ ☐ Glendale College direct instruction educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy Section 1306: Programs, Recreation EXERCISE. and Exercise The facility administrator shall develop and implement written policies and procedures for programs, Programs sheets provided for February ☒ ☐ ☐ recreation, and exercise for all youth. The intent is to 2022. minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for Policy Section 1306: Programs, Recreation programs, recreation, and exercise a minimum of three and Exercise hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which ☒ ☐ ☐ Documentation reviewed indicates that one hour shall be an outdoor activity, weather youth are receiving their Title 15 required permitting. activities A youth’s participation in programs, recreation, and Policy Section 1306: Programs, Recreation exercise may be suspended only upon a written finding and Exercise by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the No suspensions noted. facility. Such program, recreation, and exercise schedule shall Policy Section 1306: Programs, Recreation be posted in the living units. and Exercise ☒ ☐ ☐ Program calendars are posted in the dorm. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS There will be a written annual review of the programs, Policy Section 1306: Programs, Recreation recreation, and exercise by the responsible agency to and Exercise ensure content offered is current, consistent, and relevant to the population. A program letter was completed by the facility manager on January 10, 2022, reviewing all of Camp Rockey’s programs, recreation, and exercise activities. This includes the DMH programs and the LACOE programs. The Department of Mental Health and LACOE also provided a letter with their review. ☒ ☐ ☐ The following Community Based Organizations provided reviews of their programs: • Gang Reduction Youth Development • ADVOT • Arts for Healing Justice All activities were found to be appropriate for the youth of Camp Rockey. (a) Programs. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily and Exercise programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice Programs were documented as required. interventions that are culturally relevant and There is inconsistency in the time linguistically appropriate, or pro-social interventions documented and the time posted. Staff and activities designed to reduce recidivism. These should ensure that the time is consistently programs should be based on the youth’s individual documented. A half hour program should be needs as required by Sections 1355 and 1356. Such ☒ ☐ ☐ posted at .5, not.3. It appears that while programs may be provided under the direction of the documented incorrectly, it is still clear that Chief Probation Officer or the County Office of the programs did occur for an hour. Education and can be administered by county partners such as mental health agencies, community December 1, 2021: Probation Review based organizations, faith-based organizations or Programs, DMH Programs, LACOE, Probation staff. Probation, Exercise, Recreation. Programs may include but are not limited to: 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Cognitive Behavior Interventions; June 23, 2021: Department of Mental Health: (2) Management of Stress and Trauma; • Individual and Family Treatment (3) Anger Management; • De-escalation/Crisis Intervention (4) Conflict Resolution; Services (5) Juvenile Justice System; • Psychiatric Services (6) Trauma-related interventions; • Dialectical Behavioral Therapy (7) Victim Awareness; (DBT) (8) Self-Improvement; • Substance Abuse Groups (9) Parenting Skills and support; • Seeking Safety (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; December 27, 2021: Education (13) Gender Specific Programming; • College Courses (14) Art, creative writing, or self-expression; • American Job Centers of America (15) CPR and First Aid training; (AJCC Work Program) (16) Restorative Justice or Civic Engagement; • Personal Enrichment Training (PET) (17) Career and leadership opportunities; and, • Transitional Partnership Program (18) Other topics suitable to the youth population. • Voter Registration • OSHA • Career Zone • Resilience and Intergroup Solidarity Education • Gang Reduction and Youth Development-GYRD ** • The ADVOT Project** **Individual letters Provided from: Arts for Healing Justice ☒ ☐ ☐ Above noted agencies. 2022 January 10, 2022: Probation Review Programs, DMH Programs, LACOE, Probation, Exercise, Recreation. January 14, 2022: Department of Mental Health: • Individual and Family Treatment • De-escalation/Crisis Intervention Services • Psychiatric Services • Dialectical Behavioral Therapy (DBT) • Substance Abuse Groups • Aftercare Planning Individual letters of review from: Arts for Healing Justice The ADVOT Project Gang Reduction and Youth Development- GYRD 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Recreation. All youth shall be provided the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily access to and Exercise unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be Documentation provided and reviewed. supervised and include orientation and may include ☒ ☐ ☐ Compliance noted. Time calculation noted to coaching of youth. be sometimes incorrect but still compliant. (c) Exercise. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of large muscle and Exercise activity each day. Documentation provided and reviewed. Noted HOPE Center was often time held to exercise indoors. Technical assistance ☒ ☐ ☐ provided regarding this issue. This has been corrected. Compliance noted. Time calculation noted to be sometimes incorrect but still compliant. The administrator/manager may suspend, for a period Policy Section 1306: Programs, Recreation not to exceed 24 hours, access to recreation and and Exercise programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs No suspensions noted. occurs. 1372 RELIGIOUS PROGRAM Policy Section 1004: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least When services are provided, there is an once each week. Attendance shall be voluntary. A youth alternative program offered. shall be allowed to participate in an activity outside of ☒ ☐ ☐ their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) opportunity for religious services and practices; Policy Section 1004: Religious Services The facility has been under suspension of 1372, due to COVID-19. Due to closures and in the interest of public health, services have been suspended; however, when able, parents are able to come into the facility until health concerns dictate otherwise. The facility has not provided services weekly as required due to the pandemic. Onsite sign-in sheets of services and one-on-one religious counseling for both catholic and protestant services were provided for review ☒ ☐ ☐ of when services were held. This documentation was not consistent. Technical assistance provided to review and provide clear direction as to what is required for compliance. Direction provided with new leadership to immediately address this issue and immediately solve the problem. Procedures not previously implemented were put into place with review and the facility has corrected the issue as noted through the review of additional documentation provided for review. (b) availability of clergy; and, Policy Section 1004: Religious Services ☒ ☐ ☐ (c) availability of religious diets. Policy Section 1004: Religious Services ☒ ☐ ☐ Religious diets are available upon request. 1373 WORK PROGRAM Policy Section 1003: Work Crews The facility administrator shall develop policies and procedures regarding the fair and consistent assignment Youth who are on stage 3 and 4 are eligible of youth to work programs. Work assigned to a youth to work. Youth are eligible to work on KP, shall be meaningful, constructive and related to Laundry, and on camp work crews. Youth vocational training or increasing a youth's sense of also have access to two work programs responsibility. Work programs shall not be imposed as a onsite at each camp. Youth apply to and disciplinary measure. qualify for the programs as follows: American Job Center of California - AJCC: ☒ ☐ ☐ This program is a 120-hour program offering 120 hours of work experience, 20 of which are paid hours. Assignments are on the grounds of the camp. Transitional Partnership Program - TPP through LACOE offers 90-100 hours. Youth are paid and earn money they take home with them upon release. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1374 VISITING Policy Section 902: Visiting Procedures, The facility administrator shall develop and implement Section 903: Saturday and Sunday Visiting written policies and procedures for visiting, that include and Section 904: Special Visits provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing Visiting has been suspended due to COVID- in loco parentis, and children of youth. Other family 19. Since recently opening up, parents members, such as grandparents and siblings, and receive a scheduled 1-hour onsite visit in supportive adults, may be allowed to visit with the order to appropriately socially distance youth approval of the facility administrator or designee, and in and their parents away from one another to conjunction with the youth’s case plan or in the best keep the likelihood and spread of COVID-19 interest of the youth. low. This hour is to be supplemented with virtual calls and telephone calls. It was noted that the facility did not have adequate documentation of virtual calls or additional phone calls being made to supplement or when visitation was cancelled due to COVID- ☒ ☐ ☐ 19 and the camp was on quarantine status. Regulation remains suspended due to County Health Orders. Visiting logs note that parents and grandparents primarily visit with their youth. This issue at inspection was noncompliant. Technical assistance was provided with new leadership with clear direction as to how to immediately address this issue and immediately solve the problem. Procedures not previously implemented were put into place with review and the facility has corrected the issue as noted through the review of additional documentation provided for review. All visits shall occur at reasonable times, subject only to Policy Section 902: Visiting Procedures the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s Any person who has been requested for criminal history. The staff shall determine in each case, visitation will be reviewed through the MDT whether the visitor’s criminal history represents a risk to process. If a youth has a child of their own, ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of their child is allowed to regularly visit. Any visitation or limitation on visitations shall be denial is communicated to the youth who communicated to the youth, person denied and facility made the request, the person who has been administrator. denied, and the facility manager. Opportunity for visitation shall be a minimum of two hours Policy Section 902 Visiting Procedures and per week. Visits may be supervised, but conversations Section 903: Saturday and Sunday Visiting shall not be monitored unless there is a security or safety ☒ ☐ ☐ need. Provisions for special visits, in addition to the two-hour Policy Section 904: Special Visits minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family ☒ ☐ ☐ therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility may provide access to technology as an Policy Section 902: Visiting Procedures alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy Section 510: Mail The facility administrator shall develop and implement written policies and procedures for correspondence Letter writing materials are readily available ☒ ☐ ☐ which provide that: and are provided to youth. Youth can write, send, and receive letters freely. (a) there is no limitation on the volume of mail that youth Policy Section 510: Mail may send or receive; ☒ ☐ ☐ (b) youth may send two letters per week postage free; Policy Section 510: Mail ☒ ☐ ☐ (c) youth may correspond confidentially with state and Policy Section 510: Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility staff may open and inspect such mail only to ☒ ☐ ☐ search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy Section 510: Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and ☒ ☐ ☐ security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy Section 509: Telephone Calls The administrator of each juvenile facility shall develop Youth generally receive about 2 calls a week and implement written policies and procedures to provide ☒ ☐ ☐ to parents or guardians. Additional calls can youth with access to telephone communications. be approved or made based on case need or if visits are cancelled due to quarantine. 1377 ACCESS TO LEGAL SERVICES Policy Section 520: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed Policy Section 520: Access to Legal Services attorneys and their authorized representatives; Although rare, attorneys are welcome to visit their clients at any time. The conference ☒ ☐ ☐ room, a classroom, or anywhere outdoors would be made available for their use. Attorneys generally call or could use facetime as an alternative. (b) provision for confidential consultation with Policy Section 520: Access to Legal Services attorneys; and, ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Policy Section 520: Access to Legal Services cost-free telephone access as appropriate. ☒ ☐ ☐ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1390 DISCIPLINE Policy Section 601: Discipline and Policy The facility administrator shall develop and implement Section 604: Continuum of Correction written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use The camp utilizes a behavior management of positive behavior interventions and supports. program that incentivizes youth to do well. Discipline shall be imposed at the least restrictive level ☒ ☐ ☐ Each youth reads and signs the RTSB BMP which promotes the desired behavior and shall not program upon entry. include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; Policy Section 601: Discipline ☒ ☐ ☐ (b) daily shower, access to drinking fountain, toilet and Policy Section 601: Discipline personal hygiene items, and clean clothing; ☒ ☐ ☐ (c) full nutrition; Policy Section 601: Discipline ☒ ☐ ☐ (d) contact with parent or attorney; Policy Section 601: Discipline ☒ ☐ ☐ (e) exercise; Policy Section 601: Discipline ☒ ☐ ☐ (f) medical services and counseling; Policy Section 601: Discipline ☒ ☐ ☐ (g) religious services; Policy Section 601: Discipline ☒ ☐ ☐ (h) clean and sanitary living conditions; Policy Section 601: Discipline ☒ ☐ ☐ (i) the right to send and receive mail; Policy Section 601: Discipline ☒ ☐ ☐ (j) education; and, Policy Section 601: Discipline ☒ ☐ ☐ (k) rehabilitative programming. Policy Section 601: Discipline ☒ ☐ ☐ The facility administrator shall establish rules of conduct Policy Section 604: Continuum of and disciplinary penalties to guide the conduct of youth. Correction Such rules and penalties shall include both major violations and minor violations, be stated simply and affirmatively, and be made available to all youth. ☒ ☐ ☐ Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy Section 604: Continuum of Correction The facility administrator shall develop and implement and Policy Section 606: Due Process written policies and procedures for the administration of discipline which shall include, but not be limited to: Facility utilizes sanctions for some minor rule violations. Examples would be essays, apology letters etc. 10 examples were provided for review. Due process documentation was provided for major rule ☒ ☐ ☐ violations. Overall, documentation was completed within regulation. Only one youth requested a hearing. Facility policy notes that the facility director reviews all formal hearings. This did not occur. This will be addressed and reviewed in future visits. (a) designation of personnel authorized to impose Policy Section 606: Due Process discipline for violation of rules; ☒ ☐ ☐ Only sworn staff are authorized to discipline youth. (b) prohibiting discipline to be delegated to any youth; Policy Section 606: Due Process ☒ ☐ ☐ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) definition of major and minor rule violations and Policy Section 604: Continuum of Correction their consequences, and due process ☒ ☐ ☐ requirements; (d) trauma-informed approaches and positive behavior Policy Section 602: Facility Rules interventions; ☒ ☐ ☐ (e) minor rule violations may be handled informally by Policy Section 604: Continuum of Correction counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process Policy Section 606: Due Process shall be documented and require the following: ☒ ☐ ☐ Documentation of Due Process forms was completed correctly with very few errors. (1) written notice of violation prior to a hearing; Policy Section 606: Due Process ☒ ☐ ☐ (2) accommodations provided to youth with Policy Section 606: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy Section 606: Due Process incident; ☒ ☐ ☐ (4) opportunity for the youth to be heard, present Policy Section 606: Due Process evidence and testimony; ☒ ☐ ☐ (5) provision for youth to be assisted by staff in the Policy Section 606: Due Process hearing process; ☒ ☐ ☐ (6) provision for administrative review. Policy Section 606: Due Process ☒ ☐ ☐ (g) violations that result in a removal from camp or Policy Section 606: Due Process commitment program, but not a return to court, will follow the due process provisions in subsection (e) ☒ ☐ ☐ above. 1410 MANAGEMENT OF COMMUNICABLE Policy Section 909: Communicable Diseases DISEASES. Reviewed Probation policy and medical The health administrator/responsible physician, in guidance to ensure Management of cooperation with the facility administrator and the local Communicable Disease policy is current and health officer, shall develop written policies and addresses all required areas required by procedures to address the identification, treatment, ☒ ☐ ☐ Section 1410, specifically COVID-19. control and follow-up management of communicable diseases. The policies and procedures shall address, Compliance is based on policy and guidance but not be limited to: reviewed from medical provider JCHS. Conversations with youth also noted same procedures. (a) Intake health screening procedures; Policy Section 909: Communicable Diseases ☒ ☐ ☐ (b) Identification of relevant symptoms; Policy Section 909: Communicable Diseases ☒ ☐ ☐ (c) Referral for medical evaluation; Policy Section 909: Communicable Diseases ☒ ☐ ☐ (d) Treatment responsibilities during detention; Policy Section 909: Communicable Diseases ☒ ☐ ☐ (e) Coordination with public and private community- Policy Section 909: Communicable Diseases based resources for follow-up treatment; ☒ ☐ ☐ (f) Applicable reporting requirements; and, Policy Section 909: Communicable Diseases ☒ ☐ ☐ (g) Strategies for handling disease outbreaks. Policy Section 909: Communicable Diseases ☒ ☐ ☐ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The policies and procedures shall be updated as Policy Section 909: Communicable Diseases necessary to reflect communicable disease priorities identified by the local health officer and currently ☒ ☐ ☐ recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 505: Access to Care/Request (EXCERPT) for Services Pg. 500-10 to 500-11, All paragraphs under The health administrator, in cooperation with the facility Expectation administrator, shall develop policy and procedures to ☒ ☐ ☐ establish a daily routine for youth to convey requests for All the youth interviewed are aware of the emergency and non-emergency medical, dental and process to seek medical, mental health, and behavioral/mental health care services. dental health care for daily or emergency care. 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 1305: Clothing and Bedding Exchange The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing All youth interviewed and viewed, while and footwear specified in this regulation. The facility has ☒ ☐ ☐ onsite, were well groomed and outfitted. It the primary responsibility to provide clothing and was noted their clothes fit, there were no footwear. Clothing provisions shall ensure that: holes, and the clothes were clean and, in many cases, appeared new. (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 1305: Clothing and Bedding laundered, in good repair, and free of holes and Exchange ☐ ☐ ☒ tears. (b) The standard issue of climatically suitable clothing Policy Section 1305: Clothing and Bedding for youth shall consist of but not be limited to: Exchange Youth appeared to have all the appropriate items they need; however, when interviewed, it was noted that some youth end up with additional items that others do ☒ ☐ ☐ not. Technical assistance provided that if this is happening, staff should have a practice in place to ensure that all youth have the same items or have at the minimum been offered the item so that all youth are treated equally. Clothing items for weather or temperature should be universally provided. (1) Socks and serviceable footwear; Policy Section 1305: Clothing and Bedding ☒ ☐ ☐ Exchange (2) Outer garments; Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ (3) New non-disposable underwear which shall Policy Section 1305: Clothing and Bedding remain with the youth throughout their stay, Exchange and; policy says disposable underwear ☒ ☐ ☐ Youth receive brand new underwear upon arrival to the camp. (4) Undergarments, that are freshly laundered and Policy Section 1305: Clothing and Bedding free of stains, including tee shirts and bras. ☒ ☐ ☐ Exchange 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Clothing is laundered at the temperature required Policy Section 1305: Clothing and Bedding by local ordinances for the commercial laundries Exchange and dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. Laundry is completed in commercial laundry (Water temperature ) machines. (d) Suitable clothing is issued to pregnant youth. Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ 1482 CLOTHING EXCHANGE Policy Section 1305: Clothing and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the Underclothes are exchanged daily and outer cleaning and scheduled exchange of clothing. Unless clothes are exchanged weekly. The youth work, climatic conditions, or illness necessitates more stated that if their clothes need to be ☒ ☐ ☐ frequent exchange, outer garments, except for exchanged earlier for any reason, they are. footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy Section 410: Change of Clothing and PERSONAL CLOTHING Continued Search There shall be written policies and site-specific Youth generally do not bring their personal procedures developed and implemented by the facility clothing to the camp with them. Clothing that administrator to control the contamination and/or ☒ ☐ ☐ is suspected of being contaminated is spread of vermin and ecto-parasites in all youth’s separated and placed in a plastic bag. personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 1304: Personal Hygiene, Shaving, and Haircuts There shall be written policies and site-specific procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (b) Toothpaste; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (c) Soap; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (d) Comb; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (e) Shaving implements; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (f) Deodorant; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (g) Lotion; Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts (h) Shampoo; and, Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) Post-shower conditioning hair products. Policy Section 1304: Personal Hygiene, ☒ ☐ ☐ Shaving, and Haircuts Youth shall not be required to share any personal care Policy Section 1304: Personal Hygiene, items listed in items (a) through (d). Liquid soap Shaving, and Haircuts provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged All personal care items, except for the razor, safety razors, electric razors, and other shaving are provided to the youth directly. Razors are instruments capable of breaking the skin, when shared ☒ ☐ ☐ provided to the youth as requested. Once a among youth, shall be disinfected between individual youth reaches eligibility for “personals”, uses by the method prescribed by the State Board of parents can bring them their own hygiene Barbering and Cosmetology in Sections 979 and 980, products. Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy Section 1304: Personal Hygiene, Shaving, and Haircuts and Section 502: There shall be written policies and site specific Orientation Process and Handbook procedures developed and implemented by the facility administrator for showering/bathing and brushing of Showers occur daily and all youth can brush ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on their teeth after every meal. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of The youth interviewed were clean-shaven. identification in Court. All youth shall have equal All stated they are able to shave upon ☒ ☐ ☐ opportunity to shave face and body hair. The facility request. administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. All youth interviewed and viewed appeared ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each neatly groomed, including their hair. When haircut or procedure, by a method approved by the asked about haircuts, they all indicated they State Board of Barbering and Cosmetology. had recently had a haircut. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 411: Bedding Issuance Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Policy Section 411: Bedding Issuance meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations: (b) One pillow and a pillow case unless provided for in Policy Section 411: Bedding Issuance (a) above; ☒ ☐ ☐ (c) One mattress cover and a sheet or two sheets; Policy Section 411: Bedding Issuance ☒ ☐ ☐ (d) One towel; and, Policy Section 411: Bedding Issuance ☒ ☐ ☐ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) One blanket or more, up on request Policy Section 411: Bedding Issuance The youth interviewed noted they have the ☒ ☐ ☐ ability to request and receive additional blankets upon request. 1501 BEDDING LINEN EXCHANGE Policy Section 1305: Clothing and Bedding Exchanges The facility administrator shall develop and implement site specific written policies and procedures for the Youth are provided with all linens and scheduled exchange of laundered bedding and linen bedding upon arrival into the dorm. Sheets ☒ ☐ ☐ issued to each youth housed. Washable items such as are exchanged weekly or sooner if need be. sheets, mattress covers, pillow cases and towels shall Towels are exchanged daily. be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Policy Section 1305: Clothing and Bedding once a month. Exchanges ☒ ☐ ☐ Blankets are exchanged every two weeks or as needed. 1510 FACILITY SANITATION, SAFETY AND Policy Sections 1322: Housekeeping, 1323: MAINTENANCE Housekeeping: Basic Cleaning Procedures for All Areas, 1324: Housekeeping: The facility administrator shall develop and implement Maintenance Procedures and 1707: Metal written policies and site-specific procedures for the Handcuff Sanitizing Procedure maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall Youth maintain the cleanliness of the dorm provide for a regular schedule of housekeeping tasks, and their individual wings. equipment, including restraint devices, and physical plant maintenance and inspections to identify and Facility housekeeping ensure overall correct unsanitary or unsafe conditions or work cleanliness and sanitizing of common practices in a timely manner. The use of chemicals shall spaces. be done in accordance to the product label and Safety Data Sheet which may include the use of Personal MSB ensures work orders are addressed ☒ ☐ ☐ Protection Equipment (PPE). and items that need to be fixed are. There are significant repairs that are pending in the HOPE center. Additionally, there are multiple door windows that need replacement as they are scratched, and the damage impedes proper visual supervision. MSB said the windows have been cut and are ready for installation. Facility management and HOPE Center staff were told to not use the rooms that were scratched until they were replaced. Additionally, we discussed deep cleaning the unit due to all the toothpaste on the windows, walls, etc. 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 58 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the facility. (Refer to the JPCF Program Agreement, ☒ ☐ ☐ Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of age and older. ☒ ☐ ☐ The facility has been approved to hold persons under the juvenile court who are ages 19 through 21. ☒ ☐ ☐ The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ Vio Section 300 of the Welfare and Institutions Code (WIC) ☒ lation ☐ are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from Vio ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☒ lation ☐ Federal Minors (ICE Holds or ORR Contract) are held in the facility. ☐ ☒ ☐ If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately Vio ☐ separated from minors. ☐ lation ☒ Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐ Vio facility in a manner that allows contact with minors. ☐ lation ☒ 7261 Los Angeles Camp Glenn Rockey PRO 20-22 - 59 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: Pre-1998* BSCC Code: 7261 FACILITY NAME: FACILITY TYPE: Camp Glenn Rockey Camp CONSTRUCTION/REMODEL DATE(S): 1981 IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: 1978 FIELD REPRESENTATIVE: DATE: Lisa Southwell April 21-23, 2022 TITLE 24 SECTION YES NO N/A COMMENTS RECEPTION AREA (JH) This applies only to Juvenile Halls.  Holding Rooms: Contain 15 square feet per minor; Have sufficient seating to accommodate the rated  capacity based on floor space; Provide access to water closets and wash basins  at a ratio of a 1:8; and Provide access to drinking fountain.  Provide access to telephone.  Provide access to private room(s) for interviews.  MEDICAL EXAM SPACE (JH & CAMP) Space or room(s) afford privacy, are equipped to carry  out routine examinations and emergency care and have sufficient locked storage space for medical supplies. LIVING UNITS (JH AND SPJH) This applies only to Juvenile Halls and Special Purpose Juvenile Halls.  Living units are designed to accommodate no more than 30 minors and contain: Showers at a ratio of 1:6;  Washbasins at a ratio of 1:6;  Water closets at a ratio of 1:6 or water closet and  one urinal for every 15 boys; and, Access to a drinking fountain by minors and staff.  Doors of each sleeping room have a view panel (maximum of 144 square inches of shatter-proof glass  or plastic materials) that allows the visual supervision of all parts of the room. Hallways in the detention living units are at least eight feet wide. If rooms are located on only one side, or if  room doors are staggered, hallways are at least six feet wide. SINGLE ROOMS (JH, SPJH & CAMP) The Special Handling Unit contains 20 single rooms. Contain a minimum of 500 cubic feet of air space and  63 cubic feet of floor space. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7261 Los Angeles Camp Glenn Rockey PHY 20-22 - 1 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS DOUBLE ROOMS (JH, SPJH & CAMP) There are no double rooms in this camp.  Contain a minimum of 800 cubic feet of airspace and 100 square feet of floor space. DORMITORY SLEEPING AREAS (JH & CAMP)  Contain a minimum of 400 cubic feet of airspace and 50 square feet of floor space per minor. LOCKED SLEEPING ROOMS (JH, SPJH & CAMP) The SHU rooms are not equipped with these fixtures, but youth have access to such Contain an individual or combination drinking fountain, facilities.  wash basin and toilet, unless a communication system or procedure is in effect to give minor immediate access to these fixtures. PLUMBING FIXTURES (CAMP) The following plumbing fixtures are adjacent to each  sleeping area: Shower or bathtub at a ratio of 1:6; Washbasins at a ratio of 1:10;  Access to toilets at a ratio of 1:10 or toilet and one  urinal for every 15 boys; and, Access to a drinking fountain.  BEDS AND MATTRESSES (JH, SPJH & CAMP) Beds and mattresses are:  A least 30 inches wide and 76 inches long; Spaced at least 36 inches apart and at least 12  inches off the floor; and, Mattresses are made of a fire retardant material.  INTERVIEW ROOMS (JH, SPJH & CAMP)  There is one interview room for each detention unit in juvenile halls and special purpose juvenile halls. There is a private room suitably equipped for  conferences and interviews in each camp. LIGHTING (JH, SPJH & CAMP) There are at least 50 foot candles of illumination at  desk level and, at night, there is a maximum illumination of two foot candles at bed level in individual and multiple occupancy rooms. ACADEMIC CLASSROOM (JH & CAMP) Each classroom contains a minimum of 160 square feet with a teacher's desk and work area, and a  minimum of 28 square feet per student. Classrooms should be designed for no more than 15 students. 98: Designed for no more than 20 students *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7261 Los Angeles Camp Glenn Rockey PHY 20-22 - 2 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS DINING SPACE (JH & CAMP)  There is a minimum of 15 square feet of space for each person being fed at any given time. PHYSICAL ACTIVITY SPACE (JH & CAMP) (See 2001 regulations for revised calculations.) There is indoor space consisting of at least 30 square  feet of clear space for each minor, which may be included in a day room, a recreational building, or a multipurpose space (gymnasium). There is outdoor and/or multipurpose (gymnasium) space consisting of:  No less than the equivalent of 90' X 100' outdoor and /or multipurpose space (gymnasium) for a facility with a capacity of 40 or less. No less than the equivalent of 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40, and a juvenile hall with a capacity between 41 to 100 minors. No less than the equivalent of two 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40 and a juvenile hall with a capacity in excess of 101 minors. Lighting is adequate for security and evening  recreational activities in camps. STORAGE SPACE (JH, SPJH & CAMP)  Each minor is provided 9 cubic feet of secure storage space for personal clothing and belongings. Camps shall have adequate space (12 square feet of floor area is recommended) for bulk and activity  storage equipment. MULTIPURPOSE SPACE OR ROOM (SPJH) This applies only to Special Purpose Juvenile Halls. There is a multipurpose space or room that provides space for reception, dining, recreation, exercise and/or  education. This room contains a minimum of: 30 square feet of clear floor space per minor in the  room; 10 feet by 20 feet floor dimensions; and,  1600 cubic feet of air space with a minimum  ceiling height of eight feet. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7261 Los Angeles Camp Glenn Rockey PHY 20-22 - 3 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS SPECIAL PURPOSE JH EXEMPTIONS SPJHs are exempt from the following Pre-1998 Title 15 regulations:  Section 4272(b) Medical exam rooms Section 4272(m) Academic classrooms Section 4272(n) Dining space Section 4272(o) Physical activities space *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7261 Los Angeles Camp Glenn Rockey PHY 20-22 - 4 - J455 PHY Pre-98.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION BOARD OF STATE AND COMMUNITY CORRECTIONS INSPECTION BSCC Code: 7261 FACILITY: TYPE: RC: Camp Glenn Rockey Camp 125 FIELD REPRESENTATIVE: DATE: Lisa Southwell April 21-23, 2022 ALL DIMENSIONS ARE BASED ON CYA DATA UNLESS OTHERWISE DESIGNATED. ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS or Designation Type Standards Rooms # RC RC Square/Cubic Feet T U W F S Beds Dormitory Dorm Pre-98 1 60 125 125 160’ x 39’ = 6,058 2 Day Pre-98 1 40’ x 19’ =760 room Rest Pre-98 1 7 8 24 15 Three “bird bath” wash basins w/ 8 spigots each. room HOPE Day Pre-98 2* 30’ x 26.5’ = 780 1 room Rest Pre-98 1 2 1 2 3 room Single Pre-98 10 1 1 10 8’ x 12’ = 96 All dry rooms. Rest Pre-98 1 2 1 2 3 room Single Pre-98 10 1 1 10 8’ x 12’ = 96 All dry rooms. Historical Notes: NOTES: The SHU has two separate bathroom areas and two dayroom areas. * Per agreement with the CYA, one of the two dayroom areas in the SHU was allowed to be designated as a classroom. 2011: At the time of the 2010-12 inspection, the SHU dayroom referred to above was used as program, rather than classroom space. 2013: The restroom to the left of the control area has been posted as off limits to youth. 2014-2016 Inspection Cycle Notes: RC stands at 125 however the facility has removed beds to provide for programing space, mental health staff offices etc. Changes have occurred in a way beds can be re installed in a matter of a few days. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7261 Los Angeles Camp Glenn Rockey LASE 20-22 - 1 - Juv LAS.dot;CSA 460(1/6/97) 2016-2018 Inspection Cycle Notes: No Changes to RC **2018-2020 Inspection Cycle Notes: Inspection completed virtually. No changes to the LASE per administration. Provided for information only** 2020-2022 Inspection Cycle Notes: 60 beds. Rated Capacity remains with no change at 125. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7261 Los Angeles Camp Glenn Rockey LASE 20-22 - 2 - Juv LAS.dot;CSA 460(1/6/97) JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS, AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7267 FACILITY NAME: FACILITY TYPE: Camp Joseph Scott @ DKC Camp PERSON(S) INTERVIEWED: Supervisor Menard Doyle, Cesar Mayorquin, Director, Victor Banuelos, Director, 2 Unit Staff, Shatuaqua Draper, 2 line staff, and 3 female youth. FIELD REPRESENTATIVE: DATE: Lisa Southwell April 15-16, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by Policy Section 2002: Types of the Board of Supervisors to approve building safety; Inspections and Evaluations 2020 The building inspection was completed by Tennyson D’sena on December 1, 2020. It was noted that a functioning fire alarm pull station was needed in the nurse’s area. The pull station has been disabled. This issue was identified as needing correction but did not cause the facility to be non-suitable for housing. ☒ ☐ ☐ 2021 The building inspection was completed by Tennyson D’sena on August 4, 2021. Mr. D’Sena noted the “South School is fenced off and under construction. Demolition of the interior is taking place.” It is unclear what is non- compliant regarding this comment. It was noted that the facility is suitable for housing. 2022 The inspection for 2022 has not yet been scheduled. 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. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) Fire authority having jurisdiction, including a fire Policy Section 2002: Types of clearance as required by Health and Safety Code Inspections and Evaluations Section 13146.1 (a) and (b); The fire inspections were completed ☒ ☐ ☐ on 1/28/2020 and 04/13/2021. It was noted on both reports that “Reasonable Fire Safe Conditions Exist at This Time”. (C) Local health officer, inspection in accordance with Policy Section 2002: Types of Health and Safety Code Section 101045; Inspections and Evaluations Camp Scott occupies a cottage and shares the campus with DKC. All local inspections are the same for DKC and Camp Scott. 2020 Medical Mental Health: January 16 and 29, 2020, and February 18, 2020 Corrected Nutrition: February 18, 2020 Corrections were required of Section 1460 “Frequency of Serving” and were later found to be corrected. Environmental Health: February 18, 2020, no corrections necessary. ☒ ☐ ☐ 2021 Medical Mental Health: Nutrition: On March 3, 2021, there were several items that were found to be non-compliant but were later corrected on re-inspection on April 15, 2021. Environmental Health: On March 3, 2021, there were several items that were found to be non-compliant but were later corrected on re-inspection on April 15, 2021. 2022 The inspection for 2022 had not yet been completed at the time of inspection. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) County superintendent of schools on the adequacy of Policy Section 2002: Types of educational services and facilities as required in Inspections and Evaluations Section 1370; Education for the Dorothy Kirby Center, which includes Camp Scott, is provided by the Los Angeles County Office of Education. 2020 On December 15, 2020, the facility was inspected by Rebecca Vichiquis, Director III, Student Programs, Court and Community Schools, Contra Costa County Office of Education found the school program to meet regulatory ☒ ☐ ☐ expectations. The inspection was conducted virtually due to COVID-19. 2021 On December 21, 2021, the facility was inspected by Scott Turner, Ed.D. Executive Director- ESGV. SELPA and Jonathan Raymond, Special Education Director Charter Dale USD found the school program to meet regulatory expectations. 2022 The inspection for 2022 has not yet been scheduled. (E) Juvenile court as required by Section 209 of the Policy Section 2002: Types of Welfare and Institutions Code Inspections and Evaluations ☐ ☐ ☒ Juvenile Court inspections are not required for the Camps. (F) Juvenile Justice Commission as required by Section Policy Section 2002: Types of 229 of the Welfare and Institutions Code or Probation Inspections and Evaluations Commission as required by Section 240 of the Welfare and Institutions Code. The Probation Oversight Commission conducts annual inspections of the facility. The facility was not inspected in 2020 due to COVID and due to the expectations being shifted to the Probation Oversight Commission. ☒ ☐ ☐ 2021 The facility was inspected on October 29, 2021, by Commissioners Esche Jackson and Erica Reynosa. 2022 The inspection is scheduled for June 2, 2022. All facility reports may be found at: https://poc.lacounty.gov/reports 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Letters dated December 20, 2021, and BSCC Note: Compliance with this section is determined January 26, 2022, were received from by receipt of the Chief Probation Officer’s certification Chief Probation Officer Gonzales letter confirming that all elements of regulation are met. certifying all appointments of staff are pursuant to the applicable laws and (a) Appointment that all staff present at the facility meet In each juvenile facility there shall be a superintendent, ☒ ☐ ☐ all required qualifications and director or facility manager in charge of its program and clearances, including non-employees. employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job classification ☒ ☐ ☐ and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for ☒ ☐ ☐ immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board pursuant ☒ ☐ ☐ to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- Per facility administrators, all contract employees of the facility, who may be present at the personnel, volunteers, and other non- facility, shall have such clearance and qualifications as employees participate in background may be required by law, and their presence at the checks as required by the Probation Department. Education staff are facility shall be subject to the approval and control of the facility manager. ☒ ☐ ☐ currently monitored by the County Office of Education; however, the Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access into the facility. 1321 STAFFING Each juvenile facility shall: 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS a) have an adequate number of personnel sufficient to Policy Section 206: Staffing carry out the overall facility operation and its The Agency Organization Chart, Camp programming, to provide for safety and security of Joseph Scott Staffing for February youth and staff, and meet established standards and 2022, Camp Vacancy Report, Leave regulations; Management Report, the Master Staff Schedule, and Daily Schedules for the week of April 1 - April 8, 2022, were reviewed. The cottage was staffed appropriately for the number of youth housed. During the week reviewed, there were 5 youth, 2 of whom were on Level 3, which required a one-on-one staff for constant supervision. 4 staff were assigned to the AM and the PM shifts each day. ☒ ☐ ☐ Additionally, while on site, a few random dates were selected throughout the cycle and staffing was viewed to ensure adequate personnel were present. DKC staffs the facility and the cottages with supervision staff and there are DPO II staff who function as the caseworkers for each youth. In the event of a late sick call or other staffing shortage, these staff may be utilized in the cottages to provide supervision of youth. Staffing was found to be compliant. b) ensure that no required services shall be denied Policy Section 206: Staffing because of insufficient numbers of staff on duty absent ☒ ☐ ☐ We did not find any incidents of any exigent circumstances; services being denied. c) have a sufficient number of supervisory level staff to Policy Section 206: Staffing ensure adequate supervision of all staff members; Camp Scott has a resolute, assigned, individual supervisor who runs the day- to-day operation of the camp. Additionally, supervisor support is provided by DKC which maintains an “on-duty supervisor” assigned at all ☒ ☐ ☐ hours who is present and available when Camp Scott’s supervisor is not present. There are additional supervisors assigned to DKC who are present and may assist in the event that the Camp Scott supervisor is off duty. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS d) have a clearly identified person on duty at all times Policy Section 206: Staffing who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Camp Scott’s supervisor is responsible Course and PC 832 training; for the overall operation of the camp but, on days when there is not a ☒ ☐ ☐ supervisor, leadership and oversight responsibility become the responsibility of the DKC duty officer. Camp Scott staff are responsible for the activities of the youth within the facility. e) have at least one staff member present on each living Policy Section 206: Staffing unit whenever there are youth in the living unit; ☒ ☐ ☐ There is always a staff member with the youth. Youth are not left alone. f) have sufficient food service personnel relative to the Policy Section 206: Staffing number and security of living units, including staff qualified and available to: plan menus meeting Meals are prepared in the kitchen then nutritional requirements of youth; provide kitchen delivered and eaten in individual supervision; direct food preparation and servings; cottages. ☒ ☐ ☐ conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy Section 206: Staffing medical, dental, mental health, building maintenance, transportation, control room, facility security and other The Department of Mental Health is support staff for the efficient management of the fully staffed with twenty-two staff facility, and to ensure that youth supervision staff shall assigned to support DKC and Camp not be diverted from supervising youth; and, Scott. There are clinicians, psychiatric social workers, psychologists, a psychiatrist, supervisors, and administrative staff assigned to support the needs of both populations. The hours of operation are between 8:00 AM and 8:30 PM Sunday to Saturday, including Holidays. Psychiatric Services are available Monday-Friday. There is an on-call psychiatrist available after hours 7 days a week. Services provided include screening and assessments, crisis management, Dialectical Behavior Training (DBT) groups, substance abuse programs, individual and group counseling, family counseling, and transition planning. DPO II’s, known as Treatment and Counseling support staff, are also assigned to youth to support DMH and Probation staff to assist youth with ☒ ☐ ☐ their mental health needs and issues. Medical Staff is assigned to support both DKC and Camp Scott. Juvenile Court Health Services, consist of 6 Nurses and a Supervisor. Staff is onsite from 6:30 AM - 10:00 PM. Medical staff perform health assessments, administer medications as prescribed, administer vaccines, conduct COVID testing, and provide health education. All managers we spoke with noted to have a positive, collaborative relationship with Probation. For the most part, notifications of new intakes and releases are timely but all, including Probation, felt that communication could always be improved. We noted the campus as a whole to be very busy with all the activities and functions that are supported by the treatment team. We look forward to our next visit. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS h) assign sufficient youth supervision staff to provide Policy Section 206: Staffing 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) Camps (minimum youth -staff ratio) Policy Section 206: Staffing (A) during the hours that youth are awake, one wide- ☒ ☐ ☐ The policy requires a 1 to 8 ratio during awake youth supervision staff member on duty for awake hours. each 15 youth in the camp population; (B) during the hours that youth are confined to their room Policy Section 206: Staffing for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth ☒ ☐ ☐ The policy requires a 1 to 16 ratio present in the facility; during sleeping hours. (C) at least two wide-awake youth supervision staff Policy Section 206: Staffing members on duty at all times, regardless of the number of youth in residence, unless arrangements There are always at least two staff have been made for backup support services which ☒ ☐ ☐ assigned to the cottage at all times. allow for immediate response to emergencies; Additional staff are assigned to other areas of the campus. (D) at least one youth supervision staff member on duty Policy Section 206: Staffing who is the same gender as youth housed in the facility; Camp Scott is an all-female camp. ☒ ☐ ☐ There are female staff on duty at all times. (E) in addition to the minimum staff to youth ratio required Policy Section 206: Staffing 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 Policy Section 206: Staffing 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. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy Section 2104: Professional AND TRAINING Development and Training (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Every member of staff attends and their duties, including: completes the required Correctional Officer training prior to reporting to their assignment. Each new staff member upon reporting to the facility for the first time is assigned to a training officer who assists the new ☒ ☐ ☐ officer in their orientation and training. The following training packets were provided for staff who reported on 8/8/21, 9/30/21, 10/2/21, 10/9/21, and 1/2/2022 and were found to be compliant with all requirements. Both the staff and the training officer completed all required signatures. (1) youth supervision duties; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) scope of decisions they shall make; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (3) the identity of their supervisor; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) the identity of persons who are responsible to Policy Section 2104: Professional them; ☒ ☐ ☐ Development and Training (5) persons to contact for decisions that are beyond Policy Section 2104: Professional their responsibility; and ☒ ☐ ☐ Development and Training (6) ethical responsibilities. Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (b) Prior to assuming any responsibility for the supervision Policy Section 2104: Professional of youth, each youth supervision staff member shall Development and Training receive a minimum of 40 hours of facility-specific orientation, including: Staff is trained through review of ☒ ☐ ☐ facility-specific operations, Title 15 specific regulation/policy, and shadow work. Documentation was provided as noted above. (1) individual and group supervision techniques; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (2) regulations and policies relating to discipline and Policy Section 2104: Professional rights of youth pursuant to law and the provisions Development and Training ☒ ☐ ☐ of this chapter; (3) basic health, sanitation and safety measures; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (4) suicide prevention and response to suicide Policy Section 2104: Professional attempts ☒ ☐ ☐ Development and Training (5) policies regarding use of force, de-escalation Policy Section 2104: Professional techniques, chemical agents, mechanical and Development and Training ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Policy Section 2104: Professional trauma and trauma-informed approaches; ☒ ☐ ☐ Development and Training 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) procedures to follow in the event of emergencies; Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (8) routine security measures, including facility Policy Section 2104: Professional perimeter and grounds; ☒ ☐ ☐ Development and Training (9) crisis intervention and mental health referrals to Policy Section 2104: Professional mental health services; ☒ ☐ ☐ Development and Training (10) documentation; and Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (11) fire/life safety training Policy Section 2104: Professional ☒ ☐ ☐ Development and Training (c) Prior to assuming sole supervision of youth, each Policy Section 2104: Professional youth supervision staff member shall successfully Development and Training complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth Policy Section 2104: Professional supervision staff shall successfully complete training Development and Training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy Section 2104: Professional Development and Training Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times who ☒ ☐ ☐ All staff on shift are to be awake at all meets the training standards established by the Board for times. general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL The RTSB camp operations manual All facility administrators shall develop, publish, and has been provided for review. We have implement a manual of written policies and procedures that reviewed the agency’s Policy and address, at a minimum, all regulations that are applicable Procedure as provided to us specific to to the facility. Such a manual shall be made available to all regulations and have confirmed the employees, reviewed by all employees, and shall be policies and procedure exist as cited. administratively reviewed at a minimum every two years, and updated, as necessary. Those records relating to the Last reviewed and updated: March standards and requirements set forth in these regulations ☒ ☐ ☐ 2022 shall be accessible to the Board on request. The manual shall include: Staff access the policy manual via the local intranet known as “Prob. Net” There are also hard copies in the facility. Staff complete sign offs as new policy is released. This is a new requirement in Policy Section 1324. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) table of organization, including channels of The manual has a table of contents. communications and a description of job The agency’s channel of classifications; communication follows the chain of command. Policy Sections are as follows: • 101: Vision, Mission, and Core Values • 102: Role of the Camp System • 202: RTSB Administrative ☒ ☐ ☐ Structure • 203: Duty Statements, RTSB Management • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff • 207: Organizational Chart (b) responsibility of the probation department, purpose of Policy Sections are as follows: programs, relationship to the juvenile court, the • 101: Vision, Mission, and Core Juvenile Justice/Delinquency Prevention Commission Values or Probation Committee, probation staff, school • 102: Role of Camp System personnel and other agencies that are involved in • 908: Medical Services ☒ ☐ ☐ juvenile facility programs; • 910: Mental Health Services • 911: Educational Services • 1005: CBO’s • 1006: Volunteers (c) responsibilities of all employees; Policy Sections are as follows: • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management ☒ ☐ ☐ • 204: Duty Statements, Deputized Staff • 205: Duty Statements, Camp Support Staff (d) initial orientation and training program for employees; Policy Section 2104: Professional Development and Training ☒ ☐ ☐ See Section 1322. (e) initial orientation, including safety and security issues Policy Section 2200: Non-Sworn and anti-discrimination policies, for support staff, Personnel and Partner Agencies contract employees, school, mental/behavioral health Handbook and medical staff, program providers and volunteers; ☒ ☐ ☐ The facility provided documentation of initial signoffs and updates from non- sworn staff since the last inspection. (f) maintenance of record-keeping, statistics and Policy Sections 701: Case Planning communication system to ensure: and Procedures Introduction and ☒ ☐ ☐ Section 702: General Duties and Responsibilities (1) efficient operation of the juvenile facility; Policy Sections 701: Case Planning and Procedures Introduction and ☒ ☐ ☐ Section 702: General Duties and Responsibilities 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) legal and proper care of youth; Policy Section 701: Case Planning and ☒ ☐ ☐ Procedures Introduction (3) maintenance of individual youth's records; Policy Sections 701: Case Planning and Procedures Introduction and ☒ ☐ ☐ Section 702: General Duties and Responsibilities (4) supply of information to the juvenile court and Policy Sections 701: Case Planning those authorized by the court or by the law; and, and Procedures Introduction and ☒ ☐ ☐ Section 702: General Duties and Responsibilities (5) release of information regarding youth. Policy Sections 701: Case Planning and Procedures Introduction and ☒ ☐ ☐ Section 702: General Duties and Responsibilities (g) ethical responsibilities; Policy Section 2130: Employee ☒ ☐ ☐ Honesty (h) trauma-informed approaches; Policy Section 518: Trauma Informed ☒ ☐ ☐ Approaches (i) culturally responsive approaches; Policy Section 519: Culturally ☒ ☐ ☐ Responsive Approaches (j) gender responsive approaches; Policy Section 517: Promoting Dignity ☒ ☐ ☐ for Female Youth Housed in RTSB (k) a non-discrimination provision that provides that all Policy Section 2110: Non- youth within the facility shall have fair and equal Discrimination Policy access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, national origin, immigration ☒ ☐ ☐ status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy Section 1922: Weapons and chemical agents related security devices, and Ammunition ☒ ☐ ☐ weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi-Cal Policy Section 706: Case Plan eligibility information and enrollment of eligible youth; Activities - Appropriate Youth and, Prior to release, a transition plan is ☒ ☐ ☐ developed for the youth and if a Medi- Cal referral is appropriate, the family and youth are provided with the referral as part of the transition plan. (n) establishment of a policy that prohibits all forms of Policy Section 1600: Prison Rape sexual abuse, sexual assault, and sexual harassment. Elimination Act (PREA) The policy shall include an approach to preventing, detecting and responding to such conduct and any Staff are currently trained in PREA per ☒ ☐ ☐ retaliation for reporting such conduct, as well as a Bureau Consultant Staff. provision for reporting such conduct by youth, staff or a third party. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1325 FIRE SAFETY PLAN Policy Section 1910: Fire Prevention The facility administrator shall consult with the local fire and Suppression department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety The facility has a specific building ☒ ☐ ☐ which shall include, but not be limited to: emergency plan that includes all emergency preparedness including fire suppression. a) a fire prevention plan to be included as part of the Policy Section 1910: Fire Prevention manual of policy and procedures; and Suppression ☒ ☐ ☐ b) monthly fire and life safety inspections by facility staff Policy Section 1910: Fire Prevention with two- year retention of the inspection record; and Suppression All monthly fire and life safety ☒ ☐ ☐ inspections have been completed as required. c) fire prevention inspections as required by Health and Policy Section 1910: Fire Prevention Safety Code Section 13146.1(a) and (b); and Suppression ☒ ☐ ☐ See 1322 above. d) an evacuation plan; Policy Section 1910: Fire Prevention and Suppression ☒ ☐ ☐ The evacuation plan is provided as part of the building emergency plan. e) documented fire drills not less than quarterly; Policy Section 1910: Fire Prevention and Suppression Fire Drills have been completed as required except for the fourth quarter drill in 2020. Corrective action was initiated, and all drills were subsequently completed as required thus correcting the issue. Drills are inclusive of the full facility and occur at various times throughout ☒ ☐ ☐ the day. Technical assistance provided in that drills should also occur on the PM shift and on the LN shift as a mock or tabletop exercise. Staff should not take youth out for full evacuation on a late-night drill for safety reasons but should be able to verbalize to managers the procedure to ensure proof of knowledge with policy and procedure to ensure the safety of the youth and the facility in the event of a fire. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) a written plan for the emergency housing of youth in Residential Treatment Services the case of fire; and, Bureau (RTSB) Manual-1917: Emergency Evacuation ☒ ☐ ☐ Emergency housing will occur at one of the camps or juvenile halls dependent on location of the fire and a safe route of travel. g) development of a fire suppression pre-plan In The Building Emergency Plan was cooperation with the local fire department. completed by Director Varela with Los ☒ ☐ ☐ Angeles County Fire Department Inspector Doke on 12/31/2020. 1326 SECURITY REVIEW Security Reviews were completed for Each facility administrator shall develop policies and 2020, 2021, and 2022. procedures to annually review, evaluate, and document March 27, 2020 security of the facility. The review and evaluation shall ☒ ☐ ☐ May 31, 2021 include internal and external security, including, but not February 28, 2022 limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES Policy Section 1902: Emergency Drills The facility administrator shall develop facility-specific policies and procedures for emergencies that shall include, ☒ ☐ ☐ but not be limited to: (a) escape, disturbances, and the taking of hostages; Policy Sections: 1907: Escapes ☒ ☐ ☐ 1909: Major Disturbances 1914: Hostages (b) civil disturbance, active shooter and terrorist attack; Policy Sections: 1908: Outside Intruder 1915: Active Shooter ☒ ☐ ☐ 1916: Terrorist Attack 1918: Major Emergency including Civil Disturbance (c) fire and natural disasters; Policy Sections: 1910: Fire Prevention and Suppression ☒ ☐ ☐ 1913: Earthquake (d) periodic testing of emergency equipment; Policy Section: 1921: Testing of Equipment Los Angeles County Internal Services ☒ ☐ ☐ Department (ISD) conducts monthly and “as-needed” testing in coordination with MSB. (e) emergency evacuation of the facility; and Policy Section: 1917: Emergency Evacuation ☒ ☐ ☐ Evacuation maps are posted in the facility. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) a program to provide all youth supervision staff with Policy Section: an annual review of emergency procedures. 1903: Staff Roles and Responsibilities Active staff completed the annual emergency procedure review in January 2021 and March 2022. ☒ ☐ ☐ Technical assistance provided in that annual requirements should be completed within a calendar year. Facility managers understand this for the future. 1328 SAFETY CHECKS Policy Section 1313: Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual Reviewed random blocks of dates and observation of youth at a minimum of every 15 minutes, at times of safety checks from February random or varied intervals during hours when youth are 9, 2022 - February 23, 2022, for Camp asleep or when youth are in their rooms, confined in Scott. We found that, while most holding cells or confined to their bed in a dormitory. checks were timely, they were not Supervision is not replaced, but may be supplemented by, completed randomly and varied and an audio/visual electronic surveillance system designed to were consistently completed at the detect overt, aggressive or assaultive behavior and to ☒ ☐ ☐ higher end of the timeline. summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. This was addressed with the facility supervisor and technical assistance was provided, noting the issue. A bureau-wide correction memo was initiated, and additional documentation was reviewed. The issue has been corrected. 1329 SUICIDE PREVENTION PLAN Policy Section 1201: Suicide The facility administrator, in collaboration with the Prevention Plan healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures The Suicide Prevention Plan was which delineate a Suicide Prevention Plan. developed in collaboration with the Department of Mental Health (DMH), The plan shall consider the needs of youth experiencing Juvenile Court Health Services past or current trauma. ☒ ☐ ☐ (JCHS), and the Los Angeles County Office of Education (LACOE). Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Policy Section 1203: Suicide 1322, Youth Supervision Staff Orientation, and Prevention Policy for Juvenile Facilities Training and the Juvenile Corrections Officer ☒ ☐ ☐ Core Course. All staff are trained at CORE and in orientation for Suicide Prevention. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Policy Section 1203: Suicide Precautionary Protocols Prevention Policy for Juvenile Facilities (1) All youth shall be screened for risk of suicide at intake and as needed during detention. All youth are screened for mental ☒ ☐ ☐ health and suicide risk at intake and throughout the time they are in the facility. Any issues that arise are immediately referred to mental health. (2) All youth supervision staff who perform intake Policy Section 1203: Suicide processes shall be trained in screening youth Prevention Policy for Juvenile Facilities for risk of suicide. ☒ ☐ ☐ There are four officers who are specifically trained to complete intake/orientations. (3) All youth who have been identified during the Policy Section 1203: Suicide intake screening process to be at risk of Prevention Policy for Juvenile Facilities suicide shall be referred to behavioral/mental health staff for a suicide risk assessment. At intake, youth are orientated by Probation and then are seen by DMH staff directly following their intake. If ☒ ☐ ☐ found to be suicidal, the youth can be moved to the HOPE Center for a higher level of supervision status or may even remain in the cottage, whichever is more conducive to meeting the youth’s needs. (4) Precautionary protocols shall be developed to Policy Section 1203: Suicide ensure the youth’s safety pending the Prevention Policy for Juvenile Facilities behavioral/mental health assessment. ☒ ☐ ☐ Any youth at risk of harm is placed on a Level and a special watch status until cleared by mental health. (c) Referral process to behavioral/mental health staff Policy Section 1203: Suicide for assessment and/or services. Prevention Policy for Juvenile Facilities ☒ ☐ ☐ Youth are referred either directly or by referral form for service. Youth are also seen as a part of the intake process. (d) Procedures for monitoring of youth identified at Policy Section 1202: Enhanced and risk for suicide. Specialized Supervision Requirements of Youth in Juvenile Facilities Requirements Policy Section 1203: Suicide Prevention Policy for Juvenile Facilities ☒ ☐ ☐ Youth are placed on Enhanced Specialized Supervision with intensive staff supervision to keep them safe. If a youth is placed on a level by mental health, only mental health staff may remove them. (e) Safety Interventions Policy Section 1202: Enhanced and ☒ ☐ ☐ 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Procedures to address intervention protocols Specialized Supervision Requirements for youth identified at risk for suicide which of Youth in Juvenile Facilities may include, but are not limited to: Requirements A. Housing consideration Policy Section 1202: Enhanced and Specialized Supervision Requirements of Youth in Juvenile Facilities Requirements ☒ ☐ ☐ Youth may remain in their camp or may be transferred to the HOPE Center onsite. B. Treatment strategies including Policy Section 1203: Suicide trauma-informed approaches Prevention Policy for Juvenile Facilities Youths requiring an ongoing ☒ ☐ ☐ specialized response to self-harm is referred for a Multi-Disciplinary Team (MDT) meeting. (2) Procedures to instruct youth supervision staff Policy Section 1202: Enhanced and how to respond to youth who exhibit suicidal Specialized Supervision Requirements behaviors. of Youth in Juvenile Facilities ☒ ☐ ☐ Policy Section 1203: Suicide Prevention Policy for Juvenile Facilities (f) Communication Policy Section 1203: Suicide (1) The intake process shall include Prevention Policy for Juvenile Facilities communication with the arresting officer and family guardians regarding the youth’s past or Facility intake officers contact the ☒ ☐ ☐ present suicidal ideations, behaviors or youth’s parents and ask questions attempts. regarding their child’s mental health history. (2) Procedures for clear and current information Policy Section 1203: Suicide sharing about youth at risk for suicide with Prevention Policy for Juvenile Facilities youth supervision, healthcare, and behavioral/mental health staff. An alert log is completed daily with information regarding any youth at risk. All staff are required to review the log when coming on shift. ☒ ☐ ☐ If any of the partner agencies become aware of any youth who may wish to harm themselves, they would provide one-on-one supervision and contact the facility supervisor or a staff member for assistance. (g) Debriefing of Critical Incidents Related to Policy Section 1203: Suicide Suicides or Attempts Prevention Policy for Juvenile Facilities (1) Process for administrative review of the circumstances and responses proceeding, ☒ ☐ ☐ No debriefs were provided for review. during and after the critical incident. All remaining sections marked ‘yes’ for policy. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Process for a debriefing event with affected Policy Section 1203: Suicide staff. Prevention Policy for Juvenile Facilities ☒ ☐ ☐ (3) Process for a debriefing event with affected Policy Section 1203: Suicide youth. Prevention Policy for Juvenile Facilities ☒ ☐ ☐ (h) Documentation Policy Section 1203: Suicide (1) Documentation processes shall be developed Prevention Policy for Juvenile Facilities to ensure compliance with this regulation Staff completes Enhanced Supervision forms each shift for any youth on a ☒ ☐ ☐ level. Any other issue or incident out of the ordinary is documented in an incident report. Youth identified at risk for suicide shall not be denied the Policy Section 1202: Enhanced and opportunity to participate in facility programs, services Specialized Supervision Requirements and activities which are available to other non-suicidal of Youth in Juvenile Facilities youth, unless deemed necessary for the safety of the Requirements youth or security of the facility. Any deprivation of ☒ ☐ ☐ programs, services or activities for youth at risk of suicide Youth on 1-on-1 were provided with all shall be documented and approved by the facility the same activities. manager. 1340 REPORTING OF LEGAL ACTIONS Policy Section 203: Duty Statements, RTSB Management Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions of Any notification of legal action will be confinement, filed against persons or legal entities ☒ ☐ ☐ sent directly to the Board to the responsible for juvenile facility operation. attention of Chair Linda Penner. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy Section 1919: Deaths at Camp OF A YOUTH WHILE DETAINED Facilities (1) Death of a Youth. (a) The facility administrator, In cooperation with the The policy was developed in health administrator and the behavioral/mental health cooperation with Juvenile Court Health director, shall develop written policies and procedures Services (JCHS) and Department of in the event of the death of a youth while detained, Mental Health (DMH). ☒ ☐ ☐ which include notifications to necessary parties, which may include the Juvenile Court, the parent, No incidents to report. A memo was guardian or person standing in loco parentis and the provided noting there were no deaths youth’s attorney of record. or serious illnesses in 2020, 2021, and 2022. The remainder is marked ‘yes’ for policy compliance. (b) The health administrator, in cooperation with the Policy Section 1919: Deaths at Camp facility administrator, shall develop written policies Facilities and procedures to assure there is a medical and operational review of every in-custody death of a youth. ☒ ☐ ☐ The review team shall include the facility administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) The administrator of the facility shall provide to the Policy Section 1919: Deaths at Camp Board a copy of the report submitted to the Attorney Facilities General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy Section 1919: Deaths at Camp the administrator, the Board may within 30 calendar Facilities days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy Section 1920: Serious Illness or (a) The facility administrator, In cooperation with the Injury of a Youth While Detained health administrator, shall develop written policies and procedures for the notification to necessary The policy was developed in parties, which may include the Juvenile Court, the ☒ ☐ ☐ cooperation with Juvenile Court Health parent, guardian or person standing in loco parentis Services (JCHS). and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy Section 203: Duty Statements, Each juvenile facility shall submit required population and RTSB Management profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be The camp director is responsible for ☒ ☐ ☐ provided by the Board. providing this information to the BSCC. Population Reports are provided quarterly and entered JDPS timely. 1343 JUVENILE FACILITY CAPACITY Policy Section 203: Duty Statements, When the number of youth detained in a living unit of a RTSB Management juvenile facility exceeds its rated capacity for more than fifteen (15) calendar days in a month, the facility The camp director is responsible for ☒ ☐ ☐ administrator shall provide a crowding report to the Board providing this information to the BSCC. in a format provided by the Board. The facility has not exceeded the rated capacity this cycle. 1350 ADMITTANCE PROCEDURES Policy Section 502: Orientation The facility administrator shall develop and implement Process and Handbook written policies and procedures for admittance of youth that emphasize respectful and humane engagement with Documentation provided of four youth, and reflect that the admission process may be complete intake packets completed traumatic to youth who may have already experienced ☒ ☐ ☐ upon entry to Camp Scott. All areas trauma. Policies shall be trauma-informed, culturally required by regulation were found to relevant, and responsive to the language and literacy be compliant. needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Policy Section 502: Orientation (1) Access to two free phone calls within one hour of Process and Handbook admittance in accordance with the provisions of ☒ ☐ ☐ Welfare and Institution Code Section 627; Compliant (2) Offer of a shower; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Compliant 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Documented secure storage of personal Policy Section 502: Orientation belongings; Process and Handbook Youth do not bring their personal ☒ ☐ ☐ belongings with them to the camps. Parents are notified at release that their belongings are available for pick up at the Juvenile Hall. Offer of food upon arrival; Policy Section 502: Orientation Process and Handbook ☒ ☐ ☐ Compliant (4) Screening for physical and behavioral health and Policy Section 402: Assessment and safety issues, intellectual or developmental Classification disabilities; ☒ ☐ ☐ Compliant (5) Screening for physical and developmental Policy Section 402: Assessment and disabilities in accordance with Sections 1329, Classification 1418, and 1430 of these regulations; ☒ ☐ ☐ Compliant Contact with Regional Center for the Developmentally Policy Section 502: Orientation Disabled for youth that are suspected of or identified as Process and Handbook having a developmental disability, pursuant to Section 1418; and, ☒ ☐ ☐ Youth who are suspected of being developmentally disabled are screened prior to the camp commitment. Procedures consistent with Section 1352.5. Policy Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, ☒ ☐ ☐ Transgender, Questioning and Intersex Youth in an Institutional Setting juvenile hall administrators shall establish written criteria N/A for detention that considers the least restrictive ☐ ☐ ☒ environment. (b) juvenile camps and post-dispositional programs in Policy Section 502: Orientation juvenile halls shall develop policies and procedures Process and Handbook that advise the youth of the estimated length of stay, inform them of program guidelines and provide ☒ ☐ ☐ Compliant written screening criteria for inclusion and exclusion from the program. (c) juvenile halls shall develop policies and procedures N/A that advise any committed youth of the estimated ☐ ☐ ☒ length of his/her stay. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy Section 402: Assessment and ABUSE Classification and 503: Screening for The facility administrator shall develop and implement the Risk of Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require Four intake packets were reviewed, all facility staff to assess each youth within 72 hours of included victim vulnerability/ admission based on the following information: abusiveness assessments. These screenings are initiated by the Camp Assessment Unit (CAU) prior to ☒ ☐ ☐ camp entry with a documentation review and are completed upon the youth’s entry to the camp. All were completed as required and were compliant with regulations. The assessment tool is maintained in an electronic database with limited access by staff. It is password-protected, and only certain staff have access. (a) Prior sexual victimization or abusiveness; Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse (b) Gender nonconforming appearance or manner; or Policy Section 402: Assessment and identification as lesbian, gay or bisexual, Classification and 503: Screening for transgender, queer or intersex, and whether the the Risk of Sexual Abuse youth may, therefore, be vulnerable to sexual ☒ ☐ ☐ abuse; (c) Current charges and offense history; Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse (d) Age Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse (e) Level of emotional and cognitive development; Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse (f) Physical size and stature; Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse (g) Mental illness or mental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse (h) Intellectual or developmental disabilities; Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse (i) Physical disabilities; Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse (j) The youth’s perception of vulnerability; and, Policy Section 402: Assessment and Classification and 503: Screening for ☒ ☐ ☐ the Risk of Sexual Abuse 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) Any other specific information about the individual Policy Section 402: Assessment and youth that may indicate heightened needs for Classification and 503: Screening for supervision, additional safety precautions, or ☒ ☐ ☐ the Risk of Sexual Abuse separation from certain other youth. Staff shall ascertain this information through Policy Section 503: Screening for the conversations with the youth during the admittance Risk of Sexual Abuse process, medical and behavioral health screenings; during classification assessments; and by reviewing court ☒ ☐ ☐ records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Policy Section 503: Screening for the controls on the dissemination of information within the Risk of Sexual Abuse facility relative to responses received pursuant to this assessment in order to ensure that sensitive information ☒ ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Policy Section 809: Release The facility administrator shall develop and implement Procedures written policies and procedures for release of youth from ☒ ☐ ☐ custody which provide for: (a) verification of identity/release papers; Policy Section 809: Release Procedures ☒ ☐ ☐ All copies of parents’ identification were provided and court order copies. (b) return of personal clothing and valuables; Policy Section 809: Release Procedures ☒ ☐ ☐ Parents/guardians bring their child release clothing. (c) notification to the youth's parents or guardian; Policy Section 809: Release Procedures ☒ ☐ ☐ All notifications were found to be made. (d) notification to the facility health care provider in Policy Section 809: Release accordance with Sections 1408 and 1437 of these Procedures regulations, for coordination with outside agencies; and, Medical staff are notified of the release at the MDT. They are again called at release and the youth is cleared ☒ ☐ ☐ through the medical office for medical and mental health. Technical assistance provided and discussed that a formalized documented process should be implemented. (e) notification of school staff; Policy Section 809: Release Procedures LACOE staff are notified of the release at the MDT. Updates are provided as ☒ ☐ ☐ they become available. Technical assistance provided and discussed that a formalized documented process should be implemented. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) notification of facility mental health personnel. Policy Section 809: Release Procedures Mental Health staff are notified of the release at the MDT. Updates are ☒ ☐ ☐ provided as they become available. Technical assistance provided and discussed that a formalized documented process should be implemented. The facility administrator shall develop and implement Policy Section 809: Release policies and procedures for post-disposition youth to Procedures coordinate the provision of transitional and reentry services including, but not limited to, medical and ☒ ☐ ☐ behavioral health, education, probation supervision and See 1355. community-based services. The facility administrator shall develop and implement Policy Section 1802: Private written policies and procedures for the furlough of youth Appointments from custody. ☒ ☐ ☐ RTSB does not offer furloughs. 1352 CLASSIFICATION Policy Section 402: Assessment and The facility administrator shall develop and implement Classification Policy written policies and procedures on classification of youth for the purpose of determining housing placement in the Camp Scott is an all-girls camp located ☒ ☐ ☐ facility. within the Dorothy Kirby Center. Camp Such procedures shall: Scott occupies one cottage at this time due to low numbers. (a) provide for the safety of the youth, other youth, facility Policy Section 402: Assessment and staff, and the public by placing youth in the Classification Policy appropriate, least restrictive housing and program settings. Housing assignments shall consider the ☒ ☐ ☐ need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy Section 402: Assessment and the facility; ☒ ☐ ☐ Classification Policy (c) provide that a youth shall be classified upon Policy Section 402: Assessment and admittance to the facility; classification factors shall Classification Policy include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ legal status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, including Policy Section 402: Assessment and provisions that consider the level of supervision and Classification Policy the youth's behavior while in custody; and, Periodic classifications are to be completed during weekly caseload meetings between the DPO and the youth and are to be documented ☒ ☐ ☐ accordingly. We found some reviews to be missing. Technical assistance was provided, and retraining was completed to address this issue. This section has been corrected. (e) provide that facility staff shall not separate youth from Policy Section 402: Assessment and the general population or assign youth to a single Classification Policy occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, ☒ ☐ ☐ mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy Section 402: Assessment and transgender, questioning or intersex identification or Classification Policy status as an indicator of likelihood of being sexually ☒ ☐ ☐ abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 403: Juvenile The facility administrator shall develop written policies Supervision of Lesbian, Gay, Bisexual, and procedures ensuring respectful and equitable Transgender, Questioning, and treatment of transgender and intersex youth. The policies Intersex Youth in an Institutional shall provide that: Setting ☒ ☐ ☐ During our review of Camp Scott, we attempted to speak with youth regarding their care while detained. The youth refused to speak with us. (a) Facility staff shall respect every youth’s gender Policy Section 403: Juvenile identity, and shall refer to the youth by the youth’s Supervision of Lesbian, Gay, Bisexual, preferred name and gender pronoun, regardless of Transgender, Questioning, and the youth’s legal name. Facilities may prohibit the use Intersex Youth in an Institutional of gang or slang names or names that otherwise Setting ☒ ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any While onsite in the facility, we decision made on this basis. observed all staff being respectful and kind to all youth in their care. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Facility staff shall permit youth to dress and present Policy Section 403: Juvenile themselves in a manner consistent with their gender Supervision of Lesbian, Gay, Bisexual, identity, and shall provide youth with the institution’s Transgender, Questioning, and clothing and undergarments consistent with their Intersex Youth in an Institutional gender identity. Setting ☒ ☐ ☐ According to staff and youth interviewed, youth may request any undergarments they choose boxers or panties and bras. (c) Facility staff shall house youth in the unit or room that Policy Section 403: Juvenile best meets their individual needs, and promotes their Supervision of Lesbian, Gay, Bisexual, safety and well-being. Staff may not automatically Transgender, Questioning, and house youth according to their external anatomy, and Intersex Youth in an Institutional shall document the reasons for any decision to house Setting youth in a unit that does not match their gender ☒ ☐ ☐ identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Policy Section 403: Juvenile and intersex youth have access to medical and Supervision of Lesbian, Gay, Bisexual, behavioral health providers qualified to provide care Transgender, Questioning, and ☒ ☐ ☐ and treatment to transgender and intersex youth. Intersex Youth in an Institutional Setting (e) Consistent with the facility’s reasonable and Policy Section 403: Juvenile necessary security considerations and physical plant, Supervision of Lesbian, Gay, Bisexual, facility staff shall make every effort to ensure the Transgender, Questioning, and safety and privacy of transgender and intersex youth ☒ ☐ ☐ Intersex Youth in an Institutional when the youth are using the bathroom or shower or Setting dressing or undressing. Facility staff shall not conduct physical searches of any Policy Section 403: Juvenile youth for the purpose of determining the youth’s Supervision of Lesbian, Gay, Bisexual, anatomical sex. Whenever feasible, the facility shall Transgender, Questioning, and respect the youth’s preference regarding the gender of ☒ ☐ ☐ Intersex Youth in an Institutional the staff member who conducts any search of the youth. Setting 1353 ORIENTATION Policy Section 502: Orientation The facility administrator shall develop and implement Process Handbook written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Four intake packets were provided for information shall be provided and supplemented with review to ensure compliance with video orientation if feasible. Provision shall be made to ☒ ☐ ☐ regulatory expectations. All youth were provide accessible orientation information to all detained found to be oriented immediately upon youth including those with disabilities, limited literacy, or entry into the facility. English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches and Policy Section 502: Orientation disciplinary procedures; ☒ ☐ ☐ Process Handbook (b) facility’s system of positive behavior interventions and Policy Section 502: Orientation supports, including behavior expectations, incentives Process Handbook that youth will receive for complying with facility rules, ☒ ☐ ☐ and consequences that may result when youth violate the rules of the facility; 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) age appropriate information that explains the facility’s Policy Section 502: Orientation policy prohibiting sexual abuse and sexual Process Handbook harassment and how to report incidents or suspicions ☒ ☐ ☐ of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy Section 502: Orientation ☒ ☐ ☐ Process Handbook (e) the existence of the grievance procedure, the steps Policy Section 502: Orientation that must be taken to use it, the youth’s right to be Process Handbook free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue (f) access to legal services and information on the court Policy Section 502: Orientation process; ☒ ☐ ☐ Process Handbook (g) access to routine and emergency health and mental Policy Section 502: Orientation health care; ☒ ☐ ☐ Process Handbook (h) access to education, religious services, and Policy Section 502: Orientation recreational activities; ☒ ☐ ☐ Process Handbook (i) housing assignments; Policy Section 502: Orientation ☒ ☐ ☐ Process Handbook (j) opportunity for personal hygiene and daily showers Policy Section 502: Orientation including the availability of personal care items ☒ ☐ ☐ Process Handbook (k) rules and access to correspondence, visits and Policy Section 502: Orientation telephone use; ☒ ☐ ☐ Process Handbook (l) availability of reading materials, programming, and Policy Section 502: Orientation other activities; ☒ ☐ ☐ Process Handbook (m) facility policies on the use of force, use of restraints, Policy Section 502: Orientation chemical agents and room confinement; Process Handbook ☒ ☐ ☐ (n) immigration legal services; Policy Section 502: Orientation ☒ ☐ ☐ Process Handbook (o) emergencies including evacuation procedures; Policy Section 502: Orientation ☒ ☐ ☐ Process Handbook (p) non-discrimination policy and the right to be free from Policy Section 502: Orientation physical, verbal or sexual abuse and harassment by Process Handbook ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Policy Section 502: Orientation other than English if appropriate; ☒ ☐ ☐ Process Handbook (r) the process for requesting different housing, Policy Section 502: Orientation education, programming and work assignments; ☒ ☐ ☐ Process Handbook (s) a process for which parents/guardians receive Policy Section 502: Orientation information regarding the youth’s stay in the facility Process Handbook that at a minimum includes answers to frequently asked questions and provides contact information for The intake officer shares all ☒ ☐ ☐ the facility, medical, school and mental health; and, information and contacts for the facility. There is also a parent booklet that is provided to the parent. (t) a process by which youth may request access to Title Policy Section 502: Orientation 15 Minimum Standards for Juvenile Facilities. Process Handbook ☒ ☐ ☐ A copy of Title 15 is kept in the cottage for youth to review upon request. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy Sections: The facility administrator shall develop and implement 514: Separation written policies and procedures that address: 515: Room Confinement 1400: The Healing Opportunities and Positive Engagement (HOPE) Center One example was provided of a self- ☒ ☐ ☐ separation for a youth that wished to be alone and of a Specialized Supervision Plan. Both documents provided detailed information regarding the purpose of the separation. (a) separation of youth for reasons that include, but are Policy Sections 514: Separation and not be limited to, medical and mental health Policy Section 1400: The Healing conditions, assaultive behavior, disciplinary ☒ ☐ ☐ Opportunities and Positive consequences and protective custody. Engagement (HOPE) Center (b) consideration of positive youth development and Policy Sections 514: Separation and trauma-informed care. Policy Section 1400: The Healing ☒ ☐ ☐ Opportunities and Positive Engagement (HOPE) Center (c) separated youth shall not be denied normal privileges Policy Sections 514: Separation and available at the facility, except when necessary to Policy Section 1400: The Healing accomplish the objective of separation. ☒ ☐ ☐ Opportunities and Positive Engagement (HOPE) Center (d) when the objective of the separation is discipline, Title Policy Sections 514: Separation and 15 Section 1390 shall apply. Policy Section 1400: The Healing ☒ ☐ ☐ Opportunities and Positive Engagement (HOPE) Center (e) when separation results in room confinement, the Policy Sections 514: Separation and separation shall occur in accordance with Welfare and Policy Section 1400: The Healing Institutions Code Section 208.3 and Section1354.5 of ☒ ☐ ☐ Opportunities and Positive these regulations. Engagement (HOPE) Center (f) policies and procedures shall ensure a daily review of Policy Section 514: Separation separated youth to determine if separation remains necessary. Youth on a separated status are ☒ ☐ ☐ monitored daily for depression and or suicide risk. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT Policy Section 515: Room (a) The facility administrator shall develop and implement Confinement and Section and Policy written policies and procedures addressing the Section 1400: The Healing confinement of youth in their room that are consistent Opportunities and Positive with Welfare and Institutions Code Section 208.3. The ☒ ☐ ☐ Engagement (HOPE) Center placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: (1) Room confinement shall not be used before Policy Section 515: Room other, less restrictive, options have been Confinement and Section 1400: The attempted and exhausted, unless attempting Healing Opportunities and Positive those options poses a threat to the safety or Engagement (HOPE) Center security of any youth or staff. Two room confinements were provided for review. Both were the same youth ☒ ☐ ☐ with the same behaviors over the course of a few days. The youth was already on an SSP, became upset and aggressive, assaulted staff, and was unable to self-regulate or deescalate. Both incidents of room confinement were 20-30 minutes. (2) Room confinement shall not be used for the Policy Section 515: Room purposes of punishment, coercion, convenience, Confinement and Section 1400: The or retaliation by staff. ☒ ☐ ☐ Healing Opportunities and Positive Engagement (HOPE) Center (3) Room confinement shall not be used to the extent Policy Section 515: Room that it compromises the mental and physical Confinement and Section 1400: The health of the youth. ☒ ☐ ☐ Healing Opportunities and Positive Engagement (HOPE) Center (b) A youth may be held up to four hours in room Policy Section 1400: The Healing confinement. After the youth has been held in room Opportunities and Positive confinement for a period of four hours, staff shall do ☒ ☐ ☐ Engagement (HOPE) Center one or more of the following: (1) Return the youth to general population. Policy Section 1400: The Healing Opportunities and Positive ☒ ☐ ☐ Engagement (HOPE) Center (2) Consult with mental health or medical staff. Policy Section 1400: The Healing Opportunities and Positive ☒ ☐ ☐ Engagement (HOPE) Center (3) Develop an individualized plan that includes the Policy Section 1400: The Healing goals and objectives to be met in order to Opportunities and Positive reintegrate the youth to general population. Engagement (HOPE) Center In both cases, the youth was referred ☒ ☐ ☐ to mental health for services. Mental health staff attempted to complete a Behavior Chain Analysis but were unable to do so. (4) If room confinement must be extended beyond Policy Section 1400: The Healing four hours, staff shall do each of the following: Opportunities and Positive ☒ ☐ ☐ Engagement (HOPE) Center 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) Document the reasons for room confinement Policy Section 1400: The Healing and the basis for the extension, the date and Opportunities and Positive time the youth was first placed in room Engagement (HOPE) Center ☒ ☐ ☐ confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy Section 1400: The Healing the goals and objectives to be met in order to Opportunities and Positive ☒ ☐ ☐ integrate the youth to general population. Engagement (HOPE) Center (C) Obtain documented authorization by the Policy Section 1400: The Healing facility superintendent or his or her designee Opportunities and Positive ☒ ☐ ☐ every four hours thereafter. Engagement (HOPE) Center (5) This section is not intended to limit the use of Policy Section 515: Room single-person rooms or cells for the housing of Confinement and Section 1400: The youth in juvenile facilities and does not apply to ☒ ☐ ☐ Healing Opportunities and Positive normal sleeping hours. Engagement (HOPE) Center (6) This section does not apply to youth or wards in Policy Section 515: Room court holding facilities or adult facilities. Confinement and Section 1400: The ☒ ☐ ☐ Healing Opportunities and Positive Engagement (HOPE) Center (7) Nothing in this section shall be construed to Policy Section 515: Room conflict with any law providing greater or Confinement and Section 1400: The additional protections to youth. ☒ ☐ ☐ Healing Opportunities and Positive Engagement (HOPE) Center (8) This section does not apply during an Policy Section 515: Room extraordinary emergency circumstance that Confinement and Section 1400: The requires a significant departure from normal Healing Opportunities and Positive institutional operations, including a natural Engagement (HOPE) Center disaster or facility-wide threat that poses an ☒ ☐ ☐ imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy Section 515: Room placed in a locked cell or sleeping room to treat Confinement and Section 1400: The and protect against the spread of a Healing Opportunities and Positive communicable disease for the shortest amount of Engagement (HOPE) Center time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an illness. Additionally, ☒ ☐ ☐ this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy Section 402: Assessment and Pending Classification and Section 703: The The facility administrator shall develop and implement MDT Process ☒ ☐ ☐ written policies and procedures for assessment and case planning. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Assessment: Policy Section 402: Assessment and The assessment is based on information collected Classification and Section 703: The during the admission process with periodic review, MDT Process which includes the youth's risk factors, needs and strengths including, but not limited to, identification of The assessment process begins with substance abuse history, educational, vocational, CAU completing the initial assessment counseling, behavioral health, consideration of known and the onsite staff completing the history of trauma, and family strengths and needs. ☒ ☐ ☐ intake assessment and onsite process. All information is then used in preparation for developing the youth’s case plan. All areas required in the assessment are noted in the 22 pt assessment completed by CAU and included in the initial MDT process. (b) Institutional Case Plan: Policy Section 703: The MDT Process (1) A case plan shall be developed for each youth held for at least 30 days or more and created The MDT is scheduled generally within within 40 days of admission. ☒ ☐ ☐ 2 weeks from the youth’s arrival in camp. All MDTs were found to be timely. (2) The institutional plan shall include, but not be Policy Section 705: Ongoing Case limited to, written documentation that provides: ☒ ☐ ☐ Management Activities (A) objectives and time frame for the resolution of Policy Section 705: Ongoing Case problems identified in the assessment; Management Activities ☒ ☐ ☐ MDT and MDT Case Plan Summary outline these areas. (B) a plan for meeting the objectives that includes Policy Section 705: Ongoing Case a description of program resources needed Management Activities and individuals responsible for assuring that ☒ ☐ ☐ the plan is implemented; MDT and MDT Case Plan Summary outline these areas. (3) periodic evaluation of progress towards meeting Policy Section 705: Ongoing Case the objectives, including periodic review and Management Activities discussion of the plan with the youth; Periodic reviews were not completed consistently with regulation requirements and documentation was lacking. Documentation was not specific as to if the review was ☒ ☐ ☐ completed with the youth. Technical assistance was provided, training and corrective action were provided to staff from the facility staff, and the issue was corrected and resolved. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) a transition plan, the contents of which shall be Policy Section 706: Case Plan subject to existing resources, shall be developed Activities - Pre-Release for post dispositional youth in accordance with Section 1351; and, The Transition MDTs reviewed were complete and with good direction to ☒ ☐ ☐ releasing youth. One youth was being released to a transitional living home. Her individual plan provided additional resources not required. (5) in as much as possible and if appropriate, the Policy Section 705: Ongoing Case plan, including the transition plan, shall be Management Activities developed with input from the family, supportive adults, youth, and Regional Center for the ☒ ☐ ☐ The youth’s family and other Developmentally Disabled. appropriate supportive adults are encouraged to participate. 1356 COUNSELING AND CASEWORK SERVICES Policy Section 705: Ongoing Case The facility administrator shall develop and implement Management Activities written policies and procedures ensuring the availability of appropriate counseling and casework services for all We noted, while onsite, what appears youth. Policies and procedures shall ensure: to be a very close relationship between the youth and their staff. All youth we interviewed spoke highly of the staff ☒ ☐ ☐ and stated that, whatever they need help with, the staff will help them or do their best to find a resolution. They also spoke very highly of the supervisor, calling her mom while in an interview with the undersigned. All areas in this section are compliant. (a) youth will receive assistance with needs or concerns Policy Section 705: Ongoing Case that may arise; Management Activities ☒ ☐ ☐ (b) youth will receive assistance in requesting contact Policy Section 705: Ongoing Case with parents, other supportive adults, attorney, clergy, Management Activities ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources Policy Section 705: Ongoing Case to meet the youth’s needs. Management Activities ☒ ☐ ☐ 1357 USE OF FORCE Policy Section 1701: Physical The facility administrator, In cooperation with the intervention Policy for Juvenile responsible physician, shall develop and implement Facilities and the Transportation written policies and procedures for the use of force, which Section may include chemical agents. Force shall never be ☒ ☐ ☐ applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies and procedures which: 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) restricts the use of force to that which is deemed Policy Section 1704: Safe Crisis reasonable and necessary, as defined in Section Management and Physical Intervention 1302 to ensure the safety and security of youth, Procedures staff, others and the facility. Six incidents of use of force were ☒ ☐ ☐ reviewed. All appeared to be necessary and appropriate, based on the documentation reviewed, to ensure the safety of the youth and staff in the facility. (2) outline the force options available to staff including Policy Section 1704: Safe Crisis both physical and non-physical options and define Management and Physical Intervention when those force options are appropriate. ☒ ☐ ☐ Procedures (3) describe force options or techniques that are Policy Section 1704: Safe Crisis expressly prohibited by the facility. Management and Physical Intervention ☒ ☐ ☐ Procedures (4) describe the requirements of staff to report any Policy Section 1704: Safe Crisis inappropriate use of force, and to take affirmative Management and Physical Intervention ☒ ☐ ☐ action to immediately stop it. Procedures (5) define a standardized reporting format that Policy Section 1704: Safe Crisis includes time period and procedure for Management and Physical Intervention documenting and reporting the use of force, Procedures including reporting requirements of management and line staff and procedures for reviewing and All reports were written timely as tracking use of force incidents by supervisory and required. Debriefs were completed as or management staff, which include procedures for ☒ ☐ ☐ required for those incidents that debriefing a particular incident with staff and/or required one. youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Policy Section 1704: Safe Crisis investigating unreasonable use of force. Management Physical Intervention ☒ ☐ ☐ Reports (7) define the role, notification, and follow-up Policy Section 1704: Safe Crisis procedures required after use of force incidents for Management and Physical Intervention medical, mental health staff and parents or legal Procedures guardians. ☒ ☐ ☐ Medical, mental health, and parents were notified as required. (8) describe the limitations of use of force on pregnant Policy Section 1704: Safe Crisis youth in accordance with Penal Code Section Management and Physical Intervention 6030(f) and Welfare and Institutions Code Section ☒ ☐ ☐ Procedures 222. (b) Facilities that authorize chemical agents as a force Policy Section 1704: Safe Crisis option shall include policies and procedures that: Management and Physical Intervention Procedures ☐ ☐ ☒ N/A OC spray is not used in the camps. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) identify who is approved to carry and/or utilize N/A 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 N/A there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation ☐ ☐ ☒ efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and N/A timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be left ☐ ☐ ☒ unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up N/A procedures required after use of force incidents ☐ ☐ ☒ involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident of N/A use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and ☐ ☐ ☒ location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Policy Section 1702: Training require that agencies provide initial and regular training in use of force and chemical agents when ☒ ☐ ☐ appropriate that address: (1) known medical and behavioral health conditions Policy Section 1702: Training that would contraindicate certain types of force; ☒ ☐ ☐ (2) acceptable chemical agents and the methods of Policy Section N/A application. ☒ ☐ ☐ (3) signs or symptoms that should result in immediate Policy Section 1702: Training referral to medical or behavioral health. ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Use Policy Section 1702: Training of Force. ☒ ☐ ☐ (5) physical training force options that may require the Policy Section 1702: Training use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular training. Policy Section 1702: Training ☒ ☐ ☐ 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1705: Restraints The facility administrator, In cooperation with the The policy was developed in responsible physician and mental health director, shall cooperation with Juvenile Court Health develop and implement written policies and procedures Services (JCHS) and the Department for the use of restraint devices. Restraint devices include of Mental Health (DMH). any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory. There were no documented incidents provided for this section. A memo was received noting there has been no use of physical restraints this cycle. The ☒ ☐ ☐ following sections have been marked ‘yes’ for policy compliance. Technical assistance was provided to the supervisor to ensure ongoing training in this section to keep the procedure fresh as this is a perishable skill and may not be completed correctly when it does occur if it is not continuously trained. Physical restraints may be used only for those youth who Policy Section 1705: Restraints present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted ☒ ☐ ☐ physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy Section 1705: Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing of hands and feet together behind the back (hogtying) is ☒ ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy Section 1705: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed by ☒ ☐ ☐ Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval of Policy Section 1705: Restraints the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints ☒ ☐ ☐ shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and retention Policy Section 1705: Restraints shall be secured as soon as possible, but no later than two hours from the time of placement. The youth shall be ☒ ☐ ☐ medically cleared for continued retention at least every three hours thereafter. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A mental health consultation shall be secured as soon as Policy Section 1705: Restraints possible, but in no case longer than four hours from the time of placement, to assess the need for mental health ☒ ☐ ☐ treatment. Continuous direct visual supervision shall be conducted to Policy Section 1705: Restraints ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. Observations of the youth's behavior and any staff ☒ ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy Section 1705: Restraints procedures shall address: (a) documentation of the circumstances leading to an Policy Section 1705: Restraints application of restraints. ☒ ☐ ☐ (b) known medical conditions that would contraindicate Policy Section 1705: Restraints certain restraint devices and/or techniques. ☒ ☐ ☐ (c) acceptable restraint devices. Policy Section 1705: Restraints ☒ ☐ ☐ (d) signs or symptoms which should result in immediate Policy Section 1705: Restraints medical/mental health referral. ☒ ☐ ☐ (e) availability of cardiopulmonary resuscitation Policy Section 1705: Restraints equipment. ☒ ☐ ☐ (f) protective housing of restrained youth. While in Policy Section 1705: Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth which ☒ ☐ ☐ makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy Section 1705: Restraints ☒ ☐ ☐ (h) exercising of extremities. Policy Section 1705: Restraints ☒ ☐ ☐ 1358.5 USE OF RESTRAINT DEVICES FOR Policy Section 1709: The Use of MOVEMENT AND TRANSPORTATION WITHIN THE Mechanical Restraints for Movement FACILITY. and Transport Within the Facility The Facility Administrator, In cooperation with the responsible physician and behavioral/mental health The policy was developed in director, shall develop and implement written policies and cooperation with Juvenile Court Health procedures for the use of restraint devices when the Services (JCHS) and Department of purpose is for movement or transportation within the Mental Health (DMH). facility that shall include the following: There were six incidents provided for review. There were no restraints ☒ ☐ ☐ utilized. Sections marked ‘yes’ for policy compliance. Technical assistance provided to supervisor to ensure ongoing training in this section to keep the procedure fresh as this is a perishable skill and may not be completed correctly when it does occur if it is not continuously trained. (a) identification of acceptable restraint devices, staff Policy Section 1709: The Use of approved to utilize restraint devices and the required Mechanical Restraints for Movement ☒ ☐ ☐ training. and Transport Within the Facility 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) the circumstances leading to the application of Policy Section 1709: The Use of restraints must be documented. Mechanical Restraints for Movement ☒ ☐ ☐ and Transport Within the Facility (c) an individual assessment of the need to apply Policy Section 1709: The Use of restraints for movement or transportation that Mechanical Restraints for Movement includes consideration of less restrictive alternatives, and Transport Within the Facility consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with Policy Section 1709: The Use of a clearly defined expectation that restraint devices Mechanical Restraints for Movement shall not be used for the purposes of discipline or ☒ ☐ ☐ and Transport Within the Facility retaliation. (e) the use of restraints on pregnant youth is limited in Policy Section 1709: The Use of accordance with Penal Code Section6030(f) and Mechanical Restraints for Movement ☒ ☐ ☐ Welfare and Institutions Code Section 222. and Transport Within the Facility 1359 SAFETY ROOM PROCEDURES Camp Scott does not have a safety (a) The facility administrator, and where applicable, In room. The remainder of this section is cooperation with the responsible physician, shall marked as N/A. develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary N/A nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or N/A designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision N/A and documentation of the youth's behavior and any staff interventions every 15 minutes, with ☐ ☐ ☒ actual time recorded; (4) provide that the youth shall be evaluated by the N/A facility manager, or designee, every four hours; ☐ ☐ ☒ (5) provide for immediate medical assessment, N/A where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for N/A placement, including attempts to use less restrictive means of control, and decisions to ☐ ☐ ☒ continue and end placement. (b) The placement of a youth in the safety room shall be N/A accomplished in accordance with the following: ☐ ☐ ☒ 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) safety room shall not be used before other less N/A restrictive options have been attempted and exhausted, unless attempting those options poses ☐ ☐ ☒ a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of N/A punishment, coercion, convenience, or retaliation ☐ ☐ ☒ by staff. (3) safety room shall not be used to the extent that it N/A compromises the mental and physical health of the ☐ ☐ ☒ youth. (c) A youth may be held up to four hours in the safety N/A room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. N/A ☐ ☐ ☒ (2) consult with mental health or medical staff, N/A ☐ ☐ ☒ (3) develop an individualized plan that includes the N/A goals and objectives to be met in order to ☐ ☐ ☒ reintegrate the youth to general population. (d) If confinement in the safety room must be extended N/A beyond four hours, staff shall develop an individualized plan that includes the requirements of ☐ ☐ ☒ Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Policy Section 1316: Searches in Detention Facilities and Section 1317: The facility administrator shall develop and implement Body Searches (Pat-Down, Strip, and written policies and procedures governing the search of Body Cavity Searches) youth, the facility, and visitors. Policies and procedures shall provide that: The facility utilizes pat-down searches and wand searches for the searches of youth. There was no strip search documentation provided for the time frame requested. ☒ ☐ ☐ The facility is searched regularly through the help of a K9 search dog and staff conduct regular unit searches in which common areas are searched. Documentation was not provided for school searches or other common areas of the facility; however, technical assistance was provided to encourage the future documentation of all searches of common areas be provided. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Searches shall be conducted to ensure the safety and Policy Section 1316: Searches in security of the facility, public, visitors, youth, and staff. Detention Facilities All visitors coming into the facility walk ☒ ☐ ☐ through a metal detector and may be additionally scanned/screened for narcotics. (b) Searches shall be conducted in a manner that Policy Section 1316: Searches in preserves the privacy and dignity of the person being Detention Facilities searched, and shall not be conducted for harassment ☒ ☐ ☐ or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Policy Section 1317: Body Searches searches shall comply with Penal Code Section 4030. (Pat-Down, Strip, and Body Cavity ☒ ☐ ☐ Searches) (d) Physical body cavity searches shall only be Policy Section 1317: Body Searches conducted by a medical professional. (Pat-Down, Strip, and Body Cavity ☒ ☐ ☐ Searches) (e) Any youth held after a detention hearing shall only be Policy Section 1317: Body Searches strip searched with prior approval of a supervisor (Pat-Down, Strip, and Body Cavity when there is reasonable suspicion based on specific Searches) and articulable facts to believe that youth is ☒ ☐ ☐ concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Policy Section 1303: Juvenile comply with Section 1352.5. Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning, and ☒ ☐ ☐ Intersex Youth in an Institutional Setting (g) Cross-gender pat-down searches and strip searches Policy Section 1317: Body Searches are prohibited except in exigent circumstances or (Pat-Down, Strip, and Body Cavity when conducted by a medical professional. Such ☒ ☐ ☐ Searches) searches must be justified and documented in writing. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1361 GRIEVANCE PROCEDURE Policy Sections 508: Grievance The facility administrator shall develop and implement Procedures written policies and procedures whereby any youth may appeal and have resolved grievances relating to any Camp Scott had 4 Grievances condition of confinement, including but not limited to submitted between January 1, 2022, health care services, classification decisions, program and March 31, 2022. Two of the participation, telephone, mail or visiting procedures, food, grievances were maintenance related, clothing, bedding, mistreatment, harassment or violations 1 for being given the wrong size shoes, of the nondiscrimination policy. There shall be no time and another for a change in housing. limit on filing grievances. Policies and procedures shall All grievances were addressed either include provisions whereby the facility manager ensures: the same day or very soon after. Technical assistance provided that the ☒ ☐ ☐ issues noted in the grievances, with the exception of the shoes, could be addressed through a request to staff or supervisor and do not need to rise to the grievance level. Issues that youth raise that are reasonable should be handled and addressed as typical courses of business. It was noted that it was great to only see four grievances in a quarter for the camp. (a) a grievance form and instructions for registering a Policy Sections 508: Grievance grievance, which includes provisions for the youth to Procedures have free access to the form; Youth can obtain a grievance freely in ☒ ☐ ☐ the cottage or other common areas in the camp, i.e., school, administration hallway, etc. Youth interviewed stated they know how to file a grievance. (b) the youth shall have the option to confidentially file Policy Sections 508: Grievance the grievance or to deliver the form to any youth Procedures supervision staff working in the facility; ☒ ☐ ☐ Youth interviewed noted they can give the form to any staff member, probation officer, or other staff. (c) resolution of the grievance at the lowest appropriate Policy Sections 508: Grievance staff level; Procedures Youth interviewed stated they can provide the grievance to any staff, ☒ ☐ ☐ including the staff they are grieving, for resolution or they can place the grievance in the box for the grievance officer or supervisor to address. (d) provision for a prompt review and initial response to Policy Sections 508: Grievance grievances within three (3) business days, grievances Procedures that relate to health and safety issues must be ☒ ☐ ☐ addressed immediately; All grievances were timely. There were no health and safety grievances. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) The youth may elect to be present to explain Policy Sections 508: Grievance his/her version of the grievance to a person not Procedures directly involved in the circumstances which led to ☒ ☐ ☐ the grievance. (2) Provision for a staff representative approved by Policy Sections 508: Grievance the facility administrator to assist the youth. Procedures ☒ ☐ ☐ We saw no request for assistance. (e) provision for a written response to the grievance Policy Sections 508: Grievance which includes the reasons for the decisions; Procedures ☒ ☐ ☐ Grievance responses were clear and concise and provided a good response explaining the reason for the decision. (f) a system which provides that any appeal of a Policy Sections 508: Grievance grievance shall be heard by a person not directly Procedures involved in the circumstances which led to the ☒ ☐ ☐ grievance; (g) resolution of the grievance must occur within ten (10) Policy Sections 508: Grievance business days unless circumstances dictate a longer Procedures time frame. The youth shall be notified of any delay; ☒ ☐ ☐ and, All were resolved very quickly, within 3 days. (h) the policy shall provide multiple internal and external Policy Sections 508: Grievance methods to report sexual abuse and sexual Procedures harassment. Youth may report any sexual abuse or harassment directly to any staff, ☒ ☐ ☐ indirectly to any staff, through outside sources, and in writing. However, a youth feels safe to do so, this is the process they should use. Whether or not associated with a grievance, concerns of Policy Sections 508: Grievance parents, guardians, staff, or other parties shall be Procedures addressed and documented in accordance with written policies and procedures within a specified timeframe. Any issues should be addressed with ☒ ☐ ☐ the Camp Supervisor first, then the Facility Director. There is also a formal departmental complaint process. 1362 REPORTING OF INCIDENTS Policy Sections 1119: Reducing Youth A written report of all incidents which result in physical on Youth on Violence and Section harm, use of force, serious threat of physical harm, or 1919: Deaths at Camp Facilities death of an employee, youth or other person(s) shall be maintained. Such written record shall be prepared by the Two additional samples of incident ☒ ☐ ☐ staff and submitted to the facility manager by the end of the reports were provided for review. The shift, unless additional time is necessary and authorized by reports were well written and the facility manager or designee. completed/ submitted in a timely manner. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT Policy Sections 306: Live Scan and DNA SPECIMENS, SAMPLES, IMPRESSIONS DNA Collection and 1122: Juvenile (a) Pursuant to Penal Code Section 298.1 authorized law Collection of DNA Samples enforcement, custodial, or corrections personnel including peace officers, may employ reasonable The Camp Assessment Unit is force to collect blood specimens, saliva samples, and responsible for determining if youth thumb or palm print impressions from individuals who ☐ ☐ ☒ need DNA collection. Detention are required to provide such samples, specimens or Services Bureau (DSB) personnel are impressions pursuant to Penal Code Section 296 and responsible for conducting fingerprint who refuse following written or oral request. collection through the Live-Scan process and for DNA collection. This is not done in the camps. (1) For the purpose of this section, the “use of Policy Sections 306: Live Scan and reasonable force” shall be defined as the force that DNA Collection and 1122: Juvenile an objective, trained and competent correctional Collection of DNA Samples employee, faced with similar facts and circumstances, ☐ ☐ ☒ would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Policy Sections 306: Live Scan and efforts to secure voluntary compliance. Efforts to DNA Collection and 1122: Juvenile secure voluntary compliance shall be documented and Collection of DNA Samples include an advisement of the legal obligation to provide ☐ ☐ ☒ the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Policy Sections 306: Live Scan and authorization of the supervising officer on duty. The DNA Collection and 1122: Juvenile authorization shall include information that reflects the Collection of DNA Samples fact that the offender was asked to provide the ☐ ☐ ☒ requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Policy Sections 306: Live Scan and extraction, the extraction shall be videotaped. DNA Collection and 1122: Juvenile Video shall be directed at the cell extraction Collection of DNA Samples event. The videotape shall be retained by the agency for the length of time required by statute. ☐ ☐ ☒ Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM The Education Program provided at Camp Scott is part of the education (a) School Programs program of the Dorothy Kirby Center school and is provided through a The County Board of Education shall provide for the collaboration between Los Angeles administration and operation of juvenile court schools County Probation and Los Angeles in conjunction with the Chief Probation Officer, or County Office of Education: Juvenile designee pursuant to applicable State laws. The Courts and Community Schools. Policy school and facility administrators shall develop and has not changed since the last cycle. implement written policy and procedures to ensure communication and coordination between educators Michael Massa, Principal, and Donna and probation staff. Culturally responsive and trauma- Baker, Assistant Principal, were informed approaches should be applied when interviewed both for the Education providing instruction. Education staff should collaborate evaluation and by the BSCC inspector. with the facility administrator to use technology to facilitate learning and ensure safe technology The Dorothy Kirby school has six practices. The facility administrator shall request an classroom teachers, three of which are annual review of each required element of the program special education, 1 academic by the Superintendent of Schools, and a report or counselor, 1 transition counselor, 1, review checklist on compliance, deficiencies, and resource teacher, 1 reading specialist, corrective action needed to achieve compliance with 8 paraprofessionals, and behavior this section. Such a review, when conducted, cannot counselor. The school provides daily be delegated to the principal or any other staff of any instruction, after-school tutoring, and juvenile court school site. The Superintendent of ☒ ☐ ☐ enrichment activities. The relationship Schools shall conduct this review in conjunction with a is said to be "harmonious” between qualified outside agency or individual. Upon receipt of LACOE and probation but always with the review, the facility administrator or designee shall room to improve communication and review each item with the Superintendent of Schools collaboration for the betterment of the and shall take whatever corrective action is necessary youth. to address each deficiency and to fully protect the educational interests of all youth in the facility. The education program was evaluated for regulation purposes by Scott Turner, ED. D Executive Director ESGV SELPA and Jonathan Raymond, Special Education Director, Charter Dale USD. The following details the information provided by the evaluation team who found the facility to be compliant. Any questions should be referred to Mr. Turner at (626) 966-1679 or Mr. Raymond at (626) 966-8331. • Evaluations are completed by non-LACOE employee. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS • Interagency meeting bi-weekly • Ongoing communication and collaboration on requirements for education program • Positive Behavioral Interventions & Supports (PBIS) and Dialectical Behavior Therapy (DBT) • One: one services, computer courts for cottages and classroom • Annual facility reports • Conducted by outside agency cde, probation, etc. (b) Required Elements BP 6011 Instruction BP 6011 Instruction, BP 0460 The facility school program shall comply with the State Philosophy, Education Code and County Board of Education Goals, Objectives, and Comprehensive policies, all applicable federal education statutes and Plans regulations and provide for an annual evaluation of the BP 005 Philosophy, Goals, Objectives educational program offerings. As stated in the 2009 and Comprehensive Plans Item 3,4,5 California Standards for the Teaching Profession, teachers shall establish and maintain learning The review is completed annually. ☒ ☐ ☐ environments that are physically, emotionally, and Teachers maintain a safe and intellectually safe. Youth shall be provided a rigorous, conducive environment. quality educational program that responds to the different learning styles and abilities of students and Evidence of a rigorous program prepares them for high school graduation, career entry, individualized to star student reading / and post-secondary education. math. All youth shall be treated equally, and the education BP 5145.3 Students program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State BP 005 Philosophy, Goals, Objectives Education Code and include, but not be limited to, and Comprehensive Plans courses required for high school graduation. ☒ ☐ ☐ Students work towards diploma requirements. (2) Information and preparation for the High School AR-6146.2 Equivalency Test as approved by the California Department of Education shall be made available to ☒ ☐ ☐ Students participate in hiset via eligible youth. computer. (3) Youth shall be informed of post-secondary education AR-6143 Instruction Item 9 (Grades 7- and vocational opportunities. 12) ☒ ☐ ☐ Transition counselor workability. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Administration of the High School Equivalency Tests as AR6146-2 Instruction Ed Code 51420 approved by the California Department of Education, shall be made available when possible. ☒ ☐ ☐ Students continue in program after testing. (5) Supplemental instruction shall be afforded to youth who AR-6179 Instruction BPP 5149 do not demonstrate sufficient progress towards grade ☒ ☐ ☐ Read 180/Math 180 level standards. (6) The minimum school day shall be consistent with State BP 6112 Instruction Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with 300 minutes per school day/240 education staff, must ensure that operational minutes for minimum days ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless of BP 6112 Instruction Partially Address. classification, housing, security status, disciplinary or requirement; AR 5131 separation status, including room confinement, except when providing education poses an immediate threat ☒ ☐ ☐ All students participate unless they to the safety of self or others. Education includes, but have graduated, HOPE Center for is not limited to, related services as provided in a students with mental health needs. youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented to PBIS program and counselor reduce the need for disciplinary action in the school ☒ ☐ ☐ setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions BP 5021 Students CF 6020 made by probation staff that may affect the educational programming of students. ☒ ☐ ☐ Collaboration with probation staff to address safety and security. (3) Except as otherwise provided by the State Education BP 5144.1 Students; 5144.2 - Code, expulsion/suspension from school shall be Suspension and Expulsion/Due imposed only when other means of correction fails to Process (Students with Disabilities) bring about proper conduct. School staff shall follow Suspensions primarily for assaults. the appropriate due process safeguards as set forth in ☒ ☐ ☐ Discipline addressed through PBIS. the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education BP 5144 staff will develop policies and procedures that address ☒ ☐ ☐ Differentiation of instruction and the rights of any student who has continuing difficulty supports used for supports and tutoring completing a school day. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and Comprehensive Plans (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Child Find ongoing- records request, suspected disabilities. This includes but is not limited ☒ ☐ ☐ contacts with educational rights to child find, assessment, continuum of alternative holders. placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be BP 6174 Instruction afforded an educational program that addresses their language needs pursuant to all applicable state and English language services provided as ☒ ☐ ☐ federal laws and regulations governing programs for primary service. All staff aware of EL students. English language status. (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers Requirement (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's Enrollment packets, baseline educational history, including but not limited to: screenings and transcripts (A) School progress/school history; BP 6162.5 Instruction ☒ ☐ ☐ Transcripts (B) Home Language Survey and the results of the State AR 6174 Instruction Test used for English language proficiency; ☒ ☐ ☐ Part of enrollment. (C) Needs and services of special populations as defined BP 6162.5 Instruction by the State Education Code, including but not limited to, students with special needs. ☒ ☐ ☐ Continuum of programs, self-contained as option. (D) Discipline problems. BP 5131 Students ☒ ☐ ☐ Review of discipline history. (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ EPIC system- sis intakes and levels to enable placement in core curriculum courses. collection of baselines via star (3) After admission to the facility, a preliminary education BP 6162.5 Instruction plan shall be developed for each youth within five school days. ☒ ☐ ☐ RTSA framework APEX credit deferment (4) Upon enrollment, education staff shall comply with the AR 5125 Students State Education Code and request the youth's records from his/her prior school(s), including, but not limited IEP’s and 504’s collected with to, transcripts, Individual Education Program (IEP), 504 transcripts and CALPADS reviewed. Plan, state language assessment scores, immunization ☒ ☐ ☐ records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth ☒ ☐ ☐ All records forwarded with the change shall be forwarded to the next educational placement of placement. in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide BP 5121 Students appropriate credit (full or partial) for course work completed while in juvenile court school in accordance ☒ ☐ ☐ Students earn appropriate credits. with the State Education Code. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief Probation Transition counselor, a PIX transition Officer or designee, shall develop policies and workability, OSHA procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student Use of Technology (1) The school and facility administrator should, whenever possible, collaborate with local post-secondary ☒ ☐ ☐ Job certifications, housing allowances, education providers to facilitate access to educational transition counselor and FAFSA and vocational opportunities for youth that considers assistance. the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. Policy Section 1306: Programs, The facility administrator shall develop and implement Recreation and Exercise written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the The Dorothy Kirby Center/Camp Scott amount of time youth are in their rooms or their bed area. offers a wide range of programs, ☒ ☐ ☐ recreation, and exercise to the youth of the two facilities. These activities are provided by Probation, LACOE, the Department of Mental Health, and Community-Based Organizations. Juvenile facilities shall provide the opportunity for Policy Section 1306: Programs, programs, recreation, and exercise a minimum of three Recreation and Exercise hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which one ☒ ☐ ☐ hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy Section 1306: Programs, exercise may be suspended only upon a written finding by Recreation and Exercise the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the No suspensions were found to have facility. occurred. Such program, recreation, and exercise schedule shall be Policy Section 1306: Programs, posted in the living units. Recreation and Exercise ☒ ☐ ☐ The facility schedule was posted in the cottages as required. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS There will be a written annual review of the programs, Policy Section 1306: Programs, recreation, and exercise by the responsible agency to Recreation and Exercise ensure content offered is current, consistent, and relevant to the population. A program review was received from Director Mayorquin regarding all programs, exercises, and recreation provided in the facility. ☒ ☐ ☐ DMH provided an annual review of its programs and individual program reviews were received from the Anti- Recidivism Coalition, Million little, theater of the hearts. (a) Programs. All youth shall be provided with the Policy Section 1306: Programs, opportunity for at least one hour of daily programming Recreation and Exercise to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions February 2022 activity sheets were that are culturally relevant and linguistically provided, reviewed, and found to be appropriate, or pro-social interventions and activities compliant. designed to reduce recidivism. These programs should be based on the youth’s individual needs as Technical assistance was provided to required by Sections 1355 and 1356. Such programs not include programming that is non- may be provided under the direction of the Chief rehabilitative on the sheet or to not Probation Officer or the County Office of Education and can be administered by county partners such as count it in the time calculation. We mental health agencies, community based found there were a few instances organizations, faith-based organizations or Probation where this occurred. staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; ☒ ☐ ☐ (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Policy Section 1306: Programs, for at least one hour of daily access to unscheduled Recreation and Exercise activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and February 2022 activity sheets were ☒ ☐ ☐ include orientation and may include coaching of youth. provided, reviewed, and found to be compliant. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Exercise. All youth shall be provided with the Policy Section 1306: Programs, opportunity for at least one hour of large muscle Recreation and Exercise activity each day. February 2022 activity sheets were ☒ ☐ ☐ provided, reviewed, and found to be compliant. The administrator/manager may suspend, for a period not Policy Section 1306: Programs, to exceed 24 hours, access to recreation and programs. Recreation, and Exercise The administrator/manager shall document the reasons ☒ ☐ ☐ why suspension of recreation and programs occurs. There were no suspensions noted to have occurred. 1372 RELIGIOUS PROGRAM Policy Section 1004: Religious The facility administrator shall provide access to religious Services services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be The facility did not have documentation allowed to participate in an activity outside of their room if of the opportunity for services during he/she elects not to participate in religious programs. COVID. (Facility provided) A memo Religious programs shall provide for: was provided noting no religious programming from January 2022 through the end of February 2022. The memo also indicated that Camp Scott youth declined to attend services from the end of February through March 2022 once they were again provided. It was noted that religious providers would send religious materials for ☒ ☐ ☐ individuals who wanted to read and participate in religious activity, but no documentation of any online, or any other opportunity for religious service as noted in suspensions, was provided. Technical assistance provided and discussed. All youth must have the ability to access religious services. This was addressed while onsite and a follow-up request for information was completed. The facility corrected the issue and has been notified to identify a process for documentation in and out of COVID. (a) opportunity for religious services and practices; Policy Section 1004: Religious ☒ ☐ ☐ Services 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) availability of clergy; and, Policy Section 1004: Religious Services If a youth is a different religion, DKC/ Camp Scott staff will make efforts to ☒ ☐ ☐ find clergy to meet that need. Youth may also have their own clergy from their own church placed on their visiting list by request. (c) availability of religious diets. Policy Section 1004: Religious Services ☒ ☐ ☐ Religious diets are always available upon request. 1373 WORK PROGRAM Policy Section 1003: Work Crews The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of Youth currently have access to two youth to work programs. Work assigned to a youth shall be work programs onsite at Dorothy Kirby meaningful, constructive and related to vocational training Center/Camp Scott once they qualify or increasing a youth's sense of responsibility. Work through both Probation and through programs shall not be imposed as a disciplinary measure. LACOE. Youth apply to and may be accepted as follows: American Job Center of California - AJCC: This program is a 120-hour program offering 120 hours of work ☒ ☐ ☐ experience, twenty of which are paid hours. Assignments are on the grounds of the camp. Transitional Partnership Program - TPP through LACOE offers 90-100 hours. All money youth earn goes into an account and they take it home when they are released. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1374 VISITING Policy Section 902: Visiting The facility administrator shall develop and implement Procedures, Section 903: Saturday written policies and procedures for visiting, that include and Sunday Visiting and Section 904: provisions for special visits. Youth shall be allowed to Special Visits receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, Visiting has been suspended due to such as grandparents and siblings, and supportive adults, COVID-19. Since recently opening up, may be allowed to visit with the approval of the facility parents receive 1 hour of outdoor administrator or designee, and in conjunction with the visitation. This is supplemented with youth’s case plan or in the best interest of the youth. virtual calls and telephone calls. ☒ ☐ ☐ Regulation remains suspended due to County Health Orders. Visits occur with parents, guardians, and other family members. Visits generally occur outside and youth are socially distanced. Youth with children can regularly receive visits with their children when not in quarantine. All visits shall occur at reasonable times, subject only to the Policy Section 902: Visiting limitations necessary to maintain order and security. Procedures Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, No denials were noted to have whether the visitor’s criminal history represents a risk to the ☒ ☐ ☐ occurred. safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy Section 902 Visiting Procedures per week. Visits may be supervised, but conversations and Section 903: Saturday and shall not be monitored unless there is a security or safety Sunday Visiting need. Documentation was provided of virtual ☒ ☐ ☐ calls when visitation did not take place. Youth generally receive virtual calls weekly to either replace or supplement their visitation. Provisions for special visits, in addition to the two-hour Policy Section 904: Special Visits minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy and professional visits shall be accommodated outside the ☒ ☐ ☐ provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy Section 902: Visiting alternative, but not as a replacement, to in-person visiting. Procedures Virtual visitation is utilized as an ☒ ☐ ☐ enhancement to visitation. Documentation was consistent and clear that all youth received the opportunity for a call. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1375 CORRESPONDENCE Policy Section 510: Mail The facility administrator shall develop and implement written policies and procedures for correspondence which Youth interviewed stated they can provide that: ☒ ☐ ☐ send and receive an unlimited amount of mail. They are provided with an opportunity to write letters every night. (a) there is no limitation on the volume of mail that youth Policy Section 510: Mail may send or receive; ☒ ☐ ☐ (b) youth may send two letters per week postage free; Policy Section 510: Mail ☒ ☐ ☐ (c) youth may correspond confidentially with state and Policy Section 510: Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility staff may open and inspect such mail only to ☒ ☐ ☐ search for contraband and in the presence of the youth; and (d) incoming and outgoing mail, other than that described Policy Section 510: Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and security, ☒ ☐ ☐ public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy Section 509: Telephone Calls The administrator of each juvenile facility shall develop and All youth have access to make regular implement written policies and procedures to provide youth phone calls. Youth also are allowed ☒ ☐ ☐ with access to telephone communications. virtual calls when visiting does not occur. One youth interviewed stated “someone is always on the phone”. 1377 ACCESS TO LEGAL SERVICES Policy Section 520: Access to Legal Services The facility administrator shall develop written procedures ☒ ☐ ☐ to ensure the right of youth to have access to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed Policy Section 520: Access to Legal attorneys and their authorized representatives; Services ☒ ☐ ☐ Attorneys can visit or contact their clients at any time. (b) provision for confidential consultation with attorneys; Policy Section 520: Access to Legal and Services ☒ ☐ ☐ There are multiple locations that can be used for attorney interviews. (c) unlimited postage free, legal correspondence and Policy Section 520: Access to Legal cost-free telephone access as appropriate. ☒ ☐ ☐ Services 1390 DISCIPLINE Policy Section 601: Discipline and The facility administrator shall develop and implement Policy Section 604: Continuum of written policies and procedures for the discipline of youth Correction that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline The camp utilizes a behavior shall be imposed at the least restrictive level which ☒ ☐ ☐ management program that incentivizes promotes the desired behavior and shall not include youth to do well. Each youth reads and corporal punishment, group punishment, physical or signs the RTSB BMP program upon psychological degradation. Deprivation of the following is entry. not permitted: (a) bed and bedding; Policy Section 601: Discipline ☒ ☐ ☐ 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) daily shower, access to drinking fountain, toilet and Policy Section 601: Discipline personal hygiene items, and clean clothing; ☒ ☐ ☐ (c) full nutrition; Policy Section 601: Discipline ☒ ☐ ☐ (d) contact with parent or attorney; Policy Section 601: Discipline ☒ ☐ ☐ (e) exercise; Policy Section 601: Discipline ☒ ☐ ☐ (f) medical services and counseling; Policy Section 601: Discipline ☒ ☐ ☐ (g) religious services; Policy Section 601: Discipline ☒ ☐ ☐ (h) clean and sanitary living conditions; Policy Section 601: Discipline ☒ ☐ ☐ (i) the right to send and receive mail; Policy Section 601: Discipline ☒ ☐ ☐ (j) education; and Policy Section 601: Discipline ☒ ☐ ☐ (k) rehabilitative programming. Policy Section 601: Discipline ☒ ☐ ☐ The facility administrator shall establish rules of conduct Policy Section 604: Continuum of and disciplinary penalties to guide the conduct of youth. Correction Such rules and penalties shall include both major violations and minor violations, be stated simply and affirmatively, ☒ ☐ ☐ and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy Section 604: Continuum of The facility administrator shall develop and implement Correction and Policy Section 606: written policies and procedures for the administration of ☒ ☐ ☐ Due Process discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose Policy Section 606: Due Process discipline for violation of rules; ☒ ☐ ☐ Only sworn staff are authorized to discipline youth. (b) prohibiting discipline to be delegated to any youth; Policy Section 606: Due Process ☒ ☐ ☐ (c) definition of major and minor rule violations and their Policy Section 604: Continuum of consequences, and due process requirements; ☒ ☐ ☐ Correction (d) trauma-informed approaches and positive behavior Policy Section 602: Facility Rules interventions; ☒ ☐ ☐ (e) minor rule violations may be handled informally by Policy Section 604: Continuum of counseling, advising the youth of expected conduct Correction imposing a minor consequence. Discipline shall be accompanied by written documentation and a policy Sanction forms are utilized in some of review and appeal to a supervisor; and ☒ ☐ ☐ cases for minor rule violations. Facility staff also use restructuring tools with youth to encourage them to make a proper choice. (f) major rule violations and the discipline process shall Policy Section 606: Due Process be documented and require the following: Any major violation is to be addressed with due process. We found that all incidents reviewed had a completed ☒ ☐ ☐ Sanction and Appeal form, the camp’s due process mechanism. All were completed and were compliant. It was noted that no youth have asked for a hearing. (1) written notice of violation prior to a hearing; Policy Section 606: Due Process ☒ ☐ ☐ 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) accommodations provided to youth with Policy Section 606: Due Process disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Policy Section 606: Due Process incident; ☒ ☐ ☐ (4) opportunity for the youth to be heard, present Policy Section 606: Due Process evidence and testimony; ☒ ☐ ☐ (5) provision for youth to be assisted by staff in the Policy Section 606: Due Process hearing process; ☒ ☐ ☐ (6) provision for administrative review. Policy Section 606: Due Process ☒ ☐ ☐ (g) violations that result in a removal from camp or Policy Section 606: Due Process commitment program, but not a return to court, will follow the due process provisions in subsection (e) ☒ ☐ ☐ above. 1410 MANAGEMENT OF COMMUNICABLE DISEASES. Policy Section 909: Communicable Diseases The health administrator/responsible physician, in cooperation with the facility administrator and the local Reviewed Probation policy and health officer, shall develop written policies and medical guidance to ensure procedures to address the identification, treatment, Management of Communicable control and follow-up management of communicable Disease policy is current and diseases. The policies and procedures shall address, but ☒ ☐ ☐ addresses all required areas required not be limited to: by section 1410, specifically COVID- 19. Compliance based on policy and guidance reviewed from medical provider JCHS. (a) Intake health screening procedures; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (b) Identification of relevant symptoms; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (c) Referral for medical evaluation; Policy Section 909: Communicable Diseases ☒ ☐ ☐ (d) Treatment responsibilities during detention; Policy Section 909: Communicable ☒ ☐ ☐ Diseases (e) Coordination with public and private community- Policy Section 909: Communicable based resources for follow-up treatment; ☒ ☐ ☐ Diseases (f) Applicable reporting requirements; and Policy Section 909: Communicable ☒ ☐ ☐ Diseases (g) Strategies for handling disease outbreaks. Policy Section 909: Communicable ☒ ☐ ☐ Diseases The policies and procedures shall be updated as Policy Section 909: Communicable necessary to reflect communicable disease priorities Diseases identified by the local health officer and currently ☒ ☐ ☐ recommended public health interventions. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 505: Access to (EXCERPT) Care/Request for Services The health administrator, in cooperation with the facility The youth interviewed understood how administrator, shall develop policy and procedures to to make requests for care. If the issue ☒ ☐ ☐ establish a daily routine for youth to convey requests for is an emergency, they know to ask emergency and non-emergency medical, dental and staff for immediate assistance. This is behavioral/mental health care services. addressed in orientation with the youth before going to the living units. 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 1305: Clothing and Bedding Exchange The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing The youth interviewed were well- ☒ ☐ ☐ and footwear specified in this regulation. The facility has dressed and well-groomed. Their the primary responsibility to provide clothing and clothing was noted to be clean and footwear. Clothing provisions shall ensure that: well-fitting with no holes, rips, or tears. (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 1305: Clothing and laundered, in good repair, and free of holes and tears. Bedding Exchange ☒ ☐ ☒ (b) The standard issue of climatically suitable clothing for Policy Section 1305: Clothing and youth shall consist of but not be limited to: Bedding Exchange ☒ ☐ ☐ (1) Socks and serviceable footwear; Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ (2) Outer garments; Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ (3) New non-disposable underwear which shall Policy Section 1305: Clothing and remain with the youth throughout their stay, and Bedding Exchange ☒ ☐ ☐ (4) Undergarments, that are freshly laundered and Policy Section 1305: Clothing and free of stains, including tee shirts and bras. Bedding Exchange ☒ ☐ ☐ (c) Clothing is laundered at the temperature required by Policy Section 1305: Clothing and local ordinances for the commercial laundries and Bedding Exchange dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Policy Section 1305: Clothing and Bedding Exchange There were no pregnant girls at the ☒ ☐ ☐ time of the interview. The facility will provide pregnant girls with clothes that fit them well, so they are comfortable. 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1482 CLOTHING EXCHANGE Policy Section 1305: Clothing and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the Youth stated they exchange clothing cleaning and scheduled exchange of clothing. Unless according to schedule; however, if they work, climatic conditions, or illness necessitates more ☒ ☐ ☐ need an item of clothing, they are frequent exchange, outer garments, except for footwear, provided it upon request. shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL Policy Section 410: Change of Clothing CLOTHING and Continued Search There shall be written policies and site-specific No personal property is held at the procedures developed and implemented by the facility camp. All personal property is picked administrator to control the contamination and/or spread ☒ ☐ ☐ up by the youths’ parents at the of vermin and ecto-parasites in all youth’s personal Juvenile Hall they were detained in. clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 1304: Personal Hygiene, Shaving, and Haircuts There shall be written policies and site-specific procedures developed and implemented by the facility All youth stated they either have the administrator for the availability of personal hygiene item or have access to all required ☒ ☐ ☐ items. Each female youth shall be provided with sanitary items, with the exception of razors napkins, panty liners and tampons as requested. Each which are provided when they are youth to be held over 24 hours shall be provided with the allowed to shave. following personal care items; (a) Toothbrush; Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts (b) Toothpaste; Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts (c) Soap; Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts (d) Comb; Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts (e) Shaving implements; Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts (f) Deodorant; Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts (g) Lotion; Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts (h) Shampoo; and, Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts (i) Post-shower conditioning hair products. Policy Section 1304: Personal ☒ ☐ ☐ Hygiene, Shaving, and Haircuts 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Youth shall not be required to share any personal care Policy Section 1304: Personal items listed in items (a) through (d). Liquid soap provided Hygiene, Shaving, and Haircuts through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, when shared among youth, shall be ☒ ☐ ☐ disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy Section 502: Orientation Process and Handbook and Policy There shall be written policies and site specific Section 1304: Personal Hygiene, procedures developed and implemented by the facility Shaving, and Haircuts administrator for showering/bathing and brushing of teeth. ☒ ☐ ☐ Youth shall be permitted to shower/bathe up on Youth can shower daily and can brush assignment to a housing unit and on a daily basis their teeth after every meal. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of The youth interviewed stated they can identification in Court. All youth shall have equal only shave during beauty night. When opportunity to shave face and body hair. The facility clarified, this means that there is a administrator may suspend this requirement in relation to special beauty night program, usually youth who are considered to be a danger to themselves once or twice a week. or others. This issue was addressed with the ☒ ☐ ☐ staff and the supervisor of the unit. Technical assistance was discussed on how to accomplish shaving daily safely. This was addressed over the course of the next few weeks. It was confirmed with the youth, they were allowed to shave upon request. 1488 HAIR CARE SERVICES (Excerpt) Policy Section 1304: Personal Hygiene, Shaving, and Haircuts Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. The youth interviewed stated they can ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each receive haircuts but stated they wished haircut or procedure, by a method approved by the State they had a salon employee come in for Board of Barbering and Cosmetology. them and not a barber for boys/men. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 411: Bedding Issuance Clean laundered, suitable bedding and linens, in good All youth have all items required. repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Policy Section 411: Bedding Issuance meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) One pillow and a pillow case unless provided for in Policy Section 411: Bedding Issuance (a) above; ☒ ☐ ☐ (c) One mattress cover and a sheet or two sheets; Policy Section 411: Bedding Issuance ☒ ☐ ☐ (d) One towel; and, Policy Section 411: Bedding Issuance ☒ ☐ ☐ (e) One blanket or more, up on request Policy Section 411: Bedding Issuance ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Policy Section 1305: Clothing and Bedding Exchanges The facility administrator shall develop and implement site specific written policies and procedures for the scheduled All the youth interviewed stated they exchange of laundered bedding and linen issued to each ☒ ☐ ☐ exchange sheets and blankets every youth housed. Washable items such as sheets, mattress weekend. covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once Policy Section 1305: Clothing and a month. Bedding Exchanges ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND Policy Section 1322: Housekeeping, MAINTENANCE Section 1323: Housekeeping: Basic Cleaning Procedures for All Areas and The facility administrator shall develop and implement Section 1324: Housekeeping: written policies and site-specific procedures for the Maintenance Procedures maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide Youth ensure that the cottages are for a regular schedule of housekeeping tasks, equipment, clean, and the youth ensure their including restraint devices, and physical plant rooms are clean. ☒ ☐ ☐ maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a MSB is responsible for ensuring that all timely manner. The use of chemicals shall be done in work orders are addressed timely. accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Facility housekeeping staff ensure Equipment (PPE). overall cleanliness and sanitizing of common spaces including the individual cottage shared spaces. f 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 57 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the facility. (Refer to the JPCF Program Agreement, ☒ ☐ ☐ Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ age and older. ☐ ☐ The facility has been approved to hold persons under ☒ the juvenile court who are ages 19 through 21. ☐ ☐ The facility continues to comply with the requirements ☒ of 208.5 WIC (programming, capacity and security of ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ Vio Section 300 of the Welfare and Institutions Code (WIC) ☐ lation ☒ are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from Vio Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☐ l ☐ ation ☒ Federal Minors (ICE Holds or ORR Contract) are held in the facility. ☐ ☒ ☐ If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately Vio ☐ separated from minors. ☐ lation ☒ Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐ Vio facility in a manner that allows contact with minors. ☒ lation ☐ 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PRO 20-22 - 58 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: Pre-1998* BSCC Code: 7267 FACILITY NAME: FACILITY TYPE: Camp Joseph Scott @ DKC Camp CONSTRUCTION/REMODEL DATE(S): 1960 IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: FIELD REPRESENTATIVE: DATE: Lisa Southwell April 15-16, 2022 TITLE 24 SECTION YES NO N/A COMMENTS RECEPTION AREA (JH) Applies only to Juvenile Halls.  Holding Rooms: Contain 15 square feet per minor; Have sufficient seating to accommodate the rated  capacity based on floor space; Provide access to water closets and wash basins  at a ratio of a 1:8; and Provide access to drinking fountain.  Provide access to telephone.  Provide access to private room(s) for interviews.  MEDICAL EXAM SPACE (JH & CAMP) Space or room(s) afford privacy, are equipped to carry out routine examinations and emergency care and  have sufficient locked storage space for medical supplies. LIVING UNITS (JH AND SPJH) Applies only to Juvenile Halls and Special Purpose Juvenile Halls.  Living units are designed to accommodate no more than 30 minors and contain: Showers at a ratio of 1:6;  Washbasins at a ratio of 1:6;  Water closets at a ratio of 1:6 or water closet and  one urinal for every 15 boys; and, Access to a drinking fountain by minors and staff.  Doors of each sleeping room have a view panel (maximum of 144 square inches of shatter-proof glass  or plastic materials) that allows the visual supervision of all parts of the room. Hallways in the detention living units are at least eight feet wide. If rooms are located on only one side, or if room doors are staggered, hallways are at least six  feet wide. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PHY 20-22 - 1 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS SINGLE ROOMS (JH, SPJH & CAMP) Contain a minimum of 500 cubic feet of air space and  63 cubic feet of floor space. DOUBLE ROOMS (JH, SPJH & CAMP) Contain a minimum of 800 cubic feet of airspace and  100 square feet of floor space. DORMITORY SLEEPING AREAS (JH & CAMP) Contain a minimum of 400 cubic feet of airspace and  50 square feet of floor space per minor. LOCKED SLEEPING ROOMS (JH, SPJH & CAMP) There are 3 locked sleeping rooms located in the Intensive Care Unit (ICU).these rooms Contain an individual or combination drinking fountain, are not used for long- term overnight sleeping wash basin and toilet, unless a communication system  or procedure is in effect to give minor immediate access to these fixtures. PLUMBING FIXTURES (CAMP) The following plumbing fixtures are adjacent to each  sleeping area: Shower or bathtub at a ratio of 1:6; Washbasins at a ratio of 1:10;  Access to toilets at a ratio of 1:10 or toilet and one  urinal for every 15 boys; and, Access to a drinking fountain.  BEDS AND MATTRESSES (JH, SPJH & CAMP) Beds and mattresses are:  A least 30 inches wide and 76 inches long; Spaced at least 36 inches apart and at least 12  inches off the floor; and, Mattresses are made of a fire retardant material.  INTERVIEW ROOMS (JH, SPJH & CAMP)  There is one interview room for each detention unit in juvenile halls and special purpose juvenile halls. There is a private room suitably equipped for conferences and interviews in each camp.  LIGHTING (JH, SPJH & CAMP) There are at least 50 foot candles of illumination at  desk level and, at night, there is a maximum illumination of two foot candles at bed level in individual and multiple occupancy rooms. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PHY 20-22 - 2 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS ACADEMIC CLASSROOM (JH & CAMP) Each classroom contains a minimum of 160 square feet with a teacher's desk and work area, and a  minimum of 28 square feet per student. Classrooms should be designed for no more than 15 students. 98: Designed for no more than 20 students DINING SPACE (JH & CAMP) There is a minimum of 15 square feet of space for  each person being fed at any given time. PHYSICAL ACTIVITY SPACE (JH & CAMP) (See 2001 regulations for revised calculations.) There is indoor space consisting of at least 30 square  feet of clear space for each minor, which may be included in a day room, a recreational building, or a multipurpose space (gymnasium). There is outdoor and/or multipurpose (gymnasium) space consisting of:  No less than the equivalent of 90' X 100' outdoor and /or multipurpose space (gymnasium) for a facility with a capacity of 40 or less. No less than the equivalent of 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40, and a juvenile hall with a capacity between 41 to 100 minors. No less than the equivalent of two 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with  a capacity of more than 40 and a juvenile hall with a capacity in excess of 101 minors. Lighting is adequate for security and evening recreational activities in camps.  STORAGE SPACE (JH, SPJH & CAMP)  Each minor is provided 9 cubic feet of secure storage space for personal clothing and belongings. Camps shall have adequate space (12 square feet of floor area is recommended) for bulk and activity  storage equipment. MULTIPURPOSE SPACE OR ROOM (SPJH) Applies only to Special Purpose Juvenile Halls. There is a multipurpose space or room that provides space for reception, dining, recreation, exercise and/or  education. This room contains a minimum of: *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PHY 20-22 - 3 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS 30 square feet of clear floor space per minor in the  room; 10 feet by 20 feet floor dimensions; and,  1600 cubic feet of air space with a minimum ceiling height of eight feet.  SPECIAL PURPOSE JH EXEMPTIONS SPJHs are exempt from the following Pre-1998 Title 15 regulations: Section 4272(b) Medical exam rooms Section 4272(m) Academic classrooms  Section 4272(n) Dining space Section 4272(o) Physical activities space *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7267 Los Angeles Camp Scott at Camp Dorothy Kirby Center PHY 20-22 - 4 - J455 PHY Pre-98.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: 7267 FACILITY: TYPE: RC: Camp Joseph Scott @ DKC Camp 15 FIELD REPRESENTATIVE: DATE: Lisa Southwell April 15-16, 2022 ROOMS EACH ROOM Each Size (L x W x H) FIXTURES* Unit Room Applicable # Room Total or COMMENTS Designation Type Standards Rooms # RC RC Square/Cubic T U W F S Beds Feet Aqua Pre-98 (Removed from DKC RC Count) To SCOTT RC 5 and SYTF 5 Dayroom 1 51’ x 30’ = 1,530 (No. Hall) Restroom 1 1 2 1 1 Single 5 1 1 5 7’8” x 11’8” = 89 5 RC to SYTF (So. Hall) Restroom 1 1 2 1 1 Single 5 1 1 5 7’8” x 11’8” = 89 5 RC to Camp Scott Jade Pre-98 Dayroom 1 = 642 1 Restroom 1 2 3 3 Single 10 1 1 10 7’7” x 11’7” = 88 HISTORICAL NOTES: Site includes 6 classrooms. Each unit has an attached patio. 2016 2018 Inspection Cycle Notes: 2018 2020 Virtual Inspection: Provided for information only. 20 beds moved from DKC (Jade and Amethyst) to Scott at DKC. Count -RC at 20 2020-2022: Cottages adjusted. Scott has 5 RC in Aqua and 10 in Jade. (SYTF has 5 in Aqua) *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7234 Los Angeles Camp Scott at Camp Dorothy Kirby Center LASE 20-22 - 1 - J460 LAS JUV-05.dot (8/05)