Los Angeles Camp Dorothy Kirby Comprehensive Insp. Rpt. 23-24 CAMP (2023-2024 inspection cycle)

January 9, 2024 Guillermo Viera Rosa, Chief Probation Officer Los Angeles County Probation Department 9150 East Imperial Highway Downey, California 90242 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, LOS ANGELES COUNTY PROBATION DEPARTMENT DETENTION FACILITY Dear Chief Viera Rosa: The 2023-2024 Comprehensive Inspection of the Los Angeles County Probation Department has been completed. A pre-inspection briefing was held on Tuesday, April 4, 2023, and the following facility was inspected between December 8th and December 22nd, 2023: FACILITY NAME BSCC # FACILITY TYPE LA Camp Dorothy Kirby 7234 CAMP This inspection was conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to inspection(s), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified the following item of noncompliance with Title 15/Title 24 Minimum Standards: Title 15 Section, 1488; Hair Care Services: The documentation provided noted all the male youth receive haircuts. The documentation reviewed noted female youth have not had haircuts other than the ends or bang trims from staff or from a barber using a clipper only. This is noncompliant. Female youth must have the same access and receive full haircuts. Guillermo Viera Rosa, Chief Probation Officer Page 2 Refer to the attached Procedures Checklist for detailed information. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity and Title 24 compliance. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified, and no areas of noncompliance were noted. CORRECTIVE ACTION PLAN (CAP) An Exit Briefing with your staff was held on Friday, December 15, 2023; BSCC staff presented an overview of the inspection and discussed technical assistance and best practice recommendations. BSCC staff reviewed and provided an Initial Inspection Report for noncompliance items found during the inspection. A CAP is required to be provided to the BSCC no later than 2/20/2024 addressing this area. We will respond to the CAP under separate cover. * * * Please email me at lisa.southwell@bscc.ca.gov or call (916) 322-1638 if you have any questions. Sincerely, LISA SOUTHWELL Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Los Angeles County Juvenile Court* Chair, Probation Commission, Los Angeles County* Chair, Board of Supervisors, Los Angeles County* County Administrator, Los Angeles County* Valerie VanKirk, Bureau Chief, Los Angeles County Probation John Baima, Senior Director, Los Angeles County Probation *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7234 Los Angeles Probation CAMP LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BBSCC Code: 7234 FACILITY NAME: LA Camp Dorothy Kirby FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Ms. Carrington, Ms. Newson, Ms. Herndon, Mr. Ochoa, Ms. Barboza, Shataqua Draper, JCHS; Katty Callender, DMH, Dr. Baker, LACOE, Various staff and Youth from each cottage except for two, one refused, and the other was on quarantine FIELD REPRESENTATIVE: Lisa Southwell DATE: December 8-22, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION Policy Section 2002: Types of Inspections OF BUILDING AND GROUNDS and Evaluations On an annual basis, or as otherwise required by law, 2022 each juvenile facility administrator shall obtain a The inspection for 2022 was conducted on documented inspection and evaluation from the August 10, 2022. No deficiencies were following: ☐ ☒ ☐ found. (a) county building inspector or person designated by the Board of Supervisors to approve building safety; 2023 The inspection for 2023 was conducted on September 19, 2023. No deficiencies were found. (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 inspection was completed on October 25, 2022. (c) local health officer, inspection in accordance with Policy Section 2002: Types of Inspections Health and Safety Code Section 101045; and Evaluations 2023 Medical/Mental Health: Inspected by Tia Mao, DPH on January 13, 2023, February 1, 2023, and February 14, 2023. There were no areas of correction needed. ☒ ☐ ☐ Environmental Health: Inspected Yi-Jen Wendy Chen, RHS, and Antonio Valera, RHS on February 22,2023. Several areas of corrective action are needed. All areas were corrected prior to the reinspection date. All areas completed. Nutrition: Inspected by Michelle Wood on February 22, 2023. There was one area of noncompliance 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 Camp Dorothy Kirby Camp PRO 23-24 Page 1 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS which has since been addressed and signed off by Public Health. At inspection, there was one area of correction needed but was corrected prior to reinspection. (d) county superintendent of schools on the adequacy of Policy Section 2002: Types of Inspections educational services and facilities as required in Section and Evaluations 1370; Education for the youth at the Dorothy Kirby Center is provided by the Los Angeles County Office of Education. 2022 ☒ ☐ ☐ The inspection for 2022 was completed on November 22, 2022. 2023 The inspection for 2023 was completed on November 20, 2023. Information from the report is documented in Section 1370. (e) juvenile court as required by Section 209 of the Policy Section 2002: Types of Inspections Welfare and Institutions Code; and, and Evaluations ☒ ☐ ☐ Juvenile Court inspections are not required for the Camps. (f) the 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. ☒ ☐ ☐ 2023 The inspection was completed in May 2023. All facility reports may be found at: https://poc.lacounty.gov/reports 1320 APPOINTMENT AND QUALIFICATIONS A letter dated July 11, 2023, was received from then Interim Chief Probation Officer BSCC Note: Compliance with this section is determined Viera Rosa certifying all appointments of by receipt of the Chief Probation Officer’s certification staff and required qualifications and letter confirming that all elements of regulation are met. clearances including non-employees are met and are pursuant to the applicable laws. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee 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; 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 2 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- All contracted personnel are screened employees of the facility, who may be present at the through Probation. LACOE is screened facility, shall have such clearance and qualifications as through its internal processes. ☒ 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 Policy Section 206: Staffing The Agency’s staffing documentation, Each juvenile facility shall: including Facility Staff Schedules and the (a) have an adequate number of personnel sufficient to Monthly Staffing Breakdown for August 20, carry out the overall facility operation and its 2023-September 3, 2023, was provided. We programming, to provide for safety and security of youth noted staffing to be minimal and the facility and staff, and meet established standards and operates with a significant and substantial regulations; staff shortage from what the agency has deemed as the “Right Size Numbers”. There is a significant vacancy rate as well as a significant number of additional “unavailable to work” positions. If a large event were to occur, depending on the time of day, i.e. if administrative staff were to be off for the day, after 5 pm, the facility as currently staffed may not be able to manage safely and securely. As staff have worked together for a long time, work well together, and are a very strong team, they have been successful in managing emergencies and situations that have ☒ ☐ ☐ occurred. The majority of the youth at DKC are medication-reliant and are in high need. Physical plant and ligature issues provide additional areas of concern that call for additional staffing supervision resource needs beyond minimum staffing. We found no formal ordered overtime or mandatory holdovers for DKC staff as facility staff regularly work voluntary overtime and the facility hires a large amount of overtime of field staff and other RTSB staff to staff regular shifts not covered by the DKC staff working the voluntary overtime. We also noted there were no staffing minimums noted. Technical assistance was provided, and suggestions were made to reallocate Treatment Counselors into the living units for support to officers assigned to the supervision of youth, to provide additional security and 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 3 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS awareness, and to ensure rehabilitation activities are occurring and logged appropriately when conducted by the Treatment Counselor. (b) ensure that no required services shall be denied Policy Section 206: Staffing because of insufficient numbers of staff on duty absent exigent circumstances; All youth we interviewed noted they have ☒ never missed any Title 15 mandated activities ☐ ☐ or have been held in their rooms due to a lack of staff. Documentation reviewed noted all Title 15 activities occur. (c) have a sufficient number of supervisory level staff to Policy Section 206: Staffing ensure adequate supervision of all staff members; The facility is managed by an onsite Director, ☒ ☐ ☐ Assistant Director (new to the facility and in training), and an on-duty supervisor who is in charge of the facility 24 hours a day. (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 Course The on-duty supervisor is responsible for the ☒ and PC 832 training; ☐ ☐ operations of the facility. Facility staff are responsible for the activities of the youth in the cottages and throughout the day. (e) have at least one staff member present on each living Policy Section 206: Staffing unit whenever there are youth in the living unit; ☒ Youth are never left alone in the facility. There ☐ ☐ is always a staff member present wherever a youth might be. (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 nutritional Youth consume all meals in the cottage with requirements of youth; provide kitchen supervision; their peers and staff. Meal bags are delivered direct food preparation and servings; conduct related ☒ to the cottages, meals are served, and the ☐ ☐ training programs for culinary staff; and maintain bags are returned to the kitchen. necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside Kitchen facilities and staff are shared by all source; facilities. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 4 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 Partner agencies are available to all youth on support staff for the efficient management of the facility, campus as needed. Services are shared and to ensure that youth supervision staff shall not be amongst all youth. diverted from supervising youth; and, Juvenile Correctional Health Care Services provides all medical care for the youth. Most medical services can be taken care of at the camp; however, appointments are made for necessary care. There are three full-time RNs and a Supervising Nurse. There are generally two nurses on-site, seven days a week between 6:30 AM - 10:00 PM. Services provided include medication management and ☒ ☐ ☐ administration, vaccine administration, health assessments, and health education, Nursing staff attend all MDT meetings and work with staff when youth need to be de-escalated. Mental Health staff provides services to all youth. There are eight clinicians who work directly with the youth seven days a week. There are four therapists assigned to the end of the week along with two assigned supervisors. Therapists are on campus from 8 a.m. to 8 p.m. daily. Mental Health staff and probation work very well together and rely heavily on the work of one another. Mental health staff provide a wide variety of services from one-on-one individual treatment to group therapy sessions. (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) Juvenile Halls Does not apply (A) during the hours that youth are awake, one ☒ wide-awake youth supervision staff member on ☐ ☐ duty for each 10 youth in detention; (B) during the hours that youth are confined to Does not apply 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 Does not apply. 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 Does not apply. duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 5 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (E) personnel with primary responsibility for other Does not apply. duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls Does not apply. (A) during hours that youth are awake, one wide- ☒ awake youth supervision staff member on duty for ☐ ☐ each 10 youth in detention; (B) during the hours that youth are confined to Does not apply. 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 Does not apply. 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 Does not apply. duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Does not apply. duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Policy Section 206: Staffing (A) during the hours that youth are awake, one wide-awake youth supervision staff member on LA County Probation by policy staffs to PREA duty for each 15 youth in the camp population; ☒ standards, 1-8. ☐ ☐ Each cottage has up to 10 youths. There are generally two staff per cottage. (B) during the hours that youth are confined to Policy Section 206: Staffing their room for the purpose of sleeping, one wide- awake youth supervision staff member on duty for LA County Probation by policy staffs to PREA each 30 youth present in the facility; standards, 1-16. ☒ ☐ ☐ Each cottage generally has 2 staff for safety reasons. There were a few shifts where there was only one staff present in the cottage during the late-night shift in the HOPE Centers. (C) at least two wide-awake youth supervision Policy Section 206: Staffing staff members on duty at all times, regardless of the number of youth in residence, unless There are always staff awake in the facility. ☒ arrangements have been made for backup ☐ ☐ support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on Policy Section 206: Staffing duty who is the same gender as youth housed in ☒ the facility; ☐ ☐ There are always same-gendered staff in the facility. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 6 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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; There are three facilities within the campus of types of youth committed to the camp; and the the Dorothy Kirby Center (DKC). function of the camp in determining the level of ☒ ☐ ☐ supervision necessary to maintain the safety and DKC, Camp Scott, and Secure Youth welfare of youth and staff; Treatment Facility at DKC. All staff are managed and have been pulled from the same staffing pool. (F) personnel with primary responsibility for other Policy Section 206: Staffing duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ No staff except DPO staff have the ☐ ☐ farm, forestry, kitchen or maintenance shall not be responsibility to supervise youth. classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy Section 2104: Professional AND TRAINING Development and Training (a) Prior to assuming any responsibilities each youth ☒ ☐ ☐ Any new staff member reporting to the facility supervision staff member shall be properly oriented to is orientated upon arrival by an assigned their duties, including: training officer, supervisor, or the Director. (1) youth supervision duties; Policy Section 2104: Professional (2) scope of decisions they shall make; ☒ ☐ ☐ Development and Training Policy Section 2104: Professional (3) the identity of their supervisor; ☒ ☐ ☐ 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: One new staff was assigned to DKC in July ☒ 2023 and was assigned to a facility training ☐ ☐ officer. Training documentation was provided for the staff. All areas required by Title 15 have been addressed, documented, and signed off. Policy Section 2104: Professional (1) individual and group supervision techniques; ☒ Development and Training ☐ ☐ (2) regulations and policies relating to discipline and Policy Section 2104: Professional rights of youth pursuant to law and the provisions of ☒ Development and Training ☐ ☐ this chapter; Policy Section 2104: Professional (3) basic health, sanitation and safety measures; ☒ ☐ ☐ 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 Policy Section 2104: Professional (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Development and Training (8) routine security measures, including facility Policy Section 2104: Professional ☒ perimeter and grounds; ☐ ☐ Development and Training 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 7 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) crisis intervention and mental health referrals to Policy Section 2104: Professional ☒ mental health services; ☐ ☐ Development and Training Policy Section 2104: Professional (10) documentation; and ☒ ☐ ☐ Development and Training Policy Section 2104: Professional (11) fire/life safety training ☒ ☐ ☐ 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 ☐ ☐ All Los Angeles County Facility staff 6035. complete JI CORE before they are assigned to or report to a facility. (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 ☒ ☐ ☐ All staff are trained in fire and life safety in who meets the training standards established by the CORE. Any staff who is on duty is required to Board for general fire and life safety which relate be awake at all times. specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL The Residential Services Bureau (RTSB) camp operations manual was provided for All facility administrators shall develop, publish, and review and was last updated in March 2022. implement a manual of written policies and procedures There have been additional updates with that address, at a minimum, all regulations that are directives and additional policies have been applicable to the facility. Such a manual shall be made issued. available to all employees, reviewed by all employees, ☒ ☐ ☐ and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Board on request. The manual shall include: (a) table of organization, including channels of The manual has a table of contents. The communications and a description of job classifications; agency’s channel of 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 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 8 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) responsibility of the probation department, purpose Policy Sections are as follows: of programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or • 101: Vision, Mission, and Core Probation Committee, probation staff, school personnel Values and other agencies that are involved in juvenile facility • 102: Role of Camp System ☒ programs; ☐ ☐ • 908: Medical Services • 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, contract and Partner Agencies Handbook employees, school, mental/behavioral health and ☒ medical staff, program providers and volunteers; ☐ ☐ The facility provided updated signoffs for non-sworn staff since the last inspection. The signoffs are for the RTSB manual. (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 Policy Sections 701: Case Planning and (1) efficient operation of the juvenile facility; ☒ Procedures Introduction and Section 702: ☐ ☐ General Duties and Responsibilities Policy Section 701: Case Planning and (2) legal and proper care of youth; ☒ ☐ ☐ Procedures Introduction Policy Sections 701: Case Planning and (3) maintenance of individual youth's records; ☒ Procedures Introduction and Section 702: ☐ ☐ General Duties and Responsibilities Policy Sections 701: Case Planning and (4) supply of information to the juvenile court and ☒ Procedures Introduction and Section 702: those authorized by the court or by the law; and, ☐ ☐ General Duties and Responsibilities Policy Sections 701: Case Planning and (5) release of information regarding youth. ☒ Procedures Introduction and Section 702: ☐ ☐ General Duties and Responsibilities (g) ethical responsibilities; ☒ Policy Section 2130: Employee Honesty ☐ ☐ Policy Section 518: Trauma-Informed (h) trauma-informed approaches; ☒ ☐ ☐ Approaches Policy Section 519: Culturally Responsive (i) culturally responsive approaches; ☒ ☐ ☐ Approaches Policy Section 517: Promoting Dignity for (j) gender responsive approaches; ☒ ☐ ☐ Female Youth Housed in RTSB 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 9 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (k) a non-discrimination provision that provides that all Policy Section 2110: Non-Discrimination youth within the facility shall have fair and equal access Policy 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 weapons Ammunition and ammunition, where applicable; ☒ ☐ ☐ Weapons and ammunition are not allowed into any facility. (m) establishment of procedures for collection of Medi- Policy Section 706: Case Plan Activities Cal eligibility information and enrollment of eligible youth; and, ☒ Facility case managers make referrals upon ☐ ☐ release from the facility for 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 harassment. Elimination Act (PREA) The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ PREA is a mandatory training course for all ☐ ☐ retaliation for reporting such conduct, as well as a staff. provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy Section 1910: Fire Prevention and Suppression The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the Each camp has a building emergency plan State Fire Marshal, in developing a plan for fire safety that is specific to each site and includes all which shall include, but not be limited to: ☒ ☐ ☐ emergency preparedness procedures (a) a fire prevention plan to be included as part of the including fire suppression. The document is manual of policy and procedures; signed by a local fire official and by the facility manager. All staff review and sign off annually. (b) monthly fire and life safety inspections by facility Policy Section 1910: Fire Prevention and staff with two-year retention of the inspection record; 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 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 (BEP). ☒ ☐ ☐ Evacuation maps were noted to be posted around the facility and in the living units. Technical assistance was provided to be sure that maps are not kept in the staff office but where they can be viewed. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 10 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 monthly which exceeds regulation. Daytime drills ☒ ☐ ☐ included facility partner staff ensuring a full understanding of emergency procedures. Technical assistance to conduct a late-night tabletop drill to ensure late-night staff understand evacuation procedures. (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 Both the agency BEP and policy note youth will be evacuated to the Juvenile Halls ☒ ☐ ☐ and/or other Camps. The agency has updated this information and sent it out to all staff. The direction identifies Los Padrinos, Barry J. Nidorf SYTF, and other RTSB camps depending on the location of the fire event. (g) development of a fire suppression pre-plan in The Building Emergency Plan was cooperation with the local fire department. completed on December 15, 2022, by DPO Herndon and Captain Doke with the LA ☒ ☐ ☐ County Fire Department. 1326 SECURITY REVIEW A comprehensive security review dated August 15, 2023, was provided for review. Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. 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: Policy Sections: (a) escape, disturbances, and the taking of hostages; ☒ 1907: Escapes ☐ ☐ 1909: Major Disturbances 1914: Hostages Policy Sections: 1908: Outside Intruder (b) civil disturbance, active shooter and terrorist 1915: Active Shooter ☒ attack; ☐ ☐ 1916: Terrorist Attack 1918: Major Emergency including Civil Disturbance Policy Sections: (c) fire and natural disasters; ☒ 1910: Fire Prevention and Suppression ☐ ☐ 1913: Earthquake 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 11 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Policy Sections: 1921: Testing of Equipment (d) periodic testing of emergency equipment; ☒ ☐ ☐ Monthly and “as-needed” testing is completed with the Los Angeles County Internal Services Department (ISD) and Management Services Bureau (MSB). Policy Sections: (e) emergency evacuation of the facility; and ☒ ☐ ☐ 1917: Emergency Evacuation Policy Sections: 1903: Staff Roles and Responsibilities (f) a program to provide all youth supervision staff Probation staff, all partner agencies, and ☒ with an annual review of emergency procedures. ☐ ☐ collateral staff have completed the annual signoff of the building emergency plan. These signoffs were completed in August and September 2023. 1328 SAFETY CHECKS Policy Sections: 1313: Safety Checks The facility administrator shall develop and implement We found safety checks to be documented policy and procedures that provide for direct visual and consistent with policy and regulation. observation of youth at a minimum of every 15 minutes, BSCC Coordinators conduct ongoing at random or varied intervals during hours when youth reviews to ensure documentation is are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ completed as required. Supervisor entries were found to be made as required. Supervision is not replaced, but may be supplemented We found periodic QA reviews to be by, an audio/visual electronic surveillance system documented which assists in ensuring designed to detect overt, aggressive or assaultive ongoing consistency between staff. behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. 1329 SUICIDE PREVENTION PLAN Policy Section 1201: Suicide Prevention Plan The facility administrator, in collaboration with the Policy Section 1203: Suicide Prevention healthcare and behavioral/mental health Policy for Juvenile Facilities and Policy administrators, shall plan and implement written Section 2104: Professional Development policies and procedures which delineate a Suicide and Training Prevention Plan. The plan shall consider the needs of youth experiencing past or current trauma. Suicide Five packets were provided, with four youths prevention responses shall be respectful and in the ☒ being the subjects of these packets. Three least invasive manner consistent with the level of ☐ ☐ packets provided for review. Youth are suicide risk. The plan shall include the following placed on level - specialized supervision as elements: needed based on their mental health needs. All youth reviewed were placed on level post detention. Youths are placed on the level as needed. These youth were for both at entry and while in detention. (a) Suicide prevention training as required in Section Policy Section 1203: Suicide Prevention 1322, Youth Supervision Staff Orientation, and Training Policy for Juvenile Facilities and Policy and the Juvenile Corrections Officer Core Course. ☒ Section 2104: Professional Development ☐ ☐ and Training 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 12 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 detention. All youth entering the facility are screened for suicide risk during intake and ongoing throughout their stay. Any concern is referred ☒ to mental health immediately. One sample ☐ ☐ noted youth was on level at LPJH, was released to the camp and after being admitted and seen by mental health, her status was extended. All other documentation reviewed pertained to youth during their detention. (2) All youth supervision staff who perform intake Policy Section 1203: Suicide processes shall be trained in screening youth for risk Prevention Policy for Juvenile Facilities of suicide. Documentation noted that five officers have ☒ been trained specifically in the intake ☐ ☐ functions of screening youth for risk of suicide. Intake screening is a specialized position and staff are specially trained to do so. (3) All youth who have been identified during the Policy Section 1203: Suicide Prevention intake screening process to be at risk of suicide shall Policy for Juvenile Facilities be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. Youths are referred to mental health immediately. (4) Precautionary protocols shall be developed to Policy Section 1203: Suicide Prevention ensure the youth’s safety pending the Policy for Juvenile Facilities behavioral/mental health assessment. If a youth were to be required to be kept safe, ☒ he or she would be placed on a level and a ☐ ☐ special watch status until cleared by mental health. Youth on a level 3 status are placed with direct supervision until cleared otherwise. (c) Referral process to behavioral/mental health staff for Policy Section 1203: Suicide Prevention assessment and/or services. Policy for Juvenile Facilities Youth may be referred to mental health by ☒ ☐ ☐ any staff or other facility partner. Probation referrals have a process that is electronically maintained. Other referrals may be verbal but are immediately addressed. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 13 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Procedures for monitoring of youth identified at risk Policy Section 1202: Enhanced Specialized 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 ensure their safety. ☒ ☐ ☐ The camp alert log was provided for review. The alert log is a communication process for probation staff to be made aware of all youth who are placed on specialized supervision, require medication, or are assigned to a specific therapist. They are documented in the logbook along with details that staff need to be aware of. Staff are required to read and be aware of this log each shift. (e) Safety Interventions Policy Section 1202: Enhanced and (1) Procedures to address intervention protocols for ☒ Specialized Supervision Requirements of youth identified at risk for suicide which may include, ☐ ☐ Youth in Juvenile Facilities but are not limited to: (A) Housing consideration Policy Section 1202: Enhanced and Specialized Supervision Requirements of Youth in Juvenile Facilities The Specialized Supervision Plan provides directions to staff for housing youth to keep them safe. Staff also complete an Enhanced ☒ Supervision Observation Form each shift. ☐ ☐ Youth may remain in the facility even if they are placed on a precautionary watch. This practice has changed from past years in which youth may have been sent out of the camp and lost days due to a mental health emergency. (B) Treatment strategies including trauma- Policy Section 1203: Suicide Prevention informed approaches Policy for Juvenile Facilities Multi-disciplinary teams are called as ☒ ☐ ☐ needed to address any issues a youth may be having. Treatment strategies are discussed and determined for and with the youth. (2) Procedures to instruct youth supervision staff Policy Section 1202: Enhanced and how to respond to youth who exhibit suicidal Specialized Supervision Requirements of behaviors. Youth in Juvenile Facilities and Policy ☒ ☐ ☐ Section 1203: Suicide Prevention Policy for Juvenile Facilities to 1200-48, Suicide Attempt Procedures 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 14 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 past or present As part of the intake and admission process, suicidal ideations, behaviors or attempts. facility staff call the youth’s parents to question if the youth has participated in any ☒ ☐ ☐ recent or past self-harm behavior(s). Conversations are also held with the sending facility as well as the transportation officers to determine if any mention of self-harm or any other issues to be concerned over. (2) Procedures for clear and current information Policy Section 1203: Suicide sharing about youth at risk for suicide with youth Prevention Policy for Juvenile Facilities supervision, healthcare, and behavioral/mental (Policy) Request for Mental Health 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 with all partners. (g) Debriefing of Critical Incidents Related to Suicides or Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. Policy Section 1203: Suicide Prevention (2) Process for a debriefing event with affected ☒ Policy for Juvenile Facilities staff. ☐ ☐ (3) Process for a debriefing event with affected Policy Section 1203: Suicide Prevention youth. Policy for Juvenile Facilities ☒ ☐ ☐ Critical Stress Briefings are completed. (h) Documentation Policy Section 1203: Suicide Prevention (1) Documentation processes shall be developed to Policy for Juvenile Facilities ☒ ensure compliance with this regulation ☐ ☐ Critical Stress Briefings are completed. Youth identified at risk for suicide shall not be denied Policy Section 1203: Suicide Prevention the opportunity to participate in facility programs, Policy for Juvenile Facilities services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety All documentation reviewed included a daily ☒ of the youth or security of the facility. Any deprivation of ☐ ☐ Enhanced Supervision Observation Form programs, services or activities for youth at risk of which includes what the youth participated suicide shall be documented and approved by the in. Youth’s activities are also documented on facility manager. their cottage programming sheet. 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 ☒ ☐ ☐ Any notification of legal action will be sent of confinement, filed against persons or legal entities directly to the Board at the attention of Chair responsible for juvenile facility operation. Linda Penner. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 15 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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. The facility has had no incidents to report or (a) The facility administrator, in cooperation with that were provided for our review. the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ The remainder marked yes for compliance procedures in the event of the death of a youth while with the policy. detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with Policy Section 1919: Deaths at Camp the facility administrator, shall develop written Facilities policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Policy Section 1919: Deaths at Camp the 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 Injury (a) The facility administrator, in cooperation with of a Youth While Detained the health administrator, shall develop written policies and procedures for the notification to There were no serious injuries to report. No ☒ necessary parties, which may include the Juvenile ☐ ☐ documentation was provided. 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 Management Each juvenile facility shall submit required population and profile survey reports to the Board within 10 The facility Director is responsible for working days after the end of each reporting period, in ensuring all reports are completed as a format to be provided by the Board. ☒ ☐ ☐ required. Population Reports have been provided quarterly and have been entered into the JDPS timely. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) 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 ☒ ☐ ☐ The facility has not exceeded the 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 16 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES Policy Section 502: Orientation Process and Handbook The facility administrator shall develop and implement written policies and procedures for admittance of youth Six files were reviewed for inspection. that emphasize respectful and humane engagement with youth, and reflect that the admission process may ☒ ☐ ☐ be traumatic to youth who may have already experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Policy Section 502: Orientation Process and (1) Access to two free phone calls within one hour of Handbook admittance in accordance with the provisions of ☒ ☐ ☐ Welfare and Institution Code Section 627; Documentation noted phone calls are made as required. Policy Section 502: Orientation Process and Handbook (2) Offer of a shower; ☒ ☐ ☐ Documentation noted showers being offered. Policy Section 502: Orientation Process and Handbook (3) Documented secure storage of personal ☒ Documentation notes confirmation. Parents belongings; ☐ ☐ pick up their young person’s belongings from the Juvenile Hall. Personals are not taken to the camp at the time of transfer. Policy Section 502: Orientation Process and Handbook (4) Offer of food upon arrival; ☒ ☐ ☐ Documentation noted that food was offered to all youth. Policy Section 402: Assessment and Classification (5) Screening for physical and behavioral health All youth are screened and cleared for and safety issues, intellectual or developmental ☒ ☐ ☐ transfer by both medical and mental prior to disabilities; transfer to the camp. Upon arrival, youth are again screened by both medical and mental health staff Policy Section 402: Assessment and (6) Screening for physical and developmental Classification disabilities in accordance with Sections 1329, ☒ ☐ ☐ 1413, and 1430 of these regulations; Youths are screened for medical issues and for developmental issues. Policy Section 502: Orientation Process and (7) Contact with Regional Center for the Handbook Developmentally Disabled for youth that are suspected of or identified as having a ☒ If a youth is developmentally delayed, the ☐ ☐ developmental disability, pursuant to Section 1413; camp case manager would work in and, coordination with the Regional Center case manager to ensure all services are provided. Policy Section 403: Juvenile Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning, and Intersex Youth in an (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Institutional Setting 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 17 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) juvenile hall administrators shall establish written N/A criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in Policy Section 502: Orientation Process and juvenile halls shall develop policies and procedures that Handbook advise the youth of the estimated length of stay, inform ☒ them of program guidelines and provide written ☐ ☐ Each packet contained a completed screening criteria for inclusion and exclusion from the “Notification of Release” document. program. (d) juvenile halls shall develop policies and procedures N/A 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 of Sexual Abuse The facility administrator shall develop and implement written policies and procedures to reduce the risk of Six intake packets were reviewed for sexual abuse by or upon youth. The policy shall require ☒ ☐ ☐ compliance. facility staff to assess each youth within 72 hours of admission based on the following information: All PREA assessments were timely, were completed as required, and were compliant with regulations. Policy Section 402: Assessment and Classification and 503: Screening for the (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Risk of Sexual Abuse (b) Gender nonconforming appearance or manner; or Policy Section 402: Assessment and identification as lesbian, gay or bisexual, transgender, Classification and 503: Screening for the ☒ queer or intersex, and whether the youth may, ☐ ☐ Risk of Sexual Abuse therefore, be vulnerable to sexual abuse; Policy Section 402: Assessment and Classification and 503: Screening for the (c) Current charges and offense history; ☒ ☐ ☐ Risk of Sexual Abuse Policy Section 402: Assessment and Classification and 503: Screening for the (d) Age; ☒ ☐ ☐ Risk of Sexual Abuse Policy Section 402: Assessment and Classification and 503: Screening for the (e) Level of emotional and cognitive development; ☒ ☐ ☐ Risk of Sexual Abuse Policy Section 402: Assessment and Classification and 503: Screening for the (f) Physical size and stature; ☒ ☐ ☐ Risk of Sexual Abuse Policy Section 402: Assessment and Classification and 503: Screening for the (g) Mental illness or mental disabilities; ☒ ☐ ☐ Risk of Sexual Abuse Policy Section 402: Assessment and Classification and 503: Screening for the (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Risk of Sexual Abuse Policy Section 402: Assessment and Classification and 503: Screening for the (i) Physical disabilities; ☒ ☐ ☐ Risk of Sexual Abuse 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 18 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Policy Section 402: Assessment and Classification and 503: Screening for the (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Risk of Sexual Abuse (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 the ☒ supervision, additional safety precautions, or ☐ ☐ Risk of Sexual Abuse 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 ☒ Any documentation related to PREA, or any ☐ ☐ information is not exploited to the youth’s detriment by other sensitive information is kept in a staff or other youth. confidential, locked, and secured file cabinet accessible only to administrators. 1351 RELEASE PROCEDURES Policy Section 809: Release Procedures The facility administrator shall develop and implement Six release packets were provided for written policies and procedures for release of youth ☒ review. from custody which provide for: ☐ ☐ Release requirements were found to be embedded in MDT documents. Policy Section 809: Release Procedures (a) verification of identity/release papers; ☒ ☐ ☐ Documentation found to be complete. Policy Section 809: Release Procedures (b) return of personal clothing and valuables; ☒ ☐ ☐ Documentation found to be complete. Policy Section 809: Release Procedures (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Documentation found to be complete. (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, Documentation found to be complete. ☒ ☐ ☐ If a youth needs to see mental health, they are seen at this same time. Policy Section 809: Release Procedures Documentation found to be complete. (e) notification of school staff; ☒ ☐ ☐ Transitional documentation provided is comprehensive and provides the youth with all the information needed to continue education in the community. Policy Section 809: Release Procedures Documentation found to be complete. (f) notification of facility mental health personnel. ☒ ☐ ☐ If a youth needs to see mental health, they are seen at this same time. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 19 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 ☐ ☐ 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. There were no furloughs noted. 1352 CLASSIFICATION Policy Section 402: Assessment and Classification Policy The facility administrator shall develop and implement written policies and procedures on classification of ☒ ☐ ☐ Six classification documents were provided youth for the purpose of determining housing placement for review. 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 shall Classification Policy include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal Youths are assigned to the Dorothy Kirby status, public safety considerations, medical/mental Center from headquarters through the initial health considerations, gender and gender identity of the assessment process. Staff conduct youth; assessments on all youth who receive a ☒ ☐ ☐ camp order from the court prior to them being assigned to the camp. Upon arrival, youth are then classified and placed into the appropriate housing cottage at the facility based on age, gender, needs, etc. (d) provide for periodic classification reviews, including Policy Section 402: Assessment and provisions that consider the level of supervision and the Classification Policy youth's behavior while in custody; and, Periodic reviews occur weekly during the ☒ ☐ ☐ youth’s casework session with the youth’s assigned probation officer. The youth’s location is updated at this time. (e) provide that facility staff shall not separate youth Policy Section 402: Assessment and from 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 20 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 in DKC at the time of inspection. (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 the Questioning, and Intersex Youth in an youth’s legal name. Facilities may prohibit the use of Institutional Setting ☒ 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 gender Lesbian, Gay, Bisexual, Transgender, identity and shall provide youth with the institution’s ☒ Questioning, and Intersex Youth in an ☐ ☐ clothing and undergarments consistent with their Institutional Setting 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 promotes Lesbian, Gay, Bisexual, Transgender, their safety and well-being. Staff may not automatically Questioning, and Intersex Youth in an house youth according to their external anatomy and Institutional Setting shall document the reasons for any decision to house ☒ ☐ ☐ youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Policy Section 403: Juvenile Supervision of and intersex youth have access to medical and Lesbian, Gay, Bisexual, Transgender, ☒ behavioral health providers qualified to provide care ☐ ☐ Questioning, and Intersex Youth in an and treatment to transgender and intersex youth. Institutional Setting (e) Consistent with the facility’s reasonable and Policy Section 403: Juvenile Supervision of necessary security considerations and physical plant, Lesbian, Gay, Bisexual, Transgender, facility staff shall make every effort to ensure the safety Questioning, and Intersex Youth in an ☒ and privacy of transgender and intersex youth when the ☐ ☐ Institutional Setting 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 21 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1353 ORIENTATION Policy Section 502: Orientation Process and Handbook The facility administrator shall develop and implement written policies and procedures to orient a youth prior to There were six orientations completed. Per placement in a living area. Both written and verbal their orientation documentation, they information shall be provided and supplemented with received a copy of the Youth Handbook of video orientation if feasible. Provision shall be made to Rules and Rights. provide accessible orientation information to all detained youth including those with disabilities, limited ☒ When interviewed, the youth all stated they literacy, or English language learners. Orientation shall ☐ ☐ were oriented immediately upon arriving at include information that addresses: the camp. They all indicated they had a good understanding of what to expect and how to respond to emergencies. All stated they felt safe and had no problems in the facility. A few of the youth stated while they had been to the facility previously, they were fully oriented again to the facility. (a) facility rules including contraband and searches and Policy Section 502: Orientation Process and disciplinary procedures; ☒ Handbook ☐ ☐ (b) facility’s system of positive behavior interventions Policy Section 502: Orientation Process and 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 and 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 and ☒ ☐ ☐ Handbook (e) the existence of the grievance procedure, the steps Policy Section 502: Orientation Process and that must be taken to use it, the youth’s right to be free Handbook ☒ 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 and ☒ court process; ☐ ☐ Handbook (g) access to routine and emergency health and Policy Section 502: Orientation Process and ☒ mental health care; ☐ ☐ Handbook (h) access to education, religious services, and Policy Section 502: Orientation Process and ☒ recreational activities; ☐ ☐ Handbook Policy Section 502: Orientation Process and (i) housing assignments; ☒ ☐ ☐ Handbook (j) opportunity for personal hygiene and daily showers Policy Section 502: Orientation Process and ☒ including the availability of personal care items ☐ ☐ Handbook (k) rules and access to correspondence, visits and Policy Section 502: Orientation Process and ☒ telephone use; ☐ ☐ Handbook (l) availability of reading materials, programming, and Policy Section 502: Orientation Process and ☒ other activities; ☐ ☐ Handbook (m) facility policies on the use of force, use of restraints, Policy Section 502: Orientation Process and chemical agents and room confinement; Handbook ☒ ☐ ☐ Chemical agents are not used in the facility. Policy Section 502: Orientation Process and (n) immigration legal services; ☒ ☐ ☐ Handbook Policy Section 502: Orientation Process (o) emergencies including evacuation procedures; ☒ ☐ ☐ Handbook 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 22 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (p) non-discrimination policy and the right to be free Policy Section 502: Orientation Process from physical, verbal or sexual abuse and harassment ☒ Handbook ☐ ☐ 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 that Handbook at a minimum includes answers to frequently asked questions and provides contact information for the The intake officer who provides the phone ☒ facility, medical, school and mental health; and, ☐ ☐ calls home answers any questions a parent may have. There is also a parent handbook that is sent to the youth automatically upon arrival at the facility. (t) a process by which youth may request access to Title Policy Section 502: Orientation Process 15 Minimum Standards for Juvenile Facilities. Handbook ☒ ☐ ☐ A copy of Title 15 was available in each of the cottages on the DKC campus. 1354 SEPARATION Policy Sections: 514: Separation The facility administrator shall develop and implement 515: Room Confinement written policies and procedures that address: 1400: The Healing Opportunities and Positive Engagement (HOPE) Center When a youth needs to be separated from the group for whatever reason, youth are moved to one of three HOPE Center areas. There are two cottages designated on either side of the campus and three rooms outside of Medical for medical observation or in an extreme case, a cool down or temporary confinement. ☒ Documentation was requested for a specific ☐ ☐ time period. Only 1 incident fell within that range. Additional documentation was pulled to ensure a random sample. Three instances of separation were provided for review in June-August 2023. In these examples, the youth were moved to the HOPE Center pending an as-needed MDT with all facility partners to determine how to proceed with the youth’s individual treatment plan. All the youth’s subsequent MDTs were conducted timely and the youth either returned to their units after conflict resolution or moved to a new housing cottage. (a) separation of youth for reasons that include, but are Policy Sections 514: Separation and Policy not be limited to, medical and mental health conditions, Section 1400: The Healing Opportunities ☒ assaultive behavior, disciplinary consequences and ☐ ☐ and Positive Engagement (HOPE) Center 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 Camp Dorothy Kirby Camp PRO 23-24 Page 23 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 separation. and Positive Engagement (HOPE) Center ☒ ☐ ☐ All packets contained the appropriate documentation including their programming logs noting Title 15 activities had been participated in. (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 and Section 1400: The Healing Opportunities ☒ Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ and Positive Engagement (HOPE) Center these regulations. (f) policies and procedures shall ensure a daily review Policy Sections 514: Separation of separated youth to determine if separation remains necessary. Supervisors complete a daily audit of all ☒ ☐ ☐ youth on separation. This is reviewed by internal camp staff as well as administration headquarters. 1354.5 ROOM CONFINEMENT Policy Section 515: Room Confinement and Section and Policy Section 1400: The (a) The facility administrator shall develop and Healing Opportunities and Positive implement written policies and procedures addressing Engagement (HOPE) Center the confinement of youth in their room that are ☒ consistent with Welfare and Institutions Code Section ☐ ☐ Four incidents were provided for review from 208.3. The placement of a youth in room confinement June 2023 to current. We found shall be accomplished in accordance with the following documentation to be consistent with the guidelines: regulations. (1) Room confinement shall not be used before Policy Section 515: Room Confinement and other, less restrictive, options have been attempted Policy Section 1400: The Healing and exhausted, unless attempting those options Opportunities and Positive Engagement poses a threat to the safety or security of any youth (HOPE) Center or staff. ☒ Facility staff at DKC do a good job working ☐ ☐ with youth towards de-escalation. Mental health partners are included if available. In most cases, youth were removed from their unit for a cool down but could not self-regulate and escalated the situation resulting in brief room confinements. (2) Room confinement shall not be used for the Policy Section 515: Room Confinement and purposes of punishment, coercion, convenience, or Policy Section 1400: The Healing ☒ 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 physical Policy Section 1400: The Healing ☒ health of the youth. ☐ ☐ 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 Engagement confinement for a period of four hours, staff shall do one (HOPE) Center or more of the following: ☒ ☐ ☐ All placements reviewed were between 35 minutes and 2 hours. Youths were returned to their cottage of residence. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 24 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Policy Section 1400: The Healing (1) Return the youth to general population. ☒ Opportunities and Positive Engagement ☐ ☐ (HOPE) Center Policy Section 1400: The Healing (2) Consult with mental health or medical staff. ☒ 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 reintegrate ☒ Opportunities and Positive Engagement ☐ ☐ 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 ☒ ☐ ☐ No youth required an extension. (A) Document the reasons for room confinement Policy Section 1400: The Healing and the basis for the extension, the date and time Opportunities and Positive Engagement the youth was first placed in room confinement, ☒ (HOPE) Center ☐ ☐ 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 Engagement ☒ integrate the youth to general population. ☐ ☐ (HOPE) Center (C) Obtain documented authorization by the Policy Section 1400: The Healing facility superintendent or his or her designee Opportunities and Positive Engagement ☒ 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 youth Policy Section 1400: The Healing in juvenile facilities and does not apply to normal ☒ Opportunities and Positive Engagement ☐ ☐ sleeping hours. (HOPE) Center (6) This section does not apply to youth or wards in Policy Section 515: Room Confinement and 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 additional Policy Section 1400: The Healing 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 requires Policy Section 1400: The Healing a significant departure from normal institutional Opportunities and Positive Engagement operations, including a natural disaster or facility- (HOPE) Center 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 25 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is Policy Section 515: Room Confinement and placed in a locked cell or sleeping room to treat and Policy Section 1400: The Healing protect against the spread of a communicable Opportunities and Positive Engagement disease for the shortest amount of time required to (HOPE) Center 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 Classification and Policy Section 703: The The facility administrator shall develop and implement MDT Process written policies and procedures for assessment and case planning. ☒ Six youth files were reviewed to inspect for ☐ ☐ the assessment, case plan, periodic review, and transition plan. (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 of The camp MDT process is detailed and substance abuse history, educational, vocational, comprehensive. The 22-point assessment is counseling, behavioral health, consideration of known ☒ completed at camp headquarters prior to the ☐ ☐ history of trauma, and family strengths and needs. youth’s actual entry into the facility but as part of their admission process. Additional assessment is completed upon the youth entering the camp. All information is used in the development of the Institutional Case Plan. (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 within ☐ ☐ Each MDT was scheduled and occurred 40 days of admission. within 10 days of entry. (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 This information is noted in the MDT Plan. ☒ ☐ ☐ Some objectives are court-ordered, and others are based on the youths’ specific needs. (B) a plan for meeting the objectives that includes Policy Section 705: Ongoing Case a description of program resources needed and Management Activities individuals responsible for assuring that the plan ☒ ☐ ☐ is implemented; Interventions and Service Providers are included in the MDT Plan. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 26 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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; Weekly case notes are to be completed by an assigned caseload probation officer. These notes are to provide an update on the youth’s progress and status in the program. We found the majority of notes to be ☒ ☐ ☐ consistently documented. Technical assistance was provided, and this area will be re-reviewed during the targeted inspection in 2024. (4) a transition plan, the contents of which shall be Policy Section 706: Case Plan Activities- subject to existing resources, shall be developed for Pre-Release post dispositional youth in accordance with Section ☒ 1351; and, ☐ ☐ Each youth had a completed transitional MDT completed. See also Section 1351. (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, other relatives, and other ☐ ☐ Developmentally Disabled. supportive adults are included in the MDT process as appropriate. 1355 COUNSELING AND CASEWORK SERVICES Policy Section 705: Ongoing Case Management Activities The facility administrator shall develop and implement written policies and procedures ensuring the availability Each youth has an assigned mental health of appropriate counseling and casework services for all counselor and probation case manager youth. Policies and procedures shall ensure: ☒ ☐ ☐ assigned to them in addition to the cottage youth supervision staff. Any issue, concern, or need the youth may have can be addressed via the youth’s treatment team or unit staff. (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 ☐ ☐ 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 27 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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, Four use-of-force incidents were provided which may include chemical agents. Force shall never ☒ ☐ ☐ for our review for the period requested. All be applied as punishment, discipline, retaliation or incidents included all regulatory treatment. requirements. (a) At a minimum, each facility shall develop policies and procedures which: (1) restricts the use of force to that which is deemed Policy Section 1704: Safe Crisis reasonable and necessary, as defined in Section Management and Physical Intervention 1302 to ensure the safety and security of youth, staff, ☒ Procedures ☐ ☐ others and 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 documenting Management and Physical Intervention and reporting the use of force, including reporting Procedures requirements of management and line staff and procedures for reviewing and tracking use of force All regulatory areas were addressed. incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular The facility is current on all SCM reviews. incident with staff and/or youth for the purposes of Documentation is current with FIRST team training as well as mitigating the effects of trauma that reviews. may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Policy Section 1706: 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. (8) describe the limitations of use of force on pregnant Policy Section 1704: Safe Crisis youth in accordance with Penal Code Section 6030(f) Management and Physical Intervention and Welfare and Institutions Code Section 222. ☒ Procedures ☐ ☐ The facility is an all-male facility. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 28 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 (1) identify who is approved to carry and/or utilize Procedures chemical agents in the facility and the type, size and the approved method of deployment for those OC spray is not used in the facility. All chemical agents. ☒ subsequent boxes are marked N/A. ☐ ☐ TA provided that despite OC not being used in the facility, if OC will be used in the agency, all staff should also be trained annually as per policy. (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 All staff have been trained in an eight-hour that address: Use of Force and a 16-hour Safe Crisis ☒ Management training. Chemical Agents are ☐ ☐ not used in the facility. Staff are not required to carry chemical agents in other facilities. If staff are to carry in other facilities, all staff should be properly trained. (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 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. ☐ ☐ Training completed. (5) physical training force options that may require Policy Section 1702: Training the use of perishable skills. ☒ Documentation received reflecting 24 hours ☐ ☐ of annual SCM training and policy/institutions update. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 29 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 facility is to provide initial training and ☐ ☐ annual training. This requirement has been met for this year. 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1705: Restraints The facility administrator, in cooperation with the There has been one incident in which responsible physician and mental health director, shall physical restraints were used. The incident develop and implement written policies and procedures was documented thoroughly on the log. All for the use of restraint devices. Restraint devices incidents reviewed were compliant. include any devices which immobilize a youth's extremities and/or prevent the youth from being The Physical Interventions Policy is not clear ambulatory. regarding the four (4) hour requirement for MH assessment for treatment if an incident occurs after hours. Facility management has drafted a training memo that has been sent to facility supervisors to clarify the procedure to resolve the issue until the policy can be ☒ ☐ ☐ updated. This was completed in advance of the inspection. We encourage facility managers to provide ongoing, quarterly training to ensure all staff remain current on the expectations of the regulation, agency policy, and documentation expectations in the event an incident does occur, all required documentation and procedures will be compliant. We will again review this section during our 2024 targeted inspection. Physical restraints may be used only for those youth Policy Section 1705: Restraints who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ self-inflicted physical harm. Physical restraints should ☐ ☐ be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or 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 Camp Dorothy Kirby Camp PRO 23-24 Page 30 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 ☒ 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 later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as 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 Policy Section 1705: 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 ☐ ☐ 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 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. Policy Section 1705: Restraints (g) provision for hydration and sanitation needs. ☒ ☐ ☐ (h) exercising of extremities. ☒ ☐ ☐ Policy Section 1705: Restraints 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 31 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR Policy Section 1709: The Use of Mechanical MOVEMENT AND TRANSPORTATION Restraints for Movement and Transport WITHIN THE FACILITY. Within the Facility The Facility Administrator, in cooperation with the Only two incidents requiring the use of responsible physician and behavioral/mental health restraints for movement within the facility director, shall develop and implement written policies have occurred. in both incidents, the and procedures for the use of restraint devices when assessment was completed. the purpose is for movement or transportation within the facility that shall include the following: ☒ ☐ ☐ We encourage facility managers to provide ongoing, quarterly training to ensure all staff remain current on the expectations of the regulation, agency policy, and documentation expectations in the event an incident does occur, all required documentation and procedures will be compliant. We will also review this section during the 2024 targeted inspection. (a) identification of acceptable restraint devices, staff Policy Section 1709: The Use of Mechanical approved to utilize restraint devices and the required ☒ ☐ ☐ Restraints for Movement and Transport 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 includes Restraints for Movement and Transport consideration of less restrictive alternatives, Within the Facility consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a The assessment was completed for the use process for documentation and supervisor review and of restraints reviewed. approval. (d) consideration of safety and security of the facility, Policy Section 1709: The Use of Mechanical with a clearly defined expectation that restraint devices Restraints for Movement and Transport ☒ ☐ ☐ shall not be used for the purposes of discipline or Within the Facility retaliation. (e) the use of restraints on pregnant youth is limited in Policy Section 1709: The Use of Mechanical accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Restraints for Movement and Transport Welfare and Institutions Code Section 222. Within the Facility 1359 SAFETY ROOM PROCEDURES Dorothy Kirby Center does not have a safety room. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall The remainder of this section is marked NA. 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; 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 32 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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: (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 1317: Body Searches (Pat- The facility administrator shall develop and implement Down, Strip, and Body Cavity Searches) 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 Policy Section 1316: Searches in Detention and security of the facility, public, visitors, youth, and Facilities staff. Documentation of dorm searches was provided for the dates between 8/20/23 and ☒ ☐ ☐ 9/3/23. Also provided was documentation of K9 searches. No contraband was noted as found. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 33 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Searches shall be conducted in a manner that Policy Section 1316: Searches in Detention preserves the privacy and dignity of the person being 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 (Pat- searches shall comply with Penal Code Section 4030. ☒ ☐ ☐ Down, Strip, and Body Cavity Searches) (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 ☒ ☐ ☐ The youth interviewed did not report being contraband. The reasonable suspicion shall be strip searched. They reported being subject documented. to pat-down searches and searched by the use of a detection wand. (f) Searches of transgender and intersex youth shall Policy Section 1303: Juvenile Supervision of comply with Section 1352.5. 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 Nine grievances were provided between written policies and procedures whereby any youth may August 2023 and September 2023 for our appeal and have resolved grievances relating to any review. 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; Youth have access to paper copies in the ☒ ☐ ☐ cottages and throughout the facility. They also can initiate grievances electronically through the school computer anytime during school. (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 submit a grievance through either the general paper process, through a ☒ ☐ ☐ confidential box, or through the electronic Grievance Management System (GMS) which is through a computer located in the classrooms. (c) resolution of the grievance at the lowest appropriate Policy Section 508: Grievance Procedures staff level; ☒ ☐ ☐ The youth interviewed stated they could turn in their grievance to any staff member, including the staff person they grieved. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 34 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) provision for a prompt review and initial response to Policy Section 508: Grievance Procedures grievances within three (3) business days, grievances that relate to health and safety issues must be Of the nine grievances provided, all were addressed immediately; timely and compliant. ☒ ☐ ☐ Youth have been notified and are being notified at orientation that all grievances that are health and safety-related are to be immediately brought to the attention of the Supervisor. (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; (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/resolved ☒ ☐ ☐ longer time frame. The youth shall be notified of any within the 10-business day guideline. delay; and, (h) the policy shall provide multiple internal and external Policy Section 508: Grievance Procedures methods to report sexual abuse and sexual harassment. Youth residents may report to any staff, ☒ ☐ ☐ facility partner, the ombudsman, or a parent or guardian who can contact the facility. Ombudsmen posters were posted in the facility. 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 There is a formal, agency-specific complaint ☒ ☐ ☐ policies and procedures within a specified timeframe. process that may be utilized. Parents are also encouraged to contact the facility managers for any complaints. 1362 REPORTING OF INCIDENTS Policy Sections 1119: Reducing Youth-on- Youth Violence and 919: Deaths at Camp A written report of all incidents which result in physical Facilities harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be ☒ ☐ ☐ Five were provided for review. All were maintained. Such written record shall be prepared by the completed on time. 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 35 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 DNA is not collected at the Dorothy Kirby law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force ☒ ☐ ☐ Center. Any youth who needs DNA collected will be transferred to Los Padrinos for to collect blood specimens, saliva samples, and thumb collection. or palm print impressions from individuals who are required to provide such samples, specimens or The section is marked yes for policy. impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of Policy 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 the ☒ ☐ ☐ 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 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 36 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 The County Board of Education shall provide for the Education (LACOE) Juvenile Courts and administration and operation of juvenile court schools in Community Schools. The policy has not conjunction with the Chief Probation Officer, or designee changed since the last cycle. pursuant to applicable State laws. The school and facility administrators shall develop and implement written The educational team is led by Dr. Donna policy and procedures to ensure communication and Baker, the School Principal. Youth attend coordination between educators and probation staff. school from 8:30 AM to 3:00 PM daily. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education The Education Program is provided through staff should collaborate with the facility administrator to a collaboration between Los Angeles County use technology to facilitate learning and ensure safe Probation and Los Angeles County Office of technology practices. The facility administrator shall Education (LACOE)- Juvenile Courts and request an annual review of each required element of the Community Schools. The policy has not program by the Superintendent of Schools, and a report changed since the last cycle. or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this The educational team is led by Dr. Donna section. Such a review, when conducted, cannot be Baker, the School Principal. Youth attend delegated to the principal or any other staff of any school from 8:30 AM to 3:00 PM daily. juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified Her team consists of seven teachers, seven outside agency or individual. Upon receipt of the review, para-educators, school counselors, a the facility administrator or designee shall review each psychologist, SSC, and office support staff. item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each Recently, the campus has begun cottage deficiency and to fully protect the educational interests of school meaning the youth attend school in all youth in the facility. their groups as opposed to being separated into separate groups. Dr. Baker stated they ☒ ☐ ☐ continue to work through the issues still, but it seems to be working out. All four facilities share the school and the teachers/resources which could be problematic at times especially when there are youth in both HOPE Centers or when they are short teachers. Dr. Baker was very much aware of her students’ needs. She provided information regarding the school program, The Road to Success program, and various other areas the students worked on in the classrooms. The education program was last inspected on November 20, 2023, by Dr. Allison Garland, Asst. Superintendent, Student Services, Montebello Unified School District and James L. Sams, Director of Student Services, Montebello Unified School District 323-887-7900 x5826. The following narrative reflects the educational summary from the education report. The interview was followed by an in-person tour of the students’ classrooms, intervention rooms, restrooms, housing facilities, recreation facilities, and counseling center. The classroom visits were positive and engaging. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 37 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Student ambassadors greeted the team and informed the group about the educational units they are working on in the various curricular areas. There was evidence of consistency in the education program the rooms were full of current student work samples. There was all clear evidence of a consistent Positive Behavior and Interventions (PBIS) program, with posters and literature located on all classroom walls. Furthermore, students were able to articulate the PBIS program and how it is used in the school. All of the facilities were well-kept and appropriate for the educational program. Dr. Baker has a great rapport with students and staff and truly cares about her students’ well-being. The teachers have professional development each Thursday and are provided training on various topics provided by LACOE. Individual and group therapy is provided to students each week however I would recommend the school purchase an SEL curriculum where lessons are provided daily to the students. (b) Required Elements BP 6011 Instruction The facility school program shall comply with the State BP 6011 Instruction, BP 0460 Philosophy, Education Code and County Board of Education policies, Goals, Objectives, and Comprehensive all applicable federal education statutes and regulations Plans and provide for an annual evaluation of the educational BP 005 Philosophy, Goals, Objectives and program offerings. As stated in the 2009 California Comprehensive Plans Items 3,4,5 Standards for the Teaching Profession, teachers shall establish and maintain learning environments that are The school maintains compliance with the physically, emotionally, and intellectually safe. Youth state shall be provided a rigorous, quality educational program education code and LA County Board of that responds to the different learning styles and abilities Education policies. of students and prepares them for high school ☒ ☐ ☐ graduation, career entry, and post-secondary education. Kirby school uses LACOE’s award-winning Road to Success Academy model of instruction and intervention for incarcerated youth. This program features an interdisciplinary, project-based learning focused on themes that address students’ academic and mental health needs. It incorporates activities to promote self- esteem and empower the students to make positive choices and behavior change. SEL lessons are integrated within the Road to Success Academy Model. 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 38 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The course of study shall comply with the State BP 005 Philosophy, Goals, Objectives and Education Code and include, but not be limited to, Comprehensive Plans Items 3,4,5 courses required for high school graduation. 9th grade: Algebra, English, Biology, History, Physical Education, Elective 10th grade: World History, Earth Science, Geometry, ☒ ☐ ☐ English, Physical education, Elective 11th grade: American History, English, Math (maybe Algebra) then previous math will need to be called pre-algebra etc. Health, 12 grade Government, Economics, English, etc. (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 available to eligible students eligible youth. through ELO (Extended Learning Opportunities after school.) (3) Youth shall be informed of post-secondary AR-6143 Instruction Item 9 (Grades 7-12) education and vocational opportunities. Kirby School currently has three students enrolled in Junior College online. 11 of their students are participating in OSHA classes. The transition counselor arranged a job fair ☒ ☐ ☐ and college recruitment fair featuring 18 possible employers, junior colleges, and vocational programs. Current student numbers; 59 students ranging in age from 13-19 years old. The average length of stay is 5-9 months. (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. Eligible Students prepare for the HiSet after ☒ ☐ ☐ school in their extended learning opportunities program. To date none of their students have taken the HiSet. (5) Supplemental instruction shall be afforded to AR-6179 Instruction BPP 5149 youth who do not demonstrate sufficient progress towards grade level standards. Read 180 is their reading intervention ☒ ☐ ☐ program. IXEL is used for Math to assist students in reinforcing skills at their level. Interventions are required for all 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 The school day is 300 minutes of instruction. conjunction with education staff, must ensure that Minimum Days are scheduled for Thursdays operational procedures do not interfere with the time ☒ ☐ ☐ and consist of 240 instructional minutes. afforded for the minimum instructional day. Absences, Absences are recorded and coded as time out of class or educational instruction, both illness, medical, dental, and court. excused and unexcused, shall be documented. Suspensions are documented and traced in Aeries. (7) Education shall be provided to all youth regardless BP 6112 Instruction Partially Address. of classification, housing, security status, disciplinary requirement; AR 5131 or separation status, including room confinement, except when providing education poses an All students are enrolled upon entry and immediate threat to the safety of self or others. ☒ ☐ ☐ begin school on the first day. When students Education includes, but is not limited to, related are sequestered, they have a teacher and services as provided in a youth’s Section 504 Plan or a probation officer meet with them. Students Individualized Education Program (IEP). are provided with class materials and academic support throughout the day. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 39 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented to reduce the need for disciplinary Classroom Positive Behavior action in the school setting and be integrated into the Interventions and Supports (PBIS) facility's overall behavioral management plan and A daily topic is discussed at the beginning of security system. each day to promote a positive classroom culture. Classroom expectations were posted in each classroom. Teachers and classroom aides reinforce expectations and will redirect if needed. School-wide PBIS The classrooms had a student code of conduct displayed - Be Safe, Be Responsible, Be Respectful. They have celebrations and award ceremonies for the students. The students can earn special ☒ ☐ ☐ privileges such as wearing their own t-shirt, participating in CTE programs, and getting a job on campus where they can earn money. Facility-wide PBIS The Probation Department has a Behavior Management Program (BMP) that includes issuing points and earning rewards such as stage privileges and possible early release. There is a counselor on site that utilizes Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy Models and the Los Angeles Department of Public Health provides mental health professional learning on a yearly basis with staff. The students receive small group and individual therapy weekly. (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. Probation staff requests specialized programs based on need. For example, ☒ ☐ ☐ accommodating the need to move classrooms to the cottage for safety. They also work with the school staff on evacuations, shutdowns and fire drills. (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. School staff shall follow the appropriate due process Students are not expelled, and suspension safeguards as set forth in the State Education Code is used as a last resort. A variety of other including the rights of students with special needs. means of correction strategies are utilized School staff shall document the other means of such as classroom and school wide PBIS correction used prior to imposing expulsion/ ☒ ☐ ☐ interventions, probation staff restructuring suspension if an expulsion/suspension is ultimately the school environment, and sessions with imposed. school administration or counselors. Students are returned to their “hut” when they are suspended. During a suspension, the student is removed from instruction for safety reasons. Paraeducators stay with students until they are ready for a re-entry meeting and return to the classroom. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 40 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 Students who have ongoing behavioral continuing difficulty completing a school day. issues are monitored by the paraprofessional who collects frequency and ☒ ☐ ☐ duration data. This information is shared with the behavior manager and the EBT. If needed, a functional analysis or a behavior plan is devised. On occasion, short-term behavioral contracts are used. (d) Provisions for Special Populations BP 0430 Philosophy, Goals, Objectives and (1) State and federal laws and regulations shall be Comprehensive Plans observed for all individuals with disabilities or suspected disabilities. This includes but is not limited All LACOE students participate in a child find to child find, assessment, continuum of alternative ☒ ☐ ☐ survey when admitted. Records are placements, manifestation determination reviews, requested from their DOR and last school and implementation of Section 504 Plans and attended to determine whether the student Individualized Education Programs. has an IEP or 504 or has had any manifestation determination hearings. (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 Training is provided for the EL Specialist in federal laws and regulations governing programs for Rosetta Stone and students requiring this EL students. ☒ ☐ ☐ service are provided with the technology required for them to access the curriculum. ELD and word walls are required in every classroom. There are currently six English Learner students at Kirby. (e) Educational Screening and Admission BP 6162.5 Instruction Partially Answers (1) Youth shall be interviewed after admittance and a Requirement record maintained that documents a youth's ☒ ☐ ☐ educational history, including but not limited to: Kirby School staff utilize an intake form when interviewing new students. (A) School progress/school history; BP 6162.5 Instruction The students are assessed in reading and ☒ ☐ ☐ math using the STAR program. In addition, the students meet with the academic, behavior, and transition counselors. (B) Home Language Survey and the results of the AR 6174 Instruction State Test used for English language proficiency; ☒ ☐ ☐ The Home Language Survey is completed by the district. (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. CALPADS is checked to verify the veracity of the student report. Parents, ERH, and/or ☒ ☐ ☐ CASA workers are contacted to determine if there was a request for specialized programs or special education prior to arrest. Previous DOR is contacted to obtain records. (D) Discipline problems. BP 5131 Students ☒ ☐ ☐ Discipline records are requested from the previous school of attendance or DOR. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 41 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 All students are enrolled by the end of the levels to enable placement in core curriculum ☒ ☐ ☐ school day following their admission. courses. Students are given the STAR Assessment for English and Math to determine a current baseline for academic performance. (3) After admission to the facility, a preliminary BP 6162.5 Instruction education plan shall be developed for each youth within five school days. All students meet with the academic counselor. Their transcripts are evaluated, ☒ ☐ ☐ and their course of study is outlined toward graduation. (At the 11th grade, counselors will meet with students regarding the AB 167 graduation option, 130 credits) (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 not Student records are requested while limited to, transcripts, Individual Education Program students are waiting for adjudication in the (IEP), 504 Plan, state language assessment scores, Hall. The student records are scanned into immunization records, exit grades, and partial credits. ☒ ☐ ☐ the student information and the educational Upon receipt of the transcripts, the youth's passport system. educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the The academic and transition counselor credits they need to graduate. meets with the student to develop a plan of study and look at secondary options. (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth shall be forwarded to the next educational Student transcripts, IEPs, and transition placement in accordance with the State Education planning are provided to students prior to Code. ☒ ☐ ☐ their departure. They are also given to the probation officer to prepare for court departures and updates. In addition, all records are kept in the student file center. (2) The County Superintendent of Schools shall BP 5121 Students provide appropriate credit (full or partial) for course work completed while in juvenile court school in ☒ ☐ ☐ Student transcripts are updated weekly and accordance with the State Education Code. copies are provided to the youth on a monthly basis. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies During the MDT Transition Meeting student and procedures to meet the transition needs of youth, records are reviewed. The transition ☒ ☐ ☐ including the development of an education transition counselor attends these meetings to plan, in accordance with the State Education Code guarantee that all requisite paperwork is and in alignment with Title 15, Minimum Standards for included. Juvenile Facilities, Section 1355. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 42 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student (1) The school and facility administrator should, Use of Technology whenever possible, collaborate with local post- secondary education providers to facilitate access to Kirby has a working relationship with East educational and vocational opportunities for youth Los Angeles College (ELAC) and their that considers the use of technology to implement students enroll in afternoon online classes these programs. ☒ ☐ ☐ that meet synchronously and asynchronously. They are in the process of also developing classes at the site with two community colleges (ELAC and LA Trade Tech). Through these alliances they are developing contacts for their students so that they are able to transition to 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, ☒ ☐ ☐ 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 Saturday, Sunday or other non-school days, of which Programs sheets were provided for the one hour shall be an outdoor activity, weather period of August 20, 2023- September 3, permitting. 2023. These sheets provide an at-a-glance documentation of activities that occur in the ☒ ☐ ☐ Cottages and in the HOPE Center. Overall, we found youth to be receiving their required Title 15 activities: one hour of rehabilitation programming, one hour of large muscle exercise and one hour of recreation daily. 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 facility. Such program, recreation, and exercise schedule shall Policy Section 1306: Programs, Recreation be posted in the living units. and Exercise ☒ ☐ ☐ A program calendar was posted in both the DORM and in the HOPE Center. 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 provided and ☒ ☐ ☐ reviewed. We found reviews were completed by Probation, some Community Based Organizations, Department of Mental Health and LACOE. A list of programs provided are noted below. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 43 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot (a) Programs. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily programming to and Exercise include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are While reviewing program logs, there were culturally relevant and linguistically appropriate, or pro- some cottages who have more programming social interventions and activities designed to reduce than others. For example, the DKC female recidivism. These programs should be based on the youth have more programming but less youth’s individual needs as required by Sections 1355 recreational time. Male youth have more and 1356. Such programs may be provided under the recreational time and less programming. direction of the Chief Probation Officer or the County Office of Education and can be administered by county We did not see in the documentation we partners such as mental health agencies, community reviewed, many of the CBO’s noted to be based organizations, faith-based organizations or providing services to all cottages (based on Probation staff. the annual review documents provided) but found Probation staff to be providing the Programs may include but are not limited to: majority of the community group meetings (1) Cognitive Behavior Interventions; (Circle UP) and livings skills in all cottages (2) Management of Stress and Trauma; and in the HOPE Centers. We also did not (3) Anger Management; view Mental Health Programming being (4) Conflict Resolution; documented consistently despite the youth (5) Juvenile Justice System; confirming they are attending. Youth were (6) Trauma-related interventions; very positive regarding these interventions. (7) Victim Awareness; This was addressed with administration for (8) Self-Improvement; additional review during quality assurance in (9) Parenting Skills and support; the future. The agency is also working on (10) Tolerance and Diversity; bringing more programming into the facility (11) Healing Informed Approaches; with more Community Based Contracts. (12) Interventions by Credible Messengers; (13) Gender Specific Programming; Community-Based Organizations (14) Art, creative writing, or self-expression; ☒ ☐ ☐ (15) CPR and First Aid training;  Arts for Healing and Justice (16) Restorative Justice or Civic Engagement;  Street Poets (17) Career and leadership opportunities; and,  Rhythm Arts Alliance (RAA) (18) Other topics suitable to the youth population.  Jail Guitar Doors  West Cal Academy  Chaplains Eagles  Archdiocese Of Los Angeles  Spirit Awakening Probation provided a list of several additional programs however, there were no annual reviews provided for those programs.  Department of Mental Health  Individual Therapy  Family Therapy  Dialectical Behavior Therapy  Substance Abuse Programming  Seeking Safety Curriculum  Psychotropic Medication Management  Crisis Intervention/De-Escalation  CBT Rehabilitative Focus Groups  LACOE  College Courses  Career Zone  Voter Registration/Selective Service  Employment opportunities  OSHA Course Certification Program 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 44 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS  Gang Reduction Youth Development Healing Circles (GYRD)  Personal Enrichment Training (PET) Career Exploration  Access to Technology  Probation  Life Skills Discussions (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 was provided and and include orientation and may include coaching of reviewed. Youth are receiving their youth. recreation periods. This was validated through conversations with the youth. In some cottages, on some weekend shifts, youth are spending the majority of the day in this area. While recreational activities are ☒ ☐ ☐ good for the youth, excessive amounts of time playing video games or watching television/movies may not be the best use of time. We suggest the facility look at the schedule and include recreational activities that youth could choose to participate in that would support both recreational and rehabilitative. Examples of such would be teambuilding exercises, Cottage challenges, ongoing art projects, independent living projects etc. (c) Exercise. All youth shall be provided with the Policy Section 1306: Programs, Recreation opportunity for at least one hour of large muscle activity and Exercise each day. All youths receive the opportunity for exercise. Documentation wasn’t consistent in describing where some events occurred such as calisthenics (outdoors or indoors) or why the youth remained inside and did not go outside for example because they preferred to stay in and participate in dance ☒ ☐ ☐ video exercise. When interviewed youth stated they do not always want to go outside for to a variety of reasons. We encourage staff to document when youth refuse outdoor exercise and note exactly what the youth are participating in. 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 45 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 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: Policy Section 1004: Religious Services Logs of religious services were provided for review for August 26-27 and September 2-3, 2023. Services are provided for both catholic (a) opportunity for religious services and practices; ☒ ☐ ☐ and protestant services. All youth we spoke with stated that services are offered every week and they can choose to attend or participate in other programming. Policy Section 1004: Religious Services (b) availability of clergy; and, ☒ ☐ ☐ Youth may request for a specific pastor, priest, or other religious clergy to be placed on their visiting list. Policy Section 1004: Religious Services (c) availability of religious diets. ☒ ☐ ☐ If a youth requests a religious diet, they place a request that is reviewed and approved. 1373 WORK PROGRAM Policy Section 1003: Work Crews The facility administrator shall develop policies and The facility Director completed a Work procedures regarding the fair and consistent assignment Program review and found that 9 DKC youth of youth to work programs. Work assigned to a youth ☒ ☐ ☐ had participated in the American Job Center shall be meaningful, constructive and related to of California (AJCC) program for the vocational training or increasing a youth's sense of 2022/2023 calendar year. There are responsibility. Work programs shall not be imposed as a currently several youths currently disciplinary measure participating in the program. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 46 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING Policy Section 902: Visiting Procedures, Section 903: Saturday and Sunday Visiting, The facility administrator shall develop and implement and Section 904: Special Visits written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Regular visits occur with parents, guardians, receive visits by parents, guardians or persons standing and the children of youth when able. There in loco parentis, and children of youth. Other family is currently one female youth who has had members, such as grandparents and siblings, and regular visits with her child since her arrival. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in Youth can make requests at any time for conjunction with the youth’s case plan or in the best appropriate, other supportive adults to visit interest of the youth. and for additional family members to receive special visits if not already on the approved ☒ ☐ ☐ visiting list. It was noted through conversation with both the staff and the youth that parents could stay and visit as long as they wished from 1 PM to 4 PM. The facility has generally documented visiting from 1 PM-4 PM but corrected this issue on their own and now is documenting the exact time of the youths’ visit. It was noted that approximately half of the facility receives visits. Any youth not receiving a visit, is provided with a face time call to their parent. 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 Youth may make requests for others to visit. criminal history. The staff shall determine in each case, These requests will be reviewed, and an whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ answer provided back to the youth and to the the safety of youth or staff in the facility. Any denial of visitor. 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, Special visits can be approved in advance by shall be accommodated as necessary and within the the supervisor and/or director. 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. DKC does utilize technology for additional ☒ ☐ ☐ phone calls. This is above and beyond what is required. Any youth not receiving a visit receives a call. 1375 CORRESPONDENCE Policy Section 510: Mail The facility administrator shall develop and implement ☒ ☐ ☐ Youth can send and receive as much mail as written policies and procedures for correspondence they wish. Letter-writing supplies are which provide that: provided. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 47 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 Documentation reviewed was for both and implement written policies and procedures to provide August and September logs. Youth were youth with access to telephone communications. noted to have received their weekly phone calls. ☒ ☐ ☐ We discussed telephone calls overall and suggested the agency consider the opportunity for more communication opportunities between the youth and their family. Family interaction is key to successful reentry and maintaining family bonds. Youth should have ample access to keep in touch with family and loved ones. 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; ☒ ☐ ☐ Youth may visit with their attorneys at any time in person if they visit or by phone. (b) provision for confidential consultation with attorneys; Policy Section 520: Access to Legal Services and, Dorothy Kirby Center has areas designated ☒ ☐ ☐ for confidential consultation. Visits occur in conference rooms, available offices, or outdoors. (c) unlimited postage free, legal correspondence and Policy Section 520: Access to Legal Services cost-free telephone access as appropriate. ☒ ☐ ☐ All letters are postage-paid. 1390 DISCIPLINE Policy Section 601: Discipline and Policy Section 604: Continuum of Correction The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use of positive behavior interventions and supports. ☒ ☐ ☐ Discipline shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy Section 601: Discipline (b) daily shower, access to drinking fountain, toilet and Policy Section 601: Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 48 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) full nutrition; ☒ ☐ ☐ Policy Section 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 The facility utilizes a Behavior Management ☒ ☐ ☐ affirmatively, and be made available to all youth. Program (BMP) system for discipline. Youth Provision shall be made to provide accessible may receive sanctions for minor or major information to youth with disabilities, limited English violations they may participate in (See 1391) proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Policy Section 604: Continuum of Correction and Policy Section 606: 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 Policy Section 606: Due Process discipline for violation of rules; ☒ ☐ ☐ Only sworn staff are authorized to impose discipline on 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 Correction ☒ ☐ ☐ 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 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 shall Policy Section 606: Due Process be documented and require the following: All disciplinary due process was ☒ ☐ ☐ documented thoroughly. All areas of the agency’s Sanctions and Appeals Form were completed with the youth. Policy Section 606: Due Process (1) written notice of violation prior to a hearing; ☒ ☐ ☐ (2) accommodations provided to youth with Policy Section 606: Due Process disabilities, limited literacy, and English language ☒ ☐ ☐ learners; Policy Section 606: Due Process (3) hearing by a person who is not a party to the ☒ ☐ ☐ incident; No youth requested a hearing. (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 Camp Dorothy Kirby Camp PRO 23-24 Page 49 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Policy Section 606: Due Process (6) provision for administrative review. ☒ ☐ ☐ No appeals were conducted. (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) Some youths were returned to court to above. address their sanction. 1410 MANAGEMENT OF COMMUNICABLE Policy Section 909: Communicable DISEASES. Diseases The health administrator/responsible physician, in Compliance is based on policy and guidance cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ from JCHS and is subject to change as health guidance changes. procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: Policy Section 909: Communicable Diseases (a) Intake health screening procedures; ☒ ☐ ☐ Youths are cleared at the JH for transfer to the Camp and again cleared at entry by Camp medical staff. Policy Section 909: Communicable (b) Identification of relevant symptoms; ☒ ☐ ☐ Diseases Policy Section 909: Communicable (c) Referral for medical evaluation; ☒ ☐ ☐ Diseases Policy Section 909: Communicable (d) Treatment responsibilities during detention; ☒ ☐ ☐ Diseases (e) Coordination with public and private community- Policy Section 909: Communicable ☒ ☐ ☐ based resources for follow-up treatment; Diseases Policy Section 909: Communicable (f) Applicable reporting requirements; and, ☒ ☐ ☐ Diseases Policy Section 909: Communicable (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ 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 facility The youths interviewed were all aware of the administrator, shall develop policy and procedures to ☒ ☐ ☐ sick call process. Youths stated probation establish a daily routine for youth to convey requests for staff will call medical or mental health any emergency and non-emergency medical, dental and time they are asked. Youth requests are behavioral/mental health care services. responded to timely. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 50 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 are provided with facility clothing upon and footwear specified in this regulation. The facility has entry. Youth’s clothing looked good for the the primary responsibility to provide clothing and weather and fitted well and was in good footwear. Clothing provisions shall ensure that: ☒ ☐ ☐ shape. The youths we spoke with had no complaints regarding clothing and stated if they needed something they could easily get what they needed by asking. Youth also stated that they enjoy the opportunity to do their laundry as they make sure their clothes are clean. (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 1305: Clothing and Bedding laundered, in good repair, and free of holes and tears. Exchange ☒ ☐ ☐ (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 ☒ ☐ ☐ Policy Section 1305: Clothing and Bedding Exchange (1) Socks and serviceable footwear; ☒ ☐ ☐ Shoes and socks were noted to be in good working condition. A few youths had shoes with small rips but were in the process of replacing them at inspection. Policy Section 1305: Clothing and Bedding (2) Outer garments; ☒ ☐ ☐ Exchange (3) New non-disposable underwear which shall Policy Section 1305: Clothing and Bedding remain with the youth throughout their stay, and; Exchange ☒ ☐ ☐ All youth we spoke with confirmed they received new underwear upon arrival and received their own underwear back in the laundry. (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 and Exchange dried completely in a mechanical dryer or other laundry ☒ ☐ ☐ method approved by the local health officer. All laundry is washed on site. The facility is inspected by County Public Health who ensure adherence with temperature controls. (d) Suitable clothing is issued to pregnant youth. Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ The camp issues the same clothing to male and female youth. Clothing has elastic waist bands. If a youth needs special clothing, this need can be accommodated. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 51 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1482 CLOTHING EXCHANGE Policy Section 1305: Clothing and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the Youths interviewed stated they were provided cleaning and scheduled exchange of clothing. Unless with all brand new camp clothes upon entry. work, climatic conditions, or illness necessitates more There is a laundry schedule posted in each frequent exchange, outer garments, except for ☒ ☐ ☐ unit in which youth adhere to in order to wash footwear, shall be exchanged at least once each week. their clothes. Some youth have a schedule Tee shirts, bras, and underwear shall be exchanged based on the day of the week or by room etc. daily; youth shall receive their own underwear back at Weekends are additional days with no exchange. schedule where youth can ask for permission to use the laundry facilities. 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 do not bring personal clothing to the procedures developed and implemented by the facility administrator to control the contamination and/or ☒ ☐ ☐ camp. All personal clothing is retrieved by the parents from 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. 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 provided with all personal hygiene administrator for the availability of personal hygiene ☒ ☐ ☐ products. Personal care products can also be items. Each female youth shall be provided with earned through the BMP programs. 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; Policy Section 1304: Personal Hygiene, (a) Toothbrush; ☒ ☐ ☐ Shaving, and Haircuts Policy Section 1304: Personal Hygiene, (b) Toothpaste; ☒ ☐ ☐ Shaving, and Haircuts Policy Section 1304: Personal Hygiene, (c) Soap; ☒ ☐ ☐ Shaving, and Haircuts Policy Section 1304: Personal Hygiene, (d) Comb; ☒ ☐ ☐ Shaving, and Haircuts Policy Section 1304: Personal Hygiene, (e) Shaving implements; ☒ ☐ ☐ Shaving, and Haircuts Policy Section 1304: Personal Hygiene, (f) Deodorant; ☒ ☐ ☐ Shaving, and Haircuts Policy Section 1304: Personal Hygiene, (g) Lotion; ☒ ☐ ☐ Shaving, and Haircuts Policy Section 1304: Personal Hygiene, (h) Shampoo; and, ☒ ☐ ☐ Shaving, and Haircuts Policy Section 1304: Personal Hygiene, (i) Post-shower conditioning hair products. ☒ ☐ ☐ 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 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. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 52 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 ☒ ☐ ☐ Youth shower daily, generally in the evening. teeth. Youth shall be permitted to shower/bathe up on Youths sometimes ask to shower in the assignment to a housing unit and on a daily basis morning, staff makes attempts to thereafter and given an opportunity to brush their teeth accommodate this request if able. 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 All youth interviewed reported they can shave identification in Court. All youth shall have equal ☒ ☐ ☐ upon request. When asked if this included opportunity to shave face and body hair. The facility daily, each youth noted they had never been administrator may suspend this requirement in relation denied the opportunity to shave. 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. The documentation provided noted all the Equipment shall be cleaned and disinfected after each ☐ ☒ ☐ male youth receive haircuts. Documentation haircut or procedure, by a method approved by the reviewed noted female youth have not had State Board of Barbering and Cosmetology. haircuts other than basic trims from staff or from a barber using a clipper. This is non- compliant. 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 ☒ ☐ ☐ Bedding and linens are provided upon entry. area who is expected to remain overnight, shall include, Each youth is provided with fresh, new but not be limited to: bedding upon entry. (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; Pillow Policy Section 411: Bedding Issuance (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 ☒ ☐ ☐ 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 wash their own bedding on their scheduled exchange of laundered bedding and linen ☒ ☐ ☐ assigned laundry day. 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 ☒ ☐ ☐ Youth wash their own bedding in the cottages during their weekly laundry day. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 53 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot 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 are responsible for the cleaning of their provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ rooms and pick up after themselves in the equipment, including restraint devices, and physical cottages. There is a contracted cleaning crew plant maintenance and inspections to identify and who clean the common areas of the facility correct unsanitary or unsafe conditions or work and the cottages daily. including the cottages, practices in a timely manner. The use of chemicals shall and cleaning around the facility from 8:00 AM be done in accordance to the product label and Safety to 2:30 PM daily. Data Sheet which may include the use of Personal Protection Equipment (PPE). 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 54 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ ☐ ☒ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation 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 Violation submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☐ ☒ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7234 Los Angeles Camp Dorothy Kirby Camp PRO 23-24 Page 55 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: 7234 FACILITY: LA Camp Dorothy Kirby TYPE: Camp RC: 72 FIELD REPRESENTATIVE: Lisa Southwell DATE: December 15, 2023 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 Jade Pre-98 Dayroom 1 = 642 1 Restroom 2 3 3 Single 10 1 1 10 7’7” x 11’7” = 88 Topaz Pre-98 Dayroom 1 = 642 1 Restroom 2 3 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. 7234 Los Angeles Camp Dorothy Kirby CAMP LASE 23-24 - 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 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 6 7’5” x 11’7” = 87 ICU Pre-98 Single 9’9-3/4” x 11- Dry rooms. There were no permanent beds in (3) 0 0 0 1/2” =89 these rooms. Restroom 1 1 1 1 Diamond Pre-98 Single 1 24’ x 42’ = 1,008 1 1 Restroom 1 2 2 Single 6 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 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 the RC. 2016 2018 Inspection Cycle Notes: 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. *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 Dorothy Kirby CAMP LASE 23-24 - 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 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 also 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. 2023-2024: Adjustment of cottages- Jade returned to DKC and Amethyst moved to Scott. Ligature issues remain as noted in previous years. Technical Assistance recommendations as noted in 2020-2022 again noted. Diamond and Saphire have one toilet. Locked rooms make rooms available for use 6. *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 Dorothy Kirby CAMP LASE 23-24 - 3 - J460 LAS JUV-05.dot (8/05) JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: Pre-1998* B FACILITY NAME: LA Camp Dorothy Kirby FACILITY TYPE: Camp CONSTRUCTION/REMODEL DATE(S): 1960 IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: FIELD REPRESENTATIVE: Lisa Southwell DATE: December 15, 2023 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. DOUBLE ROOMS (JH, SPJH & CAMP)  Contain a minimum of 800 cubic feet of airspace and 100 square 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 Camp Dorothy Kirby CAMP PHY 23-24 - 1 - J4 TITLE 24 SECTION YES NO N/A COMMENTS 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 three 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 Camp Dorothy Kirby CAMP PHY 23-24 - 2 - J4 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 Camp Dorothy Kirby CAMP PHY 23-24 - 3 - J4