Los Angeles SYTF @ CDK (2023-2024 inspection cycle)

February 20, 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 FACILITIES 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 22nd, 2023. FACILITY NAME BSCC # FACILITY TYPE Secure Youth Treatment Facility (SYTF) @ 7235 SYTF Dorothy Kirby Camp (DKC) 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 items of noncompliance with Title 15 Minimum Standards: § 1324. Policy and Procedures Manual: The agency lacks a policy and procedure manual specific to the SYTF population and currently utilizes the RTSB manual, which is not specific to, nor addresses, the SYTF facility operation. Guillermo Viera Rosa, Chief Probation Officer Page 2 § 1353. Orientation: Initial orientation provided was not specific to the SYTF population. All youth received additional information and the SYTF handbook once complete. This was provided for our review. We found several areas of required regulation to be missing. § 1355. Institutional Assessment and Plan: Objectives are being identified during the assessment, but the timeline for resolution is not indicated. Policy must outline that timelines are documented when objectives are identified for youth. In practice, periodic reviews are happening weekly; policy must be updated to include this practice to maintain compliance. § 1390. Discipline: Discipline is not clearly defined. The new rule book notes consequences are not specific to major or minor rule violations; instead, they are specific to if a PIR or SIR (reports) is written. No documentation was provided or made known for review as to whether there are any provisions for youth with disabilities or limited literacy or language needs. There are some consequences noted in the handbook, however, Room Confinement is noted as a sanction. This is noncompliant with regulation and contrary to WIC 208.3 § 1488. Hair Care Services: Detained females are not receiving haircuts as required by regulation. 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 22, 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, noting the above areas of noncompliance. Since the date of the Initial Inspection Report, we have received proof of practice for corrective action for Section 1353: Orientation and Section 1488: Hair Care Services. An approved Corrective Action Plan (CAP) was received on February 20, 2024; we have responded 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. 7235 Los Angeles County Secure Youth Treatment (SYTF) @DKC LTR 23-24 Guillermo Viera Rosa, Chief Probation Officer Page 3 Sincerely, LISA SOUTHWELL Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Los Angeles County Juvenile Court* Chair, Juvenile Justice Commission, Los Angeles County* Chair, Board of Supervisors, Los Angeles County* County Administrator, Los Angeles County* Valerie Van Kirk, Bureau Chief, SYTF Los Angeles County* *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7235 Los Angeles County Secure Youth Treatment (SYTF) @DKC LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7235 FACILITY NAME: FACILITY TYPE: Dorothy Kirby Center SYTF SYTF PERSON(S) INTERVIEWED: Ms. Doyle, Mr. Ochoa, Ms. Barboza, Shataqua Draper, JCHS; Katty Callender, DMH, Dr. Baker, LACOE, Various staff and Several Youth. FIELD REPRESENTATIVE: DATE: Lisa Southwell 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. The Inspections completed for the Dorothy Kirby Center are also specific to Secure Youth Treatment Facility (SYTF) @ DKC. (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. ☒ ☐ ☐ The Fire Inspection completed for the Dorothy Kirby Center is also specific to Secure Youth Treatment Facility (SYTF) @ DKC. 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. 7235 Los Angeles SYTF @ DKC 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 (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 needed. All ☒ ☐ ☐ areas were corrected prior to reinspection date. All areas completed. Nutrition: Inspected by Michelle Wood on February 22, 2023. There was one area of noncompliance which has since been addressed and signed off by Public Health. At inspection, there was one area of correction needed but it was corrected prior to reinspection. The Inspections completed for the Dorothy Kirby Center are also specific to Secure Youth Treatment Facility (SYTF) @ DKC. (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 Secure Youth Treatment Facility (SYTF) @ DKC is provided by the Los Angeles County Office of Education. 2022 The inspection for 2022 was completed ☒ ☐ ☐ November 22, 2022. 2023 The inspection for 2023 was completed in November 2023. Information from the report is documented in Section 1370. The Inspections completed for the Dorothy Kirby Center are also specific to Secure Youth Treatment Facility (SYTF) @ DKC. (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. 7235 Los Angeles SYTF @ DKC 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 (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; (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 their own 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. 7235 Los Angeles SYTF @ DKC 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 1321 STAFFING Policy Section 206: Staffing Each juvenile facility shall: The Agency’s staffing documentation, (a) have an adequate number of personnel sufficient to including Facility Staff Schedules and the carry out the overall facility operation and its Monthly Staffing Breakdown for August 20, programming, to provide for safety and security of youth 2023 - September 3, 2023, was provided. and staff, and meet established standards and regulations; During the time reviewed, the period began with 1 SYTF youth on 8/20/2023 and increased to 3 SYTF youth by 9/3/2023. These young people shared cottage space with the Camp Scott young people. We noted that all staff were shared between two cottages and the two facilities, Camp Scott and the SYTF program. There were no staff assigned specifically to the SYTF program alone despite it being its own facility during the cycle prior to the inspection. The SYTF young people now reside in their own cottage and the Camp Scott youth reside in ☒ ☐ ☐ their own cottage. At inspection, staffing is still shared, and all tasks, paperwork, and documentation is completed by shared staff but there are plans to split the staff between the two facilities. There are 13 staff available between the cottages and 3 vacancies. We noted the cottages to generally be staffed with two staff and a rover assigned between both the Aqua and the Amethyst cottages. We also noted all but one day was covered through the use of staff on overtime shifts. Staff working overtime were generally SYTF, Scott, or DKC staff. There are no ordered overtime or mandatory holdovers as facility staff volunteer to work overtime. There are also many field staff who regularly volunteer to work at the facility and are trained to do so. ,(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 the youth we interviewed noted they have never missed any Title 15 mandated activities or have been held in their rooms due to lack of staff; however, the facility, as is the Camp facilities, is at great risk. If a large event were to occur, depending on the time of day, the facilities, as currently staffed, would likely not ☒ ☐ ☐ be able to manage safely and securely. As this has not yet occurred, the facility is compliant. With limited staffing and limited resources, there is a direct impact on the quantity and quality of the programming at the facility. 7235 Los Angeles SYTF @ DKC 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 (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 assigned supervisor who is ☒ ☐ ☐ in charge of the facility/cottage. When the facility supervisor is not present, an on-duty supervisor for DKC is in charge 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 supervisor, either the assigned and PC 832 training; supervisor or the on-duty supervisor, is ☒ ☐ ☐ responsible for the 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. Hot meal bags are direct food preparation and servings; conduct related delivered to the cottages, meals are served, ☒ ☐ ☐ training programs for culinary staff; and maintain and the meal bags are returned to the kitchen. necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7235 Los Angeles SYTF @ DKC 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 (g) have sufficient administrative, clerical, recreational, Policy Section 206: Staffing medical, dental, mental health, building maintenance, transportation, control room, facility security and other The facility has sufficient auxiliary and support support staff for the efficient management of the facility, staff working within the facility to ensure staff and to ensure that youth supervision staff shall not be are not taken away from their duties. diverted from supervising youth; and, Juvenile Correctional Health Care Services provide 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 8:00 AM to 8:00 PM 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. 7235 Los Angeles SYTF @ DKC 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) 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 duty for each 15 youth in the camp population; PREA standards, 1-8. ☒ ☐ ☐ Secure Youth Treatment Facility (SYTF) @ DKC youth are housed in Aqua cottage. There are generally 2 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. (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 assigned staff who are arrangements have been made for backup ☒ ☐ ☐ awake in the facility. 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. 7235 Los Angeles SYTF @ DKC 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 (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 3 facilities within the DKC Campus: types of youth committed to the camp; and the DKC, Camp Scott, and the Secure Youth function of the camp in determining the level of ☒ ☐ ☐ Treatment Facility (SYTF) @ DKC. supervision necessary to maintain the safety and All staff are managed and have been pulled welfare of youth and staff; 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; Only Camp Scott conduct overtime in the SYTF facility. All Camp Scott staff have been trained. 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: The last staff to be assigned to Secure Youth Treatment Facility (SYTF) @ DKC was ☒ ☐ ☐ assigned in August 2022 and was assigned to a facility training officer. Documentation was provided for our review. There have been no new staff assigned to this cycle. 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 7235 Los Angeles SYTF @ DKC 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 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 (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 last updated in All facility administrators shall develop, publish, and March 2022 and was provided for review as implement a manual of written policies and procedures The Secure Youth Treatment Facility that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made continues to use the RTSB policy; however, it available to all employees, reviewed by all employees, has not been updated to reflect a policy or and shall be administratively reviewed at a minimum procedures specific to the Secure Youth every two years, and updated, as necessary. Those Treatment Facility (SYTF) population. Staff records relating to the standards and requirements set have not been provided with SYTF policies or forth in these regulations shall be accessible to the Board procedures. ☐ ☒ ☐ on request. The manual shall include: This item will remain out of compliance until a final policy and procedure manual is available to all employees and the manual consistently addresses each of the required items for the facility. The following is marked as yes for policy citation. 7235 Los Angeles SYTF @ DKC 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 (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 (b) responsibility of the probation department, purpose Policy Sections are as follows: of programs, relationship to the juvenile court, the • 101: Vision, Mission, and Core Juvenile Justice/Delinquency Prevention Commission or Values Probation Committee, probation staff, school personnel • 102: Role of Camp System and other agencies that are involved in juvenile facility • 908: Medical Services programs; ☒ ☐ ☐ • 910: Mental Health Services • 911: Educational Services • 1005: CBO’s 1006: Volunteers (c) responsibilities of all employees; Policy Sections are as follows: • 202: RTSB Administrative Structure • 203: Duty Statements, RTSB Management ☒ ☐ ☐ • 204: Duty Statements, Deputized Staff 205: Duty Statements, Camp Support Staff (d) initial orientation and training program for Policy Section 2104: Professional employees; Development and Training ☒ ☐ ☐ See Section 1322. (e) initial orientation, including safety and security issues Policy Section 2200: Non-Sworn Personnel and anti-discrimination policies, for support staff, 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 7235 Los Angeles SYTF @ DKC 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 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 (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 referral 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 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. 7235 Los Angeles SYTF @ DKC 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 (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. Reminder to supervisor to periodically ensure the maps are present and in the dayrooms. (e) documented fire drills not less than quarterly; Policy Section 1910: Fire Prevention and Suppression Fire Drills have been completed monthly as part of the DKC Campus Drills 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 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 7235 Los Angeles SYTF @ DKC 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 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 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 Safety checks from August 20, 2023, to policy and procedures that provide for direct visual September 3, 2023, were requested and observation of youth at a minimum of every 15 minutes, random documents were reviewed. at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined We found safety checks to be documented in holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ and consistent with policy and regulation. The Supervision is not replaced, but may be supplemented BSCC team conducts ongoing quality by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive assurance reviews to ensure documentation behavior and to summon aid in emergencies. All safety is completed as required. Supervisor rounds checks shall be documented with the actual time the were also being made as required. check is completed. 1329 SUICIDE PREVENTION PLAN Policy Section 1201: Suicide Prevention Plan The facility administrator, in collaboration with the healthcare and behavioral/mental health Policy Section 1203: Suicide Prevention administrators, shall plan and implement written Policy for Juvenile Facilities and Policy policies and procedures which delineate a Suicide Section 2104: Professional Development Prevention Plan. The plan shall consider the needs of ☒ ☐ ☐ and Training youth experiencing past or current trauma. Suicide prevention responses shall be respectful and in the There was no documentation provided for least invasive manner consistent with the level of review other than the Alert log. There have suicide risk. The plan shall include the following been no incidents or issues to date. elements: 7235 Los Angeles SYTF @ DKC 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 (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 (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. Youth exhibiting any concerns are referred to ☒ ☐ ☐ mental health for follow-up. All youth entering the facility are screened for suicide risk during intake and ongoing throughout their stay. (2) All youth supervision staff who perform intake Policy Section 1203: Suicide Prevention processes shall be trained in screening youth for risk Policy for Juvenile Facilities of suicide. Documentation noted that 5 officers in the facility have been trained specifically in the ☒ ☐ ☐ intake functions of screening youth for risk of suicide. These officers are also responsible for the intake of the SYTF youth. 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. Youth are referred to mental health ☒ ☐ ☐ immediately. If incident occurs after hours, youth are placed on a level and seen the next day by mental health staff. (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 young person were to be required to be kept safe, she would be placed on a level or special watch status until cleared by mental ☒ ☐ ☐ health. If placed on level 3 status, direct and constant supervision will be initiated until cleared. (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. 7235 Los Angeles SYTF @ DKC 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 (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 for ☒ ☐ ☐ any youth on a Level 3. 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 together ☒ ☐ ☐ 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 7235 Los Angeles SYTF @ DKC 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 (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 intake staff call the young person’s parents to question if there has been any ☒ ☐ ☐ history of 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 There have been no incidents to review. of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Policy Section 203: Duty Statements, RTSB Management Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ Any notification of legal action is sent directly of confinement, filed against persons or legal entities to the Board at the attention of Chair Linda responsible for juvenile facility operation. Penner. 7235 Los Angeles SYTF @ DKC 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 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy Section 1919: Deaths at Camp OF A YOUTH WHILE DETAINED Facilities (1) Death of a Youth. There were no serious injuries to report. No (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental documentation provided. health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with 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 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. 7235 Los Angeles SYTF @ DKC 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 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 There currently is no policy or directive that emphasize respectful and humane engagement with youth, and reflect that the admission process may regarding admission expectations of this be traumatic to youth who may have already population. The agency is currently experienced trauma. Policies shall be trauma-informed, operating without policy or directives for the culturally relevant, and responsive to the language and operations for their SYTF youth at Admission literacy needs of youth. In addition to the requirements and relies on the RTSB policy. of Sections 1324 and 1430 of these regulations: Four files were reviewed for inspection purposes. All contained proof of practice for all areas required by regulation as the ☒ ☐ ☐ practices and policies of the Camp admission were followed and documented on RTSB forms except for a recent signoff that is specific to SYTF. This issue was previously discussed and addressed with administrators during inspections at BJN SYTF and while at CVK SYTF that appropriate, gender-specific policy/procedures should be implemented. This has not yet occurred. (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 Youth do not bring their personal belongings belongings; ☒ ☐ ☐ with them to the SYTF. Parents are notified at release that their belongings are available for pick up at the Juvenile Hall. Policy Section 502: Orientation Process and Handbook (4) Offer of food upon arrival; ☒ ☐ ☐ Documentation noted that food was offered in all instances. Policy Section 402: Assessment and Classification (5) Screening for physical and behavioral health and safety issues, intellectual or developmental Medical and mental health screen and clear ☒ ☐ ☐ disabilities; all youth prior to transfer from the JH. Youth meet with mental health and medical upon arrival. 7235 Los Angeles SYTF @ DKC 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 (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 Institutional Setting (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Youth we spoke with noted that staff are respectful and there have been no issues thus far in these areas. (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 ☐ The new Youth/Young Adult Rights ☒ ☐ screening criteria for inclusion and exclusion from the Handbook signoff page notes the youth’s program. projected release date and their early release date. (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 sexual abuse by or upon youth. The policy shall require Six intake packets were reviewed for facility staff to assess each youth within 72 hours of ☒ ☐ ☐ compliance. admission based on the following information: All PREA assessments were timely, were completed as required, and were compliant with regulations. The same practices occur as do RTSB. 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 7235 Los Angeles SYTF @ DKC 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 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 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 secure file cabinet accessible only to administrators. 1351 RELEASE PROCEDURES Policy Section 809: Release Procedures The facility administrator shall develop and implement There have been no releases from the SYTF written policies and procedures for release of youth ☐ ☐ ☒ @ DKC facility to date. However, at this time, from custody which provide for: the facility would still be utilizing the RTSB practices which were found to be compliant. Policy Section 809: Release Procedures (a) verification of identity/release papers; ☐ ☐ ☒ Policy Section 809: Release Procedures (b) return of personal clothing and valuables; ☐ ☐ ☒ 7235 Los Angeles SYTF @ DKC 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 Policy Section 809: Release Procedures (c) notification to the youth's parents or guardian; ☐ ☐ ☒ (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, Policy Section 809: Release Procedures (e) notification of school staff; ☐ ☐ ☒ Policy Section 809: Release Procedures (f) notification of facility mental health personnel. ☐ ☐ ☒ 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. 1352 CLASSIFICATION Policy Section 402: Assessment and Classification Policy The facility administrator shall develop and implement written policies and procedures on classification of ☒ ☐ ☐ Four 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 Youth are ordered by the courts to the SYTF status, public safety considerations, medical/mental @ DKC Facility. Upon arrival, youth are ☒ ☐ ☐ health considerations, gender and gender identity of the classified (assigned to a specific cottage), youth; based on age, gender, needs etc. A thorough assessment is completed to ensure safety and security for all youth and staff. (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, ☒ ☐ ☐ Assigned officers complete weekly casework notes, including updating location. (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. 7235 Los Angeles SYTF @ DKC 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 (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: We were able to speak with a transgender youth while on site. Several areas were discussed with the only area of concern ☒ ☐ ☐ discussed by the young person was the lack of suitable programs for him. He expressed frustration that he was unable to participate in the same programs offered at CVK despite being a part of the same program but for females. This was actually a shared concern by all residents. (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. 7235 Los Angeles SYTF @ DKC 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 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 4 orientation packets completed placement in a living area. Both written and verbal information shall be provided and supplemented with and provided for our review. Per facility video orientation if feasible. Provision shall be made to orientation documentation, each youth was provide accessible orientation information to all initially orientated upon entry to the RTSB detained youth including those with disabilities, limited Operation. They did not receive a SYTF- literacy, or English language learners. Orientation shall specific Orientation as one had not yet been include information that addresses: implemented. All were again oriented in October 2023, once a handbook was completed. Signoffs were provided noting their understanding of the expectations. The handbook provided to the youth and for review was found to be specific to Barry J. Nidorf SYTF and noted the process to reclassify to Campus Kilpatrick. The handbook contained information specific to CVK such as the Camp Fire store at CVK ☐ ☒ ☐ and the specific programming present at CVK. The booklet also provided a schedule for both CVK and BJN. Information noted the Re-entry fire camp was only open to Barry J. Nidorf 90 days and lists specific fire prevention tips for CVK. SYTF @ DKC is a separate program, at a different location, with different programs and activities. It was noted back in August 2023, and again in September 2023, that the girls need an orientation specific to their program. We were not provided with this information. There are also several sections of regulation that appear to be missing in the handbook and no other proof of practice was provided to note these areas were discussed. They are noted below. (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 7235 Los Angeles SYTF @ DKC 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 (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 (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 Officer who intakes the youth also facility, medical, school and mental health; and, contacts the youth’s parents. This same ☒ ☐ ☐ officer answers any questions the parents may have. There is also a parent handbook that is sent to the youth automatically upon arrival to 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. 7235 Los Angeles SYTF @ DKC 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 (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. ☒ ☐ ☐ There were no separations outside of the cottage. Self-Separation examples were provided and were documented per policy. (b) consideration of positive youth development and Policy Sections 514: Separation and Policy trauma-informed care. Section 1400: The Healing Opportunities ☒ ☐ ☐ and Positive Engagement (HOPE) Center (c) separated youth shall not be denied normal Policy Sections 514: Separation and Policy privileges available at the facility, except when Section 1400: The Healing Opportunities necessary to accomplish the objective of separation. and Positive Engagement (HOPE) Center ☒ ☐ ☐ No Separations occurred. (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. . 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 There have been no room confinements for 208.3. The placement of a youth in room confinement the SYTF young people. shall be accomplished in accordance with the following guidelines: (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. (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: ☒ ☐ ☐ There was no documentation of room confinement noted. 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 7235 Los Angeles SYTF @ DKC 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 (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 (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. (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. 7235 Los Angeles SYTF @ DKC 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 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. Four youth files were reviewed to inspect for the assessment, case plan, periodic review, and transition plan. SYTF youth are provided with an MDT to complete the Individual ☐ ☒ ☐ Rehabilitation Plan (IRP) which is sent and approved by the court. This process is different than the Camp process as the court is involved, and the timelines are different. There is no SYTF policy and the RTSB policy is not specific to the population or to the process. (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 ☒ ☐ ☐ A detailed assessment is completed which substance abuse history, educational, vocational, also includes the 27-pt. assessment, a counseling, behavioral health, consideration of known classification, a risk assessment, and a PREA history of trauma, and family strengths and needs. assessment. (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 the young person’s entry into the SYTF program. (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 Each youth is subject to a multi-disciplinary team which consists of the youth, their ☐ ☒ ☐ family, probation staff, partners, attorneys, advocates, etc. Programming and treatment goals were found to be established but we were unable to determine the timeframe based on documentation provided. (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; Service Providers and/or those responsible are noted in the IRP. 7235 Los Angeles SYTF @ DKC 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 (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 completed by an assigned officer in the same manner as RTSB. It is unknown what the process is for ☐ ☒ ☐ this section as there is no current policy. We found most notes to be documented but, in some cases, we found them to be trivial and not specific to the work completed on goals. Notes must be specific to behavior. (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, There were no transition plans provided as ☐ ☐ ☒ there have been no releases. We will ensure to follow up on this section in future inspections. (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. 1356 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 The young people spoke highly of their staff of appropriate counseling and casework services for all ☒ ☐ ☐ and professional supportive adults in their youth. Policies and procedures shall ensure: lives. All we spoke to note the ability to address any issue with staff or other partner agencies. (a) youth will receive assistance with needs or concerns Policy Section 705: Ongoing Case that may arise; ☒ ☐ ☐ Management Activities (b) youth will receive assistance in requesting contact Policy Section 705: Ongoing Case with parents, other supportive adults, attorney, clergy, Management Activities ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources Policy Section 705: Ongoing Case to meet the youth’s needs. ☒ ☐ ☐ Management Activities 1357 USE OF FORCE Policy Section 1701: Physical 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, which may include chemical agents. Force shall never ☒ ☐ ☐ There has been no use of force utilized. The be applied as punishment, discipline, retaliation or remainder of this section was marked as yes treatment. for policy. (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 7235 Los Angeles SYTF @ DKC 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 (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 incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (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 (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. ☒ ☐ ☐ Technical assistance 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. 7235 Los Angeles SYTF @ DKC 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 (5) provide for the documentation of each incident of NA 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 eight-hour Use that address: of Force and 16-hour Safe Crisis Management. 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 of 24 hours of ☒ ☐ ☐ annual SCM training and policy/institutions update. (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. 7235 Los Angeles SYTF @ DKC 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 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1705: Restraints The facility administrator, in cooperation with the There have been no incidents in which the responsible physician and mental health director, shall physical restraint log has been used. develop and implement written policies and procedures for the use of restraint devices. Restraint devices The Physical Interventions Policy is not clear include any devices which immobilize a youth's extremities and/or prevent the youth from being regarding the four- (4) hour requirement for ambulatory. 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. Supervisors include the DKC and Camp Scott supervisors. 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 review this section again 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. 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. 7235 Los Angeles SYTF @ DKC 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 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 ☒ ☐ ☐ 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 responsible physician and behavioral/mental health ☒ ☐ ☐ director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) 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 7235 Los Angeles SYTF @ DKC 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 (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 There were no incidents that occurred that process for documentation and supervisor review and included the use of restraints for approval. movements. ☒ ☐ ☐ 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 review this section again during our 2024 targeted inspection. (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 Secure Youth Treatment Facility (SYTF) @ DKC 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 N/A. develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of N/A necessary nutrition and fluids, access to a toilet, and ☐ ☐ ☒ suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or N/A designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision N/A and documentation of the youth's behavior and any staff interventions every 15 minutes, with actual time ☐ ☐ ☒ recorded; (4) provide that the youth shall be evaluated by the N/A facility manager, or designee, every four hours; ☐ ☐ ☒ (5) provide for immediate medical assessment, N/A where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason 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: ☐ ☐ ☒ 7235 Los Angeles SYTF @ DKC 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 (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 written policies and procedures governing the search of ☒ ☐ ☐ Down, Strip, and Body Cavity Searches) youth, the facility, and visitors. Policies and procedures shall provide that: (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 cottage searches was ☒ ☐ ☐ provided for the dates between August 20, 2023, and September 3, 2023. Also provided was documentation of K9 searches. No contraband was noted as being found. (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. ☐ ☐ This section was left blank as we did not view a search conducted. Youth we spoke to did not report being subject to strip searches. (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 ☐ ☐ contraband. The reasonable suspicion shall be documented. (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 7235 Los Angeles SYTF @ DKC 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 (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 Four grievances were provided for review written policies and procedures whereby any youth may that were written in October 2023. All youth appeal and have resolved grievances relating to any expressed their concerns regarding condition of confinement, including but not limited to programming. All youth believe their health care services, classification decisions, program ☒ ☐ ☐ programming is not equitable to the youth at participation, telephone, mail or visiting procedures, BJN or CVK. 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. All grievances were documented on paper copies. (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 the 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. (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 Grievances were addressed appropriately addressed immediately; and timely. 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. All grievances were timely. (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. 7235 Los Angeles SYTF @ DKC 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 (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 longer time frame. The youth shall be notified of any ☒ ☐ ☐ All grievances were completed/resolved delay; and, within the 10-business day guideline. (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 on 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 maintained. Such written record shall be prepared by the ☒ ☐ ☐ One report provided for review. Report was staff and submitted to the facility manager by the end of timely and well-written. the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO Policy Sections 306: Live Scan and DNA COLLECT DNA SPECIMENS, SAMPLES, Collection and 1122: Juvenile Collection of IMPRESSIONS DNA Samples (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel DNA is not collected at Secure Youth including peace officers, may employ reasonable force Treatment Facility (SYTF) @ DKC. Any ☒ ☐ ☐ to collect blood specimens, saliva samples, and thumb youth who needs DNA conducted; they or palm print impressions from individuals who are would be transferred to Los Padrinos for required to provide such samples, specimens or collection. impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. The section is marked yes for policy. (1) For the purpose of this section, the “use of Policy Sections 306: Live Scan and DNA reasonable force” shall be defined as the force that Collection and 1122: Juvenile Collection of an objective, trained and competent correctional DNA Samples employee, faced with similar facts and ☒ ☐ ☐ circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded 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. 7235 Los Angeles SYTF @ DKC PRO 23-24 Page 36 of 55 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The force shall not be used without the prior written Policy Sections 306: Live Scan and DNA authorization of the supervising officer on duty. The Collection and 1122: Juvenile Collection of authorization shall include information that reflects 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. 7235 Los Angeles SYTF @ DKC 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 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 conjunction with the Chief Probation Officer, or designee Community Schools. The policy has not pursuant to applicable State laws. The school and facility changed since the last cycle. administrators shall develop and implement written policy and procedures to ensure communication and The educational team is led by Dr. Donna coordination between educators and probation staff. Baker, the School Principal. Youth attend Culturally responsive and trauma-informed approaches school from 8:30 AM to 3:00 PM daily. should be applied when providing instruction. Education staff should collaborate with the facility administrator to The education program was last inspected use technology to facilitate learning and ensure safe on November 20, 2023, by Dr. Allison technology practices. The facility administrator shall Garland, Asst. Superintendent, Student request an annual review of each required element of the Services, Montebello Unified School District program by the Superintendent of Schools, and a report and James L. Sams, Director of Student or review checklist on compliance, deficiencies, and Services, Montebello Unified School District. corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be The following narrative reflects the delegated to the principal or any other staff of any educational summary from the education juvenile court school site. The Superintendent of Schools report. shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, The interview was followed by an in-person the facility administrator or designee shall review each tour of the students’ classrooms, intervention item with the Superintendent of Schools and shall take rooms, restrooms, housing facilities, whatever corrective action is necessary to address each recreation facilities, and a counseling center. deficiency and to fully protect the educational interests of ☒ ☐ ☐ The classroom visits were positive and all youth in the facility. engaging. Student ambassadors greeted the team and informed the group about the educational units they were 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 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. 7235 Los Angeles SYTF @ DKC 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 (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 State physically, emotionally, and intellectually safe. Youth education code and LA County Board of shall be provided a rigorous, quality educational program Education policies. that responds to the different learning styles and abilities of students and prepares them for high school ☒ ☐ ☐ Kirby school uses LACOE’s award-winning graduation, career entry, and post-secondary education. 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. (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 (Algebra) then previous math will need to be called pre-algebra etc. Health, 12t 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 through ☒ ☐ ☐ eligible youth. 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 days. Average length of stay is 5-9 months. 7235 Los Angeles SYTF @ DKC 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 (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, ☒ ☐ ☐ time out of class or educational instruction, both Absences are recorded and coded as excused and unexcused, shall be documented. illness, medical, dental, and court. 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 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 probation officer meet with them. Students Individualized Education Program (IEP). are provided with class materials and academic support throughout the day. 7235 Los Angeles SYTF @ DKC 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 (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 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, participation in CTE programs, and get 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. 7235 Los Angeles SYTF @ DKC 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 (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 have 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 the 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. 7235 Los Angeles SYTF @ DKC 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 (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 meet credits they need to graduate. 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. 7235 Los Angeles SYTF @ DKC PRO 23-24 Page 43 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 DKC 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 also in the process of 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 ☒ Dorm stages and in the HOPE Center. ☐ ☐ Overall, we found youth to be receiving their required Title 15 activities: 1 hour of rehabilitational programming, 1 hour of large muscle exercise, and 1 hour of recreation daily. Youth exceeded these requirements, especially in recreation. 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 the cottages. There will be a written annual review of the programs, Policy Section 1306: Programs, Recreation recreation, and exercise by the responsible agency to and Exercise ensure content offered is current, consistent, and relevant to the population. Annual Reviews were 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. 7235 Los Angeles SYTF @ DKC PRO 23-24 Page 44 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 Documentation of Aqua and Amethyst was culturally relevant and linguistically appropriate, or pro- provided for review. Programming logs were social interventions and activities designed to reduce completed very thoroughly. recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 Discussion held encouraging staff to ensure and 1356. Such programs may be provided under the all DMH programming is documented. Youth direction of the Chief Probation Officer or the County we spoke with noted these interventions Office of Education and can be administered by county partners such as mental health agencies, community occur however, it is not documented based organizations, faith-based organizations or consistently. This was addressed with Probation staff. administration for additional review during quality assurance in the future. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; We also noted the programming for the (2) Management of Stress and Trauma; SYTF young people is the same (3) Anger Management; programming as for the RTSB program. We (4) Conflict Resolution; noted there really is no real difference (5) Juvenile Justice System; between the programming provided to the (6) Trauma-related interventions; youth. All youth expressed concern over not (7) Victim Awareness; receiving the same programming (8) Self-Improvement; opportunities or other activities as their male (9) Parenting Skills and support; (10) Tolerance and Diversity; counterparts. (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; Community-Based Organizations (13) Gender Specific Programming; (14) Art, creative writing, or self-expression;  Arts for Healing and Justice (15) CPR and First Aid training;  Anti-Recidivism Coalition - CM ☒ ☐ ☐ (16) Restorative Justice or Civic Engagement;  Million Littles (17) Career and leadership opportunities; and,  Theater of Hearts (18) Other topics suitable to the youth population.  Street Poets  Rhythm Arts Alliance (RAA)  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 7235 Los Angeles SYTF @ DKC 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  Voter Registration/Selective Service  Employment opportunities  OSHA Course Certification Program  Gang Reduction Youth Development Healing Circles (GYRD)  Personal Enrichment Training (PET) Career Exploration  Access to Technology  Probation  Life Skills Discussion  Circle Up (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. (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 youth, we noted, do receive the ☒ ☐ ☐ opportunity for exercise. Documentation was provided and reviewed. This was validated through the conversations with the youth. The administrator/manager may suspend, for a period Policy Section 1306: Programs, Recreation not to exceed 24 hours, access to recreation and and Exercise programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy Section 1004: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: Policy Section 1004: Religious Services Logs of religious services were provided for review for August 20 and 27 and September 9 and 10, 2023. (a) opportunity for religious services and practices; ☒ ☐ ☐ 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 make requests at any time for a ☒ ☐ ☐ specific pastor, priest, or other religious clergy to be placed on their visiting list. 7235 Los Angeles SYTF @ DKC 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 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 SYTF youth are pending correct procedures regarding the fair and consistent assignment documentation for program enrollment. of youth to work programs. Work assigned to a youth ☒ ☐ ☐ Once these documents are received, they shall be meaningful, constructive and related to will be eligible to attend and participate. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 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 receive visits by parents, guardians or persons standing Regular visits occur with parents and in loco parentis, and children of youth. Other family guardians and the children of youth would be members, such as grandparents and siblings, and allowed to visit if applicable. 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. Any youth not receiving a visit is provided with a facetime 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, shall be accommodated as necessary and within the Special visits can be approved in advance by discretion of the facility administrator or designee. Family the supervisor and/or director. 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. SYTF @ DKC does utilize technology for ☒ ☐ ☐ additional phone calls. This is above and beyond what is required. Any youth not receiving a visit receives a tech call. 7235 Los Angeles SYTF @ DKC 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 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. (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 phone calls every few days. 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, Secure Youth Treatment Facility (SYTF) @ ☒ ☐ ☐ DKC 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; ☒ ☐ ☐ (c) full nutrition; Policy Section 601: Discipline ☒ ☐ ☐ (d) contact with parent or attorney; ☒ Policy Section 601: Discipline ☐ ☐ 7235 Los Angeles SYTF @ DKC 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 (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 Discipline is not clearly defined. Sanctions are affirmatively, and be made available to all youth. noted as Room Confinement (yet room Provision shall be made to provide accessible confinement is not occurring) and PIR/SIR information to youth with disabilities, limited English (Reports) as consequences are provided in ☐ ☒ ☐ proficiency, or limited literacy. the facility handbook but are not specific to the violation i.e. major or minor. It is unknown what provisions are made for youth with disabilities or limited literacy or language proficiency. This section will need to be addressed to be brought into compliance. 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; Major and minor rule violations are not clearly defined nor are the consequences. This is ☒ ☐ ☐ addressed in 1390. Sanctions and Appeals are still being completed and will further be addressed per managers. (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 ☒ ☐ ☐ A Sanctions Form was provided for review in review and appeal to a supervisor; and, which an essay was assigned to correct negative behavior. (f) major rule violations and the discipline process shall Policy Section 606: Due Process be documented and require the following: There were no documents provided of this process at this time as there have been ☐ ☒ none. ☐ We noted the language in the handbook to be confusing regarding due process and suggest clarification. This is an ongoing issue in the other SYTF facilities. 7235 Los Angeles SYTF @ DKC 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 (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; ☐ (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; ☐ Policy Section 606: Due Process ☐ ☒ (6) provision for administrative review. ☐ (g) violations that result in a removal from camp or Policy Section 606: Due Process commitment program, but not a return to court, will ☐ ☒ follow the due process provisions in subsection (e) ☐ The handbook notes that youth may also be above. returned to court for review of an incident. 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; ☒ ☐ ☐ Youth 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. 7235 Los Angeles SYTF @ DKC 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 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 505: Access to Care/Request (EXCERPT) for Services The health administrator, in cooperation with the facility Youth interviewed were all aware of the sick administrator, shall develop policy and procedures to ☒ ☐ ☐ call process. Youth stated probation staff will establish a daily routine for youth to convey requests for call medical or mental health any time they emergency and non-emergency medical, dental and are asked. Youth requests are responded to behavioral/mental health care services. timely. 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, fit well and was in good shape. Youth footwear. Clothing provisions shall ensure that: ☒ ☐ ☐ we spoke with had no complaints regarding clothing and stated, if they needed something, they could easily get what they need 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. 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 receive 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 ensures adherence with temperature controls. (d) Suitable clothing is issued to pregnant youth. Policy Section 1305: Clothing and Bedding Exchange ☒ ☐ ☐ There were no pregnant youth to interview. Clothing consists of elastic type waists and accommodations would be made as needed. 7235 Los Angeles SYTF @ DKC 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 Youth 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 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 camp. All personal clothing is retrieved by the administrator to control the contamination and/or ☒ ☐ ☐ 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. When reaching a certain level in the items. Each female youth shall be provided with behavior management program, personal sanitary napkins, panty liners and tampons as products can be brought from home. 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. 7235 Los Angeles SYTF @ DKC 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 teeth. Youth shall be permitted to shower/bathe up on ☒ ☐ ☐ Youth shower daily, generally in the evening, assignment to a housing unit and on a daily basis however, if time permits and if youth were to thereafter and given an opportunity to brush their teeth ask to shower in the morning or any other after each meal. time, staff will make attempts to accommodate this. 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 have 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. Documentation provided noted all the male Equipment shall be cleaned and disinfected after each ☐ ☒ ☐ 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. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 411: Bedding Issuance Clean laundered, suitable bedding and linens, in good Bedding and linens are provided upon entry. repair, shall be provided for each youth entering a living ☒ ☐ ☐ Each youth is provided with fresh, new area who is expected to remain overnight, shall include, bedding upon entry. All bedding is laundered but not be limited to: weekly. (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 scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Policy Section 1305: Clothing and Bedding once a month. Exchanges ☒ ☐ ☐ Youth wash their own bedding in the cottages during their weekly laundry day. 7235 Los Angeles SYTF @ DKC 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 maintenance of an acceptable level of cleanliness, Handcuff Sanitizing Procedure repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, Youth are responsible for the cleaning of their ☒ ☐ ☐ equipment, including restraint devices, and physical own rooms and pick up after themselves in plant maintenance and inspections to identify and the cottages. There is a contracted cleaning correct unsanitary or unsafe conditions or work crew who clean the common areas of the practices in a timely manner. The use of chemicals shall facility and the cottages daily, including the be done in accordance to the product label and Safety cottages, cleaning around the facility from Data Sheet which may include the use of Personal 8:00 AM to 2:30 PM daily. Protection Equipment (PPE). 7235 Los Angeles SYTF @ DKC 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. S Ju ta v t e u n s i l O e f D fe e n li d n e q r u s e ( n W ts I C (W 6 I 0 C 1 ) 6 a 0 r 2 e ) ? k e (W pt I C se 2 p 0 a 7 ra [d te ]) . f rom ☐ Vio ☐ lati on ☐ Federal Minors (ICE Holds or ORR Contract) are held ☐ ☐ ☒ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☒ separated from minors. Vio ☐ lation A or d “ u S lt c i a n r m ed a t S es tr a fr i o g m ht ” a p n r o a g d r u a lt m fa s) c i a li r ty e ( n e o .g t . a i l n lo m w a e t d e i w n o th rk e e rs ☐ Vio ☐ lati on ☒ facility in a manner that allows contact with minors. 7235 Los Angeles SYTF @ DKC 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: 7235 FACILITY: TYPE: RC: SYTF @Dorothy Kirby Center SYTF (Aqua) 8 FIELD REPRESENTATIVE: DATE: Lisa Southwell December 22, 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 Aqua Pre-98 SCOTT RC 5 and SYTF 5 Dayroom 1 51’ x 30’ = 1,530 (No. Hall) Restroom 1 1 2 1 1 Single 5 1 1 5 7’8” x 11’8” = 89 5 RC to SYTF (So. Hall) Restroom 1 1 2 1 1 Single 3 1 1 5 7’8” x 11’8” = 89 2 RC to Camp Scott 3 RC to SYTF HISTORICAL NOTES: See historical notes in DKC: 2020-2022: Cottages adjusted. Scott has 5 RC/SYTF has 5 in Aqua 2023-2024: Cottages adjusted. Add 3 beds to SYTF, remove 2 Scott Beds. *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 SYTF @ DKC LASE 23-24 - 1 - 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* BSCC Code: 7235 FACILITY NAME: FACILITY TYPE: SYTF@DKC is housed in a cottage of Dorothy Kirby Center Camp CONSTRUCTION/REMODEL DATE(S): 1960 IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: FIELD REPRESENTATIVE: DATE: Lisa Southwell 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. *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). 7235 Los Angeles SYTF @ DKC PHY 23-24 - 1 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS DOUBLE ROOMS (JH, SPJH & CAMP) ☐ ☒ Contain a minimum of 800 cubic feet of airspace and ☐ 100 square feet of floor space. DORMITORY SLEEPING AREAS (JH & CAMP) ☐ ☒ Contain a minimum of 400 cubic feet of airspace and ☐ 50 square feet of floor space per minor. LOCKED SLEEPING ROOMS (JH, SPJH & CAMP) There are 3 locked sleeping rooms located in the Intensive Care Unit (ICU). Contain an individual or combination drinking fountain, wash basin and toilet, unless a communication system ☒ ☐ ☐ or procedure is in effect to give minor immediate access to these fixtures. PLUMBING FIXTURES (CAMP) The following plumbing fixtures are adjacent to each sleeping area: ☒ ☐ ☐ Shower or bathtub at a ratio of 1:6; Washbasins at a ratio of 1:10; ☒ ☐ ☐ Access to toilets at a ratio of 1:10 or toilet and one urinal for every 15 boys; and, ☒ ☐ ☐ Access to a drinking fountain. ☒ ☐ ☐ BEDS AND MATTRESSES (JH, SPJH & CAMP) Beds and mattresses are: ☒ ☐ ☐ A least 30 inches wide and 76 inches long; Spaced at least 36 inches apart and at least 12 inches off the floor; and, ☒ ☐ ☐ Mattresses are made of a fire retardant material. ☒ ☐ ☐ INTERVIEW ROOMS (JH, SPJH & CAMP) There is one interview room for each detention unit in ☒ ☐ ☐ juvenile halls and special purpose juvenile halls. There is a private room suitably equipped for conferences and interviews in each camp. ☒ ☐ ☐ LIGHTING (JH, SPJH & CAMP) There are at least 50 foot candles of illumination at desk level and, at night, there is a maximum ☒ ☐ ☐ illumination of two foot candles at bed level in individual and multiple occupancy rooms. ACADEMIC CLASSROOM (JH & CAMP) Each classroom contains a minimum of 160 square feet with a teacher's desk and work area, and a ☒ ☐ ☐ minimum of 28 square feet per student. Classrooms should be designed for no more than 15 students. 98: Designed for no more than 20 students *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). 7235 Los Angeles SYTF @ DKC PHY 23-24 - 2 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS DINING SPACE (JH & CAMP) There is a minimum of 15 square feet of space for ☒ ☐ ☐ each person being fed at any given time. PHYSICAL ACTIVITY SPACE (JH & CAMP) (See 2001 regulations for revised calculations.) There is indoor space consisting of at least 30 square ☒ ☐ ☐ feet of clear space for each minor, which may be included in a day room, a recreational building, or a multipurpose space (gymnasium). There is outdoor and/or multipurpose (gymnasium) space consisting of: ☐ ☒ No less than the equivalent of 90' X 100' outdoor ☐ and /or multipurpose space (gymnasium) for a facility with a capacity of 40 or less. No less than the equivalent of 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with ☒ ☐ ☐ a capacity of more than 40, and a juvenile hall with a capacity between 41 to 100 minors. No less than the equivalent of two 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with ☒ ☐ ☐ a capacity of more than 40 and a juvenile hall with a capacity in excess of 101 minors. Lighting is adequate for security and evening  recreational activities in camps. STORAGE SPACE (JH, SPJH & CAMP) Each minor is provided 9 cubic feet of secure storage ☒ ☐ ☐ space for personal clothing and belongings. Camps shall have adequate space (12 square feet of floor area is recommended) for bulk and activity ☒ ☐ ☐ storage equipment. MULTIPURPOSE SPACE OR ROOM (SPJH) Applies only to Special Purpose Juvenile Halls. There is a multipurpose space or room that provides space for reception, dining, recreation, exercise and/or ☐ ☒ ☐ education. This room contains a minimum of: 30 square feet of clear floor space per minor in the ☐ ☒ room; ☐ 10 feet by 20 feet floor dimensions; and, ☐ ☒ ☐ 1600 cubic feet of air space with a minimum ☐ ☒ ceiling height of eight feet. ☐ *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7235 Los Angeles SYTF @ DKC PHY 23-24 - 3 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS SPECIAL PURPOSE JH EXEMPTIONS SPJHs are exempt from the following Pre-1998 Title 15 regulations: ☐ ☒ Section 4272(b) Medical exam rooms ☐ Section 4272(m) Academic classrooms Section 4272(n) Dining space Section 4272(o) Physical activities space 2023-2024: (Original Dorothy Kirby Center PHY) *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). 7235 Los Angeles SYTF @ DKC PHY 23-24 - 4 - J455 PHY Pre-98.dot (03/01)