Los Angeles PROB DKC SYTF (2025-2026 inspection cycle)

February 20, 2026 Guillermo Viera Rosa, Chief Probation Officer Los Angeles County Probation Department 9150 E. Imperial Hwy. Downey, CA 90242 2025-2026 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, LOS ANGELES COUNTY PROBATION DEPARTMENT DETENTION FACILITY Dear Chief Viera Rosa: A Comprehensive Inspection of the Los Angeles County Probation Department has been completed. A pre-inspection briefing was held on Tuesday, November 4, 2025, and the following facility was inspected between December 8, 2025, and December 10, 2025. FACILITY NAME BSCC # FACILITY TYPE Dorothy Kirby Center SYTF 7235 SYTF This inspection was conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Title 15, California Code of Regulations. INSPECTION RESULTS We identified the following item of noncompliance with Title 15 Minimum Standards. This was discussed at the facility inspection debrief and an Initial Inspection Report was provided to the Agency. §1355 Institutional Assessment and Plan Please refer to the attached Procedures Checklist for detailed information and to the Physical Plant Evaluation and Living Area Space Evaluation attachments for information related to Rated Capacity and Title 24 compliance. CORRECTIVE ACTION PLAN (CAP) The area found noncompliant was reviewed at the exit debrief on January 14, 2026. An Initial Inspection Report (IIR) outlining the item of noncompliance was provided to your staff on January 16, 2026, as additional information was provided at the debrief that required review. Pursuant to Welfare and Institutions Code section 209(d), a CAP must be provided to the Board of State and Community Corrections (BSCC) for approval no later than 60 days following the notice of noncompliance in the IIR, which is March 15, Guillermo Viera Rosa Chief Probation Officer Page 2 2026. Failure to submit a CAP by March 15, 2026, will result in the facility being deemed unsuitable for the confinement of youth. Upon receipt and approval of your CAP, BSCC staff will follow up with further information regarding the implementation of the corrective action plan and reinspection for compliance. Failure to correct the item/s of noncompliance within the approved timeframe following CAP approval will result in the county’s appearance before the BSCC Board for a determination of suitability. * * * Please email me at lisa.southwell@bscc.ca.gov or call (916) 322-1638 if you have any questions. Sincerely, LISA SOUTHWELL Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Los Angeles County Juvenile Court* Chair, Probation Commission, Los Angeles County* Chair, Board of Supervisors, Los Angeles County* County Administrator, Los Angeles County* Jocelyn Roman, Deputy Director, Los Angeles County Kim Binion, Senior Director, Los Angeles County *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7235 Los Angeles Dorothy Kirby Center SYTF CI LTR 25-26 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7235 FACILITY NAME: FACILITY TYPE: Secure Youth Treatment Facility Dorothy Kirby Center SYTF PERSON(S) INTERVIEWED: Jessica Carrington, Supervising Probation Officer, Enerika Herndon, DPO I, Monique Newsom DPO II, 5 Staff members, 2 Young People from each Cottage (16 Residents), Reuben Carranza, Principal, LACOE, Katy Callendar, Department of Mental Health. FIELD REPRESENTATIVE: DATE: Lisa Southwell December 8-10, 2025 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1313 COUNTY INSPECTION AND EVALUATION OF Policy Section 203: County Inspections of BUILDING AND GROUNDS Buildings and Grounds On an annual basis, or as otherwise required by law, each The inspection for 2025 was conducted on juvenile facility administrator shall obtain a documented ☒ ☐ ☐ October 28, 2025. inspection and evaluation from the following: (a) county building inspector or person designated by the No deficiencies were noted. Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Policy Section 203: County Inspections of clearance as required by Health and Safety Code Section Buildings and Grounds 13146.1(a) and (b); ☒ ☐ ☐ The fire inspections were completed on August 21, 2024, and on December 2, 2025, by LA County Fire Department. 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 1 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) local health officer, inspection in accordance with Policy Section 203: County Inspections of Health and Safety Code Section 101045; Buildings and Grounds Environmental The inspection for 2025 was conducted on February 20, 2025, by Yi-Jen Wendy Chen, REHS. Deficiencies were noted. A reinspection was conducted on May 16, 2025. All deficiencies were corrected. Medical/Mental Health Evaluation ☒ ☐ ☐ The inspection for 2025 was conducted on January 29, 2025, February 4, 2025, and March 19, 2025, by Tia Mao, RN, BSN, MSHCM, PHN. No deficiencies were noted. Nutritional The inspection for 2025 was conducted on March 19, 2025, by Adriana Diaz, DPH and Yoolim Hong, DPH. Deficiencies were noted and corrected. (d) county superintendent of schools on the adequacy of Policy Section 203: County Inspections of educational services and facilities as required in Section Buildings and Grounds 1370; High School Education for Dorothy Kirby Center SYTF youth is provided by Los Angeles County Office of Education (LACOE). ☒ ☐ ☐ 2025 The inspection was completed November 12, 2025, by Dr. Scott Bastian, Assistant Principal, LBUSD. (e) juvenile court as required by Section 209 of the Policy Section 203: County Inspections of Welfare and Institutions Code; and, Buildings and Grounds The inspection was completed on August 23, 2024, by the Honorable Miguel Espinoza, ☒ ☐ ☐ Supervising Judge. 2025 Inspection has not yet been completed. (f) the Juvenile Justice Commission as required by Policy Section 203: County Inspections of Section 229 of the Welfare and Institutions Code or Buildings and Grounds Probation Commission as required by Section 240 of the Welfare and Institutions Code. 2025 The inspection was completed in July 2025. ☒ ☐ ☐ The Probation Oversight Commission conducts annual inspections of the facility. All facility reports may be found at: https://poc.lacounty.gov/reports . 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 2 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1320 APPOINTMENT AND QUALIFICATIONS Policy Section 204: Appointments and Qualifications Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification letter A letter, dated March 19, 2025, was received confirming that all elements of regulation are met. from then Interim Chief Probation Officer Viera Rosa, certifying all appointments of (a) Appointment ☒ ☐ ☐ staff and required qualifications and In each juvenile facility there shall be a superintendent, clearances, including non-employees, are director or facility manager in charge of its program and met and are pursuant to the applicable laws. 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- Contracted personnel and Probation employees of the facility, who may be present at the volunteers are screened and approved facility, shall have such clearance and qualifications as through Probation. Partner agencies conduct may be required by law, and their presence at the facility ☒ ☐ ☐ their own screening processes and are shall be subject to the approval and control of the facility approved by Probation. manager. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 3 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1321 STAFFING Policy Section 206: Staffing Requirements and Each juvenile facility shall: Ratio (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its Staffing documentation reviewed, included the programming, to provide for safety and security of youth Dorothy Kirby Center Staff Roster, partner and staff, and meet established standards and agency rosters, daily schedules, and the regulations; facility worksheet for the week prior to the inspection. Random dates were checked to confirm adequate staffing. The worksheet showed sufficient staff on duty, and every shift had at least one supervisor present. All staff are assigned to DKC as a campus, are not separated by facility, and may be placed in different posts as needed. Staffing levels matched what facility managers identified as ☒ ☐ ☐ necessary for safe and secure operations. Youth reported no issues accessing activities, programs, outdoor time, or staff. They stated that nothing had been postponed or canceled due to staffing shortages. This was consistent with both the documents reviewed and our conversations. Staff reported stable staffing levels, noting the addition of new personnel and a willingness among staff to work overtime when needed. Overall, staff at Dorothy Kirby Center work collaboratively to ensure full coverage. Voluntary overtime is common and ordered overtime is rarely required. (b) ensure that no required services shall be denied Policy Section 206: Staffing Requirements and because of insufficient numbers of staff on duty absent Ratio exigent circumstances; ☒ ☐ ☐ No required service has been denied. (c) have a sufficient number of supervisory level staff to Policy Section 206: Staffing Requirements and ensure adequate supervision of all staff members; ☒ ☐ ☐ Ratio (d) have a clearly identified person on duty at all times Policy Section 206: Staffing Requirements and who is responsible for operations and activities and has Ratio completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living Policy Section 206: Staffing Requirements and unit whenever there are youth in the living unit; Ratio ☒ ☐ ☐ Youth are never left alone in their cottage. A staff member is always present. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 4 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) have sufficient food service personnel relative to the Policy Section 206: Staffing Requirements and number and security of living units, including staff qualified Ratio and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct All food is prepared and provided onsite by food preparation and servings; conduct related training ☒ ☐ ☐ facility cooks. Meals are planned and prepared programs for culinary staff; and maintain necessary on site and delivered to the cottages in hot records; or, a facility may serve food that meets nutritional bags. standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, Policy Section 206: Staffing Requirements and medical, dental, mental health, building maintenance, Ratio transportation, control room, facility security and other support staff for the efficient management of the facility, Mental Health Services are provided by the and to ensure that youth supervision staff shall not be Los Angeles County Department of Mental diverted from supervising youth; and, Health (DMH). Led by program manager, Katy Callender, the mental health team consists of therapeutic and division support staff. Services are available between 8AM-8PM daily. DMH provides several programs at the facility. Dialectical Behavior Therapy (DBT), Substance Abuse Classes, Individual, group, and family groups are all provided in addition to ongoing medication management. Mental Health staff collaborate with Probation staff ensuring the youth’s needs are met. MH staff also work collaboratively with facility partners and participate in the multi-disciplinary team ☒ ☐ ☐ meetings. Medical services are provided by Juvenile Court Health Services (JCHS). We were unable to meet with the JCHS supervisor due to scheduling conflict but found the facility has nursing onsite daily to meet the needs of the youth and to address all sick call rounds between the hours of 6AM and 10PM. Staffing consists of one Nurse Manager, one Supervising Clinic Nurse, and four Registered Nurses. Any afterhour care or consultation is received from the Juvenile Hall or from on-call providers. All care is triaged onsite. If medical treatment is required, youth will be taken out accordingly, for specific services. (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 Policy Section 206: Staffing Requirements and (A) during the hours that youth are awake, one Ratio wide-awake youth supervision staff member on ☒ ☐ ☐ duty for each 10 youth in detention; The facility ratio is staffed at 1 to 8 during hours youth are awake. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 5 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (B) during the hours that youth are confined to their The facility ratio is 1 to 16 during hours youth room for the purpose of sleeping, one wide-awake are asleep. youth supervision staff member on duty for each 30 ☒ ☐ ☐ youth in detention; (C) at least two wide-awake youth supervision staff The SYTF facility is part of the larger DKC members on duty at all times, regardless of the campus. There are always two staff in the number of youth in detention, unless an facility. 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 There are always male and female staff on duty who is the same gender as youth housed in duty. ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Staff in these roles do not conduct youth duties such as administration, supervision of supervision roles. 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 their Does not apply. room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth in detention; (C) at least two wide-awake youth supervision staff Does not apply. 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 Does not apply. (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☐ ☐ ☒ duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their Does not apply. room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth present in the facility; (C) at least two wide-awake youth supervision staff Does not apply. members on duty at all times, regardless of the number of youth in residence, unless arrangements have been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 6 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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) in addition to the minimum staff to youth ratio Does not apply. required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other Does not apply. duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☒ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy Section 205: Youth Supervision Staff AND TRAINING Orientation and Training (a) Prior to assuming any responsibilities each youth Training documentation was requested and supervision staff member shall be properly oriented to received from the last five staff assigned to their duties, including: Dorothy Kirby Center. (1) youth supervision duties; All staff noted are reassigned field staff (previously deployed) who have now been ☒ ☐ ☐ permanently assigned to the facility until further notice. All were reassigned back to the Dorothy Kirby Center either in March 2025 and April 2025. All documentation of required training was found to be complete. Policy Section 205: Youth Supervision Staff (2) scope of decisions they shall make; ☒ ☐ ☐ Orientation and Training Policy Section 205: Youth Supervision Staff (3) the identity of their supervisor; ☒ ☐ ☐ Orientation and Training (4) the identity of persons who are responsible to Policy Section 205: Youth Supervision Staff them; ☒ ☐ ☐ Orientation and Training (5) persons to contact for decisions that are beyond Policy Section 205: Youth Supervision Staff their responsibility; and ☒ ☐ ☐ Orientation and Training (6) ethical responsibilities. Policy Section 205: Youth Supervision Staff ☒ ☐ ☐ Orientation and Training (b) Prior to assuming any responsibility for the supervision Policy Section 205: Youth Supervision Staff of youth, each youth supervision staff member shall Orientation and Training receive a minimum of 40 hours of facility-specific orientation, including: Any new staff assigned to a facility, whether ☒ ☐ ☐ (1) individual and group supervision techniques; new to the agency or not, are assigned to a training officer who is responsible for all facility training needs and signoffs. (2) regulations and policies relating to discipline and Policy Section 205: Youth Supervision Staff rights of youth pursuant to law and the provisions of Orientation and Training ☒ ☐ ☐ this chapter; Policy Section 205: Youth Supervision Staff (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Orientation and Training 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 7 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) suicide prevention and response to suicide Policy Section 205: Youth Supervision Staff attempts ☒ ☐ ☐ Orientation and Training (5) policies regarding use of force, de-escalation Policy Section 205: Youth Supervision Staff techniques, chemical agents, mechanical and Orientation and Training ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Policy Section 205: Youth Supervision Staff trauma and trauma-informed approaches; ☒ ☐ ☐ Orientation and Training Policy Section 205: Youth Supervision Staff (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Orientation and Training (8) routine security measures, including facility Policy Section 205: Youth Supervision Staff perimeter and grounds; ☒ ☐ ☐ Orientation and Training (9) crisis intervention and mental health referrals to Policy Section 205: Youth Supervision Staff mental health services; ☒ ☐ ☐ Orientation and Training Policy Section 205: Youth Supervision Staff (10) documentation; and ☒ ☐ ☐ Orientation and Training Policy Section 205: Youth Supervision Staff (11) fire/life safety training ☒ ☐ ☐ Orientation and Training (c) Prior to assuming sole supervision of youth, each Policy Section 205: Youth Supervision Staff youth supervision staff member shall successfully Orientation and Training complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section ☒ ☐ ☐ All Los Angeles County Facility staff complete 6035. 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 205: Youth Supervision Staff supervision staff shall successfully complete training Orientation and Training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy Section 910: Fire Safety Plan Whenever there is a youth in a juvenile facility, there shall Facility staff must remain awake at all times. 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 prior to arriving at the facility. Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL The Secure Youth Treatment Bureau (RTSB) Policy and Procedure Manual was provided All facility administrators shall develop, publish, and to review. implement a manual of written policies and procedures that address, at a minimum, all regulations that are The last update of the SYTF policy manual applicable to the facility. Such a manual shall be made occurred in May of 2024. Staff sign-offs have available to all employees, reviewed by all employees, been provided for the review at that time. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those ☒ ☐ ☐ A memo was provided, noting that the full records relating to the standards and requirements set review was completed in 2025 and no forth in these regulations shall be accessible to the Board substantive changes impacting operations on request. have been made; however, there are several The manual shall include: technical changes that are in the process of full approval. It is expected this approval process will be completed within the next 60- 90 days. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 8 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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: • 102:Policy and Procedures Manual • 103: Role of SYTF • 201: Administrative Structure and Chain of Command • 202: Administrative Structure and Responsibilities • 208: Duty Statement-Supervising Deputy Probation Officer (SDPO)/RS Supervisor ☒ ☐ ☐ • 209: Duty Statement-Supervising Detention Services Officer (SDSO) • 210: Duty Statement-Senior Detention Services Officer (Sr. DSO) • 211: Duty Statement-Deputy Probation Officer II (DPO II) • 212; Duty Statement-Deputy Probation Officer I (DPO I) • 213: Duty Statement-Detention Services Officer (DSO) • 214: Duty Statement-Group Supervisor Nights (GSN) • 215: Organizational Chart (b) responsibility of the probation department, purpose of Policy Sections: programs, relationship to the juvenile court, the Juvenile • 101: Vision, Mission, and Core 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: • 202: Administrative Structure and Responsibilities • 208: Duty Statement-Supervising Deputy Probation Officer (SDPO)/RS Supervisor • 209: Duty Statement-Supervising Detention Services Officer (SDSO) • 210: Duty Statement-Senior ☒ ☐ ☐ Detention Services Officer (Sr. DSO) • 211: Duty Statement-Deputy Probation Officer II (DPO II) • 212; Duty Statement-Deputy Probation Officer I (DPO I) • 213: Duty Statement-Detention Services Officer (DSO) • 214: Duty Statement-Group Supervisor Nights (GSN) 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 9 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) initial orientation and training program for employees; Policy Section 205: Youth Supervision Staff Orientation 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; ☒ ☐ ☐ Proof of practice sign-off’s of the orientation handbook for non-sworn and partner staff were provided for review. (f) maintenance of record-keeping, statistics and Policy Sections 701: Case Planning and communication system to ensure: Procedures Introduction and Section 702: ☒ ☐ ☐ (1) efficient operation of the juvenile facility; General Duties and Responsibilities Policy Section 701: Case Planning and (2) legal and proper care of youth; ☒ ☐ ☐ Procedures Introduction Policy Sections 701: Case Planning and (3) maintenance of individual youth's records; Procedures Introduction and Section 702: ☒ ☐ ☐ General Duties and Responsibilities Policy Sections 701: Case Planning and (4) supply of information to the juvenile court and Procedures Introduction and Section 702: those authorized by the court or by the law; and, ☒ ☐ ☐ General Duties and Responsibilities Policy Sections 701: Case Planning and (5) release of information regarding youth. Procedures Introduction and Section 702: ☒ ☐ ☐ General Duties and Responsibilities (g) ethical responsibilities; Policy Section 2130: Employee Honesty ☒ ☐ ☐ Policy Section 518: Trauma-Informed (h) trauma-informed approaches; ☒ ☐ ☐ Approaches Policy Section 519: Culturally Responsive (i) culturally responsive approaches; ☒ ☐ ☐ Approaches Policy Section 631: Promoting Dignity for (j) gender responsive approaches; ☒ ☐ ☐ Female Youth Housed in RTSB (k) a non-discrimination provision that provides that all Policy Section 402: Non-Discrimination youth within the facility shall have fair and equal access to Policy 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; ☒ ☐ ☐ Neither weapons nor ammunition are allowed into the facility. (m) establishment of procedures for collection of Medi- Policy Section 1714: Medi-Cal Administrative Cal eligibility information and enrollment of eligible youth; Activities (MAA) and, ☒ ☐ ☐ All youth and their families are referred to Medi-Cal upon release. A letter is sent to the family. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 10 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (n) establishment of a policy that prohibits all forms of Policy Section 1500: Prison Rape Elimination sexual abuse, sexual assault and sexual harassment. Act The policy shall include an approach to preventing, detecting and responding to such conduct and any The agency has developed and implemented ☒ ☐ ☐ retaliation for reporting such conduct, as well as a policy and procedure to address all areas of provision for reporting such conduct by youth, staff or a PREA. All staff have been trained and third party. completed sign-offs for accountability. 1325 FIRE SAFETY PLAN Policy Section 910: Fire Prevention and Suppression The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the Building emergency plans are specific to State Fire Marshal, in developing a plan for fire safety emergency preparedness. The plans are which shall include, but not be limited to: signed by both probation and local fire and (a) a fire prevention plan to be included as part of the ☒ ☐ ☐ reviewed by all facility staff. manual of policy and procedures; SYTF DKC is located on the same grounds as the camp for DKC. The plan is the same plan. SYTF DKC participate in all the same evacuation drills, emergency drills etc. (b) monthly fire and life safety inspections by facility staff Aqua Cottage is included in the with two-year retention of the inspection record; documentation completed for DKC Camp. January 2024-May 2025 were provided for review. All monthly fire and life safety ☒ ☐ ☐ inspections have been completed. These inspections are completed at the end of the month by MSB staff/supervisors. (c) fire prevention inspections as required by Health and See 1322 above. Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ (d) an evacuation plan; Aqua Cottage post their evacuation maps in view for youth, staff, and visitors in the event ☒ ☐ ☐ of an emergency. (e) documented fire drills not less than quarterly; Policy Section 1910: Fire Prevention and Suppression DKC Campus Fire drills were completed ☒ ☐ ☐ quarterly including Aqua Cottage. The facility has completed all required fire drills and SYTF DKC participates in the same drills. (f) a written plan for the emergency housing of youth in There is a current evacuation plan in place. the case of fire; and, Technical Assistance provided to review for ☒ ☐ ☐ current status for full facility. (g) development of a fire suppression pre-plan in The Building Emergency Plan was completed cooperation with the local fire department. in 2024 with Inspector Lucier on January 12, 2024, and in 2025 with Inspector Duke on ☒ ☐ ☐ January 14, 2025, both with the LA County Fire Department. 1326 SECURITY REVIEW Policy Section 515: Security Procedures Each facility administrator shall develop policies and Security reviews were completed on March procedures to annually review, evaluate, and document 26, 2024, and on May 21, 2025. security of the facility. The review and evaluation shall include internal and external security, including, but not ☒ ☐ ☐ These reviews were completed as required limited to, key control, equipment, and staff training. specific to the requirements of the regulation and were completed for both the SYTF and the Camp. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 11 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1327 EMERGENCY PROCEDURES Policy Sections: 906: Escapes The facility administrator shall develop facility-specific 908: Major Disturbances policies and procedures for emergencies that shall 914: Hostages include, but not be limited to: ☒ ☐ ☐ (a) escape, disturbances, and the taking of hostages; Quarterly emergency drills are completed in addition to fire drills. Emergency procedures are reviewed as part of the policy review. Policy Sections: 907: Outside Intruder (b) civil disturbance, active shooter and terrorist attack; 915: Active Shooter ☒ ☐ ☐ 916: Terrorist Attack 917: Major Emergency including Civil Disturbance Policy Sections: (c) fire and natural disasters; ☒ ☐ ☐ 910: Fire Prevention and Suppression 913: Earthquake Policy Sections: 901: Emergency Procedures: Introduction (d) periodic testing of emergency equipment; Los Angeles County Internal Services ☒ ☐ ☐ Department (ISD) or the Management Services Bureau (MSB) conduct monthly and “as-needed” testing of facility emergency equipment. Policy Sections: (e) emergency evacuation of the facility; and ☒ ☐ ☐ 918: Emergency Evacuation Sign-offs for 2024 were provided on January (f) a program to provide all youth supervision staff with 12, 2024, and on January 14, 2025, for all an annual review of emergency procedures. ☒ ☐ ☐ facility supervision and collateral staff. This includes for SYTF and for Camp staff. 1328 SAFETY CHECKS Policy Sections: 629: Safety Checks The facility administrator shall develop and implement A random sampling of safety checks was policy and procedures that provide for direct visual requested and reviewed for all shifts for a observation of youth at a minimum of every 15 minutes, consecutive 7-day period in September 2025. at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in The SYTF facility consists of one distinct holding cells or confined to their bed in a dormitory. cottage. Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system Paper safety check documents are hung on designed to detect overt, aggressive or assaultive ☒ ☐ ☐ each door to document each youth’s check. behavior and to summon aid in emergencies. All safety All checks were reviewed for all youth. Checks checks shall be documented with the actual time the are documented by the staff completing the check is completed. check at the time it is conducted. TA provided regarding legibility and ensuring noting when youth room is vacant. Safety checks were found to be conducted in compliance with regulation, policy, and procedure. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 12 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1329 SUICIDE PREVENTION PLAN Policy Section 1400: Enhanced and Specialized Supervision and Section 1600 The facility administrator, in collaboration with the Suicide Prevention. healthcare and behavioral/mental health administrators, shall plan and implement written policies and The facility Alert Log for September 1-7, 2025, procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ was provided for review. There have been no The plan shall consider the needs of youth experiencing youth on a suicide watch or specialized level past or current trauma. Suicide prevention responses for any suicide activity all year. shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Policy Section 1400: Enhanced and 1322, Youth Supervision Staff Orientation, and Training Specialized Supervision and Section 1600 and the Juvenile Corrections Officer Core Course. Suicide Prevention. All facility staff attend a suicide refresher ☒ ☐ ☐ training class as part of required annual training. This training also includes curriculum specific to intake process and procedures. (b) Screening, Identification Assessment and Policy Section 1400: Enhanced and Precautionary Protocols Specialized Supervision and Section 1600 (1) All youth shall be screened for risk of suicide at Suicide Prevention. intake and as needed during detention. ☒ ☐ ☐ All youth, upon intake, are screened for suicide risk and ongoing throughout their stay. (2) All youth supervision staff who perform intake Policy Section 1400: Enhanced and processes shall be trained in screening youth for risk Specialized Supervision and Section 1600 of suicide. Suicide Prevention. Three staff have been identified and trained to ☒ ☐ ☐ conduct intakes for SYTF youth at DKC. Additionally, there are six additional staff that have been trained for the Camp at DKC that could step in and conduct an intake if need be. (3) All youth who have been identified during the Policy Section 1400: Enhanced and intake screening process to be at risk of suicide shall Specialized Supervision and Section 1600 be referred to behavioral/mental health staff for a Suicide Prevention. suicide risk assessment. ☒ ☐ ☐ If any youth were identified to be at risk at either intake or at anytime, they would be placed on a level for enhanced observation until they cleared by mental health. (4) Precautionary protocols shall be developed to Policy Section 1400: Enhanced and ensure the youth’s safety pending the Specialized Supervision and Section 1600 behavioral/mental health assessment. Suicide Prevention. ☒ ☐ ☐ Any youth found to be at risk is placed on specialized supervision to keep them safe. (c) Referral process to behavioral/mental health staff for Policy Section 1400: Enhanced and assessment and/or services. Specialized Supervision and Section 1600 ☒ ☐ ☐ Suicide Prevention. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 13 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) Procedures for monitoring of youth identified at risk Policy Section 1400: Enhanced and for suicide. Specialized Supervision and Section 1600 Suicide Prevention. ☒ ☐ ☐ A Specialized Supervision Plan would be initiated for any youth identified at risk. (e) Safety Interventions Policy Section 1400: Enhanced and (1) Procedures to address intervention protocols for Specialized Supervision and Section 1600 youth identified at risk for suicide which may Suicide Prevention. include, but are not limited to: ☒ ☐ ☐ (A) Housing consideration Youth may remain in the facility and are encouraged to participate fully. There were no youth placed on a suicide watch this cycle. (B) Treatment strategies including trauma- Policy Section 1400: Enhanced and informed approaches Specialized Supervision and Section 1600 ☒ ☐ ☐ Suicide Prevention. (2) Procedures to instruct youth supervision staff how Policy Section 1400: Enhanced and to respond to youth who exhibit suicidal behaviors. Specialized Supervision and Section 1600 Suicide Prevention. As part of the intake and admission process, ☒ ☐ ☐ facility staff call the youth’s parents to determine any history of suicide ideation, past hospitalizations, or other history of mental illness etc. (f) Communication Policy Section 1400: Enhanced and (1) The intake process shall include communication Specialized Supervision and Section 1600 with the arresting officer and family guardians Suicide Prevention. regarding the youth’s past or present suicidal ideations, behaviors or attempts. If any member of staff becomes 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 to ensure safety. (2) Procedures for clear and current information Policy Section 1400: Enhanced and sharing about youth at risk for suicide with youth Specialized Supervision and Section 1600 supervision, healthcare, and behavioral/mental Suicide Prevention. health staff. The Mental Health Recording Form is ☒ ☐ ☐ provided to staff from mental health. This form is also known as the green form. The purpose is to pass information to all staff in the most efficient manner. (g) Debriefing of Critical Incidents Related to Suicides or Policy Section 1400: Enhanced and Attempts Specialized Supervision and Section 1600 (1) Process for administrative review of the Suicide Prevention. ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. Policy Section 1400: Enhanced and (2) Process for a debriefing event with affected staff. Specialized Supervision and Section 1600 ☒ ☐ ☐ Suicide Prevention. (3) Process for a debriefing event with affected youth. Policy Section 1400: Enhanced and Specialized Supervision and Section 1600 ☒ ☐ ☐ Suicide Prevention. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 14 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) Documentation Policy Section 1400: Enhanced and (1) Documentation processes shall be developed to Specialized Supervision and Section 1600 ensure compliance with this regulation Suicide Prevention. ☒ ☐ ☐ No documentation provided for this section. Youth identified at risk for suicide shall not be denied the Policy Section 1400: Enhanced and opportunity to participate in facility programs, services Specialized Supervision and Section 1600 and activities which are available to other non-suicidal Suicide Prevention. youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation of ☒ ☐ ☐ Youth are not denied access to their full programs, services or activities for youth at risk of program. Youth participate in the full program suicide shall be documented and approved by the facility if they choose to. manager. 1340 REPORTING OF LEGAL ACTIONS Policy Section 202: Administrative Structure and Responsibilities: Superintendent/ Each facility shall submit to the Board a letter of Director notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities ☒ ☐ ☐ responsible for juvenile facility operation. None known. Any legal action has been requested to be sent directly to the Board’s attention. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy Section 2002: Deaths OF A YOUTH WHILE DETAINED A memo was provided dated June 9, 2025. (1) Death of a Youth. There have been no incidents this cycle at (a) The facility administrator, in cooperation with the either facility at the Dorothy Kirby Center. health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ The remainder marked yes for compliance procedures in the event of the death of a youth while with the policy. detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the Policy Section 2002: Deaths facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Policy Section 2002: Deaths the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Policy Section 2002: Deaths from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 15 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Serious Illness or Injury of Youth. Policy Section 919: Serious Illness or Injury (a) The facility administrator, in cooperation with the of a Youth While Detained health administrator, shall develop written policies and procedures for the notification to necessary A memo was provided dated June 9, 2025. parties, which may include the Juvenile Court, the There have been no incidents this cycle at ☒ ☐ ☐ parent, guardian or person standing in loco parentis either facility at the Dorothy Kirby Center. and the youth’s attorney of record in the case of a serious illness or injury of a youth. The remainder marked yes for compliance with the policy. 1342 POPULATION ACCOUNTING Policy Section 202: Administrative Structure and Responsibilities: Superintendent/ Each juvenile facility shall submit required population Director and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format All population reports have been submitted to be provided by the Board. timely. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Policy Section 202: Administrative Structure and Responsibilities: Superintendent/ When the number of youth detained in a living unit of a Director juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the The facility has not operated over capacity this Board in a format provided by the Board. cycle. 1350 ADMITTANCE PROCEDURES Policy Section 403: Procedures for Newly Admitted Youth The facility administrator shall develop and implement written policies and procedures for admittance of youth Two packets were reviewed for compliance. that emphasize respectful and humane engagement Intake packets were from January 2025 and with youth, and reflect that the admission process may ☒ ☐ ☐ June 2025. be traumatic to youth who may have already experienced trauma. Policies shall be trauma-informed, All packets contained all required areas of culturally relevant, and responsive to the language and regulation. literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Policy Section 403: Procedures for Newly (1) Access to two free phone calls within one hour of Admitted Youth admittance in accordance with the provisions of ☒ ☐ ☐ Welfare and Institution Code Section 627; All documents reviewed, noted phone calls were completed as required. Policy Section 403: Procedures for Newly Admitted Youth (2) Offer of a shower; ☒ ☐ ☐ All youth were offered showers as required at admission to the facility. Policy Section 403: Procedures for Newly Admitted Youth (3) Documented secure storage of personal Youths’ personal property remain at the JH for belongings; ☒ ☐ ☐ pick up by the parent. If property is not picked up, a letter is sent after release providing notice of 30 days to retrieve property. Policy Section 403: Procedures for Newly Admitted Youth (4) Offer of food upon arrival; ☒ ☐ ☐ All youth were offered food as required at admission to the facility. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 16 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy Section 403: Procedures for Newly Admitted Youth (5) Screening for physical and behavioral health and safety issues, intellectual or developmental All youth are screened before leaving the ☒ ☐ ☐ disabilities; juvenile hall and, upon entering the facility, they are again screened by medical and mental health staff. Policy Section 403: Procedures for Newly Admitted Youth (6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ Youth are screened prior to entering any and 1430 of these regulations; facility and would be referred as appropriate during detention. Policy Section 403: Procedures for Newly (7) Contact with Regional Center for the Admitted Youth Developmentally Disabled for youth that are suspected of or identified as having a Youth in need of Regional Center services ☒ ☐ ☐ developmental disability, pursuant to Section 1413; would be referred while in the Juvenile Hall. If and, it was later found a youth fit the criteria, the youth would be referred as appropriate. Policy Section 630: Supervision of Lesbian, (8) Procedures consistent with Section 1352.5. Gay, Bisexual, Transgender, Questioning, ☒ ☐ ☐ and Intersex Youth an Institutional Settings (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 418: Estimated Length of Stay juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform them of program guidelines and provide written ☒ ☐ ☐ screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures N/A that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL Policy Section 1509: Screening for risk of ABUSE Sexual Victimization and Abusiveness: The facility administrator shall develop and implement Two packets were provided and reviewed. written policies and procedures to reduce the risk of ☒ ☐ ☐ Both screenings were completed as required. sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of admission based on the following information: (a) Prior sexual victimization or abusiveness; (b) Gender nonconforming appearance or manner; or Policy Section 1509: Screening for risk of identification as lesbian, gay or bisexual, transgender, Sexual Victimization and Abusiveness: queer or intersex, and whether the youth may, therefore, ☒ ☐ ☐ be vulnerable to sexual abuse; Policy Section 1509: Screening for risk of (c) Current charges and offense history; ☒ ☐ ☐ Sexual Victimization and Abusiveness: Policy Section 1509: Screening for risk of (d) Age; ☒ ☐ ☐ Sexual Victimization and Abusiveness: Policy Section 1509: Screening for risk of (e) Level of emotional and cognitive development; ☒ ☐ ☐ Sexual Victimization and Abusiveness: 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 17 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy Section 1509: Screening for risk of (f) Physical size and stature; ☒ ☐ ☐ Sexual Victimization and Abusiveness: Policy Section 1509: Screening for risk of (g) Mental illness or mental disabilities; ☒ ☐ ☐ Sexual Victimization and Abusiveness: Policy Section 1509: Screening for risk of (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Sexual Victimization and Abusiveness: Policy Section 1509: Screening for risk of (i) Physical disabilities; ☒ ☐ ☐ Sexual Victimization and Abusiveness: Policy Section 1509: Screening for risk of (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Sexual Victimization and Abusiveness: (k) Any other specific information about the individual Policy Section 1509: Screening for risk of youth that may indicate heightened needs for Sexual Victimization and Abusiveness: supervision, additional safety precautions, or separation ☒ ☐ ☐ from certain other youth. Staff shall ascertain this information through Policy Section 1509: Screening for risk of conversations with the youth during the admittance Sexual Victimization and Abusiveness: 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 1509: Screening for risk of controls on the dissemination of information within the Sexual Victimization and Abusiveness: facility relative to responses received pursuant to this assessment in order to ensure that sensitive information ☒ ☐ ☐ PREA hard copy documentation is filed in a is not exploited to the youth’s detriment by staff or other locked storage cabinet and or password youth. protected electronically. 1351 RELEASE PROCEDURES Policy Section 309: Release Procedures The facility administrator shall develop and implement Three release packets were provided for written policies and procedures for release of youth from ☒ ☐ ☐ review. Two were released in January and one custody which provide for: in September 2025. All documentation met the required regulatory requirements. (a) verification of identity/release papers; Policy Section 809: Release Procedures ☒ ☐ ☐ Policy Section 309: Release Procedures Parents pick up their child’s property from Los Padrinos Juvenile Hall. Personal property is not brought to the facility. Youth sign off they have received all personal property they have acquired while at the (b) return of personal clothing and valuables; ☒ ☐ ☐ facility. Parents are provided with a letter upon their child’s release, noting they have 30 days to pick up any property that may remain at Los Padrinos that has yet to be retrieved. Los Padrinos Property Unit is open weekdays from 8am-5pm. Technical assistance again provided to provide more access for parents to retrieve property. (c) notification to the youth's parents or guardian; Policy Section 309: Release Procedures ☒ ☐ ☐ 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 18 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) notification to the facility health care provider in Policy Section 309: Release Procedures accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; Policy Section 309: Release Procedures ☒ ☐ ☐ (f) notification of facility mental health personnel. Policy Section 309: Release Procedures ☒ ☐ ☐ The facility administrator shall develop and implement Policy Section 309: Release Procedures policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Each youth participates in several services including, but not limited to, medical and multidisciplinary team meetings during their behavioral health, education, probation supervision and stay, their last being a Transitional Multi- community-based services. Disciplinary Team meeting prior to their ☒ ☐ ☐ estimated release date. Transition plans and all referrals are discussed and agreed upon and made as appropriate prior to the youth’s release and information provided to the youth and the parent for future reference. The facility administrator shall develop and implement Policy Section 402: Assessment and written policies and procedures for the furlough of youth Classification Policy from custody. ☐ ☐ ☒ There are no formal furloughs from the facility at this time other than court-sanctioned events. 1352 CLASSIFICATION Policy Section 411 Classification and Assignment of Youth The facility administrator shall develop and implement written policies and procedures on classification of youth ☒ ☐ ☐ The two intake packets provided and reviewed for the purpose of determining housing placement in the included classification documentation. facility. Such procedures shall: (a) provide for the safety of the youth, other youth, facility Policy Section 411 Classification and staff, and the public by placing youth in the appropriate, Assignment of Youth least restrictive housing and program settings. Housing assignments shall consider the need for single, double ☒ ☐ ☐ There is only one female SYTF facility or dormitory assignment or location within the dormitory; available. All rooms are single-bunked. There are no options for double bunks in the facility. (b) consider facility populations and physical design of Policy Section 411 Classification and the facility; ☒ ☐ ☐ Assignment of Youth (c) provide that a youth shall be classified upon Policy Section 411 Classification and admittance to the facility; classification factors shall Assignment of Youth include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Policy Section 411 Classification and provisions that consider the level of supervision and the Assignment of Youth youth's behavior while in custody; and, ☒ ☐ ☐ Periodic classifications are completed weekly. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 19 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) provide that facility staff shall not separate youth from Policy Section 411 Classification and the general population or assign youth to a single Assignment of Youth occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical ☒ ☐ ☐ disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy Section 411 Classification and transgender, questioning or intersex identification or Assignment of Youth status as an indicator of likelihood of being sexually ☒ ☐ ☐ abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy Section 630: Supervision of Lesbian, Gay, Bisexual, Transgender, Questioning, The facility administrator shall develop written policies and Intersex Youth in Institutional Settings and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The Department has had a policy and The policies shall provide that: procedure regarding transgender youth and ensuring respectful treatment for all. ☒ ☐ ☐ Youth were interviewed and asked regarding their treatment in the facility. Two youth were interviewed and stated they have been treated respectfully and never experienced any problems or concerns. (a) Facility staff shall respect every youth’s gender Policy Section 630: Supervision of Lesbian, identity and shall refer to the youth by the youth’s Gay, Bisexual, Transgender, Questioning, preferred name and gender pronoun, regardless of the and Intersex Youth in Institutional Settings youth’s legal name. Facilities may prohibit the use of gang or slang names or names that otherwise ☒ ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy Section 630: Supervision of Lesbian, themselves in a manner consistent with their gender Gay, Bisexual, Transgender, Questioning, identity and shall provide youth with the institution’s and Intersex Youth in Institutional Settings ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Policy Section 630: Supervision of Lesbian, best meets their individual needs and promotes their Gay, Bisexual, Transgender, Questioning, safety and well-being. Staff may not automatically house and Intersex Youth in Institutional Settings youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Policy Section 630: Supervision of Lesbian, and intersex youth have access to medical and Gay, Bisexual, Transgender, Questioning, behavioral health providers qualified to provide care and ☒ ☐ ☐ and Intersex Youth in Institutional Settings treatment to transgender and intersex youth. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 20 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) Consistent with the facility’s reasonable and Policy Section 630: Supervision of Lesbian, necessary security considerations and physical plant, Gay, Bisexual, Transgender, Questioning, facility staff shall make every effort to ensure the safety and Intersex Youth in Institutional Settings and privacy of transgender and intersex youth when the ☒ ☐ ☐ youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy Section 630: Supervision of Lesbian, youth for the purpose of determining the youth’s Gay, Bisexual, Transgender, Questioning, anatomical sex. Whenever feasible, the facility shall and Intersex Youth in Institutional Settings ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Two new entries were provided for review. Both orientation packets were consistent and The facility administrator shall develop and implement completed timely. written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal information shall be provided and supplemented with Both stated, when interviewed, they were video orientation if feasible. Provision shall be made to provided with their orientation upon arrival provide accessible orientation information to all detained ☒ ☐ ☐ and were also provided with the orientation youth including those with disabilities, limited literacy, or handbook. They also stated that staff English language learners. explained the rules and requirements to them Orientation shall include information that addresses: as part of the process. Youth are also being notified of the difference between an emergency and routing grievance. (a) facility rules including contraband and searches and Policy Section 415: Orientation Process disciplinary procedures; ☒ ☐ ☐ (b) facility’s system of positive behavior interventions Policy Section 415: Orientation Process and supports, including behavior expectations, 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 facility’s Policy Section 415: Orientation Process policy prohibiting sexual abuse and sexual harassment and how to report incidents or suspicions of sexual ☒ ☐ ☐ abuse or sexual harassment; (d) identification of key staff and their roles; Policy Section 415: Orientation Process ☒ ☐ ☐ (e) the existence of the grievance procedure, the steps Policy Section 415: Orientation Process that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the name of ☒ ☐ ☐ the person or position designated to resolve the issue; (f) access to legal services and information on the court Policy Section 415: Orientation Process process; ☒ ☐ ☐ (g) access to routine and emergency health and mental Policy Section 415: Orientation Process health care; ☒ ☐ ☐ (h) access to education, religious services, and Policy Section 415: Orientation Process recreational activities; ☒ ☐ ☐ (i) housing assignments; Policy Section 415: Orientation Process ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy Section 415: Orientation Process including the availability of personal care items ☒ ☐ ☐ (k) rules and access to correspondence, visits and Policy Section 415: Orientation Process telephone use; ☒ ☐ ☐ (l) availability of reading materials, programming, and Policy Section 415: Orientation Process other activities; ☒ ☐ ☐ 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 21 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (m) facility policies on the use of force, use of Policy Section 415: Orientation Process restraints, chemical agents and room confinement; ☒ ☐ ☐ Chemical agents are not used in the facility. (n) immigration legal services; Policy Section 415: Orientation Process ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy Section 415: Orientation Process ☒ ☐ ☐ (p) non-discrimination policy and the right to be free from Policy Section 415: Orientation Process physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Policy Section 415: Orientation Process other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy Section 415: Orientation Process education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy Section 415: Orientation Process information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked A parent handbook is available to parents questions and provides contact information for the during visiting and is also posted on the facility, medical, school and mental health; and, agency’s website and is available in both ☒ ☐ ☐ English and in Spanish. The handbook is comprehensive, covering detailed facility information parents need to know as well as regulatory requirements. (t) a process by which youth may request access to Title Policy Section 415: Orientation Process 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ A copy of Title 15 is available in the cottage and in the library upon request. 1354 SEPARATION Policy Section 1300: Separation The facility administrator shall develop and implement If a young person requires separation at the written policies and procedures that address: ☒ ☐ ☐ SYTF Dorothy Kirby Center, this could occur in either their room or the HOPE Center; (a) separation of youth for reasons that include, but are Policy Section 1301: Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and ☒ ☐ ☐ protective custody. (b) consideration of positive youth development and Policy Section 1301: Separation trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal privileges Policy Section 1301: Separation available at the facility, except when necessary to ☒ ☐ ☐ accomplish the objective of separation. (d) when the objective of the separation is discipline, Policy Section 1301: Separation Title 15 Section 1390 shall apply. ☒ ☐ ☐ (e) when separation results in room confinement, the Policy Section 1301: Separation separation shall occur in accordance with Welfare and Institutions Code Section 208.3 and Section 1354.5 of ☒ ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of Policy Section 1307: HOPE Center Daily separated youth to determine if separation remains Audit Report necessary. ☒ ☐ ☐ Youth that are separated are generally placed in the HOPE Center. Separated youth are reviewed daily. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 22 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1354.5 ROOM CONFINEMENT Policy Section 1304: Room Confinement (a) The facility administrator shall develop and No room confinement incidents have occurred implement written policies and procedures addressing during this cycle in the DKC SYTF facility. The the confinement of youth in their room that are consistent ☒ ☐ ☐ remainder of this section has been marked as with Welfare and Institutions Code Section 208.3. The NA. placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: (1) Room confinement shall not be used before other, Policy Section 1000: Room Confinement less restrictive, options have been attempted and following Use of Physical Interventions exhausted, unless attempting those options poses a ☐ ☐ ☒ threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Policy Section 1304: Room Confinement purposes of punishment, coercion, convenience, or ☐ ☐ ☒ retaliation by staff. (3) Room confinement shall not be used to the extent Policy Section 1304: Room Confinement that it compromises the mental and physical health of ☐ ☐ ☒ the youth. (b) A youth may be held up to four hours in room Policy Section 1304: Room Confinement confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one ☐ ☐ ☒ or more of the following: (1) Return the youth to general population. Policy Section 1304: Room Confinement ☐ ☐ ☒ (2) Consult with mental health or medical staff. Policy Section 1304: Room Confinement ☐ ☐ ☒ (3) Develop an individualized plan that includes the Policy Section 1304: Room Confinement goals and objectives to be met in order to reintegrate ☐ ☐ ☒ the youth to general population. (4) If room confinement must be extended beyond Policy Section 1304: Room Confinement four hours, staff shall do each of the following: (A) Document the reasons for room confinement and the basis for the extension, the date and time ☐ ☐ ☒ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy Section 1304: Room Confinement the goals and objectives to be met in order to ☐ ☐ ☒ integrate the youth to general population. (C) Obtain documented authorization by the Policy Section 1304: Room Confinement facility superintendent or his or her designee ☐ ☐ ☒ every four hours thereafter. (5) This section is not intended to limit the use of Policy Section 1304: Room Confinement single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☐ ☐ ☒ sleeping hours. (6) This section does not apply to youth or wards in Policy Section 1304: Room Confinement court holding facilities or adult facilities. ☐ ☐ ☒ (7) Nothing in this section shall be construed to Policy Section 1304: Room Confinement conflict with any law providing greater or additional ☐ ☐ ☒ protections to youth. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 23 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (8) This section does not apply during an Policy Section 1303: Exclusions to Room extraordinary emergency circumstance that requires Confinement a significant departure from normal institutional operations, including a natural disaster or facility- This section has again been addressed with wide threat that poses an imminent and substantial the facility regarding the interpretation in ☐ ☐ ☒ risk of harm to multiple staff or youth. This exception facility policy regarding a youth fight. This shall apply for the shortest amount of time needed to section of regulation is specific regarding address this imminent and substantial risk of harm. extraordinary emergency circumstances as noted. TA provided. (9) This section does not apply when a youth is Policy Section 1304: Room Confinement placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☐ ☐ ☒ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: Policy Section 412: Individual Rehabilitative The assessment is based on information collected Plan during the admission process with periodic review, which includes the youth's risk factors, needs and strengths Assessment information is to be collected at including, but not limited to, identification of substance ☐ ☒ ☐ admission. This information was not abuse history, educational, vocational, counseling, completed for all youth. behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Policy Section 412: Individual Rehabilitative (1) A case plan shall be developed for each youth Plan held for at least 30 days or more and created within ☒ ☐ ☐ 40 days of admission. All case plans or Individual Rehabilitative Plans were completed timely. (2) The institutional plan shall include, but not be Policy Section 412: Individual Rehabilitative limited to, written documentation that provides: Plan (A) objectives and time frame for the resolution of problems identified in the assessment; Policy requires objectives and timeframes, as ☐ ☒ ☐ required by regulation, however, there were no timeframes for resolution of issues identified or allocated to the goals established for the young person. (B) a plan for meeting the objectives that includes Policy Section 412: Individual Rehabilitative a description of program resources needed and Plan individuals responsible for assuring that the plan ☒ ☐ ☐ is implemented; This information is noted in the MDT. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 24 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) periodic evaluation of progress towards meeting Policy Section 412: Individual Rehabilitative the objectives, including periodic review and Plan discussion of the plan with the youth; Each youth is assigned to a specific staff ☒ ☐ ☐ member who works closely with them and completes face-to-face weekly meetings to discuss their program and their progress. (4) a transition plan, the contents of which shall be Policy Section 412: Individual Rehabilitative subject to existing resources, shall be developed for Plan post dispositional youth in accordance with Section 1351; and, Policy outlines the process for the transition MDT and transition plan; however, compliant transition plans were not provided/completed ☐ ☒ ☐ for all youth whose files were reviewed. Compliant transitional plans were not provided/completed for released youth whose documentation was reviewed. (5) in as much as possible and if appropriate, the Policy Section 705: Ongoing Case plan, including the transition plan, shall be developed Management Activities with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Policy Section 412: Individual Rehabilitative Plan The facility administrator shall develop and implement written policies and procedures ensuring the availability Dorothy Kirby Center as a whole is a of appropriate counseling and casework services for all collaborative, supportive facility. This youth. Policies and procedures shall ensure: includes both the SYTF and the camp setting. (a) youth will receive assistance with needs or concerns This was evidenced through the actions of that may arise; both the staff and the youth relationships ☒ ☐ ☐ observed during our interviews. While interviewing youth outdoors, it was apparent that the support received from all staff, as staff would walk by and the interactions noted between unit and facility staff and youth. All youth interviewed noted they have positive relationships with staff in the facility and they love their staff. (b) youth will receive assistance in requesting contact Policy Section 412: Individual Rehabilitative with parents, other supportive adults, attorney, clergy, Plan ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources Policy Section 412: Individual Rehabilitative to meet the youth’s needs. ☒ ☐ ☐ Plan 1357 USE OF FORCE Policy Section 1000: Introduction-Physical Interventions The facility administrator, in cooperation with the responsible physician, shall develop and implement One incident occurred for the year. The written policies and procedures for the use of force, which may include chemical agents. Force shall never facility staff is to be commended as the ☒ ☐ ☐ be applied as punishment, discipline, retaliation or cottage mixes both camp and SYTF youth. treatment. Staff assigned do a great job in de-escalating (a) At a minimum, each facility shall develop policies and issues and working with the young ladies in procedures which: conflict resolution. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 25 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) restricts the use of force to that which is deemed Policy Section 1704 reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, staff, others ☒ ☐ ☐ and the facility. (2) outline the force options available to staff including Policy Section 1704: Prevention and De- both physical and non-physical options and define Escalation and Policy Section 1705: Physical when those force options are appropriate. Interventions Non-Physical efforts and techniques include conflict resolution, disengagement, and extended arm assist, to discourage, decrease, or intervene in threatening, disruptive, or ☒ ☐ ☐ violent behavior. Physical Interventions: De-escalation efforts are required prior to force. Force options include but are not limited to: • Physical Control Holds • Take-downs • Restraint Devices (3) describe force options or techniques that are Policy Section 1705: Physical Interventions expressly prohibited by the facility. ☒ ☐ ☐ (4) describe the requirements of staff to report any Policy Section 1705: Physical Interventions inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that Policy Sections 1705: Physical Interventions, includes time period and procedure for documenting Section 1707: Post Incident Physical and reporting the use of force, including reporting Intervention and Section 1708: Quality requirements of management and line staff and Assurance procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ Debriefs by supervisors were all completed as which include procedures for debriefing a particular required. incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that All supervisory and management oversight of may have been experienced by staff and /or the youth reports appears to be in place, according to involved. conversations held with facility managers. (6) Include an administrative review and a system for Policy Section 1708: Quality Assurance investigating unreasonable use of force. ☒ ☐ ☐ Administrative oversight also appears to be in place. (7) define the role, notification, and follow-up Policy Section 1707 Post Incident Physical procedures required after use of force incidents for Intervention and Policy Section 1709: medical, mental health staff and parents or legal Notifications guardians. Mental health referrals are submitted and ☒ ☐ ☐ completed for all youth involved in the incidents reviewed. All parents were contacted as required. All youth were seen by medical staff as required. (8) describe the limitations of use of force on pregnant Policy Section 1703: Objectively Reasonable youth in accordance with Penal Code Section 6030(f) ☐ Determinations and Policy Section 1705: ☒ ☐ and Welfare and Institutions Code Section 222. Physical Interventions 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 26 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) Facilities that authorize chemical agents as a force Policy Section 1705: Physical Interventions option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize ☐ ☒ OC spray is not used in the facility. All chemical agents in the facility and the type, size and ☐ subsequent boxes are marked N/A. the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when N/A there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts ☐ ☒ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and N/A timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☐ ☒ to chemical agents shall not be left unattended until ☐ that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up N/A procedures required after use of force incidents ☐ ☒ involving chemical agents for medical, mental health ☐ staff and parents or legal guardians. (5) provide for the documentation of each incident of N/A use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☐ ☒ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Policy Section 1702: Training Requirements require that agencies provide initial and regular training in use of force and chemical agents when appropriate All available staff completed training or were that address: ☒ ☐ ☐ scheduled for training in July 2025 by the end (1) known medical and behavioral health conditions of the fiscal year. that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of OC spray is not used in the facility. application. ☐ ☐ ☒ (3) signs or symptoms that should result in immediate Policy Section 1702: Training Requirements referral to medical or behavioral health. ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Use Policy Section 1702: Training Requirements of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy Section 1702: Training Requirements the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Policy Section 1702: Training Requirements training. ☒ ☐ ☐ The agency requires initial training and annual training. 1358 USE OF PHYSICAL RESTRAINTS Policy Section 1007: Restraints The facility administrator, in cooperation with the responsible physician and mental health director, shall There have been no Use of Physical develop and implement written policies and procedures Restraints used. Marked for policy and ☒ ☐ ☐ for the use of restraint devices. Restraint devices include remainder marked as N/A. any devices which immobilize a youth’s extremities and/or prevent the youth from being ambulatory. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 27 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Physical restraints may be used only for those youth who Policy Section 1007: Restraints present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted ☐ ☐ ☒ physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy Section 1007: 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 1007: Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed by ☐ ☐ ☒ Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy Section 1007: Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints ☐ ☐ ☒ shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy Section 1007: 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 1007: 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 1007: 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 1007: Restraints procedures shall address: (a) documentation of the circumstances leading to an ☐ ☐ ☒ application of restraints. (b) known medical conditions that would contraindicate Policy Section 1007: Restraints certain restraint devices and/or techniques. ☐ ☐ ☒ (c) acceptable restraint devices. Policy Section 1007: Restraints ☐ ☐ ☒ (d) signs or symptoms which should result in immediate Policy Section 1007: Restraints medical/mental health referral. ☐ ☐ ☒ (e) availability of cardiopulmonary resuscitation Policy Section 1007: Restraints equipment. ☐ ☐ ☒ 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 28 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) protective housing of restrained youth. While in Policy Section 1007: Restraints restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth which makes ☐ ☐ ☒ provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy Section 1007: Restraints ☐ ☐ ☒ (h) exercising of extremities. Policy Section 1007: Restraints ☐ ☐ ☒ 1358.5 USE OF RESTRAINT DEVICES FOR Policy Section 809: The Use of Mechanical MOVEMENT AND TRANSPORTATION WITHIN Restraints for Movement and Transport THE FACILITY. Within the Facility The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health Only one use of force incident occurred in the director, shall develop and implement written policies cycle and restraints were not applied. Marked and procedures for the use of restraint devices when the ☒ ☐ ☐ for policy and remainder marked as N/A. purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required training. (b) the circumstances leading to the application of Policy Section 809: The Use of Mechanical restraints must be documented. Restraints for Movement and Transport Within the Facility ☐ ☐ ☒ The circumstances that led to the use of restraints were documented appropriately. (c) an individual assessment of the need to apply P Policy Section 809: 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 11 use of force incidents were reviewed, only ☐ ☐ ☒ process for documentation and supervisor review and four of the 11 involved the use of handcuffs. approval. Assessments were completed for each use of restraint for movement/transport within the facility. (d) consideration of safety and security of the facility, Policy Section 809: 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 809: 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 SYTF Dorothy Kirby Center does not have a safety room. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall The remainder of this section is marked 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: 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 29 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) include provisions for administration of necessary N/A nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or N/A designee, before a youth is placed into a safety room; ☐ ☐ ☒ (3) provide for continuous direct visual supervision N/A and documentation of the youth’s behavior and any staff interventions every 15 minutes, with actual time ☐ ☐ ☒ recorded; (4) provide that the youth shall be evaluated by the N/A facility manager, or designee, every four hours; ☐ ☐ ☒ (5) provide for immediate medical assessment, N/A where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for N/A placement, including attempts to use less restrictive means of control, and decisions to continue and end ☐ ☐ ☒ placement. (b) The placement of a youth in the safety room shall be N/A accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) 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 700: Searches The facility administrator shall develop and implement Search records were provided for the month of written policies and procedures governing the search of September 2025. These records included youth, the facility, and visitors. ☒ ☐ ☐ Dorm/Rooms, Perimeter searches, K9, and Policies and procedures shall provide that: Strip Searches. All searches were conducted to ensure the safety and security of the youth, staff, and the facility as required. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 30 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (a) Searches shall be conducted to ensure the safety Policy Section 701 Introduction and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. (b) Searches shall be conducted in a manner that Policy Section 701 Introduction preserves the privacy and dignity of the person being searched and shall not be conducted for harassment or ☒ ☐ ☐ as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Policy Section 701 Introduction searches shall comply with Penal Code Section 4030. ☒ ☐ ☐ (d) Physical body cavity searches shall only be Policy Section 701 Introduction conducted by a medical professional. ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only be Policy Section 702: Types of Searches and strip searched with prior approval of a supervisor when Definitions 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 706: Transgender Searches comply with Section 1352.5. ☒ ☐ ☐ (g) Cross-gender pat-down searches and strip searches Policy Section 705: Cross Gender Searches are prohibited except in exigent circumstances or when conducted by a medical professional. Such searches ☒ ☐ ☐ must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy Section 1713: Youth Grievance Procedures The facility administrator shall develop and implement written policies and procedures whereby any youth may TDO Dated July 7, 2024 - Discontinuing appeal and have resolved grievances relating to any Electronic Grievances condition of confinement, including but not limited to health care services, classification decisions, program ☒ ☐ ☐ Three total grievances were completed in the participation, telephone, mail or visiting procedures, cycle/year: Two in July 2025 and one in food, clothing, bedding, mistreatment, harassment or September 2025. All were found to be violations of the nondiscrimination policy. There shall be addressed in a timely manner and met no time limit on filing grievances. Policies and regulatory timelines. procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy Section 1713: Youth Grievance grievance, which includes provisions for the youth to Procedures have free access to the form; Grievances are available in several locations across the facility. All interviewed stated they ☒ ☐ ☐ understood how to use the grievance process if necessary. Many of the youth have utilized the grievance process during various stays in detention. (b) the youth shall have the option to confidentially file Policy Section 1713: Youth Grievance the grievance or to deliver the form to any youth Procedures supervision staff working in the facility; ☒ ☐ ☐ Youth we spoke to knew how to file a confidential grievance and a regular grievance. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 31 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) resolution of the grievance at the lowest appropriate Policy Section 1713: Youth Grievance staff level; Procedures ☒ ☐ ☐ When interviewed, youth stated they can turn in their grievance to whomever they wish. (d) provision for a prompt review and initial response to Policy Section 1713: Youth Grievance grievances within three (3) business days, grievances Procedures that relate to health and safety issues must be addressed immediately; Youth are notified during their orientation that ☒ ☐ ☐ any grievance issue they may have that is health- and safety-related is to be immediately brought to the attention of a Supervisor for resolution. (1) The youth may elect to be present to explain Policy Section 1713: Youth Grievance his/her version of the grievance to a person not Procedures directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by Policy Section 1713: Youth Grievance the facility administrator to assist the youth. ☒ ☐ ☐ Procedures (e) provision for a written response to the grievance Policy Section 1713: Youth Grievance which includes the reasons for the decisions; ☒ ☐ ☐ Procedures (f) a system which provides that any appeal of a Policy Section 1713: Youth Grievance grievance shall be heard by a person not directly Procedures ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Policy Section 1713: Youth Grievance business days unless circumstances dictate a longer Procedures time frame. The youth shall be notified of any delay; and, ☒ ☐ ☐ All grievances reviewed completed timely. (h) the policy shall provide multiple internal and external Policy Section 1713: Youth Grievance methods to report sexual abuse and sexual harassment. Procedures Youth may report sexual abuse or ☒ ☐ ☐ harassment to any staff, partner, the ombudsman, or a parent or guardian who should report it immediately to facility administration for investigation. Whether or not associated with a grievance, concerns of Policy Section 1713: Youth Grievance parents, guardians, staff or other parties shall be Procedures addressed and documented in accordance with written policies and procedures within a specified timeframe. There is a formal, agency-specific complaint ☒ ☐ ☐ process that may be utilized. Parents are also encouraged to contact the facility managers for any complaints. 1362 REPORTING OF INCIDENTS Policy Section1907: Special Incident Report (SIR) FORM A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or All reports reviewed were timely and well death of an employee, youth or other person(s) shall be ☒ ☐ ☐ written. maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 32 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1363 USE OF REASONABLE FORCE TO COLLECT Policy Section 308: Collection of DNA DNA SPECIMENS, SAMPLES, IMPRESSIONS Samples (a) Pursuant to Penal Code Section 298.1 authorized DNA is not collected at SYTF DKC. If a youth law enforcement, custodial, or corrections personnel is in need of DNA collection, they will be including peace officers, may employ reasonable force transported to have the collection conducted. to collect blood specimens, saliva samples, and thumb The remainder of this section is marked as or palm print impressions from individuals who are N/A. required to provide such samples, specimens or ☒ ☐ ☐ impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that an objective, trained and competent correctional employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented and include an advisement of the legal obligation to ☐ ☐ ☒ provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The authorization shall include information that reflects the ☐ ☐ ☒ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the length of time required by statute. Notwithstanding ☐ ☐ ☒ the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 33 of 49 J453 JUV PRO eff. 01.01.25 1370 EDUCATION PROGRAM Policy Section 503: School and LACOE Policy and Procedures. (a) School Programs The County Board of Education shall provide for the The Education Program is provided through administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee a collaboration between Los Angeles County pursuant to applicable State laws. The school and facility Probation and Los Angeles County Office of administrators shall develop and implement written Education: Juvenile Courts and Community policy and procedures to ensure communication and Schools. The policy has not changed since coordination between educators and probation staff. the last cycle. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education The educational team is led by Dr. Ruben staff should collaborate with the facility administrator to Carranza, the school’s Principal. The full use technology to facilitate learning and ensure safe education team consists of seven General technology practices. The facility administrator shall Education teachers, four Special Education request an annual review of each required element of teachers, one Literacy Specialist teacher, the program by the Superintendent of Schools, and a seven Para-Professionals, one Educational report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with Behavior Technician, one Academic this section. Such a review, when conducted, cannot be Counselor, one Transitional Counselor, one delegated to the principal or any other staff of any Behavioral Counselor, and two School juvenile court school site. The Superintendent of Psychologists. Each classroom is staffed with Schools shall conduct this review in conjunction with a a teacher, special education teacher, and a qualified outside agency or individual. Upon receipt of paraprofessional. The SYTF girls spent the the review, the facility administrator or designee shall majority of the year attending school in the review each item with the Superintendent of Schools and cottage dayroom due to their low numbers shall take whatever corrective action is necessary to and a lack of a dedicated classroom; address each deficiency and to fully protect the however, near the end of the year, a educational interests of all youth in the facility. permanent space was found for them to attend class outside of the unit dayroom. ☒ ☐ ☐ Youth attending high school attend full school days daily consisting of 300 minutes, Monday-Wednesday and Friday. On Thursday, youth attend 240 minutes which is the minimum day. The instruction program at Dorothy Kirby Center focuses on themes and project-based learning to assist and empower the youth to make positive and constructive choices to promote the youth’s self-esteem and learning. Beyond the teacher-led instruction, students have access to additional supports in reading and math and additional resource supports for English Language Learners. The school also brings in additional partnerships with community-based organizations and a local community college. Youth interviewed enjoy school and their classes and are happy to be out of the dayroom and in an actual classroom. The school program was evaluated in November 2024 along with the DKC Camp. The evaluation was the same for both facilities and is as follows: The evaluators noted in summary “Based on 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 34 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 classroom observations, conversations with students and staff, and discussions with the school principal, it was evident that teachers followed a consistent curriculum, worked on similar assignments, and understood academic expectations and graduation requirements. The implementation of Positive Behavioral Interventions and Supports was evident and consistent, as posters were visible in classrooms, incentive programs were implemented, and students were recognized for their positive behaviors. Students also have opportunities to engage in extracurricular activities, such as after school tutoring, dual enrollment with East Los Angeles College and Los Angeles Trade Tech College. There is evidence of collaboration between the school personnel and probation staff through meetings and committees. Students also have Individualized Learning Plans to personalize instruction, courses, and accommodations based on student needs. Students also receive information about courses and units needed to graduate from high school. Overall, students had opportunities to receive standards based instruction, learn in a welcoming environment, and receive academic and social emotional support.” Comments noted above and below were taken directly from the 2024 Educational Report from James Sams and Dr. Yuen. (c) 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 Goals, Objectives, and Comprehensive Plans policies, all applicable federal education statutes and BP 005 Philosophy, Goals, Objectives and regulations and provide for an annual evaluation of the Comprehensive Plans Items 3,4,5 educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall establish and maintain learning ☒ ☐ ☐ environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. 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. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 35 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 and APEX are utilized with students eligible youth. (3) Youth shall be informed of post-secondary AR-6143 Instruction Item 9 (Grades 7-12) education and vocational opportunities. Career and Technical training is made ☒ ☐ ☐ available to students, school has partnerships with East Los Angeles College and Los Angeles Trade Tech. (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. (5) Supplemental instruction shall be afforded to youth AR-6179 Instruction BPP 5149 who do not demonstrate sufficient progress towards grade level standards. ☒ ☐ ☐ Tutoring services are provided to students as needed. APEX is available for credit recovery. (6) The minimum school day shall be consistent with BP 6112 Instruction State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational procedures do not interfere with the time afforded for ☒ ☐ ☐ the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (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 immediate threat to the safety of self or others. Education ☒ ☐ ☐ includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline AR 5144 Students (1) Positive behavior management will be implemented to reduce the need for disciplinary action The school uses a point system to promote in the school setting and be integrated into the facility’s ☒ ☐ ☐ positive behaviors. The school also issues overall behavioral management plan and security certificates for students meeting goals and system. achieving academically and behaviorally. (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. (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 correction Disabilities) fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State Education Code including the rights ☒ ☐ ☐ of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 36 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 The school uses the PBIS points system to continuing difficulty completing a school day. ☒ ☐ ☐ encourage positive behaviors from students. If students are not responding, the principal will provide alternative support. (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 to child find, assessment, continuum of alternative ☒ ☐ ☐ placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be BP 6174 Instruction afforded an educational program that addresses their language needs pursuant to all applicable state and Observed an EL paraeducator in the federal laws and regulations governing programs for ☒ ☐ ☐ classroom. Students have ELD time, take the EL students. ELPAC assessments, and have access to Rosetta Stone. (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: All students have an Individual Learning Plan (ILP). (A) School progress/school history; BP 6162.5 Instruction ☒ ☐ ☐ (B) Home Language Survey and the results of the AR 6174 Instruction State Test used for English language proficiency; ☒ ☐ ☐ (C) Needs and services of special populations as BP 6162.5 Instruction defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. BP 5131 Students ☒ ☐ ☐ (2) Youth will be immediately enrolled in school. BP 6162.5 Instruction Educational staff shall conduct an assessment to determine the youth’s general academic functioning A Multi-Disciplinary Transition (MDT) plan is ☒ ☐ ☐ levels to enable placement in core curriculum courses. developed to help determine student levels and plan support for students. (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 have an Individual Learning Plan (ILP). (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 School requests records from former schools. limited to, transcripts, Individual Education Program Oftentimes it can be multiple schools as (IEP), 504 Plan, state language assessment scores, students do tend to move with more immunization records, exit grades, and partial credits. ☒ ☐ ☐ frequency. Upon receipt of the transcripts, the youth’s educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 37 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) Educational Reporting AR 5125 Students (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (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 ☒ ☐ ☐ accordance with the State Education Code. (g) Transition and Re-Entry Planning AR 6159 Instruction (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies A Multi-Disciplinary Transition (MDT) plan is and procedures to meet the transition needs of youth, developed to help determine student levels including the development of an education transition ☒ ☐ ☐ and plan support for students. plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities BP 6143 Instruction and BP 6163.4 Student (1) The school and facility administrator should, Use of Technology whenever possible, collaborate with local post- secondary education providers to facilitate access to The school partners with East Los Angeles ☒ ☐ ☐ educational and vocational opportunities for youth College and Los Angeles Trade Tech College that considers the use of technology to implement to provide higher education courses for these programs. students. 1371 Programs, Recreation, and Exercise. Policy Section 621: Programs and Section 622: Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, recreation, ☒ ☐ ☐ and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for Policy Section 621: Programs and Section programs, recreation, and exercise a minimum of three 622: Recreation and Exercise hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which Random days were selected from April and one hour shall be an outdoor activity, weather permitting. ☒ ☐ ☐ May 2025 for review to ensure youth at Dorothy Kirby Center were receiving their required activities. We found all youth to be receiving their required activities. A youth’s participation in programs, recreation, and Policy Section 621: Programs and Section exercise may be suspended only upon a written finding 622: Recreation and Exercise by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Policy Section 622: Recreation and Exercise be posted in the living units. ☒ ☐ ☐ Program calendars were found to be posted in the cottages and in the HOPE Centers. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 38 of 49 J453 JUV PRO eff. 01.01.25 There will be a written annual review of the programs, Policy Section 1306: Programs, Recreation recreation, and exercise by the responsible agency to and Exercise ensure content offered is current, consistent, and relevant to the population. The following are the programs noted to be provided at the facility and reviews were completed. Community-Based Organizations  Versa Style Hip Hop Dance  Creative Acts  Asian American Drug Abuse Program  Million Little  Chaplains Eagles  ADVOT  Give a Beat  Inside Out Writers  Jail Guitar Doors  Street Poets  Tia Chucha  Boyle Heights Arts Conservatory  GRYD  YORN  Homeboy Art Academy Department of Mental Health  Individual Therapy  Family Therapy ☒ ☐ ☐  De-escalation/Crisis Intervention Services  Dialectical Behavior Therapy  Substance Abuse  Seeking Safety  Recreational Therapist  Social Skills  Group Therapy  Seeking Safety  Recreational Therapist LACOE  College Courses East LA College  Theater of Hearts/Youth First Artist In Residence  LA Trade Technical College  AJCC/TPP Work Program  OSHA Course Certification Program Probation  Life Skills Discussions  Parenting Programs are also provided by facility staff in addition to or in the absence of a community- based organization staff members. These programs are documented and the youth complete sign-in sheets. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 39 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) Programs. All youth shall be provided with the Section 621: Programs opportunity for at least one hour of daily programming to include, but not be limited to, See comments above under Section 1371. trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; ☒ ☐ ☐ (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the Policy Section 1306: Programs, Recreation opportunity for at least one hour of daily access to and Exercise unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised ☒ ☐ ☐ All youth receive or exceed their mandated and include orientation and may include coaching of hour of recreation daily. Youth spend the youth. majority of their time in this activity. (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. Activities available at DKC are basketball, ☒ ☐ ☐ flag football, kickball, soccer, track, volleyball, and pickleball. Youth also reported swimming this summer. All youth received or exceeded their mandated hour of exercise daily. The administrator/manager may suspend, for a period not Policy Section 1306: Programs, Recreation to exceed 24 hours, access to recreation and programs. and Exercise The administrator/manager shall document the reasons ☒ ☐ ☐ why suspension of recreation and programs occurs. There have been no suspensions of any required activities this cycle. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 40 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1372 RELIGIOUS PROGRAM Policy Section 1803: Religious Services The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: Policy Section 1803: Religious Services Documentation of weekly religious services (a) opportunity for religious services and practices; ☒ ☐ ☐ was provided for the month of September 2025. It was noted that all youth refused services each week. Policy Section 1803: Religious Services Youth are able to request for their own clergy (b) availability of clergy; and, ☒ ☐ ☐ to be on their visiting list either ongoing or for a special visit. They may also request for facility-assigned clergy visits also. Policy Section 1803: Religious Services (c) availability of religious diets. No youth in the facility requested a special ☒ ☐ ☐ diet for religious practice but there is a procedure in place if needed in the future. 1373 WORK PROGRAM Policy Section 504: Housekeeping: Youth Participation The facility administrator shall develop policies and procedures regarding the fair and consistent assignment There are two work programs available to the of youth to work programs. Work assigned to a youth shall youth sponsored through the Los Angeles be meaningful, constructive and related to vocational County Office of Education: Transitional training or increasing a youth's sense of responsibility. ☒ ☐ ☐ Partnership (TPP) and American Job Centers Work programs shall not be imposed as a disciplinary of California. measure Two youth participated in the American Job Center of California (AJCC) program. 1374 VISITING Policy Section 304: Visiting The facility administrator shall develop and implement Visiting documentation reviewed included written policies and procedures for visiting, that include weekly documentation for September 2025. provisions for special visits. Youth shall be allowed to Youth received required visiting opportunities receive visits by parents, guardians or persons standing as required per regulatory requirements. in loco parentis, and children of youth. Other family ☒ ☐ ☐ members, such as grandparents and siblings, and No current youth have children of their own. supportive adults, may be allowed to visit with the We are aware of youth who are now released approval of the facility administrator or designee, and in who were found to actively visit weekly with conjunction with the youth’s case plan or in the best their children and were participating in the interest of the youth. baby bonding program. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 41 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 All visits shall occur at reasonable times, subject only to Policy Section 304: Visiting the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy Section 304: Visiting per week. Visits may be supervised, but conversations shall not be monitored unless there is a security or safety ☒ ☐ ☐ Visits are every Sunday between 1pm and need. 4pm. Parents choose what time they can visit. Provisions for special visits, in addition to the two-hour Policy Section 304: Visiting minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion Youth interviewed stated they can request of the facility administrator or designee. Family therapy special visits at any time. No youth we and professional visits shall be accommodated outside ☒ ☐ ☐ interviewed reported having had a visit denied. 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 304: Visiting alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Efforts are made to provide face time calls when time permits. 1375 CORRESPONDENCE Policy Section 510: Mail The facility administrator shall develop and implement Youth have opportunity to write letters daily. written policies and procedures for correspondence which ☒ ☐ ☐ There is no limit to the amount of mail a young provide that: person may send or receive. (a) there is no limitation on the volume of mail that youth may send or receive; (b) youth may send two letters per week postage free; Policy Section 510: Mail All youth interviewed noted they had never been denied the ability to send or receive ☒ ☐ ☐ mail. Most stated they don’t really write letters much. They would like to have phones in the cottages so they could make more phone calls. (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. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 42 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1376 TELEPHONE ACCESS Policy Section 511: Use of Telephone The administrator of each juvenile facility shall develop Policy allows for access to a minimum of one and implement written policies and procedures to provide phone call a week. Documentation noted all youth with access to telephone communications. youth received their calls. Youth receive more ☒ ☐ ☐ than one call a week, generally daily calls. Technical assistance has again been provided and the facility encouraged to update their manual to what is occurring operationally. 1377 ACCESS TO LEGAL SERVICES Policy Section 512: Access to Legal Services The facility administrator shall develop written procedures Consultations with attorneys occur both in to ensure the right of youth to have access to the courts person and by phone. Visits generally occur and legal services. Such access shall include: in the conference room in administration. All (a) access, upon request by the youth, to licensed ☒ ☐ ☐ youth interviewed stated they had visits in the attorneys and their authorized representatives; past but none recently. All stated if they wanted to contact their attorney, they would call them and have access to do so upon request. (b) provision for confidential consultation with attorneys; Policy Section 512: Access to Legal Services and, There are areas within the DKC campus that ☒ ☐ ☐ youth can have confidential meetings with their attorneys should the attorney visit them in the facility (c) unlimited postage free, legal correspondence and Policy Section 512: Access to Legal Services cost-free telephone access as appropriate. ☒ ☐ ☐ All letters are postage-paid. 1390 DISCIPLINE Policy Section 610: Prohibited Methods of Discipline and 1103: Discipline Guidelines The facility administrator shall develop and implement written policies and procedures for the discipline of youth Documentation reviewed included Daily that shall promote acceptable behavior; including the use reward sheets, Weekly Merit Ladders, and of positive behavior interventions and supports. Discipline canteen slips. shall be imposed at the least restrictive level which promotes the desired behavior and shall not include The Aqua cottage merit ladders were provided corporal punishment, group punishment, physical or for review and we found they were reviewed psychological degradation. ☒ ☐ ☐ for QA and signed off by a facility supervisor Deprivation of the following is not permitted: daily. Points or stage levels were found to be corrected when errors were noted in point totals. We noted documentation was provided for the SYTF Canteen store and youth were not receiving just the same snacks as the camp youth. Policy Section 610: Prohibited Methods of (a) bed and bedding; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines (b) daily shower, access to drinking fountain, toilet and Policy Section 610: Prohibited Methods of personal hygiene items, and clean clothing; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines Policy Section 610: Prohibited Methods of (c) full nutrition; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines Policy Section 610: Prohibited Methods of (d) contact with parent or attorney; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 43 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy Section 610: Prohibited Methods of (e) exercise; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines Policy Section 610: Prohibited Methods of (f) medical services and counseling; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines Policy Section 610: Prohibited Methods of (g) religious services; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines Policy Section 610: Prohibited Methods of (h) clean and sanitary living conditions; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines Policy Section 610: Prohibited Methods of (i) the right to send and receive mail; ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines Policy Section 610: Prohibited Methods of (j) education; and, ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines Policy Section 610: Prohibited Methods of (k) rehabilitative programming. ☒ ☐ ☐ Discipline and 1103: Discipline Guidelines The facility administrator shall establish rules of conduct Policy Section 1103: Discipline Guidelines and disciplinary penalties to guide the conduct of youth. See 1391. Such rules and penalties shall include both major violations and minor violations, be stated simply and Rules are noted in the handbook and are affirmatively, and be made available to all youth. Provision ☒ ☐ ☐ posted. shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Section 1106: Rules and Regulations The facility administrator shall develop and implement Two Sanctions and Appeal documents were written policies and procedures for the administration of reviewed for compliance. Both were discipline which shall include, but not be limited to: completed and were documented correctly. (a) designation of personnel authorized to impose ☒ ☐ ☐ discipline for violation of rules; Facility Sanctions and Appeals form provides for review and appeal for both minor and major violations. (b) prohibiting discipline to be delegated to any youth; Section 1106: Rules and Regulations ☒ ☐ ☐ (c) definition of major and minor rule violations and their Section 1106: Rules and Regulations consequences, and due process requirements; ☒ ☐ ☐ (d) trauma-informed approaches and positive behavior Section 1106: Rules and Regulations interventions; ☒ ☐ ☐ (e) minor rule violations may be handled informally by Section 1106: Rules and Regulations and counseling, advising the youth of expected conduct Section 1108: Minor Rule Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall Section 1106: Rules and Regulations and be documented and require the following: 1107: Due Process (1) written notice of violation prior to a hearing; ☒ ☐ ☐ The discipline due process was completed as required by regulations and by policy. (2) accommodations provided to youth with Section 1106: Rules and Regulations disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Section 1106: Rules and Regulations incident; ☒ ☐ ☐ 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 44 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) opportunity for the youth to be heard, present Section 1106: Rules and Regulations evidence and testimony; ☒ ☐ ☐ (5) provision for youth to be assisted by staff in the Section 1106: Rules and Regulations hearing process; ☒ ☐ ☐ Section 1106: Rules and Regulations (6) provision for administrative review. ☒ ☐ ☐ No youth requested an administrative review. (g) violations that result in a removal from camp or Section 1106: Due Process commitment program, but not a return to court, will follow ☒ ☐ ☐ the due process provisions in subsection (e) above. No youth were removed from the program. 1410 MANAGEMENT OF COMMUNICABLE Policy Section 1805: Communicable DISEASES. Diseases The health administrator/responsible physician, in cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ 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 1805: Communicable (a) Intake health screening procedures; ☒ ☐ ☐ Diseases Policy Section 1805: Communicable (b) Identification of relevant symptoms; ☒ ☐ ☐ Diseases Policy Section 1805: Communicable (c) Referral for medical evaluation; ☒ ☐ ☐ Diseases Policy Section 1805: Communicable (d) Treatment responsibilities during detention; ☒ ☐ ☐ Diseases (e) Coordination with public and private community- Policy Section 1805: Communicable based resources for follow-up treatment; ☒ ☐ ☐ Diseases Policy Section 1805: Communicable (f) Applicable reporting requirements; and, ☒ ☐ ☐ Diseases Policy Section 1805: Communicable (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Diseases The policies and procedures shall be updated as Policy Section 1805: Communicable necessary to reflect communicable disease priorities Diseases identified by the local health officer and currently ☒ ☐ ☐ recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Policy Section 1703: Procedures for Requesting Services The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to All youth we spoke with stated they are aware establish a daily routine for youth to convey requests for ☒ ☐ ☐ of the process to access both emergency and emergency and non-emergency medical, dental and non-emergent medical, dental, and behavioral/mental health care services. behavioral health care. 1480 STANDARD FACILTY CLOTHING ISSUE Policy Section 403: Procedures for Newly Admitted Youth 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. the primary responsibility to provide clothing and ☒ ☐ ☐ footwear. Clothing provisions shall ensure that: The youth’s clothing appeared appropriate for the weather, was sized well, and the clothes appeared to be in good repair. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 45 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (a) Clothing is clean, reasonably fitted, durable, easily Policy Section 403: Procedures for Newly laundered, in good repair, and free of holes and tears. ☒ ☐ ☐ Admitted Youth (b) The standard issue of climatically suitable clothing Policy Section 403: Procedures for Newly for youth shall consist of but not be limited to: Admitted Youth (1) Socks and serviceable footwear; ☒ ☐ ☐ All shoes viewed appeared to be in good shape when viewed. Policy Section 403: Procedures for Newly (2) Outer garments; ☒ ☐ ☐ Admitted Youth (3) New non-disposable underwear which shall Policy Section 403: Procedures for Newly remain with the youth throughout their stay, and; Admitted Youth All the youth we spoke with reported they ☒ ☐ ☐ received new underwear upon arrival and they wash their own. Disposable underwear are available should a youth request it. (4) Undergarments, that are freshly laundered and Policy Section 403: Procedures for Newly free of stains, including tee shirts and bras. ☒ ☐ ☐ Admitted Youth (c) Clothing is laundered at the temperature required by Policy Section 403: Procedures for Newly local ordinances for the commercial laundries and dried Admitted Youth completely in a mechanical dryer or other laundry ☒ ☐ ☐ method approved by the local health officer. Laundry is contracted out. (d) Suitable clothing is issued to pregnant youth. Policy Section 403: Procedures for Newly Admitted Youth ☒ ☐ ☐ There is no specific maternity clothing issued, but youth who are pregnant receive clothes that are larger and do not constrict. 1482 CLOTHING EXCHANGE Policy Section 2104: Laundry Operations The facility administrator shall develop and implement Each youth is responsible for doing their own written policies and site-specific procedures for the laundry in the cottage laundry room. This is cleaning and scheduled exchange of clothing. Unless part of the program and learning responsibility. work, climatic conditions, or illness necessitates more frequent exchange, outer garments, except for footwear, The unit has clothing exchange practices if shall be exchanged at least once each week. Tee shirts, ☒ ☐ ☐ they need additional items or replacement bras, and underwear shall be exchanged daily; youth items. There were some complaints regarding shall receive their own underwear back at exchange. the ability to receive the items they requested. This issue was communicated to administration who was addressing the issue with the proper persons. 1484 CONTROL OF VERMIN IN YOUTH’S Policy Section 504: Housekeeping PERSONAL CLOTHING Personal belongings remain at the Juvenile There shall be written policies and site-specific Hall pending pick-up from the youth’s parents. procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 46 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1485 ISSUE OF PERSONAL CARE ITEMS Policy Section 507: Housekeeping: Personal Hygiene Supplies There shall be written policies and site-specific procedures developed and implemented by the facility Young people are provided with all the items administrator for the availability of personal hygiene items. Each female youth shall be provided with sanitary ☒ ☐ ☐ they need upon entry to the facility. They can napkins, panty liners and tampons as requested. earn additional products as they earn point for Each youth to be held over 24 hours shall be provided positive behavior. with the following personal care items; Policy Section 507: Housekeeping: Personal (a) Toothbrush; ☒ ☐ ☐ Hygiene Supplies Policy Section 507: Housekeeping: Personal (b) Toothpaste; ☒ ☐ ☐ Hygiene Supplies Policy Section 507: Housekeeping: Personal (c) Soap; ☒ ☐ ☐ Hygiene Supplies Policy Section 507: Housekeeping: Personal (d) Comb; ☒ ☐ ☐ Hygiene Supplies Policy Section 507: Housekeeping: Personal (e) Shaving implements; ☒ ☐ ☐ Hygiene Supplies Policy Section 507: Housekeeping: Personal (f) Deodorant; ☒ ☐ ☐ Hygiene Supplies Policy Section 507: Housekeeping: Personal (g) Lotion; ☒ ☐ ☐ Hygiene Supplies Policy Section 507: Housekeeping: Personal (h) Shampoo; and, ☒ ☐ ☐ Hygiene Supplies Policy Section 507: Housekeeping: Personal (i) Post-shower conditioning hair products. ☒ ☐ ☐ Hygiene Supplies Youth shall not be required to share any personal care Policy Section 507: Housekeeping: Personal items listed in items (a) through (d). Liquid soap provided Hygiene Supplies through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety All youth noted they have access to all razors, electric razors, and other shaving instruments personal care items. capable of breaking the skin, when shared among youth, ☒ ☐ ☐ shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Policy Section 620 Showers and Section 628: Personal Hygiene and Unit Housekeeping. There shall be written policies and site specific procedures developed and implemented by the facility Youth we interviewed confirmed they are given administrator for showering/bathing and brushing of ☒ ☐ ☐ the opportunity to brush their teeth after every teeth. Youth shall be permitted to shower/bathe up on meal and to shower daily. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy Section 509: Shaving and Haircut Procedures Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of Youth reported the ability to shave daily. identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 47 of 49 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1488 HAIR CARE SERVICES Policy Section 509: Shaving and Haircut Procedures Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each ☒ ☐ ☐ Youth reported having an opportunity for haircut or procedure, by a method approved by the State monthly haircuts. Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Policy Section 504: Housekeeping Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ Youth are provided with clean bedding (sheets and blankets) upon entry into the facility. area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Policy Section 504: Housekeeping meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Policy Section 504: Housekeeping (a) above; ☒ ☐ ☐ (c) One mattress cover and a sheet or two sheets; Policy Section 504: Housekeeping ☒ ☐ ☐ (d) One towel; and, Policy Section 504: Housekeeping ☒ ☐ ☐ (e) One blanket or more, up on request Policy Section 504: Housekeeping ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Policy Section 504: Housekeeping The facility administrator shall develop and implement Youth do their own laundry but do not wash site specific written policies and procedures for the their bedding. Bedding is exchanged weekly scheduled exchange of laundered bedding and linen ☒ ☐ ☐ and fresh sheets and pillow cases are issued to each youth housed. Washable items such as provided. 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 once Policy Sections Policy Section 504: a month. ☒ ☐ ☐ Housekeeping 1510 FACILITY SANITATION, SAFETY AND Policy Sections Policy Section 504: MAINTENANCE Housekeeping and Section Metal Handcuff Sanitizing Procedure The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, The facility and the cottage were found to be repair and safety throughout the facility. The plan shall very clean. provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 48 of 49 J453 JUV PRO eff. 01.01.25 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) 7235 Los Angeles Dorothy Kirby Center SYTF CI PRO 25-26 Page 49 of 49 J453 JUV PRO eff. 01.01.25 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections Applicable Title 24 Regulations: Pre-1998* BSCC Code: 7234 FACILITY NAME: Los Angeles County Dorothy Kirby Center SYTF FACILITY TYPE: SYTF CONSTRUCTION/REMODEL DATE(S): 1960 IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: FIELD REPRESENTATIVE: Lisa Southwell DATE: December 10, 2025(Verified) TITLE 24 SECTION YES NO N/A COMMENTS RECEPTION AREA (JH) Applies only to Juvenile Halls. ☐ ☒ Holding Rooms: ☐ Contain 15 square feet per minor; Have sufficient seating to accommodate the rated ☐ ☒ capacity based on floor space; ☐ Provide access to water closets and wash basins ☐ ☒ at a ratio of a 1:8; and ☐ Provide access to drinking fountain. ☐ ☒ ☐ Provide access to telephone. ☐ ☒ ☐ Provide access to private room(s) for interviews. ☐ ☒ ☐ MEDICAL EXAM SPACE (JH & CAMP) Space or room(s) afford privacy, are equipped to carry out routine examinations and emergency care and ☒ ☐ ☐ have sufficient locked storage space for medical supplies. LIVING UNITS (JH AND SPJH) Applies only to Juvenile Halls and Special Purpose Juvenile Halls. ☐ ☒ Living units are designed to accommodate no more ☐ than 30 minors and contain: Showers at a ratio of 1:6; ☐ ☒ ☐ Washbasins at a ratio of 1:6; ☐ ☒ ☐ Water closets at a ratio of 1:6 or water closet and ☐ ☒ one urinal for every 15 boys; and, ☐ Access to a drinking fountain by minors and staff. ☐ ☒ ☐ Doors of each sleeping room have a view panel (maximum of 144 square inches of shatter-proof glass ☐ ☒ or plastic materials) that allows the visual supervision ☐ of all parts of the room. Hallways in the detention living units are at least eight feet wide. If rooms are located on only one side, or if ☐ ☒ room doors are staggered, hallways are at least six ☐ feet wide. SINGLE ROOMS (JH, SPJH & CAMP) Contain a minimum of 500 cubic feet of air space and ☒ ☐ ☐ 63 cubic feet of floor space. DOUBLE ROOMS (JH, SPJH & CAMP) ☐ ☒ Contain a minimum of 800 cubic feet of airspace and ☐ 100 square feet of floor space. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7235 Los Angeles Dorothy Kirby Center SYTF CI PHY 25-26 - 1 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS DORMITORY SLEEPING AREAS (JH & CAMP) ☐ ☒ Contain a minimum of 400 cubic feet of airspace and ☐ 50 square feet of floor space per minor. LOCKED SLEEPING ROOMS (JH, SPJH & CAMP) There are three locked sleeping rooms located in the Intensive Care Unit (ICU). These rooms Contain an individual or combination drinking fountain, are non-rated spaces. wash basin and toilet, unless a communication system ☒ ☐ ☐ or procedure is in effect to give minor immediate access to these fixtures. PLUMBING FIXTURES (CAMP) Several areas of potential ligature in shower areas. 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 Diamond and Sapphire have one toilet. The urinal for every 15 boys; and, unit has a maximum population of 6. Units are used in HOPE centers. ☒ ☐ ☐ Toilet stalls have stall locks as noted in past inspections. Have made suggestions for removal. Access to a drinking fountain. ☒ ☐ ☐ BEDS AND MATTRESSES (JH, SPJH & CAMP) Beds and mattresses are: ☒ ☐ ☐ A least 30 inches wide and 76 inches long; Spaced at least 36 inches apart and at least 12 inches off the floor; and, ☒ ☐ ☐ Mattresses are made of a fire retardant material. ☒ ☐ ☐ INTERVIEW ROOMS (JH, SPJH & CAMP) There is one interview room for each detention unit in ☒ ☐ ☐ juvenile halls and special purpose juvenile halls. There is a private room suitably equipped for conferences and interviews in each camp. ☒ ☐ ☐ LIGHTING (JH, SPJH & CAMP) There are at least 50 foot candles of illumination at desk level and, at night, there is a maximum ☒ ☐ ☐ illumination of two foot candles at bed level in individual and multiple occupancy rooms. ACADEMIC CLASSROOM (JH & CAMP) Each classroom contains a minimum of 160 square feet with a teacher's desk and work area, and a ☒ ☐ ☐ minimum of 28 square feet per student. Classrooms should be designed for no more than 15 students. 98: Designed for no more than 20 students DINING SPACE (JH & CAMP) There is a minimum of 15 square feet of space for ☒ ☐ ☐ each person being fed at any given time. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3 (Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7235 Los Angeles Dorothy Kirby Center SYTF CI PHY 25-26 - 2 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS PHYSICAL ACTIVITY SPACE (JH & CAMP) (See 2001 regulations for revised calculations.) There is indoor space consisting of at least 30 square ☒ ☐ ☐ feet of clear space for each minor, which may be included in a day room, a recreational building, or a multipurpose space (gymnasium). There is outdoor and/or multipurpose (gymnasium) space consisting of: ☐ ☒ No less than the equivalent of 90' X 100' outdoor ☐ and /or multipurpose space (gymnasium) for a facility with a capacity of 40 or less. No less than the equivalent of 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with ☒ ☐ ☐ a capacity of more than 40, and a juvenile hall with a capacity between 41 to 100 minors. No less than the equivalent of two 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with ☒ ☐ ☐ a capacity of more than 40 and a juvenile hall with a capacity in excess of 101 minors. Lighting is adequate for security and evening ☐ ☒ recreational activities in camps. ☐ STORAGE SPACE (JH, SPJH & CAMP) Each minor is provided 9 cubic feet of secure storage ☒ ☐ ☐ space for personal clothing and belongings. Camps shall have adequate space (12 square feet of floor area is recommended) for bulk and activity ☒ ☐ ☐ storage equipment. MULTIPURPOSE SPACE OR ROOM (SPJH) Applies only to Special Purpose Juvenile Halls. There is a multipurpose space or room that provides space for reception, dining, recreation, exercise and/or ☐ ☒ ☐ education. This room contains a minimum of: 30 square feet of clear floor space per minor in the ☐ ☒ room; ☐ 10 feet by 20 feet floor dimensions; and, ☐ ☒ ☐ 1600 cubic feet of air space with a minimum ☐ ☒ ceiling height of eight feet. ☐ SPECIAL PURPOSE JH EXEMPTIONS SPJHs are exempt from the following Pre-1998 Title 15 regulations: Section 4272(b) Medical exam rooms ☐ ☒ Section 4272(m) Academic classrooms ☐ Section 4272(n) Dining space Section 4272(o) Physical activities space December 2025: DKC SYTF Comprehensive Inspection. The facility shares space with the camp and occupies one unit for sleeping 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 Dorothy Kirby Center SYTF CI PHY 25-26 - 3 - J455 PHY Pre-98.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Code: 7235 FACILITY: Los Angeles County Dorothy Kirby Center-SYTF TYPE: SYTF RC: 8 FIELD REPRESENTATIVE: Lisa Southwell DATE: September 11, 2025 (Verified) ROOMS EACH ROOM Pre-98 Each Room Size (L x W x H) FIXTURES* Unit Room # # RC Total or T U W F S COMMENTS Designation Type Rooms Beds RC Square/Cubic Feet Aqua Pre-98 8 to SYTF and 2 to Camp SYTF Dayroom 51’ x 30’ = 1,530 1 Female (No. Hall) Restroom 1 1 2 1 1 Single 5 1 1 5 7’8” x 11’8” = 89 {5 RC to SYTF} (So. Hall) Restroom 1 1 2 1 1 Single 5 1 1 5 7’8” x 11’8” = 89 {3RC to SYTF} 2 RC to Camp DKC Girls. December 2025: No change RC 8 *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. 7235 Los Angeles Dorothy Kirby Center SYTF CI LASE 25-26 - 1 - J460 LASE Juvenile.dot (rev.12/23)