BSCC
Marin Probation (2023-2024 inspection cycle)
Read the report at Marin Probation ↗
July 6, 2023
Marlon Washington, Chief Probation Officer
Marin Probation Department
3501 Civic Center Dr # 265
San Rafael, CA 94903
2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE
SECTIONS 209 & 885, MARIN COUNTY PROBATION DEPARTMENT DETENTION
JUVENILE HALL
Dear Chief Washington:
The 2023-2024 Comprehensive Inspection of the Marin County Probation Department’s
Juvenile Hall (MCJH) has been completed. A pre-inspection briefing was held on
Thursday, February 2, 2023, and the following facility was inspected between Monday,
April 17, 2023, and Thursday, April 20, 2023:
FACILITY NAME BSCC # FACILITY TYPE
Marin County Juvenile Hall 7293 JH
This inspection was conducted pursuant to Welfare and Institutions Code Sections 209
and 885 to determine compliance with the Minimum Standards for Juvenile Detention
Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board
of State and Community Corrections (BSCC) staff conducted compliance monitoring
pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice
and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles
and adults.
In addition to the annual inspection, Title 15, Section 1313, and its authorizing statute
require annual inspections conducted by a local Health Officer, fire authority having
jurisdiction, county building inspection by an agency designated by the County Board of
Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice
Commission. The results of those inspections are considered a part of this report.
INSPECTION RESULTS
We provided technical assistance that included, but was not limited to, recommended
updates to policy and procedure, and proof of practice documentation.
Marlon Washington Chief of Probation
Page 2
We identified two areas of non-compliance with Title 15 Minimum Standards that were
corrected by the completion of the inspection. Those items were as follows:
• 1433 Requests for Health Care Services
• 1438 Pharmaceutical Management - This Title 15 regulation is not indicated on the
Procedures Checklist. Title 15 requires training by medical staff for non-licensed
personnel who dispense medication to youth. We recommend training be provided
to staff who are tasked to dispense medication.
Refer to the attached Title 15 Procedures Checklist for detailed information.
No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the
Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments
for information related to Rated Capacity.
Juvenile Justice and Delinquency Prevention Act Compliance Monitoring
No violations of the JJDPA have been identified, and no areas of noncompliance were
noted.
An Exit Briefing with your staff was held on Thursday, April 20, 2023; BSCC staff
presented an inspection overview and discussed technical assistance and best practice
recommendations.
* * *
Please email me at forrest.coleman@bscc.ca.gov or call (916) 508-7559 if you have any
questions.
Sincerely,
FORREST COLEMAN
Field Representative
Facilities Standards and Operations Division
Enclosures
Cc: Presiding Judge, Marin County Juvenile Court*
Chair, Juvenile Justice Commission, Marin County*
Chair, Board of Supervisors, Marin County*
County Administrator, Marin County*
Jessica Fort, Assistant Chief Probation Officer Rank, Marin County
*Copies of the inspection are available upon request or online at www.bscc.ca.gov.
7293 Marin Juvenile Hall LTR 23-24
JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7293
FACILITY NAME: Marin County Juvenile Hall (MCJH) FACILITY TYPE: JH
PERSON(S) INTERVIEWED: Jessica Fort, Assistant Chief Probation Officer; Tori Creighton, Juvenile Hall Superintendent;
Grady Livingston, Supervising JCO; David Fahy, JCO; Monica Rosenberg, JH Nurse; Aleksei Rajamachvili, Supervising Nurse;
Jeana Reynolds, MH Supervisor; Diana Loeza-Montero, Therapist; Eve Rosen, Teacher; Frank Neas, Supervising Cook; 1
male youth and 1 female youth.
FIELD REPRESENTATIVE: Forrest Coleman DATE: April 20, 2023
TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS
1313 COUNTY INSPECTION AND EVALUATION OF County inspections and evaluations of
BUILDING AND GROUNDS grounds were performed by authorized
persons and agencies per Title 15
On an annual basis, or as otherwise required by law, ☒ ☐ Regulation 1313.
☐
each juvenile facility administrator shall obtain a
documented inspection and evaluation from the
following:
(A) County building inspection by agency designated by 2022:
the Board of Supervisors to approve building safety; ☐ Completed on April 28, 2022, by G. Coats,
☒ ☐
Marin County Building Inspector.
(B) Fire authority having jurisdiction, including a fire 2022:
clearance as required by Health and Safety Code Completed on February 23, 2022, by Marin
Section 13146.1 (a) and (b); County Fire Department, Captain, Jake
Rosebrock.
☐ ☐
☒
2023:
Completed on March 16, 2023, by Marin
County Fire Dept., Otis Guy.
(C) Local health officer, inspection in accordance with 2022:
Health and Safety Code Section 101045; Medical/Mental Health: Completed on
August 25, 2022, by Marin County Health &
Human Services, Carl Finley RN BSN.
Nutritional Health: Completed August 24,
2022, by San Mateo Correctional Health
Dietician, Denise Chu.
☐ ☐
☒
Environmental Health: Completed on August
24, 2022, by Environmental Health
Specialist, J. Tam.
(D) County superintendent of schools on the adequacy 2023:
of educational services and facilities as required in Completed January 2023, by Alternative
☐ ☐
Section 1370; ☒ Education Consultant, Lisa Schwartz.
1
This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is
required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not
contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards
for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations.
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(E) Juvenile court as required by Section 209 of the 2022:
Welfare and Institutions Code Completed on December 30, 2022, by Marin
☐ ☐ County Judge of Superior Court, Beverly K.
☒
Wood.
(F) Juvenile Justice Commission as required by Section 2023:
229 of the Welfare and Institutions Code or Probation Completed on January 12, 2023, by JJC
Commission as required by Section 240 of the ☐ ☐ Commissioners, Veronica Geretz and Don
☒
Welfare and Institutions Code. Carney.
1320 APPOINTMENT AND QUALIFICATIONS Policy 200 Appointment and Qualifications,
BSCC Note: Compliance with this section is Section A
determined by receipt of the Chief Probation Officer’s
certification letter confirming that all elements of An Appointment and Qualification Letter,
dated April 11, 2023, was received from
regulation are met.
Chief Probation Officer (CPO), Marlon
(a) Appointment Washington, confirming that the Marin
☐ ☐
In each juvenile facility there shall be a superintendent, ☒ County Juvenile Hall meets Title 15 minimum
director or facility manager in charge of its program and standards for this regulation.
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 Policy 200 Appointment and Qualifications,
Each facility shall: Section B
(1) recruit and hire employees who possess Policy 200 Appointment and Qualifications,
knowledge, skills and abilities appropriate to Section B (1)
their job classification and duties in accordance ☒ ☐ ☐
with applicable civil service or merit system
rules;
(2) require a medical evaluation and physical Policy 200 Appointment and Qualifications,
examination including tuberculosis screening Section B (2)
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 Policy 200 Appointment and Qualifications,
selection and training requirements adopted by Section B (3)
the Board pursuant to Section 6035 of the Penal
The Board of State and Community
Code; and
Corrections (BSCC), Standard and Training
☒ ☐ ☐
for Corrections (STC) Division, reports that
the Marin County Juvenile Hall (MCJH)
meets Title 15 minimum standards for staff
training requirements.
(4) conduct a criminal records review, on each new Policy 200 Appointment and Qualifications,
employee, and psychological examination in Section B (4)
☒ ☐ ☐
accordance with Section 1031 et seq. of the
Government Code.
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(c) Contract personnel, volunteers, and other non- Policy 200 Appointment and Qualifications,
employees of the facility, who may be present at the Section C
facility, shall have such clearance and qualifications
Unless always supervised, all contract
as may be required by law, and their presence at the
personnel, volunteers, and other non-
facility shall be subject to the approval and control of
☒ ☐ ☐ members of the facility, who may be present
the facility manager.
at the facility, have had such clearance and
qualifications as may be required by law and
their presence is subject to the approval and
control of the Chief Probation Officer or
designee.
1321 STAFFING Policy 200 Staffing
Identifies all expectations and responsibilities
Each juvenile facility shall:
of the regulation’s minimum standards.
a) have an adequate number of personnel sufficient to Policy 200 Staffing, Section (A)
carry out the overall facility operation and its
We reviewed the above policies and
programming, to provide for safety and security of
procedures, as well as, the agency’s
youth and staff, and meet established standards and
Organization Chart, random weekly staff
regulations;
schedule, and daily unit schedule covering
the time from the agency’s prior inspection,
☒ ☐ ☐
dated June 9, 2022, to present. In addition,
we made personal observations.
We were able to conclude that MCJH meets
Title 15 minimum standards for this
regulation.
b) ensure that no required services shall be denied Policy 200 Staffing
because of insufficient numbers of staff on duty
Through our review of the above policy,
absent exigent circumstances;
visual observations, a review of work
schedules for January, February, and March
2023, as well as a review of the staff “Daily
Activity Reports”, BSCC staff determined that
MCJH regularly ensures that the staffing
levels are adequate. As a result, the Pod unit
programming and services are not canceled
☒ ☐ ☐ because of staffing issues.
At the time of inspection staffing consisted of:
• 1 Superintendent
• 3 Supervisors
• 9 Juvenile Corrections Officers
(JCO)
• 1 Vacant JCO positions
• 14 Extra-help staff
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c) have a sufficient number of supervisory level staff to Policy 200 Staffing, Section (c)
ensure adequate supervision of all staff members;
In the review of the daily staff schedule, as
well as through interviews with youth housed
at the facility and staff, there is a Supervising
Juvenile Corrections Officer (SJCO) or a
☒ ☐ ☐
Juvenile Corrections Officer (JCO) III,
assigned as the “Acting Supervisor”, working
on each shift. The facility’s Superintendent is
responsible for the daily overall operations of
the facility.
d) have a clearly identified person on duty at all times Policy 200 Staffing, Section (d)(c )
who is responsible for operations and activities and
has completed the Juvenile Corrections Officer Core ☒ ☐ ☐
The Supervisor or JCO III (Acting
Supervisor) is clearly listed on the staff’s
Course and PC 832 training;
daily schedules.
e) have at least one staff member present on each Policy 200 Section, (e)
living unit whenever there are youth in the living unit;
Through personal observations as well as
interviews with staff and youth housed at the
☒ ☐ ☐ facility, MCJH regularly ensures that there is
always staff present in the unit or where
youth is present. Youth are never left
unsupervised
f) have sufficient food service personnel relative to the Policy 200 Section, (f)
number and security of living units, including staff
Current food service personnel staffing
qualified and available to: plan menus meeting
consists of:
nutritional requirements of youth; provide kitchen
supervision; direct food preparation and servings;
• 1 Supervising Cook
conduct related training programs for culinary staff; ☒ ☐ ☐
• 1 Part Time Cook
and maintain necessary records; or, a facility may
• 2 Kitchen Aides
serve food that meets nutritional standards prepared
by an outside source; MCJH meets Title 15 Minimum standards for
the elements of this regulation.
g) have sufficient administrative, clerical, recreational, Policy 200 Section, (g)
medical, dental, mental health, building
Current administrative support staffing
maintenance, transportation, control room, facility
consists of:
security and other support staff for the efficient
management of the facility, and to ensure that youth
• 1 Administrative Support Staff. The
supervision staff shall not be diverted from
Central Control person is a non-
supervising youth; and,
peace officer administrative position.
☒ ☐ ☐
BSCC reviewed local inspections and
evaluations conducted per Title 15, Section
1313 County Inspections and Evaluation of
Building and Grounds. We also interviewed
agency collaborative partners. BSCC staff
determined that the MCJH complies with this
regulation.
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h) assign sufficient youth supervision staff to provide Policy 200 Staffing, Section (h)
continuous wide-awake supervision of youth, subject
BSCC interviewed staff and reviewed
to temporary variations in staff assignments to meet
housing unit logs, programming schedules,
special program needs. Staffing shall be in
and employee daily schedules.
compliance with a minimum youth-staff ratio for the
☒ ☐ ☐
following facility types:
The Marin County JH regularly provides
youth supervision staffing levels that enable
the facility to meet the minimum standards
for this regulation.
(1) Juvenile Halls (minimum youth-staff ratio) Policy 200 Staffing, Section (A)
(A) during the hours that youth are awake, one wide-
JH population at the time of the inspection
awake youth supervision staff member on duty for
each 10 youth in detention; was 14 youths. There were two female
youths housed at the facility.
☒ ☐ ☐ Through observation and review of the
housing unit log, Safety Check
documentation, and staffing schedules,
staffing ratios are consistently in compliance
with Title 15 minimum standards.
(B) during the hours that youth are confined to their Policy 200 Staffing, Section (1) (B)
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 Policy 200 Staffing, Section (C)
members on duty at all times, regardless of the
In a review of the housing unit log, Safety
number of youth in detention, unless an
arrangement has been made for backup support ☒ ☐ ☐
Check documentation, and daily schedules,
MCJH ensures at least two wide-awake
services which allow for immediate response to
youth supervision staff members are always
emergencies; and,
on duty.
(D) at least one youth supervision staff member on duty Policy 200 Staffing, Section (D)
who is the same gender as youth housed in the
According to shift schedules, housing unit
facility.
logs, visual observations, and interviews with
☒ ☐ ☐
staff and youth, there is always a male and
female youth supervision staff assigned to
each shift.
(E) personnel with primary responsibility for other duties Policy 200 Staffing, Section (E)
such as administration, supervision of personnel,
Only youth supervision staff provide
academic or trade instruction, clerical, kitchen or ☒ ☐ ☐
supervision of the youth.
maintenance shall not be classified as youth
supervision staff positions.
(2) Special Purpose Juvenile Halls (minimum The Marin County Juvenile Hall is not a
youth-staff ratio) Special Purpose Juvenile Hall. The below
(A) during hours that youth are awake, one wide-awake ☐ ☐ ☒ section A thru E is not applicable to this
youth supervision staff member is on duty for each facility
10 youth in detention;
(B) during the hours that youth are confined to their room
for the purpose of sleeping, one wide-awake youth
☐ ☐ ☒
supervision staff member on duty for each 30 youth
in detention;
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(C) at least two wide-awake youth supervision staff
members on duty at all times, regardless of the
number of youth in detention, unless an arrangement ☐ ☐ ☒
has been made for backup support services which
allow for immediate response to emergencies; and,
(D) at least one youth supervision staff member on duty
who is the same gender as youth housed in the ☐ ☐ ☒
facility.
(E) personnel with primary responsibility for other duties
such as administration, supervision of personnel,
academic or trade instruction, clerical, kitchen or ☐ ☐ ☒
maintenance shall not be classified as youth
supervision staff positions.
(3) Camps (minimum youth -staff ratio) The Marin County Juvenile Hall is not a
(A) during the hours that youth are awake, one wide- Camp. The below section A thru F is not
☐ ☐ ☒
awake youth supervision staff member on duty for applicable to this facility.
each 15 youth in the camp population;
(B) during the hours that youth are confined to their room
for the purpose of sleeping, one wide-awake youth
☐ ☐ ☒
supervision staff member on duty for each 30 youth
present in the facility;
(C) at least two wide-awake youth supervision staff
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;
(D) at least one youth supervision staff member on duty
who is the same gender as youth housed in the ☐ ☐ ☒
facility;
(E) in addition to the minimum staff to youth ratio
required in (h)(3)(A)-(B), consideration shall be given
to the size, design, and location of the camp; types
of youth committed to the camp; and the function of
☐ ☐ ☒
the camp in determining the level of supervision
necessary to maintain the safety and welfare of
youth and staff;
(F) personnel with primary responsibility for other duties
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.
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1322 YOUTH SUPERVISION STAFF ORIENTATION Policy 219 Youth Supervision Staff
AND TRAINING Orientation and Training
Procedure 220 New Employee 40–80-hour
(a) Prior to assuming any responsibilities each youth Orientation
supervision staff member shall be properly oriented
to their duties, including: The elements of this regulation are
confirmed in the Appointment and
Qualification Letter, dated April 11, 2023,
received from Chief Probation Officer (CPO),
☒ ☐ ☐ Marlon Washington.
According to the Board of State and
Community Corrections’ Standard and
Training for Corrections Division (STC),
MCJH is up to date and in compliance with
Title 15 minimum standards regarding staff
training.
(1) youth supervision duties; Policy 219 Youth Supervision Staff
Orientation and Training, Section (a) (1)
☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(2) scope of decisions they shall make; Policy 219 Youth Supervision Staff
Orientation and Training, Section (a) (2)
☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(3) the identity of their supervisor; Policy 219 Youth Supervision Staff
Orientation and Training, Section (a) (2)
☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(4) the identity of persons who are responsible to Policy 219 Youth Supervision Staff
them; Orientation and Training, Section (a) (4)
☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(5) persons to contact for decisions that are beyond Policy 219 Youth Supervision Staff
their responsibility; and Orientation and Training, Section (a) (5)
☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(6) ethical responsibilities. Policy 219 Section (a) (6)
Procedure 220 New Employee 40–80-hour
☒ ☐ ☐
Orientation
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(b) Prior to assuming any responsibility for the Policy 219 Youth Supervision Staff
supervision of youth, each youth supervision staff Orientation and Training Section B (b) (1
member shall receive a minimum of 40 hours of through 11).
facility-specific orientation, including: Procedure 220 New Employee 40–80-hour
Orientation
According to the Board of State and
Community Corrections’ Standard and
Training for Corrections Division (STC),
☒ ☐ ☐
MCJH ensures each youth supervision staff
member shall receive a minimum of 40 hours
of facility-specific orientation training.
The Juvenile Hall Superintendent ensures
that staff meets mandated training
requirements.
(1) individual and group supervision techniques; Policy 219 Youth Supervision Staff
Orientation and Training, Section (b) (1)
☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(2) regulations and policies relating to discipline and Policy 219 Youth Supervision Staff
rights of youth pursuant to law and the provisions Orientation and Training, Section (b) (2)
of this chapter; ☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(3) basic health, sanitation and safety measures; Policy 219 Youth Supervision Staff
Orientation and Training, Section (b) (3)
Procedure 220 New Employee 40–80-hour
Orientation
☒ ☐ ☐
The New Employee Orientation training of
youth supervision staff encompasses the
elements of this section.
(4) suicide prevention and response to suicide Policy 219 Youth Supervision Staff
attempts Orientation and Training, Section (b) (4).
Procedure 220 New Employee 40–80-hour
Orientation
The New Employee Orientation training of
youth supervision staff includes but is not
☒ ☐ ☐
limited to suicide prevention and safety
checks.
MCJH conducts annual Suicide Prevention
Training updates for its Supervisors and JCO
staff.
(5) policies regarding use of force, de-escalation Policy Youth Supervision Staff Orientation
techniques, chemical agents, mechanical and and Training, Section (b) (5)
physical restraints; ☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
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(6) review of policies and procedures referencing Policy 219 Youth Supervision Staff
trauma and trauma-informed approaches; Orientation and Training, Section (b) (6)
Procedure 220 New Employee 40–80-hour
Orientation
☒ ☐ ☐
The New Employee Orientation training of
youth supervision staff encompasses the
elements of this section.
(7) procedures to follow in the event of Policy 219 Youth Supervision Staff
emergencies; Orientation and Training, Section (b) (7)
☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(8) routine security measures, including facility Policy 219 Youth Supervision Staff
perimeter and grounds; Orientation and Training, Section (b) (8)
Procedure 220 New Employee 40–80-hour
Orientation
☒ ☐ ☐
The New Employee Orientation training of
youth supervision staff encompasses the
elements of this section.
(9) crisis intervention and mental health referrals to Policy 219 Youth Supervision Staff
mental health services; Orientation and Training, Section (b) ((9)
Procedure 220 New Employee 40–80-hour
Orientation
☒ ☐ ☐
The New Employee Orientation training of
youth supervision staff encompasses the
elements of this section.
(10) documentation; and Policy 219 Youth Supervision Staff
Orientation and Training, Section (b) (10)
☒ ☐ ☐ Procedure 220 New Employee 40–80-hour
Orientation
(11) fire/life safety training Policy 219 Youth Supervision Staff
Orientation and Training, Section (b) (11)
Procedure 220 New Employee 40–80-hour
Orientation
To provide ongoing training, the facility
☒ ☐ ☐ conducts required quarterly fire drills, per
Title 15, Section 1325 Fire Safety Plan.
The New Employee Orientation training of
youth supervision staff encompasses the
elements of this section.
(c) Prior to assuming sole supervision of youth, each Policy 219 Youth Supervision Staff
youth supervision staff member shall successfully Orientation and Training, Section (c)
complete the requirements of the Juvenile Procedure 220 New Employee 40–80-hour
Corrections Officer Core Course pursuant to Penal Orientation
Code Section 6035. ☒ ☐ ☐
The elements of this regulation are
confirmed in the CPO Appointment and
Qualification Letter, dated April 11, 2023.
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(d) Prior to exercising the powers of a peace officer Policy 219 Youth Supervision Staff
youth supervision staff shall successfully complete Orientation and Training, Section (d)
training pursuant to Section 830 et seq. of the Penal Procedure 220 New Employee 40–80-hour
Code. Orientation
☒ ☐ ☐
The elements of this regulation are
confirmed in the CPO Appointment and
Qualification Letter, dated April 11, 2023.
1323 FIRE AND LIFE SAFETY Policy 219 Youth Supervision Staff
Whenever there is a youth in a juvenile facility, there shall The Appointment and Qualification Letter,
be at least one wide awake person on duty at all times dated April 11, 2023, was received from
who meets the training standards established by the Chief Probation Officer (CPO), Marlon
Board for general fire and life safety which relate Washington, certifying that the elements of
specifically to the facility. these sections of the Title 15 regulation meet
compliance.
A Fire Suppression Pre-plan has been
☒ ☐ ☐
developed in conjunction with the Marin
County Fire Department.
All staff shall receive Fire and Life Safety
Training either through CORE training or
other contracted certified providers.
MCJH meets Title 15 minimum standards for
this regulation.
1324 POLICY AND PROCEDURES MANUAL Policy 105 Policy and Procedure Manual
All facility administrators shall develop, publish, and A letter dated April 14, 2023, provided by
implement a manual of written policies and procedures MCJH Deputy Superintendent Tori
that address, at a minimum, all regulations that are Creighton, confirmed that an annual
applicable to the facility. Such a manual shall be made administrative review of the policy and
available to all employees, reviewed by all employees, procedures manual was conducted.
☒ ☐ ☐
and shall be administratively reviewed at a minimum
every two years, and updated, as necessary. Those Overall, the agency has provided
records relating to the standards and requirements set documentation to support its ongoing ability
forth in these regulations shall be accessible to the Board to maintain Title 15 compliance with this
on request. regulation.
The manual shall include:
(a) table of organization, including channels of Policy 105 Policy and Procedure Manual,
communications and a description of job Section (a)
classifications;
☒ ☐ ☐ In a review of the Policy and Procedures
Manual, MCJH follows minimum standards
for this regulation.
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(b) responsibility of the probation department, purpose Policy 105 Policy and Procedure Manual,
of programs, relationship to the juvenile court, the Section (b)
Juvenile Justice/Delinquency Prevention
Commission or Probation Committee, probation In a review of the annual inspection reports
staff, school personnel and other agencies that are by the Juvenile Court, the Juvenile Justice
involved in juvenile facility programs; Commission, and through interviews with the
probation staff, school personnel, and other
☒ ☐ ☐ agencies, all collaborative partners have a
clear and articulable understanding of their
roles and expectations as they relate to the
relationship, responsibilities, and purpose of
programs outlined by the Marin County
Probation Department’s policy and
procedure manual.
(c) responsibilities of all employees; Policy 105 Policy and Procedure Manual
Section (c)
☒ ☐ ☐ Detention staff have access to the policy and
procedure manuals in hard copy and/or
electronic format.
(d) initial orientation and training program for Policy 105 Policy and Procedure Manual
employees; Section (d)
☒ ☐ ☐ The elements of this regulation are
confirmed in the CPO Appointment and
Qualification Letter, dated April 11, 2023.
(e) initial orientation, including safety and security issues Policy 105 Policy and Procedure Manual,
and anti-discrimination policies, for support staff, Section (e)
contract employees, school, mental/behavioral
Prior to initial entry to the facility, the MCJH
health and medical staff, program providers and
☒ ☐ ☐ ensures new support staff, contractors,
volunteers;
and/or volunteers undergo a safety/security
briefing, and must complete the initial
orientation training.
(f) maintenance of record-keeping, statistics and Policy 105 Policy and Procedure Manual,
communication system to ensure: ☒ ☐ ☐ Section (f)
(1) efficient operation of the juvenile facility; Policy 105 Policy and Procedure Manual,
Section (f) (1)
Pod Unit logs, programming forms, and
☒ ☐ ☐
written schedules are the main means of
record keeping of day-to-day programming
and facility operations.
(2) legal and proper care of youth; Policy 105 Policy and Procedure Manual,
☒ ☐ ☐ Section (f) (2)
(3) maintenance of individual youth's records; Policy 105 Policy and Procedure Manual,
☒ ☐ ☐ Section (f) (3)
(4) supply of information to the juvenile court and Policy 105 Policy and Procedure Manual,
those authorized by the court or by the law; and, Section (f) (4)
The agency utilizes a case management
☒ ☐ ☐
system for communication and record
keeping with the courts, juvenile probation,
and statistical data collection.
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(5) release of information regarding youth. Policy 105 Policy and Procedure Manual,
☒ ☐ ☐ Section (f) (5)
(g) ethical responsibilities; Policy 105 Policy and Procedure Manual,
Section (g)
As part of the annual review, all detention
☒ ☐ ☐ staff participated in a policy and procedures
update training that included but was not
limited to ethical responsibilities to utilize in
working with youth.
(h) trauma-informed approaches; Policy 105 Policy and Procedure Manual,
Section (h)
As part of the annual review, all detention
☒ ☐ ☐ staff participated in a policy and procedures
update training that included but was not
limited to trauma, informed approaches, and
techniques to utilize in working with youth.
(i) culturally responsive approaches; Policy 105 Policy and Procedure Manual,
Section (i)
As part of the annual review, all detention
staff participated in a policy and procedures
☒ ☐ ☐
update training that included but was not
limited to culturally responsive approaches
and techniques to utilize in working with
youth.
(j) gender responsive approaches; Policy 105 Policy and Procedure Manual,
Section (j)
As part of the annual review, all detention
staff participated in a policy and procedures
update training that included but was not
limited to gender-responsive approaches and
☒ ☐ ☐
techniques to utilize in working with youth.
If appropriate, MCJH provides youth with a
Transgender/Intersex Youth Preference
Form at intake.
(k) a non-discrimination provision that provides that all Policy and Procedure Manual Section, 105
youth within the facility shall have fair and equal (k)
access to all available services, placement, care,
treatment, and benefits, and provides that no person BSCC staff reviewed the above policy, and
shall be subject to discrimination or harassment on orientation packets, and interviewed youth to
the basis of actual or perceived race, ethnic group conclude that the MCJH facility meets
identification, ancestry, national origin, immigration ☒ ☐ ☐ compliance with the elements of this
status, color, religion, gender, sexual orientation, regulation.
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 105Policy and Procedure Manual,
chemical agents related security devices, and Section (l)
☒ ☐ ☐
weapons and ammunition, where applicable;
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(m) establishment of procedures for collection of Medi- Policy 105 Policy and Procedure Manual,
Cal eligibility information and enrollment of eligible Section (m)
☒ ☐ ☐
youth; and,
(n) establishment of a policy that prohibits all forms of Policy 105 Policy and Procedure Manual,
sexual abuse, sexual assault and sexual Section (n)
harassment. The policy shall include an approach to
preventing, detecting and responding to such
☒ ☐ ☐
conduct and any retaliation for reporting such
conduct, as well as a provision for reporting such
conduct by youth, staff or a third party.
1325 FIRE SAFETY PLAN Policy 615 Fire Safety Plan
The facility administrator shall consult with the local fire BSCC staff reviewed Title 15 required,
department having jurisdiction over the facility, or with the quarterly Fire Drills, and monthly fire and life
State Fire Marshal, in developing a plan for fire safety safety inspections for 2022 up to the time of
which shall include, but not be limited to: this inspection.
☒ ☐ ☐
Overall, based on the documentation
provided, the facility meets compliance with
the elements contained in this section of the
Title 15 regulations.
a) a fire prevention plan to be included as part of the Policy 615 Fire Safety Plan, Section (a)
manual of policy and procedures; ☒ ☐ ☐
b) monthly fire and life safety inspections by facility Policy 615 Fire Safety Plan, Section (b)
staff with two- year retention of the inspection
record; BSCC staff reviewed required monthly fire
and life safety inspections from their prior
☒ ☐ ☐ 2022 inspection up to the time of this 2023
inspection. We were impressed with the
improvements made to the form that
provides detail and specifics.
c) fire prevention inspections as required by Health Policy 615 Fire Safety Plan, Section (c)
and Safety Code Section 13146.1(a) and (b);
☒ ☐ ☐ A Fire Inspection was completed on March
16, 2023, by Otis Guy, Marin County Fire.
d) an evacuation plan; Policy 615 Evacuation plan
☒ ☐ ☐
e) documented fire drills not less than quarterly; Policy 615 Fire Safety Plan, Section (e)
BSCC staff reviewed required quarterly Fire
Drills from MCJH’s prior 2022 inspection up
to the time of this 2023 inspection.
The current fire drill document is an original
from 1995. BSCC staff encouraged the
agency to develop a more detailed fire drill
☒ ☐ ☐
document that provides safety and
accountability of all staff and youth present at
the facility, in addition to other pertinent
information such as fire drill time, location,
lessons learned etc.
MCJH meets Title 15 minimum standards for
this regulation.
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f) a written plan for the emergency housing of youth in In review of the Policy and Procedure
the case of fire; and, Manual, there is no mention of a specific
location or language referencing a
neighboring county agreement for
emergency housing of youth in the case of
fire evacuation.
☒ ☐ ☐
We provided Technical Assistance by
recommending MCJH add to their Policy and
Procedural Manual, language referencing the
emergency housing of youth in the case of
long-term facility evacuation.
g) development of a fire suppression pre-plan in Policy 615 Section (g)
cooperation with the local fire department. ☒ ☐ ☐
1326 SECURITY REVIEW A letter provided by Director Tori Lemos,
dated April 9, 2023, confirms that an annual
Each facility administrator shall develop policies and
administrative security review was
procedures to annually review, evaluate, and document ☒ ☐ ☐
conducted.
security of the facility. The review and evaluation shall
include internal and external security, including, but not
limited to, key control, equipment, and staff training.
1327 EMERGENCY PROCEDURES Policy 619 Major Episode Control
Management
The facility administrator shall develop facility-specific
policies and procedures for emergencies that shall Policy 615 Fire Safety Plan
include, but not be limited to: ☒ ☐ ☐
MCJH meets compliance with the elements
contained in this section of the Title 15
regulations.
(a) escape, disturbances, and the taking of hostages; Policy 619 Major Episode Control
Management, Section (a)
☒ ☐ ☐
Policy 615 Fire Safety Plan
(b) civil disturbance, active shooter and terrorist attack; Policy 619 Major Episode Control
☒ ☐ ☐ Management, Section (b)
(c) fire and natural disasters; Policy 619 Major Episode Control
Management, Section (c)
☒ ☐ ☐
Policy 615 Fire Safety Plan
(d) periodic testing of emergency equipment; Policy 619 Major Episode Control
Management, Section (d)
☒ ☐ ☐
Policy 615 Fire Safety Plan
(e) emergency evacuation of the facility; and Policy 619 Major Episode Control
Management, Section (e)
☒ ☐ ☐
Policy 615 Fire Safety Plan
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(f) a program to provide all youth supervision staff with 2022:
an annual review of emergency procedures. MCJH Director Tori Lemos provided a memo
and acknowledged distributing an Annual
Emergency Procedures Review to all staff.
☒ ☐ ☐ Detention staff is required to sign an
acknowledgment of reviewing emergency
procedures.
1328 SAFETY CHECKS Policy 477 Room Check
Procedures/Documentation
The facility administrator shall develop and implement
policy and procedures that provide for direct visual BSCC staff requested to review Safety
observation of youth at a minimum of every 15 minutes, Checks for the month of December 2022,
at random or varied intervals during hours when youth January, and February 2023. Through our
are asleep or when youth are in their rooms, confined in review, it was evident that safety checks
holding cells or confined to their bed in a dormitory. occurred on the identified East, West, North,
Supervision is not replaced, but may be supplemented and or South Wings. However, the format of
by, an audio/visual electronic surveillance system the documentation did not allow us to make
designed to detect overt, aggressive or assaultive ☒ ☐ ☐ a clear determination for which Wing the
behavior and to summon aid in emergencies. All safety safety checks accounted for.
checks shall be documented with the actual time the
We provided Technical Assistance by
check is completed.
recommending labeling the specified Wing
on the top of the safety check columns. This
will properly identify which wing(s) the safety
checks are referring to.
We confirmed that safety checks were
conducted per Title 15 minimum standards.
1329 SUICIDE PREVENTION PLAN Policy 471 Suicide Risk and Observation
Program
The facility administrator, in collaboration with the BSCC staff requested to review suicide
healthcare and behavioral/mental health attempts and/or suicidal ideations from 2022
administrators, shall plan and implement written policies to the current inspection. There was no
and procedures which delineate a Suicide Prevention
suicidal ideations to report since the prior
Plan. The plan shall consider the needs of youth
☒ ☐ ☐ 2022 BSCC inspection.
experiencing past or current trauma. Suicide prevention
responses shall be respectful and in the least invasive The review of the above policy and
manner consistent with the level of suicide risk. The interviews with behavioral and medical
plan shall include the following elements:
health staff confirmed that the MCJH meets
Title 15 minimum standards for this
regulation.
(a) Suicide prevention training as required in Section The CPO appointment and qualifications
1322, Youth Supervision Staff Orientation, and letter dated April 11, 2023, written by CPO
Training and the Juvenile Corrections Officer Core Marlon Washington, confirms that the
Course. elements of this entire section of the
☒ ☐ ☐
regulation meet Title 15 compliance.
The MAYSI is completed on every youth
entering the facility.
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(b) Screening, Identification Assessment and Policy 471 Suicide Risk and Observation
Precautionary Protocols Program #3
(1) All youth shall be screened for risk of
suicide at intake and as needed during Policy 401 Intake/Initial Screening
detention.
We reviewed random youth intake
screenings and/or assessments completed
by intake facility staff. MCJH intake staff
☒ ☐ ☐ screen, assess, and identify youth who may
be a suicide risk.
The elements of this regulation are
performed via staff’s personal observations,
intake questions, interviews with the
arresting officer, and information from
parents. Medical staff conduct an
assessment as well.
(2) All youth supervision staff who perform Policy 219 Section (4)
intake processes shall be trained in
screening youth for risk of suicide. Policy 471 Suicide Risk and Observation
Program
An annual refresher training is included in
the MCJH Suicide Prevention Plan. In
☒ ☐ ☐ addition, staff receive suicide prevention
training during Counselor CORE training.
At Intake, the MCJH intake staff asks
targeted questions of the arresting officer
regarding a youth’s mental, and/or physical
state of being. In addition, each parent
and/or guardian is questioned regarding any
prior or recent suicidal behaviors.
(3) All youth who have been identified during Policy 471 Suicide Risk and Observation
the intake screening process to be at risk of Program #4
suicide shall be referred to
behavioral/mental health staff for a suicide Youths identified during the intake screening
☒ ☐ ☐
risk assessment. process to be at risk of suicide shall be seen
by behavioral services within 96 hours of
admission.
(4) Precautionary protocols shall be developed Policy 471 Suicide Risk and Observation
to ensure the youth’s safety pending the Program Section (4)
behavioral/mental health assessment.
Precautionary protocols, pending behavioral
☒ ☐ ☐
health assessment, are to place youth on
Observation Watch or a Suicide Prevention
Program.
(c) Referral process to behavioral/mental health staff Policy 471 Suicide Risk and Observation
for assessment and/or services. ☒ ☐ ☐ Program, Section (c)
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(d) Procedures for monitoring of youth identified at risk Policy 471 Suicide Risk and Observation
for suicide. Program, Section (d)
To monitor youth at risk for suicide, the
facility utilizes the following:
☒ ☐ ☐ • Observation Watch - requires Safety
Checks a minimum of every 10-
minutes
• Suicide Prevention Program -
always requires direct supervision
(e) Safety Interventions Policy 471 Suicide Risk and Observation
(1) Procedures to address intervention Program, Section (e) (1)
protocols for youth identified at risk for
suicide which may include, but are not There were no reported incidents involving
limited to: ☒ ☐ ☐ suicide safety interventions since the prior
inspection in 2022.
A. Housing consideration Policy 471 Suicide Risk and Observation
☒ ☐ ☐ Program, Section (1) (A)
B. Treatment strategies including Policy 471 Suicide Risk and Observation
trauma-informed approaches ☒ ☐ ☐ Program, Section (1)(B)
(2) Procedures to instruct youth supervision Policy 471 Suicide Risk and Observation
staff how to respond to youth who exhibit Program, Section (2)
☒ ☐ ☐
suicidal behaviors.
(f) Communication Policy 471 Suicide Risk and Observation
(1) The intake process shall include Program, Section (f) (1)
communication with the arresting officer
and family guardians regarding the youth’s At Intake, the MCJH intake staff asks
☒ ☐ ☐
past or present suicidal ideations, behaviors
targeted questions of the arresting officer
or attempts.
regarding a youth’s mental, and/or physical
state of being.
(2) Procedures for clear and current Policy 471 Suicide Risk and Observation
information sharing about youth at risk for Program, Section (f) (2)
suicide with youth supervision, healthcare,
and behavioral/mental health staff. The MAYSI is completed on every youth
☒ ☐ ☐ entering the facility. There is a need/risk
assessment of the MAYSI performed by
behavior health to make any needed
recommendations.
(g) Debriefing of Critical Incidents Related to Suicides Policy 471 Suicide Risk and Observation
or Attempts Program, Section (g) (1)
(1) Process for administrative review of the
☒ ☐ ☐
circumstances and responses proceeding,
during and after the critical incident.
(2) Process for a debriefing event with affected Policy 471 Suicide Risk and Observation
staff. ☒ ☐ ☐ Program, Section (g) (2)
(3) Process for a debriefing event with affected Policy 471 Suicide Risk and Observation
youth. ☒ ☐ ☐ Program, Section (g) (3)
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(h) Documentation Policy 471, Suicide Risk and Observation
(1) Documentation processes shall be Program Section (h) (1)
developed to ensure compliance with this ☒ ☐ ☐
regulation
Youth identified at risk for suicide shall not be denied Policy 471, Suicide Risk and Observation
the opportunity to participate in facility programs, Program Section (I)
services and activities which are available to other non-
suicidal youth, unless deemed necessary for the safety
☒ ☐ ☐
of the youth or security of the facility. Any deprivation of
programs, services or activities for youth at risk of
suicide shall be documented and approved by the
facility manager.
1340 REPORTING OF LEGAL ACTIONS Policy 106, Reporting to the Board of State
and Community Corrections
Each facility shall submit to the Board a letter of
notification on each legal action, pertaining to conditions There were no reports of legal action having
☒ ☐ ☐
of confinement, filed against persons or legal entities occurred during this 2023 inspection cycle.
responsible for juvenile facility operation.
1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy 610 Death of a Minor in Custody
OF A YOUTH WHILE DETAINED
No death, serious illness or injury was
☒ ☐ ☐
(1) Death of a Youth. reported to have occurred during this
(a) The facility administrator, in cooperation with the inspection cycle.
health administrator and the behavioral/mental Policy 610 Death of a Minor in Custody
health director, shall develop written policies and
Policy Statement.
procedures in the event of the death of a youth
while detained, which include notifications to
☒ ☐ ☐
necessary parties, which may include the Juvenile
Court, the parent, guardian or person standing in
loco parentis and the youth’s attorney of record.
(b) The health administrator, in cooperation with the Policy 610 Death of a Minor in Custody
facility administrator, shall develop written policies
and procedures to assure there is a medical and Policy Statement.
operational review of every in-custody death of a
youth. The review team shall include the facility ☒ ☐ ☐
administrator and/or facility manager, the health
administrator, the responsible physician and other
health care and supervision staff who are relevant
to the incident.
(c) The administrator of the facility shall provide to the Policy 610 Death of a Minor in Custody
Board a copy of the report submitted to the Attorney
General under Government Code Section 12525. A Policy Statement.
☒ ☐ ☐
copy of the report shall be submitted to the Board
within 10 calendar days after the death.
(d) Upon receipt of a report of the death of a youth from Policy 611 life Threating Injury or Illness of a
the administrator, the Board may within 30 calendar Minor in Custody.
days inspect and evaluate the juvenile facility, jail,
There were no reported incidents of life-
lockup or court holding facility pursuant to the
☒ ☐ ☐ threatening injury or illness of a minor in
provisions of this subchapter. Any inquiry made by
custody during this inspection cycle.
the Board shall be limited to the standards and
requirements set forth in these regulations.
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(2) Serious Illness or Injury of Youth Policy 106 Reporting to the Board of State
(a) The facility administrator, in cooperation with the and Community Corrections
health administrator, shall develop written policies
II. Population Accounting
and procedures for the notification to necessary
☒ ☐ ☐
parties, which may include the Juvenile Court, the
According to BSCC records, MCJH follows
parent, guardian or person standing in loco parentis
this regulation.
and the youth’s attorney of record in the case of a
serious illness or injury of a youth.
1342 POPULATION ACCOUNTING Policy 106 Reporting to the Board of State
and Community Corrections
Each juvenile facility shall submit required population
and profile survey reports to the Board within 10 MCJH Rated Capacity is currently for 40
☒ ☐ ☐
working days after the end of each reporting period, in youths.
a format to be provided by the Board.
1343 JUVENILE FACILITY CAPACITY Policy 401 Intake/Initial Screening
Policy 409 Booking Protocol
When the number of youth detained in a living unit of a
juvenile facility exceeds its rated capacity for more than
BSCC staff reviewed (10) MCJH Intake
fifteen (15) calendar days in a month, the facility
Admittance Packets.
administrator shall provide a crowding report to the
Board in a format provided by the Board.
A review of the documentation indicates
MCJH complies with the minimum standards
for this regulation.
In addition, through interviews with youth
☒ ☐ ☐
housed at the facility, interviews with
detention staff, and interviews with medical
and behavioral health partners, we confirmed
that the MCJH is compliant with this
regulation.
The trauma-informed approach that MCJH
intake staff utilize with youth during the
intake process is effective in ensuring
respectful and humane engagement with the
youth.
1350 ADMITTANCE PROCEDURES Policy 409 Booking Protocol
The facility administrator shall develop and implement Interviews with youth in custody and staff
written policies and procedures for admittance of youth show that MCJH follows compliance with the
that emphasize respectful and humane engagement minimum standards of this regulation.
with youth, and reflect that the admission process may
☒ ☐ ☐
be traumatic to youth who may have already
experienced trauma. Policies shall be trauma-informed,
culturally relevant, and responsive to the language and
literacy needs of youth. In addition to the requirements
of Sections 1324 and 1430 of these regulations:
(a) the admittance process shall include: Policy 409 Booking Protocol
(1) Access to two free phone calls within one hour
of admittance in accordance with the provisions Youth and detention staff interviewed report
of Welfare and Institution Code Section 627; that youth are offered showers and clean
☒ ☐ ☐
clothes during the intake process.
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(2) Offer of a shower; Policy 409 Booking Protocol
☒ ☐ ☐
(3) Documented secure storage of personal Policy 409 Booking Protocol #6
belongings;
Intake packets confirm MCJH ensures that
☒ ☐ ☐
youth are offered food during the intake
process.
(4) Offer of food upon arrival; Policy 401 Intake/Initial Screening
The MAYSI questionnaire elicits responses
that help intake staff assess youth.
We were impressed with the “HEADS”
interview; where in a confidential space,
intake staff seeks information on the
☒ ☐ ☐
following:
H: Home
E: Education/Employment
A: Activities
D: Drugs
S: Suicidal
(5) Screening for physical and behavioral health Policy 401 Intake/Initial Screening
and safety issues, intellectual or developmental
Through documentation and interviews with
disabilities;
medical and behavioral health staff, BSCC
☒ ☐ ☐ staff confirmed that MCJH ensures that all
youth have a full medical exam within 96
hours of intake.
(6) Screening for physical and developmental Policy 401 Intake/Initial Screening
disabilities in accordance with Sections 1329, ☒ ☐ ☐
1413, and 1430 of these regulations;
(7) Contact with Regional Center for the Policy 401 #8
Developmentally Disabled for youth that are
suspected of or identified as having a ☒ ☐ ☐
developmental disability, pursuant to Section
1413; and,
(8) Procedures consistent with Section 1352.5. Policy 498 Classification
☒ ☐ ☐ Statement #4
(b) juvenile hall administrators shall establish written Juvenile Hall is not a camp, nor does it have
criteria for detention that considers the least post-dispositional programs.
☒ ☐ ☐
restrictive environment.
(c) juvenile camps and post-dispositional programs in Policy 498 Classification Statement #5
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.
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(d) juvenile halls shall develop policies and Policy 598 Screening for the Risk of Sexual
procedures that advise any committed youth of the Abuse
estimated length of his/her stay.
BSCC staff requested to review 10
Screenings for Vulnerability to Victimization
and Sexually Aggressive Behavior (VSAB)
forms from the agency’s prior June 9, 2022,
inspection date to the present. We also
interviewed youth housed at MCJH.
The documentation reviewed and the
☒ ☐ ☐
responses from the youth confirmed
compliance with this regulation. BSCC staff
were impressed with the intake process in
identifying youths’ potential vulnerabilities, in
particular the attention to detail and
interactions with youth.
MCJH complies with minimum standards for
this regulation.
1350.5. SCREENING FOR THE RISK OF SEXUAL Policy 598 Screening for the Risk of Sexual
ABUSE Abuse A
The facility administrator shall develop and implement
written policies and procedures to reduce the risk of ☒ ☐ ☐
sexual abuse by or upon youth. The policy shall require
facility staff to assess each youth within 72 hours of
admission based on the following information:
(a) Prior sexual victimization or abusiveness; Policy 598 Screening for the Risk of Sexual
☒ ☐ ☐ Abuse B
(b) Gender nonconforming appearance or manner; or Policy 598 Screening for the Risk of Sexual
identification as lesbian, gay or bisexual, Abuse C
transgender, queer or intersex, and whether the
☒ ☐ ☐
youth may, therefore, be vulnerable to sexual
abuse;
(c) Current charges and offense history; Policy 598 Screening for the Risk of Sexual
☒ ☐ ☐ Abuse D
(d) Age; Policy 598 Screening for the Risk of Sexual
☒ ☐ ☐ Abuse E
(e) Level of emotional and cognitive development; Policy 598 Screening for the Risk of Sexual
☒ ☐ ☐ Abuse F
(f) Physical size and stature; Policy 598 Screening for the Risk of Sexual
☒ ☐ ☐ Abuse G
(g) Mental illness or mental disabilities; Policy 598 Screening for the Risk of Sexual
☒ ☐ ☐ Abuse G
(h) Intellectual or developmental disabilities; Policy 598 Screening for the Risk of Sexual
☒ ☐ ☐ Abuse H
(i) Physical disabilities; Policy 598 Screening for the Risk of Sexual
☒ ☐ ☐ Abuse I
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(j) The youth’s perception of vulnerability; and, Policy 598 Screening for the Risk of Sexual
Abuse J
☒ ☐ ☐ The facility is well-versed in its approach to
ensure compliance with the Prison Rape
Elimination Act (PREA).
(k) Any other specific information about the individual Policy 598 Screening for Risk of Sexual
youth that may indicate heightened needs for Abuse Introduction
☒ ☐ ☐
supervision, additional safety precautions, or
separation from certain other youth.
Staff shall ascertain this information through Policy 598 Screening for the Risk of Sexual
conversations with the youth during the admittance Abuse K
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 413 Release Procedure
controls on the dissemination of information within the
BSCC staff requested to review 10 examples
facility relative to responses received pursuant to this
assessment in order to ensure that sensitive information ☒ ☐ ☐
from July 2022 to present, of youths’ release
packets. The documentation that was
is not exploited to the youth’s detriment by staff or other
provided show MCJH follows Title 15
youth.
minimum standards for this regulation.
1351 RELEASE PROCEDURES Policy 413 Release Procedure
1. Authorization for release: a
The facility administrator shall develop and implement
☒ ☐ ☐
written policies and procedures for release of youth
from custody which provide for:
(a) verification of identity/release papers; Policy 413 Release Procedure
☒ ☐ ☐ 2. Procedure: a
(b) return of personal clothing and valuables; Policy 413 Release Procedure 2 Section b
☒ ☐ ☐
(c) notification to the youth's parents or guardian; Policy 413 Release Procedure
2. Procedure: c
☒ ☐ ☐
(d) notification to the facility health care provider in Policy 413 Release Procedure
accordance with Sections 1408 and 1437 of these 3. Procedure: d
regulations, for coordination with outside agencies;
and, BSCC staff interviewed education services
☒ ☐ ☐
(teachers) to help in determining compliance
with minimum standards for this section of
the regulation.
(e) notification of school staff; Policy 413 Release Procedure # 2, Section c
☒ ☐ ☐
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(f) notification of facility mental health personnel. Policy 413 Release Procedure #3, Section a
We interviewed health services and
behavioral health service providers.
Behavioral health services play an integral
role in developing a transition plan that
involves stakeholders.
The agency has an impressive release
transitional plan facilitated by behavioral
☒ ☐ ☐ health staff. BSCC staff provided technical
assistance by recommending that MCJH
formulate policies and procedures for the
transitional plan to capture agency
coordination efforts for provisions of
transitional and reentry services for youth
upon release.
MCJH complies with the elements of this
regulation.
The facility administrator shall develop and implement Policy 413 Procedure #3 Section b
policies and procedures for post-disposition youth to
coordinate the provision of transitional and reentry
services including, but not limited to, medical and ☒ ☐ ☐
behavioral health, education, probation supervision and
community-based services.
The facility administrator shall develop and implement Policy 498 Classification System
written policies and procedures for the furlough of youth
BSCC staff requested to review 10 examples
from custody.
from July 2022 to present, of youths’ intake
classification packets. MCJH follows
compliance with the minimum standards for
this regulation.
We provided Technical Assistance by
☒ ☐ ☐
recommending MCJH update the Intake
Classification Policy. The criteria for some
classification areas are outdated or are no
longer being enforced. The agency
acknowledges the importance of ensuring
the policy is up to date and in line with
procedures being utilized.
1352 CLASSIFICATION Policy 498 Classification System
The facility administrator shall develop and implement Policy Statement #1.
written policies and procedures on classification of
☒ ☐ ☐
youth for the purpose of determining housing placement
in the facility.
Such procedures shall:
(a) provide for the safety of the youth, other youth, Policy 498 Classification System
facility staff, and the public by placing youth in the
appropriate, least restrictive housing and program Policy Statement #2.
☒ ☐ ☐
settings. Housing assignments shall consider the
need for single, double or dormitory assignment or
location within the dormitory;
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(b) consider facility populations and physical design of Policy 498 Classification System
the facility;
Policy Statement #3A.
Through a review of the above policy,
☒ ☐ ☐ admission documentation, and interviews
with supervisory staff, we determined that
the MCJH is in compliance with the elements
of this regulation.
(c) provide that a youth shall be classified upon Policy 498 Classification System
admittance to the facility; classification factors shall
include, but not be limited to: age, maturity, Policy Statement #4.
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 498 Classification System
provisions that consider the level of supervision and
☒ ☐ ☐
the youth's behavior while in custody; and, Policy Statement #3B.
(e) provide that facility staff shall not separate youth Policy 498 Classification System
from the general population or assign youth to a
single occupancy room based solely on the youth's Policy Statement #3D.
actual or perceived race, ethnic group identification,
ancestry, national origin, color, religion, gender, Through a review of the above policy,
sexual orientation, gender identity, gender admission documentation, and interviews
☒ ☐ ☐
expression, mental or physical disability, or HIV with supervisory staff, we determined that
status. This section does not prohibit staff from the MCJH is in compliance with the elements
placing youth in a single occupancy room at the of this regulation.
youth's specific request or in accordance with Title
15 regulations regarding separation.
(f) facility staff shall not consider lesbian, gay, bisexual, Policy 498 Transgender and Intersex Youth
transgender, questioning or intersex identification or
MCJH complies with the elements of this
status as an indicator of likelihood of being sexually ☒ ☐ ☐
regulation.
abusive.
1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy 498 Transgender and Intersex Youth
The facility administrator shall develop written policies Procedures upon intake C.
and procedures ensuring respectful and equitable
☒ ☐ ☐ MCJH, if applicable, provides a
treatment of transgender and intersex youth. The
Transgender/Intersex Youth Preference
policies shall provide that:
Form at intake.
(a) Facility staff shall respect every youth’s gender Policy 498 Transgender and Intersex Youth
identity and shall refer to the youth by the youth’s
Procedures upon intake E.
preferred name and gender pronoun, regardless of
the youth’s legal name. Facilities may prohibit the
use of gang or slang names or names that ☒ ☐ ☐
otherwise compromise facility operations as
determined by the facility manager or designee,
and shall document any decision made on this
basis.
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(b) Facility staff shall permit youth to dress and present Policy 498 Transgender and Intersex Youth
themselves in a manner consistent with their
Housing A and B.
gender identity and shall provide youth with the
institution’s clothing and undergarments consistent
Through a review of the above policy,
with their gender identity.
admission documentation and interviews
☒ ☐ ☐
with detention and supervisory staff, we
determined that the MCJH meets
compliance with the elements of this
regulation.
(c) Facility staff shall house youth in the unit or room Policy 498 Transgender and Intersex Youth
that best meets their individual needs and promotes
Behavioral Health statement.
their safety and well-being. Staff may not
automatically house youth according to their
external anatomy and shall document the reasons
☒ ☐ ☐
for any decision to house youth in a unit that does
not match their gender identity. In making a housing
decision, staff shall consider the youth’s
preferences, as well as any recommendations from
the youth’s health or behavioral health provider.
(d) Facility administrators shall ensure that Policy 498 Transgender and Intersex Youth
transgender and intersex youth have access to
Housing C.
medical and behavioral health providers qualified to ☒ ☐ ☐
provide care and treatment to transgender and
intersex youth.
(e) Consistent with the facility’s reasonable and Policy 498 Transgender and Intersex Youth
necessary security considerations and physical
Searches A.
plant, facility staff shall make every effort to ensure
☒ ☐ ☐
the safety and privacy of transgender and intersex
youth when the youth are using the bathroom or
shower, or dressing or undressing.
Facility staff shall not conduct physical searches of any Policy 401 Intake/Initial Screening
youth for the purpose of determining the youth’s
BSCC staff requested to review 10 examples
anatomical sex. Whenever feasible, the facility shall
from July 2022 to present, of youths’ intake
respect the youth’s preference regarding the gender of
orientation packets. In review, MCJH follows
the staff member who conducts any search of the youth.
the minimum standards with this regulation.
In providing Technical Assistance, BSCC
staff recommend adding a clarifying
☒ ☐ ☐
statement that indicates the youth
acknowledges having read the orientation
document or has had the orientation
document read and explained to him/her.
The agency understands the importance and
is considering making an update to the
document.
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1353 ORIENTATION Policy 401 Intake/Initial Screening
The facility administrator shall develop and implement MCJH provides youth with a well detailed
written policies and procedures to orient a youth prior to orientation packet regarding facility rules
placement in a living area. Both written and verbal including contraband, searches and
information shall be provided and supplemented with disciplinary procedures.
☒ ☐ ☐
video orientation if feasible. Provision shall be made to
provide accessible orientation information to all
detained youth including those with disabilities, limited
literacy, or English language learners. Orientation shall
include information that addresses:
(a) facility rules including contraband and searches Policy 401 Intake/Initial Screening
and disciplinary procedures;
MCJH provides youth with a well detailed
☒ ☐ ☐
orientation packet covering all the elements
of this regulation.
(b) facility’s system of positive behavior interventions Policy 401 Intake/Initial Screening
and supports, including behavior expectations,
incentives that youth will receive for complying with Policy 409 Booking Protocol
☒ ☐ ☐
facility rules, and consequences that may result
when youth violate the rules of the facility;
(c) age appropriate information that explains the Policy 401 Intake/Initial Screening
facility’s 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 401 Intake/Initial Screening
☒ ☐ ☐
(e) the existence of the grievance procedure, the steps Policy 401 Intake/Initial Screening
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 Policy 401 Intake/Initial Screening
court process;
☒ ☐ ☐
Policy 409 Booking Protocol
(g) access to routine and emergency health and mental Policy 401 Intake/Initial Screening
health care; ☒ ☐ ☐
(h) access to education, religious services, and Policy 401 Intake/Initial Screening
recreational activities; ☒ ☐ ☐
(i) housing assignments; Policy 401 Intake/Initial Screening
☒ ☐ ☐
Policy 409 Booking Protocol
(j) opportunity for personal hygiene and daily showers Policy 401 Intake/Initial Screening
including the availability of personal care items ☒ ☐ ☐
(k) rules and access to correspondence, visits and Policy 401 Intake/Initial Screening
telephone use; ☒ ☐ ☐
(l) availability of reading materials, programming, and Policy 401 Intake/Initial Screening
other activities; ☒ ☐ ☐
(m) facility policies on the use of force, use of restraints, Policy 401 Intake/Initial Screening
chemical agents and room confinement; ☒ ☐ ☐
(n) immigration legal services; Policy 401 Intake/Initial Screening
☒ ☐ ☐
(o) emergencies including evacuation procedures; Policy 401 Intake/Initial Screening
☒ ☐ ☐
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(p) non-discrimination policy and the right to be free Policy 401 Intake/Initial Screening
from physical, verbal or sexual abuse and
☒ ☐ ☐
harassment by other youth and staff;
(q) availability of services and programs in a language Policy 401 Intake/Initial Screening
other than English if appropriate; ☒ ☐ ☐
(r) the process for requesting different housing, Policy 401 Intake/Initial Screening
education, programming and work assignments; ☒ ☐ ☐
(s) a process for which parents/guardians receive Policy 401 Intake/Initial Screening
information regarding the youth’s stay in the facility
that at a minimum includes answers to frequently During the intake process, the Intake Packet
asked questions and provides contact information ☒ ☐ ☐ provides Title 15 accessibility guidance to
for the facility, medical, school and mental health; youth.
and,
(t) a process by which youth may request access to Policy 497 Administrative Separation
Title 15 Minimum Standards for Juvenile Facilities.
BSCC staff requested to review 10
Separation Incident Report examples from
☒ ☐ ☐ the facility’s prior July 2022 inspection to
present. In review, MCJH shows it follows
the minimum standards with this regulation.
1354 SEPARATION Policy 497 Administrative Separation Section
(a)
The facility administrator shall develop and implement ☒ ☐ ☐
written policies and procedures that address:
(a) separation of youth for reasons that include, but are Policy 497 Section(b)
not be limited to, medical and mental health
conditions, assaultive behavior, disciplinary ☒ ☐ ☐
consequences and protective custody.
(b) consideration of positive youth development and Policy 497 Section (c)
trauma-informed care. ☒ ☐ ☐
(c) separated youth shall not be denied normal Policy 497 Section (d)
privileges available at the facility, except when
necessary to accomplish the objective of After review of the above policy,
separation. ☒ ☐ ☐ documentation, and interviews with youth,
the agency is compliant with the minimum
standards for this regulation.
(d) when the objective of the separation is discipline, Policy 497 Section (e)
Title 15 Section 1390 shall apply.
☒ ☐ ☐ MCJH complies with the elements of this
regulation.
(e) when separation results in room confinement, the Policy 497 Section (e)
separation shall occur in accordance with Welfare
and Institutions Code Section 208.3 and ☒ ☐ ☐
Section1354.5 of these regulations.
(f) policies and procedures shall ensure a daily review Policy 468 Room Confinement
of separated youth to determine if separation
remains necessary. BSCC staff requested to review 10 room
confinement Incident Report examples from
the facility’s prior July 2022 inspection to
☒ ☐ ☐
present.
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1354.5 ROOM CONFINEMENT Policy 468 Room Confinement
(a) The facility administrator shall develop and
BSCC staff expressed the importance of
implement written policies and procedures
documenting, within the incident report, de-
addressing the confinement of youth in their room
escalation efforts made by staff prior to
that are consistent with Welfare and Institutions
☒ ☐ ☐ placing a youth in his or her room. This
Code Section 208.3. The placement of a youth in
would provide clarity in exhausting less
room confinement shall be accomplished in
restrictive options. The facility acknowledged.
accordance with the following guidelines:
MCJH complies with this regulation.
(1) Room confinement shall not be used before Policy 468 Room Confinement
other, less restrictive, options have been
attempted and exhausted, unless attempting Guidelines for Room Confinement B.
those options poses a threat to the safety or
security of any youth or staff. Guidelines for Room Confinement A.
BSCC staff observed language in the Room
☒ ☐ ☐ Confinement policy that is outdated and
indicates predetermined sanctions for room
confinement. We provided Technical
Assistance in recommending that the facility
review and update language in the policy
and procedure that is in line with current
expectations.
(2) Room confinement shall not be used for the Policy 468 Room Confinement
purposes of punishment, coercion,
☒ ☐ ☐
convenience, or retaliation by staff. Guidelines for Room Confinement C.
(3) Room confinement shall not be used to the Policy 468 Room Confinement
extent that it compromises the mental and
☒ ☐ ☐
physical health of the youth. Use of Room Confinement A.
(b) A youth may be held up to four hours in room Policy 468 Room Confinement
confinement. After the youth has been held in room
confinement for a period of four hours, staff shall do ☒ ☐ ☐ Use of Room Confinement B1.
one or more of the following:
(1) Return the youth to general population. Policy 468 Room Confinement
Use of Room Confinement B2.
Through interviews with behavioral health
☒ ☐ ☐
staff and facility supervisory staff, BSCC staff
were able to conclude that MCJH complies
with the minimum standards for this
regulation.
(2) Consult with mental health or medical staff. Policy 468 Room Confinement
☒ ☐ ☐
Use of Room Confinement B3.
(3) Develop an individualized plan that includes the Policy 468 Room Confinement
goals and objectives to be met in order to
☒ ☐ ☐
reintegrate the youth to general population. Use of Room Confinement C 1-4.
(4) If room confinement must be extended beyond Policy 468 Room Confinement
four hours, staff shall do each of the following:
☒ ☐ ☐
Use of Room Confinement C 1.
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(A) Document the reasons for room Policy 468 Room Confinement
confinement and the basis for the
extension, the date and time the youth was Use of Room Confinement C 2.
first placed in room confinement, and when ☒ ☐ ☐
he or she is eventually released from room
confinement.
(B) Develop an individualized plan that Policy 468 Room Confinement
includes the goals and objectives to be met
in order to integrate the youth to general ☒ ☐ ☐ Use of Room Confinement C 3.
population.
(C) Obtain documented authorization by the Policy 468 Room Confinement Section (5)
facility superintendent or his or her
☒ ☐ ☐
designee every four hours thereafter.
(5) This section is not intended to limit the use of Policy 468 Section (6)
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 Policy 468 Section (7)
in court holding facilities or adult facilities. ☒ ☐ ☐
(7) Nothing in this section shall be construed to Policy 468 Section (8)
conflict with any law providing greater or
☒ ☐ ☐
additional protections to youth.
(8) This section does not apply during an Policy 468 Section (9)
extraordinary emergency circumstance that
requires a significant departure from normal
institutional operations, including a natural
disaster or facility-wide threat that poses an
☒ ☐ ☐
imminent and substantial risk of harm to
multiple staff or youth. This exception shall
apply for the shortest amount of time needed to
address this imminent and substantial risk of
harm.
(9) This section does not apply when a youth is Policy 412 Assessment and Case Plan
placed in a locked cell or sleeping room to treat
and protect against the spread of a Policy Statement.
communicable disease for the shortest amount
of time required to reduce the risk of infection, Assessment and Plan case files. We also
with the written approval of a licensed physician thoroughly reviewed the above policy.
or nurse practitioner, when the youth is not
☒ ☐ ☐
required to be in an infirmary for an illness. The facility is compliant with Title 15
Additionally, this section does not apply when a minimum standards for this regulation.
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.
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1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 412 Assessment and Case Plan
The facility administrator shall develop and implement
Policy Statement.
written policies and procedures for assessment and
case planning.
The Policy 412 Assessment and Case Plan
☒ ☐ ☐ contains the elements for the minimum
standards for this regulation. However, we
provided technical assistance for the agency
to review and update the current process to
ensure that it is in line with the processes
outlined in Title 15.
(a) Assessment: Policy 412 Assessment and Case Plan
The assessment is based on information collected
during the admission process with periodic review, Policy Statement.
which includes the youth's risk factors, needs and
strengths including, but not limited to, identification ☒ ☐ ☐
of substance abuse history, educational, vocational,
counseling, behavioral health, consideration of
known history of trauma, and family strengths and
needs.
(b) Institutional Case Plan: Policy 412 Assessment and Case Plan
(1) A case plan shall be developed for each youth
held for at least 30 days or more and created ☒ ☐ ☐ Policy Statement.
within 40 days of admission.
(2) The institutional plan shall include, but not be Policy 412 Assessment and Case Plan
limited to, written documentation that provides:
Policy Statement.
In the review of Case Plan documentation,
the facility meets Title 15 minimum standards
☒ ☐ ☐
for this regulation. However, to maintain
compliance, the facility understands it is
imperative to document accordingly, and
provide oversight to staff that will the
completion of tasks on a consistent basis.
(A) objectives and time frame for the resolution Policy 412 Assessment and Case Plan
of problems identified in the assessment;
Policy Statement.
In review of Case Plan documentation, the
facility meets Title 15 minimum standards for
☒ ☐ ☐
this regulation. However, to maintain
compliance, the facility understands it is
imperative to document accordingly, and
provide oversight to staff that will ensure the
completion of tasks on a consistent basis.
(B) a plan for meeting the objectives that Policy 412 Assessment and Case Plan
includes a description of program resources
☒ ☐ ☐
needed and individuals responsible for Policy Statement.
assuring that the plan is implemented;
(3) periodic evaluation of progress towards meeting Policy 412 Assessment and Case Plan
the objectives, including periodic review and
☒ ☐ ☐
discussion of the plan with the youth;
Policy Statement.
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(4) a transition plan, the contents of which shall be Policy 401 Intake/Initial Screening
subject to existing resources, shall be
The Behavioral Health staff plays a pivotal
developed for post dispositional youth in
role in the transition plan for youth being
accordance with Section 1351; and,
☒ ☐ ☐ released. We were impressed with their
comprehensive process and collaborative
efforts with probation. The plan is well
detailed.
(5) in as much as possible and if appropriate, the Policy 304 Counseling and Other
plan, including the transition plan, shall be Therapeutic Programs
developed with input from the family, supportive
We reviewed random youth Institutional
adults, youth, and Regional Center for the
Assessment and Plan case files. We also
Developmentally Disabled. ☒ ☐ ☐
thoroughly reviewed the above policies.
The facility is compliant with Title 15
minimum standards for this regulation.
1356 COUNSELING AND CASEWORK SERVICES Policy 304 Counseling and Other
Therapeutic Programs
The facility administrator shall develop and implement
written policies and procedures ensuring the availability ☒ ☐ ☐
of appropriate counseling and casework services for all
youth. Policies and procedures shall ensure:
(a) youth will receive assistance with needs or Policy 304 Counseling and Other
concerns that may arise; Therapeutic Programs
☒ ☐ ☐
(b) youth will receive assistance in requesting contact Policy 304 Counseling and Other
with parents, other supportive adults, attorney, Therapeutic Programs
☒ ☐ ☐
clergy, probation officer, or other public official; and,
(c) youth will be provided access to available Policy 448 Use of Force
resources to meet the youth’s needs.
Policy 448 Use of Force contains the
elements for the minimum standards of this
regulation.
BSCC staff requested to review 10 Use of
Force Incident Report examples from the
☒ ☐ ☐
facility’s prior July 2022 inspection to the
current inspection. We also interviewed
youth housed at the facility and facility
detention staff.
The facility is compliant with Title 15
minimum standards for this regulation.
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1357 USE OF FORCE Policy 448: Use of Force, Section (a) (1)
The facility administrator, in cooperation with the
responsible physician, shall develop and implement
written policies and procedures for the use of force,
which may include chemical agents. Force shall never ☒ ☐ ☐
be applied as punishment, discipline, retaliation or
treatment.
(a) At a minimum, each facility shall develop policies
and procedures which:
(1) restricts the use of force to that which is deemed Policy 448: Use of Force, Section (a) (2)
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 Policy 448, Section (a) (3)
including both physical and non-physical options
☒ ☐ ☐
and define when those force options are
appropriate.
(3) describe force options or techniques that are Policy 448, Section (a) (4)
☒ ☐ ☐
expressly prohibited by the facility.
(4) describe the requirements of staff to report any Policy 448, Section (a) (5)
inappropriate use of force, and to take ☒ ☐ ☐
affirmative action to immediately stop it.
(5) define a standardized reporting format that Policy 448, Section (a) (6)
includes time period and procedure for
documenting and reporting the use of force,
including reporting requirements of
management and line staff and procedures for
reviewing and tracking use of force incidents by
☒ ☐ ☐
supervisory and or management staff, which
include procedures for debriefing a particular
incident with staff and/or youth for the purposes
of training as well as mitigating the effects of
trauma that may have been experienced by staff
and /or the youth involved.
(6) Include an administrative review and a system Policy 448, Section VIII (C)
for investigating unreasonable use of force.
The policy contains the minimum standards
for this regulation. However, in reviewing Use
of Force Incident Reports, the facility’s
☒ ☐ ☐ process for parental notifications is
inconsistent. BSCC staff strongly
recommended implementing a process that
ensures parents are always notified of use-
of-force incidents.
(7) define the role, notification, and follow-up Policy 448, Section (a) (8)
procedures required after use of force incidents
☒ ☐ ☐
for medical, mental health staff and parents or
legal guardians.
(8) describe the limitations of use of force on MCJH does not authorize the use of
pregnant youth in accordance with Penal Code chemical agents. Therefore, section (b) of
☐ ☐ ☒
Section 6030(f) and Welfare and Institutions this regulation is non-applicable.
Code Section 222.
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(b) Facilities that authorize chemical agents as a force
☐ ☐ ☒
option shall include policies and procedures that:
(1) identify who is approved to carry and/or utilize
chemical agents in the facility and the type, size
☐ ☐ ☒
and the approved method of deployment for
those chemical agents.
(2) mandate that chemical agents only be used
when 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
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
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 Policy 448, Section C
of use of chemical agents, including the
reasons for which it was used, efforts to de-
escalate prior to use, youth and staff involved,
☒ ☐ ☐
the date, time and location of use,
decontamination procedures applied and
identification of any injuries sustained as a
result of such use.
(c) Facilities shall develop policies and procedure Policy 448, Section (c) (1)
which require that agencies provide initial and
☒ ☐ ☐
regular training in use of force and chemical agents
when appropriate that address:
(1) known medical and behavioral health
conditions that would contraindicate certain ☒ ☐ ☐
types of force;
(2) acceptable chemical agents and the methods Policy 448, Section (c) (3)
☒ ☐ ☐
of application.
(3) signs or symptoms that should result in Policy 448, Section (c) (4)
immediate referral to medical or behavioral ☒ ☐ ☐
health.
(4) instruction on the Constitutional Limitations of Policy 448, Section (c) (5)
☒ ☐ ☐
Use of Force.
(5) physical training force options that may require Policy 448, Section (c) (6)
☒ ☐ ☐
the use of perishable skills.
(6) timelines the facility uses to define regular Policy 614 Use of Physical Restraints
training.
We requested to review the 10 most recent
use of physical restraint Incident Reports
☒ ☐ ☐
since the facility’s prior April 20, 2022,
inspection. We also interviewed youth
housed at the facility.
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1358 USE OF PHYSICAL RESTRAINTS Policy 614 Use of Physical Restraints
The facility administrator, in cooperation with the Policy Statement.
responsible physician and mental health director, shall
BSCC staff observed that in all instances,
develop and implement written policies and procedures ☒ ☐ ☐ physical restraints were justifiably used and
for the use of restraint devices. Restraint devices when less restrictive alternatives were
include any devices which immobilize a youth's exhausted.
extremities and/or prevent the youth from being
ambulatory.
Physical restraints may be used only for those youth Policy 614 Use of Physical Restraints
who present an immediate danger to themselves or
Policy Statement.
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 614 Use of Physical Restraints
discipline, or as a substitute for treatment. The use of
Policy Statement.
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 614 Use of Physical Restraints
handcuffs, shackles or other restraint devices when used
Policy Statement.
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 614 Use of Physical Restraints
of the facility manager or designee. The facility manager Procedure #3
may delegate authority to place a youth in restraints to a
physician. Reasons for continued retention in restraints Interviews with medical personnel and facility
shall be reviewed and documented at a minimum of supervisory staff along with a review of
☒ ☐ ☐
every hour. documentation, confirm that medical staff
provides ongoing review, and assessment
while a youth is in mechanical or any other
type of restraint.
A medical opinion on the safety of placement and Policy 614 Use of Physical Restraints
retention shall be secured as soon as possible, but no Procedure #4
later than two hours from the time of placement. The
youth shall be medically cleared for continued retention Interviews with mental health personnel and
at least every three hours thereafter. ☒ ☐ ☐ facility supervisory staff along with a review
of documentation, confirm that mental health
staff provides ongoing consultation,
assessment, and treatment while a youth is
in mechanical or any other type of restraint.
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A mental health consultation shall be secured as soon as Policy 614 Use of Physical Restraints
possible, but in no case longer than four hours from the Procedure #5
☒ ☐ ☐
time of placement, to assess the need for mental health
treatment.
Continuous direct visual supervision shall be conducted Policy 614 Use of Physical 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 614 Use of Physical Restraints
procedures shall address:
☒ ☐ ☐
Policy Statement.
(a) documentation of the circumstances leading to an Policy 614 Use of Physical Restraints
application of restraints. ☒ ☐ ☐
Policy Statement.
(b) known medical conditions that would contraindicate Policy 614 Use of Physical Restraints
certain restraint devices and/or techniques. ☒ ☐ ☐
Policy Statement.
(c) acceptable restraint devices. Policy 614 Use of Physical Restraints
☒ ☐ ☐
Policy Statement.
(d) signs or symptoms which should result in Policy 614 Use of Physical Restraints
immediate medical/mental health referral. ☒ ☐ ☐
Procedure #3.
(e) availability of cardiopulmonary resuscitation Policy 614 Use of Physical Restraints
equipment. ☒ ☐ ☐
Procedure #5.
(f) protective housing of restrained youth. While in Policy 614 Use of Physical Restraints
restraint devices, all youth shall be housed alone or
in a specified housing area for restrained youth ☒ ☐ ☐ Policy Statement.
which makes provision to protect the youth from
abuse.
(g) provision for hydration and sanitation needs. Policy 614 Use of Physical Restraints
☒ ☐ ☐
Policy Statement.
(h) exercising of extremities. Policy 502 Transportation Policy
Policy 502 Transportation Policy contains the
☒ ☐ ☐
elements for the minimum standards for this
regulation.
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1358.5 USE OF RESTRAINT DEVICES FOR Policy 502 Transportation Policy
MOVEMENT AND TRANSPORTATION WITHIN THE
The CPO Appointment and Qualifications
FACILITY.
Letter dated April 11, 2023, written by Chief
Probation Officer (CPO), Marlon Washington,
confirms that the elements of this regulation
The Facility Administrator, in cooperation with the ☒ ☐ ☐
comply with Title 15 minimum standards.
responsible physician and behavioral/mental health
director, shall develop and implement written policies
and procedures for the use of restraint devices when
the purpose is for movement or transportation within the
facility that shall include the following:
(a) identification of acceptable restraint devices, staff Policy 502 Transportation Policy: Procedure
approved to utilize restraint devices and the for movement with the facility (b)
required training.
☒ ☐ ☐ The circumstances leading to the application
of restraints are documented accordingly and
comply with Title 15 minimum standards.
(b) the circumstances leading to the application of Policy 502 Transportation Policy: Procedure
restraints must be documented. for movement within the facility, Section (c)
☒ ☐ ☐
The facility complies with Title 15 minimum
standards for this regulation.
(c) an individual assessment of the need to apply Policy 502: Transportation Policy: Procedure
restraints for movement or transportation that for movement within the facility, Section (d)
includes consideration of less restrictive
The facility complies with Title 15 minimum
alternatives, consideration of a youth’s known
☒ ☐ ☐ standards for this regulation.
medical or mental health conditions, trauma
informed approaches, and a process for
documentation and supervisor review and
approval.
(d) consideration of safety and security of the facility, Policy 502: Transportation Policy: Procedure
with a clearly defined expectation that restraint for movement within the facility, Section (e)
☒ ☐ ☐
devices shall not be used for the purposes of
discipline or retaliation.
(e) the use of restraints on pregnant youth is limited in Policy 613 Use of Safety Room
accordance with Penal Code Section6030(f) and
Welfare and Institutions Code Section 222. Policy 613 Policy
Policy 613 use of the Safety Room contains
the elements for the minimum standards for
☒ ☐ ☐ this regulation.
According to MCJH, there was one incident
that resulted in the use of a Safety Room.
BSCC staff reviewed the documentation of
the incident. MCJH appropriately follows Title
15 guidelines.
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1359 SAFETY ROOM PROCEDURES Policy 613 Policy
(a) The facility administrator, and where applicable, in
cooperation with the responsible physician, shall
develop and implement written policies and
procedures governing the use of safety rooms, as
described in Title 24, Part 2, Section 1230.1.13. The
room shall be used to hold only those youth who
☒ ☐ ☐
present an immediate danger to themselves or
others, who exhibit behavior which results in the
destruction of property, or reveals the intent to
cause self-inflicted physical harm. A safety room
shall not be used for punishment or discipline, or as
a substitute for treatment. Policies and procedures
shall:
(1) include provisions for administration of Policy 613 Policy
necessary nutrition and fluids, access to a
☒ ☐ ☐
toilet, and suitable clothing to provide for
privacy;
(2) provide for approval of the facility manager, or Policy 613 Use of Safety Room
designee, before a youth is placed into a safety ☒ ☐ ☐ Procedure #3-4
room;
(3) provide for continuous direct visual supervision Policy 613 Use of Safety Room
and documentation of the youth's behavior and Procedure #6
☒ ☐ ☐
any staff interventions every 15 minutes, with
actual time recorded;
(4) provide that the youth shall be evaluated by the Policy 613 Use of Safety Room
☒ ☐ ☐
facility manager, or designee, every four hours; Procedure #8b
(5) provide for immediate medical assessment, Policy 613: Use of safety room
where appropriate, or an assessment at the ☒ ☐ ☐ Procedure 6
next daily sick call; and,
(6) provide a process for documenting the reason Policy 613 Use of Safety Room
for placement, including attempts to use less Procedure #1-8
☒ ☐ ☐
restrictive means of control, and decisions to
continue and end placement.
(b) The placement of a youth in the safety room shall be Policy 613 Use of Safety Room
☒ ☐ ☐
accomplished in accordance with the following: Definition
(1) safety room shall not be used before other less Policy 613 Use of Safety Room
restrictive options have been attempted and Definition
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 Policy 613 Use of Safety Room
of punishment, coercion, convenience, or ☒ ☐ ☐ Definition
retaliation by staff.
(3) safety room shall not be used to the extent that Policy 613 Use of Safety Room
it compromises the mental and physical health ☒ ☐ ☐ Procedure #5 Bullets
of the youth.
(c) A youth may be held up to four hours in the safety Policy 613 Use of Safety Room
room. After the youth has been held in the safety Procedure #5 Bullets
☒ ☐ ☐
room for a period of four hours, staff shall do one or
more of the following:
(1) return the youth to general population. Policy 613 Use of Safety Room
☒ ☐ ☐
Procedure #5 Bullets
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(2) consult with mental health or medical staff, Policy 613 Use of Safety Room
Procedure #5 Bullets
☒ ☐ ☐
MCJH meets Title 15 minimum standards for
this regulation.
(3) develop an individualized plan that includes the Policy 613 Use of Safety Room
goals and objectives to be met in order to ☒ ☐ ☐ Procedure #5 Bullets
reintegrate the youth to general population.
(d) If confinement in the safety room must be extended Policy 613 Use of Safety Room
beyond four hours, staff shall develop an
individualized plan that includes the requirements
We requested to review 10 most recent
of Section 1354.5 and the goals and objectives to
searches or strip searches documentation,
be met in order to integrate the youth to general
☒ ☐ ☐ and interviewed youth housed at the facility,
population.
as well as detention staff.
We concluded that the facility complies with
Title 15 minimum standards of this
regulation.
1360 SEARCHES Policy 408 Searches
The facility administrator shall develop and implement
Policy Statement.
written policies and procedures governing the search of ☒ ☐ ☐
youth, the facility, and visitors. Policies and procedures
shall provide that:
(a) Searches shall be conducted to ensure the safety Policy 408 Searches
and security of the facility, public, visitors, youth, ☒ ☐ ☐
and staff. Strip Search Procedure #1-11.
(b) Searches shall be conducted in a manner that Policy 408 Searches
preserves the privacy and dignity of the person
being searched and shall not be conducted for Strip Search Procedure #1-11 and Body
harassment or as a form of discipline or Cavity Search statement.
punishment.
Since the prior April 20, 2022, inspection, two
(2) strip searches occurred. We reviewed the
Incident Reports involving those strip
searches. In review, the procedures taken
show MCJH follows the minimum standards
of this regulation.
☒ ☐ ☐
BSCC staff discussed the importance of
ensuring that all Supervisors and Lead staff
have a clear and common understanding of
the reasonable suspicion and articulable
facts that approves strip searching a youth.
The facility maintains expectations for strip
searches pursuant to PC 4030, for pre-
detention youth and post-detention youth. All
strip searches are approved in advance of
the search.
(c) Strip searches and visual or physical body cavity Policy 408 Searches
searches shall comply with Penal Code Section
☒ ☐ ☐
4030. Body Cavity Search policy statement.
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(d) Physical body cavity searches shall only be Policy 408 Searches
conducted by a medical professional.
Policy Statement.
☒ ☐ ☐
(e) Any youth held after a detention hearing shall only Policy 408 Searches
be strip searched with prior approval of a supervisor
when there is reasonable suspicion based on Policy Statement.
specific and articulable facts to believe that youth is ☒ ☐ ☐
concealing contraband. The reasonable suspicion The facility has protocols in the policy
shall be documented. addressing expectations for staff related to
searching youths who are transgender.
(f) Searches of transgender and intersex youth shall Policy 408 Searches
comply with Section 1352.5.
☒ ☐ ☐
(g) Cross-gender pat-down searches and strip Policy 408 Searches
searches are prohibited except in exigent
circumstances or when conducted by a medical
We requested to review 10 most recent
professional. Such searches must be justified and
grievances and due process’ documentation,
documented in writing.
and interviewed youth housed at the facility,
☒ ☐ ☐
as well as detention staff.
BSCC staff concluded that the MCJH
complies with Title 15 minimum standards of
this regulation.
1361 GRIEVANCE PROCEDURE Policy 431: Minor’s Information on
Grievances
The facility administrator shall develop and implement
written policies and procedures whereby any youth may
Policy statement #1.
appeal and have resolved grievances relating to any
condition of confinement, including but not limited to
During our physical inspection, we observed
health care services, classification decisions, program
☒ ☐ ☐ that grievances were readily available to
participation, telephone, mail or visiting procedures,
youth. In addition, grievance lock boxes were
food, clothing, bedding, mistreatment, harassment or
in the housing pods to allow youth to
violations of the nondiscrimination policy. There shall be
confidentially submit a grievance if needed.
no time limit on filing grievances. Policies and
procedures shall include provisions whereby the facility
manager ensures:
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(a) a grievance form and instructions for registering a Policy 431 Minor’s Information on
grievance, which includes provisions for the youth Grievances
to have free access to the form;
Policy Statement #1.
☒ ☐ ☐
The youth were aware of the grievance
procedures and the location of the grievance
forms and the grievance lockbox to
confidentially file a grievance if needed.
(b) the youth shall have the option to confidentially file Policy 431 Minor’s Information on
the grievance or to deliver the form to any youth Grievances
supervision staff working in the facility;
☒ ☐ ☐
Policy Statement #2.
(c) resolution of the grievance at the lowest appropriate Policy 431 Minor’s Information on
staff level; Grievances
☒ ☐ ☐
Policy statement #1.
(d) provision for a prompt review and initial response to Policy 431: Minor’s Information on
grievances within three (3) business days, Grievances
grievances that relate to health and safety issues
must be addressed immediately; ☒ ☐ ☐
Procedure #1
The youth interviewed indicated that during
the intake and orientation process, the
grievance procedure was clearly explained.
(1) The youth may elect to be present to explain Policy 431: Minor’s Information Procedure #1
his/her version of the grievance to a person not
☒ ☐ ☐
directly involved in the circumstances which led
to the grievance.
(2) Provision for a staff representative approved by Policy 431: Procedure #3
the facility administrator to assist the youth.
The documentation as well as interviews
☒ ☐ ☐
show that detention staff respond
professionally.
(e) provision for a written response to the grievance Policy 431: Procedure #3
☒ ☐ ☐
which includes the reasons for the decisions;
(f) a system which provides that any appeal of a Policy 431 Minor’s Information on
grievance shall be heard by a person not directly Grievances
involved in the circumstances which led to the
grievance; Policy Statement #1.
☒ ☐ ☐
The documentation as well as interviews
show that detention staff respond to
grievances in a timely fashion.
(g) resolution of the grievance must occur within ten Policy 431 Minor’s Information on
(10) business days unless circumstances dictate a Grievances
☒ ☐ ☐
longer time frame. The youth shall be notified of
Policy Statement #5.
any delay; and,
(h) the policy shall provide multiple internal and Policy 431: Procedure # 5
external methods to report sexual abuse and sexual ☒ ☐ ☐
harassment.
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Whether or not associated with a grievance, concerns Throughout the inspection process, written
of parents, guardians, staff or other parties shall be reports of various incidents were requested
addressed and documented in accordance with written and received. In review, MCJH incident
☒ ☐ ☐
policies and procedures within a specified timeframe. reports are written and prepared as required
by Title 15 minimum standards.
1362 REPORTING OF INCIDENTS Policy 425 Incident Reports
A written report of all incidents which result in physical
harm, use of force, serious threat of physical harm, or
death of an employee, youth or other person(s) shall be
☐ ☐ ☒
maintained. Such written record shall be prepared by the
staff and submitted to the facility manager by the end of
the shift, unless additional time is necessary and
authorized by the facility manager or designee.
1363 USE OF REASONABLE FORCE TO COLLECT Policy 473 Use of Force to Collect DNA
DNA SPECIMENS, SAMPLES, IMPRESSIONS Specimens, Samples, or Impressions
(a) Pursuant to Penal Code Section 298.1 authorized Use of force to gather specimens is
law enforcement, custodial, or corrections prohibited.
personnel including peace officers, may employ
reasonable force to collect blood specimens, saliva ☐ ☐ ☒
samples, and thumb or palm print impressions from
individuals who are 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.
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1370 EDUCATION PROGRAM Policy 436: School Program, Section (a)
Policy 436 School Program: Section (b)
(a) School Programs
The County Board of Education shall provide for the
administration and operation of juvenile court schools in Education annual program evaluation was
conjunction with the Chief Probation Officer, or designee completed in January 2023, by Alternative
pursuant to applicable State laws. The school and facility Education Consultant, Lisa Schwartz.
administrators shall develop and implement written policy Mrs. Schwartz completed the Juvenile
and procedures to ensure communication and Facility Education Program Review and
coordination between educators and probation staff. Evaluation form. Schwartz indicated
Culturally responsive and trauma-informed approaches minimum standards were met.
should be applied when providing instruction. Education
staff should collaborate with the facility administrator to
use technology to facilitate learning and ensure safe
Per the annual educational services review
technology practices. The facility administrator shall ☒ ☐ ☐
and evaluation conducted in January 2023,
request an annual review of each required element of the
MCJH’s education department sufficiently
program by the Superintendent of Schools, and a report
provides the required elements outlined in
or review checklist on compliance, deficiencies, and
this regulation.
corrective action needed to achieve compliance with this
section. Such a review, when conducted, cannot be BSCC staff found that the learning
delegated to the principal or any other staff of any environment and the quality of educational
juvenile court school site. The Superintendent of Schools programming meet the Title 15 minimum
shall conduct this review in conjunction with a qualified standards for this regulation.
outside agency or individual. Upon receipt of the review,
MCJH meets Title 15 minimum standards for
the facility administrator or designee shall review each
this regulation.
item with the Superintendent of Schools and shall take
whatever corrective action is necessary to address each
deficiency and to fully protect the educational interests of
all youth in the facility.
(b) Required Elements Policy 436 School Program Section (b)
The facility school program shall comply with the State BSCC staff interviewed education staff, as
Education Code and County Board of Education policies, well as youth detained at the facility. We also
all applicable federal education statutes and regulations physically inspected classrooms. As a result,
and provide for an annual evaluation of the educational we found that the learning environment and
program offerings. As stated in the 2009 California the quality of educational programming meet
Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ Title 15 minimum standards for this
establish and maintain learning environments that are regulation.
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 Policy 436: School Program Section (b) (1)
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 Policy 436: School Program Section (b) (2)
Education Code and include, but not be limited ☒ ☐ ☐
to, courses required for high school graduation.
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(2) Information and preparation for the High School Policy 436: School Program Section (b) (3)
Equivalency Test as approved by the California
Information regarding online college courses
Department of Education shall be made
☒ ☐ ☐ through Santa Rosa Community College is
available to eligible youth.
provided to youth. In addition, the school
offers career guidance programming.
(3) Youth shall be informed of post-secondary Policy 436: School Program Section (b) (4)
☒ ☐ ☐
education and vocational opportunities.
(4) Administration of the High School Equivalency Policy 436: School Program Section (b) (5)
Tests as approved by the California Department
of Education, shall be made available when ☒ ☐ ☐
Per the annual education services
evaluation, MCJH is compliant with Title 15
possible.
minimum standards for this regulation.
(5) Supplemental instruction shall be afforded to Policy 436: School Program Section (b) (6)
youth who do not demonstrate sufficient ☒ ☐ ☐
progress towards grade level standards.
(6) The minimum school day shall be consistent with Policy 436: School Program Section (b) (7)
State Education Code Requirements for juvenile
Per the annual education services
court schools. The facility administrator, in
evaluation, MCJH is compliant with Title 15
conjunction with education staff, must ensure
minimum standards for this regulation.
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 Policy 436: School Program Section (c) (1)
regardless of classification, housing, security
status, disciplinary 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 Policy 436: School Program Section (c) (2)
(1) Positive behavior management will be Via interviews with education services,
implemented to reduce the need for disciplinary MCJH staff effectively communicate
☒ ☐ ☐
action in the school setting and be integrated into administrative decisions that may affect
the facility's overall behavioral management plan educational programming.
and security system.
(2) School staff shall be advised of administrative Policy 436: School Program Section (c) (3)
decisions made by probation staff that may ☒ ☐ ☐
affect the educational programming of students.
(3) Except as otherwise provided by the State Policy 436: School Program Section (c) (4)
Education Code, expulsion/suspension from
school shall be imposed only when other means
of correction 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.
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(4) The facility administrator, in conjunction with Policy 436: School Program Section (d) (1)
education staff will develop policies and
procedures that address the rights of any ☒ ☐ ☐
Per the annual education services
evaluation, MCJH is compliant with Title 15
student who has continuing difficulty completing
minimum standards for this regulation.
a school day.
(d) Provisions for Special Populations Policy 436: School Program Section (d) (2)
(1) State and federal laws and regulations shall be
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 Policy 436: School Program Section (e) (1)
afforded an educational program that addresses
their language needs pursuant to all applicable We interviewed education services staff and
state and federal laws and regulations governing ☒ ☐ ☐ reviewed student records to confirm
programs for EL students. compliance with the elements of this
regulation.
(e) Educational Screening and Admission Policy 436: School Program Section (A)
(1) Youth shall be interviewed after admittance and ☒ ☐ ☐
a record maintained that documents a youth's
educational history, including but not limited to:
(A) School progress/school history; Policy 436: School Program Section (B)
☒ ☐ ☐
(B) Home Language Survey and the results of Policy 436: School Program Section (C)
the State Test used for English language
proficiency; A Special Education teacher is on-site one
day per week.
☒ ☐ ☐
Per the annual education services
evaluation, MCJH is compliant with Title 15
minimum standards for this regulation.
(C) Needs and services of special populations Policy 436: School Program Section (D)
as defined by the State Education Code,
☒ ☐ ☐
including but not limited to, students with
special needs.
(D) Discipline problems. Policy 436: School Program Section (D)(2)
☒ ☐ ☐
(2) Youth will be immediately enrolled in school. Policy 436: School Program Section (D) (3)
Educational staff shall conduct an assessment
to determine the youth's general academic We interviewed education services staff and
functioning levels to enable placement in core ☒ ☐ ☐ reviewed student records to confirm
curriculum courses. compliance with the elements of this
regulation.
(3) After admission to the facility, a preliminary Policy 436: School Program Section (D) (4)
education plan shall be developed for each ☒ ☐ ☐
youth within five school days.
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(4) Upon enrollment, education staff shall comply Policy 436: School Program: Section (f) (1)
with the State Education Code and request the
youth's records from his/her prior school(s),
including, but not limited to, transcripts,
Individual Education Program (IEP), 504 Plan,
state language assessment scores, ☒ ☐ ☐
immunization records, exit grades, and partial
credits. Upon receipt of the transcripts, the
youth's educational plan shall be reviewed with
the youth and modified as needed. Youth should
be informed of the credits they need to graduate.
(f) Educational Reporting Policy 436: School Program: Section (f) (2)
(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 Policy 436: School Program: Section (g) (1)
provide appropriate credit (full or partial) for
course work completed while in juvenile court ☒ ☐ ☐ IEP transitional meetings are held at least
school in accordance with the State Education monthly.
Code.
(g) Transition and Re-Entry Planning Policy 436: School Program: Section (h) (1)
(1) The Superintendent of Schools and the Chief High school graduates have the option to
Probation Officer or designee, shall develop enroll in online courses (Second Chance
policies and procedures to meet the transition curriculum) through Santa Rosa Junior
☒ ☐ ☐
needs of youth, including the development of an College.
education transition plan, in accordance with the
State Education Code and in alignment with Title
15, Minimum Standards for Juvenile Facilities,
Section 1355.
(h) Post-Secondary Education Opportunities Policy 436: School Program
(1) The school and facility administrator should, BSCC staff reviewed the program,
whenever possible, collaborate with local post- recreation, and exercise schedules, logs,
secondary education providers to facilitate and records for the months of January,
access to educational and vocational ☒ ☐ ☐ February, and March of 2023.
opportunities for youth that considers the use of
technology to implement these programs. We concluded that the facility complies with
Title 15 minimum standards for this
regulation.
1371 PROGRAMS, RECREATION, AND Policy 444: Programs Recreation and
EXERCISE. Exercise Program
Policy Statement #1.
The facility administrator shall develop and implement
written policies and procedures for programs, BSCC staff discussed favorable outcomes
recreation, and exercise for all youth. The intent is to and ongoing compliance when the names of
☒ ☐ ☐
minimize the amount of time youth are in their rooms or youth who did not attend a particular
their bed area. program is clearly documented. In addition,
clearly document that Administrative
Separation youth receive equity in
programming, specifically, structured
programming.
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Juvenile facilities shall provide the opportunity for Policy 444: Programs Recreation and
programs, recreation, and exercise a minimum of three Exercise Program
hours a day during the week and five hours a day each
☒ ☐ ☐ Policy Statement #3.
Saturday, Sunday or other non-school days, of which
one hour shall be an outdoor activity, weather
permitting.
A youth’s participation in programs, recreation, and Policy 444: Programs Recreation and
exercise may be suspended only upon a written finding Exercise Program
by the administrator/manager or designee that a youth
represents a threat to the safety and security of the Policy statement #4.
facility. ☒ ☐ ☐
During the physical facility inspection, we
observed program and recreation schedule
calendars posted in the living units.
Such program, recreation, and exercise schedule shall Policy 444: Programs Recreation and
be posted in the living units. Exercise Program
On April 12, 2023, Superintendent Tori
Lemos-Creighton provided a memo ensuring
☒ ☐ ☐
that an annual review of the programs,
recreation, and exercise was conducted by
MCJH.
Policy Statement #5.
There will be a written annual review of the programs, Policy 444: Programs Recreation and
recreation, and exercise by the responsible agency to Exercise Program, Section (a)
ensure content offered is current, consistent, and
relevant to the population. BSCC staff discussed the best outcomes
when a supervisor is assigned to sign and
confirm programming occurred.
BSCC staff reviewed program activity logs
and interviewed youth housed at the facility,
☒ ☐ ☐ detention staff, behavioral health staff, and
education service staff. In addition, we
reviewed three random months of program
schedules showing programs provided and
individual youth participation.
We concluded that the facility meets
compliance with Title 15 minimum standards
for this regulation.
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(a) Programs. All youth shall be provided with the Policy 444: Programs Recreation and
opportunity for at least one hour of daily Exercise Program, Section (a)
programming to include, but not be limited to, trauma
focused, cognitive, evidence-based, best practice BSCC staff commend the MCJH in
interventions that are culturally relevant and conjunction with Behavioral Health staff, for
linguistically appropriate, or pro-social interventions the array of pro-social programming offered
and activities designed to reduce recidivism. These to youth detained at the facility. To name a
programs should be based on the youth’s individual few, the behavioral health staff facilitates
needs as required by Sections 1355 and 1356. Such ☒ ☐ ☐ ART groups, Psycho-Education groups, and
programs may be provided under the direction of the support groups for girls in custody.
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; Policy 444 Recreation and Exercise Program
(2) Management of Stress and Trauma; Policy Guidelines
(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 444 Recreation and Exercise Program
opportunity for at least one hour of daily access to Policy Guidelines
unscheduled activities such as leisure reading, letter
☒ ☐ ☐
writing, and entertainment. Activities shall be
supervised and include orientation and may include
coaching of youth.
(c) Exercise. All youth shall be provided with the Policy 444: Recreation and Exercise
opportunity for at least one hour of large muscle ☒ ☐ ☐ Program Policy Exception #4
activity each day.
The administrator/manager may suspend, for a period Policy 444: Recreation and Exercise
not to exceed 24 hours, access to recreation and Program Policy
programs. The administrator/manager shall document
☒ ☐ ☐ Youth wishing not to participate in Religious
the reasons why suspension of recreation and programs
Services are allowed to participate in an
occurs.
activity outside of their room.
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1372 RELIGIOUS PROGRAM Policy 303 Religion
Religious Services #1-4
The facility administrator shall provide access to
religious services and/or religious counseling at least
Through interviews with youth housed at the
once each week. Attendance shall be voluntary. A youth
☒ ☐ ☐ facility, and a review of the programming
shall be allowed to participate in an activity outside of
schedules, we were able to determine that
their room if he/she elects not to participate in religious
Marin County JH meets compliance with Title
programs.
15 minimum standards for this regulation.
Religious programs shall provide for:
(a) opportunity for religious services and practices; Policy 303 Religion
☒ ☐ ☐
Religious Counseling #1-4
(b) availability of clergy; and, Policy 303 Religion
Religious Diets #1-2
Through documentation and interviews with
youth housed at the facility, medical staff,
and food services personnel, we were able
to determine that MCJH complies with Title
☒ ☐ ☐
15 minimum standards for this regulation.
Per policy, the agency honors religious diets.
The request for religious diets is made to
medical staff. Medical staff informs the food
service personnel of the religious diet
request.
(c) availability of religious diets. Policy 303 Religion
☒ ☐ ☐ Religious Diets #1-2
1373 WORK PROGRAM Policy 464: Detainee Labor Conditions and
Restrictions
The facility administrator shall develop policies and
procedures regarding the fair and consistent assignment MCJH does not currently have a Work
of youth to work programs. Work assigned to a youth Program.
☒ ☐ ☐
shall be meaningful, constructive and related to
vocational training or increasing a youth's sense of
responsibility. Work programs shall not be imposed as a
disciplinary measure
1374 VISITING Policy 456 Visiting Policy
Authorization Process:
The facility administrator shall develop and implement
written policies and procedures for visiting, that include
We reviewed visiting policy and procedure,
provisions for special visits. Youth shall be allowed to
visiting schedules, and interviewed youth
receive visits by parents, guardians or persons standing
and detention staff. Based on information
in loco parentis, and children of youth. Other family
received and interviews, we concluded that
members, such as grandparents and siblings, and
☒ ☐ ☐ MCJH complies with Title 15 minimum
supportive adults, may be allowed to visit with the
standards for this regulation.
approval of the facility administrator or designee, and in
conjunction with the youth’s case plan or in the best
interest of the youth.
MCJH ensures visiting occurs at reasonable
times, and if a visitor is denied, the youth
affected is notified.
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All visits shall occur at reasonable times, subject only to Policy 456 Visiting Policy
the limitations necessary to maintain order and security.
Visitation shall not be denied solely based on the visitor’s Policy Statement.
criminal history. The staff shall determine in each case,
whether the visitor’s criminal history represents a risk to A review of visiting logs and interviews with
☒ ☐ ☐
the safety of youth or staff in the facility. Any denial of youth confirms that MCJH ensures youth
visitation or limitation on visitations shall be have an opportunity to have visitation for a
communicated to the youth, person denied and facility minimum of two hours per week.
administrator.
Opportunity for visitation shall be a minimum of two hours Policy 456 Visiting Policy
per week. Visits may be supervised, but conversations
shall not be monitored unless there is a security or safety Definition Statement.
☒ ☐ ☐
need.
MCJH complies with Title 15 minimum
standards for this regulation.
Provisions for special visits, in addition to the two-hour Policy 456 Visiting Policy
minimum and/or outside of the regular visiting hours,
shall be accommodated as necessary and within the Policy Statement.
discretion of the facility administrator or designee. Family
☒ ☐ ☐
therapy and professional visits shall be accommodated
outside the provisions of this regulation. Facilities may
provide visitation opportunities outside of normal visiting
hours to accommodate special visits.
The facility may provide access to technology as an
alternative, but not as a replacement, to in-person ☒ ☐ ☐
visiting.
1375 CORRESPONDENCE Policy 453 Correspondence - Mail Policy
The facility administrator shall develop and implement Through interviews with youth and staff, it
written policies and procedures for correspondence ☒ ☐ ☐ was determined that MCJH follows Title 15
which provide that: minimum standards for this regulation.
(a) there is no limitation on the volume of mail that youth Policy 453 Correspondence - Mail Policy
may send or receive; ☒ ☐ ☐ Guidelines #1
(b) youth may send two letters per week postage free; Policy 453 Correspondence - Mail Policy
☒ ☐ ☐ Guidelines #2
(c) youth may correspond confidentially with state and Policy 453 Correspondence - Mail Policy
federal courts, any member of the State Bar or holder Guidelines #3
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 453 Correspondence - Mail Policy
in (c), may be read by staff only when there is Guidelines
reasonable cause to believe facility safety and Through interviews with youth and staff, it
☒ ☐ ☐
security, public safety, or youth safety is jeopardized. was determined that MCJH follows Title 15
minimum standards for this regulation.
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1376 TELEPHONE ACCESS Policy 457 Phone Call for Detainees
The administrator of each juvenile facility shall develop Policy Statement.
and implement written policies and procedures to provide
☒ ☐ ☐
youth with access to telephone communications. Through interviews with youth and staff, it
was determined that MCJH follows Title 15
minimum standards for this regulation.
1377 ACCESS TO LEGAL SERVICES Policy 453: Correspondence
The facility administrator shall develop written Policy Statement.
☒ ☐ ☐
procedures to ensure the right of youth to have access to
the courts and legal services. Such access shall include:
(a) access, upon request by the youth, to licensed Policy 453: Correspondence
attorneys and their authorized representatives;
☒ ☐ ☐
Policy Statement.
(b) provision for confidential consultation with 453: Policy Correspondence
attorneys; and,
☒ ☐ ☐
Policy Statement.
(c) unlimited postage free, legal correspondence and 453: Policy Correspondence
cost-free telephone access as appropriate.
The facility has established rules outlined
and supported by its Behavior Management
System, which promotes and incentivizes
good behavior. Youth are aware of
☒ ☐ ☐ expectations through positive behavior
interventions and support.
We interviewed youth and detention staff,
and physically inspected the facility to aid in
confirming compliance with the Title 15
minimum standards for this regulation.
1390 DISCIPLINE
The facility administrator shall develop and implement Policy 445 Discipline Guidelines A.
written policies and procedures for the discipline of youth
that shall promote acceptable behavior; including the use
of positive behavior interventions and supports.
☒ ☐ ☐
Discipline shall be imposed at the least restrictive level
which promotes the desired behavior and shall not
include corporal punishment, group punishment,
physical or psychological degradation. Deprivation of the
following is not permitted:
(a) bed and bedding; Policy 445 Discipline Guidelines B.
☒ ☐ ☐
(b) daily shower, access to drinking fountain, toilet and Policy 445 Discipline Guidelines C.
personal hygiene items, and clean clothing; ☒ ☐ ☐
(c) full nutrition; Policy 445 Discipline Guidelines D.
☒ ☐ ☐
(d) contact with parent or attorney; Policy 445 Discipline Guidelines E.
We interviewed youth housed at the facility
and detention staff, and reviewed
☒ ☐ ☐
documentation to determine that the facility
complies with the Title 15 minimum
standards for this regulation.
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(e) exercise; Policy 445 Discipline Guidelines F.
We interviewed youth, medical staff, and
behavioral health staff in addition to
☒ ☐ ☐ reviewing documentation.
The facility complies with the Title 15
minimum standards for this regulation.
(f) medical services and counseling; Policy 445 Discipline Guidelines G.
☒ ☐ ☐
(g) religious services; Policy 445 Discipline Guidelines H.
☒ ☐ ☐
(h) clean and sanitary living conditions; Policy 445 Discipline Guidelines I.
☒ ☐ ☐
(i) the right to send and receive mail; Policy 445 Discipline Guidelines J.
We interviewed youth, detention staff, and
education services staff. In addition, we
☒ ☐ ☐ reviewed documentation.
The facility complies with the Title 15
minimum standards for this regulation.
(j) education; and, Policy 445 Discipline Guidelines K
☒ ☐ ☐
(k) rehabilitative programming. Policy 445 Discipline Guidelines
We interviewed youth and detention staff and
reviewed random incident reports that
☒ ☐ ☐ documents proof of practice regarding
disciplinary actions including both minor and
major rule violations. We also observed the
facility rules posted on the housing unit walls.
The facility administrator shall establish rules of conduct Policy 445: Discipline Guidelines
and disciplinary penalties to guide the conduct of youth.
Such rules and penalties shall include both major
violations and minor violations, be stated simply and
☒ ☐ ☐
affirmatively, and be made available to all youth.
Provision shall be made to provide accessible
information to youth with disabilities, limited English
proficiency, or limited literacy.
1391 DISCIPLINE PROCESS Policy 445: Discipline Guidelines Section (a)
The facility administrator shall develop and implement
☒ ☐ ☐
written policies and procedures for the administration of
discipline which shall include, but not be limited to:
(a) designation of personnel authorized to impose Policy 445: Discipline Guidelines Section (b)
discipline for violation of rules; ☒ ☐ ☐
(b) prohibiting discipline to be delegated to any youth; Policy 445: Discipline Guidelines Section (C)
☒ ☐ ☐
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(c) definition of major and minor rule violations and Policy 445: Discipline Guidelines Section (d)
their consequences, and due process
requirements; The elements of this regulation are
confirmed in the Appointment and
Qualification Letter, dated April 11, 2023,
received from Chief Probation Officer (CPO),
Marlon Washington.
☒ ☐ ☐
The agency ensures that detention staff
makes use of training that ensures
developmentally appropriate, trauma-
informed approaches to working with youth
while implementing positive behavior
intervention.
(d) trauma-informed approaches and positive behavior Policy 445: Discipline Guidelines Section (e)
interventions; ☒ ☐ ☐
(e) minor rule violations may be handled informally by Policy 445: Discipline Guidelines Section (f)
counseling, advising the youth of expected conduct
imposing a minor consequence. Discipline shall be Review of the facility’s incentive program and
accompanied by written documentation and a ☒ ☐ ☐ documentation showing the discipline for
policy of review and appeal to a supervisor; and, major rule violations by youth, MCJH follows
the minimum standards for this regulation.
(f) major rule violations and the discipline process Policy 445: Discipline Guidelines Section (e)
shall be documented and require the following: (1)
BSCC staff requested to review 10 examples
between the months of October 2022 and
December 2022, or the 10 most recent
☒ ☐ ☐ examples of a “Written Notice to the
Minor”/Due Process forms.
After review of the documentation, MCJH
shows compliance with the minimum
standards of the regulation.
(1) written notice of violation prior to a hearing; Policy 445: Discipline Guidelines Section (f)
☒ ☐ ☐ (2)
(2) accommodations provided to youth with Policy 445: Discipline Guidelines Section (f)
disabilities, limited literacy, and English (3)
☒ ☐ ☐
language learners;
(3) hearing by a person who is not a party to the Policy 445: Discipline Guidelines Section (f)
incident; (4)
We reviewed random incident reports. We
also interviewed youth housed at the facility
☒ ☐ ☐
and detention staff. The facility does well in
documenting that youth are, in a timely
manner, provided the opportunity to appeal a
discipline being imposed.
(4) opportunity for the youth to be heard, present Policy 445: Discipline Guidelines Section (f)
evidence and testimony; ☒ ☐ ☐ (5)
(5) provision for youth to be assisted by staff in the Policy 445: Discipline Guidelines Section (f)
hearing process; ☒ ☐ ☐ (6)
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(6) provision for administrative review. Policy 445: Discipline Guidelines Section (f)
(g)
☒ ☐ ☐
(g) violations that result in a removal from camp or Policy 445: Discipline Guidelines
commitment program, but not a return to court, will
follow the due process provisions in subsection (e) ☒ ☐ ☐
above.
1410 MANAGEMENT OF COMMUNICABLE Policy 621: Notification of Contagious
DISEASES. Diseases to Superintendent
The health administrator/responsible physician, in Policy Statement.
cooperation with the facility administrator and the local
health officer, shall develop written policies and To aid in confirming compliance with Title 15
procedures to address the identification, treatment, minimum standards for this regulation, we
control and follow-up management of communicable reviewed the annual Medical/Mental,
diseases. The policies and procedures shall address, Nutrition, and Environmental Health
but not be limited to: evaluations by qualified evaluators. We also
interviewed medical personnel.
☒ ☐ ☐
A complete health appraisal will be
conducted by Health Services staff on all
new intakes within 96 hours (excluding
holidays) of their admission into detention.
We concluded that MCJH meets Title 15
minimum standards for this regulation.
(a) Intake health screening procedures; Policy 621: Notification of Contagious
☒ ☐ ☐ Diseases to Superintendent
(b) Identification of relevant symptoms; Policy 621: Notification of Contagious
Diseases to Superintendent
☒ ☐ ☐ We interviewed medical personnel to help
confirm compliance with the Title 15
minimum standards for this regulation.
(c) Referral for medical evaluation; Policy 621: Notification of Contagious
☒ ☐ ☐ Diseases to Superintendent
(d) Treatment responsibilities during detention; Policy 706.2: Communicable Diseases -
Minor
To aid in confirming compliance with Title 15
☒ ☐ ☐
minimum standards for this regulation, we
interviewed medical and behavioral health
personnel.
(e) Coordination with public and private community- Policy 706.2: Communicable Diseases -
based resources for follow-up treatment; ☒ ☐ ☐ Minors
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(f) Applicable reporting requirements; and, Policy 706.2: Communicable Diseases -
Minors
To aid in confirming compliance with Title 15
minimum standards, we reviewed the annual
Medical/Mental, Nutrition, and Environmental
☒ ☐ ☐
Health evaluations by qualified evaluators.
We also interviewed medical personnel to
help determine that MCJH meets the
minimum requirements for this regulation.
(g) Strategies for handling disease outbreaks. Policy 706.2: Communicable Diseases-
☒ ☐ ☐ Minors
The policies and procedures shall be updated as Policy 706.2: Communicable Diseases-
necessary to reflect communicable disease priorities Minors
identified by the local health officer and currently ☒ ☐ ☐
recommended public health interventions.
1433 REQUESTS FOR HEALTH CARE SERVICES Policy 435: Sick Call Policy/Removal from
(EXCERPT) School
The health administrator, in cooperation with the facility The regulation requires that youth shall be
administrator, shall develop policy and procedures to provided the opportunity to confidentially
establish a daily routine for youth to convey requests for convey either through written or verbal
emergency and non-emergency medical, dental and communications, a request for medical,
behavioral/mental health care services. dental, or behavioral/mental health services.
☒ ☐ ☐
In providing Technical Assistance to ensure
MCJH maintains compliance, we
recommended that MCJH place a secured
lock box in the facility dayroom to allow youth
to confidentially make medical and mental
health requests.
1480 STANDARD FACILTY CLOTHING ISSUE
Policy 459: Clothing Issue and Exchange
The youth’s personal clothing, undergarments and
footwear may be substituted for the institutional clothing We interviewed youth and reviewed
☒ ☐ ☐
and footwear specified in this regulation. The facility has documentation to determine that the facility
the primary responsibility to provide clothing and meets compliance with the Title 15 minimum
footwear. Clothing provisions shall ensure that: standards for this regulation.
(a) Clothing is clean, reasonably fitted, durable, easily Policy 459: Clothing Issue and Exchange
laundered, in good repair, and free of holes and
☒ ☐ ☐
tears.
(b) The standard issue of climatically suitable clothing Policy 459: Clothing Issue and Exchange
for youth shall consist of but not be limited to:
We interviewed youth and reviewed
☒ ☐ ☐ documentation to determine that the facility
meets compliance with the Title 15 minimum
standards for this regulation.
(1) Socks and serviceable footwear; Policy 459: Clothing Issue and Exchange
☒ ☐ ☐
(2) Outer garments; Policy 459: Clothing Issue and Exchange
We interviewed youth and reviewed
☒ ☐ ☐ documentation to determine that the facility
meets compliance with the Title 15 minimum
standards for this regulation.
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(3) New non-disposable underwear which shall Policy 459: Clothing Issue and Exchange
remain with the youth throughout their stay,
and; We interviewed youth and reviewed
☒ ☐ ☐ documentation to determine that the facility
meets compliance with the Title 15 minimum
standards for this regulation.
(4) Undergarments, that are freshly laundered and Policy 459: Clothing Issue and Exchange
free of stains, including tee shirts and bras. ☒ ☐ ☐
(c) Clothing is laundered at the temperature required
by local ordinances for the commercial laundries
and dried completely in a mechanical dryer or other ☒ ☐ ☐
laundry method approved by the local health officer.
(d) Suitable clothing is issued to pregnant youth. Policy 459: Clothing Issue and Exchange
We interviewed youth and reviewed
☒ ☐ ☐ documentation to determine that the facility
meets compliance with the Title 15 minimum
standards for this regulation.
1482 CLOTHING EXCHANGE Policy 459: Clothing Issue and Exchange
The facility administrator shall develop and implement
written policies and site-specific procedures for the
cleaning and scheduled exchange of clothing. Unless
work, climatic conditions, or illness necessitates more
☒ ☐ ☐
frequent exchange, outer garments, except for
footwear, shall be exchanged at least once each week.
Tee shirts, bras, and underwear shall be exchanged
daily; youth shall receive their own underwear back at
exchange.
1484 CONTROL OF VERMIN IN YOUTH’S Policy 499: Control of Vermin in Minors’
PERSONAL CLOTHING Personal Clothing
There shall be written policies and site-specific We interviewed youth and reviewed
procedures developed and implemented by the facility documentation to determine that the facility
administrator to control the contamination and/or ☒ ☐ ☐ meets compliance with the Title 15 minimum
spread of vermin and ecto-parasites in all youth’s standards for this regulation.
personal clothing. Infested clothing shall be cleaned or
stored in a closed container so as to eradicate or stop
the spread of the vermin.
1485 ISSUE OF PERSONAL CARE ITEMS Policy 401: Issuing of Personal Hygiene
Items to Minors
There shall be written policies and site-specific
procedures developed and implemented by the facility
administrator for the availability of personal hygiene
☒ ☐ ☐
items. Each female youth shall be provided with
sanitary napkins, panty liners and tampons as
requested. Each youth to be held over 24 hours shall be
provided with the following personal care items;
(a) Toothbrush; Policy 401: Issuing of Personal Hygiene
☒ ☐ ☐ Items to Minors
(b) Toothpaste; Policy 401: Issuing of Personal Hygiene
☒ ☐ ☐ Items to Minors
(c) Soap; Policy 401: Issuing of Personal Hygiene
☒ ☐ ☐ Items to Minors
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(d) Comb; Policy 424: Hygiene/Showers, Shaving, and
☒ ☐ ☐ Razor Handling
(e) Shaving implements; Policy 401: Issuing of Personal Hygiene
☒ ☐ ☐ Items to Minors
(f) Deodorant; Policy 401: Issuing of Personal Hygiene
☒ ☐ ☐ Items to Minors
(g) Lotion; Policy 401: Issuing of Personal Hygiene
☒ ☐ ☐ Items to Minors
(h) Shampoo; and, Policy 401: Issuing of Personal Hygiene
☒ ☐ ☐ Items to Minors
(i) Post-shower conditioning hair products. Policy 401: Issuing of Personal Hygiene
Items to Minors
We interviewed youth and reviewed
☒ ☐ ☐
documentation to determine that the facility
meets compliance with the Title 15 minimum
standards for this regulation.
Youth shall not be required to share any personal care Policy 401: Issuing of Personal Hygiene
items listed in items (a) through (d). Liquid soap Items to Minors
provided through a common dispenser is permitted.
Youth shall not share disposable razors. Double edged We interviewed youth and reviewed
safety razors, electric razors, and other shaving documentation to determine that the facility
instruments capable of breaking the skin, when shared ☒ ☐ ☐ meets compliance with the Title 15 minimum
among youth, shall be disinfected between individual standards for this regulation.
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 424: Hygiene/Showers, Shaving, and
Razor Handling
There shall be written policies and site specific
procedures developed and implemented by the facility We interviewed youth and reviewed
administrator for showering/bathing and brushing of documentation to determine that the facility
☒ ☐ ☐
teeth. Youth shall be permitted to shower/bathe up on meets compliance with the Title 15 minimum
assignment to a housing unit and on a daily basis standards for this regulation.
thereafter and given an opportunity to brush their teeth
after each meal.
1487 SHAVING Policy 424: Hygiene/Showers, Shaving, and
Razor Handling
Youth shall have access to a razor daily, unless their
appearance must be maintained for reasons of We interviewed youth and reviewed
identification in Court. All youth shall have equal documentation to determine that the facility
☒ ☐ ☐
opportunity to shave face and body hair. The facility meets compliance with the Title 15 minimum
administrator may suspend this requirement in relation standards for this regulation.
to youth who are considered to be a danger to
themselves or others.
1488 HAIR CARE SERVICES (Excerpt) Policy 424.1 Hair Care Services
Hair care services shall be available in all juvenile We interviewed youth and reviewed
facilities. Youth shall receive hair care services monthly. documentation to determine that the facility
Equipment shall be cleaned and disinfected after each ☒ ☐ ☐ meets compliance with the Title 15 minimum
haircut or procedure, by a method approved by the standards for this regulation.
State Board of Barbering and Cosmetology.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS
1500 STANDARD BEDDING AND LINEN ISSUE Policy 459: Clothing Issue and Exchange
Clean laundered, suitable bedding and linens, in good
repair, shall be provided for each youth entering a living ☒ ☐ ☐
area who is expected to remain overnight, shall include,
but not be limited to:
(a) One mattress or mattress-pillow combination which
meets the requirements of Section 1502 of these
☒ ☐ ☐
regulations;
(b) One pillow and a pillow case unless provided for in
(a) above; ☒ ☐ ☐
(c) One mattress cover and a sheet or two sheets;
☒ ☐ ☐
(d) One towel; and,
☒ ☐ ☐
(e) One blanket or more, up on request Policy 459: Clothing Issue and Exchange
We interviewed youth and reviewed
documentation to determine that the facility
☒ ☐ ☐ meets compliance with the Title 15 minimum
standards for this regulation.
1501 BEDDING LINEN EXCHANGE Policy 459: Clothing Issue and Exchange
The facility administrator shall develop and implement
site specific written policies and procedures for the
scheduled exchange of laundered bedding and linen
☒ ☐ ☐
issued to each youth housed. Washable items such as
sheets, mattress covers, pillow cases and towels shall
be exchanged for clean replacement at least once each
week.
The covering blanket shall be cleaned or laundered Policy 459: Clothing Issue and Exchange
once a month.
☒ ☐ ☐
1510 FACILITY SANITATION, SAFETY AND Policy 499.3: Institution Sanitation, Safety
MAINTENANCE and Maintenance
Further evidence of compliance with this
The facility administrator shall develop and implement
regulation is supported with MCJH’s
written policies and site-specific procedures for the
compliance with the following Title 15
maintenance of an acceptable level of cleanliness,
Regulations:
repair and safety throughout the facility. The plan shall
provide for a regular schedule of housekeeping tasks,
• 131 County Inspection and
equipment, including restraint devices, and physical
Evaluation of Building and Grounds
plant maintenance and inspections to identify and
• 1327 Emergency Procedures
correct unsanitary or unsafe conditions or work
• 1325 Fire Safety Plan
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).
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REVIEW OF NON-REGULATORY REQUIREMENTS
GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS
JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only)
The programs/services identified on the JPCF – Camp
Allocation Eligibility Form are being provided at the
facility. (Refer to the JPCF Program Agreement, ☐ ☐ ☒
Attachment B)
208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY
The facility houses Juvenile Court Wards 19 years of
age and older. ☒ ☐ ☐
The facility has been approved to hold persons under
the juvenile court who are ages 19 through 21. ☒ ☐ ☐
The facility continues to comply with the requirements
of 208.5 WIC (programming, capacity and security of
☒ ☐ ☐
the facility) as outlined in the county’s application.
JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA)
WIC 206 SEPARATE FACILITIES FOR WIC 300
MINORS
Dependent or neglected minors who are defined under
☐
Section 300 of the Welfare and Institutions Code (WIC) ☐ Violation ☒
are held only in non-secure, separate and segregated
facilities.
DETENTION OF STATUS OFFENDERS (WIC 601)
AND FEDERAL MINORS
☐ ☒ ☐
Status Offenders (WIC 601) are held in the facility.
Status Offenders (WIC 601) are kept separate from
☐
Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☐ Violation ☒
Federal Minors (ICE Holds or ORR Contract) are held
in the facility. ☐ ☒ ☐
If yes to the above, the Monthly Report on the
Detention of Status Offenders/Federal Minors is
☐ ☐ ☒
submitted to the BSCC.
WIC 208 SEPARATION OF MINORS AND ADULT
INMATES (JJDPA 42 USC 5633, Sec 223,
State Plans (a)[12])
Are adult inmates held in the facility? (When a person
☐ ☒ ☐
in detention is proceeding through the adult court,
AND that person is 18 years of age or older that
person is an adult inmate.)
If adult inmates are held, they are appropriately
☐
separated from minors. ☒ Violation ☐
Adult inmates from an adult facility (e.g. inmate workers
or “Scared Straight” programs) are not allowed in the
☐
☐ ☒
facility in a manner that allows contact with minors. Violation
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STATE BOARD OF STATE & COMMUNITY CORRECTIONS - BIENNIAL INSPECTION
JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS
LIVING AREA SPACE EVALUATION
BSCC Code: 7293
FACILITY: Marin County Juvenile Hall (MCJH) TYPE: JH RC: 40
FIELD REPRESENTATIVE: Forrest Coleman DATE: April 20, 2023
Comments: No changes to the facility during the 2023-2024 inspection cycle.
ROOMS EACH ROOM
Unit Room Applicable # Each Total Size (L x W x H) FIXTURES* COMMENTS
Designation Type Standards Rooms Room RC or
# RC Square/Cubic T U W F S
Beds Feet
Court Holding Pre-1998 1 4 (4) 8.3' X 6.75' 6.5' bench; access to plumbing outside holding
room; additional interview rooms also available;
pre-booking space in the administrative area.
Room dimensions provided by facility staff, at
the request of the BSCC, to update CYA data.
Housing Single Pre-1998 17 1 1 17 11.25' X 7.5' North Wing – At the time of the inspection the
North Wing house COVID-19 protocol youth. All
North, East, Double Pre-1998 7 2 2 14 11.25' X 11.25'
rooms are dry rooms except for rooms D and E.
and West
Wings West Wing – At the time of the inspection the
West Wing housed female youth. All rooms are
dry rooms except for rooms A and B.
East Wing – At the time of the inspection the
East Wing housed male youth. All rooms are dry
rooms.
South Wing Single 1998 8 1 1 8 6.6’ X 10’ 1 1 1 South Wing – At the time of the inspection the
South Wing was unoccupied. All rooms are wet
rooms.
South Wing Single 1998 1 1 1 1 8.3’ X 10’ 1 1 1 Handicapped accessible room. Operational in
2002; under 1998 regulations.
Safety Padded Pre-1998 1 1 (1) 11' x 9' Plumbing fixture access outside the room.
Room
Dayroom Pre-1998 1 37' X 38' Additional dayroom/multipurpose space in the
West Wing.
Recreation Outdoor 1998 110’ X 110’ + Total of 13,664 square feet of outdoor exercise
area.
68’ X 23’
*T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in the unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity.
7293 Marin Probation Juvenile Hall LASE 23-24 - 1 - Juv LAS.dot;BSCC 460(1/6/97)
PHYSICAL PLANT EVALUATION
STATE BOARD OF STATE & COMMUNITY CORRECTIONS - BIENNIAL INSPECTION
JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS, AND CAMPS
APPLICABLE REGULATIONS: Pre-1998*
California Code of Regulations (CCR)
BSCC Code: 7293
FACILITY NAME: Marin County Juvenile Hall FACILITY TYPE: JH
CONSTRUCTION/REMODEL DATE(S): Original construction in 1960s; remodel in 1996; 9 beds added in 2002.
IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: Added new classroom, courtroom, and
administration area in 1996; renovated outdoor exercise space and 9 beds added in 2002 under 1998 regulations.
FIELD REPRESENTATIVE: Forrest Coleman DATE: April 20, 2023
Comments: No changes to the facility during the 2020/2022 inspection cycle.
ARTICLE/SECTION YES NO N/A COMMENTS
RECEPTION AREA (JH) Pre-98 regulations; court holding room in
1996 addition; a pre-booking area is also
A. Holding Rooms: located in the administrative area.
1. Contain 15 square feet per minor;
2. Have sufficient seating to accommodate the
rated capacity based on floor space;
3. Provide access to water closets and wash Access is provided outside the holding room.
basins at a ratio of a 1:8; and
4. Provide access to drinking fountain. Access is provided outside the holding room.
B. Provide access to telephone.
C. Provide access to private room(s) for interviews.
MEDICAL EXAM SPACE (JH & CAMP) The nurse’s office is also used for medical
exams, locked pharmaceutical storage, and
Space or room(s) afford privacy, are equipped to carry storage for other medical supplies. A
out routine examinations and emergency care and separate, suitably equipped exam room
have sufficient locked storage space for medical should be considered in the future for
supplies. remodeling or construction.
CAPACITY (CAMP)
The maximum number of minors does not exceed 100
unless there is a certificate of compliance to expand
capacity up to 125 minors (WIC § 886 and 886.5).
LIVING UNITS (JH AND SPJH) There are East, West, and North wings, each
of which holds 30 youth or less.
A. Living units are designed to accommodate no
more than 30 minors and contain:
1. Showers at a ratio of 1:6; 1998 regulations (applicable to the nine beds
that came online in 2002) require that a
2. Washbasins at a ratio of 1:6; washbasin, toilet, and drinking fountain are
available in each room. There are four
3. Water closets at a ratio of 1:6 or water closet
additional pre-98 wet rooms. The central
and one urinal for every 15 boys; and,
* Issues on this checklist are from the Pre-1998 Title 15, Sections 4272 (Juvenile Halls and Special Purpose Juvenile Halls) and 4323 (camps and ranches).
7293 Marin Probation Juvenile Hall PHY 23-24 - 1 - J455 PHY Pre-98.dot (9/98)
ARTICLE/SECTION YES NO N/A COMMENTS
4. Access to a drinking fountain by minors and toilet area includes eight showers, seven
staff. washbasins, and seven toilets.
BSCC recommends the removal of all towel
holders within the facility’s shower areas.
B. Doors of each sleeping room have a view panel 1998 regulations require that the view panels
(maximum of 144 square inches of shatter-proof for the nine beds brought online in 2002 have
glass or plastic materials) that allows the visual a minimum of 144 square inches.
supervision of all parts of the room.
C. 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.
DORMITORY SLEEPING AREAS (JH & CAMP)
Contain a minimum of 400 cubic feet of airspace and
50 square feet of floor space per minor.
LOCKED SLEEPING ROOMS (JH, SPJH & CAMP)
Contain an individual or combination drinking fountain,
wash basin and toilet, unless a communication system
or procedure is in effect to give minor immediate
access to these fixtures.
PLUMBING FIXTURES (CAMP)
The following plumbing fixtures are adjacent to each
sleeping area:
A. Shower or bathtub at a ratio of 1:6;
B. Washbasins at a ratio of 1:10;
C. Access to toilets at a ratio of 1:10 or toilet and one
urinal for every 15 boys; and,
D. Access to a drinking fountain.
BEDS AND MATTRESSES (JH, SPJH & CAMP)
Beds and mattresses are:
A. A least 30 inches wide and 76 inches long;
B. Spaced at least 36 inches apart and at least 12
inches off the floor; and,
C. Mattresses are made of a fire-retardant material.
INTERVIEW ROOMS (JH, SPJH & CAMP)
A. There is one interview room for each detention
unit in juvenile halls and special purpose juvenile
halls.
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ARTICLE/SECTION YES NO N/A COMMENTS
B. 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) Classroom space was measured by facility
staff and reported to be 1415 square feet,
Each classroom contains a minimum of 160 square with an additional classroom in the West
feet with a teacher's desk and work area, and a (girls) wing that measures 310 feet and is
minimum of 28 square feet per student. Classrooms used as needed for overflow.
should be designed for no more than 15 students.
DINING SPACE (JH & CAMP) The facility is designed to utilize a dining hall
in a separate building on campus for low-risk
There is a minimum of 15 square feet of space for minors. However, at the time of the
each person being fed at any given time. inspection, the dayroom was being utilized for
youth to complete all meals.
PHYSICAL ACTIVITY SPACE (JH & CAMP) The outdoor recreation space was replaced
with the 2002 addition and comes under the
A. There is indoor space consisting of at least 30 regulation noted below (Section 460A.1.11).
square feet of clear space for each minor, which
may be included in a day room, a recreational
building, or a multipurpose space (gymnasium).
B. There is outdoor and/or multipurpose
(gymnasium) space consisting of:
1. 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.
2. 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.
3. 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.
B. Lighting is adequate for security and evening
recreational activities in camps.
Physical Activity and Recreation Spaces (NA There is a large, paved exercise area that
SPJH; 1.11) measures approximately 110’ X 110’ plus an
additional smaller paved exercise area that
98: Facilities with a capacity of less than 41 minors measures 68’ X 23’ for a total of 13,664
have a minimum of 9,000 square feet dedicated
square feet of outdoor exercise area.
indoor-outdoor space.
01: Facilities with a capacity of 40 minors or less have The drinking fountain is in the outdoor
a minimum of 9000 square feet dedicated indoor- exercise area as required by Section
outdoor space. 460A.2.3.
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ARTICLE/SECTION YES NO N/A COMMENTS
98: Facilities with a capacity of 41 to 100 minors have
a minimum of 9,000 square feet dedicated indoor-
outdoor space, plus a field area. The field area
contains a minimum of one acre with a minimum
Facility capacity is less than 41 minors.
dimension of 100 feet.
01: Facilities with a capacity of 41-274 minors have a
minimum of 225 square feet of dedicated indoor-
outdoor space per minor, up to 61,650 feet.
98: Facilities with a capacity over 100 minors have a
minimum of 18,000 square feet dedicated indoor-
outdoor space, plus a field area. The field area
contains a minimum of one acre with a minimum
dimension of 100 feet.
01: Facilities with a capacity of 275 or more minors
have 61,650 square feet dedicated indoor-outdoor
space, plus 145 square feet for each minor
beyond 274 (up to a maximum of 87,120 square
feet).
98: At least one half of the dedicated indoor-outdoor
space is a paved or "like" surface.
01: Changed from one-half to one-quarter of the
space
A portion of the dedicated physical activity and
recreation space is out-of-doors and is equipped and
of a sufficient size to comply with Title 15, § 1371.
01: The required recreation area has no single
dimension less than 40 feet.
Outdoor recreation area lighting allows for evening
activities and provides security.
STORAGE SPACE (JH, SPJH & CAMP)
A. Each minor is provided 9 cubic feet of secure
storage space for personal clothing and
belongings.
B. Camps shall have adequate space (12 square feet
of floor area is recommended) for bulk and activity
storage equipment.
MULTIPURPOSE SPACE OR ROOM (SPJH)
There is a multipurpose space or room that provides
space for reception, dining, recreation, exercise and/or
education.
This room contains a minimum of:
A. 30 square feet of clear floor space per minor in the
room;
B. 10 feet by 20 feet floor dimensions; and,
C. 1600 cubic feet of air space with a minimum
ceiling height of eight feet.
SPECIAL PURPOSE JH EXEMPTIONS Not an SPJH.
SPJHs are exempt from the following Pre-1998 Title
15 regulations:
a. Section 4272(b) Medical exam rooms
b. Section 4272(m) Academic classrooms
c. Section 4272(n) Dining space
d. Section 4272(o) Physical activities space
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