Orange PROB YLA Camp CI (2025-2026 inspection cycle)

Initial Inspection Report 2025-2026 Biennial Inspection Cycle Date of Exit Briefing/Notice of Noncompliance: 9/12/2025 Inspection Type: Comprehensive County: Orange Facility Name: Orange County Youth Leadership Academy BSCC #: 7388 BSCC Type: Camp Facility Representative(s): Regina Martinez, Acting Director, Jessica Johnson, Deputy Chief Probation Officer BSCC Field Representative: Lisa Southwell CAP Day 60 – Maximum Statutory CAP Due/Approval Date: 11/11/2025 Maximum Statutory Resolution Date: 02/09/2026 Current Items of Noncompliance Title 15. Section Description Certain sections of policy required are missing. We cannot verify that all staff members have reviewed the policy manual, as no documentation of review § 1324. Policy and Procedures Manual. was available. Additionally, several individual policy sections are incomplete and must contain all requirements of the regulation. The facility has an independent Fire Safety Plan that is not included in the agency policy manual as required nor was there any evidence provided of § 1325. Fire Safety Plan. consultation with the local fire department or the State Fire Marshal. There was no documentation provided regarding a written plan for the emergency housing of YLA youth in the event of a fire. The agency policy does not specify a timeline for providing the youth orientation; however, we have identified documentation that permits up to 24 hours for the completion of orientation. This is contrary to § 1353. Orientation. the requirements of Title 15, youth orientations must take place before placement in a living area. The orientation handbook and related documents needs to be updated to reflect all required elements. The facility does not have a clear or well-defined § 1354. Separation. Separation Policy that defines the required types of separation or the implementation in accordance with Orange County Youth Leadership Academy Initial Inspection Report Page 2 Title 15. Section Description current regulatory requirements.Self Separations are not being fully documented as required by policy. Documentation is insufficient as currently provided, and the reasons for initial or continued room confinement, integration plans, and approvals for § 1354.5 Room Confinement extensions were not consistently recorded or submitted. We also found youth without visitors were held in their room during visiting due to lack of adequate visiting space. Documentation is insufficient for transition plans. § 1355. Institutional Assessment and Plan. Timeframes and persons responsible are not consistently documented. Documentation is insufficient regarding the completion and documentation of an individual § 1358.5. Use of Restraint Devices for assessment for the need to apply restraints for Movement and Transportation Within the movement or transportation within the facility that Facility. includesconsideration of a youth’s known medical or mental health conditions and trauma informed approaches. Several grievances reviewed were not responded to as required. Grievances require a written response § 1361. Grievance Procedure. which include the reasons for the decisions made. Several were lacking this response. The facility's policy does not provide clearly defined and consistent guidelines for disciplinary actions § 1390. Discipline. imposed on youth. Additionally, the policy does not clearly articulate discipline expectations, leading to subjective implementation.