Sacramento Probation (2023-2024 inspection cycle)

October 23, 2023 Marlon Yarber, Chief of Probation Sacramento Probation Department 8745 Folsom Blvd. Sacramento, CA 95826 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SACRAMENTO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Yarber: The 2023-2024 Comprehensive Inspection of the Sacramento County Probation Department has been completed. A pre-inspection briefing was held on Wednesday, March 22, 2023, and the following facilities were inspected between Monday, October 16, 2023 and Thursday, October 19, 2023: FACILITY NAME BSCC # FACILITY TYPE Youth Detention Facility 7437 JH Valley Oaks Youth Academy 7439 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to inspection(s), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. The Fire and Environmental Health inspections had areas of noncompliance and the agency has documented corrections; however, the inspecting authority has not returned to provide clearance. The Medical and Mental Health inspection has been completed with a verbal compliance, but the report has not been received. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. Marlon Yarber, Chief Probation Officer Page 2 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, October 19, 2023; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at elizabeth.gong@bscc.ca.gov or call (916) 704-2503 if you have any questions. Sincerely, ELIZABETH GONG Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Sacramento County Juvenile Court* Chair, Juvenile Justice Commission, Sacramento County* Chair, Board of Supervisors, Sacramento County* County Administrator, Sacramento County* Brandi Curry, Chief Deputy Probation Officer, Sacramento County Probation *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7437 7439 Sacramento Probation LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7437 FACILITY NAME: Sacramento County Youth Detention Facility (YDF) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Brandi Curry, Chief Deputy Probation Officer - YDF; Kevin Flores, Assistant Chief Deputy Probation Officer; Maria Rivera-Collins, Supervising Probation Officer; Ana Feeley, Supervising Probation Officer; Osama Ali, Supervising Probation Officer – Classification; Kristy Dyson, Supervising Probation Officer – VOYA; Chad Fruzza, Senior Deputy Probation Officer; Brad Hager, Assistant Probation Officer; Michael Conley, Assistant Probation Officer; Dawn Isais, Administrative Services Officer III (ASO); Kim Anklam, ASO I; Barbara Modlin, Principal – Sacramento County Office of Education; Wes Marshall , Director Court and Community School – Sacramento County Office of Education; Chris Eldridge, Mental Health Supervisor – Sacramento County Mental Health; Pam Gandy-Rosemond, Sacramento County Department of Health Services – RN Health Service Administrator; Ben Santos, RN Clinic Manager; Jennifer Sousa, Food Services Program Manager; Youth: Antonio, age 21; Mercedes, age 17; Khaliah, age 21; Koivell, age 15; Thomas, age 17; DeJohn, age 19. FIELD REPRESENTATIVE: Elizabeth Gong DATE: October 16-19, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS October 11-14, 2022 September 27-October 5, 2023 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ documented inspection and evaluation from the following: (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code Section August 7, 2023 13146.1(a) and (b); ☒ ☐ ☐ There were noted areas of noncompliance which have been corrected. The fire authority, SFM, has not returned to re-inspect. 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. 7437 Sacramento YDF PRO 23-24 1 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: June 7, 2022 June 6, 2023* Medical/Mental Health: June 10, 2022 September 14, 2023** Nutritional Health: July 27, 2022 ☒ ☐ ☐ July 21, 2023 The Environmental Health Inspection had areas of noncompliance which the agency has corrected via GSA. The PH Inspector has not yet returned to issue compliance. The Medical/MH Inspection was completed but the report has not been received as of the writing of this report. (d) county superintendent of schools on the adequacy of educational services and facilities as required in Section ☒ ☐ ☐ April 19, 2022 1370; July 24, 2023 (e) juvenile court as required by Section 209 of the ☒ ☐ ☐ Welfare and Institutions Code; and, November 7, 2022 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the December 2022 Welfare and Institutions Code. The JJ/DPC last provided an inspection to BSCC and the agency in 2019. They did not inspect in 2020 due to COVID. Although the Commissioners were on site at YDF two times in 2021 and once in March 2022, they did not provide a copy of an inspection report to the ☒ ☐ ☐ Court, YDF, or BSCC until requested while attending a JJC meeting while on site, learning a report was completed in December 2022 for the years 2021 and 2022. We respectfully requested the Commission complete their 2023 Inspection prior to December 31, 2023. The Juvenile Presiding Judge was present and asked BSCC to provide JJ/DPC Training in the near future. 7437 Sacramento YDF PRO 23-24 2 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Chapter 2, Page 1: Appointments and BSCC Note: Compliance with this section is determined Qualifications by receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. The elements of this regulation are included in Chief Yarber’s Memorandum dated October 13, 2023. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Chapter 2, p.1, ⁋ 1 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and Chapter 2, p.1, ⁋ 2 evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ Chapter 2, p.1, ⁋ 1 pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in Chapter 2, p.1, ⁋ 3 ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Chapter 2, p.1, ⁋ 4 facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING Chapter 3, Pages 1 and 2 Each juvenile facility shall: Chapter 3, Policy I-A (a) have an adequate number of personnel sufficient to ☒ ☐ ☐ The facility has two Watch Commanders, ten carry out the overall facility operation and its Supervising Probation Officers, five Senior programming, to provide for safety and security of youth Probation Officers, 22 Deputy Probation and staff, and meet established standards and Officers, 158 Probation Assistants, and 67 regulations; Probation Aides. 7437 Sacramento YDF PRO 23-24 3 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent Chapter 3, Policy I-B exigent circumstances; ☒ ☐ ☐ The agency has compliant staffing ratios to ensure no services are denied for youth. We note Deputy Probation Officers assist with programming. (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Chapter 3, Policy I-C ☒ ☐ ☐ There is always a minimum of two Senior or Supervising Probation Officers on duty. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Chapter 3, Policy I-D completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; There is always a minimum of two Senior or Supervising Probation Officers on duty. (e) have at least one staff member present on each living ☒ ☐ ☐ unit whenever there are youth in the living unit; Chapter 3, Policy I-E (f) have sufficient food service personnel relative to the number and security of living units, including staff Chapter 3, Policy I-F qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct The facility has one Food Service Program food preparation and servings; conduct related training ☒ ☐ ☐ Manager, a Food Services Supervisor, two Senior Food Service Cooks, and 3 Food programs for culinary staff; and maintain necessary Service Cooks. There are thirteen food records; or, a facility may serve food that meets nutritional service workers that provide meal prep, tray standards prepared by an outside source; fulfillment, and kitchen clean up. (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Chapter 3, Policy I-G transportation, control room, facility security and other support staff for the efficient management of the facility, There is a Senior Office Administrator and three Administrative Services Officers at YDF. and to ensure that youth supervision staff shall not be ☒ ☐ ☐ The facility has five Laundry Service Workers, diverted from supervising youth; and, one Stock Clerk, and one Storekeeper. Allied partners and non-sworn ancillary staff are not part of youth supervision. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Chapter 3, Policy I-H temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Chapter 3, Policy II-A (A) during the hours that youth are awake, one ☒ ☐ ☐ wide-awake youth supervision staff member on duty for each 10 youth in detention; 7437 Sacramento YDF PRO 23-24 4 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Chapter 3, Policy II-B ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Chapter 3, Policy II-C 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 ☒ ☐ ☐ Chapter 3, Policy II-D the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of Chapter 3, Policy I-G personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls This facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- ☐ ☐ ☒ Hall. awake youth supervision staff member on duty for each 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; (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 This facility is not a Camp. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; 7437 Sacramento YDF PRO 23-24 5 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Chapter 4 Training and Staff Development Chapter 4, Guideline II-A, 1-c (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Chief Yarber provided a memorandum their duties, including: outlining the training all staff receive prior to (1) youth supervision duties; exercising youth supervision responsibilities, dated October 13, 2023. ☒ ☐ ☐ The agency provides 160 hours as part of Core Training, followed by an additional 80 hours of agency-specific orientation/training, all of which occur prior to assignment. Sacramento County Probation does in-house Core which provides new employees with very specific references to their job using in-county policies, examples, and processes. They also allow other counties to participate in the training. (2) scope of decisions they shall make; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-d (3) the identity of their supervisor; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-a 7437 Sacramento YDF PRO 23-24 6 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) the identity of persons who are responsible to ☒ ☐ ☐ them; Chapter 4, Guideline II-A, 1-a (5) persons to contact for decisions that are beyond ☒ ☐ ☐ their responsibility; and Chapter 4, Guideline II-A, 1-a (6) ethical responsibilities. ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-p (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility- specific orientation, including: (1) individual and group supervision techniques; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-c (2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-d this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-e (4) suicide prevention and response to suicide ☒ ☐ ☐ attempts Chapter 4, Guideline II-A, 1-l (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-f physical restraints; (6) review of policies and procedures referencing ☒ ☐ ☐ trauma and trauma-informed approaches; Chapter 4, Guideline II-A, 1-g (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-h (8) routine security measures, including facility ☒ ☐ ☐ perimeter and grounds; Chapter 4, Guideline II-A, 1-i (9) crisis intervention and mental health referrals to ☒ ☐ ☐ mental health services; Chapter 4, Guideline II-A, 1-l (10) documentation; and ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-k (11) fire/life safety training ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-j Chapter 5, Fire and Life Safety Guidelines 7437 Sacramento YDF PRO 23-24 7 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully Chapter 4, Guideline II-A, 1 complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section ☒ ☐ ☐ This section articulates that new staff receive 240 hours of training, 160 hours of STC Core, 6035. 40 hours of PC 832, and 40 hours of facility orientation. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete training Chapter 4, Guideline II-A, 1 pursuant to Section 830 et seq. of the Penal Code. ☒ ☐ ☐ This includes 160 hours of Core and 40 hours of PC 832. 1323 FIRE AND LIFE SAFETY All facility staff are provided this component of Whenever there is a youth in a juvenile facility, there shall training in Core, which is completed before be at least one wide awake person on duty at all times ☒ ☐ ☐ working in the living units. who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL Chapter 6, Policy Manual All facility administrators shall develop, publish, and Chapter 6, Guideline I-A implement a manual of written policies and procedures Chapter 6, Guideline I-B that address, at a minimum, all regulations that are Chapter 6, Guideline I-C applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, New policy includes all staff having to review and shall be administratively reviewed at a minimum the Administrative Policy and Procedures every two years, and updated, as necessary. Those Manual annually. The agency provided new records relating to the standards and requirements set policy components to the Administrative forth in these regulations shall be accessible to the Board Manual, adding sections to address changes in policy or procedure from last cycle. Most on request. involved updates to operational procedures, The manual shall include: not substantive changes to policy. ☒ ☐ ☐ YDF has completed a change to Policy and Operations in how they create the Policy Manual. They are now using all Policy relative to Title 15 and Title 24 by regulation number, followed by all other policies listed alphabetically. We provided technical assistance to create a policy numerical system that is easy to read, understand, and reference by staff and that can be a training tool. Administration is determining the best manner to categorize the Policy and Procedure Manual and will update BSCC of changes after regulation revisions are posted in 2024. (a) table of organization, including channels of ☒ ☐ ☐ communications and a description of job classifications; Chapter 7, Job Duties and Communication 7437 Sacramento YDF PRO 23-24 8 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Juvenile The Sacramento County Probation Justice/Delinquency Prevention Commission or Department has an Executive Management Probation Committee, probation staff, school personnel Organizational Chart as well as a position organization chart for YDF. Both were and other agencies that are involved in juvenile facility programs; ☒ ☐ ☐ provided to BSCC and are part of the Administrative Manual. The list of positions from Chief to Probation Aide to support staff, as well as the Court, JJDPC, and agency partners, including their job descriptions, was also provided. (c) responsibilities of all employees; ☒ ☐ ☐ Chapter 7, Job Duties and Communication (d) initial orientation and training program for employees; ☒ ☐ ☐ Chapter 4, Training and Staff Development (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract Sacramento County Probation Department – ☒ ☐ ☐ employees, school, mental/behavioral health and Directive: Code of Conduct medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and ☒ ☐ ☐ communication system to ensure: (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Chapter 86, Maintenance and Housekeeping (2) legal and proper care of youth; ☒ ☐ ☐ Chapter 79, Supervision of Youth Chapter 74 Confidentiality and Maintenance (3) maintenance of individual youth's records; ☒ ☐ ☐ of Records Chapter 127 Standing Order regarding youth records (4) supply of information to the juvenile court and ☒ ☐ ☐ Chapter 74 Confidentiality and Maintenance those authorized by the court or by the law; and, of Records (5) release of information regarding youth. ☒ ☐ ☐ Chapter 74 Confidentiality and Maintenance of Records (g) ethical responsibilities; ☒ ☐ ☐ Chapter 4, Guideline II, A-1, p (h) trauma-informed approaches; ☒ ☐ ☐ Chapter 4, Guideline II, A-1, g (i) culturally responsive approaches; ☒ ☐ ☐ Chapter 4, Guideline II, A-1, n 7437 Sacramento YDF PRO 23-24 9 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 4, Guideline II, A-1, n (j) gender responsive approaches; ☒ ☐ ☐ Chapter 19 Screening for the Risk of Sexual Abuse and Assault (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Chapter 8 Non-Discrimination Provision, to all available services, placement, care, treatment, and Guideline I, B-1 through 13 benefits, and provides that no person shall be subject to Chapter 21 Classification discrimination or harassment on the basis of actual or The Non-Discrimination Provision is posted in perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ each living unit. national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and weapons ☒ ☐ ☐ Chapter 28, Guideline VI, E-1 and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ Chapter 95 Medi-Cal Applications and, (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. Chapter 110 PREA Policy 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 Chapter 9, Fire Safety Plan The facility administrator shall consult with the local fire Chapter 9, Supervisors Checklist department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; 7437 Sacramento YDF PRO 23-24 10 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; Chapter 9, Fire Safety and Fire Drills We reviewed all monthly Fire and Life Safety Inspection reports from January 2022 to September 2023. The forms are completed for each living unit, the medical clinic, visiting center, and booking area. ☒ ☐ ☐ The County Department of General Services verifies areas needing attention each month indicating they have responded to their areas of responsibility. The County Construction and Facilities Management Agency (CAFM) responds to areas needing attention not handled by General Services. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ The YDF was last inspected on August 7, 2023, by the State Fire Marshal. (d) an evacuation plan; ☒ ☐ ☐ Chapter 9, Guideline II Evacuation (e) documented fire drills not less than quarterly; Chapter 9, Fire Safety and Fire Drills, Purpose and Scope, ⁋ 2 The facility policy includes the agency to conduct fire drills each quarter, including full evacuation and live drills. The Sacramento County Emergency Services agency is contacted to advise of the outcome of each ☒ ☐ ☐ drill. The Supervisor on duty completes a memo to debrief the drill and make comments or referrals to DGS if necessary. Due to changes in staff and responsibilities, the agency missed one drill in 2022 and one drill in 2023. We provided technical assistance to ensure a trigger for a quarterly drill is in place. (f) a written plan for the emergency housing of youth in the case of fire; and, Chapter 77 Emergency Housing Plan The facility is pending an agreement transport to Rio Consumnes Correctional Center, which is new this cycle due to the closure of DJJ in ☒ ☐ ☐ June 2023. CCC is an adult facility that has vacant buildings for use only in an emergency. We provided technical assistance to evaluate Fresno Probation facilities which is a SYTF hub and has a vacant Commitment side of the physical plant. 7437 Sacramento YDF PRO 23-24 11 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) development of a fire suppression pre-plan in cooperation with the local fire department. ☒ ☐ ☐ Chapter 9, Fire Suppression Pre-Plan, Form H-5.2 1326 SECURITY REVIEW Chapter 10, Security Review Each facility administrator shall develop policies and procedures to annually review, evaluate, and document Department policy assigns the Chief Deputy of security of the facility. The review and evaluation shall Facilities to review, evaluate, and make a include internal and external security, including, but not ☒ ☐ ☐ record of facility safety measures. Chief limited to, key control, equipment, and staff training. Deputy Curry completed a memo on October 13, 2023, ensuring the internal and external components of the facility have been reviewed. 1327 EMERGENCY PROCEDURES Chapter 78 Emergency Procedure Plan The facility administrator shall develop facility-specific policies and procedures for emergencies that shall Staff are required to review the facility include, but not be limited to: emergency plan annually and quarterly ☒ ☐ ☐ debriefs occur after each fire/evacuation drill. The current Emergency Procedures Plan was reviewed by Chief Deputy Curry on October 13, 2023. The EPP was last updated in 2022. Chapter 78, Emergency Plan Appendix A, p. 20 Hostages Chapter 78, Emergency Plan Appendix A, p. (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ 21 Demonstrations Chapter 81 Escape Chapter 85 Hostages Chapter 59 Active Shooter and Terrorist Attack Chapter 78, Emergency Plan Appendix A, p. (b) civil disturbance, active shooter and terrorist ☒ ☐ ☐ 21 Demonstrations attack; Chapter 78, Emergency Plan Appendix A, p. 21 Demonstration Chapter 78, Emergency Plan Appendix A, p. 27 Weapons Chapter 78, Emergency Plan Appendix A, p. 13 Fire Chapter 78, Emergency Plan Appendix A, p. (c) fire and natural disasters; ☒ ☐ ☐ 22 Earthquake Chapter 78, Emergency Plan Appendix A, p. 23 Flood Chapter 78, Emergency Plan Appendix A, p. 25 Tornado/High Winds 7437 Sacramento YDF PRO 23-24 12 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The Sacramento County General Services (d) periodic testing of emergency equipment; ☒ ☐ ☐ Agency responds to the facility annually to test all emergency equipment. They were at the facility on September 27 to October 5, 2023. Chapter 9, Fire Safety and Fire Drills, (e) emergency evacuation of the facility; and ☒ ☐ ☐ Guideline II Evacuation Chapter 78, Emergency Plan Appendix A, p. 14 Evacuation Chapter 9 Fire Safety and Fire Drills, Guideline ⁋ 1 Chapter 78, 7.1 Training We reviewed all fire drills from July 2022 to September 2023. The agency documents the fire or evacuation drills, including follow-up on (f) a program to provide all youth supervision staff ☒ ☐ ☐ any issues through referral to DGS, CAFM, or with an annual review of emergency procedures. to handle correction or training of staff. The agency policy indicates all fire drills are relayed in a “debrief” of the incident with involved staff. Youth supervision staff are required to review emergency procedures annually. 1328 SAFETY CHECKS Chapter 6, Room Checks The facility administrator shall develop and implement Chapter 6, Guideline I-A and B policy and procedures that provide for direct visual Operations Order, Guideline III (Audits) observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth Agency policy requires that staff complete are asleep or when youth are in their rooms, confined in random and varied checks when a youth is holding cells or confined to their bed in a dormitory. confined to their room a minimum of every 15 Supervision is not replaced, but may be supplemented ☒ ☐ ☐ minutes with a requirement of five checks per by, an audio/visual electronic surveillance system hour. designed to detect overt, aggressive or assaultive We reviewed audits of late checks, completed behavior and to summon aid in emergencies. All safety by the Watch Commander nightly. We noted checks shall be documented with the actual time the the agency now reviews and audits checks check is completed. daily and views video if a check is late or missing. All late checks are handled administratively. 7437 Sacramento YDF PRO 23-24 13 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Chapter 13, Suicide Prevention Plan The facility administrator, in collaboration with the Sacramento County Correctional Health healthcare and behavioral/mental health administrators, Policy A-10 shall plan and implement written policies and Sacramento County Mental Health Protocol procedures which delineate a Suicide Prevention Plan. 06-02 The plan shall consider the needs of youth experiencing past or current trauma. Suicide prevention responses There have been two incidents of suicidal shall be respectful and in the least invasive manner behavior involving one youth since January consistent with the level of suicide risk. The plan shall 2022. We reviewed the incident reports and include the following elements: follow-up from facility staff and agency ☒ ☐ ☐ partners. The youth is consistently seen by Mental Health staff due to her erratic responses in the unit. The incident reports are reflective of the video footage reviewed by administrators. The incidents were also evaluated by the Special Needs Meeting participants with appropriate response findings. Correctional Health and Mental Health Policies are in line with agency policy and are reviewed annually. (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Training Chapter 4, Guideline II-A, 1-1 and the Juvenile Corrections Officer Core Course. All youth supervision staff and ancillary ☒ ☐ ☐ personnel are trained in Mental Health Services, Suicide Prevention, Response to Suicide Attempts, and Crisis Intervention/techniques. (b) Screening, Identification Assessment and Precautionary Protocols Chapter 13, Guideline I-A, 2 ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk ☒ ☐ ☐ Chapter 13, Guideline I-A, 1 of suicide. (3) All youth who have been identified during the intake screening process to be at risk of suicide shall Chapter 13, Guideline I-A, 4 ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the ☒ ☐ ☐ Chapter 13, Guideline I-A, 4 behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for assessment and/or services. Chapter 13, Guideline I-B, 1 ☒ ☐ ☐ Chapter 13, Guideline I-B, 2 Chapter 13, Guideline I-B, 3 7437 Sacramento YDF PRO 23-24 14 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Procedures for monitoring of youth identified at risk ☒ ☐ ☐ for suicide. Chapter 13, Guideline II (e) Safety Interventions Chapter 13, Guideline II-A (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ Chapter 13, Guideline I-D, 3 Chapter 13, Guideline I-D, 4 (B) Treatment strategies including trauma- ☒ ☐ ☐ informed approaches Chapter 13, Guideline II-B (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal ☒ ☐ ☐ Chapter 13, Guideline I-C behaviors. (f) Communication (1) The intake process shall include communication Chapter 13, Guideline I-A, 3 with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information sharing about youth at risk for suicide with youth Chapter 13, Guideline I-C, 1 supervision, healthcare, and behavioral/mental Chapter 13, Guideline I-C, 2 health staff. The agency and partners from Mental Health, Medical, and Education have frequent Special ☒ ☐ ☐ Needs (SN), Child and Family Team (CFT), and Multi-Disciplinary Team (MDT) meetings to address issues and discuss solutions as a team for youth in custody. The goal of each partner is to share information and plan strategies to minimize risk. (g) Debriefing of Critical Incidents Related to Suicides or Attempts Chapter 13, Guideline II-D, 2 (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 ☒ ☐ ☐ staff. Chapter 13, Guideline II-D, 3 (3) Process for a debriefing event with affected ☒ ☐ ☐ youth. Chapter 13, Guideline II-D, 4 7437 Sacramento YDF PRO 23-24 15 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Documentation (1) Documentation processes shall be developed to ☒ ☐ ☐ Chapter 13, Guideline II-D, 1 ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, services Chapter 13, Guideline II-C and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the All youth on special watch receive daily youth or security of the facility. Any deprivation of ☒ ☐ ☐ programming and services unless Mental Health, Medical personnel, or agency programs, services or activities for youth at risk of Administrators believe the participation would suicide shall be documented and approved by the be a safety or security risk to youth, staff, or facility manager. other youth. 1340 REPORTING OF LEGAL ACTIONS Chapter 14, Reporting Legal Incidents Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Chapter 15, Death and Serious Illness or Injury of a Youth (1) Death of a Youth. Chapter 15, Guideline II Notifications (a) The facility administrator, in cooperation with Correctional Health Policy A-10 the health administrator and the behavioral/mental Mental Health Protocol 06-02, 6 health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while The policy includes notification to the Sheriff, detained, which include notifications to necessary Chief Probation Officer, Parents, Legal parties, which may include the Juvenile Court, the Guardians or persons standing in Loco parent, guardian or person standing in loco parentis Parentis, and a comprehensive list of other county agencies, including the Presiding and the youth’s attorney of record. Judge and Juvenile Court Judge. (b) The health administrator, in cooperation with the facility administrator, shall develop written Chapter 15, Guideline III-C policies and procedures to assure there is a medical Chapter 15, Guideline III-D and operational review of every in-custody death of Correctional Health Policy A-10 a youth. The review team shall include the facility ☒ ☐ ☐ Correctional Health Policy D-3 Mental Health Protocol 06-02, 6 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 Board a copy of the report submitted to the Chapter 15, Guideline II-E, 1 Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within 30 Chapter 15, Guideline II-E, 2 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7437 Sacramento YDF PRO 23-24 16 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Serious Illness or Injury of Youth. Chapter 15, IV Serious Illness or Injury (a) The facility administrator, in cooperation with Correctional Health Policy A-05 the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ The Health Administrator determines when a necessary parties, which may include the Juvenile notice is to be made to the Chief Probation Court, the parent, guardian or person standing in Officer (CPO). The CPO is responsible for loco parentis and the youth’s attorney of record in the notifying the Juvenile Court. case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING The agency is compliant with this regulation. Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Chapter 17, Juvenile Facility Capacity When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Chapter 18, Admittance Procedures: Purpose The facility administrator shall develop and implement and Scope written policies and procedures for admittance of youth that emphasize respectful and humane engagement Admission clearance is determined by with youth, and reflect that the admission process may Probation Officers from 7am to 11pm daily. be traumatic to youth who may have already On-duty Supervisors make admission and experienced trauma. Policies shall be trauma-informed, detention decisions after hours. culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements We reviewed examples of blank and of Sections 1324 and 1430 of these regulations: completed admission documents including those by the arresting officer, intake/booking screenings, and Case Management entries. ☒ ☐ ☐ Medical staff review the arresting Officers Observation report, complete screenings to provide clearance to book a youth, and do a Medical Assessment prior to intake. Mental Health completes the Assessment if on site or the following morning as they are at YDF 7 days each week. Custody Intake staff complete the MAYSI-2 Questionnaire. A Child and Adolescent Trauma Screening (CSEC), Identity Preference Form, and PREA Acknowledgement Form during the admission process, as well as the technical personal information about the youth, family, and history. (a) the admittance process shall include: (1) Access to two free phone calls within one hour of Chapter 18, Guideline I-A, 3 ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; 7437 Sacramento YDF PRO 23-24 17 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Offer of a shower; ☒ ☐ ☐ Chapter 18, Guideline I-A, 4 (3) Documented secure storage of personal ☒ ☐ ☐ belongings; Chapter 18, Guideline I-A, 6 (4) Offer of food upon arrival; ☒ ☐ ☐ Chapter 18, Guideline I-A, 5 Chapter 21, Guideline I-B, 5 Chapter 21, Guideline I-B, 6 Chapter 44, Youth with Developmental Disabilities Chapter 94, The MAYSI-2 Instrument Each of these sections requires Intake staff to evaluate every youth upon admission and make appropriate referrals to behavior health. (5) Screening for physical and behavioral health The screenings include the MAYSI-II and and safety issues, intellectual or developmental ☒ ☐ ☐ Suicide Risk screening tool, Child and disabilities; Adolescent Trauma Screen, and the Alternatives to Violence Screen. Youth suspected of having or are known to have developmental disabilities are referred to the Regional Center with notification to Behavioral Health and the Office of Education. Medical staff are on site 24 hours a day/seven days a week and Mental Health staff are on site seven days each week. (6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ Chapter 126, Special Needs Youth and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are Chapter 44, Youth with Developmental suspected of or identified as having a ☒ ☐ ☐ Disabilities developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Chapter 19, Screening for the Risk of Sexual Abuse (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive Chapter 72, Guideline 3 Detention and Intake environment. Responsibilities The Intake Unit has specific criteria for ☒ ☐ ☐ accepting a youth, identified by policy. There are 10 specific criteria which allow for booking a youth, and if not met, the youth is released. After hours, this decision is made by the Supervisor on duty. 7437 Sacramento YDF PRO 23-24 18 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures that Chapter 18, Guideline II-A advise the youth of the estimated length of stay, inform ☒ ☐ ☐ them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures that advise any committed youth of the estimated length Chapter 18, Guideline IV-A of his/her stay. ☒ ☐ ☐ Intake staff advise youth of their next Court date and release is always determined by the Court/Judge. 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Chapter 19, Screening for the Risk of Sexual Abuse: Purpose and Scope The facility administrator shall develop and implement written policies and procedures to reduce the risk of The facility uses an Intake Screening Form, sexual abuse by or upon youth. The policy shall require Intake Health Assessment, Pre-Detention facility staff to assess each youth within 72 hours of Evaluation, Mental Health Youth Assessment, admission based on the following information: Alternatives to Violence Criteria Assessment, Child and Adolescent Trauma Screen and the MAYSI-2. Each of these assessments evaluates criteria to assist in determining if a ☒ ☐ ☐ youth is likely to victimize or be victimized, their vulnerability, and any risks for sexual abuse or assault. The facility also has a comprehensive PREA Policy, with information in the youth handbook and posted in each living unit, which addresses how to report any sexual abuse or assault. Our review of the documentation required exceeds regulation. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Chapter 19, Guideline I-A, 1 (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, Chapter 19, Guideline I-A, 2 ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Chapter 19, Guideline I-A, 3 (d) Age; ☒ ☐ ☐ Chapter 19, Guideline I-A, 4 (e) Level of emotional and cognitive development; ☒ ☐ ☐ Chapter 19, Guideline I-A, 5 (f) Physical size and stature; ☒ ☐ ☐ Chapter 19, Guideline I-A, 6 7437 Sacramento YDF PRO 23-24 19 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Mental illness or mental disabilities; ☒ ☐ ☐ Chapter 19, Guideline I-A, 7 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Chapter 19, Guideline I-A, 8 (i) Physical disabilities; ☒ ☐ ☐ Chapter 19, Guideline I-A, 9 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Chapter 19, Guideline I-A, 10 (k) Any other specific information about the individual youth that may indicate heightened needs for Chapter 19, Guideline I-A, 11 ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance Chapter 19, Screening for the Risk of Sexual process, medical and behavioral health screenings; Abuse: Purpose and Scope ☒ ☐ ☐ 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 controls on the dissemination of information within the Chapter 19, Screening for the Risk of Sexual facility relative to responses received pursuant to this Abuse: Purpose and Scope ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Chapter 20, Release Procedures 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; ☒ ☐ ☐ Chapter 20, Guideline I-A Chapter 20, Guideline I-D (b) return of personal clothing and valuables; ☒ ☐ ☐ Chapter 20, Guideline I-E (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Chapter 20, Guideline I-B Chapter 20, Guideline I-C (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ Chapter 20, Guideline I-G regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Chapter 20, Guideline I-I (f) notification of facility mental health personnel. ☒ ☐ ☐ Chapter 20, Guideline I-H 7437 Sacramento YDF PRO 23-24 20 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall develop and implement policies and procedures for post-disposition youth to Chapter 26, Guideline II-E, Case Plans coordinate the provision of transitional and reentry services including, but not limited to, medical and The agency completes a Post-Dispositional Case Plan on youth exiting the facility to behavioral health, education, probation supervision and provide direction for re-entry planning and community-based services. services. All agency partners provide input at CBT, SN, and MDT meetings. The case plan is completed by the facility Probation Officer ☒ ☐ ☐ and provided to the Field assigned Officer upon release. Our meeting with the Medical Administrator included discussions about the Cal AIM Grant which includes very specific protocols on discharge planning, Telehealth, and Regional/Community Provider Resource connections. The facility administrator shall develop and implement written policies and procedures for the furlough of youth Chapter 6, Administrative Furlough: Purpose from custody. and Scope ☒ ☐ ☐ A Furlough Board meets weekly to determine if a post-dispositional youth, who has completed 50% of their Court-ordered days in custody, is eligible for a Furlough release. 1352 CLASSIFICATION Chapter 21, Classification The facility administrator shall develop and implement written policies and procedures on classification of youth All youth detained in YDF are housed in the for the purpose of determining housing placement in the Orientation Unit, to be evaluated on all criteria facility. included in regulation. The team of staff in this unit review a youth’s personal/physical Such procedures shall: information, offense/history, physical design, risk, and assessment of all the screening tools ☒ ☐ ☐ at admission. Once determined, a youth is placed in the most appropriate living unit. At any time during a youth’s stay, a re- classification may occur by a Supervisor, to best meet the youth’s needs. Our review of youth placement is specific to agency criteria with an override component when appropriate. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the Chapter 21, Purpose and Scope, ¶ 1 appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of ☒ ☐ ☐ the facility; Chapter 21, Purpose and Scope, ¶ 1 7437 Sacramento YDF PRO 23-24 21 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Chapter 21, Purpose and Scope, ¶ 2 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the Chapter 21, Guideline V Classification youth's behavior while in custody; and, Reviews ☒ ☐ ☐ The agency reviews all youth Classification a minimum of every 90 days or when a significant event occurs. Agency staff and partners have the ability to request a change in classification when they articulate a need. (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Chapter 21, Purpose and Scope, ¶ 3 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identification or Chapter 21, Guideline II-M, 2 status as an indicator of likelihood of being sexually ☒ ☐ ☐ abusive. Security 8 Classification is based on screenings at admission factoring in Special Needs, not for housing decisions. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Chapter 22, Transgender and Intersex Youth The facility administrator shall develop written policies and procedures ensuring respectful and equitable ☒ ☐ ☐ treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s Chapter 22, Guideline II-A preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of The facility addresses all components of this regulation during the intake process, adjusting gang or slang names or names that otherwise as reported or necessary based on youth compromise facility operations as determined by the ☒ ☐ ☐ requests. facility manager or designee, and shall document any decision made on this basis. Youth complete an Identity Preference Form, which designates the youth’s request for name and pronoun preference, housing, and search preferences. 7437 Sacramento YDF PRO 23-24 22 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender Chapter 22, Guideline II-B ☒ ☐ ☐ identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes their Chapter 22, Guideline III Housing 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 transgender and intersex youth have access to medical and ☒ ☐ ☐ Chapter 22, Guideline II-C behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, Chapter 22, Guideline II-D 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 youth for the purpose of determining the youth’s Chapter 22, Guideline IV Searches anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 7437 Sacramento YDF PRO 23-24 23 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1353 ORIENTATION Chapter 23, Orientation The facility administrator shall develop and implement Chapter 23, Guideline I-A written policies and procedures to orient a youth prior to Chapter 23, Guideline I-B placement in a living area. Both written and verbal Chapter 23, Guideline I-D information shall be provided and supplemented with video orientation if feasible. Provision shall be made to The agency process for orienting a youth to provide accessible orientation information to all detained detention includes initial housing in the youth including those with disabilities, limited literacy, or Orientation Unit to ensure all aspects of English language learners. Orientation shall include screening, assessment, and evaluations are information that addresses: completed timely and to ensure staff recognize the youth may be experiencing trauma due to the detention. ☒ ☐ ☐ The Orientation Handbook is provided to the youth in intake and reviewed prior to placement in the Orientation Unit, where a more detailed review of expectations, rules, and information is provided. We learned when on site, the agency is considering not using an Orientation Unit as their population and staffing make it difficult to provide necessary supervision throughout all other occupied units. The CDPO will advise BSCC if this change is made. (a) facility rules including contraband and searches and ☒ ☐ ☐ disciplinary procedures; Chapter 23, Guideline II-Procedure A-1 (b) facility’s system of positive behavior interventions and supports, including behavior expectations, Chapter 23, Guideline II-Procedure A-2 incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual Chapter 23, Guideline II-Procedure A-3 ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-4 (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free Chapter 23, Guideline II-Procedure A-5 of retaliation for reporting a grievance, and the name of ☒ ☐ ☐ the person or position designated to resolve the issue; The agency provides a detailed explanation of this while the youth is in the Orientation Unit. (f) access to legal services and information on the ☒ ☐ ☐ court process; Chapter 23, Guideline II-Procedure A-6 (g) access to routine and emergency health and mental . ☒ ☐ ☐ health care; Chapter 23, Guideline II-Procedure A-7 7437 Sacramento YDF PRO 23-24 24 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) access to education, religious services, and ☒ ☐ ☐ recreational activities; Chapter 23, Guideline II-Procedure A-8 (i) housing assignments; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-9 (j) opportunity for personal hygiene and daily showers ☒ ☐ ☐ including the availability of personal care items Chapter 23, Guideline II-Procedure A-10 (k) rules and access to correspondence, visits and ☒ ☐ ☐ telephone use; Chapter 23, Guideline II-Procedure A-11 (l) availability of reading materials, programming, and ☒ ☐ ☐ other activities; Chapter 23, Guideline II-Procedure A-12 (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Chapter 23, Guideline II-Procedure A-13 ☒ ☐ ☐ The agency provides a detailed explanation of this while the youth is in the Orientation Unit. (n) immigration legal services; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-14 (o) emergencies including evacuation procedures; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-15 (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-16 other youth and staff; (q) availability of services and programs in a language ☒ ☐ ☐ other than English if appropriate; Chapter 23, Guideline II-Procedure A-17 (r) the process for requesting different housing, ☒ ☐ ☐ education, programming and work assignments; Chapter 23, Guideline II-Procedure A-18 (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility that Chapter 23, Guideline II-Procedure A-19 at a minimum includes answers to frequently asked questions and provides contact information for the A parent orientation occurs at the facility once ☒ ☐ ☐ a month to allow parents to ask questions and facility, medical, school and mental health; and, understand the process of each phase of a youth’s time in custody. Additionally, there is a FAQ for Detention on the agency website. (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. Chapter 23, Guideline II-Procedure A-20 ☒ ☐ ☐ There is a copy of Title 15 in each living unit. 7437 Sacramento YDF PRO 23-24 25 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION Chapter 24 Separation The facility administrator shall develop and implement written policies and procedures that address: The agency policy requires staff to utilize a Program Separation when a youth demonstrates they cannot comply with unit, program, or school rules, resulting in a separation prior to the need for a more restrictive Room Confinement. This type of separation is a withdrawal for group activities but inclusion in receipt of their Title 15 time. ☒ ☐ ☐ There were 669 incidents of Program Separation from July 2022 to September 2023. Our review revealed most separation incidents involved self-separation, referred to in the Activity Tracker as “Down by Choice,” meaning the youths declining a specific activity, or a program separation in the living unit as a sanction for major rule violations. The latter includes youth participation in all required Title 15 requirements but away from or separate from the group for a specific number of hours, typically 2-4 hours. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, Chapter 24, Guideline II-A, 1 ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and ☒ ☐ ☐ trauma-informed care. Chapter 24, Guideline II-B, 4 (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Chapter 24, Guideline II-C necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, ☒ ☐ ☐ Title 15 Section 1390 shall apply. Chapter 24, Guideline II-B, 2 (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and Chapter 25 ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains Youth on Medical Separation are reviewed necessary. daily by medical staff. Youth on Program ☒ ☐ ☐ Separation as a result of discipline are on the status for 2-4 hours, documented on the Due Process form. 7437 Sacramento YDF PRO 23-24 26 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Chapter 25 Room Confinement (RC) (a) The facility administrator shall develop and Operational Order, Room Confinement implement written policies and procedures addressing the confinement of youth in their room that are The policy for placing a youth on RC and the consistent with Welfare and Institutions Code Section documentation is compliant with regulation. 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following Our review revealed 208 youth were placed guidelines: on RC from July 2022 to September 2023. The incident report is used to record time on and time off, describing the circumstances of the incident and reasons for youth placement ☒ ☐ ☐ in their room. Of the 26 reports of youth placed on RC, most were off in under an hour with 3 for up to two hours. We found separate documentation is initiated at 4 hours for Extended RC based on youth not ready to re- join unit programming as they continue to pose a safety and security risk. Of the RC incidents we reviewed, none were on RC for more than two hours. The incident report captures all elements of an incident, providing an accurate picture of what occurred. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Chapter 25, Guideline II-C, 4 and exhausted, unless attempting those options ☒ ☐ ☐ Operational Order RC I-A, 4 poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ Chapter 25, Guideline II-D, 1 retaliation by staff. Operational Order RC I-C, 1 (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ Chapter 25, Guideline II-D, 1 of the youth. Operational Order RC I-C, 2 (b) A youth may be held up to four hours in room confinement. After the youth has been held in room Chapter 25, Guideline III Extended RC ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Chapter 25, Guideline II-F, 1 (2) Consult with mental health or medical staff. ☒ ☐ ☐ Chapter 25, Guideline II-F, 2 (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ Chapter 25, Guideline III-H, 4 the youth to general population. (4) If room confinement must be extended beyond ☒ ☐ ☐ four hours, staff shall do each of the following: Operational Order RC II Extended RC 7437 Sacramento YDF PRO 23-24 27 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) Document the reasons for room confinement and the basis for the extension, the date and time Chapter 25, Guideline II-B the youth was first placed in room confinement, Chapter 25, Guideline III-E and when he or she is eventually released from ☒ ☐ ☐ Staff document the placement of a youth on room confinement. RC and for extended RC in an IR. Both require Administrative approval. (B) Develop an individualized plan that includes the goals and objectives to be met in order to Chapter 25, Guideline III-H, 4 (4 hours) ☒ ☐ ☐ integrate the youth to general population. Chapter 25, Guideline III-K, 3 (Continued RC beyond initial 4-hour extension) (C) Obtain documented authorization by the facility superintendent or his or her designee Chapter 25, Guideline III-G every four hours thereafter. Chapter 25, Guideline III-J ☒ ☐ ☐ Operational Order RC II-J The Facility Manager must approve this. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth Chapter 25, Guideline II-E, 4 ☒ ☐ ☐ in juvenile facilities and does not apply to normal Operational Order RC I-D, 3 sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ ☐ ☐ Chapter 25, Guideline II-E, 7 Operational Order RC I-D, 6 (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires Chapter 25, Guideline II-E, 8 Emergencies a significant departure from normal institutional Operational Order RC I-D, 1 and 7 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 placed in a locked cell or sleeping room to treat and Chapter 25, Guideline II-E, 6 protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 7437 Sacramento YDF PRO 23-24 28 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN Chapter 26 Institutional Assessment and The facility administrator shall develop and implement Case Plans (IAP) written policies and procedures for assessment and case planning. The agency completes Initial, Follow-up, Transition, and Individual Success Plans (SYTF/VOYA). The plans are created based on all required regulation elements and are updated every 90 days, a change from 30 days last cycle. The plans include information garnered at ☒ ☐ ☐ admission and all programming elements during their stay. Goals and plans to meet them are documented with input from agency partners and the youth. The agency has weekly SN, CBT, and MDT meetings to address youth successes or issues. Our review of the case plans found the assigned Probation Officer includes information to provide direction and encouragement to promote success in the program and/or re-entry. (a) Assessment: The assessment is based on information collected Chapter 26, Guideline I-A during the admission process with periodic review, 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: (1) A case plan shall be developed for each youth Chapter 26, Purpose and Scope ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of ☒ ☐ ☐ problems identified in the assessment; Chapter 26, Guideline II-B, d (B) a plan for meeting the objectives that includes a description of program resources needed and Chapter 26, Guideline II-B, e ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; 7437 Sacramento YDF PRO 23-24 29 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) periodic evaluation of progress towards meeting the objectives, including periodic review and Chapter 26, Guideline II-C discussion of the plan with the youth; Chapter 26, Guideline II-D ☒ ☐ ☐ This policy establishes the requirement for staff to update the Plan every 90 days with input from YDF staff, Medical, Mental Health, and Education representatives. (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for Chapter 26, Guideline II-E post dispositional youth in accordance with Section ☒ ☐ ☐ 1351; and, This policy addresses the Post-Dispositional Case Plan. (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed Chapter 26, Guideline II-B, b with input from the family, supportive adults, youth, ☒ ☐ ☐ Chapter 26, Guideline II-B, c and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Chapter 27 Caseload and Casework Services The facility administrator shall develop and implement written policies and procedures ensuring the availability The YDF staff input all information into the of appropriate counseling and casework services for all ☒ ☐ ☐ youth’s electronic file in real time. Incident youth. Policies and procedures shall ensure: reports, progress, and any significant behavior/participation record are recorded to provide information for the IAP and/or Court. (a) youth will receive assistance with needs or concerns that may arise; ☒ ☐ ☐ Chapter 27, Scope and Purpose Chapter 27, Guideline I-A, 1 (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Chapter 27, Guideline I-A, 2 probation officer, or other public official; and, (c) youth will be provided access to available resources to meet the youth’s needs. ☒ ☐ ☐ Chapter 27, Guideline I-A, 3 Chapter 27, Guideline I-A, 4 7437 Sacramento YDF PRO 23-24 30 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Chapter 28 Use of Force (UF) The facility administrator, in cooperation with the responsible physician, shall develop and implement Policy reflects a complete and informative written policies and procedures for the use of force, process for all UF incidents. Staff outline the which may include chemical agents. Force shall never type of force used, documenting the be applied as punishment, discipline, retaliation or circumstances leading up to the UF, treatment. response, and timelines for all staff involved, including medical and mental health when (a) At a minimum, each facility shall develop policies and appropriate. procedures which: ☒ ☐ ☐ ALL UF incidents are reviewed by Supervisors and Administration. Our review of 21 UF events, involving 32 youth, revealed the force was per policy and justified by the youth’s actions. There were 133 UF events in 2022, 102 using physical/mechanical restraint and 25 including the use of OC Spray. Through September 2023, there have been 198 UF events, 171 using physical/mechanical restraint and 49 including the use of OC Spray. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section Chapter 28, Guideline I-A, 1 ☒ ☐ ☐ 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options and define ☒ ☐ ☐ Chapter 28, Guideline I-B Force Options when those force options are appropriate. Chapter 28, Guideline I-A, 3 (3) describe force options or techniques that are ☒ ☐ ☐ expressly prohibited by the facility. Chapter 28, Guideline I-A, 3 (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ ☐ ☐ Chapter 28, Guideline XI-B action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for documenting Chapter 28, Guideline VIII Documentation and reporting the use of force, including reporting Chapter 33 Documentation of Incidents requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for ☒ ☐ ☐ investigating unreasonable use of force. Chapter 28, Guideline X-A, 1 7437 Sacramento YDF PRO 23-24 31 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) define the role, notification, and follow-up procedures required after use of force incidents for Chapter 28, Guideline III-B, 2 medical, mental health staff and parents or legal Chapter 28, Guideline III-C guardians. ☒ ☐ ☐ Supervisors are tasked with notifying Medical and Mental Health. The Watch Commander is responsible for notifying the parent. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ Chapter 28, Guideline I-C Limitations of and Welfare and Institutions Code Section 222. Pregnant Youth (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Chapter 28, Guideline VI Chemical Agents (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 Chapter 28, Guideline VI-D, 1 safety of others and only when de-escalation efforts ☒ ☐ ☐ Chapter 28, Guideline VI-D, 2 have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. Chapter 28, Guideline VI-A 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 Chapter 28, Guideline VI-C ☒ ☐ ☐ involving chemical agents for medical, mental health Chapter 28, Guideline IX-A, 2 staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Chapter 28, Guideline IX-A, 2 which it was used, efforts to de-escalate prior to use, Chapter 28, Guideline III-B, 2 youth and staff involved, the date, time and location Chapter 28, Guideline III-C of use, decontamination procedures applied and ☒ ☐ ☐ This section outlines the immediate identification of any injuries sustained as a result of notification of Medical staff and referral to such use. Mental Health, as well as the Supervisor and Watch Commander responsibilities. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training Chapter 4, Guideline I-A, 1-f Core ☒ ☐ ☐ in use of force and chemical agents when appropriate Chapter 4, Guideline II-B Annual that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; ☒ ☐ ☐ Chapter 4, Guideline I Chapter 4, Guideline II 7437 Sacramento YDF PRO 23-24 32 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) acceptable chemical agents and the methods of application. ☒ ☐ ☐ Chapter 4, Guideline I Chapter 4, Guideline II (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ ☐ ☐ Chapter 4, Guideline I Chapter 4, Guideline II (4) instruction on the Constitutional Limitations of Use of Force. ☒ ☐ ☐ Chapter 4, Guideline I Chapter 4, Guideline II (5) physical training force options that may require the use of perishable skills. ☒ ☐ ☐ Chapter 4, Guideline I Chapter 4, Guideline II (6) timelines the facility uses to define regular training. Chapter 4, Guideline II-B Annual ☒ ☐ ☐ Training in UF, Defensive Tactics, occurs two times each year for YDF staff. 1358 USE OF PHYSICAL RESTRAINTS Chapter 29 Use of Restraints (UR) The facility administrator, in cooperation with the Chapter 29, Purpose and Scope ¶ 2 responsible physician and mental health director, shall develop and implement written policies and procedures The agency has used restraints as defined in for the use of restraint devices. Restraint devices this regulation, the WRAP, one time since include any devices which immobilize a youth's 2019. Youth are escorted to their room in extremities and/or prevent the youth from being restraints if the circumstances warrant, ambulatory. however, the restraints are removed immediately. (T15, 1358.5) Our review of the incident revealed staff ☒ ☐ ☐ response and reaction to the youth’s behavior was appropriate for their safety and that of the youth. The youth was attempting self-harm by tying strips of her shirt around her neck and, upon contact with staff, began banging her head against the wall and floor. Staff, medical, and behavior health response was timely, and the incident was video recorded. The youth was moved back to her room without incident and continued to meet with Behavior Health. Physical restraints may be used only for those youth who present an immediate danger to themselves or Chapter 29, Purpose and Scope ¶ 3 others, who exhibit behavior which results in the Chapter 29, Purpose and Scope ¶ 6 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. 7437 Sacramento YDF PRO 23-24 33 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of Chapter 29, Guideline IV-A restraint devices that attach a youth to a wall, floor or Chapter 29, Guideline IV-B 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 handcuffs, shackles or other restraint devices when used Chapter 29, Guideline IV Transportation or to restrain youth for movement or transportation within Movement Within the Facility ☒ ☐ ☐ 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 of the facility manager or designee. The facility manager Chapter 29, Purpose and Scope ¶ 3 may delegate authority to place a youth in restraints to a Chapter 29, Guideline IX-A physician. Reasons for continued retention in restraints Chapter 29, Guideline IX-J ☒ ☐ ☐ shall be reviewed and documented at a minimum of every If a youth is in restraints longer than 15 hour. minutes, Supervisor or Administrative approval is required. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no Chapter 29, Guideline IX-K, 1 later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from the Chapter 29, Guideline IX-K, 2 ☒ ☐ ☐ time of placement, to assess the need for mental health Chapter 29, Guideline IX-K, 3 treatment. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and Chapter 29, Guideline IX-C 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 procedures shall address: Chapter 33, Guideline E-1 ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate ☒ ☐ ☐ certain restraint devices and/or techniques. Chapter 29, Guideline III-A, 2 (c) acceptable restraint devices. ☒ ☐ ☐ Chapter 29, Guideline II-A, 1 Chapter 29, Guideline II-A, 2 7437 Sacramento YDF PRO 23-24 34 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) signs or symptoms which should result in immediate medical/mental health referral. ☒ ☐ ☐ Chapter 29, Guideline III-A, 2 Chapter 29, Guideline IX-B (e) availability of cardiopulmonary resuscitation ☒ ☐ ☐ equipment. Chapter 29, Guideline IX-F (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a Chapter 29, Guideline IX-D ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Chapter 29, Guideline IX-G (h) exercising of extremities. ☒ ☐ ☐ Chapter 29, Guideline IX-I 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Chapter 29, Guideline VI Transportation or WITHIN THE FACILITY. Movement in the Facility The Facility Administrator, in cooperation with the We reviewed numerous UF events and found responsible physician and behavioral/mental health staff used Physical or Mechanical restraints director, shall develop and implement written policies 273 times of the 331 events. The agency has ☒ ☐ ☐ and procedures for the use of restraint devices when the no way other than to hand count mechanical purpose is for movement or transportation within the vs physical restraint. The IT division will create facility that shall include the following: a tracking mechanism moving forward. Of the 21 UF events we read, involving 39 youth, 17 were placed in mechanical restraints prior to movement to their room. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Chapter 29, Guideline II-A, 1-a through d training. Chapter 29, Guideline II-A, 2-b and c ☒ ☐ ☐ Chapter 4, Guideline II-A and B The above policies reflect acceptable restraint devices and required training. (b) the circumstances leading to the application of ☒ ☐ ☐ restraints must be documented. Chapter 29, Guideline VII Documentation (c) an individual assessment of the need to apply restraints for movement or transportation that includes Chapter 29, Guideline IV-A, 1 through 4 consideration of less restrictive alternatives, Chapter 29, Guideline VII consideration of a youth’s known 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, with a clearly defined expectation that restraint devices Chapter 29, Guideline IV-A, 1 ☒ ☐ ☐ shall not be used for the purposes of discipline or Chapter 29, Guideline IV-A, 2 retaliation. Chapter 29, Guideline VI-A, 1 7437 Sacramento YDF PRO 23-24 35 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Chapter 43, Guideline I-B, 2 Welfare and Institutions Code Section 222. Chapter 43, Guideline I-B, 3 1359 SAFETY ROOM PROCEDURES Chapter 30 Safety Room Procedures (a) The facility administrator, and where applicable, in Chapter 30, Purpose and Scope ¶ 2 cooperation with the responsible physician, shall Chapter 30, Purpose and Scope ¶ 3 develop and implement written policies and procedures governing the use of safety rooms, as described in Title The agency has had 13 safety cell placements 24, Part 2, Section 1230.1.13. The room shall be used since July 2022, involving 8 youth. Our review to hold only those youth who present an immediate of the incident report, corresponding danger to themselves or others, who exhibit behavior discussions with Behavior Health, and which results in the destruction of property, or reveals timelines revealed compliance with regulation. the intent to cause self-inflicted physical harm. A safety Twelve incidents were for self-harming ☒ ☐ ☐ behavior and the other for destruction of room shall not be used for punishment or discipline, or property in and out of the youth’s room. as a substitute for treatment. Policies and procedures shall: Documentation was detailed, including timely entries and responses from agency partners. Four youth were removed in less than an hour, seven in under 2 hours, one in 2 hours, 31 minutes and the last in 3 hours, 20 minutes. Behavior Health was ever present and assisted staff in getting the youth back to their own room as quickly as possible. (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ Chapter 30, Guideline I-B clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☒ ☐ ☐ Chapter 30, Guideline I-A room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any Chapter 30, Guideline I-C ☒ ☐ ☐ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☒ ☐ ☐ facility manager, or designee, every four hours; Chapter 30, Guideline I-F (5) provide for immediate medical assessment, where appropriate, or an assessment at the next Chapter 30, Guideline I-D daily sick call; and, ☒ ☐ ☐ Policy is more prescriptive than regulation in that medical is required within 1 hour. (6) provide a process for documenting the reason for placement, including attempts to use less restrictive Chapter 30, Guideline I-A ☒ ☐ ☐ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: 7437 Sacramento YDF PRO 23-24 36 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) safety room shall not be used before other less restrictive options have been attempted and Chapter 30, Guideline II-A ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ Chapter 30, Guideline II-B staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☒ ☐ ☐ Chapter 30, Guideline II-C youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room Chapter 30, Guideline II-D ☒ ☐ ☐ for a period of four hours, staff shall do one or more of the following: ☒ ☐ ☐ (1) return the youth to general population. Chapter 30, Guideline II-D, a ☒ ☐ ☐ (2) consult with mental health or medical staff, Chapter 30, Guideline II-D, b (3) develop an individualized plan that includes the ☒ ☐ ☐ goals and objectives to be met in order to reintegrate Chapter 30, Guideline II-D, c the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized Chapter 30, Guideline II-E plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Chapter 31 Searches The facility administrator shall develop and implement Chapter 31, Guideline IV Housing, Unit and written policies and procedures governing the search of ☒ ☐ ☐ Room Searches youth, the facility, and visitors. Policies and procedures Chapter 31, Guideline X Facility Searches shall provide that: Chapter 38, Guideline IV Visitor Searches Operations Order, Body Scanner (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Chapter 31, Purpose and Scope ¶ 2 staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being Chapter 31, Purpose and Scope ¶ 1 ☒ ☐ ☐ searched and shall not be conducted for harassment or Chapter 31, Purpose and Scope ¶ 4 as a form of discipline or punishment. 7437 Sacramento YDF PRO 23-24 37 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Chapter 31, Purpose and Scope ¶ 5 Chapter 31, Guideline II Chapter 31, Guideline IV Chapter 31, Guideline V These policy sections reference Strip and Visual Body Cavity Searches. The policy delineates a strip search in a 1-8 category: a less intrusive search with visual inspection, and a 9-12 search which includes a visual body cavity search. The agency conducted 729 strip searches, level 1-8, and no strip ☒ ☐ ☐ searches level 9-12, from January 2022 to date of inspection. Our review revealed the agency completes the Strip Search form even when staff are not requesting a strip search. We provided technical assistance to have staff only complete a Strip Search Authorization form when they are requesting the search. Our review of 26 completed strip searches indicated all were justified based on circumstances known at intake. (d) Physical body cavity searches shall only be conducted by a medical professional. Chapter 31, Purpose and Scope ¶ 5 Chapter 31, Guideline III-B, 6 ☒ ☐ ☐ Physical Body Cavity Searches are prohibited. (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Chapter 31, Purpose and Scope ¶ 6 when there is reasonable suspicion based on specific Chapter 31, Guideline II-A ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ Chapter 22, Guideline IV Searches of Transgender and Intersex Youth (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when Chapter 31, Guideline II-B Pat Search ☒ ☐ ☐ conducted by a medical professional. Such searches Chapter 31, Guideline II-B, 4 Strip Search must be justified and documented in writing. 7437 Sacramento YDF PRO 23-24 38 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE Chapter 33 Grievances The facility administrator shall develop and implement Chapter 33, Guideline I-A written policies and procedures whereby any youth may Chapter 33, Guideline I-B appeal and have resolved grievances relating to any condition of confinement, including but not limited to There were 42 Formal Grievances filed from health care services, classification decisions, program January 2022 to September 2023, resulting in participation, telephone, mail or visiting procedures, referral to the Internal Affairs Unit within the food, clothing, bedding, mistreatment, harassment or agency. The facility is able to track a youth’s violations of the nondiscrimination policy. There shall be location in the facility through the electronic no time limit on filing grievances. Policies and activity tracker, therefore, this tracker and video are reviewed by supervising staff to procedures shall include provisions whereby the facility verify the youth’s statements. We reviewed manager ensures: the seven formal grievances filed in December 2022, January 2023, and July 2023. Each has been resolved and, although not within the regulation timeframe, youth were noticed the investigation into their grievance would take longer than 10 days. In each instance, the youth signed indicating their understanding of the time default. Our review of informal grievances (Your Voice) for the months of December 2022 (134), January 2023 (140), and July 2023 ☒ ☐ ☐ (104) revealed youth use this process as an informal inquiry for a myriad of reasons, some including conditions of confinement such as point loss for minor rule violations while others include requests to see their attorney or probation officer, scheduling of visits, and things which would best be handled outside of the grievance process. These numbers are very high and staff intensive as they use the Grievance form. We provided technical assistance to have youth communicate with staff regarding issues of process, not a condition of confinement, to alleviate some of the paperwork. Also, to have review of processes weekly so youth have a better understanding of how to complete some activities without using the Grievance process. We note the agency continues to receive and resolve grievances within one day except for those referred to the IA Unit. Agency partner grievances are resolved within the regulation timeline. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ Chapter 33, Guideline I-C have free access to the form; 7437 Sacramento YDF PRO 23-24 39 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Chapter 33, Guideline II-B supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate ☒ ☐ ☐ staff level; Chapter 33, Purpose and Scope (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances Chapter 33, Guideline II-D ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain his/her version of the grievance to a person not Chapter 33, Guideline II-F ☒ ☐ ☐ directly involved in the circumstances which led to Chapter 33, Guideline II-F, 2-a the grievance. Chapter 33, Guideline II-F, 2-c (2) Provision for a staff representative approved by ☒ ☐ ☐ the facility administrator to assist the youth. Chapter 33, Guideline II-A (e) provision for a written response to the grievance ☒ ☐ ☐ which includes the reasons for the decisions; Chapter 33, Guideline III-A, 5 (f) a system which provides that any appeal of a grievance shall be heard by a person not directly Chapter 33, Guideline IV-A ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer Chapter 33, Guideline II-D ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Chapter 33, Guideline I-C Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be Administrative Policy Reference: Citizen ☒ ☐ ☐ addressed and documented in accordance with written Complaint policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Chapter 33 Documentation of Incidents 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. 7437 Sacramento YDF PRO 23-24 40 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, IMPRESSIONS Chapter 28, Guideline VII-A DNA Specimen, Sample and Impression (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel The facility policy allows staff to use force to including peace officers, may employ reasonable force ☒ ☐ ☐ collect DNA, however, the practice is this does to collect blood specimens, saliva samples, and thumb not occur. If necessary, staff use the policy for or palm print impressions from individuals who are Cell Extraction if a youth declines to submit required to provide such samples, specimens or after a request for voluntary compliance and impressions pursuant to Penal Code Section 296 and advising the youth of the Court consequences who refuse following written or oral request. for failing to comply. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that Chapter 28, Guideline VII-B, 1 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 Chapter 28, Guideline VII-B, 1 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 Chapter 28, Guideline VII-B, 1 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 Chapter 28, Guideline V-B, a shall be directed at the cell extraction event. The Chapter 28, Guideline V-B, b videotape shall be retained by the agency for the Chapter 28, Guideline V-B, c ☒ ☐ ☐ Chapter 28, Guideline V-B, d length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7437 Sacramento YDF PRO 23-24 41 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM Chapter 34 Education (a) School Programs Chapter 34, Guideline I-A, 1 Chapter 34, Guideline I-A, 2 The County Board of Education shall provide for the Chapter 34, Guideline I-A, 3 administration and operation of juvenile court schools in Chapter 34, Guideline I-A, 4 conjunction with the Chief Probation Officer, or designee pursuant to applicable State laws. The school and facility The Sacramento County Office of Education administrators shall develop and implement written policy operates the El Centro Junior and Senior High and procedures to ensure communication and School for JDF youth. Staffing includes the coordination between educators and probation staff. Director of Court and Community Schools, a Culturally responsive and trauma-informed approaches Principal, an Assistant Principal, 13 teachers, should be applied when providing instruction. Education 4 Transition Specialist, 1 counselor, 2 Special staff should collaborate with the facility administrator to Ed Specialist, a Paraeducator, and a school use technology to facilitate learning and ensure safe psychologist. technology practices. The facility administrator shall Youth in junior or senior high school are request an annual review of each required element of the afforded the opportunity for credit recovery program by the Superintendent of Schools, and a report and tutoring, use of Chrome books for lesson or review checklist on compliance, deficiencies, and enhancement, life skill development, and corrective action needed to achieve compliance with this independent living/transition planning. SCOE section. Such a review, when conducted, cannot be works with probation to ensure the best option delegated to the principal or any other staff of any juvenile for youth in-custody and upon release. court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside We spoke with the school principal who has agency or individual. Upon receipt of the review, the implemented a varied and comprehensive facility administrator or designee shall review each item curriculum, including several post-secondary with the Superintendent of Schools and shall take education and vocation opportunities for whatever corrective action is necessary to address each ☒ ☐ ☐ youth. deficiency and to fully protect the educational interests of A transition specialist works with youth to all youth in the facility. enroll students in South Lake Tahoe Community College, and the OE is working to increase the options by contracting with Los Rio Community College to assist in potential transition services closer to home. Due to that age and opportunities for youth in post- graduation with an AA Degree, the agency continues to pursue enrollment at California State University, Sacramento. Project Rebound is working with Probation and the Office of Education to facilitate this transitional program for youth who have achieved graduation from high school and community college while still in custody. While on-site, we attended a graduation ceremony for 3 youth, whose families were in attendance, as well as a Sacramento County Board of Supervisor, the Superintendent of the Sacramento County Office of Education, and others. The vocational program opportunities include a culinary program and construction program, both of which allow youth to learn skills outside the classroom. 7437 Sacramento YDF PRO 23-24 42 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements Chapter 34, Guideline I-B, 1 The facility school program shall comply with the State Chapter 34, Guideline I-B, 2 Education Code and County Board of Education policies, Chapter 34, Guideline I-B, 3 all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California ☒ ☐ ☐ Standards for the Teaching Profession, teachers shall establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education program shall be free from discriminatory action. Staff Chapter 34, Guideline I-B, 4 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 Education Code and include, but not be limited to, ☒ ☐ ☐ Chapter 34, Guideline I-B, 5 courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California Chapter 34, Guideline I-B, 6 ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary ☒ ☐ ☐ education and vocational opportunities. Chapter 34, Guideline I-B, 7 (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Chapter 34, Guideline I-B, 8 Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress towards ☒ ☐ ☐ Chapter 34, Guideline I-B, 9 grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court Chapter 34, Guideline I-B, 10 schools. The facility administrator, in conjunction with education staff, must ensure that operational YDF continues to offer 285 minutes of ☒ ☐ ☐ instruction on average each day. 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. 7437 Sacramento YDF PRO 23-24 43 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) Education shall be provided to all youth regardless of classification, housing, security status, disciplinary Chapter 34, Guideline I-B, 11 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 Chapter 34, Guideline I-C, 1 (1) Positive behavior management will be implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect the ☒ ☐ ☐ Chapter 34, Guideline I-C, 2 educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school Chapter 34, Guideline I-C, 3 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. (4) The facility administrator, in conjunction with education staff will develop policies and procedures Chapter 34, Guideline I-C, 4-a that address the rights of any student who has ☒ ☐ ☐ Chapter 34, Guideline I-C, 4-b continuing difficulty completing a school day. Chapter 34, Guideline I-C, 4-c Chapter 34, Guideline I-C, 4-d (d) Provisions for Special Populations (1) State and federal laws and regulations shall be Chapter 34, Guideline I-D, 1 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 afforded an educational program that addresses their Chapter 34, Guideline I-D, 2 ☒ ☐ ☐ language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ Chapter 34, Guideline I-E, 1 record maintained that documents a youth's educational history, including but not limited to: 7437 Sacramento YDF PRO 23-24 44 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) School progress/school history; ☒ ☐ ☐ Chapter 34, Guideline I-E, 1-a (B) Home Language Survey and the results of the ☒ ☐ ☐ State Test used for English language proficiency; Chapter 34, Guideline I-E, 1-b (C) Needs and services of special populations as ☒ ☐ ☐ defined by the State Education Code, including but Chapter 34, Guideline I-E, 1-c not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ Chapter 34, Guideline I-E, 1-d (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to Chapter 34, Guideline I-E, 2 ☒ ☐ ☐ determine the youth's general academic functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary ☒ ☐ ☐ education plan shall be developed for each youth Chapter 34, Guideline I-E, 1 within five school days. (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's Chapter 34, Guideline I-E, 4 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 (1) The complete facility educational record of the Chapter 34, Guideline I-F, 1 ☒ ☐ ☐ youth shall be forwarded to the next educational placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ Chapter 34, Guideline I-F, 2 work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Chapter 34, Guideline I-G, 1 Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an 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 (1) The school and facility administrator should, Chapter 34, Guideline I-H, 1 whenever possible, collaborate with local post- ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7437 Sacramento YDF PRO 23-24 45 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 35 Programs, Recreation and Exercise ¶ 2: Purpose and Scope The facility administrator shall develop and implement written policies and procedures for programs, A Program Memorandum was completed by recreation, and exercise for all youth. The intent is to Chief Deputy Brandi Curry dated October 13, minimize the amount of time youth are in their rooms or 2023. The memo verifies the programs their bed area. provided to youth are current, relevant, and appropriate for the population. The varied opportunities are vast and allow the youth to receive specific programming based on their identified needs while in custody and re-entry services as they exit the facility. One change to the operational component of programming is the addition of Tablets. Each youth is assigned a tablet after being in custody for 5 days, with their own password and content allowance. This is a privilege and use is based on daytime activities, recreation time, and behavior. The Office of Education, community volunteers, agency partners, and department staff facilitate all programs listed below. Youth are referred to programs based on their needs or request. Opportunities include: Another Choice ☒ ☐ ☐ Another Way; Anti-Recidivism Coalition; Art With Milton Bowens; AVID (Advancement Via Individual Determination); Barbershop Program; Beautiful Evolutions; Book Club; Boys & Girls Club; Bridge Network; Burning Bush Moments; Capacity Changers; (ATV); Chaplaincy Program; Culinary; Earth Mama and Healing; El Centro Jr. / Sr. High School; Foster Grandparents; Garden Program; Gang Awareness & Prevention (G.A.P.); Graduate Program; Improve Your Tomorrow; Just Beginnings; Leadership Development Program; Leadership Education Athletic Program (LEAP); Life Skills; Library; LINKS Mentoring Program; Mentor Academy Program; Multi-Sensory De-escalation Room (MSDR); Northern California Construction and Training (NCCT); Parent Orientation Night; Pet Partners; Peer Mentor; Project Me; Project Teach; Reaching Back to our Youth; Real Talk: Sessions with a Crowned Life; Sacramento Mandarin Music Academy; SBTP; Self-Awareness and Recovery; Skills Training Enrichment Program (STEP); Scholars Obtaining Academic Responsibility (SOAR); Stanford Sierra Youth Families; Swim Program; The Beat Within; Trauma Informed Care Units; WEAVE; Who’s This, What’s That? Multi-Cultural Journey; UC Davis CAARE; VOYA Employment Program; YDF Gives Back; Yoga; and 916 INK 7437 Sacramento YDF PRO 23-24 46 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Chapter 35, Purpose and Scope ¶ 1 hours a day during the week and five hours a day each ☒ ☐ ☐ 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 exercise may be suspended only upon a written finding Chapter 35, Procedure II-C by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. Chapter 35, Guideline I-A ☒ ☐ ☐ We reviewed the Program Schedule for each living unit. There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Chapter 35, Guideline I-A ensure content offered is current, consistent, and ☒ ☐ ☐ relevant to the population. A memorandum outlining the programs offered to youth was completed on October 13, 2023, by CDPO Brandi Curry. (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Chapter 35, Guideline I-B, 1 include, but not be limited to, trauma focused, cognitive, Chapter 35, Guideline I-B, 2 evidence-based, best practice interventions that are Chapter 35, Guideline I-B, 3 Chapter 35, Guideline I-B, 4 culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7437 Sacramento YDF PRO 23-24 47 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Chapter 35, Guideline I-C, 1 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 opportunity for at least one hour of large muscle activity Chapter 35, Guideline I-C, 2 each day. ☒ ☐ ☐ Large Muscle Exercise is facilitated by the Sacramento County Office of Education on school days. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and Chapter 35, Guideline I-A programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7437 Sacramento YDF PRO 23-24 48 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM Chapter 36 Religious Program The facility administrator shall provide access to religious services and/or religious counseling at least once each YDF provides one hour of religious services week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ each week and has a Chaplain on-site every allowed to participate in an activity outside of their room if day. he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Chapter 36, Guideline A (b) availability of clergy; and, ☒ ☐ ☐ Chapter 36, Guideline C (c) availability of religious diets. ☒ ☐ ☐ Chapter 36, Guideline D 1373 WORK PROGRAM Chapter 37 Work Program The facility administrator shall develop policies and procedures regarding the fair and consistent assignment YDF allows for youth to participate in unit of youth to work programs. Work assigned to a youth ☒ ☐ ☐ details, as well as around the facility perimeter shall be meaningful, constructive and related to and in the community. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING Chapter 38 Visiting The facility administrator shall develop and implement Chapter 38, Guideline I written policies and procedures for visiting, that include Chapter 38, Guideline II-A provisions for special visits. Youth shall be allowed to Chapter 38, Guideline II-B receive visits by parents, guardians or persons standing Chapter 38, Guideline II-C in loco parentis, and children of youth. Other family members, such as grandparents and siblings, and The facility allows approved visitors to come supportive adults, may be allowed to visit with the ☒ ☐ ☐ to the facility 7 days each week from 8am to approval of the facility administrator or designee, and in 8pm. conjunction with the youth’s case plan or in the best Youth in the VOYA and Max units have no- interest of the youth. contact visits based on their classification. We provided technical assistance to evaluate post-dispositional youth and those in detention for long periods of time individually to allow for contact visits when appropriate. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. Chapter 38, Guideline I Visitation shall not be denied solely based on the visitor’s Chapter 38, Guideline II-D criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. 7437 Sacramento YDF PRO 23-24 49 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but conversations Chapter 38, Guideline I shall not be monitored unless there is a security or safety ☒ ☐ ☐ need. Each youth is allowed a 45-minute visit each day, with opportunities of 5 hours and 15 minutes of visits each week. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, shall Chapter 38, Guideline II-A, 5 Special Visits be accommodated as necessary and within the 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. Chapter 38 Purpose and Scope 1375 CORRESPONDENCE Chapter 39 Correspondence The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth ☒ ☐ ☐ may send or receive; Chapter 39, Guideline I-A (b) youth may send two letters per week postage free; Chapter 39 Purpose and Scope ☒ ☐ ☐ JDF has no limitation on mail. (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder of Chapter 39, Guideline I-B 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 in (c), may be read by staff only when there is reasonable Chapter 39, Guideline I-C ☒ ☐ ☐ cause to believe facility safety and security, public safety, Chapter 39, Guideline I-D or youth safety is jeopardized. Chapter 39, Guideline I-E 1376 TELEPHONE ACCESS Chapter 40 Telephone Access The administrator of each juvenile facility shall develop ☒ ☐ ☐ and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES Chapter 41 Access to legal Services The facility administrator shall develop written procedures ☒ ☐ ☐ to ensure the right of youth to have access to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed ☒ ☐ ☐ attorneys and their authorized representatives; Chapter 41, Guideline ¶ 1 7437 Sacramento YDF PRO 23-24 50 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) provision for confidential consultation with attorneys; ☒ ☐ ☐ and, Chapter 41, Guideline ¶ 1 (c) unlimited postage free, legal correspondence and ☒ ☐ ☐ cost-free telephone access as appropriate. Chapter 41, Guideline ¶ 2 1390 DISCIPLINE Chapter 42 Discipline and Discipline Process The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Chapter 42, Guideline I-A, 1 (b) daily shower, access to drinking fountain, toilet and ☒ ☐ ☐ personal hygiene items, and clean clothing; Chapter 42, Guideline I-A, 2 (c) full nutrition; ☒ ☐ ☐ Chapter 42, Guideline I-A, 3 (d) contact with parent or attorney; ☒ ☐ ☐ Chapter 42, Guideline I-A, 4 (e) exercise; ☒ ☐ ☐ Chapter 42, Guideline I-A, 5 (f) medical services and counseling; ☒ ☐ ☐ Chapter 42, Guideline I-A, 6 (g) religious services; ☒ ☐ ☐ Chapter 42, Guideline I-A, 7 (h) clean and sanitary living conditions; ☒ ☐ ☐ Chapter 42, Guideline I-A, 8 (i) the right to send and receive mail; ☒ ☐ ☐ Chapter 42, Guideline I-A, 9 (j) education; and, ☒ ☐ ☐ Chapter 42, Guideline I-A, 10 (k) rehabilitative programming. ☒ ☐ ☐ Chapter 42, Guideline I-A, 11 7437 Sacramento YDF PRO 23-24 51 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct of youth. Chapter 42 Purpose and Scope Such rules and penalties shall include both major Chapter 42, Guideline I violations and minor violations, be stated simply and Chapter 42, Guideline II Chapter 42, Guideline III affirmatively, and be made available to all youth. ☒ ☐ ☐ Provision shall be made to provide accessible information These sections identify major and minor rules to youth with disabilities, limited English proficiency, or as well as sanctions. Rules are posted in the limited literacy. living units and identified in the Resident Handbook. 1391 DISCIPLINE PROCESS Chapter 42, Guideline IV The facility administrator shall develop and implement written policies and procedures for the administration of The agency process allows for progressive discipline which shall include, but not be limited to: and fair sanctions, which include: Program Separation or referral to the Skill Building Unit. Because the agency has an Orientation Unit, some youth have been referred back to that unit for a re-review of program rules and components for success. Youth will lose points for the incident and may have an early bedtime based on minor incidents of behavior. ☒ ☐ ☐ Our review revealed the agency had 619 youth involved in Major Rule Violations resulting in the issuance of Due Process. This number is in line with the total UF events as more youth are involved in a single incident most of the time. The facility’s average daily population during this period was between 140 and 160 youth in custody. The average number of Due Process monthly is approximately 30. The form and requirement for youth signature throughout the process targets compliance. (a) designation of personnel authorized to impose ☒ ☐ ☐ discipline for violation of rules; Chapter 42, Purpose and Scope ¶ 3 (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Chapter 42, Purpose and Scope ¶ 3 (c) definition of major and minor rule violations and their consequences, and due process requirements; ☒ ☐ ☐ Chapter 42, Guideline II-B (Minor Rules) Chapter 42, Guideline II-C (Major Rules) (d) trauma-informed approaches and positive behavior ☒ ☐ ☐ interventions; Chapter 42, Purpose and Scope ¶ 1 (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct Chapter 42, Guideline III imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, 7437 Sacramento YDF PRO 23-24 52 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) major rule violations and the discipline process shall ☒ ☐ ☐ be documented and require the following: Chapter 42, Guideline IV-B (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Chapter 42, Guideline IV-B, 1 (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Chapter 42, Guideline IV-B, 2 learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ incident; Chapter 42, Guideline IV-B, 3 (4) opportunity for the youth to be heard, present ☒ ☐ ☐ evidence and testimony; Chapter 42, Guideline IV-B, 4 (5) provision for youth to be assisted by staff in the ☒ ☐ ☐ hearing process; Chapter 42, Guideline IV-B, 5 (6) provision for administrative review. ☒ ☐ ☐ Chapter 42, Guideline IV-B, 6 Chapter 42, Guideline V Appeal Process (g) violations that result in a removal from camp or commitment program, but not a return to court, will ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE DISEASES. Sacramento County Probation Department Youth Detention Facility (SCPD-YDF) Policy The health administrator/responsible physician, in and Procedure 1410: Management of cooperation with the facility administrator and the local Communicable Diseases health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, County of Sacramento Department of Health control and follow-up management of communicable Services Division of Primary Health (SCHS- diseases. The policies and procedures shall address, DPH): Infection Prevention and Control but not be limited to: Program SCHS-DPH: Ectoparasitic Infections SCHS-DPH Procedure A(6) Screening SCHS-DPH Procedure A(7) Treatment and (a) Intake health screening procedures; ☒ ☐ ☐ Case Management SCHS-DPH Attachment 6: COVID-19 Exposure Plan SCHS-DPH: Ectoparasitic Infections A(1) SCHS-DPH Procedure A(6) Screening SCHS-DPH Procedure A(7) Treatment and (b) Identification of relevant symptoms; ☒ ☐ ☐ Case Management SCHS-DPH Attachment 6: COVID-19 Exposure Plan B(1) SCHS-DPH: Ectoparasitic Infections A(1) 7437 Sacramento YDF PRO 23-24 53 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Referral for medical evaluation; ☒ ☐ ☐ SCHS-DPH Attachment 6: COVID-19 Exposure Plan SCHS-DPH: Ectoparasitic Infections A(2) (d) Treatment responsibilities during detention; ☒ ☐ ☐ SCHS-DPH Attachment 6: COVID-19 Exposure Plan B(3) and (4) SCHS-DPH Immunizations (e) Coordination with public and private community- ☒ ☐ ☐ based resources for follow-up treatment; SCHS-DPH Procedure A(8) Reporting SCHS-DPH Procedure A(8) Reporting (f) Applicable reporting requirements; and, ☒ ☐ ☐ SCHS-DPH Procedure A(9) Disease Outbreak protocols. (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ SCHS-DPH Procedure A(9) Disease Outbreak protocols. The policies and procedures shall be updated as necessary to reflect communicable disease priorities Sacramento County YDF provides training, identified by the local health officer and currently all PPE and cleaning requirements, and recommended public health interventions. addresses testing and isolation protocols at ☒ ☐ ☐ admission. Their policies are based on the provided medical care services via Correctional Medical Service staff in coordination with county public health. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 1353, II-A, 7 Resident Handbook, p.18 The health administrator, in cooperation with the facility ☒ ☐ ☐ administrator, shall develop policy and procedures to establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE Chapter 52, Purpose and Scope - Clothing The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. Chapter 52, Purpose and Scope ¶1 (b) The standard issue of climatically suitable clothing ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Chapter 52, Purpose and Scope ¶1 7437 Sacramento YDF PRO 23-24 54 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Outer garments; ☒ ☐ ☐ Chapter 52, Purpose and Scope ¶1 (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; Chapter 52, Purpose and Scope ¶2 ☒ ☐ ☐ The youth’s undergarments are exchanged daily and returned to youth. (4) Undergarments, that are freshly laundered and ☒ ☐ ☐ free of stains, including tee shirts and bras. Chapter 52, Purpose and Scope ¶2 (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. ☒ ☐ ☐ Chapter 52, Purpose and Scope ¶3 1482 CLOTHING EXCHANGE Chapter 52, Purpose and Scope ¶1 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 PERSONAL CLOTHING Chapter 55, Control and Containment of Vermin on Resident Clothing and Bedding There shall be written policies and site-specific procedures developed and implemented by the facility ☒ ☐ ☐ administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Chapter 56 Personal Hygiene There shall be written policies and site-specific Chapter 56, I-B 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; ☒ ☐ ☐ Chapter 56, I-A (b) Toothpaste; ☒ ☐ ☐ Chapter 56, I-A 7437 Sacramento YDF PRO 23-24 55 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Soap; ☒ ☐ ☐ Chapter 56, I-C (d) Comb; ☒ ☐ ☐ Chapter 56, I-A (e) Shaving implements; ☒ ☐ ☐ Chapter 56, I-D (f) Deodorant; ☒ ☐ ☐ Chapter 56, I-A (g) Lotion; ☒ ☐ ☐ Chapter 56, I-C (h) Shampoo; and, ☒ ☐ ☐ Chapter 56, I-C (i) Post-shower conditioning hair products. ☒ ☐ ☐ Chapter 56, I-C Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap Chapter 56, Last paragraph P.1 provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Chapter 56, I-E There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Chapter 56, I-D Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 7437 Sacramento YDF PRO 23-24 56 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1488 HAIR CARE SERVICES (EXCERPT) Chapter 56, I-F Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ The agency is working to contract with a Equipment shall be cleaned and disinfected after each licensed barber shop or salon. haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Chapter 54 Bedding, Linens and Clothing Clean laundered, suitable bedding and linens, in good Supply and Issue ☒ ☐ ☐ 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 ☒ ☐ ☐ Chapter 54, I-A regulations; Chapter 54, O-C, 1 (b) One pillow and a pillow case unless provided for in ☒ ☐ ☐ (a) above; Chapter 54, I-C, 1 (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Chapter 54, I-B, 1-a (d) One towel; and, ☒ ☐ ☐ Chapter 54, I-B, 2 Chapter 54, I-B, 1 (e) One blanket or more, up on request ☒ ☐ ☐ Youth may receive 2 additional blankets upon request. 1501 BEDDING LINEN EXCHANGE Chapter 54, I-B, 1-a through c 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 ☒ ☐ ☐ once a month. Chapter 54, I-B, 1-b 7437 Sacramento YDF PRO 23-24 57 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Chapter 57 Sanitation, Safety and Maintenance The facility administrator shall develop and implement Chapter 86 Housekeeping and Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7437 Sacramento YDF PRO 23-24 58 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☒ ☐ 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 7437 Sacramento YDF PRO 23-24 59 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot 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 7437 Sacramento YDF PRO 23-24 60 of 60 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7439 FACILITY NAME: Sacramento County Valley Oaks Youth Academy (VOYA) FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Brandi Curry, Chief Deputy probation Officer - YDF; Kevin Flores, Assistant Chief Deputy Probation Officer; Maria Rivera-Collins, Supervising Probation Officer; Ana Feeley, Supervising Probation Officer; Osama Ali, Supervising Probation Officer – Classification; Kristy Dyson, Supervising Probation Officer – VOYA; Chad Fruzza, Senior Deputy Probation Officer; Brad Hager, Assistant Probation Officer; Michael Conley, Assistant Probation Officer; Dawn Isais, Administrative Services Officer III (ASO); Kim Anklam, ASO I; Barbara Modlin, Principal – Sacramento County Office of Education; Wes Marshall , Director Court and Community School – Sacramento County Office of Education; Chris Eldridge, Mental Health Supervisor – Sacramento County Mental Health; Pam Gandy-Rosemond, Sacramento County Department of Health Services – RN Health Service Administrator; Ben Santos, RN Clinic Manager; Jennifer Sousa, Food Services Program Manager; Youth: Antonio, age 21; Mercedes, age 17; Khaliah, age 21; Koivell, age 15; Thomas, age 17; DeJohn, age 19. FIELD REPRESENTATIVE: Elizabeth Gong DATE: October 16-19, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS October 11-14, 2022 September 27-October 5, 2023 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ documented inspection and evaluation from the following: (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code Section August 7, 2023 13146.1(a) and (b); ☒ ☐ ☐ There were noted areas of noncompliance which have been corrected. The fire authority, SFM, has not returned to re-inspect. 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. 7439 Sacramento VOYA PRO 23-24 1 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: June 7, 2022 June 6, 2023* Medical/Mental Health: June 10, 2022 September 14, 2023** Nutritional Health: July 27, 2022 ☒ ☐ ☐ July 21, 2023 The Environmental Health Inspection had areas of noncompliance which the agency has corrected via GSA. The PH Inspector has not yet returned to issue compliance. The Medical/MH Inspection was completed but the report has not been received as of the writing of this report. (d) county superintendent of schools on the adequacy of educational services and facilities as required in Section ☒ ☐ ☐ April 19, 2022 1370; July 24, 2023 (e) juvenile court as required by Section 209 of the ☒ ☐ ☐ Welfare and Institutions Code; and, November 7, 2022 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the December 2022 Welfare and Institutions Code. The JJ/DPC last provided an inspection to BSCC and the agency in 2019. They did not inspect in 2020 due to COVID. Although the Commissioners were on site at YDF two times in 2021 and once in March 2022, they did not ☒ ☐ ☐ provide a copy of an inspection report to the Court, YDF, or BSCC until we attended a JJC meeting while on-site for this inspection. We respectfully requested the Commission complete their 2023 Inspection prior to December 31, 2023. The Juvenile Presiding Judge was present and asked BSCC to provide JJ/DPC Training in the near future. 7439 Sacramento VOYA PRO 23-24 2 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Chapter 2, Page 1: Appointments and BSCC Note: Compliance with this section is determined Qualifications by receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. The elements of this regulation are included in Chief Yarber’s Memorandum dated October 13, 2023. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: Chapter 2, p.1, ⁋ 1 (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and Chapter 2, p.1, ⁋ 2 evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ Chapter 2, p.1, ⁋ 1 pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in Chapter 2, p.1, ⁋ 3 ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Chapter 2, p.1, ⁋ 4 facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 7439 Sacramento VOYA PRO 23-24 3 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Each juvenile facility shall: Chapter 3, Pages 1 and 2 (a) have an adequate number of personnel sufficient to Chapter 3, Policy I-A carry out the overall facility operation and its programming, to provide for safety and security of youth and staff, and meet established standards and The facility has two Watch Commanders, ten regulations; Supervising Probation Officers, five Senior Probation Officers, 22 Deputy Probation ☒ ☐ ☐ Officers, 158 Probation Assistants, and 67 Probation Aides. Just prior to our inspection, the agency was approved more positions for their growing VOYA population, as well as increasing the rated capacity from 42 to 90 for the SYTF youth. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent Chapter 3, Policy I-B exigent circumstances; ☒ ☐ ☐ The agency has compliant staffing ratios to ensure no services are denied for youth. We note Deputy Probation Officers assist with programming. (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Chapter 3, Policy I-C ☒ ☐ ☐ There is always a minimum of two Senior or Supervising Probation Officers on duty. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Chapter 3, Policy I-D completed the Juvenile Corrections Officer Core Course and PC 832 training; ☒ ☐ ☐ There is always a minimum of two Senior or Supervising Probation Officers on duty. 7439 Sacramento VOYA PRO 23-24 4 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ ☐ ☐ Chapter 3, Policy I-E (f) have sufficient food service personnel relative to the number and security of living units, including staff Chapter 3, Policy I-F qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct food preparation and servings; conduct related training programs for culinary staff; and maintain necessary The facility has one Food Service Program records; or, a facility may serve food that meets nutritional ☒ ☐ ☐ Manager, a Food Services Supervisor, two standards prepared by an outside source; Senior Food Service Cooks and 3 Food Service Cooks. There are thirteen food service workers that provide meal prep, tray fulfillment, and kitchen clean up. (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Chapter 3, Policy I-G transportation, control room, facility security and other support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and, There is a Senior Office Administrator and ☒ ☐ ☐ three Administrative Services Officers at YDF. The facility has five Laundry Service Workers, one Stock Clerk, and one Storekeeper. Allied partners and non-sworn ancillary staff are not part of youth supervision. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Chapter 3, Policy I-H temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (A) during the hours that youth are awake, one ☒ ☐ ☐ Chapter 3, Policy II-A wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ Chapter 3, Policy II-B youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Chapter 3, Policy II-C number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, 7439 Sacramento VOYA PRO 23-24 5 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ Chapter 3, Policy II-D the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of Chapter 3, Policy I-G personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☐ ☐ ☒ This facility is not a Special Purpose Juvenile awake youth supervision staff member on duty for Hall. each 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; (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 (A) during the hours that youth are awake, one ☐ ☐ ☒ This facility is not a Camp. wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their 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; 7439 Sacramento VOYA PRO 23-24 6 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Chapter 4 Training and Staff Development (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Chapter 4, Guideline II-A, 1-c their duties, including: (1) youth supervision duties; Chief Yarber provided a memorandum outlining the training all staff receive prior to exercising youth supervision responsibilities, dated October 13, 2023. ☒ ☐ ☐ The agency provides 160 hours as part of Core Training followed by an additional 80 hours of agency-specific orientation/training, all of which occur prior to assignment. Sacramento County Probation does in-house Core which provides new employees with very specific references to their job using in-county policies, examples, and processes. They also allow other counties to participate in the training. (2) scope of decisions they shall make; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-d (3) the identity of their supervisor; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-a 7439 Sacramento VOYA PRO 23-24 7 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) the identity of persons who are responsible to them; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-a (5) persons to contact for decisions that are beyond their responsibility; and ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-a (6) ethical responsibilities. ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-p (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility- specific orientation, including: (1) individual and group supervision techniques; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-c (2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-d this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-e (4) suicide prevention and response to suicide ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-l attempts (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-f physical restraints; (6) review of policies and procedures referencing ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-g trauma and trauma-informed approaches; 7439 Sacramento VOYA PRO 23-24 8 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-h (8) routine security measures, including facility ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-i perimeter and grounds; (9) crisis intervention and mental health referrals to ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-l mental health services; (10) documentation; and ☒ ☐ ☐ Chapter 4, Guideline II-A, 1-k Chapter 4, Guideline II-A, 1-j (11) fire/life safety training ☒ ☐ ☐ Chapter 5, Fire and Life Safety Guidelines (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully Chapter 4, Guideline II-A, 1 complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section 6035. ☒ ☐ ☐ This section articulates that new staff receive 240 hours of training, 160 hours of STC Core, 40 hours of PC 832, and 40 hours of facility orientation. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete training Chapter 4, Guideline II-A, 1 pursuant to Section 830 et seq. of the Penal Code. ☒ ☐ ☐ This includes 160 hours of Core and 40 hours of PC 832. 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there shall All facility staff are provided this component of be at least one wide awake person on duty at all times ☒ ☐ ☐ training in Core, which is completed before who meets the training standards established by the working in the living units. Board for general fire and life safety which relate specifically to the facility. 7439 Sacramento VOYA PRO 23-24 9 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1324 POLICY AND PROCEDURES MANUAL All facility administrators shall develop, publish, and Chapter 6, Policy Manual implement a manual of written policies and procedures that address, at a minimum, all regulations that are Chapter 6, Guideline I-A applicable to the facility. Such a manual shall be made Chapter 6, Guideline I-B available to all employees, reviewed by all employees, and shall be administratively reviewed at a minimum Chapter 6, Guideline I-C every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Board New policy includes all staff having to review on request. the Administrative Policy and Procedures Manual annually. The agency provided new The manual shall include: policy components to the Administrative Manual, adding sections to address changes in policy or procedure from last cycle. Most involved updates to operational procedures, not substantive change to policy. ☒ ☐ ☐ YDF has completed a change to Policy and Operations in how they create the Policy Manual. They are now using all policy relative to Title 15 and Title 24 by regulation number, followed by all other policies listed alphabetically. We provided technical assistance to create a policy numerical system that is easy to read, understand and reference by staff and that can be a training tool. Administration is determining the best manner to categorize the Policy and Procedure Manual and will update BSCC of changes after regulation revisions are posted in 2024. (a) table of organization, including channels of communications and a description of job classifications; ☒ ☐ ☐ Chapter 7, Job Duties and Communication 7439 Sacramento VOYA PRO 23-24 10 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Juvenile The Sacramento County Probation Justice/Delinquency Prevention Commission or Department has an Executive Management Probation Committee, probation staff, school personnel Organizational Chart as well as a position and other agencies that are involved in juvenile facility organization chart for YDF. Both were programs; provided to BSCC and are part of the ☒ ☐ ☐ Administrative Manual. The list of positions from Chief to Probation Aide to support staff, as well as the Court, JJDPC, and agency partners, including their job descriptions, was also provided. (c) responsibilities of all employees; ☒ ☐ ☐ Chapter 7, Job Duties and Communication (d) initial orientation and training program for employees; ☒ ☐ ☐ Chapter 4, Training and Staff Development (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract Sacramento County Probation Department – employees, school, mental/behavioral health and ☒ ☐ ☐ Directive: Code of Conduct medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and ☒ ☐ ☐ communication system to ensure: (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Chapter 86, Maintenance and Housekeeping (2) legal and proper care of youth; ☒ ☐ ☐ Chapter 79, Supervision of Youth Chapter 74 Confidentiality and Maintenance of Records (3) maintenance of individual youth's records; ☒ ☐ ☐ Chapter 127 Standing Order regarding youth records 7439 Sacramento VOYA PRO 23-24 11 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) supply of information to the juvenile court and Chapter 74 Confidentiality and Maintenance ☒ ☐ ☐ those authorized by the court or by the law; and, of Records Chapter 74 Confidentiality and Maintenance (5) release of information regarding youth. ☒ ☐ ☐ of Records (g) ethical responsibilities; ☒ ☐ ☐ Chapter 4, Guideline II, A-1, p (h) trauma-informed approaches; ☒ ☐ ☐ Chapter 4, Guideline II, A-1, g (i) culturally responsive approaches; ☒ ☐ ☐ Chapter 4, Guideline II, A-1, n Chapter 4, Guideline II, A-1, n (j) gender responsive approaches; ☒ ☐ ☐ Chapter 19 Screening for the Risk of Sexual Abuse and Assault (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Chapter 8 Non-Discrimination Provision, to all available services, placement, care, treatment, and Guideline I, B-1 through 13 benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or Chapter 21 Classification perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, The Non-Discrimination Provision is posted in mental or physical disability, or HIV status, including each living unit. restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and weapons ☒ ☐ ☐ Chapter 28, Guideline VI, E-1 and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ Chapter 95 Medi-Cal Applications and, 7439 Sacramento VOYA PRO 23-24 12 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. Chapter 110 PREA Policy 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 The facility administrator shall consult with the local fire Chapter 9, Fire Safety Plan department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ Chapter 9, Supervisors Checklist which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; Chapter 9, Fire Safety and Fire Drills We reviewed all monthly Fire and Life Safety Inspection reports from January 2022 to September 2023. The forms are completed for each living unit, the medical clinic, visiting center, and booking area. ☒ ☐ ☐ The County Department of General Services verifies areas needing attention each month indicating they have responded to their areas of responsibility. The County Construction and Facilities Management Agency (CAFM) responds to areas needing attention not handled by General Services. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); The YDF was last inspected on August 7, ☒ ☐ ☐ 2023, by the State Fire Marshal. (d) an evacuation plan; ☒ ☐ ☐ Chapter 9, Guideline II Evacuation 7439 Sacramento VOYA PRO 23-24 13 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; Chapter 9, Fire Safety and Fire Drills, Purpose and Scope, ⁋ 2 The facility policy requires the agency to conduct fire drills each quarter, including full evacuation and live drills. The Sacramento County Emergency Services agency is contacted to advise the outcome of each drill. ☒ ☐ ☐ The Supervisor on duty completes a memo to debrief the drill and make comments or referrals to DGS if necessary. Due to change in staff and responsibilities, the agency missed one drill in 2022 and one drill in 2023. We provided technical assistance to ensure a trigger for a quarterly drill is in place. (f) a written plan for the emergency housing of youth in the case of fire; and, Chapter 77 Emergency Housing Plan The facility is pending an agreement transport to Rio Consumnes Correctional Center, which is new this cycle due to the closure of DJJ in June 2023. CCC is an adult facility that has ☒ ☐ ☐ vacant buildings for use only in an emergency. We provided technical assistance to evaluate Fresno Probation facilities which is a SYTF hub and has a vacant Commitment side of the physical plant. (g) development of a fire suppression pre-plan in cooperation with the local fire department. Chapter 9, Fire Suppression Pre-Plan, Form ☒ ☐ ☐ H-5.2 7439 Sacramento VOYA PRO 23-24 14 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1326 SECURITY REVIEW Each facility administrator shall develop policies and Chapter 10, Security Review procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, including, but not Department policy assigns the Chief Deputy of limited to, key control, equipment, and staff training. Facilities to review, evaluate, and make a ☒ ☐ ☐ record of facility safety measures. Chief Deputy Curry completed a memo on October 13, 2023, ensuring the internal and external components of the facility have been reviewed. 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific Chapter 78 Emergency Procedure Plan policies and procedures for emergencies that shall include, but not be limited to: Staff are required to review the facility emergency plan annually and quarterly ☒ ☐ ☐ debriefs occur after each fire/evacuation drill. The current Emergency Procedures Plan was reviewed by Chief Deputy Curry on October 13, 2023. The EPP was last updated in 2022. Chapter 78, Emergency Plan Appendix A, p. 20 Hostages Chapter 78, Emergency Plan Appendix A, p. 21 Demonstrations (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Chapter 81 Escape Chapter 85 Hostages 7439 Sacramento VOYA PRO 23-24 15 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 59 Active Shooter and Terrorist Attack Chapter 78, Emergency Plan Appendix A, p. 21 Demonstrations (b) civil disturbance, active shooter and terrorist ☒ ☐ ☐ attack; Chapter 78, Emergency Plan Appendix A, p. 21 Demonstration Chapter 78, Emergency Plan Appendix A, p. 27 Weapons Chapter 78, Emergency Plan Appendix A, p. 13 Fire Chapter 78, Emergency Plan Appendix A, p. 22 Earthquake (c) fire and natural disasters; ☒ ☐ ☐ Chapter 78, Emergency Plan Appendix A, p. 23 Flood Chapter 78, Emergency Plan Appendix A, p. 25 Tornado/High Winds The Sacramento County General Services Agency responds to the facility annually to test (d) periodic testing of emergency equipment; ☒ ☐ ☐ all emergency equipment. They were at the facility on September 27 to October 5, 2023. Chapter 9, Fire Safety and Fire Drills, Guideline II Evacuation (e) emergency evacuation of the facility; and ☒ ☐ ☐ Chapter 78, Emergency Plan Appendix A, p. 14 Evacuation 7439 Sacramento VOYA PRO 23-24 16 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 9 Fire Safety and Fire Drills, Guideline ⁋ 1 Chapter 78, 7.1 Training We reviewed all fire drills from July 2022 to September 2023. The agency documents the fire or evacuation drills, including follow-up on any issues through referral to DGS, CAFM, or (f) a program to provide all youth supervision staff ☒ ☐ ☐ to handle correction or training of staff. with an annual review of emergency procedures. The agency policy indicates all fire drills are relayed in a “debrief” of the incident with involved staff. Youth supervision staff are required to review emergency procedures annually. 7439 Sacramento VOYA PRO 23-24 17 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS The facility administrator shall develop and implement Chapter 6, Room Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, Chapter 6, Guideline I-A and B at random or varied intervals during hours when youth Operations Order, Guideline III (Audits) are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. Supervision is not replaced, but may be supplemented Agency policy requires that staff complete by, an audio/visual electronic surveillance system random and varied checks when a youth is designed to detect overt, aggressive or assaultive confined to their room a minimum of every 15 behavior and to summon aid in emergencies. All safety minutes with a requirement of five checks per checks shall be documented with the actual time the hour. check is completed. ☒ ☐ ☐ We reviewed audits of late checks, completed by the Watch Commander nightly. We noted the agency now reviews and audits checks daily and completes random video checks nightly. All late checks are handled administratively. We provided technical assistance to review late checks via video rather than random video checks to consistently capture the reason for the late check. 1329 SUICIDE PREVENTION PLAN The facility administrator, in collaboration with the Chapter 13, Suicide Prevention Plan healthcare and behavioral/mental health administrators, shall plan and implement written policies and Sacramento County Correctional Health procedures which delineate a Suicide Prevention Plan. Policy A-10 The plan shall consider the needs of youth experiencing Sacramento County Mental Health Protocol past or current trauma. Suicide prevention responses 06-02 shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: ☒ ☐ ☐ There have been two incidents of suicidal behavior involving one youth since January 2022, not involving a VOYA youth. Correctional Health and Mental Health Policies are in line with agency policy and are reviewed annually. 7439 Sacramento VOYA PRO 23-24 18 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Training Chapter 4, Guideline II-A, 1-1 and the Juvenile Corrections Officer Core Course. All youth supervision staff and ancillary ☒ ☐ ☐ personnel are trained in Mental Health Services, Suicide Prevention, Response to Suicide Attempts, and Crisis Intervention techniques. (b) Screening, Identification Assessment and Precautionary Protocols ☒ ☐ ☐ Chapter 13, Guideline I-A, 2 (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk ☒ ☐ ☐ Chapter 13, Guideline I-A, 1 of suicide. (3) All youth who have been identified during the intake screening process to be at risk of suicide shall ☒ ☐ ☐ Chapter 13, Guideline I-A, 4 be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the ☒ ☐ ☐ Chapter 13, Guideline I-A, 4 behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for assessment and/or services. Chapter 13, Guideline I-B, 1 ☒ ☐ ☐ Chapter 13, Guideline I-B, 2 Chapter 13, Guideline I-B, 3 (d) Procedures for monitoring of youth identified at risk for suicide. ☒ ☐ ☐ Chapter 13, Guideline II (e) Safety Interventions (1) Procedures to address intervention protocols for ☒ ☐ ☐ Chapter 13, Guideline II-A youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration Chapter 13, Guideline I-D, 3 ☒ ☐ ☐ Chapter 13, Guideline I-D, 4 7439 Sacramento VOYA PRO 23-24 19 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) Treatment strategies including trauma- informed approaches ☒ ☐ ☐ Chapter 13, Guideline II-B (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal ☒ ☐ ☐ Chapter 13, Guideline I-C behaviors. (f) Communication (1) The intake process shall include communication Chapter 13, Guideline I-A, 3 with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information sharing about youth at risk for suicide with youth Chapter 13, Guideline I-C, 1 supervision, healthcare, and behavioral/mental health staff. Chapter 13, Guideline I-C, 2 The agency and partners from Mental Health, ☒ ☐ ☐ Medical, and Education have frequent Special Needs (SN), Child and Family Team (CFT), and Multi-Disciplinary Team (MDT) meetings to address issues and discuss solutions as a team for youth in custody. The goal of each partner is to share information and plan strategies to minimize risk. (g) Debriefing of Critical Incidents Related to Suicides or Attempts Chapter 13, Guideline II-D, 2 (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 ☒ ☐ ☐ Chapter 13, Guideline II-D, 3 staff. (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ Chapter 13, Guideline II-D, 4 7439 Sacramento VOYA PRO 23-24 20 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Documentation (1) Documentation processes shall be developed to ☒ ☐ ☐ Chapter 13, Guideline II-D, 1 ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, services Chapter 13, Guideline II-C 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 All youth on special watch receive daily suicide shall be documented and approved by the ☒ ☐ ☐ programming and services unless Mental facility manager. Health, Medical personnel, or agency Administrators believe the participation would be a safety or security risk to youth, staff, or other youth. 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of ☒ ☐ ☐ Chapter 14, Reporting Legal Incidents notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Chapter 15, Death and Serious Illness or (1) Death of a Youth. Injury of a Youth (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental Chapter 15, Guideline II Notifications health director, shall develop written policies and Correctional Health Policy A-10 procedures in the event of the death of a youth while detained, which include notifications to necessary Mental Health Protocol 06-02, 6 parties, which may include the Juvenile Court, the ☒ ☐ ☐ parent, guardian or person standing in loco parentis and the youth’s attorney of record. The policy includes notification to the Sheriff, Chief Probation Officer, Parents, Legal Guardians or persons standing in Loco Parentis, and a comprehensive list of other county agencies, including the Presiding Judge and Juvenile Court Judge. (b) The health administrator, in cooperation with the facility administrator, shall develop written Chapter 15, Guideline III-C policies and procedures to assure there is a medical and operational review of every in-custody death of Chapter 15, Guideline III-D a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health Correctional Health Policy A-10 administrator, the responsible physician and other Correctional Health Policy D-3 health care and supervision staff who are relevant to the incident. Mental Health Protocol 06-02, 6 7439 Sacramento VOYA PRO 23-24 21 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The administrator of the facility shall provide to the Board a copy of the report submitted to the Chapter 15, Guideline II-E, 1 Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within 30 Chapter 15, Guideline II-E, 2 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. (a) The facility administrator, in cooperation with Chapter 15, IV Serious Illness or Injury the health administrator, shall develop written Correctional Health Policy A-05 policies and procedures for the notification 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 in the The Health Administrator determines when a case of a serious illness or injury of a youth. notice is to be made to the Chief Probation Officer (CPO). The CPO is responsible for notifying the Juvenile Court. 1342 POPULATION ACCOUNTING Each juvenile facility shall submit required population The agency is compliant with this regulation. and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) When the number of youth detained in a living unit of a Chapter 17, Juvenile Facility Capacity juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7439 Sacramento VOYA PRO 23-24 22 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES The facility administrator shall develop and implement Chapter 18, Admittance Procedures: Purpose written policies and procedures for admittance of youth and Scope that emphasize respectful and humane engagement with youth, and reflect that the admission process may be traumatic to youth who may have already Admission clearance is determined by experienced trauma. Policies shall be trauma-informed, Probation Officers from 7am to 11pm daily. culturally relevant, and responsive to the language and On-duty Supervisors make admission and literacy needs of youth. In addition to the requirements detention decisions after hours. of Sections 1324 and 1430 of these regulations: We reviewed examples of blank and completed admission documents including those by the arresting officer, intake/booking screenings, and Case Management entries. Medical staff review the arresting Officers ☒ ☐ ☐ Observation report, complete screenings to provide clearance to book a youth, and do a Medical Assessment prior to intake. Mental Health completes the Assessment if on site or the following morning as they are at YDF 7 days each week. Custody Intake staff complete the MAYSI-2 Questionnaire, a Child and Adolescent Trauma Screening (CSEC), Identity Preference Form, and PREA Acknowledgement Form during the admission process, as well as the technical personal information about the youth, family, and history. There is no specific admission process for VOYA. (a) the admittance process shall include: (1) Access to two free phone calls within one hour of ☒ ☐ ☐ Chapter 18, Guideline I-A, 3 admittance in accordance with the provisions of Welfare and Institution Code Section 627; (2) Offer of a shower; ☒ ☐ ☐ Chapter 18, Guideline I-A, 4 (3) Documented secure storage of personal ☒ ☐ ☐ Chapter 18, Guideline I-A, 6 belongings; 7439 Sacramento VOYA PRO 23-24 23 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) Offer of food upon arrival; ☒ ☐ ☐ Chapter 18, Guideline I-A, 5 Chapter 21, Guideline I-B, 5 Chapter 21, Guideline I-B, 6 Chapter 44, Youth with Developmental Disabilities Chapter 94, The MAYSI-2 Instrument Each of these sections requires Intake staff to evaluate every youth upon admission and (5) Screening for physical and behavioral health make appropriate referrals to behavior health. and safety issues, intellectual or developmental ☒ ☐ ☐ The screenings include the MAYSI-II and disabilities; Suicide Risk screening tool, Child and Adolescent Trauma Screen, and the Alternatives to Violence Screen. Youth suspected of having or are known to have developmental disabilities are referred to the Regional Center with notification to Behavioral Health and the Office of Education. Medical staff are on site 24 hours a day/seven days a week and Mental Health staff are on- site seven days each week. (6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ Chapter 126, Special Needs Youth and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are Chapter 44, Youth with Developmental suspected of or identified as having a ☒ ☐ ☐ Disabilities developmental disability, pursuant to Section 1413; and, Chapter 19, Screening for the Risk of Sexual (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Abuse 7439 Sacramento VOYA PRO 23-24 24 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive Chapter 72, Guideline 3 Detention and Intake environment. Responsibilities The Intake Unit has specific criteria for ☒ ☐ ☐ accepting a youth, identified by policy. There are 10 specific criteria which allow for booking a youth, and if not met, the youth is released. After hours, this decision is made by the Supervisor on duty. (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures that Chapter 18, Guideline II-A advise the youth of the estimated length of stay, inform ☒ ☐ ☐ them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures that advise any committed youth of the estimated length Chapter 18, Guideline IV-A of his/her stay. ☒ ☐ ☐ Intake staff advise youth of their next Court date, and release is always determined by the Court/Judge. 7439 Sacramento VOYA PRO 23-24 25 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Chapter 19, Screening for the Risk of Sexual The facility administrator shall develop and implement Abuse: Purpose and Scope 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 The facility uses an Intake Screening Form, admission based on the following information: Intake Health Assessment, Pre-Detention Evaluation, Mental Health Youth Assessment, Alternatives to Violence Criteria Assessment, Child and Adolescent Trauma Screen and the MAYSI-2. Each of these assessments evaluate criteria to assist in determining if a youth is likely to victimize or be victimized, ☒ ☐ ☐ their vulnerability, and any risks for sexual abuse or assault. The facility also has a comprehensive PREA Policy, with information in the youth handbook and posted in each living unit, which addresses how to report any sexual abuse or assault. Our review of the documentation required exceeds regulation. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Chapter 19, Guideline I-A, 1 (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ Chapter 19, Guideline I-A, 2 queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Chapter 19, Guideline I-A, 3 (d) Age; ☒ ☐ ☐ Chapter 19, Guideline I-A, 4 7439 Sacramento VOYA PRO 23-24 26 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Level of emotional and cognitive development; ☒ ☐ ☐ Chapter 19, Guideline I-A, 5 (f) Physical size and stature; ☒ ☐ ☐ Chapter 19, Guideline I-A, 6 (g) Mental illness or mental disabilities; ☒ ☐ ☐ Chapter 19, Guideline I-A, 7 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Chapter 19, Guideline I-A, 8 (i) Physical disabilities; ☒ ☐ ☐ Chapter 19, Guideline I-A, 9 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Chapter 19, Guideline I-A, 10 (k) Any other specific information about the individual youth that may indicate heightened needs for ☒ ☐ ☐ Chapter 19, Guideline I-A, 11 supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance Chapter 19, Screening for the Risk of Sexual process, medical and behavioral health screenings; ☒ ☐ ☐ Abuse: Purpose and Scope 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 controls on the dissemination of information within the Chapter 19, Screening for the Risk of Sexual facility relative to responses received pursuant to this ☒ ☐ ☐ Abuse: Purpose and Scope assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES The facility administrator shall develop and implement ☒ ☐ ☐ Chapter 20, Release Procedures written policies and procedures for release of youth from custody which provide for: 7439 Sacramento VOYA PRO 23-24 27 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 20, Guideline I-A (a) verification of identity/release papers; ☒ ☐ ☐ Chapter 20, Guideline I-D (b) return of personal clothing and valuables; ☒ ☐ ☐ Chapter 20, Guideline I-E Chapter 20, Guideline I-B (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Chapter 20, Guideline I-C (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ Chapter 20, Guideline I-G regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Chapter 20, Guideline I-I (f) notification of facility mental health personnel. ☒ ☐ ☐ Chapter 20, Guideline I-H 7439 Sacramento VOYA PRO 23-24 28 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall develop and implement policies and procedures for post-disposition youth to Chapter 26, Guideline II-E, Case Plans 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 agency completes a Post-Dispositional Case Plan on youth exiting the facility to provide direction for re-entry planning and services. All agency partners provide input at CBT, SN, and MDT meetings. The case plan is completed by the facility Probation Officer and provided to the Field assigned Officer upon release. ☒ ☐ ☐ Our meeting with the Medical Administrator included discussions about the Cal AIM Grant which includes very specific protocols on discharge planning, Telehealth, and Regional/Community Provider Resource connections. Youth released from VOYA are supervised by Juvenile Probation Field Officers who participate in transition planning while the youth is still in the program. The facility administrator shall develop and implement written policies and procedures for the furlough of youth Chapter 6, Administrative Furlough: Purpose from custody. and Scope ☒ ☐ ☐ A Furlough Board meets weekly to determine if a post-dispositional youth, who has completed 50% of their Court-ordered days in custody, is eligible for a Furlough release. 7439 Sacramento VOYA PRO 23-24 29 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352 CLASSIFICATION The facility administrator shall develop and implement Chapter 21, Classification written policies and procedures on classification of youth for the purpose of determining housing placement in the facility. All youth detained in YDF are housed in the Such procedures shall: Orientation Unit, to be evaluated on all criteria included in regulation. The team of staff in this unit review a youth’s personal/physical information, offense/history, physical design, risk, and assessment of all the screening tools at admission. Once determined, a youth is placed in the most appropriate living unit. At any time during a youth’s stay, a re- ☒ ☐ ☐ classification may occur by a Supervisor, to best meet the youth’s needs. Our review of youth placement is specific to agency criteria with an override component when appropriate. Male VOYA commitments occupied 3 living units while on site, with one of those units housing DJJ returnees that have not had their dispositional hearing by the date of the inspection. The two female VOYA commitments are housed with YDF female youth. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the Chapter 21, Purpose and Scope, ¶ 1 appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of the facility; ☒ ☐ ☐ Chapter 21, Purpose and Scope, ¶ 1 (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Chapter 21, Purpose and Scope, ¶ 2 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; 7439 Sacramento VOYA PRO 23-24 30 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the Chapter 21, Guideline V Classification youth's behavior while in custody; and, Reviews ☒ ☐ ☐ The agency reviews all youth Classification a minimum of every 90 days or when a significant event occurs. Agency staff and partners have the ability to request a change in classification when they articulate a need. (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Chapter 21, Purpose and Scope, ¶ 3 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identification or Chapter 21, Guideline II-M, 2 status as an indicator of likelihood of being sexually abusive. ☒ ☐ ☐ Security 8 Classification is based on screenings at admission factoring in Special Needs, not for housing decisions. 7439 Sacramento VOYA PRO 23-24 31 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Chapter 22, Transgender and Intersex Youth and procedures ensuring respectful and equitable ☒ ☐ ☐ treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s Chapter 22, Guideline II-A 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 The facility addresses all components of this facility manager or designee, and shall document any regulation during the intake process, adjusting decision made on this basis. as reported or necessary based on youth ☒ ☐ ☐ requests. Youth complete an Identity Preference Form, which designates the youth’s request for name and pronoun preference, housing, and search preferences. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender ☒ ☐ ☐ Chapter 22, Guideline II-B identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes their Chapter 22, Guideline III Housing 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 transgender and intersex youth have access to medical and ☒ ☐ ☐ Chapter 22, Guideline II-C behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, Chapter 22, Guideline II-D 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 youth for the purpose of determining the youth’s Chapter 22, Guideline IV Searches anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 7439 Sacramento VOYA PRO 23-24 32 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1353 ORIENTATION The facility administrator shall develop and implement Chapter 23, Orientation written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Chapter 23, Guideline I-A information shall be provided and supplemented with Chapter 23, Guideline I-B video orientation if feasible. Provision shall be made to provide accessible orientation information to all detained Chapter 23, Guideline I-D youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: The agency process for orienting a youth to detention includes initial housing in the Orientation Unit to ensure all aspects of screening, assessment, and evaluations are completed timely and to ensure staff recognize the youth may be experiencing trauma due to the detention. The Orientation Handbook is provided to the youth in intake and reviewed prior to placement in the Orientation Unit, where a ☒ ☐ ☐ more detailed review of expectations, rules and information is provided. We learned when onsite, the agency is considering not using an Orientation Unit as their population and staffing make it difficult to provide necessary supervision throughout all other occupied units. The CDPO will advise BSCC if this change is made. When committed to the VOYA Program, the agency provides an Orientation of unit and program expectations for the longer-term housing. The youth signs an acknowledgement when transferred to the VOYA Unit. The youth also complete a VOYA Tree, articulating the goals the youth have for VOYA and an identifier of the youth’s support system to achieve success. (a) facility rules including contraband and searches and disciplinary procedures; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-1 7439 Sacramento VOYA PRO 23-24 33 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) facility’s system of positive behavior interventions and supports, including behavior expectations, Chapter 23, Guideline II-Procedure A-2 incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-3 harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-4 (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free Chapter 23, Guideline II-Procedure A-5 of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; ☒ ☐ ☐ The agency provides a detailed explanation of this while the youth is in the Orientation Unit. (f) access to legal services and information on the ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-6 court process; . (g) access to routine and emergency health and mental ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-7 health care; (h) access to education, religious services, and ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-8 recreational activities; (i) housing assignments; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-9 (j) opportunity for personal hygiene and daily showers including the availability of personal care items ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-10 7439 Sacramento VOYA PRO 23-24 34 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (k) rules and access to correspondence, visits and telephone use; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-11 (l) availability of reading materials, programming, and other activities; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-12 (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Chapter 23, Guideline II-Procedure A-13 ☒ ☐ ☐ The agency provides a detailed explanation of this while the youth is in the Orientation Unit. (n) immigration legal services; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-14 (o) emergencies including evacuation procedures; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-15 (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-16 other youth and staff; (q) availability of services and programs in a language other than English if appropriate; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-17 (r) the process for requesting different housing, education, programming and work assignments; ☒ ☐ ☐ Chapter 23, Guideline II-Procedure A-18 7439 Sacramento VOYA PRO 23-24 35 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility that Chapter 23, Guideline II-Procedure A-19 at a minimum includes answers to frequently asked questions and provides contact information for the facility, medical, school and mental health; and, A Parent orientation occurs at the facility once ☒ ☐ ☐ a month to allow parents to ask questions and understand the process of each phase of a youth’s time in custody. Additionally, there is a FAQ for Detention on the agency website. (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. Chapter 23, Guideline II-Procedure A-20 ☒ ☐ ☐ There is a copy of Title 15 in each living unit. 1354 SEPARATION The facility administrator shall develop and implement Chapter 24 Separation written policies and procedures that address: The agency policy requires staff to utilize a Program Separation when a youth demonstrates they cannot comply with unit, program, or school rules, resulting in a separation prior to the need for a more restrictive Room Confinement. This type of separation is a withdrawal for group activities but inclusion in receipt of their Title 15 time. ☒ ☐ ☐ There were 669 incidents of Program Separation from July 2022 to September 2023. Our review revealed most separation incidents involved self-separation, referred to in the Activity Tracker as “Down by Choice,” meaning the youths declining a specific activity, or a program separation in the living unit as a sanction for major rule violations. The latter includes youth participation in all required Title 15 requirements but away from or separate from the group for a specific number of hours, typically 2-4 hours. 7439 Sacramento VOYA PRO 23-24 36 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, ☒ ☐ ☐ Chapter 24, Guideline II-A, 1 assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ ☐ ☐ Chapter 24, Guideline II-B, 4 (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Chapter 24, Guideline II-C necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. ☒ ☐ ☐ Chapter 24, Guideline II-B, 2 (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and ☒ ☐ ☐ Chapter 25 Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains Youth on Medical Separation are reviewed necessary. daily by medical staff. Youth on Program ☒ ☐ ☐ Separation as a result of discipline are on the status for 2-4 hours, documented on the Due Process form. 7439 Sacramento VOYA PRO 23-24 37 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Chapter 25 Room Confinement (RC) implement written policies and procedures addressing the confinement of youth in their room that are Operational Order, Room Confinement consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following The policy for placing a youth on RC and the guidelines: documentation is compliant with regulation. Our review revealed 208 youth were placed on RC from July 2022 to September 2023. The incident report is used to record time on and time off, describing the circumstances of the incident and reasons for youth placement in their room. Of the 16 VOYA youth involved in an RC incident, we reviewed 11 incident ☒ ☐ ☐ reports revealing documentation of the reason for placement. Eleven youth were removed in less than an hour, two in less than 2 hours, and three for up to 4 hours. The agency requires separate documentation at 4 hours for Extended RC based on youth not ready to re-join unit programming as they continue to pose a safety and security risk. Of the RC incidents we reviewed, none were on RC for more than four hours. The incident report captures all elements of an incident providing a good picture of what occurred. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Chapter 25, Guideline II-C, 4 and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth Operational Order RC I-A, 4 or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or Chapter 25, Guideline II-D, 1 retaliation by staff. ☒ ☐ ☐ Operational Order RC I-C, 1 7439 Sacramento VOYA PRO 23-24 38 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Room confinement shall not be used to the extent that it compromises the mental and physical health Chapter 25, Guideline II-D, 1 of the youth. ☒ ☐ ☐ Operational Order RC I-C, 2 (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ ☐ ☐ Chapter 25, Guideline III Extended RC confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Chapter 25, Guideline II-F, 1 (2) Consult with mental health or medical staff. ☒ ☐ ☐ Chapter 25, Guideline II-F, 2 (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ Chapter 25, Guideline III-H, 4 the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: ☒ ☐ ☐ Operational Order RC II Extended RC (A) Document the reasons for room confinement and the basis for the extension, the date and time Chapter 25, Guideline II-B the youth was first placed in room confinement, and when he or she is eventually released from Chapter 25, Guideline III-E room confinement. ☒ ☐ ☐ Staff document the placement of a youth on RC and for extended RC in an IR. Both require Administrative approval. (B) Develop an individualized plan that includes the goals and objectives to be met in order to Chapter 25, Guideline III-H, 4 (4 hours) integrate the youth to general population. ☒ ☐ ☐ Chapter 25, Guideline III-K, 3 (Continued RC beyond initial 4-hour extension) 7439 Sacramento VOYA PRO 23-24 39 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) Obtain documented authorization by the facility superintendent or his or her designee Chapter 25, Guideline III-G every four hours thereafter. Chapter 25, Guideline III-J ☒ ☐ ☐ Operational Order RC II-J The Facility Manager must approve this. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth ☒ ☐ ☐ Chapter 25, Guideline II-E, 4 in juvenile facilities and does not apply to normal sleeping hours. Operational Order RC I-D, 3 (6) This section does not apply to youth or wards in court holding facilities or adult facilities. Chapter 25, Guideline II-E, 7 ☒ ☐ ☐ Operational Order RC I-D, 6 (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires Chapter 25, Guideline II-E, 8 Emergencies a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ Operational Order RC I-D, 1 and 7 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 placed in a locked cell or sleeping room to treat and Chapter 25, Guideline II-E, 6 protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 7439 Sacramento VOYA PRO 23-24 40 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN The facility administrator shall develop and implement Chapter 26 Institutional Assessment and written policies and procedures for assessment and Case Plans (IAP) case planning. The agency completes Initial, Follow-up, Transition, and Individual Success Plans (SYTF/VOYA). The plans are created based on all required regulation elements and are updated every 90 days, a change from 30 days last cycle. The plans include information garnered at admission and all programming elements during their stay. Goals and plans to meet ☒ ☐ ☐ them are documented with input from agency partners and the youth. The agency has weekly SN, CBT, and MDT meetings to address youth successes or issues. Our review of the case plans found the assigned Probation Officer includes information to provide direction and encouragement to promote success in the program and/or re-entry. The Individual Success Plans for VOYA youth provide the Court with specific details of the youth’s participation and behaviors during the previous 6 months. (a) Assessment: The assessment is based on information collected Chapter 26, Guideline I-A during the admission process with periodic review, 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: (1) A case plan shall be developed for each youth ☒ ☐ ☐ Chapter 26, Purpose and Scope held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be limited to, written documentation that provides: ☒ ☐ ☐ 7439 Sacramento VOYA PRO 23-24 41 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ ☐ ☐ Chapter 26, Guideline II-B, d (B) a plan for meeting the objectives that includes a description of program resources needed and ☒ ☐ ☐ Chapter 26, Guideline II-B, e individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review and Chapter 26, Guideline II-C discussion of the plan with the youth; Chapter 26, Guideline II-D ☒ ☐ ☐ This policy establishes the requirement for staff to update the Plan every 90 days with input from YDF/VOYA staff, Medical, Mental Health, and Education representatives. (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for Chapter 26, Guideline II-E post dispositional youth in accordance with Section 1351; and, ☒ ☐ ☐ This policy addresses the Post-Dispositional Case Plan. (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed Chapter 26, Guideline II-B, b with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Chapter 26, Guideline II-B, c Disabled. 1356 COUNSELING AND CASEWORK SERVICES The facility administrator shall develop and implement Chapter 27 Caseload and Casework Services written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: The YDF/VOYA staff input all information into ☒ ☐ ☐ the youth’s electronic file in real time. Incident reports, progress and any significant behavior/participation record is recorded to provide information for the IAP and/or Court. 7439 Sacramento VOYA PRO 23-24 42 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) youth will receive assistance with needs or concerns that may arise; Chapter 27, Scope and Purpose ☒ ☐ ☐ Chapter 27, Guideline I-A, 1 (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Chapter 27, Guideline I-A, 2 probation officer, or other public official; and, (c) youth will be provided access to available resources to meet the youth’s needs. Chapter 27, Guideline I-A, 3 ☒ ☐ ☐ Chapter 27, Guideline I-A, 4 1357 USE OF FORCE The facility administrator, in cooperation with the Chapter 28 Use of Force (UF) responsible physician, shall develop and implement written policies and procedures for the use of force, which may include chemical agents. Force shall never Policy reflects a complete and informative be applied as punishment, discipline, retaliation or process for all UF incidents. Staff outline the treatment. type of force used, documenting the (a) At a minimum, each facility shall develop policies and circumstances leading up to the UF, procedures which: response, and timelines for all staff involved, including medical and mental health when appropriate. ALL UF incidents are reviewed by Supervisors and Administration. ☒ ☐ ☐ Our review of 21 UF events, involving 32 youth, revealed the force was per policy and justified by the youth actions. These incidents were not separated to clarify YDF or VOYA but for the total youth population. There were 133 UF events in 2022, 102 using physical/mechanical restraint and 25 including the use of OC Spray. Through September 2023, there have been 198 UF events, 171 using physical/mechanical restraint and 49 including the use of OC Spray. 7439 Sacramento VOYA PRO 23-24 43 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section ☒ ☐ ☐ Chapter 28, Guideline I-A, 1 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options and define ☒ ☐ ☐ Chapter 28, Guideline I-B Force Options when those force options are appropriate. Chapter 28, Guideline I-A, 3 (3) describe force options or techniques that are expressly prohibited by the facility. ☒ ☐ ☐ Chapter 28, Guideline I-A, 3 (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ ☐ ☐ Chapter 28, Guideline XI-B action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for documenting Chapter 28, Guideline VIII Documentation and reporting the use of force, including reporting requirements of management and line staff and Chapter 33 Documentation of Incidents procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. ☒ ☐ ☐ Chapter 28, Guideline X-A, 1 (7) define the role, notification, and follow-up procedures required after use of force incidents for Chapter 28, Guideline III-B, 2 medical, mental health staff and parents or legal guardians. Chapter 28, Guideline III-C ☒ ☐ ☐ Supervisors are tasked with notifying Medial and Mental Health. The Watch Commander is responsible for notifying the parent. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) Chapter 28, Guideline I-C Limitations of and Welfare and Institutions Code Section 222. ☒ ☐ ☐ Pregnant Youth 7439 Sacramento VOYA PRO 23-24 44 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Chapter 28, Guideline VI Chemical Agents (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 ☒ ☐ ☐ Chapter 28, Guideline VI-D, 1 safety of others and only when de-escalation efforts have been unsuccessful or are not reasonably Chapter 28, Guideline VI-D, 2 possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. Chapter 28, Guideline VI-A 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 ☒ ☐ ☐ Chapter 28, Guideline VI-C involving chemical agents for medical, mental health staff and parents or legal guardians. Chapter 28, Guideline IX-A, 2 (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Chapter 28, Guideline IX-A, 2 which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location Chapter 28, Guideline III-B, 2 of use, decontamination procedures applied and identification of any injuries sustained as a result of Chapter 28, Guideline III-C such use. ☒ ☐ ☐ This section outlines the immediate notification of Medical staff and referral to Mental Health, as well as the Supervisor and Watch Commander responsibilities. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training Chapter 4, Guideline I-A, 1-f Core in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: Chapter 4, Guideline II-B Annual (1) known medical and behavioral health conditions that would contraindicate certain types of force; Chapter 4, Guideline I ☒ ☐ ☐ Chapter 4, Guideline II 7439 Sacramento VOYA PRO 23-24 45 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) acceptable chemical agents and the methods of application. Chapter 4, Guideline I ☒ ☐ ☐ Chapter 4, Guideline II (3) signs or symptoms that should result in immediate referral to medical or behavioral health. Chapter 4, Guideline I ☒ ☐ ☐ Chapter 4, Guideline II (4) instruction on the Constitutional Limitations of Use of Force. Chapter 4, Guideline I ☒ ☐ ☐ Chapter 4, Guideline II (5) physical training force options that may require the use of perishable skills. Chapter 4, Guideline I ☒ ☐ ☐ Chapter 4, Guideline II (6) timelines the facility uses to define regular training. Chapter 4, Guideline II-B Annual ☒ ☐ ☐ Staff receive 32 hours of training in UF and Defensive Tactics. 7439 Sacramento VOYA PRO 23-24 46 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Chapter 29 Use of Restraints (UR) responsible physician and mental health director, shall develop and implement written policies and procedures Chapter 29, Purpose and Scope ¶ 2 for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being The agency has used restraints as defined in ambulatory. this regulation, the WRAP, one time since 2019. The incident did not involve a VOYA youth. Youth are escorted to their room in ☒ ☐ ☐ restraints if the circumstances warrant; however, the restraints are removed immediately, per regulation 1358.5. Staff, medical, and behavior health respond timely and the incidents are video recorded. Youth are under constant visual observation and Medical and Mental Health are present. Physical restraints may be used only for those youth who present an immediate danger to themselves or Chapter 29, Purpose and Scope ¶ 3 others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause Chapter 29, Purpose and Scope ¶ 6 ☒ ☐ ☐ 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 discipline, or as a substitute for treatment. The use of Chapter 29, Guideline IV-A restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ Chapter 29, Guideline IV-B 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 handcuffs, shackles or other restraint devices when used Chapter 29, Guideline IV Transportation or to restrain youth for movement or transportation within ☒ ☐ ☐ Movement Within the Facility the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. 7439 Sacramento VOYA PRO 23-24 47 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Youth shall be placed in restraints only with the approval of the facility manager or designee. The facility manager Chapter 29, Purpose and Scope ¶ 3 may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints Chapter 29, Guideline IX-A shall be reviewed and documented at a minimum of every hour. Chapter 29, Guideline IX-J ☒ ☐ ☐ If a youth is in restraints longer than 15 minutes, Supervisor or Administrative approval is required. Our review of the solo incident revealed the youth was in the WRAP for under two hours. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no Chapter 29, Guideline IX-K, 1 later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from the Chapter 29, Guideline IX-K, 2 time of placement, to assess the need for mental health ☒ ☐ ☐ treatment. Chapter 29, Guideline IX-K, 3 Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and Chapter 29, Guideline IX-C 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 procedures shall address: ☒ ☐ ☐ Chapter 33, Guideline E-1 (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate certain restraint devices and/or techniques. ☒ ☐ ☐ Chapter 29, Guideline III-A, 2 (c) acceptable restraint devices. Chapter 29, Guideline II-A, 1 ☒ ☐ ☐ Chapter 29, Guideline II-A, 2 7439 Sacramento VOYA PRO 23-24 48 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) signs or symptoms which should result in immediate medical/mental health referral. Chapter 29, Guideline III-A, 2 ☒ ☐ ☐ Chapter 29, Guideline IX-B (e) availability of cardiopulmonary resuscitation equipment. ☒ ☐ ☐ Chapter 29, Guideline IX-F (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ Chapter 29, Guideline IX-D specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Chapter 29, Guideline IX-G (h) exercising of extremities. ☒ ☐ ☐ Chapter 29, Guideline IX-I 7439 Sacramento VOYA PRO 23-24 49 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Chapter 29, Guideline VI Transportation or WITHIN THE FACILITY. Movement in the Facility The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health director, shall develop and implement written policies We reviewed numerous UF events and found and procedures for the use of restraint devices when the staff used Physical or Mechanical restraints purpose is for movement or transportation within the 273 times of the 331 events. The agency has facility that shall include the following: ☒ ☐ ☐ no way other than to hand count mechanical vs physical restraint. The IT division will create a tracking mechanism moving forward. Of the 21 UF events we read, involving 39 youth, 17 were placed in mechanical restraints prior to movement to their room. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Chapter 29, Guideline II-A, 1-a through d training. Chapter 29, Guideline II-A, 2-b and c Chapter 4, Guideline II-A and B ☒ ☐ ☐ The above policies reflect acceptable restraint devices and required training. (b) the circumstances leading to the application of restraints must be documented. ☒ ☐ ☐ Chapter 29, Guideline VII Documentation (c) an individual assessment of the need to apply restraints for movement or transportation that includes Chapter 29, Guideline IV-A, 1 through 4 consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ Chapter 29, Guideline VII health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint devices Chapter 29, Guideline IV-A, 1 shall not be used for the purposes of discipline or retaliation. ☒ ☐ ☐ Chapter 29, Guideline IV-A, 2 Chapter 29, Guideline VI-A, 1 7439 Sacramento VOYA PRO 23-24 50 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Chapter 43, Guideline I-B, 2 Welfare and Institutions Code Section 222. ☒ ☐ ☐ Chapter 43, Guideline I-B, 3 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in Chapter 30 Safety Room Procedures cooperation with the responsible physician, shall develop and implement written policies and procedures Chapter 30, Purpose and Scope ¶ 2 governing the use of safety rooms, as described in Title Chapter 30, Purpose and Scope ¶ 3 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 The agency has had 13 safety cell placements which results in the destruction of property, or reveals since July 2022, involving 8 youth. Our review the intent to cause self-inflicted physical harm. A safety of the incident report, corresponding room shall not be used for punishment or discipline, or discussions with Behavior Health, and as a substitute for treatment. Policies and procedures timelines revealed compliance with regulation. shall: Twelve incidents were for self-harming ☒ ☐ ☐ behavior and the other for destruction of property in and out of the youth’s room. No incident involved a VOYA youth. Documentation was detailed, including timely entries and response from agency partners. Four youth were removed in less than an hour, seven in under 2 hours, one in 2 hours, 31 minutes and the last in 3 hours, 20 minutes. Behavior Health was ever present and assisted staff in getting the youth back in their own room as quickly as possible. (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ Chapter 30, Guideline I-B clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☒ ☐ ☐ Chapter 30, Guideline I-A room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☒ ☐ ☐ Chapter 30, Guideline I-C staff interventions every 15 minutes, with actual time recorded; 7439 Sacramento VOYA PRO 23-24 51 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; ☒ ☐ ☐ Chapter 30, Guideline I-F (5) provide for immediate medical assessment, where appropriate, or an assessment at the next Chapter 30, Guideline I-D daily sick call; and, ☒ ☐ ☐ Policy is more prescriptive than regulation in that medical is required within 1 hour. (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☒ ☐ ☐ Chapter 30, Guideline I-A means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☒ ☐ ☐ Chapter 30, Guideline II-A exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ Chapter 30, Guideline II-B staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☒ ☐ ☐ Chapter 30, Guideline II-C youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room ☒ ☐ ☐ Chapter 30, Guideline II-D for a period of four hours, staff shall do one or more of the following: ☒ ☐ ☐ Chapter 30, Guideline II-D, a (1) return the youth to general population. ☒ ☐ ☐ Chapter 30, Guideline II-D, b (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ Chapter 30, Guideline II-D, c the youth to general population. 7439 Sacramento VOYA PRO 23-24 52 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized Chapter 30, Guideline II-E plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement Chapter 31 Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures Chapter 31, Guideline IV Housing, Unit and shall provide that: Room Searches ☒ ☐ ☐ Chapter 31, Guideline X Facility Searches Chapter 38, Guideline IV Visitor Searches Operations Order, Body Scanner (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Chapter 31, Purpose and Scope ¶ 2 staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ Chapter 31, Purpose and Scope ¶ 1 searched and shall not be conducted for harassment or as a form of discipline or punishment. Chapter 31, Purpose and Scope ¶ 4 7439 Sacramento VOYA PRO 23-24 53 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Chapter 31, Purpose and Scope ¶ 5 Chapter 31, Guideline II Chapter 31, Guideline IV Chapter 31, Guideline V These policy sections reference Strip and Visual Body Cavity Searches. The policy delineates a strip search in a 1-8 category: a less intrusive search with visual inspection, and a 9-12 search which includes a visual body cavity search. The agency conducted 729 strip searches, level 1-8, and no strip ☒ ☐ ☐ searches level 9-12, from January 2022 to date of inspection. Our review revealed the agency completes the Strip Search form even when staff are not requesting a strip search. We provided technical assistance to have staff only complete a Strip Search Authorization form when they are requesting the search. Our review of 26 completed strip searches, indicated all were justified based on circumstances known at intake. (d) Physical body cavity searches shall only be conducted by a medical professional. Chapter 31, Purpose and Scope ¶ 5 Chapter 31, Guideline III-B, 6 ☒ ☐ ☐ Physical Body Cavity Searches are prohibited. (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Chapter 31, Purpose and Scope ¶ 6 when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing Chapter 31, Guideline II-A contraband. The reasonable suspicion shall be documented. 7439 Sacramento VOYA PRO 23-24 54 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Searches of transgender and intersex youth shall comply with Section 1352.5. Chapter 22, Guideline IV Searches of ☒ ☐ ☐ Transgender and Intersex Youth (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when Chapter 31, Guideline II-B Pat Search conducted by a medical professional. Such searches ☒ ☐ ☐ must be justified and documented in writing. Chapter 31, Guideline II-B, 4 Strip Search 7439 Sacramento VOYA PRO 23-24 55 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Chapter 33 Grievances written policies and procedures whereby any youth may appeal and have resolved grievances relating to any Chapter 33, Guideline I-A condition of confinement, including but not limited to Chapter 33, Guideline I-B health care services, classification decisions, program participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or There were 42 Formal Grievances filed from violations of the nondiscrimination policy. There shall be January 2022 to September 2023, resulting in no time limit on filing grievances. Policies and referral to the Internal Affairs Unit within the procedures shall include provisions whereby the facility agency. The facility is able to track a youth’s manager ensures: location in the facility through the electronic activity tracker, therefore, this tracker and video are reviewed by supervising staff to verify the youth’s statements. We reviewed the seven formal grievances filed in December 2022, January 2023, and July 2023. Each has been resolved and, although not within the regulation timeframe, youth were noticed the investigation into their grievance would take longer than 10 days. In each instance, the youth signed indicating their understanding of the time default. ☒ ☐ ☐ Our review of informal grievances (Your Voice) for the months of December 2022 (134), January 2023 (140), and July 2023 (104) revealed youth use this process as an informal inquiry for a myriad of reasons, some including: conditions of confinement such as point loss for minor rule violations, requests to see their attorney or probation officer, scheduling of visits, and things which would best be handled outside of the grievance process. These numbers are very high and staff intensive as they use the Grievance form. We provided technical assistance to have youth communicate with staff regarding issues of process, not a condition of confinement, to alleviate some of the paperwork. Also, to have review of processes weekly so youth have a better understanding of how to complete some activities without using the Grievance process. We note the agency continues to receive and resolve grievances within one day except for those referred to the IA Unit. Agency partner 7439 Sacramento VOYA PRO 23-24 56 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS grievances are resolved within the regulation timeline. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ Chapter 33, Guideline I-C have free access to the form; (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Chapter 33, Guideline II-B supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Chapter 33, Purpose and Scope (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances ☒ ☐ ☐ Chapter 33, Guideline II-D that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain his/her version of the grievance to a person not Chapter 33, Guideline II-F directly involved in the circumstances which led to the grievance. ☒ ☐ ☐ Chapter 33, Guideline II-F, 2-a Chapter 33, Guideline II-F, 2-c (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ Chapter 33, Guideline II-A (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Chapter 33, Guideline III-A, 5 (f) a system which provides that any appeal of a grievance shall be heard by a person not directly ☒ ☐ ☐ Chapter 33, Guideline IV-A involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer ☒ ☐ ☐ Chapter 33, Guideline II-D time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Chapter 33, Guideline I-C 7439 Sacramento VOYA PRO 23-24 57 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be ☒ ☐ ☐ Administrative Policy Reference: Citizen addressed and documented in accordance with written Complaint policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Chapter 33 Documentation of Incidents 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 DNA SPECIMENS, SAMPLES, IMPRESSIONS Chapter 28, Guideline VII-A DNA Specimen, (a) Pursuant to Penal Code Section 298.1 authorized Sample and Impression law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force to collect blood specimens, saliva samples, and thumb The facility policy allows staff to use force to or palm print impressions from individuals who are ☒ ☐ ☐ collect DNA; however, the practice is this does required to provide such samples, specimens or not occur. If necessary, staff use the policy for impressions pursuant to Penal Code Section 296 and Cell Extraction if a youth declines to submit who refuse following written or oral request. after a request for voluntary compliance and advising the youth of the Court consequences for failing to comply. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that Chapter 28, Guideline VII-B, 1 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 Chapter 28, Guideline VII-B, 1 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 Chapter 28, Guideline VII-B, 1 authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. 7439 Sacramento VOYA PRO 23-24 58 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Video Chapter 28, Guideline V-B, a shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ Chapter 28, Guideline V-B, b length of time required by statute. Notwithstanding the use of the video as evidence in a court Chapter 28, Guideline V-B, c proceeding, the tape shall be retained Chapter 28, Guideline V-B, d administratively. 7439 Sacramento VOYA PRO 23-24 59 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot 1370 EDUCATION PROGRAM (a) School Programs Chapter 34 Education The County Board of Education shall provide for the Chapter 34, Guideline I-A, 1 administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee Chapter 34, Guideline I-A, 2 pursuant to applicable State laws. The school and facility Chapter 34, Guideline I-A, 3 administrators shall develop and implement written policy and procedures to ensure communication and Chapter 34, Guideline I-A, 4 coordination between educators and probation staff. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education The Sacramento County Office of Education staff should collaborate with the facility administrator to operates the El Centro Junior and Senior High use technology to facilitate learning and ensure safe School for YDF youth. Staffing includes the technology practices. The facility administrator shall Director of Court and Community Schools, a request an annual review of each required element of the Principal, an Assistant Principal, 13 teachers, program by the Superintendent of Schools, and a report 4 Transition Specialist, 1 counselor, 2 Special or review checklist on compliance, deficiencies, and Ed Specialist, a Para teacher, and a school corrective action needed to achieve compliance with this psychologist. section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall Youth in junior or senior high school are conduct this review in conjunction with a qualified outside afforded the opportunity for credit recovery agency or individual. Upon receipt of the review, the and tutoring, use of Chrome books for lesson facility administrator or designee shall review each item enhancement, life skill development, and with the Superintendent of Schools and shall take independent living/transition planning. SCOE whatever corrective action is necessary to address each ☒ ☐ ☐ works with probation to ensure the best option deficiency and to fully protect the educational interests of for youth in-custody and upon release. all youth in the facility. We spoke with the school principal who has implemented a varied and comprehensive curriculum, including several post-secondary education and vocation opportunities for youth. On the day of the inspection, 101 of the 185 youth were graduates. A transition specialist works with youth to enroll students in South Lake Tahoe Community College, and the OE is working to increase the options by contracting with Los Rio Community College to assist in potential transition services closer to home. Due to that age and opportunities for youth in post- graduation with an AA Degree, the agency continues to pursue enrollment at California State University, Sacramento. Project Rebound is working with Probation and the Office of Education to facilitate this transitional program for youth who have achieved graduation from high school and community college while still in custody. 7439 Sacramento VOYA PRO 23-24 60 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS While on-site, we attended a graduation ceremony for 3 youth, whose families were in attendance, as well as a Sacramento County Board of Supervisor, the Superintendent of the Sacramento County Office of Education and others. The vocational program opportunities include a culinary program and construction program, both of which allow youth to learn skills outside the classroom. (b) Required Elements The facility school program shall comply with the State Chapter 34, Guideline I-B, 1 Education Code and County Board of Education policies, Chapter 34, Guideline I-B, 2 all applicable federal education statutes and regulations and provide for an annual evaluation of the educational Chapter 34, Guideline I-B, 3 program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education program shall be free from discriminatory action. Staff Chapter 34, Guideline I-B, 4 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 Education Code and include, but not be limited to, ☒ ☐ ☐ Chapter 34, Guideline I-B, 5 courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ Chapter 34, Guideline I-B, 6 Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ Chapter 34, Guideline I-B, 7 (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Chapter 34, Guideline I-B, 8 Education, shall be made available when possible. 7439 Sacramento VOYA PRO 23-24 61 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress towards ☒ ☐ ☐ Chapter 34, Guideline I-B, 9 grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court Chapter 34, Guideline I-B, 10 schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of YDF continues to offer 285 minutes of class or educational instruction, both excused and instruction on average each day. unexcused, shall be documented. (7) Education shall be provided to all youth regardless of classification, housing, security status, disciplinary Chapter 34, Guideline I-B, 11 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 (1) Positive behavior management will be Chapter 34, Guideline I-C, 1 implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect the ☒ ☐ ☐ Chapter 34, Guideline I-C, 2 educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school Chapter 34, Guideline I-C, 3 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. (4) The facility administrator, in conjunction with education staff will develop policies and procedures Chapter 34, Guideline I-C, 4-a that address the rights of any student who has continuing difficulty completing a school day. Chapter 34, Guideline I-C, 4-b ☒ ☐ ☐ Chapter 34, Guideline I-C, 4-c Chapter 34, Guideline I-C, 4-d 7439 Sacramento VOYA PRO 23-24 62 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Chapter 34, Guideline I-D, 1 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 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ Chapter 34, Guideline I-D, 2 federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's Chapter 34, Guideline I-E, 1 educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ Chapter 34, Guideline I-E, 1-a (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Chapter 34, Guideline I-E, 1-b (C) Needs and services of special populations as defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. Chapter 34, Guideline I-E, 1-c (D) Discipline problems. ☒ ☐ ☐ Chapter 34, Guideline I-E, 1-d (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Chapter 34, Guideline I-E, 2 levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ within five school days. Chapter 34, Guideline I-E, 1 (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), including, but not Chapter 34, Guideline I-E, 4 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. 7439 Sacramento VOYA PRO 23-24 63 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ Chapter 34, Guideline I-F, 1 placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in Chapter 34, Guideline I-F, 2 accordance with the State Education Code. (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies Chapter 34, Guideline I-G, 1 and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an 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 (1) The school and facility administrator should, whenever possible, collaborate with local post- Chapter 34, Guideline I-H, 1 ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7439 Sacramento VOYA PRO 23-24 64 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 35 Programs, Recreation and The facility administrator shall develop and implement Exercise ¶ 2: Purpose and Scope written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or A Program Memorandum was completed by their bed area. Chief Deputy Brandi Curry dated October 13, 2023. The memo verifies the programs provided to youth are current, relevant, and appropriate for the population. The varied opportunities are vast and allow the youth to receive specific programming based on their identified needs while in custody and re-entry services as they exit the facility. One change to the operational component of programming is the addition of Tablets. Each youth is assigned a tablet after being in custody for 5 days, with their own password and content allowance. This is a privilege and use is based on daytime activities, recreation time, and behavior. The Office of Education, community ☒ ☐ ☐ volunteers, agency partners, and department staff facilitate all programs listed below. Youth are referred to programs based on their needs or request. Opportunities include: Another Choice Another Way; Anti-Recidivism Coalition; Art With Milton Bowens; AVID (Advancement Via Individual Determination); Barbershop Program; Beautiful Evolutions; Book Club; Boys & Girls Club; Bridge Network; Burning Bush Moments; Capacity Changers; (ATV); Chaplaincy Program; Culinary; Earth Mama and Healing; El Centro Jr. / Sr. High School; Foster Grandparents; Garden Program; Gang Awareness & Prevention (G.A.P.); Graduate Program; Improve Your Tomorrow; Just Beginnings; Leadership Development Program; Leadership Education Athletic Program (LEAP); Life Skills; Library; LINKS Mentoring Program; Mentor Academy Program; Multi-Sensory De-escalation Room (MSDR); Northern California Construction and Training (NCCT); Parent Orientation Night; Pet Partners; Peer Mentor; Project Me; Project Teach; Reaching Back to our Youth; Real Talk: Sessions with a Crowned Life; 7439 Sacramento VOYA PRO 23-24 65 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Sacramento Mandarin Music Academy; SBTP; Self-Awareness and Recovery; Skills Training Enrichment Program (STEP); Scholars Obtaining Academic Responsibility (SOAR); Stanford Sierra Youth Families; Swim Program; The Beat Within; Trauma Informed Care Units; WEAVE; Who’s This, What’s That? Multi-Cultural Journey; UC Davis CAARE; VOYA Employment Program; YDF Gives Back; Yoga; and 916 INK Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Chapter 35, Purpose and Scope ¶ 1 hours a day during the week and five hours a day each ☒ ☐ ☐ 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 exercise may be suspended only upon a written finding Chapter 35, Procedure II-C by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. Chapter 35, Guideline I-A We reviewed the Program Schedule for each ☒ ☐ ☐ living unit. Youth have a great deal of time out of their room to participate in ongoing activities. The introduction of the Tablets has been successful. There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Chapter 35, Guideline I-A ensure content offered is current, consistent, and relevant to the population. ☒ ☐ ☐ A memorandum outlining the programs offered to youth was completed on October 13, 2023, by CDPO Brandi Curry. 7439 Sacramento VOYA PRO 23-24 66 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Chapter 35, Guideline I-B, 1 include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are Chapter 35, Guideline I-B, 2 culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce Chapter 35, Guideline I-B, 3 recidivism. These programs should be based on the Chapter 35, Guideline I-B, 4 youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Chapter 35, Guideline I-C, 1 activities such as leisure reading, letter writing, and ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. 7439 Sacramento VOYA PRO 23-24 67 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 35, Guideline I-C, 2 each day. ☒ ☐ ☐ Large Muscle Exercise is facilitated by the Sacramento County Office of Education on school days. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and Chapter 35, Guideline I-A programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to religious Chapter 36 Religious Program services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if YDF provides one hour of religious services he/she elects not to participate in religious programs. each week and has a Chaplain onsite every Religious programs shall provide for: day. (a) opportunity for religious services and practices; ☒ ☐ ☐ Chapter 36, Guideline A (b) availability of clergy; and, ☒ ☐ ☐ Chapter 36, Guideline C (c) availability of religious diets. ☒ ☐ ☐ Chapter 36, Guideline D 7439 Sacramento VOYA PRO 23-24 68 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1373 WORK PROGRAM The facility administrator shall develop policies and Chapter 37 Work Program procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth shall be meaningful, constructive and related to YDF allows for youth to participate in unit vocational training or increasing a youth's sense of details, as well as around the facility perimeter responsibility. Work programs shall not be imposed as a and in the community. disciplinary measure ☒ ☐ ☐ VOYA youth are able to ‘work’ as a Peer Mentor, Utility Porter, Landscape and Garden Technician, Library Technician, Student Tutor, and a Youth Development Professional with the Boys and Girls Club. 1374 VISITING The facility administrator shall develop and implement Chapter 38 Visiting written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Chapter 38, Guideline I receive visits by parents, guardians or persons standing Chapter 38, Guideline II-A in loco parentis, and children of youth. Other family members, such as grandparents and siblings, and Chapter 38, Guideline II-B supportive adults, may be allowed to visit with the Chapter 38, Guideline II-C approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. The facility allows approved visitors to come ☒ ☐ ☐ to the facility 7 days each week from 8am to 8pm. Youth in the VOYA and Max units have no- contact visits based on their classification. We provided technical assistance to evaluate post-dispositional youth and those in detention for long periods of time individually to allow for contact visits when appropriate. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. Chapter 38, Guideline I Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, Chapter 38, Guideline II-D whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. 7439 Sacramento VOYA PRO 23-24 69 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but conversations Chapter 38, Guideline I shall not be monitored unless there is a security or safety need. ☒ ☐ ☐ Each youth is allowed a 45-minute visit each day, with opportunities of 5 hours and 15 minutes of visits each week. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, shall Chapter 38, Guideline II-A, 5 Special Visits be accommodated as necessary and within the 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. ☒ ☐ ☐ Chapter 38 Purpose and Scope 1375 CORRESPONDENCE The facility administrator shall develop and implement ☒ ☐ ☐ Chapter 39 Correspondence written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth may send or receive; ☒ ☐ ☐ Chapter 39, Guideline I-A (b) youth may send two letters per week postage free; Chapter 39 Purpose and Scope ☒ ☐ ☐ YDF has no limitation on mail. (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder of Chapter 39, Guideline I-B 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, 7439 Sacramento VOYA PRO 23-24 70 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) incoming and outgoing mail, other than that described in (c), may be read by staff only when there is reasonable Chapter 39, Guideline I-C cause to believe facility safety and security, public safety, or youth safety is jeopardized. ☒ ☐ ☐ Chapter 39, Guideline I-D Chapter 39, Guideline I-E 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop ☒ ☐ ☐ Chapter 40 Telephone Access and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written procedures ☒ ☐ ☐ Chapter 41 Access to legal Services 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 attorneys and their authorized representatives; ☒ ☐ ☐ Chapter 41, Guideline ¶ 1 (b) provision for confidential consultation with attorneys; and, ☒ ☐ ☐ Chapter 41, Guideline ¶ 1 (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. ☒ ☐ ☐ Chapter 41, Guideline ¶ 2 1390 DISCIPLINE The facility administrator shall develop and implement Chapter 42 Discipline and Discipline Process 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; ☒ ☐ ☐ Chapter 42, Guideline I-A, 1 7439 Sacramento VOYA PRO 23-24 71 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) daily shower, access to drinking fountain, toilet and ☒ ☐ ☐ Chapter 42, Guideline I-A, 2 personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Chapter 42, Guideline I-A, 3 (d) contact with parent or attorney; ☒ ☐ ☐ Chapter 42, Guideline I-A, 4 (e) exercise; ☒ ☐ ☐ Chapter 42, Guideline I-A, 5 (f) medical services and counseling; ☒ ☐ ☐ Chapter 42, Guideline I-A, 6 (g) religious services; ☒ ☐ ☐ Chapter 42, Guideline I-A, 7 (h) clean and sanitary living conditions; ☒ ☐ ☐ Chapter 42, Guideline I-A, 8 (i) the right to send and receive mail; ☒ ☐ ☐ Chapter 42, Guideline I-A, 9 (j) education; and, ☒ ☐ ☐ Chapter 42, Guideline I-A, 10 (k) rehabilitative programming. ☒ ☐ ☐ Chapter 42, Guideline I-A, 11 7439 Sacramento VOYA PRO 23-24 72 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct of youth. Chapter 42 Purpose and Scope Such rules and penalties shall include both major violations and minor violations, be stated simply and Chapter 42, Guideline I affirmatively, and be made available to all youth. Provision shall be made to provide accessible information Chapter 42, Guideline II to youth with disabilities, limited English proficiency, or Chapter 42, Guideline III limited literacy. ☒ ☐ ☐ These sections identify major and minor rules as well as sanctions. Rules are posted in the living units and identified in the Resident Handbook. 7439 Sacramento VOYA PRO 23-24 73 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Chapter 42, Guideline IV written policies and procedures for the administration of discipline which shall include, but not be limited to: The agency process allows for progressive and fair sanctions, which include: Program Separation or referral to the Skill Building Unit. Because the agency has an Orientation Unit, some youth have been referred back to that unit for a re-review of program rules and components for success. Youth will lose points for the incident and may have an early bedtime based on minor incidents of behavior. Our review revealed the agency had 619 youth involved in Major Rule Violations resulting in the issuance of Due Process. This number is in line with the total UF events as ☒ ☐ ☐ more youth are involved in a single incident most of the time. The facility average daily population during this period was between 140 and 160 youth in custody. The average number of Due Process monthly is approximately 30. The form and requirement for youth signature throughout the process targets compliance. It is rare that VOYA youth participate in major rule violations as their release dates are determined by behavior. The comprehensive Individual Service Plans reflect successes in the program as well as incidents of major and minor rule violations. (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ Chapter 42, Purpose and Scope ¶ 3 (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Chapter 42, Purpose and Scope ¶ 3 7439 Sacramento VOYA PRO 23-24 74 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) definition of major and minor rule violations and their consequences, and due process requirements; Chapter 42, Guideline II-B (Minor Rules) ☒ ☐ ☐ Chapter 42, Guideline II-C (Major Rules) (d) trauma-informed approaches and positive behavior interventions; ☒ ☐ ☐ Chapter 42, Purpose and Scope ¶ 1 (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct Chapter 42, Guideline III imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall be documented and require the following: ☒ ☐ ☐ Chapter 42, Guideline IV-B (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Chapter 42, Guideline IV-B, 1 (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Chapter 42, Guideline IV-B, 2 learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ Chapter 42, Guideline IV-B, 3 incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ Chapter 42, Guideline IV-B, 4 evidence and testimony; (5) provision for youth to be assisted by staff in the ☒ ☐ ☐ Chapter 42, Guideline IV-B, 5 hearing process; Chapter 42, Guideline IV-B, 6 (6) provision for administrative review. ☒ ☐ ☐ Chapter 42, Guideline V Appeal Process 7439 Sacramento VOYA PRO 23-24 75 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) violations that result in a removal from camp or commitment program, but not a return to court, will ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE DISEASES. Sacramento County Probation Department The health administrator/responsible physician, in Youth Detention Facility (SCPD-YDF) Policy cooperation with the facility administrator and the local and Procedure 1410: Management of health officer, shall develop written policies and Communicable Diseases procedures to address the identification, treatment, control and follow-up management of communicable ☒ ☐ ☐ diseases. The policies and procedures shall address, County of Sacramento Department of Health but not be limited to: Services Division of Primary Health (SCHS- DPH): Infection Prevention and Control Program SCHS-DPH: Ectoparasitic Infections SCHS-DPH Procedure A(6) Screening SCHS-DPH Procedure A(7) Treatment and Case Management (a) Intake health screening procedures; ☒ ☐ ☐ SCHS-DPH Attachment 6: COVID-19 Exposure Plan SCHS-DPH: Ectoparasitic Infections A(1) SCHS-DPH Procedure A(6) Screening SCHS-DPH Procedure A(7) Treatment and Case Management (b) Identification of relevant symptoms; ☒ ☐ ☐ SCHS-DPH Attachment 6: COVID-19 Exposure Plan B(1) SCHS-DPH: Ectoparasitic Infections A(1) SCHS-DPH Attachment 6: COVID-19 (c) Referral for medical evaluation; ☒ ☐ ☐ Exposure Plan 7439 Sacramento VOYA PRO 23-24 76 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SCHS-DPH: Ectoparasitic Infections A(2) SCHS-DPH Attachment 6: COVID-19 (d) Treatment responsibilities during detention; ☒ ☐ ☐ Exposure Plan B(3) and (4) SCHS-DPH Immunizations (e) Coordination with public and private community- ☒ ☐ ☐ SCHS-DPH Procedure A(8) Reporting based resources for follow-up treatment; SCHS-DPH Procedure A(8) Reporting (f) Applicable reporting requirements; and, ☒ ☐ ☐ SCHS-DPH Procedure A(9) Disease Outbreak protocols. SCHS-DPH Procedure A(9) Disease (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Outbreak protocols. The policies and procedures shall be updated as necessary to reflect communicable disease priorities Sacramento County YDF provides training, identified by the local health officer and currently all PPE and cleaning requirements, and recommended public health interventions. addresses testing and isolation protocols at ☒ ☐ ☐ admission. Their policies are based on the provided medical care services via Correctional Medical Service staff in coordination with county public health. 7439 Sacramento VOYA PRO 23-24 77 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 1353, II-A, 7 The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to Resident Handbook, p.18 establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. We found it important to note that there is one Sacramento County Youth in the Pinegrove Fire Camp, but still under the jurisdiction of the ☒ ☐ ☐ Sacramento County Court. Medical staff at the YDF reported there are no daily medical services at Pinegrove and if a youth becomes ill, they are triaged and returned to their county for medical- and dental-related care. Staff distribute medications and sick calls are referred to medical staff not on site at the facility. 1480 STANDARD FACILTY CLOTHING ISSUE The youth’s personal clothing, undergarments and Chapter 52, Purpose and Scope - Clothing footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and tears. ☒ ☐ ☐ Chapter 52, Purpose and Scope ¶1 (b) The standard issue of climatically suitable clothing ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Chapter 52, Purpose and Scope ¶1 (2) Outer garments; ☒ ☐ ☐ Chapter 52, Purpose and Scope ¶1 (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; Chapter 52, Purpose and Scope ¶2 ☒ ☐ ☐ The youth’s undergarments are exchanged daily and returned to youth. 7439 Sacramento VOYA PRO 23-24 78 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. ☒ ☐ ☐ Chapter 52, Purpose and Scope ¶2 (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried ☒ ☐ ☐ Verified by Environmental Health Inspection. completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Chapter 52, Purpose and Scope ¶3 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement Chapter 52, Purpose and Scope ¶1 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 PERSONAL CLOTHING Chapter 55, Control and Containment of There shall be written policies and site-specific Vermin on Resident Clothing and Bedding procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS There shall be written policies and site-specific Chapter 56 Personal Hygiene procedures developed and implemented by the facility administrator for the availability of personal hygiene Chapter 56, I-B ☒ ☐ ☐ 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; ☒ ☐ ☐ Chapter 56, I-A (b) Toothpaste; ☒ ☐ ☐ Chapter 56, I-A 7439 Sacramento VOYA PRO 23-24 79 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Soap; ☒ ☐ ☐ Chapter 56, I-C (d) Comb; ☒ ☐ ☐ Chapter 56, I-A (e) Shaving implements; ☒ ☐ ☐ Chapter 56, I-D (f) Deodorant; ☒ ☐ ☐ Chapter 56, I-A (g) Lotion; ☒ ☐ ☐ Chapter 56, I-C (h) Shampoo; and, ☒ ☐ ☐ Chapter 56, I-C (i) Post-shower conditioning hair products. ☒ ☐ ☐ Chapter 56, I-C Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap Chapter 56, Last paragraph P.1 provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 7439 Sacramento VOYA PRO 23-24 80 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1486 PERSONAL HYGIENE There shall be written policies and site specific Chapter 56, I-E procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Youth shall have access to a razor daily, unless their Chapter 56, I-D appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Hair care services shall be available in all juvenile Chapter 56, I-F facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State ☒ ☐ ☐ The agency is having difficulty contracting Board of Barbering and Cosmetology. barber services. We provided technical assistance on contacting local barber shops and salons for volunteer services. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good Chapter 54 Bedding, Linens and Clothing repair, shall be provided for each youth entering a living ☒ ☐ ☐ Supply and Issue 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 Chapter 54, I-A regulations; ☒ ☐ ☐ Chapter 54, O-C, 1 (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ Chapter 54, I-C, 1 (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Chapter 54, I-B, 1-a 7439 Sacramento VOYA PRO 23-24 81 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) One towel; and, ☒ ☐ ☐ Chapter 54, I-B, 2 Chapter 54, I-B, 1 (e) One blanket or more, up on request ☒ ☐ ☐ Youth may receive 2 additional blankets upon request. 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement Chapter 54, I-B, 1-a through c 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 once a month. ☒ ☐ ☐ Chapter 54, I-B, 1-b 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Chapter 57 Sanitation, Safety and The facility administrator shall develop and implement Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, Chapter 86 Housekeeping and Maintenance repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7439 Sacramento VOYA PRO 23-24 82 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☒ ☐ 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 7439 Sacramento VOYA PRO 23-24 83 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot 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 7439 Sacramento VOYA PRO 23-24 84 of 84 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018 BSCC Code: 7437 7439 FACILITY NAME: Sacramento County Youth Detention Facility (YDF) FACILITY TYPE: JH/SYTF Valley Oaks Youth Academy (VOYA) 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): X X X FIELD REPRESENTATIVE: Elizabeth Gong DATE: October 15, 2023 TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.1 Reception/intake admission. In each juvenile hall, space used for the reception of ☒ ☐ ☐ youth pending admission to juvenile hall shall have the following space and equipment: 1.Weapons lockers as specified in Section 1230.2.9; ☒ ☐ ☐ 2.A secure room for the confinement of youth pending admission to juvenile hall as specified in Section There are six rooms in booking that are non- 1230.1.2; rated space. In each juvenile hall, camp and ranch, space used ☒ ☐ ☐ for the reception of youth pending admission to these facilities shall have the following space and equipment: 3.Access to a shower; ☒ ☐ ☐ There are two showers in the intake area. 4.A secure vault or storage space for youth, valuables; The facility has storage for all in-custody youth ☒ ☐ ☐ in the intake area. 5.Telephone accessible to youth; and ☒ ☐ ☐ There are two phones in the intake area. 6.Access to hot and cold running water for staff use. ☒ ☐ ☐ 1230.1.2 Locked holding room. There are 6 secure holding rooms in the intake ☒ ☐ ☐ A locked holding room shall: area. 1. Contain a minimum of 15 square feet of floor area ☒ ☐ ☐ per youth; 2. Provide no less than 45 square feet of floor space ☒ ☐ ☐ and have a clear ceiling height of 8 feet or more; 3. Contain seating to accommodate all youth as ☒ ☐ ☐ specified in Section 1230.2.8; 4. Be equipped with a toilet, wash basin, mirror and drinking fountain unless as specified in Section There are combo units in each holding room. 1230.2, unless a procedure is in effect to give the ☒ ☐ ☐ youth access to a toilet, wash basin and drinking fountain; 5.Maximize visual supervision of youth by staff; and ☒ ☐ ☐ 6.Have an outward swinging or lateral sliding door. ☒ ☐ ☐ 7437 7439 Sacramento Probation PHY 23-24 -1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.3 Natural light. Outer-facing exterior windows where youth’s privacy is not at risk shall be provided in locked sleeping rooms, single occupancy sleeping rooms, double occupancy ☒ ☐ ☐ sleeping rooms, dormitories and dayrooms. Natural light may be provided by, but is not limited to, skylights or windows in dayrooms, windows in adjacent exterior exercise areas, and in sleeping rooms and/or dormitories. 1230.1.4 Corridors ☒ ☐ ☐ Corridors in living areas shall be at least eight feet wide. 1230.1.5 Living unit. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy ☒ ☐ ☐ sleeping rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention or ☒ ☐ ☐ other action if needed. In juvenile halls, the number of youth housed in a living unit shall not exceed 30. 1230.1.6 Locked sleeping rooms. Locked sleeping rooms shall be equipped with an ☒ ☐ ☐ individual or combination toilet, wash basin, mirror and drinking fountain. Doors to locked sleeping rooms shall swing outward or ☒ ☐ ☐ slide laterally. 1230.1.7 Single occupancy sleeping rooms. Single occupancy sleeping rooms shall provide the ☒ ☐ ☐ following: 1. A minimum of 70 square feet of floor area; 2. A minimum ceiling height of eight feet; and, ☒ ☐ ☐ 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a ☒ ☐ ☐ minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. ☒ ☐ ☐ 1230.1.8 Double occupancy sleeping rooms. Double occupancy sleeping rooms shall provide the ☒ ☐ ☐ following: 1. A minimum of 100 square feet of floor area; 2. A minimum clear ceiling height of 8 feet and a ☒ ☐ ☐ minimum width of 7 feet; and, 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a ☒ ☐ ☐ minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. ☒ ☐ ☐ 7437 7439 Sacramento Probation PHY 23-24 -2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.9 Dormitories The agency eliminated dorms in Units 7, 8, Dormitories shall provide the following: and 9. The living space is used for 1. A minimum of 50 square feet of floor area per ☐ ☐ ☒ programming only. youth with the minimum size of a dormitory being 200 square feet of floor area and a minimum 8- foot clear ceiling height; 2. Designed for no fewer than four youth; ☐ ☐ ☒ 3. Dormitories in juvenile halls shall be designed for ☐ ☐ ☒ no more than 30 youth; 4. Camps shall conform to Items 1 and 2. ☐ ☐ ☒ 1230.1.10 Dayrooms Dayrooms shall contain 35 square feet of floor area per ☒ ☐ ☐ youth, contain tables and seating to accommodate the maximum numbers of youth allowed access at a given time. Access must be provided to toilets, wash basins, drinking fountains and showers as specified in Section ☒ ☐ ☐ 1230.2. 1230.1.11 Physical activity and recreation areas. Indoor/outdoor physical activity and recreation areas shall be designed as follows: 1. Minimum indoor outdoor recreation space for ☒ ☐ ☐ facility capacity: 40 or less is 9,000 square feet; 41-274 is 225 square feet per youth up to 61,650 square feet; 275 or more is 61,650 square feet, plus 145 square feet for each youth beyond 274 [up to a maximum of 87,120 square feet] 1.1 At least one quarter of the dedicated indoor/outdoor space shall be a paved or like ☒ ☐ ☐ surface. 1.2 The required recreation area shall contain no ☒ ☐ ☐ single dimension less than 40 feet. 2. A portion of the dedicated space for physical activity and recreation shall be out-of-doors and be sufficient size and equipped in such a manner to allow ☒ ☐ ☐ compliance with Title 15, Section 1371, which requires at least one hour per day of outdoor activity for each detained youth. 3. Lighting of outdoor recreation areas shall be provided to allow for evening activities and to provide ☒ ☐ ☐ security. 4. Access must be provided to a toilet, wash basin ☒ ☐ ☐ and drinking fountain as specified in Section 1230.2. 1230.1.12 Academic classrooms. Housing Units 1 and 2 have dedicated ☒ ☐ ☐ There shall be a dedicated classroom space for every classrooms. All other units have 2 classrooms. juvenile in every facility. The primary purpose for the academic classroom shall ☒ ☐ ☐ be for education. Each academic classroom shall contain a minimum of 160 square feet of floor space for the teacher’s desk ☒ ☐ ☐ and work area and a minimum of 28 square feet of floor space per minor. 7437 7439 Sacramento Probation PHY 23-24 -3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS A communication system shall be provided in each classroom to allow for immediate response to ☒ ☐ ☐ emergencies. The classroom shall be designed for a maximum of 20 ☒ ☐ ☐ minors. There shall be space available in every juvenile facility that may be used for specialized, one-on-one or small ☒ ☐ ☐ group educational purposes. 1230.1.13 Safety room. There are 2 safety rooms located in the intake A safety room shall: ☒ ☐ ☐ area, referred to in policy as Observation 1. Contain a minimum of 48 square feet of floor area Rooms. and a minimum clear ceiling height of 8 feet; 2. Be limited to one youth; ☒ ☐ ☐ 3. Be padded as specified in Section 1230.2.7; ☒ ☐ ☐ 4. Provide one or more vertical view panels constructed of security glazing. These view panels shall be no more than 4 inches wide nor less than 24 ☒ ☐ ☐ inches long, which shall provide a view of the entire room; 5. Provide an audio monitoring system as specified ☒ ☐ ☐ in Section 1230.1.22; 6. Contain a flushing ring toilet, capable of accepting solid waste, mounted flush with the floor, the controls ☒ ☐ ☐ for which must be located outside of the room; 7. Be equipped with a variable intensity, security- type lighting fixture with controls located outside the ☒ ☐ ☐ room; 8. Any wall or ceiling-mounted devices must be designed to prohibit access to the youth occupant; ☒ ☐ ☐ and, 9. Provide a food pass with lockable shutter, no more than 4 inches high, and located between 26 inches ☒ ☐ ☐ and 32 inches as measured from the bottom of the food pass to the floor. 1230.1.14 Medical examination room. ☒ ☐ ☐ There must be a minimum of one suitably equipped medical examination room in every juvenile facility. Medical examination rooms shall provide the following: 1. Space for carrying out routine medical ☒ ☐ ☐ examinations and emergency care and used for no other purpose; 2. Privacy for youth; ☒ ☐ ☐ 3. Lockable storage space for medical supplies; ☒ ☐ ☐ 4. Not less than 144 square feet of floor space with ☒ ☐ ☐ no single dimension less than 7 feet; 5. Hot and cold running water; ☒ ☐ ☐ 6. Smooth, nonporous, washable surface; ☒ ☐ ☐ 7. A medical exam table; and, ☒ ☐ ☐ 8. Adequate lighting. ☒ ☐ ☐ 7437 7439 Sacramento Probation PHY 23-24 -4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.15 Pharmaceutical storage. The facility has a dedicated Pharmacy and Provide lockable storage space for medical supplies ☒ ☐ ☐ Pharmacist on staff. and pharmaceutical preparations as specified by Title 15, Section 1438. 1230.1.16 Dining areas. Youth consume meals in their living unit. Dining areas in juvenile facilities shall contain a ☒ ☐ ☐ minimum of 15 square feet of floor space and sufficient tables and seating for each person being fed. Persons being fed include youth, staff and visitors. ☒ ☐ ☐ Dining areas shall not contain toilets or showers in the ☒ ☐ ☐ same room without appropriate visual barrier. 1230.1.17 Visiting space. The agency has a fully staffed visiting center Space shall be provided in all juvenile facilities for in- ☒ ☐ ☐ to accommodate visiting each day with person visiting which shall be unobstructed by barriers extended hours. such as, but not limited to, security glazing for mesh. 1230.1.18 Institutional storage. One or more storage rooms shall be provided to ☒ ☐ ☐ accommodate a minimum of 80 cubic feet of storage space per minor. Items to be stored shall be institutional clothing, ☒ ☐ ☐ bedding, supplies and activity equipment. 1230.1.19 Personal storage. All youth personal belongings are stored in the Each youth in a juvenile facility shall be provided with ☒ ☐ ☐ intake area. a minimum of 9 cubic feet of secure storage space for personal clothing and belongings. 1230.1.20 Safety equipment storage. In all juvenile facilities, a secure area shall be provided ☒ ☐ ☐ for the storage of safety equipment, such as fire extinguishers, self-contained breathing apparatus, wire and bar cutters, emergency lights, etc. 1230.1.21 Janitorial closet. In all juvenile facilities, at least one securely lockable ☒ ☐ ☐ janitorial closet, containing a mop sink and sufficient area for the storage of cleaning implements, must be provided within a security area of the facility. 1230.1.22 Audio monitoring system. In safety rooms, locked holding rooms, locked sleeping rooms, single and double occupancy rooms ☒ ☐ ☐ and dormitories, there must be an audio monitoring system capable of actuation by the minor that alerts personnel. 7437 7439 Sacramento Probation PHY 23-24 -5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.23 Emergency power. There shall be a source of emergency power in all juvenile facilities capable of providing minimal lighting ☒ ☐ ☐ in all living units, activities areas, corridors, stairs and central control points, and to maintain fire and life safety, security, communications and alarm systems (Title 24, Part 2, Chapter 27). Such an emergency power source shall conform to the requirements specified in Title, 24, Part 3, Article 700, ☒ ☐ ☐ California Electrical Code, California Code of Regulations. 1230.1.24 Confidential interview room. There are 4 no-contact confidential interview Confidential interview rooms shall contain a minimum rooms in the visiting center as well as 5 other of 60 square feet of floor area. conference-type rooms for contact interview ☒ ☐ ☐ opportunities. The agency has plans to make a second large conference room by combining two existing visiting spaces. In juvenile halls there shall be a minimum of one ☒ ☐ ☐ suitably furnished interview room for each 30 youth. In camps there shall be a minimum of one suitably ☐ ☐ ☒ furnished interview room for each facility. This interview room shall provide for confidential ☒ ☐ ☐ consultations with youth. 1230.1.25 Special-purpose juvenile halls. Special-purpose juvenile halls shall conform to all ☐ ☐ ☒ minimum standards for juvenile facilities contained in this section with the following exceptions: 1. Physical activity and recreation areas as specified ☐ ☐ ☒ in Section 1230.1.11; 2. Academic classrooms as specified in Section ☐ ☐ ☒ 1230.1.12; 3. Medical examination room as specified in Section ☐ ☐ ☒ 1230.1.14; and, 4. Dining areas as specified in Section 1230.1.16. ☐ ☐ ☒ 1230.1.26 Court holding room for youth. A court holding room shall: ☐ ☐ ☒ 1. Contain a minimum of 10 square feet of floor area per youth; 2. Be limited to no more than 16 youth; ☐ ☐ ☒ 3. Provide no less than 40 square feet of floor area ☐ ☐ ☒ and have a ceiling height of 8 feet or more; 4. Contain seating to accommodate all youth as ☐ ☐ ☒ specified in Section 1230.2.8; 5. Contain a toilet, wash basin and drinking fountain ☐ ☐ ☒ as specified in Section 1230.2; 6. Maximize visual supervision of youth by staff; and, ☐ ☐ ☒ 7. A mirror of material appropriate to the level of security shall be provided as specified in Section ☐ ☐ ☒ 1230.2.11. 7437 7439 Sacramento Probation PHY 23-24 -6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.27 Programs and activity areas. All juvenile facilities shall include adequate space for ☒ ☐ ☐ specific programs in addition to recreation and exercise areas. 1230.2.1 Toilets/urinals. All toilet areas shall provide privacy for the youth and ☒ ☐ ☐ help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Toilets must be available in a ratio to youth as follows: ☒ ☐ ☐ 1. Juvenile halls 1:6; 2. Camps 1:10; and ☐ ☐ ☒ 3. Locked holding rooms 1:8: ☒ ☐ ☐ One toilet and one urinal may be substituted for every ☒ ☐ ☐ 15 males. 1230.2.2 Wash basins. In living units, wash basins must be available in a ratio ☒ ☐ ☐ to youth as follows: 1. Juvenile halls 1:6; 2. Camps 1:10; and ☐ ☐ ☒ 3. Locked holding rooms 1:8: ☒ ☐ ☐ Wash basis must be provided with hot and cold or ☒ ☐ ☐ tempered water. 1230.2.3 Drinking fountains. In living areas and indoor and outdoor recreation ☒ ☐ ☐ areas, drinking fountains must be accessible to youth and to staff. 1. The drinking fountain bubbler shall be on an angle which prevents waste water from flowing over the ☒ ☐ ☐ drinking bubbler; and, 2. The water flow shall be actuated by a mechanical ☒ ☐ ☐ means. 1230.2.4 Showers. Shower areas shall provide privacy for the youth and ☒ ☐ ☐ help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Showers shall be available to all youth on a ratio of at least one shower or bathtub to every six youth. ☒ ☐ ☐ Showers shall be provided with tempered water. 1230.2.5 Beds. ☒ ☐ ☐ Beds shall be at least 30 inches wide and 76 inches long and be of the solid bottom type. Beds shall be at least 12 inches off the floor and ☒ ☐ ☐ spaced no less than 36 inches apart Bunk beds must have no less than 33 inches vertically ☐ ☐ ☒ between the solid bottoms. In secure facilities, the bunks shall be securely ☐ ☐ ☒ anchored and flushed against the floor and/or wall. 7437 7439 Sacramento Probation PHY 23-24 -7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.6 Lighting. Lighting in locked sleeping rooms, single occupancy ☒ ☐ ☐ rooms, double occupancy rooms, dormitories, day rooms and activity areas shall provide not less than 20 foot candles of illumination at desk level. Night lighting is required in these areas to provide for good visibility for supervision and be conducive to ☒ ☐ ☐ sleep. 1230.2.7 Padding. Padding in safety rooms, padding shall cover the ☒ ☐ ☐ entire floor, door, walls and everything on walls to a clear height of eight feet. Benches or platforms are not to be placed on the floor ☒ ☐ ☐ of this room. All padded rooms must be equipped with a tamper resistant fire sprinkler as approved by the State Fire ☒ ☐ ☐ Marshal. All padding must be: ☒ ☐ ☐ 1. Approved for use by the State Fire Marshal; 2. Nonporous to facilitate cleaning; ☒ ☐ ☐ 3. At least 112 inch thick; ☒ ☐ ☐ 4. Of a unitary or laminated construction to prevent its destruction by teeth, hand tearing or small metal ☒ ☐ ☐ objects; 5. Firmly bonded to all padded surfaces to prevent ☒ ☐ ☐ tearing or ripping; and, 6. Without any exposed seams susceptible to tearing ☒ ☐ ☐ or ripping. 1230.2.8 Seating. ☒ ☐ ☐ Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is ☒ ☐ ☐ seating for one person. 1230.2.9 Weapons lockers. Weapons lockers are required in all secure juvenile ☒ ☐ ☐ facilities and shall be located outside the secure area of the facility. Weapons lockers shall be equipped with individual ☒ ☐ ☐ compartments, each with an individual locking device. 1230.2.10 Security glazing. Security glazing shall comply with the minimum requirements of one of the following test standards: American Society for Testing and Materials, ASTM F ☒ ☐ ☐ 1233-98, Class III glass, or; California Department of Corrections, CDC 860-94d, Class C glass or; H.P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. 7437 7439 Sacramento Probation PHY 23-24 -8 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.11 Mirrors. A mirror of a material appropriate to the level of ☒ ☐ ☐ security must be provided near each wash basin specified in these regulations. 7437 7439 Sacramento Probation PHY 23-24 -9 - J456 PHY 98 01 03 09 14 18 dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7437 7439 FACILITY: Sacramento County Youth Detention Facility (YDF) TYPE: JH RC: 327 Sacramento County Valley Oak Youth Academy (VOYA) SYTF 90 FIELD REPRESENTATIVE: Elizabeth Gong DATE: October 18, 2023 ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S Intake Safety 2003 2 (2) 66 Sq Ft Room Holding 1- 4 (2) (8) 66 Sq Ft 1 1 1 4 Holding 5 1 (2) (2) 88 Sq Ft 1 1 1 Holding 6 1 (2) (2) 66 Sq Ft 1 1 1 Shower 2 2 NOTE: All 6 holding rooms have 48” of bench space allowing for 2 youth and a combo unit. There is a toilet available in intake for youth in the safety cell. HU-1 Male VOYA Youth (SYTF) Single Pre-98 15 1 1 15 83 Sq Ft 1 1 1 Dayroom 8114 Sq Ft 1 1 1 1 3 Classroom 1 1022 Sq Ft NOTE: The Dayroom area includes a staff counter area and a large bathroom with toilet, sink, and showers. HU-2 Male VOYA Youth (SYTF) Single Pre-98 14 1 1 14 83 Sq Ft 1 1 1 Safety 1 (1) 81 Sq Ft Room Dayroom 5904 Sq Ft 1 1 1 1 3 Classroom 1 1022 Sq Ft NOTE: The Dayroom area includes a staff counter area and a large bathroom with toilet, sink, and showers. The adjacent Courtyard is 2180 Sq Ft and is accessible from the Dayroom. HU-3 Male VOYA Youth (Not occupied-31 beds pending increase in population) *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7437 7439 Sacramento YDF and VOYA LASE 23-24 - 1 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S Single Pre-98 15 1 1 15 76 Sq. Ft. 1 1 1 Single 1998 12 1 1 12 79 Sq. Ft. Double 1998 2 2 2 4 118 Sq. Ft. Dayroom 8238 Sq. Ft. 4 2 4 1 7 A: 600 Sq. Ft. Classroom 2 B: 638 Sq. Ft. NOTE: The Dayroom area includes a staff counter area and a large bathroom with toilet, sink, and showers. The unit is not used for sleeping but as a daytime programming unit. There is space for 16 youth in each classroom. The 1998 single and double rooms are dry rooms. HU-4 Intensive Skill Building Program Unit Single Pre-98 7 1 1 7 74Sq. Ft. 1 1 1 Dorm 1054 Sq. Ft. Dayroom 7113 Sq. Ft. 4 2 4 1 5 NOTE: The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. The dorm beds were removed to make this a Sensory Room space for youth. HU-5 Orientation Unit Rm 102: 123 SF Single 2003 2 1 1 2 1 1 1 Rm 100: 83 SF Even # 123 SF Double 2003 14 2 2 28 1 1 1 Odd # 149 SF Dayroom 7045 Sq. Ft. 1 5 A: 713 Sq. Ft Classroom 2 B: 922 Sq. Ft. NOTE: The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. On the day of the inspection, we verified Rm 100 is still used for storage. HU-6 SOAR Program Unit Single 2003 6 1 1 6 81 Sq. Ft. 1 1 1 Single 4 1 1 4 106 Sq. Ft. 1 1 1 Single 2 1 1 2 90 Sq. Ft. 1 1 1 Dayroom 5368 Sq. Ft. 1 2 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7437 7439 Sacramento YDF and VOYA LASE 23-24 - 2 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S Classroom 1 781 Sq. Ft. Note: This unit was not occupied during the inspection and the facility is using the classroom only for the SOAR Program. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. HU-7 Library and STEP Program Unit Single 1998 2 1 1 2 74 Sq. Ft. 1 1 1 Double 4 2 2 (8) 81 Sq. Ft. Dorm 2003 1 0 0 (5) 1064 Sq. Ft. Dayroom 7083 Sq. Ft. 4 2 4 1 6 A: 781 Sq. Ft. Classroom 2 B: 858 Sq. Ft. NOTE: A five-bed dorm was removed when this unit was remodeled into a Library and Program Unit. Only 2 single rooms are available for occupancy. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. HU-8 Overflow Unit (Unoccupied) Single Pre-98 12 1 1 12 82 Sq. Ft. Double Pre-98 12 2 2 24 74 Sq. Ft. Dayroom 7515 Sq. Ft. 4 2 4 1 6 A: 625 Sq. Ft. Classroom 2 B: 721 Sq. Ft. Note: A six-bed dorm was removed when this unit was remodeled in 2010. Day room space limits the RC of this Unit to 31 minors. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. HU-9 Boys and Girls Club, PEP Unit Single 8 1 1 8 74 Sq. Ft. Double 2003 15 2 2 30 74 Sq. Ft. Dayroom 7660 Sq. Ft. 4 2 4 1 6 A: 630 Sq. Ft. Classroom 2 B: 729 Sq. Ft. Note: A six-bed dorm was removed when this unit was remodeled in 2010. Day room space limits the RC of this Unit to 31 minors. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7437 7439 Sacramento YDF and VOYA LASE 23-24 - 3 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S HU-10 Female Unit (There were 2 VOYA Youth (SYTF) and 12 JDF Youth on the day of the Inspection.) Single 2003 24 1 1 24 69 Sq. Ft. 1 1 1 Dayroom 8146 Sq. Ft. 2 2 2 1 5 A: 720 Sq. Ft. Classroom 2 B: 535 Sq. Ft. NOTE: The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. HU-11 Male VOYA and DJJ Returnee Unit Single 2001 2 1 1 2 100 Sq. Ft. 1 1 1 Double 14 2 2 28 100 Sq. Ft. 1 1 1 Dayroom 9483 Sq. Ft. 1 6 660 Sq. Ft. Classroom 2 each NOTE: The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. HU-12 Male Youth General Population - Older Single 2001 2 1 1 2 100 Sq. Ft. 1 1 1 Double 14 2 2 28 100 Sq. Ft. 1 1 1 Dayroom 9483 Sq. Ft. 1 6 660 Sq. Ft. Classroom 2 each NOTE: The 2 single rooms are identified as ADA rooms. One single room is used for storage. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. HU-13 Culinary and NCCT Construction Single 2001 2 1 1 2 100 Sq. Ft. 1 1 1 Double 14 2 2 28 100 Sq. Ft. 1 1 1 Dayroom 9483 Sq. Ft. 1 6 660 Sq. Ft. Classroom 2 each *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7437 7439 Sacramento YDF and VOYA LASE 23-24 - 4 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S NOTE: The unit is not used for sleeping. The classrooms are for the curriculums of the Voc-Ed programs. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. HU-14 Male Youth General Population - Young Single 2003 2 1 1 2 100 Sq. Ft. 1 1 1 Double 14 2 2 28 100 Sq. Ft. 1 1 1 Dayroom 8961 Sq. Ft. 1 6 A: 589 Sq. Ft. Classroom 2 B: 558 Sq. Ft. NOTE: There is a drinking fountain in the dayroom and adjacent Courtyard. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. There are showers on the upper tier. HU-15 Male Youth General Population - Older Single 2003 2 1 1 2 100 Sq. Ft. 1 1 1 Double 14 2 2 28 100 Sq. Ft. 1 1 1 Dayroom 8961 Sq. Ft. 1 6 A: 612 Sq. Ft. Classroom 2 B: 620 Sq. Ft. NOTE: There is a drinking fountain in the dayroom and adjacent Courtyard. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. There are showers on the upper tier. HU-16 Maximum Security Unit - Male Single 2003 2 1 1 2 100 Sq. Ft. 1 1 1 Double 14 2 2 28 100 Sq. Ft. 1 1 1 Dayroom 8961 Sq. Ft. 1 6 A: 627 Sq. Ft. Classroom 2 B: 655 Sq. Ft. NOTE: There is a drinking fountain in the dayroom and adjacent Courtyard. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. There are showers on the upper tier. HU-17 Maximum Security - Male Single 2003 2 1 1 2 100 Sq. Ft. 1 1 1 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7437 7439 Sacramento YDF and VOYA LASE 23-24 - 5 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S Double 14 2 2 28 100 Sq. Ft. 1 1 1 Dayroom 8961 Sq. Ft. 1 6 A: 627 Sq. Ft. Classroom 2 B: 655 Sq. Ft. NOTE: There is a drinking fountain in the dayroom and adjacent Courtyard. The dayroom space reflects the square footage of the unit, including staff control counter space and large bathroom with toilet/urinal, sink, and showers. There are showers on the upper tier. FACILITY NOTE: The rated capacity has fluctuated over the last 5 Inspection Cycles for removal of beds and closing single rooms for various reasons. We note the Units rated above 30 were per an agreement with CYA. The YDF has a gymnasium and pool. Adjustments to the RC have been documented as follows: Prior to 14-16 Inspection, RC 449; RC 2/13/14 - 436; RC 6/25/15 - 426; RC 2020 - 417. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7437 7439 Sacramento YDF and VOYA LASE 23-24 - 6 - J460 LAS JUV-05.dot (rev.12/2022)