7457 San Benito Probation (2023-2024 inspection cycle)

October 10, 2023 Ashlyn Canez, Chief Probation Officer San Benito Probation Department 400 Monterey Street Hollister, California 95023 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SAN BENITO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Canez: The 2023-2024 Comprehensive Inspection of the San Benito County Probation Department has been completed. A pre-inspection briefing was held on Wednesday, April 5, 2023, and the following facilities were inspected between Wednesday, October 4, 2023 and Friday, October 6, 2023: FACILITY NAME BSCC # FACILITY TYPE San Benito Youth Services Center – 7456 JH Juvenile Hall San Benito Youth Services Center – 7457 SYTF Secure Youth Treatment Facility 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. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. Ashlyn Canez, 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 Friday, October 6, 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, San Benito County Juvenile Court* Chair, Juvenile Justice Commission, San Benito County* Chair, Board of Supervisors, San Benito County* County Administrator, San Benito County* Jonell Casada, Program Manager, San Benito County Youth Services Center *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7456+ San Benito Probation LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7456 FACILITY NAME: San Benito Youth Services Center - Juvenile Hall FACILITY TYPE: JH PERSON(S) INTERVIEWED: Joe Frontella, Chief Probation Officer; Ashlyn Canez, Assistant Chief Probation Officer; Jonell Casada, Probation Program Manager; Joel Rea, Supervising Deputy Probation Officer; Michael Rinsimont, Juvenile Institution Officer – Acting Duty Supervisor; Ramon Venegas, JIO; Angelina DiPrima, JIO; Garret Quindimil, Principal, San Benito Office of Education: John Pagulayan , Wellpath RN; Marianne Neill, Wellpath Clinician; Tony Lopez, Trinity Foods – Food Service manager; Lyna Lopez, Trinity Foods -Food Service Supervisor; Youth: Andrew, age 17; Fernando, age 16; Steven, age 16; Romuldo, age 17; Manual, age 15. FIELD REPRESENTATIVE: Elizabeth Gong DATE: October 4-6, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS April 14,2022 May 16, 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 ☒ ☐ ☐ October 13, 2022 13146.1(a) and (b); September 15, 2023 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. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 1 of 68 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: August 18, 2022 June 7, 2023 Medical/Mental Health: August 31, 2022 August 30, 2023 Nutritional Health: ☒ ☐ ☐ August 18, 2022 July 20, 2023 The 2023 Nutritional Inspection had deficiencies which were noted and corrected by Trinity Foods in September 2023. The Medical/Mental Health Inspection had deficiencies which were corrected between 9- 5-23 and 9-20-23 by Wellpath. (d) county superintendent of schools on the adequacy of educational services and facilities as required in Section January 14, 2021* 1370; January 6, 2023 ☒ ☐ ☐ The Office of Education revealed their 2021 Inspection was for the 2021-2022 School year. At the Pre-Inspection Briefing, Manager Jonell Casada advised the Office of Education the inspections were annual. (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ ☐ ☐ January 9, 2023 (2022 Inspection) September 22, 2023 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ December 14, 2022 Probation Commission as required by Section 240 of the September 1, 2023 Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS 1200.2 Policy BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification The elements of this regulation are addressed letter confirming that all elements of regulation are met. in a memorandum completed by Chief Probation Officer Joe Frontella dated September 7, 2023. Assistant Chief Probation (a) Appointment ☒ ☐ ☐ Officer Ashlyn Canez has been appointed as Chief Frontella’s successor upon his In each juvenile facility there shall be a superintendent, retirement, effective October 7, 2023. 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. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 2 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Employee Qualifications 1200.7 Each facility shall: CPO Letter, #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 1200.4 (h) evaluation for immunity to contagious illnesses of ☒ ☐ ☐ CPO Letter #2 childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection 1200.7 ⁋ 2 and training requirements adopted by the Board ☒ ☐ ☐ CPO Letter #4 pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in 1200.4 (g) ☒ ☐ ☐ accordance with Section 1031 of the Government CPO Letter #3 Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the 306.3 Health Care Orientation facility, shall have such clearance and qualifications as 306.4 Facility Specific Training for Health may be required by law, and their presence at the facility ☒ ☐ ☐ Care providers shall be subject to the approval and control of the facility 307.2 Volunteers and Intern Policy manager. 307.3 Volunteers and Interns Eligibility 7456 San Benito Youth Service Center - JH PRO 23-24 Page 3 of 68 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: 217.3.1 (a) (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its programming, to provide for safety and security of youth We reviewed facility schedules and found the and staff, and meet established standards and agency is able to provide coverage for regulations; supervisors and supervision staff on a 12-hour schedule, with a program float daily from 6 pm to 10 pm. The agency has one Probation Program Manager, 4 Supervising Probation Officer’s (2 vacant); 6 Juvenile Institution Officers – JIO- (one on a long-term absence); and 9 extra- help Juvenile Institution Supervisors. Only 5 of the extra-help are available occasionally to cover shifts. Two JIO staff and all extra-help JIO’s are not core trained. ☒ ☐ ☐ In order to meet the youth supervision coverage without mandating Probation Officers to cover shifts, the agency would need to fill the Supervising Probation Officer positions that are vacant and add a minimum of 2 JIO staff for minimum coverage, as well as an additional JIO to meet the need for coverage for call-outs, vacation, and training. Currently the agency uses Deputy Probation Officers (DPO) and extra-help when available to fill the gaps of youth supervision staff. The agency has difficulty with County HR not understanding minimum staffing needs for youth supervision. This has been an ongoing struggle, but recent communications are positive, and the new Chief is hopeful the County will give her sufficient positions to negate the need for non-Core trained extra help and DPOs to cover. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ ☐ ☐ 217.3.1 (a) exigent circumstances; 7456 San Benito Youth Service Center - JH PRO 23-24 Page 4 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; 217.3.1 (b) Of the 4 Supervising Probation Officers, two are filled, one is temporarily assigned from Field Services to cover a vacancy, and a JIO ☒ ☐ ☐ is working out of class for the fourth position. On the graveyard shift (6PM to 6AM), the Supervisor is in charge of the facility but, during program, assists the one other staff and EH or DPO working an assist shift. The agency is minimally meeting regulation. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has ☒ ☐ ☐ 217.3.1 (c) completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ ☐ ☐ 217.3.1 (e) (f) have sufficient food service personnel relative to the number and security of living units, including staff Food Services are provided by Trinity Foods qualified and available to: plan menus meeting nutritional located at the San Benito County Jail in requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ adjacent buildings next to Juvenile Hall. food preparation and servings; conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, 201.3.1 transportation, control room, facility security and other 201.5 support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be ☒ ☐ ☐ diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ 201.3 ⁋ 2 program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: 7456 San Benito Youth Service Center - JH PRO 23-24 Page 5 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Juvenile Halls (A) during the hours that youth are awake, one 201.3 ⁋ 2 wide-awake youth supervision staff member on duty for each 10 youth in detention; ☒ ☐ ☐ On the day of the inspection, there were 5 male youth in custody. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ 201.3 ⁋ 2 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 201.3 ⁋ 3 number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to emergencies; and, The Juvenile Hall is a one-unit facility with only 5 detention youth in custody on the day of the inspection. The second staff is typically an ☒ ☐ ☐ extra help or Probation officer, non-cored. The agency has reviewed the staffing levels necessary for sufficient ratios and is hopeful to gain 3 JIO permanent positions to allow for adequate youth supervision coverage without the need for fill-in staff or the need to backfill for vacation, training, and call-offs. (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ 201.3 ⁋ 3 the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of 201.5 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; 7456 San Benito Youth Service Center - JH PRO 23-24 Page 6 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 ☐ ☐ ☒ There is not a Camp at this facility. 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; (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. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 7 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING 300 Member Orientation (a) Prior to assuming any responsibilities each youth 300.3 Bullet 6 supervision staff member shall be properly oriented to 300.3 Bullet 13 their duties, including: 303 Training (1) youth supervision duties; The agency Orientation Manual targets specific responsibilities and expectations in a binder which staff must review for competency. The topics are varied and include: Ethics; Incident Report and documentation expectations; youth and staff orientation to the agency/facility; emergency guidelines; and Titles 15 and 24. ☒ ☐ ☐ The agency Training Program for new staff exceeds regulation, providing a Field Training Officer/Senior staff assigned to the new staff to train each component of the policy and regulation, with signatures by both the JIO and Trainer to acknowledge competency. Chief Probation Officer Joe Frontella completed a memo on September 7, 2023, indicating staff and manager compliance with this regulation. (2) scope of decisions they shall make; ☒ ☐ ☐ 300.3 Bullet 13 300.3 Bullet 7 (3) the identity of their supervisor; ☒ ☐ ☐ 300.3 Bullet 8 (4) the identity of persons who are responsible to them; ☒ ☐ ☐ 300.3 Bullet 8 7456 San Benito Youth Service Center - JH PRO 23-24 Page 8 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) persons to contact for decisions that are beyond their responsibility; and 300.3 Bullet 8 ☒ ☐ ☐ 300.3 Bullet 13 (6) ethical responsibilities. ☒ ☐ ☐ 300.3 Bullet 2 (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff ☒ ☐ ☐ 300.3.1 member shall receive a minimum of 40 hours of facility- specific orientation, including: (1) individual and group supervision techniques; ☒ ☐ ☐ 300.3.1 Bullet 1 (2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of ☒ ☐ ☐ 300.3.1 Bullet 2 this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ 300.3.1 Bullet 3 (4) suicide prevention and response to suicide ☒ ☐ ☐ 300.3.1 Bullet 4 attempts (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ 300.3.1 Bullet 5 physical restraints; (6) review of policies and procedures referencing ☒ ☐ ☐ 300.3.1 Bullet 10 trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ 300.3.1 Bullet 6 (8) routine security measures, including facility ☒ ☐ ☐ 300.3.1 Bullet 11 perimeter and grounds; 7456 San Benito Youth Service Center - JH PRO 23-24 Page 9 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) crisis intervention and mental health referrals to ☒ ☐ ☐ 300.3.1 Bullet 7 mental health services; (10) documentation; and ☒ ☐ ☐ 300.3.1 Bullet 8 (11) fire/life safety training ☒ ☐ ☐ 300.3.1 Bullet 9 (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ 303.4 ⁋ 1 Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete training ☒ ☐ ☐ 303.4 ⁋ 2 pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY 300.3.1 Bullet 9 Whenever there is a youth in a juvenile facility, there shall 402.6 Fire Training be at least one wide awake person on duty at all times ☒ ☐ ☐ 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 103 Custody Manual All facility administrators shall develop, publish, and 103.3 ⁋ 2 implement a manual of written policies and procedures that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, The agency has consolidated a better manual and shall be administratively reviewed at a minimum for staff, providing clear and direct operational every two years, and updated, as necessary. Those practices directing staff expectations. We note records relating to the standards and requirements set ☒ ☐ ☐ the agency has new and updated Lexipol forth in these regulations shall be accessible to the Board policies that have been formatted for staff to on request. review. There are no significant changes, but they include a current guide to facility The manual shall include: practices. The agency plan is to push this new policy out in the coming month, to include training staff to any changes in procedure or operations. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 10 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) table of organization, including channels of communications and a description of job classifications; 100.4 ACPO Responsibilities 100.5 JIO Responsibilities ☒ ☐ ☐ 100.7 Chain of Command 100.7.1 Organizational Chart 1202.3.2 Supervisor Responsibilities (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Juvenile 100.7.2 Agency Responsibilities, JJC Justice/Delinquency Prevention Commission or 106.3.2 (d) - Education ☒ ☐ ☐ Probation Committee, probation staff, school personnel 106.3.2 (e) - Juvenile Court and other agencies that are involved in juvenile facility programs; 106.3.2 (f) - Juvenile Justice Commission (c) responsibilities of all employees; 103.3 ☒ ☐ ☐ 103.3.1 103.3.2 (d) initial orientation and training program for employees; 300.3 Orientation ☒ ☐ ☐ 303 Training (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract 105.4.2 Manager and Supervisor employees, school, mental/behavioral health and Responsibilities medical staff, program providers and volunteers; ☒ ☐ ☐ 306 Health Care Orientation and Training 310 Support Staff Orientation and Training 1003 Education Staff (f) maintenance of record-keeping, statistics and communication system to ensure: ☒ ☐ ☐ 208 Youth Records 100.1 Organization Responsibility, Purpose (1) efficient operation of the juvenile facility; ☒ ☐ ☐ and Scope (2) legal and proper care of youth; ☒ ☐ ☐ 101.1 Authority and Legal Assistance (3) maintenance of individual youth's records; ☒ ☐ ☐ 208.3 Record Maintenance (4) supply of information to the juvenile court and ☒ ☐ ☐ 208.4 those authorized by the court or by the law; and, 7456 San Benito Youth Service Center - JH PRO 23-24 Page 11 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) release of information regarding youth. ☒ ☐ ☐ 208.4 (g) ethical responsibilities; ☒ ☐ ☐ 1202 Standards of Conduct 102.3 (c) 1 (h) trauma-informed approaches; ☒ ☐ ☐ 300.3.1 Bullet 10 (i) culturally responsive approaches; ☒ ☐ ☐ 300.3.1 Bullet 10 305 Prison Rape Elimination Act (PREA) (j) gender responsive approaches; ☒ ☐ ☐ Training (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access 1203.3.1 Discrimination to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and weapons 512.4 ☒ ☐ ☐ and ammunition, where applicable; 512.5 (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ 501.5.4 and, (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. 305.3 PREA Training The policy shall include an approach to preventing, 606.5 Reporting any PREA Incidents detecting and responding to such conduct and any ☒ ☐ ☐ 606.6 Retaliation from PREA Incidents retaliation for reporting such conduct, as well as a 1203.3.1 Discrimination provision for reporting such conduct by youth, staff or a 1203.3.3 Harassment third party. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 12 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1325 FIRE SAFETY PLAN 402 Fire Safety The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the 402.3 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; (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; 402.7 We reviewed the Monthly Fire and Life Safety Inspections from January 2022 to September 2023, completed by the Safety Officer Michael ☒ ☐ ☐ Rinsamout, on a form provided by Trindel Insurance. The San Benito County Administration Office conducts a County Safety Inspection annually. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ 402.7 (d) an evacuation plan; 402.3 (d) ☒ ☐ ☐ 404 Emergency Evacuation (e) documented fire drills not less than quarterly; 402.3 (g) We reviewed the log of Fire and Earthquake Drills from July 2022 through September 2023. The agency conducts the drills on different days and shifts to allow all staff the opportunity to experience their responsibilities during the drill. The drills used to occur several times a month but are now organized to ☒ ☐ ☐ happen one time each month on an AM or PM shift. Additionally, the agency has monthly safety meetings to address and discuss relevant safety topics amongst all staff. We reviewed the notes, topics, and sign-in sheets for the meetings and noted topics included medical emergencies, quarantined youth, fire and life safety and evacuation. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 13 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) a written plan for the emergency housing of youth in the case of fire; and, ☒ ☐ ☐ 402.3 (f) (g) development of a fire suppression pre-plan in cooperation with the local fire department. ☒ ☐ ☐ 402.3 (a) 1326 SECURITY REVIEW 102.5 (f) Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ Assistant Chief Probation Officer Ashlyn security of the facility. The review and evaluation shall Canez completed a Security Review on include internal and external security, including, but not limited to, key control, equipment, and staff training. September 7, 2023. 1327 EMERGENCY PROCEDURES 400 Facility Emergencies The facility administrator shall develop facility-specific policies and procedures for emergencies that shall An Emergency Procedures Review include, but not be limited to: Memorandum was completed by Assistant Chief Probation Officer Ashlyn Canez dated September 29, 2023, indicating all staff review emergency responsibilities and procedure ☒ ☐ ☐ requirements with Title 15. We were provided with the form facility staff sign indicating compliance with this regulation. It is noted the Emergency Action Plan has been updated to include San Benito processes in addition to facility emergency procedures. 400.3 (a) Escapes 400.9 Escapes 400.3 (b) Disturbances (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ 400.6 Disturbances 400.3 (c) Hostages 400.8 Hostages 400.3 (b) Disturbances/Riots 400.7 Riots (b) civil disturbance, active shooter and terrorist ☒ ☐ ☐ 400.10 Civil Disturbances Outside of the attack; Facility 400.3 (i) Active Shooter and Terrorist Threats 402 Fire Safety (c) fire and natural disasters; ☒ ☐ ☐ 400.3 (e) Natural Disasters 7456 San Benito Youth Service Center - JH PRO 23-24 Page 14 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) periodic testing of emergency equipment; ☒ ☐ ☐ 400.3 (f) 400.3 (h) (e) emergency evacuation of the facility; and ☒ ☐ ☐ 404 Agency Evacuation (f) a program to provide all youth supervision staff 400.13 ☒ ☐ ☐ with an annual review of emergency procedures. 400.14 Training 1328 SAFETY CHECKS 506.3 Youth Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual We reviewed safety checks for the months of observation of youth at a minimum of every 15 minutes, August and September 2023, as well as audits at random or varied intervals during hours when youth of the manual checks for the months of are asleep or when youth are in their rooms, confined in January to July 2023. Staff provide timely holding cells or confined to their bed in a dormitory. documentation of the safety checks, including Supervision is not replaced, but may be supplemented random intervals and designations when by, an audio/visual electronic surveillance system youth are in or out of their room. Our review designed to detect overt, aggressive or assaultive revealed youth are rarely in their rooms, behavior and to summon aid in emergencies. All safety according to the checks, which we observed checks shall be documented with the actual time the while on-site. check is completed. ☒ ☐ ☐ The agency has an audit process in place to identify and address any late checks by staff. When evaluating the number of late checks, the most found were 17 late checks out of 2976 checks in January 2023. Two months had no late checks and 4 months had 3 or less checks in the entire month. The agency addresses the late checks with conversations and/or counseling memos. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 15 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN 707.4 Suicide Prevention Plan Procedure The facility administrator, in collaboration with the 703.1 Documentation Procedure healthcare and behavioral/mental health administrators, 704.1 Classification/Supervision shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. The agency has a written plan and Youth The plan shall consider the needs of youth experiencing Crisis Intervention Form/Behavior Health past or current trauma. Suicide prevention responses Referral Log which articulate the operational shall be respectful and in the least invasive manner procedure when a youth expresses suicidal consistent with the level of suicide risk. The plan shall thoughts or behaviors. We reviewed the five include the following elements: incidents of suicidal behaviors from January ☒ ☐ ☐ 2022 to September 2023. Most involved clinician intervention, however, one youth was acting out in a self-harmful manner and was retrained in the WRAP prior to transport to the Hospital for a 5585 Hold. The documentation and process are in line with regulation and policy. This youth in particular has been in custody for over 100 days and is a low functioning youth with mental health issues, still awaiting placement. (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ 306.5 (d) and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Precautionary Protocols 501.5 Bullet 23 ☒ ☐ ☐ (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 ☒ ☐ ☐ 306.5 (d) of suicide. (3) All youth who have been identified during the intake screening process to be at risk of suicide shall 704.4 ⁋ 3 ☒ ☐ ☐ 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 ☒ ☐ ☐ 707.5 Precautionary Steps behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for assessment and/or services. ☒ ☐ ☐ 707.3 (d) Procedures for monitoring of youth identified at risk for suicide. ☒ ☐ ☐ 707.6 Observation Logs (e) Safety Interventions 7456 San Benito Youth Service Center - JH PRO 23-24 Page 16 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Procedures to address intervention protocols for youth identified at risk for suicide which may include, ☒ ☐ ☐ 707.5 but are not limited to: (A) Housing consideration ☒ ☐ ☐ 707.5 ⁋ 2 and 4 (B) Treatment strategies including trauma- informed approaches ☒ ☐ ☐ 707.4 ⁋ 1 (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal 306.5 ☒ ☐ ☐ behaviors. 706.5 (f) Communication (1) The intake process shall include communication 701.4 (c)(1) 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 707.3 ⁋ 1, Last Sentence ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Attempts 707.9 ⁋ 1 (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected ☒ ☐ ☐ 707.9 ⁋ 2 staff. (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ 707.9 ⁋ 2 (h) Documentation (1) Documentation processes shall be developed to ☒ ☐ ☐ 707.7 Documentation ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, services 707.4 ⁋ 2 and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 17 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1340 REPORTING OF LEGAL ACTIONS 101.5.1 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 522.4 Reporting an In-Custody Death 522.3 ⁋ 4 Notification by ACPO to Court and (1) Death of a Youth. Parent (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written 522.5 policies and procedures to assure there is a medical 523.3 and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Board a copy of the report submitted to the 522.3 ⁋ 5 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 30 522.3 ⁋ 5 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ The agency is aware of this regulation. 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. 805.7 Youth Safety Notification (a) The facility administrator, in cooperation with the health administrator, shall develop written 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 case of a serious illness or injury of a youth. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 18 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1342 POPULATION ACCOUNTING 500.3 Population Management Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ The agency continues to be compliant in their days after the end of each reporting period, in a format reporting population statistics to BSCC. to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) 1101.3 Crowding 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 501 Youth Reception The facility administrator shall develop and implement 501.1 written policies and procedures for admittance of youth that emphasize respectful and humane engagement The admission process is comprehensive, with youth, and reflect that the admission process may especially the Intake Health Screening and be traumatic to youth who may have already Questionnaire forms initiated by staff with experienced trauma. Policies shall be trauma-informed, referral to medical personnel. Our review of culturally relevant, and responsive to the language and blank and completed intake/admission literacy needs of youth. In addition to the requirements documents revealed compliance with of Sections 1324 and 1430 of these regulations: regulation and policy. The Probation Intake process has case management procedures which require obtaining basic information, prompts for phone calls, the offer of food, and notice to ☒ ☐ ☐ parents. The operational procedures in place allow staff to obtain information about medical, mental health, gender, sexual abuse/assault, and suicidal concerns. This documentation facilitates the referral to agency staff, administration, Behavior Health, and/or WellPath services. When a youth is admitted, the agency provides a Parent Brochure to communicate relevant information including facility and agency partner contacts, visiting and medical protocols, mail processes, and Court information. The agency continues to screen all admissions for Covid and flu. (a) the admittance process shall include: (1) Access to two free phone calls within one hour of 501.8 ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; 7456 San Benito Youth Service Center - JH PRO 23-24 Page 19 of 68 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; ☒ ☐ ☐ 501.9 (3) Documented secure storage of personal ☒ ☐ ☐ 501.7.2 belongings; (4) Offer of food upon arrival; ☒ ☐ ☐ 501.5.5 (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ 501.5 Bullet 23 disabilities; (6) Screening for physical and developmental 501.5 Bullet 23 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ 700.3.1 (b)(1) and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are 702.7 suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ 501.5 Bullet 2 (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive 502.3 Classification environment. ☒ ☐ ☐ 502.5.1 Interview 502.5.2 Override (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures that 502.5.1 Interview 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 ☒ ☐ ☐ 501.5.3 of his/her stay. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 20 of 68 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 701.4 The facility administrator shall develop and implement The Intake Medical Screening form is written policies and procedures to reduce the risk of responsive to this regulation. We also sexual abuse by or upon youth. The policy shall require reviewed intake assessment forms, the facility staff to assess each youth within 72 hours of Commercial Sexually Exploited Identification admission based on the following information: Tool (CSE-IT), and the Intake Questionnaire ☒ ☐ ☐ which provide information of victimization or victimizing of youth. The agency has a PREA Juvenile Offender Orientation handout as part of the Orientation process for youth, as well as a flyer posted and provided to youth. 502.3 Bullet 19 (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ 701.4 (j) (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, 502.3 Bullet 8, 9 and 24 ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ 502.3 Bullet 4 and 6 (d) Age; ☒ ☐ ☐ 502.3 Bullet 1 (e) Level of emotional and cognitive development; ☒ ☐ ☐ 502.3 Bullet 7 (f) Physical size and stature; ☒ ☐ ☐ 502.3 Bullet 3 (g) Mental illness or mental disabilities; ☒ ☐ ☐ 502.3 Bullet 7, 10 and 13 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ 502.3 Bullet 14 (i) Physical disabilities; ☒ ☐ ☐ 502.3 Bullet 10 7456 San Benito Youth Service Center - JH PRO 23-24 Page 21 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ 502.3 Bullet 22 (k) Any other specific information about the individual youth that may indicate heightened needs for 502.3 Bullet 1-24 ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance 502.3 1-24 process, medical and behavioral health screenings; 502.5.1 Interview ☒ ☐ ☐ 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 502.3 Last Paragraph facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES 519 Release The facility administrator shall develop and implement written policies and procedures for release of youth from The practice of releasing a youth includes a custody which provide for: structured, thorough, and personal operational process to ensure the youth is prepared for re-entry. Youth complete a Release Survey which allows them to rate the services during their stay and provide feedback on the quality of ☒ ☐ ☐ care. We reviewed 10 exit surveys for 9 youth. Most iterated they benefitted from their stay, had positive relationships with staff and other agency personnel, and felt they were treated respectfully. Youth also have a self-reported exit interview, responding to questions about the services received while in custody. This evaluation of the services at the Youth Services Center is a good way to determine how youth have benefitted from their stay. (a) verification of identity/release papers; ☒ ☐ ☐ 519.3 (a) (b) return of personal clothing and valuables; ☒ ☐ ☐ 519.3 (d) 7456 San Benito Youth Service Center - JH PRO 23-24 Page 22 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) notification to the youth's parents or guardian; ☒ ☐ ☐ 519.3 (l) (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ 519.3 (m) regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ 519.3 (n) (f) notification of facility mental health personnel. ☒ ☐ ☐ 519.3 (m) The facility administrator shall develop and implement policies and procedures for post-disposition youth to 517.3 Discharge Planning coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement written policies and procedures for the furlough of youth ☒ ☐ ☐ 519.4 from custody. 1352 CLASSIFICATION 502 Classification The facility administrator shall develop and implement written policies and procedures on classification of youth The agency uses the Detention Risk for the purpose of determining housing placement in the Assessment Instrument (DRAI) for detention facility. and initial classification decisions. Such procedures shall: Classification status includes general population, medical considerations, and any restrictions in programs. ☒ ☐ ☐ We reviewed a sampling of completed assessments and found the agency considers information beyond the regulation to best determine location of placement in the living unit. Classification can be modified at any time by event or incident, staff input, or other factors necessitating a review. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the 502.7 appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; 7456 San Benito Youth Service Center - JH PRO 23-24 Page 23 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) consider facility populations and physical design of the facility; ☒ ☐ ☐ 502.7 (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall 502.7 Bullets 1-12 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 502.6.1 Periodic Classification Reviews youth's behavior while in custody; and, ☒ ☐ ☐ 502.6.2 Staff Requested Review (e) provide that facility staff shall not separate youth from the general population or assign youth to a single 1203.3.1 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 502.10 ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. 524.1 The facility administrator shall develop written policies and procedures ensuring respectful and equitable ☒ ☐ ☐ The agency has a well-designed policy to treatment of transgender and intersex youth. The address this regulation with sufficient policies shall provide that: operational processes in place. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s 524.1 preferred name and gender pronoun, regardless of the 524.6 youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise 305.3 (j) Member Training compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender 524.5 ☒ ☐ ☐ identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 24 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes their 524.6 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 524.7 ☒ ☐ ☐ behavioral health providers qualified to provide care and 700.3.1 (b) 16 treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, 524.6 facility staff shall make every effort to ensure the safety ☒ ☐ ☐ 806.12 ⁋ 2 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 524.4 anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ 515.5 Transgender Searches respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION 503 Youth Orientation The facility administrator shall develop and implement 503.2 Policy written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal The youth handbook provides specific information shall be provided and supplemented with references for all aspects of their stay. The video orientation if feasible. Provision shall be made to ☒ ☐ ☐ intake staff responsible for orienting the youth provide accessible orientation information to all detained has the youth take an ‘Orientation Quiz” to youth including those with disabilities, limited literacy, or ensure the youth understand the English language learners. Orientation shall include expectations, rules, requirements, and information that addresses: processes. (a) facility rules including contraband and searches and disciplinary procedures; ☒ ☐ ☐ 503.4 (a) (b) facility’s system of positive behavior interventions and supports, including behavior expectations, 503.4 (b) incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when This section refers to the agency’s Behavior youth violate the rules of the facility; Modification Program. (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual 503.4 (n) ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; 7456 San Benito Youth Service Center - JH PRO 23-24 Page 25 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) identification of key staff and their roles; ☒ ☐ ☐ 503.4 (v) (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free 503.4 (e) ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the ☒ ☐ ☐ 503.4 (i) court process; (g) access to routine and emergency health and mental ☒ ☐ ☐ 503.4 (f) health care; 503.4 (g) (h) access to education, religious services, and ☒ ☐ ☐ 503.4 (j) recreational activities; 503.4 (q) (i) housing assignments; ☒ ☐ ☐ 503.4 (h) (j) opportunity for personal hygiene and daily showers including the availability of personal care items ☒ ☐ ☐ 503.4 (d) (k) rules and access to correspondence, visits and telephone use; ☒ ☐ ☐ 503.4 (c) (l) availability of reading materials, programming, and other activities; 503.4 (g) ☒ ☐ ☐ 503.4 (k) (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; 503.4 (l) ☒ ☐ ☐ 503.4 (m) 503.4 (w) (n) immigration legal services; ☒ ☐ ☐ 503.4 (p) (o) emergencies including evacuation procedures; ☒ ☐ ☐ 503.4 (r) 7456 San Benito Youth Service Center - JH PRO 23-24 Page 26 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by 503.4 (n) 1 other youth and staff; ☒ ☐ ☐ 503.4 (u) (q) availability of services and programs in a language other than English if appropriate; 503.2 ☒ ☐ ☐ 503.4 (g) 1 (r) the process for requesting different housing, education, programming and work assignments; ☒ ☐ ☐ 503.4 (x) (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility that 503.4 (y) at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. 503.4 (z) ☒ ☐ ☐ We verified there is a copy of Title 15 available in the living unit. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 27 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION 502.7.1 Separation Requirements The facility administrator shall develop and implement written policies and procedures that address: The agency has had 103 (56 reviewed) incidents of separation in August and September 2023. We reviewed the Alternative Program Separation forms and found the majority were self-separation requests for declining to participate in programming, recreation, large muscle exercise, meals, or the youth was tired and wanted to go to their room. Youth earn points hourly, so incentives still exist if they choose to self-separate for up to 3 hours a day. Staff initiate the separation report form which is signed by staff and youth, ☒ ☐ ☐ with the time of initial separation and its conclusion. We provided technical assistance to review the incentive practice allowing youth to self- separate for school and programming, when essentially, they continue to receive all the benefits of participating. The agency also has a Log to reflect a youth’s separation from group activities for medical isolation, mostly due to the 3-day quarantine practice for Public Health Covid protocols still in place for admission. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, 502.7.1 ⁋ 1 ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ ☐ ☐ 502.7.1 ⁋ 1 (c) separated youth shall not be denied normal privileges available at the facility, except when 502.7.1 ⁋ 2 ☒ ☐ ☐ necessary to accomplish the objective of separation. 502.10 ⁋ 3 (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. 502.7.1 ⁋ 1 ☒ ☐ ☐ 600 Youth Discipline (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and 601 Room Confinement ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 28 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains ☒ ☐ ☐ 502.7.1 ⁋ 4 necessary. 1354.5 ROOM CONFINEMENT 601 Room Confinement (RC) (a) The facility administrator shall develop and implement written policies and procedures addressing The agency reported 3 incidents of Room the confinement of youth in their room that are Confinement from January 2022 to consistent with Welfare and Institutions Code Section September 2023. One youth was on RC for 208.3. The placement of a youth in room confinement less than two hours and 2 youth were shall be accomplished in accordance with the following removed at the 4-hour mark. The incident guidelines: report and documentation were consistent with regulation. ☒ ☐ ☐ The agency made improvements in documentation in the RC log to better articulate the procedural components of policy and guide staff in their responsibilities. We provided technical assistance to better document reasons for continued confinement hourly to assess the need for continued confinement. In each case, the youth were sleeping and staff did not wake them up to determine if removal was appropriate. (1) Room confinement shall not be used before other, less restrictive, options have been attempted 601.4 (a) and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ 601.4 (b) retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ 601.4 (c) of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room 601.4.5 (a) ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ 601.4.5 (a) 1 (2) Consult with mental health or medical staff. ☒ ☐ ☐ 601.4.5 (a) 2 7456 San Benito Youth Service Center - JH PRO 23-24 Page 29 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ 601.4.5 (a) 3 the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: ☒ ☐ ☐ 601.4.5 (b) (A) Document the reasons for room confinement and the basis for the extension, the date and time 601.4.5 (b) 1 the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ 601. 4.5 (b) 2 integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ 601.4.5 (b) 3 every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth 601.1.1 ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ ☐ ☐ 601.1 ⁋ 3 (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ 601.1 ⁋ 3 protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires 601.1 ⁋ 4 a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 30 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and 502.7.2 Separation Exceptions protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN The facility administrator shall develop and implement 504 Case Management written policies and procedures for assessment and case planning. The agency requires case plans be completed on day 30 and 60, noting there are only three of the 23 youth plans we reviewed in custody necessitating a follow-up. All youth are provided a transition plan to articulate community resources for medical, behavior health, and education opportunities. The staff record dates due and completed plans are located in a Case Plan Binder which includes ☒ ☐ ☐ release date. The plans reviewed were individualized and inclusive of narrative sections with detailed discussions of the youth’s needs and objectives. The transition services are documented and referred to the youth’s assigned probation officer for re-entry services. The communication with Behavior Health, the Office of Ed, and Wellpath is fluid and includes recommendations for continued services upon release. (a) Assessment: The assessment is based on information collected 504.3 Assessments during the admission process with periodic review, 504.3 ⁋ 2 and 3 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. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 31 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Institutional Case Plan: (1) A case plan shall be developed for each youth ☒ ☐ ☐ 504.3.1 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: ☒ ☐ ☐ 504.3.1 (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ ☐ ☐ 504.3.1 (c) (B) a plan for meeting the objectives that includes a description of program resources needed and ☒ ☐ ☐ 504.3.1 (b) individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review and ☒ ☐ ☐ 504.3.1 (c) discussion of the plan with the youth; (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for ☒ ☐ ☐ 504.3.1 post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed 504.3.1 (a) with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 32 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1356 COUNSELING AND CASEWORK SERVICES 504.5 Counseling and Casework The facility administrator shall develop and implement 704.3 Counseling Behavior Health written policies and procedures ensuring the availability of appropriate counseling and casework services for all The agency submitted Case Chrono notes for youth. Policies and procedures shall ensure: youth completed by staff weekly. The information is informative and is accompanied by notes from medical and behavior health service providers. ☒ ☐ ☐ Staff also complete a Behavior Interview Report on each youth, which is a questionnaire about the youth’s peer relations, staff relations, school, family behavior issues/patterns, and program participation. The information is passed to behavior health for the assessment process and used by staff to develop the initial case plan. (a) youth will receive assistance with needs or concerns that may arise; 504.5 ⁋ 3 (a) ☒ ☐ ☐ 704.3 (a) 1 (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, 504.5 ⁋ 3 (b) probation officer, or other public official; and, ☒ ☐ ☐ 704.3 (b) (c) youth will be provided access to available resources to meet the youth’s needs. 504.5 ⁋ 3 (c) ☒ ☐ ☐ 704.3 (a) 2 7456 San Benito Youth Service Center - JH PRO 23-24 Page 33 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE 513 Use of Force (UF) The facility administrator, in cooperation with the 513.3 ⁋ 6 responsible physician, shall develop and implement written policies and procedures for the use of force, The agency has had 5 UF incidents involving which may include chemical agents. Force shall never 12 youth from January 2022 to September be applied as punishment, discipline, retaliation or 2023. We reviewed each incident report and treatment. found all elements of regulation are compliant. (a) At a minimum, each facility shall develop policies and ☒ ☐ ☐ procedures which: Staff response and follow-up documentation was descriptive of the circumstances, which are evaluated and reviewed by administrative staff. There were 2 uses of OC Spray incidents this cycle. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section ☒ ☐ ☐ 513.3 ⁋ 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 513.3.5 Use of Force Options when those force options are appropriate. The agency allows for staff presence, ☒ ☐ ☐ counseling/dialogue, verbal commands, control and search techniques, OC Spray, physical and mechanical restraint, and unarmed defensive tactics. (3) describe force options or techniques that are expressly prohibited by the facility. 513.3.4 Limitations ☒ ☐ ☐ 513.10 (k) (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ ☐ ☐ 513.3.2 Duty to Intercede action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for documenting 513.6 Reporting the UF and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 34 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (6) Include an administrative review and a system for investigating unreasonable use of force. ☒ ☐ ☐ 513.9 (7) define the role, notification, and follow-up procedures required after use of force incidents for ☒ ☐ ☐ 513.6.1 ⁋ 2 medical, mental health staff and parents or legal guardians. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) 513.3.4 and Welfare and Institutions Code Section 222. ☒ ☐ ☐ 513.4.3 (g)(2) (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: 513.4 Use of Chemical Agents (1) identify who is approved to carry and/or utilize ☒ ☐ ☐ chemical agents in the facility and the type, size and 513.4 ⁋ 1 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 513.4.1 safety of others and only when de-escalation efforts have been unsuccessful or are not reasonably possible. ☒ ☐ ☐ The agency had 2 use of OC Spray incidents from January 2022 to September 2023. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. 513.4 ⁋ 3 This shall include that youth who have been exposed to chemical agents shall not be left unattended until ☒ ☐ ☐ 513.4 ⁋ 4 that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. 513.4 ⁋ 5 (4) define the role, notification, and follow-up procedures required after use of force incidents 513.4.2 ☒ ☐ ☐ involving chemical agents for medical, mental health 513.6.1 staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for 513.4.2 which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ 513.6.2 of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 35 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training ☒ ☐ ☐ 513.10.2 Training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; ☒ ☐ ☐ 513.10.2 (a) (2) acceptable chemical agents and the methods of application. ☒ ☐ ☐ 513.10.2 (b) (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ ☐ ☐ 513.10.2 (c) (4) instruction on the Constitutional Limitations of Use of Force. ☒ ☐ ☐ 513.10.2 (d) (5) physical training force options that may require the use of perishable skills. ☒ ☐ ☐ 513.10.2 (e) (6) timelines the facility uses to define regular training. ☒ ☐ ☐ 513.10.2 (f) 7456 San Benito Youth Service Center - JH PRO 23-24 Page 36 of 68 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 514 Restraints (UR) The facility administrator, in cooperation with the 514.1.1 responsible physician and mental health director, shall 514.4 develop and implement written policies and procedures for the use of restraint devices. Restraint devices There has been one use of restraints as include any devices which immobilize a youth's defined by regulation this cycle. The incident extremities and/or prevent the youth from being involved a combative youth at admission ambulatory. necessitating placement in the WRAP. The youth was spitting and banging his head. A spitting mask and soft helmet were placed on ☒ ☐ ☐ the youth as well. Behavior Health staff arrived and, upon their assessment, the WRAP was removed and the youth transported to the hospital for a 5150 Hold. Documentation revealed responsive verbal attempts at de-escalation prior to the placement without success. The youth was in the WRAP for less than 2 hours with constant direct visual observation and medical and behavior health presence. Physical restraints may be used only for those youth who present an immediate danger to themselves or 514.3 (c) and (e) others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of 514.3 (g) and (l) restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when used 514.5 (a) to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 37 of 68 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 514.3 (d) 1 may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints 514.3 (d) 2 shall be reviewed and documented at a minimum of every hour. 514.3 (d) 3 A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no 514.3 (j) 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 ☒ ☐ ☐ 514.3 (j) 2 time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and 514.3 (j) to ensure the safety and well-being of the youth. 514.6 (h) ☒ ☐ ☐ Observations of the youth's behavior and any staff 514.7 (j) interventions shall be documented at least every 15 514.7 (k) minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and procedures shall address: ☒ ☐ ☐ 514.7 (c) (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate certain restraint devices and/or techniques. ☒ ☐ ☐ 514.10 (h) (c) acceptable restraint devices. ☒ ☐ ☐ 514.11 (b) 1-4 (d) signs or symptoms which should result in immediate medical/mental health referral. ☒ ☐ ☐ 514.10 (j) (e) availability of cardiopulmonary resuscitation equipment. ☒ ☐ ☐ 514.10 (k) 7456 San Benito Youth Service Center - JH PRO 23-24 Page 38 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a 514.3 (k) specified housing area for restrained youth which makes 514.6 (d) ☒ ☐ ☐ provision to protect the youth from abuse. 514.6 (h) (g) provision for hydration and sanitation needs. ☒ ☐ ☐ 514.3 (m) (h) exercising of extremities. ☒ ☐ ☐ 514.6 (i) 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION 514.5 Transportation Restraints WITHIN THE FACILITY. The Facility Administrator, in cooperation with the 514.12 (b) General Procedures for Restraints responsible physician and behavioral/mental health director, shall develop and implement written policies ☒ ☐ ☐ and procedures for the use of restraint devices when the The agency has utilized restraints for purpose is for movement or transportation within the movement or transportation within the facility facility that shall include the following: on 6 occasions since January 2022. Each incident was clearly documented and articulated the need for application. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required 514.10 (i) training. ☒ ☐ ☐ 514.12 (f) (b) the circumstances leading to the application of restraints must be documented. 514.7 (c) ☒ ☐ ☐ 514.14 (c) an individual assessment of the need to apply restraints for movement or transportation that includes 514.12 (b) 1-3 consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 39 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint devices ☒ ☐ ☐ 514.11 Use of Restraint Policy shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and 514.9 Welfare and Institutions Code Section 222. ☒ ☐ ☐ 514.9.1 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in There is no safety room at this facility. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ accomplished in accordance with the following: 7456 San Benito Youth Service Center - JH PRO 23-24 Page 40 of 68 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 ☐ ☐ ☒ 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 ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☐ ☐ ☒ 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 ☐ ☐ ☒ for a period of four hours, staff shall do one or more of the following: ☐ ☐ ☒ (1) return the youth to general population. ☐ ☐ ☒ (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 the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☐ ☐ ☒ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement 515 Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: The agency conducts random room searches, documented in a room search log. These are ☒ ☐ ☐ recorded monthly. The Strip Search form is inclusive of elements required. We reviewed the one incident of a strip search since January 2022 and found the necessary elements of reasonable suspicion and supervisor approval were documented. (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ 515.2 staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ 515.1 ⁋ 1 searched and shall not be conducted for harassment or as a form of discipline or punishment. 515.2 ⁋ 2 7456 San Benito Youth Service Center - JH PRO 23-24 Page 41 of 68 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. 515.4.1 (a) ☒ ☐ ☐ 515.4.2 (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ 515.4.2 (b) (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor 515.4.1 (a) when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ 515.5 (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when ☒ ☐ ☐ 514.4.2 (c) conducted by a medical professional. Such searches must be justified and documented in writing. 514.4.3 ⁋ 2 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement 609 Youth Grievances written policies and procedures whereby any youth may appeal and have resolved grievances relating to any 609.2 condition of confinement, including but not limited to 609.3 ⁋ 1 health care services, classification decisions, program participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be ☒ ☐ ☐ We reviewed all 10 grievances filed since no time limit on filing grievances. Policies and January 2022. The response and resolution procedures shall include provisions whereby the facility were timely and fair, with resolution within the manager ensures: same day but no longer than 2 days. In all but one grievance, as the youth had been released, the facility superintendent, Jonell Casada, spoke with the youth regarding the incident or complaint. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ 609.3 Bullet 1 have free access to the form; 7456 San Benito Youth Service Center - JH PRO 23-24 Page 42 of 68 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 ☒ ☐ ☐ 609.3 Bullet 8 supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ 609.4 ⁋ 1 (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances ☒ ☐ ☐ 609.4.2 ⁋ 3 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 ☒ ☐ ☐ 609.4.5 (a) directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ 609.4.5 (b) (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ 609.4.3 (f) a system which provides that any appeal of a grievance shall be heard by a person not directly ☒ ☐ ☐ 609.4.3 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 ☒ ☐ ☐ 609.4.2 ⁋ 4 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. ☒ ☐ ☐ 609.6 Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be ☒ ☐ ☐ 609.4.1 ⁋ 2 addressed and documented in accordance with written policies and procedures within a specified timeframe. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 43 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical 209.4.2 harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be 209.5.2 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 ☒ ☐ ☐ We reviewed a sampling of incident reports authorized by the facility manager or designee. including use of force, failure to program, and incidents related to operations. The documentation was informative. All reports are reviewed by the Supervisor and JH Supervisor. 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, IMPRESSIONS 521 Biological Samples (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel 521.5 including peace officers, may employ reasonable force ☒ ☐ ☐ to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that 521.5 an objective, trained and competent correctional employee, faced with similar facts and ☒ ☐ ☐ circumstances, would consider necessary and reasonable to gain compliance with this section. The facility indicates in policy that force will not be used to secure compliance. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to 521.5 ⁋ 2 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 521.5 ⁋ 2 authorization shall include information that reflects the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. ☒ ☐ ☐ The agency requires a specific Court order to use force to collect a DNA Sample. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 44 of 68 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 521.5.1 shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM (a) School Programs 1003 Youth Educational Services The County Board of Education shall provide for the 1003.3 administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee 1003.4 (b) 1 pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy and procedures to ensure communication and The San Benito Office of Education (SBOE) coordination between educators and probation staff. operates the San Benito County Court School. Culturally responsive and trauma-informed approaches The annual evaluation was completed by the should be applied when providing instruction. Education Santa Cruz Office of Education on January 6, staff should collaborate with the facility administrator to 2023. During our last inspection, there was no use technology to facilitate learning and ensure safe on-site teacher due to Covid and the inability technology practices. The facility administrator shall to hire. We are pleased to report there is now request an annual review of each required element of the a teacher in the classroom, providing 240 program by the Superintendent of Schools, and a report minutes of instruction each day. In addition to or review checklist on compliance, deficiencies, and the required elements, the teacher works with corrective action needed to achieve compliance with this culinary and vocational programming, as well section. Such a review, when conducted, cannot be as providing incentives for students that are ☒ ☐ ☐ delegated to the principal or any other staff of any juvenile well-behaved and productive in class. court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the We reviewed the class schedule for all facility administrator or designee shall review each item students and found they receive core and with the Superintendent of Schools and shall take individualized instruction. In our interview with whatever corrective action is necessary to address each the Principal of Alternative Education, Garret deficiency and to fully protect the educational interests of Quindimil, we learned the school and all youth in the facility. probation staff work with the SBOE alongside with the Gilroy School District to ensure seamless transitions into the school of record upon release. The referral to Gavilan College, Higher Aspirations, is part of in-custody and transition services as a collaboration with probation. The Department of Rehabilitation works with special needs populations, including those in custody at the Youth Services Center. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 45 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements The facility school program shall comply with the State 1003.2 Education Code and County Board of Education policies, 1003.3 all applicable federal education statutes and regulations and provide for an annual evaluation of the educational 1003.4 (b) 1 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 1003.3 (a) 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, ☒ ☐ ☐ 1003.5 courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ 1003.5 ⁋ 3 Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ 1003.5 ⁋ 3 (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ 1003.5 ⁋ 3 Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress towards ☒ ☐ ☐ 1003.5 ⁋ 4 grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court 1003.5 ⁋ 2 schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 46 of 68 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 1003.4 (k) 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 1003.7 ⁋ 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 ☒ ☐ ☐ 1003.7 ⁋ 2 educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school 1003.7 ⁋ 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 ☒ ☐ ☐ 1003.4 (g) that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or 1003.4 (a) 1 suspected disabilities. This includes but is not limited ☒ ☐ ☐ 1003.4 (d) to child find, assessment, continuum of alternative placements, manifestation determination reviews, 1003.4 (e) 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 ☒ ☐ ☐ 1003.4 (m) 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 1003.4 (c) 1 educational history, including but not limited to: 7456 San Benito Youth Service Center - JH PRO 23-24 Page 47 of 68 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; ☒ ☐ ☐ 1003.4 (c) 1 (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ 1003.4 (c) 1 (C) Needs and services of special populations as defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. 1003.4 (c) 1 (D) Discipline problems. ☒ ☐ ☐ 1003.4 (c) 1 (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ 1003.4.1 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. 1003.4.1 ⁋ 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 1003.4.1 ⁋ 2 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 youth shall be forwarded to the next educational ☒ ☐ ☐ 1003.4 (i) 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 1003.4 (i) 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 1003.4 (n) and procedures to meet the transition needs of youth, ☒ ☐ ☐ 519.5 Release 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. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 48 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- 1003.4 (o) ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. 1002 Programs, Exercise and Recreation The facility administrator shall develop and implement written policies and procedures for programs, 1002.2 recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. ☒ ☐ ☐ A Social Awareness Programs memo was completed by Supervising Probation Officer Enedina Canales on September 25, 2023. The memorandum articulates the programs offered, their relevance to the population, and the content of each program. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three 1002.3 ⁋ 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 by the administrator/manager or designee that a youth ☒ ☐ ☐ 1002.3 ⁋ 2 represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ 1002.3 ⁋ 3 There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ☒ ☐ ☐ 1002.3 ⁋ 6 ensure content offered is current, consistent, and relevant to the population. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 49 of 68 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 1002.6 Programs include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7456 San Benito Youth Service Center - JH PRO 23-24 Page 50 of 68 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; 1000.2 (3) Anger Management; 1000.3 (4) Conflict Resolution; (5) Juvenile Justice System; Our review of the agency/unit schedule accompanied by the Social Programs memo (6) Trauma-related interventions; outlining program options for youth determined compliance with this regulation. (7) Victim Awareness; (8) Self-Improvement; Programs include: Thinking for Change; (9) Parenting Skills and support; Boys/Girls Circle; Change Company (10) Tolerance and Diversity; Journaling; Teen Recovery; San Benito Arts Council; Life Skills; Garden and Ag Programs; (11) Healing Informed Approaches; Sacred Roc; YMCA Programs; USTA Tennis; (12) Interventions by Credible Messengers; Health/Fitness Programming; ServSafe Certification (Food Handler’s Certificate), and (13) Gender Specific Programming; Community Solutions. (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; Probation refers youth upon exiting the facility to the provider for the Workforce Innovation (16) Restorative Justice or Civic Engagement; ☒ ☐ ☐ Opportunity Act (WIOA) program to gain (17) Career and leadership opportunities; and, employable skills if they need employment. (18) Other topics suitable to the youth population. Wellpath provides one-on-one counseling and crisis intervention counseling. San Benito Behavior Health responds to crisis incidents within the facility when Wellpath BH is not on site and provides some group activities. We suggested the Wellpath Clinician work with the agency to provide two Group sessions a week. Marianne Neill was very receptive and indicated she would work with the Program Manager, Jonell Casada, to provide Anger management, Management of Trauma/Stress, or like groups to the youth. The Food Services Manager indicated he would be willing to provide a program to teach youth food safety, nutrition, and diet education. He plans to work with Mrs. Casada to initiate this program. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 51 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled 1002.5 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 ☒ ☐ ☐ 1002.4 each day. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ 1002.3 ⁋ 7 the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to religious 1006 Religious Programs services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ 1006.4.1 allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 1006.4.1 (a) opportunity for religious services and practices; ☒ ☐ ☐ 1006.10 (b) availability of clergy; and, ☒ ☐ ☐ 1006.4 (f) and (g) (c) availability of religious diets. ☒ ☐ ☐ 1006.6 1373 WORK PROGRAM The facility administrator shall develop policies and 1004 Youth 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 There is no structured work program other vocational training or increasing a youth's sense of than unit and facility clean-up details. Youth responsibility. Work programs shall not be imposed as a are able to earn points for their participation. disciplinary measure 7456 San Benito Youth Service Center - JH PRO 23-24 Page 52 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING The facility administrator shall develop and implement 1007 Visiting written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to 1007.3.2 receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family ☒ ☐ ☐ members, such as grandparents and siblings, and Visiting is scheduled on Tuesday evenings supportive adults, may be allowed to visit with the and Saturday mornings. Virtual Visiting is approval of the facility administrator or designee, and in promoted for youth not receiving in-person conjunction with the youth’s case plan or in the best visits. interest of the youth. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. 1007.5 Visiting Schedule Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, 1007.6 (f) whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but conversations ☒ ☐ ☐ 1007.3.2 ⁋ 2 shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, shall 1007.8 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. ☒ ☐ ☐ 1007.3.2 ⁋ 3 1375 CORRESPONDENCE The facility administrator shall develop and implement ☒ ☐ ☐ 1001 Youth Mail 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; ☒ ☐ ☐ 1001.3 ⁋ 1 7456 San Benito Youth Service Center - JH PRO 23-24 Page 53 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) youth may send two letters per week postage free; ☒ ☐ ☐ 1001.10 (a) (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder of 1001.4 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 ☒ ☐ ☐ 1001.6 cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop ☒ ☐ ☐ 1005 Youth 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 ☒ ☐ ☐ 603 Youth Access to Court and Counsel 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; 603.3 Youth Access ☒ ☐ ☐ (b) provision for confidential consultation with attorneys; and, 603.3 ⁋ 1 ☒ ☐ ☐ 603.4 Confidentiality (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. 1001.4 Correspondence ☒ ☐ ☐ 1005.5 Telephone 7456 San Benito Youth Service Center - JH PRO 23-24 Page 54 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1390 DISCIPLINE The facility administrator shall develop and implement 600 Youth Discipline written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use 600.3.1 Youth Rules and Sanctions of positive behavior interventions and supports. Discipline 600.6 Bullet 20 shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or The Role Model Incentive Program was psychological degradation. Deprivation of the following is developed last cycle to promote pro-social not permitted: programming for youth and work towards positive incentives and rewards for good behavior, rather the focusing on sanctions for negative behavior. Youth are able to advance to Level 8 based on points earned at the rate of 10 per hour. The focus on leadership, team ☒ ☐ ☐ building, and accountability is the focus with positive encouragement for each activity or program participation. We reviewed the 5 files of youth admitted and the incentive rosters showing advancement through the level system. We also reviewed the exit summaries and found youth felt like they were involved in their progress and able to be part of the successes, evidenced by the incentive points and rewards offered. Rewards include snacks, games, late bedtime, and other positive tools to promote a positive program. (a) bed and bedding; ☒ ☐ ☐ 600.6 Bullet 13 (b) daily shower, access to drinking fountain, toilet and ☒ ☐ ☐ 600.6 Bullet 7 personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ 600.6 Bullet 4 7456 San Benito Youth Service Center - JH PRO 23-24 Page 55 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 600.6 Bullet 6 (d) contact with parent or attorney; ☒ ☐ ☐ 600.6 Bullet 18 (e) exercise; ☒ ☐ ☐ 600.6 Bullet 11 600.6 Bullet 15 (f) medical services and counseling; ☒ ☐ ☐ 600.6 Bullet 19 (g) religious services; ☒ ☐ ☐ 600.6 Bullet 19 (h) clean and sanitary living conditions; ☒ ☐ ☐ 600.6 Bullet 14 (i) the right to send and receive mail; ☒ ☐ ☐ 600.6 Bullet 5 (j) education; and, ☒ ☐ ☐ 600.6 Bullet 19 (k) rehabilitative programming. ☒ ☐ ☐ 600.6 Bullet 19 The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct of youth. 600.4 Minor Rule Violations Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ 600.5 Major Rule Violations affirmatively, and be made available to all youth. Provision shall be made to provide accessible information 510 Limited English Proficiency Services to youth with disabilities, limited English proficiency, or limited literacy. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 56 of 68 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 600.3 Due Process written policies and procedures for the administration of discipline which shall include, but not be limited to: There were 11 incidents involving a major rule violation from January 2022 to September 2023. We reviewed the Due Process process and documentation which complies with all elements in regulation. The incidents involved physical altercations or failing to follow staff directives to the point of threatening staff. ☒ ☐ ☐ Most youth lost tokens or lost incentive points for the shift. No youth requested a hearing. The agency has very few major incidents and are allowed to individualize sanctions based on each youth, with a consistent baseline. The supervisor reviews the incident with the youth and documents the discussion on the due process form. (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ 600.3 (a) (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ 600.6 Bullet 1 (c) definition of major and minor rule violations and their consequences, and due process requirements; 600.4 Minor ☒ ☐ ☐ 600.5 Major 600.3.1 Youth Rules and Sanctions (d) trauma-informed approaches and positive behavior interventions; 600.3.1 ⁋ 1 ☒ ☐ ☐ 7456 San Benito Youth Service Center - JH PRO 23-24 Page 57 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct 600.4 Minor Rule Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of 600.8 Documentation review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall be documented and require the following: ☒ ☐ ☐ 600.5 Major Rule Violations (1) written notice of violation prior to a hearing; ☒ ☐ ☐ 600.5.3 ⁋ 1 (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ 600.5.7 Staff Assistance learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ 600.5.4 ⁋ 1 incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ 600.5.4 ⁋ 2 evidence and testimony; (5) provision for youth to be assisted by staff in the ☒ ☐ ☐ 600.5.7 hearing process; (6) provision for administrative review. ☒ ☐ ☐ 600.5.10 (g) violations that result in a removal from camp or commitment program, but not a return to court, will 600.7.1 follow the due process provisions in subsection (e) above. ☐ ☐ ☒ The agency has a policy on this regulation but does not have post-disposition commitments or a camp program. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 58 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1410 MANAGEMENT OF COMMUNICABLE DISEASES. San Benito County Probation Department The health administrator/responsible physician, in (SBCPD) Policy 706 Communicable cooperation with the facility administrator and the local Diseases - Youth health officer, shall develop written policies and procedures to address the identification, treatment, ☒ ☐ ☐ control and follow-up management of communicable This policy provides general guidelines to diseases. The policies and procedures shall address, minimize the risk of youths contracting or but not be limited to: spreading communicable diseases, as well as guidelines for diagnosing and treating them. SBCPD Policy 706.3 (c) 1 This policy generally covers the need for (a) Intake health screening procedures; ☒ ☐ ☐ procedures to address intake screening. SBCPD Administrative Memo dated May 5, 2020: Directive #4 - Bookings SBCPD Policy 706.3 (c) 3: Investigation of suspected exposures SBCPD Administrative Memo dated May 5, (b) Identification of relevant symptoms; ☒ ☐ ☐ 2020: Directive #4 (a) Screening questions SBCPD Administrative Memo dated May 5, 2020: Directive #7 (a) Symptomology procedures. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 59 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SBCPD Policy 706.4.1 (c) This requires contact with a qualified healthcare professional to care for and be given directives for isolation or quarantine. SBCPD Policy 706.4.3 Medical Consultation, Evaluation and Treatment (c) Referral for medical evaluation; ☒ ☐ ☐ This policy requires immediate medical evaluation for any exposure to a Communicable Disease. SBCPD Administrative Memo dated May 5, 2020: Directive #6 Medical This directive outlines the Wellpath responsibilities for daily temperature checks of all youth and any youth presenting at booking or during their stay (sick call). SBCPD Policy 706.4.3 Medical Consultation, Evaluation and Treatment This policy requires immediate medical evaluation for any exposure to a Communicable Disease. (d) Treatment responsibilities during detention; ☒ ☐ ☐ SBCPD Administrative Memo dated May 5, 2020: Directive #6 Medical This directive outlines the Wellpath responsibilities for daily temperature checks of all youth and any youth presenting at booking or during their stay (sick call). 7456 San Benito Youth Service Center - JH PRO 23-24 Page 60 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SBCPD Policy 706.3 (d) 2 This policy directs the coordination of follow- up treatment. (e) Coordination with public and private community- SBCPD Policy 706.3 (d) 4 ☒ ☐ ☐ based resources for follow-up treatment; This policy directs the coordination with the Exposure Control Officer with Public Health to develop and provide appropriate health education to in-custody youth and the community. SBCPD Policy 706.3 (c) 7 This policy requires the report of any communicable disease to the proper authorities, identified under 706.3 (d), (f) Applicable reporting requirements; and, ☒ ☐ ☐ compliance with the Ryan White Law (42 USC Subsection 300ff-133 and 42 USC Subsection 300ff-136) SBCPD 706.4.2 Supervisor Response and Reporting Requirements SBCPD Policy 706.3 (d) 3 This policy calls for operational procedures for handling communicable disease outbreaks. (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ SBCPD Administrative Memo dated May 5, 2020: Directive #7 Working with COVID-19 Youth This process provides operational procedures for COVID-19 positive youth. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 61 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The policies and procedures shall be updated as necessary to reflect communicable disease priorities The agency policy designates there shall be identified by the local health officer and currently procedures for communicable diseases and recommended public health interventions. ☒ ☐ ☐ the administrative memo outlines the operational protocols for COVID-19. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ Y-A-01 Wellpath Policy: Access to Care 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 The youth’s personal clothing, undergarments and 806.6 Clothing Issue 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. ☒ ☐ ☐ 806.6 ¶1 (b) The standard issue of climatically suitable clothing for youth shall consist of but not be limited to: ☒ ☐ ☐ 806.6 ¶2 (1) Socks and serviceable footwear; ☒ ☐ ☐ 806.6 Bullet #1 (2) Outer garments; ☒ ☐ ☐ 806.6 Bullet #2 (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; ☒ ☐ ☐ 806.6 Bullet #5 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. ☒ ☐ ☐ 806.6 Bullet #3 7456 San Benito Youth Service Center - JH PRO 23-24 Page 62 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried ☒ ☐ ☐ 806.7 completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ 806.6 Bullet #6 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement 806.6 ¶4 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 806.6 ¶9 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 There shall be written policies and site-specific 806.9 Personal Hygiene of Youth 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; ☒ ☐ ☐ 806.9 ¶3, Bullet 4 (b) Toothpaste; ☒ ☐ ☐ 806.9 ¶3, Bullet 3 7456 San Benito Youth Service Center - JH PRO 23-24 Page 63 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Soap; ☒ ☐ ☐ 806.9 ¶3, Bullet 1 (d) Comb; ☒ ☐ ☐ 806.9 ¶3, Bullet 2 (e) Shaving implements; ☒ ☐ ☐ 806.9 ¶3, Bullet 5 (f) Deodorant; ☒ ☐ ☐ 806.9 ¶3, Bullet 8 (g) Lotion; ☒ ☐ ☐ 806.9 ¶3, Bullet 9 (h) Shampoo; and, ☒ ☐ ☐ 806.9 ¶3, Bullet 10 (i) Post-shower conditioning hair products. ☒ ☐ ☐ 806.9 ¶3, Bullet 11 Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap 806.9 ¶5 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. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 64 of 68 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 806.3 procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ 806.9 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 806.9 ¶3, Bullet 5 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 806.10 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 Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good 806.5 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 ☒ ☐ ☐ 806.5 (b) regulations; (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ 806.5 (e) (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ 806.5 (c) (d) One towel; and, ☒ ☐ ☐ 806.5 (d) 7456 San Benito Youth Service Center - JH PRO 23-24 Page 65 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) One blanket or more, up on request ☒ ☐ ☐ 806.5 (a) 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement 806.5 ¶2 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. ☒ ☐ ☐ 806.5 (a) 2 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE 801 Housekeeping and Maintenance The facility administrator shall develop and implement 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). 7456 San Benito Youth Service Center - JH PRO 23-24 Page 66 of 68 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.) 7456 San Benito Youth Service Center - JH PRO 23-24 Page 67 of 68 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☐ ☒ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed ☐ ☐ ☒ in the facility in a manner that allows contact with Violation minors. 7456 San Benito Youth Service Center - JH PRO 23-24 Page 68 of 68 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: 7457 FACILITY NAME: San Benito Youth Services Center – FACILITY TYPE: SYTF Secure Youth Treatment Facility PERSON(S) INTERVIEWED: Joe Frontella, Chief Probation Officer; Ashlyn Canez, Assistant Chief Probation Officer; Jonell Casada, Probation Program Manager; Joel Rea, Supervising Deputy Probation Officer; Michael Rinsimont, Juvenile Institution Officer – Acting Duty Supervisor; Ramon Venegas, JIO; Angelina DiPrima, JIO; Garret Quindimil, Principal, San Benito Office of Education: John Pagulayan , Wellpath RN; Marianne Neill, Wellpath Clinician; Tony Lopez, Trinity Foods – Food Service Manager; Lyna Lopez, Trinity Foods -Food Service Supervisor; Youth: Andrew, age 17; Fernando, age 16; Steven, age 16; Romuldo, age 17; Manual, age 15. FIELD REPRESENTATIVE: Elizabeth Gong DATE: October 4-6, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS April 14,2022 May 16, 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 ☒ ☐ ☐ October 13, 2022 13146.1(a) and (b); September 15, 2023 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. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 1 of 69 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: August 18, 2022 June 7, 2023 Medical/Mental Health: August 31, 2022 August 30, 2023 Nutritional Health: ☒ ☐ ☐ August 18, 2022 July 20, 2023 The 2023 Nutritional Inspection had deficiencies which were corrected noted and corrected by Trinity Foods in September 2023. The Medical/Mental Health Inspection had deficiencies which were corrected between 9-5-23 and 9-20-23 by Wellpath. (d) county superintendent of schools on the adequacy of educational services and facilities as required in Section January 14, 2021* 1370; January 6, 2023 ☒ ☐ ☐ The Office of Education revealed their 2021 Inspection was for the 2021-2022 School year. At the Pre-Inspection Briefing, Manager Jonell Casada advised the Office of Education the Inspections were annual. (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ ☐ ☐ January 9, 2023 (2022 Inspection) September 22, 2023 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ December 14, 2022 Probation Commission as required by Section 240 of the September 1, 2023 Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS 1200.2 Policy BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification The elements of this regulation are letter confirming that all elements of regulation are met. addressed in a memorandum completed by Chief Probation Officer Joe Frontella dated September 7, 2023. Assistant Chief (a) Appointment ☒ ☐ ☐ Probation Officer Ashlyn Canez has been appointed as Chief Frontella’s successor In each juvenile facility there shall be a superintendent, upon his retirement, effective October 7, director or facility manager in charge of its program and 2023. 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. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 2 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Employee Qualifications 1200.7 Each facility shall: CPO Letter, #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 1200.4 (h) evaluation for immunity to contagious illnesses of ☒ ☐ ☐ CPO Letter #2 childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection 1200.7 ⁋ 2 and training requirements adopted by the Board ☒ ☐ ☐ CPO Letter #4 pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in 1200.4 (g) ☒ ☐ ☐ accordance with Section 1031 of the Government CPO Letter #3 Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the 306.3 Health Care Orientation facility, shall have such clearance and qualifications as 306.4 Facility Specific Training for Health may be required by law, and their presence at the facility ☒ ☐ ☐ Care providers shall be subject to the approval and control of the facility 307.2 Volunteers and Intern Policy manager. 307.3 Volunteers and Interns Eligibility 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 3 of 69 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: 217.3.1 (a) (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its programming, to provide for safety and security of youth We reviewed facility schedules and found the and staff, and meet established standards and agency is able to provide coverage for regulations; supervisors and supervision staff on a 12- hour schedule, with a program float daily from 6 pm to 10 pm. The agency has one Probation Program Manager, 4 Supervising Probation Officer’s (2 vacant); 6 Juvenile Institution Officers – JIO- (one on a long-term absence); and 9 extra-help Juvenile Institution Supervisors. Only 5 of the extra-help are available occasionally to cover shifts. Two JIO staff and all extra-help JIO’s are not core trained. ☒ ☐ ☐ In order to meet the youth supervision coverage without mandating Probation Officers to cover shifts, the agency would need to fill the Supervising Probation Officer positions that are vacant and add a minimum of 2 JIO staff for minimum coverage, as well as an additional JIO to meet the need for coverage for call outs, vacation and training. Currently the agency is using Deputy Probation Officers (DPO) and extra-help when available to fill the gaps of youth supervision staff. The agency has difficulty with County HR not understanding minimum staffing needs for youth supervision. This has been an ongoing struggle, but recent communications are positive, and the new Chief is hopeful the County will give her sufficient positions to negate the need for uncored extra help and DPO’s to cover. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ ☐ ☐ 217.3.1 (a) exigent circumstances; 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 4 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; 217.3.1 (b) Of the 4 Supervising Probation Officers, two are filled, one is temporarily assigned from Field Services to cover a vacancy, and a JIO ☒ ☐ ☐ is working out of class for the fourth position. On the graveyard shift (6PM to 6AM), the Supervisor is in charge of the facility but during program, assists the one other staff and EH or DPO working an assist shift. The agency is minimally meeting regulation. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has ☒ ☐ ☐ 217.3.1 (c) completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ ☐ ☐ 217.3.1 (e) (f) have sufficient food service personnel relative to the number and security of living units, including staff Food Services are provided by Trinity Foods qualified and available to: plan menus meeting nutritional located at the San Benito County Jail in requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ adjacent buildings next to Juvenile Hall. food preparation and servings; conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, 201.3.1 transportation, control room, facility security and other 201.5 support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be ☒ ☐ ☐ diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to 201.3 ⁋ 2 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: 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 5 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Juvenile Halls (A) during the hours that youth are awake, one 201.3 ⁋ 2 wide-awake youth supervision staff member on duty for each 10 youth in detention; ☒ ☐ ☐ On the day of the inspection, there were 5 youth in custody, all in detention not SYTF. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ 201.3 ⁋ 2 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 201.3 ⁋ 3 number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to emergencies; and, The Juvenile Services Center is a one-unit facility and on the day of the inspection there was only 5 youth in custody. The second staff is typically an extra help or Probation ☒ ☐ ☐ officer, non-cored. The agency has reviewed the staffing levels necessary for sufficient ratios and is hopeful to gain 3 JIO permanent positions to allow for adequate youth supervision coverage without the need for fill in staff or the need to backfill for vacation, training and call-offs. (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ 201.3 ⁋ 3 the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of 201.5 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; 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 6 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 ☐ ☐ ☒ There is not a Camp at this facility. 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; (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. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 7 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING 300 Member Orientation (a) Prior to assuming any responsibilities each youth 300.3 Bullet 6 supervision staff member shall be properly oriented to 300.3 Bullet 13 their duties, including: 303 Training (1) youth supervision duties; The agency Orientation Manual targets specific responsibilities and expectations in a binder which staff must review for competency. The topics are varied and include: Ethics; Incident Report and documentation expectations; youth and staff orientation to the agency/facility; emergency guidelines; and Titles 15 and 24. ☒ ☐ ☐ The agency Training Program for new staff exceeds regulation, providing a Field Training Officer/Senior staff assigned to the new staff to train each component of the policy and regulation, with signatures by both the JIO and Trainer to acknowledge competency. Chief Probation Officer Joe Frontella completed a memo on September 7, 2023, indicating staff and manager compliance with this regulation. (2) scope of decisions they shall make; ☒ ☐ ☐ 300.3 Bullet 13 300.3 Bullet 7 (3) the identity of their supervisor; ☒ ☐ ☐ 300.3 Bullet 8 (4) the identity of persons who are responsible to them; ☒ ☐ ☐ 300.3 Bullet 8 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 8 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) persons to contact for decisions that are beyond their responsibility; and 300.3 Bullet 8 ☒ ☐ ☐ 300.3 Bullet 13 (6) ethical responsibilities. ☒ ☐ ☐ 300.3 Bullet 2 (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff ☒ ☐ ☐ 300.3.1 member shall receive a minimum of 40 hours of facility- specific orientation, including: (1) individual and group supervision techniques; ☒ ☐ ☐ 300.3.1 Bullet 1 (2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of ☒ ☐ ☐ 300.3.1 Bullet 2 this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ 300.3.1 Bullet 3 (4) suicide prevention and response to suicide ☒ ☐ ☐ 300.3.1 Bullet 4 attempts (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ 300.3.1 Bullet 5 physical restraints; (6) review of policies and procedures referencing ☒ ☐ ☐ 300.3.1 Bullet 10 trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ 300.3.1 Bullet 6 (8) routine security measures, including facility ☒ ☐ ☐ 300.3.1 Bullet 11 perimeter and grounds; 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 9 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) crisis intervention and mental health referrals to ☒ ☐ ☐ 300.3.1 Bullet 7 mental health services; (10) documentation; and ☒ ☐ ☐ 300.3.1 Bullet 8 (11) fire/life safety training ☒ ☐ ☐ 300.3.1 Bullet 9 (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully 303.4 ⁋ 1 complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete training ☒ ☐ ☐ 303.4 ⁋ 2 pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY 300.3.1 Bullet 9 Whenever there is a youth in a juvenile facility, there shall 402.6 Fire Training be at least one wide awake person on duty at all times ☒ ☐ ☐ who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 10 of 69 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 103 Custody Manual All facility administrators shall develop, publish, and 103.3 ⁋ 2 implement a manual of written policies and procedures that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, The agency has consolidated a better and shall be administratively reviewed at a minimum manual for staff, providing clear and direct every two years, and updated, as necessary. Those operational practices directing staff records relating to the standards and requirements set expectations. We note the agency has new forth in these regulations shall be accessible to the Board and updated Lexipol policies that have been on request. formatted for staff to review. There are no ☒ ☐ ☐ significant changes, but they include a The manual shall include: current guide to facility practices. The agency plan is to push this new policy out in the coming month, to include training staff to any changes in procedure or operations. Our review had no specific regulations for SYTF and their have been no commitments to date to the SYTF Program. (a) table of organization, including channels of communications and a description of job classifications; 100.4 ACPO Responsibilities 100.5 JIO Responsibilities ☒ ☐ ☐ 100.7 Chain of Command 100.7.1 Organizational Chart 1202.3.2 Supervisor Responsibilities (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Juvenile 100.7.2 Agency Responsibilities, JJC Justice/Delinquency Prevention Commission or 106.3.2 (d) - Education ☒ ☐ ☐ Probation Committee, probation staff, school personnel 106.3.2 (e) - Juvenile Court and other agencies that are involved in juvenile facility programs; 106.3.2 (f) - Juvenile Justice Commission (c) responsibilities of all employees; 103.3 ☒ ☐ ☐ 103.3.1 103.3.2 (d) initial orientation and training program for employees; 300.3 Orientation ☒ ☐ ☐ 303 Training 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 11 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract 105.4.2 Manager and Supervisor employees, school, mental/behavioral health and Responsibilities medical staff, program providers and volunteers; ☒ ☐ ☐ 306 Health Care Orientation and Training 310 Support Staff Orientation and Training 1003 Education Staff (f) maintenance of record-keeping, statistics and communication system to ensure: ☒ ☐ ☐ 208 Youth Records 100.1 Organization Responsibility, Purpose (1) efficient operation of the juvenile facility; ☒ ☐ ☐ and Scope (2) legal and proper care of youth; ☒ ☐ ☐ 101.1 Authority and Legal Assistance (3) maintenance of individual youth's records; ☒ ☐ ☐ 208.3 Record Maintenance (4) supply of information to the juvenile court and ☒ ☐ ☐ 208.4 those authorized by the court or by the law; and, (5) release of information regarding youth. ☒ ☐ ☐ 208.4 (g) ethical responsibilities; ☒ ☐ ☐ 1202 Standards of Conduct 102.3 (c) 1 (h) trauma-informed approaches; ☒ ☐ ☐ 300.3.1 Bullet 10 (i) culturally responsive approaches; ☒ ☐ ☐ 300.3.1 Bullet 10 305 Prison Rape Elimination Act (PREA) (j) gender responsive approaches; ☒ ☐ ☐ Training 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 12 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access 1203.3.1 Discrimination to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and weapons 512.4 ☒ ☐ ☐ and ammunition, where applicable; 512.5 (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ 501.5.4 and, (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. 305.3 PREA Training The policy shall include an approach to preventing, 606.5 Reporting any PREA Incidents detecting and responding to such conduct and any ☒ ☐ ☐ 606.6 Retaliation from PREA Incidents retaliation for reporting such conduct, as well as a 1203.3.1 Discrimination provision for reporting such conduct by youth, staff or a 1203.3.3 Harassment third party. 1325 FIRE SAFETY PLAN 402 Fire Safety The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the 402.3 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; (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; 402.7 We reviewed the Monthly Fire and Life Safety Inspections from January 2022 to September 2023, completed by the Safety ☒ ☐ ☐ Officer Michael Rinsamout, on a form provided by Trindel Insurance. The San Benito County Administration Office conducts a County Safety Inspection annually. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ 402.7 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 13 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) an evacuation plan; 402.3 (d) ☒ ☐ ☐ 404 Emergency Evacuation (e) documented fire drills not less than quarterly; 402.3 (g) We reviewed the log of Fire and Earthquake Drills from July 2022 through September 2023. The agency conducts the drills on different days and shifts to allow all staff the opportunity to experience their responsibilities during the drill. The drills used to occur several times a month but are ☒ ☐ ☐ now organized to happen one time each month on an AM or PM shift. Additionally, the agency has monthly safety meetings to address and discuss relevant safety topics amongst all staff. We reviewed the notes, topics and sign in sheets for the meetings and noted topics included medical emergencies, quarantined youth, fire and life safety and evacuation. (f) a written plan for the emergency housing of youth in the case of fire; and, ☒ ☐ ☐ 402.3 (f) (g) development of a fire suppression pre-plan in cooperation with the local fire department. ☒ ☐ ☐ 402.3 (a) 1326 SECURITY REVIEW 102.5 (f) Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ Assistant Chief Probation Officer Ashlyn security of the facility. The review and evaluation shall Canez completed a Security Review on include internal and external security, including, but not limited to, key control, equipment, and staff training. September 7, 2023. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 14 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1327 EMERGENCY PROCEDURES 400 Facility Emergencies The facility administrator shall develop facility-specific policies and procedures for emergencies that shall An Emergency Procedures Review include, but not be limited to: Memorandum was completed by Assistant Chief Probation Officer Ashlyn Canez dated September 29, 2023, indicating all staff review emergency responsibilities and ☒ ☐ ☐ procedure requirements with Title 15. We were provided with the form facility staff sign indicating compliance with this regulation. It is noted the Emergency Action Plan has been updated to include San Benito processes in addition to facility emergency procedures. 400.3 (a) Escapes 400.9 Escapes 400.3 (b) Disturbances (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ 400.6 Disturbances 400.3 (c) Hostages 400.8 Hostages 400.3 (b) Disturbances/Riots 400.7 Riots (b) civil disturbance, active shooter and terrorist ☒ ☐ ☐ 400.10 Civil Disturbances Outside of the attack; Facility 400.3 (i) Active Shooter and Terrorist Threats 402 Fire Safety (c) fire and natural disasters; ☒ ☐ ☐ 400.3 (e) Natural Disasters (d) periodic testing of emergency equipment; ☒ ☐ ☐ 400.3 (f) 400.3 (h) (e) emergency evacuation of the facility; and ☒ ☐ ☐ 404 Agency Evacuation (f) a program to provide all youth supervision staff 400.13 ☒ ☐ ☐ with an annual review of emergency procedures. 400.14 Training 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 15 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS 506.3 Youth Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual We reviewed safety checks for the months of observation of youth at a minimum of every 15 minutes, August and September 2023, as well as at random or varied intervals during hours when youth audits of the manual checks for the months are asleep or when youth are in their rooms, confined in of January to July 2023. Staff provide holding cells or confined to their bed in a dormitory. timely documentation of the safety checks, Supervision is not replaced, but may be supplemented including random intervals and designations by, an audio/visual electronic surveillance system when youth are in or out of their room. designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety ☒ ☐ ☐ checks shall be documented with the actual time the check is completed. The agency has an audit process in place to identify and address any late checks by staff. When evaluated the number of late checks, the most found were 17 late checks out of 2976 checks in January 2023. Two months had no late checks and 4 months had 3 or less checks in the entire month. The agency addresses the late checks with conversations and/or counseling memos. 1329 SUICIDE PREVENTION PLAN 707.4 Suicide Prevention Plan Procedure The facility administrator, in collaboration with the 703.1 Documentation Procedure healthcare and behavioral/mental health administrators, 704.1 Classification/Supervision shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. The agency has a written plan and Youth The plan shall consider the needs of youth experiencing Crisis Intervention Form/Behavior Health past or current trauma. Suicide prevention responses Referral Log which articulate the operational shall be respectful and in the least invasive manner procedure when a youth expresses suicidal consistent with the level of suicide risk. The plan shall thoughts or behaviors. We reviewed the five include the following elements: incidents of suicidal from January 2022 to September 2023. Most involved clinician ☒ ☐ ☐ intervention, however, one youth was acting out in a self-harmful manner and was retrained in the WRAP prior to transport to the Hospital for a 5585 Hold. No SYTF Have been in the facility this cycle. The documentation and process are in line with regulation and policy. This youth in particular has been in custody for over 100 days and is a low functioning youth with mental health issues, still awaiting placement. (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ 306.5 (d) and the Juvenile Corrections Officer Core Course. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 16 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Screening, Identification Assessment and Precautionary Protocols 501.5 Bullet 23 ☒ ☐ ☐ (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 ☒ ☐ ☐ 306.5 (d) of suicide. (3) All youth who have been identified during the intake screening process to be at risk of suicide shall 704.4 ⁋ 3 ☒ ☐ ☐ 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 ☒ ☐ ☐ 707.5 Precautionary Steps behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for assessment and/or services. ☒ ☐ ☐ 707.3 (d) Procedures for monitoring of youth identified at risk for suicide. ☒ ☐ ☐ 707.6 Observation Logs (e) Safety Interventions (1) Procedures to address intervention protocols for ☒ ☐ ☐ 707.5 youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ 707.5 ⁋ 2 and 4 (B) Treatment strategies including trauma- informed approaches ☒ ☐ ☐ 707.4 ⁋ 1 (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal 306.5 ☒ ☐ ☐ behaviors. 706.5 (f) Communication (1) The intake process shall include communication 701.4 (c)(1) 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 707.3 ⁋ 1, Last Sentence ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 17 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Debriefing of Critical Incidents Related to Suicides or Attempts 707.9 ⁋ 1 (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected ☒ ☐ ☐ 707.9 ⁋ 2 staff. (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ 707.9 ⁋ 2 (h) Documentation (1) Documentation processes shall be developed to ☒ ☐ ☐ 707.7 Documentation ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, services 707.4 ⁋ 2 and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS 101.5.1 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 522.4 Reporting an In-Custody Death 522.3 ⁋ 4 Notification by ACPO to Court and (1) Death of a Youth. Parent (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written 522.5 policies and procedures to assure there is a medical 523.3 and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 18 of 69 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 522.3 ⁋ 5 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 30 522.3 ⁋ 5 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ The agency is aware of this regulation. 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. 805.7 Youth Safety Notification (a) The facility administrator, in cooperation with the health administrator, shall develop written 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 case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING 500.3 Population Management Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ The agency continues to be compliant in their days after the end of each reporting period, in a format reporting population statistics to BSCC. to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) 1101.3 Crowding 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. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 19 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES 501 Youth Reception The facility administrator shall develop and implement 501.1 written policies and procedures for admittance of youth that emphasize respectful and humane engagement The admission process is comprehensive, with youth, and reflect that the admission process may especially the Intake Health Screening and be traumatic to youth who may have already Questionnaire forms initiated by staff with experienced trauma. Policies shall be trauma-informed, referral to medical personal. Our review of culturally relevant, and responsive to the language and blank and completed intake/admission literacy needs of youth. In addition to the requirements documents, revealed compliance with of Sections 1324 and 1430 of these regulations: regulation and policy. The Probation Intake process has case management procedures which require obtaining basic information, prompts for phone calls, the offer of food and notice to parents. The operational procedures in place ☒ ☐ ☐ allow staff to obtain information about medical, mental health, gender, sexual abuse/assault and suicidal concerns. This documentation facilitates the referral to agency staff, administration, Behavior Health and/or WellPath services. When a youth is admitted, the agency provides a Parent Brochure to communicate relevant information including facility and agency partner contacts, visiting and medical protocols, mail processes and Court information. The agency continues to screen all admissions for Covid and flu. There have been no SYTF admissions this cycle. (a) the admittance process shall include: (1) Access to two free phone calls within one hour of 501.8 ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; (2) Offer of a shower; ☒ ☐ ☐ 501.9 (3) Documented secure storage of personal ☒ ☐ ☐ 501.7.2 belongings; (4) Offer of food upon arrival; ☒ ☐ ☐ 501.5.5 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 20 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ 501.5 Bullet 23 disabilities; (6) Screening for physical and developmental 501.5 Bullet 23 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ 700.3.1 (b)(1) and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are 702.7 suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ 501.5 Bullet 2 (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive 502.3 Classification environment. ☒ ☐ ☐ 502.5.1 Interview 502.5.2 Override (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures that 502.5.1 Interview 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 ☒ ☐ ☐ 501.5.3 of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE 701.4 The facility administrator shall develop and implement The Intake Medical Screening form is written policies and procedures to reduce the risk of responsive to this regulation. We also sexual abuse by or upon youth. The policy shall require reviewed intake assessment forms, the facility staff to assess each youth within 72 hours of Commercial Sexually Exploited Identification admission based on the following information: Tool (CSE-IT) and the Intake Questionnaire ☒ ☐ ☐ which provide information of victimization or victimizing of youth. The agency has a PREA Juvenile Offender Orientation hand out as part of the Orientation process for youth, as well as a flyer posted and provided to youth. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 21 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 502.3 Bullet 19 (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ 701.4 (j) (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, 502.3 Bullet 8, 9 and 24 ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ 502.3 Bullet 4 and 6 (d) Age; ☒ ☐ ☐ 502.3 Bullet 1 (e) Level of emotional and cognitive development; ☒ ☐ ☐ 502.3 Bullet 7 (f) Physical size and stature; ☒ ☐ ☐ 502.3 Bullet 3 (g) Mental illness or mental disabilities; ☒ ☐ ☐ 502.3 Bullet 7, 10 and 13 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ 502.3 Bullet 14 (i) Physical disabilities; ☒ ☐ ☐ 502.3 Bullet 10 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ 502.3 Bullet 22 (k) Any other specific information about the individual youth that may indicate heightened needs for 502.3 Bullet 1-24 ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance 502.3 1-24 process, medical and behavioral health screenings; 502.5.1 Interview ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 22 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall implement appropriate controls on the dissemination of information within the 502.3 Last Paragraph facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES 519 Release The facility administrator shall develop and implement written policies and procedures for release of youth from The practice of releasing a youth includes a custody which provide for: structured, thorough and personal operational process to ensure the youth is prepared for re-entry. Youth complete a Release Survey which allows them to rate the services during their stay and provide feedback on the quality of care. We reviewed 10 exit surveys for 9 youth. Most iterated they benefitted from ☒ ☐ ☐ their stay, had positive relationships with staff and other agency personnel, and felt they were treated respectfully. Youth also have a self-reported exit interview, responding to questions about the services received while in custody. This evaluation of the services at the Youth Services Center is a good to determine how youth have benefitted from their stay. As noted, there have been no SYTF in the program to date, so no release processes have occurred for this population. (a) verification of identity/release papers; ☒ ☐ ☐ 519.3 (a) (b) return of personal clothing and valuables; ☒ ☐ ☐ 519.3 (d) (c) notification to the youth's parents or guardian; ☒ ☐ ☐ 519.3 (l) (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ 519.3 (m) regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ 519.3 (n) 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 23 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) notification of facility mental health personnel. ☒ ☐ ☐ 519.3 (m) The facility administrator shall develop and implement policies and procedures for post-disposition youth to 517.3 Discharge Planning coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement written policies and procedures for the furlough of youth ☒ ☐ ☐ 519.4 from custody. 1352 CLASSIFICATION 502 Classification The facility administrator shall develop and implement written policies and procedures on classification of youth The agency uses the Detention Risk for the purpose of determining housing placement in the Assessment Instrument (DRAI) for detention facility. and initial classification decisions. Such procedures shall: Classification status includes general population, medical considerations and any restrictions in programs. ☒ ☐ ☐ We reviewed a sampling of completed assessments and found the agency considers information beyond the regulation to best determine location of placement in the living unit. Classification can be modified at any time by event or incident, staff input or other factors necessitating a review. This process would be the same for SYTF youth. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the 502.7 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; ☒ ☐ ☐ 502.7 (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall 502.7 Bullets 1-12 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; 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 24 of 69 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 502.6.1 Periodic Classification Reviews youth's behavior while in custody; and, ☒ ☐ ☐ 502.6.2 Staff Requested Review (e) provide that facility staff shall not separate youth from the general population or assign youth to a single 1203.3.1 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 502.10 ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. 524.1 The facility administrator shall develop written policies and procedures ensuring respectful and equitable The agency has a well-designed policy to treatment of transgender and intersex youth. The address this regulation independently. policies shall provide that: ☒ ☐ ☐ Operational processes were created to ensure all elements of the regulation are in one comprehensive policy and easy for staff to understand. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s 524.1 preferred name and gender pronoun, regardless of the 524.6 youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise 305.3 (j) Member Training compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender 524.5 ☒ ☐ ☐ identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 25 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes their 524.6 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 524.7 ☒ ☐ ☐ behavioral health providers qualified to provide care and 700.3.1 (b) 16 treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, 524.6 facility staff shall make every effort to ensure the safety ☒ ☐ ☐ 806.12 ⁋ 2 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 524.4 anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ 515.5 Transgender Searches respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION 503 Youth Orientation The facility administrator shall develop and implement 503.2 Policy written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal The youth handbook provides specific information shall be provided and supplemented with references for all aspects of their stay. The video orientation if feasible. Provision shall be made to intake staff responsible for orienting the youth provide accessible orientation information to all detained ☒ ☐ ☐ has the youth take an ‘Orientation Quiz” to youth including those with disabilities, limited literacy, or ensure they youth understand the English language learners. Orientation shall include expectations, rules, requirements, and information that addresses: processes. No SYTF youth have been detained this cycle. (a) facility rules including contraband and searches and disciplinary procedures; ☒ ☐ ☐ 503.4 (a) (b) facility’s system of positive behavior interventions and supports, including behavior expectations, 503.4 (b) incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when This section refers to the agencies Behavior youth violate the rules of the facility; Modification Program. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 26 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual 503.4 (n) ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ 503.4 (v) (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free 503.4 (e) ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the ☒ ☐ ☐ 503.4 (i) court process; (g) access to routine and emergency health and mental ☒ ☐ ☐ 503.4 (f) health care; 503.4 (g) (h) access to education, religious services, and ☒ ☐ ☐ 503.4 (j) recreational activities; 503.4 (q) (i) housing assignments; ☒ ☐ ☐ 503.4 (h) (j) opportunity for personal hygiene and daily showers including the availability of personal care items ☒ ☐ ☐ 503.4 (d) (k) rules and access to correspondence, visits and telephone use; ☒ ☐ ☐ 503.4 (c) (l) availability of reading materials, programming, and other activities; 503.4 (g) ☒ ☐ ☐ 503.4 (k) (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; 503.4 (l) ☒ ☐ ☐ 503.4 (m) 503.4 (w) (n) immigration legal services; ☒ ☐ ☐ 503.4 (p) 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 27 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (o) emergencies including evacuation procedures; ☒ ☐ ☐ 503.4 (r) (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by 503.4 (n) 1 other youth and staff; ☒ ☐ ☐ 503.4 (u) (q) availability of services and programs in a language other than English if appropriate; 503.2 ☒ ☐ ☐ 503.4 (g) 1 (r) the process for requesting different housing, education, programming and work assignments; ☒ ☐ ☐ 503.4 (x) (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility that 503.4 (y) at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. 503.4 (z) ☒ ☐ ☐ We verified there is a copy of Title 15 available in the living unit. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 28 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION 502.7.1 Separation Requirements The facility administrator shall develop and implement written policies and procedures that address: The agency has had 103 (56 reviewed) incidents of separation in August and September 2023, none for SYTF youth. We reviewed the Alternative Program Separation forms and found the majority were self- separation requests for declining to participate in programming, recreation, large muscle exercise, meals or the youth was tired and wanted to go to their room. Youth earn points hourly, so incentives still exist if they choose to self-separate for up to 3 hours a day. Staff initiate the separation report ☒ ☐ ☐ form which is signed by staff and youth, with the time of initial separation and its conclusion. We provided technical assistance to review the incentive practice allowing youth to self- separate for school and programming, when essentially, they continue to receive all the benefits of participating. The agency also has a Log to reflect a youth’s separation from group activities for medical isolation, mostly due to the 3-day quarantine practice for Public Health Covid protocols still in place for admission. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, 502.7.1 ⁋ 1 ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ ☐ ☐ 502.7.1 ⁋ 1 (c) separated youth shall not be denied normal privileges available at the facility, except when 502.7.1 ⁋ 2 ☒ ☐ ☐ necessary to accomplish the objective of separation. 502.10 ⁋ 3 (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. 502.7.1 ⁋ 1 ☒ ☐ ☐ 600 Youth Discipline 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 29 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and 601 Room Confinement ☒ ☐ ☐ 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 ☒ ☐ ☐ 502.7.1 ⁋ 4 necessary. 1354.5 ROOM CONFINEMENT 601 Room Confinement (RC) (a) The facility administrator shall develop and implement written policies and procedures addressing The agency reported 3 incidents of Room the confinement of youth in their room that are Confinement from January 2022 to consistent with Welfare and Institutions Code Section September 2023, none for SYTF youth. One 208.3. The placement of a youth in room confinement youth was on RC for less than two hours and shall be accomplished in accordance with the following 2 youth were removed at the 4-hour mark. guidelines: The incident report and documentation were consistent with regulation. ☒ ☐ ☐ The agency made improvements in documentation in the RC log to better articulate the procedural components of policy and guide staff in their responsibilities. We provided technical assistance to better document reasons for continued confinement hourly to assess the need for continued confinement. In each case the youth were sleeping, and staff did not wake them up to determine if removal was appropriate. (1) Room confinement shall not be used before other, less restrictive, options have been attempted 601.4 (a) and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ 601.4 (b) retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ 601.4 (c) of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room 601.4.5 (a) ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ 601.4.5 (a) 1 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 30 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Consult with mental health or medical staff. ☒ ☐ ☐ 601.4.5 (a) 2 (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ 601.4.5 (a) 3 the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: ☒ ☐ ☐ 601.4.5 (b) (A) Document the reasons for room confinement and the basis for the extension, the date and time 601.4.5 (b) 1 the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ 601. 4.5 (b) 2 integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ 601.4.5 (b) 3 every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth 601.1.1 ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ ☐ ☐ 601.1 ⁋ 3 (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ 601.1 ⁋ 3 protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires 601.1 ⁋ 4 a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 31 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and 502.7.2 Separation Exceptions protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN The facility administrator shall develop and implement 504 Case Management written policies and procedures for assessment and case planning. The agency requires case plans be completed on day 30 and 60, noting there are only three of the 23 youth plans we reviewed in custody necessitation a follow up. All you are provided a transition plan to articulate community resources for medical, behavior health and education opportunities. The staff record dates due and completed plans are located in a Case Plan Binder which includes release date. The Juvenile Field Services team would complete ☒ ☐ ☐ Individualized Service plans for SYTF if or when a youth was committed to the program. The plans reviewed were individualized and inclusive of narrative sections with detailed discussions of the youths needs and objectives. The transition services are documented and referred to the youths assigned probation officer for re-entry services. The communication with Behavior Health, the Office of Ed and Wellpath is fluid and includes recommendations for continued services upon release. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 32 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: The assessment is based on information collected 504.3 Assessments during the admission process with periodic review, 504.3 ⁋ 2 and 3 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 ☒ ☐ ☐ 504.3.1 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: ☒ ☐ ☐ 504.3.1 (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ ☐ ☐ 504.3.1 (c) (B) a plan for meeting the objectives that includes a description of program resources needed and ☒ ☐ ☐ 504.3.1 (b) individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review and ☒ ☐ ☐ 504.3.1 (c) discussion of the plan with the youth; (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for ☒ ☐ ☐ 504.3.1 post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed 504.3.1 (a) with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 33 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1356 COUNSELING AND CASEWORK SERVICES 504.5 Counseling and Casework The facility administrator shall develop and implement 704.3 Counseling Behavior Health written policies and procedures ensuring the availability of appropriate counseling and casework services for all The agency submitted Case Chrono notes youth. Policies and procedures shall ensure: for youth completed by staff weekly. The information is informative and is accompanied by notes from medical and behavior health service providers. ☒ ☐ ☐ Staff also complete a Behavior Interview Report on each youth, which is a questionnaire about the youth’s peer relations, staff relations, school, family behavior issues/patterns, and program participation. The information is passed to behavior health for the assessment process and used by staff to develop the initial case plan. (a) youth will receive assistance with needs or concerns that may arise; 504.5 ⁋ 3 (a) ☒ ☐ ☐ 704.3 (a) 1 (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, 504.5 ⁋ 3 (b) probation officer, or other public official; and, ☒ ☐ ☐ 704.3 (b) (c) youth will be provided access to available resources to meet the youth’s needs. 504.5 ⁋ 3 (c) ☒ ☐ ☐ 704.3 (a) 2 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 34 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE 513 Use of Force (UF) The facility administrator, in cooperation with the 513.3 ⁋ 6 responsible physician, shall develop and implement written policies and procedures for the use of force, The agency has had 5 UF incidents involving which may include chemical agents. Force shall never 12 youth from January 2022 to September be applied as punishment, discipline, retaliation or 2023, none involving SYTF youth.w We treatment. reviewed each incident report and found all (a) At a minimum, each facility shall develop policies and elements of regulation are compliant. ☒ ☐ ☐ procedures which: Staff response and follow up documentation was descriptive of the circumstances, which are evaluated and reviewed by administrative staff. There was 2 uses of OC Spray incidents this cycle. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section ☒ ☐ ☐ 513.3 ⁋ 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 513.3.5 Use of Force Options when those force options are appropriate. The agency allows for staff presence, ☒ ☐ ☐ counseling/dialogue, verbal commands, control and search techniques, OC Spray, physical and mechanical restraint and unarmed defensive tactics. (3) describe force options or techniques that are expressly prohibited by the facility. 513.3.4 Limitations ☒ ☐ ☐ 513.10 (k) (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ ☐ ☐ 513.3.2 Duty to Intercede action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for documenting 513.6 Reporting the UF and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 35 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (6) Include an administrative review and a system for investigating unreasonable use of force. ☒ ☐ ☐ 513.9 (7) define the role, notification, and follow-up procedures required after use of force incidents for ☒ ☐ ☐ 513.6.1 ⁋ 2 medical, mental health staff and parents or legal guardians. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) 513.3.4 and Welfare and Institutions Code Section 222. ☒ ☐ ☐ 513.4.3 (g)(2) (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: 513.4 Use of Chemical Agents (1) identify who is approved to carry and/or utilize ☒ ☐ ☐ chemical agents in the facility and the type, size and 513.4 ⁋ 1 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 513.4.1 safety of others and only when de-escalation efforts have been unsuccessful or are not reasonably possible. ☒ ☐ ☐ The agency had 2 use of OC Spray incidents from January 2022 to September 2023. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. 513.4 ⁋ 3 This shall include that youth who have been exposed to chemical agents shall not be left unattended until ☒ ☐ ☐ 513.4 ⁋ 4 that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. 513.4 ⁋ 5 (4) define the role, notification, and follow-up procedures required after use of force incidents 513.4.2 ☒ ☐ ☐ involving chemical agents for medical, mental health 513.6.1 staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for 513.4.2 which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ 513.6.2 of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 36 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training ☒ ☐ ☐ 513.10.2 Training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; ☒ ☐ ☐ 513.10.2 (a) (2) acceptable chemical agents and the methods of application. ☒ ☐ ☐ 513.10.2 (b) (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ ☐ ☐ 513.10.2 (c) (4) instruction on the Constitutional Limitations of Use of Force. ☒ ☐ ☐ 513.10.2 (d) (5) physical training force options that may require the use of perishable skills. ☒ ☐ ☐ 513.10.2 (e) (6) timelines the facility uses to define regular training. ☒ ☐ ☐ 513.10.2 (f) 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 37 of 69 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 514 Restraints (UR) The facility administrator, in cooperation with the 514.1.1 responsible physician and mental health director, shall 514.4 develop and implement written policies and procedures for the use of restraint devices. Restraint devices The have been one use of restraints as include any devices which immobilize a youth's defined by regulation this cycle, none extremities and/or prevent the youth from being involving a SYTF youth. The incident ambulatory. involved a combative youth at admission necessitating placement in the WRAP. The youth was spitting and banging his head. A spitting mask and soft helmet were placed on ☒ ☐ ☐ the youth as well. Behavior Health staff arrived and upon their assessment the WRAP was removed, and the youth transported to the hospital for a 5150 Hold. Documentation revealed responsive verbal attempts at de-escalation prior to the placement without success. The youth was in the WRAP for less than 2 hours with constant direct visual observation and medical and behavior health presence. Physical restraints may be used only for those youth who present an immediate danger to themselves or 514.3 (c) and (e) others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of 514.3 (g) and (l) restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when used 514.5 (a) to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 38 of 69 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 514.3 (d) 1 may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints 514.3 (d) 2 shall be reviewed and documented at a minimum of every hour. 514.3 (d) 3 A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no 514.3 (j) 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 ☒ ☐ ☐ 514.3 (j) 2 time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and 514.3 (j) to ensure the safety and well-being of the youth. 514.6 (h) ☒ ☐ ☐ Observations of the youth's behavior and any staff 514.7 (j) interventions shall be documented at least every 15 514.7 (k) minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and procedures shall address: ☒ ☐ ☐ 514.7 (c) (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate certain restraint devices and/or techniques. ☒ ☐ ☐ 514.10 (h) (c) acceptable restraint devices. ☒ ☐ ☐ 514.11 (b) 1-4 (d) signs or symptoms which should result in immediate medical/mental health referral. ☒ ☐ ☐ 514.10 (j) (e) availability of cardiopulmonary resuscitation equipment. ☒ ☐ ☐ 514.10 (k) 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 39 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a 514.3 (k) specified housing area for restrained youth which makes 514.6 (d) ☒ ☐ ☐ provision to protect the youth from abuse. 514.6 (h) (g) provision for hydration and sanitation needs. ☒ ☐ ☐ 514.3 (m) (h) exercising of extremities. ☒ ☐ ☐ 514.6 (i) 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION 514.5 Transportation Restraints WITHIN THE FACILITY. The Facility Administrator, in cooperation with the 514.12 (b) General Procedures for Restraints responsible physician and behavioral/mental health director, shall develop and implement written policies and procedures for the use of restraint devices when the ☒ ☐ ☐ The agency has utilized restraints for purpose is for movement or transportation within the movement or transportation within the facility facility that shall include the following: on 6 occasions since January 2022, none involving a SYTF youth. Each incident was clearly documented and articulated the need for application. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required 514.10 (i) training. ☒ ☐ ☐ 514.12 (f) (b) the circumstances leading to the application of restraints must be documented. 514.7 (c) ☒ ☐ ☐ 514.14 (c) an individual assessment of the need to apply restraints for movement or transportation that includes 514.12 (b) 1-3 consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 40 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint devices ☒ ☐ ☐ 514.11 Use of Restraint Policy shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and 514.9 Welfare and Institutions Code Section 222. ☒ ☐ ☐ 514.9.1 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in There is no safety room at this facility. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ accomplished in accordance with the following: 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 41 of 69 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 ☐ ☐ ☒ 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 ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☐ ☐ ☒ 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 ☐ ☐ ☒ for a period of four hours, staff shall do one or more of the following: ☐ ☐ ☒ (1) return the youth to general population. ☐ ☐ ☒ (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 the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☐ ☐ ☒ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement 515 Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: The agency conducts random room searches, documented in a room search log. These are recorded monthly. The Strip ☒ ☐ ☐ Search form is inclusive of elements required. We reviewed the one incident of a strip search of a JH youth since January 2022 and found the necessary elements of reasonable suspicion and supervisor approval were documented. (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ 515.2 staff. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 42 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ 515.1 ⁋ 1 searched and shall not be conducted for harassment or as a form of discipline or punishment. 515.2 ⁋ 2 (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. 515.4.1 (a) ☒ ☐ ☐ 515.4.2 (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ 515.4.2 (b) (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor 515.4.1 (a) when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ 515.5 (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when ☒ ☐ ☐ 514.4.2 (c) conducted by a medical professional. Such searches must be justified and documented in writing. 514.4.3 ⁋ 2 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement 609 Youth Grievances written policies and procedures whereby any youth may appeal and have resolved grievances relating to any 609.2 condition of confinement, including but not limited to 609.3 ⁋ 1 health care services, classification decisions, program participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be ☒ ☐ ☐ We reviewed all 10 grievances filed by JH no time limit on filing grievances. Policies and youth since January 2022. The response procedures shall include provisions whereby the facility and resolution were timely and fair, with manager ensures: resolution within the same day but no longer than 2 days. In all but one grievance, as the youth had been released, the facility superintendent, Jonell Casada, spoke with the youth regarding the incident or complaint. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 43 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ 609.3 Bullet 1 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 ☒ ☐ ☐ 609.3 Bullet 8 supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ 609.4 ⁋ 1 (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances ☒ ☐ ☐ 609.4.2 ⁋ 3 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 ☒ ☐ ☐ 609.4.5 (a) directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ 609.4.5 (b) (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ 609.4.3 (f) a system which provides that any appeal of a grievance shall be heard by a person not directly ☒ ☐ ☐ 609.4.3 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 ☒ ☐ ☐ 609.4.2 ⁋ 4 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. ☒ ☐ ☐ 609.6 Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be ☒ ☐ ☐ 609.4.1 ⁋ 2 addressed and documented in accordance with written policies and procedures within a specified timeframe. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 44 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical 209.4.2 harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be 209.5.2 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 ☒ ☐ ☐ We reviewed a sampling of incident reports authorized by the facility manager or designee. including use of force, failure to program, and incidents related to operations. The documentation was informative. All reports are reviewed by the Supervisor and JH Supervisor. 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, IMPRESSIONS 521 Biological Samples (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel 521.5 including peace officers, may employ reasonable force ☒ ☐ ☐ to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that 521.5 an objective, trained and competent correctional employee, faced with similar facts and ☒ ☐ ☐ circumstances, would consider necessary and reasonable to gain compliance with this section. The facility indicates in policy that force will not be used to secure compliance. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to 521.5 ⁋ 2 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 521.5 ⁋ 2 authorization shall include information that reflects the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. ☒ ☐ ☐ The agency requires a specific Court order to use force to collect a DNA Sample. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 45 of 69 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 521.5.1 shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM (a) School Programs 1003 Youth Educational Services The County Board of Education shall provide for the 1003.3 administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee 1003.4 (b) 1 pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy and procedures to ensure communication and The San Benito Office of Education (SBOE) coordination between educators and probation staff. operates the San Benito County Court Culturally responsive and trauma-informed approaches School. The annual evaluation was should be applied when providing instruction. Education completed by the Santa Cruz Office of staff should collaborate with the facility administrator to Education on January 6, 2023. During our use technology to facilitate learning and ensure safe last inspection, there was no on-site teacher technology practices. The facility administrator shall due to Covid and the inability to hire. We are request an annual review of each required element of the pleased to report there is now a teacher in program by the Superintendent of Schools, and a report the classroom, providing 240 minutes of or review checklist on compliance, deficiencies, and instruction each day. In addition to the corrective action needed to achieve compliance with this required elements, the teacher works with section. Such a review, when conducted, cannot be culinary and vocational programming, as well delegated to the principal or any other staff of any juvenile ☒ ☐ ☐ as providing incentives for students that are court school site. The Superintendent of Schools shall well behaved and productive in class. conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item We reviewed the class schedule for all with the Superintendent of Schools and shall take students and found they receive core and whatever corrective action is necessary to address each individualized instruction. In our interview deficiency and to fully protect the educational interests of with the Principal of Alternative Education, all youth in the facility. Garret Quindimil, we learned the school and probation staff work with the SBOE alongside with the Gilroy School District to ensure seamless transitions into the school of record upon release. The referral to Gavilan College, Higher Aspirations, is part of in custody and transition services as a collaboration with probation. The Department of Rehabilitation works with special needs populations, including those in custody at the Youth Services Center. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 46 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements The facility school program shall comply with the State 1003.2 Education Code and County Board of Education policies, 1003.3 all applicable federal education statutes and regulations and provide for an annual evaluation of the educational 1003.4 (b) 1 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 1003.3 (a) 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, ☒ ☐ ☐ 1003.5 courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ 1003.5 ⁋ 3 Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ 1003.5 ⁋ 3 (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ 1003.5 ⁋ 3 Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress towards ☒ ☐ ☐ 1003.5 ⁋ 4 grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court 1003.5 ⁋ 2 schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 47 of 69 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 1003.4 (k) 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 1003.7 ⁋ 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 ☒ ☐ ☐ 1003.7 ⁋ 2 educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school 1003.7 ⁋ 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 ☒ ☐ ☐ 1003.4 (g) that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or 1003.4 (a) 1 suspected disabilities. This includes but is not limited ☒ ☐ ☐ 1003.4 (d) to child find, assessment, continuum of alternative placements, manifestation determination reviews, 1003.4 (e) 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 ☒ ☐ ☐ 1003.4 (m) 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 1003.4 (c) 1 educational history, including but not limited to: 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 48 of 69 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; ☒ ☐ ☐ 1003.4 (c) 1 (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ 1003.4 (c) 1 (C) Needs and services of special populations as defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. 1003.4 (c) 1 (D) Discipline problems. ☒ ☐ ☐ 1003.4 (c) 1 (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ 1003.4.1 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. 1003.4.1 ⁋ 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 1003.4.1 ⁋ 2 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 youth shall be forwarded to the next educational ☒ ☐ ☐ 1003.4 (i) 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 1003.4 (i) 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 1003.4 (n) and procedures to meet the transition needs of youth, ☒ ☐ ☐ 519.5 Release 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. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 49 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- 1003.4 (o) ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. 1002 Programs, Exercise and Recreation The facility administrator shall develop and implement written policies and procedures for programs, 1002.2 recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. ☒ ☐ ☐ A Social Awareness Programs memo was completed by Supervising Probation Officer Enedina Canales on September 25, 2023. The memorandum articulates the programs offered, their relevance to the population and the content of each program. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three 1002.3 ⁋ 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 1002.3 ⁋ 2 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. ☒ ☐ ☐ 1002.3 ⁋ 3 There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ☒ ☐ ☐ 1002.3 ⁋ 6 ensure content offered is current, consistent, and relevant to the population. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 50 of 69 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 1002.6 Programs include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 51 of 69 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; 1000.2 (3) Anger Management; 1000.3 (4) Conflict Resolution; (5) Juvenile Justice System; Our review of the agency/unit schedule accompanied by the Social Programs memo (6) Trauma-related interventions; outlining program options for youth determined compliance with this regulation. (7) Victim Awareness; (8) Self-Improvement; Programs include: Thinking for Change; (9) Parenting Skills and support; Boys/Girls Circle; Change Company (10) Tolerance and Diversity; Journaling; Teen Recovery; San Benito Arts Council; Life Skills; Garden and Ag Programs; (11) Healing Informed Approaches; Sacred Roc; YMCA Programs; USTA Tennis; (12) Interventions by Credible Messengers; Health/Fitness Programming; ServSafe Certification (Food Handler’s Certificate), and (13) Gender Specific Programming; Community Solutions. (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; Probation refers youth upon exiting the facility to the provider for the Workforce Innovation (16) Restorative Justice or Civic Engagement; ☒ ☐ ☐ Opportunity Act (WIOA) program to gain (17) Career and leadership opportunities; and, employable skills if they need employment. (18) Other topics suitable to the youth population. Wellpath provides one-on-one counseling and crisis intervention counseling. San Benito Behavior Health responds to crisis incidents within the facility when Wellpath BH is not on site and provides some group activities. We suggested the Wellpath Clinician work with the agency to provide two Group sessions a week. Marianne Neill was very receptive and indicated she would work with the Program Manager, Jonell Casada, to provide Anger Management, Management of Trauma/Stress, or like groups to the youth. The Food Services Manager indicated he would be willing to provide a program to teach youth food safety, nutrition, and diet education. He plans to work with Mrs. Casada to initiate this program. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 52 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled 1002.5 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 ☒ ☐ ☐ 1002.4 each day. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and 1002.3 ⁋ 7 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 1006 Religious Programs services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ 1006.4.1 allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 1006.4.1 (a) opportunity for religious services and practices; ☒ ☐ ☐ 1006.10 (b) availability of clergy; and, ☒ ☐ ☐ 1006.4 (f) and (g) (c) availability of religious diets. ☒ ☐ ☐ 1006.6 1373 WORK PROGRAM The facility administrator shall develop policies and 1004 Youth 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 There is no structured work program other vocational training or increasing a youth's sense of than unit and facility clean-up details. Youth responsibility. Work programs shall not be imposed as a are able to earn points for their participation. disciplinary measure 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 53 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING The facility administrator shall develop and implement 1007 Visiting written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to 1007.3.2 receive visits by parents, guardians or persons standing ☒ ☐ ☐ in loco parentis, and children of youth. Other family members, such as grandparents and siblings, and Visiting is scheduled on Tuesday evenings supportive adults, may be allowed to visit with the and Saturday mornings. Virtual Visiting is approval of the facility administrator or designee, and in promoted for youth not receiving in-person conjunction with the youth’s case plan or in the best visits. interest of the youth. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. 1007.5 Visiting Schedule Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, 1007.6 (f) whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but conversations ☒ ☐ ☐ 1007.3.2 ⁋ 2 shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, shall 1007.8 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. ☒ ☐ ☐ 1007.3.2 ⁋ 3 1375 CORRESPONDENCE The facility administrator shall develop and implement ☒ ☐ ☐ 1001 Youth Mail 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; ☒ ☐ ☐ 1001.3 ⁋ 1 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 54 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) youth may send two letters per week postage free; ☒ ☐ ☐ 1001.10 (a) (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder of 1001.4 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 ☒ ☐ ☐ 1001.6 cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop ☒ ☐ ☐ 1005 Youth 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 ☒ ☐ ☐ 603 Youth Access to Court and Counsel 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; 603.3 Youth Access ☒ ☐ ☐ (b) provision for confidential consultation with attorneys; and, 603.3 ⁋ 1 ☒ ☐ ☐ 603.4 Confidentiality (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. 1001.4 Correspondence ☒ ☐ ☐ 1005.5 Telephone 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 55 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1390 DISCIPLINE The facility administrator shall develop and implement 600 Youth Discipline written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use 600.3.1 Youth Rules and Sanctions of positive behavior interventions and supports. Discipline 600.6 Bullet 20 shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or The Role Model Incentive Program was psychological degradation. Deprivation of the following is developed last cycle to promote pro-social not permitted: programming for youth and work towards positive incentives and rewards for good behavior, rather the focusing on sanctions for negative behavior. Youth are able to advance to Level 8 based on points earned at the rate of 10 per hour. The focus on leadership, team ☒ ☐ ☐ building, and accountability is the focus with positive encouragement for each activity or program participation. We reviewed the 5 files of youth admitted and the incentive rosters showing advancement through the level system. We also reviewed exit summaries and youth felt like they were involved in their progress and able to be part of the successes, evidenced by the incentive points and rewards offered. Rewards include snacks, games, late bedtime, and other positive tools to promote a positive program. (a) bed and bedding; ☒ ☐ ☐ 600.6 Bullet 13 (b) daily shower, access to drinking fountain, toilet and ☒ ☐ ☐ 600.6 Bullet 7 personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ 600.6 Bullet 4 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 56 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 600.6 Bullet 6 (d) contact with parent or attorney; ☒ ☐ ☐ 600.6 Bullet 18 (e) exercise; ☒ ☐ ☐ 600.6 Bullet 11 600.6 Bullet 15 (f) medical services and counseling; ☒ ☐ ☐ 600.6 Bullet 19 (g) religious services; ☒ ☐ ☐ 600.6 Bullet 19 (h) clean and sanitary living conditions; ☒ ☐ ☐ 600.6 Bullet 14 (i) the right to send and receive mail; ☒ ☐ ☐ 600.6 Bullet 5 (j) education; and, ☒ ☐ ☐ 600.6 Bullet 19 (k) rehabilitative programming. ☒ ☐ ☐ 600.6 Bullet 19 The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct of youth. 600.4 Minor Rule Violations Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ 600.5 Major Rule Violations affirmatively, and be made available to all youth. Provision shall be made to provide accessible information 510 Limited English Proficiency Services to youth with disabilities, limited English proficiency, or limited literacy. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 57 of 69 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 600.3 Due Process written policies and procedures for the administration of discipline which shall include, but not be limited to: There were 11 incidents involving a major rule violation from January 2022 to September 2023. We reviewed the Due Process process and documentation which complies with all elements in regulation. The incidents involved physical altercations or failing to follow staff directives to the point of threatening staff. ☒ ☐ ☐ Most youth lost tokens or lost incentive points for the shift. No youth requested a hearing. The agency has very few major incidents and are allowed to individualize sanctions based on each youth, with a consistent baseline. The supervisor reviews the incident with the youth and documents the discussion on the due process form. (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ 600.3 (a) (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ 600.6 Bullet 1 (c) definition of major and minor rule violations and their consequences, and due process requirements; 600.4 Minor ☒ ☐ ☐ 600.5 Major 600.3.1 Youth Rules and Sanctions (d) trauma-informed approaches and positive behavior interventions; 600.3.1 ⁋ 1 ☒ ☐ ☐ 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 58 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct 600.4 Minor Rule Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of 600.8 Documentation review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall be documented and require the following: ☒ ☐ ☐ 600.5 Major Rule Violations (1) written notice of violation prior to a hearing; ☒ ☐ ☐ 600.5.3 ⁋ 1 (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ 600.5.7 Staff Assistance learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ 600.5.4 ⁋ 1 incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ 600.5.4 ⁋ 2 evidence and testimony; (5) provision for youth to be assisted by staff in the ☒ ☐ ☐ 600.5.7 hearing process; (6) provision for administrative review. ☒ ☐ ☐ 600.5.10 (g) violations that result in a removal from camp or commitment program, but not a return to court, will 600.7.1 follow the due process provisions in subsection (e) above. ☐ ☐ ☒ The agency has a policy on this regulation but does not have post-disposition commitments or a camp program. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 59 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1410 MANAGEMENT OF COMMUNICABLE DISEASES. San Benito County Probation Department The health administrator/responsible physician, in (SBCPD) Policy 706 Communicable cooperation with the facility administrator and the local Diseases - Youth health officer, shall develop written policies and procedures to address the identification, treatment, ☒ ☐ ☐ control and follow-up management of communicable This policy provides general guidelines to diseases. The policies and procedures shall address, minimize the risk of youths contracting or but not be limited to: spreading communicable diseases, as well as guidelines for diagnosing and treating them. SBCPD Policy 706.3 (c) 1 This policy generally covers the need for (a) Intake health screening procedures; ☒ ☐ ☐ procedures to address intake screening. SBCPD Administrative Memo dated May 5, 2020: Directive #4 - Bookings SBCPD Policy 706.3 (c) 3: Investigation of suspected exposures SBCPD Administrative Memo dated May 5, (b) Identification of relevant symptoms; ☒ ☐ ☐ 2020: Directive #4 (a) Screening questions SBCPD Administrative Memo dated May 5, 2020: Directive #7 (a) Symptomology procedures. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 60 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SBCPD Policy 706.4.1 (c) This requires contact with a qualified healthcare professional to care for and be given directives for isolation or quarantine. SBCPD Policy 706.4.3 Medical Consultation, Evaluation and Treatment (c) Referral for medical evaluation; ☒ ☐ ☐ This policy requires immediate medical evaluation for any exposure to a Communicable Disease. SBCPD Administrative Memo dated May 5, 2020: Directive #6 Medical This directive outlines the Wellpath responsibilities for daily temperature checks of all youth and any youth presenting at booking or during their stay (sick call). SBCPD Policy 706.4.3 Medical Consultation, Evaluation and Treatment This policy requires immediate medical evaluation for any exposure to a Communicable Disease. (d) Treatment responsibilities during detention; ☒ ☐ ☐ SBCPD Administrative Memo dated May 5, 2020: Directive #6 Medical This directive outlines the Wellpath responsibilities for daily temperature checks of all youth and any youth presenting at booking or during their stay (sick call). 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 61 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SBCPD Policy 706.3 (d) 2 This policy directs the coordination of follow- up treatment. (e) Coordination with public and private community- ☒ ☐ ☐ SBCPD Policy 706.3 (d) 4 based resources for follow-up treatment; This policy directs the coordination with the Exposure Control Officer with Public Health to develop and provide appropriate health education to in-custody youth and the community. SBCPD Policy 706.3 (c) 7 This policy requires the report of any communicable disease to the proper authorities, identified under 706.3 (d), (f) Applicable reporting requirements; and, ☒ ☐ ☐ compliance with the Ryan White Law (42 USC Subsection 300ff-133 and 42 USC Subsection 300ff-136) SBCPD 706.4.2 Supervisor Response and Reporting Requirements SBCPD Policy 706.3 (d) 3 This policy calls for operational procedures for handling communicable disease outbreaks. (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ SBCPD Administrative Memo dated May 5, 2020: Directive #7 Working with COVID-19 Youth This process provides operational procedures for COVID-19 positive youth. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 62 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The policies and procedures shall be updated as necessary to reflect communicable disease priorities The agency policy designates there shall be identified by the local health officer and currently procedures for communicable diseases and recommended public health interventions. ☒ ☐ ☐ the administrative memo outlines the operational protocols for COVID-19. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ Y-A-01 Wellpath Policy: Access to Care 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 The youth’s personal clothing, undergarments and 806.6 Clothing Issue 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. ☒ ☐ ☐ 806.6 ¶1 (b) The standard issue of climatically suitable clothing for youth shall consist of but not be limited to: ☒ ☐ ☐ 806.6 ¶2 (1) Socks and serviceable footwear; ☒ ☐ ☐ 806.6 Bullet #1 (2) Outer garments; ☒ ☐ ☐ 806.6 Bullet #2 (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; ☒ ☐ ☐ 806.6 Bullet #5 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. ☒ ☐ ☐ 806.6 Bullet #3 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 63 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried ☒ ☐ ☐ 806.7 completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ 806.6 Bullet #6 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement 806.6 ¶4 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 806.6 ¶9 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 There shall be written policies and site-specific 806.9 Personal Hygiene of Youth 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; ☒ ☐ ☐ 806.9 ¶3, Bullet 4 (b) Toothpaste; ☒ ☐ ☐ 806.9 ¶3, Bullet 3 (c) Soap; ☒ ☐ ☐ 806.9 ¶3, Bullet 1 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 64 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Comb; ☒ ☐ ☐ 806.9 ¶3, Bullet 2 (e) Shaving implements; ☒ ☐ ☐ 806.9 ¶3, Bullet 5 (f) Deodorant; ☒ ☐ ☐ 806.9 ¶3, Bullet 8 (g) Lotion; ☒ ☐ ☐ 806.9 ¶3, Bullet 9 (h) Shampoo; and, ☒ ☐ ☐ 806.9 ¶3, Bullet 10 (i) Post-shower conditioning hair products. ☒ ☐ ☐ 806.9 ¶3, Bullet 11 Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap 806.9 ¶5 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 There shall be written policies and site specific 806.3 procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ 806.9 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. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 65 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1487 SHAVING Youth shall have access to a razor daily, unless their 806.9 ¶3, Bullet 5 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 806.10 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 Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good 806.5 ☒ ☐ ☐ 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 ☒ ☐ ☐ 806.5 (b) regulations; (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ 806.5 (e) (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ 806.5 (c) (d) One towel; and, ☒ ☐ ☐ 806.5 (d) (e) One blanket or more, up on request ☒ ☐ ☐ 806.5 (a) 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 66 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement 806.5 ¶2 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. ☒ ☐ ☐ 806.5 (a) 2 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE 801 Housekeeping and Maintenance The facility administrator shall develop and implement 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). 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 67 of 69 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.) 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 68 of 69 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☐ ☒ separated from minors. ☐ Violation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed ☐ ☐ ☒ in the facility in a manner that allows contact with Violation minors. 7457 San Benito Youth Services Center - SYTF PRO 23-24 Page 69 of 69 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: 7456 7457 FACILITY NAME: San Benito County Youth Services Center and FACILITY TYPE: JH and SYTF Secure Youth Treatment Facility 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): Pre-98 FIELD REPRESENTATIVE: Elizabeth Gong DATE: October 5, 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 Initial booking takes place just inside the 1230.1.2; sallyport, where there is a bench for youth to In each juvenile hall, camp and ranch, space used sit on pending booking. The youth is then ☒ ☐ ☐ for the reception of youth pending admission to these placed in the interview room, adjacent to the facilities shall have the following space and control station, pending assignment to the equipment: living unit/room. 3. Access to a shower; ☒ ☐ ☐ 4. A secure vault or storage space for youth, valuables; ☒ ☐ ☐ 5. Telephone accessible to youth; and ☒ ☐ ☐ 6. Access to hot and cold running water for staff use. ☒ ☐ ☐ 1230.1.2 Locked holding room. ☐ ☐ ☒ A locked holding room shall: 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 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. ☐ ☐ ☒ 7456 7457 San Benito Youth Services Center LASE 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. The facility has one living unit and has a rated A living unit shall be a self-contained unit containing capacity of 20 youth, 15 for detention and 5 for locked sleeping rooms, single and double occupancy ☒ ☐ ☐ SYTF. There have been no SYTF sleeping rooms, or dormitories, dayroom space, toilet, commitments since SB 823 was signed in wash basins, drinking fountains and showers 2020. 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. There are two single rooms which are ADA Single occupancy sleeping rooms shall provide the ☒ ☐ ☐ compliant, Rooms 4 and 5. 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. ☒ ☐ ☐ 7456 7457 San Benito Youth Services Center LASE 23-24 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.9 Dormitories Dormitories shall provide the following: 1. A minimum of 50 square feet of floor area per ☐ ☐ ☒ 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. ☒ ☐ ☐ There shall be a dedicated classroom space for every juvenile in every facility. The primary purpose for the academic classroom shall ☒ ☐ ☐ be for education. 7456 7457 San Benito Youth Services Center LASE 23-24 - 3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Each academic classroom shall contain a minimum of 160 square feet of floor space for the teacher’s desk The sole classroom is equipped for 20 and work area and a minimum of 28 square feet of students; therefore, the overall RC of the floor space per minor. facility is 20. It is anticipated the old Courtroom ☒ ☐ ☐ will be made into a classroom later this cycle. Although there are 28 beds in the facility, there are only four showers so the maximum capacity would be 24 youth. 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. A safety room shall: ☐ ☐ ☒ 1. Contain a minimum of 48 square feet of floor area 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; ☒ ☐ ☐ 7456 7457 San Benito Youth Services Center LASE 23-24 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 4. Not less than 144 square feet of floor space with no single dimension less than 7 feet; The medical exam room has 72’ square feet of ☒ ☐ ☐ dedicated space, meeting Pre-98 standards. 5. Hot and cold running water; ☒ ☐ ☐ 6. Smooth, nonporous, washable surface; ☒ ☐ ☐ 7. A medical exam table; and, ☒ ☐ ☐ 8. Adequate lighting. ☒ ☐ ☐ 1230.1.15 Pharmaceutical storage. Provide lockable storage space for medical supplies ☒ ☐ ☐ and pharmaceutical preparations as specified by Title 15, Section 1438. 1230.1.16 Dining areas. 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. Space shall be provided in all juvenile facilities for in- ☒ ☐ ☐ person visiting which shall be unobstructed by barriers 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. Each youth in a juvenile facility shall be provided with ☒ ☐ ☐ 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. 7456 7457 San Benito Youth Services Center LASE 23-24 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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. ☒ ☐ ☐ Confidential interview rooms shall contain a minimum of 60 square feet of floor area. 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, ☐ ☐ ☒ 7456 7457 San Benito Youth Services Center LASE 23-24 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 7. A mirror of material appropriate to the level of security shall be provided as specified in Section ☐ ☐ ☒ 1230.2.11. 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: There is a combo unit in each room for youth. ☒ ☐ ☐ 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. There is a combo unit in each room for youth. 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. The facility has 4 showers in the single living Showers shall be provided with tempered water. unit, therefore, only 24 youth can be housed in ☒ ☐ ☐ the facility if the second classroom is completed. 1230.2.5 Beds. ☒ ☐ ☐ Beds shall be at least 30 inches wide and 76 inches long and be of the solid bottom type. 7456 7457 San Benito Youth Services Center LASE 23-24 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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. 7456 7457 San Benito Youth Services Center LASE 23-24 - 8 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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. 7456 7457 San Benito Youth Services Center LASE 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: 7456 7457 FACILITY: Santa Benito County Youth Services Center and TYPE: JH RC: 15 Secure Youth Treatment Facility SYTF 5 FIELD REPRESENTATIVE: Elizabeth Gong DATE October 5, 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 The San Benito Facility is one building with one living unit housing all youth in detention. Intake Pre-98 4 1 1 1 1 Holding Pre-98 1 (0) 65 Sq Ft NOTE: The holding room is an Interview Room and not a secure room for youth holding. LIVING UNIT: On the day of the inspection there were 5 Juvenile Hall youth in custody. Room 4-5 Single Pre-98 2 1 1 2 101 Sq Ft 1 1 1 Room 1-3, Double Pre-98 13 2 2 26 103 Sq Ft 1 1 1 6-15 Dayroom Pre-98 1 1591 Sq Ft 1 4 School Pre-98 1 (20) 567 Sq Ft Courtyard Pre-98 9500 Sq Ft NOTE: The facility has rooms for 28 youth, however, due to the size of the classroom, the rated capacity is 20. The Courtroom was vacated in 2020 and the intent was to turn it into a classroom for an increased capacity of 24 youth as there are only 4 showers. This has not occurred to date. *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. 7456 7457 San Benito Youth Services Center LASE 23-24 - 1 - J460 LAS JUV-05.dot (rev.12/2022)