San Diego County Probation (2023-2024 inspection cycle)

February 29, 2024 Tamika Nelson, Chief of Probation San Diego Probation Department PO Box 23597 San Diego, CA 92193-3597 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SAN DIEGO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Nelson: The 2023-2024 Comprehensive Inspection of the San Diego County Probation Department has been completed. A pre-inspection briefing was held on Wednesday, May 10, 2023, and the following facilities were inspected between Monday, November 6, 2023, and Friday, November 17, 2023: FACILITY NAME BSCC # FACILITY TYPE East Mesa Juvenile Detention Facility (EMJDF) 7492 JH Youth Transition Campus (YTC) 7493 CAMP San Diego Secure Youth Treatment Facility (SYTF) 7498 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to inspection(s), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. At the time of the inspection, the East Mesa Juvenile Detention Facility and Youth Transition Campus county building inspections were deemed out of compliance with Title 15, section 1313. The East Mesa Juvenile Detention Facility juvenile court inspection was also deemed out of compliance. Tamika Nelson, Chief of Probation Page 2 INSPECTION RESULTS We identified the following items of noncompliance with Title 15 Minimum Standards: Title 15 Section 1313, County Inspection and Evaluation of Building and Grounds(a): At the time of the inspection, EMJDF/SYTF and YTC did not have a completed Building Inspection within the past year. Title 15 Section 1313, County Inspection and Evaluation of Building and Grounds(e): At the time of the inspection, EMJDF/SYTF did not have a completed Juvenile Court Inspection within the past year. Title 15 Section 1321, Staffing(a): At the time of the inspection, EMJDF/SYTF was found to have insufficient personnel to carry out the overall facility operation and its programming. Title 15 Section 1329, Suicide Prevention Plan(e)(1)(B): At the time of the inspection, EMJDF and YTC were automatically strip-searching youth who were placed on Suicide Prevention Protocol (SPP). Title 15 Section 1354.5, Room Confinement (2): Due to the shortage of staff at EMJDF/SYTF, youth are often required to eat meals in their rooms. Also, after 6 p.m., youth may be required to remain in their rooms with only showers being conducted. At the time of the inspection, EMJDF was found to have insufficient personnel to carry out the overall facility operation and its programming. Title 15 Section 1360, Searches(e): At the time of the inspection, EMJDF and YTC were automatically strip-searching youth who were placed on SPP. Title 15 Section 1361, Grievance Procedure(d)(g): At the time of the inspection, EMJDF/SYTF was found out of compliance for failing to initially respond to youth grievances within 3 business days. EMJDF was also found out of compliance for failing to resolve youth grievances within 10 business days. Title 15 Section 1371, Programs, Recreation, and Exercise(a)(b)(c): Due to the shortage of staff at EMJDF/SYTF, youth often don’t receive one-hour minimum each of programs, recreation, and exercise per day. Title 15 Section 1488, Hair Care Services: At the time of the inspection, YTC did not provide monthly hair care services for the female youth. Refer to the attached Procedures Checklist for detailed information. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity and Title 24 compliance. 7492+ San Diego Probation JH SYTF Camp LTR 23-24 Tamika Nelson, Chief of Probation Page 3 Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified and no areas of noncompliance were noted. CORRECTIVE ACTION PLAN (CAP) An Exit Briefing with your staff was held on Monday, November 20, 2023; BSCC staff presented an overview of the inspection and discussed technical assistance and best practice recommendations. BSCC staff reviewed and provided an Initial Inspection Report for noncompliance items found during the inspection. Your agency provided BSCC staff with a CAP addressing these issues on Friday, January 19, 2024, we responded to the CAP under a separate cover letter, indicating that the following items of noncompliance have been corrected and verified: • YTC- Title 15 section 1313(a) Building Inspection completed on 11/15/2023 • EMJDF/SYTF- Title 15 section 1313(a) Building inspection completed on 12/29/2023 • EMJDF/SYTF- Title 15 section 1313(e) Court inspection completed on 12/11/2023 Pursuant to Welfare and Institutions Code section 209(d), the remainder of the corrective action must be corrected by April 18, 2024. * * * Please email me at craigus.thompson@bscc.ca.gov or call (916) 597-4610 if you have any questions. Sincerely, CRAIGUS THOMPSON SR. Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, San Diego County Juvenile Court* Chair, Juvenile Justice Commission, San Diego County* Chair, Board of Supervisors, San Diego County* County Administrator, San Diego County* Jason Druxman, Deputy Chief, San Diego County Christiene Andrews, Deputy Chief, San Diego County *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7492+ San Diego Probation JH SYTF Camp LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7492 FACILITY NAME: East Mesa Juvenile Detention Facility (EMJDF) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Brandon Abriel, Division Chief; Matthew Strickland, Division Chief; Patrick Hernandez, Supervising Probation Officer; Nathan Head, School Principal; Elizabeth Dauz, Behavioral Health Program Coordinator; Omar Bautista, Behavioral Health Program Manager; Eduardo Calderon, Supervising Probation Officer; Angel Nunez, Supervising Probation Officer; Kovan Abdul-Razzak, Deputy Probation Officer; Christopher Guillen, Deputy Probation Officer; James Parison, Deputy Probation Officer; Ashley Russo, Deputy Probation Officer; Mindy McCartney, Program Director SBCS Corp FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: November 17, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS At the time of the inspection, a Building Inspection had not been completed within the On an annual basis, or as otherwise required by law, past year. 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 Completed 4/28/2022 clearance as required by Health and Safety Code Section ☒ ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with Medical/Mental Health completed 1/26/2023 Health and Safety Code Section 101045; ☒ ☐ ☐ Environmental Health completed 3/23/2023 Nutritional Evaluation completed 3/23/2023 (d) county superintendent of schools on the adequacy of Completed on 8/10/2023 by Katy Ramezani educational services and facilities as required in Section ☒ ☐ ☐ Ed.D., Director-Educational Programs and 1370; Services OCDE/ACCESS (e) juvenile court as required by Section 209 of the At the time of the inspection, a Juvenile Court Welfare and Institutions Code; and, ☐ ☒ ☐ Inspection had not been completed within the past year. (f) the Juvenile Justice Commission as required by Completed on 4/27/2023 by JJC Chair Yvette Section 229 of the Welfare and Institutions Code or Klepin ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 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. 7492 San Diego EMJDF PRO 23-24 Page 1 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Section 2 Appointment and Qualifications 2.1 BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification Memo confirming compliance with this letter confirming that all elements of regulation are met. regulation was submitted by Chief Probation Officer (CPO) Tamika Nelson on August 25, (a) Appointment ☒ ☐ ☐ 2023. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Section 2 Appointment and Qualifications 2.1 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Section 2 Appointment and Qualifications 2.1 examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection Section 2 Appointment and Qualifications 2.1 and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Section 2 Appointment and Qualifications 2.1 employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- Section 2 Appointment and Qualifications 2.1 employees of the facility, who may be present at the facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING Section 2.2 Staffing Levels and Chain of Command Each juvenile facility shall: (a) have an adequate number of personnel sufficient to We reviewed a variety of documents including carry out the overall facility operation and its safety check records, grievances, disciplinary programming, to provide for safety and security of youth actions, and incident reports. We also and staff, and meet established standards and ☐ ☒ ☐ reviewed January through April 2023 staffing regulations; schedules for EMJDF. Review of these documents revealed the EMJDF did not consistently have an adequate number of personnel sufficient to carry out the overall facility operation and its programming. (b) ensure that no required services shall be denied Section 2.2.2 Staffing Levels and Chain of because of insufficient numbers of staff on duty absent ☒ ☐ ☐ Command exigent circumstances; (c) have a sufficient number of supervisory level staff to Section 2.2.2 Staffing Levels and Chain of ensure adequate supervision of all staff members; Command ☒ ☐ ☐ EMJDF has a supervisor or an assigned Senior Officer who acts with supervisory powers on each shift. 7492 San Diego EMJDF PRO 23-24 Page 2 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) have a clearly identified person on duty at all times Section 2.2.2 Staffing Levels and Chain of who is responsible for operations and activities and has Command ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Section 2.2.2 Staffing Levels and Chain of unit whenever there are youth in the living unit; Command ☒ ☐ ☐ Per policy and procedure manual, staff is always present in occupied housing units. (f) have sufficient food service personnel relative to the Section 2.2.6 Staffing Levels and Chain of number and security of living units, including staff Command qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Daily schedules were reviewed to verify ☒ ☐ ☐ food preparation and servings; conduct related training compliance with this regulation. 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, Section 2.2.2 Staffing Levels and Chain of medical, dental, mental health, building maintenance, Command transportation, control room, facility security and other ☒ ☐ ☐ support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide Section 2.2.2 Staffing Levels and Chain of continuous wide awake supervision of youth, subject to Command temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Section 2.2.3 Staffing Levels and Chain of (A) during the hours that youth are awake, one Command wide-awake youth supervision staff member on ☒ ☐ ☐ duty for each 10 youth in detention; At the time of the inspection, the EMJDF population was 121 youth total with 104 males and 17 females. (B) during the hours that youth are confined to their Section 2.2.3 Staffing Levels and Chain of room for the purpose of sleeping, one wide-awake Command ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Section 2.2.3 Staffing Levels and Chain of members on duty at all times, regardless of the Command 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 Section 2.2.3 Staffing Levels and Chain of duty who is the same gender as youth housed in ☒ ☐ ☐ Command the facility. (E) personnel with primary responsibility for other Section 2.2.8.9 Staffing Levels and Chain of duties such as administration, supervision of Command personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls Not Applicable (A) during hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; 7492 San Diego EMJDF PRO 23-24 Page 3 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Not Applicable (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☐ ☐ ☒ arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Section 3.4 Staff Training and Development AND TRAINING Chief Nelson memo dated August 25, 2023, (a) Prior to assuming any responsibilities each youth verified compliance with this regulation. supervision staff member shall be properly oriented to ☒ ☐ ☐ their duties, including: All new staff upon reporting to the facility are (1) youth supervision duties; assigned to a training officer who assists the new officer in their orientation and training. (2) scope of decisions they shall make; ☒ ☐ ☐ Section 3.4 Staff Training and Development (3) the identity of their supervisor; ☒ ☐ ☐ Section 3.4 Staff Training and Development (4) the identity of persons who are responsible to Section 3.4 Staff Training and Development ☒ ☐ ☐ them; 7492 San Diego EMJDF PRO 23-24 Page 4 of 38 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 Section 3.4 Staff Training and Development ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ Section 3.4 Staff Training and Development (b) Prior to assuming any responsibility for the Section 3.4.2 Staff Training and Development supervision of youth, each youth supervision staff ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility- All new full-time and temporary employees specific orientation, including: receive 40 hours of Introductory Training. (1) individual and group supervision techniques; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (2) regulations and policies relating to discipline and Section 3.4.2 Staff Training and Development rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (4) suicide prevention and response to suicide Section 3.4.2 Staff Training and Development ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation Section 3.4.2 Staff Training and Development techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Section 3.4.2 Staff Training and Development ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (8) routine security measures, including facility Section 3.4.2 Staff Training and Development ☒ ☐ ☐ perimeter and grounds; (9) crisis intervention and mental health referrals to Section 3.4.2 Staff Training and Development ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (11) fire/life safety training ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (c) Prior to assuming sole supervision of youth, each Section 3.4.3 Staff Training and Development youth supervision staff member shall successfully 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 Section 3.3.2 Programs supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Section 13.4 Fire Procedures Whenever there is a youth in a juvenile facility, there shall Review of documentation indicates that all be at least one wide awake person on duty at all times youth supervisory staff at EMJDF receive site- who meets the training standards established by the ☒ ☐ ☐ specific life safety training during orientation. Board for general fire and life safety which relate Also, all full-time employees receive fire and specifically to the facility. safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL Section 1.5 Institution Policy and Facility Procedures Manual All facility administrators shall develop, publish, and implement a manual of written policies and procedures The San Diego policy and procedure manual that address, at a minimum, all regulations that are was administratively reviewed by Division applicable to the facility. Such a manual shall be made Chiefs Matthew Strickland and Brandon Abriel available to all employees, reviewed by all employees, ☒ ☐ ☐ on 11/8/2023. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those It should be noted all San Diego youth facilities records relating to the standards and requirements set are in the process of transitioning to the forth in these regulations shall be accessible to the Board Lexipol policy and procedures. on request. The manual shall include: (a) table of organization, including channels of Section 1.2.2 Organization and Relationships ☒ ☐ ☐ communications and a description of job classifications; 7492 San Diego EMJDF PRO 23-24 Page 5 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) responsibility of the probation department, purpose of Section 1.2 Organization and Relationships programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or ☒ ☐ ☐ Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Section 2.2.8 Duties of Personnel Assigned to ☒ ☐ ☐ Institutional Services (d) initial orientation and training program for employees; Section 3.3 Programs ☒ ☐ ☐ Training programs are required for all officers performing supervision of youth. (e) initial orientation, including safety and security issues Section 3.6 Orientation and Security Training and anti-discrimination policies, for support staff, contract for Non-Sworn Staff employees, school, mental/behavioral health and medical staff, program providers and volunteers; Initial orientation is also provided for non- ☒ ☐ ☐ sworn staff members assigned to EMJDF. This includes support staff, contract employees, school and medical staff, and program providers and volunteers. (f) maintenance of record-keeping, statistics and Section 4.2 Confidentiality of Juvenile Court ☒ ☐ ☐ communication system to ensure: Records and Reports (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Section 4.2.3.10 (2) legal and proper care of youth; ☒ ☐ ☐ Section 4.2.6 Destruction of Facility Records Section 4.2.6.1 Probation Operations Support (3) maintenance of individual youth's records; ☒ ☐ ☐ Manager (4) supply of information to the juvenile court and Section 4.2.3 Juvenile Court Release of ☒ ☐ ☐ those authorized by the court or by the law; and, Information Policy (5) release of information regarding youth. ☒ ☐ ☐ Section 4.4.2 Overview (g) ethical responsibilities; ☒ ☐ ☐ Section 1.3.6 Ethical Principles Referenced in IS Policy Sections 501.1, (h) trauma-informed approaches; ☒ ☐ ☐ 502.7.2, 514.9.2, 515.4, 701.6(a)1, 702.5.1 (i) culturally responsive approaches; ☒ ☐ ☐ Sections 102 and 1003 Section 5.4 Lesbian, Gay, Bisexual, (j) gender responsive approaches; ☒ ☐ ☐ transgender, Questioning and Intersex (LGBTQI) (k) a non-discrimination provision that provides that all Section 5.4.3 Policy youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and EMJDF maintains and promotes an benefits, and provides that no person shall be subject to environment that provides the highest quality discrimination or harassment on the basis of actual or of services to youth regardless of their actual perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ or perceived sexual orientation or gender national origin, immigration status, color, religion, gender, identity. Confined LGBTQI youth receive fair sexual orientation, gender identity, gender expression, and equal treatment, without bias and in a mental or physical disability, or HIV status, including professional and confidential manner based restrictive housing or classification decisions based solely on principles of sound professional practice. on any of the above mentioned categories; (l) storage and maintenance requirements for any Section 14.3.2.1 On-Duty Staff chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; Section 14.3.11.1 OC Control Measures (m) establishment of procedures for collection of Medi- Section 8.1.9 Medi-Cal Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, 7492 San Diego EMJDF PRO 23-24 Page 6 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (n) establishment of a policy that prohibits all forms of Department Policy Section 800.3 sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Section 13.4 Fire Procedure The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Section 13.4.5 Fire Inspection with two-year retention of the inspection record; Section 13.4.6 record Retention ☒ ☐ ☐ Documentation review of EMJDF monthly fire and life safety inspections revealed compliance with this regulation. (c) fire prevention inspections as required by Health and Section 13.4.5 Fire Inspection Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ Completed on 4/28/2022 (d) an evacuation plan; Section 13.4.7 Youth Evacuation ☒ ☐ ☐ Section 13.4.10 Youth Fire Relocation Plan (e) documented fire drills not less than quarterly; 13.4.9 Fire Drills Documentation review of EMJDF fire drills ☒ ☐ ☐ revealed compliance with this regulation. It should be noted fire drills are conducted monthly. (f) a written plan for the emergency housing of youth in Section 13.4.7 Youth Evacuation the case of fire; and, ☒ ☐ ☐ Section 13.4.10 Youth Fire Relocation Plan (g) development of a fire suppression pre-plan in Section 13.4.8.2 Fire Suppression ☒ ☐ ☐ cooperation with the local fire department. 1326 SECURITY REVIEW Section 5.14.12.1 Annual Security Review Each facility administrator shall develop policies and The East Mesa Juvenile Detention Facility, procedures to annually review, evaluate, and document ☒ ☐ ☐ which houses the JH and YDA, security security of the facility. The review and evaluation shall review was completed by Division Chiefs include internal and external security, including, but not Matthew Strickland and Brandon Abriel on limited to, key control, equipment, and staff training. 11/13/2023. 1327 EMERGENCY PROCEDURES Section 2.2.9.3 Emergency Situations The facility administrator shall develop facility-specific ☒ ☐ ☐ Section 13 Emergencies policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Section 13.1, 13.3, 13.5 Emergencies (b) civil disturbance, active shooter and terrorist Section 13.11 Terrorism ☒ ☐ ☐ attack; (c) fire and natural disasters; ☒ ☐ ☐ Section 13.4 Fire Procedures (d) periodic testing of emergency equipment; ☒ ☐ ☐ Section 13 Emergencies (e) emergency evacuation of the facility; and ☒ ☐ ☐ Section 13 Emergencies 7492 San Diego EMJDF PRO 23-24 Page 7 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 13 Emergencies (f) a program to provide all youth supervision staff ☒ ☐ ☐ Review of documentation revealed all EMJDF with an annual review of emergency procedures. staff are required to review the emergency procedures every January. 1328 SAFETY CHECKS Section 5.6 Counts and Safety Checks The facility administrator shall develop and implement Section 5.6.8 Safety Welfare Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, We reviewed EMJDF safety checks for the at random or varied intervals during hours when youth months of January through April 2023. Review are asleep or when youth are in their rooms, confined in of documentation revealed safety checks are holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ being completed well within the minimum 15 Supervision is not replaced, but may be supplemented minutes and at random or varied intervals by, an audio/visual electronic surveillance system during the hours youth are confined to their designed to detect overt, aggressive or assaultive rooms. We also did a live safety check review behavior and to summon aid in emergencies. All safety during the walkthrough of the facility. checks shall be documented with the actual time the check is completed. 1329 SUICIDE PREVENTION PLAN Section 8.11 Suicide Prevention Plan The facility administrator, in collaboration with the Reviewed five (5) youth suicide packets from healthcare and behavioral/mental health administrators, EMJDF. Review of documentation provided at shall plan and implement written policies and the time of inspection and policy and procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ procedure manuals revealed compliance with The plan shall consider the needs of youth experiencing this regulation. past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Section 8.11.3 Staff Training 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. All sworn institutional staff receive eight (8) hours of suicide prevention training that includes warning signs and symptoms, ☒ ☐ ☐ identification and management of suicidal youth, and components of the facility’s formal suicide prevention policy. An annual refresher training will include a review of predisposing factors, signs, and symptoms. (b) Screening, Identification Assessment and Section 8.11.4 Intake Screening and On- Precautionary Protocols Going Assessment (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. Primary screening for suicide risk will take place immediately upon youth’s arrival at EMJDF. (2) All youth supervision staff who perform intake Section 8.11.3 Staff Training processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Section 8.11.4 Intake Screening and On- intake screening process to be at risk of suicide shall Going Assessment ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to Section 8.11.4 Intake Screening and On- ensure the youth’s safety pending the ☒ ☐ ☐ Going Assessment behavioral/mental health assessment. 7492 San Diego EMJDF PRO 23-24 Page 8 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Referral process to behavioral/mental health staff for Section 8.11.5 Communication assessment and/or services. Staff will receive training on suicide warning signs and must communicate with all members of the multidisciplinary team ☒ ☐ ☐ (Probation, Education, the contracted medical provider, STAT) and actively make appropriate referrals to the mental health and medical staff using the Suicide Prevention Referral Form developed by the STAT Team. (d) Procedures for monitoring of youth identified at risk Section 8.11.7 Levels of Supervision ☒ ☐ ☐ for suicide. (e) Safety Interventions Section 8.11.8 Intervention (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration Section 8.11.6 Safe Housing ☒ ☐ ☐ Rooms designated to house suicidal youth will be suicide-resistant, free of protrusions, and provide full visibility. (B) Treatment strategies including trauma- Section 707.4 informed approaches At the time of the inspection, it was discovered youth placed on suicide watch were automatically subjected to strip searches ☐ ☒ ☐ which is not in compliance with this regulation. Strip searches of youth shall only be conducted when there is a reasonable suspicion based on specific and articulable facts to believe a youth is concealing contraband. (2) Procedures to instruct youth supervision staff Section 8.11.6 through 8.11.8 how to respond to youth who exhibit suicidal behaviors. An individualized treatment plan shall be developed for any youth held on suicide prevention. The plan will include signs and symptoms specific to the youth, triggers, or ☒ ☐ ☐ circumstances to consider as increasing recurrence of suicidality, describe how the youth can avoid suicidal thoughts, and discrete steps and actions that staff will take if suicidality reoccurs. This document, developed while a youth is on suicide prevention, will be distributed to medical staff and sworn institutional staff when the youth is taken off suicide prevention status. (f) Communication Section 8.11.5 Communication (1) The intake process shall include communication 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 Section 8.11.5 Communication sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. 7492 San Diego EMJDF PRO 23-24 Page 9 of 38 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 Section 8.11.11 Critical Incident Reporting Attempts Review (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 Section 8.11.10 Morbidity and Mortality ☒ ☐ ☐ staff. Review (3) Process for a debriefing event with affected Section 8.11.10 Morbidity and Mortality ☒ ☐ ☐ youth. Review (h) Documentation Section 8.11.9 Reporting (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Section 707.4 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Section 4.1.2 Reporting of Legal Action to Board of State and Community Corrections Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ Per Brandon Abriel Division Chief memo of confinement, filed against persons or legal entities dated 11/14/2023, there have been no Legal responsible for juvenile facility operation. Actions filed against the facility this inspection cycle. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Section 8.12 Death of a Youth OF A YOUTH WHILE DETAINED Section 8.12.3 Notifications (1) Death of a Youth. (a) The facility administrator, in cooperation with Section 8.12.4 Notifications of Serious Illness the health administrator and the behavioral/mental or Injury When Death is Possible health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while Per Brandon Abriel Division Chief memo detained, which include notifications to necessary dated 11/14/2023, there have been no deaths parties, which may include the Juvenile Court, the at the facility this inspection cycle. parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with Section 8.12.5 In-Custody Death Review the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Section 4.1.4 Population Accounting to Board the Board a copy of the report submitted to the of State and Community Corrections 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 Section 8.12.3.5 Notification of Oversight from the administrator, the Board may within 30 Agencies calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ Section 4.1.3 Death and Serious Illness or to the provisions of this subchapter. Any inquiry Injury of a Youth While Detained made by the Board shall be limited to the standards and requirements set forth in these regulations. Section 4.4.13 through 4.4.15 7492 San Diego EMJDF PRO 23-24 Page 10 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Serious Illness or Injury of Youth. Section 8.12.4 Notifications of Serious Illness (a) The facility administrator, in cooperation with or Injury When Death is Possible 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 Section 4.1.4 Population Accounting to Board of State and Community Corrections Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Rated Capacity for EMJDF is 266 total. 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 Section 5.1.1 Intake and Admissions The facility administrator shall develop and implement We reviewed ten (10) EMJDF Initial Booking written policies and procedures for admittance of youth and Screening Questionnaires from the JH. that emphasize respectful and humane engagement Review of documentation provided during the with youth, and reflect that the admission process may ☒ ☐ ☐ inspection and policy and procedure manuals be traumatic to youth who may have already revealed compliance with this regulation. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Section 6.7 Telephone Policy (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of Youths are advised of the right to make calls Welfare and Institution Code Section 627; and are provided with opportunities to call ☒ ☐ ☐ within one hour of admission. If calls are not completed, youth will continue to have the ability to make calls in the living units until calls are completed. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (2) Offer of a shower; ☒ ☐ ☐ Youth are offered a shower and staff document this information on the youth admission/intake form. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (3) Documented secure storage of personal ☒ ☐ ☐ belongings; All property is inventoried, documented, and stored in a secure area. Staff and youth sign a property slip to ensure a proper accounting of all property transactions. 7492 San Diego EMJDF PRO 23-24 Page 11 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (4) Offer of food upon arrival; ☒ ☐ ☐ Youth are offered food during the intake process and staff document this information on the youth admission/intake form. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ All youth are screened by medical for entry disabilities; into the facility. If Behavioral Health is on site at time of entry, they too will clear the youth for detention or, if not on site, will clear the youth as soon as possible. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol (6) Screening for physical and developmental Policy 504 Case Management disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; Screenings by medical are completed and documented by medical staff. (7) Contact with Regional Center for the Lexipol Policy 504.3.1 Institutional Plan Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ If youth appear to be developmentally developmental disability, pursuant to Section 1413; disabled, the Regional Center is contacted. and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ (b) juvenile hall administrators shall establish written Section 5.1.4 Basic Policy Established by criteria for detention that considers the least restrictive Section 628 W & I Code: Criteria for Detention environment. Section 5.2.2 Introduction ☒ ☐ ☐ All youth are screened with the Juvenile Detention Risk Intake Assessment which is a weighted screening tool. All ten (10) youth intake packets had a completed risk assessment. (c) juvenile camps and post-dispositional programs in N/A juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform ☐ ☐ ☒ them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures Each youth is advised of their maximum that advise any committed youth of the estimated length ☒ ☐ ☐ release date during their court proceedings. of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL Department Policy Section 800.13.1 ABUSE We reviewed ten (10) PREA Risk Assessment The facility administrator shall develop and implement tool forms from EMJDF. Review of written policies and procedures to reduce the risk of ☒ ☐ ☐ documentation provided during the inspection sexual abuse by or upon youth. The policy shall require and policy and procedure manual revealed facility staff to assess each youth within 72 hours of compliance with this regulation. admission based on the following information: (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ PREA Risk Assessment Tool 7492 San Diego EMJDF PRO 23-24 Page 12 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Gender nonconforming appearance or manner; or PREA Risk Assessment Tool identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ PREA Risk Assessment Tool (d) Age; ☒ ☐ ☐ PREA Risk Assessment Tool (e) Level of emotional and cognitive development; ☒ ☐ ☐ PREA Risk Assessment Tool (f) Physical size and stature; ☒ ☐ ☐ PREA Risk Assessment Tool (g) Mental illness or mental disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (h) Intellectual or developmental disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (i) Physical disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ PREA Risk Assessment Tool (k) Any other specific information about the individual PREA Risk Assessment Tool youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Department Policy Section 800.13.1 conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Department Policy Section 800.13.1 controls on the dissemination of information within the 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 Section 5.3 Release of Youth The facility administrator shall develop and implement We reviewed ten (10) Youth Release written policies and procedures for release of youth from Authorization Record forms (Release Slip) custody which provide for: ☒ ☐ ☐ from EMJDF. Review of documentation provided during the inspection and policy and procedure manual revealed compliance with this regulation. (a) verification of identity/release papers; ☒ ☐ ☐ Section 5.3.2.2 Authorization (b) return of personal clothing and valuables; ☒ ☐ ☐ Section 5.3.5 Release of Youth Property (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Section 5.3.2.2 Authorization (d) notification to the facility health care provider in Section 5.3.2.2 Authorization accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Section 5.3.2.2 Authorization (f) notification of facility mental health personnel. ☒ ☐ ☐ Section 5.3.2.2 Authorization The facility administrator shall develop and implement Lexipol Policy 520.3 Release Procedure policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Section 5.3.2.2 Authorization written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 7492 San Diego EMJDF PRO 23-24 Page 13 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352 CLASSIFICATION Section 5.2 Classification and Segregation The facility administrator shall develop and implement We reviewed ten (10) San Diego Youth written policies and procedures on classification of youth ☒ ☐ ☐ Classification forms from EMJDF. Review of for the purpose of determining housing placement in the documentation provided during the inspection facility. and policy and procedure manual revealed Such procedures shall: compliance with this regulation. (a) provide for the safety of the youth, other youth, Section 5.2.2 Introduction facility staff, and the public by placing youth in the 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 Section 5.2 Classification and Segregation ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon Section 5.2 Classification and Segregation admittance to the facility; classification factors shall 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 Section 5.2 Classification and Segregation provisions that consider the level of supervision and the ☒ ☐ ☐ youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Lexipol Policy 502.3 from the general population or assign youth to a single 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, Lexipol Policy 502.10 transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Section 5.4.5.4 Names and Language The facility administrator shall develop written policies We reviewed three (3) Youth Transgender and procedures ensuring respectful and equitable Preference forms from EMJDF. Review of treatment of transgender and intersex youth. The ☒ ☐ ☐ documentation provided during the inspection policies shall provide that: and policy and procedure manual revealed compliance with this regulation. (a) Facility staff shall respect every youth’s gender Section 5.4.5.4 Names and Language identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the Transgender youth shall be referred to by their youth’s legal name. Facilities may prohibit the use of preferred name and the pronoun that reflects ☒ ☐ ☐ gang or slang names or names that otherwise the youth’s gender identity, even if their name compromise facility operations as determined by the has not been legally changed. facility manager or designee, and shall document any decision made on this basis. 7492 San Diego EMJDF PRO 23-24 Page 14 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Facility staff shall permit youth to dress and present Section 5.4.5.5 Clothing and Gender themselves in a manner consistent with their gender Presentation identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender Youth can dress and present themselves in a identity. ☒ ☐ ☐ manner consistent with their gender identity. Staff provide youth with institutional clothing, including undergarments, appropriate for the youth’s gender identity and gender presentation. (c) Facility staff shall house youth in the unit or room that Section 5.4.5.3 Youth Placement best meets their individual needs and promotes their safety and well-being. Staff may not automatically house Transgender youth shall not automatically be youth according to their external anatomy and shall housed according to their birth sex. Facility document the reasons for any decision to house youth staff make housing decisions for transgender in a unit that does not match their gender identity. In youth based on the youth’s individualized ☒ ☐ ☐ making a housing decision, staff shall consider the needs and should prioritize the youth’s youth’s preferences, as well as any recommendations emotional and physical safety, taking into from the youth’s health or behavioral health provider. account the youth’s perception of where he or she will be most secure, as well as any recommendations from the youth’s health care provider. (d) Facility administrators shall ensure that transgender Section 5.4.5.7 Medical and Mental Health and intersex youth have access to medical and Care behavioral health providers qualified to provide care and treatment to transgender and intersex youth. The Facility provides transgender youth with ☒ ☐ ☐ access to medical and mental health care providers who are knowledgeable about the health care needs of transgender youth, if the youth request assessment or treatment. (e) Consistent with the facility’s reasonable and Section 5.4.5.6 Bathrooms and Showers necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety Transgender youth will not be required to and privacy of transgender and intersex youth when the shower or undress in front of other youths and ☒ ☐ ☐ youth are using the bathroom or shower, or dressing or shall be permitted to use single-occupancy undressing. bathroom and showers, if available. Such accommodation shall be provided in a sensitive manner. Facility staff shall not conduct physical searches of any Section 5.4.5.8 Search Issues youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall Transgender youth may request that either a respect the youth’s preference regarding the gender of male or female staff member conduct a strip ☒ ☐ ☐ the staff member who conducts any search of the youth. search if such search is required. Staff will accommodate this request when possible and consistent with maintaining the security of the facility. 7492 San Diego EMJDF PRO 23-24 Page 15 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1353 ORIENTATION Section 5.5 Housing, Youth Orientation and Security The facility administrator shall develop and implement written policies and procedures to orient a youth prior to We reviewed ten (10) youth orientation placement in a living area. Both written and verbal packets from EMJDF. Also, youth are information shall be provided and supplemented with informed of access to Title 15 during the video orientation if feasible. Provision shall be made to orientation process and it is documented by provide accessible orientation information to all detained the Intake staff. Review of documentation youth including those with disabilities, limited literacy, or ☒ ☐ ☐ provided during the inspection and policy and English language learners. Orientation shall include procedure manual revealed compliance with information that addresses: this regulation. All youth at EMJDF are provided a Youth Handbook during the intake process. Each youth is also provided a Youth Rights Handbook. (a) facility rules including contraband and searches and Section 5.5.2.3 Orientation Topics (a) ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions Section 5.5.2.3 Orientation Topics (a) and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Section 5.5.2.3 Orientation Topics (c) facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (a) (e) the existence of the grievance procedure, the steps Section 5.5.2.3 Orientation Topics (b) that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the Section 5.5.2.3 Orientation Topics (c) ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Section 5.5.2.3 Orientation Topics (c) ☒ ☐ ☐ health care; (h) access to education, religious services, and Section 5.5.2.3 Orientation Topics (k) ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (e) (j) opportunity for personal hygiene and daily showers Section 5.5.2.3 Orientation Topics (f) ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and Section 5.5.2.3 Orientation Topics (g) ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Section 5.5.2.3 Orientation Topics (h) ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Section 5.5.2.3 Orientation Topics (i) ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ Lexipol policy 503.4(p) (o) emergencies including evacuation procedures; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (j) (p) non-discrimination policy and the right to be free from Section 5.5.2.3 Orientation Topics (l) physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Lexipol policy 503.4(g) ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, Lexipol policy 503.4(x) ☒ ☐ ☐ education, programming and work assignments; 7492 San Diego EMJDF PRO 23-24 Page 16 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (s) a process for which parents/guardians receive Lexipol policy 503.4(y) information regarding the youth’s stay in the facility that 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 Lexipol policy 503.4(z) 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Copies of Title 15 for the youth are available in each housing unit and the library. 1354 SEPARATION Section 7.7 Youth Restrictions and Discipline Programs The facility administrator shall develop and implement written policies and procedures that address: We reviewed five (5) Administrative ☒ ☐ ☐ Separation (AS) incident reports from EMJDF. Documentation provided and review of policy and procedure revealed compliance with this regulation. (a) separation of youth for reasons that include, but are Section 7.2.3 Youth Rights not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Lexipol Policy 502.7.2 ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Section 7.7 Youth Restrictions privileges available at the facility, except when necessary to accomplish the objective of separation. Youth placed on any form of separation or room confinement are not denied their rights ☒ ☐ ☐ which include basic hygiene standards, eating nutritional meals, having attorney visits, religious counseling, and receiving parental visits. (d) when the objective of the separation is discipline, Section 7.1 Behavior Control and Discipline ☒ ☐ ☐ Title 15 Section 1390 shall apply. Philosophy and Policy (e) when separation results in room confinement, the Section 7.7.3 Room Confinement separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Section 7.7.4 Administrative Separation of separated youth to determine if separation remains ☒ ☐ ☐ necessary. Section 7.7.3.4 Return to General Population or Continued Room Confinement 1354.5 ROOM CONFINEMENT Lexipol Policy 602 (a) The facility administrator shall develop and We reviewed ten (10) room confinement implement written policies and procedures addressing incident reports and ten (10) Youth Room the confinement of youth in their room that are Confinement Checklist forms from EMJDF. consistent with Welfare and Institutions Code Section Review of policy and procedure manual and 208.3. The placement of a youth in room confinement ☒ ☐ ☐ documentation provided revealed compliance shall be accomplished in accordance with the following with this regulation. Each Youth Room guidelines: Confinement Checklist reviewed provided documentation of why the youth was placed on room confinement and the efforts made by staff to reintegrate the youth back in the regular programming. (1) Room confinement shall not be used before 602.3 Separation from Other Youths (a) 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. 7492 San Diego EMJDF PRO 23-24 Page 17 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Room confinement shall not be used for the 602.3 Separation from Other Youths (b) purposes of punishment, coercion, convenience, or retaliation by staff. At the time of the inspection, it was discovered youth are often required to eat meals in their ☐ ☒ ☐ rooms due to shortage of staff. It was also discovered at times after 6 p.m., youth may be required to remain in their rooms with only showers being conducted, due to shortage of staff available. (3) Room confinement shall not be used to the extent 602.3 Separation from Other Youths (c) that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room 602.3.3 Room Confinement (a) confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: 602.3.3 Room Confinement (a1) (1) Return the youth to general population. ☒ ☐ ☐ 602.3.3 Room Confinement (a2) (2) Consult with mental health or medical staff. ☒ ☐ ☐ (3) Develop an individualized plan that includes the 602.3.3 Room Confinement (a3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond 602.3.3 Room Confinement (b) four hours, staff shall do each of the following: We reviewed five (5) room confinement incident reports and five (5) Youth Room ☒ ☐ ☐ Confinement Checklist forms from EMJDF that were extended beyond four hours. Review of policy and procedure manual and documentation provided revealed compliance with this section. (A) Document the reasons for room confinement 602.3.3 Room Confinement (b1) and the basis for the extension, the date and time the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 602.3.3 Room Confinement (b2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the 602.3.3 Room Confinement (b3) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of 602.3.4 Exceptions (a) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in 602.3.4 Exceptions (b) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to 602.3.4 Exceptions (b) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. 7492 San Diego EMJDF PRO 23-24 Page 18 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) This section does not apply during an 602.3.4 Exceptions (c) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is 602.3.4 Exceptions (d) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable 602.3.4 Exceptions (e) 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 Lexipol Policy 504 Case Management The facility administrator shall develop and implement We reviewed ten (10) JPCF Institutional written policies and procedures for assessment and Services Casework reports from EMJDF. case planning. ☒ ☐ ☐ Review of documentation provided during the inspection and review of the policy and procedure revealed compliance with this regulation. (a) Assessment: Lexipol Policy 504.3 Assessments The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Lexipol Policy 504.3.1 Institutional Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created within Each youth at EMJDF is assigned to a 40 days of admission. detention staff during the intake process. The ☒ ☐ ☐ staff then completes a youth preliminary assessment and case plan within thirty (30) days of assignment. The assessments include descriptions of the youth’s issues and places an emphasis on the youth’s strengths. (2) The institutional plan shall include, but not be Lexipol Policy 504.3 Assessments ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of Lexipol Policy 504.3 Assessments (a) ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes Lexipol Policy 504.3 Assessments (b) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Lexipol Policy 504.3 Assessments (c) the objectives, including periodic review and discussion of the plan with the youth; ☒ ☐ ☐ EMJDF staff meets with their assigned youth weekly to discuss case plan and progress towards goals. 7492 San Diego EMJDF PRO 23-24 Page 19 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) a transition plan, the contents of which shall be Lexipol Policy 504.3 Assessments (d) subject to existing resources, shall be developed for ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Lexipol Policy 504.3 Assessments (e) plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Lexipol Policy 704 Counseling Services The facility administrator shall develop and implement Lexipol Policy 704.2 written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ Review of documentation provided during the youth. Policies and procedures shall ensure: inspection and review of policy and procedures revealed compliance with this regulation. (a) youth will receive assistance with needs or concerns Lexipol Policy 704.3 Behavioral Health ☒ ☐ ☐ that may arise; Responsibility (a1) (b) youth will receive assistance in requesting contact Lexipol Policy 704.3 Behavioral Health with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Responsibility (b) probation officer, or other public official; and, (c) youth will be provided access to available resources Lexipol Policy 704.3 Behavioral Health ☒ ☐ ☐ to meet the youth’s needs. Responsibility (a2) 1357 USE OF FORCE Lexipol Policy 514 Use of Force The facility administrator, in cooperation with the We reviewed ten (10) hands-on use of force responsible physician, shall develop and implement reports at EMJDF. Review of policy and written policies and procedures for the use of force, procedure and documentation revealed which may include chemical agents. Force shall never compliance with this regulation. be applied as punishment, discipline, retaliation or ☒ ☐ ☐ treatment. It should be noted that each report reviewed (a) At a minimum, each facility shall develop policies and contained staff efforts to de-escalate the procedures which: incident and command calls given to the youth prior to going hands-on to protect the safety of the youth and the facility. (1) restricts the use of force to that which is deemed Lexipol Policy 514.3 Use of Force reasonable and necessary, as defined in Section ☒ ☐ ☐ 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Lexipol Policy 514.10 Training both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Lexipol Policy 514.10 Training ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Lexipol Policy 514.6 Reporting the Use of inappropriate use of force, and to take affirmative ☒ ☐ ☐ Force action to immediately stop it. (5) define a standardized reporting format that Lexipol Policy 514.6 Reporting the Use of includes time period and procedure for documenting Force 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. 7492 San Diego EMJDF PRO 23-24 Page 20 of 38 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 Lexipol Policy 514.9 Use of Force Review ☒ ☐ ☐ investigating unreasonable use of force. (7) define the role, notification, and follow-up Lexipol Policy 514.6.2 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ Notification to parent(s) is completed following guardians. each use of force incident and documented in the Case Management system. (8) describe the limitations of use of force on pregnant Lexipol Policy 515.9 Pregnant Youths youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. Restraints will not be used on youths who are known to be pregnant unless based on an individualized determination that restraints are reasonably necessary for the legitimate safety ☒ ☐ ☐ and security needs of the youth, the staff, or the public. As a standard practice, pregnant juveniles in institutions wear a vest indicating that they will not be placed in the “cover” position and OC spray will not be used. (b) Facilities that authorize chemical agents as a force Lexipol Policy 514.4 Use of Chemical Agents option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize We reviewed five (5) chemical agent use of chemical agents in the facility and the type, size and force reports from EMJDF. Also, we reviewed the approved method of deployment for those five (5) five-minute Room Safety Welfare ☒ ☐ ☐ chemical agents. Checks reports. Following OC spray incidents, youths are placed on five-minute safety checks. Review of policy and procedure and documentation revealed compliance with this regulation. (2) mandate that chemical agents only be used when Lexipol Policy 514.4 Use of Chemical Agents there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts ☒ ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and Lexipol Policy 514.4 Use of Chemical Agents timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Lexipol Policy 514.6.2 Required Notifications procedures required after use of force incidents ☒ ☐ ☐ involving chemical agents for medical, mental health Notification to parent(s) is completed following staff and parents or legal guardians. each use of force incident and documented. (5) provide for the documentation of each incident of Lexipol Policy 514.6 Reporting the Use of use of chemical agents, including the reasons for Force which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Lexipol Policy 514.10 Training require that agencies provide initial and regular training ☒ ☐ ☐ in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health conditions Lexipol Policy 514.10 Training ☒ ☐ ☐ that would contraindicate certain types of force; 7492 San Diego EMJDF PRO 23-24 Page 21 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) acceptable chemical agents and the methods of Lexipol Policy 514.10 Training ☒ ☐ ☐ application. (3) signs or symptoms that should result in Lexipol Policy 514.6.2 Required Notifications ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Lexipol Policy 514.10 Training ☒ ☐ ☐ Use of Force. (5) physical training force options that may require Lexipol Policy 514.10 Training ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Lexipol Policy 514.10 Training ☒ ☐ ☐ training. 1358 USE OF PHYSICAL RESTRAINTS Lexipol Policy 515 Mechanical Restraints The facility administrator, in cooperation with the We reviewed fifteen (15) Use of Force incident responsible physician and mental health director, shall reports in which mechanical restraints were develop and implement written policies and procedures ☒ ☐ ☐ applied to youth. Review of documentation for the use of restraint devices. Restraint devices provided during the inspection and policy and include any devices which immobilize a youth's procedure manuals revealed compliance with extremities and/or prevent the youth from being this regulation. ambulatory. Physical restraints may be used only for those youth Lexipol Policy 515.2 Policy 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. 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 Lexipol Policy 515.3 General Requirements discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Lexipol Policy 515.5 Transportation Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Lexipol Policy 515.3 General Requirements of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Lexipol Policy 515.3 General Requirements retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Lexipol Policy 515.3 General Requirements possible, but in no case longer than four hours from the ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. 7492 San Diego EMJDF PRO 23-24 Page 22 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Continuous direct visual supervision shall be conducted Lexipol Policy 515.3 General Requirements to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Lexipol Policy 515.5 Transportation Restraints procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an Lexipol Policy 515.7 Documentation application of restraints. (b) known medical conditions that would contraindicate Lexipol Policy 515.4 Specific Duties of the certain restraint devices and/or techniques. Division Chief ☒ ☐ ☐ Lexipol Policy 515.10 Training (c) acceptable restraint devices. ☒ ☐ ☐ Lexipol Policy 515.3 General Requirements (d) signs or symptoms which should result in immediate Lexipol Policy 515.10 Training ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation Department Policy Section 345.4 ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Lexipol Policy 515.3 General Requirements restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Lexipol Policy 515.10 Training (h) exercising of extremities. ☒ ☐ ☐ Lexipol Policy 515.3 General Requirements 1358.5 USE OF RESTRAINT DEVICES FOR Lexipol Policy 515.5 Transportation Restraints MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. Review of documentation provided from EMJDF and policy and procedure manuals The Facility Administrator, in cooperation with the revealed compliance with this regulation. responsible physician and behavioral/mental health ☒ ☐ ☐ director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Lexipol Policy 515.3 General Requirements approved to utilize restraint devices and the required ☒ ☐ ☐ training. (b) the circumstances leading to the application of Lexipol Policy 515.5 Transportation Restraints ☒ ☐ ☐ restraints must be documented. (c) an individual assessment of the need to apply Lexipol Policy 515.4 Specific Duties of the restraints for movement or transportation that includes Division Chief 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. (d) consideration of safety and security of the facility, Lexipol Policy 515.3 General Requirements with a clearly defined expectation that restraint devices (g) ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Lexipol Policy 515.5 Transportation Restraints accordance with Penal Code Section 6030(f) and (a) Welfare and Institutions Code Section 222. ☒ ☐ ☐ Lexipol Policy 515.9 Pregnant Youths 7492 San Diego EMJDF PRO 23-24 Page 23 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1359 SAFETY ROOM PROCEDURES Section 5.12 Use of the Safety Room (a) The facility administrator, and where applicable, in EMJDF had not placed a youth within the cooperation with the responsible physician, shall safety room during this inspection cycle. 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 Section 5.12.11 Youth’s Personal Needs nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; Section 5.12.12 Restroom Use (2) provide for approval of the facility manager, or Section 5.12.8 Placement Procedures designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Section 5.12.8 Placement Procedures 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 Section 5.12.15 Administrative Reviews ☒ ☐ ☐ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Section 5.12.14 Ongoing Medical and Mental where appropriate, or an assessment at the next ☒ ☐ ☐ Health Assessment daily sick call; and, (6) provide a process for documenting the reason for Section 5.12.17 Reports placement, including attempts to use less restrictive ☒ ☐ ☐ means of control, and decisions to continue and end Section 5.12.18 Watch Commander placement. Investigation (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less Section 5.12.12 Restroom Use 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 Section 5.12.3 Placement Prohibitions punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Section 7.7.3.3 Guidelines for Initiating Room compromises the mental and physical health of the ☒ ☐ ☐ Confinement youth. (c) A youth may be held up to four hours in the safety Section 7.7.3.4 Return to General Population room. After the youth has been held in the safety room or Continued Room Confinement ☒ ☐ ☐ for a period of four hours, staff shall do one or more of the following: Section 7.7.3.4 Return to General Population (1) return the youth to general population. ☒ ☐ ☐ or Continued Room Confinement Section 7.7.3.4 Return to General Population (2) consult with mental health or medical staff, ☒ ☐ ☐ or Continued Room Confinement (3) develop an individualized plan that includes the Section 7.7.3.4 Return to General Population goals and objectives to be met in order to reintegrate ☒ ☐ ☐ or Continued Room Confinement the youth to general population. 7492 San Diego EMJDF PRO 23-24 Page 24 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) If confinement in the safety room must be extended Section 7.7.3.4 Return to General Population beyond four hours, staff shall develop an individualized or Continued Room Confinement 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 Section 5.13 Youth Searches The facility administrator shall develop and implement Documentation provided during the written policies and procedures governing the search of inspection, as well as policy and procedure youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ review revealed compliance with this shall provide that: regulation, with the exception of strip- searching youth placed on suicide watch protocol. (a) Searches shall be conducted to ensure the safety Section 5.13.1 Overview and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. (b) Searches shall be conducted in a manner that Section 5.5.7.2 preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Section 5.13.4.1 Strip Searches ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be Section 5.13.5 Body Cavity Searches ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only Section 5.13.3.2 be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific At the time of the inspection, it was discovered and articulable facts to believe that youth is concealing youth placed on suicide watch were contraband. The reasonable suspicion shall be automatically subjected to strip searches documented. ☐ ☒ ☐ which is not in compliance with this regulation. Strip searches of youth shall only be conducted when there is a reasonable suspicion based on specific and articulable facts to believe a youth is concealing contraband. (f) Searches of transgender and intersex youth shall Section 5.13.4.1 Strip Searches ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches Section 5.13.3.2 Unusual Circumstances are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Lexipol Policy 609 Youth Grievances The facility administrator shall develop and implement We reviewed forty (40) grievances from this written policies and procedures whereby any youth may inspection cycle from EMJDF. Review of appeal and have resolved grievances relating to any policy and procedure and review of condition of confinement, including but not limited to documentation provided revealed compliance health care services, classification decisions, program ☒ ☐ ☐ with this regulation with the exception of participation, telephone, mail or visiting procedures, completing some youth grievances outside of food, clothing, bedding, mistreatment, harassment or the regulation timeframes. violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Lexipol Policy 609.3 Access to the Grievance grievance, which includes provisions for the youth to ☒ ☐ ☐ System have free access to the form; (b) the youth shall have the option to confidentially file Lexipol Policy 609.3 Access to the Grievance the grievance or to deliver the form to any youth ☒ ☐ ☐ System supervision staff working in the facility; 7492 San Diego EMJDF PRO 23-24 Page 25 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) resolution of the grievance at the lowest appropriate Lexipol Policy 609.3 Access to the Grievance ☒ ☐ ☐ staff level; System (d) provision for a prompt review and initial response to Lexipol Policy 609.4.2 Timely Resolution of grievances within three (3) business days, grievances Grievances that relate to health and safety issues must be ☐ ☒ ☐ addressed immediately; At the time of the inspection, it was discovered several youth grievances were not initially responded to within three (3) business days. (1) The youth may elect to be present to explain Lexipol Policy 609.4.5 State Requirements (a) his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Lexipol Policy 609.4.5 State Requirements (b) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Lexipol Policy 609.4.2 Timely Resolution of ☒ ☐ ☐ which includes the reasons for the decisions; Grievances (f) a system which provides that any appeal of a Lexipol Policy 609.4.3 Appeals to Grievance grievance shall be heard by a person not directly Findings ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Lexipol Policy 609.4.2 Timely Resolution of business days unless circumstances dictate a longer Grievances time frame. The youth shall be notified of any delay; and, ☐ ☒ ☐ At the time of the inspection, it was discovered several youth grievances were not resolved within ten (10) business days of the youth submitting the grievance. (h) the policy shall provide multiple internal and external Lexipol Policy 609.6 Additional Provisions for ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Grievances related to Sexual Abuse Whether or not associated with a grievance, concerns Lexipol Policy 609.4.5 State Requirements (c) of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Section 4.4.3.2 Incident Reports A written report of all incidents which result in physical Review of documentation provided from harm, use of force, serious threat of physical harm, or EMJDF revealed compliance with this death of an employee, youth or other person(s) shall be ☒ ☐ ☐ regulation. maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Section 5.18 DNA Collection DNA SPECIMENS, SAMPLES, IMPRESSIONS Use of force will not be used. Any youth who (a) Pursuant to Penal Code Section 298.1 authorized refuses to provide a DNA sample will be law enforcement, custodial, or corrections personnel referred to the Juvenile Court for action, including peace officers, may employ reasonable force ☒ ☐ ☐ and/or to the District Attorney for prosecution, to collect blood specimens, saliva samples, and thumb pursuant to Penal Code Section 298.1(a). 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 Section 5.18 DNA Collection reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. 7492 San Diego EMJDF PRO 23-24 Page 26 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) The use of reasonable force shall be preceded by Section 5.18 DNA Collection efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Section 5.18 DNA Collection authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Section 5.18 DNA Collection extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM Section 1003 Youth Educational Services (a) School Programs The County Board of Education shall provide for the Review of policy and procedures, youth and administration and operation of juvenile court schools in staff interviews, and school daily schedules conjunction with the Chief Probation Officer, or designee revealed compliance with this regulation. pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy Annual Education review completed and procedures to ensure communication and 8/10/2023 by Katy Ramezani, Director coordination between educators and probation staff. Educational Programs and Services, Culturally responsive and trauma-informed approaches OCDE/ACCESS. should be applied when providing instruction. Education staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall 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 with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. 7492 San Diego EMJDF PRO 23-24 Page 27 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements Section 1003 Youth Educational Services The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Section 1003.3 Education Program Goals program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Section 1003 Youth Educational Services Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Section 1003 Youth Educational Services Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Section 1003.5 Course of Study ☒ ☐ ☐ education and vocational opportunities. (4) Administration of the High School Equivalency Section 1003.5 Course of Study Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Section 1003.5 Course of Study who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Section 1003.5 Course of Study State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Section 1003.5 Course of Study of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Section 1003.7 Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Section 1003.7 Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. 7492 San Diego EMJDF PRO 23-24 Page 28 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Except as otherwise provided by the State Section 1003.7 Discipline Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Section 1003.4 (g) Education Program education staff will develop policies and procedures Coordinator ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Section 1003.3 Education Program Goals (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Section 1003.4 (g) Education Program afforded an educational program that addresses their Coordinator language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Section 1003.4.1 Educational Program (1) Youth shall be interviewed after admittance and a Enrollment Requirements ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; Section 1003.4 Education Program ☒ ☐ ☐ Coordinator (B) Home Language Survey and the results of the Section 1003.6 Additional Course Offering ☒ ☐ ☐ State Test used for English language proficiency; (C) Needs and services of special populations as Section 1003.4 Education Program defined by the State Education Code, including but ☒ ☐ ☐ Coordinator not limited to, students with special needs. (D) Discipline problems. Section 1003.4 Education Program ☒ ☐ ☐ Coordinator (2) Youth will be immediately enrolled in school. Section 1003.4.1 Educational Program Educational staff shall conduct an assessment to Enrollment Requirements determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Section 1003.4.1 Educational Program education plan shall be developed for each youth ☒ ☐ ☐ Enrollment Requirements within five school days. (4) Upon enrollment, education staff shall comply with Section 1003.4 Education Program the State Education Code and request the youth's Coordinator records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. 7492 San Diego EMJDF PRO 23-24 Page 29 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Educational Reporting Section 1003.4 Education Program (1) The complete facility educational record of the Coordinator youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Section 1003.4 Education Program provide appropriate credit (full or partial) for course Coordinator ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Section 1003.4 Education Program (1) The Superintendent of Schools and the Chief Coordinator Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities Section 1003.5 Course of Study (1) The school and facility administrator should, whenever possible, collaborate with local post- secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Lexipol Policy 1002 Programs, Exercise, and EXERCISE. Recreation The facility administrator shall develop and implement Review of policy and procedures, daily written policies and procedures for programs, schedules, and documentation provided recreation, and exercise for all youth. The intent is to revealed noncompliance with this regulation. minimize the amount of time youth are in their rooms or Documentation of youth’s programs, their bed area. recreation, and exercise are documented ☐ ☒ ☐ within the EMJDF Daily Unit Logs Program Sheets. At the time of the inspection, it was discovered, due to shortage of staff at EMJDF, youth are often not provided with a minimum of three hours of programs, recreation, and exercise during the week or five hours on the weekends/non-school days. Juvenile facilities shall provide the opportunity for Lexipol Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three 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 Lexipol Policy 1002.7 Security and exercise may be suspended only upon a written finding Supervision by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the Delegates authority to the Watch facility. Commander. Such program, recreation, and exercise schedule shall Lexipol Policy 1002.3 Responsibilities ☒ ☐ ☐ be posted in the living units. 7492 San Diego EMJDF PRO 23-24 Page 30 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS There will be a written annual review of the programs, Lexipol Policy 1002.3 Responsibilities recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and The EMJDF written annual review of the ☒ ☐ ☐ relevant to the population. programs, recreation, and exercise was completed by Chief Tamika Nelson on 8/11/2023. (a) Programs. All youth shall be provided with the Lexipol Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, At the time of the inspection, it was evidence-based, best practice interventions that are discovered, due to shortage of staff at EMJDF, culturally relevant and linguistically appropriate, or pro- youth are often not provided with a minimum social interventions and activities designed to reduce of three hours of programs, recreation, and recidivism. These programs should be based on the exercise during the week or five hours on the youth’s individual needs as required by Sections 1355 ☐ ☒ ☐ weekends/non-school days. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; Lexipol Policy 1002.6 Access to Programs (2) Management of Stress and Trauma; (3) Anger Management; We reviewed EMJDF monthly programs list of (4) Conflict Resolution; available programs for the youth. (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Lexipol Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and At the time of the inspection, it was entertainment. Activities shall be supervised and include discovered, due to shortage of staff at EMJDF, ☐ ☒ ☐ orientation and may include coaching of youth. youth are often not provided with a minimum of three hours of programs, recreation, and exercise during the week or five hours on the weekends/non-school days. (c) Exercise. All youth shall be provided with the Lexipol Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. At the time of the inspection, it was discovered, due to shortage of staff at EMJDF, ☐ ☒ ☐ youth are often not provided with a minimum of three hours of programs, recreation, and exercise during the week or five hours on the weekends/non-school days. The administrator/manager may suspend, for a period Lexipol Policy 1002.7 Security and not to exceed 24 hours, access to recreation and Supervision programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7492 San Diego EMJDF PRO 23-24 Page 31 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM Section 6.3 Religious Program The facility administrator shall provide access to religious Review of EMJDF Unit’s daily schedule services and/or religious counseling at least once each revealed youth can participate in alternative week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ programming during the scheduled religious allowed to participate in an activity outside of their room if program time. he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Section 6.3.4 Religious Service (b) availability of clergy; and, ☒ ☐ ☐ Section 6.3.4.5 Clergy Visits (c) availability of religious diets. ☒ ☐ ☐ Section 6.3.4.7 Religious Diets 1373 WORK PROGRAM Section 6.4 Work Program The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth ☒ ☐ ☐ shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING Section 6.5 Visiting Program The facility administrator shall develop and implement Section 6.5.10 Special visits written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Reviewed visitation logs from EMJDF for the receive visits by parents, guardians or persons standing months of January 2023 through May 2023. in loco parentis, and children of youth. Other family ☒ ☐ ☐ Review of policy and procedures revealed members, such as grandparents and siblings, and compliance with this regulation. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to Section 6.5.1 Standards the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s Section 6.5.2 Authorized Visitors criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ Monday thru Friday 3:30 p.m. – 9:00 p.m. the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be Saturday, Sunday, and Holidays communicated to the youth, person denied and facility 9:00 a.m. – 5:00 p.m. administrator. Opportunity for visitation shall be a minimum of two hours Section 6.5.9.5 Supervision of Visits per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety Verified by reviewing visitation schedule. need. Provisions for special visits, in addition to the two-hour Section 6.5.10 Special Visits minimum and/or outside of the regular visiting hours, shall 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 Section 6.5.11.2 Non-Contact Visits/tele- ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. Visiting 1375 CORRESPONDENCE Section 6.6 Correspondence/Mail Policy The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviewed as well as review written policies and procedures for correspondence of policy and procedures revealed compliance which provide that: with this regulation. 7492 San Diego EMJDF PRO 23-24 Page 32 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) there is no limitation on the volume of mail that youth Section 6.6.3.3 Guidelines ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Section 6.6.3.3 Guidelines (c) youth may correspond confidentially with state and Section 6.6.5 Privileged Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Section 6.6.10.1 Reading Youth Mail in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Lexipol Procedure 1008 Institutional Telephone Use The administrator of each juvenile facility shall develop and implement written policies and procedures to provide ☒ ☐ ☐ Staff and youth interviewed as well as review youth with access to telephone communications. of policy and procedures revealed compliance with this regulation. 1377 ACCESS TO LEGAL SERVICES Lexipol Policy 101 Authority and Legal Assistance The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts Section 6.8 Access to Legal Service and legal services. Such access shall include: ☒ ☐ ☐ Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed Section 6.8.2.2 Visiting Hours attorneys and their authorized representatives; ☒ ☐ ☐ Section 6.8.2.3 Attorney Visits Allowed for PS (b) provision for confidential consultation with attorneys; Section 6.8.2.9 Telephone Calls to Attorneys ☒ ☐ ☐ and, (c) unlimited postage free, legal correspondence and Section 6.8.2.7 Privileged Mail cost-free telephone access as appropriate. ☒ ☐ ☐ Section 6.8.2.9 Telephone Calls to Attorneys 1390 DISCIPLINE Section 7.1.4 Discipline Policy The facility administrator shall develop and implement Review of policy and procedures and written policies and procedures for the discipline of youth documentation revealed compliance with this that shall promote acceptable behavior; including the use regulation. of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (b) daily shower, access to drinking fountain, toilet and Section 7.1.4.3 Prohibited Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (e) exercise; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (f) medical services and counseling; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (g) religious services; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (i) the right to send and receive mail; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline 7492 San Diego EMJDF PRO 23-24 Page 33 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (j) education; and, ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (k) rehabilitative programming. ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline The facility administrator shall establish rules of conduct Section 7.2.2.2 Notice Must be Given Prior to and disciplinary penalties to guide the conduct of youth. any Discipline Such rules and penalties shall include both major violations and minor violations, be stated simply and Section 7.2.2.3 Read Rules to Illiterate, ☒ ☐ ☐ affirmatively, and be made available to all youth. impaired or Non-English Speaking Youth Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or Section 7.2.2.4 Post Rules limited literacy. 1391 DISCIPLINE PROCESS Lexipol Policy 600 Youth Discipline The facility administrator shall develop and implement ☒ ☐ ☐ Review of policy and procedures and written policies and procedures for the administration of documentation revealed compliance with this discipline which shall include, but not be limited to: regulation. (a) designation of personnel authorized to impose Section 600.4 Minor Rule Violation discipline for violation of rules; ☒ ☐ ☐ Section 600.5 Major Rule Violation (b) prohibiting discipline to be delegated to any youth; Section 600.6 Limitation on Disciplinary ☒ ☐ ☐ Actions (c) definition of major and minor rule violations and their Section 600.4 Minor Rule Violation consequences, and due process requirements; ☒ ☐ ☐ Section 600.5 Major Rule Violation (d) trauma-informed approaches and positive behavior Section 600.3.1 Youth Rules and Sanctions ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Section 600.4 Minor Rule Violation counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ Section 600.5.3 Notifications accompanied by written documentation and a policy of review and appeal to a supervisor; and, Section 600.5.10 Disciplinary Appeals (f) major rule violations and the discipline process shall Section 600.5 Major Rule Violation be documented and require the following: We reviewed fifteen (15) Rule Violation/Due ☒ ☐ ☐ Process Notice forms from EMJDF. Review of policy and procedures and documentation revealed compliance with this regulation. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Section 600.5.3 Notifications (2) accommodations provided to youth with Section 600.5.7 Staff Assistance and Youth disabilities, limited literacy, and English language ☒ ☐ ☐ Rights learners; (3) hearing by a person who is not a party to the Section 600.5.4 Hearings ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Section 600.5.5 Evidence ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Section 600.5.7 Staff Assistance and Youth ☒ ☐ ☐ hearing process; Rights (6) provision for administrative review. ☒ ☐ ☐ Section 600.5.9 Reporting of Findings (g) violations that result in a removal from camp or Section 600.7.1 State Law Guidelines for commitment program, but not a return to court, will Disciplinary Sanctions ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 7492 San Diego EMJDF PRO 23-24 Page 34 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1410 MANAGEMENT OF COMMUNICABLE Section 8.3 Management of Communicable DISEASES. Diseases The health administrator/responsible physician, in Review of policy and procedure revealed cooperation with the facility administrator and the local compliance with this regulation. health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; ☒ ☐ ☐ Section 8.3.2.3 Initial Screening (b) Identification of relevant symptoms; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (c) Referral for medical evaluation; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (d) Treatment responsibilities during detention; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (e) Coordination with public and private community- Section 8.3.2.2 Minimum Standards ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Section 8.3.2.22 Documentation Section 8.3.2.21 Exposure to Communicable (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Diseases The policies and procedures shall be updated as Section 8.3.2.21 Exposure to Communicable necessary to reflect communicable disease priorities Diseases ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Each housing unit has a Behavioral medical (EXCERPT) lock box for youth to file a confidential request for behavioral health services. The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE Section 10.1 Clothing Issue Policy The youth’s personal clothing, undergarments and Review of policy and procedure and footwear may be substituted for the institutional clothing ☒ ☐ ☐ interviews with staff and youth revealed and footwear specified in this regulation. The facility has compliance with this regulation. the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Section 10.1.2 Clothing Issue ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. (b) The standard issue of climatically suitable clothing Section 10.1.2 Clothing Issue ☒ ☐ ☐ for youth shall consist of but not be limited to: Section 10.1.2 Clothing Issue (1) Socks and serviceable footwear; ☒ ☐ ☐ Section 10.1.2 Clothing Issue (2) Outer garments; ☒ ☐ ☐ (3) New non-disposable underwear which shall Section 10.1.2 Clothing Issue ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and Section 10.1.2 Clothing Issue ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by Section 10.1.2 Clothing Issue local ordinances for the commercial laundries and dried ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Section 10.1.5 Special Clothing ☒ ☐ ☐ 7492 San Diego EMJDF PRO 23-24 Page 35 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1482 CLOTHING EXCHANGE Section 10.2 Laundry Procedures for Clothing The facility administrator shall develop and implement Review of policy and procedure as well as written policies and site-specific procedures for the interviews with the youth and staff revealed cleaning and scheduled exchange of clothing. Unless compliance with this regulation. 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 Section 8.6.8 Ectoparasite Control PERSONAL CLOTHING Review of policy and procedure revealed There shall be written policies and site-specific compliance with this regulation. 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 Section 10 Clothing and Personal Hygiene There shall be written policies and site-specific Review of policy and procedure as well as procedures developed and implemented by the facility interviews with the youth and staff revealed administrator for the availability of personal hygiene ☒ ☐ ☐ compliance with this regulation. 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; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (b) Toothpaste; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (c) Soap; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (d) Comb; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (e) Shaving implements; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (f) Deodorant; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (g) Lotion; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (h) Shampoo; and, ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (i) Post-shower conditioning hair products. ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided Youth shall not be required to share any personal care Section 10.3.5 Toiletry Items Provided items listed in items (a) through (d). Liquid soap 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 Section 10.4 Shower Program There shall be written policies and site specific Section 10.4.1 Standards procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Review of policy and procedure and Unit’s teeth. Youth shall be permitted to shower/bathe up on daily schedule revealed compliance with this assignment to a housing unit and on a daily basis regulation. thereafter and given an opportunity to brush their teeth after each meal. 7492 San Diego EMJDF PRO 23-24 Page 36 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1487 SHAVING Section 10.3.8 Shaving Youth shall have access to a razor daily, unless their Review of policy and procedure as well as appearance must be maintained for reasons of interviews with the youth and staff revealed identification in Court. All youth shall have equal ☒ ☐ ☐ compliance with this regulation. 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) Section 10.3.9 Haircuts Hair care services shall be available in all juvenile Review of policy and procedure as well as facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ interviews with the youth and staff revealed Equipment shall be cleaned and disinfected after each compliance with this regulation. haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Section 11.0 Bedding and Lines Clean laundered, suitable bedding and linens, in good Review of policy and procedure revealed repair, shall be provided for each youth entering a living ☒ ☐ ☐ compliance with this regulation. area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Section 11.4 Mattresses and Pillows meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Section 11.3.4 Sheets and Pillowcases ☒ ☐ ☐ (a) above; Section 11.3.4 Sheets and Pillowcases (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Section 11.3.2 Towels (d) One towel; and, ☒ ☐ ☐ Section 11.3.3 Blankets (e) One blanket or more, up on request ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Section 11.3.4 Sheets and Pillowcases The facility administrator shall develop and implement Section 11.3.5 Sheet Exchange site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ Review of policy and procedure as well as issued to each youth housed. Washable items such as interviews with the youth and staff revealed sheets, mattress covers, pillow cases and towels shall compliance with this regulation. be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Section 11.3.3 Blankets ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND Section 12.0 Facility Sanitation, Safety and MAINTENANCE Maintenance The facility administrator shall develop and implement Review of policy and procedure revealed written policies and site-specific procedures for the compliance with this regulation. 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). 7492 San Diego EMJDF PRO 23-24 Page 37 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☒ ☐ ☐ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☐ ☒ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☒ ☐ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7492 San Diego EMJDF PRO 23-24 Page 38 of 38 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: 7498 FACILITY NAME: San Diego Secure Youth Track Facility (SYTF) - Also known FACILITY TYPE: SYTF as Youth Development Academy Program at East Mesa (YDA) PERSON(S) INTERVIEWED: Brandon Abriel, Division Chief; Matthew Strickland, Division Chief; Patrick Hernandez, Supervising Probation Officer; Nathan Head, School Principal; Elizabeth Dauz, Behavioral Health Program Coordinator; Omar Bautista, Behavioral Health Program Manager; Eduardo Calderon, Supervising Probation Officer; Angel Nunez, Supervising Probation Officer; Kovan Abdul-Razzak, Deputy Probation Officer; Christopher Guillen, Deputy Probation Officer; James Parison, Deputy Probation Officer; Ashley Russo, Deputy Probation Officer; Mindy McCartney, Program Director SBCS Corp FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: November 17, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS At the time of the inspection, a Building Inspection had not been completed within the On an annual basis, or as otherwise required by law, past year. 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 Completed 4/28/2022 clearance as required by Health and Safety Code Section ☒ ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with Medical/Mental Health completed 1/26/2023 Health and Safety Code Section 101045; ☒ ☐ ☐ Environmental Health completed 3/23/2023 Nutritional Evaluation completed 3/23/2023 (d) county superintendent of schools on the adequacy of Completed on 8/10/2023 by Katy Ramezani educational services and facilities as required in Section ☒ ☐ ☐ Ed.D., Director-Educational Programs and 1370; Services OCDE/ACCESS (e) juvenile court as required by Section 209 of the At the time of the inspection, a Juvenile Court Welfare and Institutions Code; and, ☐ ☒ ☐ Inspection had not been completed within the past year. (f) the Juvenile Justice Commission as required by Completed on 4/27/2023 by JJC Chair Yvette Section 229 of the Welfare and Institutions Code or Klepin ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 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. 7498 San Diego SYTF PRO 23-24 Page 1 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Section 2 Appointment and Qualifications 2.1 BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification Memo confirming compliance with this letter confirming that all elements of regulation are met. regulation was submitted by Chief Probation Officer (CPO) Tamika Nelson on August 25, (a) Appointment ☒ ☐ ☐ 2023. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Section 2 Appointment and Qualifications 2.1 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Section 2 Appointment and Qualifications 2.1 examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection Section 2 Appointment and Qualifications 2.1 and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Section 2 Appointment and Qualifications 2.1 employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- Section 2 Appointment and Qualifications 2.1 employees of the facility, who may be present at the facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING Section 2.2 Staffing Levels and Chain of Command Each juvenile facility shall: (a) have an adequate number of personnel sufficient to We reviewed a variety of documents including carry out the overall facility operation and its safety check records, grievances, disciplinary programming, to provide for safety and security of youth actions, and incident reports. We also and staff, and meet established standards and ☐ ☒ ☐ reviewed January through April 2023 staffing regulations; schedules for YDA. Review of these documents revealed the YDA did not consistently have an adequate number of personnel sufficient to carry out the overall facility operation and its programming. (b) ensure that no required services shall be denied Section 2.2.2 Staffing Levels and Chain of because of insufficient numbers of staff on duty absent ☒ ☐ ☐ Command exigent circumstances; (c) have a sufficient number of supervisory level staff to Section 2.2.2 Staffing Levels and Chain of ensure adequate supervision of all staff members; Command ☒ ☐ ☐ YDA has a supervisor or an assigned Senior Officer who acts with supervisory powers on each shift. 7498 San Diego SYTF PRO 23-24 Page 2 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) have a clearly identified person on duty at all times Section 2.2.2 Staffing Levels and Chain of who is responsible for operations and activities and has Command ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Section 2.2.2 Staffing Levels and Chain of unit whenever there are youth in the living unit; Command ☒ ☐ ☐ Per policy and procedure manual, staff is always present in occupied housing units. (f) have sufficient food service personnel relative to the Section 2.2.6 Staffing Levels and Chain of number and security of living units, including staff Command qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Daily schedules were reviewed to verify ☒ ☐ ☐ food preparation and servings; conduct related training compliance with this regulation. 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, Section 2.2.2 Staffing Levels and Chain of medical, dental, mental health, building maintenance, Command transportation, control room, facility security and other support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be ☒ ☐ ☐ diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide Section 2.2.2 Staffing Levels and Chain of continuous wide awake supervision of youth, subject to Command temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Not Applicable (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls Not Applicable (A) during hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; 7498 San Diego SYTF PRO 23-24 Page 3 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Section 2.2.3 Staffing Levels and Chain of (A) during the hours that youth are awake, one Command wide-awake youth supervision staff member on ☒ ☐ ☐ duty for each 15 youth in the camp population; At the time of the inspection, the YDA population was 50 youth, all males. (B) during the hours that youth are confined to their Section 2.2.3 Staffing Levels and Chain of room for the purpose of sleeping, one wide-awake Command ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff Section 2.2.3 Staffing Levels and Chain of members on duty at all times, regardless of the Command 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 Section 2.2.3 Staffing Levels and Chain of duty who is the same gender as youth housed in ☒ ☐ ☐ Command the facility; (E) in addition to the minimum staff to youth ratio Section 2.2.3 Staffing Levels and Chain of required in (h)(3)(A)-(B), consideration shall be Command 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 Section 2.2.8.9 Staffing Levels and Chain of duties such as administration, supervision of Command personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Section 3.4 Staff Training and Development AND TRAINING Chief Nelson’s memo dated August 25, 2023, (a) Prior to assuming any responsibilities each youth verified compliance with this regulation. supervision staff member shall be properly oriented to ☒ ☐ ☐ their duties, including: All new staff upon reporting to the facility are (1) youth supervision duties; assigned to a training officer who assists the new officer in their orientation and training. (2) scope of decisions they shall make; ☒ ☐ ☐ Section 3.4 Staff Training and Development (3) the identity of their supervisor; ☒ ☐ ☐ Section 3.4 Staff Training and Development 7498 San Diego SYTF PRO 23-24 Page 4 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) the identity of persons who are responsible to Section 3.4 Staff Training and Development ☒ ☐ ☐ them; (5) persons to contact for decisions that are beyond Section 3.4 Staff Training and Development ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ Section 3.4 Staff Training and Development (b) Prior to assuming any responsibility for the Section 3.4.2 Staff Training and Development supervision of youth, each youth supervision staff ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility- All new full-time and temporary employees specific orientation, including: receive 40 hours of Introductory Training. (1) individual and group supervision techniques; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (2) regulations and policies relating to discipline and Section 3.4.2 Staff Training and Development rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (4) suicide prevention and response to suicide Section 3.4.2 Staff Training and Development ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation Section 3.4.2 Staff Training and Development techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Section 3.4.2 Staff Training and Development ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (8) routine security measures, including facility Section 3.4.2 Staff Training and Development ☒ ☐ ☐ perimeter and grounds; (9) crisis intervention and mental health referrals to Section 3.4.2 Staff Training and Development ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (11) fire/life safety training ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (c) Prior to assuming sole supervision of youth, each Section 3.4.3 Staff Training and Development youth supervision staff member shall successfully 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 Section 3.3.2 Programs supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Section 13.4 Fire Procedures Whenever there is a youth in a juvenile facility, there shall Review of documentation indicates that all be at least one wide awake person on duty at all times ☒ ☐ ☐ youth supervisory staff at YDA receive site- who meets the training standards established by the specific life safety training during orientation. Board for general fire and life safety which relate Also, all full-time employees receive fire and specifically to the facility. safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL Section 1.5 Institution Policy and Facility Procedures Manual All facility administrators shall develop, publish, and implement a manual of written policies and procedures The San Diego policy and procedure manual that address, at a minimum, all regulations that are was administratively reviewed by Division applicable to the facility. Such a manual shall be made Chiefs Matthew Strickland and Brandon Abriel available to all employees, reviewed by all employees, ☒ ☐ ☐ on 11/8/2023. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those It should be noted all San Diego youth facilities records relating to the standards and requirements set are in the process of transitioning to the forth in these regulations shall be accessible to the Board Lexipol policy and procedures. on request. The manual shall include: (a) table of organization, including channels of Section 1.2.2 Organization and Relationships ☒ ☐ ☐ communications and a description of job classifications; 7498 San Diego SYTF PRO 23-24 Page 5 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) responsibility of the probation department, purpose of Section 1.2 Organization and Relationships programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or ☒ ☐ ☐ Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Section 2.2.8 Duties of Personnel Assigned to ☒ ☐ ☐ Institutional Services (d) initial orientation and training program for employees; Section 3.3 Programs ☒ ☐ ☐ Training programs are required for all officers performing supervision of youth. (e) initial orientation, including safety and security issues Section 3.6 Orientation and Security Training and anti-discrimination policies, for support staff, contract for Non-Sworn Staff employees, school, mental/behavioral health and medical staff, program providers and volunteers; Initial orientation is also provided for non- ☒ ☐ ☐ sworn staff members assigned to YDA. This includes support staff, contract employees, school and medical staff, and program providers and volunteers. (f) maintenance of record-keeping, statistics and Section 4.2 Confidentiality of Juvenile Court ☒ ☐ ☐ communication system to ensure: Records and Reports (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Section 4.2.3.10 (2) legal and proper care of youth; ☒ ☐ ☐ Section 4.2.6 Destruction of Facility Records Section 4.2.6.1 Probation Operations Support (3) maintenance of individual youth's records; ☒ ☐ ☐ Manager (4) supply of information to the juvenile court and Section 4.2.3 Juvenile Court Release of ☒ ☐ ☐ those authorized by the court or by the law; and, Information Policy (5) release of information regarding youth. ☒ ☐ ☐ Section 4.4.2 Overview (g) ethical responsibilities; ☒ ☐ ☐ Section 1.3.6 Ethical Principles Referenced in IS Policy Sections 501.1, (h) trauma-informed approaches; ☒ ☐ ☐ 502.7.2, 514.9.2, 515.4, 701.6(a)1, 702.5.1 (i) culturally responsive approaches; ☒ ☐ ☐ Sections 102 and 1003 Section 5.4 Lesbian, Gay, Bisexual, (j) gender responsive approaches; ☒ ☐ ☐ transgender, Questioning and Intersex (LGBTQI) (k) a non-discrimination provision that provides that all Section 5.4.3 Policy youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and YDA maintains and promotes an environment benefits, and provides that no person shall be subject to that provides the highest quality of services to discrimination or harassment on the basis of actual or youth regardless of their actual or perceived perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ sexual orientation or gender identity. national origin, immigration status, color, religion, gender, Confined LGBTQI youth receives fair and sexual orientation, gender identity, gender expression, equal treatment, without bias and in a mental or physical disability, or HIV status, including professional and confidential manner based restrictive housing or classification decisions based solely on principles of sound professional practice. on any of the above mentioned categories; (l) storage and maintenance requirements for any Section 14.3.2.1 On-Duty Staff chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; Section 14.3.11.1 OC Control Measures (m) establishment of procedures for collection of Medi- Section 8.1.9 Medi-Cal Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, 7498 San Diego SYTF PRO 23-24 Page 6 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (n) establishment of a policy that prohibits all forms of Department Policy Section 800.3 sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Section 13.4 Fire Procedure The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Section 13.4.5 Fire Inspection with two-year retention of the inspection record; Section 13.4.6 record Retention ☒ ☐ ☐ Documentation review of YDA monthly fire and life safety inspections revealed compliance with this regulation. (c) fire prevention inspections as required by Health and Section 13.4.5 Fire Inspection Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ Completed on 4/28/2022 (d) an evacuation plan; Section 13.4.7 Youth Evacuation ☒ ☐ ☐ Section 13.4.10 Youth Fire Relocation Plan (e) documented fire drills not less than quarterly; 13.4.9 Fire Drills Documentation review of YDA fire drills ☒ ☐ ☐ revealed compliance with this regulation. It should be noted fire drills are conducted monthly. (f) a written plan for the emergency housing of youth in Section 13.4.7 Youth Evacuation the case of fire; and, ☒ ☐ ☐ Section 13.4.10 Youth Fire Relocation Plan (g) development of a fire suppression pre-plan in Section 13.4.8.2 Fire Suppression ☒ ☐ ☐ cooperation with the local fire department. 1326 SECURITY REVIEW Section 5.14.12.1 Annual Security Review Each facility administrator shall develop policies and The East Mesa Juvenile Detention Facility procedures to annually review, evaluate, and document ☒ ☐ ☐ which houses the JH and YDA security review security of the facility. The review and evaluation shall was completed by Division Chiefs Matthew include internal and external security, including, but not Strickland and Brandon Abriel on 11/13/2023. limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES Section 2.2.9.3 Emergency Situations The facility administrator shall develop facility-specific ☒ ☐ ☐ Section 13 Emergencies policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Section 13.1, 13.3, 13.5 Emergencies (b) civil disturbance, active shooter and terrorist Section 13.11 Terrorism ☒ ☐ ☐ attack; (c) fire and natural disasters; ☒ ☐ ☐ Section 13.4 Fire Procedures (d) periodic testing of emergency equipment; ☒ ☐ ☐ Section 13 Emergencies (e) emergency evacuation of the facility; and ☒ ☐ ☐ Section 13 Emergencies 7498 San Diego SYTF PRO 23-24 Page 7 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 13 Emergencies (f) a program to provide all youth supervision staff ☒ ☐ ☐ Review of documentation revealed all YDA with an annual review of emergency procedures. staff are required to review the emergency procedures every January. 1328 SAFETY CHECKS Section 5.6 Counts and Safety Checks The facility administrator shall develop and implement Section 5.6.8 Safety Welfare Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, We reviewed YDA safety checks for the at random or varied intervals during hours when youth months of January through April 2023. Review are asleep or when youth are in their rooms, confined in of documentation revealed safety checks are holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ being completed well within the minimum 15 Supervision is not replaced, but may be supplemented minutes and at random or varied intervals by, an audio/visual electronic surveillance system during the hours youth are confined to their designed to detect overt, aggressive or assaultive rooms. We also did a live safety check review behavior and to summon aid in emergencies. All safety during the inspection walkthrough of the checks shall be documented with the actual time the facility. check is completed. 1329 SUICIDE PREVENTION PLAN Section 8.11 Suicide Prevention Plan The facility administrator, in collaboration with the YDA has not placed a youth on suicide watch healthcare and behavioral/mental health administrators, protocols thus far this inspection cycle. shall plan and implement written policies and Review of policy and procedure manuals procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ revealed compliance with this regulation. The plan shall consider the needs of youth experiencing past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Section 8.11.3 Staff Training 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. All sworn institutional staff receive 8 hours of suicide prevention training that includes warning signs and symptoms, identification ☒ ☐ ☐ and management of suicidal youth, and components of the facility’s formal suicide prevention policy. An annual refresher training will include a review of predisposing factors, signs, and symptoms. (b) Screening, Identification Assessment and Section 8.11.4 Intake Screening and On- Precautionary Protocols Going Assessment (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. Primary screening for suicide risk will take place immediately upon youth’s arrival at YDA. (2) All youth supervision staff who perform intake Section 8.11.3 Staff Training processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Section 8.11.4 Intake Screening and On- intake screening process to be at risk of suicide shall Going Assessment ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to Section 8.11.4 Intake Screening and On- ensure the youth’s safety pending the ☒ ☐ ☐ Going Assessment behavioral/mental health assessment. 7498 San Diego SYTF PRO 23-24 Page 8 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Referral process to behavioral/mental health staff for Section 8.11.5 Communication assessment and/or services. Staff will receive training on suicide warning signs and must communicate with all members of the multidisciplinary team ☒ ☐ ☐ (Probation, Education, the contracted medical provider, STAT) and actively make appropriate referrals to the mental health and medical staff using the Suicide Prevention Referral Form developed by the STAT Team. (d) Procedures for monitoring of youth identified at risk Section 8.11.7 Levels of Supervision ☒ ☐ ☐ for suicide. (e) Safety Interventions Section 8.11.8 Intervention (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration Section 8.11.6 Safe Housing ☒ ☐ ☐ Rooms designated to house suicidal youth will be suicide-resistant, free of protrusions, and provide full visibility. (B) Treatment strategies including trauma- Section 707.4 informed approaches At the time of the inspection, it was discovered youth placed on suicide watch were automatically subjected to strip searches ☐ ☒ ☐ which is not in compliance with this regulation. Strip searches of youth shall only be conducted when there is a reasonable suspicion based on specific and articulable facts to believe a youth is concealing contraband. (2) Procedures to instruct youth supervision staff Section 8.11.6 through 8.11.8 how to respond to youth who exhibit suicidal behaviors. An individualized treatment plan shall be developed for any youth held on suicide prevention. The plan will include signs and symptoms specific to the youth, triggers, or ☒ ☐ ☐ circumstances to consider as increasing recurrence of suicidality, describe how the youth can avoid suicidal thoughts, and discrete steps and actions that staff will take if suicidality reoccurs. This document, developed while a youth is on suicide prevention, will be distributed to medical staff and sworn institutional staff when the youth is taken off suicide prevention status. (f) Communication Section 8.11.5 Communication (1) The intake process shall include communication 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 Section 8.11.5 Communication sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. 7498 San Diego SYTF PRO 23-24 Page 9 of 38 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 Section 8.11.11 Critical Incident Reporting Attempts Review (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 Section 8.11.10 Morbidity and Mortality ☒ ☐ ☐ staff. Review (3) Process for a debriefing event with affected Section 8.11.10 Morbidity and Mortality ☒ ☐ ☐ youth. Review (h) Documentation Section 8.11.9 Reporting (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Section 707.4 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Section 4.1.2 Reporting of Legal Action to Board of State and Community Corrections Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ Per Brandon Abriel Division Chief’s memo of confinement, filed against persons or legal entities dated 11/14/2023, there have been no Legal responsible for juvenile facility operation. Actions filed against the facility this inspection cycle. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Section 8.12 Death of a Youth OF A YOUTH WHILE DETAINED Section 8.12.3 Notifications (1) Death of a Youth. (a) The facility administrator, in cooperation with Section 8.12.4 Notifications of Serious Illness the health administrator and the behavioral/mental or Injury When Death is Possible health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while Per Brandon Abriel Division Chief’s memo detained, which include notifications to necessary dated 11/14/2023, there have been no deaths parties, which may include the Juvenile Court, the at the facility this inspection cycle. parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with Section 8.12.5 In- Custody Death Review the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Section 4.1.4 Population Accounting to Board the Board a copy of the report submitted to the of State and Community Corrections 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 Section 8.12.3.5 Notification of Oversight from the administrator, the Board may within 30 Agencies calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ Section 4.1.3 Death and Serious Illness or to the provisions of this subchapter. Any inquiry Injury of a Youth While Detained made by the Board shall be limited to the standards and requirements set forth in these regulations. Section 4.4.13 through 4.4.15 7498 San Diego SYTF PRO 23-24 Page 10 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Serious Illness or Injury of Youth. Section 8.12.4 Notifications of Serious Illness (a) The facility administrator, in cooperation with or Injury When Death is Possible 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 Section 4.1.4 Population Accounting to Board of State and Community Corrections Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Rated Capacity for YDA is 50 total. 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 Section 5.1.1 Intake and Admissions The facility administrator shall develop and implement We reviewed ten (10) EMJDF Initial Booking written policies and procedures for admittance of youth and Screening Questionnaires from the YDA. that emphasize respectful and humane engagement Review of documentation provided during the with youth, and reflect that the admission process may ☒ ☐ ☐ inspection and policy and procedure manuals be traumatic to youth who may have already revealed compliance with this regulation. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Section 6.7 Telephone Policy (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of Youths are advised of the right to make calls Welfare and Institution Code Section 627; ☒ ☐ ☐ and are provided with opportunities to call within one hour of admission. If calls are not completed, youth will continue to call in the living units until calls are completed. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (2) Offer of a shower; ☒ ☐ ☐ Youth are offered a shower and staff document this information on the youth admission/intake form. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (3) Documented secure storage of personal ☒ ☐ ☐ belongings; All property is inventoried, documented, and stored in a secure area. Staff and youth sign a property slip to ensure a proper accounting of all property transactions. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (4) Offer of food upon arrival; ☒ ☐ ☐ Youth are offered food during the intake process and staff document this information on the youth admission/intake form. 7498 San Diego SYTF PRO 23-24 Page 11 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ All youth are screened by medical for entry disabilities; into the facility. If Behavioral Health is on site at time of entry, they too will clear the youth for detention or, if not on site, will clear the youth as soon as possible. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol (6) Screening for physical and developmental Policy 504 Case Management disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; Screenings by medical are completed and documented by medical staff. (7) Contact with Regional Center for the Lexipol Policy 504.3.1 Institutional Plan Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ If youth appears to be developmentally developmental disability, pursuant to Section 1413; disabled, the Regional Center is contacted. and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ (b) juvenile hall administrators shall establish written Section 5.1.4 Basic Policy Established by criteria for detention that considers the least restrictive Section 628 W & I Code: Criteria for Detention environment. Section 5.2.2 Introduction ☒ ☐ ☐ All youth are screened with the Juvenile Detention Risk Intake Assessment which is a weighted screening tool. All ten (10) youth intake packets had a completed risk assessment. (c) juvenile camps and post-dispositional programs in Each youth is advised of their maximum juvenile halls shall develop policies and procedures that release date during their court hearing. Under advise the youth of the estimated length of stay, inform the Steps to Success Program, the Senior them of program guidelines and provide written Probation Officer must meet with each youth screening criteria for inclusion and exclusion from the upon intake and advise them of the point program. ☒ ☐ ☐ structure and behavior incentives that will lead to their early release. The Senior Probation Officer continues to meet with each youth on an ongoing basis throughout their commitment to track their progress toward release. (d) juvenile halls shall develop policies and procedures Each youth is advised of their maximum that advise any committed youth of the estimated length ☒ ☐ ☐ release date during their court proceedings. of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL Department Policy Section 800.13.1 ABUSE We reviewed ten (10) PREA Risk Assessment The facility administrator shall develop and implement tool forms from YDA. Review of written policies and procedures to reduce the risk of ☒ ☐ ☐ documentation provided during the inspection sexual abuse by or upon youth. The policy shall require and policy and procedure manual revealed facility staff to assess each youth within 72 hours of compliance with this regulation. admission based on the following information: (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ PREA Risk Assessment Tool (b) Gender nonconforming appearance or manner; or PREA Risk Assessment Tool identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ PREA Risk Assessment Tool 7498 San Diego SYTF PRO 23-24 Page 12 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Age; ☒ ☐ ☐ PREA Risk Assessment Tool (e) Level of emotional and cognitive development; ☒ ☐ ☐ PREA Risk Assessment Tool (f) Physical size and stature; ☒ ☐ ☐ PREA Risk Assessment Tool (g) Mental illness or mental disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (h) Intellectual or developmental disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (i) Physical disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ PREA Risk Assessment Tool (k) Any other specific information about the individual PREA Risk Assessment Tool youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Department Policy Section 800.13.1 conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Department Policy Section 800.13.1 controls on the dissemination of information within the 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 Section 5.3 Release of Youth The facility administrator shall develop and implement We reviewed three (3) Youth Release written policies and procedures for release of youth from Authorization Record forms (Release Slip) custody which provide for: ☒ ☐ ☐ from YDA. Review of documentation provided during the inspection and policy and procedure manual revealed compliance with this regulation. (a) verification of identity/release papers; ☒ ☐ ☐ Section 5.3.2.2 Authorization (b) return of personal clothing and valuables; ☒ ☐ ☐ Section 5.3.5 Release of Youth Property (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Section 5.3.2.2 Authorization (d) notification to the facility health care provider in Section 5.3.2.2 Authorization accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Section 5.3.2.2 Authorization (f) notification of facility mental health personnel. ☒ ☐ ☐ Section 5.3.2.2 Authorization The facility administrator shall develop and implement Lexipol Policy 520.3 Release Procedure policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Section 5.3.2.2 Authorization written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Section 5.2 Classification and Segregation The facility administrator shall develop and implement We reviewed five (5) San Diego Youth written policies and procedures on classification of youth ☒ ☐ ☐ Classification forms from YDA. Review of for the purpose of determining housing placement in the documentation provided during the inspection facility. and policy and procedure manual revealed Such procedures shall: compliance with this regulation. 7498 San Diego SYTF PRO 23-24 Page 13 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) provide for the safety of the youth, other youth, Section 5.2.2 Introduction facility staff, and the public by placing youth in the 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 Section 5.2 Classification and Segregation ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon Section 5.2 Classification and Segregation admittance to the facility; classification factors shall 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 Section 5.2 Classification and Segregation provisions that consider the level of supervision and the ☒ ☐ ☐ youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Lexipol Policy 502.3 from the general population or assign youth to a single 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, Lexipol Policy 502.10 transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Section 5.4 Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex The facility administrator shall develop written policies (LGBTQI) and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The ☒ ☐ ☐ During this inspection cycle, YDA has not policies shall provide that: housed transgender or intersex youth. Review of form provided during the inspection and policy and procedure manuals revealed compliance with this regulation. (a) Facility staff shall respect every youth’s gender Section 5.4.5.4 Names and Language identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the Transgender youth shall be referred to by their youth’s legal name. Facilities may prohibit the use of preferred name and the pronoun that reflects ☒ ☐ ☐ gang or slang names or names that otherwise the youth’s gender identity, even if their name compromise facility operations as determined by the has not been legally changed. facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Section 5.4.5.5 Clothing and Gender themselves in a manner consistent with their gender Presentation identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender Youth can dress and present themselves in a identity. ☒ ☐ ☐ manner consistent with their gender identity. Staff provide youth with institutional clothing, including undergarments, appropriate for the youth’s gender identity and gender presentation. 7498 San Diego SYTF PRO 23-24 Page 14 of 38 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 Section 5.4.5.3 Youth Placement best meets their individual needs and promotes their safety and well-being. Staff may not automatically house Transgender youth shall not automatically be youth according to their external anatomy and shall housed according to their birth sex. Facility document the reasons for any decision to house youth staff make housing decisions for transgender in a unit that does not match their gender identity. In youth based on the youth’s individualized ☒ ☐ ☐ making a housing decision, staff shall consider the needs and should prioritize the youth’s youth’s preferences, as well as any recommendations emotional and physical safety, taking into from the youth’s health or behavioral health provider. account the youth’s perception of where he or she will be most secure, as well as any recommendations from the youth’s health care provider. (d) Facility administrators shall ensure that transgender Section 5.4.5.7 Medical and Mental Health and intersex youth have access to medical and Care behavioral health providers qualified to provide care and treatment to transgender and intersex youth. The Facility provides transgender youth with ☒ ☐ ☐ access to medical and mental health care providers who are knowledgeable about the health care needs of transgender youth, if the youth request assessment or treatment. (e) Consistent with the facility’s reasonable and Section 5.4.5.6 Bathrooms and Showers necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety Transgender youth will not be required to and privacy of transgender and intersex youth when the shower or undress in front of other youths and ☒ ☐ ☐ youth are using the bathroom or shower, or dressing or shall be permitted to use single-occupancy undressing. bathroom and showers, if available. Such accommodation shall be provided in a sensitive manner. Facility staff shall not conduct physical searches of any Section 5.4.5.8 Search Issues youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall Transgender youth may request that either a respect the youth’s preference regarding the gender of male or female staff member conduct a strip ☒ ☐ ☐ the staff member who conducts any search of the youth. search if such search is required. Staff will accommodate this request when possible and consistent with maintaining the security of the facility. 1353 ORIENTATION Section 5.5 Housing, Youth Orientation and Security The facility administrator shall develop and implement written policies and procedures to orient a youth prior to We reviewed ten (10) youth orientation placement in a living area. Both written and verbal packets from YDA. Also, youth are informed information shall be provided and supplemented with of access to Title 15 during the orientation video orientation if feasible. Provision shall be made to process and it is documented by the Intake provide accessible orientation information to all detained staff. Review of documentation provided youth including those with disabilities, limited literacy, or ☒ ☐ ☐ during the inspection and policy and English language learners. Orientation shall include procedure manual revealed compliance with information that addresses: this regulation. All youth at YDA are provided a Youth Handbook during the intake process. Each youth is also provided a Youth Rights Handbook. (a) facility rules including contraband and searches and Section 5.5.2.3 Orientation Topics (a) ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions Section 5.5.2.3 Orientation Topics (a) and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; 7498 San Diego SYTF PRO 23-24 Page 15 of 38 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 Section 5.5.2.3 Orientation Topics (c) facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (a) (e) the existence of the grievance procedure, the steps Section 5.5.2.3 Orientation Topics (b) that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the Section 5.5.2.3 Orientation Topics (c) ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Section 5.5.2.3 Orientation Topics (c) ☒ ☐ ☐ health care; (h) access to education, religious services, and Section 5.5.2.3 Orientation Topics (k) ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (e) (j) opportunity for personal hygiene and daily showers Section 5.5.2.3 Orientation Topics (f) ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and Section 5.5.2.3 Orientation Topics (g) ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Section 5.5.2.3 Orientation Topics (h) ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Section 5.5.2.3 Orientation Topics (i) ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ Lexipol policy 503.4(p) (o) emergencies including evacuation procedures; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (j) (p) non-discrimination policy and the right to be free from Section 5.5.2.3 Orientation Topics (l) physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Lexipol policy 503.4(g) ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, Lexipol policy 503.4(x) ☒ ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive Lexipol policy 503.4(y) information regarding the youth’s stay in the facility that 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 Lexipol policy 503.4(z) 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Copies of Title 15 for the youth are available in each housing unit and the library. 1354 SEPARATION Section 7.7 Youth Restrictions and Discipline Programs The facility administrator shall develop and implement written policies and procedures that address: We reviewed five (5) Administrative ☒ ☐ ☐ Separation (AS) incident reports from YDA. Documentation provided and review of policy and procedure revealed compliance with this regulation. (a) separation of youth for reasons that include, but are Section 7.2.3 Youth Rights not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Lexipol Policy 502.7.2 ☒ ☐ ☐ trauma-informed care. 7498 San Diego SYTF PRO 23-24 Page 16 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) separated youth shall not be denied normal Section 7.7 Youth Restrictions privileges available at the facility, except when necessary to accomplish the objective of separation. Youth placed on any form of separation or room confinement are not denied their rights ☒ ☐ ☐ which includes basic hygiene standards, eating nutritional meals, having attorney visits, religious counseling and receiving parental visits. (d) when the objective of the separation is discipline, Section 7.1 Behavior Control and Discipline ☒ ☐ ☐ Title 15 Section 1390 shall apply. Philosophy and Policy (e) when separation results in room confinement, the Section 7.7.3 Room Confinement separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Section 7.7.4 Administrative Separation of separated youth to determine if separation remains ☒ ☐ ☐ necessary. Section 7.7.3.4 Return to General Population or Continued Room Confinement 1354.5 ROOM CONFINEMENT Lexipol Policy 602 (a) The facility administrator shall develop and We reviewed ten (10) room confinement implement written policies and procedures addressing incident reports and ten (10) Youth Room the confinement of youth in their room that are Confinement Checklist forms from YDA. consistent with Welfare and Institutions Code Section Review of policy and procedure manual and 208.3. The placement of a youth in room confinement ☒ ☐ ☐ documentation provided during the inspection shall be accomplished in accordance with the following revealed compliance with this section. Each guidelines: Youth Room Confinement Checklist reviewed provided documentation of why the youth was placed on room confinement and the efforts made by staff to reintegrate the youth back in the regular programming. (1) Room confinement shall not be used before 602.3 Separation from Other Youths (a) 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) Room confinement shall not be used for the 602.3 Separation from Other Youths (b) purposes of punishment, coercion, convenience, or retaliation by staff. At the time of the inspection, it was discovered youth are often required to eat meals in their ☐ ☒ ☐ rooms due to shortage of staff. It was also discovered, at times after 6 p.m., youth may be required to remain in their rooms with only showers being conducted due to shortage of staff available. (3) Room confinement shall not be used to the extent 602.3 Separation from Other Youths (c) that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room 602.3.3 Room Confinement (a) confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: 602.3.3 Room Confinement (a1) (1) Return the youth to general population. ☒ ☐ ☐ 602.3.3 Room Confinement (a2) (2) Consult with mental health or medical staff. ☒ ☐ ☐ (3) Develop an individualized plan that includes the 602.3.3 Room Confinement (a3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. 7498 San Diego SYTF PRO 23-24 Page 17 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) If room confinement must be extended beyond 602.3.3 Room Confinement (b) four hours, staff shall do each of the following: We reviewed two (2) room confinement incident reports and two (2) Youth Room ☒ ☐ ☐ Confinement Checklist forms from YDA that were extended beyond four hours. Review of policy and procedure manual and documentation provided revealed compliance with this section. (A) Document the reasons for room confinement 602.3.3 Room Confinement (b1) and the basis for the extension, the date and time the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 602.3.3 Room Confinement (b2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the 602.3.3 Room Confinement (b3) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of 602.3.4 Exceptions (a) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in 602.3.4 Exceptions (b) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to 602.3.4 Exceptions (b) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 602.3.4 Exceptions (c) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is 602.3.4 Exceptions (d) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable 602.3.4 Exceptions (e) 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 Lexipol Policy 504 Case Management The facility administrator shall develop and implement We reviewed ten (10) JPCF Institutional written policies and procedures for assessment and Services Casework reports from YDA. Review case planning. ☒ ☐ ☐ of documentation provided during the inspection and review of the policy and procedure revealed compliance with this regulation. 7498 San Diego SYTF PRO 23-24 Page 18 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: Lexipol Policy 504.3 Assessments The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Lexipol Policy 504.3.1 Institutional Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created within Each youth at YDA is assigned to a detention 40 days of admission. staff during the intake process. The staff then ☒ ☐ ☐ completes a youth preliminary assessment and case plan within thirty (30) days of assignment. The assessments include descriptions of the youth’s issues and places an emphasis on the youth’s strengths. (2) The institutional plan shall include, but not be Lexipol Policy 504.3 Assessments ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of Lexipol Policy 504.3 Assessments (a) ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes Lexipol Policy 504.3 Assessments (b) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Lexipol Policy 504.3 Assessments (c) the objectives, including periodic review and discussion of the plan with the youth; ☒ ☐ ☐ YDA staff meets with their assigned youth weekly to discuss case plan and progress towards goals. (4) a transition plan, the contents of which shall be Lexipol Policy 504.3 Assessments (d) subject to existing resources, shall be developed for ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Lexipol Policy 504.3 Assessments (e) plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Lexipol Policy 704 Counseling Services The facility administrator shall develop and implement Lexipol Policy 704.2 written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ Review of documentation provided during the youth. Policies and procedures shall ensure: inspection and review of policy and procedures revealed compliance with this regulation. (a) youth will receive assistance with needs or concerns Lexipol Policy 704.3 Behavioral Health ☒ ☐ ☐ that may arise; Responsibility (a1) (b) youth will receive assistance in requesting contact Lexipol Policy 704.3 Behavioral Health with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Responsibility (b) probation officer, or other public official; and, (c) youth will be provided access to available resources Lexipol Policy 704.3 Behavioral Health ☒ ☐ ☐ to meet the youth’s needs. Responsibility (a2) 7498 San Diego SYTF PRO 23-24 Page 19 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Lexipol Policy 514 Use of Force The facility administrator, in cooperation with the We reviewed eight (8) hands-on use of force responsible physician, shall develop and implement reports at YDA. Review of policy and written policies and procedures for the use of force, procedure and documentation revealed which may include chemical agents. Force shall never compliance with this regulation. be applied as punishment, discipline, retaliation or ☒ ☐ ☐ treatment. It should be noted each report reviewed (a) At a minimum, each facility shall develop policies and contained staff efforts to de-escalate the procedures which: incident and command calls given to the youth prior to going hands-on to protect the safety of the youth and the facility. (1) restricts the use of force to that which is deemed Lexipol Policy 514.3 Use of Force reasonable and necessary, as defined in Section ☒ ☐ ☐ 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Lexipol Policy 514.10 Training both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Lexipol Policy 514.10 Training ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Lexipol Policy 514.6 Reporting the Use of inappropriate use of force, and to take affirmative ☒ ☐ ☐ Force action to immediately stop it. (5) define a standardized reporting format that Lexipol Policy 514.6 Reporting the Use of includes time period and procedure for documenting Force and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Lexipol Policy 514.9 Use of Force Review ☒ ☐ ☐ investigating unreasonable use of force. (7) define the role, notification, and follow-up Lexipol Policy 514.6.2 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ Notification to parent(s) is completed following guardians. each use of force incident and documented in the Case Management system. (8) describe the limitations of use of force on pregnant Lexipol Policy 515.9 Pregnant Youths youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. Restraints will not be used on youths who are known to be pregnant unless based on an individualized determination that restraints are reasonably necessary for the legitimate safety ☒ ☐ ☐ and security needs of the youth, the staff, or the public. As a standard practice, pregnant juveniles in institutions wear a vest indicating that they will not be placed in the “cover” position and OC spray will not be used. 7498 San Diego SYTF PRO 23-24 Page 20 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Facilities that authorize chemical agents as a force Lexipol Policy 514.4 Use of Chemical Agents option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize We reviewed four (4) chemical agent use of chemical agents in the facility and the type, size and force reports from YDA. Also, we reviewed the approved method of deployment for those four (4) five-minute Room Safety Welfare ☒ ☐ ☐ chemical agents. Checks reports. Following OC spray incidents, youths are placed on five-minute safety checks. Review of policy and procedure and documentation revealed compliance with this regulation. (2) mandate that chemical agents only be used when Lexipol Policy 514.4 Use of Chemical Agents there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts ☒ ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and Lexipol Policy 514.4 Use of Chemical Agents timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Lexipol Policy 514.6.2 Required Notifications procedures required after use of force incidents ☒ ☐ ☐ involving chemical agents for medical, mental health Notification to parent(s) is completed following staff and parents or legal guardians. each use of force incident and documented. (5) provide for the documentation of each incident of Lexipol Policy 514.6 Reporting the Use of use of chemical agents, including the reasons for Force which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Lexipol Policy 514.10 Training require that agencies provide initial and regular training ☒ ☐ ☐ in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health conditions Lexipol Policy 514.10 Training ☒ ☐ ☐ that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Lexipol Policy 514.10 Training ☒ ☐ ☐ application. (3) signs or symptoms that should result in Lexipol Policy 514.6.2 Required Notifications ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Lexipol Policy 514.10 Training ☒ ☐ ☐ Use of Force. (5) physical training force options that may require Lexipol Policy 514.10 Training ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Lexipol Policy 514.10 Training ☒ ☐ ☐ training. 1358 USE OF PHYSICAL RESTRAINTS Lexipol Policy 515 Mechanical Restraints The facility administrator, in cooperation with the We reviewed twelve (12) Use of Force responsible physician and mental health director, shall incident reports in which mechanical restraints develop and implement written policies and procedures ☒ ☐ ☐ were applied to youth. Review of for the use of restraint devices. Restraint devices documentation provided during the inspection include any devices which immobilize a youth's and policy and procedure manuals revealed extremities and/or prevent the youth from being compliance with this regulation. ambulatory. 7498 San Diego SYTF PRO 23-24 Page 21 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Physical restraints may be used only for those youth Lexipol Policy 515.2 Policy 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. 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 Lexipol Policy 515.3 General Requirements discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Lexipol Policy 515.5 Transportation Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Lexipol Policy 515.3 General Requirements of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Lexipol Policy 515.3 General Requirements retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Lexipol Policy 515.3 General Requirements possible, but in no case longer than four hours from the ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Lexipol Policy 515.3 General Requirements to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Lexipol Policy 515.5 Transportation Restraints procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an Lexipol Policy 515.7 Documentation application of restraints. (b) known medical conditions that would contraindicate Lexipol Policy 515.4 Specific Duties of the certain restraint devices and/or techniques. Division Chief ☒ ☐ ☐ Lexipol Policy 515.10 Training (c) acceptable restraint devices. ☒ ☐ ☐ Lexipol Policy 515.3 General Requirements (d) signs or symptoms which should result in immediate Lexipol Policy 515.10 Training ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation Department Policy Section 345.4 ☒ ☐ ☐ equipment. 7498 San Diego SYTF PRO 23-24 Page 22 of 38 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 Lexipol Policy 515.3 General Requirements restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Lexipol Policy 515.10 Training (h) exercising of extremities. ☒ ☐ ☐ Lexipol Policy 515.3 General Requirements 1358.5 USE OF RESTRAINT DEVICES FOR Lexipol Policy 515.5 Transportation Restraints MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. Review of documentation provided from YDA and policy and procedure manuals revealed The Facility Administrator, in cooperation with the compliance with this regulation. responsible physician and behavioral/mental health ☒ ☐ ☐ director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Lexipol Policy 515.3 General Requirements approved to utilize restraint devices and the required ☒ ☐ ☐ training. (b) the circumstances leading to the application of Lexipol Policy 515.5 Transportation Restraints ☒ ☐ ☐ restraints must be documented. (c) an individual assessment of the need to apply Lexipol Policy 515.4 Specific Duties of the restraints for movement or transportation that includes Division Chief 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. (d) consideration of safety and security of the facility, Lexipol Policy 515.3 General Requirements with a clearly defined expectation that restraint devices (g) ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Lexipol Policy 515.5 Transportation Restraints accordance with Penal Code Section 6030(f) and (a) Welfare and Institutions Code Section 222. ☒ ☐ ☐ Lexipol Policy 515.9 Pregnant Youths 1359 SAFETY ROOM PROCEDURES Section 5.12 Use of the Safety Room (a) The facility administrator, and where applicable, in YDA has not placed a youth within the safety cooperation with the responsible physician, shall room thus far this inspection cycle. 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 Section 5.12.11 Youth’s Personal Needs nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; Section 5.12.12 Restroom Use (2) provide for approval of the facility manager, or Section 5.12.8 Placement Procedures designee, before a youth is placed into a safety ☒ ☐ ☐ room; 7498 San Diego SYTF PRO 23-24 Page 23 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) provide for continuous direct visual supervision Section 5.12.8 Placement Procedures 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 Section 5.12.15 Administrative Reviews ☒ ☐ ☐ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Section 5.12.14 Ongoing Medical and Mental where appropriate, or an assessment at the next ☒ ☐ ☐ Health Assessment daily sick call; and, (6) provide a process for documenting the reason for Section 5.12.17 Reports placement, including attempts to use less restrictive ☒ ☐ ☐ means of control, and decisions to continue and end Section 5.12.18 Watch Commander placement. Investigation (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less Section 5.12.12 Restroom Use 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 Section 5.12.3 Placement Prohibitions punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Section 7.7.3.3 Guidelines for Initiating Room compromises the mental and physical health of the ☒ ☐ ☐ Confinement youth. (c) A youth may be held up to four hours in the safety Section 7.7.3.4 Return to General Population room. After the youth has been held in the safety room or Continued Room Confinement ☒ ☐ ☐ for a period of four hours, staff shall do one or more of the following: Section 7.7.3.4 Return to General Population (1) return the youth to general population. ☒ ☐ ☐ or Continued Room Confinement Section 7.7.3.4 Return to General Population (2) consult with mental health or medical staff, ☒ ☐ ☐ or Continued Room Confinement (3) develop an individualized plan that includes the Section 7.7.3.4 Return to General Population goals and objectives to be met in order to reintegrate ☒ ☐ ☐ or Continued Room Confinement the youth to general population. (d) If confinement in the safety room must be extended Section 7.7.3.4 Return to General Population beyond four hours, staff shall develop an individualized or Continued Room Confinement 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 Section 5.13 Youth Searches The facility administrator shall develop and implement Documentation provided as well as policy and written policies and procedures governing the search of ☒ ☐ ☐ procedure review revealed compliance with youth, the facility, and visitors. Policies and procedures this regulation with the exception of strip- shall provide that: searching youth placed on suicide watch protocol. (a) Searches shall be conducted to ensure the safety Section 5.13.1 Overview and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. (b) Searches shall be conducted in a manner that Section 5.5.7.2 preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Section 5.13.4.1 Strip Searches ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be Section 5.13.5 Body Cavity Searches ☒ ☐ ☐ conducted by a medical professional. 7498 San Diego SYTF PRO 23-24 Page 24 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Any youth held after a detention hearing shall only Section 5.13.3.2 be strip searched with prior approval of a supervisor 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 Section 5.13.4.1 Strip Searches ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches Section 5.13.3.2 Unusual Circumstances are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Lexipol Policy 609 Youth Grievances The facility administrator shall develop and implement We reviewed twenty (20) grievances from this written policies and procedures whereby any youth may inspection cycle from YDA. Review of policy appeal and have resolved grievances relating to any and procedure and review of documentation condition of confinement, including but not limited to provided revealed compliance with this health care services, classification decisions, program ☒ ☐ ☐ regulation with the exception of completing participation, telephone, mail or visiting procedures, some youth grievances outside of the food, clothing, bedding, mistreatment, harassment or regulation timeframes. violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Lexipol Policy 609.3 Access to the Grievance grievance, which includes provisions for the youth to ☒ ☐ ☐ System have free access to the form; (b) the youth shall have the option to confidentially file Lexipol Policy 609.3 Access to the Grievance the grievance or to deliver the form to any youth ☒ ☐ ☐ System supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate Lexipol Policy 609.3 Access to the Grievance ☒ ☐ ☐ staff level; System (d) provision for a prompt review and initial response to Lexipol Policy 609.4.2 Timely Resolution of grievances within three (3) business days, grievances Grievances that relate to health and safety issues must be ☐ ☒ ☐ addressed immediately; At the time of the inspection, it was discovered several youth grievances were not initially responded to within three (3) business days. (1) The youth may elect to be present to explain Lexipol Policy 609.4.5 State Requirements (a) his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Lexipol Policy 609.4.5 State Requirements (b) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Lexipol Policy 609.4.2 Timely Resolution of ☒ ☐ ☐ which includes the reasons for the decisions; Grievances (f) a system which provides that any appeal of a Lexipol Policy 609.4.3 Appeals to Grievance grievance shall be heard by a person not directly Findings ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Lexipol Policy 609.4.2 Timely Resolution of business days unless circumstances dictate a longer Grievances time frame. The youth shall be notified of any delay; and, ☐ ☒ ☐ At the time of the inspection, it was discovered several youth grievances were not resolved within ten (10) business days of the youth submitting the grievance. (h) the policy shall provide multiple internal and external Lexipol Policy 609.6 Additional Provisions for ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Grievances related to Sexual Abuse 7498 San Diego SYTF PRO 23-24 Page 25 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Whether or not associated with a grievance, concerns Lexipol Policy 609.4.5 State Requirements (c) of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Section 4.4.3.2 Incident Reports A written report of all incidents which result in physical Review of documentation provided from YDA harm, use of force, serious threat of physical harm, or revealed compliance with this regulation. death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Section 5.18 DNA Collection DNA SPECIMENS, SAMPLES, IMPRESSIONS Use of force will not be used. Any youth who (a) Pursuant to Penal Code Section 298.1 authorized refuses to provide a DNA sample will be law enforcement, custodial, or corrections personnel referred to the Juvenile Court for action, including peace officers, may employ reasonable force ☒ ☐ ☐ and/or to the District Attorney for prosecution, to collect blood specimens, saliva samples, and thumb pursuant to Penal Code Section 298.1(a). 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 Section 5.18 DNA Collection reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Section 5.18 DNA Collection efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Section 5.18 DNA Collection authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Section 5.18 DNA Collection extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7498 San Diego SYTF PRO 23-24 Page 26 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM Section 1003 Youth Educational Services (a) School Programs The County Board of Education shall provide for the Review of policy and procedures, youth and administration and operation of juvenile court schools in staff interviews, and school daily schedules conjunction with the Chief Probation Officer, or designee revealed compliance with this regulation. pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy and procedures to ensure communication and Annual Education review completed coordination between educators and probation staff. 8/10/2023 by Katy Ramezani, Director Culturally responsive and trauma-informed approaches Educational Programs and Services, should be applied when providing instruction. Education OCDE/ACCESS. staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall 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 with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Section 1003 Youth Educational Services The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Section 1003.3 Education Program Goals program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Section 1003 Youth Educational Services Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Section 1003 Youth Educational Services Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Section 1003.5 Course of Study ☒ ☐ ☐ education and vocational opportunities. (4) Administration of the High School Equivalency Section 1003.5 Course of Study Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. 7498 San Diego SYTF PRO 23-24 Page 27 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Supplemental instruction shall be afforded to youth Section 1003.5 Course of Study who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Section 1003.5 Course of Study State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Section 1003.5 Course of Study of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Section 1003.7 Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Section 1003.7 Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Section 1003.7 Discipline Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Section 1003.4 (g) Education Program education staff will develop policies and procedures Coordinator ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Section 1003.3 Education Program Goals (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Section 1003.4 (g) Education Program afforded an educational program that addresses their Coordinator language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Section 1003.4.1 Educational Program (1) Youth shall be interviewed after admittance and a Enrollment Requirements ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: 7498 San Diego SYTF PRO 23-24 Page 28 of 38 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; Section 1003.4 Education Program ☒ ☐ ☐ Coordinator (B) Home Language Survey and the results of the Section 1003.6 Additional Course Offering ☒ ☐ ☐ State Test used for English language proficiency; (C) Needs and services of special populations as Section 1003.4 Education Program defined by the State Education Code, including but ☒ ☐ ☐ Coordinator not limited to, students with special needs. (D) Discipline problems. Section 1003.4 Education Program ☒ ☐ ☐ Coordinator (2) Youth will be immediately enrolled in school. Section 1003.4.1 Educational Program Educational staff shall conduct an assessment to Enrollment Requirements determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Section 1003.4.1 Educational Program education plan shall be developed for each youth ☒ ☐ ☐ Enrollment Requirements within five school days. (4) Upon enrollment, education staff shall comply with Section 1003.4 Education Program the State Education Code and request the youth's Coordinator records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Section 1003.4 Education Program (1) The complete facility educational record of the Coordinator youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Section 1003.4 Education Program provide appropriate credit (full or partial) for course Coordinator ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Section 1003.4 Education Program (1) The Superintendent of Schools and the Chief Coordinator Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities Section 1003.5 Course of Study (1) The school and facility administrator should, whenever possible, collaborate with local post- secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7498 San Diego SYTF PRO 23-24 Page 29 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND Lexipol Policy 1002 Programs, Exercise, and EXERCISE. Recreation The facility administrator shall develop and implement Review of policy and procedures, daily written policies and procedures for programs, schedules, and documentation provided recreation, and exercise for all youth. The intent is to revealed noncompliance with this regulation. minimize the amount of time youth are in their rooms or Documentation of youth’s programs, their bed area. recreation, and exercise are documented ☐ ☒ ☐ within the YDA Daily Unit Logs Program Sheets. At the time of the inspection, it was discovered, due to shortage of staff at YDA, youth are often not provided with a minimum of three hours of programs, recreation, and exercise during the week or five hours on the weekends/non-school days. Juvenile facilities shall provide the opportunity for Lexipol Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three 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 Lexipol Policy 1002.7 Security and exercise may be suspended only upon a written finding Supervision by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the Delegates authority to the Watch facility. Commander. Such program, recreation, and exercise schedule shall Lexipol Policy 1002.3 Responsibilities ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, Lexipol Policy 1002.3 Responsibilities recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ YDA written annual review of the programs, relevant to the population. recreation, and exercise was completed by Chief Tamika Nelson on 8/11/2023. (a) Programs. All youth shall be provided with the Lexipol Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, At the time of the inspection, it was evidence-based, best practice interventions that are discovered, due to shortage of staff at YDA, culturally relevant and linguistically appropriate, or pro- youth are often not provided with a minimum social interventions and activities designed to reduce of three hours of programs, recreation, and recidivism. These programs should be based on the exercise during the week or five hours on the youth’s individual needs as required by Sections 1355 ☐ ☒ ☐ weekends/non-school days. 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: 7498 San Diego SYTF PRO 23-24 Page 30 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; Lexipol Policy 1002.6 Access to Programs (2) Management of Stress and Trauma; (3) Anger Management; We reviewed YDA monthly programs list of (4) Conflict Resolution; available programs for the youth. (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Lexipol Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and At the time of the inspection, it was entertainment. Activities shall be supervised and include discovered, due to shortage of staff at YDA, ☐ ☒ ☐ orientation and may include coaching of youth. youth are often not provided with a minimum of three hours of programs, recreation, and exercise during the week or five hours on the weekends/non-school days. (c) Exercise. All youth shall be provided with the Lexipol Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. At the time of the inspection, it was discovered, due to shortage of staff at YDA, ☐ ☒ ☐ youth are often not provided with a minimum of three hours of programs, recreation, and exercise during the week or five hours on the weekends/non-school days. The administrator/manager may suspend, for a period Lexipol Policy 1002.7 Security and not to exceed 24 hours, access to recreation and Supervision programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Section 6.3 Religious Program The facility administrator shall provide access to religious Review of YDA Unit’s daily schedule revealed services and/or religious counseling at least once each youth can participate in alternative week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ programming during the scheduled religious allowed to participate in an activity outside of their room if program time. he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Section 6.3.4 Religious Service (b) availability of clergy; and, ☒ ☐ ☐ Section 6.3.4.5 Clergy Visits (c) availability of religious diets. ☒ ☐ ☐ Section 6.3.4.7 Religious Diets 1373 WORK PROGRAM Section 6.4 Work Program The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth ☒ ☐ ☐ shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 7498 San Diego SYTF PRO 23-24 Page 31 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING Section 6.5 Visiting Program The facility administrator shall develop and implement Section 6.5.10 Special visits written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Reviewed visitation logs from YDA for the receive visits by parents, guardians or persons standing months of January 2023 through May 2023. in loco parentis, and children of youth. Other family ☒ ☐ ☐ Review of policy and procedures revealed members, such as grandparents and siblings, and compliance with this regulation. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to Section 6.5.1 Standards the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s Section 6.5.2 Authorized Visitors criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ Monday thru Friday 3:30 p.m. – 9:00 p.m. the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be Saturday, Sunday, and Holidays communicated to the youth, person denied and facility 9:00 a.m. – 5:00 p.m. administrator. Opportunity for visitation shall be a minimum of two hours Section 6.5.9.5 Supervision of Visits per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety Verified by reviewing visitation schedule. need. Provisions for special visits, in addition to the two-hour Section 6.5.10 Special Visits minimum and/or outside of the regular visiting hours, shall 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 Section 6.5.11.2 Non-Contact Visits/Tele- alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Visiting 1375 CORRESPONDENCE Section 6.6 Correspondence/Mail Policy The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviewed as well as review written policies and procedures for correspondence of policy and procedures revealed compliance which provide that: with this regulation. (a) there is no limitation on the volume of mail that youth Section 6.6.3.3 Guidelines ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Section 6.6.3.3 Guidelines (c) youth may correspond confidentially with state and Section 6.6.5 Privileged Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Section 6.6.10.1 Reading Youth Mail in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Lexipol Procedure 1008 Institutional Telephone Use The administrator of each juvenile facility shall develop and implement written policies and procedures to provide ☒ ☐ ☐ Staff and youth interviewed as well as review youth with access to telephone communications. of policy and procedures revealed compliance with this regulation. 7498 San Diego SYTF PRO 23-24 Page 32 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1377 ACCESS TO LEGAL SERVICES Lexipol Policy 101 Authority and Legal Assistance The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts Section 6.8 Access to Legal Service and legal services. Such access shall include: ☒ ☐ ☐ Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed Section 6.8.2.2 Visiting Hours attorneys and their authorized representatives; ☒ ☐ ☐ Section 6.8.2.3 Attorney Visits Allowed for PS (b) provision for confidential consultation with attorneys; Section 6.8.2.9 Telephone Calls to Attorneys ☒ ☐ ☐ and, (c) unlimited postage free, legal correspondence and Section 6.8.2.7 Privileged Mail cost-free telephone access as appropriate. ☒ ☐ ☐ Section 6.8.2.9 Telephone Calls to Attorneys 1390 DISCIPLINE Section 7.1.4 Discipline Policy The facility administrator shall develop and implement Review of policy and procedures and written policies and procedures for the discipline of youth documentation revealed compliance with this that shall promote acceptable behavior; including the use regulation. of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (b) daily shower, access to drinking fountain, toilet and Section 7.1.4.3 Prohibited Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (e) exercise; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (f) medical services and counseling; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (g) religious services; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (i) the right to send and receive mail; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (j) education; and, ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (k) rehabilitative programming. ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline The facility administrator shall establish rules of conduct Section 7.2.2.2 Notice Must be Given Prior to and disciplinary penalties to guide the conduct of youth. any Discipline Such rules and penalties shall include both major violations and minor violations, be stated simply and Section 7.2.2.3 Read Rules to Illiterate, ☒ ☐ ☐ affirmatively, and be made available to all youth. impaired or Non-English Speaking Youth Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or Section 7.2.2.4 Post Rules limited literacy. 1391 DISCIPLINE PROCESS Lexipol Policy 600 Youth Discipline The facility administrator shall develop and implement ☒ ☐ ☐ Review of policy and procedures and written policies and procedures for the administration of documentation revealed compliance with this discipline which shall include, but not be limited to: regulation. (a) designation of personnel authorized to impose Section 600.4 Minor Rule Violation discipline for violation of rules; ☒ ☐ ☐ Section 600.5 Major Rule Violation (b) prohibiting discipline to be delegated to any youth; Section 600.6 Limitation on Disciplinary ☒ ☐ ☐ Actions 7498 San Diego SYTF PRO 23-24 Page 33 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) definition of major and minor rule violations and their Section 600.4 Minor Rule Violation consequences, and due process requirements; ☒ ☐ ☐ Section 600.5 Major Rule Violation (d) trauma-informed approaches and positive behavior Section 600.3.1 Youth Rules and Sanctions ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Section 600.4 Minor Rule Violation counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ Section 600.5.3 Notifications accompanied by written documentation and a policy of review and appeal to a supervisor; and, Section 600.5.10 Disciplinary Appeals (f) major rule violations and the discipline process shall Section 600.5 Major Rule Violation be documented and require the following: We reviewed twelve (12) Rule Violation/Due ☒ ☐ ☐ Process Notice forms from YDA. Review of policy and procedures and documentation revealed compliance with this regulation. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Section 600.5.3 Notifications (2) accommodations provided to youth with Section 600.5.7 Staff Assistance and Youth disabilities, limited literacy, and English language ☒ ☐ ☐ Rights learners; (3) hearing by a person who is not a party to the Section 600.5.4 Hearings ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Section 600.5.5 Evidence ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Section 600.5.7 Staff Assistance and Youth ☒ ☐ ☐ hearing process; Rights (6) provision for administrative review. ☒ ☐ ☐ Section 600.5.9 Reporting of Findings (g) violations that result in a removal from camp or Section 600.7.1 State Law Guidelines for commitment program, but not a return to court, will Disciplinary Sanctions ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Section 8.3 Management of Communicable DISEASES. Diseases The health administrator/responsible physician, in Review of policy and procedure revealed cooperation with the facility administrator and the local compliance with this regulation. health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; ☒ ☐ ☐ Section 8.3.2.3 Initial Screening (b) Identification of relevant symptoms; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (c) Referral for medical evaluation; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (d) Treatment responsibilities during detention; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (e) Coordination with public and private community- Section 8.3.2.2 Minimum Standards ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Section 8.3.2.22 Documentation Section 8.3.2.21 Exposure to Communicable (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Diseases The policies and procedures shall be updated as Section 8.3.2.21 Exposure to Communicable necessary to reflect communicable disease priorities Diseases ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 7498 San Diego SYTF PRO 23-24 Page 34 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Each housing unit has a Behavioral medical (EXCERPT) lock box for youth to file a confidential request for behavioral health services. The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE Section 10.1 Clothing Issue Policy The youth’s personal clothing, undergarments and Review of policy and procedure and footwear may be substituted for the institutional clothing ☒ ☐ ☐ interviews with staff and youth revealed and footwear specified in this regulation. The facility has compliance with this regulation. the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Section 10.1.2 Clothing Issue ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. (b) The standard issue of climatically suitable clothing Section 10.1.2 Clothing Issue ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Section 10.1.2 Clothing Issue (2) Outer garments; ☒ ☐ ☐ Section 10.1.2 Clothing Issue (3) New non-disposable underwear which shall Section 10.1.2 Clothing Issue ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and Section 10.1.2 Clothing Issue ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by Section 10.1.2 Clothing Issue local ordinances for the commercial laundries and dried ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Section 10.1.5 Special Clothing 1482 CLOTHING EXCHANGE Section 10.2 Laundry Procedures for Clothing The facility administrator shall develop and implement Review of policy and procedure as well as written policies and site-specific procedures for the interviews with the youth and staff revealed cleaning and scheduled exchange of clothing. Unless compliance with this regulation. 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 Section 8.6.8 Ectoparasite Control PERSONAL CLOTHING Review of policy and procedure revealed There shall be written policies and site-specific compliance with this regulation. 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 Section 10 Clothing and Personal Hygiene There shall be written policies and site-specific Review of policy and procedure as well as procedures developed and implemented by the facility interviews with the youth and staff revealed administrator for the availability of personal hygiene ☒ ☐ ☐ compliance with this regulation. 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; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (b) Toothpaste; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided 7498 San Diego SYTF PRO 23-24 Page 35 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Soap; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (d) Comb; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (e) Shaving implements; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (f) Deodorant; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (g) Lotion; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (h) Shampoo; and, ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (i) Post-shower conditioning hair products. ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided Youth shall not be required to share any personal care Section 10.3.5 Toiletry Items Provided items listed in items (a) through (d). Liquid soap 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 Section 10.4 Shower Program There shall be written policies and site specific Section 10.4.1 Standards procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Review of policy and procedure and Unit’s teeth. Youth shall be permitted to shower/bathe up on daily schedule revealed compliance with this assignment to a housing unit and on a daily basis regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Section 10.3.8 Shaving Youth shall have access to a razor daily, unless their Review of policy and procedure as well as appearance must be maintained for reasons of interviews with the youth and staff revealed identification in Court. All youth shall have equal ☒ ☐ ☐ compliance with this regulation. 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) Section 10.3.9 Haircuts Hair care services shall be available in all juvenile Review of policy and procedure as well as facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ interviews with the youth and staff revealed Equipment shall be cleaned and disinfected after each compliance with this regulation. haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Section 11.0 Bedding and Lines Clean laundered, suitable bedding and linens, in good Review of policy and procedure revealed repair, shall be provided for each youth entering a living ☒ ☐ ☐ compliance with this regulation. area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Section 11.4 Mattresses and Pillows meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Section 11.3.4 Sheets and Pillowcases ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Section 11.3.4 Sheets and Pillowcases (d) One towel; and, ☒ ☐ ☐ Section 11.3.2 Towels (e) One blanket or more, up on request ☒ ☐ ☐ Section 11.3.3 Blankets 7498 San Diego SYTF PRO 23-24 Page 36 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1501 BEDDING LINEN EXCHANGE Section 11.3.4 Sheets and Pillowcases The facility administrator shall develop and implement Section 11.3.5 Sheet Exchange site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ Review of policy and procedure as well as issued to each youth housed. Washable items such as interviews with the youth and staff revealed sheets, mattress covers, pillow cases and towels shall compliance with this regulation. be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Section 11.3.3 Blankets ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND Section 12.0 Facility Sanitation, Safety and MAINTENANCE Maintenance The facility administrator shall develop and implement Review of policy and procedure revealed written policies and site-specific procedures for the compliance with this regulation. 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). 7498 San Diego SYTF PRO 23-24 Page 37 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☒ ☐ ☐ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☐ ☒ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☒ ☐ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7498 San Diego SYTF PRO 23-24 Page 38 of 38 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State & Community Corrections1 APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7492 7498 FACILITY NAME: San Diego County East Mesa Juvenile Detention Facility (EMJDF) FACILITY TYPE: JH San Diego County Secure Youth Treatment Facility (SYTF) SYTF APPLICABLE REGULATIONS (Check All That Apply): 4/98: 2001: X 2003: OTHER: FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: 11/17/2023 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) In vehicle sally port. ☒ ☐ ☐ Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of ☒ ☐ ☐ minors pending admission to JH Provides access to a shower ☒ ☐ ☐ Provides a secure vault or storage space for In booking office. ☒ ☐ ☐ minor's valuables Provides telephone access to minors ☒ ☐ ☐ Provides staff access to hot and cold running water ☒ ☐ ☐ Locked Holding Room (1.2) ☒ ☐ ☐ Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area ☒ ☐ ☐ Contains seating to accommodate all minors as ☒ ☐ ☐ specified in these regulations 98: Provides access to a toilet, washbasin and drinking fountain as specified in these regulations ☒ ☐ ☐ 03: Be equipped with a toilet, washbasin and drinking fountain unless a procedure is in effect to provide access Maximizes staff visual supervision ☒ ☐ ☐ 03: Outward swinging or lateral sliding door required ☒ ☐ ☐ Natural Light (1.3) Visual access to natural light is provided in locked ☒ ☐ ☐ sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 1 Formerly the Board of Corrections. 7492+ San Diego EMJDF SYTF PHY 23-24 - 1 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are located ☒ ☐ ☐ only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) This facility was designed with nine 40-bed housing units in anticipation of receiving an Alternate Means of Compliance (AMC). (There is JH living units do not exceed 30 minors and contain also one 20-bed housing unit – Foxtrot.) Pilot sleeping areas and plumbing fixtures, project status was granted by the Board of commensurate with the number of minors housed. Corrections in May 2000. The AMC was withdrawn at the request of the County in August 2006. As a result, the rated capacity of all the ☒ ☐ ☐ housing units, except Foxtrot, is limited to 30 minors pursuant to Title 24 regulations. During the 2008/2010 inspection, the LASE was changed to reflect 20 single rooms and ten double occupancy rooms with a rated capacity of one minor in each. Nothing precludes the Department from putting two minors in a double occupancy room as long as each unit does not exceed 30 minors. Locked Sleeping Rooms (1.6) 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other ☒ ☐ ☐ access to these fixtures 03: Toilet, washbasin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) 98: Minimum of 63 square feet of floor area and a ☒ ☐ ☐ clear ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ☒ ☐ ☐ 01: View panel size changed to a minimum of 144 inches. 03: Outward swinging or lateral sliding door required ☒ ☐ ☐ Double Occupancy Sleeping Rooms (1.8) Minimum of 100 square feet floor area, a clear ☒ ☐ ☐ ceiling height of eight feet, and a minimum width of seven feet 7492+ San Diego EMJDF SYTF PHY 23-24 - 2 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ☒ ☐ ☐ 01: View panel size changed to a minimum of 144 inches 03: Outward swinging or lateral sliding door required ☒ ☐ ☐ Dormitories (1.9) In JHs and camps, there is a minimum of 50 square feet of floor area per minor, with a minimum ☐ ☐ ☒ dormitory size of 200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for no ☐ ☐ ☒ fewer than four minors. 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps). ☐ ☐ ☒ 03: This subsection deleted, eliminating the 15 minor limitation. (See below.) 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more ☐ ☐ ☒ than 30 minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) ☒ ☐ ☐ JH dayrooms contain 35 square feet of floor area per minor. Dayrooms in camps and SPJHs contain 30 square ☐ ☐ ☒ feet of floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers. ☒ ☐ ☐ Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet ☐ ☐ ☒ dedicated indoor-outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9000 square feet dedicated indoor-outdoor space. 7492+ San Diego EMJDF SYTF PHY 23-24 - 3 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor-outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 ☐ ☐ ☒ feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor-outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor-outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ☒ ☐ ☐ 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor- outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor- outdoor space is a paved or "like" surface. ☒ ☐ ☐ 01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped ☒ ☐ ☐ and of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single ☒ ☐ ☐ dimension less than 40 feet. Outdoor recreation area lighting allows for evening activities and provides security. ☒ ☐ ☐ Academic Classrooms (NA SPJH; 1.12) Classrooms are in the units. ☒ ☐ ☐ Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for ☒ ☐ ☐ every juvenile in the facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square feet of floor space for the teacher's desk and work ☒ ☐ ☐ area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to ☒ ☐ ☐ emergencies. 7492+ San Diego EMJDF SYTF PHY 23-24 - 4 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Safety Room (1.13) Provides a minimum of 63 square feet of floor ☒ ☐ ☐ space and a minimum clear ceiling height of eight feet Limited to one minor ☒ ☐ ☐ Padded as specified in these regulations ☒ ☐ ☐ There are one or more vertical view panels constructed of security glazing. Panels provide a ☒ ☐ ☐ view of the entire room and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these ☒ ☐ ☐ regulations Access to a toilet, wash basin and drinking fountain Floor toilet. ☒ ☐ ☐ is provided. 03: Be equipped with a variable intensity security- type lighting fixture, with controls outside the ☐ ☐ ☒ room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access. ☐ ☐ ☒ Medical Examination Room (NA SPJH; 1.14) The medical area also has holding rooms and showers. The shower hose in the ADA shower will There is a minimum of one suitably equipped ☒ ☐ ☐ be removed when not in use as it may be a suicide hazard. medical examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations Three exam rooms and one dental room. ☒ ☐ ☐ that is used for no other purpose; Privacy for minors; ☒ ☐ ☐ Lockable storage for medical supplies; ☒ ☐ ☐ Not less than 144 square feet floor space with ☒ ☐ ☐ no single dimension less than seven feet; Hot and cold running water; and, ☒ ☐ ☐ 01: Smooth, non-porous, washable surfaces. ☒ ☐ ☐ Pharmaceutical Storage (1.15) There is lockable storage space for medical ☒ ☐ ☐ supplies and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) Meals are served in the living units. There is a minimum of 15 square feet floor space ☒ ☐ ☐ and sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate ☒ ☐ ☐ visual barrier. 7492+ San Diego EMJDF SYTF PHY 23-24 - 5 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Visiting Space (1.17) There is a Visiting Center with a large visiting room, eight non-contact visiting rooms, four tele- ☒ ☐ ☐ conferencing rooms and confidential visiting Visiting space is provided. rooms, and two search rooms. Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space per minor for institutional clothing, bedding, ☒ ☐ ☐ supplies and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of ☒ ☐ ☐ secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as fire extinguishers, self-contained breathing ☒ ☐ ☐ apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) Located downstairs in each living unit. There is at least one securely lockable janitorial closet containing a mop sink and sufficient area for ☒ ☐ ☐ storing cleaning implements within the security area. Audio Monitoring System (1.22) There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping ☒ ☐ ☐ rooms; single and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. 7492+ San Diego EMJDF SYTF PHY 23-24 - 6 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to maintain fire and life safety, security, ☒ ☐ ☐ communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) See Visiting Space above. Contain a minimum of 60 square feet of floor area ☒ ☐ ☐ and provide for confidential consultation with minors There is a minimum of one suitably furnished ☒ ☐ ☐ interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. ☐ ☐ ☒ Court Holding Room for Minors (1.26) ☐ ☐ ☒ Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors ☐ ☐ ☒ Provides 40 square feet of floor area and a ☐ ☐ ☒ minimum clear ceiling height of eight feet Contains seating to accommodate all minors ☐ ☐ ☒ Contains a toilet, wash basin and drinking fountain ☐ ☐ ☒ as specified in these regulations Maximizes staffs' visual supervision of minors ☐ ☐ ☒ Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms. One toilet and one urinal may be ☒ ☐ ☐ substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Wash basins must provide hot and cold or tempered water and be available on living units in a ☒ ☐ ☐ ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. 7492+ San Diego EMJDF SYTF PHY 23-24 - 7 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Drinking Fountains (2.3) Drinking fountains are accessible to minors and ☒ ☐ ☐ staff in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from flowing over the ☒ ☐ ☐ bubbler. Showers (2.4) Showers provide tempered water and are available ☒ ☐ ☐ on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. ☒ ☐ ☐ Beds (2.5) Beds are at least 30 inches wide and 76 long and ☒ ☐ ☐ are of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. ☒ ☐ ☐ Lighting (2.6) Per approved plans. There is at least 20 foot-candles (216 1x) of illumination at desk level in locked sleeping rooms, ☒ ☐ ☐ single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good Per approved plans. visibility and is conducive to sleep. ☒ ☐ ☐ Padding (2.7) Padding in safety rooms covers the floor, door and walls to a clear height of eight feet. Benches or ☒ ☐ ☐ platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper- resistant fire sprinkler as approved by the State Fire ☒ ☐ ☐ Marshal (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all padded ☒ ☐ ☐ surfaces; and, is without exposed seams. 7492+ San Diego EMJDF SYTF PHY 23-24 - 8 - J456 PHY 98 01 03.dot (10/03) TITLE 24 SECTION YES NO N/A COMMENTS Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench seating ☒ ☐ ☐ is allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security ☒ ☐ ☐ perimeter of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device. ☒ ☐ ☐ Assess for New Construction/Remodel or Repair: Security Glazing (2.10) (Added in 2003) (Note to inspector: This will typically be assessed from specifications provided at plan review.) Security glazing complies with the minimum requirements of one of the following test standards: ☒ ☐ ☐ American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860-94d, Class C glass; or, H. P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met. ☒ ☐ ☐ (Note to inspector: See regulation for specific requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7492+ San Diego EMJDF SYTF PHY 23-24 - 9 - J456 PHY 98 01 03.dot (10/03) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State & Community Corrections1 Inspection BSCC Code: 7492 7498 FACILITY: San Diego County East Mesa Juvenile Detention Facility (EMJDF) TYPE: JH RC: 266 San Diego Secure Youth Treatment Facility (SYTF) SYTF 50 FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: 11/17/2023 ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet IBR (Intake, Booking & Release) Holding 2001 1 12 (12) 16.9' x 11.3' Initial group holding. Holding 2001 1 6 (6) 11.38' x 8.3' Group holding. Holding 2001 5 1 (5) 6.38' x 9.9' 1 1 1 Safety 2001 1 (1) 9.8' x 7' x 9.9' Male side 2 Holding 2001 1 4 (4) 7.38' x 12.66' Group holding. Bench limits capacity. Holding 2001 4 1 (4) 6.8' x 11' 1 1 1 Female side 2 Holding 2001 1 6 (6) 10.68' x 8.5' Group holding. Holding 2001 1 1 (1) 10.64' x 5.6' 1 1 1 Holding 2001 4 1 (4) 10.7' x 6.9' 1 1 1 Medical Exam rm 2001 3 12' x 13.3' Two showers available. M30 A Holding 2001 1 3 (3) 6.69' x 8.1' Group holding. M29 B Holding 2001 1 3 (3) 8.3' x 6.6' Group holding. Central Control Holding C07 Holding 2001 1 2 (2) 9.4' x 7.3' 1 1 1 1 Formerly the Board of Corrections. *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. 7492+ San Diego EMJDF & SYTF LASE 23-24 - 1 - J460 LAS JUV.dot (03/01) ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet C08 Holding 2001 1 2 (2) 9.4' x 7.3' 1 1 1 Note regarding housing units: This facility was designed with nine 40-bed housing units in anticipation of receiving an Alternate Means of Compliance (AMC). (There is also one 20-bed housing unit – Foxtrot.) Pilot project status was granted by the Board of Corrections in May 2000. The AMC was withdrawn at the request of the County in August 2006. As a result, the rated capacity of all the housing units, except Foxtrot, is limited to 30 minors pursuant to Title 24 regulations. During the 2008/2010 inspection, the LASE was changed to reflect 20 single rooms and ten double occupancy rooms with a rated capacity of one minor in each. Nothing precludes the department from putting two minors in a double occupancy room as long as each unit does not exceed 30 minors. Alpha Unit – At the time of the inspection housed the female youth Dayroom 2001 1 Irregular shape 1 1 1 7 Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 1 1 1 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention rooms and one time-out room. Bravo Unit – At the time of the inspection housed younger males (General Population) Dayroom 2001 1 Irregular shape 1 1 1 7 Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention rooms and one time-out room. Charlie Unit – At the time of the inspection housed older males Dayroom 2001 1 Irregular shape 1 1 1 7 Maximum security (Prop 21 & 707's). Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 1 1 1 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention rooms and one time-out room. D Unit – At the time of the inspection housed Max security youth (males) Dayroom 2001 1 1 1 1 7 *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. 7492+ San Diego EMJDF & SYTF LASE 23-24 - 2 - J460 LAS JUV.dot (03/01) ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 1 1 1 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention (camera) rooms and one time-out room. E Unit – At the time of the inspection housed Max security youth (males) Dayroom 2001 1 Irregular shape 1 1 1 7 Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 1 1 1 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention (camera) rooms and one time-out room. Foxtrot Unit – At the time of the inspection housed younger YDA youth (males) Dayroom 2001 1 Irregular shape 1 1 1 4 Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention rooms and one time-out room. 2012: Revised shower count. Golf Unit – At the time of the inspection G unit was unoccupied Dayroom 2001 1 Irregular shape 1 1 1 7 Breaking Cycles Unit. In-floor toilet. 2012: changed designation, no Time Out 2001 1 1 (1) + 63 sq. feet padding. Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 1 1 1 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention rooms and one time-out room. Hotel Unit – At the time of the inspection H unit was unoccupied Dayroom 2001 1 Irregular shape 1 1 1 7 *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. 7492+ San Diego EMJDF & SYTF LASE 23-24 - 3 - J460 LAS JUV.dot (03/01) ROOMS EACH ROOM Each Room Size (L x W x H) FIXTURES* Unit Room Applicable # Total COMMENTS # or Square/Cubic Designation Type Standards Rooms RC RC T U W F S Beds Feet Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 1 1 1 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention rooms and one time-out room. India Unit – At the time of the inspection housed older YDA youth (males) Dayroom 2001 1 Irregular shape 1 1 1 7 Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 1 1 1 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet Note: Two suicide prevention rooms and one time-out room. Juliette Unit – At the time of the inspection housed YDA youth Dayroom 2001 1 Irregular shape 1 1 1 7 Single 2001 20 1 1 20 70.6 sq. feet 1 1 1 111.9 sq. feet – Double 2001 10 2 1 10 1 1 1 116.6 sq. feet Classroom 2001 2 (20) 804.1 sq. feet *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. 7492+ San Diego EMJDF & SYTF LASE 23-24 - 4 - J460 LAS JUV.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7493 FACILITY NAME: Youth Transition Campus (YTC) FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Cynthia Gamboa, Division Chief; Mike Whatley, Division Chief; Gabriel Tapia, Supervising Probation Officer; Kenia Urrutia, Behavioral Health Program Manager; Carlos Nelson Ph.D., Behavioral Health Program Coordinator; Nicole Hernandez, Supervising Probation Officer; Araceli Ramos, Behavioral Health; Jael Niebla, Health Services Administration, Wellpath; Joanne Finney, School Principal, San Diego Office of Education; Michael Kelley, Quality Assurance Specialist, RN FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: November 9, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF At the time of the inspection, a Building BUILDING AND GROUNDS Inspection had not been completed within the past year. 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 Completed on 8/10/2022 clearance as required by Health and Safety Code Section ☒ ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with Medical/Mental Health completed 1/25/2023 Health and Safety Code Section 101045; ☒ ☐ ☐ Environmental completed 2/2/2023 Nutritional completed 5/26/2023 (d) county superintendent of schools on the adequacy of Completed 8/10/2023 by Katy Ramezani, educational services and facilities as required in Section ☒ ☐ ☐ Director Educational Programs and Services, 1370; OCDE/ACCESS (e) juvenile court as required by Section 209 of the Completed on 8/24/2023 by Assistant ☒ ☐ ☐ Welfare and Institutions Code; and, Presiding Judge Tilisha Martin (f) the Juvenile Justice Commission as required by Completed on 5/25/2023 Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 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. 7493 San Diego YTC PRO 23-24 Page 1 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Section 2 Appointment and Qualifications 2.1 BSCC Note: Compliance with this section is determined Memo confirming compliance with this by receipt of the Chief Probation Officer’s certification regulation was submitted by Chief Probation letter confirming that all elements of regulation are met. Officer (CPO) Tamika Nelson on August 25, 2023. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Section 2 Appointment and Qualifications 2.1 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Section 2 Appointment and Qualifications 2.1 examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection Section 2 Appointment and Qualifications 2.1 and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Section 2 Appointment and Qualifications 2.1 employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Code. (c) Contract personnel, volunteers, and other non- Section 2 Appointment and Qualifications 2.1 employees of the facility, who may be present at the facility, shall have such clearance and qualifications as ☒ ☐ ☐ may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING Section 2.2 Staffing Levels and Chain of Command Each juvenile facility shall: (a) have an adequate number of personnel sufficient to We reviewed a variety of documents including carry out the overall facility operation and its safety check records, grievances, disciplinary programming, to provide for safety and security of youth actions, and incident reports. We also and staff, and meet established standards and reviewed January through April 2023 staffing regulations; schedules for YTC. Review of these documents, as well as the policy and ☒ ☐ ☐ procedure manuals, revealed compliance with this regulation. Although, at the time of the inspection, the facility youth supervision staff were on 16 hours of overtime per pay period, there were no indications the facility staffing wasn’t adequate to meet the overall facility operations and its programming. (b) ensure that no required services shall be denied Section 2.2.2 Staffing Levels and Chain of because of insufficient numbers of staff on duty absent ☒ ☐ ☐ Command exigent circumstances; 7493 San Diego YTC PRO 23-24 Page 2 of 39 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 Section 2.2.2 Staffing Levels and Chain of ensure adequate supervision of all staff members; Command ☒ ☐ ☐ YTC has a supervisor or an assigned Senior Officer who acts with supervisory powers on each shift. (d) have a clearly identified person on duty at all times Section 2.2.2 Staffing Levels and Chain of who is responsible for operations and activities and has Command ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Section 2.2.2 Staffing Levels and Chain of unit whenever there are youth in the living unit; Command ☒ ☐ ☐ Per policy and procedure manual, staff is always present in occupied housing units. (f) have sufficient food service personnel relative to the Section 2.2.6 Staffing Levels and Chain of number and security of living units, including staff Command qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Daily schedules were reviewed to verify ☒ ☐ ☐ food preparation and servings; conduct related training compliance with this regulation. 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, Section 2.2.2 Staffing Levels and Chain of medical, dental, mental health, building maintenance, Command transportation, control room, facility security and other support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be ☒ ☐ ☐ diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide Section 2.2.2 Staffing Levels and Chain of continuous wide awake supervision of youth, subject to Command temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Not Applicable (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. 7493 San Diego YTC PRO 23-24 Page 3 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Special Purpose Juvenile Halls Not Applicable (A) during hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Section 2.2.3 Staffing Levels and Chain of (A) during the hours that youth are awake, one Command wide-awake youth supervision staff member on ☒ ☐ ☐ duty for each 15 youth in the camp population; At the time of the inspection, the YTC population was 94 youth total with 82 males and 12 females. (B) during the hours that youth are confined to their Section 2.2.3 Staffing Levels and Chain of room for the purpose of sleeping, one wide-awake Command ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff Section 2.2.3 Staffing Levels and Chain of members on duty at all times, regardless of the Command 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 Section 2.2.3 Staffing Levels and Chain of duty who is the same gender as youth housed in ☒ ☐ ☐ Command the facility; (E) in addition to the minimum staff to youth ratio Section 2.2.3 Staffing Levels and Chain of required in (h)(3)(A)-(B), consideration shall be Command 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 Section 2.2.8.9 Staffing Levels and Chain of duties such as administration, supervision of Command personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 7493 San Diego YTC PRO 23-24 Page 4 of 39 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 Section 3.4 Staff Training and Development AND TRAINING Chief Nelson’s memo dated August 25, 2023, (a) Prior to assuming any responsibilities each youth verified compliance with this regulation. supervision staff member shall be properly oriented to ☒ ☐ ☐ their duties, including: All new staff upon reporting to the facility are (1) youth supervision duties; assigned to a training officer who assists the new officer in their orientation and training. (2) scope of decisions they shall make; ☒ ☐ ☐ Section 3.4 Staff Training and Development (3) the identity of their supervisor; ☒ ☐ ☐ Section 3.4 Staff Training and Development (4) the identity of persons who are responsible to Section 3.4 Staff Training and Development ☒ ☐ ☐ them; (5) persons to contact for decisions that are beyond Section 3.4 Staff Training and Development ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ Section 3.4 Staff Training and Development (b) Prior to assuming any responsibility for the Section 3.4.2 Staff Training and Development supervision of youth, each youth supervision staff ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility- All new full-time and temporary employees specific orientation, including: receive 40 hours of Introductory Training. (1) individual and group supervision techniques; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (2) regulations and policies relating to discipline and Section 3.4.2 Staff Training and Development rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (4) suicide prevention and response to suicide Section 3.4.2 Staff Training and Development ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation Section 3.4.2 Staff Training and Development techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Section 3.4.2 Staff Training and Development ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (8) routine security measures, including facility Section 3.4.2 Staff Training and Development ☒ ☐ ☐ perimeter and grounds; (9) crisis intervention and mental health referrals to Section 3.4.2 Staff Training and Development ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (11) fire/life safety training ☒ ☐ ☐ Section 3.4.2 Staff Training and Development (c) Prior to assuming sole supervision of youth, each Section 3.4.3 Staff Training and Development youth supervision staff member shall successfully 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 Section 3.3.2 Programs supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Section 13.4 Fire Procedures Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times Review of documentation indicates that all who meets the training standards established by the ☒ ☐ ☐ youth supervisory staff at YTC receive site- Board for general fire and life safety which relate specific life safety training during orientation. specifically to the facility. Also, all full-time employees receive fire and safety training in juvenile CORE. 7493 San Diego YTC PRO 23-24 Page 5 of 39 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 Section 1.5 Institution Policy and Facility Procedures Manual All facility administrators shall develop, publish, and implement a manual of written policies and procedures San Diego YTC policy and procedure manual that address, at a minimum, all regulations that are was administratively reviewed by Cynthia applicable to the facility. Such a manual shall be made Gamboa and Mike Whatley, Division Chiefs, available to all employees, reviewed by all employees, ☒ ☐ ☐ on 11/6/2023. and shall be administratively reviewed at a minimum every two years, and updated, as necessary. Those It should be noted all San Diego youth facilities records relating to the standards and requirements set are in the process of transitioning to the forth in these regulations shall be accessible to the Board Lexipol policy and procedures. on request. The manual shall include: (a) table of organization, including channels of Section 1.2.2 Organization and Relationships ☒ ☐ ☐ communications and a description of job classifications; (b) responsibility of the probation department, purpose of Section 1.2 Organization and Relationships programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or ☒ ☐ ☐ Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Section 2.2.8 Duties of Personnel Assigned to ☒ ☐ ☐ Institutional Services (d) initial orientation and training program for employees; Section 3.3 Programs ☒ ☐ ☐ Training programs are required for all officers performing supervision of youth. (e) initial orientation, including safety and security issues Section 3.6 Orientation and Security Training and anti-discrimination policies, for support staff, contract for Non-Sworn Staff employees, school, mental/behavioral health and medical staff, program providers and volunteers; Initial orientation is also provided for non- ☒ ☐ ☐ sworn staff members assigned to YTC. This includes support staff, contract employees, school and medical staff, and program providers and volunteers. (f) maintenance of record-keeping, statistics and Section 4.2 Confidentiality of Juvenile Court ☒ ☐ ☐ communication system to ensure: Records and Reports (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Section 4.2.3.10 (2) legal and proper care of youth; ☒ ☐ ☐ Section 4.2.6 Destruction of Facility Records Section 4.2.6.1 Probation Operations Support (3) maintenance of individual youth's records; ☒ ☐ ☐ Manager (4) supply of information to the juvenile court and Section 4.2.3 Juvenile Court Release of ☒ ☐ ☐ those authorized by the court or by the law; and, Information Policy (5) release of information regarding youth. ☒ ☐ ☐ Section 4.4.2 Overview (g) ethical responsibilities; ☒ ☐ ☐ Section 1.3.6 Ethical Principles Referenced in IS Policy Sections 501.1, (h) trauma-informed approaches; ☒ ☐ ☐ 502.7.2, 514.9.2, 515.4, 701.6(a)1, 702.5.1 (i) culturally responsive approaches; ☒ ☐ ☐ Sections 102 and 1003 Section 5.4 Lesbian, Gay, Bisexual, (j) gender responsive approaches; ☒ ☐ ☐ transgender, Questioning and Intersex (LGBTQI) 7493 San Diego YTC PRO 23-24 Page 6 of 39 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 Section 5.4.3 Policy youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and YTC maintains and promotes an environment benefits, and provides that no person shall be subject to that provides the highest quality of services to discrimination or harassment on the basis of actual or youth regardless of their actual or perceived perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ sexual orientation or gender identity. national origin, immigration status, color, religion, gender, Confined LGBTQI youth receive fair and equal sexual orientation, gender identity, gender expression, treatment, without bias and in a professional mental or physical disability, or HIV status, including and confidential manner based on principles restrictive housing or classification decisions based solely of sound professional practice. on any of the above mentioned categories; (l) storage and maintenance requirements for any Section 14.3.2.1 On-Duty Staff chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; Section 14.3.11.1 OC Control Measures (m) establishment of procedures for collection of Medi- Section 8.1.9 Medi-Cal Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of Department Policy Section 800.3 sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Section 13.4 Fire Procedure The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Section 13.4.5 Fire Inspection with two-year retention of the inspection record; Section 13.4.6 record Retention ☒ ☐ ☐ Documentation review of YTC monthly fire and life safety inspections revealed compliance with this regulation. (c) fire prevention inspections as required by Health and Section 13.4.5 Fire Inspection Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ Completed on 8/10/2022 (d) an evacuation plan; Section 13.4.7 Youth Evacuation ☒ ☐ ☐ Section 13.4.10 Youth Fire Relocation Plan (e) documented fire drills not less than quarterly; 13.4.9 Fire Drills Documentation review of YTC fire drills ☒ ☐ ☐ revealed compliance with this regulation. It should be noted fire drills are conducted monthly. (f) a written plan for the emergency housing of youth in Section 13.4.7 Youth Evacuation the case of fire; and, ☒ ☐ ☐ Section 13.4.10 Youth Fire Relocation Plan (g) development of a fire suppression pre-plan in Section 13.4.8.2 Fire Suppression ☒ ☐ ☐ cooperation with the local fire department. 7493 San Diego YTC PRO 23-24 Page 7 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1326 SECURITY REVIEW Section 5.14.12.1 Annual Security Review Each facility administrator shall develop policies and Completed on 8/11/2023 by Cynthia Gamboa, procedures to annually review, evaluate, and document ☒ ☐ ☐ YTC Division Chief. security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES Section 2.2.9.3 Emergency Situations The facility administrator shall develop facility-specific ☒ ☐ ☐ Section 13 Emergencies policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Section 13.1, 13.3, 13.5 Emergencies (b) civil disturbance, active shooter and terrorist Section 13.11 Terrorism ☒ ☐ ☐ attack; (c) fire and natural disasters; ☒ ☐ ☐ Section 13.4 Fire Procedures (d) periodic testing of emergency equipment; ☒ ☐ ☐ Section 13 Emergencies (e) emergency evacuation of the facility; and ☒ ☐ ☐ Section 13 Emergencies Section 13 Emergencies Youth supervision staff annual review of (f) a program to provide all youth supervision staff ☒ ☐ ☐ emergency procedures is accomplished with an annual review of emergency procedures. through staff annual training “Juvenile Institutions Emergency Procedure Manual,” which is 1.5 hours certified STC course. 1328 SAFETY CHECKS Section 5.6 Counts and Safety Checks The facility administrator shall develop and implement Section 5.6.8 Safety Welfare Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, We reviewed YTC safety checks for the at random or varied intervals during hours when youth months of January through April 2023. Review are asleep or when youth are in their rooms, confined in of documentation revealed safety checks are holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ being completed well within the minimum 15 Supervision is not replaced, but may be supplemented minutes and at random or varied intervals by, an audio/visual electronic surveillance system during the hours youth are confined to their designed to detect overt, aggressive or assaultive rooms. We also did a live safety check review behavior and to summon aid in emergencies. All safety during the inspection walkthrough of the checks shall be documented with the actual time the facility. check is completed. 1329 SUICIDE PREVENTION PLAN Section 8.11 Suicide Prevention Plan The facility administrator, in collaboration with the Reviewed five (5) youth suicide packets from healthcare and behavioral/mental health administrators, YTC. Review of documentation provided shall plan and implement written policies and during the inspection and policy and procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ procedure manuals revealed compliance with The plan shall consider the needs of youth experiencing this regulation. past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Section 8.11.3 Staff Training 1322, Youth Supervision Staff Orientation, and Training and the Juvenile Corrections Officer Core Course. All sworn institutional staff receive 8 hours of suicide prevention training that includes warning signs and symptoms, identification ☒ ☐ ☐ and management of suicidal youth, and components of the facility’s formal suicide prevention policy. An annual refresher training will include a review of predisposing factors, signs, and symptoms. 7493 San Diego YTC PRO 23-24 Page 8 of 39 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 Section 8.11.4 Intake Screening and On- Precautionary Protocols Going Assessment (1) All youth shall be screened for risk of suicide at ☒ ☐ ☐ intake and as needed during detention. Primary screening for suicide risk will take place immediately upon youth’s arrival at YTC. (2) All youth supervision staff who perform intake Section 8.11.3 Staff Training processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Section 8.11.4 Intake Screening and On- intake screening process to be at risk of suicide shall Going Assessment ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to Section 8.11.4 Intake Screening and On- ensure the youth’s safety pending the ☒ ☐ ☐ Going Assessment behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Section 8.11.5 Communication assessment and/or services. Staff will receive training on suicide warning signs and must communicate with all members of the multidisciplinary team ☒ ☐ ☐ (Probation, Education, the contracted medical provider, STAT) and actively make appropriate referrals to the mental health and medical staff using the Suicide Prevention Referral Form developed by the STAT Team. (d) Procedures for monitoring of youth identified at risk Section 8.11.7 Levels of Supervision ☒ ☐ ☐ for suicide. (e) Safety Interventions Section 8.11.8 Intervention (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration Section 8.11.6 Safe Housing ☒ ☐ ☐ Rooms designated to house suicidal youth will be suicide-resistant, free of protrusions, and provide full visibility. (B) Treatment strategies including trauma- Section 707.4 informed approaches At the time of the inspection, it was discovered youth placed on suicide watch were automatically subjected to strip searches ☐ ☒ ☐ which is not in compliance with this regulation. Strip searches of youth shall only be conducted when there is a reasonable suspicion based on specific and articulable facts to believe a youth is concealing contraband. 7493 San Diego YTC PRO 23-24 Page 9 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures to instruct youth supervision staff Section 8.11.6 through 8.11.8 how to respond to youth who exhibit suicidal behaviors. An individualized treatment plan shall be developed for any youth held on suicide prevention. The plan will include signs and symptoms specific to the youth, triggers, or ☒ ☐ ☐ circumstances to consider as increasing recurrence of suicidality, describe how the youth can avoid suicidal thoughts, and discrete steps and actions that staff will take if suicidality reoccurs. This document, developed while a youth is on suicide prevention, will be distributed to medical staff and sworn institutional staff when the youth is taken off suicide prevention status. (f) Communication Section 8.11.5 Communication (1) The intake process shall include communication 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 Section 8.11.5 Communication sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Section 8.11.11 Critical Incident Reporting Attempts Review (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 Section 8.11.10 Morbidity and Mortality ☒ ☐ ☐ staff. Review (3) Process for a debriefing event with affected Section 8.11.10 Morbidity and Mortality ☒ ☐ ☐ youth. Review (h) Documentation Section 8.11.9 Reporting (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Section 707.4 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Section 4.1.2 Reporting of Legal Action to Board of State and Community Corrections Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ Per Cynthia Gamboa Division Chief’s memo of confinement, filed against persons or legal entities dated 8/11/2023, there have been no Legal responsible for juvenile facility operation. Actions filed against the facility this inspection cycle. 7493 San Diego YTC PRO 23-24 Page 10 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR INJURY Section 8.12 Death of a Youth OF A YOUTH WHILE DETAINED Section 8.12.3 Notifications (1) Death of a Youth. (a) The facility administrator, in cooperation with Section 8.12.4 Notifications of Serious Illness the health administrator and the behavioral/mental or Injury When Death is Possible health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while Per Cynthia Gamboa Division Chief’s memo detained, which include notifications to necessary dated 8/11/2023, there have been no deaths parties, which may include the Juvenile Court, the at the facility this inspection cycle. parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with Section 8.12.5 In-Custody Death Review the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Section 4.1.4 Population Accounting to Board the Board a copy of the report submitted to the of State and Community Corrections 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 Section 8.12.3.5 Notification of Oversight from the administrator, the Board may within 30 Agencies calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ Section 4.1.3 Death and Serious Illness or to the provisions of this subchapter. Any inquiry Injury of a Youth While Detained made by the Board shall be limited to the standards and requirements set forth in these regulations. Section 4.4.13 through 4.4.15 (2) Serious Illness or Injury of Youth. Section 8.12.4 Notifications of Serious Illness (a) The facility administrator, in cooperation with or Injury When Death is Possible 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 Section 4.1.4 Population Accounting to Board of State and Community Corrections Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Rated Capacity for YTC is 96 total. 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. 7493 San Diego YTC PRO 23-24 Page 11 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES Section 5.1.1 Intake and Admissions The facility administrator shall develop and implement We reviewed ten (10) Youth Transitional written policies and procedures for admittance of youth Campus Initial Booking and Screening that emphasize respectful and humane engagement Questionnaires from YTC. Review of with youth, and reflect that the admission process may ☒ ☐ ☐ documentation provided, and policy and be traumatic to youth who may have already procedure manuals revealed compliance with experienced trauma. Policies shall be trauma-informed, this regulation. culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Section 6.7 Telephone Policy (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of Youths are advised of the right to make calls Welfare and Institution Code Section 627; ☒ ☐ ☐ and are provided with opportunities to call within one hour of admission. If calls are not completed, youth will continue to call in the living units until calls are completed. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (2) Offer of a shower; ☒ ☐ ☐ Youth are offered a shower and staff document this information on the youth admission/intake form. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (3) Documented secure storage of personal ☒ ☐ ☐ belongings; All property is inventoried, documented, and stored in a secure area. Staff and youth sign a property slip to ensure a proper accounting of all property transactions. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (4) Offer of food upon arrival; ☒ ☐ ☐ Youth are offered food during the intake process and staff document this information on the youth admission/intake form. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol Policy 504 Case Management (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ All youth are screened by medical for entry disabilities; into the facility. If Behavioral Health is on site at time of entry, they too will clear the youth for detention or, if not on site, will clear the youth as soon as possible. Lexipol Policy 501 Youth Reception, Lexipol Policy 502 Youth Classification, and Lexipol (6) Screening for physical and developmental Policy 504 Case Management disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; Screenings by medical are completed and documented by medical staff. (7) Contact with Regional Center for the Lexipol Policy 504.3.1 Institutional Plan Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ If youth appears to be developmentally developmental disability, pursuant to Section 1413; disabled, the Regional Center is contacted. and, 7493 San Diego YTC PRO 23-24 Page 12 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ (b) juvenile hall administrators shall establish written Section 5.1.4 Basic Policy Established by criteria for detention that considers the least restrictive Section 628 W & I Code: Criteria for Detention environment. Section 5.2.2 Introduction ☒ ☐ ☐ All youth are screened with the Juvenile Detention Risk Intake Assessment which is a weighted screening tool. All ten (10) youth intake packets had a completed risk assessment. (c) juvenile camps and post-dispositional programs in Each youth is advised of their maximum juvenile halls shall develop policies and procedures that release date during their court hearing. Under advise the youth of the estimated length of stay, inform the Steps to Success Program, the Senior them of program guidelines and provide written Probation Officer must meet with each youth screening criteria for inclusion and exclusion from the upon intake and advise them of the point program. ☒ ☐ ☐ structure and behavior incentives that will lead to their early release. The Senior Probation Officer continues to meet with each youth on an ongoing basis throughout their commitment to track their progress toward release. (d) juvenile halls shall develop policies and procedures Each youth is advised of their maximum that advise any committed youth of the estimated length ☒ ☐ ☐ release date during their court hearing. of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL Department Policy Section 800.13.1 ABUSE We reviewed ten (10) PREA Risk Assessment The facility administrator shall develop and implement tool forms from YTC. Review of written policies and procedures to reduce the risk of ☒ ☐ ☐ documentation provided during the inspection sexual abuse by or upon youth. The policy shall require and policy and procedure manual revealed facility staff to assess each youth within 72 hours of compliance with this regulation. admission based on the following information: (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ PREA Risk Assessment Tool (b) Gender nonconforming appearance or manner; or PREA Risk Assessment Tool identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ PREA Risk Assessment Tool (d) Age; ☒ ☐ ☐ PREA Risk Assessment Tool (e) Level of emotional and cognitive development; ☒ ☐ ☐ PREA Risk Assessment Tool (f) Physical size and stature; ☒ ☐ ☐ PREA Risk Assessment Tool (g) Mental illness or mental disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (h) Intellectual or developmental disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (i) Physical disabilities; ☒ ☐ ☐ PREA Risk Assessment Tool (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ PREA Risk Assessment Tool (k) Any other specific information about the individual PREA Risk Assessment Tool youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Department Policy Section 800.13.1 conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. 7493 San Diego YTC PRO 23-24 Page 13 of 39 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 Department Policy Section 800.13.1 controls on the dissemination of information within the 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 Section 5.3 Release of Youth The facility administrator shall develop and implement We reviewed ten (10) Youth Release written policies and procedures for release of youth from Authorization Record forms (Release Slip) custody which provide for: ☒ ☐ ☐ from YTC. Review of documentation provided during the inspection and policy and procedure manual revealed compliance with this regulation. (a) verification of identity/release papers; ☒ ☐ ☐ Section 5.3.2.2 Authorization (b) return of personal clothing and valuables; ☒ ☐ ☐ Section 5.3.5 Release of Youth Property (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Section 5.3.2.2 Authorization (d) notification to the facility health care provider in Section 5.3.2.2 Authorization accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Section 5.3.2.2 Authorization (f) notification of facility mental health personnel. ☒ ☐ ☐ Section 5.3.2.2 Authorization The facility administrator shall develop and implement Lexipol Policy 520.3 Release Procedure policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Section 5.3.2.2 Authorization written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Section 5.2 Classification and Segregation The facility administrator shall develop and implement We reviewed ten (10) San Diego Youth written policies and procedures on classification of youth ☒ ☐ ☐ Classification forms from YTC. Review of for the purpose of determining housing placement in the documentation provided during the inspection facility. and policy and procedure manual revealed Such procedures shall: compliance with this regulation. (a) provide for the safety of the youth, other youth, Section 5.2.2 Introduction facility staff, and the public by placing youth in the 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 Section 5.2 Classification and Segregation ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon Section 5.2 Classification and Segregation admittance to the facility; classification factors shall 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 Section 5.2 Classification and Segregation provisions that consider the level of supervision and the ☒ ☐ ☐ youth's behavior while in custody; and, 7493 San Diego YTC PRO 23-24 Page 14 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) provide that facility staff shall not separate youth Lexipol Policy 502.3 from the general population or assign youth to a single 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, Lexipol Policy 502.10 transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Section 5.4 Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex The facility administrator shall develop written policies (LGBTQI) and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The ☒ ☐ ☐ During this inspection cycle, the facility has not policies shall provide that: housed transgender or intersex youth. Review of form provided during the inspection and policy and procedure manuals revealed compliance with this regulation. (a) Facility staff shall respect every youth’s gender Section 5.4.5.4 Names and Language identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the Transgender youth shall be referred to by their youth’s legal name. Facilities may prohibit the use of preferred name and the pronoun that reflects ☒ ☐ ☐ gang or slang names or names that otherwise the youth’s gender identity, even if their name compromise facility operations as determined by the has not been legally changed. facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Section 5.4.5.5 Clothing and Gender themselves in a manner consistent with their gender Presentation identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender Youth can dress and present themselves in a identity. ☒ ☐ ☐ manner consistent with their gender identity. Staff provide youth with institutional clothing, including undergarments, appropriate for the youth’s gender identity and gender presentation. (c) Facility staff shall house youth in the unit or room that Section 5.4.5.3 Youth Placement best meets their individual needs and promotes their safety and well-being. Staff may not automatically house Transgender youth shall not automatically be youth according to their external anatomy and shall housed according to their birth sex. Facility document the reasons for any decision to house youth staff make housing decisions for transgender in a unit that does not match their gender identity. In youth based on the youth’s individualized ☒ ☐ ☐ making a housing decision, staff shall consider the needs and should prioritize the youth’s youth’s preferences, as well as any recommendations emotional and physical safety, taking into from the youth’s health or behavioral health provider. account the youth’s perception of where he or she will be most secure, as well as any recommendations from the youth’s health care provider. 7493 San Diego YTC PRO 23-24 Page 15 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Facility administrators shall ensure that transgender Section 5.4.5.7 Medical and Mental Health and intersex youth have access to medical and Care behavioral health providers qualified to provide care and treatment to transgender and intersex youth. The Facility provides transgender youth with ☒ ☐ ☐ access to medical and mental health care providers who are knowledgeable about the health care needs of transgender youth, if the youth request assessment or treatment. (e) Consistent with the facility’s reasonable and Section 5.4.5.6 Bathrooms and Showers necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety Transgender youth will not be required to and privacy of transgender and intersex youth when the shower or undress in front of other youths and ☒ ☐ ☐ youth are using the bathroom or shower, or dressing or shall be permitted to use single-occupancy undressing. bathroom and showers, if available. Such accommodation shall be provided in a sensitive manner. Facility staff shall not conduct physical searches of any Section 5.4.5.8 Search Issues youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall Transgender youth may request that either a respect the youth’s preference regarding the gender of male or female staff member conduct a strip ☒ ☐ ☐ the staff member who conducts any search of the youth. search if such search is required. Staff will accommodate this request when possible and consistent with maintaining the security of the facility. 1353 ORIENTATION Section 5.5 Housing, Youth Orientation and Security The facility administrator shall develop and implement written policies and procedures to orient a youth prior to We reviewed ten (10) youth orientation placement in a living area. Both written and verbal packets from YTC. Also, youth are informed of information shall be provided and supplemented with access to Title 15 during the orientation video orientation if feasible. Provision shall be made to process and it is documented by the Intake provide accessible orientation information to all detained staff. Review of documentation provided youth including those with disabilities, limited literacy, or ☒ ☐ ☐ during the inspection and policy and English language learners. Orientation shall include procedure manual revealed compliance with information that addresses: this regulation. All youth at YTC are provided a Youth Handbook during the intake process. Each youth is also provided a Youth Rights Handbook. (a) facility rules including contraband and searches and Section 5.5.2.3 Orientation Topics (a) ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions Section 5.5.2.3 Orientation Topics (a) and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Section 5.5.2.3 Orientation Topics (c) facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (a) (e) the existence of the grievance procedure, the steps Section 5.5.2.3 Orientation Topics (b) that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the Section 5.5.2.3 Orientation Topics (c) ☒ ☐ ☐ court process; 7493 San Diego YTC PRO 23-24 Page 16 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) access to routine and emergency health and mental Section 5.5.2.3 Orientation Topics (c) ☒ ☐ ☐ health care; (h) access to education, religious services, and Section 5.5.2.3 Orientation Topics (k) ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (e) (j) opportunity for personal hygiene and daily showers Section 5.5.2.3 Orientation Topics (f) ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and Section 5.5.2.3 Orientation Topics (g) ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Section 5.5.2.3 Orientation Topics (h) ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Section 5.5.2.3 Orientation Topics (i) ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ Lexipol policy 503.4(p) (o) emergencies including evacuation procedures; ☒ ☐ ☐ Section 5.5.2.3 Orientation Topics (j) (p) non-discrimination policy and the right to be free from Section 5.5.2.3 Orientation Topics (l) physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Lexipol policy 503.4(g) ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, Lexipol policy 503.4(x) ☒ ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive Lexipol policy 503.4(y) information regarding the youth’s stay in the facility that 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 Lexipol policy 503.4(z) 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Copies of Title 15 for the youth are available in each housing unit and the library. 1354 SEPARATION Section 7.7 Youth Restrictions and Discipline Programs The facility administrator shall develop and implement written policies and procedures that address: We reviewed ten (10) Administrative ☒ ☐ ☐ Separation (AS) incident reports. Documentation provided and review of policy and procedure revealed compliance with this regulation. (a) separation of youth for reasons that include, but are Section 7.2.3 Youth Rights not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Lexipol Policy 502.7.2 ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Section 7.7 Youth Restrictions privileges available at the facility, except when necessary to accomplish the objective of separation. Youth placed on any form of separation or room confinement are not denied their rights ☒ ☐ ☐ which include basic hygiene standards, eating nutritional meals, having attorney visits, religious counseling, and receiving parental visits. (d) when the objective of the separation is discipline, Section 7.1 Behavior Control and Discipline ☒ ☐ ☐ Title 15 Section 1390 shall apply. Philosophy and Policy 7493 San Diego YTC PRO 23-24 Page 17 of 39 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 Section 7.7.3 Room Confinement separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Section 7.7.4 Administrative Separation of separated youth to determine if separation remains ☒ ☐ ☐ necessary. Section 7.7.3.4 Return to General Population or Continued Room Confinement 1354.5 ROOM CONFINEMENT Lexipol Policy 602 (a) The facility administrator shall develop and We reviewed ten (10) room confinement implement written policies and procedures addressing incident reports and ten (10) Youth Room the confinement of youth in their room that are Confinement Checklist forms from YTC. consistent with Welfare and Institutions Code Section Review of policy and procedure manual and 208.3. The placement of a youth in room confinement documentation provided revealed compliance shall be accomplished in accordance with the following with this regulation. Each Youth Room guidelines: ☒ ☐ ☐ Confinement Checklist reviewed provided documentation of why the youth was placed on room confinement and the efforts made by staff to reintegrate the youth back in the regular programming. It should be noted at the time of the inspection the YTC program had not held a youth on room confinement exceeding four (4) hours. (1) Room confinement shall not be used before 602.3 Separation from Other Youths (a) 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) Room confinement shall not be used for the 602.3 Separation from Other Youths (b) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent 602.3 Separation from Other Youths (c) that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room 602.3.3 Room Confinement (a) confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: 602.3.3 Room Confinement (a1) (1) Return the youth to general population. ☒ ☐ ☐ 602.3.3 Room Confinement (a2) (2) Consult with mental health or medical staff. ☒ ☐ ☐ (3) Develop an individualized plan that includes the 602.3.3 Room Confinement (a3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond 602.3.3 Room Confinement (b) four hours, staff shall do each of the following: ☒ ☐ ☐ It should be noted at the time of the inspection the YTC program had not held a youth on room confinement exceeding four (4) hours. (A) Document the reasons for room confinement 602.3.3 Room Confinement (b1) and the basis for the extension, the date and time the youth was first placed in room confinement, ☒ ☐ ☐ and when he or she is eventually released from room confinement. 7493 San Diego YTC PRO 23-24 Page 18 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) Develop an individualized plan that includes 602.3.3 Room Confinement (b2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the 602.3.3 Room Confinement (b3) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of 602.3.4 Exceptions (a) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in 602.3.4 Exceptions (b) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to 602.3.4 Exceptions (b) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 602.3.4 Exceptions (c) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is 602.3.4 Exceptions (d) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable 602.3.4 Exceptions (e) 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 Lexipol Policy 504 Case Management The facility administrator shall develop and implement We reviewed ten (10) Client Action Plans written policies and procedures for assessment and ☒ ☐ ☐ (CAP) assessment forms from YTC. Review case planning. of documentation provided, and review of the policy and procedure revealed compliance with this regulation. (a) Assessment: Lexipol Policy 504.3 Assessments The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. 7493 San Diego YTC PRO 23-24 Page 19 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Institutional Case Plan: Lexipol Policy 504.3.1 Institutional Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created within Each youth at YTC is assigned to a detention 40 days of admission. staff during the intake process. The staff then ☒ ☐ ☐ completes a youth preliminary assessment and case plan within thirty (30) days of assignment. The assessments include descriptions of the youth’s issues and places an emphasis on the youth’s strengths. (2) The institutional plan shall include, but not be Lexipol Policy 504.3 Assessments ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of Lexipol Policy 504.3 Assessments (a) ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes Lexipol Policy 504.3 Assessments (b) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Lexipol Policy 504.3 Assessments (c) the objectives, including periodic review and discussion of the plan with the youth; ☒ ☐ ☐ YTC staff meets with their assigned youth weekly to discuss case plan and progress towards goals. (4) a transition plan, the contents of which shall be Lexipol Policy 504.3 Assessments (d) subject to existing resources, shall be developed for ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Lexipol Policy 504.3 Assessments (e) plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Lexipol Policy 704 Counseling Services The facility administrator shall develop and implement Lexipol Policy 704.2 written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ Review of documentation provided during the youth. Policies and procedures shall ensure: inspection and review of policy and procedures revealed compliance with this regulation. (a) youth will receive assistance with needs or concerns Lexipol Policy 704.3 Behavioral Health that may arise; ☒ ☐ ☐ Responsibility (a1) (b) youth will receive assistance in requesting contact Lexipol Policy 704.3 Behavioral Health with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Responsibility (b) probation officer, or other public official; and, (c) youth will be provided access to available resources Lexipol Policy 704.3 Behavioral Health to meet the youth’s needs. ☒ ☐ ☐ Responsibility (a2) 7493 San Diego YTC PRO 23-24 Page 20 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Lexipol Policy 514 Use of Force The facility administrator, in cooperation with the We reviewed five (5) hands-on use of force responsible physician, shall develop and implement reports at YTC. Review of policy and written policies and procedures for the use of force, procedure and documentation revealed which may include chemical agents. Force shall never compliance with this regulation. be applied as punishment, discipline, retaliation or ☒ ☐ ☐ treatment. It should be noted each report reviewed (a) At a minimum, each facility shall develop policies and contained staff efforts to de-escalate the procedures which: incident and command calls given to the youth prior to going hands-on to protect the safety of the youth and the facility. (1) restricts the use of force to that which is deemed Lexipol Policy 514.3 Use of Force reasonable and necessary, as defined in Section ☒ ☐ ☐ 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Lexipol Policy 514.10 Training both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Lexipol Policy 514.10 Training ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Lexipol Policy 514.6 Reporting the Use of inappropriate use of force, and to take affirmative ☒ ☐ ☐ Force action to immediately stop it. (5) define a standardized reporting format that Lexipol Policy 514.6 Reporting the Use of includes time period and procedure for documenting Force and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Lexipol Policy 514.9 Use of Force Review ☒ ☐ ☐ investigating unreasonable use of force. (7) define the role, notification, and follow-up Lexipol Policy 514.6.2 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ Notification to parent(s) is completed following guardians. each use of force incident and documented in the Case Management system. (8) describe the limitations of use of force on pregnant Lexipol Policy 515.9 Pregnant Youths youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. Restraints will not be used on youths who are known to be pregnant unless based on an individualized determination that restraints are reasonably necessary for the legitimate safety ☒ ☐ ☐ and security needs of the youth, the staff, or the public. As a standard practice, pregnant juveniles in institutions wear a vest indicating that they will not be placed in the “cover” position and OC spray will not be used. 7493 San Diego YTC PRO 23-24 Page 21 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Facilities that authorize chemical agents as a force Lexipol Policy 514.4 Use of Chemical Agents option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize We reviewed five (5) chemical agents use of chemical agents in the facility and the type, size and force reports from YTC. Also, we reviewed five the approved method of deployment for those (5) five-minute Room Safety Welfare Checks ☒ ☐ ☐ chemical agents. reports. Following OC spray incidents, youths are placed on five-minute safety checks. Review of policy and procedure and documentation revealed compliance with this regulation. (2) mandate that chemical agents only be used when Lexipol Policy 514.4 Use of Chemical Agents there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts ☒ ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and Lexipol Policy 514.4 Use of Chemical Agents timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Lexipol Policy 514.6.2 Required Notifications procedures required after use of force incidents ☒ ☐ ☐ involving chemical agents for medical, mental health Notification to parent(s) is completed following staff and parents or legal guardians. each use of force incident and documented. (5) provide for the documentation of each incident of Lexipol Policy 514.6 Reporting the Use of use of chemical agents, including the reasons for Force which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Lexipol Policy 514.10 Training require that agencies provide initial and regular training ☒ ☐ ☐ in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health conditions Lexipol Policy 514.10 Training ☒ ☐ ☐ that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Lexipol Policy 514.10 Training ☒ ☐ ☐ application. (3) signs or symptoms that should result in Lexipol Policy 514.6.2 Required Notifications ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Lexipol Policy 514.10 Training ☒ ☐ ☐ Use of Force. (5) physical training force options that may require Lexipol Policy 514.10 Training ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Lexipol Policy 514.10 Training ☒ ☐ ☐ training. 1358 USE OF PHYSICAL RESTRAINTS Lexipol Policy 515 Mechanical Restraints The facility administrator, in cooperation with the We reviewed ten (10) use of force incident responsible physician and mental health director, shall reports in which mechanical restraints were develop and implement written policies and procedures ☒ ☐ ☐ applied to youth. Review of documentation for the use of restraint devices. Restraint devices provided during the inspection and policy and include any devices which immobilize a youth's procedure manuals revealed compliance with extremities and/or prevent the youth from being this regulation. ambulatory. 7493 San Diego YTC PRO 23-24 Page 22 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Physical restraints may be used only for those youth Lexipol Policy 515.2 Policy 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. 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 Lexipol Policy 515.3 General Requirements discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Lexipol Policy 515.5 Transportation Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Lexipol Policy 515.3 General Requirements of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Lexipol Policy 515.3 General Requirements retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Lexipol Policy 515.3 General Requirements possible, but in no case longer than four hours from the ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Lexipol Policy 515.3 General Requirements to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Lexipol Policy 515.5 Transportation Restraints procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an Lexipol Policy 515.7 Documentation application of restraints. (b) known medical conditions that would contraindicate Lexipol Policy 515.4 Specific Duties of the certain restraint devices and/or techniques. Division Chief ☒ ☐ ☐ Lexipol Policy 515.10 Training (c) acceptable restraint devices. ☒ ☐ ☐ Lexipol Policy 515.3 General Requirements (d) signs or symptoms which should result in immediate Lexipol Policy 515.10 Training ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation Department Policy Section 345.4 ☒ ☐ ☐ equipment. 7493 San Diego YTC PRO 23-24 Page 23 of 39 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 Lexipol Policy 515.3 General Requirements restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Lexipol Policy 515.10 Training (h) exercising of extremities. ☒ ☐ ☐ Lexipol Policy 515.3 General Requirements 1358.5 USE OF RESTRAINT DEVICES FOR Lexipol Policy 515.5 Transportation Restraints MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. Review of documentation provided from YTC and policy and procedure manuals revealed The Facility Administrator, in cooperation with the compliance with this regulation. responsible physician and behavioral/mental health ☒ ☐ ☐ director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff Lexipol Policy 515.3 General Requirements approved to utilize restraint devices and the required ☒ ☐ ☐ training. (b) the circumstances leading to the application of Lexipol Policy 515.5 Transportation Restraints ☒ ☐ ☐ restraints must be documented. (c) an individual assessment of the need to apply Lexipol Policy 515.4 Specific Duties of the restraints for movement or transportation that includes Division Chief 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. (d) consideration of safety and security of the facility, Lexipol Policy 515.3 General Requirements with a clearly defined expectation that restraint devices (g) ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Lexipol Policy 515.5 Transportation Restraints accordance with Penal Code Section 6030(f) and (a) Welfare and Institutions Code Section 222. ☒ ☐ ☐ Lexipol Policy 515.9 Pregnant Youths 1359 SAFETY ROOM PROCEDURES Section 5.12 Use of the Safety Room (a) The facility administrator, and where applicable, in YTC has not placed a youth within the safety cooperation with the responsible physician, shall room thus far this inspection cycle. 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 Section 5.12.11 Youth’s Personal Needs nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; Section 5.12.12 Restroom Use (2) provide for approval of the facility manager, or Section 5.12.8 Placement Procedures designee, before a youth is placed into a safety ☒ ☐ ☐ room; 7493 San Diego YTC PRO 23-24 Page 24 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) provide for continuous direct visual supervision Section 5.12.8 Placement Procedures 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 Section 5.12.15 Administrative Reviews ☒ ☐ ☐ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Section 5.12.14 Ongoing Medical and Mental where appropriate, or an assessment at the next ☒ ☐ ☐ Health Assessment daily sick call; and, (6) provide a process for documenting the reason for Section 5.12.17 Reports placement, including attempts to use less restrictive ☒ ☐ ☐ means of control, and decisions to continue and end Section 5.12.18 Watch Commander placement. Investigation (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less Section 5.12.12 Restroom Use 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 Section 5.12.3 Placement Prohibitions punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Section 7.7.3.3 Guidelines for Initiating Room compromises the mental and physical health of the ☒ ☐ ☐ Confinement youth. (c) A youth may be held up to four hours in the safety Section 7.7.3.4 Return to General Population room. After the youth has been held in the safety room or Continued Room Confinement ☒ ☐ ☐ for a period of four hours, staff shall do one or more of the following: Section 7.7.3.4 Return to General Population (1) return the youth to general population. ☒ ☐ ☐ or Continued Room Confinement Section 7.7.3.4 Return to General Population (2) consult with mental health or medical staff, ☒ ☐ ☐ or Continued Room Confinement (3) develop an individualized plan that includes the Section 7.7.3.4 Return to General Population goals and objectives to be met in order to reintegrate ☒ ☐ ☐ or Continued Room Confinement the youth to general population. (d) If confinement in the safety room must be extended Section 7.7.3.4 Return to General Population beyond four hours, staff shall develop an individualized or Continued Room Confinement 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 Section 5.13 Youth Searches The facility administrator shall develop and implement Documentation provided as well as policy and written policies and procedures governing the search of ☒ ☐ ☐ procedure review revealed compliance with youth, the facility, and visitors. Policies and procedures this regulation with the exception of strip- shall provide that: searching youth placed on suicide watch protocol. (a) Searches shall be conducted to ensure the safety Section 5.13.1 Overview and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. (b) Searches shall be conducted in a manner that Section 5.5.7.2 preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Section 5.13.4.1 Strip Searches ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be Section 5.13.5 Body Cavity Searches ☒ ☐ ☐ conducted by a medical professional. 7493 San Diego YTC PRO 23-24 Page 25 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Any youth held after a detention hearing shall only Section 5.13.3.2 be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific At the time of the inspection, it was discovered and articulable facts to believe that youth is concealing that youth placed on suicide watch were contraband. The reasonable suspicion shall be automatically subjected to strip searches documented. ☐ ☒ ☐ which is not in compliance with this regulation. Strip searches of youth shall only be conducted when there is a reasonable suspicion based on specific and articulable facts to believe a youth is concealing contraband. (f) Searches of transgender and intersex youth shall Section 5.13.4.1 Strip Searches ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches Section 5.13.3.2 Unusual Circumstances are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Lexipol Policy 609 Youth Grievances The facility administrator shall develop and implement We reviewed thirty (30) grievances from this written policies and procedures whereby any youth may inspection cycle from YTC. Review of policy appeal and have resolved grievances relating to any and procedure and review of documentation condition of confinement, including but not limited to provided revealed compliance with this health care services, classification decisions, program ☒ ☐ ☐ regulation. participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Lexipol Policy 609.3 Access to the Grievance grievance, which includes provisions for the youth to ☒ ☐ ☐ System have free access to the form; (b) the youth shall have the option to confidentially file Lexipol Policy 609.3 Access to the Grievance the grievance or to deliver the form to any youth ☒ ☐ ☐ System supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate Lexipol Policy 609.3 Access to the Grievance ☒ ☐ ☐ staff level; System (d) provision for a prompt review and initial response to Lexipol Policy 609.4.2 Timely Resolution of grievances within three (3) business days, grievances Grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Lexipol Policy 609.4.5 State Requirements (a) his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Lexipol Policy 609.4.5 State Requirements (b) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Lexipol Policy 609.4.2 Timely Resolution of ☒ ☐ ☐ which includes the reasons for the decisions; Grievances (f) a system which provides that any appeal of a Lexipol Policy 609.4.3 Appeals to Grievance grievance shall be heard by a person not directly Findings ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Lexipol Policy 609.4.2 Timely Resolution of business days unless circumstances dictate a longer Grievances ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external Lexipol Policy 609.6 Additional Provisions for ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Grievances related to Sexual Abuse 7493 San Diego YTC PRO 23-24 Page 26 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Whether or not associated with a grievance, concerns Lexipol Policy 609.4.5 State Requirements (c) of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Section 4.4.3.2 Incident Reports A written report of all incidents which result in physical Review of documentation provided from YTC harm, use of force, serious threat of physical harm, or revealed compliance with this regulation. death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Section 5.18 DNA Collection DNA SPECIMENS, SAMPLES, IMPRESSIONS Use of force will not be used. Any youth who (a) Pursuant to Penal Code Section 298.1 authorized refuses to provide a DNA sample will be law enforcement, custodial, or corrections personnel referred to the Juvenile Court for action, including peace officers, may employ reasonable force ☒ ☐ ☐ and/or to the District Attorney for prosecution, to collect blood specimens, saliva samples, and thumb pursuant to Penal Code Section 298.1(a). 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 Section 5.18 DNA Collection reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Section 5.18 DNA Collection efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Section 5.18 DNA Collection authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Section 5.18 DNA Collection extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7493 San Diego YTC PRO 23-24 Page 27 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM Section 1003 Youth Educational Services (a) School Programs Review of policy and procedures, youth and The County Board of Education shall provide for the staff interviews, and school daily schedules administration and operation of juvenile court schools in revealed compliance with this regulation. conjunction with the Chief Probation Officer, or designee pursuant to applicable State laws. The school and facility Annual Education review completed administrators shall develop and implement written policy 8/10/2023 by Katy Ramezani, Director and procedures to ensure communication and Educational Programs and Services, coordination between educators and probation staff. OCDE/ACCESS. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall 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 with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Section 1003 Youth Educational Services The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Section 1003.3 Education Program Goals program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Section 1003 Youth Educational Services Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Section 1003 Youth Educational Services Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Section 1003.5 Course of Study ☒ ☐ ☐ education and vocational opportunities. (4) Administration of the High School Equivalency Section 1003.5 Course of Study Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. 7493 San Diego YTC PRO 23-24 Page 28 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Supplemental instruction shall be afforded to youth Section 1003.5 Course of Study who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Section 1003.5 Course of Study State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Section 1003.5 Course of Study of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Section 1003.7 Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Section 1003.7 Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Section 1003.7 Discipline Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Section 1003.4 (g) Education Program education staff will develop policies and procedures Coordinator ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Section 1003.3 Education Program Goals (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Section 1003.4 (m) Education Program afforded an educational program that addresses their Coordinator language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Section 1003.4.1 Educational Program (1) Youth shall be interviewed after admittance and a Enrollment Requirements ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: 7493 San Diego YTC PRO 23-24 Page 29 of 39 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; Section 1003.4 Education Program ☒ ☐ ☐ Coordinator (B) Home Language Survey and the results of the Section 1003.6 Additional Course Offering ☒ ☐ ☐ State Test used for English language proficiency; (C) Needs and services of special populations as Section 1003.4 Education Program defined by the State Education Code, including but ☒ ☐ ☐ Coordinator not limited to, students with special needs. (D) Discipline problems. Section 1003.4 Education Program ☒ ☐ ☐ Coordinator (2) Youth will be immediately enrolled in school. Section 1003.4.1 Educational Program Educational staff shall conduct an assessment to Enrollment Requirements determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Section 1003.4.1 Educational Program education plan shall be developed for each youth ☒ ☐ ☐ Enrollment Requirements within five school days. (4) Upon enrollment, education staff shall comply with Section 1003.4 Education Program the State Education Code and request the youth's Coordinator records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Section 1003.4 Education Program (1) The complete facility educational record of the Coordinator youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Section 1003.4 Education Program provide appropriate credit (full or partial) for course Coordinator ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Section 1003.4 Education Program (1) The Superintendent of Schools and the Chief Coordinator Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities Section 1003.5 Course of Study (1) The school and facility administrator should, whenever possible, collaborate with local post- secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7493 San Diego YTC PRO 23-24 Page 30 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND Lexipol Policy 1002 Programs, Exercise, and EXERCISE. Recreation The facility administrator shall develop and implement Review of policy and procedures and daily written policies and procedures for programs, schedule revealed compliance with this recreation, and exercise for all youth. The intent is to regulation. Documentation of youth’s minimize the amount of time youth are in their rooms or programs, recreation, and exercise are their bed area. ☒ ☐ ☐ documented within the YTC Daily Unit Logs Program Sheets. We reviewed the months of January through May 2023 from YTC which also revealed compliance with this regulation. Each youth receives a minimum of one hour of programming, exercise, and recreation daily. Juvenile facilities shall provide the opportunity for Lexipol Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three 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 Lexipol Policy 1002.7 Security and exercise may be suspended only upon a written finding Supervision by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the Delegates authority to the Watch facility. Commander. Such program, recreation, and exercise schedule shall Lexipol Policy 1002.3 Responsibilities ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, Lexipol Policy 1002.3 Responsibilities recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ Programs annual review was completed by relevant to the population. Chief Nelson on August 25, 2023. (a) Programs. All youth shall be provided with the Lexipol Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, We were able to verify youth receive a evidence-based, best practice interventions that are minimum of one hour of programs daily by culturally relevant and linguistically appropriate, or pro- reviewing the Unit daily schedules, social interventions and activities designed to reduce documentation provided, and interviews with recidivism. These programs should be based on the youth and staff. 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: 7493 San Diego YTC PRO 23-24 Page 31 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; Lexipol Policy 1002.6 Access to Programs (2) Management of Stress and Trauma; (3) Anger Management; We reviewed YTC monthly programs list of (4) Conflict Resolution; available programs for the youth. (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity Lexipol Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and We were able to verify youth receive a entertainment. Activities shall be supervised and include ☒ ☐ ☐ minimum of one hour of recreation daily by orientation and may include coaching of youth. reviewing the Unit daily schedules, documentation provided, and interviews with youth and staff. (c) Exercise. All youth shall be provided with the Lexipol Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. We were able to verify youth receive a ☒ ☐ ☐ minimum of one hour of exercise daily by reviewing the Unit daily schedules, documentation provided, and interviews with youth and staff. The administrator/manager may suspend, for a period Lexipol Policy 1002.7 Security and not to exceed 24 hours, access to recreation and Supervision programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Section 6.3 Religious Program The facility administrator shall provide access to religious Review of YTC Unit’s daily schedule revealed services and/or religious counseling at least once each youth can participate in alternative week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ programming during the scheduled religious allowed to participate in an activity outside of their room if program time. he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Section 6.3.4 Religious Service (b) availability of clergy; and, ☒ ☐ ☐ Section 6.3.4.5 Clergy Visits (c) availability of religious diets. ☒ ☐ ☐ Section 6.3.4.7 Religious Diets 1373 WORK PROGRAM Section 6.4 Work Program The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth ☒ ☐ ☐ shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 7493 San Diego YTC PRO 23-24 Page 32 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING Lexipol Policy 1323 YTC Visiting Policy The facility administrator shall develop and implement Lexipol Procedure YTC Visiting Procedure written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Reviewed visitation logs from YTC for the receive visits by parents, guardians or persons standing months of January 2023 through May 2023. in loco parentis, and children of youth. Other family ☒ ☐ ☐ Review of policy and procedures revealed members, such as grandparents and siblings, and compliance with this regulation. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to Lexipol Procedure 1323.1.5 YTC Visiting the limitations necessary to maintain order and security. Center Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, Monday thru Friday 3:30 p.m. – 9:00 p.m. whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of Saturday, Sunday, and Holidays visitation or limitation on visitations shall be 9:00 a.m. – 5:00 p.m. communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Lexipol Procedure 1323.1.5 YTC Visiting per week. Visits may be supervised, but conversations Center shall not be monitored unless there is a security or safety ☒ ☐ ☐ need. Youth are allowed an opportunity to have a one-hour visitation daily. Provisions for special visits, in addition to the two-hour Lexipol Procedure 1323.1.6 No Contact Room minimum and/or outside of the regular visiting hours, shall 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 Lexipol Procedure 1323.1.1 Virtual Visit ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE Section 6.6 Correspondence/Mail Policy The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviewed as well as review written policies and procedures for correspondence of policy and procedures revealed compliance which provide that: with this regulation. (a) there is no limitation on the volume of mail that youth Section 6.6.3.3 Guidelines ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Section 6.6.3.3 Guidelines (c) youth may correspond confidentially with state and Section 6.6.5 Privileged Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Section 6.6.10.1 Reading Youth Mail in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Lexipol Procedure 1008 Institutional Telephone Use The administrator of each juvenile facility shall develop and implement written policies and procedures to provide ☒ ☐ ☐ Staff and youth interviewed as well as review youth with access to telephone communications. of policy and procedures revealed compliance with this regulation. 7493 San Diego YTC PRO 23-24 Page 33 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1377 ACCESS TO LEGAL SERVICES Lexipol Policy 101 Authority and Legal Assistance The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts Section 6.8 Access to Legal Service and legal services. Such access shall include: ☒ ☐ ☐ Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed Section 6.8.2.2 Visiting Hours attorneys and their authorized representatives; ☒ ☐ ☐ Section 6.8.2.3 Attorney Visits Allowed for PS (b) provision for confidential consultation with attorneys; Section 6.8.2.9 Telephone Calls to Attorneys ☒ ☐ ☐ and, (c) unlimited postage free, legal correspondence and Section 6.8.2.7 Privileged Mail cost-free telephone access as appropriate. ☒ ☐ ☐ Section 6.8.2.9 Telephone Calls to Attorneys 1390 DISCIPLINE Section 7.1.4 Discipline Policy The facility administrator shall develop and implement Review of policy and procedures and written policies and procedures for the discipline of youth documentation revealed compliance with this that shall promote acceptable behavior; including the use regulation. of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (b) daily shower, access to drinking fountain, toilet and Section 7.1.4.3 Prohibited Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (e) exercise; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (f) medical services and counseling; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (g) religious services; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (i) the right to send and receive mail; ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (j) education; and, ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline (k) rehabilitative programming. ☒ ☐ ☐ Section 7.1.4.3 Prohibited Discipline The facility administrator shall establish rules of conduct Section 7.2.2.2 Notice Must be Given Prior to and disciplinary penalties to guide the conduct of youth. any Discipline Such rules and penalties shall include both major violations and minor violations, be stated simply and Section 7.2.2.3 Read Rules to Illiterate, ☒ ☐ ☐ affirmatively, and be made available to all youth. impaired or Non-English Speaking Youth Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or Section 7.2.2.4 Post Rules limited literacy. 1391 DISCIPLINE PROCESS Lexipol Policy 600 Youth Discipline The facility administrator shall develop and implement ☒ ☐ ☐ Review of policy and procedures and written policies and procedures for the administration of documentation revealed compliance with this discipline which shall include, but not be limited to: regulation. (a) designation of personnel authorized to impose Section 600.4 Minor Rule Violation discipline for violation of rules; ☒ ☐ ☐ Section 600.5 Major Rule Violation 7493 San Diego YTC PRO 23-24 Page 34 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) prohibiting discipline to be delegated to any youth; Section 600.6 Limitation on Disciplinary ☒ ☐ ☐ Actions (c) definition of major and minor rule violations and their Section 600.4 Minor Rule Violation consequences, and due process requirements; ☒ ☐ ☐ Section 600.5 Major Rule Violation (d) trauma-informed approaches and positive behavior Section 600.3.1 Youth Rules and Sanctions ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Section 600.4 Minor Rule Violation counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ Section 600.5.3 Notifications accompanied by written documentation and a policy of review and appeal to a supervisor; and, Section 600.5.10 Disciplinary Appeals (f) major rule violations and the discipline process shall Section 600.5 Major Rule Violation be documented and require the following: We reviewed ten (10) Rule Violation/Due ☒ ☐ ☐ Process Notice forms from YTC. Review of policy and procedures and documentation revealed compliance with this regulation. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Section 600.5.3 Notifications (2) accommodations provided to youth with Section 600.5.7 Staff Assistance and Youth disabilities, limited literacy, and English language ☒ ☐ ☐ Rights learners; (3) hearing by a person who is not a party to the Section 600.5.4 Hearings ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Section 600.5.5 Evidence ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Section 600.5.7 Staff Assistance and Youth ☒ ☐ ☐ hearing process; Rights (6) provision for administrative review. ☒ ☐ ☐ Section 600.5.9 Reporting of Findings (g) violations that result in a removal from camp or Section 600.7.1 State Law Guidelines for commitment program, but not a return to court, will Disciplinary Sanctions ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Section 8.3 Management of Communicable DISEASES. Diseases The health administrator/responsible physician, in Review of policy and procedure revealed cooperation with the facility administrator and the local compliance with this regulation. health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; ☒ ☐ ☐ Section 8.3.2.3 Initial Screening (b) Identification of relevant symptoms; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (c) Referral for medical evaluation; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (d) Treatment responsibilities during detention; ☒ ☐ ☐ Section 8.3.2.4 Health Assessment (e) Coordination with public and private community- Section 8.3.2.2 Minimum Standards ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Section 8.3.2.22 Documentation Section 8.3.2.21 Exposure to Communicable (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Diseases The policies and procedures shall be updated as Section 8.3.2.21 Exposure to Communicable necessary to reflect communicable disease priorities Diseases ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 7493 San Diego YTC PRO 23-24 Page 35 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Each housing unit has a Behavioral medical (EXCERPT) lock box for youth to file a confidential request for behavioral health services. The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE Section 10.1 Clothing Issue Policy The youth’s personal clothing, undergarments and Review of policy and procedure and footwear may be substituted for the institutional clothing ☒ ☐ ☐ interviews with staff and youth revealed and footwear specified in this regulation. The facility has compliance with this regulation. the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily Section 10.1.2 Clothing Issue ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. (b) The standard issue of climatically suitable clothing Section 10.1.2 Clothing Issue ☒ ☐ ☐ for youth shall consist of but not be limited to: Section 10.1.2 Clothing Issue (1) Socks and serviceable footwear; ☒ ☐ ☐ Section 10.1.2 Clothing Issue (2) Outer garments; ☒ ☐ ☐ (3) New non-disposable underwear which shall Section 10.1.2 Clothing Issue ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and Section 10.1.2 Clothing Issue ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by Section 10.1.2 Clothing Issue local ordinances for the commercial laundries and dried ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Section 10.1.5 Special Clothing ☒ ☐ ☐ 1482 CLOTHING EXCHANGE Section 10.2 Laundry Procedures for Clothing The facility administrator shall develop and implement Review of policy and procedure as well as written policies and site-specific procedures for the interviews with the youth and staff revealed cleaning and scheduled exchange of clothing. Unless compliance with this regulation. 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 Section 8.6.8 Ectoparasite Control PERSONAL CLOTHING Review of policy and procedure revealed There shall be written policies and site-specific compliance with this regulation. 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. 7493 San Diego YTC PRO 23-24 Page 36 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1485 ISSUE OF PERSONAL CARE ITEMS Section 10 Clothing and Personal Hygiene There shall be written policies and site-specific Review of policy and procedure as well as procedures developed and implemented by the facility interviews with the youth and staff revealed administrator for the availability of personal hygiene ☒ ☐ ☐ compliance with this regulation. 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; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (b) Toothpaste; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (c) Soap; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (d) Comb; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (e) Shaving implements; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (f) Deodorant; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (g) Lotion; ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (h) Shampoo; and, ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided (i) Post-shower conditioning hair products. ☒ ☐ ☐ Section 10.3.5 Toiletry Items Provided Youth shall not be required to share any personal care Section 10.3.5 Toiletry Items Provided items listed in items (a) through (d). Liquid soap 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 Section 10.4 Shower Program There shall be written policies and site specific Section 10.4.1 Standards procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Review of policy and procedure and Unit’s teeth. Youth shall be permitted to shower/bathe up on daily schedule revealed compliance with this assignment to a housing unit and on a daily basis regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Section 10.3.8 Shaving Youth shall have access to a razor daily, unless their Review of policy and procedure as well as appearance must be maintained for reasons of interviews with the youth and staff revealed identification in Court. All youth shall have equal ☒ ☐ ☐ compliance with this regulation. 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) Section 10.3.9 Haircuts Hair care services shall be available in all juvenile At the time of the inspection, YTC was not facilities. Youth shall receive hair care services monthly. ☐ ☒ ☐ providing monthly hair care services for the Equipment shall be cleaned and disinfected after each female youth. haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Section 11.0 Bedding and Lines Clean laundered, suitable bedding and linens, in good Review of policy and procedure revealed repair, shall be provided for each youth entering a living ☒ ☐ ☐ compliance with this regulation. area who is expected to remain overnight, shall include, but not be limited to: 7493 San Diego YTC PRO 23-24 Page 37 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) One mattress or mattress-pillow combination which Section 11.4 Mattresses and Pillows meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Section 11.3.4 Sheets and Pillowcases ☒ ☐ ☐ (a) above; Section 11.3.4 Sheets and Pillowcases (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Section 11.3.2 Towels (d) One towel; and, ☒ ☐ ☐ Section 11.3.3 Blankets (e) One blanket or more, up on request ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE Section 11.3.4 Sheets and Pillowcases The facility administrator shall develop and implement Section 11.3.5 Sheet Exchange site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ Review of policy and procedure as well as issued to each youth housed. Washable items such as interviews with the youth and staff revealed sheets, mattress covers, pillow cases and towels shall compliance with this regulation. be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Section 11.3.3 Blankets ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND Section 12.0 Facility Sanitation, Safety and MAINTENANCE Maintenance The facility administrator shall develop and implement Review of policy and procedure revealed written policies and site-specific procedures for the compliance with this regulation. 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). 7493 San Diego YTC PRO 23-24 Page 38 of 39 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☒ ☐ ☐ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☐ ☒ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☒ ☐ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7493 San Diego YTC PRO 23-24 Page 39 of 39 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:7493 FACILITY NAME: Youth Transitional Campus (YTC) FACILITY TYPE: Camp 4/98: ☐ 2001: ☐ 2003: ☐ 2009: ☐ 2014: ☒ 2018: ☐ APPLICABLE REGULATIONS (Check All That Apply): FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: 11/20/2023 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; Weapon lockers are located outside the ☒ ☐ ☐ secure premier. 2. A secure room for the confinement of youth pending Six holding rooms at intake. admission to juvenile hall as specified in Section 1230.1.2; In each juvenile hall, camp and ranch, space used ☒ ☐ ☐ for the reception of youth pending admission to these facilities shall have the following space and equipment: 3. Access to a shower; ☒ ☐ ☐ Two showers in intake. 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. Six holding rooms at intake. ☒ ☐ ☐ Two locked holding room medical area. 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 Four holding rooms are w/o. Access is drinking fountain unless as specified in Section available. 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. ☒ ☐ ☐ 7493 San Diego YTC PHY 23-24 - 1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.3 Natural light. Outer-facing exterior windows where youth’s privacy is not at risk shall be provided in locked sleeping rooms, single occupancy sleeping rooms, double occupancy ☒ ☐ ☐ sleeping rooms, dormitories and dayrooms. Natural light may be provided by, but is not limited to, skylights or windows in dayrooms, windows in adjacent exterior exercise areas, and in sleeping rooms and/or dormitories. 1230.1.4 Corridors ☐ ☐ ☒ Corridors in living areas shall be at least eight feet wide. 1230.1.5 Living unit. • 96- bed facility • Four housing building A living unit shall be a self-contained unit containing • Twelves person unit locked sleeping rooms, single and double occupancy ☒ ☐ ☐ • All single sleeping rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention or ☒ ☐ ☐ other action if needed. In juvenile halls, the number of youth housed in a living unit shall not exceed 30. 1230.1.6 Locked sleeping rooms. One locked holding room can be used for any youth who is booked into the facility during late Locked sleeping rooms shall be equipped with an ☒ ☐ ☐ night/early morning bookings. 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. All 96 sleeping rooms are single. Single occupancy sleeping rooms shall provide the ☒ ☐ ☐ following: 1. A minimum of 70 square feet of floor area; 2. A minimum ceiling height of eight feet; and, ☒ ☐ ☐ 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a ☒ ☐ ☐ minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. ☒ ☐ ☐ 1230.1.8 Double occupancy sleeping rooms. Double occupancy sleeping rooms shall provide the ☐ ☐ ☒ following: 1. A minimum of 100 square feet of floor area; 2. A minimum clear ceiling height of 8 feet and a ☐ ☐ ☒ minimum width of 7 feet; and, 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a ☐ ☐ ☒ minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. ☐ ☐ ☒ 7493 San Diego YTC PHY 23-24 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.9 Dormitories 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 recreation is provided in the 7,227 sq. ft. gymnasium, the 700 sq. ft. weight room, and Indoor/outdoor physical activity and recreation areas the 1,768 sq. ft. multipurpose room and stage. 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 All basketball and handball courts are paved. indoor/outdoor space shall be a paved or like ☒ ☐ ☐ surface. 1.2 The required recreation area shall contain no Each living unit has a small outdoor courtyard. single dimension less than 40 feet. ☒ ☐ ☐ This space will not be counted towards overall recreation areas. 2. A portion of the dedicated space for physical 43,000 sq. ft. ball exterior recreation is being activity and recreation shall be out-of-doors and be provided; sufficient size and equipped in such a manner to allow This include ball field, basketball, and handball ☒ ☐ ☐ compliance with Title 15, Section 1371, which requires courts. 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 Toilets and drinking fountains are accessible and drinking fountain as specified in Section 1230.2. ☒ ☐ ☐ from housing units and the educational courtyard. 1230.1.12 Academic classrooms. Each classroom will be 756 sq. ft. • Two vocational room There shall be a dedicated classroom space for every ☒ ☐ ☐ • Six general classrooms juvenile in every facility. • One Art lab • One Science lab The primary purpose for the academic classroom shall ☒ ☐ ☐ be for education. 7493 San Diego YTC PHY 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 ☒ ☐ ☐ and work area and a minimum of 28 square feet of floor space per minor. 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: • Three exam rooms • One treatment room 1. Space for carrying out routine medical ☒ ☐ ☐ • One X-ray room (portable) examinations and emergency care and used for no • One dental room other purpose; • One vision exam room 2. Privacy for youth; ☒ ☐ ☐ 3. Lockable storage space for medical supplies; ☒ ☐ ☐ 4. Not less than 144 square feet of floor space with ☒ ☐ ☐ no single dimension less than 7 feet; 5. Hot and cold running water; ☒ ☐ ☐ 6. Smooth, nonporous, washable surface; ☒ ☐ ☐ 7493 San Diego YTC PHY 23-24 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. Large dining area that can be separated into two dining rooms. 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. Juv Hall and Camp will use the vesting area. • One non-contact room Space shall be provided in all juvenile facilities for in- ☒ ☐ ☐ • Nine individual contact rooms person visiting which shall be unobstructed by barriers • Two family contact room such as, but not limited to, security glazing for mesh. • Large room with tables 1230.1.18 Institutional storage. Institutional storage is being provided at several locations in the new Camp including One or more storage rooms shall be provided to ☒ ☐ ☐ the warehouse, the housing units, the accommodate a minimum of 80 cubic feet of storage gymnasium, and the classrooms well in space per minor. excess of 80 cu. ft. per youth. Items to be stored shall be institutional clothing, ☒ ☐ ☐ bedding, supplies and activity equipment. 1230.1.19 Personal storage. Personal Storage is being provided for at the camp in cubicles in bunks or on shelves in Each youth in a juvenile facility shall be provided with sleeping rooms of the new camp at a minimum of 9 cubic feet of secure storage space for ☒ ☐ ☐ approximately 4 cu. ft. per youth. Other personal clothing and belongings. storage is being provided in the property storage room in intake at approximately 5 cu. ft per youth. 1230.1.20 Safety equipment storage. Safety equipment will be storage in each unit and in the control station. 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. Each living unit will have a janitor closet. In all juvenile facilities, at least one securely lockable ☒ ☐ ☐ janitorial closet, containing a mop sink and sufficient area for the storage of cleaning implements, must be provided within a security area of the facility. 1230.1.22 Audio monitoring system. In safety rooms, locked holding rooms, locked sleeping rooms, single and double occupancy rooms ☒ ☐ ☐ and dormitories, there must be an audio monitoring system capable of actuation by the minor that alerts personnel. 7493 San Diego YTC PHY 23-24 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.23 Emergency power. There shall be a source of emergency power in all juvenile facilities capable of providing minimal lighting ☒ ☐ ☐ in all living units, activities areas, corridors, stairs and central control points, and to maintain fire and life safety, security, communications and alarm systems (Title 24, Part 2, Chapter 27). Such an emergency power source shall conform to the requirements specified in Title, 24, Part 3, Article 700, ☒ ☐ ☐ California Electrical Code, California Code of Regulations. 1230.1.24 Confidential interview room. Each living unit will have a room for confidential interviews. ☒ ☐ ☐ 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, ☐ ☐ ☒ 7. A mirror of material appropriate to the level of security shall be provided as specified in Section ☐ ☐ ☒ 1230.2.11. 7493 San Diego YTC PHY 23-24 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.27 Programs and activity areas. Consultation room in each living unit. Program rooms in each living unit. 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: Camp facility. ☐ ☐ ☒ 1. Juvenile halls 1:6; 2. Camps 1:10; and ☒ ☐ ☐ 3. Locked holding rooms 1:8: ☒ ☐ ☐ One toilet and one urinal may be substituted for every ☒ ☐ ☐ 15 males. 1230.2.2 Wash basins. In living units, wash basins must be available in a ratio ☐ ☐ ☒ to youth as follows: 1. Juvenile halls 1:6; 2. Camps 1:10; and ☒ ☐ ☐ 3. Locked holding rooms 1:8: ☒ ☐ ☐ Wash basis must be provided with hot and cold or ☒ ☐ ☐ tempered water. 1230.2.3 Drinking fountains. In living areas and indoor and outdoor recreation ☒ ☐ ☐ areas, drinking fountains must be accessible to youth and to staff. 1. The drinking fountain bubbler shall be on an angle which prevents waste water from flowing over the ☒ ☐ ☐ drinking bubbler; and, 2. The water flow shall be actuated by a mechanical ☒ ☐ ☐ means. 1230.2.4 Showers. 3 showers in each living unit. Shower areas shall provide privacy for the youth and ☒ ☐ ☐ help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Showers shall be available to all youth on a ratio of at least one shower or bathtub to every six youth. ☒ ☐ ☐ Showers shall be provided with tempered water. 1230.2.5 Beds. ☒ ☐ ☐ Beds shall be at least 30 inches wide and 76 inches long and be of the solid bottom type. Beds shall be at least 12 inches off the floor and ☒ ☐ ☐ spaced no less than 36 inches apart Bunk beds must have no less than 33 inches vertically ☒ ☐ ☐ between the solid bottoms. In secure facilities, the bunks shall be securely ☒ ☐ ☐ anchored and flushed against the floor and/or wall. 7493 San Diego YTC PHY 23-24 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.6 Lighting. Lighting in locked sleeping rooms, single occupancy ☒ ☐ ☐ rooms, double occupancy rooms, dormitories, day rooms and activity areas shall provide not less than 20 foot candles of illumination at desk level. Night lighting is required in these areas to provide for good visibility for supervision and be conducive to ☒ ☐ ☐ sleep. 1230.2.7 Padding. Padding in safety rooms, padding shall cover the ☐ ☐ ☒ entire floor, door, walls and everything on walls to a clear height of eight feet. Benches or platforms are not to be placed on the floor ☐ ☐ ☒ of this room. All padded rooms must be equipped with a tamper resistant fire sprinkler as approved by the State Fire ☐ ☐ ☒ Marshal. All padding must be: ☐ ☐ ☒ 1. Approved for use by the State Fire Marshal; 2. Nonporous to facilitate cleaning; ☐ ☐ ☒ 3. At least 112 inch thick; ☐ ☐ ☒ 4. Of a unitary or laminated construction to prevent its destruction by teeth, hand tearing or small metal ☐ ☐ ☒ objects; 5. Firmly bonded to all padded surfaces to prevent ☐ ☐ ☒ tearing or ripping; and, 6. Without any exposed seams susceptible to tearing ☐ ☐ ☒ or ripping. 1230.2.8 Seating. ☒ ☐ ☐ Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is ☒ ☐ ☐ seating for one person. 1230.2.9 Weapons lockers. Weapons (pistol) lockers will be provided at the intake vehicular sally port and main public Weapons lockers are required in all secure juvenile ☒ ☐ ☐ lobby for law enforcement personnel to secure facilities and shall be located outside the secure area firearms prior to entering the facility. These are of the facility. individually locked. Weapons lockers shall be equipped with individual ☒ ☐ ☐ compartments, each with an individual locking device. 1230.2.10 Security glazing. Security glazing shall comply with the minimum requirements of one of the following test standards: American Society for Testing and Materials, ASTM F ☒ ☐ ☐ 1233-98, Class III glass, or; California Department of Corrections, CDC 860-94d, Class C glass or; H.P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. 7493 San Diego YTC PHY 23-24 - 8 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.11 Mirrors. A mirror of a material appropriate to the level of ☒ ☐ ☐ security must be provided near each wash basin specified in these regulations. 7493 San Diego YTC PHY 23-24 - 9 - J456 PHY 98 01 03 09 14 18 dot JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State & Community Corrections Inspection BSCC Code: 7493 FACILITY: Youth Transition Campus (YTC) TYPE: Camp RC: 96 FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: 11/20/2023 ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S Intake 1 2014 1 (4) (4) 11 x 6 x 11.6 x 9.0 Bench Space - Four individual chairs. Dry cell. 2 & 3 2014 4 (4) (4) 8.2 x 8.6 x 9.0 1 1 1 Bench Space – Full bed (30x78). Non-rated room. When used as temp holding, the rated capacity will be 4. 4 & 5 2014 2 (5) (10) 8.2 x 6 x 9.0 Bench Space -2 benches at 47.5 each = 95’. Dry cell. 6 2014 1 (5) (5) 8.10 x 8.8 x 9.0 Bench Space - 2 benches at 47.5 each = 95’. Dry Cell. 7 2014 1 (5) (5) 8.3 x 8.10 x 9.0 Bench Space - 2 benches at 47.5 each = 95’. Dry cell. Medical Area All Dry Cell 1 2014 10.0 x 5.3 x 9.0 1 Bench Space - Bench Space - 2 benches at 47.5 each = 95’. 2 2014 11.0 x 5.7 x 9.0 Bench Space - Bench Space - 2 benches at 47.5 each = 95’. 3 2014 10.0 x 7.2 x 9.0 Bench Space - Bench Space - 2 benches at 47.5 each = 95’. 4 2014 10.0 x 6.6 x 9.0 Bench Space - Bench Space - 2 benches at 47.5 each = 95’. Medical Housing: Non-rated cells. *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. "+" indicates that capacity includes prorated air space from adjacent areas. 7493 San Diego YTC LASE 23-24 - 1 - A360 LAS Adult-05.dot (8/05) ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S 5 2014 1 1 1 1 12.6 x10.2 x 9.0 1 1 1 6 2014 1 1 1 1 12.6 x10.2 x 9.0 1 1 1 Building 1 Unit A- Achieve unit housed the female youth at the time of the inspection Single 2014 10 1 1 10 12 x 7.1 x 9.0 1 1 1 3 Single 21014 2 1 1 2 14.3 x 7.8 x9.0 1 1 1 Unit B- Courage unit housed the younger Urban Camp males. Single 2014 10 1 1 10 12 x 7.1 x 9.0 1 1 1 3 Single 21014 2 1 1 2 14.3 x 7.8 x9.0 1 1 1 Building 2 Unit A- Excel unit housed the younger Urban Camp males. Single 2014 10 1 1 10 12 x 7.1 x 9.0 1 1 1 3 Single 21014 2 1 1 2 14.3 x 7.8 x9.0 1 1 1 Unit B- Lead unit housed the older Urban Camp males. Single 2014 10 1 1 10 12 x 7.1 x 9.0 1 1 1 3 Single 21014 2 1 1 2 14.3 x 7.8 x9.0 1 1 1 Building 3 Unit A- Motivate unit housed the older Urban Camp males. Single 2014 10 1 1 10 12 x 7.1 x 9.0 1 1 1 3 Single 21014 2 1 1 2 14.3 x 7.8 x9.0 1 Unit B- Resilient unit housed the younger Hope Program males. Single 2014 10 1 1 10 12 x 7.1 x 9.0 1 1 1 3 Single 21014 2 1 1 2 14.3 x 7.8 x9.0 1 Building 4 Unit A- Succeed unit housed the older Hope Program males. Single 2014 10 1 1 10 12 x 7.1 x 9.0 1 1 1 3 Single 21014 2 1 1 2 14.3 x 7.8 x9.0 1 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7493 San Diego YTC LASE 23-24 - 2 - A360 LAS Adult-05.dot (8/05) ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S Unit B- Thrive unit housed the older Hope Program males. Single 2014 10 1 1 10 12 x 7.1 x 9.0 1 1 1 3 Single 21014 2 1 1 2 14.3 x 7.8 x9.0 1 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7493 San Diego YTC LASE 23-24 - 3 - A360 LAS Adult-05.dot (8/05)