San Luis Obispo County Probation Comp Inspection Rpt (2023-2024 inspection cycle)

June 9, 2023 Robert Reyes, Chief Probation Officer San Luis Obispo County Probation Department 1730 Bishop Street San Luis Obispo, California 93401 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SAN LUIS OBISPO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Reyes: The 2023-2024 Comprehensive Inspection of the San Luis Obispo Probation Department has been completed. A pre-inspection briefing was held on Wednesday, February 1, 2023, and the following facilities were inspected between Tuesday, May 30, 2023, and Thursday, June 1, 2023: FACILITY NAME BSCC # FACILITY TYPE San Luis Obispo Juvenile Hall 7539 JH Coastal Valley Academy 7540 CAMP Secure Youth Treatment Facility- Juvenile Hall 7541 SYTF Secure Youth Treatment Facility- Coastal 7543 SYTF Valley Academy These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to inspection(s), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. Robert Reyes, Chief Probation Officer Page 2 No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified, and no areas of noncompliance were noted. An Exit Briefing with your staff was held on Thursday, June 1, 2023; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at elizabeth.gong@bscc.ca.gov or call (916) 704-2503 if you have any questions. Sincerely, ELIZABETH GONG Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, San Luis Obispo County Juvenile Court* Chair, Juvenile Justice Commission, San Luis Obispo County* Chair, Board of Supervisors, San Luis Obispo County* County Administrator, San Luis Obispo County* Marguerite Harris, Chief Deputy Probation Officer, Juvenile Services Center *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7539+ San Luis Obispo Probation JH CAMP SYTF LTR 23-24 JUVENILE HALLS, SPECIAL-PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7539 FACILITY NAME: San Luis Obispo County Juvenile Services Center FACILITY TYPE: JH Juvenile Hall PERSON(S) INTERVIEWED: Robert Reyes, Chief Probation Officer; Tom Milder, Assistant Chief Probation Officer; Marguerite Harris, Chief Deputy Probation Officer; Seth Price, Supervising Probation Officer; Jennifer Gonzalez, Supervising Probation Officer; Laureen Kilenberger, Supervising Probation Officer; Darryl Kendrick, Juvenile Service Officer III; Krystal Keach, Juvenile Services Officer III; Wilbert Adahar, Juvenile Services Officer I; Katherine Aaron, Assistant Superintendent, San Luis Obispo Office of Education (SLOCOE); Chris Balough, Director SLOCOE; Jill Rietjens, SLO Behavior Health Division Manager – Youth Services; Lynley Ewen, SLO Behavior Health Program Supervisor; Grisel Mendoza, SLO Behavior health Clinician; Christine Burg, Nurse Practitioner - SLO Public Health; Valerie Vega, Restorative Justice Program Manager – Restorative Partners; Isabella Bischel, Restorative Partners Program Manager; Ariana, CVA Youth age 17; Jasmine, CVA Youth age 18; Brandon, SOAR Youth age 18; David, JH Youth age 16. FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 30-June 1, 2023 NOTE: The San Luis Obispo County Juvenile Services Center shares the same policies for all programs. TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS All local Inspections are for the Juvenile Services Center Juvenile Hall, Coastal On an annual basis, or as otherwise required by law, Valley Academy, and Secure Youth each juvenile facility administrator shall obtain a ☐ Treatment Facility. ☒ ☐ documented inspection and evaluation from the following: • March 31, 2023 (a) county building inspector or person designated by • February 23, 2022 the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code • March 30, 2023 ☒ ☐ ☐ Section 13146.1(a) and (b); • January 7, 2022 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. 7539 San Luis Obispo Probation JH PRO 23-24 1 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: • November 15, 2022 • November 19, 2021 Medical/Mental Health: • February 3, 2022 ☒ ☐ ☐ • January 10, 2021 Nutritional Health: • March 2, 2023 • December 2, 2021 (d) county superintendent of schools on the adequacy of educational services and facilities as required in • December 20, 2022 ☒ ☐ ☐ Section 1370; • November 29, 2021 (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, • November 29, 2022 ☒ ☐ ☐ • December 3, 2021 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or • December 28, 2022 ☒ ☐ ☐ Probation Commission as required by Section 240 of • December 14, 2021 the Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS Chapter 3, 3.1 Appointment and BSCC Note: Compliance with this section is Qualifications determined by receipt of the Chief Probation Officer’s certification letter confirming that all elements of The elements of this regulation are regulation are met. addressed in a memorandum completed by Chief Probation Officer Robert Reyes dated May 2, 2023. The memo articulates the (a) Appointment ☒ ☐ ☐ hiring practices of the agency which meets the regulation. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: Chapter 3, 3.1, B-1 (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test Chapter 3, 3.1, B-2 and evaluation for immunity to contagious illnesses ☒ ☐ ☐ of childhood (i.e., diphtheria, rubeola, rubella, and mumps); 7539 San Luis Obispo Probation JH PRO 23-24 2 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.1, B-3 and 6 (3) adhere to the minimum standards for the selection and training requirements adopted by the The BSCC Standards for Training and Board pursuant to Section 6035 of the Penal Code; ☒ ☐ ☐ Corrections (STC) report for 2021-2022 and found San Luis Obispo County Probation in compliance with requirements for staff training. (4) conduct a criminal records review, on each new employee, and psychological examination in Chapter 3, 3.1, B-4 and 5 accordance with Section 1031 of the Government ☒ ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Chapter 3, 3.1, B-7 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 Each juvenile facility shall: Chapter 3, 3.2 Staffing (a) have an adequate number of personnel sufficient to Chapter 3, 3.2, A-2 carry out the overall facility operation and its programming, to provide for safety and security of youth and staff, and meet established standards and The facility has 30 Juvenile Supervision regulations; Officers (JSO), 6 JSO III filled positions and 3 Supervising Deputy Probation Officers (SDPO). There are 5 vacancies in this series. Of the 30 JSO I/II, 2 are new hires ☒ ☐ ☐ and have not yet completed Core Training. The staffing patterns are 12-hour shifts: 6 a.m. to 6 p.m.; 6 p.m. to 6 a.m.; 8 a.m. to 8 p.m.; 9 a.m. to 9 p.m., and 10 a.m. to 10 p.m. This allows for more coverage during waking hours to complete programming and other T15 responsibilities. 7539 San Luis Obispo Probation JH PRO 23-24 3 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent Chapter 3, 3.2, A-1 exigent circumstances; The facility’s population has changed with the addition of the SYTF Program: SOAR ☒ ☐ ☐ (Seeking Opportunity and Achieving Re- Entry). The agency continues to have sufficient staffing levels with the added program. (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Chapter 3, 3.2, A-12 There are three SDPOs assigned to the ☒ ☐ ☐ facility. The necessary graveyard supervisory staff is a JSO III who maintains supervision of the overall operations of the facility during that time. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Chapter 3, 3.2, A-3 completed the Juvenile Corrections Officer Core Course and PC 832 training; ☒ ☐ ☐ There is always an SDPO or JSO III on duty, and in charge of the facility. (e) have at least one staff member present on each living unit whenever there are youth in the living unit; Chapter 3, 3.2, A-4 ☒ ☐ ☐ (f) have sufficient food service personnel relative to the number and security of living units, including staff The facility contracts with the SLO County qualified and available to: plan menus meeting Jail to provide food services. nutritional requirements of youth; provide kitchen supervision; direct food preparation and servings; ☒ ☐ ☐ conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7539 San Luis Obispo Probation JH PRO 23-24 4 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Chapter 3, 3.2, A-7 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, Ancillary personnel are not responsible for youth supervision. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Chapter 3, 3.2, A-6 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: ☒ ☐ ☐ The facility operates with a minimum of seven JSOs during waking hours and four during sleeping hours. (1) Juvenile Halls (A) during the hours that youth are awake, one ☒ Chapter 3, 3.2, A-8 ☐ ☐ 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- ☒ Chapter 3, 3.2, A-9 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 Chapter 3, 3.2, A-6 the number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to ☒ emergencies; and, ☐ ☐ The facility will operate with a minimum of one supervisor/shift leader and six JSOs on duty. (D) at least one youth supervision staff member on duty who is the same gender as youth ☒ ☐ ☐ Chapter 3, 3.2, A-10 housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, ☒ Chapter 3, 3.2, B-3, 4 ☐ ☐ clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- This facility is not an SPJH. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; 7539 San Luis Obispo Probation JH PRO 23-24 5 of 80 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 (A) during the hours that youth are awake, one ☒ This facility is not a Camp. ☐ ☐ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide- ☒ awake youth supervision staff member on duty ☐ ☐ for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☒ arrangements have been made for backup ☐ ☐ support services which allow for immediate response to emergencies; (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. 7539 San Luis Obispo Probation JH PRO 23-24 6 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Chapter 3, 3.3, A Orientation (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Chapter 3.4 Facility Training Program their duties, including: Chapter 3, 3.3, A-1 (1) youth supervision duties; The Training Program curriculum includes staff to be oriented to the Mission, Vision, and Values of the Agency; the philosophy ☒ ☐ ☐ of detained youth; an overview of Positive Behavior Interventions and Supports (PBIS); employee responsibilities and conduct; and, a review of the agency’s Use of Force policy. These requirements promote agency’s philosophy staff are able to support the physical, emotional, intellectual, and social development of youth. (2) scope of decisions they shall make; ☒ Chapter 3, 3.3, A-2 ☐ ☐ (3) the identity of their supervisor; ☒ Chapter 3, 3.3, A-3 ☐ ☐ (4) the identity of persons who are responsible to them; Chapter 3, 3.3, A-4 ☒ ☐ ☐ (5) persons to contact for decisions that are beyond their responsibility; and Chapter 3, 3.3, A-5 ☒ ☐ ☐ (6) ethical responsibilities. Chapter 3, 3.3, A-6 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 7 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Chapter 3, 3.3, B Training member shall receive a minimum of 40 hours of facility- specific orientation, including: New staff is required to complete 160 hours of facility-specific training established with an assigned permanent staff (FTO) who mentors the officers in all elements of the Facility Training Manual, including assessment of their comprehension and understanding of all elements of youth supervision. Performance Reports on their knowledge and efficiency are completed and submitted/reviewed by the facility Superintendent. ☒ ☐ ☐ The Facility Training Program Manual is reviewed and updated annually by the Deputy Chief of Facilities and the Leadership Team in the department. This level of dedication to training is demonstrated in the review of documentation and procedural elements of staff that we observed on-site. There were several new staff on board during the inspection that displayed the commitment to the training program in-house, having just returned from JSO Core Training in Alameda County. (1) individual and group supervision techniques; Chapter 3, 3.3, B-1 ☒ ☐ ☐ (2) regulations and policies relating to discipline and rights of youth pursuant to law and the ☒ ☐ ☐ Chapter 3, 3.3, B-2 provisions of this chapter; (3) basic health, sanitation and safety measures; Chapter 3, 3.3, B-3 ☒ ☐ ☐ (4) suicide prevention and response to suicide Chapter 3, 3.3, B-4. attempts ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 8 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Chapter 3, 3.3, B-5 physical restraints; (6) review of policies and procedures referencing Chapter 3, 3.3, B-6 trauma and trauma-informed approaches; ☒ ☐ ☐ (7) procedures to follow in the event of Chapter 3, 3.3, B-7 emergencies; ☒ ☐ ☐ (8) routine security measures, including facility Chapter 3, 3.3, B-8 perimeter and grounds; ☒ ☐ ☐ (9) crisis intervention and mental health referrals to Chapter 3, 3.3, B-9 mental health services; ☒ ☐ ☐ (10) documentation; and Chapter 3, 3.3, B-10 ☒ ☐ ☐ (11) fire/life safety training Chapter 3, 3.3, B-11 ☒ ☐ ☐ (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully Chapter 3, 3.3, C complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section 6035. ☒ ☐ ☐ Staff are also required to complete Annual Training as specified in Chapter 3, 3.5, A (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete ☒ Chapter 3, 3.3, B-1 training pursuant to Section 830 et seq. of the Penal ☐ ☐ Code. 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there Chapter 3, 3.2, A-11 shall be at least one wide awake person on duty at all ☒ ☐ ☐ times who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 7539 San Luis Obispo Probation JH PRO 23-24 9 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1324 POLICY AND PROCEDURES MANUAL All facility administrators shall develop, publish, and Chapter 1, 1.3 Policy Statement implement a manual of written policies and procedures that address, at a minimum, all regulations that are Chapter 3, 3.6 Policy and Procedure applicable to the facility. Such a manual shall be made Manual available to all employees, reviewed by all employees, Chapter 3, 3.6, D Procedure requirements and shall be administratively reviewed at a minimum ☒ ☐ ☐ for specific manual inclusions. every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Chief Deputy Marguerite Harris confirmed Board on request. the SLO Juvenile Services Center Manual The manual shall include: was last reviewed and updated on May 5, 2023. The manual is reviewed annually. (a) table of organization, including channels of communications and a description of job Chapter 3, 3.6, C-1 classifications; ☒ ☐ ☐ Appendix #8 has Job Descriptions, Chain of Command, and the Organization Chart for the facility. (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Chapter 3, 3.6, C-2 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; Chapter 3, 3.6, C-3 ☒ ☐ ☐ (d) initial orientation and training program for employees; Chapter 3, 3.6, C-4 ☒ ☐ ☐ (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, Chapter 3, 3.6, C-5 contract employees, school, mental/behavioral health ☒ ☐ ☐ and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and communication system to ensure: Chapter 3, 3.6, C-6 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 10 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) efficient operation of the juvenile facility; Chapter 3, 3.6, C-6, a ☒ ☐ ☐ (2) legal and proper care of youth; Chapter 3, 3.6, C-6, b ☒ ☐ ☐ (3) maintenance of individual youth's records; Chapter 3, 3.6, C-6, c ☒ ☐ ☐ (4) supply of information to the juvenile court and Chapter 3, 3.6, C-6, d those authorized by the court or by the law; and, ☒ ☐ ☐ (5) release of information regarding youth. Chapter 3, 3.6, C-6, e ☒ ☐ ☐ Chapter 3, 3.6, C-7 (g) ethical responsibilities; ☒ ☐ ☐ The department has an established ethics policy which is required to be read by all new staff. Chapter 3, 3.6, C-8 (h) trauma-informed approaches; ☒ ☐ ☐ The facility has a training curriculum that articulates staff responsibilities in their dealing with youth as it relates to trauma. 7539 San Luis Obispo Probation JH PRO 23-24 11 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.6, C-9 The facility has a training curriculum that (i) culturally responsive approaches; ☒ ☐ ☐ articulates staff responsibilities in their dealing with youth as it relates to culturally responsive approaches with their youth population. Chapter 3, 3.6, C-10 (j) gender responsive approaches; The facility has a training curriculum that ☒ ☐ ☐ articulates staff responsibilities in their dealing with youth as it relates to gender in the facility. (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Chapter 1, Section 1.2 Non-Discrimination to all available services, placement, care, treatment, Statement and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of Chapter 3, 3.6, C-11 actual or perceived race, ethnic group identification, ancestry, national origin, immigration status, color, ☒ ☐ ☐ religion, gender, sexual orientation, gender identity, This information is also in the Youth gender expression, mental or physical disability, or HIV Handbook. status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and ☒ ☐ ☐ Chapter 3, 3.6, C-12 weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible ☒ ☐ ☐ Chapter 3, 3.6, C-13 youth; and, (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. Chapter 3, 3.6, C-14 The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ Chapter 3, 3.27 PREA Policy retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 7539 San Luis Obispo Probation JH PRO 23-24 12 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire Chapter 3, 3.7 Fire Safety Plan department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire Chapter 3, 3.7, A-1 ☒ ☐ ☐ safety which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; Chapter 3, 3.7, A-2 Chapter 3, 3.7, E This section articulates the procedures to conduct the inspection, including the inspection to occur by the 15th day of each month. ☒ ☐ ☐ We reviewed the monthly inspections this cycle and noted the completion of the form, comments made to compliance or expectations, and the subsequent follow- through for any noted issues were timely. Facility administration reviews the monthly forms and maintains them in a binder for easy review. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); Chapter 3, 3.7, A-3 ☒ ☐ ☐ The most recent fire inspection was conducted on March 30, 2023. (d) an evacuation plan; Chapter 3, 3.7, A-5 Chapter 3, 3.7, K-5, d Chapter 3, 3.10 Facility Evacuation Plan ☒ ☐ ☐ The facility conducts periodic evacuation drills for each unit in the facility during fire drills. 7539 San Luis Obispo Probation JH PRO 23-24 13 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; Chapter 3, 3.7, A-5 Chapter 3, 3.7, G and J This policy articulates fire drills to occur monthly as training tools in the areas of fire, ☒ ☐ ☐ emergency systems and, evacuation drills. Our review found quarterly drills for the first three quarters of 2022, with monthly drills as required for October 2022 to April 2023. (f) a written plan for the emergency housing of youth in the case of fire; and, Chapter 3, 3.7, A-6 Evacuation Chapter 3, 3.7, K-5, d Chapter 3, 3.11 Emergency Housing of Youth The SLO County Sheriff or Santa Barbara ☒ ☐ ☐ County Probation Department (SBCPD) will house youth in the event of a full evacuation of 24 hours or more. SLO Probation has an active Memorandum of Agreement with Santa Barbara for housing. If less than 24 hours, the agency will work with the SLO Sheriff to arrange for temporary housing at the Jail. (g) development of a fire suppression pre-plan in cooperation with the local fire department. Chapter 3, 3.7, A-7 ☒ ☐ ☐ Chapter 3, 3.7, J Fire Response 7539 San Luis Obispo Probation JH PRO 23-24 14 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1326 SECURITY REVIEW Each facility administrator shall develop policies and Chapter 3, 3.8 Security Review procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, This policy requires the annual review of including, but not limited to, key control, equipment, and staff training. security issues including a report to the Chief Probation Officer. The most recent ☒ ☐ ☐ Security Review was completed via memo by SDPO Anthony Mello on March 8, 2023. We found the memo very specific to all elements of security practices with a comprehensive review of 2022. 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific Chapter 3, 3.10 Emergency Procedures ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: Chapter 3, 3.6, D-2 Chapter 3, 3.10, G Riot (inside facility) Chapter 3, 3.10, A-1 Escapes (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Chapter 3, 3.10, A-1 and 13 Hostages Chapter 3, 3.10, F Procedure Chapter 3, 3.10, A-2 and F Civil Disturbance (b) civil disturbance, active shooter and terrorist attack; ☒ ☐ ☐ Chapter 3, 3.10, A-4 Active Shooter Chapter 3, 3.10, A-5 Terrorist Attack Chapter 3, 3.10, A-3 List Chapter 3, 3.10, B-6 Definition Chapter 3, 3.10, H Disasters (c) fire and natural disasters; ☒ ☐ ☐ The facility procedures for fire and natural disasters are the same. 7539 San Luis Obispo Probation JH PRO 23-24 15 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) periodic testing of emergency equipment; Chapter 3, 3.10, A-7 ☒ ☐ ☐ Chapter 3, 3.10, A-9 Emergency Evacuation (e) emergency evacuation of the facility; and We reviewed a renewed Memorandum of ☒ ☐ ☐ Understanding dated January 11, 2023, with the Santa Barbara Probation Department for emergency housing of youth. Chapter 3, 3.10, A-10 The facility requires that staff complete a two-hour training annually on Emergency (f) a program to provide all youth supervision staff Procedures. with an annual review of emergency procedures. ☒ ☐ ☐ A memo was completed on December 7, 2022, by SPDO Jennifer Gonzalez verifying all staff had this training. The last training was held on February 3, 2022. 7539 San Luis Obispo Probation JH PRO 23-24 16 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS The facility administrator shall develop and implement Chapter 3, 3.15 Safety Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours The facility uses the Guard 1/Pipe when youth are asleep or when youth are in their Electronic safety check system. The policy rooms, confined in holding cells or confined to their was revised to articulate the audit process bed in a dormitory. Supervision is not replaced, but and staff expectations in terms of ‘random may be supplemented by, an audio/visual electronic and varied’ specific language. surveillance system designed to detect overt, Operationally, the policy provides direction aggressive or assaultive behavior and to summon aid for staff on how to use and download the in emergencies. All safety checks shall be information before, during, and after their documented with the actual time the check is shift to ensure the correct officer is completed. associated with the check. ☒ ☐ ☐ Facility administration audit and review all safety checks, handling late checks by staff through counseling, documented memo, or other measures internally. We noted late safety checks are infrequent and continuously declining since 2019, with less than 1% late since 2023. Facility Administration acknowledges 100% compliance with the policy by recognizing staff who had no late checks in a given month. 7539 San Luis Obispo Probation JH PRO 23-24 17 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot 1329 SUICIDE PREVENTION PLAN The facility administrator, in collaboration with the Chapter 3, 3.16, A Suicide Prevention Plan healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide The agency policy requires the plan to be Prevention Plan. The plan shall consider the needs reviewed annually by the Law Enforcement of youth experiencing past or current trauma. Suicide Medical Committee (LEMC), with the last prevention responses shall be respectful and in the plan review on January 29, 2022. least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: We reviewed one incident involving suicidal statements overheard during a phone call with the parent at admission. The intake staff contacted the parent and learned the youth had previously made statements of self-harm. The officer spoke with the youth who indicated he wanted to kill himself. He was quickly evaluated by the MET Team via an assessment and placed in a holding room with a suicide smock overnight. Upon return the following morning, the youth entered into a safety contract and was removed from the watch, with follow-up over the course of the youth’s stay. ☒ ☐ ☐ Facility administration works closely with San Luis Obispo County Behavior Health and San Luis Obispo County Public Health, the medical provider, to establish any concerns or behaviors related to suicide, ideation or acting out is addressed immediately by all personnel. The forms for articulation a special watch or more strict measures are clearly explained and documented by all involved agency partners. The factors addressed are housing, clothing, room checks, meals, showering, items allowed in rooms, and program participation. There is no “automatic’ protocol but rather a smooth line of communication to determine the best response to the noted behaviors and best practice determination of supervision pending clinician review or assessment. The agency has four Clinicians through SLO County Behavior Health who are on-site Monday through Friday 8:00 a.m. to 8:30 p.m. and 9:00 a.m. to 7:00 p.m. Saturday and Sunday. 7539 San Luis Obispo Probation JH PRO 23-24 18 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Chapter 3, 3.16, B-1 Training and the Juvenile Corrections Officer Core Course. ☒ ☐ ☐ This policy requires four hours of Suicide Prevention Training during Core Training and two hours annually thereafter. (b) Screening, Identification Assessment and Precautionary Protocols Chapter 3, 3.16, B-2, a (1) All youth shall be screened for risk of suicide at intake and as needed during detention. When a youth is admitted, intake staff along with medical personnel complete a myriad of assessments and screening ☒ ☐ ☐ questionnaires to adequately assess their level of risk as it relates to trauma, health, and behavior health issues, and classification criteria for special or articulated behaviors. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for Chapter 3, 3.16, B-1, a risk of suicide. ☒ ☐ ☐ The policy requires all staff to be trained, not just intake staff. (3) All youth who have been identified during the intake screening process to be at risk of suicide Chapter 3, 3.16, B-2, e-1 and 2 shall be referred to behavioral/mental health staff for a suicide risk assessment. This policy outlines the process for mental ☒ ☐ ☐ health referrals. Mental health staff are on duty seven days per week, with the MET Crisis Team on-call after traditional hours. (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the Chapter 3, 3.16, C-1 through 4 behavioral/mental health assessment. ☒ ☐ ☐ This includes housing, treatment, supervision, and programming strategies. 7539 San Luis Obispo Probation JH PRO 23-24 19 of 80 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 assessment and/or services. Chapter 3, 3.16, B-2, a and e-2 This articulates the immediate referral to ☒ ☐ ☐ the Mental Health Therapist (MHT) or Clinician. If not on duty, there is a procedure in place to contact the Mental Health Evaluation Team for emergencies. (d) Procedures for monitoring of youth identified at risk for suicide. Chapter 3, 3.16, C-3, a-d ☒ ☐ ☐ This articulates the level of supervision based on the MHT/Clinician established protocol and is relayed to on-duty staff. (e) Safety Interventions (1) Procedures to address intervention protocols for youth identified at risk for suicide which may ☒ ☐ ☐ Chapter 3, 3.16, C Safety Interventions include, but are not limited to: (A) Housing consideration Chapter 3, 3.16, C-1 ☒ ☐ ☐ (B) Treatment strategies including trauma- informed approaches Chapter 3, 3.16, C-2 ☒ ☐ ☐ (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal Chapter 3, 3.16, C-5 behaviors. ☒ ☐ ☐ Facility staff are required to address any forms of suicide ideation, discussion, or response to suicide behaviors. 7539 San Luis Obispo Probation JH PRO 23-24 20 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication (1) The intake process shall include Chapter 3, 3.16, B-2, a-d communication with the arresting officer and family guardians regarding the youth’s past or present Chapter 3, 3.16, C-5, c suicidal ideations, behaviors or attempts. The on-duty intake officer is required to communicate with officers, parents/family, facility staff, and agency partners to retrieve current or past information relating to suicide behaviors. That intake officer then ☒ ☐ ☐ communicates the information to the on- duty supervisors, medical and mental health staff. Additionally, any threats or actions while the youth is in custody shall be reported immediately to the lead unit staff, supervisor, and Medical and Mental Health staff. (2) Procedures for clear and current information sharing about youth at risk for suicide with youth There are weekly (ICMC) meetings that supervision, healthcare, and behavioral/mental include discussions of each youth and any health staff. circumstances relevant to depression or isolation. We spoke with the administrators of each ☒ ☐ ☐ agency included in the regulation and although there are weekly meetings to address youth behavior, all partners are in active communication with facility staff regarding any behaviors that need to be communicated or addressed, sometimes several times a day. (g) Debriefing of Critical Incidents Related to Suicides or Attempts Chapter 3, 3.16, F Critical Incident Debrief (1) Process for administrative review of the circumstances and responses proceeding, during ☒ ☐ ☐ Chapter 3, 3.16, F-4 Administrative Review and after the critical incident. (2) Process for a debriefing event with affected Chapter 3, 3.16, F-1 and 2 staff. ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 21 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Process for a debriefing event with affected youth. Chapter 3, 3.16, F-3 ☒ ☐ ☐ (h) Documentation (1) Documentation processes shall be developed ☒ ☐ ☐ Chapter 3, 3.16, E to ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, Chapter 3, 3.16, C-4 Programming 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 The facility houses, treats, supervises, and youth at risk of suicide shall be documented and ☒ ☐ ☐ encourages all youth identified as being at approved by the facility manager. risk for suicidal behaviors. The daily BH evaluations and constant staff engagement are encouraged and supported by the administration. 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of Chapter 4, 4.1 Reporting of Legal Actions notification on each legal action, pertaining to ☒ ☐ ☐ conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Chapter 4, 4.2,1(a) (1) Death of a Youth. (a) The facility administrator, in cooperation with Chapter 4, 4.2 Paragraph #1 and F the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth The policy identifies all parties required to while detained, which include notifications to be notified in the event of an in-custody necessary parties, which may include the Juvenile death. Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written Chapter 4, 4.2, G-1 and 2 Operational policies and procedures to assure there is a Review 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 the Board a copy of the report submitted to the Chapter 4, 4.2, F-5, b 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. 7539 San Luis Obispo Probation JH PRO 23-24 22 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within Chapter 4, 4.2, F-6 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the provisions of this subchapter. Any inquiry ☒ ☐ ☐ made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. (a) The facility administrator, in cooperation with Chapter 4, 4.2, I Notifications in Event of the health administrator, shall develop written Serious Illness or Injury 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 Each juvenile facility shall submit required population Chapter 3, 3.16 and profile survey reports to the Board within 10 ☒ ☐ ☐ working days after the end of each reporting period, Chapter 4, 4.3 in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Chapter 4, 4.5 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 The facility has not exceeded rated administrator shall provide a crowding report to the capacities this cycle. Board in a format provided by the Board. 7539 San Luis Obispo Probation JH PRO 23-24 23 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot 1350 ADMITTANCE PROCEDURES The facility administrator shall develop and implement Chapter 5, 5.1 Admittance Procedures written policies and procedures for admittance of youth that emphasize respectful and humane Chapter 5, 5.1 General Policy 1st paragraph engagement with youth, and reflect that the admission process may be traumatic to youth who may have already experienced trauma. Policies shall be trauma- The agency has many policies and informed, culturally relevant, and responsive to the required assessments in place for youth language and literacy needs of youth. In addition to admission. Intake staff complete a the requirements of Sections 1324 and 1430 of these process for booking a youth including regulations: Orientation and Rules; Non-Association Orders; Property Inventory, Parent Notifications; Mental Health History/Screening; WIC 627 admission requirements; Non-Racial agreement; Gang Information worksheet; a SOGIE assessment; Gender Preference Questionnaire; and Disability and/or IEP questions. The level of information is communicated with all staff and agency partners to make the most appropriate decision for unit placement, classification status, and room placement. ☒ ☐ ☐ Each tool provides insight into the youth’s attitude, prior victimization, gang influence, sexual abuse or assault, and aggression via the intake questionnaire. The medical and mental health assessments include questions related to illnesses, medication, history of medical incidents, mental health conditions, prior assaultive or suicidal behaviors, trauma, and family issues. The historical and current information are relevant to detention decisions as well as appropriate to establish relevant goals and objectives during the youths stay. We reviewed many admission packet forms verifying the comprehensive and detailed intake process to admit youth into the facility, which is responsive to all required elements in regulation. The narrative entries by staff are informative and include the necessary information to address health, mental health, classification, and related concerns in determining youth needs at admission. 7539 San Luis Obispo Probation JH PRO 23-24 24 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) the admittance process shall include: (1) Access to two free phone calls within one hour Chapter 5, 5.1, a of admittance in accordance with the provisions of ☒ ☐ ☐ Welfare and Institution Code Section 627; (2) Offer of a shower; Chapter 5, 5.1, b ☒ ☐ ☐ (3) Documented secure storage of personal Chapter 5, 5.1, c belongings; ☒ ☐ ☐ (4) Offer of food upon arrival; Chapter 5, 5.1, d-1 and 2 ☒ ☐ ☐ (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ Chapter 5, 5.1, e General Policy disabilities; (6) Screening for physical and developmental disabilities in accordance with Sections 1329, ☒ ☐ ☐ Chapter 5, 5.1, f General Policy 1413, and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are Chapter 5, 5.1, g General Policy suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, Chapter 5, 5.3, G Transgender and Intersex (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Youth (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive ☒ ☐ ☐ Chapter 5, 5.1, A Detention Policy environment. Statement (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures Chapter 5, 5.1, P 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 that advise any committed youth of the ☒ ☐ ☐ Chapter 5, 5.1, P estimated length of his/her stay. 7539 San Luis Obispo Probation JH PRO 23-24 25 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Chapter 5, 5.2 Screening for the Risk of The facility administrator shall develop and implement Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 The facility has a comprehensive screening ☒ ☐ ☐ hours of admission based on the following process, including intake forms, the SOGIE information: and CSEC assessments, case file reviews, Court records, and incident or behavior reports to assess this risk. (a) Prior sexual victimization or abusiveness; Chapter 5, 5.2, a ☒ ☐ ☐ (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, Chapter 5, 5.2, b queer or intersex, and whether the youth may, ☒ ☐ ☐ therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; Chapter 5, 5.2, c ☒ ☐ ☐ (d) Age; Chapter 5, 5.2, d ☒ ☐ ☐ (e) Level of emotional and cognitive development; Chapter 5, 5.2, e ☒ ☐ ☐ (f) Physical size and stature; Chapter 5, 5.2, f ☒ ☐ ☐ (g) Mental illness or mental disabilities; Chapter 5, 5.2, g ☒ ☐ ☐ (h) Intellectual or developmental disabilities; Chapter 5, 5.2, h ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 26 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (i) Physical disabilities; Chapter 5, 5.2, i ☒ ☐ ☐ (j) The youth’s perception of vulnerability; and, Chapter 5, 5.2, j ☒ ☐ ☐ (k) Any other specific information about the individual youth that may indicate heightened needs for Chapter 5, 5.2, k supervision, additional safety precautions, or ☒ ☐ ☐ separation from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance Chapter 5, 5.2, 2nd paragraph 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 controls on the dissemination of information within the Chapter 5, 5.2, 3rd paragraph facility relative to responses received pursuant to this assessment in order to ensure that sensitive ☒ ☐ ☐ information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES The facility administrator shall develop and implement Chapter 5, 5.3 Release Procedures written policies and procedures for release of youth from custody which provide for: The Institution Case Management Committee (ICMC) meets weekly to assist youth with release and reintegration into the community. This team is a coordinated effort with facility staff, the assigned probation officer, and representatives from medical, MH, and education. This full- ☒ ☐ ☐ service approach provides transition services to allow for better adjustment as the youth exits the facility. We reviewed 22 youth release documents/ forms from each program, detailing the length of stay and who ordered the release, most by the Court after completion of the program or original order. 7539 San Luis Obispo Probation JH PRO 23-24 27 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 5, 5.3, F-3, b and c (a) verification of identity/release papers; ☒ ☐ ☐ Chapter 5, 5.3, M-1 Chapter 5, 5.3, F-3, d (b) return of personal clothing and valuables; Chapter 5, 5.3, J ☒ ☐ ☐ Chapter 5, 5.3, M-4 (c) notification to the youth's parents or guardian; Chapter 5, 5.3, F-3, a ☒ ☐ ☐ (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these Chapter 5, 5.3, F-3, e regulations, for coordination with outside agencies; ☒ ☐ ☐ and, (e) notification of school staff; Chapter 5, 5.3, F-3, f ☒ ☐ ☐ (f) notification of facility mental health personnel. Chapter 5, 5.3, F-3, f ☒ ☐ ☐ The facility administrator shall develop and implement policies and procedures for post-disposition youth to Chapter 5, 5.1, O coordinate the provision of transitional and reentry services including, but not limited to, medical and ☒ ☐ ☐ behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement written policies and procedures for the furlough of ☒ ☐ ☐ Chapter 5, 5.3, K youth from custody. 7539 San Luis Obispo Probation JH PRO 23-24 28 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352 CLASSIFICATION The facility administrator shall develop and implement Chapter 5, 5.4 Classification written policies and procedures on classification of youth for the purpose of determining housing placement in the facility. The policy includes the process by which Such procedures shall: staff identify a youth’s needs while in detention, at CVA, or in SOAR. There were three operational units when we were on site, West had 10 pre-disposition youth in custody; Pismo and Morrow units had 6 in CVA and 1 in SOAR. Detention youth are placed in the appropriate room in the unit to address any specific areas identified during intake such ☒ ☐ ☐ as proximately to the staff counter or, for those that do not pose a risk, farther away from the control counter. Morrow and Pismo units house post-dispositional youth committed to the program and placement is evaluated based on criteria identified throughout their stay. We reviewed 22 Classification Screening documents which demonstrated the ability to adjust a youth’s classification status based on new information and youth behavior. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the Chapter 5, 5.4, A appropriate, least restrictive housing and program settings. Housing assignments shall consider the ☒ ☐ ☐ need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of the facility; Chapter 5, 5.4, E ☒ ☐ ☐ This section identifies the facility unit design and the appropriate classification factors for placement. 7539 San Luis Obispo Probation JH PRO 23-24 29 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Chapter 5, 5.4, A-1 through] 14 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ Chapter 5, 5.4, F Security Classifications: legal status, public safety considerations, medical/mental health considerations, gender and General Population, Restricted Status, gender identity of the youth; Special Modified Program (d) provide for periodic classification reviews, including provisions that consider the level of Chapter 5, 5.4, F-11 supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ The facility assesses all youth on a special program daily to evaluate progress and/or modification. (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Chapter 5, 5.4, F-12 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, ☒ ☐ ☐ mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex Chapter 5, 5.4, F-13 identification or status as an indicator of likelihood of ☒ ☐ ☐ being sexually abusive. 7539 San Luis Obispo Probation JH PRO 23-24 30 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Chapter 5, 5.5 Transgender and Intersex and procedures ensuring respectful and equitable Youth treatment of transgender and intersex youth. The policies shall provide that: The facility administers the SOGIE and CSEC tools to assess a youth’s likelihood to victimize or exploit others, as well as their potential to be victimized or exploited. ☒ ☐ ☐ There was a transgender youth in custody while on-site. Our interview with the youth revealed her needs, concerns, or issues are addressed by youth supervision staff and agency partners in a positive manner. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s Chapter 5, 5.5, D preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use ☒ ☐ ☐ of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their Chapter 5, 5.5, E and F gender identity and shall provide youth with the ☒ ☐ ☐ institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes Chapter 5, 5.5, G and I their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any ☒ ☐ ☐ decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender and intersex youth have access to Chapter 5, 5.5, K medical and behavioral health providers qualified to ☒ ☐ ☐ provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, Chapter 5, 5.5, L facility staff shall make every effort to ensure the ☒ ☐ ☐ safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. 7539 San Luis Obispo Probation JH PRO 23-24 31 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s Chapter 5, 5.5, M and N anatomical sex. Whenever feasible, the facility shall respect the youth’s preference regarding the gender ☒ ☐ ☐ of the staff member who conducts any search of the youth. 1353 ORIENTATION The facility administrator shall develop and implement Chapter 5, 5.6 Orientation of Youth written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Chapter 5, 5.4, A and B information shall be provided and supplemented with video orientation if feasible. Provision shall be made to provide accessible orientation information to all The Youth Handbook and intake booking detained youth including those with disabilities, limited process provide youth with a summary of literacy, or English language learners. Orientation all elements required by regulation. The shall include information that addresses: description in the handbook allows youth to understand what to expect while in custody as well as a summary of daily processes. The agency requires youth to sign a form ☒ ☐ ☐ indicating they understand expectations while in custody. The agency operates in conjunction with the PBIS (Positive Behavior Interventions and Supports) philosophy and youth are frequently reminded of rules/expectations, that promote safe, responsible, and considerate behaviors. This is promoted by all youth supervision staff and agency partners. (a) facility rules including contraband and searches and disciplinary procedures; Chapter 5, 5.6, B-1 ☒ ☐ ☐ (b) facility’s system of positive behavior interventions and supports, including behavior expectations, Chapter 5, 5.6, B-17 incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual Chapter 5, 5.6, B-18 harassment and how to report incidents or suspicions ☒ ☐ ☐ of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Chapter 5, 5.6, B-19 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 32 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to Chapter 5, 5.6, B-2 Grievance Procedure be free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue; Chapter 5, 5.6, B-3 Legal Services (f) access to legal services and information on the court process; ☒ ☐ ☐ Chapter 5, 5.6, B-8 Court Process Chapter 5, 5.6, B-4 Health Care (g) access to routine and emergency health and mental health care; ☒ ☐ ☐ Chapter 5, 5.6, B-7 Counseling Services Chapter 5, 5.6, B-5 Education and (h) access to education, religious services, and Recreational recreational activities; ☒ ☐ ☐ Chapter 5, 5.6, B-6 Religious Services (i) housing assignments; Chapter 5, 5.6, B-9, ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers including the availability of personal care items Chapter 5, 5.6, B-10 ☒ ☐ ☐ (k) rules and access to correspondence, visits and telephone use; Chapter 5, 5.6, B-11 ☒ ☐ ☐ (l) availability of reading materials, programming, and other activities; Chapter 5, 5.6, B-12 ☒ ☐ ☐ (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Chapter 5, 5.6, B-13 Use of Restraints and Chemical Agents ☒ ☐ ☐ Chapter 5, 5.6, B-14 Use of Force 7539 San Luis Obispo Probation JH PRO 23-24 33 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (n) immigration legal services; Chapter 5, 5.6, B-3 ☒ ☐ ☐ (o) emergencies including evacuation procedures; Chapter 5, 5.6, B-15 Evacuation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment Chapter 5, 5.6, B-16 Non-Discrimination by other youth and staff; Policy ☒ ☐ ☐ Chapter 5, 5.6, B-20 (q) availability of services and programs in a language other than English if appropriate; Chapter 5, 5.6, B-21 ☒ ☐ ☐ (r) the process for requesting different housing, education, programming and work assignments; Chapter 5, 5.6, B-24 ☒ ☐ ☐ (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility Chapter 5, 5.6, B-22 that at a minimum includes answers to frequently asked questions and provides contact information for the facility, medical, school and mental health; and, A Parent Notice provides responses to ☒ ☐ ☐ frequently asked questions for parents who do not have access to online orientation information. (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. Chapter 5, 5.6, B-23 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 34 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION The facility administrator shall develop and implement Chapter 5, 5.7 Separation written policies and procedures that address: Facility staff processes the need for Separation through reflection time and/or with privilege suspension as sanctions for incidents that do not pose a threat to the safety or security of the facility, staff, or other youth. The tools used include activities that focus on identifying the behavior and making better choices. We reviewed the Separation notes ☒ ☐ ☐ demonstrating the youth’s request for separation (self-separation) or when a youth is removed from an environment for behaviors inconsistent with unit activities. Each situation documented the approach to reflection activities to redirect behavior. Any youth involved in an incident that poses a risk to the safety and security of youth, staff, or the facility is subject to room confinement. It is noted youth reintegration sometimes includes separation from group or unit activities. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health Chapter 5, 5.7, A-1 conditions, assaultive behavior, disciplinary ☒ ☐ ☐ consequences and protective custody. (b) consideration of positive youth development and trauma-informed care. Chapter 5, 5.7, A3 ☒ ☐ ☐ (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Chapter 5, 5.7, A-2 necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. Chapter 5, 5.7, C ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 35 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and Chapter 5, 5.7, D Institutions Code Section 208.3 and Section 1354.5 of ☒ ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains ☒ ☐ ☐ Chapter 5, 5.7, E necessary. 7539 San Luis Obispo Probation JH PRO 23-24 36 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Chapter 5, 5.8 Room Confinement (RC) implement written policies and procedures addressing the confinement of youth in their room that are Chapter 5, 5.8, C Procedure for consistent with Welfare and Institutions Code Section implementation of RC 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: The facility staff uses room confinement as a last resort, evidenced by their documentation of incidents reviewed. The PBIS model of behavior modification allows youth to confront negative behaviors by reflection and discussion before a situation escalates. Facility staff are trained to de- escalate issues through counseling and understanding the triggers which escalate bad behavior. Allowing youth to self- separate to take a time out and work on calming behaviors has been an effective tool as well. We reviewed 32 incidents involving room confinement, all of which demonstrated the need to remove a youth from the unit or setting due to an articulable safety or security-related behavior. Most involved fights, physically challenging staff or others, ☒ ☐ ☐ or defiance to the point of aggressive action or statements. The process in these situations includes monitoring behavior by discussions with the youth at a minimum of every 15 minutes and documenting the point when a youth no longer poses a threat, demonstrating he or she is ready for BH staff inclusion. The facility has had 138 incidents of RC since March 2022, averaging less than 10 incidents per month, since the last inspection. Our review indicated most were removed at or before two hours and only two incidents were longer than four hours. We provided technical assistance so that staff did not wait for BH staff to remove the youth and to enlist the on-duty JSO III to meet with the youth and determine reintegration as soon as the youth was ready. We found several incidents were inclusive of operational time and not part of the total time, resulting in less than the recorded room confinement duration. 7539 San Luis Obispo Probation JH PRO 23-24 37 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Room confinement shall not be used before other, less restrictive, options have been Chapter 5, 5.8, C-1 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 purposes of punishment, coercion, convenience, ☒ ☐ ☐ Chapter 5, 5.8, C-2 or retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical ☒ ☐ ☐ Chapter 5, 5.8, C-3 health of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room Chapter 5, 5.8, C-8 confinement for a period of four hours, staff shall do ☒ ☐ ☐ one or more of the following: (1) Return the youth to general population. Chapter 5, 5.8, C-8 ☒ ☐ ☐ Chapter 5, 5.8, C-5, b (2) Consult with mental health or medical staff. ☒ ☐ ☐ The facility behavior health staff are notified when a youth is placed on RC and respond immediately. (3) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Chapter 5, 5.8, D reintegrate the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: ☒ ☐ ☐ (A) Document the reasons for room confinement and the basis for the extension, Chapter 5, 5.8, D-2 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 the goals and objectives to be met in order to ☒ ☐ ☐ Chapter 5, 5.8, D-3 integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ Chapter 5, 5.8, D-1 every four hours thereafter. 7539 San Luis Obispo Probation JH PRO 23-24 38 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) This section is not intended to limit the use of single-person rooms or cells for the housing of Chapter 5, 5.8, A and B-1 youth in juvenile facilities and does not apply to ☒ ☐ ☐ normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. Chapter 5, 5.8, B-2 ☒ ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that Chapter 5, 5.8, B-3 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 placed in a locked cell or sleeping room to treat Chapter 5, 5.8, B-4 and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an illness. Additionally, this section ☒ ☐ ☐ does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 7539 San Luis Obispo Probation JH PRO 23-24 39 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN The facility administrator shall develop and implement Chapter 5, 5.9 Institution Assessment and written policies and procedures for assessment and Plan case planning. The case plan is developed with the assistance of the Institution Case Management Committee (ICMC), comprised of an SDPO or assigned DPO, JSO III, a Mental Health Clinician, an education representative, and a nurse or nurse practitioner. The Family Care Network provides two case managers to the facility for completing the initial, ongoing, and transition plans. The policy requires a case plan to be completed within 25 days of admission and every 30 days thereafter. We reviewed 20 initial, ongoing, and transition case plans, as well as two (one youth) Individual Rehabilitation Plans from the SOAR/SYTF ☒ ☐ ☐ program. The SOAR plans included independent assessments of the youths’ needs with targeted objectives and referrals for services based on admission information collected at intake. The plans are updated based on information from the ICMC meetings, which occur weekly, and recommendations for treatment or education services. These comprehensive plans require Court appearances every six months to evaluate the youth’s progress in what is in most cases a long-term commitment. The agency exceeds regulation, noting the plans were completed prior to the 30 days; and updated with notes on participation in programming and completion of objectives. The transition plan prior to release pointed out, and directed the youth on re-entry expectations. 7539 San Luis Obispo Probation JH PRO 23-24 40 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: The assessment is based on information collected Chapter 5, 5.9, B during the admission process with periodic review, which includes the youth's risk factors, needs and strengths including, but not limited to, identification of ☒ ☐ ☐ substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: (1) A case plan shall be developed for each youth Chapter 5, 5.9, A held for at least 30 days or more and created within 40 days of admission. ☒ ☐ ☐ The facility designates Case Managers to assist in the completion of the initial assessment before 25 days. (2) The institutional plan shall include, but not be limited to, written documentation that provides: ☒ ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; Chapter 5, 5.9, B-1, a ☒ ☐ ☐ (B) a plan for meeting the objectives that includes a description of program resources Chapter 5, 5.9, B-1, b needed and individuals responsible for ☒ ☐ ☐ assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review Chapter 5, 5.9, C-1 and discussion of the plan with the youth; The plans are reviewed every 30 days to ☒ ☐ ☐ determine the progress or completion of the objectives documented. Our review verified the agency complies with this intensive process. (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed Chapter 5, 5.9, C-2 for post dispositional youth in accordance with ☒ ☐ ☐ Section 1351; and, 7539 San Luis Obispo Probation JH PRO 23-24 41 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be Chapter 5, 5.9, A Case Management developed with input from the family, supportive Committee adults, youth, and Regional Center for the Developmentally Disabled. Chapter 5, 5.9, C-2 Chapter 5, 5.9, C-3 Contact with the Regional Center ☒ ☐ ☐ The committee meets weekly to provide input on the initial, ongoing, and transition case plan. 1356 COUNSELING AND CASEWORK SERVICES Chapter 5, 5.10 Counseling and Casework The facility administrator shall develop and implement Services written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall Through PBIS, facility staff continually ensure: counsel and re-direct negative behavior, as well as acknowledge positive behavior. The interventions are verbal and sometimes involve Reflection reports to draw the youth back to his or her ‘plan.’ Notes are electronically maintained in the ☒ ☐ ☐ JSO III Logs and discussed at the weekly ICMC meetings, including adjusting a case plan to best meet the individual needs of youth. We provided technical assistance to ensure that these entries are memorialized in the youth’s electronic file to benefit or re-direct case plan objectives. (a) youth will receive assistance with needs or concerns that may arise; Chapter 5, 5.10, B-1 ☒ ☐ ☐ (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Chapter 5, 5.10, B-3 probation officer, or other public official; and, (c) youth will be provided access to available resources to meet the youth’s needs. Chapter 5, 5.10, B-4 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 42 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE The facility administrator, in cooperation with the Chapter 5, 5.11 Use of Force (UF) responsible physician, shall develop and implement written policies and procedures for the use of force, Chapter 5, 5.11, D-2 General Provisions which may include chemical agents. Force shall never Chapter 5, 5.11, L Chemical Agents be applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies We reviewed all 10 of the UF incidents and procedures which: since March 2022. Staff are diligent in preventing the need for force unless no other options are available. Of the UF incidents, none involved OC spray. ☒ ☐ ☐ The incidents reviewed provided clear documentation of events leading to the force option, including attempts to de- escalate. When medical and mental health staff are on-site, they respond immediately. It is noted all UF incidents are administratively reviewed, including a video review, to determine if the force was necessary. All incidents were determined to be appropriate force used. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section Chapter 5, 5.11, D-5 1302 to ensure the safety and security of youth, ☒ ☐ ☐ staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options Chapter 5, 5.11, D-3, 4 and 5 and define when those force options are Chapter 5, 5.11, E Control and Compliance appropriate. ☒ ☐ ☐ Holds Chapter 5, 5.11, F Other Hand to Hand Force Methods (3) describe force options or techniques that are expressly prohibited by the facility. Chapter 5, 5.11, D -13 Carotid Hold ☒ ☐ ☐ Chapter 5, 5.11, F-3 Kicking and punching. (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative Chapter 5, 5.11, D-10 action to immediately stop it. ☒ ☐ ☐ Chapter 5, 5.11, O-8 7539 San Luis Obispo Probation JH PRO 23-24 43 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that includes time period and procedure for Chapter 5, 5.11, P-1 through 5 documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and ☒ ☐ ☐ or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. Chapter 5, 5.11, P-5 The Chief Deputy conducts an independent review of all UF incidents to determine the ☒ ☐ ☐ need for internal investigation. Their review includes submitted recommendations by the supervisor who reviewed video of the incident. (7) define the role, notification, and follow-up procedures required after use of force incidents for Chapter 5, 5.11, D-15 Medical and Mental medical, mental health staff and parents or legal Health guardians. Chapter 5, 5.11, L-7 OC Spray Notifications ☒ ☐ ☐ Chapter 5, 5.11, L, O-10 Parent Notification of UF (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Chapter 5, 5.11, C-1, a Section 6030(f) and Welfare and Institutions Code Section 222. ☒ ☐ ☐ This policy addresses known medical conditions, including pregnant youth. (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Chapter 5, 5.11, L Chemical Agents (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and Chapter 5, 5.11, L-1 Trained Staff Only the approved method of deployment for those chemical agents. ☒ ☐ ☐ It is noted there have been no incidents of OC spray use since March 2022. 7539 San Luis Obispo Probation JH PRO 23-24 44 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s Chapter 5, 5.11, L-2 safety or the safety of others and only when de- ☒ ☐ ☐ escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical Chapter 5, 5.11, L-6 agents. This shall include that youth who have been exposed to chemical agents shall not be left Chapter 5, 5.11, L-8 unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical ☒ ☐ ☐ agent. Per policy, youth are offered a change of clothes within one hour of the incident and are not left unattended. (4) define the role, notification, and follow-up procedures required after use of force incidents Chapter 5, 5.11, L-7 OC Spray Notifications involving chemical agents for medical, mental health staff and parents or legal guardians. ☒ ☐ ☐ Chapter 5, 5.11, O-10 Parent Notification of UF (5) provide for the documentation of each incident of use of chemical agents, including the reasons Chapter 5, 5.11, O-2, a-h for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and ☒ ☐ ☐ location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular Chapter 5, 5.11, C Training training in use of force and chemical agents when ☒ ☐ ☐ appropriate that address: (1) known medical and behavioral health conditions that would contraindicate certain types Chapter 5, 5.11, C-1, a of force; ☒ ☐ ☐ (2) acceptable chemical agents and the methods of application. Chapter 5, 5.11, C-1, a ☒ ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. Chapter 5, 5.11, C-1, a ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 45 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) instruction on the Constitutional Limitations of Use of Force. Chapter 5, 5.11, C-1, a ☒ ☐ ☐ (5) physical training force options that may require the use of perishable skills. Chapter 5, 5.11, C-1, a ☒ ☐ ☐ (6) timelines the facility uses to define regular training. Chapter 5, 5.11, C-1, a ☒ ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Chapter 5, 5.12 Use of Restraints (UR) responsible physician and mental health director, shall develop and implement written policies and Chapter 5, 5.12, A WRAP System procedures for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from The WRAP is the tool used by the agency being ambulatory. to immobilize a youth in the event the youths pose a risk to themselves. There have been no incidents of the use of the WRAP since the last inspection in March 2022. It is used as a last resort to protect a ☒ ☐ ☐ youth from self-harm and policy includes very specific criteria for its use, including Medical and MH engagement in the process of application and throughout the time the youth is in the WRAP. Policy is specific that a youth cannot be in the WRAP without DCPO approval, for longer than 30 minutes, and if medical staff are not on duty, the WRAP cannot be used. Physical restraints may be used only for those youth who present an immediate danger to themselves or Chapter 5, 5.12 others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause Chapter 5, 5.12, A-2 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. 7539 San Luis Obispo Probation JH PRO 23-24 46 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of Chapter 5, 5.12, A-3 restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through Chapter 5, 5.11, G Security Restraints affixing of hands and feet together behind the back (Transportation and Movement only) (hogtying) is prohibited. The use of restraints on ☒ ☐ ☐ pregnant youth is limited in accordance with Penal Chapter 5, 5.11, G-4 No Affixing Hands and Code Section 6030(f) and Welfare and Institutions Feet or Hogtying Code Section 222. Chapter 5, 5.11, H Pregnant Youth The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when Chapter 5, 5.11, G Security Restraints used to restrain youth for movement or transportation (Transportation and Movement only) within the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices Chapter 5, 5.13, A-1 Transportation and ☒ ☐ ☐ for Movement Within the Facility. Movement Youth shall be placed in restraints only with the approval of the facility manager or designee. The Chapter 5, 5.12, A-2 facility manager may delegate authority to place a youth in restraints to a physician. Reasons for Chapter 5, 5.12, A-9 continued retention in restraints shall be reviewed and documented at a minimum of every hour. ☒ ☐ ☐ The policy states youth cannot be in the WRAP for longer than 30 minutes without DCPO approval. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no Chapter 5, 5.12, A-4 later than two hours from the time of placement. The youth shall be medically cleared for continued retention Chapter 5, 5.12, A-6, a at least every three hours thereafter. This policy requires a nurse consultation ☒ ☐ ☐ prior to placement in WRAP. If medical staff are not available, the WRAP is not to be used. Medical is to respond immediately upon placement and to review/evaluate the need to continue, every 15 minutes. 7539 San Luis Obispo Probation JH PRO 23-24 47 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from Chapter 5, 5.12, A-10 the time of placement, to assess the need for mental health treatment. The policy notes the BH staff shall respond and engage the youth within 15 minutes of ☒ ☐ ☐ placement. If not on site, staff are to exercise de-escalation techniques and if the youth is displaying self-harm behavior, they are to contact the Mental Health Crisis Team to respond to the facility. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly Chapter 5, 5.12, A-5, a employed, and to ensure the safety and well-being of the youth. Observations of the youth's behavior and Chapter 5, 5.12, A-8 any staff interventions shall be documented at least every 15 minutes, with actual time of the ☒ ☐ ☐ documentation recorded. While in the WRAP, the youth’s status is documented every 10 minutes. In addition to the requirements above, policies and procedures shall address: Chapter 5, 5.11, P-1 ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate certain restraint devices and/or Chapter 5, 5.11, P-1 techniques. ☒ ☐ ☐ (c) acceptable restraint devices. Chapter 5, 5.12, A WRAP Restraint System ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 48 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) signs or symptoms which should result in immediate medical/mental health referral. Chapter 5, 5.12, A-5 and 6 Chapter 5, 5.12, A-10 Medical and BH staff are called to the ☒ ☐ ☐ scene if a youth is placed in the WRAP and remain on-site until removed. The policy states medical checks every 15 minutes and BH engagement, if on duty, within 15 minutes. Follow-up is determined by Medical and BH staff. (e) availability of cardiopulmonary resuscitation equipment. Chapter 5, 5.12, A-6, c ☒ ☐ ☐ (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in Chapter 5, 5.12, A-5, b a specified housing area for restrained youth which ☒ ☐ ☐ makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Chapter 5, 5.12, A-11 and 12 ☒ ☐ ☐ (h) exercising of extremities. Chapter 5, 5.12, A-6, b ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 49 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Chapter 5, 5.13 WITHIN THE FACILITY. The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health The JSOs provide clear documentation of director, shall develop and implement written policies the need to apply restraints when moving a and procedures for the use of restraint devices when youth to their room or to holding. The the purpose is for movement or transportation within assessment is based on the need to have the facility that shall include the following: control over the youth while moving the youth. The articulation was clear and necessary in the incidents we reviewed. ☒ ☐ ☐ Of the 10 use-of-force incidents since the last inspection, seven involved the use of restraints for the movement of the youth to their room or the holding room. The form utilized to record force, restraints, OC, and appropriate notifications (parents and agency partners), clearly directs staff responsibilities. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Chapter 5, 5.13, 1 training. ☒ ☐ ☐ The agency has handcuffs, shackles, soft restraints, and flex cuffs. (b) the circumstances leading to the application of restraints must be documented. Chapter 5, 5.13, 5 Documentation and ☒ ☐ ☐ Supervisor Approval (c) an individual assessment of the need to apply restraints for movement or transportation that Chapter 5, 5.13, 3-a through d includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ Chapter 5, 5.13, 5 Documentation and health conditions, trauma informed approaches, and Supervisor Approval a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint Chapter 5, 5.13, 6 devices shall not be used for the purposes of ☒ ☐ ☐ discipline or retaliation. 7539 San Luis Obispo Probation JH PRO 23-24 50 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the use of restraints on pregnant youth is limited Chapter 5, 5.13, 4 in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in The facility does not have a safety room. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, ☐ ☐ ☒ and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any staff interventions every 15 minutes, with ☐ ☐ ☒ actual time recorded; (4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; ☐ ☐ ☒ (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less restrictive means of control, and decisions to ☐ ☐ ☒ continue and end placement. (b) The placement of a youth in the safety room shall be accomplished in accordance with the following: ☐ ☐ ☒ (1) safety room shall not be used before other less restrictive options have been attempted and exhausted, unless attempting those options poses ☐ ☐ ☒ a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation ☐ ☐ ☒ by staff. 7539 San Luis Obispo Probation JH PRO 23-24 51 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) safety room shall not be used to the extent that it compromises the mental and physical health of ☐ ☐ ☒ the youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room for a period of four hours, staff shall do one or ☐ ☐ ☒ more of the following: (1) return the youth to general population. ☐ ☐ ☒ (2) consult with mental health or medical staff, ☐ ☐ ☒ (3) develop an individualized plan that includes the goals and objectives to be met in order to ☐ ☐ ☒ reintegrate the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of ☐ ☒ ☐ Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement Chapter 5, 5.14 Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: The facility conducts random but routine ☒ ☐ ☐ unit and facility searches to ensure no contraband is in the facility. All components of regulation are met in policy and practice. (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and Chapter 5, 5.14, B staff. ☒ ☐ ☐ (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being Chapter 5, 5.14, C and D searched and shall not be conducted for harassment ☒ ☐ ☐ or as a form of discipline or punishment. 7539 San Luis Obispo Probation JH PRO 23-24 52 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Chapter 5, 5.14, E Policy articulates strip searches shall only be conducted with prior supervisor approval and articulated reasonable suspicion of contraband. There have been two strip searches since ☒ ☐ ☐ March 2022, both with the same youth and involving fentanyl in the facility or an overdose at admission. Each was well documented and had Superintendent approval. The agency documents the need for and approvals for a strip search in an incident report. We provided technical assistance and sample forms to better memorialize the process and expectations detailed in policy for these high-risk, low frequency events. (d) Physical body cavity searches shall only be conducted by a medical professional. Chapter 5, 5.14, H-8 ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Chapter 5, 5.14, E when there is reasonable suspicion based on specific and articulable facts to believe that youth is ☒ ☐ ☐ concealing contraband. The reasonable suspicion shall be documented. All strip searches require each element of regulation as indicated in policy. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. Chapter 5, 5.14, F ☒ ☐ ☐ (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent Chapter 5, 5.14, H-9 circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 7539 San Luis Obispo Probation JH PRO 23-24 53 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Chapter 5, 5.15 Grievance Procedure written policies and procedures whereby any youth may appeal and have resolved grievances relating to Chapter 5, 5.15 A any condition of confinement, including but not limited to health care services, classification decisions, program participation, telephone, mail or visiting We reviewed 22 of the 44 grievances procedures, food, clothing, bedding, mistreatment, submitted by youth from March 2022 to harassment or violations of the nondiscrimination April 2023. The agency documented a policy. There shall be no time limit on filing grievances. response and resolution for most within one Policies and procedures shall include provisions day, but no longer than four days. All were whereby the facility manager ensures: resolved at the Supervisor level or lower with no youth requesting an appeal to the DCPO. Staff responses were fair and ☒ ☐ ☐ appeared consistently applied with the other grievances reviewed for like issues. We noted facility staff have conversations with the youth and review video as a matter of procedure, to ensure the youth understands and accepts the outcome. The monthly average of grievances from the date of the last inspection is three. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ Chapter 5, 5.15, A have free access to the form; (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Chapter 5, 5.15, G-3 supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; Chapter 5, 5.15, G ☒ ☐ ☐ (d) provision for a prompt review and initial response to grievances within three (3) business days, Chapter 5, 5.15, E and G grievances that relate to health and safety issues must be addressed immediately; The facility has an expectation to respond ☒ ☐ ☐ to the grievance by the end of the shift or within two days, and resolution within five days. All were compliant with this expectation. 7539 San Luis Obispo Probation JH PRO 23-24 54 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ Chapter 5, 5.15, G-6 directly involved in the circumstances which led to ☐ ☐ the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. Chapter 5, 5.15, C ☒ ☐ ☐ (e) provision for a written response to the grievance which includes the reasons for the decisions; Chapter 5, 5.15, G-7 ☒ ☐ ☐ (f) a system which provides that any appeal of a grievance shall be heard by a person not directly Chapter 5, 5.15, F involved in the circumstances which led to the ☒ ☐ ☐ grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a Chapter 5, 5.15, G-8 longer time frame. The youth shall be notified of any ☒ ☐ ☐ delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual Chapter 5, 5.15, G-13 harassment. ☒ ☐ ☐ Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be Chapter 5, 5.15, G-12 addressed and documented in accordance with ☒ ☐ ☐ written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Chapter 5, 5.16 harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be maintained. Such written record shall be prepared ☒ ☐ ☐ We reviewed over 60 separate incident by the staff and submitted to the facility manager by the reports from UF to RC. The facts of the end of the shift, unless additional time is necessary and incident were clear and concise, providing authorized by the facility manager or designee. a clear picture of the incident. 7539 San Luis Obispo Probation JH PRO 23-24 55 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, Chapter 5, 5.17 IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel If a youth refuses to voluntarily provide a including peace officers, may employ reasonable ☒ ☐ ☐ DNA sample, sworn staff must receive force to collect blood specimens, saliva samples, and authorization form the DCPO to use force. thumb or palm print impressions from individuals who In these incidents (none this cycle), the are required to provide such samples, specimens or facility relies on their existing UF policy. impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that Chapter 5, 5.17, B an objective, trained and competent correctional employee, faced with similar facts and ☒ ☐ ☐ circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to Chapter 5, 5.14, C secure voluntary compliance shall be documented and include an advisement of the legal obligation to ☒ ☐ ☐ provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The Chapter 5, 5.14, D authorization shall include information that reflects the fact that the offender was asked to provide the ☒ ☐ ☐ requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Chapter 5, 5.14, E 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 Any use of force for DNA collection is in a court proceeding, the tape shall be retained videotaped. administratively. 7539 San Luis Obispo Probation JH PRO 23-24 56 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot 1370 EDUCATION PROGRAM (a) School Programs Chapter 6, 6.1 Education Program The County Board of Education shall provide for the Chapter 6, 6.1, A administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee pursuant to applicable State laws. The school The Education program is facilitated by the and facility administrators shall develop and implement San Luis Obispo County Office of written policy and procedures to ensure Education (SLOCOE). We met with communication and coordination between educators Assistant Superintendent Katherine Aaron and probation staff. Culturally responsive and trauma- and Director of Alternative Education Chris informed approaches should be applied when Balogh, who identified the process of providing instruction. Education staff should evaluating a youth’s goals in meeting collaborate with the facility administrator to use education requirements and objectives. technology to facilitate learning and ensure safe Teachers are diligent in prioritizing youth technology practices. The facility administrator shall goals and behaviors, evidenced by their request an annual review of each required element of involvement in daily/weekly meetings with the program by the Superintendent of Schools, and a probation and other agency staff to discuss report or review checklist on compliance, deficiencies, student needs. 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 Post-secondary education has become a of any juvenile court school site. The Superintendent of priority as there are currently two Schools shall conduct this review in conjunction with a graduates, both of whom are actively qualified outside agency or individual. Upon receipt of enrolled at Cuesta College. 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 ☒ ☐ ☐ The Office of Education continues to educational interests of all youth in the facility. promote DBT, a social and emotional curriculum for staff to better relate to their students. This premise facilitates a basic understanding of the individual needs students have when entering their classroom. The PBIS philosophy is also a big part of the school-based services, and the SLOCOE continues to work with probation staff to develop basic strategies for youth to instill in themselves: Safe, Responsible, and Considerate. The focus is on modeling positive behavior the youth can anticipate and adopt. Teachers and staff maintain firm, fair, and consistent expectations each day, providing positive feedback or a teaching moment when appropriate. Education staff are involved in daily briefings and in the ICMC meetings to provide feedback on youth progress. We discussed the very minimal time spent on core curriculum activities as specified in the school schedule. Although approved 7539 San Luis Obispo Probation JH PRO 23-24 57 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS and accepted by the educational assessment, we found the agency school schedule compliant but does not reflect the robust daily schedule we have seen in cycles past. The Probation Department is actively involved in the grant application process for Rising Scholars, a collaboration with Cuesta Community College for a more active role in youth enrollment, including all eligible youth to be dually enrolled in high school and college. (b) Required Elements The facility school program shall comply with the State Chapter 6, 6.1, B 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 program shall be free from discriminatory action. Staff Chapter 6, 6.1, C shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Education Code and include, but not be limited to, ☒ ☐ ☐ Chapter 6, 6.1, C-1 courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California Chapter 6, 6.1, C-2 Department of Education shall be made available to ☒ ☐ ☐ eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. Chapter 6, 6.1, C-3 ☒ ☐ ☐ (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Chapter 6, 6.1, C-4 Education, shall be made available when possible. 7539 San Luis Obispo Probation JH PRO 23-24 58 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress ☒ ☐ ☐ Chapter 6, 6.1, C-5 towards grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for Chapter 6, 6.1, C-6 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 of classification, housing, security Chapter 6, 6.1, C-7 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 (1) Positive behavior management will be Chapter 6, 6.1, D implemented to reduce the need for disciplinary ☒ ☐ ☐ action in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect ☒ ☐ ☐ Chapter 6, 6.1, D-2 the educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school Chapter 6, 6.1, D-3 shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State ☒ ☐ ☐ Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures Chapter 6, 6.1, D-4 that address the rights of any student who has ☒ ☐ ☐ continuing difficulty completing a school day. 7539 San Luis Obispo Probation JH PRO 23-24 59 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Chapter 6, 6.1, F-1 suspected disabilities. This includes but is not limited to child find, assessment, continuum of ☒ ☐ ☐ alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ Chapter 6, 6.1, F-2 state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's ☒ ☐ ☐ Chapter 6, 6.1, G-1 educational history, including but not limited to: (A) School progress/school history; Chapter 6, 6.1, G-2 ☒ ☐ ☐ (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Chapter 6, 6.1, G-3 (C) Needs and services of special populations as defined by the State Education Code, including but not limited to, students with special ☒ ☐ ☐ Chapter 6, 6.1, G-4 needs. (D) Discipline problems. Chapter 6, 6.1, G-5 ☒ ☐ ☐ (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Chapter 6, 6.1, G-5, a levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ within five school days. Chapter 6, 6.1, G-5, c (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), Chapter 6, 6.1, G-5, d 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. 7539 San Luis Obispo Probation JH PRO 23-24 60 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ Chapter 6, 6.1, H-1 placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course work completed while in juvenile court school in ☒ ☐ ☐ Chapter 6, 6.1, H-2 accordance with the State Education Code. (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop Chapter 6, 6.1, I-1 policies and procedures to meet the transition needs of youth, including the development of an ☒ ☐ ☐ education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- Chapter 6, 6.1, J-1 secondary education providers to facilitate access ☒ ☐ ☐ to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7539 San Luis Obispo Probation JH PRO 23-24 61 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 6, 6.2 Programs, Recreation and The facility administrator shall develop and implement Exercise written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms Programs for the pre-dispositional youth or their bed area. are facilitated by Restorative Partners (RP), an In-Custody and Re-entry Program for San Luis Obispo County. Restorative Partners Inc. serves people impacted by crime through a continuum of services that focus on mind, body, and spiritual transformation. The programs include evidence-based, trauma-informed approaches that increase self-esteem, pro- social skills, multi-cultural and non-violent communication, and, life and job skills. The nonprofit agency offers a continuum of services to meet the diverse needs in the community for both youth and adult populations. The goal of the juvenile facility is to include gender-specific, trauma- informed and evidence-based services to ☒ ☐ ☐ the youth population. RP offers a vast program schedule with numerous opportunities for youth participation, including Sunday/Religious Service; Cooking Programs; Crossroads (cognitive and evidence-based curriculum specific to offense); Book Club; Music Programs; West and CVA Garden Program, Art and Creative Writing; Lumina Alliance Group; Bible Study; Restorative Justice; Chess Club; Sports Programs; AA and NA; Meditation; Ping-Pong; and Tutoring. RP also acknowledges youth Birthdays (one time a month) and Peer Leader status (weekly) with celebrations for the youth. Isabel Bischel, Program Manager for RP has assisted youth with the opportunities at Cuesta and works with youth to enroll and register for classes. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of Chapter 6, 6.2, A-1 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. 7539 San Luis Obispo Probation JH PRO 23-24 62 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A youth’s participation in programs, recreation, and exercise may be suspended only upon a written Chapter 6, 6.2, A-2 finding by the administrator/manager or designee that ☒ ☐ ☐ a youth represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. Chapter 6, 6.2, A-3 ☒ ☐ ☐ There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Chapter 6, 6.2, A-4 ensure content offered is current, consistent, and relevant to the population. The annual review of programs was ☒ ☐ ☐ completed by Cindy Ayala, the Mission, and Restorative Justice Implementation Director with Restorative Partners, on May 12, 2023. (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming Chapter 6, 6.2, B-1, a and b to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as ☒ ☐ ☐ required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7539 San Luis Obispo Probation JH PRO 23-24 63 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; Chapter 6, 6.2, B-1, c (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to Chapter 6, 6.2, C-1 unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be ☒ ☐ ☐ supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 6, 6.2, D-1 each day. ☒ ☐ ☐ Youth participate in one hour of Physical Education during the school day facilitated by the SLOCOE. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and Chapter 6, 6.2, D-3 programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7539 San Luis Obispo Probation JH PRO 23-24 64 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to Chapter 6, 6.3 Religious Programs religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be allowed to participate in an activity ☒ ☐ ☐ Religious programming is facilitated by outside of their room if he/she elects not to participate Restorative Partners, who also provide in religious programs. referrals for religious programs at the Religious programs shall provide for: youth’s request. (a) opportunity for religious services and practices; Chapter 6, 6.3, C-1 ☒ ☐ ☐ (b) availability of clergy; and, Chapter 6, 6.3, C-2 ☒ ☐ ☐ (c) availability of religious diets. Chapter 6, 6.3, C-3 ☒ ☐ ☐ 1373 WORK PROGRAM The facility administrator shall develop policies and Chapter 6, 6.4 Work Programs procedures regarding the fair and consistent assignment of youth to work programs. Work assigned ☒ ☐ ☐ to a youth shall be meaningful, constructive and related Youth in detention can assist with unit to vocational training or increasing a youth's sense of cleanup and other options inside the facility. responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING The facility administrator shall develop and implement Chapter 6, 6.5 Visiting written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Chapter 6, 6.5, A, B, F-4 receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, such as grandparents and siblings, The youth’s parents and approved visitors and supportive adults, may be allowed to visit with the ☒ ☐ ☐ schedule their own visitation, which approval of the facility administrator or designee, and includes two, one hour visits each week. in conjunction with the youth’s case plan or in the best This allows the visitor to accommodate interest of the youth. their own schedule and promotes more visitation. Special visits are arranged when requested by the youth’s probation officer. 7539 San Luis Obispo Probation JH PRO 23-24 65 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and Chapter 6, 6.5, G security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history ☒ ☐ ☐ represents a risk to the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but Chapter 6, 6.5, C conversations shall not be monitored unless there is a ☒ ☐ ☐ security or safety need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, Chapter 6, 6.5, I-11 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 alternative, but not as a replacement, to in-person Chapter 6, 6.5, I-12 visiting. ☒ ☐ ☐ 1375 CORRESPONDENCE The facility administrator shall develop and implement Chapter 6, 6.6 Correspondence written policies and procedures for correspondence which provide that: ☒ ☐ ☐ Youth can send letters postage free. (a) there is no limitation on the volume of mail that youth may send or receive; Chapter 6, 6.6, B ☒ ☐ ☐ (b) youth may send two letters per week postage free; Chapter 6, 6.6, C ☒ ☐ ☐ (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder Chapter 6, 6.6, D 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, 7539 San Luis Obispo Probation JH PRO 23-24 66 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) incoming and outgoing mail, other than that described in (c), may be read by staff only when there Chapter 6, 6.6, E is reasonable cause to believe facility safety and ☒ ☐ ☐ security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop Chapter 6, 6.7 Telephone Access and implement written policies and procedures to ☒ ☐ ☐ provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written Chapter 6, 6.9 Access to Legal Services procedures to ensure the right of youth to have access ☒ ☐ ☐ to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; Chapter 6, 6.9, C-1 ☒ ☐ ☐ (b) provision for confidential consultation with attorneys; and, Chapter 6, 6.9, C-2 ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. Chapter 6, 6.9, C-3 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 67 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1390 DISCIPLINE The facility administrator shall develop and implement Chapter 7, 7.1 Discipline written policies and procedures for the discipline of youth that shall promote acceptable behavior; including Chapter 7, 7.1, B PBIS the use of positive behavior interventions and supports. Chapter 7, 7.1, E Discipline shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, The Positive Behavior Interventions and physical or psychological degradation. Deprivation of Supports (PBIS) model is intertwined with the following is not permitted: the discipline process and rules and sanctions are identified as expectations and consequences for certain behaviors. The expected behaviors and consequences for not following them are ☒ ☐ ☐ posted in the living unit, and on posters throughout the facility. This philosophy is emulated in the classroom as youth are rewarded for following along with expected behaviors which are promoted through the program with incentive-based levels of leadership. Sanctions include losing privileges or completion of Reflection Time written exercises for not following the structure of the program or schedule. (a) bed and bedding; Chapter 7, 7.1, E ☒ ☐ ☐ (b) daily shower, access to drinking fountain, toilet Chapter 7, 7.1, E and personal hygiene items, and clean clothing; ☒ ☐ ☐ (c) full nutrition; Chapter 7, 7.1, E ☒ ☐ ☐ (d) contact with parent or attorney; Chapter 7, 7.1, E ☒ ☐ ☐ (e) exercise; Chapter 7, 7.1, E ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 68 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) medical services and counseling; Chapter 7, 7.1, E ☒ ☐ ☐ (g) religious services; Chapter 7, 7.1, E ☒ ☐ ☐ (h) clean and sanitary living conditions; Chapter 7, 7.1, E ☒ ☐ ☐ (i) the right to send and receive mail; Chapter 7, 7.1, E ☒ ☐ ☐ (j) education; and, Chapter 7, 7.1, E ☒ ☐ ☐ (k) rehabilitative programming. Chapter 7, 7.1, E ☒ ☐ ☐ The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct Chapter 7, 7.1, F of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and affirmatively, and be made available to all youth. ☒ ☐ ☐ Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7539 San Luis Obispo Probation JH PRO 23-24 69 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Chapter 7, 7.2 Discipline Process written policies and procedures for the administration of discipline which shall include, but not be limited to: We reviewed 44 incident reports, with 32 including due process elements of a violation of expectations. Although not required, the agency allows for due process for all failures to meet expected behavior resulting in a sanction and an incident report. Youths can read the incident report and acknowledge verbally and by signature if they want a hearing. The missing written element is the proposed sanction. We provided technical assistance to reiterate the proposed sanction in writing for the youth to acknowledge by signature for Due ☒ ☐ ☐ Process. We spoke to youth about the PBIS model, expectations, and if they had a clear understanding of sanctions for certain behaviors. Responses from all five youths interviewed, including documentation in the reports we reviewed, revealed program expectations are clearly demonstrated verbally by staff and by visual posters throughout the facility. The youth understood consequences would result in the re-direction of negative behavior to promote a more positive program. the(a) designation of personnel authorized to impose discipline for violation of rules; Chapter 7, 7.2, A ☒ ☐ ☐ (b) prohibiting discipline to be delegated to any youth; Chapter 7, 7.2, F ☒ ☐ ☐ (c) definition of major and minor rule violations and their consequences, and due process requirements; The facility rules (expectations) and accompanying sanctions (consequences) ☒ ☐ ☐ are in the youth handbook and posted in the living unit. 7539 San Luis Obispo Probation JH PRO 23-24 70 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) trauma-informed approaches and positive behavior interventions; Chapter 7, 7.2, C ☒ ☐ ☐ (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct Chapter 7, 7.2, B imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall be documented and require the following: ☒ ☐ ☐ (1) written notice of violation prior to a hearing; Chapter 7, 7.2, I-1, a ☒ ☐ ☐ (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Chapter 7, 7.2, L learners; (3) hearing by a person who is not a party to the Chapter 7, 7.2, I-2, a incident; ☒ ☐ ☐ (4) opportunity for the youth to be heard, present Chapter 7, 7.2, I-2 evidence and testimony; ☒ ☐ ☐ (5) provision for youth to be assisted by staff in Chapter 7, 7.2, I-2 the hearing process; ☒ ☐ ☐ (6) provision for administrative review. Chapter 7, 7.2, J ☒ ☐ ☐ (g) violations that result in a removal from camp or commitment program, but not a return to court, will Chapter 7, 7.2, I-4, a follow the due process provisions in subsection (e) above. ☒ ☐ ☐ Youth whose conduct merits removal from the program are referred for a petition or Court action. 7539 San Luis Obispo Probation JH PRO 23-24 71 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1410 MANAGEMENT OF COMMUNICABLE DISEASES. San Luis Obispo Juvenile Facility Policy The health administrator/responsible physician, in and Procedure Manual (SLOJF) Section cooperation with the facility administrator and the 8.11 Management of Communicable local health officer, shall develop written policies and Diseases procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, This policy has been updated to reference but not be limited to: ☒ ☐ ☐ current pandemic information as it relates to cooperation with the Local Health Officer. San Luis Obispo County Public Health (SLOCPH) Policy 1410 - Management of Communicable Diseases SLOJF Section 8.11, B-1: Intake Health Screening Procedures SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): B Booking Procedures (a) Intake health screening procedures; ☒ ☐ ☐ This section articulates the screening by staff and medical, where the screening is done, and the reaction to specific criteria at admission. SLOCPH 1410, III-A, Bullet #1 Screening SLOJF Section 8.11, B-2: Identification of Relevant Symptoms SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): Booking Procedures B-3 through 8 (b) Identification of relevant symptoms; ☒ ☐ ☐ These procedures outline the screening criteria, including relevant information related to questions and observations of symptoms. SLOCPH 1410, III-A, Bullet #1 Screening 7539 San Luis Obispo Probation JH PRO 23-24 72 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SLOJF Section 8.11, B-3: Referral for Medical Evaluation (c) Referral for medical evaluation; ☒ ☐ ☐ SLOCPH 1410, III-A, Bullet #2 Appraisal SLOJF Section 8.11, B-4: Treatment Responsibilities During Detention SLOCPH 1410, III-A, Bullet #2 (d) Treatment responsibilities during detention; ☒ ☐ ☐ Appraisal/Treatment SLOCPH 1410, III-B, Bullet #2 Management/Communication SLOJF Section 8.11, B-5: Coordination with Public and Private Community-Based (e) Coordination with public and private community- Resources for Follow-Up Treatment based resources for follow-up treatment; ☒ ☐ ☐ SLOCPH 1410, III-C Follow-up Care and Release Information SLOJF Section 8.11, B-6: Applicable Reporting Requirements SLOJF Section 8.11, Administrative 2-d, I- iii This includes reporting the results of tests (f) Applicable reporting requirements; and, ☒ ☐ ☐ to the Public Health Division Manager, Assistant Public Health Director, and the Communicable Disease Program Manager. Other sections include a report to the administrators in the agency, parents, and the Juvenile Court Judge. SLOCPH 1410, III-B, Bullet #3 Reporting 7539 San Luis Obispo Probation JH PRO 23-24 73 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SLOJF Section 8.11, B-7: Strategies for Handling Disease Outbreaks SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): B (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ This section coordinates efforts for youth entering the facility from booking responsibilities to youth/staff protocols. SLOCPH 1410, III-D, Bullet #2 Outbreaks The policies and procedures shall be updated as necessary to reflect communicable disease priorities These policies are reviewed with all new identified by the local health officer and currently CDC and California Public Health recommended public health interventions. ☒ ☐ ☐ Guidelines. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 8, 812 Access to Health Care 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 The youth’s personal clothing, undergarments and Chapter 10, Clothing and Personal Hygiene footwear may be substituted for the institutional clothing and footwear specified in this regulation. The ☒ ☐ ☐ facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and Chapter 10, 10.1, A-6 tears. ☒ ☐ ☐ (b) The standard issue of climatically suitable clothing for youth shall consist of but not be limited to: ☒ ☐ ☐ (1) Socks and serviceable footwear; Chapter 10, 10.1, A-1, 3 and 4 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 74 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Outer garments; Chapter 10, 10.1, A-2 ☒ ☐ ☐ (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; Chapter 10, 10.1, A-4 ☒ ☐ ☐ Chapter 10, 10.1, C-1 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. Chapter 10, 10.1, A-1 ☒ ☐ ☐ Chapter 10, 10.1, C-1 (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and Chapter 10, 10.1, A-6 dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Chapter 10, 10.1, F ☒ ☐ ☐ 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement Chapter 10, 10.3 Clothing Exchange written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Chapter 10, 10.5 Control of Vermin in There shall be written policies and site-specific Youth’s Personal Clothing 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. 7539 San Luis Obispo Probation JH PRO 23-24 75 of 80 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 There shall be written policies and site-specific Chapter 10, 10.6 Issue of Personal Care procedures developed and implemented by the facility Items administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; Chapter 10, 10.6, A-1 ☒ ☐ ☐ (b) Toothpaste; Chapter 10, 10.6, A-2 ☒ ☐ ☐ (c) Soap; Chapter 10, 10.6, A-3 ☒ ☐ ☐ (d) Comb; Chapter 10, 10.6, A-4 ☒ ☐ ☐ (e) Shaving implements; ☒ Chapter 10, 10.6, A-5 ☐ ☐ (f) Deodorant; Chapter 10, 10.6, A-6 ☒ ☐ ☐ (g) Lotion; Chapter 10, 10.6, A-7 ☒ ☐ ☐ (h) Shampoo; and, Chapter 10, 10.7, B ☒ ☐ ☐ (i) Post-shower conditioning hair products. Chapter 10, 10.6, A-9 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 76 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap Chapter 10, 10.5, B provided through a common dispenser is permitted. Youth shall not share disposable razors. Double Chapter 10, 10.8 Shaving edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, ☒ ☐ ☐ when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE There shall be written policies and site specific Chapter 10, 10.7 Personal Hygiene procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Youth shall have access to a razor daily, unless their Chapter 10, 10.8 Shaving appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Hair care services shall be available in all juvenile Chapter 10, 10.9 Hair Care Services facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected ☒ ☐ ☐ after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good Chapter 11, 11.1 Standard Bedding and repair, shall be provided for each youth entering a ☒ ☐ ☐ Linen Issue living area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of Chapter 11, 11.1, A-1 these regulations; ☒ ☐ ☐ (b) One pillow and a pillow case unless provided for in (a) above; Chapter 11, 11.1, A-1 ☒ ☐ ☐ 7539 San Luis Obispo Probation JH PRO 23-24 77 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) One mattress cover and a sheet or two sheets; Chapter 11, 11.1, A-4 ☒ ☐ ☐ (d) One towel; and, Chapter 11, 11.1, A-3 ☒ ☐ ☐ (e) One blanket or more, up on request Chapter 11, 11.1, A-2 ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement Chapter 11, 11.1, A-4 site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once a month. Chapter 11, 11.1, A-2 and 4 ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Chapter 12 Facility Sanitation, Safety and The facility administrator shall develop and implement Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, 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). 7539 San Luis Obispo Probation JH PRO 23-24 78 of 80 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.) 7539 San Luis Obispo Probation JH PRO 23-24 79 of 80 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☐ ☒ separated from minors. ☐ Violation Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7539 San Luis Obispo Probation JH PRO 23-24 80 of 80 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: 7540 FACILITY NAME: San Luis Obispo County Juvenile Services Center FACILITY TYPE: Camp Coastal Valley Academy PERSON(S) INTERVIEWED: Robert Reyes, Chief Probation Officer; Tom Milder, Assistant Chief Probation Officer; Marguerite Harris, Chief Deputy Probation Officer; Seth Price, Supervising Probation Officer; Jennifer Gonzalez, Supervising Probation Officer; Laureen Kilenberger, Supervising Probation Officer; Darryl Kendrick, Juvenile Service Officer III; Krystal Keach, Juvenile Services Officer III; Wilbert Adahar, Juvenile Services Officer I; Katherine Aaron, Assistant Superintendent, San Luis Obispo Office of Education (SLOCOE); Chris Balough, Director SLOCOE; Jill Rietjens, SLO Behavior Health Division Manager – Youth Services; Lynley Ewen, SLO Behavior Health Program Supervisor; Grisel Mendoza, SLO Behavior health Clinician; Christine Burg, Nurse Practitioner - SLO Public Health; Valerie Vega, Restorative Justice Program Manager – Restorative Partners; Isabella Bischel, Restorative Partners Program Manager; Ariana, CVA Youth age 17; Jasmine, CVA Youth age 18; Brandon, SOAR Youth age 18; David, JH Youth age 16. FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 30-June 1, 2023 NOTE: The San Luis Obispo County Juvenile Services Center shares the same polices for all programs. TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS All Local Inspections are for the Juvenile Services Center Juvenile Hall, Coastal On an annual basis, or as otherwise required by law, Valley Academy, and Secure Youth each juvenile facility administrator shall obtain a ☐ Treatment Facility. ☒ ☐ documented inspection and evaluation from the following: • March 31, 2023 (a) county building inspector or person designated by • February 23, 2022 the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code ☒ • March 30, 2023 ☐ ☐ Section 13146.1(a) and (b); • January 7, 2022 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. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 1 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: • November 15, 2022 • November 19, 2021 Medical/Mental Health: ☒ • February 3, 2022 ☐ ☐ • January 10, 2021 Nutritional Health: • March 2, 2023 • December 2, 2021 (d) county superintendent of schools on the adequacy of educational services and facilities as required in ☒ • December 20, 2022 ☐ ☐ Section 1370; • November 29, 2021 (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ • November 29, 2022 ☐ ☐ • December 3, 2021 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ • December 28, 2022 ☐ ☐ Probation Commission as required by Section 240 of • December 14, 2021 the Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS Chapter 3, 3.1 Appointment and BSCC Note: Compliance with this section is Qualifications determined by receipt of the Chief Probation Officer’s certification letter confirming that all elements of The elements of this regulation are regulation are met. addressed in a memorandum completed by Chief Probation Officer Robert Reyes dated May 2, 2023. The memo articulates the (a) Appointment ☒ ☐ ☐ hiring practices of the agency which meets the regulation. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: Chapter 3, 3.1, B-1 (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 2 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses ☒ Chapter 3, 3.1, B-2 ☐ ☐ of childhood (i.e., diphtheria, rubeola, rubella, and mumps); Chapter 3, 3.1, B-3 and 6 (3) adhere to the minimum standards for the selection and training requirements adopted by the ☒ The BSCC Standards for Training and Board pursuant to Section 6035 of the Penal Code; ☐ ☐ Corrections (STC) report for 2021-2022 and found San Luis Obispo County Probation in compliance with requirements for staff training. (4) conduct a criminal records review, on each new employee, and psychological examination in Chapter 3, 3.1, B-4 and 5 ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Chapter 3, 3.1, B-7 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 Each juvenile facility shall: Chapter 3, 3.2 Staffing (a) have an adequate number of personnel sufficient to Chapter 3, 3.2, A-2 carry out the overall facility operation and its programming, to provide for safety and security of youth and staff, and meet established standards and The facility has 30 Juvenile Supervision regulations; Officers (JSO), six JSO III filled positions and three Supervising Deputy Probation Officers (SDPO). There are five vacancies in this series. Of the 30 JSO I/II, two are ☒ ☐ ☐ new hires and have not yet completed Core Training. The staffing patterns are 12-hour shifts: 6 a.m. to 6 p.m.; 6 p.m. to 6 a.m.; 8 a.m. to 8 p.m.; 9 a.m. to 9 p.m. and 10 a.m. to 10 p.m. This allows for more coverage during waking hours to complete programming and other T15 responsibilities. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 3 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent Chapter 3, 3.2, A-1 exigent circumstances; The facility’s population has changed with ☒ the addition of the SYTF Program: SOAR ☐ ☐ (Seeking Opportunity and Achieving Re- Entry). The agency continues to have sufficient staffing levels with the added program. (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Chapter 3, 3.2, A-12 ☒ There are three SDPO assigned to the ☐ ☐ facility. The necessary graveyard supervisory staff is a JSO III who maintains supervision of overall operations of the facility during that time. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Chapter 3, 3.2, A-3 completed the Juvenile Corrections Officer Core Course and PC 832 training; ☒ ☐ ☐ There is always an SDPO or JSO III on duty, and in charge of the facility. (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Chapter 3, 3.2, A-4 ☐ ☐ (f) have sufficient food service personnel relative to the number and security of living units, including staff The facility contracts with the SLO County qualified and available to: plan menus meeting Jail to provide food services. nutritional requirements of youth; provide kitchen supervision; direct food preparation and servings; ☒ ☐ ☐ conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 4 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Chapter 3, 3.2, A-7 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, Ancillary personnel are not responsible for youth supervision. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Chapter 3, 3.2, A-6 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: ☐ ☐ The facility operates with a minimum of seven JSO’s during waking hours and four during sleeping hours. (1) Juvenile Halls ☐ ☒ (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 (A) during hours that youth are awake, one wide- ☒ This facility is not a SPJH. ☐ ☐ 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; 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 5 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth ☒ ☐ ☐ housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, ☒ ☐ ☐ clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (A) during the hours that youth are awake, one Chapter 3, 3.2, A-8 wide-awake youth supervision staff member on duty for each 15 youth in the camp population; ☒ The facility chooses to staff the CVA as a ☐ ☐ JH with the ratio of 1:10 during waking hours, which works as the number of youths in the program is less than 15. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide- ☒ ☐ Chapter 3, 3.2, A-9 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 Chapter 3, 3.2, A-6 the number of youth in residence, unless arrangements have been made for backup support services which allow for immediate ☒ ☐ ☐ response to emergencies; The facility will operate with a minimum of seven JSOs on duty. (D) at least one youth supervision staff member on duty who is the same gender as youth ☒ ☐ ☐ Chapter 3, 3.2, A-10 housed in the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be Chapter 3, 3.2, B-2 given to the size, design, and location of the camp; types of youth committed to the camp; ☒ ☐ The policy has sufficient staff assigned with ☐ the opportunity to fluctuate depending on and the function of the camp in determining the population. level of supervision necessary to maintain the safety and welfare of youth and staff; 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 6 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (F) personnel with primary responsibility for other duties such as administration, supervision Chapter 3, 3.2, B-4 of personnel, academic or trade instruction, ☒ ☐ clerical, farm, forestry, kitchen or maintenance ☐ shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Chapter 3, 3.3, A Orientation (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Chapter 3.4 Facility Training Program their duties, including: Chapter 3, 3.3, A-1 (1) youth supervision duties; The Training Program curriculum includes staff to be oriented to the Mission, Vision, ☒ and Values of the Agency; the philosophy ☐ ☐ of detained youth; an overview of Positive Behavior Interventions and Supports (PBIS); employee responsibilities and conduct; and review of the agency’s Use of Force policy. These requirements promote the agency’s philosophy so that staff are able to support the physical, emotional, intellectual and social development of youth. (2) scope of decisions they shall make; ☒ Chapter 3, 3.3, A-2 ☐ ☐ (3) the identity of their supervisor; ☒ Chapter 3, 3.3, A-3 ☐ ☐ (4) the identity of persons who are responsible to them; ☒ Chapter 3, 3.3, A-4 ☐ ☐ (5) persons to contact for decisions that are beyond their responsibility; and ☒ Chapter 3, 3.3, A-5 ☐ ☐ (6) ethical responsibilities. ☒ Chapter 3, 3.3, A-6 ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 7 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Chapter 3, 3.3, B Training member shall receive a minimum of 40 hours of facility- specific orientation, including: New staff are required to complete 160 hours of facility specific training established with an assigned permanent staff (FTO) who mentors the officers in all elements in the Facility Training Manual, including assessment of their comprehension and understanding of all elements of youth supervision. Performance Reports on their knowledge and efficiency are completed and submitted/reviewed by the facility Superintendent. The Facility Training Program Manual is ☒ reviewed and updated annually by the ☐ ☐ Deputy Chief of Facilities and the Leadership Team in the department. We noted the agency provides additional training to staff assigned to CVA because of the parameters and complexity of the program. This level of dedication to training is demonstrated in the review of documentation and procedural elements of staff that we observed on site. There were several new staff on board during the inspection that displayed the commitment to the training program in house, having just returned from JSO Core Training in Alameda County. (1) individual and group supervision techniques; ☒ Chapter 3, 3.3, B-1 ☐ ☐ (2) regulations and policies relating to discipline and rights of youth pursuant to law and the ☒ ☐ ☐ Chapter 3, 3.3, B-2 provisions of this chapter; (3) basic health, sanitation and safety measures; ☒ Chapter 3, 3.3, B-3 ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 8 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) suicide prevention and response to suicide ☒ Chapter 3, 3.3, B-4. attempts ☐ ☐ (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Chapter 3, 3.3, B-5 physical restraints; (6) review of policies and procedures referencing ☒ Chapter 3, 3.3, B-6 trauma and trauma-informed approaches; ☐ ☐ (7) procedures to follow in the event of ☒ Chapter 3, 3.3, B-7 emergencies; ☐ ☐ (8) routine security measures, including facility ☒ Chapter 3, 3.3, B-8 perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to ☒ Chapter 3, 3.3, B-9 mental health services; ☐ ☐ (10) documentation; and ☒ Chapter 3, 3.3, B-10 ☐ ☐ (11) fire/life safety training ☒ Chapter 3, 3.3, B-11 ☐ ☐ (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully Chapter 3, 3.3, C complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section 6035. ☒ ☐ ☐ Staff are also required to complete Annual Training as specified in Chapter 3, 3.5, A. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete ☒ Chapter 3, 3.3, B-1 training pursuant to Section 830 et seq. of the Penal ☐ ☐ Code. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 9 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there Chapter 3, 3.2, A-11 shall be at least one wide awake person on duty at all ☒ ☐ ☐ times who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL All facility administrators shall develop, publish, and Chapter 1, 1.3 Policy Statement implement a manual of written policies and procedures that address, at a minimum, all regulations that are Chapter 3, 3.6 Policy and Procedure applicable to the facility. Such a manual shall be made Manual available to all employees, reviewed by all employees, Chapter 3, 3.6, D Procedure requirements and shall be administratively reviewed at a minimum ☒ ☐ ☐ for specific manual inclusions every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Chief Deputy Marguerite Harris confirmed Board on request. the SLO Juvenile Services Center Manual The manual shall include: was last reviewed and updated on May 5, 2023. The manual is reviewed annually. (a) table of organization, including channels of communications and a description of job Chapter 3, 3.6, C-1 classifications; ☒ ☐ ☐ Appendix #8 has Job Descriptions, Chain of Command, and the Organization Chart for the facility. (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Chapter 3, 3.6, C-2 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; ☒ Chapter 3, 3.6, C-3 ☐ ☐ (d) initial orientation and training program for employees; ☒ Chapter 3, 3.6, C-4 ☐ ☐ (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, ☒ Chapter 3, 3.6, C-5 contract employees, school, mental/behavioral health ☐ ☐ and medical staff, program providers and volunteers; 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 10 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) maintenance of record-keeping, statistics and communication system to ensure: ☒ Chapter 3, 3.6, C-6 ☐ ☐ (1) efficient operation of the juvenile facility; ☒ Chapter 3, 3.6, C-6, a ☐ ☐ (2) legal and proper care of youth; ☒ Chapter 3, 3.6, C-6, b ☐ ☐ (3) maintenance of individual youth's records; ☒ Chapter 3, 3.6, C-6, c ☐ ☐ (4) supply of information to the juvenile court and ☒ Chapter 3, 3.6, C-6, d those authorized by the court or by the law; and, ☐ ☐ (5) release of information regarding youth. ☒ Chapter 3, 3.6, C-6, e ☐ ☐ Chapter 3, 3.6, C-7 (g) ethical responsibilities; ☒ ☐ ☐ The department has an established ethics policy which is required to be read by all new staff. Chapter 3, 3.6, C-8 (h) trauma-informed approaches; ☒ ☐ ☐ The facility has a training curriculum that articulates staff responsibilities in their dealing with youth as it relates to trauma. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 11 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.6, C-9 (i) culturally responsive approaches; ☒ The facility has a training curriculum that ☐ ☐ articulates staff responsibilities in their dealing with youth as it relates to culturally responsive approaches with their youth population. Chapter 3, 3.6, C-10 (j) gender responsive approaches; ☒ The facility has a training curriculum that ☐ ☐ articulates staff responsibilities in their dealing with youth as it relates to gender in the facility. (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Chapter 1, Section 1.2 Non-Discrimination to all available services, placement, care, treatment, Statement and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of Chapter 3, 3.6, C-11 actual or perceived race, ethnic group identification, ☒ ancestry, national origin, immigration status, color, ☐ ☐ religion, gender, sexual orientation, gender identity, This information is also in the Youth gender expression, mental or physical disability, or HIV Handbook. status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and ☒ ☐ ☐ Chapter 3, 3.6, C-12 weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible ☒ ☐ ☐ Chapter 3, 3.6, C-13 youth; and, (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. Chapter 3, 3.6, C-14 The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ Chapter 3, 3.27 PREA Policy retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 12 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire Chapter 3, 3.7 Fire Safety Plan department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire ☒ Chapter 3, 3.7, A-1 ☐ ☐ safety which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; Chapter 3, 3.7, A-2 Chapter 3, 3.7, E This section articulates the procedures to conduct the inspection, including the inspection to occur by the 15th day of each month. ☒ ☐ ☐ We reviewed the monthly inspections this cycle and noted the completion of the form, comments made to compliance or expectations, and the subsequent follow through for any noted issues was timely. Facility administration reviews the monthly forms and maintains them in a binder for easy review. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); Chapter 3, 3.7, A-3 ☒ ☐ ☐ The most recent fire inspection was conducted on March 30, 2023. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 13 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) an evacuation plan; Chapter 3, 3.7, A-5 Chapter 3, 3.7, K-5, d Chapter 3, 3.10 Facility Evacuation Plan ☒ ☐ ☐ The facility conducts periodic evacuation drills for each unit in the facility during fire drills. (e) documented fire drills not less than quarterly; Chapter 3, 3.7, A-5 Chapter 3, 3.7, G and J This policy articulates fire drills are to occur monthly as training tools in the areas of fire, ☒ ☐ ☐ emergency systems, and evacuation drills. Our review found quarterly drills for the first three quarters of 2022, with monthly drills as required for October 2022 to April 2023. (f) a written plan for the emergency housing of youth in the case of fire; and, Chapter 3, 3.7, A-6 Evacuation Chapter 3, 3.7, K-5, d Chapter 3, 3.11 Emergency Housing of Youth ☒ The SLO County Sheriff or Santa Barbara ☐ ☐ County Probation Department (SBCPD) will house youths in the event of a full evacuation of 24 hours or more. SLO Probation has an active Memorandum of Agreement with Santa Barbara for housing. If less than 24 hours, the agency will work with the SLO Sheriff to arrange for temporary housing at the Jail. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 14 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) development of a fire suppression pre-plan in cooperation with the local fire department. Chapter 3, 3.7, A-7 ☒ ☐ ☐ Chapter 3, 3.7, J Fire Response 1326 SECURITY REVIEW Each facility administrator shall develop policies and Chapter 3, 3.8 Security Review procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, This policy requires the annual review of including, but not limited to, key control, equipment, and staff training. security issues including a report to the ☒ Chief Probation Officer. The most recent ☐ ☐ Security Review was completed via memo by SDPO Anthony Mello on March 8, 2023. We found the memo very specific to all elements of security practices with a comprehensive review of 2022. 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific ☒ Chapter 3, 3.10 Emergency Procedures ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: Chapter 3, 3.6, D-2 Chapter 3, 3.10, G Riot (inside facility) Chapter 3, 3.10, A-1 Escapes (a) escape, disturbances, and the taking of ☒ hostages; ☐ ☐ Chapter 3, 3.10, A-1 and 13 Hostages Chapter 3, 3.10, F Procedure Chapter 3, 3.10, A-2 and F Civil Disturbance (b) civil disturbance, active shooter and terrorist ☒ attack; ☐ ☐ Chapter 3, 3.10, A-4 Active Shooter Chapter 3, 3.10, A-5 Terrorist Attack 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 15 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.10, A-3 List Chapter 3, 3.10, B-6 Definition Chapter 3, 3.10, H Disasters (c) fire and natural disasters; ☒ ☐ ☐ The facility procedures for fire and natural disasters are the same. (d) periodic testing of emergency equipment; ☒ Chapter 3, 3.10, A-7 ☐ ☐ Chapter 3, 3.10, A-9 Emergency Evacuation (e) emergency evacuation of the facility; and ☒ We reviewed a renewed Memorandum of ☐ ☐ Understanding dated January 11, 2023, with the Santa Barbara Probation Department for emergency housing of youth. Chapter 3, 3.10, A-10 The facility requires that staff complete a two-hour training session annually on (f) a program to provide all youth supervision staff Emergency Procedures. ☒ with an annual review of emergency procedures. ☐ ☐ A memo was completed on December 7, 2022, by SPDO Jennifer Gonzalez verifying all staff had this training. The last training was held on February 3, 2022. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 16 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS The facility administrator shall develop and implement Chapter 3, 3.15 Safety Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours The facility uses the Guard 1/Pipe when youth are asleep or when youth are in their Electronic safety check system. The policy rooms, confined in holding cells or confined to their was revised to articulate the audit process bed in a dormitory. Supervision is not replaced, but and staff expectations in terms of ‘random may be supplemented by, an audio/visual electronic and varied’ specific language. surveillance system designed to detect overt, Operationally, the policy provides directions aggressive or assaultive behavior and to summon aid for staff in how to use and download the in emergencies. All safety checks shall be information before, during, and after their documented with the actual time the check is shift to ensure the correct officer is completed. associated with the check. Facility administration audit and review all safety checks, handling of late checks by staff through counseling, documented ☒ ☐ ☐ memo, or other measures internally. We noted there have been 19 late safety checks so far in 2023, with an average of 4.75 per month. This has improved over the last several years, down from 89 in 2022 (7.41/month), 74 in 2021 (6.16/month), and 79 in 2020 (6.58/month). The Facility Administration acknowledges 100% compliance with policy by recognizing staff who had no late checks in a month. 64% percent of facility staff achieved 100% compliance in the months of July and October 2022, and January 2023. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 17 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN The facility administrator, in collaboration with the Chapter 3, 3.16, A Suicide Prevention Plan healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide The agency policy requires the plan to be Prevention Plan. The plan shall consider the needs reviewed annually by the Law Enforcement of youth experiencing past or current trauma. Suicide Medical Committee (LEMC), with the last prevention responses shall be respectful and in the plan review on January 29, 2022. least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: We reviewed one incident involving suicidal statements overheard during a phone call with the parent at admission. This did not involve a CVA youth. Facility administration works closely with San Luis Obispo County Behavior Health and San Luis Obispo County Public Health, the medical provider, to establish any concerns or behaviors related to suicide, ☒ ☐ ☐ ideation, or acting out, are addressed immediately by all personnel. The forms for articulating a special watch or more strict measures are clearly explained and documented by all involved agency partners. The factors addressed are housing, clothing, room checks, meals, showering, items allowed in rooms, and program participation. There is no “automatic’ protocol but rather a smooth line of communication to determine the best response to the noted behaviors and best practice determination of supervision pending clinician review or assessment. The agency has four Clinicians through SLO County Behavior Health who are on-site Monday through Friday 8:00 a.m. to 8:30 p.m. and 9:00 a.m. to 7:00 p.m. Saturday and Sunday. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 18 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Chapter 3, 3.16, B-1 Training and the Juvenile Corrections Officer Core Course. ☒ ☐ ☐ This policy requires four hours of Suicide Prevention Training during Core Training and two hours annually thereafter. (b) Screening, Identification Assessment and Precautionary Protocols Chapter 3, 3.16, B-2, a (1) All youth shall be screened for risk of suicide at intake and as needed during detention. When a youth is admitted, intake staff along with medical personnel complete a ☒ myriad of assessments and screening ☐ ☐ questionnaires to adequately assess their level of risk as it relates to trauma, health, and behavior health issues, and classification criteria for special or articulated behaviors. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for Chapter 3, 3.16, B-1, a risk of suicide. ☒ ☐ ☐ The policy requires all staff to be trained, not just intake staff. (3) All youth who have been identified during the intake screening process to be at risk of suicide Chapter 3, 3.16, B-2, e-1 and 2 shall be referred to behavioral/mental health staff for a suicide risk assessment. ☒ This policy outlines the process for mental ☐ ☐ health referrals. Mental health staff are on duty seven days per week, with the MET Crisis Team on-call after traditional hours. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 19 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the Chapter 3, 3.16, C-1 through 4 behavioral/mental health assessment. ☒ ☐ ☐ This includes housing, treatment, supervision, and programming strategies. (c) Referral process to behavioral/mental health staff for assessment and/or services. Chapter 3, 3.16, B-2, a and e-2 ☒ This articulates the immediate referral to ☐ ☐ the Mental Health Therapist (MHT) or Clinician. If not on duty, there is a procedure in place to contact the Mental Health Evaluation Team for emergencies. (d) Procedures for monitoring of youth identified at risk for suicide. Chapter 3, 3.16, C-3, a-d ☒ ☐ ☐ This articulates the level of supervision based on the MHT/Clinician established protocol and is relayed to on-duty staff. (e) Safety Interventions (1) Procedures to address intervention protocols for youth identified at risk for suicide which may ☒ ☐ ☐ Chapter 3, 3.16, C Safety Interventions include, but are not limited to: (A) Housing consideration ☒ Chapter 3, 3.16, C-1 ☐ ☐ (B) Treatment strategies including trauma- informed approaches ☒ Chapter 3, 3.16, C-2 ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 20 of 81 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 how to respond to youth who exhibit suicidal Chapter 3, 3.16, C-5 behaviors. ☒ ☐ ☐ Facility staff are required to address any forms of suicide ideation, discussion, or response to suicide behaviors. (f) Communication (1) The intake process shall include Chapter 3, 3.16, B-2, a-d communication with the arresting officer and family guardians regarding the youth’s past or present Chapter 3, 3.16, C-5, c suicidal ideations, behaviors or attempts. The on-duty intake officer is required to communicate with officers, parents/family, facility staff, and agency partners to retrieve current or past information relating to suicide behaviors. That intake officer then ☒ ☐ ☐ communicates the information to the on- duty supervisors, Medical and Mental Health staff. Additionally, any threats or actions while the youth is in custody shall be reported immediately to the lead unit staff, supervisor, and Medical and Mental Health staff. (2) Procedures for clear and current information sharing about youth at risk for suicide with youth Weekly (ICMC) meetings that include supervision, healthcare, and behavioral/mental discussions of each youth and any health staff. circumstances relevant to depression or isolation. ☒ We spoke with the administrators of each ☐ ☐ agency included in the regulation and although there are weekly meetings to address youth behavior, all partners are in active communication with facility staff regarding any behaviors that need to be communicated or addressed, sometimes several times a day. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 21 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Debriefing of Critical Incidents Related to Suicides or Attempts Chapter 3, 3.16, F Critical Incident Debrief (1) Process for administrative review of the ☒ circumstances and responses proceeding, during ☐ ☐ Chapter 3, 3.16, F-4 Administrative Review and after the critical incident. (2) Process for a debriefing event with affected ☒ Chapter 3, 3.16, F-1 and 2 staff. ☐ ☐ (3) Process for a debriefing event with affected youth. ☒ Chapter 3, 3.16, F-3 ☐ ☐ (h) Documentation (1) Documentation processes shall be developed ☒ ☐ ☐ Chapter 3, 3.16, E to ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, Chapter 3, 3.16, C-4 Programming 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 The facility houses, treats, supervises and youth at risk of suicide shall be documented and ☒ ☐ ☐ encourages all youth identified as being at approved by the facility manager. risk for suicidal behaviors. The daily BH evaluations and constant staff engagement are encouraged and supported by the administration. 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of ☒ Chapter 4, 4.1 Reporting of Legal Actions notification on each legal action, pertaining to ☐ ☐ conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Chapter 4, 4.2,1(a) (1) Death of a Youth. (a) The facility administrator, in cooperation with Chapter 4, 4.2 Paragraph #1 and F the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth The policy identifies all parties required to while detained, which include notifications to be notified in the event of an in-custody necessary parties, which may include the Juvenile death. Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 22 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The health administrator, in cooperation with the facility administrator, shall develop written Chapter 4, 4.2, G-1 and 2 Operational policies and procedures to assure there is a Review 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 the Board a copy of the report submitted to the Chapter 4, 4.2, F-5, b Attorney General under Government Code ☒ Section 12525. A copy of the report shall be ☐ ☐ submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within Chapter 4, 4.2, F-6 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ to the provisions of this subchapter. Any inquiry ☐ ☐ made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. (a) The facility administrator, in cooperation with Chapter 4, 4.2, I Notifications in Event of the health administrator, shall develop written Serious Illness or Injury 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 Each juvenile facility shall submit required population ☒ Chapter 3, 3.16 and profile survey reports to the Board within 10 ☐ ☐ working days after the end of each reporting period, Chapter 4, 4.3 in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Chapter 4, 4.5 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 The facility has not exceeded rated administrator shall provide a crowding report to the capacities this cycle. Board in a format provided by the Board. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 23 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1350 ADMITTANCE PROCEDURES The facility administrator shall develop and implement Chapter 5, 5.1 Admittance Procedures written policies and procedures for admittance of youth that emphasize respectful and humane Chapter 5, 5.1 General Policy 1st engagement with youth, and reflect that the admission Paragraph process may be traumatic to youth who may have already experienced trauma. Policies shall be trauma- informed, culturally relevant, and responsive to the The agency has many policies and language and literacy needs of youth. In addition to required assessments in place for youth the requirements of Sections 1324 and 1430 of these admission. Intake staff complete a process regulations: for booking a youth including Orientation and Rules; Non-Association Orders; Property Inventory, Parent Notifications; Mental Health History/Screening; WIC 627 admission requirements; Non-Racial agreement; Gang Information Worksheet; a SOGIE Assessment; Gender Preference Questionnaire; and Disability and/or IEP questions. The level of information is communicated with all staff and agency partners to make the most appropriate decision for unit placement, classification status, and room placement. ☒ ☐ ☐ Each tool provides insight into the youth’s attitude, prior victimization, gang influence, sexual abuse or assault, and aggression via the intake questionnaire. The medical and mental health assessments include questions related to illnesses, medication, history of medical incidents, mental health conditions, prior assaultive or suicidal behaviors, trauma, and family issues. The historical and current information is relevant to detention decisions as well as to establish relevant goals and objectives during the youth’s stay. When a youth is committed to CVA and is determined to be an appropriate candidate for the program, staff perform a myriad of intake and orientation reminders regarding expectations and rules. Because the program is under the same roof as the juvenile detention side of the building, no formal admission other than re- engagement with the new commitment is given. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 24 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS We reviewed many admission packet forms verifying the comprehensive and detailed intake process to admit youth into the facility, which is responsive to all required elements in regulation. The narrative entries by staff are informative and include the necessary information to address health, mental health, classification, and related concerns in determining youth needs at admission. Youth committed to CVA are provided opportunities to make phone calls to family if they were not at the hearing. (a) the admittance process shall include: (1) Access to two free phone calls within one hour ☒ Chapter 5, 5.1, a of admittance in accordance with the provisions of ☐ ☐ Welfare and Institution Code Section 627; (2) Offer of a shower; ☒ Chapter 5, 5.1, b ☐ ☐ (3) Documented secure storage of personal ☒ Chapter 5, 5.1, c belongings; ☐ ☐ (4) Offer of food upon arrival; ☒ Chapter 5, 5.1, d-1 and 2 ☐ ☐ (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ Chapter 5, 5.1, e General Policy disabilities; (6) Screening for physical and developmental disabilities in accordance with Sections 1329, ☒ ☐ ☐ Chapter 5, 5.1, f General Policy 1413, and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are suspected of or identified as having a ☒ Chapter 5, 5.1, g General Policy ☐ ☐ developmental disability, pursuant to Section 1413; and, 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 25 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 5, 5.3, G Transgender and Intersex (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Youth (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive ☒ ☐ ☐ Chapter 5, 5.1, A Detention Policy environment. Statement (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures Chapter 5, 5.1, P 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 that advise any committed youth of the ☒ ☐ ☐ Chapter 5, 5.1, P estimated length of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Chapter 5, 5.2 Screening for the Risk of The facility administrator shall develop and implement Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 ☒ The facility has a comprehensive screening ☐ ☐ hours of admission based on the following process, including intake forms, the SOGIE information: and CSEC assessments, case file reviews, Court records, and incident or behavior reports to assess this risk. (a) Prior sexual victimization or abusiveness; ☒ Chapter 5, 5.2, a ☐ ☐ (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, ☒ Chapter 5, 5.2, b queer or intersex, and whether the youth may, ☐ ☐ therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ Chapter 5, 5.2, c ☐ ☐ (d) Age; ☒ Chapter 5, 5.2, d ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 26 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Level of emotional and cognitive development; ☒ Chapter 5, 5.2, e ☐ ☐ (f) Physical size and stature; ☒ Chapter 5, 5.2, f ☐ ☐ (g) Mental illness or mental disabilities; ☒ Chapter 5, 5.2, g ☐ ☐ (h) Intellectual or developmental disabilities; ☒ Chapter 5, 5.2, h ☐ ☐ (i) Physical disabilities; ☒ Chapter 5, 5.2, i ☐ ☐ (j) The youth’s perception of vulnerability; and, ☒ Chapter 5, 5.2, j ☐ ☐ (k) Any other specific information about the individual youth that may indicate heightened needs for ☒ Chapter 5, 5.2, k supervision, additional safety precautions, or ☐ ☐ separation from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance Chapter 5, 5.2, 2nd Paragraph 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 controls on the dissemination of information within the Chapter 5, 5.2, 3rd Paragraph facility relative to responses received pursuant to this ☒ assessment in order to ensure that sensitive ☐ ☐ information is not exploited to the youth’s detriment by staff or other youth. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 27 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1351 RELEASE PROCEDURES The facility administrator shall develop and implement Chapter 5, 5.3 Release Procedures written policies and procedures for release of youth from custody which provide for: The Institution Case Management Committee (ICMC) meets weekly to assist youth with release and reintegration into the community. This team is a coordinated effort with facility staff, the assigned probation officer, and representatives from medical, MH, and education. This full- service approach provides transition services to allow for better adjustment as the youth exits the facility. ☒ ☐ ☐ Youth exiting CVA must complete all facets of the program elements, including release and re-entry plans they develop in collaboration with the ICMC Team. It is a formal process to ensure the youth is ready for release and can account for all required expectations through long preparation. We reviewed 22 youth release documents/ forms from each program, detailing the length of stay and who ordered the release, most by the Court after completion of the program or original order. Chapter 5, 5.3, F-3, b, and c (a) verification of identity/release papers; ☒ ☐ ☐ Chapter 5, 5.3, M-1 Chapter 5, 5.3, F-3, d (b) return of personal clothing and valuables; ☒ Chapter 5, 5.3, J ☐ ☐ Chapter 5, 5.3, M-4 (c) notification to the youth's parents or guardian; ☒ Chapter 5, 5.3, F-3, a ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 28 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ Chapter 5, 5.3, F-3, e regulations, for coordination with outside agencies; ☐ ☐ and, (e) notification of school staff; ☒ Chapter 5, 5.3, F-3, f ☐ ☐ (f) notification of facility mental health personnel. ☒ Chapter 5, 5.3, F-3, f ☐ ☐ The facility administrator shall develop and implement policies and procedures for post-disposition youth to Chapter 5, 5.1, O coordinate the provision of transitional and reentry ☒ services including, but not limited to, medical and ☐ ☐ behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement written policies and procedures for the furlough of ☒ ☐ ☐ Chapter 5, 5.3, K youth from custody. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 29 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352 CLASSIFICATION The facility administrator shall develop and implement Chapter 5, 5.4 Classification written policies and procedures on classification of youth for the purpose of determining housing placement in the facility. The policy includes the process by which Such procedures shall: staff identify a youth’s needs while in detention, at CVA, or in SOAR. There were three operational units when we were onsite, West had 10 pre-disposition youth in custody; Pismo and Morrow units had six in CVA and one in SOAR. Detention youth are placed in the appropriate room in the unit to address any ☒ specific areas identified during intake such ☐ ☐ as proximately to the staff counter or, for those that do not pose a risk, farther away from the control counter. Morrow and Pismo units house post-dispositional youth committed to the program and placement is evaluated based on criteria identified throughout their stay. We reviewed 22 Classification Screening documents which demonstrated the ability to adjust a youth’s classification status based on new information and youth behavior. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the Chapter 5, 5.4, A appropriate, least restrictive housing and program ☒ settings. Housing assignments shall consider the ☐ ☐ need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of the facility; Chapter 5, 5.4, E ☒ ☐ ☐ This section identifies the facility unit design and the appropriate classification factors for placement. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 30 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Chapter 5, 5.4, A-1 through 14 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ Chapter 5, 5.4, F Security Classifications: legal status, public safety considerations, medical/mental health considerations, gender and General Population, Restricted Status, gender identity of the youth; Special Modified Program (d) provide for periodic classification reviews, including provisions that consider the level of Chapter 5, 5.4, F-11 supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ The facility assesses all youth on a special program daily to evaluate progress and/or modification. (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Chapter 5, 5.4, F-12 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, ☒ ☐ ☐ mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex ☒ Chapter 5, 5.4, F-13 identification or status as an indicator of likelihood of ☐ ☐ being sexually abusive. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 31 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Chapter 5, 5.5 Transgender and Intersex and procedures ensuring respectful and equitable Youth treatment of transgender and intersex youth. The policies shall provide that: The facility administers the SOGIE and CSEC tools to assess a youth’s likelihood to victimize or exploit others, as well as their potential to be victimized or exploited. ☒ ☐ ☐ There was a transgender youth in the CVA Program while onsite. Our interview with the youth revealed her needs, concerns, and any issues are fully addressed by youth supervision staff and agency partners in a positive manner. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s Chapter 5, 5.5, D preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use ☒ ☐ ☐ of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their ☒ Chapter 5, 5.5, E and F gender identity and shall provide youth with the ☐ ☐ institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes Chapter 5, 5.5, G and I their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any ☒ ☐ ☐ decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender and intersex youth have access to ☒ Chapter 5, 5.5, K medical and behavioral health providers qualified to ☐ ☐ provide care and treatment to transgender and intersex youth. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 32 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, Chapter 5, 5.5, L facility staff shall make every effort to ensure the ☒ ☐ ☐ safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s Chapter 5, 5.5, M and N anatomical sex. Whenever feasible, the facility shall ☒ respect the youth’s preference regarding the gender ☐ ☐ of the staff member who conducts any search of the youth. 1353 ORIENTATION The facility administrator shall develop and implement Chapter 5, 5.6 Orientation of Youth written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Chapter 5, 5.4, A and B information shall be provided and supplemented with video orientation if feasible. Provision shall be made to provide accessible orientation information to all The CVA Youth Handbook and intake detained youth including those with disabilities, limited process provide youth with a summary of literacy, or English language learners. Orientation all elements required by regulation. The shall include information that addresses: description in the handbook allows youth to understand what to expect while in custody as well as a summary of daily processes. The agency requires youth to sign a form indicating they understand expectations while in custody. ☒ ☐ ☐ The agency operates in conjunction with the PBIS (Positive Behavior Interventions and Supports) philosophy and youth are frequently reminded of rules/expectations, that promote safe, responsible, and considerate behaviors. This is promoted by all youth supervision staff and agency partners. The CVA Handbook articulates the program components required to maneuver the necessary responsibilities in the program to establish parameters for successful community re-entry. (a) facility rules including contraband and searches and disciplinary procedures; ☒ Chapter 5, 5.6, B-1 ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 33 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) facility’s system of positive behavior interventions and supports, including behavior expectations, incentives that youth will receive for complying with ☒ Chapter 5, 5.6, B-17 ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual ☒ Chapter 5, 5.6, B-18 harassment and how to report incidents or suspicions ☐ ☐ of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ Chapter 5, 5.6, B-19 ☐ ☐ (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the ☒ Chapter 5, 5.6, B-2 Grievance Procedure ☐ ☐ name of the person or position designated to resolve the issue; Chapter 5, 5.6, B-3 Legal Services (f) access to legal services and information on the ☒ court process; ☐ ☐ Chapter 5, 5.6, B-8 Court Process Chapter 5, 5.6, B-4 Health Care (g) access to routine and emergency health and ☒ mental health care; ☐ ☐ Chapter 5, 5.6, B-7 Counseling Services Chapter 5, 5.6, B-5 Education and (h) access to education, religious services, and ☒ Recreational recreational activities; ☐ ☐ Chapter 5, 5.6, B-6 Religious Services (i) housing assignments; ☒ Chapter 5, 5.6, B-9, ☐ ☐ (j) opportunity for personal hygiene and daily showers including the availability of personal care items ☒ Chapter 5, 5.6, B-10 ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 34 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (k) rules and access to correspondence, visits and telephone use; ☒ Chapter 5, 5.6, B-11 ☐ ☐ (l) availability of reading materials, programming, and other activities; ☒ Chapter 5, 5.6, B-12 ☐ ☐ (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Chapter 5, 5.6, B-13 Use of Restraints and ☒ Chemical Agents ☐ ☐ Chapter 5, 5.6, B-14 Use of Force (n) immigration legal services; ☒ Chapter 5, 5.6, B-3 ☐ ☐ (o) emergencies including evacuation procedures; ☒ Chapter 5, 5.6, B-15 Evacuation ☐ ☐ (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment Chapter 5, 5.6, B-16 Non-Discrimination by other youth and staff; ☒ Policy ☐ ☐ Chapter 5, 5.6, B-20 (q) availability of services and programs in a language other than English if appropriate; ☒ Chapter 5, 5.6, B-21 ☐ ☐ (r) the process for requesting different housing, education, programming and work assignments; ☒ Chapter 5, 5.6, B-24 ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 35 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility Chapter 5, 5.6, B-22 that at a minimum includes answers to frequently asked questions and provides contact information for the facility, medical, school and mental health; and, ☒ A Parent Notice provides responses to ☐ ☐ frequently asked questions for parents who do not have access to online orientation information. (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. ☒ Chapter 5, 5.6, B-23 ☐ ☐ 1354 SEPARATION The facility administrator shall develop and implement Chapter 5, 5.7 Separation written policies and procedures that address: Facility staff processes the need for Separation through reflection time and/or with privilege suspension as sanctions for incidents that do not pose a threat to the safety or security of the facility, staff, or other youth. The tools focus on activities that identify the behavior and the need to make better choices. ☒ We reviewed the Separation notes ☐ ☐ demonstrating the youth’s request for separation (self-separation) or when a youth is removed from an environment for behaviors inconsistent with unit activities. Each situation documented the approach to reflection activities to redirect behavior. Any youth involved in an incident that poses a risk to the safety and security of youth, staff, or the facility is subject to room confinement. It is noted youth reintegration sometimes includes separation from group or unit activities. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health ☒ Chapter 5, 5.7, A-1 conditions, assaultive behavior, disciplinary ☐ ☐ consequences and protective custody. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 36 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) consideration of positive youth development and trauma-informed care. ☒ Chapter 5, 5.7, A3 ☐ ☐ (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Chapter 5, 5.7, A-2 necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. ☒ Chapter 5, 5.7, C ☐ ☐ (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and ☒ Chapter 5, 5.7, D Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains ☒ ☐ ☐ Chapter 5, 5.7, E necessary. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 37 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Chapter 5, 5.8 Room Confinement (RC) implement written policies and procedures addressing the confinement of youth in their room that are Chapter 5, 5.8, C Procedure for consistent with Welfare and Institutions Code Section implementation of RC 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: The facility staff uses room confinement as a last resort, evidenced by their documentation of incidents reviewed. The PBIS model of behavior modification allows youth to confront negative behaviors by reflection and discussion before a situation escalates. Facility staff are trained to de- escalate issues through counseling and understanding the triggers which escalate bad behavior. Allowing youth to self- separate to take a time out and work on calming behaviors has been an effective tool as well. We reviewed 32 incidents involving room confinement, all of which demonstrated the need to remove a youth from the unit or setting due to an articulable safety or ☒ ☐ ☐ security-related behavior. Most involved fights, physically challenging staff or others, or defiance to the point of aggressive action or statements. The process in these situations includes monitoring behavior by discussing with the youth at a minimum of every 15 minutes and documenting the point when a youth no longer poses a threat, demonstrating he or she is ready for BH staff inclusion. All facilities have had 138 incidents of RC since March 2022, averaging less than 10 incidents per month, since the last inspection. Our review indicated most were removed at or before two hours and only two incidents were longer than four hours. We provided technical assistance so that staff does not wait for BH staff to remove the youth and to enlist the on-duty JSO III to meet with the youth and determine reintegration as soon as the youth was ready. We found several incidents were inclusive of operational time and not part of 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 38 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS the total time, resulting in less than the recorded room confinement duration. (1) Room confinement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those ☒ Chapter 5, 5.8, C-1 ☐ ☐ options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, ☒ ☐ ☐ Chapter 5, 5.8, C-2 or retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical ☒ ☐ ☐ Chapter 5, 5.8, C-3 health of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ Chapter 5, 5.8, C-8 confinement for a period of four hours, staff shall do ☐ ☐ one or more of the following: (1) Return the youth to general population. ☒ Chapter 5, 5.8, C-8 ☐ ☐ Chapter 5, 5.8, C-5, b (2) Consult with mental health or medical staff. ☒ ☐ ☐ The facility’s behavior health staff are notified when a youth is placed on RC and respond immediately. (3) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Chapter 5, 5.8, D reintegrate the youth to general population. (4) If room confinement must be extended beyond ☒ four hours, staff shall do each of the following: ☐ ☐ (A) Document the reasons for room confinement and the basis for the extension, the date and time the youth was first placed in ☒ Chapter 5, 5.8, D-2 ☐ ☐ room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Chapter 5, 5.8, D-3 integrate the youth to general population. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 39 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ Chapter 5, 5.8, D-1 every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of ☒ Chapter 5, 5.8, A and B-1 youth in juvenile facilities and does not apply to ☐ ☐ normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ Chapter 5, 5.8, B-2 ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that Chapter 5, 5.8, B-3 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 placed in a locked cell or sleeping room to treat Chapter 5, 5.8, B-4 and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in ☒ an infirmary for an illness. Additionally, this section ☐ ☐ does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 40 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN The facility administrator shall develop and implement Chapter 5, 5.9 Institution Assessment and written policies and procedures for assessment and Plan case planning. The case plan is developed with the assistance of the Institution Case Management Committee (ICMC), comprised of an SDPO or assigned DPO, JSO III, a Mental Health Clinician, an education representative, and a nurse or nurse practitioner. The Family Care Network provides two case managers to the facility for completing the initial, ongoing, and transition plans. The policy requires a case plan to be completed within 25 days of admission and every 30 days thereafter. We reviewed 20 initial, ongoing, and transition case plans. The plans are updated based on information from the ICMC meetings, which ☒ occur weekly, and recommendations for ☐ ☐ treatment or education services. Youth in CVA are expected to meet certain milestones in the Peaks and Valleys promotional program descriptions. Youth contribute to their advancement through a series of exercises to promote in the 1-year program. Writing assignments, presentations to the ICMC Team, and meeting objectives enable youth to release to the aftercare component as early as six months. The agency exceeds regulation, noting the plans were completed prior to the 30 days; and updated with notes on participation in programming and completion of objectives. The transition plan prior to release was pointed and directed the youth on re-entry expectations. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 41 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: The assessment is based on information collected Chapter 5, 5.9, B during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ strengths including, but not limited to, identification of ☐ ☐ substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: (1) A case plan shall be developed for each youth Chapter 5, 5.9, A held for at least 30 days or more and created within 40 days of admission. ☒ ☐ ☐ The facility designates Case Managers to assist in the completion of the initial assessment before 25 days. (2) The institutional plan shall include, but not be ☒ limited to, written documentation that provides: ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ Chapter 5, 5.9, B-1, a ☐ ☐ (B) a plan for meeting the objectives that includes a description of program resources ☒ Chapter 5, 5.9, B-1, b needed and individuals responsible for ☐ ☐ assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review Chapter 5, 5.9, C-1 and discussion of the plan with the youth; ☒ The plans are reviewed every 30 days to ☐ ☐ determine progress or completion of objectives documented. Our review verified the agency complies with this intensive process. (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed ☒ Chapter 5, 5.9, C-2 for post dispositional youth in accordance with ☐ ☐ Section 1351; and, 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 42 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be Chapter 5, 5.9, A Case Management developed with input from the family, supportive Committee adults, youth, and Regional Center for the Developmentally Disabled. Chapter 5, 5.9, C-2 Chapter 5, 5.9, C-3 Contact with the ☒ Regional Center ☐ ☐ The committee meets weekly to provide input on the initial, ongoing, and transition case plan. 1356 COUNSELING AND CASEWORK SERVICES Chapter 5, 5.10 Counseling and Casework The facility administrator shall develop and implement Services written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall Through PBIS, facility staff continually ensure: counsel and re-direct negative behavior, as well as acknowledge positive behavior. The interventions are verbal and sometimes involve Reflection reports to draw the youth back to his or her ‘plan.’ Notes are electronically maintained in the ☒ JSO III Logs and discussed at the weekly ☐ ☐ ICMC meetings, including adjusting a case plan to best meet the individual needs of youth. The complexity of the CVA Program allows for many counseling moments, with responses to support success. We provided technical assistance to ensure that these entries are memorialized in the youth’s electronic file to benefit or re-direct case plan objectives. (a) youth will receive assistance with needs or concerns that may arise; ☒ Chapter 5, 5.10, B-1 ☐ ☐ (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Chapter 5, 5.10, B-3 probation officer, or other public official; and, 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 43 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth will be provided access to available resources to meet the youth’s needs. ☒ Chapter 5, 5.10, B-4 ☐ ☐ 1357 USE OF FORCE The facility administrator, in cooperation with the Chapter 5, 5.11 Use of Force (UF) responsible physician, shall develop and implement written policies and procedures for the use of force, Chapter 5, 5.11, D-2 General Provisions which may include chemical agents. Force shall never Chapter 5, 5.11, L Chemical Agents be applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies We reviewed all 10 of the UF incidents and procedures which: since March 2022. Staff are diligent in preventing the need for force unless no other options are available. Of the UF incidents, none involved OC spray. ☒ ☐ ☐ The incidents reviewed provided clear documentation of events leading to the force option, including attempts to de- escalate. When medical and mental health staff are on-site, they respond immediately. It is noted that all UF incidents are administratively reviewed, including a video review to determine if the force was necessary. All incidents were determined that appropriate force was used. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section ☒ Chapter 5, 5.11, D-5 1302 to ensure the safety and security of youth, ☐ ☐ staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options Chapter 5, 5.11, D-3, 4 and 5 and define when those force options are ☒ Chapter 5, 5.11, E Control and Compliance appropriate. ☐ ☐ Holds Chapter 5, 5.11, F Other Hand-to-Hand Force Methods (3) describe force options or techniques that are expressly prohibited by the facility. Chapter 5, 5.11, D -13 Carotid Hold ☒ ☐ ☐ Chapter 5, 5.11, F-3 Kicking and Punching 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 44 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative Chapter 5, 5.11, D-10 action to immediately stop it. ☒ ☐ ☐ Chapter 5, 5.11, O-8 (5) define a standardized reporting format that includes time period and procedure for Chapter 5, 5.11, P-1 through 5 documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and ☒ ☐ ☐ or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. Chapter 5, 5.11, P-5 The Chief Deputy conducts an independent ☒ review of all UF incidents to determine the ☐ ☐ need for an internal investigation. Their review includes submitted recommendations by the supervisor who reviewed the video of the incident. (7) define the role, notification, and follow-up procedures required after use of force incidents for Chapter 5, 5.11, D-15 Medical and Mental medical, mental health staff and parents or legal Health guardians. ☒ Chapter 5, 5.11, L-7 OC Spray Notifications ☐ ☐ Chapter 5, 5.11, L, O-10 Parent Notification of UF (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Chapter 5, 5.11, C-1, a Section 6030(f) and Welfare and Institutions Code Section 222. ☒ ☐ ☐ This policy addresses known medical conditions, including pregnant youth. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 45 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Chapter 5, 5.11, L Chemical Agents (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and Chapter 5, 5.11, L-1 Trained Staff Only the approved method of deployment for those ☒ chemical agents. ☐ ☐ It is noted there have been no incidents of OC spray use since March 2022. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s ☒ Chapter 5, 5.11, L-2 safety or the safety of others and only when de- ☐ ☐ escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical Chapter 5, 5.11, L-6 agents. This shall include that youth who have been exposed to chemical agents shall not be left Chapter 5, 5.11, L-8 unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical ☒ ☐ ☐ agent. Per policy, youth are offered a change of clothes within one hour of the incident and are not left unattended. (4) define the role, notification, and follow-up procedures required after use of force incidents Chapter 5, 5.11, L-7 OC Spray Notifications involving chemical agents for medical, mental health staff and parents or legal guardians. ☒ ☐ ☐ Chapter 5, 5.11, O-10 Parent Notification of UF (5) provide for the documentation of each incident of use of chemical agents, including the reasons Chapter 5, 5.11, O-2, a-h for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and ☒ ☐ ☐ location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular ☒ Chapter 5, 5.11, C Training training in use of force and chemical agents when ☐ ☐ appropriate that address: (1) known medical and behavioral health conditions that would contraindicate certain types ☒ Chapter 5, 5.11, C-1, a of force; ☐ ☐ 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 46 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) acceptable chemical agents and the methods of application. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (4) instruction on the Constitutional Limitations of Use of Force. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (5) physical training force options that may require the use of perishable skills. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (6) timelines the facility uses to define regular training. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Chapter 5, 5.12 Use of Restraints (UR) responsible physician and mental health director, shall develop and implement written policies and Chapter 5, 5.12, A WRAP System procedures for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from The WRAP is the tool used by the agency being ambulatory. to immobilize a youth in the event the youth poses a risk to themselves. There have been no incidents of the use of the WRAP since the last inspection in March 2022. It is used as a last resort to protect a youth ☒ ☐ ☐ from self-harm and policy includes very specific criteria for its use, including Medical and MH engagement in the process of application and throughout the time the youth is in the WRAP. Policy is specific that a youth cannot be in the WRAP without DCPO approval for longer than 30 minutes and if medical staff are not on duty, the WRAP cannot be used. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 47 of 81 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 who present an immediate danger to themselves or Chapter 5, 5.12 others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ Chapter 5, 5.12, A-2 self-inflicted physical harm. Physical restraints should ☐ ☐ be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of Chapter 5, 5.12, A-3 restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through Chapter 5, 5.11, G Security Restraints affixing of hands and feet together behind the back (Transportation and Movement only) (hogtying) is prohibited. The use of restraints on ☒ ☐ ☐ pregnant youth is limited in accordance with Penal Chapter 5, 5.11, G-4 No Affixing Hands and Code Section 6030(f) and Welfare and Institutions Feet or Hogtying Code Section 222. Chapter 5, 5.11, H Pregnant Youth The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when Chapter 5, 5.11, G Security Restraints used to restrain youth for movement or transportation (Transportation and Movement only) within the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices ☒ Chapter 5, 5.13, A-1 Transportation and ☐ ☐ for Movement Within the Facility. Movement Youth shall be placed in restraints only with the approval of the facility manager or designee. The Chapter 5, 5.12, A-2 facility manager may delegate authority to place a youth in restraints to a physician. Reasons for Chapter 5, 5.12, A-9 continued retention in restraints shall be reviewed and documented at a minimum of every hour. ☒ ☐ ☐ The policy states youth cannot be in the WRAP for longer than 30 minutes without DCPO approval. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 48 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no Chapter 5, 5.12, A-4 later than two hours from the time of placement. The youth shall be medically cleared for continued retention Chapter 5, 5.12, A-6, a at least every three hours thereafter. This policy requires a nurse consultation ☒ ☐ ☐ prior to placement in WRAP. If medical staff are not available, the WRAP is not to be used. Medical is to respond immediately upon placement and to review/evaluate the need to continue every 15 minutes. A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from Chapter 5, 5.12, A-10 the time of placement, to assess the need for mental health treatment. The policy notes the BH staff shall respond ☒ and engage the youth within 15 minutes of ☐ ☐ placement. If not on site, staff are to exercise de-escalation techniques and if the youth is displaying self-harm behavior, they are to contact the Mental Health Crisis Team to respond to the facility. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly Chapter 5, 5.12, A-5, a employed, and to ensure the safety and well-being of the youth. Observations of the youth's behavior and Chapter 5, 5.12, A-8 any staff interventions shall be documented at least ☒ every 15 minutes, with actual time of the ☐ ☐ documentation recorded. While in the WRAP, the youth’s status is documented every 10 minutes. In addition to the requirements above, policies and procedures shall address: ☒ ☐ ☐ Chapter 5, 5.11, P-1 (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate certain restraint devices and/or ☒ ☐ ☐ Chapter 5, 5.11, P-1 techniques. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 49 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) acceptable restraint devices. ☒ ☐ ☐ Chapter 5, 5.12, A WRAP Restraint System (d) signs or symptoms which should result in immediate medical/mental health referral. Chapter 5, 5.12, A-5 and 6 Chapter 5, 5.12, A-10 Medical and BH staff are called to the ☒ ☐ ☐ scene if a youth is placed in the WRAP and remain on-site until removed. The policy states medical checks every 15 minutes and BH engagement, if on duty, within 15 minutes. Follow-up is determined by Medical and BH staff. (e) availability of cardiopulmonary resuscitation equipment. ☒ ☐ ☐ Chapter 5, 5.12, A-6, c (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in ☒ ☐ ☐ Chapter 5, 5.12, A-5, b a specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Chapter 5, 5.12, A-11 and 12 (h) exercising of extremities. ☒ ☐ ☐ Chapter 5, 5.12, A-6, b 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 50 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Chapter 5, 5.13 WITHIN THE FACILITY. The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health The JSOs provide clear documentation of director, shall develop and implement written policies the need to apply restraints when moving a and procedures for the use of restraint devices when youth to their room or to holding. The the purpose is for movement or transportation within assessment is based on the need to have the facility that shall include the following: control over the youth while moving the youth. The articulation was clear and necessary in the incidents we reviewed. ☒ ☐ ☐ Of the 10 use-of-force incidents since the last inspection, seven involved the use of restraints for the movement of the youth to their room or the holding room. The form utilized to record force, restraints, OC, and appropriate notifications (parents and agency partners), clearly directs staff responsibilities. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Chapter 5, 5.13, 1 training. ☒ ☐ ☐ The agency has handcuffs, shackles, soft restraints, and flex cuffs. (b) the circumstances leading to the application of restraints must be documented. Chapter 5, 5.13, 5 Documentation and ☒ ☐ ☐ Supervisor Approval (c) an individual assessment of the need to apply restraints for movement or transportation that Chapter 5, 5.13, 3-a through d includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ Chapter 5, 5.13, 5 Documentation and health conditions, trauma informed approaches, and Supervisor Approval a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint ☒ ☐ ☐ Chapter 5, 5.13, 6 devices shall not be used for the purposes of discipline or retaliation. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 51 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the use of restraints on pregnant youth is limited Chapter 5, 5.13, 4 in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in The facility does not have a safety room. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, ☐ ☐ ☒ and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and ☐ ☐ ☒ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall ☐ ☐ ☒ be accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation ☐ ☐ ☒ by staff. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 52 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) safety room shall not be used to the extent that it compromises the mental and physical health of ☐ ☐ ☒ the youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: ☐ ☐ ☒ (1) return the youth to general population. ☐ ☐ ☒ (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the ☐ ☐ ☒ goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of ☐ ☐ ☒ Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement Chapter 5, 5.14 Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: ☒ ☐ ☐ The facility conducts random but routine unit and facility searches to ensure no contraband is in the facility. All components of regulation are met in policy and practice. (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Chapter 5, 5.14, B staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ Chapter 5, 5.14, C and D searched and shall not be conducted for harassment or as a form of discipline or punishment. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 53 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Chapter 5, 5.14, E Policy articulates strip searches shall only be conducted with prior supervisor approval and articulated reasonable suspicion of contraband. ☒ ☐ ☐ There have been two strip searches since March 2022, none involving a CVA youth. Each were well documented and had Superintendent approval. The agency documents the need for and approvals for a strip search in an incident report. We provided technical assistance and sample forms to better memorialize the process and expectations detailed in policy for these high risk, low frequency events. (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ Chapter 5, 5.14, H-8 (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Chapter 5, 5.14, E when there is reasonable suspicion based on specific and articulable facts to believe that youth is ☒ ☐ ☐ concealing contraband. The reasonable suspicion shall be documented. All strip searches require each element of regulation as indicated in policy. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ Chapter 5, 5.14, F (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when conducted by a medical ☒ ☐ ☐ Chapter 5, 5.14, H-9 professional. Such searches must be justified and documented in writing. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 54 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Chapter 5, 5.15 Grievance Procedure written policies and procedures whereby any youth may appeal and have resolved grievances relating to Chapter 5, 5.15 A any condition of confinement, including but not limited to health care services, classification decisions, program participation, telephone, mail or visiting We reviewed 22 grievances, six regarding procedures, food, clothing, bedding, mistreatment, CVA youth. 44 grievances were submitted harassment or violations of the nondiscrimination by youth from March 2022 to April 2023. policy. There shall be no time limit on filing grievances. The agency documented the response and Policies and procedures shall include provisions resolution in most within one day, but no whereby the facility manager ensures: longer than four days. All were resolved at the Supervisor level or lower with no youth requesting an appeal to the DCPO. Staff ☒ ☐ ☐ responses were fair and appeared consistently applied with the other grievances reviewed for like issues. We noted facility staff have conversations with the youth and review video as a matter of procedure, to ensure the youth understands and accepts the outcome. The monthly average of grievances from the date of the last inspection is three. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ Chapter 5, 5.15, A have free access to the form; (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Chapter 5, 5.15, G-3 supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Chapter 5, 5.15, G (d) provision for a prompt review and initial response to grievances within three (3) business days, Chapter 5, 5.15, E and G grievances that relate to health and safety issues must be addressed immediately; ☒ ☐ ☐ The facility has an expectation to respond to the grievance by the end of shift or within two days, and resolution within 5 days. All were compliant with this expectation. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 55 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ ☐ ☐ Chapter 5, 5.15, G-6 directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ Chapter 5, 5.15, C (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Chapter 5, 5.15, G-7 (f) a system which provides that any appeal of a grievance shall be heard by a person not directly ☒ ☐ ☐ Chapter 5, 5.15, F involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a ☒ ☐ ☐ Chapter 5, 5.15, G-8 longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual ☒ ☐ ☐ Chapter 5, 5.15, G-13 harassment. Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be addressed and documented in accordance with ☒ ☐ ☐ Chapter 5, 5.15, G-12 written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Chapter 5, 5.16 harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall ☒ ☐ ☐ be maintained. Such written record shall be prepared We reviewed over 60 separate incident by the staff and submitted to the facility manager by the reports from UF to RC. The facts of the end of the shift, unless additional time is necessary and incident were clear and concise, providing authorized by the facility manager or designee. a clear picture of the incident. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 56 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, Chapter 5, 5.17 IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable ☒ ☐ ☐ If a youth refuses to voluntarily provide a DNA sample, sworn staff must receive force to collect blood specimens, saliva samples, and authorization from the DCPO to use force. thumb or palm print impressions from individuals who In these incidents, none this cycle, the are required to provide such samples, specimens or facility relies on their existing UF policy. impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that Chapter 5, 5.17, B an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to Chapter 5, 5.14, C secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The Chapter 5, 5.14, D authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Chapter 5, 5.14, E 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 Any use of force for DNA collection is in a court proceeding, the tape shall be retained videotaped. administratively. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 57 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1370 EDUCATION PROGRAM (a) School Programs Chapter 6, 6.1 Education Program The County Board of Education shall provide for the Chapter 6, 6.1, A administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee pursuant to applicable State laws. The school The Education program is facilitated by the and facility administrators shall develop and implement San Luis Obispo County Office of written policy and procedures to ensure Education (SLOCOE). We met with communication and coordination between educators Assistant Superintendent Katherine Aaron and probation staff. Culturally responsive and trauma- and Director of Alternative Education Chris informed approaches should be applied when Balogh, who identified the process of providing instruction. Education staff should evaluating a youth’s goals in meeting collaborate with the facility administrator to use education requirements and objectives. technology to facilitate learning and ensure safe Teachers are diligent in prioritizing youth technology practices. The facility administrator shall goals and behaviors, evidenced by their request an annual review of each required element of involvement in daily/weekly meetings with the program by the Superintendent of Schools, and a probation and other agency staff to discuss report or review checklist on compliance, deficiencies, student needs. 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 Post-secondary education has become a of any juvenile court school site. The Superintendent of priority as there are currently two Schools shall conduct this review in conjunction with a graduates, both in CVA and actively qualified outside agency or individual. Upon receipt of enrolled at Cuesta College. 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 The Office of Education continues to educational interests of all youth in the facility. promote DBT, a social and emotional curriculum for staff to better relate to their students. This premise facilitates a basic understanding of the individual needs students have when entering their classroom. The PBIS philosophy is also a big part of the school-based services, and the SLOCOE continues to work with probation staff to develop basic strategies for youth to instill in themselves: Safe, Responsible, and Considerate. The focus is on modeling positive behavior the youth can anticipate and adopt. Teachers and staff maintain firm, fair, and consistent expectations each day, providing positive feedback or a teaching moment when appropriate. Education staff are involved in daily briefings and in the ICMC meetings to provide feedback on youth progress. We discussed the very minimum time spent on core curriculum activities as specified in 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 58 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS the school schedule. Although approved and accepted by the educational assessment, we found the agency’s school schedule compliant but does not reflect the robust daily schedule we have seen in cycles past. The Probation Department is actively involved in the grant application process for Rising Scholars, a collaboration with Cuesta Community College for a more active role in youth enrollment, including all eligible youth to be dually enrolled in high school and college. (b) Required Elements The facility school program shall comply with the State Chapter 6, 6.1, B 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 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ Chapter 6, 6.1, C nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Education Code and include, but not be limited to, ☒ ☐ ☐ Chapter 6, 6.1, C-1 courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ Chapter 6, 6.1, C-2 Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ Chapter 6, 6.1, C-3 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 59 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Chapter 6, 6.1, C-4 Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress ☒ ☐ ☐ Chapter 6, 6.1, C-5 towards grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for Chapter 6, 6.1, C-6 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 of classification, housing, security Chapter 6, 6.1, C-7 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 (1) Positive behavior management will be Chapter 6, 6.1, D implemented to reduce the need for disciplinary ☒ ☐ ☐ action in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect ☒ ☐ ☐ Chapter 6, 6.1, D-2 the educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school Chapter 6, 6.1, D-3 shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State ☒ ☐ ☐ Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures ☒ ☐ ☐ Chapter 6, 6.1, D-4 that address the rights of any student who has continuing difficulty completing a school day. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 60 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Chapter 6, 6.1, F-1 suspected disabilities. This includes but is not ☒ ☐ ☐ limited to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ Chapter 6, 6.1, F-2 state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and ☒ ☐ ☐ a record maintained that documents a youth's Chapter 6, 6.1, G-1 educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ Chapter 6, 6.1, G-2 (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Chapter 6, 6.1, G-3 (C) Needs and services of special populations as defined by the State Education Code, ☒ ☐ ☐ including but not limited to, students with special Chapter 6, 6.1, G-4 needs. (D) Discipline problems. ☒ ☐ ☐ Chapter 6, 6.1, G-5 (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Chapter 6, 6.1, G-5, a levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ within five school days. Chapter 6, 6.1, G-5, c (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), Chapter 6, 6.1, G-5, d 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. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 61 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ Chapter 6, 6.1, H-1 placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in Chapter 6, 6.1, H-2 accordance with the State Education Code. (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop Chapter 6, 6.1, I-1 policies and procedures to meet the transition ☒ ☐ ☐ needs of youth, including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- Chapter 6, 6.1, J-1 ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 62 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 6, 6.2 Programs, Recreation, and The facility administrator shall develop and implement Exercise written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms Programs for the pre-dispositional youth or their bed area. are facilitated by Restorative Partners (RP), an In-Custody and Reentry Program for San Luis Obispo County. Restorative Partners Inc. serves people impacted by crime through a continuum of services that focus on mind, body, and spiritual transformation. The programs include evidence-based, trauma-informed approaches that increase self-esteem, pro- social skills, multi-cultural and non-violent communication, and life and job skills. The nonprofit agency offers a continuum of services to meet the diverse needs in the community for both youth and adult populations. The goal of the juvenile facility is to include gender-specific, trauma- ☒ ☐ ☐ informed and evidence-based services to the youth population. Once a youth is committed to CVA, services are supported by the San Luis Obispo Behavior Health Clinicians, RP, and agency staff. Programming opportunities include Individual and Family Counseling; a comprehensive Cognitive Behavior Curriculum; Substance Abuse Treatment; Child and Family Team meetings; Independent Living; Parent Education and Support; Off-site Community Activities; Community Work Service Projects; Gardening; Culinary Activities; Video, Board, and Card games; Movie Night; High School/Birthday and Holiday celebrations; In-house and Outside Employment Opportunities; Career Path Opportunities; Gender-specific Programming; and, PBIS. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 63 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of Chapter 6, 6.2, A-1 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 exercise may be suspended only upon a written finding by the administrator/manager or designee that ☒ ☐ ☐ Chapter 6, 6.2, A-2 a youth represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ Chapter 6, 6.2, A-3 There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Chapter 6, 6.2, A-4 ensure content offered is current, consistent, and relevant to the population. ☒ ☐ ☐ The annual review of programs for all youth was completed by Cindy Ayala, the Mission and Restorative Justice Implementation Director with Restorative Partners, on May 12, 2023. (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming Chapter 6, 6.2, B-1, a and b to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as ☒ ☐ ☐ required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 64 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; Chapter 6, 6.2, B-1, c (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to Chapter 6, 6.2, C-1 unscheduled activities such as leisure reading, letter ☒ ☐ ☐ writing, and entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 6, 6.2, D-1 each day. ☒ ☐ ☐ Youth participate in one hour of Physical Education during the school day facilitated by the SLOCOE. Graduated youth are provided this by facility staff. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ Chapter 6, 6.2, D-3 the reasons why suspension of recreation and programs occurs. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 65 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to Chapter 6, 6.3 Religious Programs religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A ☒ ☐ ☐ youth shall be allowed to participate in an activity Religious programming is facilitated by outside of their room if he/she elects not to participate Restorative Partners, who also provides in religious programs. referrals for religious programs at the Religious programs shall provide for: youth’s request. (a) opportunity for religious services and practices; ☒ ☐ ☐ Chapter 6, 6.3, C-1 (b) availability of clergy; and, ☒ ☐ ☐ Chapter 6, 6.3, C-2 (c) availability of religious diets. ☒ ☐ ☐ Chapter 6, 6.3, C-3 1373 WORK PROGRAM The facility administrator shall develop policies and Chapter 6, 6.4 Work Programs procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth shall be meaningful, constructive and related CVA youth can apply for jobs inside and to vocational training or increasing a youth's sense of outside of the facility. Jobs at the facility responsibility. Work programs shall not be imposed as a disciplinary measure ☒ ☐ ☐ include gardening, mowing, cleaning the kitchen, and assisting with cleaning the facility. Outside the facility, once a youth has met certain criteria, they are able to work at locations such as local fast-food restaurants, Cal Trans, and a local fuel delivery service. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 66 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING The facility administrator shall develop and implement Chapter 6, 6.5 Visiting written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Chapter 6, 6.5, A, B, F-4 receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, such as grandparents and siblings, The youth’s parents and approved visitors ☒ ☐ ☐ and supportive adults, may be allowed to visit with the schedule their own visitation, which approval of the facility administrator or designee, and includes two, one hour visits each week. in conjunction with the youth’s case plan or in the best This allows the visitor to accommodate interest of the youth. their own schedule and promotes more visitation. Special visits are arranged when requested by the youth’s probation officer. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and Chapter 6, 6.5, G security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history ☒ ☐ ☐ represents a risk to the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but ☒ ☐ ☐ Chapter 6, 6.5, C conversations shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, Chapter 6, 6.5, I-11 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 alternative, but not as a replacement, to in-person ☒ ☐ ☐ Chapter 6, 6.5, I-12 visiting. 1375 CORRESPONDENCE The facility administrator shall develop and implement Chapter 6, 6.6 Correspondence written policies and procedures for correspondence which provide that: ☒ ☐ ☐ Youth can send letters postage free. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 67 of 81 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 may send or receive; ☒ ☐ ☐ Chapter 6, 6.6, B (b) youth may send two letters per week postage free; ☒ ☐ ☐ Chapter 6, 6.6, C (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder Chapter 6, 6.6, D 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 in (c), may be read by staff only when there ☒ ☐ ☐ Chapter 6, 6.6, E is reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop Chapter 6, 6.7 Telephone Access and implement written policies and procedures to ☒ ☐ ☐ provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written Chapter 6, 6.9 Access to Legal Services procedures to ensure the right of youth to have access ☒ ☐ ☐ to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; ☒ ☐ ☐ Chapter 6, 6.9, C-1 (b) provision for confidential consultation with attorneys; and, ☒ ☐ ☐ Chapter 6, 6.9, C-2 (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. ☒ ☐ ☐ Chapter 6, 6.9, C-3 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 68 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1390 DISCIPLINE The facility administrator shall develop and implement Chapter 7, 7.1 Discipline written policies and procedures for the discipline of youth that shall promote acceptable behavior; including Chapter 7, 7.1, B PBIS the use of positive behavior interventions and supports. Chapter 7, 7.1, E Discipline shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, The Positive Behavior Interventions and physical or psychological degradation. Deprivation of Supports (PBIS) model is intertwined with the following is not permitted: the discipline process and rules and sanctions are identified as expectations and consequences for certain behaviors. The expected behaviors and consequences for not following them are posted in the living unit, and on posters ☒ ☐ ☐ throughout the facility. This philosophy is emulated in the classroom as youth are rewarded for following along with expected behaviors which are promoted through the program with incentive-based levels of leadership. Sanctions include losing privileges or completion of Reflection Time written exercises for not following the structure of the program or schedule. CVA youth can experience not being promoted to the next level of the program based on violations of rules and negative behaviors. (a) bed and bedding; ☒ ☐ ☐ Chapter 7, 7.1, E (b) daily shower, access to drinking fountain, toilet ☒ ☐ ☐ Chapter 7, 7.1, E and personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Chapter 7, 7.1, E (d) contact with parent or attorney; ☒ ☐ ☐ Chapter 7, 7.1, E 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 69 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) exercise; ☒ ☐ ☐ Chapter 7, 7.1, E (f) medical services and counseling; ☒ ☐ ☐ Chapter 7, 7.1, E (g) religious services; ☒ ☐ ☐ Chapter 7, 7.1, E (h) clean and sanitary living conditions; ☒ ☐ ☐ Chapter 7, 7.1, E (i) the right to send and receive mail; ☒ ☐ ☐ Chapter 7, 7.1, E (j) education; and, ☒ ☐ ☐ Chapter 7, 7.1, E (k) rehabilitative programming. ☒ ☐ ☐ Chapter 7, 7.1, E The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct Chapter 7, 7.1, F of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply ☒ ☐ ☐ and affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 70 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Chapter 7, 7.2 Discipline Process written policies and procedures for the administration of discipline which shall include, but not be limited to: We reviewed 44 incident reports, with 32 including due process elements of a violation of expectations. Although not required, the agency allows for due process for all failures to meet expected behavior resulting in a sanction and an incident report. Youth can read the incident report and acknowledge verbally and by signature if they want a hearing. The missing written element is the proposed sanction. We provided technical assistance to reiterate the proposed sanction in writing for the ☒ ☐ ☐ youth to acknowledge by signature for Due Process. We spoke to youth about the PBIS model, expectations and if they had a clear understanding of sanctions for certain behaviors. Responses from all five youths interviewed, including documentation in the reports we reviewed, revealed program expectations are clearly demonstrated verbally by staff and by visual posters throughout the facility. Youth understood consequences would result in re-direction of negative behavior to promote a more positive program. (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ Chapter 7, 7.2, A (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Chapter 7, 7.2, F (c) definition of major and minor rule violations and their consequences, and due process requirements; The facility rules (expectations) and accompanying sanctions (consequences) ☒ ☐ ☐ are in the youth handbook and posted in the living unit. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 71 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) trauma-informed approaches and positive behavior interventions; ☒ ☐ ☐ Chapter 7, 7.2, C (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ Chapter 7, 7.2, B accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Chapter 7, 7.2, I-1, a (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Chapter 7, 7.2, L learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ Chapter 7, 7.2, I-2, a incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ Chapter 7, 7.2, I-2 evidence and testimony; (5) provision for youth to be assisted by staff in ☒ ☐ ☐ Chapter 7, 7.2, I-2 the hearing process; (6) provision for administrative review. ☒ ☐ ☐ Chapter 7, 7.2, J (g) violations that result in a removal from camp or commitment program, but not a return to court, will Chapter 7, 7.2, I-4, a follow the due process provisions in subsection (e) above. ☒ ☐ ☐ Youth whose conduct merits a removal from the CVA program are referred for petition or Court action. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 72 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1410 MANAGEMENT OF COMMUNICABLE DISEASES. San Luis Obispo Juvenile Facility Policy The health administrator/responsible physician, in and Procedure Manual (SLOJF) Section cooperation with the facility administrator and the 8.11 Management of Communicable local health officer, shall develop written policies and Diseases procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, This policy has been updated to reference ☒ ☐ ☐ but not be limited to: current pandemic information as it relates to cooperation with the Local Health Officer. San Luis Obispo County Public Health (SLOCPH) Policy 1410 - Management of Communicable Diseases SLOJF Section 8.11, B-1: Intake Health Screening procedures. SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): B Booking Procedures (a) Intake health screening procedures; ☒ ☐ ☐ This section articulates the screening by staff and medical, where the screening is done, and the reaction to specific criteria at admission. SLOCPH 1410, III-A, Bullet #1 Screening SLOJF Section 8.11, B-2: Identification of Relevant Symptoms SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): Booking Procedures B-3 through 8 (b) Identification of relevant symptoms; ☒ ☐ ☐ These procedures outline the screening criteria, including relevant information related to questions and observations of symptoms. SLOCPH 1410, III-A, Bullet #1 Screening 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 73 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SLOJF Section 8.11, B-3: Referral for Medical Evaluation (c) Referral for medical evaluation; ☒ ☐ ☐ SLOCPH 1410, III-A, Bullet #2 Appraisal SLOJF Section 8.11, B-4: Treatment Responsibilities During Detention SLOCPH 1410, III-A, Bullet #2 (d) Treatment responsibilities during detention; ☒ ☐ ☐ Appraisal/Treatment SLOCPH 1410, III-B, Bullet #2 Management/Communication SLOJF Section 8.11, B-5: Coordination with Public and Private Community-Based (e) Coordination with public and private community- Resources for Follow-Up Treatment ☒ ☐ ☐ based resources for follow-up treatment; SLOCPH 1410, III-C Follow-Up Care and release information SLOJF Section 8.11, B-6: Applicable Reporting Requirements SLOJF Section 8.11, Administrative 2-d, I- iii This includes reporting the results of tests (f) Applicable reporting requirements; and, ☒ ☐ ☐ to the Public Health Division Manager, Assistant Public Health Director, and the Communicable Disease Program Manager. Other sections include a report to the administrators in the agency, parents, and the Juvenile Court Judge. SLOCPH 1410, III-B, Bullet #3 Reporting 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 74 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SLOJF Section 8.11, B-7: Strategies for Handling Disease Outbreaks. SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): B (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ This section coordinates efforts for youth entering the facility from booking responsibilities to youth/staff protocols. SLOCPH 1410, III-D, Bullet #2 Outbreaks The policies and procedures shall be updated as necessary to reflect communicable disease priorities These policies are reviewed with all new identified by the local health officer and currently ☒ ☐ ☐ CDC and California Public Health recommended public health interventions. Guidelines. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 8, 812 Access to Health Care 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 The youth’s personal clothing, undergarments and Chapter 10, Clothing and Personal Hygiene footwear may be substituted for the institutional clothing and footwear specified in this regulation. The ☒ ☐ ☐ facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and ☒ ☐ ☐ Chapter 10, 10.1, A-6 tears. (b) The standard issue of climatically suitable clothing for youth shall consist of but not be limited to: ☒ ☐ ☐ (1) Socks and serviceable footwear; ☒ ☐ ☐ Chapter 10, 10.1, A-1, 3 and 4 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 75 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Outer garments; ☒ ☐ ☐ Chapter 10, 10.1, A-2 (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; Chapter 10, 10.1, A-4 ☒ ☐ ☐ Chapter 10, 10.1, C-1 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. Chapter 10, 10.1, A-1 ☒ ☐ ☐ Chapter 10, 10.1, C-1 (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and ☒ ☐ ☐ Chapter 10, 10.1, A-6 dried completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Chapter 10, 10.1, F 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement Chapter 10, 10.3 Clothing Exchange written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Chapter 10, 10.5 Control of Vermin in There shall be written policies and site-specific Youth’s Personal Clothing 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. 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 76 of 81 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 There shall be written policies and site-specific Chapter 10, 10.6 Issue of Personal Care procedures developed and implemented by the facility Items administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Chapter 10, 10.6, A-1 (b) Toothpaste; ☒ ☐ ☐ Chapter 10, 10.6, A-2 (c) Soap; ☒ ☐ ☐ Chapter 10, 10.6, A-3 (d) Comb; ☒ ☐ ☐ Chapter 10, 10.6, A-4 (e) Shaving implements; ☒ ☐ ☐ Chapter 10, 10.6, A-5 (f) Deodorant; ☒ ☐ ☐ Chapter 10, 10.6, A-6 (g) Lotion; ☒ ☐ ☐ Chapter 10, 10.6, A-7 (h) Shampoo; and, ☒ ☐ ☐ Chapter 10, 10.7, B (i) Post-shower conditioning hair products. ☒ ☐ ☐ Chapter 10, 10.6, A-9 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 77 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap Chapter 10, 10.5, B provided through a common dispenser is permitted. Youth shall not share disposable razors. Double Chapter 10, 10.8 Shaving edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, ☒ ☐ ☐ when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE There shall be written policies and site specific Chapter 10, 10.7 Personal Hygiene procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Youth shall have access to a razor daily, unless their Chapter 10, 10.8 Shaving appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Hair care services shall be available in all juvenile Chapter 10, 10.9 Hair Care Services facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected ☒ ☐ ☐ after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good Chapter 11, 11.1 Standard Bedding and repair, shall be provided for each youth entering a ☒ ☐ ☐ Linen Issue living area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of ☒ ☐ ☐ Chapter 11, 11.1, A-1 these regulations; (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ Chapter 11, 11.1, A-1 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 78 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Chapter 11, 11.1, A-4 (d) One towel; and, ☒ ☐ ☐ Chapter 11, 11.1, A-3 (e) One blanket or more, up on request ☒ ☐ ☐ Chapter 11, 11.1, A-2 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement Chapter 11, 11.1, A-4 site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once a month. ☒ ☐ ☐ Chapter 11, 11.1, A-2 and 4 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Chapter 12 Facility Sanitation, Safety, and The facility administrator shall develop and implement Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, 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). 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 79 of 81 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 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 80 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7540 San Luis Obispo Probation Coastal Valley Academy CAMP PRO 23-24 81 of 81 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: 7541 FACILITY NAME: San Luis Obispo County Juvenile Services Center FACILITY TYPE: JH Secure Youth Treatment Program - SOAR PERSON(S) INTERVIEWED: Robert Reyes, Chief Probation Officer; Tom Milder, Assistant Chief Probation Officer; Marguerite Harris, Chief Deputy Probation Officer; Seth Price, Supervising Probation Officer; Jennifer Gonzalez, Supervising Probation Officer; Laureen Kilenberger, Supervising Probation Officer; Darryl Kendrick, Juvenile Service Officer III; Krystal Keach, Juvenile Services Officer III; Wilbert Adahar, Juvenile Services Officer I; Katherine Aaron, Assistant Superintendent, San Luis Obispo Office of Education (SLOCOE); Chris Balough, Director SLOCOE; Jill Rietjens, SLO Behavior Health Division Manager – Youth Services; Lynley Ewen, SLO Behavior Health Program Supervisor; Grisel Mendoza, SLO Behavior health Clinician; Christine Burg, Nurse Practitioner - SLO Public Health; Valerie Vega, Restorative Justice Program Manager – Restorative Partners; Isabella Bischel, Restorative Partners Program Manager; Ariana, CVA Youth age 17; Jasmine, CVA Youth age 18; Brandon, SOAR Youth age 18; David, JH Youth age 16. FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 30-June 1, 2023 NOTE: The San Luis Obispo County Juvenile Services Center shares the same policies for all programs. TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS All Local Inspections are for the Juvenile Services Center Juvenile Hall, Coastal On an annual basis, or as otherwise required by law, Valley Academy, and Secure Youth each juvenile facility administrator shall obtain a ☒ ☐ Treatment Facility. ☐ documented inspection and evaluation from the following: • March 31, 2023 (a) county building inspector or person designated by • February 23, 2022 the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code ☒ • March 30, 2023 ☐ ☐ Section 13146.1(a) and (b); • January 7, 2022 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. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 1 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: • November 15, 2022 • November 19, 2021 Medical/Mental Health: ☒ • February 3, 2022 ☐ ☐ • January 10, 2021 Nutritional Health: • March 2, 2023 • December 2, 2021 (d) county superintendent of schools on the adequacy of educational services and facilities as required in ☒ • December 20, 2022 ☐ ☐ Section 1370; • November 29, 2021 (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ • November 29, 2022 ☐ ☐ • December 3, 2021 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ • December 28, 2022 ☐ ☐ Probation Commission as required by Section 240 of • December 14, 2021 the Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS Chapter 3, 3.1 Appointment and BSCC Note: Compliance with this section is Qualifications determined by receipt of the Chief Probation Officer’s certification letter confirming that all elements of The elements of this regulation are regulation are met. addressed in a memorandum completed by Chief Probation Officer Robert Reyes dated May 2, 2023. The memo articulates the (a) Appointment ☒ ☐ ☐ hiring practices of the agency which meets the regulation. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: Chapter 3, 3.1, B-1 (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses ☒ Chapter 3, 3.1, B-2 ☐ ☐ of childhood (i.e., diphtheria, rubeola, rubella, and mumps); 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 2 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.1, B-3 and 6 (3) adhere to the minimum standards for the selection and training requirements adopted by the ☒ The BSCC Standards for Training and Board pursuant to Section 6035 of the Penal Code; ☐ ☐ Corrections (STC) report for 2021-2022 and found San Luis Obispo County Probation in compliance with requirements for staff training. (4) conduct a criminal records review, on each new employee, and psychological examination in Chapter 3, 3.1, B-4 and 5 ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Chapter 3, 3.1, B-7 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 Each juvenile facility shall: Chapter 3, 3.2 Staffing (a) have an adequate number of personnel sufficient to Chapter 3, 3.2, A-2 carry out the overall facility operation and its programming, to provide for safety and security of youth and staff, and meet established standards and The facility has 30 Juvenile Supervision regulations; Officers (JSO), six JSO III filled positions, and three Supervising Deputy Probation Officers (SDPO). There are 5 vacancies in this series. Of the 30 JSO I/II, two are new ☒ ☐ ☐ hires and have not yet completed Core Training. The staffing patterns are 12-hour shifts: 6 a.m. to 6 p.m.; 6 p.m. to 6 a.m.; 8 a.m. to 8 p.m.; 9 a.m. to 9 p.m.; and 10 a.m. to 10 p.m. This allows for more coverage during waking hours to complete programming and other T15 responsibilities. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 3 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent Chapter 3, 3.2, A-1 exigent circumstances; The facility’s population has changed with ☒ the addition of the SYTF Program: SOAR ☐ ☐ (Seeking Opportunity and Achieving Re- Entry). The agency continues to have sufficient staffing levels with the added program. (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Chapter 3, 3.2, A-12 ☒ There are three SDPOs assigned to the ☐ ☐ facility. The necessary graveyard supervisory staff is a JSO III who maintains supervision of the overall operations in the facility during that time. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Chapter 3, 3.2, A-3 completed the Juvenile Corrections Officer Core Course and PC 832 training; ☒ ☐ ☐ There is always an SDPO or JSO III on duty, and in charge of the facility. (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Chapter 3, 3.2, A-4 ☐ ☐ (f) have sufficient food service personnel relative to the number and security of living units, including staff The facility contracts with the SLO County qualified and available to: plan menus meeting Jail to provide food services. nutritional requirements of youth; provide kitchen supervision; direct food preparation and servings; ☒ ☐ ☐ conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 4 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Chapter 3, 3.2, A-7 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, Ancillary personnel are not responsible for youth supervision. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Chapter 3, 3.2, A-6 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: ☐ ☐ The facility operates with a minimum of seven JSOs during waking hours and four during sleeping hours. (1) Juvenile Halls (A) during the hours that youth are awake, one Chapter 3, 3.2, A-8 wide-awake youth supervision staff member on duty for each 10 youth in detention; ☒ The SOAR Program is a post-dispositional ☐ ☐ commitment to SLO JH, with an opportunity to ‘step down’ to the SOAR (SYTF) CVA program. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide- ☒ Chapter 3, 3.2, A-9 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 Chapter 3, 3.2, A-6 the number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to ☒ emergencies; and, ☐ ☐ The facility will operate with a minimum of one supervisor/shift leader and six JSOs on duty. (D) at least one youth supervision staff member on duty who is the same gender as youth ☒ ☐ ☐ Chapter 3, 3.2, A-10 housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, ☒ Chapter 3, 3.2, B-3, 4 ☐ ☐ clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 5 of 81 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 (A) during hours that youth are awake, one wide- ☒ This facility is not a SPJH. ☐ ☐ 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 (A) during the hours that youth are awake, one ☒ The SOAR Program is not a Camp but ☐ ☐ wide-awake youth supervision staff member on rather a Post-Disposition commitment to duty for each 15 youth in the camp population; SYTF. (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; 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 6 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, ☒ clerical, farm, forestry, kitchen or maintenance ☐ ☐ shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Chapter 3, 3.3, A Orientation (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Chapter 3.4 Facility Training Program their duties, including: Chapter 3, 3.3, A-1 (1) youth supervision duties; The Training Program curriculum includes staff to be oriented to the Mission, Vision, ☒ and Values of the Agency; the philosophy ☐ ☐ of detained youth; an overview of Positive Behavior Interventions and Supports (PBIS); employee responsibilities and conduct; and a review of the agency’s Use of Force policy. These requirements promote the agency’s philosophy staff are able to support the physical, emotional, intellectual, and social development of youth. (2) scope of decisions they shall make; ☒ Chapter 3, 3.3, A-2 ☐ ☐ (3) the identity of their supervisor; ☒ Chapter 3, 3.3, A-3 ☐ ☐ (4) the identity of persons who are responsible to them; ☒ Chapter 3, 3.3, A-4 ☐ ☐ (5) persons to contact for decisions that are beyond their responsibility; and ☒ Chapter 3, 3.3, A-5 ☐ ☐ (6) ethical responsibilities. ☒ Chapter 3, 3.3, A-6 ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 7 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Chapter 3, 3.3, B Training member shall receive a minimum of 40 hours of facility- specific orientation, including: New staff is required to complete 160 hours of facility-specific training established with an assigned permanent staff (FTO) who mentors the officers in all elements of the Facility Training Manual, including assessment of their comprehension and understanding of all elements of youth supervision. Performance Reports on their knowledge and efficiency are completed and submitted/reviewed by the facility Superintendent. ☒ ☐ ☐ The Facility Training Program Manual is reviewed and updated annually by the Deputy Chief of Facilities and the Leadership Team in the department. This level of dedication to training is demonstrated in the review of documentation and procedural elements of staff that we observed on-site. There were several new staff on board during the inspection that displayed the commitment to the training program in-house, having just returned from JSO Core Training in Alameda County. (1) individual and group supervision techniques; ☒ Chapter 3, 3.3, B-1 ☐ ☐ (2) regulations and policies relating to discipline and rights of youth pursuant to law and the ☒ ☐ ☐ Chapter 3, 3.3, B-2 provisions of this chapter; (3) basic health, sanitation and safety measures; ☒ Chapter 3, 3.3, B-3 ☐ ☐ (4) suicide prevention and response to suicide ☒ Chapter 3, 3.3, B-4. attempts ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 8 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Chapter 3, 3.3, B-5 physical restraints; (6) review of policies and procedures referencing ☒ Chapter 3, 3.3, B-6 trauma and trauma-informed approaches; ☐ ☐ (7) procedures to follow in the event of ☒ Chapter 3, 3.3, B-7 emergencies; ☐ ☐ (8) routine security measures, including facility ☒ Chapter 3, 3.3, B-8 perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to ☒ Chapter 3, 3.3, B-9 mental health services; ☐ ☐ (10) documentation; and ☒ Chapter 3, 3.3, B-10 ☐ ☐ (11) fire/life safety training ☒ Chapter 3, 3.3, B-11 ☐ ☐ (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully Chapter 3, 3.3, C complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section 6035. ☒ ☐ ☐ Staff are also required to complete Annual Training as specified in Chapter 3, 3.5, A. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete ☒ Chapter 3, 3.3, B-1 training pursuant to Section 830 et seq. of the Penal ☐ ☐ Code. 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there Chapter 3, 3.2, A-11 shall be at least one wide awake person on duty at all ☒ ☐ ☐ times who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 9 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1324 POLICY AND PROCEDURES MANUAL All facility administrators shall develop, publish, and Chapter 1, 1.3 Policy Statement implement a manual of written policies and procedures that address, at a minimum, all regulations that are Chapter 3, 3.6 Policy and Procedure applicable to the facility. Such a manual shall be made Manual available to all employees, reviewed by all employees, Chapter 3, 3.6, D Procedure requirements and shall be administratively reviewed at a minimum ☒ ☐ ☐ for specific manual inclusions every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Chief Deputy Marguerite Harris confirmed Board on request. the SLO Juvenile Services Center Manual The manual shall include: was last reviewed and updated on May 5, 2023. The manual is reviewed annually. (a) table of organization, including channels of communications and a description of job Chapter 3, 3.6, C-1 classifications; ☒ ☐ ☐ Appendix #8 Has Job Descriptions, Chain of Command, and the Organization Chart for the facility. (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Chapter 3, 3.6, C-2 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; ☒ Chapter 3, 3.6, C-3 ☐ ☐ (d) initial orientation and training program for employees; ☒ Chapter 3, 3.6, C-4 ☐ ☐ (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, ☒ Chapter 3, 3.6, C-5 contract employees, school, mental/behavioral health ☐ ☐ and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and communication system to ensure: ☒ Chapter 3, 3.6, C-6 ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 10 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) efficient operation of the juvenile facility; ☒ Chapter 3, 3.6, C-6, a ☐ ☐ (2) legal and proper care of youth; ☒ Chapter 3, 3.6, C-6, b ☐ ☐ (3) maintenance of individual youth's records; ☒ Chapter 3, 3.6, C-6, c ☐ ☐ (4) supply of information to the juvenile court and ☒ Chapter 3, 3.6, C-6, d those authorized by the court or by the law; and, ☐ ☐ (5) release of information regarding youth. ☒ Chapter 3, 3.6, C-6, e ☐ ☐ Chapter 3, 3.6, C-7 (g) ethical responsibilities; ☒ ☐ ☐ The department has an established ethics policy which is required to be read by all new staff. Chapter 3, 3.6, C-8 (h) trauma-informed approaches; ☒ ☐ ☐ The facility has a training curriculum that articulates staff responsibilities in their dealing with youth as it relates to trauma. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 11 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.6, C-9 (i) culturally responsive approaches; ☒ The facility has a training curriculum that ☐ ☐ articulates staff responsibilities in their dealing with youth as it relates to culturally responsive approaches with their youth population. Chapter 3, 3.6, C-10 (j) gender responsive approaches; ☒ The facility has a training curriculum that ☐ ☐ articulates staff responsibilities in their dealing with youth as it relates to gender in the facility. (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Chapter 1, Section 1.2 Non-Discrimination to all available services, placement, care, treatment, Statement and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of Chapter 3, 3.6, C-11 actual or perceived race, ethnic group identification, ☒ ancestry, national origin, immigration status, color, ☐ ☐ religion, gender, sexual orientation, gender identity, This information is also in the Youth gender expression, mental or physical disability, or HIV Handbook. status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and ☒ ☐ ☐ Chapter 3, 3.6, C-12 weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible ☒ ☐ ☐ Chapter 3, 3.6, C-13 youth; and, (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. Chapter 3, 3.6, C-14 The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ Chapter 3, 3.27 PREA Policy retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 12 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire Chapter 3, 3.7 Fire Safety Plan department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire ☒ Chapter 3, 3.7, A-1 ☐ ☐ safety which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; Chapter 3, 3.7, A-2 Chapter 3, 3.7, E This section articulates the procedures to conduct the inspection, including the inspection to occur by the 15th day of each month. ☒ ☐ ☐ We reviewed the monthly inspections this cycle and noted the completion of the form, comments made to compliance or expectations, and the subsequent follow- through for any noted issues were timely. Facility administration reviews the monthly forms and maintains them in a binder for easy review. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); Chapter 3, 3.7, A-3 ☒ ☐ ☐ The most recent fire inspection was conducted on March 30, 2023. (d) an evacuation plan; Chapter 3, 3.7, A-5 Chapter 3, 3.7, K-5, d Chapter 3, 3.10 Facility Evacuation Plan ☒ ☐ ☐ The facility conducts periodic evacuation drills for each unit in the facility during fire drills. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 13 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; Chapter 3, 3.7, A-5 Chapter 3, 3.7, G and J This policy articulates fire drills to occur monthly as training tools in the areas of fire, ☒ ☐ ☐ emergency systems, and evacuation drills. Our review found quarterly drills for the first three quarters of 2022, with monthly drills as required for October 2022 to April 2023. (f) a written plan for the emergency housing of youth in the case of fire; and, Chapter 3, 3.7, A-6 Evacuation Chapter 3, 3.7, K-5, d Chapter 3, 3.11 Emergency Housing of Youth ☒ The SLO County Sheriff or Santa Barbara ☐ ☐ County Probation Department (SBCPD) will house youth in the event of a full evacuation of 24 hours or more. SLO Probation has an active Memorandum of Agreement with Santa Barbara for housing. If less than 24 hours, the agency will work with the SLO Sheriff to arrange for temporary housing at the Jail. (g) development of a fire suppression pre-plan in cooperation with the local fire department. Chapter 3, 3.7, A-7 ☒ ☐ ☐ Chapter 3, 3.7, J Fire Response 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 14 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1326 SECURITY REVIEW Each facility administrator shall develop policies and Chapter 3, 3.8 Security Review procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, This policy requires the annual review of including, but not limited to, key control, equipment, and staff training. security issues including a report to the ☒ Chief Probation Officer. The most recent ☐ ☐ Security Review was completed via memo by SDPO Anthony Mello on March 8, 2023. We found the memo very specific to all elements of security practices with a comprehensive review of 2022. 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific ☒ Chapter 3, 3.10 Emergency Procedures ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: Chapter 3, 3.6, D-2 Chapter 3, 3.10, G Riot (inside facility) Chapter 3, 3.10, A-1 Escapes (a) escape, disturbances, and the taking of ☒ hostages; ☐ ☐ Chapter 3, 3.10, A-1 and 13 Hostages Chapter 3, 3.10, F Procedure Chapter 3, 3.10, A-2 and F Civil Disturbance (b) civil disturbance, active shooter and terrorist ☒ attack; ☐ ☐ Chapter 3, 3.10, A-4 Active Shooter Chapter 3, 3.10, A-5 Terrorist Attack Chapter 3, 3.10, A-3 List Chapter 3, 3.10, B-6 Definition Chapter 3, 3.10, H Disasters (c) fire and natural disasters; ☒ ☐ ☐ The facility procedures for fire and natural disasters are the same. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 15 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) periodic testing of emergency equipment; ☒ Chapter 3, 3.10, A-7 ☐ ☐ Chapter 3, 3.10, A-9 Emergency Evacuation (e) emergency evacuation of the facility; and ☒ We reviewed a renewed Memorandum of ☐ ☐ Understanding dated January 11, 2023, with the Santa Barbara Probation Department for emergency housing of youth. Chapter 3, 3.10, A-10 The facility requires that staff complete a two-hour training annually on Emergency (f) a program to provide all youth supervision staff Procedures. ☒ with an annual review of emergency procedures. ☐ ☐ A memo was completed on December 7, 2022, by SPDO Jennifer Gonzalez verifying all staff had this training. The last training was held on February 3, 2022. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 16 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS The facility administrator shall develop and implement Chapter 3, 3.15 Safety Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours The facility uses the Guard 1/Pipe when youth are asleep or when youth are in their Electronic safety check system. The policy rooms, confined in holding cells or confined to their was revised to articulate the audit process bed in a dormitory. Supervision is not replaced, but and staff expectations in terms of ‘random may be supplemented by, an audio/visual electronic and varied’ specific language. surveillance system designed to detect overt, Operationally, the policy provides direction aggressive or assaultive behavior and to summon aid for staff on how to use and download the in emergencies. All safety checks shall be information before, during, and after their documented with the actual time the check is shift to ensure the correct officer is completed. associated with the check. ☒ ☐ ☐ Facility administration audits and reviews all safety checks, handling late checks by staff through counseling, documented memo, or other measures internally. We noted late safety checks are infrequent and continuously declining since 2019, with less than 1% late since 2023. Facility Administration acknowledges 100% compliance with the policy by recognizing staff who had no late checks in a given month. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 17 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN The facility administrator, in collaboration with the Chapter 3, 3.16, A Suicide Prevention Plan healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide The agency policy requires the plan to be Prevention Plan. The plan shall consider the needs reviewed annually by the Law Enforcement of youth experiencing past or current trauma. Suicide Medical Committee (LEMC), with the last prevention responses shall be respectful and in the plan review on January 29, 2022. least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: We reviewed one incident involving Suicidal statements overheard during a phone call with the parent at admission, not a SOAR youth. Facility administration works closely with San Luis Obispo County Behavior Health and San Luis Obispo County Public Health, the medical provider, to establish any concerns or behaviors related to suicide, ☒ ☐ ☐ ideation, or acting out are addressed immediately by all personnel. The forms for articulation of a special watch or more strict measures are clearly explained and documented by all involved agency partners. The factors addressed are housing, clothing, room checks, meals, showering, items allowed in rooms, and program participation. There is no “automatic’ protocol but rather a smooth line of communication to determine the best response to the noted behaviors and best practice determination of supervision pending clinician review or assessment. The agency has four Clinicians through SLO County Behavior Health who are on-site Monday through Friday 8:00 a.m. to 8:30 p.m. and 9:00 a.m. to 7:00 p.m. Saturday and Sunday. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 18 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Chapter 3, 3.16, B-1 Training and the Juvenile Corrections Officer Core Course. ☒ ☐ ☐ This policy requires four hours of Suicide Prevention Training during Core Training and two hours annually thereafter. (b) Screening, Identification Assessment and Precautionary Protocols Chapter 3, 3.16, B-2, a (1) All youth shall be screened for risk of suicide at intake and as needed during detention. When a youth is admitted, intake staff along with medical personnel complete a ☒ myriad of assessments and screening ☐ ☐ questionnaires to adequately assess their level of risk as it relates to trauma, health, and behavior health issues, and classification criteria for special or articulated behaviors. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for Chapter 3, 3.16, B-1, a risk of suicide. ☒ ☐ ☐ The policy requires all staff to be trained, not just intake staff. (3) All youth who have been identified during the intake screening process to be at risk of suicide Chapter 3, 3.16, B-2, e-1 and 2 shall be referred to behavioral/mental health staff for a suicide risk assessment. ☒ This policy outlines the process for mental ☐ ☐ health referrals. Mental health staff are on duty seven days per week, with the MET Crisis Team on-call after traditional hours. (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the Chapter 3, 3.16, C-1 through 4 behavioral/mental health assessment. ☒ ☐ ☐ This includes housing, treatment, supervision, and programming strategies. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 19 of 81 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 assessment and/or services. Chapter 3, 3.16, B-2, a and e-2 ☒ This articulates the immediate referral to ☐ ☐ the Mental Health Therapist (MHT) or Clinician. If not on duty, there is a procedure in place to contact the Mental Health Evaluation Team for emergencies. (d) Procedures for monitoring of youth identified at risk for suicide. Chapter 3, 3.16, C-3, a-d ☒ ☐ ☐ This articulates the level of supervision based on the MHT/Clinician established protocol and is relayed to on-duty staff. (e) Safety Interventions (1) Procedures to address intervention protocols for youth identified at risk for suicide which may ☒ ☐ ☐ Chapter 3, 3.16, C Safety Interventions include, but are not limited to: (A) Housing consideration ☒ Chapter 3, 3.16, C-1 ☐ ☐ (B) Treatment strategies including trauma- informed approaches ☒ Chapter 3, 3.16, C-2 ☐ ☐ (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal Chapter 3, 3.16, C-5 behaviors. ☒ ☐ ☐ Facility staff are required to address any forms of suicidal ideation, discussion, or response to suicide behaviors. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 20 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication (1) The intake process shall include Chapter 3, 3.16, B-2, a-d communication with the arresting officer and family guardians regarding the youth’s past or present Chapter 3, 3.16, C-5, c suicidal ideations, behaviors or attempts. The on-duty intake officer is required to communicate with officers, parents/family, facility staff, and agency partners to retrieve current or past information relating to suicide behaviors. That intake officer then ☒ ☐ ☐ communicates the information to the on- duty supervisors, medical and mental health staff. Additionally, any threats or actions while the youth is in custody shall be reported immediately to the lead unit staff, supervisor, and Medical and Mental Health staff. (2) Procedures for clear and current information sharing about youth at risk for suicide with youth There are weekly (ICMC) meetings that supervision, healthcare, and behavioral/mental include discussions of each youth and any health staff. circumstances relevant to depression or isolation. ☒ We spoke with the administrators of each ☐ ☐ agency included in the regulation and although there are weekly meetings to address youth behavior, all partners are in active communication with facility staff regarding any behaviors that need to be communicated or addressed, sometimes several times a day. (g) Debriefing of Critical Incidents Related to Suicides or Attempts Chapter 3, 3.16, F Critical Incident Debrief (1) Process for administrative review of the ☒ circumstances and responses proceeding, during ☐ ☐ Chapter 3, 3.16, F-4 Administrative Review and after the critical incident. (2) Process for a debriefing event with affected ☒ Chapter 3, 3.16, F-1 and 2 staff. ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 21 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Process for a debriefing event with affected youth. ☒ Chapter 3, 3.16, F-3 ☐ ☐ (h) Documentation (1) Documentation processes shall be developed ☒ ☐ ☐ Chapter 3, 3.16, E to ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, Chapter 3, 3.16, C-4 Programming 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 The facility houses, treats, supervises, and youth at risk of suicide shall be documented and ☒ ☐ ☐ encourages all youth identified as being at approved by the facility manager. risk for suicidal behaviors. The daily BH evaluations and constant staff engagement are encouraged and supported by the administration. 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of ☒ Chapter 4, 4.1 Reporting of Legal Actions notification on each legal action, pertaining to ☐ ☐ conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Chapter 4, 4.2,1(a) (1) Death of a Youth. (a) The facility administrator, in cooperation with Chapter 4, 4.2 Paragraph #1 and F the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth The policy identifies all parties required to while detained, which include notifications to be notified in the event of an in-custody necessary parties, which may include the Juvenile death. Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written Chapter 4, 4.2, G-1 and 2 Operational policies and procedures to assure there is a Review 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. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 22 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The administrator of the facility shall provide to the Board a copy of the report submitted to the Chapter 4, 4.2, F-5, b Attorney General under Government Code ☒ Section 12525. A copy of the report shall be ☐ ☐ submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within Chapter 4, 4.2, F-6 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ to the provisions of this subchapter. Any inquiry ☐ ☐ made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. (a) The facility administrator, in cooperation with Chapter 4, 4.2, I Notifications in Event of the health administrator, shall develop written Serious Illness or Injury 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 Each juvenile facility shall submit required population ☒ Chapter 3, 3.16 and profile survey reports to the Board within 10 ☐ ☐ working days after the end of each reporting period, Chapter 4, 4.3 in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Chapter 4, 4.5 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 The facility has not exceeded rated administrator shall provide a crowding report to the capacities this cycle. Board in a format provided by the Board. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 23 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1350 ADMITTANCE PROCEDURES The facility administrator shall develop and implement Chapter 5, 5.1 Admittance Procedures written policies and procedures for admittance of youth that emphasize respectful and humane Chapter 5, 5.1 General Policy 1st engagement with youth, and reflect that the admission Paragraph process may be traumatic to youth who may have already experienced trauma. Policies shall be trauma- informed, culturally relevant, and responsive to the The agency has many policies and language and literacy needs of youth. In addition to required assessments in place for youth the requirements of Sections 1324 and 1430 of these admission. Intake staff complete a regulations: process for booking a youth including Orientation and Rules; Non-Association Orders; Property Inventory, Parent Notifications; Mental Health History/Screening; WIC 627 Admission Requirements; Non-Racial Agreement; Gang Information worksheet; a SOGIE assessment; Gender Preference Questionnaire; and Disability and/or IEP questions. The level of information is communicated with all staff and agency partners to make the most appropriate decision for unit placement, classification status, and room ☒ placement throughout their stay and in ☐ ☐ whatever program the youth are designated. Each tool provides insight into the youth’s attitude, prior victimization, gang influence, sexual abuse or assault, and aggression via the intake questionnaire. The medical and mental health assessments include questions related to illnesses, medication, history of medical incidents, mental health conditions, prior assaultive or suicidal behaviors, trauma, and family issues. The historical and current information is relevant to detention decisions as well as appropriate to establish relevant goals and objectives during the youth’s stay. We reviewed many admission packet forms verifying the comprehensive and detailed intake process to admit youth into the facility, which is responsive to all required elements in regulation. The narrative entries by staff are informative and include the necessary information to address health, mental health, classification, and 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 24 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS related concerns in determining youth needs at admission. (a) the admittance process shall include: (1) Access to two free phone calls within one hour ☒ Chapter 5, 5.1, a of admittance in accordance with the provisions of ☐ ☐ Welfare and Institution Code Section 627; (2) Offer of a shower; ☒ Chapter 5, 5.1, b ☐ ☐ (3) Documented secure storage of personal ☒ Chapter 5, 5.1, c belongings; ☐ ☐ (4) Offer of food upon arrival; ☒ Chapter 5, 5.1, d-1 and 2 ☐ ☐ (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ Chapter 5, 5.1, e General Policy disabilities; (6) Screening for physical and developmental disabilities in accordance with Sections 1329, ☒ ☐ ☐ Chapter 5, 5.1, f General Policy 1413, and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are suspected of or identified as having a ☒ Chapter 5, 5.1, g General Policy ☐ ☐ developmental disability, pursuant to Section 1413; and, Chapter 5, 5.3, G Transgender and Intersex (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Youth (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive ☒ ☐ ☐ Chapter 5, 5.1, A Detention Policy environment. Statement (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures Chapter 5, 5.1, P 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. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 25 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) juvenile halls shall develop policies and procedures that advise any committed youth of the ☒ ☐ ☐ Chapter 5, 5.1, P estimated length of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Chapter 5, 5.2 Screening for the Risk of The facility administrator shall develop and implement Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 ☒ The facility has a comprehensive screening ☐ ☐ hours of admission based on the following process, including intake forms, SOGIE information: and CSEC assessments, case file reviews, Court records, and incident or behavior reports to assess this risk. (a) Prior sexual victimization or abusiveness; ☒ Chapter 5, 5.2, a ☐ ☐ (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, ☒ Chapter 5, 5.2, b queer or intersex, and whether the youth may, ☐ ☐ therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ Chapter 5, 5.2, c ☐ ☐ (d) Age; ☒ Chapter 5, 5.2, d ☐ ☐ (e) Level of emotional and cognitive development; ☒ Chapter 5, 5.2, e ☐ ☐ (f) Physical size and stature; ☒ Chapter 5, 5.2, f ☐ ☐ (g) Mental illness or mental disabilities; ☒ Chapter 5, 5.2, g ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 26 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Intellectual or developmental disabilities; ☒ Chapter 5, 5.2, h ☐ ☐ (i) Physical disabilities; ☒ Chapter 5, 5.2, i ☐ ☐ (j) The youth’s perception of vulnerability; and, ☒ Chapter 5, 5.2, j ☐ ☐ (k) Any other specific information about the individual youth that may indicate heightened needs for ☒ Chapter 5, 5.2, k supervision, additional safety precautions, or ☐ ☐ separation from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance Chapter 5, 5.2, 2nd Paragraph 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 controls on the dissemination of information within the Chapter 5, 5.2, 3rd Paragraph facility relative to responses received pursuant to this ☒ assessment in order to ensure that sensitive ☐ ☐ information is not exploited to the youth’s detriment by staff or other youth. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 27 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1351 RELEASE PROCEDURES The facility administrator shall develop and implement Chapter 5, 5.3 Release Procedures written policies and procedures for release of youth from custody which provide for: The Institution Case Management Committee (ICMC), meets weekly to assist youth with release and reintegration into the community. This team is a coordinated effort with facility staff, the assigned probation officer, and representatives from medical, MH, and education. This full- service approach provides transition ☒ ☐ ☐ services to allow for better adjustment as the youth exits the facility. There has been one youth committed to and released from the SOAR program. We reviewed 22 youth release documents/ forms from each program, detailing the length of stay and who ordered the release, most by the Court after completion of the program or original order. Chapter 5, 5.3, F-3, b, and c (a) verification of identity/release papers; ☒ ☐ ☐ Chapter 5, 5.3, M-1 Chapter 5, 5.3, F-3, d (b) return of personal clothing and valuables; ☒ Chapter 5, 5.3, J ☐ ☐ Chapter 5, 5.3, M-4 (c) notification to the youth's parents or guardian; ☒ Chapter 5, 5.3, F-3, a ☐ ☐ (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ Chapter 5, 5.3, F-3, e regulations, for coordination with outside agencies; ☐ ☐ and, 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 28 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) notification of school staff; ☒ Chapter 5, 5.3, F-3, f ☐ ☐ (f) notification of facility mental health personnel. ☒ Chapter 5, 5.3, F-3, f ☐ ☐ The facility administrator shall develop and implement policies and procedures for post-disposition youth to Chapter 5, 5.1, O coordinate the provision of transitional and reentry ☒ services including, but not limited to, medical and ☐ ☐ behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement written policies and procedures for the furlough of ☒ ☐ ☐ Chapter 5, 5.3, K youth from custody. 1352 CLASSIFICATION The facility administrator shall develop and implement Chapter 5, 5.4 Classification written policies and procedures on classification of youth for the purpose of determining housing placement in the facility. The policy includes the process by which Such procedures shall: staff identify a youth’s needs while in detention, at CVA, or in SOAR. There were three operational units when we were on site, West had 10 pre-disposition youth in custody; Pismo and Morrow units had 6 in CVA and 1 in SOAR. Detention youth are placed in the appropriate room in the unit to address any ☒ specific areas identified during intake such ☐ ☐ as proximately to the staff counter or, for those that do not pose a risk, farther away from the control counter. Morrow and Pismo units house post-dispositional youth committed to the program and placement is evaluated based on criteria identified throughout their stay. We reviewed 22 Classification Screening documents which demonstrated the ability to adjust a youth’s classification status based on new information and youth behavior. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 29 of 81 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, facility staff, and the public by placing youth in the Chapter 5, 5.4, A appropriate, least restrictive housing and program ☒ settings. Housing assignments shall consider the ☐ ☐ need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of the facility; Chapter 5, 5.4, E ☒ ☐ ☐ This section identifies the facility unit design and the appropriate classification factors for placement. (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Chapter 5, 5.4, A-1 through] 14 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ Chapter 5, 5.4, F Security Classifications: legal status, public safety considerations, medical/mental health considerations, gender and General Population, Restricted Status, gender identity of the youth; Special Modified Program (d) provide for periodic classification reviews, including provisions that consider the level of Chapter 5, 5.4, F-11 supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ The facility assesses all youth on a special program daily to evaluate progress and/or modification. (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Chapter 5, 5.4, F-12 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, ☒ ☐ ☐ mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex ☒ Chapter 5, 5.4, F-13 identification or status as an indicator of likelihood of ☐ ☐ being sexually abusive. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 30 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Chapter 5, 5.5 Transgender and Intersex and procedures ensuring respectful and equitable Youth treatment of transgender and intersex youth. The policies shall provide that: The facility administers the SOGIE and CSEC tools to assess a youth’s likelihood to victimize or exploit others, as well as ☒ their potential to be victimized or exploited. ☐ ☐ There was a transgender youth in custody while on-site. Our interview with the youth revealed her needs, concerns, or issues are addressed by youth supervision staff and agency partners in a positive manner. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s Chapter 5, 5.5, D preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use ☒ ☐ ☐ of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their ☒ Chapter 5, 5.5, E and F gender identity and shall provide youth with the ☐ ☐ institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes Chapter 5, 5.5, G and I their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any ☒ ☐ ☐ decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender and intersex youth have access to ☒ Chapter 5, 5.5, K medical and behavioral health providers qualified to ☐ ☐ provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, Chapter 5, 5.5, L facility staff shall make every effort to ensure the ☒ ☐ ☐ safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 31 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s Chapter 5, 5.5, M and N anatomical sex. Whenever feasible, the facility shall ☒ respect the youth’s preference regarding the gender ☐ ☐ of the staff member who conducts any search of the youth. 1353 ORIENTATION The facility administrator shall develop and implement Chapter 5, 5.6 Orientation of Youth written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Chapter 5, 5.4, A and B information shall be provided and supplemented with video orientation if feasible. Provision shall be made to provide accessible orientation information to all The Youth Handbook and intake booking detained youth including those with disabilities, limited process provide youth with a summary of literacy, or English language learners. Orientation all elements required by regulation. The shall include information that addresses: description in the handbook allows youth to understand what to expect while in custody as well as a summary of daily processes. The agency requires youth to sign a form ☒ ☐ ☐ indicating they understand expectations while in custody. The agency operates in conjunction with the PBIS (Positive Behavior Interventions and Supports) philosophy and youth are frequently reminded of rules/expectations, that promote safe, responsible, and considerate behaviors. This is promoted by all youth supervision staff and agency partners. (a) facility rules including contraband and searches and disciplinary procedures; ☒ Chapter 5, 5.6, B-1 ☐ ☐ (b) facility’s system of positive behavior interventions and supports, including behavior expectations, incentives that youth will receive for complying with ☒ Chapter 5, 5.6, B-17 ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual ☒ Chapter 5, 5.6, B-18 harassment and how to report incidents or suspicions ☐ ☐ of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ Chapter 5, 5.6, B-19 ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 32 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the ☒ Chapter 5, 5.6, B-2 Grievance Procedure ☐ ☐ name of the person or position designated to resolve the issue; Chapter 5, 5.6, B-3 Legal Services (f) access to legal services and information on the ☒ court process; ☐ ☐ Chapter 5, 5.6, B-8 Court Process Chapter 5, 5.6, B-4 Health Care (g) access to routine and emergency health and ☒ mental health care; ☐ ☐ Chapter 5, 5.6, B-7 Counseling Services Chapter 5, 5.6, B-5 Education and (h) access to education, religious services, and ☒ Recreational recreational activities; ☐ ☐ Chapter 5, 5.6, B-6 Religious Services (i) housing assignments; ☒ Chapter 5, 5.6, B-9, ☐ ☐ (j) opportunity for personal hygiene and daily showers including the availability of personal care items ☒ Chapter 5, 5.6, B-10 ☐ ☐ (k) rules and access to correspondence, visits and telephone use; ☒ Chapter 5, 5.6, B-11 ☐ ☐ (l) availability of reading materials, programming, and other activities; ☒ Chapter 5, 5.6, B-12 ☐ ☐ (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Chapter 5, 5.6, B-13 Use of Restraints and ☒ Chemical Agents ☐ ☐ Chapter 5, 5.6, B-14 Use of Force 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 33 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (n) immigration legal services; ☒ Chapter 5, 5.6, B-3 ☐ ☐ (o) emergencies including evacuation procedures; ☒ Chapter 5, 5.6, B-15 Evacuation ☐ ☐ (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment Chapter 5, 5.6, B-16 Non-Discrimination by other youth and staff; ☒ Policy ☐ ☐ Chapter 5, 5.6, B-20 (q) availability of services and programs in a language other than English if appropriate; ☒ Chapter 5, 5.6, B-21 ☐ ☐ (r) the process for requesting different housing, education, programming and work assignments; ☒ Chapter 5, 5.6, B-24 ☐ ☐ (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility Chapter 5, 5.6, B-22 that at a minimum includes answers to frequently asked questions and provides contact information for the facility, medical, school and mental health; and, ☒ A Parent Notice provides responses to ☐ ☐ frequently asked questions for parents who do not have access to online orientation information. (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. ☒ Chapter 5, 5.6, B-23 ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 34 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION The facility administrator shall develop and implement Chapter 5, 5.7 Separation written policies and procedures that address: Facility staff processes the need for Separation through reflection time and/or with privilege suspension as sanctions for incidents that do not pose a threat to the safety or security of the facility, staff, or other youth. The tools use activities that focus on identifying behavior and making better choices. ☒ We reviewed the Separation notes ☐ ☐ demonstrating the youth’s request for separation (self-separation) or when a youth is removed from an environment for behaviors inconsistent with unit activities. Each situation documented the approach to reflection activities to redirect behavior. Any youth involved in an incident that poses a risk to the safety and security of youth, staff, or the facility is subject to room confinement. It is noted youth reintegration sometimes includes separation from group or unit activities. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health ☒ Chapter 5, 5.7, A-1 conditions, assaultive behavior, disciplinary ☐ ☐ consequences and protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ Chapter 5, 5.7, A3 ☐ ☐ (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Chapter 5, 5.7, A-2 necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. ☒ Chapter 5, 5.7, C ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 35 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and ☒ Chapter 5, 5.7, D Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains ☒ ☐ ☐ Chapter 5, 5.7, E necessary. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 36 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Chapter 5, 5.8 Room Confinement (RC) implement written policies and procedures addressing the confinement of youth in their room that are Chapter 5, 5.8, C Procedure for consistent with Welfare and Institutions Code Section implementation of RC 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: The facility staff uses room confinement as a last resort, evidenced by their documentation of incidents reviewed. The PBIS model of behavior modification allows youth to confront negative behaviors by reflection and discussion before a situation escalates. Facility staff are trained to de- escalate issues through counseling and understanding the triggers which escalate bad behavior. Allowing youth to self- separate to take time out and work on calming behaviors has been an effective tool as well. We reviewed 32 incidents involving room confinement, all of which demonstrated the need to remove a youth from the unit or setting due to an articulable safety or security-related behavior. Most involved ☒ fights, physically challenging staff or others, ☐ ☐ or defiance to the point of aggressive action or statements. The process in these situations includes monitoring behavior by discussing with the youth at a minimum of every 15 minutes and documenting the point when a youth no longer poses a threat, demonstrating he or she is ready for BH staff inclusion. There have been 138 incidents of RC for all facilities since March 2022, averaging less than 10 incidents per month, since the last inspection. Our review indicated most were removed at or before two hours and only two incidents were longer than four hours. We provided technical assistance so that staff does not wait for BH staff to remove the youth and to enlist the on-duty JSO III to meet with the youth and determine reintegration as soon as the youth was ready. We found several incidents were inclusive of operational time and not part of the total time, resulting in less than the recorded room confinement duration. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 37 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Room confinement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those ☒ Chapter 5, 5.8, C-1 ☐ ☐ options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, ☒ ☐ ☐ Chapter 5, 5.8, C-2 or retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical ☒ ☐ ☐ Chapter 5, 5.8, C-3 health of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ Chapter 5, 5.8, C-8 confinement for a period of four hours, staff shall do ☐ ☐ one or more of the following: (1) Return the youth to general population. ☒ Chapter 5, 5.8, C-8 ☐ ☐ Chapter 5, 5.8, C-5, b (2) Consult with mental health or medical staff. ☒ ☐ ☐ The facility behavior health staff are notified when a youth is placed on RC and respond immediately. (3) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Chapter 5, 5.8, D reintegrate the youth to general population. (4) If room confinement must be extended beyond ☒ four hours, staff shall do each of the following: ☐ ☐ (A) Document the reasons for room confinement and the basis for the extension, the date and time the youth was first placed in ☒ Chapter 5, 5.8, D-2 ☐ ☐ room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Chapter 5, 5.8, D-3 integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ Chapter 5, 5.8, D-1 every four hours thereafter. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 38 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) This section is not intended to limit the use of single-person rooms or cells for the housing of ☒ Chapter 5, 5.8, A and B-1 youth in juvenile facilities and does not apply to ☐ ☐ normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ Chapter 5, 5.8, B-2 ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that Chapter 5, 5.8, B-3 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 placed in a locked cell or sleeping room to treat Chapter 5, 5.8, B-4 and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in ☒ an infirmary for an illness. Additionally, this section ☐ ☐ does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 39 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN The facility administrator shall develop and implement Chapter 5, 5.9 Institution Assessment and written policies and procedures for assessment and Plan case planning. The case plan is developed with the assistance of the Institution Case Management Committee (ICMC), comprised of an SDPO or assigned DPO, JSO III, a Mental Health Clinician, an education representative, and a nurse or nurse practitioner. The Family Care Network provides two case managers to the facility for completing the initial, ongoing, and transition plans. The policy requires a case plan to be completed within 25 days of admission and every 30 days thereafter. We reviewed 20 initial, ongoing, and transition case plans, as well as two (one youth) Individual ☒ Rehabilitation Plans from the SOAR/SYTF ☐ ☐ program. The SOAR plans included independent assessments of the youths’ needs with targeted objectives and referrals for services based on admission information collected at intake. The plans are updated based on information from the ICMC meetings, which occur weekly, and recommendations for treatment or education services. These comprehensive plans require Court appearances every six months to evaluate the youth’s progress in what is in most cases a long-term commitment. The agency exceeds regulation, noting the plans were completed prior to the 30 days; and updated with notes on participation in programming and completion of objectives. The transition plan prior to release was pointed and directed the youth on re-entry expectations. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 40 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: The assessment is based on information collected Chapter 5, 5.9, B during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ strengths including, but not limited to, identification of ☐ ☐ substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: (1) A case plan shall be developed for each youth Chapter 5, 5.9, A held for at least 30 days or more and created within 40 days of admission. ☒ ☐ ☐ The facility designates Case Managers to assist in the completion of the initial assessment before 25 days. (2) The institutional plan shall include, but not be ☒ limited to, written documentation that provides: ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ Chapter 5, 5.9, B-1, a ☐ ☐ (B) a plan for meeting the objectives that includes a description of program resources ☒ Chapter 5, 5.9, B-1, b needed and individuals responsible for ☐ ☐ assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review Chapter 5, 5.9, C-1 and discussion of the plan with the youth; ☒ The plans are reviewed every 30 days to ☐ ☐ determine the progress or completion of the objectives documented. Our review verified the agency complies with this intensive process. (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed ☒ Chapter 5, 5.9, C-2 for post dispositional youth in accordance with ☐ ☐ Section 1351; and, 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 41 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be Chapter 5, 5.9, A Case Management developed with input from the family, supportive Committee adults, youth, and Regional Center for the Developmentally Disabled. Chapter 5, 5.9, C-2 Chapter 5, 5.9, C-3 Contact with the ☒ Regional Center ☐ ☐ The committee meets weekly to provide input on the initial, ongoing, and transition case plans. 1356 COUNSELING AND CASEWORK SERVICES Chapter 5, 5.10 Counseling and Casework The facility administrator shall develop and implement Services written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall Through PBIS, facility staff continually ensure: counsel and re-direct negative behavior, as well as acknowledge positive behavior. The interventions are verbal and sometimes involve Reflection reports to draw the youth back to his or her ‘plan.’ ☒ Notes are electronically maintained in the ☐ ☐ JSO III Logs and discussed at the weekly ICMC meetings, including adjusting a case plan to best meet the individual needs of youth. We provided technical assistance to ensure that these entries are memorialized in the youth’s electronic file in order to benefit or re-direct case plan objectives. (a) youth will receive assistance with needs or concerns that may arise; ☒ Chapter 5, 5.10, B-1 ☐ ☐ (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Chapter 5, 5.10, B-3 probation officer, or other public official; and, (c) youth will be provided access to available resources to meet the youth’s needs. ☒ Chapter 5, 5.10, B-4 ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 42 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE The facility administrator, in cooperation with the Chapter 5, 5.11 Use of Force (UF) responsible physician, shall develop and implement written policies and procedures for the use of force, Chapter 5, 5.11, D-2 General Provisions which may include chemical agents. Force shall never Chapter 5, 5.11, L Chemical Agents be applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies We reviewed all 10 of the UF incidents and procedures which: since March 2022. Staff are diligent in preventing the need for force unless no other options are available. Of the UF incidents, none involved OC spray. ☒ ☐ ☐ The incidents reviewed provided clear documentation of events leading to the force option, including attempts to de- escalate. When medical and mental health staff are on-site, they respond immediately. It is noted all UF incidents are administratively reviewed, including a video review, to determine if the force was necessary. All incidents were determined to be appropriate force used. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section ☒ Chapter 5, 5.11, D-5 1302 to ensure the safety and security of youth, ☐ ☐ staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options Chapter 5, 5.11, D-3, 4 and 5 and define when those force options are ☒ Chapter 5, 5.11, E Control and Compliance appropriate. ☐ ☐ Holds Chapter 5, 5.11, F Other Hand-to-Hand Force Methods (3) describe force options or techniques that are expressly prohibited by the facility. Chapter 5, 5.11, D -13 Carotid Hold ☒ ☐ ☐ Chapter 5, 5.11, F-3 Kicking and Punching (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative Chapter 5, 5.11, D-10 action to immediately stop it. ☒ ☐ ☐ Chapter 5, 5.11, O-8 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 43 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that includes time period and procedure for Chapter 5, 5.11, P-1 through 5 documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and ☒ ☐ ☐ or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. Chapter 5, 5.11, P-5 The Chief Deputy conducts an independent ☒ review of all UF incidents to determine the ☐ ☐ need for an internal investigation. Their review includes submitted recommendations by the supervisor who reviewed video of the incident. (7) define the role, notification, and follow-up procedures required after use of force incidents for Chapter 5, 5.11, D-15 Medical and Mental medical, mental health staff and parents or legal Health guardians. ☒ Chapter 5, 5.11, L-7 OC Spray Notifications ☐ ☐ Chapter 5, 5.11, L, O-10 Parent Notification of UF (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Chapter 5, 5.11, C-1, a Section 6030(f) and Welfare and Institutions Code Section 222. ☒ ☐ ☐ This policy addresses known medical conditions, including pregnant youth. (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Chapter 5, 5.11, L Chemical Agents (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and Chapter 5, 5.11, L-1 Trained Staff Only the approved method of deployment for those ☒ chemical agents. ☐ ☐ It is noted there have been no incidents of OC spray use since March 2022. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 44 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s ☒ Chapter 5, 5.11, L-2 safety or the safety of others and only when de- ☐ ☐ escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical Chapter 5, 5.11, L-6 agents. This shall include that youth who have been exposed to chemical agents shall not be left Chapter 5, 5.11, L-8 unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical ☒ ☐ ☐ agent. Per policy, youth are offered a change of clothes within one hour of the incident and are not left unattended. (4) define the role, notification, and follow-up procedures required after use of force incidents Chapter 5, 5.11, L-7 OC Spray Notifications involving chemical agents for medical, mental health staff and parents or legal guardians. ☒ ☐ ☐ Chapter 5, 5.11, O-10 Parent Notification of UF (5) provide for the documentation of each incident of use of chemical agents, including the reasons Chapter 5, 5.11, O-2, a-h for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and ☒ ☐ ☐ location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular ☒ Chapter 5, 5.11, C Training training in use of force and chemical agents when ☐ ☐ appropriate that address: (1) known medical and behavioral health conditions that would contraindicate certain types ☒ Chapter 5, 5.11, C-1, a of force; ☐ ☐ (2) acceptable chemical agents and the methods of application. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 45 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) instruction on the Constitutional Limitations of Use of Force. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (5) physical training force options that may require the use of perishable skills. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (6) timelines the facility uses to define regular training. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Chapter 5, 5.12 Use of Restraints (UR) responsible physician and mental health director, shall develop and implement written policies and Chapter 5, 5.12, A WRAP System procedures for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from The WRAP is the tool used by the agency being ambulatory. to immobilize a youth in the event the youth poses a risk to themselves. There have been no incidents of the use of the WRAP since the last inspection in March 2022. It is used as a last resort to protect a youth ☒ ☐ ☐ from self-harm and policy includes very specific criteria for its use, including Medical and MH engagement in the process of application and throughout the time the youth is in the WRAP. Policy is specific that a youth cannot be in the WRAP without DCPO approval for longer than 30 minutes and if medical staff are not on duty, the WRAP cannot be used. Physical restraints may be used only for those youth who present an immediate danger to themselves or Chapter 5, 5.12 others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ Chapter 5, 5.12, A-2 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. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 46 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of Chapter 5, 5.12, A-3 restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through Chapter 5, 5.11, G Security Restraints affixing of hands and feet together behind the back (Transportation and Movement only) (hogtying) is prohibited. The use of restraints on ☒ ☐ ☐ pregnant youth is limited in accordance with Penal Chapter 5, 5.11, G-4 No Affixing Hands and Code Section 6030(f) and Welfare and Institutions Feet or Hogtying Code Section 222. Chapter 5, 5.11, H Pregnant Youth The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when Chapter 5, 5.11, G Security Restraints used to restrain youth for movement or transportation (Transportation and Movement Only) within the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices ☒ Chapter 5, 5.13, A-1 Transportation and ☐ ☐ for Movement Within the Facility. Movement Youth shall be placed in restraints only with the approval of the facility manager or designee. The Chapter 5, 5.12, A-2 facility manager may delegate authority to place a youth in restraints to a physician. Reasons for Chapter 5, 5.12, A-9 continued retention in restraints shall be reviewed and documented at a minimum of every hour. ☒ ☐ ☐ The policy states youth cannot be in the WRAP for longer than 30 minutes without DCPO approval. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no Chapter 5, 5.12, A-4 later than two hours from the time of placement. The youth shall be medically cleared for continued retention Chapter 5, 5.12, A-6, a at least every three hours thereafter. This policy requires a nurse consultation ☒ ☐ ☐ prior to placement in WRAP. If medical staff are not available, the WRAP is not to be used. Medical is to respond immediately upon placement and to review/evaluate the need to continue every 15 minutes. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 47 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from Chapter 5, 5.12, A-10 the time of placement, to assess the need for mental health treatment. The policy notes the BH staff shall respond ☒ and engage the youth within 15 minutes of ☐ ☐ placement. If not on site, staff are to exercise de-escalation techniques and if the youth is displaying self-harm behavior, they are to contact the Mental Health Crisis Team to respond to the facility. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly Chapter 5, 5.12, A-5, a employed, and to ensure the safety and well-being of the youth. Observations of the youth's behavior and Chapter 5, 5.12, A-8 any staff interventions shall be documented at least ☒ every 15 minutes, with actual time of the ☐ ☐ documentation recorded. While in the WRAP, the youth’s status is documented every 10 minutes. In addition to the requirements above, policies and procedures shall address: ☒ ☐ ☐ Chapter 5, 5.11, P-1 (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate certain restraint devices and/or ☒ ☐ ☐ Chapter 5, 5.11, P-1 techniques. (c) acceptable restraint devices. ☒ ☐ ☐ Chapter 5, 5.12, A WRAP Restraint System 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 48 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) signs or symptoms which should result in immediate medical/mental health referral. Chapter 5, 5.12, A-5 and 6 Chapter 5, 5.12, A-10 Medical and BH staff are called to the ☒ ☐ ☐ scene if a youth is placed in the WRAP and remain on-site until removed. The policy states medical checks every 15 minutes and BH engagement, if on duty, within 15 minutes. Follow-up is determined by Medical and BH staff. (e) availability of cardiopulmonary resuscitation equipment. ☒ ☐ ☐ Chapter 5, 5.12, A-6, c (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in ☒ ☐ ☐ Chapter 5, 5.12, A-5, b a specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Chapter 5, 5.12, A-11 and 12\ (h) exercising of extremities. ☒ ☐ ☐ Chapter 5, 5.12, A-6, b 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 49 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Chapter 5, 5.13 WITHIN THE FACILITY. The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health The JSOs provide clear documentation of director, shall develop and implement written policies the need to apply restraints when moving and procedures for the use of restraint devices when youth to their room or to holding. The the purpose is for movement or transportation within assessment is based on the need to have the facility that shall include the following: control over the youth while moving the youth. The articulation was clear and necessary in the incidents we reviewed. ☒ ☐ ☐ Of the 10 use-of-force incidents since the last inspection, seven involved the use of restraints for the movement of the youth to their room or the holding room. The form utilized to record force, restraints, OC, and appropriate notifications (parents and agency partners), clearly directs staff responsibilities. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Chapter 5, 5.13, 1 training. ☒ ☐ ☐ The agency has handcuffs, shackles, soft restraints, and flex cuffs. (b) the circumstances leading to the application of restraints must be documented. Chapter 5, 5.13, 5 Documentation and ☒ ☐ ☐ Supervisor Approval (c) an individual assessment of the need to apply restraints for movement or transportation that Chapter 5, 5.13, 3-a through d includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ Chapter 5, 5.13, 5 Documentation and health conditions, trauma informed approaches, and Supervisor Approval a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint ☒ ☐ ☐ Chapter 5, 5.13, 6 devices shall not be used for the purposes of discipline or retaliation. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 50 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Chapter 5, 5.13, 4 Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in The facility does not have a safety room. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, ☐ ☐ ☒ and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and ☐ ☐ ☒ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall ☐ ☐ ☒ be accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation ☐ ☐ ☒ by staff. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 51 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) safety room shall not be used to the extent that it compromises the mental and physical health of ☐ ☐ ☒ the youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: ☐ ☐ ☒ (1) return the youth to general population. ☐ ☐ ☒ (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the ☐ ☐ ☒ goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of ☐ ☐ ☒ Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement Chapter 5, 5.14 Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: ☒ ☐ ☐ The facility conducts random but routine unit and facility searches to ensure no contraband is in the facility. All components of regulation are met in policy and practice. (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Chapter 5, 5.14, B staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ Chapter 5, 5.14, C and D searched and shall not be conducted for harassment or as a form of discipline or punishment. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 52 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Chapter 5, 5.14, E Policy articulates strip searches shall only be conducted with prior supervisor approval and articulated reasonable suspicion of contraband. ☒ ☐ ☐ There have been two strip searches since March 2022, not involving a SOAR youth. Each was well documented and had Superintendent approval. The agency documents the need for and approvals for a strip search in an incident report. We provided technical assistance and sample forms to better memorialize the process and expectations detailed in policy for these high-risk low-frequency events. (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ Chapter 5, 5.14, H-8 (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Chapter 5, 5.14, E when there is reasonable suspicion based on specific and articulable facts to believe that youth is ☒ ☐ ☐ concealing contraband. The reasonable suspicion shall be documented. All strip searches require each element of regulation and as indicated in the policy. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ Chapter 5, 5.14, F (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when conducted by a medical ☒ ☐ ☐ Chapter 5, 5.14, H-9 professional. Such searches must be justified and documented in writing. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 53 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Chapter 5, 5.15 Grievance Procedure written policies and procedures whereby any youth may appeal and have resolved grievances relating to Chapter 5, 5.15 A any condition of confinement, including but not limited to health care services, classification decisions, program participation, telephone, mail or visiting We reviewed 22 of the 44 grievances, two procedures, food, clothing, bedding, mistreatment, from SOAR youth, submitted by youth from harassment or violations of the nondiscrimination March 2022 to April 2023. The agency policy. There shall be no time limit on filing grievances. documented response and resolution in Policies and procedures shall include provisions most within one day, but no longer than whereby the facility manager ensures: four days. All were resolved at the Supervisor level or lower with no youth requesting appeal to the DCPO. Staff ☒ ☐ ☐ responses were fair and appeared consistently applied with the other grievances reviewed for like issues. We noted facility staff have conversations with the youth and review video as a matter of procedure, to ensure the youth understands and accepts the outcome. The monthly average of grievances from the date of the last inspection is three. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ Chapter 5, 5.15, A have free access to the form; (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Chapter 5, 5.15, G-3 supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Chapter 5, 5.15, G (d) provision for a prompt review and initial response to grievances within three (3) business days, Chapter 5, 5.15, E and G grievances that relate to health and safety issues must be addressed immediately; ☒ ☐ ☐ The facility has an expectation to respond to the grievance by the end of shift or within two days, and resolution within within days. All were compliant with this expectation. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 54 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ ☐ ☐ Chapter 5, 5.15, G-6 directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ Chapter 5, 5.15, C (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Chapter 5, 5.15, G-7 (f) a system which provides that any appeal of a grievance shall be heard by a person not directly ☒ ☐ ☐ Chapter 5, 5.15, F involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a ☒ ☐ ☐ Chapter 5, 5.15, G-8 longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual ☒ ☐ ☐ Chapter 5, 5.15, G-13 harassment. Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be addressed and documented in accordance with ☒ ☐ ☐ Chapter 5, 5.15, G-12 written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Chapter 5, 5.16 harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall ☒ ☐ ☐ be maintained. Such written record shall be prepared We reviewed over 60 separate incident by the staff and submitted to the facility manager by the reports from UF to RC. The facts of the end of the shift, unless additional time is necessary and incident were clear and concise, providing authorized by the facility manager or designee. a clear picture of the incident. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 55 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, Chapter 5, 5.17 IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable ☒ ☐ ☐ If a youth refuses to voluntarily provide a DNA sample, sworn staff must receive force to collect blood specimens, saliva samples, and authorization from the DCPO to use force. thumb or palm print impressions from individuals who In these incidents (none this cycle) the are required to provide such samples, specimens or facility relies on its existing UF policy. impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that Chapter 5, 5.17, B an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to Chapter 5, 5.14, C secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The Chapter 5, 5.14, D authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Chapter 5, 5.14, E 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 Any use of force for DNA collection is in a court proceeding, the tape shall be retained videotaped. administratively. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 56 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1370 EDUCATION PROGRAM (a) School Programs Chapter 6, 6.1 Education Program The County Board of Education shall provide for the Chapter 6, 6.1, A administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee pursuant to applicable State laws. The school The Education program is facilitated by the and facility administrators shall develop and implement San Luis Obispo County Office of written policy and procedures to ensure Education (SLOCOE). We met with communication and coordination between educators Assistant Superintendent Katherine Aaron and probation staff. Culturally responsive and trauma- and Director of Alternative Education Chris informed approaches should be applied when Balogh, who identified the process of providing instruction. Education staff should evaluating a youth’s goals in meeting collaborate with the facility administrator to use education requirements and objectives. technology to facilitate learning and ensure safe Teachers are diligent in prioritizing youth technology practices. The facility administrator shall goals and behaviors, evidenced by their request an annual review of each required element of involvement in daily/weekly meetings with the program by the Superintendent of Schools, and a probation and other agency staff to discuss report or review checklist on compliance, deficiencies, student needs. 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 Post-secondary education has become a of any juvenile court school site. The Superintendent of priority as there are currently 2 graduates, Schools shall conduct this review in conjunction with a both of whom are actively enrolled at qualified outside agency or individual. Upon receipt of Cuesta College. 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 The Office of Education continues to educational interests of all youth in the facility. promote DBT, a social and emotional curriculum for staff to better relate to their students. This premise facilitates a basic understanding of the individual needs students have when entering their classroom. The PBIS philosophy is also a big part of the school-based services, and the SLOCOE continues to work with probation staff to develop basic strategies for youth to instill in themselves: Safe, Responsible, and Considerate. The focus is on modeling positive behavior the youth can anticipate and adopt. Teachers and staff maintain firm, fair, and consistent expectations each day, providing positive feedback or a teaching moment when appropriate. Education staff are involved in daily briefings and in the ICMC meetings to provide feedback on youth progress. We discussed the very minimum amount of time spent on core curriculum activities as specified in the school schedule. Although 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 57 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS approved and accepted by the educational assessment, we found the agency’s school schedule compliant but does not reflect the robust daily schedule we have seen in cycles past. The Probation Department is actively involved in the grant application process for Rising Scholars, a collaboration with Cuesta Community College for a more active role in youth enrollment, including all eligible youth to be dually enrolled in high school and college. (b) Required Elements The facility school program shall comply with the State Chapter 6, 6.1, B 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 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ Chapter 6, 6.1, C nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Education Code and include, but not be limited to, ☒ ☐ ☐ Chapter 6, 6.1, C-1 courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ Chapter 6, 6.1, C-2 Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ Chapter 6, 6.1, C-3 (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Chapter 6, 6.1, C-4 Education, shall be made available when possible. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 58 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress ☒ ☐ ☐ Chapter 6, 6.1, C-5 towards grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for Chapter 6, 6.1, C-6 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 of classification, housing, security Chapter 6, 6.1, C-7 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 (1) Positive behavior management will be Chapter 6, 6.1, D implemented to reduce the need for disciplinary ☒ ☐ ☐ action in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect ☒ ☐ ☐ Chapter 6, 6.1, D-2 the educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school Chapter 6, 6.1, D-3 shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State ☒ ☐ ☐ Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures ☒ ☐ ☐ Chapter 6, 6.1, D-4 that address the rights of any student who has continuing difficulty completing a school day. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 59 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Chapter 6, 6.1, F-1 suspected disabilities. This includes but is not ☒ ☐ ☐ limited to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ Chapter 6, 6.1, F-2 state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and ☒ ☐ ☐ a record maintained that documents a youth's Chapter 6, 6.1, G-1 educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ Chapter 6, 6.1, G-2 (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Chapter 6, 6.1, G-3 (C) Needs and services of special populations as defined by the State Education Code, ☒ ☐ ☐ including but not limited to, students with special Chapter 6, 6.1, G-4 needs. (D) Discipline problems. ☒ ☐ ☐ Chapter 6, 6.1, G-5 (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Chapter 6, 6.1, G-5, a levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ within five school days. Chapter 6, 6.1, G-5, c (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), Chapter 6, 6.1, G-5, d 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. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 60 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ Chapter 6, 6.1, H-1 placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in Chapter 6, 6.1, H-2 accordance with the State Education Code. (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop Chapter 6, 6.1, I-1 policies and procedures to meet the transition ☒ ☐ ☐ needs of youth, including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- Chapter 6, 6.1, J-1 ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 61 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 6, 6.2 Programs, Recreation, and The facility administrator shall develop and implement Exercise written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms Programs for the pre-dispositional youth or their bed area. are facilitated by Restorative Partners (RP), an In-Custody and Reentry Program for San Luis Obispo County. Restorative Partners Inc. serves people impacted by crime through a continuum of services that focus on mind, body, and spiritual transformation. The programs include evidence-based, trauma-informed approaches that increase self-esteem, pro- social skills, multi-cultural and non-violent communication, and, life and job skills. The nonprofit agency offers a continuum of services to meet the diverse needs in the community for both youth and adult populations. The goal of the juvenile facility is to include gender-specific, trauma- informed and evidence-based services to the youth population. RP offers a vast program schedule with ☒ ☐ ☐ numerous opportunities for youth participation, including Sunday/Religious Service; Cooking Programs; Crossroads (cognitive and evidence-based curriculum specific to offense); Book Club; Music Programs; West and CVA Garden Program, Art and Creative Writing; Lumina Alliance Group; Bible Study; Restorative Justice; Chess Club; Sports Programs; AA and NA; Meditation; Ping-Pong; and Tutoring. RP also acknowledges youth Birthdays (one time a month) and Peer Leader status (weekly) with celebrations for the youth. Isabel Bischel, Program Manager for RP has assisted youth with the opportunities at Cuesta and works with youth to enroll and register for classes. The youth committed to SOAR receive some services from the San Luis Obispo Behavior Health Clinicians as well. Programming opportunities include Individual and Family Counseling; a comprehensive Cognitive Behavior Curriculum; Substance Abuse Treatment; Child and Family Team Mmeetings; Independent Living; Parent Education and Support; Gardening; Video, Board, and 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 62 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Card games; Movie Night; High School/Birthday and Holiday Celebrations; Career Path Opportunities; Gender Specific Programming; and, PBIS. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of Chapter 6, 6.2, A-1 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 exercise may be suspended only upon a written finding by the administrator/manager or designee that ☒ ☐ ☐ Chapter 6, 6.2, A-2 a youth represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ Chapter 6, 6.2, A-3 There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Chapter 6, 6.2, A-4 ensure content offered is current, consistent, and relevant to the population. ☒ ☐ ☐ The annual review of programs was completed by Cindy Ayala, the Mission and Restorative Justice Implementation Director with Restorative Partners, on May 12, 2023. (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming Chapter 6, 6.2, B-1, a and b to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as ☒ ☐ ☐ required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 63 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; Chapter 6, 6.2, B-1, c (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to Chapter 6, 6.2, C-1 unscheduled activities such as leisure reading, letter ☒ ☐ ☐ writing, and entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 6, 6.2, D-1 each day. ☒ ☐ ☐ Youth participate in one hour of Physical Education during the school day facilitated by the SLOCOE. If graduated, youth participate in LME with facility staff. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ Chapter 6, 6.2, D-3 the reasons why suspension of recreation and programs occurs. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 64 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to Chapter 6, 6.3 Religious Programs religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A ☒ ☐ ☐ youth shall be allowed to participate in an activity Religious programming is facilitated by outside of their room if he/she elects not to participate Restorative Partners, who also provides in religious programs. referrals for religious programs at the Religious programs shall provide for: youth’s request. (a) opportunity for religious services and practices; ☒ ☐ ☐ Chapter 6, 6.3, C-1 (b) availability of clergy; and, ☒ ☐ ☐ Chapter 6, 6.3, C-2 (c) availability of religious diets. ☒ ☐ ☐ Chapter 6, 6.3, C-3 1373 WORK PROGRAM The facility administrator shall develop policies and Chapter 6, 6.4 Work Programs procedures regarding the fair and consistent assignment of youth to work programs. Work assigned ☒ ☐ ☐ to a youth shall be meaningful, constructive and related Youth in SOAR can assist with unit cleanup to vocational training or increasing a youth's sense of and other options inside the facility. responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING The facility administrator shall develop and implement Chapter 6, 6.5 Visiting written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Chapter 6, 6.5, A, B, F-4 receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, such as grandparents and siblings, The youth’s parents and approved visitors ☒ ☐ ☐ and supportive adults, may be allowed to visit with the schedule their own visiting, which includes approval of the facility administrator or designee, and two 1 hour visits each week. This allows in conjunction with the youth’s case plan or in the best the visitor to accommodate their own interest of the youth. schedule and promotes more visitation. Special visits are arranged when requested by the youth’s probation officer. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 65 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and Chapter 6, 6.5, G security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history ☒ ☐ ☐ represents a risk to the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but ☒ ☐ ☐ Chapter 6, 6.5, C conversations shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, Chapter 6, 6.5, I-11 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 alternative, but not as a replacement, to in-person ☒ ☐ ☐ Chapter 6, 6.5, I-12 visiting. 1375 CORRESPONDENCE The facility administrator shall develop and implement Chapter 6, 6.6 Correspondence written policies and procedures for correspondence which provide that: ☒ ☐ ☐ Youth can send letters postage free. (a) there is no limitation on the volume of mail that youth may send or receive; ☒ ☐ ☐ Chapter 6, 6.6, B (b) youth may send two letters per week postage free; ☒ ☐ ☐ Chapter 6, 6.6, C (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder Chapter 6, 6.6, D 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, 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 66 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) incoming and outgoing mail, other than that described in (c), may be read by staff only when there ☒ ☐ ☐ Chapter 6, 6.6, E is reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop Chapter 6, 6.7 Telephone Access and implement written policies and procedures to ☒ ☐ ☐ provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written Chapter 6, 6.9 Access to Legal Services procedures to ensure the right of youth to have access ☒ ☐ ☐ to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; ☒ ☐ ☐ Chapter 6, 6.9, C-1 (b) provision for confidential consultation with attorneys; and, ☒ ☐ ☐ Chapter 6, 6.9, C-2 (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. ☒ ☐ ☐ Chapter 6, 6.9, C-3 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 67 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1390 DISCIPLINE The facility administrator shall develop and implement Chapter 7, 7.1 Discipline written policies and procedures for the discipline of youth that shall promote acceptable behavior; including Chapter 7, 7.1, B PBIS the use of positive behavior interventions and supports. Chapter 7, 7.1, E Discipline shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, The Positive Behavior Interventions and physical or psychological degradation. Deprivation of Supports (PBIS) model is intertwined with the following is not permitted: the discipline process and rules and sanctions are identified as expectations and consequences for certain behaviors. The expected behaviors and ☒ ☐ ☐ consequences for not following them are posted in the living unit, and on posters throughout the facility. This philosophy is emulated in the classroom as youth are rewarded for following along with expected behaviors which are promoted through the program with incentive-based levels of leadership. Sanctions include losing privileges or completion of Reflection Time written exercises for not following the structure of the program or schedule. (a) bed and bedding; ☒ ☐ ☐ Chapter 7, 7.1, E (b) daily shower, access to drinking fountain, toilet ☒ ☐ ☐ Chapter 7, 7.1, E and personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Chapter 7, 7.1, E (d) contact with parent or attorney; ☒ ☐ ☐ Chapter 7, 7.1, E 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 68 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) exercise; ☒ ☐ ☐ Chapter 7, 7.1, E (f) medical services and counseling; ☒ ☐ ☐ Chapter 7, 7.1, E (g) religious services; ☒ ☐ ☐ Chapter 7, 7.1, E (h) clean and sanitary living conditions; ☒ ☐ ☐ Chapter 7, 7.1, E (i) the right to send and receive mail; ☒ ☐ ☐ Chapter 7, 7.1, E (j) education; and, ☒ ☐ ☐ Chapter 7, 7.1, E (k) rehabilitative programming. ☒ ☐ ☐ Chapter 7, 7.1, E The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct Chapter 7, 7.1, F of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply ☒ ☐ ☐ and affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 69 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Chapter 7, 7.2 Discipline Process written policies and procedures for the administration of discipline which shall include, but not be limited to: We reviewed 44 incident reports, with 32 including due process elements of a violation of expectations. Although not required, the agency allows for due process for all failures to meet expected behavior resulting in a sanction and an incident report. Youths can read the incident report and acknowledge verbally and by signature if they want a hearing. The missing written element is the proposed sanction. We provided technical assistance to reiterate the proposed sanction in writing for the youth to acknowledge by signature for Due Process. ☒ ☐ ☐ We spoke to the youth about the PBIS model, expectations, and if they had a clear understanding of sanctions for certain behaviors. Responses from all five youths interviewed, including documentation in the reports we reviewed, revealed program expectations are clearly demonstrated verbally by staff and by visual posters throughout the facility. The youth understood consequences would result in the re-direction of negative behavior to promote a more positive program. SOAR youth receive a base term at commitment which can be increased or decreased at the youth’s six-month review. These youth fully understand the consequences of negative behavior and the opportunities their positive progress can make on their overall length of stay. (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ Chapter 7, 7.2, A (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Chapter 7, 7.2, F 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 70 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) definition of major and minor rule violations and their consequences, and due process requirements; The facility rules (expectations) and accompanying sanctions (consequences) ☒ ☐ ☐ are in the youth handbook and posted in the living unit. (d) trauma-informed approaches and positive behavior interventions; ☒ ☐ ☐ Chapter 7, 7.2, C (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ Chapter 7, 7.2, B accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Chapter 7, 7.2, I-1, a (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Chapter 7, 7.2, L learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ Chapter 7, 7.2, I-2, a incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ Chapter 7, 7.2, I-2 evidence and testimony; (5) provision for youth to be assisted by staff in ☒ ☐ ☐ Chapter 7, 7.2, I-2 the hearing process; (6) provision for administrative review. ☒ ☐ ☐ Chapter 7, 7.2, J 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 71 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) violations that result in a removal from camp or commitment program, but not a return to court, will Chapter 7, 7.2, I-4, a follow the due process provisions in subsection (e) above. ☒ ☐ ☐ Youth whose conduct merits a removal from the program are referred for petition or Court action. 1410 MANAGEMENT OF COMMUNICABLE DISEASES. San Luis Obispo Juvenile Facility Policy The health administrator/responsible physician, in and Procedure Manual (SLOJF) Section cooperation with the facility administrator and the 8.11 Management of Communicable local health officer, shall develop written policies and Diseases procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, This policy has been updated to reference ☒ ☐ ☐ but not be limited to: current pandemic information as it relates to cooperation with the Local Health Officer. San Luis Obispo County Public Health (SLOCPH) Policy 1410 - Management of Communicable Diseases SLOJF Section 8.11, B-1: Intake Health Screening Procedures SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): B Booking Procedures (a) Intake health screening procedures; ☒ ☐ ☐ This section articulates the screening by staff and medical, where the screening is done and the reaction to specific criteria at admission. SLOCPH 1410, III-A, Bullet #1 Screening 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 72 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SLOJF Section 8.11, B-2: Identification of Relevant Symptoms SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): Booking Procedures B-3 through 8 (b) Identification of relevant symptoms; ☒ ☐ ☐ These procedures outline the screening criteria, including relevant information related to questions and observations of symptoms. SLOCPH 1410, III-A, Bullet #1 Screening SLOJF Section 8.11, B-3: Referral for Medical Evaluation (c) Referral for medical evaluation; ☒ ☐ ☐ SLOCPH 1410, III-A, Bullet #2 Appraisal SLOJF Section 8.11, B-4: Treatment Responsibilities During Detention SLOCPH 1410, III-A, Bullet #2 (d) Treatment responsibilities during detention; ☒ ☐ ☐ Appraisal/Treatment SLOCPH 1410, III-B, Bullet #2 Management/Communication SLOJF Section 8.11, B-5: Coordination with Public and Private Community-Based (e) Coordination with public and private community- Resources for Follow-Up Treatment ☒ ☐ ☐ based resources for follow-up treatment; SLOCPH 1410, III-C Follow-Up Care and Release Information 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 73 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SLOJF Section 8.11, B-6: Applicable Reporting Requirements SLOJF Section 8.11, Administrative 2-d, I- iii This includes reporting the results of tests (f) Applicable reporting requirements; and, ☒ ☐ ☐ to the Public Health Division Manager, Assistant Public Health Director, and the Communicable Disease Program Manager. Other sections include a report to the administrators in the agency, parents, and the Juvenile Court Judge. SLOCPH 1410, III-B, Bullet #3 Reporting SLOJF Section 8.11, B-7: Strategies for Handling Disease Outbreaks SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): B (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ This section coordinates efforts for youth entering the facility from booking responsibilities to youth/staff protocols. SLOCPH 1410, III-D, Bullet #2 Outbreaks The policies and procedures shall be updated as necessary to reflect communicable disease priorities These policies are reviewed with all new identified by the local health officer and currently ☒ ☐ ☐ CDC and California Public Health recommended public health interventions. Guidelines. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 8, 812 Access to Health Care 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. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 74 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1480 STANDARD FACILTY CLOTHING ISSUE The youth’s personal clothing, undergarments and Chapter 10, Clothing and Personal Hygiene footwear may be substituted for the institutional clothing and footwear specified in this regulation. The ☒ ☐ ☐ facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and ☒ ☐ ☐ Chapter 10, 10.1, A-6 tears. (b) The standard issue of climatically suitable clothing for youth shall consist of but not be limited to: ☒ ☐ ☐ (1) Socks and serviceable footwear; ☒ ☐ ☐ Chapter 10, 10.1, A-1, 3 and 4 (2) Outer garments; ☒ ☐ ☐ Chapter 10, 10.1, A-2 (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; Chapter 10, 10.1, A-4 ☒ ☐ ☐ Chapter 10, 10.1, C-1 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. Chapter 10, 10.1, A-1 ☒ ☐ ☐ Chapter 10, 10.1, C-1 (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and ☒ ☐ ☐ Chapter 10, 10.1, A-6 dried completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Chapter 10, 10.1, F 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 75 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement Chapter 10, 10.3 Clothing Exchange written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Chapter 10, 10.5 Control of Vermin in There shall be written policies and site-specific Youth’s Personal Clothing procedures developed and implemented by the facility administrator to control the contamination and/or ☒ ☐ ☐ spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS There shall be written policies and site-specific Chapter 10, 10.6 Issue of Personal Care procedures developed and implemented by the facility Items administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Chapter 10, 10.6, A-1 (b) Toothpaste; ☒ ☐ ☐ Chapter 10, 10.6, A-2 (c) Soap; ☒ ☐ ☐ Chapter 10, 10.6, A-3 (d) Comb; ☒ ☐ ☐ Chapter 10, 10.6, A-4 (e) Shaving implements; ☒ ☐ ☐ Chapter 10, 10.6, A-5 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 76 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Deodorant; ☒ ☐ ☐ Chapter 10, 10.6, A-6 (g) Lotion; ☒ ☐ ☐ Chapter 10, 10.6, A-7 (h) Shampoo; and, ☒ ☐ ☐ Chapter 10, 10.7, B (i) Post-shower conditioning hair products. ☒ ☐ ☐ Chapter 10, 10.6, A-9 Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap Chapter 10, 10.5, B provided through a common dispenser is permitted. Youth shall not share disposable razors. Double Chapter 10, 10.8 Shaving edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, ☒ ☐ ☐ when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE There shall be written policies and site specific Chapter 10, 10.7 Personal Hygiene procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Youth shall have access to a razor daily, unless their Chapter 10, 10.8 Shaving appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 77 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1488 HAIR CARE SERVICES (EXCERPT) Hair care services shall be available in all juvenile Chapter 10, 10.9 Hair Care Services facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected ☒ ☐ ☐ after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good Chapter 11, 11.1 Standard Bedding and repair, shall be provided for each youth entering a ☒ ☐ ☐ Linen Issue living area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of ☒ ☐ ☐ Chapter 11, 11.1, A-1 these regulations; (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ Chapter 11, 11.1, A-1 (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Chapter 11, 11.1, A-4 (d) One towel; and, ☒ ☐ ☐ Chapter 11, 11.1, A-3 (e) One blanket or more, up on request ☒ ☐ ☐ Chapter 11, 11.1, A-2 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement Chapter 11, 11.1, A-4 site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once a month. ☒ ☐ ☐ Chapter 11, 11.1, A-2 and 4 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 78 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Chapter 12 Facility Sanitation, Safety and The facility administrator shall develop and implement Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, 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). 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 79 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS YES NO N/A P/P REFERENCE - COMMENTS GRANT FUNDING OR CODE REFERENCE 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 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 80 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7541 San Luis Obispo Probation SYTF-JH PRO 23-24 81 of 81 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: 7543 FACILITY NAME: San Luis Obispo County Juvenile Services Center FACILITY TYPE: Camp Coastal Valley Academy -SYTF PERSON(S) INTERVIEWED: Robert Reyes, Chief Probation Officer; Tom Milder, Assistant Chief Probation Officer; Marguerite Harris, Chief Deputy Probation Officer; Seth Price, Supervising Probation Officer; Jennifer Gonzalez, Supervising Probation Officer; Laureen Kilenberger, Supervising Probation Officer; Darryl Kendrick, Juvenile Service Officer III; Krystal Keach, Juvenile Services Officer III; Wilbert Adahar, Juvenile Services Officer I; Katherine Aaron, Assistant Superintendent, San Luis Obispo Office of Education (SLOCOE); Chris Balough, Director SLOCOE; Jill Rietjens, SLO Behavior Health Division Manager – Youth Services; Lynley Ewen, SLO Behavior Health Program Supervisor; Grisel Mendoza, SLO Behavior health Clinician; Christine Burg, Nurse Practitioner - SLO Public Health; Valerie Vega, Restorative Justice Program Manager – Restorative Partners; Isabella Bischel, Restorative Partners Program Manager; Ariana, CVA Youth age 17; Jasmine, CVA Youth age 18; Brandon, SOAR Youth age 18; David, JH Youth age 16. FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 30-June 1, 2023 NOTE: The San Luis Obispo County Juvenile Services Center shares the same policies for all programs. TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS All local Inspections are for the Juvenile Services Center Juvenile Hall, Coastal On an annual basis, or as otherwise required by law, Valley Academy, and Secure Youth each juvenile facility administrator shall obtain a ☒ ☐ Treatment Facility. ☐ documented inspection and evaluation from the following: • March 31, 2023 (a) county building inspector or person designated by • February 23, 2022 the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code ☒ • March 30, 2023 ☐ ☐ Section 13146.1(a) and (b); • January 7, 2022 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. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 1 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: • November 15, 2022 • November 19, 2021 Medical/Mental Health: ☒ • February 3, 2022 ☐ ☐ • January 10, 2021 Nutritional Health: • March 2, 2023 • December 2, 2021 (d) county superintendent of schools on the adequacy of educational services and facilities as required in ☒ • December 20, 2022 ☐ ☐ Section 1370; • November 29, 2021 (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ • November 29, 2022 ☐ ☐ • December 3, 2021 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ • December 28, 2022 ☐ ☐ Probation Commission as required by Section 240 of • December 14, 2021 the Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS Chapter 3, 3.1 Appointment and BSCC Note: Compliance with this section is Qualifications determined by receipt of the Chief Probation Officer’s certification letter confirming that all elements of The elements of this regulation are regulation are met. addressed in a memorandum completed by Chief Probation Officer Robert Reyes dated May 2, 2023. The memo articulates the (a) Appointment ☒ ☐ ☐ hiring practices of the agency which meets the regulation. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: Chapter 3, 3.1, B-1 (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses ☒ Chapter 3, 3.1, B-2 ☐ ☐ of childhood (i.e., diphtheria, rubeola, rubella, and mumps); 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 2 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.1, B-3 and 6 (3) adhere to the minimum standards for the selection and training requirements adopted by the ☒ The BSCC Standards for Training and Board pursuant to Section 6035 of the Penal Code; ☐ ☐ Corrections (STC) report for 2021-2022 and found San Luis Obispo County Probation in compliance with requirements for staff training. (4) conduct a criminal records review, on each new employee, and psychological examination in Chapter 3, 3.1, B-4 and 5 ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Chapter 3, 3.1, B-7 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 Each juvenile facility shall: Chapter 3, 3.2 Staffing (a) have an adequate number of personnel sufficient to Chapter 3, 3.2, A-2 carry out the overall facility operation and its programming, to provide for safety and security of youth and staff, and meet established standards and The facility has 30 Juvenile Supervision regulations; Officers (JSO), six JSO III filled positions and three Supervising Deputy Probation Officers (SDPO). There are five vacancies in this series. Of the 30 JSO I/II, two are ☒ ☐ ☐ new hires and have not yet completed Core Training. The staffing patterns are 12-hour shifts: 6 a.m. to 6 p.m.; 6 p.m. to 6 a.m.; 8 a.m. to 8 p.m.; 9 a.m. to 9 p.m.; and 10 a.m. to 10 p.m. This allows for more coverage during waking hours to complete programming and other T15 responsibilities. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 3 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent Chapter 3, 3.2, A-1 exigent circumstances; The facility’s population has changed with ☒ the addition of the SYTF Program: SOAR ☐ ☐ (Seeking Opportunity and Achieving Re- Entry). The agency continues to have sufficient staffing levels with the added program. (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Chapter 3, 3.2, A-12 ☒ There are three SDPO assigned to the ☐ ☐ facility. The necessary graveyard supervisory staff is a JSO III who maintains supervision of overall operations of the facility during that time. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Chapter 3, 3.2, A-3 completed the Juvenile Corrections Officer Core Course and PC 832 training; ☒ ☐ ☐ There is always an SDPO or JSO III on duty, and in charge of the facility. (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Chapter 3, 3.2, A-4 ☐ ☐ (f) have sufficient food service personnel relative to the number and security of living units, including staff The facility contracts with the SLO County qualified and available to: plan menus meeting Jail to provide food services. nutritional requirements of youth; provide kitchen supervision; direct food preparation and servings; ☒ ☐ ☐ conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 4 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Chapter 3, 3.2, A-7 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, Ancillary personnel are not responsible for youth supervision. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Chapter 3, 3.2, A-6 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: ☐ ☐ The facility operates with a minimum of seven JSOs during waking hours and four during sleeping hours. (1) Juvenile Halls (A) during the hours that youth are awake, one Chapter 3, 3.2, A-8 wide-awake youth supervision staff member on duty for each 10 youth in detention; ☒ ☐ The facility chooses to staff the CVA-SYTF ☐ as a JH with the ratio of 1:10 during waking hours, which works as the number of youth in the program is less than 15. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide- ☒ ☐ Chapter 3, 3.2, A-9 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 Chapter 3, 3.2, A-6 the number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to ☒ ☐ ☐ emergencies; and, The facility will operate with a minimum of seven JSOs on duty. (D) at least one youth supervision staff member on duty who is the same gender as youth ☒ ☐ ☐ Chapter 3, 3.2, A-10 housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision Chapter 3, 3.2, B-2 of personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be ☒ ☐ ☐ The policy has sufficient staff assigned with the opportunity to fluctuate depending on classified as youth supervision staff positions. population. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 5 of 81 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 (A) during hours that youth are awake, one wide- ☒ This facility is not an SPJH. ☐ ☐ 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 (A) during the hours that youth are awake, one The CVA-SYTF Program operates as a wide-awake youth supervision staff member on Camp in terms of programs and services ☐ ☒ duty for each 15 youth in the camp population; ☐ but is not designated as a Camp in regulation or legislation. (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; 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 6 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; ☐ ☒ ☐ and the function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, ☐ ☒ clerical, farm, forestry, kitchen or maintenance ☐ shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Chapter 3, 3.3, A Orientation (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Chapter 3.4 Facility Training Program their duties, including: Chapter 3, 3.3, A-1 (1) youth supervision duties; The Training Program curriculum includes staff to be oriented to the Mission, Vision, ☒ and Values of the Agency; the philosophy ☐ ☐ of detained youth; an overview of Positive Behavior Interventions and Supports (PBIS); employee responsibilities and conduct; and a review of the agency’s Use of Force policy. These requirements promote the agency’s philosophy so that staff can support the physical, emotional, intellectual and social development of youth. (2) scope of decisions they shall make; ☒ Chapter 3, 3.3, A-2 ☐ ☐ (3) the identity of their supervisor; ☒ Chapter 3, 3.3, A-3 ☐ ☐ (4) the identity of persons who are responsible to them; ☒ Chapter 3, 3.3, A-4 ☐ ☐ 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 7 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) persons to contact for decisions that are beyond their responsibility; and ☒ Chapter 3, 3.3, A-5 ☐ ☐ (6) ethical responsibilities. ☒ Chapter 3, 3.3, A-6 ☐ ☐ (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Chapter 3, 3.3, B Training member shall receive a minimum of 40 hours of facility- specific orientation, including: The new staff is required to complete 160 hours of facility-specific training established with an assigned permanent staff (FTO) who mentors the officers in all elements of the Facility Training Manual, including assessment of their comprehension and understanding of all elements of youth supervision. Performance Reports on their knowledge and efficiency are completed and submitted/reviewed by the facility Superintendent. The Facility Training Program Manual is ☒ reviewed and updated annually by the ☐ ☐ Deputy Chief of Facilities and the Leadership Team in the department. We noted the agency provides additional training to staff assigned to CVA because of the parameters and complexity of the program. This level of dedication to training is demonstrated in the review of documentation and procedural elements of staff that we observed on-site. There were several new staff on board during the inspection that displayed a commitment to the training program in-house, having just returned from JSO Core Training in Alameda County. (1) individual and group supervision techniques; ☒ Chapter 3, 3.3, B-1 ☐ ☐ 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 8 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) regulations and policies relating to discipline and rights of youth pursuant to law and the ☒ ☐ ☐ Chapter 3, 3.3, B-2 provisions of this chapter; (3) basic health, sanitation and safety measures; ☒ Chapter 3, 3.3, B-3 ☐ ☐ (4) suicide prevention and response to suicide ☒ Chapter 3, 3.3, B-4. attempts ☐ ☐ (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Chapter 3, 3.3, B-5 physical restraints; (6) review of policies and procedures referencing ☒ Chapter 3, 3.3, B-6 trauma and trauma-informed approaches; ☐ ☐ (7) procedures to follow in the event of ☒ Chapter 3, 3.3, B-7 emergencies; ☐ ☐ (8) routine security measures, including facility ☒ Chapter 3, 3.3, B-8 perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to ☒ Chapter 3, 3.3, B-9 mental health services; ☐ ☐ (10) documentation; and ☒ Chapter 3, 3.3, B-10 ☐ ☐ (11) fire/life safety training ☒ Chapter 3, 3.3, B-11 ☐ ☐ 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 9 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully Chapter 3, 3.3, C complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section 6035. ☒ ☐ ☐ Staff are also required to complete Annual Training as specified in Chapter 3, 3.5, A. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete ☒ Chapter 3, 3.3, B-1 training pursuant to Section 830 et seq. of the Penal ☐ ☐ Code. 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there Chapter 3, 3.2, A-11 shall be at least one wide awake person on duty at all ☒ ☐ ☐ times who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL All facility administrators shall develop, publish, and Chapter 1, 1.3 Policy Statement implement a manual of written policies and procedures that address, at a minimum, all regulations that are Chapter 3, 3.6 Policy and Procedure applicable to the facility. Such a manual shall be made Manual available to all employees, reviewed by all employees, Chapter 3, 3.6, D Procedure Requirements and shall be administratively reviewed at a minimum ☒ ☐ ☐ for Specific Manual Inclusions every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Chief Deputy Marguerite Harris confirmed Board on request. the SLO Juvenile Services Center Manual The manual shall include: was last reviewed and updated on May 5, 2023. The manual is reviewed annually. (a) table of organization, including channels of communications and a description of job Chapter 3, 3.6, C-1 classifications; ☒ ☐ ☐ Appendix #8 Has Job Descriptions, Chain of Command, and the Organization Chart for the facility. (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Chapter 3, 3.6, C-2 Juvenile Justice/Delinquency Prevention Commission ☒ or Probation Committee, probation staff, school ☐ ☐ personnel and other agencies that are involved in juvenile facility programs; 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 10 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) responsibilities of all employees; ☒ Chapter 3, 3.6, C-3 ☐ ☐ (d) initial orientation and training program for employees; ☒ Chapter 3, 3.6, C-4 ☐ ☐ (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, ☒ Chapter 3, 3.6, C-5 contract employees, school, mental/behavioral health ☐ ☐ and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and communication system to ensure: ☒ Chapter 3, 3.6, C-6 ☐ ☐ (1) efficient operation of the juvenile facility; ☒ Chapter 3, 3.6, C-6, a ☐ ☐ (2) legal and proper care of youth; ☒ Chapter 3, 3.6, C-6, b ☐ ☐ (3) maintenance of individual youth's records; ☒ Chapter 3, 3.6, C-6, c ☐ ☐ (4) supply of information to the juvenile court and ☒ Chapter 3, 3.6, C-6, d those authorized by the court or by the law; and, ☐ ☐ (5) release of information regarding youth. ☒ Chapter 3, 3.6, C-6, e ☐ ☐ Chapter 3, 3.6, C-7 (g) ethical responsibilities; ☒ ☐ ☐ The department has an established ethics policy which is required to be read by all new staff. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 11 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.6, C-8 (h) trauma-informed approaches; ☒ ☐ ☐ The facility has a training curriculum that articulates staff responsibilities in their dealing with youth as it relates to trauma. Chapter 3, 3.6, C-9 (i) culturally responsive approaches; ☒ The facility has a training curriculum that ☐ ☐ articulates staff responsibilities in their dealing with youth as it relates to culturally responsive approaches with their youth population. Chapter 3, 3.6, C-10 (j) gender responsive approaches; ☒ The facility has a training curriculum that ☐ ☐ articulates staff responsibilities in their dealing with youth as it relates to gender in the facility. (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Chapter 1, Section 1.2 Non-Discrimination to all available services, placement, care, treatment, Statement and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of Chapter 3, 3.6, C-11 actual or perceived race, ethnic group identification, ☒ ancestry, national origin, immigration status, color, ☐ ☐ religion, gender, sexual orientation, gender identity, This information is also in the Youth gender expression, mental or physical disability, or HIV Handbook. status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and ☒ ☐ ☐ Chapter 3, 3.6, C-12 weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible ☒ ☐ ☐ Chapter 3, 3.6, C-13 youth; and, 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 12 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. Chapter 3, 3.6, C-14 The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ Chapter 3, 3.27 PREA Policy retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire Chapter 3, 3.7 Fire Safety Plan department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire ☒ Chapter 3, 3.7, A-1 ☐ ☐ safety which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; Chapter 3, 3.7, A-2 Chapter 3, 3.7, E This section articulates the procedures to conduct the inspection, including the inspection to occur by the 15th day of each month. ☒ ☐ ☐ We reviewed the monthly inspections this cycle and noted the completion of the form, comments made to compliance or expectations, and the subsequent follow- through for any noted issues were timely. Facility administration reviews the monthly forms and maintains them in a binder for easy review. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); Chapter 3, 3.7, A-3 ☒ ☐ ☐ The most recent fire inspection was conducted on March 30, 2023. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 13 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) an evacuation plan; Chapter 3, 3.7, A-5 Chapter 3, 3.7, K-5, d Chapter 3, 3.10 Facility Evacuation Plan ☒ ☐ ☐ The facility conducts periodic evacuation drills for each unit in the facility during fire drills. (e) documented fire drills not less than quarterly; Chapter 3, 3.7, A-5 Chapter 3, 3.7, G and J This policy articulates fire drills to occur monthly as training tools in the areas of fire, ☒ ☐ ☐ emergency systems, and evacuation drills. Our review found quarterly drills for the first three quarters of 2022, with monthly drills as required for October 2022 to April 2023. (f) a written plan for the emergency housing of youth in the case of fire; and, Chapter 3, 3.7, A-6 Evacuation Chapter 3, 3.7, K-5, d Chapter 3, 3.11 Emergency Housing of Youth ☒ The SLO County Sheriff or Santa Barbara ☐ ☐ County Probation Department (SBCPD) will house youth in the event of a full evacuation of 24 hours or more. SLO Probation has an active Memorandum of Agreement with Santa Barbara for housing. If less than 24 hours, the agency will work with the SLO Sheriff to arrange for temporary housing at the Jail. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 14 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) development of a fire suppression pre-plan in cooperation with the local fire department. Chapter 3, 3.7, A-7 ☒ ☐ ☐ Chapter 3, 3.7, J Fire Response 1326 SECURITY REVIEW Each facility administrator shall develop policies and Chapter 3, 3.8 Security Review procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, This policy requires the annual review of including, but not limited to, key control, equipment, and staff training. security issues including a report to the ☒ Chief Probation Officer. The most recent ☐ ☐ Security Review was completed via memo by SDPO Anthony Mello on March 8, 2023. We found the memo very specific to all elements of security practices with a comprehensive review of 2022. 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific ☒ Chapter 3, 3.10 Emergency Procedures ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: Chapter 3, 3.6, D-2 Chapter 3, 3.10, G Riot (inside facility) Chapter 3, 3.10, A-1 Escapes (a) escape, disturbances, and the taking of ☒ hostages; ☐ ☐ Chapter 3, 3.10, A-1 and 13 Hostages Chapter 3, 3.10, F Procedure Chapter 3, 3.10, A-2 and F Civil Disturbance (b) civil disturbance, active shooter and terrorist ☒ attack; ☐ ☐ Chapter 3, 3.10, A-4 Active Shooter Chapter 3, 3.10, A-5 Terrorist Attack 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 15 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 3, 3.10, A-3 List Chapter 3, 3.10, B-6 Definition Chapter 3, 3.10, H Disasters (c) fire and natural disasters; ☒ ☐ ☐ The facility procedures for fire and natural disasters are the same. (d) periodic testing of emergency equipment; ☒ Chapter 3, 3.10, A-7 ☐ ☐ Chapter 3, 3.10, A-9 Emergency Evacuation (e) emergency evacuation of the facility; and ☒ We reviewed a renewed Memorandum of ☐ ☐ Understanding dated January 11, 2023, with the Santa Barbara Probation Department for emergency housing of youth. Chapter 3, 3.10, A-10 The facility requires that staff complete a two-hour training annually on Emergency (f) a program to provide all youth supervision staff Procedures. ☒ with an annual review of emergency procedures. ☐ ☐ A memo was completed on December 7, 2022, by SPDO Jennifer Gonzalez verifying all staff had this training. The last training was held on February 3, 2022. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 16 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS The facility administrator shall develop and implement Chapter 3, 3.15 Safety Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours The facility uses the Guard 1/Pipe when youth are asleep or when youth are in their Electronic safety check system. The policy rooms, confined in holding cells or confined to their was revised to articulate the audit process bed in a dormitory. Supervision is not replaced, but and staff expectations in terms of ‘random may be supplemented by, an audio/visual electronic and varied’ specific language. surveillance system designed to detect overt, Operationally, the policy provides direction aggressive or assaultive behavior and to summon aid for staff in how to use and download the in emergencies. All safety checks shall be information before, during and after their documented with the actual time the check is shift to ensure the correct officer is completed. associated with the check. ☒ ☐ ☐ Facility administration audits and reviews all safety checks, handling late checks by staff through counseling, documented memo, or other measures internally. We noted late safety checks are infrequent and continuously declining since 2019, with less than 1% late since 2023. Facility Administration acknowledges 100% compliance with the policy by recognizing staff who had no late checks in a given month. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 17 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN The facility administrator, in collaboration with the Chapter 3, 3.16, A Suicide Prevention Plan healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide The agency policy requires the plan to be Prevention Plan. The plan shall consider the needs reviewed annually by the Law Enforcement of youth experiencing past or current trauma. Suicide Medical Committee (LEMC), with the last prevention responses shall be respectful and in the plan review on January 29, 2022. least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: We reviewed one incident involving suicidal statements overheard during a phone call with the parent at admission. This did not involve a CVA-SYTF youth. Facility administration works closely with San Luis Obispo County Behavior Health and San Luis Obispo County Public Health, the medical provider, to establish any concerns or behaviors related to suicide, ☒ ☐ ☐ ideation, or acting out are addressed immediately by all personnel. The forms for articulation a special watch or more strict measures are clearly explained and documented by all involved agency partners. The factors addressed are housing, clothing, room checks, meals, showering, items allowed in rooms, and program participation. There is no “automatic’ protocol but rather a smooth line of communication to determine the best response to the noted behaviors and best practice determination of supervision pending clinician review or assessment. The agency has four Clinicians through SLO County Behavior Health who are on-site Monday through Friday 8:00 a.m. to 8:30 p.m. and 9:00 a.m. to 7:00 p.m. Saturday and Sunday. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 18 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Chapter 3, 3.16, B-1 Training and the Juvenile Corrections Officer Core Course. ☒ ☐ ☐ This policy requires four hours of Suicide Prevention Training during Core Training and two hours annually thereafter. (b) Screening, Identification Assessment and Precautionary Protocols Chapter 3, 3.16, B-2, a (1) All youth shall be screened for risk of suicide at intake and as needed during detention. When a youth is admitted, intake staff along with medical personnel complete a ☒ myriad of assessments and screening ☐ ☐ questionnaires to adequately assess their level of risk as it relates to trauma, health, and behavior health issues, and classification criteria for special or articulated behaviors. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for Chapter 3, 3.16, B-1, a risk of suicide. ☒ ☐ ☐ The policy requires all staff to be trained, not just intake staff. (3) All youth who have been identified during the intake screening process to be at risk of suicide Chapter 3, 3.16, B-2, e-1 and 2 shall be referred to behavioral/mental health staff for a suicide risk assessment. ☒ This policy outlines the process for mental ☐ ☐ health referrals. Mental health staff are on duty seven days per week, with the MET Crisis Team on-call after traditional hours. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 19 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the Chapter 3, 3.16, C-1 through 4 behavioral/mental health assessment. ☒ ☐ ☐ This includes housing, treatment, supervision, and programming strategies. (c) Referral process to behavioral/mental health staff for assessment and/or services. Chapter 3, 3.16, B-2, a and e-2 ☒ This articulates the immediate referral to ☐ ☐ the Mental Health Therapist (MHT) or Clinician. If not on duty, there is a procedure in place to contact the Mental Health Evaluation Team for emergencies. (d) Procedures for monitoring of youth identified at risk for suicide. Chapter 3, 3.16, C-3, a-d ☒ ☐ ☐ This articulates the level of supervision based on the MHT/Clinician established protocol and is relayed to on-duty staff. (e) Safety Interventions (1) Procedures to address intervention protocols for youth identified at risk for suicide which may ☒ ☐ ☐ Chapter 3, 3.16, C Safety Interventions include, but are not limited to: (A) Housing consideration ☒ Chapter 3, 3.16, C-1 ☐ ☐ (B) Treatment strategies including trauma- informed approaches ☒ Chapter 3, 3.16, C-2 ☐ ☐ 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 20 of 81 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 how to respond to youth who exhibit suicidal Chapter 3, 3.16, C-5 behaviors. ☒ ☐ ☐ Facility staff are required to address any forms of suicidal ideation, discussion, or response to suicide behaviors. (f) Communication (1) The intake process shall include Chapter 3, 3.16, B-2, a-d communication with the arresting officer and family guardians regarding the youth’s past or present Chapter 3, 3.16, C-5, c suicidal ideations, behaviors or attempts. The on-duty intake officer is required to communicate with officers, parents/family, facility staff, and agency partners to retrieve current or past information relating to suicide behaviors. That intake officer then ☒ ☐ ☐ communicates the information to the on- duty supervisors, medical and mental health staff. Additionally, any threats or actions while the youth is in custody shall be reported immediately to the lead unit staff, supervisor, and Medical and Mental Health staff. (2) Procedures for clear and current information sharing about youth at risk for suicide with youth There are weekly (ICMC) meetings that supervision, healthcare, and behavioral/mental include discussions of each youth and any health staff. circumstances relevant to depression or isolation. ☒ We spoke with the administrators of each ☐ ☐ agency included in the regulation and although there are weekly meetings to address youth behavior, all partners are in active communication with facility staff regarding any behaviors that need to be communicated or addressed, sometimes several times a day. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 21 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Debriefing of Critical Incidents Related to Suicides or Attempts Chapter 3, 3.16, F Critical Incident Debrief (1) Process for administrative review of the ☒ circumstances and responses proceeding, during ☐ ☐ Chapter 3, 3.16, F-4 Administrative Review and after the critical incident. (2) Process for a debriefing event with affected ☒ Chapter 3, 3.16, F-1 and 2 staff. ☐ ☐ (3) Process for a debriefing event with affected youth. ☒ Chapter 3, 3.16, F-3 ☐ ☐ (h) Documentation (1) Documentation processes shall be developed ☒ ☐ ☐ Chapter 3, 3.16, E to ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, Chapter 3, 3.16, C-4 Programming 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 The facility houses, treats, supervises, and youth at risk of suicide shall be documented and ☒ ☐ ☐ encourages all youth identified as being at approved by the facility manager. risk for suicide behaviors. The daily BH evaluations and constant staff engagement are encouraged and supported by administration. 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of ☒ Chapter 4, 4.1 Reporting of Legal Actions notification on each legal action, pertaining to ☐ ☐ conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Chapter 4, 4.2,1(a) (1) Death of a Youth. (a) The facility administrator, in cooperation with Chapter 4, 4.2 Paragraph #1 and F the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth The policy identifies all parties required to while detained, which include notifications to be notified in the event of an in-custody necessary parties, which may include the Juvenile death. Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 22 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The health administrator, in cooperation with the facility administrator, shall develop written Chapter 4, 4.2, G-1 and 2 Operational policies and procedures to assure there is a Review 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 the Board a copy of the report submitted to the Chapter 4, 4.2, F-5, b Attorney General under Government Code ☒ Section 12525. A copy of the report shall be ☐ ☐ submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within Chapter 4, 4.2, F-6 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ to the provisions of this subchapter. Any inquiry ☐ ☐ made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. (a) The facility administrator, in cooperation with Chapter 4, 4.2, I Notifications in Event of the health administrator, shall develop written Serious Illness or Injury 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 Each juvenile facility shall submit required population ☒ Chapter 3, 3.16 and profile survey reports to the Board within 10 ☐ ☐ working days after the end of each reporting period, Chapter 4, 4.3 in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Chapter 4, 4.5 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 The facility has not exceeded rated administrator shall provide a crowding report to the capacities this cycle. Board in a format provided by the Board. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 23 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1350 ADMITTANCE PROCEDURES The facility administrator shall develop and implement Chapter 5, 5.1 Admittance Procedures written policies and procedures for admittance of youth that emphasize respectful and humane Chapter 5, 5.1 General Policy 1st paragraph engagement with youth, and reflect that the admission process may be traumatic to youth who may have already experienced trauma. Policies shall be trauma- The agency has many policies and informed, culturally relevant, and responsive to the required assessments in place for youth language and literacy needs of youth. In addition to admission. Intake staff complete a the requirements of Sections 1324 and 1430 of these process for booking a youth including regulations: Orientation and Rules; Non-Association Orders; Property Inventory, Parent Notifications; Mental Health History/Screening; WIC 627 admission requirements; Non-Racial agreement; Gang Information worksheet; a SOGIE assessment; Gender Preference Questionnaire; and, Disability and/or IEP questions. The level of information is communicated with all staff and agency partners to make the most appropriate decision for unit placement, classification status, and room placement. ☒ ☐ ☐ Each tool provides insight into the youth’s attitude, prior victimization, gang influence, sexual abuse or assault, and aggression via the intake questionnaire. The medical and mental health assessments include questions related to illnesses, medication, history of medical incidents, mental health conditions, prior assaultive or suicidal behaviors, trauma, and family issues. The historical and current information are relevant to detention decisions as well as appropriate to establish relevant goals and objectives during the youth’s stay. When a youth becomes eligible for the JH- SYTF step-down program, CVA-SYTF, and is determined to be an appropriate candidate for the program, staff perform a myriad of intake and orientation reminders regarding expectations and rules. Because the program is under the same roof as the juvenile detention side of the building, no formal admission other than re- engagement with the new commitment is given. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 24 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS We reviewed many admission packet forms verifying the comprehensive and detailed intake process to admit youth into the facility, which is responsive to all required elements in regulation. The narrative entries by staff are informative and include the necessary information to address health, mental health, classification, and related concerns in determining youth needs at admission. Youth committed to CVA-SYTF are provided opportunities to make phone calls to family I they were not at the hearing. No youth were in the program during the inspection. (a) the admittance process shall include: (1) Access to two free phone calls within one hour ☒ Chapter 5, 5.1, a of admittance in accordance with the provisions of ☐ ☐ Welfare and Institution Code Section 627; (2) Offer of a shower; ☒ Chapter 5, 5.1, b ☐ ☐ (3) Documented secure storage of personal ☒ Chapter 5, 5.1, c belongings; ☐ ☐ (4) Offer of food upon arrival; ☒ Chapter 5, 5.1, d-1 and 2 ☐ ☐ (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ Chapter 5, 5.1, e General Policy disabilities; (6) Screening for physical and developmental disabilities in accordance with Sections 1329, ☒ ☐ ☐ Chapter 5, 5.1, f General Policy 1413, and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are suspected of or identified as having a ☒ Chapter 5, 5.1, g General Policy ☐ ☐ developmental disability, pursuant to Section 1413; and, 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 25 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Chapter 5, 5.3, G Transgender and Intersex (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Youth (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive Chapter 5, 5.1, A Detention Policy environment. ☒ ☐ ☐ Statement (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures Chapter 5, 5.1, P 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 that advise any committed youth of the ☒ ☐ ☐ Chapter 5, 5.1, P estimated length of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Chapter 5, 5.2 Screening for the Risk of The facility administrator shall develop and implement Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 ☒ The facility has a comprehensive screening ☐ ☐ hours of admission based on the following process, including intake forms, the SOGIE information: and CSEC assessments, case file reviews, Court records, and incident or behavior reports to assess this risk. (a) Prior sexual victimization or abusiveness; ☒ Chapter 5, 5.2, a ☐ ☐ (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, ☒ Chapter 5, 5.2, b queer or intersex, and whether the youth may, ☐ ☐ therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ Chapter 5, 5.2, c ☐ ☐ 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 26 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Age; ☒ Chapter 5, 5.2, d ☐ ☐ (e) Level of emotional and cognitive development; ☒ Chapter 5, 5.2, e ☐ ☐ (f) Physical size and stature; ☒ Chapter 5, 5.2, f ☐ ☐ (g) Mental illness or mental disabilities; ☒ Chapter 5, 5.2, g ☐ ☐ (h) Intellectual or developmental disabilities; ☒ Chapter 5, 5.2, h ☐ ☐ (i) Physical disabilities; ☒ Chapter 5, 5.2, i ☐ ☐ (j) The youth’s perception of vulnerability; and, ☒ Chapter 5, 5.2, j ☐ ☐ (k) Any other specific information about the individual youth that may indicate heightened needs for ☒ Chapter 5, 5.2, k supervision, additional safety precautions, or ☐ ☐ separation from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance Chapter 5, 5.2, 2nd Paragraph 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 controls on the dissemination of information within the Chapter 5, 5.2, 3rd Paragraph facility relative to responses received pursuant to this ☒ assessment in order to ensure that sensitive ☐ ☐ information is not exploited to the youth’s detriment by staff or other youth. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 27 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1351 RELEASE PROCEDURES The facility administrator shall develop and implement Chapter 5, 5.3 Release Procedures written policies and procedures for release of youth from custody which provide for: The Institution Case Management Committee (ICMC), meets weekly to assist youth with release and reintegration into the community. This team is a coordinated effort with facility staff, the assigned probation officer, and representatives from medical, MH, and education. This full- service approach provides transition services to allow for better adjustment as the youth exits the facility. ☒ Youth exiting CVA-SYTF must complete all ☐ ☐ facets of the program elements, including release and re-entry plans they develop in collaboration with the ICMC Team. It is a formal process to ensure the youth is ready for release and can account for all required expectations through long preparation. We reviewed 22 youth release documents/ forms from each program, detailing the length of stay and who ordered the release, most by the Court after completion of the program or original order. There were no youth in the CVA-SYTF Program during the inspection. Chapter 5, 5.3, F-3, b, and c (a) verification of identity/release papers; ☒ ☐ ☐ Chapter 5, 5.3, M-1 Chapter 5, 5.3, F-3, d (b) return of personal clothing and valuables; ☒ Chapter 5, 5.3, J ☐ ☐ Chapter 5, 5.3, M-4 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 28 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) notification to the youth's parents or guardian; ☒ Chapter 5, 5.3, F-3, a ☐ ☐ (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ Chapter 5, 5.3, F-3, e regulations, for coordination with outside agencies; ☐ ☐ and, (e) notification of school staff; ☒ Chapter 5, 5.3, F-3, f ☐ ☐ (f) notification of facility mental health personnel. ☒ Chapter 5, 5.3, F-3, f ☐ ☐ The facility administrator shall develop and implement policies and procedures for post-disposition youth to Chapter 5, 5.1, O coordinate the provision of transitional and reentry ☒ services including, but not limited to, medical and ☐ ☐ behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement written policies and procedures for the furlough of ☒ ☐ ☐ Chapter 5, 5.3, K youth from custody. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 29 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352 CLASSIFICATION The facility administrator shall develop and implement Chapter 5, 5.4 Classification written policies and procedures on classification of youth for the purpose of determining housing placement in the facility. The policy includes the process by which Such procedures shall: staff identify a youth’s needs while in detention, at CVA, or in SOAR. There were three operational units when we were on site, West had 10 pre-disposition youth in custody; Pismo and Morrow units had six in CVA and one in SOAR. Detention youth are placed in the appropriate room in the unit to address any ☒ specific areas identified during intake such ☐ ☐ as proximately to the staff counter or, for those that do not pose a risk, farther away from the control counter. Morrow and Pismo units house post-dispositional youth committed to the program and placement is evaluated based on criteria identified throughout their stay. We reviewed 22 Classification Screening documents which demonstrated the ability to adjust a youth’s classification status based on new information and youth behavior. No youth were in the CVA-SYTF Program during the inspection. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the Chapter 5, 5.4, A appropriate, least restrictive housing and program ☒ settings. Housing assignments shall consider the ☐ ☐ need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of the facility; Chapter 5, 5.4, E ☒ ☐ ☐ This section identifies the facility unit design and the appropriate classification factors for placement. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 30 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Chapter 5, 5.4, A-1 through 14 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ Chapter 5, 5.4, F Security Classifications: legal status, public safety considerations, medical/mental health considerations, gender and General Population, Restricted Status, gender identity of the youth; Special Modified Program (d) provide for periodic classification reviews, including provisions that consider the level of Chapter 5, 5.4, F-11 supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ The facility assesses all youth on a special program daily to evaluate progress and/or modification. (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Chapter 5, 5.4, F-12 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, ☒ ☐ ☐ mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex ☒ Chapter 5, 5.4, F-13 identification or status as an indicator of likelihood of ☐ ☐ being sexually abusive. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 31 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Chapter 5, 5.5 Transgender and Intersex and procedures ensuring respectful and equitable Youth treatment of transgender and intersex youth. The policies shall provide that: The facility administers the SOGIE and CSEC tools to assess a youth’s likelihood to victimize or exploit others, as well as their potential to be victimized or exploited. ☒ ☐ ☐ There was a transgender youth in the CVA Program while on-site. Our interview with the youth revealed her needs, concerns and any issues are fully addressed by youth supervision staff and agency partners in a positive manner. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s Chapter 5, 5.5, D preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use ☒ ☐ ☐ of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their ☒ Chapter 5, 5.5, E and F gender identity and shall provide youth with the ☐ ☐ institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes Chapter 5, 5.5, G and I their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any ☒ ☐ ☐ decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender and intersex youth have access to ☒ Chapter 5, 5.5, K medical and behavioral health providers qualified to ☐ ☐ provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, Chapter 5, 5.5, L facility staff shall make every effort to ensure the ☒ ☐ ☐ safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 32 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s Chapter 5, 5.5, M and N anatomical sex. Whenever feasible, the facility shall ☒ respect the youth’s preference regarding the gender ☐ ☐ of the staff member who conducts any search of the youth. 1353 ORIENTATION The facility administrator shall develop and implement Chapter 5, 5.6 Orientation of Youth written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Chapter 5, 5.4, A and B information shall be provided and supplemented with video orientation if feasible. Provision shall be made to provide accessible orientation information to all The CVA Youth Handbook, also used by detained youth including those with disabilities, limited the CVA-SYTF youth, and intake process literacy, or English language learners. Orientation provide youth with a summary of all shall include information that addresses: elements required by regulation. The description in the handbook allows youth to understand what to expect while in custody as well as a summary of daily processes. The agency requires youth to sign a form indicating they understand expectations while in custody. ☒ ☐ ☐ The agency operates in conjunction with the PBIS (Positive Behavior Interventions and Supports) philosophy and youth are frequently reminded of rules/expectations, that promote safe, responsible, and considerate behaviors. This is promoted by all youth supervision staff and agency partners. The CVA Handbook articulates the program components required to maneuver the necessary responsibilities in the program to establish parameters for successful community re-entry. (a) facility rules including contraband and searches and disciplinary procedures; ☒ Chapter 5, 5.6, B-1 ☐ ☐ (b) facility’s system of positive behavior interventions and supports, including behavior expectations, incentives that youth will receive for complying with ☒ Chapter 5, 5.6, B-17 ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 33 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual ☒ Chapter 5, 5.6, B-18 harassment and how to report incidents or suspicions ☐ ☐ of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ Chapter 5, 5.6, B-19 ☐ ☐ (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the ☒ Chapter 5, 5.6, B-2 Grievance Procedure ☐ ☐ name of the person or position designated to resolve the issue; Chapter 5, 5.6, B-3 Legal Services (f) access to legal services and information on the ☒ court process; ☐ ☐ Chapter 5, 5.6, B-8 Court Process Chapter 5, 5.6, B-4 Health Care (g) access to routine and emergency health and ☒ mental health care; ☐ ☐ Chapter 5, 5.6, B-7 Counseling Services Chapter 5, 5.6, B-5 Education and (h) access to education, religious services, and ☒ Recreational recreational activities; ☐ ☐ Chapter 5, 5.6, B-6 Religious Services (i) housing assignments; ☒ Chapter 5, 5.6, B-9, ☐ ☐ (j) opportunity for personal hygiene and daily showers including the availability of personal care items ☒ Chapter 5, 5.6, B-10 ☐ ☐ (k) rules and access to correspondence, visits and telephone use; ☒ Chapter 5, 5.6, B-11 ☐ ☐ 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 34 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (l) availability of reading materials, programming, and other activities; ☒ Chapter 5, 5.6, B-12 ☐ ☐ (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Chapter 5, 5.6, B-13 Use of Restraints and ☒ Chemical Agents ☐ ☐ Chapter 5, 5.6, B-14 Use of Force (n) immigration legal services; ☒ Chapter 5, 5.6, B-3 ☐ ☐ (o) emergencies including evacuation procedures; ☒ Chapter 5, 5.6, B-15 Evacuation ☐ ☐ (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment Chapter 5, 5.6, B-16 Non-Discrimination by other youth and staff; ☒ Policy ☐ ☐ Chapter 5, 5.6, B-20 (q) availability of services and programs in a language other than English if appropriate; ☒ Chapter 5, 5.6, B-21 ☐ ☐ (r) the process for requesting different housing, education, programming and work assignments; ☒ Chapter 5, 5.6, B-24 ☐ ☐ (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility Chapter 5, 5.6, B-22 that at a minimum includes answers to frequently asked questions and provides contact information for the facility, medical, school and mental health; and, ☒ A Parent Notice provides responses to ☐ ☐ frequently asked questions for parents who do not have access to online orientation information. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 35 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. ☒ Chapter 5, 5.6, B-23 ☐ ☐ 1354 SEPARATION The facility administrator shall develop and implement Chapter 5, 5.7 Separation written policies and procedures that address: Facility staff process the need for Separation through reflection time and/or with privilege suspension as sanctions for incidents which do not pose a threat to the safety or security of the facility, staff, or other youth. These tools use focused activities to identify the behavior and the promote the need to make better choices. We reviewed the Separation notes demonstrating the youth’s request for separation (self-separation) or when a ☒ ☐ ☐ youth is removed from an environment for behaviors inconsistent with unit activities. Each situation documented the approach to reflection activities to redirect behavior. Any youth involved in an incident that poses a risk to the safety and security of youth, staff or the facility is subject to room confinement. It is noted youth reintegration sometimes includes separation from group or unit activities. No youth were in the CVA-SYTF Program during the inspection. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health ☒ Chapter 5, 5.7, A-1 conditions, assaultive behavior, disciplinary ☐ ☐ consequences and protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ Chapter 5, 5.7, A3 ☐ ☐ 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 36 of 81 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 privileges available at the facility, except when ☒ ☐ ☐ Chapter 5, 5.7, A-2 necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. ☒ Chapter 5, 5.7, C ☐ ☐ (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and ☒ Chapter 5, 5.7, D Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains ☒ ☐ ☐ Chapter 5, 5.7, E necessary. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 37 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Chapter 5, 5.8 Room Confinement (RC) implement written policies and procedures addressing the confinement of youth in their room that are Chapter 5, 5.8, C Procedure for consistent with Welfare and Institutions Code Section Implementation of RC 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: The facility staff uses room confinement as a last resort, evidenced by their documentation of incidents reviewed. The PBIS model of behavior modification allows youth to confront negative behaviors by reflection and discussion before a situation escalates. Facility staff are trained to de- escalate issues through counseling and understanding the triggers which escalate bad behavior. Allowing youth to self- separate to take time out and work on calming behaviors has been an effective tool as well. We reviewed 32 incidents involving room confinement, all of which demonstrated the need to remove a youth from the unit or setting due to an articulable safety or ☒ ☐ ☐ security-related behavior. Most involved fights, physically challenging staff or others, or defiance to the point of aggressive action or statements. The process in these situations includes monitoring behavior by discussions with the youth at a minimum of every 15 minutes and documenting the point when a youth no longer poses a threat, demonstrating he or she is ready for BH staff inclusion. There were 138 incidents of RC for all facilities since March 2022, averaging less than 10 incidents per month, since the last inspection. Our review indicated most were removed at or before two hours and only two incidents were longer than four hours. We provided technical assistance so that staff did not wait for BH staff to remove the youth and to enlist the on-duty JSO III to meet with the youth and determine reintegration as soon as the youth was ready. We found several incidents were inclusive of operational time and not part of 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 38 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS the total time, resulting in less than the recorded room confinement duration. No youth were in the CVA-SYTF Program during the inspection. (1) Room confinement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those ☒ Chapter 5, 5.8, C-1 ☐ ☐ options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, ☒ ☐ ☐ Chapter 5, 5.8, C-2 or retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical ☒ ☐ ☐ Chapter 5, 5.8, C-3 health of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ Chapter 5, 5.8, C-8 confinement for a period of four hours, staff shall do ☐ ☐ one or more of the following: (1) Return the youth to general population. ☒ Chapter 5, 5.8, C-8 ☐ ☐ Chapter 5, 5.8, C-5, b (2) Consult with mental health or medical staff. ☒ ☐ ☐ The facility’s behavior health staff are notified when a youth is placed on RC and respond immediately. (3) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Chapter 5, 5.8, D reintegrate the youth to general population. (4) If room confinement must be extended beyond ☒ four hours, staff shall do each of the following: ☐ ☐ (A) Document the reasons for room confinement and the basis for the extension, the date and time the youth was first placed in ☒ Chapter 5, 5.8, D-2 ☐ ☐ room confinement, and when he or she is eventually released from room confinement. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 39 of 81 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 the goals and objectives to be met in order to ☒ ☐ ☐ Chapter 5, 5.8, D-3 integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ Chapter 5, 5.8, D-1 every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of ☒ Chapter 5, 5.8, A and B-1 youth in juvenile facilities and does not apply to ☐ ☐ normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ Chapter 5, 5.8, B-2 ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that Chapter 5, 5.8, B-3 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 placed in a locked cell or sleeping room to treat Chapter 5, 5.8, B-4 and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in ☒ an infirmary for an illness. Additionally, this section ☐ ☐ does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 40 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1355 INSTITUTIONAL ASSESSMENT AND PLAN The facility administrator shall develop and implement Chapter 5, 5.9 Institution Assessment and written policies and procedures for assessment and Plan case planning. The case plan is developed with the assistance of the Institution Case Management Committee (ICMC), comprised of an SDPO or assigned DPO, JSO III, a Mental Health Clinician, an education representative, and a nurse or nurse practitioner. The Family Care Network provides two case managers to the facility for completing the initial, ongoing, and transition plans. The policy requires a case plan to be completed within 25 days of admission and every 30 days thereafter. We reviewed 20 initial, ongoing, and transition case plans. The plans are updated based on information from the ICMC meetings, which occur weekly, and recommendations for treatment or education services. ☒ ☐ ☐ Youth in CVA-SYTF are expected to meet certain milestones in the Peaks and Valleys promotional program descriptions. Youth contribute to their advancement through a series of exercises to promote in the 1-year program. Writing assignments, presentations to the ICMC Team, and meeting objectives enable youth to release to the aftercare component as early as six months. The agency exceeds regulation, noting the plans were completed prior to the 30 days; and updated with notes on participation in programming and completion of objectives. The transition plan prior to release was pointed and directed to the youth on re- entry expectations. No youth were in the CVA-SYTF Program during the inspection. We noted that the case plans and required Individual Service Plans for SYTF youth are required to be provided to the Court at the youth’s six month review hearing. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 41 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Assessment: The assessment is based on information collected Chapter 5, 5.9, B during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ strengths including, but not limited to, identification of ☐ ☐ substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: (1) A case plan shall be developed for each youth Chapter 5, 5.9, A held for at least 30 days or more and created within 40 days of admission. ☒ ☐ ☐ The facility designates Case Managers to assist in the completion of the initial assessment before 25 days. (2) The institutional plan shall include, but not be ☒ limited to, written documentation that provides: ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ Chapter 5, 5.9, B-1, a ☐ ☐ (B) a plan for meeting the objectives that includes a description of program resources ☒ Chapter 5, 5.9, B-1, b needed and individuals responsible for ☐ ☐ assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review Chapter 5, 5.9, C-1 and discussion of the plan with the youth; ☒ The plans are reviewed every 30 days to ☐ ☐ determine the progress or completion of the objectives documented. Our review verified the agency complies with this intensive process. (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed ☒ Chapter 5, 5.9, C-2 for post dispositional youth in accordance with ☐ ☐ Section 1351; and, 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 42 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be Chapter 5, 5.9, A Case Management developed with input from the family, supportive Committee adults, youth, and Regional Center for the Developmentally Disabled. Chapter 5, 5.9, C-2 Chapter 5, 5.9, C-3 Contact with the ☒ Regional Center ☐ ☐ The committee meets weekly to provide input on the initial, ongoing, and transition case plans. 1356 COUNSELING AND CASEWORK SERVICES Chapter 5, 5.10 Counseling and Casework The facility administrator shall develop and implement Services written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall Through PBIS, facility staff continually ensure: counsel and re-direct negative behavior, as well as acknowledge positive behavior. The interventions are verbal and sometimes involve Reflection reports to draw the youth back to his or her ‘plan.’ Notes are electronically maintained in the JSO III Logs and discussed at the weekly ☒ ☐ ☐ ICMC meetings, including adjusting a case plan to best meet the individual needs of youth. The complexity of the CVA-SYTF Program allows for many counseling moments, with responses to support success. We provided technical assistance to ensure that these entries are memorialized in the youth’s electronic file to benefit or re-direct case plan objectives. (a) youth will receive assistance with needs or concerns that may arise; ☒ Chapter 5, 5.10, B-1 ☐ ☐ (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ Chapter 5, 5.10, B-3 probation officer, or other public official; and, 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 43 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth will be provided access to available resources to meet the youth’s needs. ☒ Chapter 5, 5.10, B-4 ☐ ☐ 1357 USE OF FORCE The facility administrator, in cooperation with the Chapter 5, 5.11 Use of Force (UF) responsible physician, shall develop and implement written policies and procedures for the use of force, Chapter 5, 5.11, D-2 General Provisions which may include chemical agents. Force shall never Chapter 5, 5.11, L Chemical Agents be applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies We reviewed all 10 of the UF incidents and procedures which: since March 2022. Staff are diligent in preventing the need for force unless no other options are available. Of the UF incidents, none involved OC spray. ☒ ☐ ☐ The incidents reviewed provided clear documentation of events leading to the force option, including attempts to de- escalate. When medical and mental health staff are on-site, they respond immediately. It is noted all UF incidents are administratively reviewed, including a video review, to determine if the force was necessary. All incidents were determined to be appropriate force used. No youth were in the CVA-SYTF Program during the inspection. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section ☒ Chapter 5, 5.11, D-5 1302 to ensure the safety and security of youth, ☐ ☐ staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options Chapter 5, 5.11, D-3, 4 and 5 and define when those force options are ☒ Chapter 5, 5.11, E Control and Compliance appropriate. ☐ ☐ Holds Chapter 5, 5.11, F Other Hand-to-Hand Force Methods (3) describe force options or techniques that are expressly prohibited by the facility. Chapter 5, 5.11, D -13 Carotid Hold ☒ ☐ ☐ Chapter 5, 5.11, F-3 Kicking and Punching 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 44 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative Chapter 5, 5.11, D-10 action to immediately stop it. ☒ ☐ ☐ Chapter 5, 5.11, O-8 (5) define a standardized reporting format that includes time period and procedure for Chapter 5, 5.11, P-1 through 5 documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and ☒ ☐ ☐ or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. Chapter 5, 5.11, P-5 The Chief Deputy conducts an independent ☒ review of all UF incidents to determine the ☐ ☐ need for an internal investigation. Their review includes submitted recommendations by the supervisor who reviewed the video of the incident. (7) define the role, notification, and follow-up procedures required after use of force incidents for Chapter 5, 5.11, D-15 Medical and Mental medical, mental health staff and parents or legal Health guardians. ☒ Chapter 5, 5.11, L-7 OC Spray Notifications ☐ ☐ Chapter 5, 5.11, L, O-10 Parent Notification of UF (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Chapter 5, 5.11, C-1, a Section 6030(f) and Welfare and Institutions Code Section 222. ☒ ☐ ☐ This policy addresses known medical conditions, including pregnant youth. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 45 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Chapter 5, 5.11, L Chemical Agents (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and Chapter 5, 5.11, L-1 Trained Staff Only the approved method of deployment for those ☒ chemical agents. ☐ ☐ It is noted there have been no incidents of OC spray use since March 2022. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s ☒ Chapter 5, 5.11, L-2 safety or the safety of others and only when de- ☐ ☐ escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical Chapter 5, 5.11, L-6 agents. This shall include that youth who have been exposed to chemical agents shall not be left Chapter 5, 5.11, L-8 unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical ☒ ☐ ☐ agent. Per policy, youth are offered a change of clothes within one hour of the incident and are not left unattended. (4) define the role, notification, and follow-up procedures required after use of force incidents Chapter 5, 5.11, L-7 OC Spray Notifications involving chemical agents for medical, mental health staff and parents or legal guardians. ☒ ☐ ☐ Chapter 5, 5.11, O-10 Parent Notification of UF (5) provide for the documentation of each incident of use of chemical agents, including the reasons Chapter 5, 5.11, O-2, a-h for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and ☒ ☐ ☐ location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular ☒ Chapter 5, 5.11, C Training training in use of force and chemical agents when ☐ ☐ appropriate that address: (1) known medical and behavioral health conditions that would contraindicate certain types ☒ Chapter 5, 5.11, C-1, a of force; ☐ ☐ 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 46 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) acceptable chemical agents and the methods of application. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (4) instruction on the Constitutional Limitations of Use of Force. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (5) physical training force options that may require the use of perishable skills. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ (6) timelines the facility uses to define regular training. ☒ Chapter 5, 5.11, C-1, a ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Chapter 5, 5.12 Use of Restraints (UR) responsible physician and mental health director, shall develop and implement written policies and Chapter 5, 5.12, A WRAP System procedures for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from The WRAP is the tool used by the agency being ambulatory. to immobilize a youth in the event the youth poses a risk to themselves. There have been no incidents of the use of the WRAP since the last inspection in March 2022. It is used as a last resort to protect a youth ☒ ☐ ☐ from self-harm and policy includes very specific criteria for its use, including Medical and MH engagement in the process of application and throughout the time the youth is in the WRAP. Policy is specific that a youth cannot be in the WRAP without DCPO approval for longer than 30 minutes and if medical staff are not on duty, the WRAP cannot be used. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 47 of 81 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 who present an immediate danger to themselves or Chapter 5, 5.12 others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ Chapter 5, 5.12, A-2 self-inflicted physical harm. Physical restraints should ☐ ☐ be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of Chapter 5, 5.12, A-3 restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through Chapter 5, 5.11, G Security Restraints affixing of hands and feet together behind the back (Transportation and Movement only) (hogtying) is prohibited. The use of restraints on ☒ ☐ ☐ pregnant youth is limited in accordance with Penal Chapter 5, 5.11, G-4 No Affixing Hands and Code Section 6030(f) and Welfare and Institutions Feet or Hogtying Code Section 222. Chapter 5, 5.11, H Pregnant Youth The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when Chapter 5, 5.11, G Security Restraints used to restrain youth for movement or transportation (Transportation and Movement only) within the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices ☒ Chapter 5, 5.13, A-1 Transportation and ☐ ☐ for Movement Within the Facility. Movement Youth shall be placed in restraints only with the approval of the facility manager or designee. The Chapter 5, 5.12, A-2 facility manager may delegate authority to place a youth in restraints to a physician. Reasons for Chapter 5, 5.12, A-9 continued retention in restraints shall be reviewed and documented at a minimum of every hour. ☒ ☐ ☐ The policy states youth cannot be in the WRAP for longer than 30 minutes without DCPO approval. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 48 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no Chapter 5, 5.12, A-4 later than two hours from the time of placement. The youth shall be medically cleared for continued retention Chapter 5, 5.12, A-6, a at least every three hours thereafter. This policy requires a nurse consultation ☒ ☐ ☐ prior to placement in WRAP. If medical staff are not available, the WRAP is not to be used. Medical is to respond immediately upon placement and to review/evaluate the need to continue every 15 minutes. A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from Chapter 5, 5.12, A-10 the time of placement, to assess the need for mental health treatment. The policy notes the BH staff shall respond ☒ and engage the youth within 15 minutes of ☐ ☐ placement. If not on site, staff are to exercise de-escalation techniques and if the youth is displaying self-harm behavior, they are to contact the Mental Health Crisis Team to respond to the facility. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly Chapter 5, 5.12, A-5, a employed, and to ensure the safety and well-being of the youth. Observations of the youth's behavior and Chapter 5, 5.12, A-8 any staff interventions shall be documented at least ☒ every 15 minutes, with actual time of the ☐ ☐ documentation recorded. While in the WRAP, the youth’s status is documented every 10 minutes. In addition to the requirements above, policies and procedures shall address: ☒ ☐ ☐ Chapter 5, 5.11, P-1 (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate certain restraint devices and/or ☒ ☐ ☐ Chapter 5, 5.11, P-1 techniques. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 49 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) acceptable restraint devices. ☒ ☐ ☐ Chapter 5, 5.12, A WRAP Restraint System (d) signs or symptoms which should result in immediate medical/mental health referral. Chapter 5, 5.12, A-5 and 6 Chapter 5, 5.12, A-10 Medical and BH staff are called to the ☒ ☐ ☐ scene if a youth is placed in the WRAP and remain on-site until removed. The policy states medical checks every 15 minutes and BH engagement, if on duty, within 15 minutes. Follow-up is determined by Medical and BH staff. (e) availability of cardiopulmonary resuscitation equipment. ☒ ☐ ☐ Chapter 5, 5.12, A-6, c (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in ☒ ☐ ☐ Chapter 5, 5.12, A-5, b a specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Chapter 5, 5.12, A-11 and 12 (h) exercising of extremities. ☒ ☐ ☐ Chapter 5, 5.12, A-6, b 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 50 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Chapter 5, 5.13 WITHIN THE FACILITY. The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health The JSOs provide clear documentation of director, shall develop and implement written policies the need to apply restraints when moving a and procedures for the use of restraint devices when youth to their room or to holding. The the purpose is for movement or transportation within assessment is based on the need to have the facility that shall include the following: control over the youth while moving the youth. The articulation was clear and necessary in the incidents we reviewed. ☒ ☐ ☐ Of the 10 use-of-force incidents since the last inspection, seven involved the use of restraints for the movement of the youth to their room or the holding room. The form utilized to record force, restraints, OC, and appropriate notifications (parents and agency partners), clearly directs staff responsibilities. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Chapter 5, 5.13, 1 training. ☒ ☐ ☐ The agency has handcuffs, shackles, soft restraints, and flex cuffs. (b) the circumstances leading to the application of restraints must be documented. Chapter 5, 5.13, 5 Documentation and ☒ ☐ ☐ Supervisor Approval (c) an individual assessment of the need to apply restraints for movement or transportation that Chapter 5, 5.13, 3-a through d includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ Chapter 5, 5.13, 5 Documentation and health conditions, trauma informed approaches, and Supervisor Approval a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint ☒ ☐ ☐ Chapter 5, 5.13, 6 devices shall not be used for the purposes of discipline or retaliation. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 51 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) the use of restraints on pregnant youth is limited Chapter 5, 5.13, 4 in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in The facility does not have a safety room. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, ☐ ☐ ☒ and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and ☐ ☐ ☒ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall ☐ ☐ ☒ be accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation ☐ ☐ ☒ by staff. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 52 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) safety room shall not be used to the extent that it compromises the mental and physical health of ☐ ☐ ☒ the youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: ☐ ☐ ☒ (1) return the youth to general population. ☐ ☐ ☒ (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the ☐ ☐ ☒ goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of ☐ ☐ ☒ Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement Chapter 5, 5.14 Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures shall provide that: ☒ ☐ ☐ The facility conducts random but routine unit and facility searches to ensure no contraband is in the facility. All components of regulation are met in policy and practice. (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Chapter 5, 5.14, B staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ Chapter 5, 5.14, C and D searched and shall not be conducted for harassment or as a form of discipline or punishment. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 53 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Chapter 5, 5.14, E Policy articulates strip searches shall only be conducted with prior supervisor approval and articulated reasonable suspicion of contraband. ☒ ☐ ☐ There have been two strip searches since March 2022, none involving a CVA-SYTF youth. Each was well documented and had Superintendent approval. The agency documents the need for and approvals for a strip search in an incident report. We provided technical assistance and sample forms to better memorialize the process and expectations detailed in policy for these high-risk low-frequency events. (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ Chapter 5, 5.14, H-8 (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Chapter 5, 5.14, E when there is reasonable suspicion based on specific and articulable facts to believe that youth is ☒ ☐ ☐ concealing contraband. The reasonable suspicion shall be documented. All strip searches require each element of regulation and as indicated in the policy. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ Chapter 5, 5.14, F (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when conducted by a medical ☒ ☐ ☐ Chapter 5, 5.14, H-9 professional. Such searches must be justified and documented in writing. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 54 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Chapter 5, 5.15 Grievance Procedure written policies and procedures whereby any youth may appeal and have resolved grievances relating to Chapter 5, 5.15 A any condition of confinement, including but not limited to health care services, classification decisions, program participation, telephone, mail or visiting We reviewed 22, none regarding CVA- procedures, food, clothing, bedding, mistreatment, SYTF youth, of the 44 grievances harassment or violations of the nondiscrimination submitted by youth from March 2022 to policy. There shall be no time limit on filing grievances. April 2023. The agency documented Policies and procedures shall include provisions response and resolution in most within one whereby the facility manager ensures: day, but no longer than four days. All were resolved at the Supervisor level or lower with no youth requesting an appeal to the ☒ ☐ ☐ DCPO. Staff responses were fair and appeared consistently applied with the other grievances reviewed for like issues. We noted facility staff have conversations with the youth and review video as a matter of procedure, to ensure the youth understands and accepts the outcome. The monthly average of grievances from the date of the last inspection is three. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ Chapter 5, 5.15, A have free access to the form; (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Chapter 5, 5.15, G-3 supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Chapter 5, 5.15, G (d) provision for a prompt review and initial response to grievances within three (3) business days, Chapter 5, 5.15, E and G grievances that relate to health and safety issues must be addressed immediately; ☒ ☐ ☐ The facility has an expectation to respond to the grievance by the end of shift or within two days, and resolution within five days. All were compliant with this expectation. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 55 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ ☐ ☐ Chapter 5, 5.15, G-6 directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ Chapter 5, 5.15, C (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Chapter 5, 5.15, G-7 (f) a system which provides that any appeal of a grievance shall be heard by a person not directly ☒ ☐ ☐ Chapter 5, 5.15, F involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a ☒ ☐ ☐ Chapter 5, 5.15, G-8 longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual ☒ ☐ ☐ Chapter 5, 5.15, G-13 harassment. Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be addressed and documented in accordance with ☒ ☐ ☐ Chapter 5, 5.15, G-12 written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Chapter 5, 5.16 harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall ☒ ☐ ☐ be maintained. Such written record shall be prepared We reviewed over 60 separate incident by the staff and submitted to the facility manager by the reports from UF to RC. The facts of the end of the shift, unless additional time is necessary and incident were clear and concise, providing authorized by the facility manager or designee. a clear picture of the incident. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 56 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, Chapter 5, 5.17 IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable ☒ ☐ ☐ If a youth refuses to voluntarily provide a DNA sample, sworn staff must receive force to collect blood specimens, saliva samples, and authorization from the DCPO to use force. thumb or palm print impressions from individuals who In these incidents (none this cycle) the are required to provide such samples, specimens or facility relies on its existing UF policy. impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that Chapter 5, 5.17, B an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to Chapter 5, 5.14, C secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The Chapter 5, 5.14, D authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Chapter 5, 5.14, E 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 Any use of force for DNA collection is in a court proceeding, the tape shall be retained videotaped. administratively. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 57 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot 1370 EDUCATION PROGRAM (a) School Programs Chapter 6, 6.1 Education Program The County Board of Education shall provide for the Chapter 6, 6.1, A administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee pursuant to applicable State laws. The school The Education program is facilitated by the and facility administrators shall develop and implement San Luis Obispo County Office of written policy and procedures to ensure Education (SLOCOE). We met with communication and coordination between educators Assistant Superintendent Katherine Aaron and probation staff. Culturally responsive and trauma- and Director of Alternative Education Chris informed approaches should be applied when Balogh, who identified the process of providing instruction. Education staff should evaluating a youth’s goals in meeting collaborate with the facility administrator to use education requirements and objectives. technology to facilitate learning and ensure safe Teachers are diligent in prioritizing youth technology practices. The facility administrator shall goals and behaviors, evidenced by their request an annual review of each required element of involvement in daily/weekly meetings with the program by the Superintendent of Schools, and a probation and other agency staff to discuss report or review checklist on compliance, deficiencies, student needs. 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 Post-secondary education has become a of any juvenile court school site. The Superintendent of priority as there are currently two Schools shall conduct this review in conjunction with a graduates, two actively enrolled at Cuesta qualified outside agency or individual. Upon receipt of College. 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 The Office of Education continues to educational interests of all youth in the facility. promote DBT, a social and emotional curriculum for staff to better relate to their students. This premise facilitates a basic understanding of the individual needs students have when entering their classroom. The PBIS philosophy is also a big part of the school-based services, and the SLOCOE continues to work with probation staff to develop basic strategies for youth to instill in themselves: Safe, Responsible, and Considerate. The focus is on modeling positive behavior the youth can anticipate and adopt. Teachers and staff maintain firm, fair, and consistent expectations each day, providing positive feedback or a teaching moment when appropriate. Education staff are involved in daily briefings and in the ICMC meetings to provide feedback on youth progress. We discussed the very minimum time spent on core curriculum activities as specified in the school schedule. Although approved 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 58 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS and accepted by the educational assessment, we found the agency school schedule compliant but does not reflect the robust daily schedule we have seen in cycles past. The Probation Department is actively involved in the grant application process for Rising Scholars, a collaboration with Cuesta Community College for a more active role in youth enrollment, including all eligible youth to be dually enrolled in high school and college. (b) Required Elements The facility school program shall comply with the State Chapter 6, 6.1, B 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 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ Chapter 6, 6.1, C nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Education Code and include, but not be limited to, ☒ ☐ ☐ Chapter 6, 6.1, C-1 courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ Chapter 6, 6.1, C-2 Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ Chapter 6, 6.1, C-3 (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Chapter 6, 6.1, C-4 Education, shall be made available when possible. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 59 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress ☒ ☐ ☐ Chapter 6, 6.1, C-5 towards grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for Chapter 6, 6.1, C-6 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 of classification, housing, security Chapter 6, 6.1, C-7 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 (1) Positive behavior management will be Chapter 6, 6.1, D implemented to reduce the need for disciplinary ☒ ☐ ☐ action in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect ☒ ☐ ☐ Chapter 6, 6.1, D-2 the educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school Chapter 6, 6.1, D-3 shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State ☒ ☐ ☐ Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures ☒ ☐ ☐ Chapter 6, 6.1, D-4 that address the rights of any student who has continuing difficulty completing a school day. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 60 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Chapter 6, 6.1, F-1 suspected disabilities. This includes but is not ☒ ☐ ☐ limited to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ Chapter 6, 6.1, F-2 state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and ☒ ☐ ☐ a record maintained that documents a youth's Chapter 6, 6.1, G-1 educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ Chapter 6, 6.1, G-2 (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Chapter 6, 6.1, G-3 (C) Needs and services of special populations as defined by the State Education Code, ☒ ☐ ☐ including but not limited to, students with special Chapter 6, 6.1, G-4 needs. (D) Discipline problems. ☒ ☐ ☐ Chapter 6, 6.1, G-5 (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Chapter 6, 6.1, G-5, a levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ within five school days. Chapter 6, 6.1, G-5, c (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), Chapter 6, 6.1, G-5, d 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. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 61 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ Chapter 6, 6.1, H-1 placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in Chapter 6, 6.1, H-2 accordance with the State Education Code. (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop Chapter 6, 6.1, I-1 policies and procedures to meet the transition ☒ ☐ ☐ needs of youth, including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- Chapter 6, 6.1, J-1 ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 62 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 6, 6.2 Programs, Recreation and The facility administrator shall develop and implement Exercise written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms Programs for the pre-dispositional youth or their bed area. are facilitated by Restorative Partners (RP), an In-Custody and Reentry Program for San Luis Obispo County. Restorative Partners Inc. serves people impacted by crime through a continuum of services that focus on mind, body, and spiritual transformation. The programs include evidence-based, trauma-informed approaches that increase self-esteem, pro- social skills, multi-cultural and non-violent communication, and, life and job skills. The nonprofit agency offers a continuum of services to meet the diverse needs in the community for both youth and adult populations. The goal of the juvenile facility is to include gender-specific, trauma- ☒ ☐ ☐ informed, and evidence-based services to the youth population. Once a youth is committed to CVA-SYTF, services are supported by the San Luis Obispo Behavior Health Clinicians, RP, and agency staff. Programming opportunities include Individual and Family Counseling; a Comprehensive Cognitive Behavior Curriculum; Substance Abuse Treatment; Child and Family Team Meetings; Independent Living; Parent Education and Support; Off-site Community Activities; Community Work Service Projects; Gardening; Culinary Activities; Video, Board, and Card games; Movie Night; High School/Birthday and Holiday Celebrations; In House and Outside Employment Opportunities; Career Path Opportunities; Gender-Specific Programming; and, PBIS. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of Chapter 6, 6.2, A-1 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. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 63 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding by the administrator/manager or designee that ☒ ☐ ☐ Chapter 6, 6.2, A-2 a youth represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ Chapter 6, 6.2, A-3 There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Chapter 6, 6.2, A-4 ensure content offered is current, consistent, and relevant to the population. ☒ ☐ ☐ The annual review of programs for all youth was completed by Cindy Ayala, the Mission and Restorative Justice Implementation Director with Restorative Partners, on May 12, 2023. (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming Chapter 6, 6.2, B-1, a and b to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as ☒ ☐ ☐ required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 64 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; Chapter 6, 6.2, B-1, c (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to Chapter 6, 6.2, C-1 unscheduled activities such as leisure reading, letter ☒ ☐ ☐ writing, and entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 6, 6.2, D-1 each day. ☒ ☐ ☐ Youth participate in one hour of Physical Education during the school day facilitated by the SLOCOE. Graduated youth receive LME facilitated by probation staff. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ Chapter 6, 6.2, D-3 the reasons why suspension of recreation and programs occurs. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 65 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to Chapter 6, 6.3 Religious Programs religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A ☒ ☐ ☐ youth shall be allowed to participate in an activity Religious programming is facilitated by outside of their room if he/she elects not to participate Restorative Partners, who also provides in religious programs. referrals for religious programs at the Religious programs shall provide for: youth’s request. (a) opportunity for religious services and practices; ☒ ☐ ☐ Chapter 6, 6.3, C-1 (b) availability of clergy; and, ☒ ☐ ☐ Chapter 6, 6.3, C-2 (c) availability of religious diets. ☒ ☐ ☐ Chapter 6, 6.3, C-3 1373 WORK PROGRAM The facility administrator shall develop policies and Chapter 6, 6.4 Work Programs procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth shall be meaningful, constructive and related CVA youth can apply for jobs inside and to vocational training or increasing a youth's sense of outside of the facility. CVA-SYTF youth will responsibility. Work programs shall not be imposed as be assessed to determine any outside-the- a disciplinary measure ☒ ☐ ☐ facility opportunities. Jobs at the facility include gardening, mowing, cleaning the kitchen, and assisting with cleaning the facility. Outside the facility, once a youth has met certain criteria, they are able to work at locations such as local fast-food restaurants, Cal Trans, and a local fuel delivery service. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 66 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING The facility administrator shall develop and implement Chapter 6, 6.5 Visiting written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Chapter 6, 6.5, A, B, F-4 receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family members, such as grandparents and siblings, The youth’s parents and approved visitors ☒ ☐ ☐ and supportive adults, may be allowed to visit with the schedule their own visitation, which approval of the facility administrator or designee, and includes two, one hour visits each week. in conjunction with the youth’s case plan or in the best This allows the visitor to accommodate interest of the youth. their own schedule and promotes more visitation. Special visits are arranged when requested by the youth’s probation officer. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and Chapter 6, 6.5, G security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history ☒ ☐ ☐ represents a risk to the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but ☒ ☐ ☐ Chapter 6, 6.5, C conversations shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, Chapter 6, 6.5, I-11 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 alternative, but not as a replacement, to in-person ☒ ☐ ☐ Chapter 6, 6.5, I-12 visiting. 1375 CORRESPONDENCE The facility administrator shall develop and implement Chapter 6, 6.6 Correspondence written policies and procedures for correspondence which provide that: ☒ ☐ ☐ Youth can send letters postage free. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 67 of 81 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 may send or receive; ☒ ☐ ☐ Chapter 6, 6.6, B (b) youth may send two letters per week postage free; ☒ ☐ ☐ Chapter 6, 6.6, C (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder Chapter 6, 6.6, D 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 in (c), may be read by staff only when there ☒ ☐ ☐ Chapter 6, 6.6, E is reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop Chapter 6, 6.7 Telephone Access and implement written policies and procedures to ☒ ☐ ☐ provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written Chapter 6, 6.9 Access to Legal Services procedures to ensure the right of youth to have access ☒ ☐ ☐ to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; ☒ ☐ ☐ Chapter 6, 6.9, C-1 (b) provision for confidential consultation with attorneys; and, ☒ ☐ ☐ Chapter 6, 6.9, C-2 (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. ☒ ☐ ☐ Chapter 6, 6.9, C-3 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 68 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1390 DISCIPLINE The facility administrator shall develop and implement Chapter 7, 7.1 Discipline written policies and procedures for the discipline of youth that shall promote acceptable behavior; including Chapter 7, 7.1, B PBIS the use of positive behavior interventions and supports. Chapter 7, 7.1, E Discipline shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, The Positive Behavior Interventions and physical or psychological degradation. Deprivation of Supports (PBIS) model is intertwined with the following is not permitted: the discipline process and rules and sanctions are identified as expectations and consequences for certain behaviors. The expected behaviors and consequences for not following them are posted in the living unit, and on posters ☒ ☐ ☐ throughout the facility. This philosophy is emulated in the classroom as youth are rewarded for following along with expected behaviors which are promoted through the program with incentive-based levels of leadership. Sanctions include losing privileges or completion of Reflection Time written exercises for not following the structure of the program or schedule. CVA-SYTF youth can experience not promoting to the next level of the program based on violations of rules and negative behaviors. (a) bed and bedding; ☒ ☐ ☐ Chapter 7, 7.1, E (b) daily shower, access to drinking fountain, toilet ☒ ☐ ☐ Chapter 7, 7.1, E and personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Chapter 7, 7.1, E (d) contact with parent or attorney; ☒ ☐ ☐ Chapter 7, 7.1, E 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 69 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) exercise; ☒ ☐ ☐ Chapter 7, 7.1, E (f) medical services and counseling; ☒ ☐ ☐ Chapter 7, 7.1, E (g) religious services; ☒ ☐ ☐ Chapter 7, 7.1, E (h) clean and sanitary living conditions; ☒ ☐ ☐ Chapter 7, 7.1, E (i) the right to send and receive mail; ☒ ☐ ☐ Chapter 7, 7.1, E (j) education; and, ☒ ☐ ☐ Chapter 7, 7.1, E (k) rehabilitative programming. ☒ ☐ ☐ Chapter 7, 7.1, E The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct Chapter 7, 7.1, F of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply ☒ ☐ ☐ and affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 70 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Chapter 7, 7.2 Discipline Process written policies and procedures for the administration of discipline which shall include, but not be limited to: We reviewed 44 incident reports, with 32 including due process elements of a violation of expectations. Although not required, the agency allows for due process for all failures to meet expected behavior resulting in a sanction and an incident report. Youth can read the incident report and acknowledge verbally and by signature if they want a hearing. The missing written element is the proposed sanction. We provided technical assistance to reiterate the proposed sanction in writing for the ☒ ☐ ☐ youth to acknowledge by signature for Due Process. We spoke to youth about the PBIS model, expectations, and if they had a clear understanding of sanctions for certain behaviors. Responses from all five youths interviewed, including documentation in the reports we reviewed, revealed program expectations are clearly demonstrated verbally by staff and by visual posters throughout the facility. The youth understood consequences would result in the re-direction of negative behavior to promote a more positive program. (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ Chapter 7, 7.2, A (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Chapter 7, 7.2, F (c) definition of major and minor rule violations and their consequences, and due process requirements; The facility rules (expectations) and accompanying sanctions (consequences) ☒ ☐ ☐ are in the youth handbook and posted in the living unit. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 71 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) trauma-informed approaches and positive behavior interventions; ☒ ☐ ☐ Chapter 7, 7.2, C (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ Chapter 7, 7.2, B accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Chapter 7, 7.2, I-1, a (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Chapter 7, 7.2, L learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ Chapter 7, 7.2, I-2, a incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ Chapter 7, 7.2, I-2 evidence and testimony; (5) provision for youth to be assisted by staff in ☒ ☐ ☐ Chapter 7, 7.2, I-2 the hearing process; (6) provision for administrative review. ☒ ☐ ☐ Chapter 7, 7.2, J (g) violations that result in a removal from camp or commitment program, but not a return to court, will Chapter 7, 7.2, I-4, a follow the due process provisions in subsection (e) above. ☒ ☐ ☐ Youth whose conduct merits removal from the CVA program are referred for a petition or Court action. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 72 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1410 MANAGEMENT OF COMMUNICABLE DISEASES. San Luis Obispo Juvenile Facility Policy The health administrator/responsible physician, in and Procedure Manual (SLOJF) Section cooperation with the facility administrator and the 8.11 Management of Communicable local health officer, shall develop written policies and Diseases procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, This policy has been updated to reference ☒ ☐ ☐ but not be limited to: current pandemic information as it relates to cooperation with the local Health Officer. San Luis Obispo County Public Health (SLOCPH) Policy 1410 - Management of Communicable Diseases SLOJF Section 8.11, B-1: Intake Health Screening procedures SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): B Booking Procedures (a) Intake health screening procedures; ☒ ☐ ☐ This section articulates the screening by staff and medical, where the screening is done, and the reaction to specific criteria at admission. SLOCPH 1410, III-A, Bullet #1 Screening SLOJF Section 8.11, B-2: Identification of Relevant Symptoms. SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): Booking Procedures B-3 through 8 (b) Identification of relevant symptoms; ☒ ☐ ☐ These procedures outline the screening criteria, including relevant information related to questions and observations of symptoms. SLOCPH 1410, III-A, Bullet #1 Screening 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 73 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SLOJF Section 8.11, B-3: Referral for Medical Evaluation (c) Referral for medical evaluation; ☒ ☐ ☐ SLOCPH 1410, III-A, Bullet #2 Appraisal SLOJF Section 8.11, B-4: Treatment Responsibilities During Detention SLOCPH 1410, III-A, Bullet #2 (d) Treatment responsibilities during detention; ☒ ☐ ☐ Appraisal/Treatment SLOCPH 1410, III-B, Bullet #2 Management/Communication SLOJF Section 8.11, B-5: Coordination with Public and Private Community-Based (e) Coordination with public and private community- Resources for Follow-Up Treatment ☒ ☐ ☐ based resources for follow-up treatment; SLOCPH 1410, III-C Follow-Up Care and Release Information SLOJF Section 8.11, B-6: Applicable Reporting Requirements SLOJF Section 8.11, Administrative 2-d, I- iii This includes reporting the results of tests (f) Applicable reporting requirements; and, ☒ ☐ ☐ to the Public Health Division Manager, Assistant Public Health Director, and the Communicable Disease Program Manager. Other sections include a report to the administrators in the agency, parents, and the Juvenile Court Judge. SLOCPH 1410, III-B, Bullet #3 Reporting 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 74 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS SLOJF Section 8.11, B-7: Strategies for Handling Disease Outbreaks SLOJF Section 8.11, Communicable Diseases (Pandemic, Epidemic, or Outbreak): B (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ This section coordinates efforts for youth entering the facility from booking responsibilities to youth/staff protocols. SLOCPH 1410, III-D, Bullet #2 Outbreaks The policies and procedures shall be updated as necessary to reflect communicable disease priorities These policies are reviewed with all new identified by the local health officer and currently ☒ ☐ ☐ CDC and California Public Health recommended public health interventions. Guidelines. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 8, 812 Access to Health Care 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 The youth’s personal clothing, undergarments and Chapter 10, Clothing and Personal Hygiene footwear may be substituted for the institutional clothing and footwear specified in this regulation. The ☒ ☐ ☐ facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and ☒ ☐ ☐ Chapter 10, 10.1, A-6 tears. (b) The standard issue of climatically suitable clothing for youth shall consist of but not be limited to: ☒ ☐ ☐ (1) Socks and serviceable footwear; ☒ ☐ ☐ Chapter 10, 10.1, A-1, 3 and 4 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 75 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Outer garments; ☒ ☐ ☐ Chapter 10, 10.1, A-2 (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; Chapter 10, 10.1, A-4 ☒ ☐ ☐ Chapter 10, 10.1, C-1 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. Chapter 10, 10.1, A-1 ☒ ☐ ☐ Chapter 10, 10.1, C-1 (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and ☒ ☐ ☐ Chapter 10, 10.1, A-6 dried completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Chapter 10, 10.1, F 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement Chapter 10, 10.3 Clothing Exchange written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Chapter 10, 10.5 Control of Vermin in There shall be written policies and site-specific Youth’s Personal Clothing 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. 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 76 of 81 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 There shall be written policies and site-specific Chapter 10, 10.6 Issue of Personal Care procedures developed and implemented by the facility Items administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Chapter 10, 10.6, A-1 (b) Toothpaste; ☒ ☐ ☐ Chapter 10, 10.6, A-2 (c) Soap; ☒ ☐ ☐ Chapter 10, 10.6, A-3 (d) Comb; ☒ ☐ ☐ Chapter 10, 10.6, A-4 (e) Shaving implements; ☒ ☐ ☐ Chapter 10, 10.6, A-5 (f) Deodorant; ☒ ☐ ☐ Chapter 10, 10.6, A-6 (g) Lotion; ☒ ☐ ☐ Chapter 10, 10.6, A-7 (h) Shampoo; and, ☒ ☐ ☐ Chapter 10, 10.7, B (i) Post-shower conditioning hair products. ☒ ☐ ☐ Chapter 10, 10.6, A-9 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 77 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap Chapter 10, 10.5, B provided through a common dispenser is permitted. Youth shall not share disposable razors. Double Chapter 10, 10.8 Shaving edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, ☒ ☐ ☐ when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE There shall be written policies and site specific Chapter 10, 10.7 Personal Hygiene procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Youth shall have access to a razor daily, unless their Chapter 10, 10.8 Shaving appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Hair care services shall be available in all juvenile Chapter 10, 10.9 Hair Care Services facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected ☒ ☐ ☐ after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good Chapter 11, 11.1 Standard Bedding and repair, shall be provided for each youth entering a ☒ ☐ ☐ Linen Issue living area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of ☒ ☐ ☐ Chapter 11, 11.1, A-1 these regulations; (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ Chapter 11, 11.1, A-1 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 78 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Chapter 11, 11.1, A-4 (d) One towel; and, ☒ ☐ ☐ Chapter 11, 11.1, A-3 (e) One blanket or more, up on request ☒ ☐ ☐ Chapter 11, 11.1, A-2 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement Chapter 11, 11.1, A-4 site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once a month. ☒ ☐ ☐ Chapter 11, 11.1, A-2 and 4 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Chapter 12 Facility Sanitation, Safety and The facility administrator shall develop and implement Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, 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). 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 79 of 81 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 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 80 of 81 A453 JUV PRO eff. 1/2019 (23-24).dot Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7543 San Luis Obispo Probation SYTF-CVA PRO 23-24 81 of 81 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: 7539 7540 7541 7543 FACILITY NAME: San Luis Obispo Juvenile Facility: FACILITY TYPE: JH, Camp, Juvenile Hall (JH), Coastal Valley Academy (CVA), SYTF SYTF-Juvenile Hall, SYTF-Coastal Valley Academy 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That X X X X Apply): FIELD REPRESENTATIVE: Elizabeth Gong DATE: June 1, 2023 TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.1 Reception/intake admission. A new booking area was added in 2007 and In each juvenile hall, space used for the reception of X a new intake area was added in 2010. youth pending admission to juvenile hall shall have the following space and equipment: 1. Weapons lockers as specified in Section 1230.2.9; X 2. A secure room for the confinement of youth pending admission to juvenile hall as specified in Section 1230.1.2; In each juvenile hall, camp and ranch, space used X for the reception of youth pending admission to these facilities shall have the following space and equipment: 3. Access to a shower; X 4. A secure vault or storage space for youth, valuables; X 5. Telephone accessible to youth; and X 6. Access to hot and cold running water for staff use. X 1230.1.2 Locked holding room. One holding room was added in 2007 and A locked holding room shall: three holding rooms were added in 2010. 1. Contain a minimum of 15 square feet of floor area X per youth; 2. Provide no less than 45 square feet of floor space X 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; There is a 48” bench in each holding room X allowing for a rated capacity of two youth in each. 4. Be equipped with a toilet, wash basin, mirror and drinking fountain unless as specified in Section 1230.2, unless a procedure is in effect to give the youth access to a toilet, wash basin and drinking fountain; X 7539+ San Luis Obispo Probation JH SYTF CAMP PHY 23-24 - 1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 5. Maximize visual supervision of youth by staff; and X 6. Have an outward swinging or lateral sliding door. X 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 X 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 X Corridors in living areas shall be at least eight feet wide. 1230.1.5 Living unit. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy X 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 X other action if needed. In juvenile halls, the number of youth housed in a living unit shall not exceed 30. 1230.1.6 Locked sleeping rooms. Locked sleeping rooms shall be equipped with an X individual or combination toilet, wash basin, mirror and drinking fountain. Doors to locked sleeping rooms shall swing outward or X slide laterally. 1230.1.7 Single occupancy sleeping rooms. Each room is 77.7 square feet for the single Single occupancy sleeping rooms shall provide the X rooms and 88.8 square feet for the two ADA following: rooms. 1. A minimum of 70 square feet of floor area; 2. A minimum ceiling height of eight feet; and, X 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a X minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. X 7539+ San Luis Obispo Probation JH SYTF CAMP PHY 23-24 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.8 Double occupancy sleeping rooms. Double occupancy sleeping rooms shall provide the X following: 1. A minimum of 100 square feet of floor area; 2. A minimum clear ceiling height of 8 feet and a X 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 X minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. X 1230.1.9 Dormitories Dormitories shall provide the following: 1. A minimum of 50 square feet of floor area per X 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; X 3. Dormitories in juvenile halls shall be designed for X no more than 30 youth; 4. Camps shall conform to Items 1 and 2. X 1230.1.10 Dayrooms Dayrooms shall contain 35 square feet of floor area per X 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 X 1230.2. 1230.1.11 Physical activity and recreation areas. The agency has exceptional recreation and Indoor/outdoor physical activity and recreation areas outdoor space, with recent and upcoming shall be designed as follows: modifications to make it more usable for 1. Minimum indoor outdoor recreation space for youth. X facility capacity: 40 or less is 9,000 square feet; 41-274 is 225 square feet per youth up to 61,650 square feet; 275 or more is 61,650 square feet, plus 145 square feet for each youth beyond 274 [up to a maximum of 87,120 square feet] 1.1 At least one quarter of the dedicated indoor/outdoor space shall be a paved or like X surface. 1.2 The required recreation area shall contain no X single dimension less than 40 feet. 2. A portion of the dedicated space for physical activity and recreation shall be out-of-doors and be sufficient size and equipped in such a manner to allow X compliance with Title 15, Section 1371, which requires at least one hour per day of outdoor activity for each detained youth. 3. Lighting of outdoor recreation areas shall be provided to allow for evening activities and to provide X security. 7539+ San Luis Obispo Probation JH SYTF CAMP PHY 23-24 - 3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 4. Access must be provided to a toilet, wash basin X and drinking fountain as specified in Section 1230.2. 1230.1.12 Academic classrooms. Three classrooms were added in 2016, each There shall be a dedicated classroom space for every allowing for 20 students. If at maximum rated X juvenile in every facility. capacity (65), class is held in the East, West or Central dayroom. (CYA regulations). The primary purpose for the academic classroom shall X be for education. Each academic classroom shall contain a minimum of 160 square feet of floor space for the teacher’s desk X 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 X emergencies. The classroom shall be designed for a maximum of 20 X minors. There shall be space available in every juvenile facility that may be used for specialized, one-on-one or small X group educational purposes. 1230.1.13 Safety room. A safety room shall: X 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; X 3. Be padded as specified in Section 1230.2.7; X 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 X inches long, which shall provide a view of the entire room; 5. Provide an audio monitoring system as specified X in Section 1230.1.22; 6. Contain a flushing ring toilet, capable of accepting solid waste, mounted flush with the floor, the controls X 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 X room; 8. Any wall or ceiling-mounted devices must be designed to prohibit access to the youth occupant; X and, 9. Provide a food pass with lockable shutter, no more than 4 inches high, and located between 26 inches X and 32 inches as measured from the bottom of the food pass to the floor. 1230.1.14 Medical examination room. X There must be a minimum of one suitably equipped medical examination room in every juvenile facility. 7539+ San Luis Obispo Probation JH SYTF CAMP PHY 23-24 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Medical examination rooms shall provide the following: 1. Space for carrying out routine medical X examinations and emergency care and used for no other purpose; 2. Privacy for youth; X 3. Lockable storage space for medical supplies; X 4. Not less than 144 square feet of floor space with X no single dimension less than 7 feet; 5. Hot and cold running water; X 6. Smooth, nonporous, washable surface; X 7. A medical exam table; and, X 8. Adequate lighting. X 1230.1.15 Pharmaceutical storage. Provide lockable storage space for medical supplies X and pharmaceutical preparations as specified by Title 15, Section 1438. 1230.1.16 Dining areas. Youth consume meals in the unit dayrooms. Dining areas in juvenile facilities shall contain a X 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. X Dining areas shall not contain toilets or showers in the X same room without appropriate visual barrier. 1230.1.17 Visiting space. Space shall be provided in all juvenile facilities for in- X person visiting which shall be unobstructed by barriers such as, but not limited to, security glazing for mesh. 1230.1.18 Institutional storage. One or more storage rooms shall be provided to X accommodate a minimum of 80 cubic feet of storage space per minor. Items to be stored shall be institutional clothing, X bedding, supplies and activity equipment. 1230.1.19 Personal storage. Each youth in a juvenile facility shall be provided with X a minimum of 9 cubic feet of secure storage space for personal clothing and belongings. 1230.1.20 Safety equipment storage. In all juvenile facilities, a secure area shall be provided X for the storage of safety equipment, such as fire extinguishers, self-contained breathing apparatus, wire and bar cutters, emergency lights, etc. 1230.1.21 Janitorial closet. In all juvenile facilities, at least one securely lockable X 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. 7539+ San Luis Obispo Probation JH SYTF CAMP PHY 23-24 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.22 Audio monitoring system. In safety rooms, locked holding rooms, locked sleeping rooms, single and double occupancy rooms X and dormitories, there must be an audio monitoring system capable of actuation by the minor that alerts personnel. 1230.1.23 Emergency power. There shall be a source of emergency power in all juvenile facilities capable of providing minimal lighting X 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, X California Electrical Code, California Code of Regulations. 1230.1.24 Confidential interview room. X Confidential interview rooms shall contain a minimum of 60 square feet of floor area. In juvenile halls there shall be a minimum of one X suitably furnished interview room for each 30 youth. In camps there shall be a minimum of one suitably X furnished interview room for each facility. This interview room shall provide for confidential X consultations with youth. 1230.1.25 Special-purpose juvenile halls. Special-purpose juvenile halls shall conform to all X minimum standards for juvenile facilities contained in this section with the following exceptions: 1. Physical activity and recreation areas as specified X in Section 1230.1.11; 2. Academic classrooms as specified in Section X 1230.1.12; 3. Medical examination room as specified in Section X 1230.1.14; and, 4. Dining areas as specified in Section 1230.1.16. X 1230.1.26 Court holding room for youth. A court holding room shall: X 1. Contain a minimum of 10 square feet of floor area per youth; 2. Be limited to no more than 16 youth; X 3. Provide no less than 40 square feet of floor area X and have a ceiling height of 8 feet or more; 4. Contain seating to accommodate all youth as X specified in Section 1230.2.8; 5. Contain a toilet, wash basin and drinking fountain X as specified in Section 1230.2; 6. Maximize visual supervision of youth by staff; and, X 7539+ San Luis Obispo Probation JH SYTF CAMP PHY 23-24 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 7. A mirror of material appropriate to the level of security shall be provided as specified in Section X 1230.2.11. 1230.1.27 Programs and activity areas. All juvenile facilities shall include adequate space for X specific programs in addition to recreation and exercise areas. 1230.2.1 Toilets/urinals. All toilet areas shall provide privacy for the youth and X help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Toilets must be available in a ratio to youth as follows: X 1. Juvenile halls 1:6; 2. Camps 1:10; and X 3. Locked holding rooms 1:8: X One toilet and one urinal may be substituted for every X 15 males. 1230.2.2 Wash basins. In living units, wash basins must be available in a ratio X to youth as follows: 1. Juvenile halls 1:6; 2. Camps 1:10; and X 3. Locked holding rooms 1:8: X Wash basis must be provided with hot and cold or X tempered water. 1230.2.3 Drinking fountains. In living areas and indoor and outdoor recreation X 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 X drinking bubbler; and, 2. The water flow shall be actuated by a mechanical X means. 1230.2.4 Showers. Shower areas shall provide privacy for the youth and X 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. X Showers shall be provided with tempered water. 1230.2.5 Beds. X 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 The Pilot Project approved in 2004 allowed X beds to be 29.5 inches apart for the 15 double occupancy rooms. 7539+ San Luis Obispo Probation JH SYTF CAMP PHY 23-24 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Bunk beds must have no less than 33 inches vertically X between the solid bottoms. In secure facilities, the bunks shall be securely X anchored and flushed against the floor and/or wall. 1230.2.6 Lighting. Lighting in locked sleeping rooms, single occupancy X 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 X sleep. 1230.2.7 Padding. Padding in safety rooms, padding shall cover the X 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 X of this room. All padded rooms must be equipped with a tamper resistant fire sprinkler as approved by the State Fire X Marshal. All padding must be: X 1. Approved for use by the State Fire Marshal; 2. Nonporous to facilitate cleaning; X 3. At least 112 inch thick; X 4. Of a unitary or laminated construction to prevent its destruction by teeth, hand tearing or small metal X objects; 5. Firmly bonded to all padded surfaces to prevent X tearing or ripping; and, 6. Without any exposed seams susceptible to tearing X or ripping. 1230.2.8 Seating. X Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is X seating for one person. 1230.2.9 Weapons lockers. Weapons lockers are required in all secure juvenile X facilities and shall be located outside the secure area of the facility. Weapons lockers shall be equipped with individual X 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 X 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. 7539+ San Luis Obispo Probation JH SYTF CAMP 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 X security must be provided near each wash basin specified in these regulations. 7539+ San Luis Obispo Probation JH SYTF CAMP PHY 23-24 - 9 - J456 PHY 98 01 03 09 14 18 dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7539 7540 7541 7543 FACILITY: San Luis Obispo County Juvenile Facility: TYPE: JH, Camp, SYTF RC: JH (30) Juvenile Hall #7539, Coastal Valley Academy #7540, SYTF - CVA (28) Juvenile Hall #7541, SYTF - Coastal Valley Academy #7543 SYTF JH (5) SYTF CVA (2) TOTAL 65 FIELD REPRESENTATIVE: Elizabeth Gong DATE: June 1, 2023 ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S RECEIVING 109- Holding 2001 1 - (3) (3) 45 Square Feet 1 1 1 Booking Comments: 48” of bench seating available. INTAKE H1 Holding PRE-97 1 - (1) (1) 86 Square Feet 1 1 1 H2 Holding 1998 1 - (1) (1) 86 Square Feet 1 1 1 H2, H3 Holding 2003 2 - (4) (8) 7’3”x10’9”x8’6” 1 1 1 H5 Holding 2003 1 - (4) (4) 7’6”x12’7”x8’6” 1 1 1 Comments: Holding Room 2 was a safety cell but was converted to holding room space. Holding rooms 2 and 3 have 73 Square Feet with 80” of seating area. Holding Room 5 has 77.5 Square Feet with 80” of the seating area. Each holding room is equipped with a bed utilized as a bench for holding or as a bed for youth taken to the holding room for safety and security- related behaviors. There are 3 no-contact visiting rooms, currently used as individual counseling rooms and Zoom visits with family and for Court. PISMO UNIT (CVA Youth – Male, 4 youth during inspection (1 of which is a TG Female Youth) 1-5 Single PRE-97 5 1 1 5 86 square feet 6-10 Double PRE-97 5 2 2 10 101 square feet Comments: All 5 rooms are dry rooms. The dayroom has a bathroom with 4 toilets, 4 washbasins, 4 showers, and 1 drinking fountain. There was a kitchenette added in 2021. Adjacent to the living unit is a CVA Treatment Room and Therapy Room used by the CVA Program Managers and BH Specialists. CENTER UNIT (unoccupied during inspection) 1-5 Single PRE-97 5 1 1 5 87 square feet 1 1 1 6-10 Double PRE-97 5 2 2 10 101 square feet Comments: Rooms 1-4 are wet rooms. The dayroom has a bathroom with 4 toilets, 4 washbasins, 4 showers, and 1 drinking fountain. This unit was not occupied during the inspection and is used as a Medical Isolation Unit if necessary. *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. 7539+ San Luis Obispo Probation JH SYTF CAMP LASE 23-24 - 1 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S MORRO UNIT (CVA Youth – 2 Female Youths at inspection) 1-5 Single PRE-97 5 1 1 5 86 square feet 1 1 1 6-10 Double PRE-97 5 2 2 10 101 square feet 1 1 1 Comments: Rooms 3-5 are wet rooms. The dayroom has a bathroom with 4 toilets, 4 washbasins, 4 showers, and 1 drinking fountain. This unit was unoccupied during the inspection. There is a kitchenette for use by the youth. WEST UNIT (Detention – Nine male youths in detention, 1 female youth in detention, 1 male youth in SOAR Program) 101,102, Single 2009 18 1 1 18 11.1 x 7 x 10 1 1 1 105-120 103, 104 ADA 2009 2 1 1 2 11.2 x 7.4 x10 1 1 1 Dayroom 2009 4746 Sq. Ft. 5 Rooms 101, 102, 105-120 have 73.5 Square Feet of irregular-shaped space. Rooms 103 and 104 have 79.28 Square Feet of irregular-shaped space. The dayroom has 3 regular showers and 2 ADA showers. There are two Counseling Rooms near the staff control area used for Court, Telepsychiatry, and individual time when requested by the youth. There are 3 classrooms in the Corridor leading to West Unit that can accommodate 20 students each. Two are currently being used for school instruction and the third is for the graduates to complete online college courses. The third classroom is supervised by JSO staff. These 3 classrooms can accommodate 60 youths. If the facility was at capacity, youth in Pismo, Center, or Morro can attend school in the dayroom as it falls under Pre-98 (CYA) standards. *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. 7539+ San Luis Obispo Probation JH SYTF CAMP LASE 23-24 - 2 - J460 LAS JUV-05.dot (rev.12/2022)