San Luis Obispo Probation (2023-2024 inspection cycle)

June 25, 2024 Robert Reyes, Chief Probation Officer San Luis Obispo Probation Department 1065 Kansas Avenue San Luis Obispo, CA 93405 2023-2024 TARGETED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SAN LUIS OBISPO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Reyes: A Targeted Inspection of the San Luis Obispo County Probation Department Juvenile Services Center has been completed. A pre-inspection briefing was held on Tuesday, April 2, 2024, and the following facilities were inspected on Wednesday, June 19, 2024: FACILITY NAME BSCC # FACILITY TYPE San Luis Obispo Juvenile Hall (JH) 7539 JH San Luis Obispo Coastal Valley Academy (CVA) 7540 CAMP San Luis Obispo SYTF CVA 7541 SYTF San Luis Obispo SYTF JH 7543 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Title 15, California Code of Regulations. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Procedures Checklist for detailed information. An Exit Briefing with your staff was held on Wednesday, June 19, 2024; 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. Robert Reyes Chief Probation Officer Page 2 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* Tom Milder, Assistant Chief Probation Officer, San Luis Obispo Probation Marguerite Harris, Chief Deputy Probation Officer, San Luis Obispo Probation *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 Juvenile Services Center – Juvenile Hall FACILITY TYPE: JH PERSON(S) INTERVIEWED: Marguerite Harris – Chief Deputy Probation Officer, Superintendent; Robert Reyes, Chief Probation Officer; Tom Milder, Assistant Chief Probation Officer; Jennifer Gonzales, Supervisor; Seth Price, Supervisor; Laureen Kilenberger, Supervisor; Youth: Juan, age 17. FIELD REPRESENTATIVE: Elizabeth Gong DATE: June 19, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Chapter 3, 3.2 Staffing Each juvenile facility shall: Chapter 3, 3.2, A-2 (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The facility has 34 Juvenile Supervision programming, to provide for safety and security of youth Officers (JSO), four (4) JSO III filled positions and staff, and meet established standards and and three (3) Supervising Deputy Probation regulations; Officers (SDPO). There are two (2) vacancies in this series. Of the 34 JSO I/II, four (4) work ☒ ☐ ☐ control and one (1) is a new hire just completing Core Training. The staffing patterns remain at 12-hour shifts: 6am to 6pm; 6pm to 6am; 8am to 8pm; 9am to 9pm; and 10am to 10pm. This allows for maximum coverage during waking hours to complete programming and other T15 responsibilities. (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 agency has sufficient staffing levels to ☒ ☐ ☐ meet the needs of this population. On the day of the inspection, there were 15 youth in custody, eight (8) in pre-dispositional detention. (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 (3) SDPO’s assigned to the ☒ ☐ ☐ facility. The graveyard supervisory staff is a JSO III who maintains supervision of overall operations of the facility during their shift. 1 This document is intended for use as a tool during the targeted 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 1 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 a 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 Jail qualified and available to: plan menus meeting nutritional to provide food services. 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; (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, Ancillary personnel are not responsible for and to ensure that youth supervision staff shall not be youth supervision. diverted from supervising youth; and, (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 ☒ ☐ ☐ The facility schedules a minimum of 10 JSO’s minimum youth-staff ratio for the following facility types: during waking hours and six (6) 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-awake Chapter 3, 3.2, A-9 ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Chapter 3, 3.2, A-6 number of youth in detention, unless an arrangement has been made for backup support ☒ ☐ ☐ The facility operates with a minimum of one services which allow for immediate response to (1) supervisor/shift leader and six (6) JSO’s on emergencies; and, duty. (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ Chapter 3, 3.2, A-10 the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of Chapter 3, 3.2, B-3, 4 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- The JH is not Special Purpose. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 2 of 13 A453 JUV Targeted PRO eff. 1/2024 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 The JH 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 Juvenile Hall Targeted PRO 23-24 Page 3 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Chapter 3, 3.15 Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual The facility uses the Guard 1/Pipe Electronic observation of youth at a minimum of every 15 minutes, safety check system. The policy includes an at random or varied intervals during hours when youth audit process and staff expectations in terms are asleep or when youth are in their rooms, confined in of ‘random and varied’ specific language. holding cells or confined to their bed in a dormitory. Operationally, the policy provides direction for Supervision is not replaced, but may be supplemented staff in how to use and download the by, an audio/visual electronic surveillance system information before, during, and after their shift designed to detect overt, aggressive or assaultive to ensure the correct officer is associated with behavior and to summon aid in emergencies. All safety the check. checks shall be documented with the actual time the check is completed. Facility administration audits and reviews all safety checks daily, handling late checks by staff through a counseling, documented memo, or other measures internally. ☒ ☐ ☐ We noted there were six (6) late checks in January 2024, nine (9) in March 2024, and six (6) in May 2024, all with an average of 3240 checks in a month. We reviewed each accompanying memo associated with the late check, which included a video review of the circumstances. Of the 21 late checks, the agency found operator or electronic errors of the system in five (5) instances. Facility Administration continues to acknowledge 100% compliance with policy by recognizing staff who had no late checks in a given month. In the months reviewed above, 18 staff had perfect checks in January 2024, 19 in March, and 18 in May. 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 4 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Chapter 5, 5.8 Room Confinement (RC) (a) The facility administrator shall develop and Chapter 5, 5.8, C Procedure for implement written policies and procedures addressing implementation of RC the confinement of youth in their room that are consistent with Welfare and Institutions Code Section We reviewed all 15 incidents of Room 208.3. The placement of a youth in room confinement Confinement in JH (Detention Youth) from shall be accomplished in accordance with the following January 2024 to the date of the inspection. guidelines: Most involved fights, youth physically challenging staff or others, or defiance to the point of an aggressive action or statements. Of the 15 incidents, five (5) involved one youth. The staff monitor the behavior by having discussions with the youth at minimum of every 15 minutes and documenting the point when a youth no longer poses a threat, demonstrating he or she is ready to reintegrate and come out of their room. Since the last inspection, staff no longer wait for BH staff to remove a youth but rather the on-duty ☒ ☐ ☐ JSO III meets with the youth to establish a reintegration plan as soon as the youth is ready. The implementation and continued use of 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 a youth to self-separate to take a time out and work on calming behaviors has been an effective tool as well. Our review indicated the three (3) incidents of RC that lasted beyond four (4) hours were detention youth that continued to be aggressive and unwilling to participate in a safety plan and/or reintegration. The other 10 youth (12 incidents) were out of RC in less than two (2) hours. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Chapter 5, 5.8, C-1 and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ Chapter 5, 5.8, C-2 retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ Chapter 5, 5.8, C-3 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: 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 5 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 reintegrate ☒ ☐ ☐ Chapter 5, 5.8, D the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: Chapter 5, 5.8, D-2 (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 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 youth Chapter 5, 5.8, A and B-1 ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ ☐ ☐ 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 requires Chapter 5, 5.8, B-3 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 and Chapter 5, 5.8, B-4 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 Juvenile Hall Targeted PRO 23-24 Page 6 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Chapter 5, 5.11 Use of Force (UF) The facility administrator, in cooperation with the Chapter 5, 5.11, D-2 General Provisions responsible physician, shall develop and implement Chapter 5, 5.11, L Chemical Agents written policies and procedures for the use of force, which may include chemical agents. Force shall never We reviewed all four (4) UF incidents since be applied as punishment, discipline, retaliation or January 2024 for pre-disposition JH youth. treatment. Staff are trained in UF and PBIS to prevent the (a) At a minimum, each facility shall develop policies and need for force unless no other options are procedures which: available. Of the four (4) 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 video review, to determine if the force was necessary. Each of the 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 1302 Chapter 5, 5.11, D-5 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options and define Chapter 5, 5.11, D-3, 4 and 5 when those force options are appropriate. Chapter 5, 5.11, E Control and Compliance ☒ ☐ ☐ 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 (5) define a standardized reporting format that includes time period and procedure for documenting Chapter 5, 5.11, P-1 through 5 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. 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 7 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (6) Include an administrative review and a system for investigating unreasonable use of force. 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 Section 6030(f) Chapter 5, 5.11, C-1, a 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 Chapter 5, 5.11, L-1 Trained staff only chemical agents in the facility and the type, size and ☒ ☐ ☐ the approved method of deployment for those It is noted there have been no incidents of OC chemical agents. spray use in 2024. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the Chapter 5, 5.11, L-2 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 agents. Chapter 5, 5.11, L-6 This shall include that youth who have been exposed Chapter 5, 5.11, L-8 to chemical agents shall not be left unattended until ☒ ☐ ☐ that youth is fully decontaminated or is no longer Policies provide youth are provided a change suffering the effects of the chemical agent. 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 Chapter 5, 5.11, O-10 Parent notification of UF staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Chapter 5, 5.11, O-2, a-h 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 training Chapter 5, 5.11, C Training in use of force and chemical agents when appropriate Chapter 5, 5.11, C-1, a ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 8 of 13 A453 JUV Targeted PRO eff. 1/2024 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 1361 GRIEVANCE PROCEDURE Chapter 5, 5.15 Grievance Procedure The facility administrator shall develop and implement Chapter 5, 5.15 A written policies and procedures whereby any youth may appeal and have resolved grievances relating to any We reviewed all seven (7) Grievances condition of confinement, including but not limited to submitted by youth from January 2024 to the health care services, classification decisions, program date of the inspection for JH. The agency participation, telephone, mail or visiting procedures, documented a response within one (1) day, food, clothing, bedding, mistreatment, harassment or and resolution within five (5) days. All were violations of the nondiscrimination policy. There shall be resolved at the Supervisor level or lower with no time limit on filing grievances. Policies and no youth requesting appeal to the DCPO. procedures shall include provisions whereby the facility Staff responses were fair and appeared manager ensures: consistently applied with the other grievances reviewed for like issues. ☒ ☐ ☐ 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 youth we interviewed in detention, Juan, indicated he filed a grievance regarding the loss of his Peer Leadership status due to tagging in his room. The youth was presented with his statement that there was no graffiti upon entry; therefore, he accepted the consequence even though he stated he did not do it. We encouraged Juan to continue through the process to ensure he feels adequately heard. (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 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 9 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances Chapter 5, 5.15, E and G that relate to health and safety issues must be addressed immediately; The facility has an expectation to respond to ☒ ☐ ☐ the grievance by end of shift or within two (2) days and resolution within five (5) days. All were compliant with this expectation. (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 longer Chapter 5, 5.15, G-8 ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Chapter 5, 5.15, G-13 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. 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 10 of 13 A453 JUV Targeted PRO eff. 1/2024 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 6, 6.2 Programs, Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, Programs for the pre-dispositional youth in JH recreation, and exercise for all youth. The intent is to are facilitated by Restorative Partners (RP), minimize the amount of time youth are in their rooms or an In-Custody and Reentry Program for San their bed area. 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 needs in the community for both youth and adult populations. The goal for the juvenile facility is to include gender-specific, trauma-informed, and evidence-based services to the youth population. RP offers a comprehensive program schedule with numerous opportunities for youth participation, including: Sunday/Religious Service; Cooking Programs; Crossroads (cognitive and evidence-based curriculum specific to offense); A Window between Worlds (Healing Program); Book Club; Music ☒ ☐ ☐ Programs; West 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. The agency is in the middle of hiring a new Program Manager for RP at the facility to ensure coordination of all the youth activities. Youth also receive programming services from the San Luis Obispo Behavior Health Clinicians and agency staff. These 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 employment opportunities; Career Path Opportunities; Gender-specific programming; and, PBIS. It is important to note the agency, in coordination with the San Luis Obispo Office 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 11 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS of Education, has hired a Classified Coordinator effective June 24, 2024, to assist graduated students and those not wanting to complete their K-12 education (age out and decline services) with post-secondary opportunities while in the facility. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Chapter 6, 6.2, A-1 hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding Chapter 6, 6.2, A-2 by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ 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 most recent annual review of programs was completed by Valerie Vega, Restorative Justice Manager II, completed in June 2024. 7539 San Luis Obispo Juvenile Hall Targeted PRO 23-24 Page 12 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Chapter 6, 6.2, B-1, a - c 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: (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; ☒ ☐ ☐ (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Chapter 6, 6.2, C-1 activities such as leisure reading, letter writing, and ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 6, 6.2, D-1 each day. Youth in each program participate in one hour of Physical Education during the school day ☒ ☐ ☐ facilitated by the SLOCOE. Because graduated youth are still in the classroom, they participate in exercise with Court School youth. 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 Juvenile Hall Targeted PRO 23-24 Page 13 of 13 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7540 FACILITY NAME: San Luis Obispo Juvenile Services Center: FACILITY TYPE: Camp Coastal Valley Academy (CVA) PERSON(S) INTERVIEWED: Marguerite Harris, Chief Deputy Probation Officer, Superintendent; Robert Reyes, Chief Probation Officer; Tom Milder, Assistant Chief Probation Officer; Jennifer Gonzales, Supervisor; Seth Price, Supervisor; Laureen Kilenberger, Supervisor; Youth: Jerimiah, age 18. FIELD REPRESENTATIVE: Elizabeth Gong DATE: June 19, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Chapter 3, 3.2 Staffing Each juvenile facility shall: Chapter 3, 3.2, A-2 (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The facility has 34 Juvenile Supervision programming, to provide for safety and security of youth Officers (JSO), four (4) JSO III filled positions, and staff, and meet established standards and and three (3) Supervising Deputy Probation regulations; Officers (SDPO). There are two (2) vacancies in this series. Of the 34 JSO I/II, four (4) work ☒ ☐ ☐ control and one (1) is a new hire just completing Core Training. The staffing patterns remain at 12-hour shifts: 6am to 6pm; 6pm to 6am; 8am to 8pm; 9am to 9pm; and 10am to 10pm. This allows for maximum coverage during waking hours to complete programming and other T15 responsibilities. (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 agency has sufficient staffing levels to ☒ ☐ ☐ meet the needs of this population. On the day of the inspection, there were 15 youth in custody, three (3) youth in CVA. (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 (3) SDPO’s assigned to the ☒ ☐ ☐ facility. The graveyard supervisory staff is a JSO III who maintains supervision of overall operations of the facility during the shift. 1 This document is intended for use as a tool during the targeted 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 1 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 a 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 Jail qualified and available to: plan menus meeting nutritional to provide food services. 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; (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, Ancillary personnel are not responsible for and to ensure that youth supervision staff shall not be youth supervision. diverted from supervising youth; and, (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 ☒ ☐ ☐ The facility operates with a minimum of 10 minimum youth-staff ratio for the following facility types: JSO’s during waking hours and six (6) during sleeping hours. (1) Juvenile Halls (A) during the hours that youth are awake, one CVA is a Camp. ☐ ☐ ☒ 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- CVA is a Camp. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 2 of 13 A453 JUV Targeted PRO eff. 1/2024 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 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. Our review of schedules for the entire Juvenile Services Center revealed the agency has sufficient staffing at all times. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Chapter 3, 3.2, A-9 ☒ ☐ ☐ 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 Chapter 3, 3.2, A-6 number of youth in residence, unless ☒ ☐ ☐ arrangements have been made for backup support The facility will operate with a minimum of six services which allow for immediate response to (6) JSO’s on duty. emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ Chapter 3, 3.2, A-10 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; and the ☒ ☐ ☐ The policy has sufficient staff assigned with function of the camp in determining the level of the opportunity to fluctuate depending on supervision necessary to maintain the safety and population. welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of Chapter 3, 3.2, B-4 personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 3 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Chapter 3, 3.15 Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual The facility uses the Guard 1/Pipe Electronic observation of youth at a minimum of every 15 minutes, safety check system. The policy includes an at random or varied intervals during hours when youth audit process and staff expectations in terms are asleep or when youth are in their rooms, confined in of ‘random and varied’ specific language. holding cells or confined to their bed in a dormitory. Operationally, the policy provides direction for Supervision is not replaced, but may be supplemented staff in how to use and download the by, an audio/visual electronic surveillance system information before, during, and after their shift designed to detect overt, aggressive or assaultive to ensure the correct officer is associated with behavior and to summon aid in emergencies. All safety the check. checks shall be documented with the actual time the check is completed. Facility administration audits and reviews all safety checks daily, handling late checks by staff through a counseling, documented memo, or other measures internally. ☒ ☐ ☐ We noted there were six (6) late checks in January 2024, nine (9) in March 2024, and six (6) in May 2024, with a minimum of 3240 checks each month. We reviewed each accompanying memo associated with the late check, which included a video review of the circumstances. Of the 21 late checks, the agency found operator or electronic errors of the system in five (5) instances. Facility Administration continues to acknowledge 100% compliance with policy by recognizing staff who had no late checks in a given month. In the months reviewed above, 18 staff had perfect checks in January 2024, 19 in March, and 18 in May. 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 4 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Chapter 5, 5.8 Room Confinement (RC) (a) The facility administrator shall develop and Chapter 5, 5.8, C Procedure for implement written policies and procedures addressing implementation of RC the confinement of youth in their room that are consistent with Welfare and Institutions Code Section We reviewed the only three (3) incidents 208.3. The placement of a youth in room confinement involving room confinement in the CVA from shall be accomplished in accordance with the following January 2024 to the date of the inspection. All guidelines: three (3) included aggressive and verbally threatening behavior. The process in these situations includes monitoring behavior by discussions with the youth at minimum of every 15 minutes and documenting the point when a youth no longer poses a threat, demonstrating he or she is ready to reintegrate and come out of their room. Since the last inspection, staff no longer wait for BH staff to remove a youth but rather the on-duty JSO III meets with the youth to establish a reintegration plan as soon as the ☒ ☐ ☐ youth is ready. The implementation and continued use of 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 a youth to self-separate to take a time out and work on calming behaviors has been an effective tool as well. Facility-wide, the agency has had 21 incidents of RC since January 2024, five (5) involving one (1) youth in detention and three (3) involving one (1) youth in SYTF. Our review indicated most were removed at or before two (2) hours and three (3) incidents were longer than four (4) hours. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Chapter 5, 5.8, C-1 and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ Chapter 5, 5.8, C-2 retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ Chapter 5, 5.8, C-3 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 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 5 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 reintegrate ☒ ☐ ☐ Chapter 5, 5.8, D the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: Chapter 5, 5.8, D-2 (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 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 youth Chapter 5, 5.8, A and B-1 ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ ☐ ☐ 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 requires Chapter 5, 5.8, B-3 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 and Chapter 5, 5.8, B-4 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 CVA Targeted PRO 23-24 Page 6 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Chapter 5, 5.11 Use of Force (UF) The facility administrator, in cooperation with the Chapter 5, 5.11, D-2 General Provisions responsible physician, shall develop and implement Chapter 5, 5.11, L Chemical Agents written policies and procedures for the use of force, which may include chemical agents. Force shall never There have been no UF incidents since be applied as punishment, discipline, retaliation or January 2024 for CVA with only six (6) treatment. incidents for JH and SYTF, none of which (a) At a minimum, each facility shall develop policies and involved OC spray. procedures which: ☒ ☐ ☐ The incidents we did review 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 video review, to determine if the force was necessary. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 Chapter 5, 5.11, D-5 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options and define Chapter 5, 5.11, D-3, 4 and 5 when those force options are appropriate. Chapter 5, 5.11, E Control and Compliance ☒ ☐ ☐ 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 (5) define a standardized reporting format that includes time period and procedure for documenting Chapter 5, 5.11, P-1 through 5 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. 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 7 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) define the role, notification, and follow-up procedures required after use of force incidents for Chapter 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 Section 6030(f) Chapter 5, 5.11, C-1, a 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 Chapter 5, 5.11, L-1 Trained staff only chemical agents in the facility and the type, size and ☒ ☐ ☐ the approved method of deployment for those It is noted there have been no incidents of OC chemical agents. spray use since March 2022. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the Chapter 5, 5.11, L-2 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 agents. Chapter 5, 5.11, L-6 This shall include that youth who have been exposed Chapter 5, 5.11, L-8 to chemical agents shall not be left unattended until ☒ ☐ ☐ that youth is fully decontaminated or is no longer Policies provide youth are provided a change suffering the effects of the chemical agent. of clothes within one (1) 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 Chapter 5, 5.11, O-10 Parent notification of UF staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Chapter 5, 5.11, O-2, a-h 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 training Chapter 5, 5.11, C Training in use of force and chemical agents when appropriate Chapter 5, 5.11, C-1, a ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types 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 (4) instruction on the Constitutional Limitations of Use of Force. ☒ ☐ ☐ Chapter 5, 5.11, C-1, a 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 8 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 1361 GRIEVANCE PROCEDURE Chapter 5, 5.15 Grievance Procedure The facility administrator shall develop and implement Chapter 5, 5.15 A written policies and procedures whereby any youth may appeal and have resolved grievances relating to any There were no grievances filed by CVA youth condition of confinement, including but not limited to from January 2024 to the date of the health care services, classification decisions, program inspection. Of the seven (7) filed during this participation, telephone, mail or visiting procedures, time frame, all by JH youth, we found the food, clothing, bedding, mistreatment, harassment or agency documented a response in one (1) violations of the nondiscrimination policy. There shall be ☒ ☐ ☐ day and resolution within five (5) days. Staff no time limit on filing grievances. Policies and responses were fair and appeared procedures shall include provisions whereby the facility consistently applied with the other grievances manager ensures: 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. (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, grievances Chapter 5, 5.15, E and G that relate to health and safety issues must be addressed immediately; The facility has an expectation to respond to ☒ ☐ ☐ the grievance by end of shift or within two (2) days and resolution within five (5) days. All were compliant with this expectation. (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; 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 9 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer Chapter 5, 5.15, G-8 ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Chapter 5, 5.15, G-13 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. 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 10 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 6, 6.2 Programs, Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, Youth committed to CVA are provided recreation, and exercise for all youth. The intent is to programming services from the San Luis minimize the amount of time youth are in their rooms or Obispo Behavior Health Clinicians, their bed area. Restorative Partners Inc. (RP), and agency staff. Restorative Partners Inc. serves people impacted by crime through a continuum of services that focus on mind, body, and spiritual transformation. 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 from the SLO Behavior Health staff. Facility staff facilitate 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. RP services for CVA youth are similar to JH youth and also include: gender-specific, trauma-informed, and evidence-based services to the youth population; 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; A Window between Worlds; 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. It is important to note the agency, coordinated with the San Luis Obispo Office of Education, has a Classified Coordinator effective June 24, 2024, to assist graduated students and those not wanting to complete their K-12 education (age out and decline services) with post-secondary opportunities while in the facility. 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 11 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Chapter 6, 6.2, A-1 hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding Chapter 6, 6.2, A-2 by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ 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 most recent annual review of programs was completed by Valerie Vega with Restorative Partners in June 2024. (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, Chapter 6, 6.2, B-1, a – c evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- We interviewed CVA youth Jeremiah, age 18, social interventions and activities designed to reduce who is enrolled at Cuesta College for his recidivism. These programs should be based on the second quarter. He is happy with the youth’s individual needs as required by Sections 1355 education opportunities after having and 1356. Such programs may be provided under the graduated in December 2023 while in CVA. direction of the Chief Probation Officer or the County He expressed he liked the Independent Living Office of Education and can be administered by county Program provided weekly but felt many partners such as mental health agencies, community- offerings were for younger youth. We passed based organizations, faith-based organizations or this information on to facility administrators Probation staff. and advised him to have conversations with Programs may include but are not limited to: RP and facility supervisors to assist with more (1) Cognitive Behavior Interventions; avenues he can explore. (2) Management of Stress and Trauma; ☒ ☐ ☐ (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Chapter 6, 6.2, C-1 activities such as leisure reading, letter writing, and ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 12 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 6, 6.2, D-1 each day. Youth in each program participate in one (1) hour of Physical Education during the school ☒ ☐ ☐ day facilitated by the SLOCOE. Because graduated youth are still in the classroom, they participate in exercise with Court School youth. 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. 7540 San Luis Obispo CVA Targeted PRO 23-24 Page 13 of 13 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7541 FACILITY NAME: San Luis Obispo Juvenile Services Center: FACILITY TYPE: SYTF Coastal Valley Academy (CVA) – SOAR Step Down PERSON(S) INTERVIEWED: Marguerite Harris – Chief Deputy Probation Officer, Superintendent; Robert Reyes, Chief Probation Officer; Tom Milder, Assistant Chief Probation Officer; Jennifer Gonzales, Supervisor; Seth Price, Supervisor; Laureen Kilenberger, Supervisor. There were no youth in this stepdown program on the day of the inspection. We were advised one SYTF youth completed the CVA Program and remains successfully integrated in the community. The following information relate to policy and practice in the facility for all programs. FIELD REPRESENTATIVE: Elizabeth Gong DATE: June 19, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Chapter 3, 3.2 Staffing Each juvenile facility shall: Chapter 3, 3.2, A-2 (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The facility has 34 Juvenile Supervision programming, to provide for safety and security of youth Officers (JSO), four (4) JSO III filled positions, and staff, and meet established standards and and three (3) Supervising Deputy Probation regulations; Officers (SDPO). There are two (2) vacancies in this series. Of the 34 JSO I/II, four (4) work ☒ ☐ ☐ control and one (1) is a new hire just completing Core Training. The staffing patterns remain at 12-hour shifts: 6am to 6pm; 6pm to 6am; 8am to 8pm; 9am to 9pm; and 10am to 10pm. This allows for maximum coverage during waking hours to complete programming and other T15 responsibilities. (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 agency has sufficient staffing levels to ☒ ☐ ☐ meet the needs of this population. On the day of the inspection, there were no youth in the CVA -SYTF Stepdown program. 1 This document is intended for use as a tool during the targeted 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 1 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Chapter 3, 3.2, A-12 There are three (3) SDPO’s assigned to the ☒ ☐ ☐ facility. The graveyard supervisory staff is a JSO III who maintains supervision of overall operations of the facility during the shift. (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 a 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 Jail qualified and available to: plan menus meeting nutritional to provide food services. 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; (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, Ancillary personnel are not responsible for and to ensure that youth supervision staff shall not be youth supervision. diverted from supervising youth; and, (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 ☒ ☐ ☐ The facility operates with a minimum of 10 minimum youth-staff ratio for the following facility types: JSO’s during waking hours and six (6) during sleeping hours. (1) Juvenile Halls (A) during the hours that youth are awake, one CVA – SYTF is an SYTF Program that follows wide-awake youth supervision staff member on the same guidelines as the Coastal Valley ☐ ☐ ☒ duty for each 10 youth in detention; Camp Program. It is a post-dispositional program. (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. 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 2 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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- ☐ ☐ ☒ 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 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 – SYTF ☒ ☐ ☐ as a JH with the ratio of 1:10 during waking hours. Our review of schedules for the entire Juvenile Services Center revealed the agency has sufficient staffing at all times. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Chapter 3, 3.2, A-9 ☒ ☐ ☐ 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 Chapter 3, 3.2, A-6 number of youth in residence, unless ☒ ☐ ☐ arrangements have been made for backup support The facility will operate with a minimum of six services which allow for immediate response to (6) JSO’s on duty. emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ Chapter 3, 3.2, A-10 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; and the ☒ ☐ ☐ The policy has sufficient staff assigned with function of the camp in determining the level of the opportunity to fluctuate depending on supervision necessary to maintain the safety and population. welfare of youth and staff; 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 3 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (F) personnel with primary responsibility for other duties such as administration, supervision of Chapter 3, 3.2, B-4 personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1328 SAFETY CHECKS Chapter 3, 3.15 Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual The facility uses the Guard 1/Pipe Electronic observation of youth at a minimum of every 15 minutes, safety check system. The policy includes an at random or varied intervals during hours when youth audit process and staff expectations in terms are asleep or when youth are in their rooms, confined in of ‘random and varied’ specific language. holding cells or confined to their bed in a dormitory. Operationally, the policy provides direction for Supervision is not replaced, but may be supplemented staff in how to use and download the by, an audio/visual electronic surveillance system information before, during, and after their shift designed to detect overt, aggressive or assaultive to ensure the correct officer is associated with behavior and to summon aid in emergencies. All safety the check. checks shall be documented with the actual time the check is completed. Facility administration audits and reviews all safety checks daily, handling late checks by staff through a counseling, documented memo, or other measures internally. ☒ ☐ ☐ We noted there were six (6) late checks in January 2024, nine (9) in March 2024, and six (6) in May 2024, of the minimum of 3240 checks. We reviewed each accompanying memo associated with the late check, which included a video review of the circumstances. Of the 21 late checks, the agency found operator or electronic errors of the system in five (5) instances. Facility Administration continues to acknowledge 100% compliance with policy by recognizing staff who had no late checks in a given month. In the months reviewed above, 18 staff had perfect checks in January 2024, 19 in March, and 18 in May. 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 4 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Chapter 5, 5.8 Room Confinement (RC) (a) The facility administrator shall develop and Chapter 5, 5.8, C Procedure for implement written policies and procedures addressing implementation of RC the confinement of youth in their room that are consistent with Welfare and Institutions Code Section There were no incidents of RC in the CVA – 208.3. The placement of a youth in room confinement SYTF program from January 2024 to the date shall be accomplished in accordance with the following of the youth’s release. guidelines: The process in these situations includes monitoring behavior by discussions with the youth at minimum of every 15 minutes and documenting the point when a youth no longer poses a threat, demonstrating he or she is ready to reintegrate and come out of their room. Since the last inspection, staff no longer wait for BH staff to remove a youth but rather the on-duty JSO III meets with the youth to establish a reintegration plan as soon as the ☒ ☐ ☐ youth is ready. The implementation and continued use of 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 a youth to self-separate to take a time out and work on calming behaviors has been an effective tool as well. Facility-wide, the agency has had 21 incidents of RC since January 2024, of which five (5) involved one (1) youth in detention and three (3) involved one (1) youth in JH SYTF. Our review of all incidents indicated most were removed at or before two (2) hours and three (3) incidents were longer than four (4) hours. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Chapter 5, 5.8, C-1 and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ Chapter 5, 5.8, C-2 retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ Chapter 5, 5.8, C-3 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 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 5 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 reintegrate ☒ ☐ ☐ Chapter 5, 5.8, D the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: Chapter 5, 5.8, D-2 (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 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 youth Chapter 5, 5.8, A and B-1 ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ ☐ ☐ 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 requires Chapter 5, 5.8, B-3 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 and Chapter 5, 5.8, B-4 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 CVA SYTF Targeted PRO 23-24 Page 6 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Chapter 5, 5.11 Use of Force (UF) The facility administrator, in cooperation with the Chapter 5, 5.11, D-2 General Provisions responsible physician, shall develop and implement Chapter 5, 5.11, L Chemical Agents written policies and procedures for the use of force, which may include chemical agents. Force shall never There have been no UF incidents since be applied as punishment, discipline, retaliation or January 2024 for CVA - SYTF with only six (6) treatment. incidents for JH and JH SYTF, none of which (a) At a minimum, each facility shall develop policies and involved OC spray. procedures which: ☒ ☐ ☐ The incidents we did review 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 video review, to determine if the force was necessary. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 Chapter 5, 5.11, D-5 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options and define Chapter 5, 5.11, D-3, 4 and 5 when those force options are appropriate. Chapter 5, 5.11, E Control and Compliance ☒ ☐ ☐ 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 (5) define a standardized reporting format that includes time period and procedure for documenting Chapter 5, 5.11, P-1 through 5 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. 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 7 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) define the role, notification, and follow-up procedures required after use of force incidents for Chapter 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 Section 6030(f) Chapter 5, 5.11, C-1, a 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 Chapter 5, 5.11, L-1 Trained staff only chemical agents in the facility and the type, size and ☒ ☐ ☐ the approved method of deployment for those It is noted there have been no incidents of OC chemical agents. spray use since March 2022. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the Chapter 5, 5.11, L-2 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 agents. Chapter 5, 5.11, L-6 This shall include that youth who have been exposed Chapter 5, 5.11, L-8 to chemical agents shall not be left unattended until ☒ ☐ ☐ that youth is fully decontaminated or is no longer Policies provide youth are provided a change suffering the effects of the chemical agent. of clothes within one (1) 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 Chapter 5, 5.11, O-10 Parent notification of UF staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Chapter 5, 5.11, O-2, a-h 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 training Chapter 5, 5.11, C Training in use of force and chemical agents when appropriate Chapter 5, 5.11, C-1, a ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types 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 (4) instruction on the Constitutional Limitations of Use of Force. ☒ ☐ ☐ Chapter 5, 5.11, C-1, a 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 8 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 1361 GRIEVANCE PROCEDURE Chapter 5, 5.15 Grievance Procedure The facility administrator shall develop and implement Chapter 5, 5.15 A written policies and procedures whereby any youth may appeal and have resolved grievances relating to any There were no grievances filed by CVA SYTF condition of confinement, including but not limited to youth from January 2024 to the date of the health care services, classification decisions, program youth’s release. Of the seven (7) filed during participation, telephone, mail or visiting procedures, this time frame, all by JH youth, we found the food, clothing, bedding, mistreatment, harassment or agency documented a response in one (1) violations of the nondiscrimination policy. There shall be ☒ ☐ ☐ day and resolution within five (5) days. Staff no time limit on filing grievances. Policies and responses were fair and appeared procedures shall include provisions whereby the facility consistently applied with the other grievances manager ensures: 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. (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, grievances Chapter 5, 5.15, E and G that relate to health and safety issues must be addressed immediately; The facility has an expectation to respond to ☒ ☐ ☐ the grievance by end of shift or within two (2) days and resolution within five (5) days. All were compliant with this expectation. (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; 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 9 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer Chapter 5, 5.15, G-8 ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Chapter 5, 5.15, G-13 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. 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 10 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 6, 6.2 Programs, Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, Youth committed to CVA – SYTF are provided recreation, and exercise for all youth. The intent is to programming services from the San Luis minimize the amount of time youth are in their rooms or Obispo Behavior Health Clinicians, their bed area. Restorative Partners (RP), and agency staff. Restorative Partners Inc. serves people impacted by crime through a continuum of services that focus on mind, body, and spiritual transformation. 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 from the SLO Behavior Health staff. Facility staff facilitate 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. ☒ ☐ ☐ RP services for CVA SYTF youth are similar to JH youth and also include: gender-specific, trauma-informed, and evidence-based services to the youth population: Sunday/Religious Service; Cooking Programs; Crossroads (cognitive and evidence-based curriculum specific to offense); A Window between Worlds; 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. It is important to note the agency, in coordination with the San Luis Obispo Office of Education, has a Classified Coordinator effective June 24, 2024, to assist graduated students and those not wanting to complete their K-12 education (age out and decline services) with post-secondary opportunities while in the facility. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Chapter 6, 6.2, A-1 hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 11 of 13 A453 JUV Targeted PRO eff. 1/2024 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 Chapter 6, 6.2, A-2 by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ 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 most recent annual review of programs was completed by Valerie Vega with Restorative Partners in June 2024. (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, Chapter 6, 6.2, B-1, a – c 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: (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; ☒ ☐ ☐ (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Chapter 6, 6.2, C-1 activities such as leisure reading, letter writing, and ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 12 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 6, 6.2, D-1 each day. Youth in each program participate in one (1) hour of Physical Education during the school ☒ ☐ ☐ day facilitated by the SLOCOE. Because graduated youth are still in the classroom, they participate in exercise with Court School youth. 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. 7541 San Luis Obispo CVA SYTF Targeted PRO 23-24 Page 13 of 13 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7543 FACILITY NAME: San Luis Obispo Juvenile Services Center FACILITY TYPE: SYTF Juvenile Hall Secure Youth Treatment Facility - SOAR PERSON(S) INTERVIEWED: Marguerite Harris – Chief Deputy Probation Officer, Superintendent; Robert Reyes, Chief Probation Officer; Tom Milder, Assistant Chief Probation Officer; Jennifer Gonzales, Supervisor; Seth Price, Supervisor; Laureen Kilenberger, Supervisor; Youth: Thomas, age 18. FIELD REPRESENTATIVE: Elizabeth Gong DATE: June 19, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Chapter 3, 3.2 Staffing Each juvenile facility shall: Chapter 3, 3.2, A-2 (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The facility has 34 Juvenile Supervision programming, to provide for safety and security of youth Officers (JSO), four (4) JSO III filled positions, and staff, and meet established standards and and three (3) Supervising Deputy Probation regulations; Officers (SDPO). There are two (2) vacancies in this series. Of the 34 JSO I/II, four (4) work ☒ ☐ ☐ control and one (1) is a new hire just completing Core Training. The staffing patterns remain at 12-hour shifts: 6am to 6pm; 6pm to 6am; 8am to 8pm; 9am to 9pm; and 10am to 10pm. This allows for maximum coverage during waking hours to complete programming and other T15 responsibilities. (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 agency has sufficient staffing levels to ☒ ☐ ☐ meet the needs of this population. On the day of the inspection, there were 15 youth in custody, four (4) in JH SYTF (SOAR). (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 (3) SDPO’s assigned to the ☒ ☐ ☐ facility. The graveyard supervisory staff is a JSO III who maintains supervision of overall operations of the facility during their shift. 1 This document is intended for use as a tool during the targeted 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 1 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 a 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 Jail qualified and available to: plan menus meeting nutritional to provide food services. 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; (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, Ancillary personnel are not responsible for and to ensure that youth supervision staff shall not be youth supervision. diverted from supervising youth; and, (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 ☒ ☐ ☐ The facility schedules a minimum of 10 JSO’s minimum youth-staff ratio for the following facility types: during waking hours and six (6) 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-awake Chapter 3, 3.2, A-9 ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Chapter 3, 3.2, A-6 number of youth in detention, unless an arrangement has been made for backup support SYTF youth are initially placed in the West services which allow for immediate response to Unit, along with Detention Youth, for the first emergencies; and, phase of their SOAR Commitment with the ☒ ☐ ☐ same staff-to-youth ratio of 1:10. The facility operates with a minimum of one (1) supervisor/shift leader and six (6) JSO’s on duty. (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ Chapter 3, 3.2, A-10 the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of Chapter 3, 3.2, B-3, 4 personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 2 of 13 A453 JUV Targeted PRO eff. 1/2024 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- The JH SYTF Program is not Special ☐ ☐ ☒ awake youth supervision staff member on duty for Purpose. 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 JH SYTF Program 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. 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 3 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Chapter 3, 3.15 Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual The facility uses the Guard 1/Pipe Electronic observation of youth at a minimum of every 15 minutes, safety check system. The policy includes an at random or varied intervals during hours when youth audit process and staff expectations in terms are asleep or when youth are in their rooms, confined in of ‘random and varied’ specific language. holding cells or confined to their bed in a dormitory. Operationally, the policy provides direction for Supervision is not replaced, but may be supplemented staff in how to use and download the by, an audio/visual electronic surveillance system information before, during, and after their shift designed to detect overt, aggressive or assaultive to ensure the correct officer is associated with behavior and to summon aid in emergencies. All safety the check. checks shall be documented with the actual time the check is completed. Facility administration audits and reviews all safety checks daily, handling late checks by staff through a counseling, documented memo, or other measures internally. ☒ ☐ ☐ The Juvenile Services Center encompasses JH, CVA, and SYTF. Facility-wide, there were six (6) late checks in January 2024, nine (9) in March 2024, and six (6) in May 2024, of a minimum of 3240 checks. We reviewed each accompanying memo associated with the late check, which included a video review of the circumstances. Of the 21 late checks, the agency found operator or electronic errors of the system in five (5) instances. Facility Administration continues to acknowledge 100% compliance with policy by recognizing staff who had no late checks in a given month. In the months reviewed above, 18 staff had perfect checks in January 2024, 19 in March, and 18 in May. 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 4 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Chapter 5, 5.8 Room Confinement (RC) (a) The facility administrator shall develop and Chapter 5, 5.8, C Procedure for implement written policies and procedures addressing implementation of RC the confinement of youth in their room that are consistent with Welfare and Institutions Code Section We reviewed all three (3) incidents of Room 208.3. The placement of a youth in room confinement Confinement for JH SYTF youth from January shall be accomplished in accordance with the following 2024 to the date of the inspection. All three (3) guidelines: were the same youth and involved aggressive or assaultive behavior. The staff monitor the behavior by having discussions with the youth at minimum of every 15 minutes and documenting the point when a youth no longer poses a threat, demonstrating he or she is ready to reintegrate and come out of their room. Since the last inspection, staff no longer wait for BH staff to remove a youth but rather the on-duty ☒ ☐ ☐ JSO III meets with the youth to establish a reintegration plan as soon as the youth is ready. The implementation and continued use of 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 a youth to self-separate to take a time out and work on calming behaviors has been an effective tool as well. Our review indicated all three (3) incidents of RC did not go beyond four (4) hours but rather 1 hour and 25 minutes; 2 hours; and 3 hours and 15 minutes. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Chapter 5, 5.8, C-1 and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ Chapter 5, 5.8, C-2 retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ Chapter 5, 5.8, C-3 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 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 5 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 reintegrate ☒ ☐ ☐ Chapter 5, 5.8, D the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: Chapter 5, 5.8, D-2 (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 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 youth Chapter 5, 5.8, A and B-1 ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ ☐ ☐ 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 requires Chapter 5, 5.8, B-3 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 and Chapter 5, 5.8, B-4 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 JH-SYTF Targeted PRO 23-24 Page 6 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Chapter 5, 5.11 Use of Force (UF) The facility administrator, in cooperation with the Chapter 5, 5.11, D-2 General Provisions responsible physician, shall develop and implement Chapter 5, 5.11, L Chemical Agents written policies and procedures for the use of force, which may include chemical agents. Force shall never We reviewed both UF incidents since January be applied as punishment, discipline, retaliation or 2024 for JH SYTF youth. Staff are trained in treatment. UF and PBIS to prevent the need for force (a) At a minimum, each facility shall develop policies and unless no other options are available. Both procedures which: incidents involved the same youth and we note neither involved the use of 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 video review, to determine if the force was necessary. Each of the 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 1302 Chapter 5, 5.11, D-5 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical options and define Chapter 5, 5.11, D-3, 4 and 5 when those force options are appropriate. Chapter 5, 5.11, E Control and Compliance ☒ ☐ ☐ 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 (5) define a standardized reporting format that includes time period and procedure for documenting Chapter 5, 5.11, P-1 through 5 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. 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 7 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (6) Include an administrative review and a system for investigating unreasonable use of force. 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 Section 6030(f) Chapter 5, 5.11, C-1, a 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 Chapter 5, 5.11, L-1 Trained staff only chemical agents in the facility and the type, size and ☒ ☐ ☐ the approved method of deployment for those It is noted there have been no incidents of OC chemical agents. spray use in 2024. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the Chapter 5, 5.11, L-2 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 agents. Chapter 5, 5.11, L-6 This shall include that youth who have been exposed Chapter 5, 5.11, L-8 to chemical agents shall not be left unattended until ☒ ☐ ☐ that youth is fully decontaminated or is no longer Policies provide youth are provided a change suffering the effects of the chemical agent. of clothes within one (1) 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 Chapter 5, 5.11, O-10 Parent notification of UF staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Chapter 5, 5.11, O-2, a-h 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 training Chapter 5, 5.11, C Training in use of force and chemical agents when appropriate Chapter 5, 5.11, C-1, a ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 8 of 13 A453 JUV Targeted PRO eff. 1/2024 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 1361 GRIEVANCE PROCEDURE Chapter 5, 5.15 Grievance Procedure The facility administrator shall develop and implement Chapter 5, 5.15 A written policies and procedures whereby any youth may appeal and have resolved grievances relating to any We reviewed all seven (7) Grievances condition of confinement, including but not limited to submitted by youth from January 2024 to the health care services, classification decisions, program date of the inspection for JH, none were filed participation, telephone, mail or visiting procedures, from SYTF youth. food, clothing, bedding, mistreatment, harassment or ☒ ☐ ☐ violations of the nondiscrimination policy. There shall be The agency policy requires response within no time limit on filing grievances. Policies and two (2) days and resolution with five (5) days. procedures shall include provisions whereby the facility Facility staff have conversations with the manager ensures: youth and review video as a matter of procedure, to ensure the youth understands and accepts the outcome. (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, grievances Chapter 5, 5.15, E and G that relate to health and safety issues must be addressed immediately; ☒ ☐ ☐ The facility has an expectation to respond to the grievance by end of shift or within two (2) days and resolution within five (5) days. (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 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 9 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 longer Chapter 5, 5.15, G-8 ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Chapter 5, 5.15, G-13 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. 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 10 of 13 A453 JUV Targeted PRO eff. 1/2024 1371 PROGRAMS, RECREATION, AND EXERCISE. Chapter 6, 6.2 Programs, Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, Programs for the SYTF youth in JH are recreation, and exercise for all youth. The intent is to facilitated by Restorative Partners (RP), an In- minimize the amount of time youth are in their rooms or Custody and Reentry Program for San Luis their bed area. 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 needs in the community for both youth and adult populations. The goal for the juvenile facility is to include gender-specific, trauma-informed, and evidence-based services to the youth population. RP offers a comprehensive program schedule with numerous opportunities for youth participation, including: Sunday/Religious Service; Cooking Programs; Crossroads (cognitive and evidence-based curriculum specific to offense); A Window between Worlds; Book Club; Music Programs; West ☒ ☐ ☐ 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. The agency is in the middle of hiring a new Program Manager for RP at the facility to coordinate all the youth activities. A new program planned for this population, Kid CAT (Kids Creating Awareness Together), is designed by a formerly subject-involved person, to assist in the development of long- term commitments and how to understand life development. Youth also receive programming services from the San Luis Obispo Behavior Health Clinicians and agency staff. These 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- 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 11 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS house employment opportunities; Career Path Opportunities; Gender-specific programming; and PBIS. It is important to note the agency, coordinated with the San Luis Obispo Office of Education, has a Classified Coordinator effective June 24, 2024, to assist graduated students and those not wanting to complete their K-12 education (age out and decline services) with post-secondary opportunities while in the facility. Our interview with the SYTF youth Thomas revealed he graduated in March and is currently enrolled in Cuesta College. He indicated he participates in almost all programming with his favorite being the Crossroads Program. It is his plan to be a Screen Writer and he is excited to be taking a Critical Thinking English class next quarter. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Chapter 6, 6.2, A-1 hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding Chapter 6, 6.2, A-2 by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ 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 most recent annual review of programs was completed by Valerie Vega, Restorative Justice Manager II, completed in June 2024. 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 12 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Chapter 6, 6.2, B-1, a - c 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: (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; ☒ ☐ ☐ (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Chapter 6, 6.2, C-1 activities such as leisure reading, letter writing, and ☒ ☐ ☐ entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Chapter 6, 6.2, D-1 each day. Youth in each program participate in one (1) hour of Physical Education during the school ☒ ☐ ☐ day facilitated by the SLOCOE. Because graduated youth are still in the classroom, they participate in exercise with Court School youth. 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. 7543 San Luis Obispo JH-SYTF Targeted PRO 23-24 Page 13 of 13 A453 JUV Targeted PRO eff. 1/2024