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San Mateo County Probation (2023-2024 inspection cycle)

Board of State and Community Corrections · inspection-7550p-2023-2024 · Juvenile inspection · 2024-06-21 · San Mateo County Probation

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June 21, 2024 John T. Keene, Chief of Probation San Mateo Probation Department 222 Paul Scannell Drive San Mateo, CA, 94402 2023-2024 TARGETED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SAN MATEO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Keene: The 2023-2024 Targeted Inspection of the San Mateo County Probation Department has been completed. A pre-inspection briefing was held on Tuesday, April 23, 2024, and the following facilities were inspected between Tuesday, May 21, 2024 and Thursday, May 23, 2024. It should be noted at the time of the targeted inspection Camp Kemp was unoccupied and has not been utilized for housing youth this targeted inspection cycle: FACILITY NAME BSCC # FACILITY TYPE San Mateo County Youth Services Center 7550 JH Margaret J. Kemp Girl’s Camp 7551 CAMP San Mateo Secure Youth Treatment Facility 7554 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to inspection(s), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. John T Keene, Chief of Probation Page 2 No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified, and no areas of noncompliance were noted. An Exit Briefing with your staff was held on Thursday, May 23, 2024; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at craigus.thompson@bscc.ca.gov or call (916) 597-4610 if you have any questions. Sincerely, CRAIGUS THOMPSON SR. Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, San Mateo County Juvenile Court* Chair, Juvenile Justice Commission, San Mateo County* Chair, Board of Supervisors, San Mateo County* County Administrator, San Mateo County* Jehan Clark, Deputy Chief Probation Officer, San Mateo County Sanam Aram, Assistant Deputy Chief Probation Officer, San Mateo County *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7550+ San Mateo Probation Department CAMP JH SYTF Targeted LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7550 FACILITY NAME: San Mateo County Youth Services Center (YSC) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Jehan Clark, Assistant Deputy Chief Probation Officer; Ivonne Bustos, Institution Service Manager; Sanam Aram, Superintendent; Jeffrey Icosiano, Group Supervisor II; Marisol Guevara, Group Supervisor I; Keith Whitley, Group Supervisor II; Jocelyn Picon, Group Supervisor II; Ritchie Chen, Institutions Services Manager; Moses Otuhiva, Institutions Services Manager; Carman Ramirez, Institutions Services Manager; Wallace Richwood, Institutions Services Manager; FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: May 21, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Article 3 Section 1321 Each juvenile facility shall: We reviewed a variety of documents (a) have an adequate number of personnel sufficient to including safety check records, grievances, carry out the overall facility operation and its disciplinary actions, and incident reports. We programming, to provide for safety and security of youth also reviewed January, February, and March and staff, and meet established standards and 2024 staffing schedules for the Youth Service regulations; Center (YSC). A review of these documents, as well as the policy and procedure manuals, revealed compliance with this regulation. At the time of the inspection, the Youth Service Center staffing consisted of: • 1 Deputy Chief Probation Officer (DCPO) • 1 Assistant Deputy Chief Probation ☒ ☐ ☐ Officer (ADCPO) • 1 Compliance Officer • 5 Institution Services Managers • 14 Group Supervisors III • 19 Group Supervisors II • 4 Group Supervisors I • 10 Extra-Help Group Supervisors At the time of the inspection, the facility was only utilizing three (3) housing units and the Intake unit which is also fully staffed. JH youth are housed in all three open housing units. YSC currently has open recruitments for full- time Group Supervisors I and Extra-Help Group Supervisors positions. YSC also 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. 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 1 of 10 A453 JUV Targeted PRO eff. 1/2024 currently has five (5) potential employees in the background. (b) ensure that no required services shall be denied Article 3 Section 1321 because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to A Supervisor is identified on the daily shift ensure adequate supervision of all staff members; ☒ ☐ ☐ schedules. (d) have a clearly identified person on duty at all times A Supervisor is assigned to each shift. In the who is responsible for operations and activities and has Supervisor’s absence, a Lead Officer is completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ identified on the roster and assumes the and PC 832 training; Supervisor’s role. (e) have at least one staff member present on each living Article 3 Section 1321 unit whenever there are youth in the living unit; ☒ ☐ ☐ (f) have sufficient food service personnel relative to the Article 3 Section 1321 number and security of living units, including staff qualified and available to: plan menus meeting nutritional All YSC meals are provided by the San requirements of youth; provide kitchen supervision; direct Mateo Sheriff’s Department. 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, Article 3 Section 1321 medical, dental, mental health, building maintenance, transportation, control room, facility security and other At the time of the inspection, YSC support staff for the efficient management of the facility, housekeeping staff consisted of: and to ensure that youth supervision staff shall not be diverted from supervising youth; and, • 1 senior Utility Worker ☒ ☐ ☐ • 1 Utility Worker II • 1 Utility Worker Extra-Help YSC also has one Administrative Assistant assigned to the facility. (h) assign sufficient youth supervision staff to provide Article 3 Section 1321 continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special Staffing ratios are maintained throughout the ☒ ☐ ☐ program needs. Staffing shall be in compliance with a facility for each housing unit. minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Article 3 Section 1321 (A) during the hours that youth are awake, one wide-awake youth supervision staff member on The Juvenile Hall population at the time of duty for each 10 youth in detention; the Targeted Inspection was 31 youths: 28 males, and 3 females. A review of documentation revealed staffing ratios are met at all times. ☒ ☐ ☐ A minimum of three (3) staff are scheduled for each housing unit per day/swing shift. A review of daily schedules revealed compliance with this regulation. (B) during the hours that youth are confined to their Article 3 Section 1321 room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each A minimum of one (1) staff are scheduled for 30 youth in detention; each housing unit and intake unit per ☒ ☐ ☐ graveyard shift. A review of daily schedules revealed compliance with this regulation. 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 2 of 10 A453 JUV Targeted PRO eff. 1/2024 (C) at least two wide-awake youth supervision staff Article 3 Section 1321 members on duty at all times, regardless of the number of youth in detention, unless an A review of daily schedules revealed arrangement has been made for backup support ☒ ☐ ☐ compliance with this regulation. services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on Article 3 Section 1321 duty who is the same gender as youth housed in the facility. ☒ ☐ ☐ A review of daily schedules revealed compliance with this regulation. (E) personnel with primary responsibility for other Article 3 Section 1321 duties such as administration, supervision of personnel, academic or trade instruction, clerical, Staffing personnel listed within this regulation ☒ ☐ ☐ kitchen or maintenance shall not be classified as are not considered youth supervision staff. youth supervision staff positions. (2) Special Purpose Juvenile Halls Not Applicable. (A) during hours that youth are awake, one wide- awake youth supervision staff member on duty for ☐ ☐ ☒ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each ☐ ☐ ☒ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Not Applicable. (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☐ ☐ ☒ duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each ☐ ☐ ☒ 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless arrangements have been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 3 of 10 A453 JUV Targeted PRO eff. 1/2024 (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. 1328 SAFETY CHECKS Article 3 Section 1328 0B The facility administrator shall develop and implement We reviewed each facility’s safety checks for policy and procedures that provide for direct visual January, February, and March 2024. A review observation of youth at a minimum of every 15 minutes, of documentation revealed safety checks are at random or varied intervals during hours when youth being completed per regulation. It should be are asleep or when youth are in their rooms, confined in noted that checks were completed at random holding cells or confined to their bed in a dormitory. or varied intervals whenever youth were Supervision is not replaced, but may be supplemented present in their room. When safety checks by, an audio/visual electronic surveillance system ☒ ☐ ☐ are completed late the on-duty Supervisor is designed to detect overt, aggressive or assaultive immediately notified via the Tyler Supervision behavior and to summon aid in emergencies. All safety system. checks shall be documented with the actual time the check is completed. We also reviewed live-time safety checks as we toured the facility. All checks reviewed were in compliance with this regulation. 1354.5 ROOM CONFINEMENT Article 5 section 1354.3 Room Confinement 1B (a) The facility administrator shall develop and Compliance with this regulation is based implement written policies and procedures addressing solely on a review of the YSC policy and the confinement of youth in their room that are procedure manual as the facility has not used consistent with Welfare and Institutions Code Section room confinement during this inspection 208.3. The placement of a youth in room confinement cycle. A review of policy and procedure shall be accomplished in accordance with the following revealed compliance with this regulation. guidelines: ☒ ☐ ☐ Instead of using room confinement, the facility utilizes an Alternative Program for youth that creates a safety and security incident for the facility. Any youth placed in the Alternative Program receives all Title 15 requirements and eats all meals out of their rooms. (1) Room confinement shall not be used before Article 5 section 1354.3 Room Confinement other, less restrictive, options have been attempted (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 Article 5 section 1354.3 Room Confinement purposes of punishment, coercion, convenience, or (2) ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Article 5 section 1354.3 Room Confinement that it compromises the mental and physical health (2) ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room Article 5 section 1354.3 Room Confinement confinement. After the youth has been held in room (4) confinement for a period of four hours, staff shall do one or more of the following: It should be noted that YSC’s policy and procedure manual states youth may be held ☒ ☐ ☐ up to two hours before doing one of the below. This is two hours less than the regulation of youth being held up to four hours before doing one of the below. 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 4 of 10 A453 JUV Targeted PRO eff. 1/2024 Article 5 section 1354.3 Room Confinement (1) Return the youth to general population. (4a) ☒ ☐ ☐ Article 5 section 1354.3 Room Confinement (2) Consult with mental health or medical staff. (4b) ☒ ☐ ☐ (3) Develop an individualized plan that includes the Article 5 section 1354.3 Room Confinement goals and objectives to be met in order to reintegrate (4c) ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Article 5 section 1354.3 Room Confinement four hours, staff shall do each of the following: (A) Document the reasons for room confinement Article 5 section 1354.3 Room Confinement and the basis for the extension, the date and time (5a) ☒ ☐ ☐ 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 Article 5 section 1354.3 Room Confinement the goals and objectives to be met in order to (5b) ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Article 5 section 1354.3 Room Confinement facility superintendent or his or her designee (5c) ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Article 5 section 1354.3 Room Confinement single-person rooms or cells for the housing of youth (6) in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in Article 5 section 1354.3 Room Confinement court holding facilities or adult facilities. (11) ☒ ☐ ☐ (7) Nothing in this section shall be construed to Article 5 section 1354.3 Room Confinement conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Article 5 section 1354.3 Room Confinement extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- wide threat that poses an imminent and substantial ☒ ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Article 5 section 1354.3 Room Confinement placed in a locked cell or sleeping room to treat and (9) 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. 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 5 of 10 A453 JUV Targeted PRO eff. 1/2024 1357 USE OF FORCE Article 5 Section 1357 The facility administrator, in cooperation with the We reviewed five (5) hands-on use of force responsible physician, shall develop and implement reports from the YSC JH facility. A review of written policies and procedures for the use of force, the policy and procedure, and documentation which may include chemical agents. Force shall never revealed compliance with this regulation. It be applied as punishment, discipline, retaliation or ☒ ☐ ☐ should be noted that each report reviewed treatment. contained staff efforts to de-escalate the (a) At a minimum, each facility shall develop policies and incident, and command calls to the youth procedures which: prior to going hands-on to protect the safety of the youth and the facility. (1) restricts the use of force to that which is deemed Article 5 Section 1357 reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, staff, others ☒ ☐ ☐ and the facility. (2) outline the force options available to staff including Article 5 Section 1357.10 Training both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Article 5 Section 1357.10 Training expressly prohibited by the facility. ☒ ☐ ☐ (4) describe the requirements of staff to report any Article 5 Section 1357 inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that Article 5 Section 1357.5 Reporting the Use of includes time period and procedure for documenting Force and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Article 5 Section 1357.9 Use of Force Review investigating unreasonable use of force. ☒ ☐ ☐ (7) define the role, notification, and follow-up Article 5 Section 1357. 6 Institution Services procedures required after use of force incidents for Manager/Officer of the Day Responsibility (g) medical, mental health staff and parents or legal guardians. ☒ ☐ ☐ It should be noted that notifications to parents, medical, and mental health are documented within the incident report. (8) describe the limitations of use of force on pregnant Article 5 Section 1357 youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force Chemical agents are prohibited at the YSC option shall include policies and procedures that: facility. (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and ☐ ☐ ☒ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts ☒ ☐ ☒ have been unsuccessful or are not reasonably possible. 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 6 of 10 A453 JUV Targeted PRO eff. 1/2024 (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed to chemical agents shall not be left unattended until ☐ ☐ ☒ that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents involving chemical agents for medical, mental health ☐ ☐ ☒ staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☐ ☐ ☒ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training in use of force and chemical agents when appropriate that address: ☐ ☐ ☒ (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of application. ☐ ☐ ☒ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☐ ☐ ☒ (4) instruction on the Constitutional Limitations of Use of Force. ☐ ☐ ☒ (5) physical training force options that may require the use of perishable skills. ☐ ☐ ☒ (6) timelines the facility uses to define regular training. ☐ ☐ ☒ 1361 GRIEVANCE PROCEDURE Article 5 Section 1361 The facility administrator shall develop and implement We reviewed the grievance logs from written policies and procedures whereby any youth may January, February, and March 2024 at YSC appeal and have resolved grievances relating to any JH. In all, we reviewed 25 youth grievance condition of confinement, including but not limited to forms. A review of policy and procedure and health care services, classification decisions, program a review of the documentation provided participation, telephone, mail or visiting procedures, ☒ ☐ ☐ revealed compliance with this regulation. food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be It should be noted that every Tuesday the no time limit on filing grievances. Policies and Superintendent and Compliance Supervisor procedures shall include provisions whereby the facility meet to review all grievances and complete manager ensures: follow-ups if needed. (a) a grievance form and instructions for registering a Article 5 Section 1361 (1) grievance, which includes provisions for the youth to have free access to the form; A walkthrough of the facility revealed youth ☒ ☐ ☐ have free access to grievance forms, which are in the dayroom of each living unit. (b) the youth shall have the option to confidentially file Article 5 Section 1361 (8) the grievance or to deliver the form to any youth supervision staff working in the facility; There’s a confidential lock box located within ☒ ☐ ☐ each housing unit of the facility. (c) resolution of the grievance at the lowest appropriate Article 5 Section 1361 (2) staff level; ☒ ☐ ☐ 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 7 of 10 A453 JUV Targeted PRO eff. 1/2024 (d) provision for a prompt review and initial response to Article 5 Section 1361 (5) grievances within three (3) business days, grievances that relate to health and safety issues must be All grievances reviewed had an initial addressed immediately; ☒ ☐ ☐ response completed before three business days. (1) The youth may elect to be present to explain Article 5 Section 1361 his/her version of the grievance to a person not directly involved in the circumstances which led to ☒ ☐ ☐ the grievance. (2) Provision for a staff representative approved by Article 5 Section 1361 the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Article 5 Section 1361 which includes the reasons for the decisions; In all grievances BSCC staff reviewed, it should be noted that a written response for ☒ ☐ ☐ the decision was made by a Supervisor and/or Administrator. (f) a system which provides that any appeal of a Article 5 Section 1361 grievance shall be heard by a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance; (g) resolution of the grievance must occur within ten (10) Article 5 Section 1361.3 Timely Resolution of business days unless circumstances dictate a longer Grievance time frame. The youth shall be notified of any delay; and, ☒ ☐ ☐ All grievances reviewed were resolved before ten business days. (h) the policy shall provide multiple internal and external Article 5 Section 1361 methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Whether or not associated with a grievance, concerns Article 5 Section 1361 of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND Article 6 Section 1371 2B EXERCISE. A review of policy and procedures and daily The facility administrator shall develop and implement schedule revealed compliance with this written policies and procedures for programs, regulation. Documentation of youth recreation, and exercise for all youth. The intent is to programs, recreation, and exercise are minimize the amount of time youth are in their rooms or documented within the housing unit’s green their bed area. logbooks. It should be noted that at the time of the inspection YSC was in the process of implementing a new Youth Log form which ☒ ☐ ☐ will capture each youth's daily participation in programs, recreation, and exercise. We reviewed the months of January, February, and March 2023 from the facility which also revealed compliance with this regulation. Each youth receives a minimum of one hour of programming, exercise, and recreation daily. Juvenile facilities shall provide the opportunity for Article 6 Section 1371 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which ☒ ☐ ☐ one hour shall be an outdoor activity, weather permitting. 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 8 of 10 A453 JUV Targeted PRO eff. 1/2024 A youth’s participation in programs, recreation, and Article 6 Section 1371 exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Article 6 Section 1371 be posted in the living units. It should be noted during the walkthrough of ☒ ☐ ☐ the facility’s inspection, the youths’ daily schedule was observed posted within the living unit. There will be a written annual review of the programs, Article 6 Section 1371 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and Programs Annual Review completed by relevant to the population. ☒ ☐ ☐ Sanam Aram, Superintendent on May 13, 2024. (a) Programs. All youth shall be provided with the Article 6 Section 1371 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, YSC youth all participate in programming that evidence-based, best practice interventions that are focuses on trauma-focused, cognitive, culturally relevant and linguistically appropriate, or pro- evidence-based, best practice interventions social interventions and activities designed to reduce that are culturally relevant and linguistically recidivism. These programs should be based on the appropriate, or prosocial interventions and youth’s individual needs as required by Sections 1355 activities designed to reduce recidivism. and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Each youth interviewed stated they always Office of Education and can be administered by county receive a minimum of one hour per day of partners such as mental health agencies, community programs, recreation, and exercise. 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 Article 6 Section 1371 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and A review of daily program schedules and ☒ ☐ ☐ entertainment. Activities shall be supervised and include interviews with the staff and youth revealed orientation and may include coaching of youth. compliance with this regulation. (c) Exercise. All youth shall be provided with the Article 6 Section 1371 opportunity for at least one hour of large muscle activity each day. A review of daily program schedules and ☒ ☐ ☐ interviews with the staff and youth revealed compliance with this regulation. 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 9 of 10 A453 JUV Targeted PRO eff. 1/2024 The administrator/manager may suspend, for a period Article 6 Section 1371 not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document It should be noted at no time during this the reasons why suspension of recreation and programs ☒ ☐ ☐ inspection cycle the facility Administrator occurs. suspend youth access to recreation or programs. 7550 San Mateo County Youth Services Center JH PRO 23-24 Page 10 of 10 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: 7551 FACILITY NAME: Margaret J. Kemp Girl’s Camp FACILITY TYPE: CAMP PERSON(S) INTERVIEWED: Jehan Clark, Assistant Deputy Chief Probation Officer; Ivonne Bustos, Institution Service Manager; Sanam Aram, Superintendent; FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: May 21, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING At the time of the targeted inspection Camp Kemp was unoccupied and has not been Each juvenile facility shall: utilized for housing youth during this targeted (a) have an adequate number of personnel sufficient to inspection cycle. Therefore, all staff assigned carry out the overall facility operation and its ☒ ☐ ☐ to the Camp Kemp program are temporarily programming, to provide for safety and security of youth assigned to the Youth Services Center (YSC) and staff, and meet established standards and JH/SYTF facility. regulations; (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to ☒ ensure adequate supervision of all staff members; ☐ ☐ (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has ☒ completed the Juvenile Corrections Officer Core Course ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living ☒ unit whenever there are youth in the living unit; ☐ ☐ (f) have sufficient food service personnel relative to the number and security of living units, including staff qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct ☒ food preparation and servings; conduct related training ☐ ☐ programs for culinary staff; and maintain necessary 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, transportation, control room, facility security and other ☒ support staff for the efficient management of the facility, ☐ ☐ and to ensure that youth supervision staff shall not be diverted from supervising youth; and, 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. 7551 San Mateo Margaret J. Kemp Girl’s Camp CAMP PRO 23-24 Page 1 of 8 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (A) during the hours that youth are awake, one ☒ 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- ☒ 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 ☒ 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; 7551 San Mateo Margaret J. Kemp Girl’s Camp CAMP PRO 23-24 Page 2 of 8 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in 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. 1328 SAFETY CHECKS 0B The facility administrator shall develop and implement policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. ☐ ☐ ☒ Supervision is not replaced, but may be supplemented by, an audio/visual electronic surveillance system designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety checks shall be documented with the actual time the check is completed. 1354.5 ROOM CONFINEMENT 1B (a) The facility administrator shall develop and implement written policies and procedures addressing the confinement of youth in their room that are ☒ ☐ ☐ consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: (1) Room confinement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ confinement for a period of four hours, staff shall do one ☐ ☐ or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ 7551 San Mateo Margaret J. Kemp Girl’s Camp CAMP PRO 23-24 Page 3 of 8 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Consult with mental health or medical staff. ☒ ☐ ☐ (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in 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 ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ 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 ☒ 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. ☐ ☐ (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 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 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. 1357 USE OF FORCE The facility administrator, in cooperation with the responsible physician, shall develop and implement written policies and procedures for the use of force, which may include chemical agents. Force shall never ☐ ☐ ☒ be applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies and procedures which: 7551 San Mateo Margaret J. Kemp Girl’s Camp CAMP PRO 23-24 Page 4 of 8 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 ☒ to ensure the safety and security of youth, staff, others ☐ ☐ and the facility. (2) outline the force options available to staff including both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are ☒ expressly prohibited by the facility. ☐ ☐ (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for ☒ investigating unreasonable use of force. ☐ ☐ (7) define the role, notification, and follow-up procedures required after use of force incidents for ☒ medical, mental health staff and parents or legal ☐ ☐ guardians. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize ☒ chemical agents in the facility and the type, size and ☐ ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the 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. This shall include that youth who have been exposed ☒ to chemical agents shall not be left unattended until ☐ ☐ that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents ☒ involving chemical agents for medical, mental health ☐ ☐ staff and parents or legal guardians. 7551 San Mateo Margaret J. Kemp Girl’s Camp CAMP PRO 23-24 Page 5 of 8 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training in use of force and chemical agents when appropriate ☒ that address: ☐ ☐ (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of ☒ application. ☐ ☐ (3) signs or symptoms that should result in ☒ immediate referral to medical or behavioral health. ☐ ☐ (4) instruction on the Constitutional Limitations of ☒ Use of Force. ☐ ☐ (5) physical training force options that may require ☒ the use of perishable skills. ☐ ☐ (6) timelines the facility uses to define regular ☒ training. ☐ ☐ 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to any condition of confinement, including but not limited to health care services, classification decisions, program ☒ ☐ ☐ participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ 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 ☒ ☐ ☐ supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate ☒ staff level; ☐ ☐ (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances ☒ that relate to health and safety issues must be ☐ ☐ addressed immediately; (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ 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. ☐ ☐ (e) provision for a written response to the grievance ☒ which includes the reasons for the decisions; ☐ ☐ 7551 San Mateo Margaret J. Kemp Girl’s Camp CAMP PRO 23-24 Page 6 of 8 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 ☒ 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 ☒ 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. ☐ ☐ Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be ☒ addressed and documented in accordance with written ☐ ☐ policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND 2B EXERCISE. The facility administrator shall develop and implement written policies and procedures for programs, ☐ ☐ ☒ recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ Saturday, Sunday or other non-school days, of which ☐ ☐ one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall ☒ be posted in the living units. ☐ ☐ There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ☒ ensure content offered is current, consistent, and ☐ ☐ relevant to the population. 7551 San Mateo Margaret J. Kemp Girl’s Camp CAMP PRO 23-24 Page 7 of 8 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 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 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 ☒ ☐ ☐ each day. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7551 San Mateo Margaret J. Kemp Girl’s Camp CAMP PRO 23-24 Page 8 of 8 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: 7554 FACILITY NAME: San Mateo Secure Youth Treatment Facility (SYTF) FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Jehan Clark, Assistant Deputy Chief Probation Officer; Ivonne Bustos, Institution Service Manager; Sanam Aram, Superintendent; Jeffrey Icosiano, Group Supervisor II; Marisol Guevara, Group Supervisor I; Keith Whitley, Group Supervisor II; Jocelyn Picon, Group Supervisor II; Ritchie Chen, Institutions Services Manager; Moses Otuhiva, Institutions Services Manager; Carman Ramirez, Institutions Services Manager; Wallace Richwood, Institutions Services Manager; FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: May 21, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Article 3 Section 1321 Each juvenile facility shall: We reviewed a variety of documents (a) have an adequate number of personnel sufficient to including safety check records, grievances, carry out the overall facility operation and its disciplinary actions, and incident reports. programming, to provide for safety and security of We also reviewed January, February, and youth and staff, and meet established standards and March 2024 staffing schedules for the regulations; Youth Service Center (YSC). A review of these documents, as well as the policy and procedure manuals, revealed compliance with this regulation. At the time of the inspection, the Youth Service Center staffing consisted of: • 1 Deputy Chief Probation Officer ☒ ☐ ☐ (DCPO) • 1 Assistant Deputy Chief Probation Officer (ADCPO) • 1 Compliance Officer • 5 Institution Services Managers • 14 Group Supervisors III • 19 Group Supervisors II • 4 Group Supervisors I • 10 Extra-Help Group Supervisors At the time of the inspection, the facility was only utilizing three (3) housing units and the Intake unit which is also fully staffed. SYTF youth are housed within Pine 4 along with long-term JH youth. 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. 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 1 of 10 A453 JUV Targeted PRO eff. 1/2024 YSC currently has open recruitments for full-time Group Supervisors I and Extra- Help Group Supervisors positions. YSC also currently has five (5) potential employees in the background. (b) ensure that no required services shall be denied Article 3 Section 1321 because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to A Supervisor is identified on the daily shift ensure adequate supervision of all staff members; ☒ ☐ ☐ schedules. (d) have a clearly identified person on duty at all times A Supervisor is assigned to each shift. In who is responsible for operations and activities and has the Supervisor’s absence, a Lead Officer is completed the Juvenile Corrections Officer Core ☒ ☐ ☐ identified on the roster and assumes the Course and PC 832 training; Supervisor’s role. (e) have at least one staff member present on each Article 3 Section 1321 living unit whenever there are youth in the living unit; ☒ ☐ ☐ (f) have sufficient food service personnel relative to the Article 3 Section 1321 number and security of living units, including staff qualified and available to: plan menus meeting All YSC meals are provided by the San nutritional requirements of youth; provide kitchen Mateo Sheriff’s Department. 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, Article 3 Section 1321 medical, dental, mental health, building maintenance, transportation, control room, facility security and other At the time of the inspection, YSC support staff for the efficient management of the facility, housekeeping staff consisted of: and to ensure that youth supervision staff shall not be diverted from supervising youth; and, • 1 senior Utility Worker ☒ ☐ ☐ • 1 Utility Worker II • 1 Utility Worker Extra-Help YSC also has 1 Administrative Assistant assigned to the facility. (h) assign sufficient youth supervision staff to provide Article 3 Section 1321 continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet Staffing ratios are maintained throughout special program needs. Staffing shall be in compliance ☒ ☐ ☐ the facility for each housing unit. with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Not Applicable. (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☐ ☐ ☒ duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide- awake youth supervision staff member on duty ☐ ☐ ☒ for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 2 of 10 A453 JUV Targeted PRO eff. 1/2024 (D) at least one youth supervision staff member on duty who is the same gender as youth ☐ ☐ ☒ housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, ☐ ☐ ☒ clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls Not Applicable. (A) during hours that youth are awake, one wide- awake youth supervision staff member on duty ☐ ☐ ☒ for each 10 youth in detention; (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 Article 3 Section 1321 (A) during the hours that youth are awake, one wide-awake youth supervision staff member on SYTF population at the time of the Targeted duty for each 15 youth in the camp population; Inspection was 4 male youths. A review of documentation revealed staffing ratios are met at all times. ☒ ☐ ☐ A minimum of three (3) staff are scheduled for each housing unit per day/swing shift. A review of daily schedules revealed compliance with this regulation. (B) during the hours that youth are confined to Article 3 Section 1321 their room for the purpose of sleeping, one wide- awake youth supervision staff member on duty A minimum of one (1) staff are scheduled for each 30 youth present in the facility; for each housing unit and intake unit per ☒ ☐ ☐ graveyard shift. A review of daily schedules revealed compliance with this regulation. (C) at least two wide-awake youth supervision Article 3 Section 1321 staff members on duty at all times, regardless of the number of youth in residence, unless A review of daily schedules revealed arrangements have been made for backup ☒ ☐ ☐ compliance with this regulation. support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member Article 3 Section 1321 on duty who is the same gender as youth housed in the facility; ☒ ☐ ☐ A review of daily schedules revealed compliance with this regulation. 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 3 of 10 A453 JUV Targeted PRO eff. 1/2024 (E) in addition to the minimum staff to youth ratio Article 3 Section 1321 required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the Currently, the SYTF population is being camp; types of youth committed to the camp; held within the facility Pine Four Unit along ☒ ☐ ☐ and the function of the camp in determining the with YSC JH youth. level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for Article 3 Section 1321 other duties such as administration, supervision of personnel, academic or trade instruction, Staffing personnel listed within this clerical, farm, forestry, kitchen or maintenance ☒ ☐ ☐ regulation are not considered youth shall not be classified as youth supervision staff supervision staff. positions. 1328 SAFETY CHECKS Article 3 Section 1328 0B The facility administrator shall develop and implement We reviewed each facility’s safety checks policy and procedures that provide for direct visual for January, February, and March 2024. A observation of youth at a minimum of every 15 review of documentation revealed safety minutes, at random or varied intervals during hours checks are being completed per regulation. when youth are asleep or when youth are in their It should be noted that checks were rooms, confined in holding cells or confined to their completed at random or varied intervals bed in a dormitory. Supervision is not replaced, but whenever youth are present and in their may be supplemented by, an audio/visual electronic ☒ ☐ ☐ room. When safety checks are completed surveillance system designed to detect overt, late the on-duty Supervisor is immediately aggressive or assaultive behavior and to summon aid notified via the Tyler Supervision system. in emergencies. All safety checks shall be documented with the actual time the check is We also reviewed live-time safety checks completed. as we toured the facility. All checks reviewed were in compliance with this regulation. 1354.5 ROOM CONFINEMENT Article 5 section 1354.3 Room Confinement 1B (a) The facility administrator shall develop and Compliance with this regulation is based implement written policies and procedures addressing solely on a review of the YSC policy and the confinement of youth in their room that are procedure manual as the facility has not consistent with Welfare and Institutions Code Section used room confinement during this 208.3. The placement of a youth in room confinement inspection cycle. A review of policy and shall be accomplished in accordance with the procedure revealed compliance with this following guidelines: regulation. ☒ ☐ ☐ Instead of using room confinement, the facility utilizes an Alternative Program for youth that creates a safety and security incident for the facility. Any youth placed in the Alternative Program receives all Title 15 requirements and eats all meals out of their rooms. (1) Room confinement shall not be used before Article 5 section 1354.3 Room Confinement other, less restrictive, options have been (1) attempted and exhausted, unless attempting those ☒ ☐ ☐ options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Article 5 section 1354.3 Room Confinement purposes of punishment, coercion, convenience, (2) ☒ ☐ ☐ or retaliation by staff. (3) Room confinement shall not be used to the Article 5 section 1354.3 Room Confinement extent that it compromises the mental and physical (2) ☒ ☐ ☐ health of the youth. 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 4 of 10 A453 JUV Targeted PRO eff. 1/2024 (b) A youth may be held up to four hours in room Article 5 section 1354.3 Room Confinement confinement. After the youth has been held in room (4) confinement for a period of four hours, staff shall do one or more of the following: It should be noted YSC policy and procedure manual states youth may be ☒ ☐ ☐ held up to two hours before doing one of the below. That is two hours less than the regulation of youth being held up to four hours before doing one of the below. Article 5 section 1354.3 Room Confinement (1) Return the youth to general population. (4a) ☒ ☐ ☐ Article 5 section 1354.3 Room Confinement (2) Consult with mental health or medical staff. (4b) ☒ ☐ ☐ (3) Develop an individualized plan that includes the Article 5 section 1354.3 Room Confinement goals and objectives to be met in order to (4c) ☒ ☐ ☐ reintegrate the youth to general population. (4) If room confinement must be extended beyond Article 5 section 1354.3 Room Confinement four hours, staff shall do each of the following: (A) Document the reasons for room Article 5 section 1354.3 Room Confinement confinement and the basis for the extension, (5a) ☒ ☐ ☐ 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 Article 5 section 1354.3 Room Confinement the goals and objectives to be met in order to (5b) ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Article 5 section 1354.3 Room Confinement facility superintendent or his or her designee (5c) ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Article 5 section 1354.3 Room Confinement single-person rooms or cells for the housing of (6) youth in juvenile facilities and does not apply to ☒ ☐ ☐ normal sleeping hours. (6) This section does not apply to youth or wards Article 5 section 1354.3 Room Confinement in court holding facilities or adult facilities. (11) ☒ ☐ ☐ (7) Nothing in this section shall be construed to Article 5 section 1354.3 Room Confinement conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Article 5 section 1354.3 Room Confinement extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility-wide threat that poses an imminent and ☒ ☐ ☐ substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 5 of 10 A453 JUV Targeted PRO eff. 1/2024 (9) This section does not apply when a youth is Article 5 section 1354.3 Room Confinement placed in a locked cell or sleeping room to treat (9) and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an illness. Additionally, this section ☒ ☐ ☐ does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1357 USE OF FORCE Article 5 Section 1357 The facility administrator, in cooperation with the We reviewed five (5) hands-on use of force responsible physician, shall develop and implement reports from the YSC SYTF facility. A written policies and procedures for the use of force, review of policy and procedure and which may include chemical agents. Force shall never documentation revealed compliance with be applied as punishment, discipline, retaliation or ☒ ☐ ☐ this regulation. It should be noted that each treatment. report reviewed contained staff efforts to (a) At a minimum, each facility shall develop policies de-escalate the incident, and command and procedures which: calls to the youth before going hands-on to protect the safety of the youth and the facility. (1) restricts the use of force to that which is deemed Article 5 Section 1357 reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, ☒ ☐ ☐ staff, others and the facility. (2) outline the force options available to staff Article 5 Section 1357.10 Training including both physical and non-physical options and define when those force options are ☒ ☐ ☐ appropriate. (3) describe force options or techniques that are Article 5 Section 1357.10 Training expressly prohibited by the facility. ☒ ☐ ☐ (4) describe the requirements of staff to report any Article 5 Section 1357 inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that Article 5 Section 1357.5 Reporting the Use includes time period and procedure for of Force documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and ☒ ☐ ☐ or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system Article 5 Section 1357.9 Use of Force for investigating unreasonable use of force. Review ☒ ☐ ☐ (7) define the role, notification, and follow-up Article 5 Section 1357. 6 Institution procedures required after use of force incidents for Services Manager/Officer of the Day medical, mental health staff and parents or legal Responsibility (g) guardians. ☒ ☐ ☐ It should be noted notifications to parents, medical, and mental health are documented within the incident report. 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 6 of 10 A453 JUV Targeted PRO eff. 1/2024 (8) describe the limitations of use of force on Article 5 Section 1357 pregnant youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code ☒ ☐ ☐ Section 222. (b) Facilities that authorize chemical agents as a force Chemical agents are prohibited at the YSC option shall include policies and procedures that: facility. (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and ☐ ☐ ☒ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the 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. This shall include that youth who have been exposed to chemical agents shall not be left ☐ ☐ ☒ unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents involving chemical agents for medical, mental ☐ ☐ ☒ health staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and ☐ ☐ ☒ location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training in use of force and chemical agents when appropriate that address: ☐ ☐ ☒ (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of application. ☐ ☐ ☒ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☐ ☐ ☒ (4) instruction on the Constitutional Limitations of Use of Force. ☐ ☐ ☒ (5) physical training force options that may require the use of perishable skills. ☐ ☐ ☒ (6) timelines the facility uses to define regular training. ☐ ☐ ☒ 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 7 of 10 A453 JUV Targeted PRO eff. 1/2024 1361 GRIEVANCE PROCEDURE Article 5 Section 1361 The facility administrator shall develop and implement We reviewed the grievance logs from written policies and procedures whereby any youth January, February, and March 2024 at YSC may appeal and have resolved grievances relating to JH. In all, we reviewed one youth grievance any condition of confinement, including but not limited form from the SYTF population. A review of to health care services, classification decisions, policy and procedure and a review of the program participation, telephone, mail or visiting ☒ ☐ ☐ documentation provided revealed procedures, food, clothing, bedding, mistreatment, compliance with this regulation. harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. It should be noted that every Tuesday the Policies and procedures shall include provisions Superintendent and Compliance whereby the facility manager ensures: Supervisor meet to review all grievances and complete follow-ups if needed. (a) a grievance form and instructions for registering a Article 5 Section 1361 (1) grievance, which includes provisions for the youth to have free access to the form; A walkthrough of the facility revealed youth ☒ ☐ ☐ have free access to grievance forms which are in the dayroom of each living unit. (b) the youth shall have the option to confidentially file Article 5 Section 1361 (8) the grievance or to deliver the form to any youth supervision staff working in the facility; There’s a confidential lock box located ☒ ☐ ☐ within each housing unit of the Facility. (c) resolution of the grievance at the lowest Article 5 Section 1361 (2) appropriate staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response Article 5 Section 1361 (5) to grievances within three (3) business days, grievances that relate to health and safety issues All grievances reviewed had an initial must be addressed immediately; ☒ ☐ ☐ response completed prior to three business days. (1) The youth may elect to be present to explain Article 5 Section 1361 his/her version of the grievance to a person not directly involved in the circumstances which led to ☒ ☐ ☐ the grievance. (2) Provision for a staff representative approved by Article 5 Section 1361 the facility administrator to assist the youth. ☒ ☐ ☐ (e) provision for a written response to the grievance Article 5 Section 1361 which includes the reasons for the decisions; In all the grievances we reviewed, it should ☒ ☐ ☐ be noted that a written response for the decision was made by a Supervisor and/or Administrator. (f) a system which provides that any appeal of a Article 5 Section 1361 grievance shall be heard by a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance; (g) resolution of the grievance must occur within ten Article 5 Section 1361.3 Timely Resolution (10) business days unless circumstances dictate a of Grievance longer time frame. The youth shall be notified of any delay; and, ☒ ☐ ☐ All grievances reviewed were resolved before ten business days. (h) the policy shall provide multiple internal and Article 5 Section 1361 external methods to report sexual abuse and sexual ☒ ☐ ☐ harassment. 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 8 of 10 A453 JUV Targeted PRO eff. 1/2024 Whether or not associated with a grievance, concerns Article 5 Section 1361 of parents, guardians, staff or other parties shall be addressed and documented in accordance with ☒ ☐ ☐ written policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND Article 6 Section 1371 2B EXERCISE. A review of policy and procedures and daily The facility administrator shall develop and implement schedule revealed compliance with this written policies and procedures for programs, regulation. Documentation of youth recreation, and exercise for all youth. The intent is to programs, recreation, and exercise are minimize the amount of time youth are in their rooms documented within the housing unit’s green or their bed area. logbooks. It should be noted that at the time of the inspection YSC was in the process of implementing a new Youth Log ☒ ☐ ☐ form which will capture each youth’s daily participation in programs, recreation, and exercise. We reviewed the months of January, February, and March 2023 from the facility which also revealed compliance with this regulation. Each youth receives a minimum of one hour of programming, exercise, and recreation daily. Juvenile facilities shall provide the opportunity for Article 6 Section 1371 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, ☒ ☐ ☐ of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Article 6 Section 1371 exercise may be suspended only upon a written finding by the administrator/manager or designee that ☒ ☐ ☐ a youth represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule Article 6 Section 1371 shall be posted in the living units. It should be noted during the inspection ☒ ☐ ☐ facility walkthrough the youths’ daily schedule was observed posted within the living unit. There will be a written annual review of the programs, Article 6 Section 1371 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and Programs Annual Review completed by relevant to the population. ☒ ☐ ☐ Sanam Aram, Superintendent on May 13, 2024. 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 9 of 10 A453 JUV Targeted PRO eff. 1/2024 (a) Programs. All youth shall be provided with the Article 6 Section 1371 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, YSC youth all participate in programming cognitive, evidence-based, best practice interventions that focuses on trauma-focused, cognitive, that are culturally relevant and linguistically evidence-based, best practice interventions appropriate, or pro-social interventions and activities that are culturally relevant and linguistically designed to reduce recidivism. These programs appropriate, or prosocial interventions and should be based on the youth’s individual needs as activities designed to reduce recidivism. required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Each youth interviewed stated they always Probation Officer or the County Office of Education and receive a minimum of one hour per day of can be administered by county partners such as mental programs, recreation, and exercise. 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 Article 6 Section 1371 opportunity for at least one hour of daily access to unscheduled activities such as leisure reading, letter A review of daily program schedules and writing, and entertainment. Activities shall be ☒ ☐ ☐ interviews with the staff and youth revealed supervised and include orientation and may include compliance with this regulation. coaching of youth. (c) Exercise. All youth shall be provided with the Article 6 Section 1371 opportunity for at least one hour of large muscle activity each day. A review of daily program schedules and ☒ ☐ ☐ interviews with the staff and youth revealed compliance with this regulation. The administrator/manager may suspend, for a period Article 6 Section 1371 not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document It should be noted that at no time during the reasons why suspension of recreation and ☒ ☐ ☐ this inspection cycle did the facility programs occurs. Administrator suspend youth access to recreation or programs. 7554 San Mateo Secure Youth Treatment Facility SYTF PRO 23-24 Page 10 of 10 A453 JUV Targeted PRO eff. 1/2024