San Mateo Probation (2023-2024 inspection cycle)

December 29, 2023 John T. Keene, Chief Probation Officer San Mateo Probation Department 222 Paul Scannell Drive San Mateo, CA, 94402 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SAN MATEO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Keene: The 2023-2024 Comprehensive Inspection of the San Mateo County Probation Department has been completed. A pre-inspection briefing was held on Wednesday, February 8, 2023, and the following facilities were inspected between Monday, July 24, 2023 and Friday, July 28, 2023: 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. 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. John T Keene, Chief of Probation Page 2 Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified and no areas of noncompliance were noted. An Exit Briefing with your staff was held on Friday, July 28, 2023; 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, Assistant Deputy Chief Probation Officer, San Mateo County *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7550 7551 7554 San Mateo County Probation JH SYTF Camp LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7550 FACILITY NAME: 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; Elizabeth Andrews, Group Supervisor III; Mariela Jimenez, Group Supervisor III; Ruby Blanco, Registered Nurse County Health; Shin Choi, Registered Nurse County Health; Lauren Sneed, School Counselor San Mateo Office of Education; Aurora Pena, Supervising Behavioral Health Clinician; Jonas Barbour, Assistant Principal FIELD REPRESENTATIVE: Craigus Thompson DATE: July 26, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF All Local Inspections completed for this BUILDING AND GROUNDS inspection cycle. On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ Article 2 Section 1313 documented inspection and evaluation from the following: YSC - Completed 8/16/2023 (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire YSC - Completed on 9/1/2022 clearance as required by Health and Safety Code Section ☒ ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with EH - Completed on 10/19/2022 Health and Safety Code Section 101045; NUT - Completed on 10/10/2022 ☒ ☐ ☐ MED/MH - Completed on 6/14/2023 (d) county superintendent of schools on the adequacy of Completed on 9/12/2022 by Johanna educational services and facilities as required in Section ☒ ☐ ☐ Rasmussen and Sathvik Nori 1370; (e) juvenile court as required by Section 209 of the ☒ ☐ ☐ Completed by Judge Susan I. Etezadi on Welfare and Institutions Code; and, 12/9/2022 (f) the Juvenile Justice Commission as required by Completed on 8/23/2023 and 8/31/2023 Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7550 San Mateo Youth Services Center PRO 23-24 Page 1 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Article 3 Section 1321 BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification Memo submitted to BSCC by Chief John T. letter confirming that all elements of regulation are met. Keene on March 23, 2023. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Article 3 Section 1321 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ Chief Keene memo knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; Article 3 Section 1321 (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ Chief Keene memo childhood (i.e., diphtheria, rubeola, rubella, and mumps); Article 3 Section 1321 (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ Chief Keene memo pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Article 3 Section 1321 employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Chief Keene memo Code. (c) Contract personnel, volunteers, and other non- Article 3 Section 1321 employees of the facility, who may be present at the facility, shall have such clearance and qualifications as Chief Keene memo may be required by law, and their presence at the facility ☒ ☐ ☐ shall be subject to the approval and control of the facility manager. 7550 San Mateo Youth Services Center PRO 23-24 Page 2 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Article 3 Section 1321 Each juvenile facility shall: (a) have an adequate number of personnel sufficient to We reviewed a variety of documents including carry out the overall facility operation and its safety check records, grievances, disciplinary programming, to provide for safety and security of youth actions, and incident reports. Also reviewed and staff, and meet established standards and January and February 2023 staffing regulations; schedules for the Youth Service Center (YSC). 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 Superintendent; 1 Compliance Officer; 6 Institution Services Managers; 14 Group Supervisors III; 19 Group Supervisors II; 1 Transportation Officer; and 14 Extra-Help Group Supervisors. ☒ ☐ ☐ Although YSC remains in compliance with this regulation, interviews with staff revealed that, at times during this inspection cycle, staff felt understaffed and unable to carry out the overall facility operations. At the time of the inspection, YSC had consolidated the units and only had one unit available for housing youth. The detention youth and SYTF youth are housed within that unit. Only operating one unit has created better staffing coverage but technical assistance was provided with regards to a long-term solution to staffing issues. YSC currently has open recruitments for full- time Group Supervisors I and Extra-Help Group Supervisors positions. (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. 7550 San Mateo Youth Services Center PRO 23-24 Page 3 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) have a clearly identified person on duty at all times 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 ☒ ☐ ☐ 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 requirements of youth; provide kitchen supervision; direct All YSC meals are provided by San Mateo’s ☒ ☐ ☐ food preparation and servings; conduct related training Sheriff Department. 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 support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be ☒ ☐ ☐ diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide Article 3 Section 1321 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 Article 3 Section 1321 (A) during the hours that youth are awake, one wide-awake youth supervision staff member on duty for each 10 youth in detention; ☒ ☐ ☐ At the time of the initial inspection, YSC was utilizing two housing units to house youth. On the day of the inspection, unit Pine 4 housed 16 male youths and unit Forrest 3 housed 18 youth: 13 males and 5 females. (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 ☒ ☐ ☐ 30 youth in detention; Review of daily schedules revealed compliance with this regulation. (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 ☒ ☐ ☐ arrangement has been made for backup support Review of daily schedules revealed services which allow for immediate response to compliance with this regulation. emergencies; and, 7550 San Mateo Youth Services Center PRO 23-24 Page 4 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. ☒ ☐ ☐ 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, ☒ ☐ ☐ kitchen or maintenance shall not be classified as Review of daily schedules revealed youth supervision staff positions. compliance with this regulation. (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; 7550 San Mateo Youth Services Center PRO 23-24 Page 5 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☐ ☐ ☒ arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Article 3 Section 1322 AND TRAINING (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to The elements of this regulation are covered in ☒ ☐ ☐ their duties, including: Chief Keene‘s letter, dated 3/23/2023. (1) youth supervision duties; Article 3 Section 1322 (2) scope of decisions they shall make; ☒ ☐ ☐ Article 3 Section 1322 (3) the identity of their supervisor; ☒ ☐ ☐ (4) the identity of persons who are responsible to Article 3 Section 1322 them; ☒ ☐ ☐ (5) persons to contact for decisions that are beyond Article 3 Section 1322 their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. Article 3 Section 1322 ☒ ☐ ☐ 7550 San Mateo Youth Services Center PRO 23-24 Page 6 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the Article 3 Section 1322 supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- ☒ ☐ ☐ specific orientation, including: It should be noted all new employees receive forty (40) hours of training prior to assuming any responsibility for the supervision of youth. Article 3 Section 1322 (1) individual and group supervision techniques; ☒ ☐ ☐ (2) regulations and policies relating to discipline and Article 3 Section 1322 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; Article 3 Section 1322 (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Article 3 Section 1322 (4) suicide prevention and response to suicide ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation Article 3 Section 1322 techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; Article 3 Section 1322 (6) review of policies and procedures referencing ☒ ☐ ☐ trauma and trauma-informed approaches; Article 3 Section 1322 (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Article 3 Section 1322 (8) routine security measures, including facility ☒ ☐ ☐ perimeter and grounds; Article 3 Section 1322 (9) crisis intervention and mental health referrals to ☒ ☐ ☐ mental health services; Article 3 Section 1322 (10) documentation; and ☒ ☐ ☐ Article 3 Section 1322 (11) fire/life safety training ☒ ☐ ☐ (c) Prior to assuming sole supervision of youth, each Article 3 Section 1322 youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth Article 3 Section 1322 supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 7550 San Mateo Youth Services Center PRO 23-24 Page 7 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1323 FIRE AND LIFE SAFETY Article 3 Section 1323 Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times who meets the training standards established by the Review of documentation indicates that all Board for general fire and life safety which relate ☒ ☐ ☐ youth supervisory staff receive site-specific specifically to the facility. life safety training during orientation. Also, all full-time employees receive fire and safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL Article 3 Section 1324 (1-3) All facility administrators shall develop, publish, and implement a manual of written policies and procedures that address, at a minimum, all regulations that are County of San Mateo Youth Service Center applicable to the facility. Such a manual shall be made Policy, Procedures, and Operations Manual available to all employees, reviewed by all employees, was provided prior to the date of the and shall be administratively reviewed at a minimum ☒ ☐ ☐ inspection. The manual was administratively every two years, and updated, as necessary. Those reviewed by Christopher Abalos, Deputy Chief records relating to the standards and requirements set Probation Officer on March 9, 2023. It should forth in these regulations shall be accessible to the Board be noted the policy and procedure manual is on request. utilized for Detention, Camp Kemp, and SYTF youth. The manual shall include: (a) table of organization, including channels of Article 3 Section 1324 (b) communications and a description of job classifications; ☒ ☐ ☐ (b) responsibility of the probation department, purpose of Article 3 Section 1324 (f) programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or ☒ ☐ ☐ Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Article 3 Section 1324 (d) ☒ ☐ ☐ (d) initial orientation and training program for employees; Article 3 Section 1324 (d) ☒ ☐ ☐ (e) initial orientation, including safety and security issues Article 3 Section 1324 (g) and anti-discrimination policies, for support staff, contract ☒ ☐ ☐ employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and Article 3 Section 1324 (h) communication system to ensure: ☒ ☐ ☐ Article 3 Section 1324 (1) efficient operation of the juvenile facility; ☒ ☐ ☐ 7550 San Mateo Youth Services Center PRO 23-24 Page 8 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Article 3 Section 1324 (2) legal and proper care of youth; ☒ ☐ ☐ Article 3 Section 1324 (h) (3) maintenance of individual youth's records; ☒ ☐ ☐ Article 3 Section 1324 (i) (4) supply of information to the juvenile court and ☒ ☐ ☐ those authorized by the court or by the law; and, Article 3 Section 1324 (j) (5) release of information regarding youth. ☒ ☐ ☐ Article 3 Section 1324 (k) (g) ethical responsibilities; ☒ ☐ ☐ Article 3 Section 1324 (l) (h) trauma-informed approaches; ☒ ☐ ☐ Article 3 Section 1324 (m) (i) culturally responsive approaches; ☒ ☐ ☐ Article 3 Section 1324 (n) (j) gender responsive approaches; ☒ ☐ ☐ (k) a non-discrimination provision that provides that all Article 3 Section 1324 (o) youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any N/A chemical agents related security devices, and weapons ☐ ☐ ☒ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Article 3 Section 1324 (p) Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of Article 3 Section 1324 (q) sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 7550 San Mateo Youth Services Center PRO 23-24 Page 9 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1325 FIRE SAFETY PLAN Article 3 Section 1325 The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Article 3 Section 1325 with two-year retention of the inspection record; We reviewed monthly and fire safety ☒ ☐ ☐ inspections for the inspection cycle. Review of documentation reveals compliance with this regulation. (c) fire prevention inspections as required by Health and Article 3 Section 1325 ☒ ☐ ☐ Safety Code Section 13146.1(a) and (b); (d) an evacuation plan; ☒ ☐ ☐ Article 3 Section 1325 (e) documented fire drills not less than quarterly; Article 3 Section 1325 ☒ ☐ ☐ We reviewed fire drills for the inspection cycle. Review of documentation reveals compliance with this regulation. (f) a written plan for the emergency housing of youth in Article 3 Section 1325 ☒ ☐ ☐ the case of fire; and, (g) development of a fire suppression pre-plan in Article 3 Section 1325 ☒ ☐ ☐ cooperation with the local fire department. 1326 SECURITY REVIEW Article 3 Section 1326 Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall Security Review for YSC completed by include internal and external security, including, but not Superintendent Jehan Clark on 03/17/2023. limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES Article 3 Section 1327 The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Article 3 Section 1327 7550 San Mateo Youth Services Center PRO 23-24 Page 10 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) civil disturbance, active shooter and terrorist Article 3 Section 1327 ☒ ☐ ☐ attack; (c) fire and natural disasters; ☒ ☐ ☐ Article 3 Section 1327 (d) periodic testing of emergency equipment; ☒ ☐ ☐ Article 3 Section 1327 (e) emergency evacuation of the facility; and ☒ ☐ ☐ Article 3 Section 1327 Review of Emergency Response Procedures (f) a program to provide all youth supervision staff staff acknowledgment forms confirmed all ☒ ☐ ☐ with an annual review of emergency procedures. staff have reviewed the facility policy and procedure emergency procedures. 1328 SAFETY CHECKS Article 3 Section 1328 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, We reviewed each facility’s safety checks for at random or varied intervals during hours when youth the months of January, February, and March are asleep or when youth are in their rooms, confined in 2023. Review of documentation revealed holding cells or confined to their bed in a dormitory. safety checks are being completed per Supervision is not replaced, but may be supplemented regulation. It should be noted checks were by, an audio/visual electronic surveillance system ☒ ☐ ☐ completed at random or varied intervals designed to detect overt, aggressive or assaultive whenever youth are present in their room. behavior and to summon aid in emergencies. All safety 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. 1329 SUICIDE PREVENTION PLAN Article 3 Section 1329 The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and During the inspection process, we reviewed procedures which delineate a Suicide Prevention Plan. one (1) youth suicide prevention report from ☒ ☐ ☐ The plan shall consider the needs of youth experiencing the YSC facility. Review of documentation past or current trauma. Suicide prevention responses provided, and policy and procedure manuals shall be respectful and in the least invasive manner revealed compliance with this regulation. consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section Article 3 Section 1329.4 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Article 3 Section 1329 (1a) Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake Article 3 Section 1329.4 processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. 7550 San Mateo Youth Services Center PRO 23-24 Page 11 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) All youth who have been identified during the Article 3 Section 1329 intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. Review of documentation as well as interview with the facility Behavioral Health Supervisor revealed compliance with this regulation. (4) Precautionary protocols shall be developed to Article 3 Section 1329 ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Article 3 Section 1329 ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk Article 3 Section 1329.1 for suicide. Following the review of suicide documentation, technical assistance was ☒ ☐ ☐ provided regarding the MH Observation safety checks. At the time of the inspection, MH Observations were documented every 15 minutes. We strongly recommended MH Observation be completed more frequently as every 15 minutes is a normal safety check. (e) Safety Interventions Article 3 Section 1329 (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ Article 3 Section 1329 (B) Treatment strategies including trauma- Article 3 Section 1329 ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff Article 3 Section 1329.4 how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication Article 3 Section 1329 (1a) (1) The intake process shall include communication with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information Article 3 Section 1329 (1b) sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. 7550 San Mateo Youth Services Center PRO 23-24 Page 12 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Debriefing of Critical Incidents Related to Suicides or Article 3 Section 1329.3 Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected Article 3 Section 1329.3 ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Article 3 Section 1329.3 ☒ ☐ ☐ youth. (h) Documentation Article 3 Section 1329 (1c) (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Article 3 Section 1329 (1c) opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Article 4 Section 1340 Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities No legal action reported this inspection cycle. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Article 4 Section 1341 OF A YOUTH WHILE DETAINED (1) Death of a Youth. (a) The facility administrator, in cooperation with No death and serious illness or injury of a the health administrator and the behavioral/mental youth this inspection cycle. health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with Article 4 Section 1341 the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. 7550 San Mateo Youth Services Center PRO 23-24 Page 13 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) The administrator of the facility shall provide to Article 4 Section 1341 the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Article 4 Section 1341 from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. Article 4 Section 1341 (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Article 4 Section 1342 Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Article 4 Section 1343 When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than fifteen (15) calendar days in a month, the facility JH - 180 administrator shall provide a crowding report to the ☒ ☐ ☐ Camp - 30 Board in a format provided by the Board. SYTF - 00 1350 ADMITTANCE PROCEDURES Article 5 Section 1350 The facility administrator shall develop and implement written policies and procedures for admittance of youth that emphasize respectful and humane engagement We reviewed ten (10) youth admittance with youth, and reflect that the admission process may packages from each facility. Review of ☒ ☐ ☐ be traumatic to youth who may have already documentation provided and policy and experienced trauma. Policies shall be trauma-informed, procedure manuals revealed compliance with culturally relevant, and responsive to the language and this regulation. literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: 7550 San Mateo Youth Services Center PRO 23-24 Page 14 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) the admittance process shall include: Article 5 section 1350/1350.5 (1) Access to two free phone calls within one hour of ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; Article 5 section 1350/1350.5 (2) Offer of a shower; ☒ ☐ ☐ Youth offering of a shower upon admissions is documented on the YSC-Admission Booking Checklist. Review of documentation revealed compliance with this regulation. (3) Documented secure storage of personal Article 5 section 1350/1350.5 ☒ ☐ ☐ belongings; Article 5 section 1350/1350.5 (4) Offer of food upon arrival; ☒ ☐ ☐ Youth offering of food upon admissions is documented on the YSC-Admission Booking Checklist. Review of documentation revealed compliance with this regulation. (5) Screening for physical and behavioral health Article 5 section 1350/1350.5 and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental Article 5 section 1350/1350.5 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Article 5 section 1350/1350.5 Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Article 5 section 1350/1350.5 (b) juvenile hall administrators shall establish written Article 5 section 1350/1350.5 criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in Article 5 section 1350/1350.5 juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform ☒ ☐ ☐ them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures Article 5 section 1350/1350.5 that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 7550 San Mateo Youth Services Center PRO 23-24 Page 15 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350.5 SCREENING FOR THE RISK OF SEXUAL Article 5 Section 1350.5 ABUSE The facility administrator shall develop and implement written policies and procedures to reduce the risk of The facility has implemented the West Coast sexual abuse by or upon youth. The policy shall require Children’s Clinic “Commercial Sexual facility staff to assess each youth within 72 hours of Exploitation Identification Tool” (CSE-IT) to admission based on the following information: screen youth for the risk of sexual abuse. ☒ ☐ ☐ We reviewed ten (10) CSE-IT packages from the YSC facility. Review of documentation provided and policy and procedure manuals revealed compliance with this regulation. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Article 5 Section 1350.5 (a) (b) Gender nonconforming appearance or manner; or Article 5 Section 1350.5 (b) identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Article 5 Section 1350.5 (c) (d) Age; ☒ ☐ ☐ Article 5 Section 1350.5 (d) (e) Level of emotional and cognitive development; ☒ ☐ ☐ Article 5 Section 1350.5 (e) (f) Physical size and stature; ☒ ☐ ☐ Article 5 Section 1350.5 (f) (g) Mental illness or mental disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (g) (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (h) (i) Physical disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (i) (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Article 5 Section 1350.5 (j) (k) Any other specific information about the individual Article 5 Section 1350.5 (k) youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Article 5 Section 1350.5 conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. 7550 San Mateo Youth Services Center PRO 23-24 Page 16 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall implement appropriate Article 5 Section 1350.5 controls on the dissemination of information within the facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Article 5 Section 1351 The facility administrator shall develop and implement written policies and procedures for release of youth from custody which provide for: We reviewed ten (10) Notice of Release forms from the YSC facility. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. However, while reviewing the Notice of ☒ ☐ ☐ Release form, it was discovered the signature of the individual the youth was being released to was not on the form. Technical assistance was provided regarding including on the release form the printed name and signature of the individual the youth was being released to. Prior to the conclusion of the inspection, the facility revised and implemented an updated release form which included the printed name and signature of the individual receiving the youth. Article 5 Section 1351 (a) verification of identity/release papers; ☒ ☐ ☐ Article 5 Section 1351 We reviewed ten (10) Property Receipt forms (b) return of personal clothing and valuables; ☒ ☐ ☐ from the YSC facility. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. Article 5 Section 1351 (c) notification to the youth's parents or guardian; ☒ ☐ ☐ (d) notification to the facility health care provider in Article 5 Section 1351 accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, 7550 San Mateo Youth Services Center PRO 23-24 Page 17 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Article 5 Section 1351 (e) notification of school staff; ☒ ☐ ☐ Article 5 Section 1351 (f) notification of facility mental health personnel. ☒ ☐ ☐ The facility administrator shall develop and implement Article 5 Section 1351 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Article 5 Section 1351 written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Article 5 Section 1352 The facility administrator shall develop and implement written policies and procedures on classification of youth for the purpose of determining housing placement in the ☒ ☐ ☐ We reviewed ten (10) youth classification facility. packets. Review of documentation provided and policy and procedure manual revealed Such procedures shall: compliance with this regulation. (a) provide for the safety of the youth, other youth, Article 5 Section 1352 (2a) facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Article 5 Section 1352 (2b) the facility; ☒ ☐ ☐ (c) provide that a youth shall be classified upon Article 5 Section 1352 (2b) admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Article 5 Section 1352 provisions that consider the level of supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ Youth classifications are reviewed weekly in Multi-Disciplinary Team Meetings (MDT). 7550 San Mateo Youth Services Center PRO 23-24 Page 18 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) provide that facility staff shall not separate youth Article 5 Section 1352 (4) from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Article 5 Section 1352 (4) transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Article 5 Section 1352.5 The facility administrator shall develop written policies and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The We reviewed the Transgender/Intersex Youth policies shall provide that: Preference form. Review of form provided and ☒ ☐ ☐ policy and procedure manuals revealed compliance with this regulation. (a) Facility staff shall respect every youth’s gender Article 5 Section 1352.5 identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Article 5 Section 1352.5 themselves in a manner consistent with their gender ☒ ☐ ☐ identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Article 5 Section 1352.5 best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall ☒ ☐ ☐ document the reasons for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Article 5 Section 1352.5 and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. 7550 San Mateo Youth Services Center PRO 23-24 Page 19 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Consistent with the facility’s reasonable and Article 5 Section 1352.5 necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Article 5 Section 1352.5 youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Article 5 Section 1353 The facility administrator shall develop and implement written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal We reviewed ten (10) youth San Mateo information shall be provided and supplemented with County Youth Services Center (YSC) video orientation if feasible. Provision shall be made to Orientation forms. Review of documentation provide accessible orientation information to all detained provided and policy and procedure manual youth including those with disabilities, limited literacy, or revealed compliance with this regulation. ☒ ☐ ☐ English language learners. Orientation shall include information that addresses: Each youth is provided a Youth Orientation Handbook during the booking process. The handbook is available in English and Spanish. (a) facility rules including contraband and searches and Article 5 Section 1353 (1) ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions Article 5 Section 1353 (2) and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Article 5 Section 1353 (14) facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Article 5 Section 1353 (21) ☒ ☐ ☐ Documented within the handbook. (e) the existence of the grievance procedure, the steps Article 5 Section 1353 (5) that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; 7550 San Mateo Youth Services Center PRO 23-24 Page 20 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) access to legal services and information on the Article 5 Section 1353 (9) ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Article 5 Section 1353 (6) ☒ ☐ ☐ health care; (h) access to education, religious services, and Article 5 Section 1353 (10) ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Article 5 Section 1353 (8) (j) opportunity for personal hygiene and daily showers Article 5 Section 1353 (4) ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and Article 5 Section 1353 (3) ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Article 5 Section 1353 (11) ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Article 5 Section 1353 (12) ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ Article 5 Section 1353 (16) (o) emergencies including evacuation procedures; ☒ ☐ ☐ Article 5 Section 1353 (17) (p) non-discrimination policy and the right to be free from Article 5 Section 1353 (20) physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Article 5 Section 1353 (7) ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, Article 5 Section 1353 (23) ☒ ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive Article 5 Section 1353 (24) information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title Article 5 Section 1353 (25) 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Access to Title 15 is available to youth upon request to staff. 7550 San Mateo Youth Services Center PRO 23-24 Page 21 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION Article 5 Section 1354 The facility administrator shall develop and implement written policies and procedures that address: During this inspection cycle, the YSC has had one incident which resulted in one youth being ☒ ☐ ☐ placed on Alternative Program (AP). Documentation provided and review of policy and procedure revealed compliance with this regulation. (a) separation of youth for reasons that include, but are Article 5 Section 1354 not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Article 5 Section 1354 trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal Article 5 Section 1354 privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Article 5 Section 1354 Title 15 Section 1390 shall apply. ☒ ☐ ☐ (e) when separation results in room confinement, the Article 5 Section 1354 separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Article 5 Section 1354 of separated youth to determine if separation remains ☒ ☐ ☐ necessary. 1354.5 ROOM CONFINEMENT Article 5 section 1354.3 Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing the confinement of youth in their room that are Compliance of this regulation is based solely consistent with Welfare and Institutions Code Section on review of YSC policy and procedure 208.3. The placement of a youth in room confinement manual as the facility has not used room ☒ ☐ ☐ shall be accomplished in accordance with the following confinement this inspection cycle. Review of guidelines: policy and procedure revealed compliance with this regulation. (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. 7550 San Mateo Youth Services Center PRO 23-24 Page 22 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Room confinement shall not be used for the 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 YSC policy and procedure ☒ ☐ ☐ manual states youth may be held up to two hours before doing one of the following below. That is two hours less than the regulation requires youth being held up to four hours before doing one of the following below. Article 5 section 1354.3 Room Confinement (4a) (1) Return the youth to general population. ☒ ☐ ☐ Article 5 section 1354.3 Room Confinement (4b) (2) Consult with mental health or medical staff. ☒ ☐ ☐ (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. 7550 San Mateo Youth Services Center PRO 23-24 Page 23 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) This section is not intended to limit the use of 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. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Article 5 section 1355 The facility administrator shall develop and implement written policies and procedures for assessment and case planning. ☒ ☐ ☐ Reviewed five (5) Youth Institutional Assessment Case plans from the YSC facility. Review of documentation provided revealed compliance with this regulation. (a) Assessment: Article 5 section 1355.1 Assessment (a, b, c, The assessment is based on information collected d) during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. 7550 San Mateo Youth Services Center PRO 23-24 Page 24 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Institutional Case Plan: Article 5 Section 1355.2 Institutional Case (1) A case plan shall be developed for each youth Plan ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be Article 5 Section 1355.2 (a) Institutional Case ☒ ☐ ☐ limited to, written documentation that provides: Plan (A) objectives and time frame for the resolution of Article 5 Section 1355.2 Institutional Case ☒ ☐ ☐ problems identified in the assessment; Plan (B) a plan for meeting the objectives that includes Article 5 Section 1355.2 (b) Institutional Case a description of program resources needed and Plan individuals responsible for assuring that the plan is implemented; ☒ ☐ ☐ During the inspection process, we provided technical assistance with regards to youth goals and objectives being individualized for each youth’s criminogenic needs. (3) periodic evaluation of progress towards meeting Article 5 Section 1355.2 Institutional Case the objectives, including periodic review and Plan (c) discussion of the plan with the youth; ☒ ☐ ☐ It should be noted periodic reviews of youth case plans are conducted every 60 days. (4) a transition plan, the contents of which shall be Article 5 Section 1355.2 (d) Institutional Case subject to existing resources, shall be developed for Plan ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Article 5 Section 1355.2 (e) Institutional Case plan, including the transition plan, shall be developed Plan with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Article 5 Section 1356 The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ Reviewed ten (10) youth Counseling and youth. Policies and procedures shall ensure: Casework packets from YSC. Review of documentation provided revealed compliance with this regulation. (a) youth will receive assistance with needs or concerns ☒ ☐ ☐ Article 5 Section 1356 that may arise; (b) youth will receive assistance in requesting contact Article 5 Section 1356.1 Request and ☒ ☐ ☐ with parents, other supportive adults, attorney, clergy, Referrals probation officer, or other public official; and, (c) youth will be provided access to available resources Article 5 Section 1356.1 Request and ☒ ☐ ☐ to meet the youth’s needs. Referrals 7550 San Mateo Youth Services Center PRO 23-24 Page 25 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Article 5 Section 1357 The facility administrator, in cooperation with the responsible physician, shall develop and implement written policies and procedures for the use of force, We reviewed ten (10) hands-on use of force which may include chemical agents. Force shall never reports from the YSC facility. Review of policy be applied as punishment, discipline, retaliation or ☒ ☐ ☐ and procedure and documentation revealed treatment. compliance with this regulation. It should be noted each report reviewed contained staff (a) At a minimum, each facility shall develop policies and efforts to de-escalate the incident and procedures which: command calls given to the youth prior to going hands-on to protect the safety of the youth and the facility. (1) restricts the use of force to that which is deemed 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. ☒ ☐ ☐ 7550 San Mateo Youth Services Center PRO 23-24 Page 26 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. Review of documentation revealed notification to parents following a use of force incident ☒ ☐ ☐ was not being completed consistently. Technical assistance was provided and, prior to the conclusion of the inspection, the facility updated their special incident form to include notification to parents when use of force has been utilized. (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. (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: 7550 San Mateo Youth Services Center PRO 23-24 Page 27 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1358 USE OF PHYSICAL RESTRAINTS Article 5 Section 1358 The facility administrator, in cooperation with the responsible physician and mental health director, shall develop and implement written policies and procedures Review of documentation provided and policy for the use of restraint devices. Restraint devices and procedure manuals revealed compliance include any devices which immobilize a youth's with this regulation. extremities and/or prevent the youth from being ☒ ☐ ☐ ambulatory. It should be noted handcuffs or mechanical restraints are only used for transportation or movement within the facility. Physical restraints may be used only for those youth Article 5 Section 1358 who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause Handcuffs or mechanical restraints are only self-inflicted physical harm. Physical restraints should used for transportation or movement within be utilized only when it appears less restrictive ☒ ☐ ☐ the facility. alternatives would be ineffective in controlling the youth’s behavior. Plastic cuffs will be used only in unusual situations where handcuffs are not available. In no case shall restraints be used as punishment or Article 5 Section 1358 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7550 San Mateo Youth Services Center PRO 23-24 Page 28 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The provisions of this section do not apply to the use of Article 5 Section 1358 handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Article 5 Section 1358 of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Article 5 Section 1358 (5) retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Article 5 Section 1358 (7) possible, but in no case longer than four hours from the ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Article 5 Section 1358 (8) to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Article 5 Section 1358 (9a) procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate Article 5 Section 1358 (9b) ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☒ ☐ ☐ Article 5 Section 1358 (9c) (d) signs or symptoms which should result in immediate Article 5 Section 1358 (9d) ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation Article 5 Section 1358 (9e) ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Article 5 Section 1358 (9f) restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Article 5 Section 1358 (9g) 7550 San Mateo Youth Services Center PRO 23-24 Page 29 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) exercising of extremities. ☒ ☐ ☐ Article 5 Section 1358 (9h) 1358.5 USE OF RESTRAINT DEVICES FOR Article 5 Section 1358.5 MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. The Facility Administrator, in cooperation with the Review of documentation provided and policy responsible physician and behavioral/mental health ☒ ☐ ☐ and procedure manuals revealed compliance director, shall develop and implement written policies with this regulation. and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff All permanent and core trained youth approved to utilize restraint devices and the required ☒ ☐ ☐ supervision staff are approved to use training. restraints within the facility. (b) the circumstances leading to the application of Article 5 Section 1358.5 restraints must be documented. ☒ ☐ ☐ (c) an individual assessment of the need to apply Article 5 Section 1358.5 restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Article 5 Section 1358.5 with a clearly defined expectation that restraint devices ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Article 5 Section 1358.5.1 Pregnant Youth accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Article 5 Section 1359 (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures Compliance with this regulation is based governing the use of safety rooms, as described in Title solely on the review of the facility policy and 24, Part 2, Section 1230.1.13. The room shall be used procedure manual as the safety room has yet to hold only those youth who present an immediate ☒ ☐ ☐ to be utilized this inspection cycle. Review of danger to themselves or others, who exhibit behavior the policy and procedure manual revealed which results in the destruction of property, or reveals compliance with this regulation. the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary Article 5 Section 1359 nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; 7550 San Mateo Youth Services Center PRO 23-24 Page 30 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) provide for approval of the facility manager, or Article 5 Section 1359 designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Article 5 Section 1359 and documentation of the youth's behavior and any ☒ ☐ ☐ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the Article 5 Section 1359 facility manager, or designee, every four hours; ☒ ☐ ☐ (5) provide for immediate medical assessment, Article 5 Section 1359 where appropriate, or an assessment at the next ☒ ☐ ☐ daily sick call; and, (6) provide a process for documenting the reason for Article 5 Section 1359 placement, including attempts to use less restrictive ☒ ☐ ☐ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be Article 5 Section 1359 accomplished in accordance with the following: ☒ ☐ ☐ (1) safety room shall not be used before other less Article 5 Section 1359 restrictive options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Article 5 Section 1359 punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Article 5 Section 1359 compromises the mental and physical health of the ☒ ☐ ☐ youth. (c) A youth may be held up to four hours in the safety Article 5 Section 1359 room. After the youth has been held in the safety room ☒ ☐ ☐ for a period of four hours, staff shall do one or more of the following: Article 5 Section 1359 ☒ ☐ ☐ (1) return the youth to general population. Article 5 Section 1359 ☒ ☐ ☐ (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the Article 5 Section 1359 goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. 7550 San Mateo Youth Services Center PRO 23-24 Page 31 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) If confinement in the safety room must be extended Article 5 Section 1359 beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Article 5 Section 1360 The facility administrator shall develop and implement written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures We reviewed five (5) Search Authorization shall provide that: forms in which youth were strip searched. Facts for supporting each strip search were noted on the forms. Review of documentation provided and policy and procedure manuals ☒ ☐ ☐ revealed compliance with this regulation. However, technical assistance was provided regarding updating and removing outdated language from the current form. Prior to the conclusion of the inspection, the facility updated and implemented a new Search Authorization form. (a) Searches shall be conducted to ensure the safety Article 5 Section 1360.9 Training and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. (b) Searches shall be conducted in a manner that Article 5 Section 1360.9 Training preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Article 5 Section 1360.2 Strip Searches searches shall comply with Penal Code Section 4030. ☒ ☐ ☐ (d) Physical body cavity searches shall only be Article 5 Section 1360.3 Physical Body Cavity conducted by a medical professional. Search ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only Article 5 Section 1360.2 Strip Search be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Article 5 Section 1360.5 Transgender comply with Section 1352.5. Searches ☒ ☐ ☐ 7550 San Mateo Youth Services Center PRO 23-24 Page 32 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Cross-gender pat-down searches and strip searches Article 5 Section 1360.5 Transgender are prohibited except in exigent circumstances or when Searches ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Article 5 Section 1361 The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to any We reviewed the grievance logs from condition of confinement, including but not limited to January, February, and March 2023 at YSC. health care services, classification decisions, program In all, we reviewed twenty-six (26) youth ☒ ☐ ☐ participation, telephone, mail or visiting procedures, grievance forms. Review of policy and food, clothing, bedding, mistreatment, harassment or procedure and review of documentation violations of the nondiscrimination policy. There shall be provided revealed compliance with this no time limit on filing grievances. Policies and regulation. procedures shall include provisions whereby the facility manager ensures: (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; (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; (c) resolution of the grievance at the lowest appropriate Article 5 Section 1361 (2) staff level; ☒ ☐ ☐ (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 addressed immediately; (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; ☒ ☐ ☐ (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, 7550 San Mateo Youth Services Center PRO 23-24 Page 33 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1362 REPORTING OF INCIDENTS Article 5 section 1362 A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be Review of documentation provided revealed ☒ ☐ ☐ maintained. Such written record shall be prepared by the compliance with this regulation. staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Article 5 section 1362 DNA SPECIMENS, SAMPLES, IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel Force will not be used in the collection of including peace officers, may employ reasonable force samples except as authorized by court order. to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or ☒ ☐ ☐ The OD Supervisor will review and approve impressions pursuant to Penal Code Section 296 and any use of force. The Supervisor shall be who refuse following written or oral request. present to supervise and document the use of force. Force has not been utilized to obtain any type of samples this inspection cycle. (1) For the purpose of this section, the “use of Article 5 section 1362 reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Article 5 section 1362 efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Article 5 section 1362 authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. 7550 San Mateo Youth Services Center PRO 23-24 Page 34 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) If the use of reasonable force includes a cell Article 5 section 1362 extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM Article 6 section 1370 (a) School Programs The County Board of Education shall provide for the The San Mateo County Office of Education administration and operation of juvenile court schools in Court and Community School Program conjunction with the Chief Probation Officer, or designee provides a student-centered, standards- pursuant to applicable State laws. The school and facility based curriculum. SMOE engages in a administrators shall develop and implement written policy partnership with the College of San Mateo and procedures to ensure communication and through Project Change which provides coordination between educators and probation staff. students with unique opportunities to develop Culturally responsive and trauma-informed approaches college and career readiness skills, complete should be applied when providing instruction. Education California’s High School requirements for staff should collaborate with the facility administrator to Graduation, and pursue college-level courses use technology to facilitate learning and ensure safe for college credit. technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report We interviewed school staff, probation staff, or review checklist on compliance, deficiencies, and youth, and reviewed school daily schedules corrective action needed to achieve compliance with this which revealed compliance with this section. Such a review, when conducted, cannot be regulation. delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside It should be noted the Annual Education agency or individual. Upon receipt of the review, the review was completed on 9/12/2022 by facility administrator or designee shall review each item Johanna Rasmussen and Sathvik Nori. with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Article 6 section 1370 The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California ☒ ☐ ☐ Standards for the Teaching Profession, teachers shall establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. 7550 San Mateo Youth Services Center PRO 23-24 Page 35 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS All youth shall be treated equally, and the education Article 6 section 1370 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Article 6 section 1370 Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Article 6 section 1370 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Article 6 section 1370 education and vocational opportunities. ☒ ☐ ☐ (4) Administration of the High School Equivalency Article 6 section 1370 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Article 6 section 1370 who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Article 6 section 1370 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Article 6 section 1370 of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Article 6 section 1370 (1) Positive behavior management will be implemented to reduce the need for disciplinary action The education program is integrated into the in the school setting and be integrated into the facility's juvenile facilities’ overall positive behavioral overall behavioral management plan and security ☒ ☐ ☐ management plan and security program. Any system. violations committed while participating in the education program will be handled under the Youth Discipline Policy. 7550 San Mateo Youth Services Center PRO 23-24 Page 36 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) School staff shall be advised of administrative Article 6 section 1370 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Article 6 section 1370 Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Article 6 section 1370 education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Article 6 section 1370 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Article 6 section 1370 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Article 6 section 1370 (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; Article 6 section 1370 ☒ ☐ ☐ (B) Home Language Survey and the results of the Article 6 section 1370 State Test used for English language proficiency; ☒ ☐ ☐ (C) Needs and services of special populations as Article 6 section 1370 defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. Article 6 section 1370 ☒ ☐ ☐ (2) Youth will be immediately enrolled in school. Article 6 section 1370 Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. 7550 San Mateo Youth Services Center PRO 23-24 Page 37 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) After admission to the facility, a preliminary Article 6 section 1370 education plan shall be developed for each youth ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with Article 6 section 1370 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Article 6 section 1370 (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Article 6 section 1370 provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Article 6 section 1370 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities Article 6 section 1370 (1) The school and facility administrator should, whenever possible, collaborate with local post- secondary education providers to facilitate access to ☒ ☐ ☐ It should be noted that, at the time of the educational and vocational opportunities for youth that inspection, YSC had seven (7) youth enrolled considers the use of technology to implement these in the College of San Mateo. programs. 1371 PROGRAMS, RECREATION, AND Article 6 Section 1371 EXERCISE. The facility administrator shall develop and implement written policies and procedures for programs, Review of policy and procedures and daily recreation, and exercise for all youth. The intent is to schedule revealed compliance with this minimize the amount of time youth are in their rooms or regulation. Documentation of youth’s their bed area. ☒ ☐ ☐ programs, recreation, and exercise are documented within the youth program sheets. 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. 7550 San Mateo Youth Services Center PRO 23-24 Page 38 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for 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 shall Article 6 Section 1371 be posted in the living units. ☒ ☐ ☐ It should be noted, during the inspection facility walkthrough, the youth 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 relevant to the population. ☒ ☐ ☐ Programs Annual Review completed by Superintendent Jehan Clark on March 31, 2023. (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, evidence-based, best practice interventions that are YSC youth all participate in programming culturally relevant and linguistically appropriate, or pro- which focus on trauma-focused, cognitive, social interventions and activities designed to reduce evidence-based, best practice interventions recidivism. These programs should be based on the that are culturally relevant and linguistically youth’s individual needs as required by Sections 1355 appropriate or prosocial interventions and and 1356. Such programs may be provided under the ☒ ☐ ☐ activities designed to reduce recidivism. 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: 7550 San Mateo Youth Services Center PRO 23-24 Page 39 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; Article 6 Section 1371 (2) Management of Stress and Trauma; (3) Anger Management; Review of daily program schedules and interviews with the staff and youth revealed (4) Conflict Resolution; compliance with this regulation. (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 ☒ ☐ ☐ entertainment. Activities shall be supervised and include Review of daily program schedules and orientation and may include coaching of youth. interviews with the staff and youth revealed 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. ☒ ☐ ☐ 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 ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7550 San Mateo Youth Services Center PRO 23-24 Page 40 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM Article 6 Section 1372 The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be Review of daily schedule revealed youth can allowed to participate in an activity outside of their room if ☒ ☐ ☐ participate in alternative programming during he/she elects not to participate in religious programs. the scheduled religious program time. Religious programs shall provide for: Article 6 Section 1372.2 (a) opportunity for religious services and practices; ☒ ☐ ☐ Article 6 Section 1372.1 (b) availability of clergy; and, ☒ ☐ ☐ Article 6 Section 1372.5 (c) availability of religious diets. ☒ ☐ ☐ 1373 WORK PROGRAM Article 6 section 1373 The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth Review of policy and procedure revealed ☒ ☐ ☐ shall be meaningful, constructive and related to compliance with this regulation. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING Article 6 Section 1374 The facility administrator shall develop and implement written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to We reviewed the YSC visiting logs from receive visits by parents, guardians or persons standing January, February, and March 2023. Review in loco parentis, and children of youth. Other family ☒ ☐ ☐ of logs and review policy and procedures members, such as grandparents and siblings, and revealed compliance with this regulation. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to Article 6 Section 1374 the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. 7550 San Mateo Youth Services Center PRO 23-24 Page 41 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Opportunity for visitation shall be a minimum of two hours Article 6 Section 1374 per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour Article 6 Section 1374 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy ☒ ☐ ☐ and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Article 6 Section 1374 alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Zoom visits are offered to youth but not as a replacement to in-person visits. 1375 CORRESPONDENCE Article 6 Section 1375 The facility administrator shall develop and implement written policies and procedures for correspondence ☒ ☐ ☐ which provide that: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) there is no limitation on the volume of mail that youth Article 6 Section 1375 ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Article 6 Section 1375 (c) youth may correspond confidentially with state and Article 6 Section 1375 federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Article 6 Section 1375 in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Article 6 Section 1376 The administrator of each juvenile facility shall develop and implement written policies and procedures to provide ☒ ☐ ☐ youth with access to telephone communications. Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. 7550 San Mateo Youth Services Center PRO 23-24 Page 42 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1377 ACCESS TO LEGAL SERVICES Article 6 section 1377 The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed Article 6 section 1377.2 attorneys and their authorized representatives; ☒ ☐ ☐ (b) provision for confidential consultation with attorneys; Article 6 section 1377.1 and, ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Article 6 section 1377.4 cost-free telephone access as appropriate. ☒ ☐ ☐ 1390 DISCIPLINE Article 7 Section 1390 The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use Review of policy and procedures and of positive behavior interventions and supports. Discipline documentation revealed compliance with this ☒ ☐ ☐ shall be imposed at the least restrictive level which regulation. promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Article 7 Section 1390 (a) (b) daily shower, access to drinking fountain, toilet and Article 7 Section 1390 (b) ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Article 7 Section 1390 (c) (d) contact with parent or attorney; ☒ ☐ ☐ Article 7 Section 1390 (d) (e) exercise; ☒ ☐ ☐ Article 7 Section 1390 (e) (f) medical services and counseling; ☒ ☐ ☐ Article 7 Section 1390 (f) (g) religious services; ☒ ☐ ☐ Article 7 Section 1390 (g) (h) clean and sanitary living conditions; ☒ ☐ ☐ Article 7 Section 1390 (h) (i) the right to send and receive mail; ☒ ☐ ☐ Article 7 Section 1390 (i) (j) education; and, ☒ ☐ ☐ Article 7 Section 1390 (j) (k) rehabilitative programming. ☒ ☐ ☐ Article 7 Section 1390 (k) 7550 San Mateo Youth Services Center PRO 23-24 Page 43 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall establish rules of conduct Article 7 Section 1390 and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Article 7 Section 1391 The facility administrator shall develop and implement written policies and procedures for the administration of discipline which shall include, but not be limited to: ☒ ☐ ☐ We reviewed ten (10) Due Process Tickets from YSC. Review of policy and procedures and documentation revealed compliance with this regulation. (a) designation of personnel authorized to impose Article 7 Section 1391 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Article 7 Section 1391 (c) definition of major and minor rule violations and their Article 7 Section 1391 ☒ ☐ ☐ consequences, and due process requirements; (d) trauma-informed approaches and positive behavior Article 7 Section 1391 ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Article 7 Section 1391 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall Article 7 Section 1391 be documented and require the following: We reviewed ten (10) Due Process Tickets from YSC. Review of policy and procedures and documentation revealed compliance with this regulation. ☒ ☐ ☐ It should be noted technical assistance was provided with regards to the due process ticket form. We recommended including a signature line on the form for the youth to sign and acknowledge his/her due process. Prior to the conclusion of the inspection, the facility updated their form to include a signature for the youth to sign. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Article 7 Section 1391 7550 San Mateo Youth Services Center PRO 23-24 Page 44 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) accommodations provided to youth with Article 7 Section 1391 disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Article 7 Section 1391 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Article 7 Section 1391 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Article 7 Section 1391 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Article 7 Section 1391 (g) violations that result in a removal from camp or Article 7 Section 1391 commitment program, but not a return to court, will ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Article 10 Section 1410 DISEASES. The health administrator/responsible physician, in cooperation with the facility administrator and the local Review of policy and procedure revealed health officer, shall develop written policies and ☒ ☐ ☐ compliance with this regulation. procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; ☒ ☐ ☐ Article 10 Section 1410 (b) Identification of relevant symptoms; ☒ ☐ ☐ Article 10 Section 1410 (c) Referral for medical evaluation; ☒ ☐ ☐ Article 10 Section 1410 (d) Treatment responsibilities during detention; ☒ ☐ ☐ Article 10 Section 1410 (e) Coordination with public and private community- Article 10 Section 1410 ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Article 10 Section 1410 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Article 10 Section 1410 The policies and procedures shall be updated as Article 10 Section 1410 necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 7550 San Mateo Youth Services Center PRO 23-24 Page 45 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Article 10 Section 1433 (EXCERPT) The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ All youth Housing units have a medical lock establish a daily routine for youth to convey requests for box in the dayroom. Youth fill out a medical emergency and non-emergency medical, dental and service request form for medical or mental behavioral/mental health care services. health services. 1480 STANDARD FACILTY CLOTHING ISSUE Article 10 Section 1480 The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing and footwear specified in this regulation. The facility has Review of policy and procedure and the primary responsibility to provide clothing and ☒ ☐ ☐ interviews with staff and youth revealed footwear. Clothing provisions shall ensure that: compliance with this regulation. (a) Clothing is clean, reasonably fitted, durable, easily Article 10 Section 1480 ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. (b) The standard issue of climatically suitable clothing Article 10 Section 1480 ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Article 10 Section 1480 (2) Outer garments; ☒ ☐ ☐ Article 10 Section 1480 (3) New non-disposable underwear which shall Article 10 Section 1480 ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and Article 10 Section 1480 ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by Article 10 Section 1480 local ordinances for the commercial laundries and dried ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Article 10 Section 1480 1482 CLOTHING EXCHANGE Article 10 Section 1482 The facility administrator shall develop and implement written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless Review of policy and procedure and work, climatic conditions, or illness necessitates more ☒ ☐ ☐ interviews with staff and youth revealed frequent exchange, outer garments, except for footwear, compliance with this regulation and youth are shall be exchanged at least once each week. Tee shirts, receiving their own underwear back at clothing bras, and underwear shall be exchanged daily; youth exchange. shall receive their own underwear back at exchange. 7550 San Mateo Youth Services Center PRO 23-24 Page 46 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1484 CONTROL OF VERMIN IN YOUTH’S Article 10 Section 1484 PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility Review of policy and procedure revealed administrator to control the contamination and/or spread ☒ ☐ ☐ compliance with this regulation. of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Article 10 Section 1485 There shall be written policies and site-specific procedures developed and implemented by the facility administrator for the availability of personal hygiene Review of policy and procedure and ☒ ☐ ☐ items. Each female youth shall be provided with sanitary interviews with staff and youth revealed napkins, panty liners and tampons as requested. Each compliance with this regulation. youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Article 10 Section 1485 (b) Toothpaste; ☒ ☐ ☐ Article 10 Section 1485 (c) Soap; ☒ ☐ ☐ Article 10 Section 1485 (d) Comb; ☒ ☐ ☐ Article 10 Section 1485 (e) Shaving implements; ☒ ☐ ☐ Article 10 Section 1485 (f) Deodorant; ☒ ☐ ☐ Article 10 Section 1485 (g) Lotion; ☒ ☐ ☐ Article 10 Section 1485 (h) Shampoo; and, ☒ ☐ ☐ Article 10 Section 1485 (i) Post-shower conditioning hair products. ☒ ☐ ☐ Article 10 Section 1485 Youth shall not be required to share any personal care Article 10 Section 1485 items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 7550 San Mateo Youth Services Center PRO 23-24 Page 47 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1486 PERSONAL HYGIENE Article 10 Section 1486 There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of Review of policy and procedure and ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on interviews with staff and youth revealed assignment to a housing unit and on a daily basis compliance with this regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Article 10 Section 1487 Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal Review of policy and procedure and ☒ ☐ ☐ opportunity to shave face and body hair. The facility interviews with staff and youth revealed administrator may suspend this requirement in relation compliance with this regulation. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Article 10 Section 1488 Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each ☒ ☐ ☐ Review of policy and procedure and haircut or procedure, by a method approved by the State interviews with staff and youth revealed Board of Barbering and Cosmetology. compliance with this regulation. 1500 STANDARD BEDDING AND LINEN ISSUE Article 11 Section 1500 Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, ☒ ☐ ☐ Review of policy and procedure and but not be limited to: interviews with staff and youth revealed compliance with this regulation. (a) One mattress or mattress-pillow combination which Article 11 Section 1500 meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Article 11 Section 1500 ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Article 11 Section 1500 (d) One towel; and, ☒ ☐ ☐ Article 11 Section 1500 (e) One blanket or more, up on request ☒ ☐ ☐ Article 11 Section 1500 7550 San Mateo Youth Services Center PRO 23-24 Page 48 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1501 BEDDING LINEN EXCHANGE Article 11 Section 1501 The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen Review of policy and procedure and ☒ ☐ ☐ issued to each youth housed. Washable items such as interviews with staff and youth revealed sheets, mattress covers, pillow cases and towels shall compliance with this regulation. be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Article 11 Section 1501 once a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND Article 11 Section 1510 MAINTENANCE The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, Review of policy and procedure revealed repair and safety throughout the facility. The plan shall compliance with this regulation. provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7550 San Mateo Youth Services Center PRO 23-24 Page 49 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☒ ☐ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☒ ☐ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) 7550 San Mateo Youth Services Center PRO 23-24 Page 50 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☒ ☐ separated from minors. ☐ Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7550 San Mateo Youth Services Center PRO 23-24 Page 51 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7550 FACILITY NAME: San Mateo Youth Services Center (YSC) FACILITY TYPE: JH APPLICABLE REGULATIONS (Check All That Apply): 4/98: 2001: X 2003: OTHER: FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: 07/28/2023 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) At intake sally port and the drop-off lobby ☒ ☐ ☐ Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of ☒ ☐ ☐ minors pending admission to JH Provides access to a shower ☒ ☐ ☐ Provides a secure vault or storage space for ☒ ☐ ☐ minor's valuables Provides telephone access to minors ☒ ☐ ☐ Provides staff access to hot and cold running water ☒ ☐ ☐ Locked Holding Room (1.2) Contains a minimum of 15 square feet of floor ☒ ☐ ☐ area per minor Provides no less than 45 square feet of floor area ☒ ☐ ☐ Contains seating to accommodate all minors as ☒ ☐ ☐ specified in these regulations 98: Provides access to a toilet, wash basin and drinking fountain as specified in these regulations ☒ ☐ ☐ 03: Be equipped with a toilet, wash basin and drinking fountain unless a procedure is in effect to provide access Maximizes staff visual supervision ☒ ☐ ☐ 03: Outward swinging or lateral sliding door required ☐ ☐ ☒ Natural Light (1.3) Visual access to natural light is provided in locked sleeping rooms, single and double occupancy ☒ ☐ ☐ sleeping rooms, dormitories and dayrooms. Corridors (1.4) Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are ☒ ☐ ☐ located only on one side, corridors may be at least six feet wide. 7 550 San Mateo Youth Services Center PHY 23-24 - 1 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Living Unit (JH; 1.5) JH living units do not exceed 30 minors and contain sleeping areas and plumbing fixtures, ☒ ☐ ☐ commensurate with the number of minors housed. Locked Sleeping Rooms (1.6) 98: Have a toilet, wash basin and drinking fountain unless a procedure is in +effect to provide other access to these fixtures ☒ ☐ ☐ 03: Toilet, wash basin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) 98: Minimum of 63 square feet of floor area and a clear ceiling height of eight feet ☒ ☐ ☐ 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ☒ ☐ ☐ 01: View panel size changed to a minimum of 144 inches. 03: Outward swinging or lateral sliding door required ☐ ☐ ☒ Double Occupancy Sleeping Rooms (1.8) Minimum of 100 square feet floor area, a ☒ ☐ ☐ clear ceiling height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ☒ ☐ ☐ 01: View panel size changed to a minimum of 144 inches 03: Outward swinging or lateral sliding door required ☐ ☐ ☒ Dormitories (1.9) There are no dormitories in the juvenile hall. In JHs and camps, there is a minimum of 50 square feet of floor area per minor, with a ☐ ☐ ☒ minimum dormitory size of 200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for ☐ ☐ ☒ no fewer than four minors. 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps). ☐ ☐ ☒ 03: This subsection deleted, eliminating the 15 minor limitation. (See below.) 7 550 San Mateo Youth Services Center PHY 23-24 - 2 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more ☐ ☐ ☒ than 30 minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) JH dayrooms contain 35 square feet of floor ☒ ☐ ☐ area per minor. Dayrooms in camps and SPJHs contain 30 ☐ ☐ ☒ square feet of floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers. ☒ ☐ ☐ Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet ☐ ☐ ☒ dedicated indoor- outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9,000 square feet dedicated indoor- outdoor space. 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ☐ ☐ ☒ 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ☒ ☐ ☐ 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor-outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor- outdoor space is a paved or "like" surface. ☒ ☐ ☐ 01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped ☒ ☐ ☐ and of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single ☒ ☐ ☐ dimension less than 40 feet. 7 550 San Mateo Youth Services Center PHY 23-24 - 3 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Outdoor recreation area lighting allows for evening activities and provides security. ☒ ☐ ☐ Academic Classrooms (NA SPJH; 1.12) ☒ ☐ ☐ Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for every juvenile in the ☒ ☐ ☐ facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square feet of floor space for the teacher's desk and work ☒ ☐ ☐ area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to ☒ ☐ ☐ emergencies. Safety Room (1.13) Provides a minimum of 63 square feet of floor ☒ ☐ ☐ space and a minimum clear ceiling height of eight feet Limited to one minor ☒ ☐ ☐ Padded as specified in these regulations ☒ ☐ ☐ There are one or more vertical view panels constructed of security glazing. Panels provide a view of the entire room and are no more than four ☒ ☐ ☐ inches wide and at least 24 inches long. Audio monitoring system as specified in these ☒ ☐ ☐ regulations Access to a toilet, wash basin and drinking fountain ☒ ☐ ☐ is provided. 03: Be equipped with a variable intensity security-type lighting fixture, with controls ☐ ☐ ☒ outside the room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access. ☐ ☐ ☒ Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped ☒ ☐ ☐ medical examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations ☒ ☐ ☐ that is used for no other purpose; Privacy for minors; ☒ ☐ ☐ Lockable storage for medical supplies; ☒ ☐ ☐ Not less than 144 square feet floor space with ☒ ☐ ☐ no single dimension less than seven feet; Hot and cold running water; and, ☒ ☐ ☐ 7 550 San Mateo Youth Services Center PHY 23-24 - 4 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 01: Smooth, non-porous, washable surfaces. ☒ ☐ ☐ Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies and pharmaceutical preparations as ☒ ☐ ☐ specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) There is a minimum of 15 square feet floor ☒ ☐ ☐ space and sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate ☒ ☐ ☐ visual barrier. Visiting Space (1.17) Visiting space is provided. ☒ ☐ ☐ Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space per minor for institutional clothing, bedding, ☒ ☐ ☐ supplies and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of ☒ ☐ ☐ secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as fire extinguishers, self- ☒ ☐ ☐ contained breathing apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial closet containing a mop sink and sufficient area ☒ ☐ ☐ for storing cleaning implements within the security area. Audio Monitoring System (1.22) There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping ☒ ☐ ☐ rooms; single and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. 7 550 San Mateo Youth Services Center PHY 23-24 - 5 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to maintain fire and life safety, security, ☒ ☐ ☐ communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) Contain a minimum of 60 square feet of floor area ☒ ☐ ☐ and provide for confidential consultation with minors There is a minimum of one suitably furnished ☒ ☐ ☐ interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. ☐ ☐ ☒ Court Holding Room for Minors (1.26) Contains a minimum of 10 square feet of floor ☒ ☐ ☐ area per minor Limited to no more than 16 minors ☒ ☐ ☐ Provides 40 square feet of floor area and a ☒ ☐ ☐ minimum clear ceiling height of eight feet Contains seating to accommodate all minors ☒ ☐ ☐ Contains a toilet, wash basin and drinking fountain ☒ ☐ ☐ as specified in these regulations Maximizes staffs' visual supervision of minors ☒ ☐ ☐ Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms. One toilet and one urinal may be ☒ ☐ ☐ substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Wash basins must provide hot and cold or tempered water and be available on living units in ☒ ☐ ☐ a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) Drinking fountains are accessible to minors and ☒ ☐ ☐ staff in living areas and indoor-outdoor recreation areas. 7 550 San Mateo Youth Services Center PHY 23-24 - 6 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 01: The drinking fountain bubbler is activated by mechanical means and is at ☒ ☐ ☐ an angle that prevents waste water from flowing over the bubbler. Showers (2.4) Showers provide tempered water and are ☒ ☐ ☐ available on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. ☒ ☐ ☐ Beds (2.5) Beds are at least 30 inches wide and 76 long ☒ ☐ ☐ and are of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. ☒ ☐ ☐ Lighting (2.6) There is at least 20 foot-candles (216 1x) of illumination at desk level in locked sleeping ☒ ☐ ☐ rooms, single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good visibility and is conducive to sleep. ☒ ☐ ☐ Padding (2.7) Padding in safety rooms covers the floor, door and walls to ☒ ☐ ☐ a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper- resistant fire sprinkler as approved by the State Fire ☒ ☐ ☐ Marshal (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all ☒ ☐ ☐ padded surfaces; and, is without exposed seams. Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench seating ☒ ☐ ☐ is allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security ☒ ☐ ☐ perimeter of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device. ☒ ☐ ☐ Assess for New Construction/Remodel or Repair: 7 550 San Mateo Youth Services Center PHY 23-24 - 7 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Security Glazing (2.10) (Added in 2003) (Note to inspector: This will typically be assessed from specifications provided at plan review.) Security glazing complies with the minimum ☒ ☐ ☐ requirements of one of the following test standards: American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860- 94d, Class C glass; or, H. P. White Laboratory, Inc., HPW- TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met. (Note to inspector: See regulation for specific ☒ ☐ ☐ requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7 550 San Mateo Youth Services Center PHY 23-24 - 8 - J456 PHY 98 01 03.dot (8/05) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: JH 7550 SYTF 7554 FACILITY: San Mateo Youth Services Center (YSC) TYPE: JH RC: 155 SYTF 30 FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: 07/28/2023 ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # RC RC (L x W x H) T U W F S Beds Intake Pre- Interview 2001 1 0 0 9.4x8x9 receiving 75 square feet Note: This room is not rated. This room is for arresting officers to complete forms and/or reports. Seating is provided by the 7.8 foot bench located in the sally port entrance. 261 Holding 2001 1 5 5 13.2x9.7x9 1 1 1 Holding 1 115 square feet Note: 7.5 foot bench limits capacity. Includes less 13 square feet for the irregular shape. 268 Holding 2001 1 4 4 8.4x9.3x9 1 1 1 Holding 2 70 square feet Note: 6.5 foot bench limits capacity. Includes less 8.5 square feet for the irregular shape. 236,237 Holding 2001 2 4 4 7.5x9.8x9 1 1 1 Holding 3,4 68 square feet Note: 6.5 foot bench limits capacity. Includes less 5.6 square feet for the irregular shape. 239 Holding 2001 21 21 24.8x13x9 Transport 322 square feet Staging Note: 32 foot bench. Fixtures are accessible in the intake area. Safety 2001 1 1 1 7.8x8.6x8.5 1 67 square feet Note: Floor toilet. Forest Unit 1 Single 2001 5 1 1 5 10.4x7.3x9 1 1 1 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7550 7554 San Mateo JH SYTF LASE 23-24 - 1 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # RC RC (L x W x H) T U W F S Beds Double 2001 2 2 2 4 12.4x9.3x9 1 1 1 Dayroom 2001 1 1750 sq. ft. 2 2 Dorm 2001 1 6 6 6 19x17x9 Safety 2001 1 1 1 10.2x6.8x9 1 Note: Tables and seating for 16 in the Dayroom. Safety room used for storage. Unit 1 closed at the time of the inspection. Rated capacity 10 youth. Unit 2 Single 2001 20 1 1 20 10.4x7.3x9 1 1 1 Dayroom 2001 1 3806 sq. ft. 1 1 1 4 Class 2001 1 25x15.9 Rec 2001 1 1620 sq. ft. Yard Note: Unit 2 closed at the time of the inspection. Rated capacity 20 youth. Unit 3 Single 2001 29 1 1 29 10.4x7.3x9 1 1 1 Single 2001 1 1 1 1 13.5x7.3x9 1 1 1 1 Dayroom 2001 1 3775 sq. ft. 1 1 2 6 Class 2001 1 16.6x16.2 Rec 2001 1 2288 sq. ft. Yard Note: One single room is handicap accessible with shower. Tables and seating for 30 in the Dayroom. At the time of the inspection, Unit 3 was utilized as the Intake unit. Rated capacity 30 youth. Pine Unit 4 Single 2001 9 1 1 9 10.4x7.3x9 1 1 1 Single 2001 1 1 1 1 16x7.3x9 1 1 1 1 Double 2001 10 2 2 20 12.4x9.3x9 1 1 1 Safety 2001 1 1 1 10.2x6.8x9 1 Dayroom 2001 1 5175 sq. ft. 1 1 2 6 Class 2001 1 35.5x22.7 Rec 2001 1 2200 sq. ft. Yard *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7550 7554 San Mateo JH SYTF LASE 23-24 - 2 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # RC RC (L x W x H) T U W F S Beds Note: One single room is handicap accessible with shower. Tables and seating for 32 in the Dayroom. At the time of the inspection, Unit 4 housed the general population youth and SYTF youth. Rated capacity 30 youth. Unit 5 Single 2001 1 1 1 1 10.4x7.3x9 1 1 1 Single 2001 1 1 1 1 16x7.3x9 1 1 1 1 Double 2001 14 2 2 28 12.4x10.3x9 1 1 1 Dayroom 2001 1 5175 sq. ft. 1 1 2 6 Class 2001 1 32.7x16 Rec 2001 1 2200 sq. ft. Yard Note: One single room is handicap accessible with shower. Tables and seating for 32 in the Dayroom. Unit 5 closed at the time of the inspection. Rated capacity 30 youth. Elm Unit 6 Single 2001 9 1 1 9 10.4x7.3x9 1 1 1 Single 2001 1 1 1 1 10.4x9.5 1 1 1 Double 2001 10 2 2 20 12.4x9.3x9 1 1 1 Dayroom 2001 1 4500 sq. ft. 1 1 2 6 Class 2001 1 33x16 Rec 2001 1760 sq. ft. Yard Note: One single room is handicap accessible with shower. Tables and seating for 32 in the Dayroom. Unit 6 closed at the time of the inspection. Rated capacity 30 youth. Unit 7 Single 2001 9 1 1 9 10.4x7.3x9 1 1 1 Single 2001 1 1 1 1 10.4x9.5 1 1 1 1 Double 2001 10 2 2 20 12.4x9.3x9 1 1 1 Dayroom 2001 1 4500 sq. ft. 1 1 2 6 Class 2001 1 33x16 Rec 2001 1 1760 sq. ft. Yard Note: One single room is handicap accessible with shower. Tables and seating for 32 in the Dayroom. Unit 7 closed at the time of the inspection. Rated capacity 30 youth. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7550 7554 San Mateo JH SYTF LASE 23-24 - 3 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # RC RC (L x W x H) T U W F S Beds Court Holding 236,237 Holding 2001 2 3 6 10.5x8x9 1 1 1 84 sq. ft. Note: 5 ft. bench limits capacity. Juvenile holding room. 235 Holding 2001 1 3 3 10.5x8x9 1 1 1 84 sq. ft. Note: 5 ft. bench limits capacity. Adult holding cell or juvenile holding room. Note: Youth not considered a security risk can sit in the large open area in the center of the court holding area Interview rooms and a youth restroom is available. Theater seating is used. Building 4 Gym 2001 1 90x62 Class 2001 6 38.75x18.1 Class 2001 1 20.5x38.75 Class 2001 1 31x15.9 Class 2001 1 25.5x38.75 Class 2001 1 32.2x35.5 Yard 2001 1 Over 61,650 sq. ft. Dining 2001 1 3312.5 sq. ft. Note: Assistant Deputy Chief Probation Officer Jehan Clark reports no changes to the facility during the 2023-2024 inspection cycle thus far. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7550 7554 San Mateo JH SYTF LASE 23-24 - 4 - J460 LAS JUV-05.dot (rev.12/2022) 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 – Camp Kemp (CK) FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Jehan Clark, Assistant Deputy Chief Probation Officer; Ivonne Bustos, Institution Service Manager; Sanam Aram, Superintendent; Elizabeth Andrews, Group Supervisor III; Mariela Jimenez, Group Supervisor III; Ruby Blanco, Registered Nurse County Health; Shin Choi, Registered Nurse County Health; Lauren Sneed, School Counselor San Mateo Office of Education; Aurora Pena, Supervising Behavioral Health Clinician; Jonas Barbour, Assistant Principal FIELD REPRESENTATIVE: Craigus Thompson DATE: July 26, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF All Local Inspections completed for this BUILDING AND GROUNDS inspection cycle. On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ Article 2 Section 1313 documented inspection and evaluation from the following: Camp - Completed 9/7/2023 (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Youth Services Center (YSC) - Completed on clearance as required by Health and Safety Code Section ☒ ☐ ☐ 9/1/2022 13146.1(a) and (b); (c) local health officer, inspection in accordance with EH - Completed on 10/19/2022 Health and Safety Code Section 101045; NUT - Completed on 10/10/2022 ☒ ☐ ☐ MED/MH - Completed on 6/14/2023 (d) county superintendent of schools on the adequacy of Completed on 9/12/2022 by Johanna educational services and facilities as required in Section ☒ ☐ ☐ Rasmussen and Sathvik Nori. 1370; (e) juvenile court as required by Section 209 of the ☒ ☐ ☐ Completed by Judge Susan I. Etezadi on Welfare and Institutions Code; and, 12/9/2022. (f) the Juvenile Justice Commission as required by Completed on 8/23/2023 and 8/31/2023. Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 1 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Article 3 Section 1321 BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification Memo submitted to BSCC by Chief John T. letter confirming that all elements of regulation are met. Keene on March 23, 2023. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Article 3 Section 1321 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ Chief Keene memo knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; Article 3 Section 1321 (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ Chief Keene memo childhood (i.e., diphtheria, rubeola, rubella, and mumps); Article 3 Section 1321 (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ Chief Keene memo pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Article 3 Section 1321 employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Chief Keene memo Code. (c) Contract personnel, volunteers, and other non- Article 3 Section 1321 employees of the facility, who may be present at the facility, shall have such clearance and qualifications as Chief Keene memo may be required by law, and their presence at the facility ☒ ☐ ☐ shall be subject to the approval and control of the facility manager. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 2 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Article 3 Section 1321 Each juvenile facility shall: (a) have an adequate number of personnel sufficient to We reviewed a variety of documents including carry out the overall facility operation and its safety check records, grievances, disciplinary programming, to provide for safety and security of youth actions, and incident reports. Also reviewed and staff, and meet established standards and January and February 2023 staffing regulations; schedules for Camp Kemp (CK). 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 Superintendent; 1 Compliance Officer; 2 Institution Services Managers; 4 Group Supervisors III; 4 Group Supervisors II; 2 Group Supervisors; 1 Transportation Officer; and 14 Extra-Help Group Supervisors. Although CK remains in compliance with this regulation, interviews with staff revealed that, at times during this inspection cycle, staff felt ☒ ☐ ☐ understaffed and unable to carry out the overall facility operations. At the time of the inspection, YSC had consolidated the units and only had one unit available for housing youth. The detention youth and SYTF youth are housed within that unit. Only operating one unit has created better staffing coverage but technical assistance was provided with regards to a long-term solution to staffing issues. Since consolidating the YSC units to one unit, CK staff that were interviewed stated they are not being pulled from the Camp to YSC which allows for them to complete the overall Camp operations. YSC currently has open recruitments for full- time Group Supervisors I and Extra-Help Group Supervisors positions. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 3 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) ensure that no required services shall be denied 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 ☒ ☐ ☐ 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 requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ All CK meals are provided by San Mateo’s food preparation and servings; conduct related training Sheriff Department. 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 support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be ☒ ☐ ☐ diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide Article 3 Section 1321 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 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, 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 4 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 Camp Kemp’s population at the time of the duty for each 15 youth in the camp population; ☒ ☐ ☐ inspection was 4 female youths. Review of documentation revealed staffing ratios are met at all times. (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 ☒ ☐ ☐ 30 youth present in the facility; Review of daily schedules revealed compliance with this regulation. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 5 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff Article 3 Section 1321 members on duty at all times, regardless of the number of youth in residence, unless ☒ ☐ ☐ arrangements have been made for backup support Review of daily schedules revealed services which allow for immediate response to compliance with this regulation. emergencies; (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; ☒ ☐ ☐ Review of daily schedules revealed compliance with this regulation. (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 camp; Review of daily schedules revealed types of youth committed to the camp; and the ☒ ☐ ☐ compliance with this regulation. 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 Article 3 Section 1321 duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ Review of daily schedules revealed farm, forestry, kitchen or maintenance shall not be compliance with this regulation. classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Article 3 Section 1322 AND TRAINING (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to The elements of this regulation are covered in ☒ ☐ ☐ their duties, including: Chief Keene letter, dated 3/23/2023. (1) youth supervision duties; Article 3 Section 1322 (2) scope of decisions they shall make; ☒ ☐ ☐ Article 3 Section 1322 (3) the identity of their supervisor; ☒ ☐ ☐ (4) the identity of persons who are responsible to Article 3 Section 1322 them; ☒ ☐ ☐ (5) persons to contact for decisions that are beyond Article 3 Section 1322 their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. Article 3 Section 1322 ☒ ☐ ☐ 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 6 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the Article 3 Section 1322 supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- specific orientation, including: It should be noted all new employees receive ☒ ☐ ☐ forty (40) hours of training prior to assuming any responsibility for the supervision of youth. It should further be noted all CK staff work with Detention and SYTF youth as well. Article 3 Section 1322 (1) individual and group supervision techniques; ☒ ☐ ☐ (2) regulations and policies relating to discipline and Article 3 Section 1322 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; Article 3 Section 1322 (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Article 3 Section 1322 (4) suicide prevention and response to suicide ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation Article 3 Section 1322 techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; Article 3 Section 1322 (6) review of policies and procedures referencing ☒ ☐ ☐ trauma and trauma-informed approaches; Article 3 Section 1322 (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Article 3 Section 1322 (8) routine security measures, including facility ☒ ☐ ☐ perimeter and grounds; Article 3 Section 1322 (9) crisis intervention and mental health referrals to ☒ ☐ ☐ mental health services; Article 3 Section 1322 (10) documentation; and ☒ ☐ ☐ Article 3 Section 1322 (11) fire/life safety training ☒ ☐ ☐ (c) Prior to assuming sole supervision of youth, each Article 3 Section 1322 youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 7 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Prior to exercising the powers of a peace officer youth Article 3 Section 1322 supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Article 3 Section 1323 Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times who meets the training standards established by the Review of documentation indicates that all Board for general fire and life safety which relate ☒ ☐ ☐ youth supervisory staff receive site-specific specifically to the facility. life safety training during orientation. Also, all full-time employees receive fire and safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL Article 3 Section 1324 (1-3) All facility administrators shall develop, publish, and implement a manual of written policies and procedures that address, at a minimum, all regulations that are County of San Mateo Youth Services Center applicable to the facility. Such a manual shall be made Policy, Procedures, and Operations Manual available to all employees, reviewed by all employees, was provided prior to the date of the and shall be administratively reviewed at a minimum ☒ ☐ ☐ inspection. The manual was administratively every two years, and updated, as necessary. Those reviewed by Christopher Abalos, Deputy Chief records relating to the standards and requirements set Probation Officer on March 9, 2023. It should forth in these regulations shall be accessible to the Board be noted the policy and procedure manual is on request. utilize for Detention, Camp Kemp, and SYTF youth. The manual shall include: (a) table of organization, including channels of Article 3 Section 1324 (b) communications and a description of job classifications; ☒ ☐ ☐ (b) responsibility of the probation department, purpose of Article 3 Section 1324 (f) programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or ☒ ☐ ☐ Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Article 3 Section 1324 (d) ☒ ☐ ☐ (d) initial orientation and training program for employees; Article 3 Section 1324 (d) ☒ ☐ ☐ (e) initial orientation, including safety and security issues Article 3 Section 1324 (g) and anti-discrimination policies, for support staff, contract ☒ ☐ ☐ employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and Article 3 Section 1324 (h) communication system to ensure: ☒ ☐ ☐ 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 8 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Article 3 Section 1324 (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Article 3 Section 1324 (2) legal and proper care of youth; ☒ ☐ ☐ Article 3 Section 1324 (h) (3) maintenance of individual youth's records; ☒ ☐ ☐ Article 3 Section 1324 (i) (4) supply of information to the juvenile court and ☒ ☐ ☐ those authorized by the court or by the law; and, Article 3 Section 1324 (j) (5) release of information regarding youth. ☒ ☐ ☐ Article 3 Section 1324 (k) (g) ethical responsibilities; ☒ ☐ ☐ Article 3 Section 1324 (l) (h) trauma-informed approaches; ☒ ☐ ☐ Article 3 Section 1324 (m) (i) culturally responsive approaches; ☒ ☐ ☐ Article 3 Section 1324 (n) (j) gender responsive approaches; ☒ ☐ ☐ (k) a non-discrimination provision that provides that all Article 3 Section 1324 (o) youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any N/A chemical agents related security devices, and weapons ☐ ☐ ☒ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Article 3 Section 1324 (p) Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 9 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (n) establishment of a policy that prohibits all forms of Article 3 Section 1324 (q) sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Article 3 Section 1325 The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Article 3 Section 1325 with two-year retention of the inspection record; We reviewed monthly and fire safety ☒ ☐ ☐ inspections for the inspection cycle. Review of documentation reveals compliance with this regulation. (c) fire prevention inspections as required by Health and Article 3 Section 1325 ☒ ☐ ☐ Safety Code Section 13146.1(a) and (b); (d) an evacuation plan; ☒ ☐ ☐ Article 3 Section 1325 (e) documented fire drills not less than quarterly; Article 3 Section 1325 ☒ ☐ ☐ We reviewed fire drills for the inspection cycle. Review of documentation reveals compliance with this regulation. (f) a written plan for the emergency housing of youth in Article 3 Section 1325 ☒ ☐ ☐ the case of fire; and, (g) development of a fire suppression pre-plan in Article 3 Section 1325 ☒ ☐ ☐ cooperation with the local fire department. 1326 SECURITY REVIEW Article 3 Section 1326 Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall Security Review for CK completed by include internal and external security, including, but not Superintendent Jehan Clark on 03/17/2023. limited to, key control, equipment, and staff training. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 10 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1327 EMERGENCY PROCEDURES Article 3 Section 1327 The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Article 3 Section 1327 (b) civil disturbance, active shooter and terrorist Article 3 Section 1327 ☒ ☐ ☐ attack; (c) fire and natural disasters; ☒ ☐ ☐ Article 3 Section 1327 (d) periodic testing of emergency equipment; ☒ ☐ ☐ Article 3 Section 1327 (e) emergency evacuation of the facility; and ☒ ☐ ☐ Article 3 Section 1327 Review of Emergency Response Procedures (f) a program to provide all youth supervision staff staff acknowledgment forms confirmed all ☒ ☐ ☐ with an annual review of emergency procedures. staff have reviewed the facility policy and procedure emergency procedures. 1328 SAFETY CHECKS Article 3 Section 1328 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, We reviewed the facility’s safety checks for at random or varied intervals during hours when youth the months of January, February, and March are asleep or when youth are in their rooms, confined in 2023. Review of documentation revealed holding cells or confined to their bed in a dormitory. safety checks are being completed per Supervision is not replaced, but may be supplemented regulation. It should be noted checks were by, an audio/visual electronic surveillance system ☒ ☐ ☐ completed at random or varied intervals designed to detect overt, aggressive or assaultive whenever youth were present in their room. behavior and to summon aid in emergencies. All safety 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. 1329 SUICIDE PREVENTION PLAN Article 3 Section 1329 The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and Compliance with this regulation is solely procedures which delineate a Suicide Prevention Plan. based upon review of policy and procedure as The plan shall consider the needs of youth experiencing Camp Kemp did not have a suicide attempt past or current trauma. Suicide prevention responses ☒ ☐ ☐ nor was a youth placed on suicide watch this shall be respectful and in the least invasive manner inspection cycle. consistent with the level of suicide risk. The plan shall include the following elements: Review of policy and procedure manual revealed compliance with this regulation. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 11 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section Article 3 Section 1329.4 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Article 3 Section 1329 (1a) Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake Article 3 Section 1329.4 processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Article 3 Section 1329 intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a suicide risk assessment. ☒ ☐ ☐ Review of documentation (from YSC) as well as interview with the facility Behavioral Health Supervisor revealed compliance with this regulation. (4) Precautionary protocols shall be developed to Article 3 Section 1329 ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Article 3 Section 1329 ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk Article 3 Section 1329.1 for suicide. Following the review of suicide documentation (from YSC), technical assistance was ☒ ☐ ☐ provided regarding the MH Observation safety checks. At the time of the inspection, MH Observation were documented every 15 minutes. We strongly recommended MH Observation be completed more frequently as every 15 minutes is a normal safety check. (e) Safety Interventions Article 3 Section 1329 (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ Article 3 Section 1329 (B) Treatment strategies including trauma- Article 3 Section 1329 ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff Article 3 Section 1329.4 how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 12 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication Article 3 Section 1329 (1a) (1) The intake process shall include communication with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information Article 3 Section 1329 (1b) sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Article 3 Section 1329.3 Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected Article 3 Section 1329.3 ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Article 3 Section 1329.3 ☒ ☐ ☐ youth. (h) Documentation Article 3 Section 1329 (1c) (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Article 3 Section 1329 (1c) opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Article 4 Section 1340 Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities No legal action reported this inspection cycle. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Article 4 Section 1341 OF A YOUTH WHILE DETAINED (1) Death of a Youth. (a) The facility administrator, in cooperation with No death and serious illness or injury of a the health administrator and the behavioral/mental youth this inspection cycle. health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 13 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The health administrator, in cooperation with Article 4 Section 1341 the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Article 4 Section 1341 the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Article 4 Section 1341 from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. Article 4 Section 1341 (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Article 4 Section 1342 Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Article 4 Section 1343 When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than fifteen (15) calendar days in a month, the facility JH - 180 administrator shall provide a crowding report to the ☒ ☐ ☐ Camp - 30 Board in a format provided by the Board. SYTF - 00 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 14 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES Article 5 Section 1350 The facility administrator shall develop and implement written policies and procedures for admittance of youth that emphasize respectful and humane engagement We reviewed ten (10) youth admittance with youth, and reflect that the admission process may ☒ ☐ ☐ packages from the facility. Review of be traumatic to youth who may have already documentation provided and policy and experienced trauma. Policies shall be trauma-informed, procedure manuals revealed compliance with culturally relevant, and responsive to the language and this regulation. literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Article 5 section 1350/1350.5 (1) Access to two free phone calls within one hour of ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; Article 5 section 1350/1350.5 (2) Offer of a shower; ☐ ☐ ☒ Not Applicable as Camp youth are transferred from a detention bed to a camp bed. (3) Documented secure storage of personal Article 5 section 1350/1350.5 ☒ ☐ ☐ belongings; Article 5 section 1350/1350.5 (4) Offer of food upon arrival; ☐ ☐ ☒ Not Applicable as Camp youth are transferred from a detention bed to a camp bed. (5) Screening for physical and behavioral health Article 5 section 1350/1350.5 and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental Article 5 section 1350/1350.5 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Article 5 section 1350/1350.5 Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Article 5 section 1350/1350.5 (b) juvenile hall administrators shall establish written Article 5 section 1350/1350.5 criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 15 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) juvenile camps and post-dispositional programs in Article 5 section 1350/1350.5 juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform ☒ ☐ ☐ them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures Article 5 section 1350/1350.5 that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL Article 5 Section 1350.5 ABUSE The facility administrator shall develop and implement written policies and procedures to reduce the risk of ☒ ☐ ☐ It should be noted Camp Kemp youth sexual abuse by or upon youth. The policy shall require screening for the risk of sexual abuse is facility staff to assess each youth within 72 hours of completed upon admittance to the YSC admission based on the following information: facility. There is not an additional assessment upon assignment to the camp program. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Article 5 Section 1350.5 (a) (b) Gender nonconforming appearance or manner; or Article 5 Section 1350.5 (b) identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Article 5 Section 1350.5 (c) (d) Age; ☒ ☐ ☐ Article 5 Section 1350.5 (d) (e) Level of emotional and cognitive development; ☒ ☐ ☐ Article 5 Section 1350.5 (e) (f) Physical size and stature; ☒ ☐ ☐ Article 5 Section 1350.5 (f) (g) Mental illness or mental disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (g) (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (h) (i) Physical disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (i) (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Article 5 Section 1350.5 (j) (k) Any other specific information about the individual Article 5 Section 1350.5 (k) youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Article 5 Section 1350.5 conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 16 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall implement appropriate Article 5 Section 1350.5 controls on the dissemination of information within the facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Article 5 Section 1351 The facility administrator shall develop and implement written policies and procedures for release of youth from custody which provide for: We reviewed five (5) Notice of Release forms from the CK facility. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. However, while reviewing the Notice of ☒ ☐ ☐ Release form, it was discovered the signature of the individual the youth was being released to was not on the form. Technical assistance was provided regarding including on the release form the printed name and signature of the individual the youth was being released to. Prior to the conclusion of the inspection, the facility revised and implemented an updated release form which included the printed name and signature of the individual receiving the youth. Article 5 Section 1351 (a) verification of identity/release papers; ☒ ☐ ☐ Article 5 Section 1351 We reviewed five (5) Property Receipt forms (b) return of personal clothing and valuables; ☒ ☐ ☐ from the CK facility. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. Article 5 Section 1351 (c) notification to the youth's parents or guardian; ☒ ☐ ☐ (d) notification to the facility health care provider in Article 5 Section 1351 accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, Article 5 Section 1351 (e) notification of school staff; ☒ ☐ ☐ 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 17 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Article 5 Section 1351 (f) notification of facility mental health personnel. ☒ ☐ ☐ The facility administrator shall develop and implement Article 5 Section 1351 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Article 5 Section 1351 written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Article 5 Section 1352 The facility administrator shall develop and implement written policies and procedures on classification of youth for the purpose of determining housing placement in the ☒ ☐ ☐ We reviewed five (5) youth classification facility. packets. Review of documentation provided and policy and procedure manual revealed Such procedures shall: compliance with this regulation. (a) provide for the safety of the youth, other youth, Article 5 Section 1352 (2a) facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Article 5 Section 1352 (2b) the facility; ☒ ☐ ☐ (c) provide that a youth shall be classified upon Article 5 Section 1352 (2b) admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Article 5 Section 1352 provisions that consider the level of supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ Youth classifications are reviewed weekly in Multi-Disciplinary Team Meetings (MDT). 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 18 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) provide that facility staff shall not separate youth Article 5 Section 1352 (4) from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Article 5 Section 1352 (4) transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Article 5 Section 1352.5 The facility administrator shall develop written policies and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The We reviewed the Transgender/Intersex Youth policies shall provide that: Preference form. Review of form provided and ☒ ☐ ☐ policy and procedure manuals revealed compliance with this regulation. (a) Facility staff shall respect every youth’s gender Article 5 Section 1352.5 identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Article 5 Section 1352.5 themselves in a manner consistent with their gender ☒ ☐ ☐ identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Article 5 Section 1352.5 best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall ☒ ☐ ☐ document the reasons for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Article 5 Section 1352.5 and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 19 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Consistent with the facility’s reasonable and Article 5 Section 1352.5 necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Article 5 Section 1352.5 youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Article 5 Section 1353 The facility administrator shall develop and implement written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal We reviewed five (5) Camp Kemp Youth information shall be provided and supplemented with Orientation forms. Review of documentation video orientation if feasible. Provision shall be made to provided and policy and procedure manual provide accessible orientation information to all detained revealed compliance with this regulation. youth including those with disabilities, limited literacy, or ☒ ☐ ☐ English language learners. Orientation shall include information that addresses: Each youth is provided a Parent/Youth Orientation Packet during the orientation process. The orientation packet is available in English and Spanish. (a) facility rules including contraband and searches and Article 5 Section 1353 (1) ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions Article 5 Section 1353 (2) and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Article 5 Section 1353 (14) facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Article 5 Section 1353 (21) ☒ ☐ ☐ Documented within the orientation packet. (e) the existence of the grievance procedure, the steps Article 5 Section 1353 (5) that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 20 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) access to legal services and information on the Article 5 Section 1353 (9) ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Article 5 Section 1353 (6) ☒ ☐ ☐ health care; (h) access to education, religious services, and Article 5 Section 1353 (10) ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Article 5 Section 1353 (8) (j) opportunity for personal hygiene and daily showers Article 5 Section 1353 (4) ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and Article 5 Section 1353 (3) ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Article 5 Section 1353 (11) ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Article 5 Section 1353 (12) ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ Article 5 Section 1353 (16) (o) emergencies including evacuation procedures; ☒ ☐ ☐ Article 5 Section 1353 (17) (p) non-discrimination policy and the right to be free from Article 5 Section 1353 (20) physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Article 5 Section 1353 (7) ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, Article 5 Section 1353 (23) ☒ ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive Article 5 Section 1353 (24) information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title Article 5 Section 1353 (25) 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Access to Title 15 is available to youth upon request to staff. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 21 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION Article 5 Section 1354 The facility administrator shall develop and implement written policies and procedures that address: Compliance with this regulation is based solely on review of CK policy and procedure ☒ ☐ ☐ manual as the facility has not used separation this inspection cycle. Review of policy and procedure revealed compliance with this regulation. (a) separation of youth for reasons that include, but are Article 5 Section 1354 not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Article 5 Section 1354 trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal Article 5 Section 1354 privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Article 5 Section 1354 Title 15 Section 1390 shall apply. ☒ ☐ ☐ (e) when separation results in room confinement, the Article 5 Section 1354 separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Article 5 Section 1354 of separated youth to determine if separation remains ☒ ☐ ☐ necessary. 1354.5 ROOM CONFINEMENT Article 5 section 1354.3 Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing the confinement of youth in their room that are Compliance with this regulation is based consistent with Welfare and Institutions Code Section solely on review of CK policy and procedure 208.3. The placement of a youth in room confinement manual as the facility has not used room ☒ ☐ ☐ shall be accomplished in accordance with the following confinement this inspection cycle. Review of guidelines: policy and procedure revealed compliance with this regulation. (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. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 22 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Room confinement shall not be used for the 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 YSC/CK policy and ☒ ☐ ☐ procedure manual states youth may be held up to two hours before doing one of the following below. That is two hours less than the regulation of youth being held up to four hours before doing one of the following below. Article 5 section 1354.3 Room Confinement (4a) (1) Return the youth to general population. ☒ ☐ ☐ Article 5 section 1354.3 Room Confinement (4b) (2) Consult with mental health or medical staff. ☒ ☐ ☐ (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. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 23 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) This section is not intended to limit the use of 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. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Article 5 section 1355 The facility administrator shall develop and implement written policies and procedures for assessment and case planning. ☒ ☐ ☐ Reviewed five (5) Youth Institutional Assessment Case plans from the CK facility. Review of documentation provided revealed compliance with this regulation. (a) Assessment: Article 5 section 1355.1 Assessment (a, b, c, The assessment is based on information collected d) during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 24 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Institutional Case Plan: Article 5 Section 1355.2 Institutional Case (1) A case plan shall be developed for each youth Plan ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be Article 5 Section 1355.2 (a) Institutional Case ☒ ☐ ☐ limited to, written documentation that provides: Plan (A) objectives and time frame for the resolution of Article 5 Section 1355.2 Institutional Case ☒ ☐ ☐ problems identified in the assessment; Plan (B) a plan for meeting the objectives that includes Article 5 Section 1355.2 (b) Institutional Case a description of program resources needed and Plan individuals responsible for assuring that the plan is implemented; ☒ ☐ ☐ During the inspection process, we provided technical assistance with regards to youth goals and objectives being individualized for each youth’s criminogenic needs. (3) periodic evaluation of progress towards meeting Article 5 Section 1355.2 Institutional Case the objectives, including periodic review and Plan (c) discussion of the plan with the youth; ☒ ☐ ☐ It should be noted periodic reviews of CK youth case plans are conducted every two weeks. (4) a transition plan, the contents of which shall be Article 5 Section 1355.2 (d) Institutional Case subject to existing resources, shall be developed for Plan ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Article 5 Section 1355.2 (e) Institutional Case plan, including the transition plan, shall be developed Plan with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Article 5 Section 1356 The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ Reviewed ten (10) youth Counseling and youth. Policies and procedures shall ensure: Casework packets from CK. Review of documentation provided revealed compliance with this regulation. (a) youth will receive assistance with needs or concerns ☒ ☐ ☐ Article 5 Section 1356 that may arise; (b) youth will receive assistance in requesting contact Article 5 Section 1356.1 Request and ☒ ☐ ☐ with parents, other supportive adults, attorney, clergy, Referrals probation officer, or other public official; and, (c) youth will be provided access to available resources Article 5 Section 1356.1 Request and ☒ ☐ ☐ to meet the youth’s needs. Referrals 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 25 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Article 5 Section 1357 The facility administrator, in cooperation with the responsible physician, shall develop and implement written policies and procedures for the use of force, Compliance with this regulation is based which may include chemical agents. Force shall never solely on review of YSC/CK policy and ☒ ☐ ☐ be applied as punishment, discipline, retaliation or procedure manual as the CK has not used any treatment. use of force this inspection cycle. Review of policy and procedure revealed compliance (a) At a minimum, each facility shall develop policies and with this regulation. procedures which: (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. ☒ ☐ ☐ 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 26 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. Review of documentation (from YSC) revealed notification to parents following a use ☒ ☐ ☐ of force incident was not being completed consistently. Technical assistance was provided and, prior to the conclusion of the inspection, the facility updated their special incident form to include notification to parents when use of force has been utilized. (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 Camp option shall include policies and procedures that: Kemp 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: 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 27 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1358 USE OF PHYSICAL RESTRAINTS Article 5 Section 1358 The facility administrator, in cooperation with the responsible physician and mental health director, shall develop and implement written policies and procedures Review of documentation provided and policy for the use of restraint devices. Restraint devices and procedure manuals revealed compliance include any devices which immobilize a youth's with this regulation. extremities and/or prevent the youth from being ☒ ☐ ☐ ambulatory. It should be noted handcuffs or mechanical restraints are only used for transportation or movement within the facility. Physical restraints may be used only for those youth Article 5 Section 1358 who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause Handcuffs or mechanical restraints are only self-inflicted physical harm. Physical restraints should used for transportation or movement within be utilized only when it appears less restrictive ☒ ☐ ☐ the facility. alternatives would be ineffective in controlling the youth’s behavior. Plastic cuffs will be used only in unusual situations where handcuffs are not available. In no case shall restraints be used as punishment or Article 5 Section 1358 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 28 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The provisions of this section do not apply to the use of Article 5 Section 1358 handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Article 5 Section 1358 of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Article 5 Section 1358 (5) retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Article 5 Section 1358 (7) possible, but in no case longer than four hours from the ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Article 5 Section 1358 (8) to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Article 5 Section 1358 (9a) procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate Article 5 Section 1358 (9b) ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☒ ☐ ☐ Article 5 Section 1358 (9c) (d) signs or symptoms which should result in immediate Article 5 Section 1358 (9d) ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation Article 5 Section 1358 (9e) ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Article 5 Section 1358 (9f) restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Article 5 Section 1358 (9g) (h) exercising of extremities. ☒ ☐ ☐ Article 5 Section 1358 (9h) 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 29 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR Article 5 Section 1358.5 MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. The Facility Administrator, in cooperation with the Review of documentation provided and policy responsible physician and behavioral/mental health ☒ ☐ ☐ and procedure manuals revealed compliance director, shall develop and implement written policies with this regulation. and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff All permanent and core trained youth approved to utilize restraint devices and the required ☒ ☐ ☐ supervision staff are approved to use training. restraints within the facility. (b) the circumstances leading to the application of Article 5 Section 1358.5 restraints must be documented. ☒ ☐ ☐ (c) an individual assessment of the need to apply Article 5 Section 1358.5 restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Article 5 Section 1358.5 with a clearly defined expectation that restraint devices ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Article 5 Section 1358.5.1 Pregnant Youth accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Article 5 Section 1359 (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures Compliance with this regulation is based governing the use of safety rooms, as described in Title solely on the review of the facility policy and 24, Part 2, Section 1230.1.13. The room shall be used procedure manual as the safety room has yet to hold only those youth who present an immediate ☒ ☐ ☐ to be utilized this inspection cycle. Review of danger to themselves or others, who exhibit behavior the policy and procedure manual revealed which results in the destruction of property, or reveals compliance with this regulation. the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary Article 5 Section 1359 nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 30 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) provide for approval of the facility manager, or Article 5 Section 1359 designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Article 5 Section 1359 and documentation of the youth's behavior and any ☒ ☐ ☐ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the Article 5 Section 1359 facility manager, or designee, every four hours; ☒ ☐ ☐ (5) provide for immediate medical assessment, Article 5 Section 1359 where appropriate, or an assessment at the next ☒ ☐ ☐ daily sick call; and, (6) provide a process for documenting the reason for Article 5 Section 1359 placement, including attempts to use less restrictive ☒ ☐ ☐ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be Article 5 Section 1359 accomplished in accordance with the following: ☒ ☐ ☐ (1) safety room shall not be used before other less Article 5 Section 1359 restrictive options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Article 5 Section 1359 punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Article 5 Section 1359 compromises the mental and physical health of the ☒ ☐ ☐ youth. (c) A youth may be held up to four hours in the safety Article 5 Section 1359 room. After the youth has been held in the safety room ☒ ☐ ☐ for a period of four hours, staff shall do one or more of the following: Article 5 Section 1359 ☒ ☐ ☐ (1) return the youth to general population. Article 5 Section 1359 ☒ ☐ ☐ (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the Article 5 Section 1359 goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 31 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) If confinement in the safety room must be extended Article 5 Section 1359 beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Article 5 Section 1360 The facility administrator shall develop and implement written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures We reviewed five (5) Search Authorization shall provide that: forms (from YSC) in which youth were strip searched. Facts for supporting each strip search were noted on the forms. Review of documentation provided and policy and procedure manuals revealed compliance with this regulation. ☒ ☐ ☐ However, technical assistance was provided regarding updating and removing outdated language from the current form. Prior to the conclusion of the inspection, the facility updated and implemented a new Search Authorization form. It should be noted none of the Search Authorization forms reviewed involved a Camp Kemp youth. (a) Searches shall be conducted to ensure the safety Article 5 Section 1360.9 Training and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. (b) Searches shall be conducted in a manner that Article 5 Section 1360.9 Training preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Article 5 Section 1360.2 Strip Searches searches shall comply with Penal Code Section 4030. ☒ ☐ ☐ (d) Physical body cavity searches shall only be Article 5 Section 1360.3 Physical Body Cavity conducted by a medical professional. Search ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only Article 5 Section 1360.2 Strip Search be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 32 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Searches of transgender and intersex youth shall Article 5 Section 1360.5 Transgender comply with Section 1352.5. Searches ☒ ☐ ☐ (g) Cross-gender pat-down searches and strip searches Article 5 Section 1360.5 Transgender are prohibited except in exigent circumstances or when Searches ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Article 5 Section 1361 The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to any We reviewed the grievance logs from condition of confinement, including but not limited to January, February, and March 2023 at CK. In health care services, classification decisions, program ☒ ☐ ☐ all, we reviewed three (3) youth grievance participation, telephone, mail or visiting procedures, forms. Review of policy and procedure and food, clothing, bedding, mistreatment, harassment or review of documentation provided revealed violations of the nondiscrimination policy. There shall be compliance with this regulation. 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 Article 5 Section 1361 (1) grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (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; (c) resolution of the grievance at the lowest appropriate Article 5 Section 1361 (2) staff level; ☒ ☐ ☐ (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 addressed immediately; (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; ☒ ☐ ☐ (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; 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 33 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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, (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. 1362 REPORTING OF INCIDENTS Article 5 section 1362 A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be ☒ ☐ ☐ Review of documentation provided revealed maintained. Such written record shall be prepared by the compliance with this regulation. staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Article 5 section 1362 DNA SPECIMENS, SAMPLES, IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel Force will not be used in the collection of including peace officers, may employ reasonable force samples except as authorized by court order. to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or ☒ ☐ ☐ The OD Supervisor will review and approve impressions pursuant to Penal Code Section 296 and any use of force. The Supervisor shall be who refuse following written or oral request. present to supervise and document the use of force. Force has not been utilized to obtain any type of samples this inspection cycle. (1) For the purpose of this section, the “use of Article 5 section 1362 reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Article 5 section 1362 efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 34 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The force shall not be used without the prior written Article 5 section 1362 authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell Article 5 section 1362 extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM Article 6 section 1370 (a) School Programs The County Board of Education shall provide for the The San Mateo County Office of Education administration and operation of juvenile court schools in Court and Community School Program conjunction with the Chief Probation Officer, or designee provides a student-centered, standards- pursuant to applicable State laws. The school and facility based curriculum. SMOE engages in a administrators shall develop and implement written policy partnership with the College of San Mateo and procedures to ensure communication and through Project Change which provides coordination between educators and probation staff. students with unique opportunities to develop Culturally responsive and trauma-informed approaches college and career readiness skills, complete should be applied when providing instruction. Education California’s High School requirements for staff should collaborate with the facility administrator to Graduation, and pursue college-level courses use technology to facilitate learning and ensure safe for college credit. technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report We interviewed school staff, probation staff, or review checklist on compliance, deficiencies, and youth, and reviewed school daily schedules corrective action needed to achieve compliance with this which revealed compliance with this section. Such a review, when conducted, cannot be regulation. delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside It should be noted the Annual Education agency or individual. Upon receipt of the review, the review was completed on 9/12/2022 by facility administrator or designee shall review each item Johanna Rasmussen and Sathvik Nori. with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 35 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements Article 6 section 1370 The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California ☒ ☐ ☐ Standards for the Teaching Profession, teachers shall establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Article 6 section 1370 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Article 6 section 1370 Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Article 6 section 1370 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Article 6 section 1370 education and vocational opportunities. ☒ ☐ ☐ (4) Administration of the High School Equivalency Article 6 section 1370 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Article 6 section 1370 who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Article 6 section 1370 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 36 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) Education shall be provided to all youth regardless Article 6 section 1370 of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Article 6 section 1370 (1) Positive behavior management will be implemented to reduce the need for disciplinary action The education program is integrated into the in the school setting and be integrated into the facility's juvenile facilities’ overall positive behavioral overall behavioral management plan and security ☒ ☐ ☐ management plan and security program. Any system. violations committed while participating in the education program will be handled under the Youth Discipline Policy. (2) School staff shall be advised of administrative Article 6 section 1370 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Article 6 section 1370 Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Article 6 section 1370 education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Article 6 section 1370 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Article 6 section 1370 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 37 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Educational Screening and Admission Article 6 section 1370 (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; Article 6 section 1370 ☒ ☐ ☐ (B) Home Language Survey and the results of the Article 6 section 1370 State Test used for English language proficiency; ☒ ☐ ☐ (C) Needs and services of special populations as Article 6 section 1370 defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. Article 6 section 1370 ☒ ☐ ☐ (2) Youth will be immediately enrolled in school. Article 6 section 1370 Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Article 6 section 1370 education plan shall be developed for each youth ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with Article 6 section 1370 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Article 6 section 1370 (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Article 6 section 1370 provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Article 6 section 1370 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 38 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Post-Secondary Education Opportunities Article 6 section 1370 (1) The school and facility administrator should, whenever possible, collaborate with local post- secondary education providers to facilitate access to ☒ ☐ ☐ It should be noted that, at the time of the educational and vocational opportunities for youth that inspection, YSC had seven (7) youth enrolled considers the use of technology to implement these in the College of San Mateo. programs. 1371 PROGRAMS, RECREATION, AND Article 6 Section 1371 EXERCISE. The facility administrator shall develop and implement written policies and procedures for programs, Review of policy and procedures and daily recreation, and exercise for all youth. The intent is to schedule revealed compliance with this minimize the amount of time youth are in their rooms or regulation. Documentation of youth’s their bed area. ☒ ☐ ☐ programs, recreation, and exercise are documented within the youth program sheets. 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 shall Article 6 Section 1371 be posted in the living units. ☒ ☐ ☐ It should be noted during the inspection facility walkthrough the youth 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 relevant to the population. ☒ ☐ ☐ Programs Annual Review completed by Superintendent Jehan Clark on March 31, 2023. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 39 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the Article 6 Section 1371 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 CK youth all participate in programming which culturally relevant and linguistically appropriate, or pro- focus on trauma-focused, cognitive, evidence- social interventions and activities designed to reduce based, best practice interventions that are recidivism. These programs should be based on the culturally relevant and linguistically youth’s individual needs as required by Sections 1355 appropriate or prosocial interventions and and 1356. Such programs may be provided under the ☒ ☐ ☐ activities designed to reduce recidivism. 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; Article 6 Section 1371 (2) Management of Stress and Trauma; (3) Anger Management; Review of daily program schedules and interviews with the staff and youth revealed (4) Conflict Resolution; compliance with this regulation. (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. 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 40 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Recreation. All youth shall be provided the opportunity Article 6 Section 1371 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 Review of daily program schedules and orientation and may include coaching of youth. interviews with the staff and youth revealed 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. ☒ ☐ ☐ 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 ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Article 6 Section 1372 The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be Review of daily schedule revealed youth can allowed to participate in an activity outside of their room if ☒ ☐ ☐ participate in alternative programming during he/she elects not to participate in religious programs. the scheduled religious program time. Religious programs shall provide for: Article 6 Section 1372.2 (a) opportunity for religious services and practices; ☒ ☐ ☐ Article 6 Section 1372.1 (b) availability of clergy; and, ☒ ☐ ☐ Article 6 Section 1372.5 (c) availability of religious diets. ☒ ☐ ☐ 1373 WORK PROGRAM Article 6 section 1373 The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth ☒ ☐ ☐ Review of policy and procedure revealed shall be meaningful, constructive and related to compliance with this regulation. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 41 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1374 VISITING Article 6 Section 1374 The facility administrator shall develop and implement written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to We reviewed the CK visiting logs from receive visits by parents, guardians or persons standing January, February, and March 2023. Review in loco parentis, and children of youth. Other family ☒ ☐ ☐ of logs and review of policy and procedures members, such as grandparents and siblings, and revealed compliance with this regulation. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to Article 6 Section 1374 the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Article 6 Section 1374 per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour Article 6 Section 1374 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy ☒ ☐ ☐ and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Article 6 Section 1374 alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Zoom visits are offered to youth but not as a replacement to in-person visits. 1375 CORRESPONDENCE Article 6 Section 1375 The facility administrator shall develop and implement written policies and procedures for correspondence ☒ ☐ ☐ which provide that: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) there is no limitation on the volume of mail that youth Article 6 Section 1375 ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Article 6 Section 1375 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 42 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth may correspond confidentially with state and Article 6 Section 1375 federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Article 6 Section 1375 in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Article 6 Section 1376 The administrator of each juvenile facility shall develop and implement written policies and procedures to provide ☒ ☐ ☐ youth with access to telephone communications. Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. 1377 ACCESS TO LEGAL SERVICES Article 6 section 1377 The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed Article 6 section 1377.2 attorneys and their authorized representatives; ☒ ☐ ☐ (b) provision for confidential consultation with attorneys; Article 6 section 1377.1 and, ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Article 6 section 1377.4 cost-free telephone access as appropriate. ☒ ☐ ☐ 1390 DISCIPLINE Article 7 Section 1390 The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use Review of policy and procedures and of positive behavior interventions and supports. Discipline ☒ ☐ ☐ documentation revealed compliance with this shall be imposed at the least restrictive level which regulation. promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Article 7 Section 1390 (a) (b) daily shower, access to drinking fountain, toilet and Article 7 Section 1390 (b) ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Article 7 Section 1390 (c) (d) contact with parent or attorney; ☒ ☐ ☐ Article 7 Section 1390 (d) 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 43 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) exercise; ☒ ☐ ☐ Article 7 Section 1390 (e) (f) medical services and counseling; ☒ ☐ ☐ Article 7 Section 1390 (f) (g) religious services; ☒ ☐ ☐ Article 7 Section 1390 (g) (h) clean and sanitary living conditions; ☒ ☐ ☐ Article 7 Section 1390 (h) (i) the right to send and receive mail; ☒ ☐ ☐ Article 7 Section 1390 (i) (j) education; and, ☒ ☐ ☐ Article 7 Section 1390 (j) (k) rehabilitative programming. ☒ ☐ ☐ Article 7 Section 1390 (k) The facility administrator shall establish rules of conduct Article 7 Section 1390 and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Article 7 Section 1391 The facility administrator shall develop and implement written policies and procedures for the administration of discipline which shall include, but not be limited to: ☒ ☐ ☐ We reviewed five (5) Due Process Tickets from CK. Review of policy and procedures and documentation revealed compliance with this regulation. (a) designation of personnel authorized to impose Article 7 Section 1391 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Article 7 Section 1391 (c) definition of major and minor rule violations and their Article 7 Section 1391 ☒ ☐ ☐ consequences, and due process requirements; (d) trauma-informed approaches and positive behavior Article 7 Section 1391 ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Article 7 Section 1391 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 44 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) major rule violations and the discipline process shall Article 7 Section 1391 be documented and require the following: We reviewed five (5) Due Process Tickets from CK. Review of policy and procedures and documentation revealed compliance with this regulation. ☒ ☐ ☐ It should be noted technical assistance was provide with regards to the due process ticket form. We recommended including a signature line on the form for the youth to sign and acknowledge his/her due process. Prior to the conclusion of the inspection, the facility updated their form to include a signature for the youth to sign. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Article 7 Section 1391 (2) accommodations provided to youth with Article 7 Section 1391 disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Article 7 Section 1391 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Article 7 Section 1391 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Article 7 Section 1391 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Article 7 Section 1391 (g) violations that result in a removal from camp or Article 7 Section 1391 commitment program, but not a return to court, will ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Article 10 Section 1410 DISEASES. The health administrator/responsible physician, in cooperation with the facility administrator and the local Review of policy and procedure revealed health officer, shall develop written policies and ☒ ☐ ☐ compliance with this regulation. procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; ☒ ☐ ☐ Article 10 Section 1410 (b) Identification of relevant symptoms; ☒ ☐ ☐ Article 10 Section 1410 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 45 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Referral for medical evaluation; ☒ ☐ ☐ Article 10 Section 1410 (d) Treatment responsibilities during detention; ☒ ☐ ☐ Article 10 Section 1410 (e) Coordination with public and private community- Article 10 Section 1410 ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Article 10 Section 1410 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Article 10 Section 1410 The policies and procedures shall be updated as Article 10 Section 1410 necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Article 10 Section 1433 (EXCERPT) The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ All youth Housing units have a medical lock establish a daily routine for youth to convey requests for box in the dayroom. Youth fill out a medical emergency and non-emergency medical, dental and service request form for medical or mental behavioral/mental health care services. health services. 1480 STANDARD FACILTY CLOTHING ISSUE Article 10 Section 1480 The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing and footwear specified in this regulation. The facility has Review of policy and procedure and the primary responsibility to provide clothing and ☒ ☐ ☐ interviews with staff and youth revealed footwear. Clothing provisions shall ensure that: compliance with this regulation. (a) Clothing is clean, reasonably fitted, durable, easily Article 10 Section 1480 ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. (b) The standard issue of climatically suitable clothing Article 10 Section 1480 ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Article 10 Section 1480 (2) Outer garments; ☒ ☐ ☐ Article 10 Section 1480 (3) New non-disposable underwear which shall Article 10 Section 1480 ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and Article 10 Section 1480 ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by Article 10 Section 1480 local ordinances for the commercial laundries and dried ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Article 10 Section 1480 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 46 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1482 CLOTHING EXCHANGE Article 10 Section 1482 The facility administrator shall develop and implement written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless Review of policy and procedure and work, climatic conditions, or illness necessitates more ☒ ☐ ☐ interviews with staff and youth revealed frequent exchange, outer garments, except for footwear, compliance with this regulation and youth are shall be exchanged at least once each week. Tee shirts, receiving their own underwear back at clothing bras, and underwear shall be exchanged daily; youth exchange. shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Article 10 Section 1484 PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility Review of policy and procedure revealed administrator to control the contamination and/or spread ☒ ☐ ☐ compliance with this regulation. of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Article 10 Section 1485 There shall be written policies and site-specific procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ Review of policy and procedure and items. Each female youth shall be provided with sanitary interviews with staff and youth revealed napkins, panty liners and tampons as requested. Each compliance with this regulation. youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Article 10 Section 1485 (b) Toothpaste; ☒ ☐ ☐ Article 10 Section 1485 (c) Soap; ☒ ☐ ☐ Article 10 Section 1485 (d) Comb; ☒ ☐ ☐ Article 10 Section 1485 (e) Shaving implements; ☒ ☐ ☐ Article 10 Section 1485 (f) Deodorant; ☒ ☐ ☐ Article 10 Section 1485 (g) Lotion; ☒ ☐ ☐ Article 10 Section 1485 (h) Shampoo; and, ☒ ☐ ☐ Article 10 Section 1485 (i) Post-shower conditioning hair products. ☒ ☐ ☐ Article 10 Section 1485 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 47 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Youth shall not be required to share any personal care Article 10 Section 1485 items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Article 10 Section 1486 There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Review of policy and procedure and teeth. Youth shall be permitted to shower/bathe up on interviews with staff and youth revealed assignment to a housing unit and on a daily basis compliance with this regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Article 10 Section 1487 Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ Review of policy and procedure and opportunity to shave face and body hair. The facility interviews with staff and youth revealed administrator may suspend this requirement in relation compliance with this regulation. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Article 10 Section 1488 Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each ☒ ☐ ☐ Review of policy and procedure and haircut or procedure, by a method approved by the State interviews with staff and youth revealed Board of Barbering and Cosmetology. compliance with this regulation. 1500 STANDARD BEDDING AND LINEN ISSUE Article 11 Section 1500 Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, ☒ ☐ ☐ Review of policy and procedure and but not be limited to: interviews with staff and youth revealed compliance with this regulation. (a) One mattress or mattress-pillow combination which Article 11 Section 1500 meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Article 11 Section 1500 ☒ ☐ ☐ (a) above; 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 48 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Article 11 Section 1500 (d) One towel; and, ☒ ☐ ☐ Article 11 Section 1500 (e) One blanket or more, up on request ☒ ☐ ☐ Article 11 Section 1500 1501 BEDDING LINEN EXCHANGE Article 11 Section 1501 The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ Review of policy and procedure and issued to each youth housed. Washable items such as interviews with staff and youth revealed sheets, mattress covers, pillow cases and towels shall compliance with this regulation. be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Article 11 Section 1501 once a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND Article 11 Section 1510 MAINTENANCE The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, Review of policy and procedure revealed repair and safety throughout the facility. The plan shall compliance with this regulation. provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 49 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☒ ☐ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☐ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 50 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☒ ☐ separated from minors. ☐ Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7551 San Mateo Margaret J. Kemp Girl’s Camp PRO 23-24 Page 51 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7551 FACILITY NAME: San Mateo Margaret J Kemp Girl’s Camp FACILITY TYPE: Camp APPLICABLE REGULATIONS (Check All That Apply): 4/98: 2001: X 2003: OTHER: FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: 07/28/2023 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) ☒ ☐ ☐ Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of All minors are transferred to the camp from ☐ ☐ ☒ minors pending admission to JH the intake unit at the juvenile hall. Provides access to a shower ☒ ☐ ☐ Provides a secure vault or storage space for ☒ ☐ ☐ minor's valuables Provides telephone access to minors Access is provided in the juvenile hall or upon ☒ ☐ ☐ housing in the camp. Provides staff access to hot and cold running water ☒ ☐ ☐ Locked Holding Room (1.2) There are no locked holding rooms in the camp. ☐ ☐ ☒ Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area ☐ ☐ ☒ Contains seating to accommodate all minors as ☐ ☐ ☒ specified in these regulations 98: Provides access to a toilet, wash basin and drinking fountain as specified in these regulations ☐ ☐ ☒ 03: Be equipped with a toilet, wash basin and drinking fountain unless a procedure is in effect to provide access Maximizes staff visual supervision ☐ ☐ ☒ 03: Outward swinging or lateral sliding door ☐ ☐ ☒ required Natural Light (1.3) Skylights and windows are located in the dormitories, dayrooms, sleeping rooms, and the gym. Visual access to natural light is provided in locked ☒ ☐ ☐ sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7 551 San Mateo Margaret J. Kemp Girl’s Camp PHY 23-24 - 1 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Dayrooms are used in lieu of corridors. Corridors in living areas are at least eight feet ☐ ☐ ☒ wide. When doors are staggered or if rooms are located only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) JH living units do not exceed 30 minors and ☐ ☐ ☒ contain sleeping areas and plumbing fixtures, commensurate with the number of minors housed. Locked Sleeping Rooms (1.6) The sleeping rooms are not locked. 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other access to these fixtures ☐ ☐ ☒ 03: Toilet, wash basin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) 98: Minimum of 63 square feet of floor area and a ☒ ☐ ☐ clear ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ☒ ☐ ☐ 01: View panel size changed to a minimum of 144 inches. 03: Outward swinging or lateral sliding door required ☐ ☐ ☒ Double Occupancy Sleeping Rooms (1.8) There are no double occupancy sleeping rooms in the camp. Minimum of 100 square feet floor area, a ☐ ☐ ☒ clear ceiling height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ☐ ☐ ☒ 01: View panel size changed to a minimum of 144 inches 03: Outward swinging or lateral sliding door required ☐ ☐ ☒ Dormitories (1.9) In JHs and camps, there is a minimum of 50 square feet of floor area per minor, with a ☒ ☐ ☐ minimum dormitory size of 200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for ☒ ☐ ☐ no fewer than four minors. 7 551 San Mateo Margaret J. Kemp Girl’s Camp PHY 23-24 - 2 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps). ☐ ☐ ☒ 03: This subsection deleted, eliminating the 15 minor limitation. (See below.) 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more ☐ ☐ ☒ than 30 minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) ☐ ☐ ☒ JH dayrooms contain 35 square feet of floor area per minor. Dayrooms in camps and SPJHs contain 30 ☒ ☐ ☐ square feet of floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers. ☒ ☐ ☐ Physical Activity and Recreation Spaces (NA Indoor: Gymnasium 30 x 50. SPJH; 1.11) Outdoor: Irregular shape over 9000 square feet. 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet ☒ ☐ ☐ dedicated indoor- outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9,000 square feet dedicated indoor- outdoor space. 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 ☐ ☐ ☒ feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ☐ ☐ ☒ 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor-outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor- outdoor space is a paved or "like" surface. ☒ ☐ ☐ 01: Changed from one-half to one-quarter of the space 7 551 San Mateo Margaret J. Kemp Girl’s Camp PHY 23-24 - 3 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped ☒ ☐ ☐ and of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single ☒ ☐ ☐ dimension less than 40 feet. Outdoor recreation area lighting allows for evening activities and provides security. ☒ ☐ ☐ Academic Classrooms (NA SPJH; 1.12) ☒ ☐ ☐ Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for every juvenile in the ☒ ☐ ☐ facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square feet of floor space for the teacher's desk and work ☒ ☐ ☐ area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to ☒ ☐ ☐ emergencies. Safety Room (1.13) There is no safety room in the camp. Provides a minimum of 63 square feet of floor ☐ ☐ ☒ space and a minimum clear ceiling height of eight feet Limited to one minor ☐ ☐ ☒ Padded as specified in these regulations ☐ ☐ ☒ There are one or more vertical view panels constructed of security glazing. Panels provide a ☐ ☐ ☒ view of the entire room and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these ☐ ☐ ☒ regulations Access to a toilet, wash basin and drinking fountain ☐ ☐ ☒ is provided. 03: Be equipped with a variable intensity security-type lighting fixture, with controls ☐ ☐ ☒ outside the room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access. ☐ ☐ ☒ Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped ☒ ☐ ☐ medical examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations ☒ ☐ ☐ that is used for no other purpose; 7 551 San Mateo Margaret J. Kemp Girl’s Camp PHY 23-24 - 4 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Privacy for minors; ☒ ☐ ☐ Lockable storage for medical supplies; ☒ ☐ ☐ Not less than 144 square feet floor space with 14.1 x 10.5 ☒ ☐ ☐ no single dimension less than seven feet; Hot and cold running water; and, ☒ ☐ ☐ 01: Smooth, non-porous, washable surfaces. ☒ ☐ ☐ Pharmaceutical Storage (1.15) There is lockable storage space for medical ☒ ☐ ☐ supplies and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) 587 square feet There is a minimum of 15 square feet floor ☒ ☐ ☐ space and sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate ☒ ☐ ☐ visual barrier. Visiting Space (1.17) ☒ ☐ ☐ Visiting space is provided. Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage ☒ ☐ ☐ space per minor for institutional clothing, bedding, supplies and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of ☒ ☐ ☐ secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety ☒ ☐ ☐ equipment, such as fire extinguishers, self- contained breathing apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial ☒ ☐ ☐ closet containing a mop sink and sufficient area for storing cleaning implements within the security area. 7 551 San Mateo Margaret J. Kemp Girl’s Camp PHY 23-24 - 5 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Audio Monitoring System (1.22) This is not a secure camp. The perimeter fence is secured only to keep out unauthorized visitors. There is an audio monitoring system capable of The fence is not secured to prevent escapes. actuation by the minor to alert staff in: safety There are no locked sleeping rooms in the rooms; locked holding rooms, locked sleeping ☐ ☐ ☒ camp. rooms; single and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control ☒ ☐ ☐ points, to maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) Contain a minimum of 60 square feet of floor area ☒ ☐ ☐ and provide for confidential consultation with minors There is a minimum of one suitably furnished ☐ ☐ ☒ interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. ☒ ☐ ☐ Court Holding Room for Minors (1.26) There are no court holding rooms in the camp. ☐ ☐ ☒ Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors ☐ ☐ ☒ Provides 40 square feet of floor area and a ☐ ☐ ☒ minimum clear ceiling height of eight feet Contains seating to accommodate all minors ☐ ☐ ☒ Contains a toilet, wash basin and drinking fountain ☐ ☐ ☒ as specified in these regulations Maximizes staffs' visual supervision of minors ☐ ☐ ☒ Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked ☒ ☐ ☐ holding rooms. One toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. 7 551 San Mateo Margaret J. Kemp Girl’s Camp PHY 23-24 - 6 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Wash basins (2.2) Wash basins must provide hot and cold or ☒ ☐ ☐ tempered water and be available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) Drinking fountains are accessible to minors and ☒ ☐ ☐ staff in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from ☒ ☐ ☐ flowing over the bubbler. Showers (2.4) Showers provide tempered water and are available ☒ ☐ ☐ on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. ☒ ☐ ☐ Beds (2.5) The beds are 35 x 19 pan bottom fiberglass Beds are at least 30 inches wide and 76 long and are secured to the wall. ☒ ☐ ☐ and are of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. ☒ ☐ ☐ Lighting (2.6) There is at least 20 foot-candles (216 1x) of illumination at desk level in locked sleeping ☒ ☐ ☐ rooms, single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good visibility and is conducive to sleep. ☒ ☐ ☐ Padding (2.7) Padding in safety rooms covers the floor, door and walls to ☐ ☐ ☒ a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper- resistant fire sprinkler as approved by the State Fire ☐ ☐ ☒ Marshal (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all ☐ ☐ ☒ padded surfaces; and, is without exposed seams. 7 551 San Mateo Margaret J. Kemp Girl’s Camp PHY 23-24 - 7 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench seating ☒ ☐ ☐ is allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security perimeter ☒ ☐ ☐ of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device. ☒ ☐ ☐ Assess for New Construction/Remodel or Repair: Security Glazing (2.10) (Added in 2003) (Note to inspector: This will typically be assessed from specifications provided at plan review.) Security glazing complies with the minimum ☐ ☐ ☒ requirements of one of the following test standards: American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860- 94d, Class C glass; or, H. P. White Laboratory, Inc., HPW- TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met. (Note to inspector: See regulation for specific ☒ ☐ ☐ requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7 551 San Mateo Margaret J. Kemp Girl’s Camp PHY 23-24 - 8 - J456 PHY 98 01 03.dot (8/05) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7551 FACILITY: San Mateo Margaret Kemp Camp for Girls TYPE: Camp RC: 30 FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE 7/24/2023 ROOMS EACH ROOM Unit Room Applicable # EACH Total DIMENSIONS FIXTURES* Designation Type Standards Rooms ROOM RC (L x W x H) # RC T U W F S Beds A Dormitory 2001 1 7 7 7 28x18x9 1 3 Dayroom 2001 1 28x11.6 B Dormitory 2001 1 5 5 5 20x13x9 2 2 Dayroom 2001 1 17x6 C Dormitory 2001 1 8 8 8 28x18x9 1 3 Dayroom 2001 1 28x10 D Dormitory 2001 1 7 7 7 22x20x9 2 3 Dayroom 2001 1 22x4 Note: The six showers are accessible and shared by all dormitories. 1 Single 2001 1 1 1 1 7.5x10.9x9 1 1 1 2 Single 2001 1 1 1 1 7.2X10.2X9 1 1 1 3 Single 2001 1 1 1 8.5X10.2X9 1 1 1 Dayroom 2001 1 10x23 Note: The three sleeping rooms are not secured. Dayroom/Multi- 2001 2 56x19 2 purpose Note: Central open areas separated by the staff station. Multi-purpose 2001 2 20x22 Note: Group rooms at each end of the housing building. 1060 Multi-purpose 2001 1 13.7x18.5 Note: Group/interview room near officer's station. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7551 San Mateo Margaret J Kemp Girl’s Camp LASE 23-24 - 1 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH Total DIMENSIONS FIXTURES* Designation Type Standards Rooms ROOM RC (L x W x H) # RC T U W F S Beds 1095 Classroom 2001 1 30x19.5 1090 Classroom 2001 1 30x19.5 Note: 1085 Library 2001 1 30x21 Note: Tables and chairs available for programming. Dining 2001 1 587 square feet Note: Also has a kitchen instructional area. Gym Recreation- 2001 1 30x50 Exercise Outdoor Recreation- 2001 1 >9000 sq. feet, yard Exercise irregular shape Note: Grass area and hard surface. Note: Assistant Deputy Chief Probation Officer Jehan Clark reports no changes to the facility during the 2023-2024 inspection cycle thus far. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7551 San Mateo Margaret J Kemp Girl’s Camp LASE 23-24 - 2 - J460 LAS JUV-05.dot (rev.12/2022) 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; Elizabeth Andrews, Group Supervisor III; Mariela Jimenez, Group Supervisor III; Ruby Blanco, Registered Nurse County Health; Shin Choi, Registered Nurse County Health; Lauren Sneed, School Counselor San Mateo Office of Education; Aurora Pena, Supervising Behavioral Health Clinician; Jonas Barbour, Assistant Principal FIELD REPRESENTATIVE: Craigus Thompson DATE: July 26, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF All Local Inspections completed for this BUILDING AND GROUNDS inspection cycle. On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ ☐ Article 2 Section 1313 documented inspection and evaluation from the following: YSC- Completed 8/16/2023 (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire YSC- Completed on 9/1/2022 clearance as required by Health and Safety Code Section ☒ ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with EH - Completed on 10/19/2022 Health and Safety Code Section 101045; NUT - Completed on 10/10/2022 ☒ ☐ ☐ MED/MH - Completed on 6/14/2023 (d) county superintendent of schools on the adequacy of Completed on 9/12/2022 by Johanna educational services and facilities as required in Section ☒ ☐ ☐ Rasmussen and Sathvik Nori. 1370; (e) juvenile court as required by Section 209 of the ☒ ☐ ☐ Completed by Judge Susan I. Etezadi on Welfare and Institutions Code; and, 12/9/2022. (f) the Juvenile Justice Commission as required by Completed on 8/23/2023 and 8/31/2023. Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ Probation Commission as required by Section 240 of the Welfare and Institutions Code. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 1 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Article 3 Section 1321 BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s certification Memo submitted to BSCC by Chief John T. letter confirming that all elements of regulation are met. Keene on March 23, 2023. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Article 3 Section 1321 Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ Chief Keene memo knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; Article 3 Section 1321 (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ Chief Keene memo childhood (i.e., diphtheria, rubeola, rubella, and mumps); Article 3 Section 1321 (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ Chief Keene memo pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Article 3 Section 1321 employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 of the Government Chief Keene memo Code. (c) Contract personnel, volunteers, and other non- Article 3 Section 1321 employees of the facility, who may be present at the facility, shall have such clearance and qualifications as Chief Keene memo may be required by law, and their presence at the facility ☒ ☐ ☐ shall be subject to the approval and control of the facility manager. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 2 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Article 3 Section 1321 Each juvenile facility shall: (a) have an adequate number of personnel sufficient to We reviewed a variety of documents including carry out the overall facility operation and its safety check records, grievances, disciplinary programming, to provide for safety and security of youth actions, and incident reports. Also reviewed and staff, and meet established standards and January and February 2023 staffing regulations; schedules for the Youth Service Center (YSC). 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 Superintendent; 1 Compliance Officer; 6 Institution Services Managers; 14 Group Supervisors III; 19 Group Supervisors II; 1 Transportation Officer; and 14 Extra-Help Group Supervisors. ☒ ☐ ☐ Although YSC remains in compliance with this regulation, interviews with staff revealed that, at times during this inspection cycle, staff felt understaffed and unable to carry out the overall facility operations. At the time of the inspection, YSC had consolidated the units and only had one unit available for housing youth. The detention youth and SYTF youth are housed within that unit. Only operating one unit has created better staffing coverage but technical assistance was provided with regards to a long-term solution to staffing issues. YSC currently has open recruitments for full- time Group Supervisors I and Extra-Help Group Supervisors positions. (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. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 3 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) have a clearly identified person on duty at all times 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 requirements of youth; provide kitchen supervision; direct ☒ ☐ ☐ All YSC meals are provided by San Mateo’s food preparation and servings; conduct related training Sheriff Department. 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 support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be ☒ ☐ ☐ diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide Article 3 Section 1321 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 Not Applicable (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 4 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot 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 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 inspection duty for each 15 youth in the camp population; ☒ ☐ ☐ was two (2) male youths. Review of documentation revealed staffing ratios are met at all times. (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 ☒ ☐ ☐ 30 youth present in the facility; Review of daily schedules revealed compliance with this regulation. (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 residence, unless ☒ ☐ ☐ arrangements have been made for backup support Review of daily schedules revealed services which allow for immediate response to compliance with this regulation. emergencies; 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 5 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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; ☒ ☐ ☐ Review of daily schedules revealed compliance with this regulation. (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 camp; Review of daily schedules revealed types of youth committed to the camp; and the ☒ ☐ ☐ compliance with this regulation. 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 Article 3 Section 1321 duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ Review of daily schedules revealed farm, forestry, kitchen or maintenance shall not be compliance with this regulation. classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Article 3 Section 1322 AND TRAINING (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to The elements of this regulation are covered in ☒ ☐ ☐ their duties, including: Chief Keene letter, dated 3/23/2023. (1) youth supervision duties; Article 3 Section 1322 (2) scope of decisions they shall make; ☒ ☐ ☐ Article 3 Section 1322 (3) the identity of their supervisor; ☒ ☐ ☐ (4) the identity of persons who are responsible to Article 3 Section 1322 them; ☒ ☐ ☐ (5) persons to contact for decisions that are beyond Article 3 Section 1322 their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. Article 3 Section 1322 ☒ ☐ ☐ (b) Prior to assuming any responsibility for the Article 3 Section 1322 supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- ☒ ☐ ☐ specific orientation, including: It should be noted all new employees receive forty (40) hours of training prior to assuming any responsibility for the supervision of youth. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 6 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Article 3 Section 1322 (1) individual and group supervision techniques; ☒ ☐ ☐ (2) regulations and policies relating to discipline and Article 3 Section 1322 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; Article 3 Section 1322 (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Article 3 Section 1322 (4) suicide prevention and response to suicide ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation Article 3 Section 1322 techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; Article 3 Section 1322 (6) review of policies and procedures referencing ☒ ☐ ☐ trauma and trauma-informed approaches; Article 3 Section 1322 (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Article 3 Section 1322 (8) routine security measures, including facility ☒ ☐ ☐ perimeter and grounds; Article 3 Section 1322 (9) crisis intervention and mental health referrals to ☒ ☐ ☐ mental health services; Article 3 Section 1322 (10) documentation; and ☒ ☐ ☐ Article 3 Section 1322 (11) fire/life safety training ☒ ☐ ☐ (c) Prior to assuming sole supervision of youth, each Article 3 Section 1322 youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth Article 3 Section 1322 supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 7 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1323 FIRE AND LIFE SAFETY Article 3 Section 1323 Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times who meets the training standards established by the Review of documentation indicates that all Board for general fire and life safety which relate ☒ ☐ ☐ youth supervisory staff receive site-specific specifically to the facility. life safety training during orientation. Also, all full-time employees receive fire and safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL Article 3 Section 1324 (1-3) All facility administrators shall develop, publish, and implement a manual of written policies and procedures that address, at a minimum, all regulations that are County of San Mateo Youth Services Center applicable to the facility. Such a manual shall be made Policy, Procedures, and Operations Manual available to all employees, reviewed by all employees, was provided prior to the date of the and shall be administratively reviewed at a minimum ☒ ☐ ☐ inspection. The manual was administratively every two years, and updated, as necessary. Those reviewed by Christopher Abalos, Deputy Chief records relating to the standards and requirements set Probation Officer on March 9, 2023. It should forth in these regulations shall be accessible to the Board be noted the policy and procedure manual is on request. utilized for Detention, Camp Kemp, and SYTF youth. The manual shall include: (a) table of organization, including channels of Article 3 Section 1324 (b) communications and a description of job classifications; ☒ ☐ ☐ (b) responsibility of the probation department, purpose of Article 3 Section 1324 (f) programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or ☒ ☐ ☐ Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Article 3 Section 1324 (d) ☒ ☐ ☐ (d) initial orientation and training program for employees; Article 3 Section 1324 (d) ☒ ☐ ☐ (e) initial orientation, including safety and security issues Article 3 Section 1324 (g) and anti-discrimination policies, for support staff, contract ☒ ☐ ☐ employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and Article 3 Section 1324 (h) communication system to ensure: ☒ ☐ ☐ Article 3 Section 1324 (1) efficient operation of the juvenile facility; ☒ ☐ ☐ 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 8 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Article 3 Section 1324 (2) legal and proper care of youth; ☒ ☐ ☐ Article 3 Section 1324 (h) (3) maintenance of individual youth's records; ☒ ☐ ☐ Article 3 Section 1324 (i) (4) supply of information to the juvenile court and ☒ ☐ ☐ those authorized by the court or by the law; and, Article 3 Section 1324 (j) (5) release of information regarding youth. ☒ ☐ ☐ Article 3 Section 1324 (k) (g) ethical responsibilities; ☒ ☐ ☐ Article 3 Section 1324 (l) (h) trauma-informed approaches; ☒ ☐ ☐ Article 3 Section 1324 (m) (i) culturally responsive approaches; ☒ ☐ ☐ Article 3 Section 1324 (n) (j) gender responsive approaches; ☒ ☐ ☐ (k) a non-discrimination provision that provides that all Article 3 Section 1324 (o) youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any N/A chemical agents related security devices, and weapons ☐ ☐ ☒ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Article 3 Section 1324 (p) Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of Article 3 Section 1324 (q) sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 9 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1325 FIRE SAFETY PLAN Article 3 Section 1325 The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Article 3 Section 1325 with two-year retention of the inspection record; We reviewed monthly and fire safety ☒ ☐ ☐ inspections for the inspection cycle. Review of documentation reveals compliance with this regulation. (c) fire prevention inspections as required by Health and Article 3 Section 1325 ☒ ☐ ☐ Safety Code Section 13146.1(a) and (b); (d) an evacuation plan; ☒ ☐ ☐ Article 3 Section 1325 (e) documented fire drills not less than quarterly; Article 3 Section 1325 ☒ ☐ ☐ We reviewed fire drills for the inspection cycle. Review of documentation reveals compliance with this regulation. (f) a written plan for the emergency housing of youth in Article 3 Section 1325 ☒ ☐ ☐ the case of fire; and, (g) development of a fire suppression pre-plan in Article 3 Section 1325 ☒ ☐ ☐ cooperation with the local fire department. 1326 SECURITY REVIEW Article 3 Section 1326 Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ security of the facility. The review and evaluation shall Security Review for YSC completed by include internal and external security, including, but not Superintendent Jehan Clark on 03/17/2023. limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES Article 3 Section 1327 The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ Article 3 Section 1327 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 10 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) civil disturbance, active shooter and terrorist Article 3 Section 1327 ☒ ☐ ☐ attack; (c) fire and natural disasters; ☒ ☐ ☐ Article 3 Section 1327 (d) periodic testing of emergency equipment; ☒ ☐ ☐ Article 3 Section 1327 (e) emergency evacuation of the facility; and ☒ ☐ ☐ Article 3 Section 1327 Review of Emergency Response Procedures (f) a program to provide all youth supervision staff staff acknowledgment forms confirmed all ☒ ☐ ☐ with an annual review of emergency procedures. staff have reviewed the facility policy and procedure emergency procedures. 1328 SAFETY CHECKS Article 3 Section 1328 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, We reviewed the facility’s safety checks for at random or varied intervals during hours when youth the months of January, February, and March are asleep or when youth are in their rooms, confined in 2023. Review of documentation revealed holding cells or confined to their bed in a dormitory. safety checks are being completed per Supervision is not replaced, but may be supplemented regulation. It should be noted checks were by, an audio/visual electronic surveillance system ☒ ☐ ☐ completed at random or varied intervals designed to detect overt, aggressive or assaultive whenever youth are present in their room. behavior and to summon aid in emergencies. All safety 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. 1329 SUICIDE PREVENTION PLAN Article 3 Section 1329 The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and During the inspection process, we reviewed procedures which delineate a Suicide Prevention Plan. one (1) youth suicide prevention report from The plan shall consider the needs of youth experiencing the YSC facility. Review of documentation past or current trauma. Suicide prevention responses provided and policy and procedure manuals shall be respectful and in the least invasive manner ☒ ☐ ☐ revealed compliance with this regulation. consistent with the level of suicide risk. The plan shall include the following elements: It should be noted zero (0) SYTF youth have been placed on any level of suicide watch this inspection cycle. (a) Suicide prevention training as required in Section Article 3 Section 1329.4 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 11 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Screening, Identification Assessment and Article 3 Section 1329 (1a) Precautionary Protocols ☒ ☐ ☐ (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform intake Article 3 Section 1329.4 processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Article 3 Section 1329 intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. Review of documentation as well as interview with the facility Behavioral Health Supervisor revealed compliance with this regulation. (4) Precautionary protocols shall be developed to Article 3 Section 1329 ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for Article 3 Section 1329 ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk Article 3 Section 1329.1 for suicide. Following the review of suicide documentation, technical assistance was ☒ ☐ ☐ provided regarding the MH Observation safety checks. At the time of the inspection, MH Observation was documented every 15 minutes. We strongly recommended MH Observation be completed more frequently as every 15 minutes is a normal safety check. (e) Safety Interventions Article 3 Section 1329 (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ Article 3 Section 1329 (B) Treatment strategies including trauma- Article 3 Section 1329 ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff Article 3 Section 1329.4 how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication Article 3 Section 1329 (1a) (1) The intake process shall include communication with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 12 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures for clear and current information Article 3 Section 1329 (1b) sharing about youth at risk for suicide with youth ☒ ☐ ☐ supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides or Article 3 Section 1329.3 Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected Article 3 Section 1329.3 ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Article 3 Section 1329.3 ☒ ☐ ☐ youth. (h) Documentation Article 3 Section 1329 (1c) (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Article 3 Section 1329 (1c) opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ ☐ ☐ youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS Article 4 Section 1340 Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities No legal action reported this inspection cycle. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Article 4 Section 1341 OF A YOUTH WHILE DETAINED (1) Death of a Youth. (a) The facility administrator, in cooperation with No death and serious illness or injury of a the health administrator and the behavioral/mental youth this inspection cycle. health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 13 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The health administrator, in cooperation with Article 4 Section 1341 the facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to Article 4 Section 1341 the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Article 4 Section 1341 from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant ☒ ☐ ☐ to the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. Article 4 Section 1341 (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to ☒ ☐ ☐ necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Article 4 Section 1342 Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Article 4 Section 1343 When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than fifteen (15) calendar days in a month, the facility JH - 180 administrator shall provide a crowding report to the ☒ ☐ ☐ Camp - 30 Board in a format provided by the Board. SYTF - 00 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 14 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES Article 5 Section 1350 The facility administrator shall develop and implement written policies and procedures for admittance of youth that emphasize respectful and humane engagement We reviewed ten (10) youth admittance with youth, and reflect that the admission process may ☒ ☐ ☐ packages from the facility. Review of be traumatic to youth who may have already documentation provided and policy and experienced trauma. Policies shall be trauma-informed, procedure manuals revealed compliance with culturally relevant, and responsive to the language and this regulation. literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Article 5 section 1350/1350.5 (1) Access to two free phone calls within one hour of ☒ ☐ ☐ admittance in accordance with the provisions of Welfare and Institution Code Section 627; Article 5 section 1350/1350.5 (2) Offer of a shower; ☒ ☐ ☐ Youth offering of a shower upon admissions is documented on the YSC - Admission Booking Checklist. Review of documentation revealed compliance with this regulation. (3) Documented secure storage of personal Article 5 section 1350/1350.5 ☒ ☐ ☐ belongings; Article 5 section 1350/1350.5 (4) Offer of food upon arrival; ☒ ☐ ☐ Youth offering of food upon admissions is documented on the YSC - Admission Booking Checklist. Review of documentation revealed compliance with this regulation. (5) Screening for physical and behavioral health Article 5 section 1350/1350.5 and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental Article 5 section 1350/1350.5 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Article 5 section 1350/1350.5 Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Article 5 section 1350/1350.5 (b) juvenile hall administrators shall establish written Article 5 section 1350/1350.5 criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 15 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) juvenile camps and post-dispositional programs in Article 5 section 1350/1350.5 juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform ☒ ☐ ☐ them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures Article 5 section 1350/1350.5 that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL Article 5 Section 1350.5 ABUSE The facility administrator shall develop and implement written policies and procedures to reduce the risk of The facility has implemented the West Coast sexual abuse by or upon youth. The policy shall require Children’s Clinic “Commercial Sexual facility staff to assess each youth within 72 hours of Exploitation Identification Tool (CSE-IT) to admission based on the following information: screen youth for the risk of sexual abuse. ☒ ☐ ☐ We reviewed ten (10) CSE-IT packages from the YSC facility. Review of documentation provided and policy and procedure manuals revealed compliance with this regulation. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Article 5 Section 1350.5 (a) (b) Gender nonconforming appearance or manner; or Article 5 Section 1350.5 (b) identification as lesbian, gay or bisexual, transgender, ☒ ☐ ☐ queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Article 5 Section 1350.5 (c) (d) Age; ☒ ☐ ☐ Article 5 Section 1350.5 (d) (e) Level of emotional and cognitive development; ☒ ☐ ☐ Article 5 Section 1350.5 (e) (f) Physical size and stature; ☒ ☐ ☐ Article 5 Section 1350.5 (f) (g) Mental illness or mental disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (g) (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (h) (i) Physical disabilities; ☒ ☐ ☐ Article 5 Section 1350.5 (i) (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Article 5 Section 1350.5 (j) (k) Any other specific information about the individual Article 5 Section 1350.5 (k) youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 16 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Staff shall ascertain this information through Article 5 Section 1350.5 conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Article 5 Section 1350.5 controls on the dissemination of information within the facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES Article 5 Section 1351 The facility administrator shall develop and implement written policies and procedures for release of youth from custody which provide for: We reviewed ten (10) Notice of Release forms from the YSC facility. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. ☒ ☐ ☐ However, while reviewing the Notice of Release form, it was discovered the signature of the individual the youth was being released to was not on the form. Technical assistance was provided regarding including on the release form the printed name and signature of the individual the youth was being released to. Prior to the conclusion of the inspection, the facility revised and implemented an updated release form which included the printed name and signature of the individual receiving the youth. Article 5 Section 1351 (a) verification of identity/release papers; ☒ ☐ ☐ Article 5 Section 1351 We reviewed ten (10) Property Receipt forms (b) return of personal clothing and valuables; ☒ ☐ ☐ from the YSC facility. Review of documentation provided and policy and procedure manual revealed compliance with this regulation. Article 5 Section 1351 (c) notification to the youth's parents or guardian; ☒ ☐ ☐ 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 17 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) notification to the facility health care provider in Article 5 Section 1351 accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, Article 5 Section 1351 (e) notification of school staff; ☒ ☐ ☐ Article 5 Section 1351 (f) notification of facility mental health personnel. ☒ ☐ ☐ The facility administrator shall develop and implement Article 5 Section 1351 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement Article 5 Section 1351 written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION Article 5 Section 1352 The facility administrator shall develop and implement written policies and procedures on classification of youth for the purpose of determining housing placement in the ☒ ☐ ☐ We reviewed ten (10) youth classification facility. packets. Review of documentation provided and policy and procedure manual revealed Such procedures shall: compliance with this regulation. (a) provide for the safety of the youth, other youth, Article 5 Section 1352 (2a) facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Article 5 Section 1352 (2b) the facility; ☒ ☐ ☐ (c) provide that a youth shall be classified upon Article 5 Section 1352 (2b) admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Article 5 Section 1352 provisions that consider the level of supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ Youth classifications are reviewed weekly in Multi-Disciplinary Team Meetings (MDT). 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 18 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) provide that facility staff shall not separate youth Article 5 Section 1352 (4) from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Article 5 Section 1352 (4) transgender, questioning or intersex identification or ☒ ☐ ☐ status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Article 5 Section 1352.5 The facility administrator shall develop written policies and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The We reviewed the Transgender/Intersex Youth policies shall provide that: Preference form. Review of form provided and ☒ ☐ ☐ policy and procedure manuals revealed compliance with this regulation. (a) Facility staff shall respect every youth’s gender Article 5 Section 1352.5 identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Article 5 Section 1352.5 themselves in a manner consistent with their gender ☒ ☐ ☐ identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Article 5 Section 1352.5 best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall ☒ ☐ ☐ document the reasons for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Article 5 Section 1352.5 and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 19 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Consistent with the facility’s reasonable and Article 5 Section 1352.5 necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Article 5 Section 1352.5 youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Article 5 Section 1353 The facility administrator shall develop and implement written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal We reviewed ten (10) youth San Mateo information shall be provided and supplemented with County Youth Services Center (YSC) video orientation if feasible. Provision shall be made to Orientation forms. Review of documentation provide accessible orientation information to all detained provided and policy and procedure manual youth including those with disabilities, limited literacy, or revealed compliance with this regulation. ☒ ☐ ☐ English language learners. Orientation shall include information that addresses: Each youth is provided a Youth Orientation Handbook during the booking process. The handbook is available in English and Spanish. (a) facility rules including contraband and searches and Article 5 Section 1353 (1) ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions Article 5 Section 1353 (2) and supports, including behavior expectations, incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Article 5 Section 1353 (14) facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Article 5 Section 1353 (21) ☒ ☐ ☐ Documented within the handbook. (e) the existence of the grievance procedure, the steps Article 5 Section 1353 (5) that must be taken to use it, the youth’s right to be free ☒ ☐ ☐ of retaliation for reporting a grievance, and the name of the person or position designated to resolve the issue; 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 20 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) access to legal services and information on the Article 5 Section 1353 (9) ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Article 5 Section 1353 (6) ☒ ☐ ☐ health care; (h) access to education, religious services, and Article 5 Section 1353 (10) ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Article 5 Section 1353 (8) (j) opportunity for personal hygiene and daily showers Article 5 Section 1353 (4) ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, visits and Article 5 Section 1353 (3) ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Article 5 Section 1353 (11) ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Article 5 Section 1353 (12) ☒ ☐ ☐ chemical agents and room confinement; (n) immigration legal services; ☒ ☐ ☐ Article 5 Section 1353 (16) (o) emergencies including evacuation procedures; ☒ ☐ ☐ Article 5 Section 1353 (17) (p) non-discrimination policy and the right to be free from Article 5 Section 1353 (20) physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Article 5 Section 1353 (7) ☒ ☐ ☐ other than English if appropriate; (r) the process for requesting different housing, Article 5 Section 1353 (23) ☒ ☐ ☐ education, programming and work assignments; (s) a process for which parents/guardians receive Article 5 Section 1353 (24) information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title Article 5 Section 1353 (25) 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Access to Title 15 is available to youth upon request to staff. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 21 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION Article 5 Section 1354 The facility administrator shall develop and implement written policies and procedures that address: It should be noted no SYTF youth has been ☒ ☐ ☐ separated thus far this inspection cycle. (a) separation of youth for reasons that include, but are Article 5 Section 1354 not be limited to, medical and mental health conditions, ☒ ☐ ☐ assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Article 5 Section 1354 trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal Article 5 Section 1354 privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Article 5 Section 1354 Title 15 Section 1390 shall apply. ☒ ☐ ☐ (e) when separation results in room confinement, the Article 5 Section 1354 separation shall occur in accordance with Welfare and ☒ ☐ ☐ Institutions Code Section 208.3 and Section 1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Article 5 Section 1354 of separated youth to determine if separation remains ☒ ☐ ☐ necessary. 1354.5 ROOM CONFINEMENT Article 5 section 1354.3 Room Confinement (a) The facility administrator shall develop and implement written policies and procedures addressing the confinement of youth in their room that are Compliance of this regulation is based solely consistent with Welfare and Institutions Code Section on review of YSC policy and procedure 208.3. The placement of a youth in room confinement manual as the facility has not used room ☒ ☐ ☐ shall be accomplished in accordance with the following confinement this inspection cycle. Review of guidelines: policy and procedure revealed compliance with this regulation. (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. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 22 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Room confinement shall not be used for the 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 YSC policy and procedure ☒ ☐ ☐ manual states youth may be held up to two hours before doing one of the following below. That is two hours less than the regulation’s requirement. Article 5 section 1354.3 Room Confinement (4a) (1) Return the youth to general population. ☒ ☐ ☐ Article 5 section 1354.3 Room Confinement (4b) (2) Consult with mental health or medical staff. ☒ ☐ ☐ (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. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 23 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) This section is not intended to limit the use of 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. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Article 5 section 1355 The facility administrator shall develop and implement written policies and procedures for assessment and case planning. ☒ ☐ ☐ Reviewed five (5) Youth Institutional Assessment Case plans from the YSC facility. Review of documentation provided revealed compliance with this regulation. (a) Assessment: Article 5 section 1355.1 Assessment (a, b, c, The assessment is based on information collected d) during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ ☐ ☐ strengths including, but not limited to, identification of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 24 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Institutional Case Plan: Article 5 Section 1355.2 Institutional Case (1) A case plan shall be developed for each youth Plan ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be Article 5 Section 1355.2 (a) Institutional Case ☒ ☐ ☐ limited to, written documentation that provides: Plan (A) objectives and time frame for the resolution of Article 5 Section 1355.2 Institutional Case ☒ ☐ ☐ problems identified in the assessment; Plan (B) a plan for meeting the objectives that includes Article 5 Section 1355.2 (b) Institutional Case a description of program resources needed and Plan individuals responsible for assuring that the plan is implemented; ☒ ☐ ☐ During the inspection process, we provided technical assistance with regards to youth goals and objectives being individualized for each youth’s criminogenic needs. (3) periodic evaluation of progress towards meeting Article 5 Section 1355.2 Institutional Case the objectives, including periodic review and Plan (c) discussion of the plan with the youth; ☒ ☐ ☐ It should be noted periodic reviews of youth case plans are conducted every 60 days. (4) a transition plan, the contents of which shall be Article 5 Section 1355.2 (d) Institutional Case subject to existing resources, shall be developed for Plan ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the Article 5 Section 1355.2 (e) Institutional Case plan, including the transition plan, shall be developed Plan with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Article 5 Section 1356 The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ Reviewed ten (10) youth Counseling and youth. Policies and procedures shall ensure: Casework packets from YSC. Review of documentation provided revealed compliance with this regulation. (a) youth will receive assistance with needs or concerns ☒ ☐ ☐ Article 5 Section 1356 that may arise; (b) youth will receive assistance in requesting contact Article 5 Section 1356.1 Request and ☒ ☐ ☐ with parents, other supportive adults, attorney, clergy, Referrals probation officer, or other public official; and, (c) youth will be provided access to available resources Article 5 Section 1356.1 Request and ☒ ☐ ☐ to meet the youth’s needs. Referrals 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 25 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Article 5 Section 1357 The facility administrator, in cooperation with the responsible physician, shall develop and implement written policies and procedures for the use of force, We reviewed ten (10) hands-on use of force which may include chemical agents. Force shall never reports from the YSC facility. Review of policy be applied as punishment, discipline, retaliation or ☒ ☐ ☐ and procedure and documentation revealed treatment. compliance with this regulation. It should be noted each report reviewed contained staff (a) At a minimum, each facility shall develop policies and efforts to de-escalate the incident and procedures which: command calls given to the youth prior to going hands-on to protect the safety of the youth and the facility. (1) restricts the use of force to that which is deemed 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. ☒ ☐ ☐ 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 26 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. Review of documentation revealed notification to parents following a use of force incident ☒ ☐ ☐ was not being completed consistently. Technical assistance was provided and, prior to the conclusion of the inspection, the facility updated their special incident form to include notification to parents when use of force has been utilized. (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. (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: 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 27 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1358 USE OF PHYSICAL RESTRAINTS Article 5 Section 1358 The facility administrator, in cooperation with the responsible physician and mental health director, shall develop and implement written policies and procedures Review of documentation provided and policy for the use of restraint devices. Restraint devices and procedure manuals revealed compliance include any devices which immobilize a youth's with this regulation. extremities and/or prevent the youth from being ☒ ☐ ☐ ambulatory. It should be noted handcuffs or mechanical restraints are only used for transportation or movement within the facility. Physical restraints may be used only for those youth Article 5 Section 1358 who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause Handcuffs or mechanical restraints are only self-inflicted physical harm. Physical restraints should used for transportation or movement within be utilized only when it appears less restrictive ☒ ☐ ☐ the facility. alternatives would be ineffective in controlling the youth’s behavior. Plastic cuffs will be used only in unusual situations where handcuffs are not available. In no case shall restraints be used as punishment or Article 5 Section 1358 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ ☐ ☐ of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 28 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The provisions of this section do not apply to the use of Article 5 Section 1358 handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Article 5 Section 1358 of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Article 5 Section 1358 (5) retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Article 5 Section 1358 (7) possible, but in no case longer than four hours from the ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Article 5 Section 1358 (8) to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Article 5 Section 1358 (9a) procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate Article 5 Section 1358 (9b) ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☒ ☐ ☐ Article 5 Section 1358 (9c) (d) signs or symptoms which should result in immediate Article 5 Section 1358 (9d) ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation Article 5 Section 1358 (9e) ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Article 5 Section 1358 (9f) restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Article 5 Section 1358 (9g) (h) exercising of extremities. ☒ ☐ ☐ Article 5 Section 1358 (9h) 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 29 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR Article 5 Section 1358.5 MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. The Facility Administrator, in cooperation with the Review of documentation provided and policy responsible physician and behavioral/mental health ☒ ☐ ☐ and procedure manuals revealed compliance director, shall develop and implement written policies with this regulation. and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff All permanent and core-trained youth approved to utilize restraint devices and the required ☒ ☐ ☐ supervision staff are approved to use training. restraints within the facility. (b) the circumstances leading to the application of Article 5 Section 1358.5 restraints must be documented. ☒ ☐ ☐ (c) an individual assessment of the need to apply Article 5 Section 1358.5 restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, Article 5 Section 1358.5 with a clearly defined expectation that restraint devices ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Article 5 Section 1358.5.1 Pregnant Youth accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Article 5 Section 1359 (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures Compliance with this regulation is based governing the use of safety rooms, as described in Title solely on the review of the facility policy and 24, Part 2, Section 1230.1.13. The room shall be used procedure manual as the safety room has yet to hold only those youth who present an immediate ☒ ☐ ☐ to be utilized this inspection cycle. Review of danger to themselves or others, who exhibit behavior the policy and procedure manual revealed which results in the destruction of property, or reveals compliance with this regulation. the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary Article 5 Section 1359 nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 30 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) provide for approval of the facility manager, or Article 5 Section 1359 designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Article 5 Section 1359 and documentation of the youth's behavior and any ☒ ☐ ☐ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the Article 5 Section 1359 facility manager, or designee, every four hours; ☒ ☐ ☐ (5) provide for immediate medical assessment, Article 5 Section 1359 where appropriate, or an assessment at the next ☒ ☐ ☐ daily sick call; and, (6) provide a process for documenting the reason for Article 5 Section 1359 placement, including attempts to use less restrictive ☒ ☐ ☐ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be Article 5 Section 1359 accomplished in accordance with the following: ☒ ☐ ☐ (1) safety room shall not be used before other less Article 5 Section 1359 restrictive options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Article 5 Section 1359 punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Article 5 Section 1359 compromises the mental and physical health of the ☒ ☐ ☐ youth. (c) A youth may be held up to four hours in the safety Article 5 Section 1359 room. After the youth has been held in the safety room ☒ ☐ ☐ for a period of four hours, staff shall do one or more of the following: Article 5 Section 1359 ☒ ☐ ☐ (1) return the youth to general population. Article 5 Section 1359 ☒ ☐ ☐ (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the Article 5 Section 1359 goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 31 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) If confinement in the safety room must be extended Article 5 Section 1359 beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Article 5 Section 1360 The facility administrator shall develop and implement written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures We reviewed five (5) Search Authorization shall provide that: forms in which youth were strip searched. Facts for supporting each strip search were noted on the forms. Review of documentation provided and policy and procedure manuals ☒ ☐ ☐ revealed compliance with this regulation. However, technical assistance was provided regarding updating and removing outdated language from the current form. Prior to the conclusion of the inspection, the facility updated and implemented a new Search Authorization form. (a) Searches shall be conducted to ensure the safety Article 5 Section 1360.9 Training and security of the facility, public, visitors, youth, and ☒ ☐ ☐ staff. (b) Searches shall be conducted in a manner that Article 5 Section 1360.9 Training preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Article 5 Section 1360.2 Strip Searches searches shall comply with Penal Code Section 4030. ☒ ☐ ☐ (d) Physical body cavity searches shall only be Article 5 Section 1360.3 Physical Body Cavity conducted by a medical professional. Search ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only Article 5 Section 1360.2 Strip Search be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall Article 5 Section 1360.5 Transgender comply with Section 1352.5. Searches ☒ ☐ ☐ 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 32 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Cross-gender pat-down searches and strip searches Article 5 Section 1360.5 Transgender are prohibited except in exigent circumstances or when Searches ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Article 5 Section 1361 The facility administrator shall develop and implement written policies and procedures whereby any youth may appeal and have resolved grievances relating to any We reviewed the grievance logs from condition of confinement, including but not limited to January, February, and March 2023 at YSC. health care services, classification decisions, program ☒ ☐ ☐ In all, we reviewed twenty-six (26) youth participation, telephone, mail or visiting procedures, grievance forms. Review of policy and food, clothing, bedding, mistreatment, harassment or procedure and review of documentation violations of the nondiscrimination policy. There shall be provided revealed compliance with this no time limit on filing grievances. Policies and regulation. procedures shall include provisions whereby the facility manager ensures: (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; (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; (c) resolution of the grievance at the lowest appropriate Article 5 Section 1361 (2) staff level; ☒ ☐ ☐ (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 addressed immediately; (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; ☒ ☐ ☐ (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, 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 33 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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. 1362 REPORTING OF INCIDENTS Article 5 section 1362 A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be ☒ ☐ ☐ Review of documentation provided revealed maintained. Such written record shall be prepared by the compliance with this regulation. staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Article 5 section 1362 DNA SPECIMENS, SAMPLES, IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel Force will not be used in the collection of including peace officers, may employ reasonable force samples except as authorized by court order. to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or ☒ ☐ ☐ The OD Supervisor will review and approve impressions pursuant to Penal Code Section 296 and any use of force. The Supervisor shall be who refuse following written or oral request. present to supervise and document the use of force. Force has not been utilized to obtain any type of samples this inspection cycle. (1) For the purpose of this section, the “use of Article 5 section 1362 reasonable force” shall be defined as the force that an objective, trained and competent correctional ☒ ☐ ☐ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by Article 5 section 1362 efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☒ ☐ ☐ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written Article 5 section 1362 authorization of the supervising officer on duty. The authorization shall include information that reflects the ☒ ☐ ☐ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 34 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) If the use of reasonable force includes a cell Article 5 section 1362 extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☒ ☐ ☐ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM Article 6 section 1370 (a) School Programs The County Board of Education shall provide for the The San Mateo County Office of Education administration and operation of juvenile court schools in Court and Community School Program conjunction with the Chief Probation Officer, or designee provides a student-centered, standards- pursuant to applicable State laws. The school and facility based curriculum. SMOE engages in a administrators shall develop and implement written policy partnership with the College of San Mateo and procedures to ensure communication and through Project Change which provides coordination between educators and probation staff. students with unique opportunities to develop Culturally responsive and trauma-informed approaches college and career readiness skills, complete should be applied when providing instruction. Education California’s High School requirements for staff should collaborate with the facility administrator to Graduation, and pursue college-level courses use technology to facilitate learning and ensure safe for college credit. technology practices. The facility administrator shall ☒ ☐ ☐ request an annual review of each required element of the program by the Superintendent of Schools, and a report We interviewed school staff, probation staff, or review checklist on compliance, deficiencies, and and youth, and reviewed school daily corrective action needed to achieve compliance with this schedules which revealed compliance with section. Such a review, when conducted, cannot be this regulation. delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside It should be noted the Annual Education agency or individual. Upon receipt of the review, the review was completed on 9/12/2022 by facility administrator or designee shall review each item Johanna Rasmussen and Sathvik Nori. with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Article 6 section 1370 The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California ☒ ☐ ☐ Standards for the Teaching Profession, teachers shall establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 35 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS All youth shall be treated equally, and the education Article 6 section 1370 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Article 6 section 1370 Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Article 6 section 1370 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary Article 6 section 1370 education and vocational opportunities. ☒ ☐ ☐ (4) Administration of the High School Equivalency Article 6 section 1370 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Article 6 section 1370 who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Article 6 section 1370 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that operational ☒ ☐ ☐ procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Article 6 section 1370 of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Article 6 section 1370 (1) Positive behavior management will be implemented to reduce the need for disciplinary action The education program is integrated into the in the school setting and be integrated into the facility's juvenile facilities’ overall positive behavioral overall behavioral management plan and security ☒ ☐ ☐ management plan and security program. Any system. violations committed while participating in the education program will be handled under the Youth Discipline Policy. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 36 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) School staff shall be advised of administrative Article 6 section 1370 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Article 6 section 1370 Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Article 6 section 1370 education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Article 6 section 1370 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Article 6 section 1370 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Article 6 section 1370 (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; Article 6 section 1370 ☒ ☐ ☐ (B) Home Language Survey and the results of the Article 6 section 1370 State Test used for English language proficiency; ☒ ☐ ☐ (C) Needs and services of special populations as Article 6 section 1370 defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. Article 6 section 1370 ☒ ☐ ☐ (2) Youth will be immediately enrolled in school. Article 6 section 1370 Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 37 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) After admission to the facility, a preliminary Article 6 section 1370 education plan shall be developed for each youth ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with Article 6 section 1370 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Article 6 section 1370 (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Article 6 section 1370 provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Article 6 section 1370 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities Article 6 section 1370 (1) The school and facility administrator should, whenever possible, collaborate with local post- secondary education providers to facilitate access to ☒ ☐ ☐ It should be noted that, at the time of the educational and vocational opportunities for youth that inspection, YSC had seven (7) youth enrolled considers the use of technology to implement these in the College of San Mateo. Two of those programs. youth are SYTF youth. 1371 PROGRAMS, RECREATION, AND Article 6 Section 1371 EXERCISE. The facility administrator shall develop and implement written policies and procedures for programs, Review of policy and procedures and daily recreation, and exercise for all youth. The intent is to schedule revealed compliance with this minimize the amount of time youth are in their rooms or regulation. Documentation of youth’s their bed area. ☒ ☐ ☐ programs, recreation, and exercise are documented within the youth program sheets. 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. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 38 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for 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 shall Article 6 Section 1371 be posted in the living units. ☒ ☐ ☐ It should be noted during the inspection facility walkthrough the youth 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 relevant to the population. ☒ ☐ ☐ Programs Annual Review completed by Superintendent Jehan Clark on March 31, 2023. (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, evidence-based, best practice interventions that are YSC youth all participate in programming culturally relevant and linguistically appropriate, or pro- which focuses on trauma-focused, cognitive, social interventions and activities designed to reduce evidence-based, best practice interventions recidivism. These programs should be based on the that are culturally relevant and linguistically youth’s individual needs as required by Sections 1355 appropriate, or prosocial interventions and and 1356. Such programs may be provided under the ☒ ☐ ☐ activities designed to reduce recidivism. 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: 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 39 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; Article 6 Section 1371 (2) Management of Stress and Trauma; (3) Anger Management; Review of daily program schedules and interviews with the staff and youth revealed (4) Conflict Resolution; compliance with this regulation. (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 ☒ ☐ ☐ entertainment. Activities shall be supervised and include Review of daily program schedules and orientation and may include coaching of youth. interviews with the staff and youth revealed 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. ☒ ☐ ☐ 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 ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 40 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM Article 6 Section 1372 The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be Review of daily schedule revealed youth can allowed to participate in an activity outside of their room if ☒ ☐ ☐ participate in alternative programming during he/she elects not to participate in religious programs. the scheduled religious program time. Religious programs shall provide for: Article 6 Section 1372.2 (a) opportunity for religious services and practices; ☒ ☐ ☐ Article 6 Section 1372.1 (b) availability of clergy; and, ☒ ☐ ☐ Article 6 Section 1372.5 (c) availability of religious diets. ☒ ☐ ☐ 1373 WORK PROGRAM Article 6 section 1373 The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth ☒ ☐ ☐ Review of policy and procedure revealed shall be meaningful, constructive and related to compliance with this regulation. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING Article 6 Section 1374 The facility administrator shall develop and implement written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to We reviewed the YSC visiting logs from receive visits by parents, guardians or persons standing January, February, and March 2023. Review in loco parentis, and children of youth. Other family ☒ ☐ ☐ of logs and review of policy and procedures members, such as grandparents and siblings, and revealed compliance with this regulation. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to Article 6 Section 1374 the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 41 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Opportunity for visitation shall be a minimum of two hours Article 6 Section 1374 per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour Article 6 Section 1374 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy ☒ ☐ ☐ and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Article 6 Section 1374 alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ Zoom visits are offered to youth but not as a replacement to in-person visits. 1375 CORRESPONDENCE Article 6 Section 1375 The facility administrator shall develop and implement written policies and procedures for correspondence ☒ ☐ ☐ which provide that: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) there is no limitation on the volume of mail that youth Article 6 Section 1375 ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Article 6 Section 1375 (c) youth may correspond confidentially with state and Article 6 Section 1375 federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Article 6 Section 1375 in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Article 6 Section 1376 The administrator of each juvenile facility shall develop and implement written policies and procedures to provide ☒ ☐ ☐ youth with access to telephone communications. Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 42 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1377 ACCESS TO LEGAL SERVICES Article 6 section 1377 The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: Staff and youth interviewed as well as review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed Article 6 section 1377.2 attorneys and their authorized representatives; ☒ ☐ ☐ (b) provision for confidential consultation with attorneys; Article 6 section 1377.1 and, ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Article 6 section 1377.4 cost-free telephone access as appropriate. ☒ ☐ ☐ 1390 DISCIPLINE Article 7 Section 1390 The facility administrator shall develop and implement written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use Review of policy and procedures and of positive behavior interventions and supports. Discipline ☒ ☐ ☐ documentation revealed compliance with this shall be imposed at the least restrictive level which regulation. promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Article 7 Section 1390 (a) (b) daily shower, access to drinking fountain, toilet and Article 7 Section 1390 (b) ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Article 7 Section 1390 (c) (d) contact with parent or attorney; ☒ ☐ ☐ Article 7 Section 1390 (d) (e) exercise; ☒ ☐ ☐ Article 7 Section 1390 (e) (f) medical services and counseling; ☒ ☐ ☐ Article 7 Section 1390 (f) (g) religious services; ☒ ☐ ☐ Article 7 Section 1390 (g) (h) clean and sanitary living conditions; ☒ ☐ ☐ Article 7 Section 1390 (h) (i) the right to send and receive mail; ☒ ☐ ☐ Article 7 Section 1390 (i) (j) education; and, ☒ ☐ ☐ Article 7 Section 1390 (j) (k) rehabilitative programming. ☒ ☐ ☐ Article 7 Section 1390 (k) 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 43 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall establish rules of conduct Article 7 Section 1390 and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS Article 7 Section 1391 The facility administrator shall develop and implement written policies and procedures for the administration of discipline which shall include, but not be limited to: ☒ ☐ ☐ We reviewed ten (10) Due Process Tickets from YSC. Review of policy and procedures and documentation revealed compliance with this regulation. (a) designation of personnel authorized to impose Article 7 Section 1391 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Article 7 Section 1391 (c) definition of major and minor rule violations and their Article 7 Section 1391 ☒ ☐ ☐ consequences, and due process requirements; (d) trauma-informed approaches and positive behavior Article 7 Section 1391 ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Article 7 Section 1391 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall Article 7 Section 1391 be documented and require the following: We reviewed ten (10) Due Process Tickets from YSC. Review of policy and procedures and documentation revealed compliance with this regulation. ☒ ☐ ☐ It should be noted technical assistance was provide with regards to the due process ticket form. We recommended including a signature line on the form for the youth to sign and acknowledge his/her due process. Prior to the conclusion of the inspection, the facility updated their form to include a signature for the youth to sign. (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Article 7 Section 1391 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 44 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) accommodations provided to youth with Article 7 Section 1391 disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Article 7 Section 1391 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Article 7 Section 1391 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the Article 7 Section 1391 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Article 7 Section 1391 (g) violations that result in a removal from camp or Article 7 Section 1391 commitment program, but not a return to court, will ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Article 10 Section 1410 DISEASES. The health administrator/responsible physician, in cooperation with the facility administrator and the local Review of policy and procedure revealed health officer, shall develop written policies and ☒ ☐ ☐ compliance with this regulation. procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; ☒ ☐ ☐ Article 10 Section 1410 (b) Identification of relevant symptoms; ☒ ☐ ☐ Article 10 Section 1410 (c) Referral for medical evaluation; ☒ ☐ ☐ Article 10 Section 1410 (d) Treatment responsibilities during detention; ☒ ☐ ☐ Article 10 Section 1410 (e) Coordination with public and private community- Article 10 Section 1410 ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ Article 10 Section 1410 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Article 10 Section 1410 The policies and procedures shall be updated as Article 10 Section 1410 necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 45 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Article 10 Section 1433 (EXCERPT) The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ All youth Housing units have a medical lock establish a daily routine for youth to convey requests for box in the dayroom. Youth fill out a medical emergency and non-emergency medical, dental and service request form for medical or mental behavioral/mental health care services. health services. 1480 STANDARD FACILITY CLOTHING ISSUE Article 10 Section 1480 The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing and footwear specified in this regulation. The facility has Review of policy and procedure and the primary responsibility to provide clothing and ☒ ☐ ☐ interviews with staff and youth revealed footwear. Clothing provisions shall ensure that: compliance with this regulation. (a) Clothing is clean, reasonably fitted, durable, easily Article 10 Section 1480 ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. (b) The standard issue of climatically suitable clothing Article 10 Section 1480 ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Article 10 Section 1480 (2) Outer garments; ☒ ☐ ☐ Article 10 Section 1480 (3) New non-disposable underwear which shall Article 10 Section 1480 ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and Article 10 Section 1480 ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by Article 10 Section 1480 local ordinances for the commercial laundries and dried ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Article 10 Section 1480 1482 CLOTHING EXCHANGE Article 10 Section 1482 The facility administrator shall develop and implement written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless Review of policy and procedure and work, climatic conditions, or illness necessitates more ☒ ☐ ☐ interviews with staff and youth revealed frequent exchange, outer garments, except for footwear, compliance with this regulation and youth are shall be exchanged at least once each week. Tee shirts, receiving their own underwear back at clothing bras, and underwear shall be exchanged daily; youth exchange. shall receive their own underwear back at exchange. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 46 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1484 CONTROL OF VERMIN IN YOUTH’S Article 10 Section 1484 PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility Review of policy and procedure revealed administrator to control the contamination and/or spread ☒ ☐ ☐ compliance with this regulation. of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Article 10 Section 1485 There shall be written policies and site-specific procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ Review of policy and procedure and items. Each female youth shall be provided with sanitary interviews with staff and youth revealed napkins, panty liners and tampons as requested. Each compliance with this regulation. youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Article 10 Section 1485 (b) Toothpaste; ☒ ☐ ☐ Article 10 Section 1485 (c) Soap; ☒ ☐ ☐ Article 10 Section 1485 (d) Comb; ☒ ☐ ☐ Article 10 Section 1485 (e) Shaving implements; ☒ ☐ ☐ Article 10 Section 1485 (f) Deodorant; ☒ ☐ ☐ Article 10 Section 1485 (g) Lotion; ☒ ☐ ☐ Article 10 Section 1485 (h) Shampoo; and, ☒ ☐ ☐ Article 10 Section 1485 (i) Post-shower conditioning hair products. ☒ ☐ ☐ Article 10 Section 1485 Youth shall not be required to share any personal care Article 10 Section 1485 items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 47 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1486 PERSONAL HYGIENE Article 10 Section 1486 There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Review of policy and procedure and teeth. Youth shall be permitted to shower/bathe up on interviews with staff and youth revealed assignment to a housing unit and on a daily basis compliance with this regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Article 10 Section 1487 Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ Review of policy and procedure and opportunity to shave face and body hair. The facility interviews with staff and youth revealed administrator may suspend this requirement in relation compliance with this regulation. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Article 10 Section 1488 Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each ☒ ☐ ☐ Review of policy and procedure and haircut or procedure, by a method approved by the State interviews with staff and youth revealed Board of Barbering and Cosmetology. compliance with this regulation. 1500 STANDARD BEDDING AND LINEN ISSUE Article 11 Section 1500 Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, ☒ ☐ ☐ Review of policy and procedure and but not be limited to: interviews with staff and youth revealed compliance with this regulation. (a) One mattress or mattress-pillow combination which Article 11 Section 1500 meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in Article 11 Section 1500 ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Article 11 Section 1500 (d) One towel; and, ☒ ☐ ☐ Article 11 Section 1500 (e) One blanket or more, up on request ☒ ☐ ☐ Article 11 Section 1500 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 48 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1501 BEDDING LINEN EXCHANGE Article 11 Section 1501 The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ Review of policy and procedure and issued to each youth housed. Washable items such as interviews with staff and youth revealed sheets, mattress covers, pillow cases and towels shall compliance with this regulation. be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered Article 11 Section 1501 once a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND Article 11 Section 1510 MAINTENANCE The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, Review of policy and procedure revealed repair and safety throughout the facility. The plan shall compliance with this regulation. provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 49 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☒ ☐ ☐ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☒ ☐ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☐ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 50 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☒ ☐ separated from minors. ☐ Violation Adult inmates from an adult facility (e.g. inmate workers ☒ ☐ ☐ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7554 San Mateo Secure Youth Treatment Facility PRO 23-24 Page 51 of 51 A453 JUV PRO eff. 1/2019 (23-24).dot